Overweight and cognition

There is a growing concern among health authorities that an increasing number of people in the Western world become overweight and even obese. It is well known that obesity is related to several diseases (e.g., diabetes, stroke, and high blood pressure) and that such diseases related to obesity lead to early death. It has also been discussed whether overweight and obesity in themselves or in relation to such diseases lead to cognitive decline. On the basis of data from a large, population‐based, prospective study we examined three cognitive domains: episodic memory, semantic memory, and spatial ability. Two body measures were used to define normal weight and overweight, body‐mass index and waist/hip ratio. Although these two body measures reveal quite different prevalence data of overweight, the associations between overweight and cognition are similar. For episodic memory, overweight interacts with age, but when controlling for hypertension, stroke and diabetes, this interaction disappears. For semantic memory, normal weight participants outperform overweight participants even after controlling for these diseases. For spatial ability, the well‐established advantage for men holds for young‐old and old‐old normal‐weight participants. For overweight participants, this advantage holds for middle‐age participants only. We conclude that there is a weight‐cognition relationship even after controlling for obesity‐related diseases. The results are discussed in terms of possible biological mechanisms.     

ALZHEIMER'S DISEASE AND SOCIALLY EXTENDED MENTATION

Abstract: The leading accounts of the ethics of proxy decision making implicitly draw on internalist conceptions of the philosophy of mind, or so this essay tries to demonstrate. Using the views of Ronald Dworkin as its jumping-off point, the essay argues that accepting the sort of externalism associated with writers such as Putnam and Burge would alter Dworkin's conclusions concerning how we should respond to the current or precedent decisions of people suffering from dementia. Building on the views of Agnieszka Jawarska, it argues that accepting "active" externalism à la Clark and Chambers would provide currently competent people with new resources for establishing the authority of their present values over inconsistent values they might come to entertain should they become demented.     

Sunk-cost effects on purely behavioral investments

Although the sunk-cost effect is a well-documented psychological phenomenon in monetary investments, existing literature investigating behavioral investments (e.g., time, effort) has not replicated this effect except when such investments relate to monetary values. The current explanation for this discrepancy proposes that purely behavioral sunk-cost effects are unlikely to be observed because they are difficult to book, track, and balance in a mental account. Conversely, we argue that, through an effort-justification mechanism, people account for the amount of behavioral resources invested when selecting an alternative, in which case they may fall prey to purely behavioral sunk-cost effects. The results of two experiments support this prediction. Because many decisions involve behavioral investments, behavioral sunk-cost effects should be pervasive psychological phenomena.     

Cognitive models of choice: comparing decision field theory to the proportional difference model

People often face preferential decisions under risk. To further our understanding of the cognitive processes underlying these preferential choices, two prominent cognitive models, decision field theory (DFT; Busemeyer & Townsend, 1993 ) and the proportional difference model (PD; González-Vallejo, 2002 ), were rigorously tested against each other. In two consecutive experiments, the participants repeatedly had to choose between monetary gambles. The first experiment provided the reference to estimate the models' free parameters. From these estimations, new gamble pairs were generated for the second experiment such that the two models made maximally divergent predictions. In the first experiment, both models explained the data equally well. However, in the second generalization experiment, the participants' choices were much closer to the predictions of DFT. The results indicate that the stochastic process assumed by DFT, in which evidence in favor of or against each option accumulates over time, described people's choice behavior better than the trade-offs between proportional differences assumed by PD.     

