Tafonomía y contexto paleoambiental de los restos de un cetáceo del Mioceno medio de Tarragona (NE España)

A new finding of a marine mammal is documented from the middle Miocene of El Camp basin in Tarragona (NE Spain). The incomplete and disarticulated bone remains belong to the skeleton of a juvenile cetacean. These remains appear deposited above a transgression surface and included within a glauconitic calcisiltite layer. This unit constitutes the beginning of a shallowing-upwards sequence and was deposited under low-energy conditions and low sedimentation rates in a middle-outer platform setting. This context was responsible for the long exposure of the remains and, consequently, an extension of the biostratinomic stage. These conditions favored the natural decomposition and disarticulation of the carcass, allowing the action of different types of scavenging organisms. The interpretation of the paleoenvironmental setting is based in the combination of different datasets: taphonomic data of the bone remains, paleoecologic and taphonomic information provided by the fauna associated to the bones, and ichnologic and sedimentologic interpretation of the sediments where the fossils are included. Combination of such different proxies enables a very good characterization of the paleoenvironmental context of the studied fossils.     

Los pumas (Puma concolor) como agentes tafonómicos. Análisis actualístico de un sitio de matanza en los Andes de Mendoza, Argentina

A taphonomic study of the carcass of an adult guanaco (Lama guanicoe) recently killed and consumed by one or more pumas (Puma concolor) in the Laguna del Diamante reserve (Mendoza province, Argentina) is exposed, and the case is discussed in the light of the available taphonomic information on this agent in America. The carcass was dispersed along more than 30 m and basically devoid of soft tissues. Thirty-four percent of the bones presented tooth modifications, removal of bone tissue and edge damage, mostly attributable to pumas. Some of these modifications are considerable, as in the case of the skull. The results of the study suggest that bone modifications are intense as compared to other taphonomic studies on this felid. The implications of this are discussed, and the conclusion is reached that more knowledge is needed on the range of variation in puma taphonomic action and the conditions under which such variation occurs.     

Actualización de la neumonía en el anciano

The incidence of pneumonia increases with age and contributes to morbidity and mortality in the elderly. In our setting, pneumonia is the sixth leading cause of death and the fourth most common diagnosis at discharge from acute hospitals. This article reviews current concepts in management of pneumonia in the elderly: healthcare-associated pneumonia, aspiration and oropharyngeal dysphagia, risk stratification, and indications of radiological, microbiological and biological markers. We present current evidence on antibiotic treatment (when to start, empirical coverage, duration, new drugs and combinations) and adjuvant treatment (steroids, early mobilization, oral hygiene, prevention and treatment of aspiration and cardiac complications). We emphasize preventive aspects and considerations regarding palliative treatment.     

Efectos del ejercicio físico en la funcionalidad y calidad de vida en mayores institucionalizados diagnosticados de gonartrosis

Introduction

At present, aging and increased life expectancy implies a greater susceptibility to dependence, which then leads to the irreversible loss of quality of life, in many cases due to chronic diseases such as osteoarthritis (OA). The aim of this study was to determine the effect of a treatment based on aerobic exercise in institutionalised elderly people diagnosed with knee osteoarthritis.

Material and method

An experimental, prospective, single blind study was conducted. The sample (n = 31), was divided into two groups. The experimental group (n = 17) was treated based on aerobic exercise for 4 weeks with 2 sessions per week and each lasting 50 minutes. We conducted a pre-test and post-test assessment using a visual analogue scale, WOMAC questionnaire and SF-36 as measuring instruments. The statistical program SPSS15.0 was used for the analysis of the data.

Results

We obtained significant differences in the t-test for paired samples in the three dimensions of the WOMAC questionnaire, P<.001, in the perceived pain P<.001 and in the physical function, vitality and mental health dimensions of the SF-36 with a 95% confidence interval.

Conclusion

Exercise gave positive results in functional (pain, stiffness, physical function) and psychological aspects (mental health and vitality) in the institutionalised elderly.     

Propiedades tafonómicas de las asociaciones óseas de pinnípedos en la costa atlántica de la Isla Grande de Tierra del Fuego, Argentina

A preliminary comparative study of pinniped bone assemblages from Late Holocene archaeological sites and from present day deposits on the Atlantic coast of Isla Grande de Tierra del Fuego is presented. The aim is to assess the properties distinguishing bone accumulations of these marine mammals formed by human activity and those formed by natural processes. The evidence suggests that anthropic assemblages differ from natural ones in a number of properties, such as anatomical composition and integrity and of the age profile of the individuals represented, and they look alike in other respects, such as bone specimen fragmentation.     

