Background Subjective cognitive decline (SCD) is common in older adults, affects quality of life (QoL), and may represent the earliest clinical manifestation of cognitive decline evolving to dementia. Still little is known about factors associated with SCD. Objectives (1) Assess the associations between SCD and demographic, social, clinical, and personality characteristics as well as QoL, with and without adjustment for objective cognitive performance, and (2) investigate the relations between neuroticism, QoL, and SCD. Methods Cross‐sectional analysis of a cohort of 1567 dementia‐free community‐dwellers from the urban area of Lausanne, Switzerland, aged 64 years and older (mean age 70.9 ± 4.7 years), from CoLaus/PsyCoLaus. SCD was assessed using a validated 10‐item questionnaire. Personality traits, QoL, and perceived social support were evaluated using self‐report measures. Information on depression and anxiety status and socioeconomic characteristics including professional activity were elicited using a semi‐structured interview. Cognitive functioning was assessed through a comprehensive neuropsychological test battery. Statistical analysis was based on logistic regression. Results SCD was present in 18.5% of the sample and it was associated with lower performance in memory and verbal fluency tasks. After controlling for possible confounders, professional activity, neuroticism, and current depression were associated with SCD. Exploratory analysis revealed associations of SCD with QoL, neuroticism, and their interaction. Conclusion Besides objective cognitive performance, SCD is related to several psychosocial factors in dementia‐free community‐dwelling older people. These findings are relevant for the development of healthcare interventions to reduce cognitive complaints, improve QoL, and prevent cognitive decline in general population.

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IntroductionArt and Religion have accompanied the history of human kind since primordial times, undergoing changes with evolution, being interconnected or separated in antithesis in some historical periods. Nevertheless both are eliciting the idea of “Sublime” affecting in a greater or lesser degree the life of individuals in our society. A curious interconnection with psychosis is seen in two peculiar conditions: Stendhal and Jerusalem syndromes.ObjectivesStarting from the consideration of Art and Religion in the Idealistic philosophy the relationship between Stendhal and Jerusalem syndromes, which lead to acute transient psychotic episodes in tourists with psychic and somatic symptoms, is examined.AimsThis work aims to spread the knowledge about the two syndromes, to highlight analogies between them, and finally to summarize and show a possible connection between the modern findings in neuroaesthetics and Stendhal syndrome.MethodThe work is of qualitative type and mainly descriptive: all the existing evidence on the topic and with possible connections to it was brought together, summarised, and compared leading to new possible ideas for the future.ResultsA hypothetical psycho-pathophysiological mechanism is proposed, based on the psychoanalysis, psychology, genetic, and the new findings in neuroaesthetic (especially connected to Stendhal syndrome), but more research is needed.ConclusionThe influence of Art and Religion culminating in Stendhal syndrome and Jerusalem syndrome, based on their comparison, could be regarded as “tourist syndromes” or as a “tourist's transient psychotic episode” differentiating the object of psychosis as Art in the first and Religion in the second.

INTRODUCTION: Technology is in rapid and continuous evolution. The recovery of functions, motor, and cognitive activities benefits from it to define new outcome measures and new rehabilitation processes. This study evaluates the applicability of an electrical resistance modulator device for rehabilitation purposes for a person with spinal cord injury. MATERIALS AND METHODS: The study sample consisted of 10 healthy, able-bodied subjects assessed in a light wheelchair. A resistance training mode is compared using the electrical resistance modulator device and a standard strength training protocol with the aid of two weights, through an electromyographic and a kinematic evaluation with a triaxial accelerometer. The movements investigated consist of arm abduction-adduction, arm elevation-extension and elbow flexion-extension. RESULTS AND DISCUSSION: In the flexion-extension gesture of the arm, there is a greater symmetry of muscle activation and less activation of the muscles not directly involved in the movement during the use of the electrical resistance modulator device. In the flexion-extension of the elbow and flexion-extension of the shoulder, the muscle power expressed through the electrical device is greater, while in the abduction-adduction of the shoulder, it is more significant with weights. For the joint Range of Motion, the duration of the motion cycles and their symmetry, there are no significant differences between the two experimental conditions. CONCLUSIONS: The study results confirm that training for increasing muscle strength in a person with spinal cord injury can be performed using the electrical resistance modulator device. There are no contraindications to its use nor greater risks for the subject’s health. Further studies are needed to investigate the benefits of using the electrical device in the early stages of rehabilitation of a person with spinal cord injury.

Zusammenfassung. Psychotische Erkrankungen im Alter umfassen ein grosses Spektrum an Ursachen und Manifestationen. Häufig treten sie im Rahmen einer Depression, einer demenziellen Entwicklung, eines Substanz- und Medikamentenmissbrauchs oder eines Delirs auf. Während im Alter neue Erkrankungen auftreten können, erreichen zunehmend auch mehr Personen mit langjährig bestehenden, chronisch psychotischen Störungen das höhere Lebensalter. Neben psychotischen Störungen sind im Alter kognitive und somatische Beeinträchtigungen häufig, weshalb eine Fremdanamnese unverzichtbar ist. Die krankheitsbedingt veränderten Lebensumstände, die Komplexität und die jeweils individuelle Situation gilt es bei der Diagnostik und Therapie zu integrieren. Die vorliegenden Empfehlungen sind unter der Federführung der Schweizerischen Gesellschaft für Alterspsychiatrie und -psychotherapie (SGAP) in Zusammenarbeit mit den akademischen Fachgesellschaften für gerontologische und psychiatrische Pflege des Vereins für Pflegewissenschaft und weiteren Fachverbänden entstanden. Ziel ist es, den aktuellen Stand des Wissens über die psychotischen Erkrankungen im Alter sowie über die Möglichkeiten der Diagnostik und Therapie zusammenzufassen und den interprofessionellen, klinischen Teams in der stationären und ambulanten Versorgung zur Verfügung zu stellen.