On the ethics of facial transplantation research

Transplantation continues to push the frontiers of medicine into domains that summon forth troublesome ethical questions. Looming on the frontier today is human facial transplantation. We develop criteria that, we maintain, must be satisfied in order to ethically undertake this as-yet-untried transplant procedure. We draw on the criteria advanced by Dr. Francis Moore in the late 1980s for introducing innovative procedures in transplant surgery. In addition to these we also insist that human face transplantation must meet all the ethical requirements usually applied to health care research. We summarize the achievements of transplant surgery to date, focusing in particular on the safety and efficacy of immunosuppressive medications. We also emphasize the importance of risk/benefit assessments that take into account the physical, aesthetic, psychological, and social dimensions of facial disfiguration, reconstruction, and transplantation. Finally, we maintain that the time has come to move facial transplantation research into the clinical phase.     

Time-dependent modulation of inhibitory avoidance memory by spermidine in rats

The polyamines, spermine, spermidine, and putrescine, are a group of aliphatic amines that may act as physiological modulators of N-methyl-D-aspartate (NMDA) receptors. Although the modulatory role of polyamines in NMDA receptor function has long been known, the effects of polyamines on learning and memory only recently began to be unraveled. In the present study, we investigated the effect of bilateral infusions of spermidine (0.02-2 nmol), a polyamine agonist, into the CA1 region of the rat dorsal hippocampus on inhibitory avoidance learning 30 min pre-training, immediately post-training, 6 h post-training, or 10 min pre-test. Bilateral microinjections of 0.2 nmol spermidine prolonged step-down latencies compared to the respective control group when administered 30 min pre-training or immediately post-training. These results provide evidence that the modulatory effects of spermidine on the acquisition and/or early consolidation of memory of inhibitory avoidance tasks in the hippocampus occur within a limited time window.     

A Formal Ontological Theory Based on Timeless Events

I offer a formal ontological theory where the basic building blocks of the world are timeless events. The composition of events results in processes. Spacetime emerges as the system of all events. Things are construed as bundles of processes. I maintain that such a view is in accord with General Relativity and offers interesting prospects for the foundations of classical and quantum gravity.     

Gender and Age Differences in Brazilian Children's Friendship Nominations and Peer Sociometric Ratings

This article reports on an investigation into the relation between young adults' retrospective reports of their mothers' and fathers' division of household labor (egalitarian or traditional) and parenting styles (authoritative, permissive, authoritarian, or disengaged). Participants' own gender attitudes were also tested in relation to parents' division of labor and parenting. The sample included 294 women and men (M =19-years old) who were raised in 2-parent households and came from a range of ethnic backgrounds. When mothers' parenting was evaluated, permissive parenting was more likely among those from egalitarian households whereas authoritarian parenting was more likely among those from traditional households. When fathers' parenting was evaluated, authoritative parenting was more likely among participants from egalitarian households and disengaged parenting was more likely among those from traditional households. The association between fathers' parenting style and division of labor was specific to the division of childcare (rather than housework). Participants' gender attitudes were not related to parents' division of labor or parenting style.     

Feelings or cognitions? Moral cognitions and emotions as longitudinal predictors of prosocial and aggressive behaviors

There is debate regarding the roles of sociomoral cognitions and emotions in understanding moral development. The short-term longitudinal relations among perspective taking, sympathy, prosocial moral reasoning, prosocial behaviors and aggression in adolescents were examined. Participants were 489 students (M age = 12.28 years, SD = .48; 232 boys) in public and private schools from predominantly middle class families in Valencia, Spain. Students completed measures of perspective taking, sympathy, prosocial moral reasoning, prosocial behaviors, and aggressive behaviors. Overall, structural equation modeling analyses showed that moral reasoning and emotions were interrelated and predicted both prosocial behaviors and aggression. Discussion focuses on the relevance of both social cognitions and emotions in moral development.     