Informe: análisis de las publicaciones de socios de la Sociedad Española de Geriatría y Gerontología del año 2006 al 2011

Data is presented from the survey conducted by the Sociedad Española de Geriatría y Gerontología (SEGG) (Spanish Society of Geriatrics and Gerontology) among its members in order to assess their scientific production between 2006 and 2011, specifically articles in journals that are indexed in the Science Citation Index. The scientific quality of the publications was quantified using the number of times every article was cited and the journal's impact factor. A total of 162 out of the 2450 members responded (6.6%), reporting a total of 903 individual articles, 335 (37%) of them in geriatrics-specific journals, and 568 (63%) in other journals of other specialties. The number of publications increased yearly from 128 in 2006 to 201 in 2010. The scientific quality could be calculated for 530 articles. On average, publications have been cited 8.2 times (median: 2), with the range of citations being from 0 to 242. The average impact factor was 3.1 (median 2.4), ranging from 0 to 53.5. A number of articles have been published in some of the largest impact factor journals, in those of general-interest, as well as geriatrics-specific and basic science journals.     

Una nueva especie de Neuryurus Ameghino (Mammalia, Glyptodontidae) en el Pleistoceno tardío de la Mesopotamia de Argentina

Among the South American Pleistocene Glyptodontidae (Xenarthra, Cingulata), one of the most scarcely represented genus in the fossil record is Neuryurus Ameghino, in which the only well characterized species, until now, is Neuryurus rudis (Gervais), coming from the Ensenadan (early-middle Pleistocene) of the Pampean region, Argentina. In this contribution, we report and describe a new species of Neuryurus, coming from the Arroyo Feliciano Formation (early Lujanian; ca. 130 ka), Entre Ríos province, Argentina, in a particular palaebiogeographic context, more associated with the western sector of Uruguay and southern Brazil than the Pampean region. From a morphological perspective, this new taxon is characterized by: (a) the remarkable development of the foramina at the exposed surface of the osteoderms of the dorsal carapace, showing un aspect almost spongy; (b) the large diameter of the perforations observed in the ventral surface of the osteoderms, resembling to those present in the dorsal surface of the osteoderms of the Glyptodontidae Doedicurinae; (c) the evident thickness of the osteoderms, as in Glyptodon Owen; (d) area of contact and articulation of adjacent osteoderms very denticulate, with deep osseous interdigitating projections, as in Glyptodon and Glyptotherium Osborn, but here more evident; (e) larger osteoderms of the dorsal carapace showing, in the dorsal surface, many little conical tubercles, having some resemblance to Panochthus tuberculatus Burmeister. The presence of this new species in the early late Pleistocene of the Mesopotamic region is another element that adds to the biogeographical characterization of this particular area, especially evident during the warm and humid pulses of the late Pleistocene. In turn, this species represents the most complete record of the genus outside the Pampean region and partially complete the stratigraphic and geographic distribution of the genus.     

Valoración de la fuerza,la flexibilidad,el equilibrio,la resistencia y la agilidad en función del índice de masa corporal en mujeres mayores activas

Introduction

Overweight and obesity are increasing at an alarming rate among older people. This is mainly because this population is predominantly sedentary. The aim of this study was to classify, according to the body mass index (BMI), a group of older active women and to evaluate the different basic physical abilities as a function of this.

Material and methods

The BMI and fitness were evaluated in 60 elderly active women (mean age: 66.14 ± 6.59 years) using the 2-minute step test, arm curl test, chair stand test, back scratch test, chair-sit and reach-test, flamenco test, and 8-foot up-and-go test.

Results

It was found that 52.23% of the women studied had a normal BMI and 47.76% were slightly overweight. There were no cases of obesity or underweight. Women with normal BMI had better values in all tests than overweight women. Significant differences were found in the flamenco test (P < .05), and 8-foot up-and-go test (P < .01).

Conclusions

Older women who usually do physical activity had a normal or slightly overweight BMI. It was also found that women with lower BMI have better resistance, flexibility, balance and strength.     

