Introduction and Objectives: Cognitive impairment-dementia is an increasing health concern with a major economic and social impact. This study aims to examine how it is currently approached in primary care practices in the Autonomous Community of Galicia, Spain.

Methods: A working group was formed between two scientific societies, which developed a survey that was sent online to 2206 primary care doctors, subsequently analysing the responses received.

Results: A total of 124 primary care doctors (5.3%) responded to the survey, 69.4% of which were women, with a mean age of 54 years. Out of these doctors, 92 (80%) have been working for more than 10 years, 30 (24.2%) have never received any training on the topic of study and only 31 (25%) have received some training in the last 5 years. The initial complaint derives from close relatives (76.6%) and this complaint usually entails memory problems (59.7%). The screening test used by 77.4% of the professionals is the MMSE with a higher prevalence among younger doctors (p-value 0.04). In the case of suspected cognitive impairment, doctors perform a cognitive assessment scale (96%), order a blood test (83.9%) and perform functional assessment scales (77.4%). They do so on a scheduled basis (79%). In total, 42.7% recognise that they reach the diagnosis in moderate dementia stages, hindered as a result of care-based reasons (66.9%). Doctors have difficulties in detecting the pathology associated with cognitive impairment in 52.4% of cases. In dementia management, 66.1% have difficulties in providing caregiver support and 42.7% with pharmacological treatment. In cases of advanced dementia, the problem is the lack of support from social services (47.6%), hospital specialists (45.2%) and the difficulty of pharmacological treatment (43.5%).

Conclusions: Primary care doctors report that the main barriers in the care for cognitive impairment-dementia are: training, healthcare organization, social, management of specific dementia treatments and associated pathologies and coordination with hospital care.

Key words: Primary care, cognitive impairment, dementia, screening, survey, attitudes

Key tipping points of history are rarely found directly in the archaeological record, not least because an event's significance often lies in the perception of the participants. This article documents an early-ninth-century ritual fire-burning event at the Maya site of Ucanal in Guatemala and argues that it marked a public dismantling of an old regime. Rather than examine this event as part of a Classic period Maya collapse, the authors propose that it was a revolutionary pivot point around which the K'anwitznal polity reinvented itself, ushering in wider political transitions in the southern Maya Lowlands.

Across three studies, we explored the link between an abstract mindset and subjective well-being (SWB) in participants with real and/or perceived financial scarcity. In Studies 1 and 2, samples presented real objective financial vulnerability: Adolescents from lower-middle income districts (Study 1; N = 256), and adults without higher education and with very low incomes (Study 2; N = 210). In Studies 1 and 2 participants completed a survey including measures of thinking style and SWB. In Studies 2 and 3 perception of financial difficulty and SWB were also measured. Study 3 (N = 161) used a sample of university students and employed an experimental design manipulating participants’ thinking style (i.e., concrete versus abstract mindset conditions); additionally, all participants were induced to perceive financial scarcity. Correlations revealed a significant and positive relationship between an abstract thinking style and SWB (Studies 1 and 2). Thus, these results showed that a relatively more abstract thinking style was associated with greater life satisfaction. In Studies 2 and 3 mediation analyses indicated that adults who presented a more abstract thinking style, perceived lower financial difficulties and then reported greater SWB. Overall, given that an abstract thinking style can be induced, these results offer a new intervention approach for improving the SWB of people living in situations of financial scarcity.

Transcutaneous spinal cord stimulation (TSCS) is gaining popularity as a noninvasive alternative to epidural stimulation. However, there is still much to learn about its effects and utility in assisting recovery of motor control. In this study, we applied TSCS to healthy subjects concurrently performing a functional training task to study its effects during a training intervention. We first carried out neurophysiological tests to characterize the H-reflex, H-reflex recovery, and posterior root muscle reflex thresholds, and then conducted balance tests, first without TSCS and then with TSCS. Balance tests included trunk perturbations in forward, backward, left, and right directions, and subjects’ balance was characterized by their response to force perturbations. A balance training task involved the subjects playing a catch-and-throw game in virtual reality (VR) while receiving trunk perturbations and TSCS. Balance tests with and without TSCS were conducted after the VR training to measure subjects’ post-training balance characteristics and then neurophysiological tests were carried out again. Statistical comparisons using t-tests between the balance and neurophysiological data collected before and after the VR training intervention found that the immediate effect of TSCS was to increase muscle activity during forward perturbations and to reduce balance performance in that direction. Muscle activity decreased after training and even more once TSCS was turned off. We thus observed an interaction of effects where TSCS increased muscle activity while the physical training decreased it.

En este trabajo se discute un conjunto de indicios de poblamiento humano en diferentes locus de la Pampa Occidental: el sitio 1 de la localidad Tapera Moreira, El Carmel y Casa de Piedra. El poblamiento inicial de este territorio ha estado restringido a un solo dato cronológico correspondiente al Holoceno temprano, proveniente del sitio Casa de Piedra 1 (8620 ± 190 años aP) que no ha sido replicado en ese u otros sitios de la región. Por ello no ha sido incorporado en la agenda de la discusión sobre esta temática en publicaciones recientes. Sin embargo, en años posteriores a su publicación se han suscitado diversos hallazgos cuyos contextos señalan gran potencial informativo en relación con la ocupación humana inicial de paisajes sin historia previa. Se presentan indicadores de cultura material (puntas de tipo cola de pescado, litos discoidales y materias primas muy seleccionadas y con tratamiento térmico) recuperados en asociación en diferentes locus pampeanos, que se relacionan con las expectativas generadas para una etapa de ocupación inicial del paisaje. Se propone un modelo de exploración lenta y discontinua que utilizó vías de transitabilidad de distinto rango en el proceso de conocimiento y colonización de estos ambientes desérticos.

