Traumatic Brain Injury as a Risk Factor for Alzheimer's Disease: A Review

Accumulating epidemiological evidence implicates traumatic brain injury as a pathogenic agent in the development of Alzheimer's disease (AD). Considering the increase in the prevalence of both traumatic brain injury and AD in recent times, the possibility that brain trauma may provoke the early development of AD has important implications for health service planning, preventative efforts, and medico-legal compensation settlements. This paper evaluates the plausibility of the proposed link between traumatic brain injury and AD, largely by way of exploring a theoretical perspective advanced by Satz (1993) and considering recent contributions from the epidemiological, neuropathological, and biochemical literature that are pertinent to this issue. The literature reviewed provides sufficient support and empirical vindication to give credence to the proposed association between these two neuropsychological entities at the statistical, theoretical, and biological level.     

The Factor Structure of the Beavers Interactional Scales

Confirmatory factor analysis and regression analyses of the Beavers Interactional Scales did not appear to support the model offered by its developers, namely, several specified family attributes contributing respectively to two global factors of Family Competence and Family Style. Moreover, regression analysis indicated that only three of 12 items predicted raters' assessments of Global Family Health, and one of seven items predicted Global Family Style. Individuals interested in the family dynamic centripetal/centrifugal might best think of that as a unitary entity and rate it accordingly.     

Prosodic disambiguation of syntactic structure: for the speaker or for the addressee?

Evidence has been mixed on whether speakers spontaneously and reliably produce prosodic cues that resolve syntactic ambiguities. And when speakers do produce such cues, it is unclear whether they do so "for" their addressees (the audience design hypothesis) or "for" themselves, as a by-product of planning and articulating utterances. Three experiments addressed these issues. In Experiments 1 and 3, speakers followed pictorial guides to spontaneously instruct addressees to move objects. Critical instructions (e.g., "Put the dog in the basket on the star") were syntactically ambiguous, and the referential situation supported either one or both interpretations. Speakers reliably produced disambiguating cues to syntactic ambiguity whether the situation was ambiguous or not. However, Experiment 2 suggested that most speakers were not yet aware of whether the situation was ambiguous by the time they began to speak, and so adapting to addressees' particular needs may not have been feasible in Experiment 1. Experiment 3 examined individual speakers' awareness of situational ambiguity and the extent to which they signaled structure, with or without addressees present. Speakers tended to produce prosodic cues to syntactic boundaries regardless of their addressees' needs in particular situations. Such cues did prove helpful to addressees, who correctly interpreted speakers' instructions virtually all the time. In fact, even when speakers produced syntactically ambiguous utterances in situations that supported both interpretations, eye-tracking data showed that 40% of the time addressees did not even consider the non-intended objects. We discuss the standards needed for a convincing test of the audience design hypothesis.     

Plantinga’s Reformed Epistemology: What’s the Question?

Alvin Plantingas Warranted Christian Belief is without questionone of the central texts of the Reformed epistemology movement. Critiques of Plantingas defence have been both multiple and varied. As varied as these responses are, however, it is my contention that many of them amount to the same thing. It is the purpose of this paper to offer an overview of the main lines of attack that have been directed as Plantingas project, and thereafter to show how many, if not most, of these objections can be understood as versions or aspects of the same criticism, what I call the Inadequacy Thesis.     

Bioethics and Christian Theology

The authors of this essay suggest that the field of bioethics and Christian theology have a great deal to offer to each other. The authors first argue that representatives from both fields must first make sure that they fully and correctly represent their respective position. In other words, scientists, ethicists, and theologians alike must make sure that they present their fields and not use their knowledge merely for personal gain at the stake of misguiding people. Once this is established, the authors then proceed to show the intimate relationship between Christianity and medicine that has existed throughout the ages. It is a call for a continuation of such a relationship that the authors suggest between bioethics and theology. Through an integration of bioethics and Christian theology, both scientists/physicians and theologians are able to gain greater insight into the human person—a focus in both fields.     