临床决策的立场——医学、医院、医生还是病人？

医学的原理应该是决策的依据,但亦应视病人的具体情况而定。医生的兴趣如果只在新技术上、医院的立场如放在经济利益上,必将损害病人的利益。病人希望治愈疾病、安全、节省和希望参与决策是合理的,医生应该站在病人的立场上并帮助病人合理决策。     

Decomposition,Interdependence and Precision in Multiattribute Utility Measurements

Traditionally, parameters of multiattribute utility models, representing a decision maker's preference judgements, are treated deterministically. This may be unrealistic, because assessment of such parameters is potentially fraught with imprecisions and errors. We thus treat such parameters as stochastic and investigate how their associated imprecision/errors are propagated in an additive multiattribute utility function in terms of the aggregate variance. Both a no information and a rank order case regarding the attribute weights are considered, assuming a uniform distribution over the feasible region of attribute weights constrained by the respective information assumption. In general, as the number of attributes increases, the variance of the aggregate utility in both cases decreases and approaches the same limit, which depends only on the variances as well as the correlations among the single-attribute utilities. However, the marginal change in aggregate utility variance decreases rather rapidly and hence decomposition as a variance reduction mechanism is generally useful but becomes relatively ineffective if the number of attributes exceed about 10. Moreover, it was found that utilities which are positively correlated increase the aggregate utility variance, hence every effort should be made to avoid positive correlations between the single-attribute utilities. We also provide guidelines for determining under what condition and to what extent a decision maker should decompose to obtain an aggregate utility variance that is smaller than that of holistic assessments. Extensions of the current model and empirical research to support some of our behavioural assumptions are discussed. © 1997 John Wiley & Sons, Ltd.     

Race-specific perceptual discrimination improvement following short individuation training with faces

This study explores the effect of individuation training on the acquisition of race-specific expertise. First, we investigated whether practice individuating other-race faces yields improvement in perceptual discrimination for novel faces of that race. Second, we asked whether there was similar improvement for novel faces of a different race for which participants received equal practice, but in an orthogonal task that did not require individuation. Caucasian participants were trained to individuate faces of one race (African American or Hispanic) and to make difficult eye-luminance judgments on faces of the other race. By equating these tasks we are able to rule out raw experience, visual attention, or performance/success-induced positivity as the critical factors that produce race-specific improvements. These results indicate that individuation practice is one mechanism through which cognitive, perceptual, and/or social processes promote growth of the own-race face recognition advantage.     

Lutherans in Need of Self‐Discipline: Japanese Shugyō and the Art of Sanctification

Abstract : Lutherans have a reputation for not attending well to the life of sanctification. Whether or not this is deserved, it is clear that all believers should make greater efforts to live in conformity with the will of God. Distinctly lacking in the Lutheran heritage, however, are disciplines of self‐cultivation. Such methods could play a larger role in the spiritual lives of believers, not for the sake of one's own salvation, but for the benefit of others. With that in mind, this article considers the practice of shugyō in Japanese Buddhism. This concept of self‐cultivation can form a model for how we in the West might seek to attend to our own maturing in the Christian life, attending to a greater stewardship of our bodies and minds.     

Japanese Sound‐Symbolism Facilitates Word Learning in English‐Speaking Children

Sound‐symbolism is the nonarbitrary link between the sound and meaning of a word. Japanese‐speaking children performed better in a verb generalization task when they were taught novel sound‐symbolic verbs, created based on existing Japanese sound‐symbolic words, than novel nonsound‐symbolic verbs ( Imai, Kita, Nagumo, & Okada, 2008 ). A question remained as to whether the Japanese children had picked up regularities in the Japanese sound‐symbolic lexicon or were sensitive to universal sound‐symbolism. The present study aimed to provide support for the latter. In a verb generalization task, English‐speaking 3‐year‐olds were taught novel sound‐symbolic verbs, created based on Japanese sound‐symbolism, or novel nonsound‐symbolic verbs. English‐speaking children performed better with the sound‐symbolic verbs, just like Japanese‐speaking children. We concluded that children are sensitive to universal sound‐symbolism and can utilize it in word learning and generalization, regardless of their native language.     

腹主动脉瘤的外科治疗决策

腹主动脉瘤破裂是最常见、最凶险的疾病之一。提高对其治疗的临床决策水平至关重要。比较传统开腹修复治疗和血管腔内修复治疗的优缺点,以最佳证据为指导,选出最佳方案应用于临床实践。以人为本,做出科学决策,从而降低医疗费用及提高疗效及患者生活质量。