Propuesta de una batería neuropsicológica para la exploración del síndrome de Capgras

Capgras syndrome is the most prevalent of the delusional misidentification syndromes. It appears in both psychiatric illness and organic brain damage. Cognitive and neuropsychiatric models (lateralization and disconnection) have been proposed to explain the syndrome. From a neuropsychological point of view Capgras syndrome seems to be due to damage of bifrontal and right limbic and temporal regions. Memory, feeling of familiarity, monitoring of self and reality would be altered. All of these cause a failure to adequately integrate the information about emotions and facial recognition. Relative preservation of the left frontal lobe may be necessary for the development of delusional response. There does not seem to be a differential pattern as regards the aetiology, but there is a common underlying neuropsychiatric mechanism. Based on theoretic models, and clinics features, we propose a neuropsychological battery to assess the Capgras syndrome, that should be sensitive to the main expected deficits.     

Resultados de la endarterectomía carotídea en pacientes ancianos

Introduction

Forty-five per cent of stoke patients have a surgically accessible stenosis. The objective of our study is to describe the response to carotid endarterectomy (EA) in patients of advanced age compared to younger ones.

Material and method

Retrospective evaluation of the clinical history of all patients who underwent an endarterectomy in a tertiary hospital between January 1995 and December 2006. The patients were grouped into those 75 years or older and those less than this age. The incidence of peri-operative complications in the first month after surgery, and the long-term mortality was evaluated using a survival analysis.

Results

Data were collected on 147 EA in 134 patients of 75 years or more, and on 201 EA in 177 patients less than 75 years-old. The incidence of peri-operative complications was similar in both groups, with a mortality of 2% in the older age group and a stroke incidence of 2.6% (half transient ischaemic accidents). The older patients had a mean follow-up of 4.1 years, with a survival of 86% at one year and 54% at 5 years and with the main cause of death being heart disease.

Conclusions

Carotid EA is a safe and effective technique for the treatment of extracranial carotid stenosis in the elderly, having the same peri-operative morbidity and mortality as younger ones. Age must not affect our therapeutic attitude, although an exhaustive cardiology study must be made in the elderly prior to the operation.     

Evaluación del sufrimiento en la demencia avanzada

Introduction

At the end stage of life of dementia, medical comorbidities are associated with a high degree of patient suffering. The aim of this study was to assess the relationship between the lack of symptoms of discomfort and the level of patient suffering. The relationship with psychological distress and caregiver burden was also clarified.

Material and methods

This study included patients with advanced dementia according to the criteria of the Hospice Enrolment Criteria for End-stage Dementia patients. Patient suffering was assessed with Mini-Suffering State Examination (MSSE). The caregivers were scored by Zarit caregiver burden scale (ZR), and the General Health Questionnaire of Goldberg (GHQ-28). Central tendency and correlation tests were used in the statistical analysis.

Results

The study recorded data from 71 patients. In the comorbidity of medical symptoms associated with advanced dementia, pneumonia (Spearman's rho: −0.29; P=.01), and malnutrition (Spearman's rho: −0.25; P=.03), showed a significant association with the total scale score of MSSE. There were no significant correlations between patient suffering and caregiver psychological distress (r: 0.11; P=.37), or caregiver burden (r: 0.13; P=.32).

Conclusions

The identification of suffering in patients with advanced dementia is recognised by specific symptoms, such as pneumonia and malnutrition. The caregiver’ psychological distress of the caregiver was shown to be unrelated to patient suffering as measured by MSSE.     

Prevalencia y principales características de la incontinencia urinaria en la población anciana institucionalizada de Madrid

Introduction

Urinary incontinence (UI) has been poorly studied in Spanish nursing homes. The objective is to determine the prevalence and related factors of UI in institutionalized older people in Madrid, Spain.

Methods

A probabilistic sample of 754 subjects 65 years of age and older living in public and private institutions in Madrid was randomly selected through stratified cluster sampling. Residents, caregivers and physicians were interviewed. UI was defined as any leakage in the previous 14 days. We asked about the frequency (occasional, nocturnal, frequent and total), quantity (drops or small quantities, very much), and types (urge, stress, due to cognitive impairment, and due to walking difficulty). To determine the factors associated with UI, we built logistic regression models that adjusted for age, sex, functional dependency (Barthel index) and cognitive status (Pfeiffer's test).