In this article, we offer a framework for understanding the role that racial group consciousness (RGC) plays in influencing Black Americans’ engagement in costly political action. Attempting to add clarity to decades of inconsistent and at times contradictory findings, we argue that the effect of RGC at inspiring political action among Black Americans is conditional on (1) the relevance of the political activity to achieving a well-recognized racial group outcome and (2) individual capacity to assume the cost of engaging in the activity. Analyzing data from the ANES and two behavioral experiments, we find that RGC exhibits a consistently strong relationship with engagement in low-cost political behavior, regardless of whether the behavior has some explicit group-relevant outcome. When engagement becomes more costly, however, Blacks high in RGC are only willing to assume these costs if the engagement has some clear potential for racial group benefit.

This paper deals with the phenomenon of poverty-trap regimes in Mexico, that is, self-reinforcing mechanisms in which municipalities which start poor remain poor. We develop a coordination game of poverty traps driven by strategic interactions of economic agents: people choose to complete or not their education levels since it might be excessively costly and unprofitable. A one-shot game is constructed and then converted into a system of differential equations in which strategies that perform relatively better become more abundant in the population. Applying evolutionary games and symbolic-regimes dynamics (nonparametric and nonlinear techniques), we show that Mexican regions are in poverty-trap regimes (stable and dynamically evolving low-level equilibria) characterized by incomplete education and low income since initial conditions (education and income per capita) are such (very precarious) that poverty is the stable steady-state situation. We examine scenarios to show that to overcome the high-poverty regime by the year 2030, it is necessary to reduce incomplete education by 10% in the 5-year periods 2020–2025 and 2025–2030 and increase per-capita income by 10% in both periods.

Two species of Teiichispira Yochelson and Jones reported from the Early/Middle Ordovician marine deposits of the San Juan Formation in the Argentine Precordillera are described. The new species Teiichispira teresae n. sp. is a component of the Early/Middle Ordovician marine gastropod assemblage in the studied region; Teiichispira argentina (Kayser), previously known from the San Juan Formation, is described with a complete teleoconch and associated operculum. The opercula of both Teiichispira species are complete and preserved in life position associated with the shell of T. argentina. The unguiculate morphology of the operculum is here interpreted as a mechanism for increasing the shell weight and ensuring anchoring to the substrate in a more or less fixed mode of life for Teiichispira, and as protection. The new occurrence of Teiichispira provides new taxonomic data on early Paleozoic marine gastropods in Argentina and testifies to a wide paleobiogeographical distribution for the genus, restricted to tropical and subtropical regions during the Early/Middle Ordovician.

UUID: http://zoobank.org/8ee48319-b17a-4d15-a7d4-99cc9bb1dc42

In order to enhance genetic potential of chickpea materials from the National University of Córdoba Breeding Programme and Germplasm collection (Argentina), a study for a comprehensive understanding of the amount and pattern of genetic variation within and between genotypes was carried out by applying a multivariate analysis form single simple repeats (SSR) and morphological data. Molecular data were also used to determine the discriminating power for genotype identification, and to find the optimal primer combination to ensure unambiguous identification. With the analysis of 15 SSR markers on 53 genotypes, a total of 58 alleles were detected with individual values ranging from one to nine alleles per locus. High values of discriminating power (Dj ⩾ 0.7, PIC ⩾ 0.7), and low values of confusion probability (Cj ⩽ 0.23) were obtained for at least four evaluated markers. The combination of TA113 + TA114 + H1B09 + TA106 primers was effective for discriminating the 53 chickpea genotypes with a cumulative confusion probability value (Ck) of 9.60 × 10−4. Except for some exceptions, individual chickpea genotypes within a cluster in the consensus tree were definitely more closely related with each other by the origin or pedigree. The results confirmed that both multivariate data analysis methods, ordination and clustering, were complementary. In most genotypes, discriminant principal component analysis classification was consistent with the original clusters defined by molecular data. Differences in results from molecular and morphological data indicate that they provide complementary and relevant information for establishing genetic relationships among chickpea materials and a better description and interpretation of the available variability in the germplasm collection.

Marine ecotourism has undergone worldwide expansion in recent years, leading to increased concern regarding the impact on the environment. Despite this, however, few studies into the potential effect of tourist boats on dolphin welfare, have been carried out. In order to evaluate the impact of these activities on the presence and foraging behaviour of the threatened marine tucuxis (Sotalia fluviatilis), we observed them: 1) prior to the arrival of a boat in the bay; 2) for the duration of a vessel's stay in the bay and 3) after the boat's departure: ie pre-exposure, exposure and post-exposure phases. Both the average number of dolphins and the foraging activity were significantly reduced while a vessel was in the bay. Marine tucuxis are exclusively coastal and show fidelity to the site where they choose to live which makes any environmental disturbance of particular importance. Moreover, our findings are further evidence of the need for motorboat activity to be regulated and monitored to protect marine tucuxis as well as other coastal and estuarine dolphins.

This paper illustrates the results of research carried out at the archaeological site of Puig Castellar de Biosca (Catalonia, Spain), located in the northeast of the Iberian Peninsula. This Republican military fortress, a castellum, is exceptional due both to its early chronology, which ranges between 180 and 120 BCE, and to the fact that it acted as a long-lasting military installation situated in a pacified area on the periphery of the Celtiberian conflict zone. Work at the site has uncovered a central building on the top of a hill, which due to its Italian features has been identified as the headquarters of the military fortress. If this interpretation is correct, this might be one of the first examples of a Republican military headquarters building documented to date. It could then be considered a predecessor of later praetoria and principia, which have been recorded in the Numantine camps and on the Roman western limes.