Lactate threshold prediction by blood glucose and rating of perceived exertion in people with type 2 diabetes

The validity of rating of perceived exertion (RPE) in predicting lactate threshold during an incremental test was analyzed in 15 men with type 2 diabetes (M age = 53.4 yr., SD = 12.9). Blood glucose, lactate, and minute ventilation (VE)/VO2 responses identified the lactate, ventilatory, and glucose thresholds. Workloads (W) corresponding to RPEs 12, 13, 14, and 15 were determined. Second-order polynomials fit to VE/W and [lac]/W ratios corresponding to RPEs of 9-10, 12-13, and 16-17 also identified workloads above which there was an overproportional increase in VE and [lac]. These workload breakpoints did not differ, although at RPE 12 underestimated and at RPE 15 overestimated lactate threshold. RPE 13 and 14 and the responses of VE/W and [lac]/W to submaximal exercise accurately predicted lactate threshold.     

Images of Thin and Plus-Size Models Produce Opposite Effects on Women’s Body Image,Body Dissatisfaction,and Anxiety

Mainstream media’s promotion of dangerously thin female images likely lowers self-image satisfaction and contributes to pathological body concerns and disordered eating among women. We tested upward and downward social-comparison effects on self-evaluations by exposing 145 Spanish women to images of thin (upward) or overweight (downward) models. We also tested whether explicitly asking or not asking participants to compare themselves with the models would moderate social comparison effects. Exposure to thin models deteriorated body image while increasing body dissatisfaction and anxiety. Conversely, exposure to overweight models improved body image and decreased body dissatisfaction but it did not affect anxiety. Whether participants were asked to compare themselves to the models explicitly or implicitly had no effect on the participants’ responses. Furthermore, pre-existing body image concerns were not associated with the pre-to-post exposure effects. We propose that increasing the representation of normal weight and overweight women in media advertisements could help to neutralize or at least reduce the negative impact of media’s practice to idealize thin and overly thin women as symbols of female beauty.

     

Effects of cognitive-behavioural therapy on anxiety,depression and condom use in people with HIV in Mexico City: a pilot study

Anxiety and depression in people living with HIV (PLWH) are negatively associated with healthy sexual behaviours. We pilot-tested a Cognitive-Behavioural Therapy (CBT)-based intervention to reduce anxiety and depression, aimed to increase serostatus disclosure to sexual partners, quality of sexual life (QoSL) and condom use. The study had a single-case experimental design (AB) with follow-up measures. Eleven PLWH with moderate/severe anxiety/depression received six-module CBT intervention delivered in ten one-hour individual weekly sessions. Anxiety, depression, consistent/correct condom use and QoSL were measured. Depression and anxiety decreased after the intervention (depression baseline [BL] Mdn = 21, final [F] Mdn = 3, z = -2.934, p = .003; anxiety BL Mdn = 30, F Mdn = 4, z = -2.941, p = .003). QoSL improved (BL Mdn = 28, F Mdn = 13, z = -2.625, p = .009), along with participants’ ability to use condoms (57.14 vs.100, z = -2.937, p = .003). Effect size was large, changes were maintained at follow-up measurements. The CBT intervention had positive effects in reducing anxiety and depression, which could facilitate the acquisition of healthy sexual behaviours. Further studies are important to clarify the benefits of targeting emotional variables to improve wellbeing and prevention behaviours in PLWH.     

Suicide Attempts in Major Depressed Patients with Personality Disorder

Suicide attempters who met criteria for borderline personality disorder (BPD) comorbid with major depressive disorder (MDD) were compared to both suicide attempters suffering from MDD alone and to attempters with comorbid MDD and other personality disorders (PD). Participants were 239 (158 patients with comorbid PD and 81 patients with MDD without comorbidity) inpatients consecutively admitted after a suicide attempt made in the last 24 hours. Suicide attempters with comorbid MDD and BPD had more frequent previous suicide attempts and were more likely to have a history of aggressive behaviors and alcohol and drug use disorders compared with patients suffering from MDD without Axis II comorbidity.