Results

The prevalence of UI was 53.6%. Of all residents 35.8% had frequent or total UI. Among those incontinent 60.1% had a very large quantity of urine loss and the most common presentation was mixed (54.1%). The most frequent type in the population was urgent UI (26.8%) followed by UI due to walking difficulty (21.4%). UI was associated (odds ratios [95% CI]) with moderate (3.51 [1.56-7.89]) and severe functional disability (44.71 [10.99-181.94]), faecal incontinence (4.97 [2.04-12.16]), stroke (4.59 [1.06-19.87]), physical restraints (4.03 [1.02-17.87]), and falls (2.10 [1.16-3.81]). The mean (95% CI) number of pads used per person per day was 3.0 (2.4-3.6).

Conclusions

The prevalence of UI was somewhat higher than that of other comparable populations. Mixed forms, including functional types, were common.     

Filicales y Bennettitales del Cretácico Inferior de Carazuelo, provincia de Soria, España

Silicified woods of the fern Tempskya riojana Barale and Viera and the Bennettitales Cycadeoidea barbarae Crisafulli nov. sp., found together with undetermined conifer woods, from the NW of Carazuelo, province Soria, are described. This site is located south of the so-called San Saturio fault which runs parallel to Road N-234. The fossil trunks are included in the “Conglomerados poligénicos, areniscas y arcillas” fluviatile sediments, dated as Paleogene. The original source of these fossils could be Tera and/or Oncala Groups, both Early Cretaceous in age and outcropping close by at Fuentetecha, Fuensaúco and North of Soria. Similar plant fossil findings from this region are reported and some mistakes in the geological mapping are analyzed. The Tempskya specimens were histologically poorly preserved, but had enough anatomical characters to be undoubtedly assigned to Tempskya riojana. The new species Cycadeoidea barbarae is described, with fairly well preserved cellular structure, viz., pith, vascular cylinder, cortex, foliar/branch traces, as well as strobili surrounded by foliar scales and apical seminal cones. An important and new aspect of the new species is that it includes morphologically and anatomically preserved both fructifications and vegetative parts, whereas these are usually find separated by other species of Bennettitales.     

Conodontos carboníferos de la sección del río Cares (Unidad de Picos de Europa, Zona Cantábrica, NO de España)

The first Carboniferous conodonts studied from the Cares river section correspond to fifteen species and one subspecies from seven genera, some of them reported from the Picos de Europa Unit for the first time. The conodonts belong to several zones between the upper Tournaisian and the upper Serpukhovian-lower Bashkirian. Furthermore, the species Idiognathodus incurvus Dunn is reported for the first time in the Cantabrian Mountains and southern Europe, from upper Bashkirian or lower Moscovian beds.     

Malacofauna continental holocena y paleoambientes en Villa Valle María (Diamante, Entre Ríos, Argentina)

The molluscan fauna recovered from Holocene continental sediments at Villa Valle María fossiliferous locality (Diamante, Entre Ríos, Argentina), eolian in origin and dated at 2,490 ± 45 ¹⁴C yrs. B.P. on Bulimulus sp, is reported. It represents the first illustrated record of Quaternary molluscs from loess sequences in Argentina. It is represented exclusively by land snails which belong to five gastropod families (Pupillidae, Succineidae, Ferussaciidae, Orthalicidae and Scolodontidae), 7 genera and 9 species: Gastrocopta nodosaria (d’Orbigny), Succinea meridionalis d’Orbigny, Cecilioides consobrina (d’Orbigny), Bulimulus apodemetes (d’Orbigny), B. bonariensis bonariensis (Rafinesque), Bulimulus sp, Naesiotus pollonerae (Ancey), N. deletangi (Parodiz), Miradiscops brasiliensis (Thiele) and Scolodonta semperi (Doering). The first record of Miradiscops is reported for Entre Ríos province. The gastropod assemblage, typical of habitats with plant cover and leaves and trunks as substrate, is similar to the modern molluscan fauna found today along southern Entre Ríos province (Mesopotamian District in the Subtropical Dominium), an area characterized by a warm-temperate steppe continental scenario. However, the associated record of S. meridionalis, typical of environments with higher humidity contents like ponds, suggests local more humid temporary environmental conditions such as palustrine habitats during the time span considered. Our results provide additional evidence regarding the occurrence of a dominant eolian event which produced the reworking and subsequent accumulation of superficial deflated sediments on the Pampean region. They add to previous models considering a dry period between 3,500 and 1,400 yrs. B.P. over the central Argentine plains.     