Concordant Spiritual Orientations as a Factor in Physician--Patient Spiritual Discussions: A Qualitative Study

Objectives: To understand the impact of physicians and patients religious/spiritual orientation on discussions of spiritual issues. Methods: We performed semi-structured interviews of 10 Missouri family physicians and 10 patients of these physicians, selecting subjects nonrandomly to represent a range of demographic factors, practice types, and chronic or terminal illness. We coded and evaluated transcribed interviews for themes. Results: Respondents expressed that similar belief systems facilitate patient–physician spiritual interactions and bring confidence to their relationships. Those holding dissimilar faiths noted limited ability to address spiritual questions directly. They cited significant barriers to spiritual interaction but considered that ecumenism, use of patient-centered care, and negotiation skills lessen these barriers. Conclusions: Our respondents view spirituality similarly to other aspects of the physician–patient relationship involving differing viewpoints. Where discordance exists, cross-cultural, patient-centered, diplomatic approaches facilitate spiritual discussions.     

Sex and generational differences in desired characteristics in mate selection

This study compared the ranking of 18 personal characteristics or qualities which college students might use in selecting a future mate and builds on six other assessment periods from 1939-1996 which dealt with this issue. Among the most consistent findings for all seven assessment periods is the high value both sexes place on dependable character, emotional stability/maturity, pleasing disposition, and mutual attraction/love. Men across all assessment periods placed a higher value than women on good health, good cook/housekeeper, and good looks, while women placed a higher value on ambitious/industrious, similar educational background, and good financial prospect. These trends could go along with ethological theory. For both sexes chastity and similar religious background gained value; however, this may be an artifact of the current sample of 100 students.     

From <Emphasis Type="Italic">Pintele Yid to Racenjude</Emphasis>: Chaim Zhitlovsky and racial conceptions of Jewishness

The Russian Jewish intellectual, Chaim Zhitlovsky (1865–1943), a leading architect of secular Jewish culture and thought, was a central figure in the progressive Jewish intelligentsia of the late nineteenth and early twentieth century. In an essay written in 1927, Yidn un Yiddishkayt (Jews and Jewishness), he sought to define the secular essence of what he calls Yiddishkayt. This essay is not the first in Zhitlovskys long publicistic career in which he searches for new, secular definitions of Jewish identity and culture. But this essay differs, since it is marked by Zhitlovskys use of contemporary social scientific notions of race and racial traits to conceptualize what he believes constitutes Jewishness in a non-religious context, along with his adoption of the mystical Jewish concept of the pintele yid, the theory of an innate Jewishness embodied by a Jewish spark. Zhitlovskys desire to craft a truly secular theory of Jewish identity led him ironically to accept models of Jewish identity at odds with his stated larger vision. In turning to contemporary racial theory, as well as long nurtured mystical models of Yiddishkayt, Zhitlovsky reveals the wide range of ideological discourses that led him to innovative and controversial notions of modern Jewish identity.     

A laboratory school comparison of mixed amphetamine salts extended release (Adderall XR) and atomoxetine (Strattera) in school-aged children with attention deficit/hyperactivity disorder

Mixed amphetamine salts extended release (MAS XR; Adderall XR) and atomoxetine (Strattera) were compared in children 6 to 12 years old with attention deficit/hyperactivity disorder (ADHD) combined or hyperactive/impulsive type in a randomized, double-blind, multicenter, parallel-group, forced-dose-escalation laboratory school study. Primary efficacy measure was the SKAMP (Swanson, Kotkin, Agler, M-Flynn, and Pelham) behavioral rating scale. Changes in mean SKAMP deportment scores from baseline were significantly greater for MAS XR (n = 102) than for atomoxetine (n = 101) overall (-0.56 and -0.13, respectively; p < .0001) and at each week (p < .001). Adverse events were similar for both treatment groups. The extended time course of action and greater therapeutic efficacy of MAS XR suggests that it is more effective than atomoxetine in children with ADHD.     

One-year-olds comprehend the communicative intentions behind gestures in a hiding game

This study explored infants' ability to infer communicative intent as expressed in non-linguistic gestures. Sixty children aged 14, 18 and 24 months participated. In the context of a hiding game, an adult indicated for the child the location of a hidden toy by giving a communicative cue: either pointing or ostensive gazing toward the container containing the toy. To succeed in this task children had to do more than just follow the point or gaze to the target container. They also had to infer that the adult's behaviour was relevant to the situation at hand - she wanted to inform them that the toy was inside the container toward which she gestured. Children at all three ages successfully used both types of cues. We conclude that infants as young as 14 months of age can, in some situations, interpret an adult behaviour as a relevant communicative act done for them.