Successful aging: criteria and predictors

In the Anglo-Saxon scientific literature, successful aging has been consolidated during the last four decades. Nevertheless, several terms have been used as synonymous: healthy, active, productive, optimal, positive aging. Although, all these terms have been described through a broad set of bio-psycho-social factors, usually, research in this field reduces successful aging to daily life functioning and physical health. Also, in spite of the fact that authors consider that determinants might be multi-domain, empirical research usually reduces them to life styles. Logically, the prevalence of this kind of ageing found empirically is not very consistent and research of its determinants or predictors refers to biomedical conditions. In this study, data from 458 participants (170 males and 288 females; mean age: 66.47, range: 55-75) from ELEA ("Longitudinal Study of Active Aging") were examined. The results show (depending on the simple or multidimensional definitions used) a very varied range of proportions of successfully aging older persons as well as a large number of multi-domain predictors of successful ageing, among which are intelligence, personality and motivational psychological characteristics.     

Incidence of anovulatory menstrual cycles among dysmenorrheic and non-non-dysmenorrheic [corrected] women: effects on symptomatology and mood

The incidence of spontaneous anovulatory (SA) menstrual cycles among dysmenorrheic and non-dysmenorrheic women and their effects on symptomatology and mood were examined in 52 university students distributed into two groups (18 dysmenorrheic women and 34 non-dysmenorrheic women) according to the presence or absence of symptoms of primary dysmenorrhea. Women were tested in menstrual, ovulatory and premenstrual phases. In order to estimate the proportion of ovulatory and SA cycles the basal body temperature (BBT) method was used. Results indicated that the percentage of SA cycles found in dysmenorrheic women does not confirm that primary dysmenorrhea only occurs in ovulatory cycles. In addition, the ovulatory cycles did not present greater symptomatology than the anovulatory cycles in self-rating of negative affect. In fact, menstrual symptomatology was not associated with ovulatory cycles. These data confirm that primary dysmenorrhea does not only depend on the endocrine factors which regulate the menstrual cycle but also on other factors such as social or psychological ones.     

Assessment of the global intelligence and selective cognitive capacities in preterm 8-year-old children

The aim of this study was to assess various cognitive abilities such as attention, IQ, reasoning, and memory related to academic achievement in 8- and 9-year-old preterm children. A total of 141 children were assessed. The preterm group (=37 weeks) comprised 63 children and was compared to 78 full-term children. Attention was evaluated using the d2 Selective Attention test, and the IQ by the L-M form of the Stanford-Binet Intelligence Scale, establishing a profile of abilities: perception, memory, comprehension, reasoning, and verbal fluency. Significant differences in IQ were found between the preterm and full-term children. Of the cognitive abilities assessed, the only significant differences were found in verbal fluency, with preterm boys showing lower verbal fluency scores than full-term children. In conclusion, all preterm groups have attention ability similar to that of full-term children. However, preterm children obtain lower scores in intelligence measures. In addition, preterm boys have verbal fluency difficulties. Taking into account the increase in preterm births, suitable intervention programs must be planned to attend the difficulties found.     

The search for an image of man

The present paper offers a narrative of the post-World War II development of Hungarian philosophy, and argues that it is characterized by a double, historical and anthropological orientation under Marx’s influence. The resulting amalgam is an intellectual history that looks beyond the ideas themselves, searching for underlying images of man which are represented as ideological backgrounds to theories of nature, society, cognition, etc. The most important works of this approach interpret ideas and anthropologies within a Marxist framework, and see them as closely linked to the social–historical circumstances in which they develop; yet, these approaches represent an alternative attitude quite different from the official ideology of dialectical materialism.     

The contribution of the dorsolateral prefrontal cortex in full and divided encoding: a paired-pulse transcranial magnetic stimulation study

This research investigated the contribution of the dorsolateral prefrontal cortex (DLPFC) in the attentional resources in episodic encoding for both verbal and non-verbal material. Paired-pulse transcranial magnetic stimulations (TMS) were used to interfere transiently with either the left or right DLPFC during encoding under full attention (FA) or under divided attention (DA) in a recognition paradigm using words and random shapes. Participants recognized fewer items after TMS over the left DLPFC than over the right DLPFC during FA encoding. However, TMS over the left DLPFC did not impair performance when compared to sham condition. Conversely, participants produced fewer items after TMS over the right DLPFC in DA encoding compared to sham condition, but not compared to TMS over the left DLPFC. These effects were found for both words and random shapes. These results suggest that the right DLPFC play an important role in successful encoding with a concomitant task regardless of the type of material.     

Staffing Services Quality and Innovativeness in Pharmaceutical Companies

This paper examines whether the main dimensions of staffing services quality have any effect on innovativeness. A resource‐based view of human resource management is used as theoretical approach. A questionnaire was sent to the CEOs of an international sample of pharmaceutical companies. A regression analysis was used to test hypotheses about the influence of the staffing services quality dimensions on innovativeness. The main findings are that all but one of the staffing services quality dimensions considered have significant, positive effects on innovativeness. Candidate quality is the dimension that affects innovativeness most, while timeliness has no significant effect.     

The Mindfulness-based Stress Reduction program (MBSR) reduces stress-related psychological distress in healthcare professionals

This semi-experimental study examines how Mindfulness facilitates a distress reduction in a group of health professionals. The sample comprises 29 professionals seeking stress reduction who undertook an 8 weeks psico-educative intervention, involving 28 hours of class, based on a program called Mindfulness-based Stress Reduction or MBSR. Results show a 35% reduction of distress, from percentile 75 to 45, combined with a 30% reduction in rumination and a 20% decrease in negative affect. These benefits lasted during the 3 months of the follow up period. The correlation analysis indicates that the decrease in distress is significantly related to the other two variables. These results confirm the effectiveness of MBSR to decrease distress and its applicability in training programs for health professionals.     

Gouvernance et éthique cliniques : deux outils complémentaires pour une meilleure coordination des soins et des traitements

“Governance”, “ethics” and “clinical” three words for a same goal: protect the human health. “Corporate governance” must be associated with the new theory of the firm, for which the theory of asymmetric information provides the foundations. Indeed problems of information represent a fundamental change in the prevailing paradigm within economics; they are central to understanding political economy. “Clinical governance”, promoted by the UK government, constitutes an overarching mechanism designed to improve clinical quality in the National Health Service. To the medical establishment, it is a means to improve the quality of medical practice through clinical guidelines. To make a significant impact on the improvement of healthcare quality, the principles of clinical governance must produce synergy by involving professionals in the modernization of the organization. To obtain excellence in heath care, collective actions and shared decision making were essential. In this context, Clinical ethics consultations could provide a structured approach to decision making that could assist heath professional to resolve conflicts or ethical problems that arise in the care of particular patients.