Malacofauna Cuaternaria del litoral norte de Santa Cruz (Patagonia, Argentina)

The molluscan content from three “marine terraces” (TM) preserved along 250 km of the Santa Cruz province provided 49 molluscan taxa (33 Gastropoda and 16 Bivalvia) and the first Quaternary records for Ataxocerithium pullum, Crepidula protea, C. aculeata, Adelomelon ferrusacii, Brachidontes rodriguezi, Aequipecten tehuelchus, Ostrea tehuelcha, and Solen tehuelchus. The mollusca assemblages suggest typical marine nearshore conditions similar to the adjacent modern littoral (Southwestern Atlantic), with mostly hard substrates, shallow and cold waters. The TMVI (+ 5-15 m a.s.l., ca. 8-1.2 ka A.P.) is mainly characterized by dominance of Brachidontes spp., Nacella spp. and Mytilus edulis, associated with Siphonaria lessoni. No evidence has been found for the TMVI of clear biotic responses or strong palaeobiogeographic effects during the time span of the Climatic Optimum (“Hypsithermal”, mid-Holocene) which has been documented for other coastal areas northward in Argentina, down to ca. 44-45° S. Scarce differences distinguish the TMV (+ 15-30 m a.s.l., ca. 108-137 ka A.P., MIS5?) and TMIV (+ 20-30 m a.s.l., ca. 242 ka A.P.) regarding the Holocene and the modern littoral. Within the TMV, Clausinella, Eurhomalea, Solen tehuelchus and Brachidontes cf. darwinianus (typically in warmer waters) are exclusive; in the TMIV, Trophon, Buccinanops, Brachidontes and Pectinidae are characteristic. Predominance of Trophon spp. (typically in cold Magallanic waters) in modern samples vs. scarcity or absence in the TM suggest slightly lower modern SST. Several taxonomic similitudes with the Pacific Sudamerican coast (e.g., Fissurella,Nacella, Tegula, Crepidula, Trochita, and Acanthina) could respond to cold currents helping cold-water immigrants to join southern Southamerican Atlantic after the opening of the Drake Passage.     

Polen y esporas de la Formación La Irene (Maastrichtiano), sudoeste de la provincia de Santa Cruz, Argentina: primeros resultados

Palynological assemblages are reported for the first time for the La Irene Formation, southwestern Santa Cruz Province, Argentina. This unit represents the sedimentation during a regressive period from transitional or delta-plain to fluvial environments. Palynological assemblages are scarce and moderately well preserved. They mainly consist of continental elements (wood remains, cuticles, spores and pollen grains) with scarse marine palynomorphs (dinoflagellate cysts). The spore-pollen assemblages are dominated by fern spores, followed by angiosperm and gymnosperm pollen grains. Bryophyte spores and fungal remains are also present. Among ferns, Cyatheaceae and spores of Laevigatosporites, of uncertain affinity, are dominant. Of the angiosperm pollen, those of Chloranthaceae (Clavatipollenites sp.) and Arecaceae (Arecipites spp., Longapertites sp., Spinizonocolpites hialinus Archangelsky and Zamaloa) are the most abundant. Pollen of Liliaceae (Liliacidites spp.), Proteaceae (Proteacidites sp., Peninsulapollis gillii (Cookson) Dettmann and Jarzen, Retidiporites camachoii Archangelsky) and Ericaceae (Ericipites scabratus Harris) are also present. Gymnosperm pollen is represented by Podocarpaceae (Podocarpidites spp.) and Ephedraceae (Equisetosporites sp.). These palynological suites would represent a fern-angiosperm dominated coastal vegetation, developed under warm and at least locally humid climatic conditions. La Irene Formation is considered Maastrichtian in age based on stratigraphic evidence, which is, in turn consistent with the ages suggested by the species ranges and the similarities observed with others previously described assemblages. This is the southernmost record of Spinizonocolpites, similar to the extant mangrove palm Nypa.     

1. Reunión Nacional de Trabajo Multidisciplinar en Oncogeriatría: documento de consenso

On 2nd of June 2011 the Institut Català d’ Oncologia l’Hospitalet--Hospital Duran i Reynals hosted the first Meeting of Multidisciplinary Work in Oncogeriatrics. The reason for the meeting, which follows on from an initiative of the Medical Societies of Radiotherapy, Oncology, Geriatrics and Gerontology and Palliative Care and Medical Oncology, was to initiate a joint line of work among the different specialties that generally take part in the handling of the elderly patient suffering from oncologic pathologies. This document summarises the different subjects covered during the Meeting.