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Judgment, defined as the capacity to make decisions carefully after consideration of available information, which may entail a variety of sources, has come to be regularly assessed within neuropsychology, and impairment of judgment has been demonstrated across multiple disorders (Rabin, Borgos, & Saykin, 2008). This study aimed to re-examine the relationship between judgment and performance on measure of cognitive functioning including (memory, attention, language, visuospatial abilities, speed, and aspects of executive functioning) in a mixed-clinical sample of older adult veterans.
Participants and Methods:
Data for this study was collected from the Cognitive Functioning in Older Adult Veteran’s database repository (CFOAV) at a large Veteran Affairs Healthcare System (VAHCS). Participants were veterans seeking treatment in the Neuropsychology Assessment Clinic. Inclusion criteria were that participants must have answered the nine questions from the TOP-J and received a score based on the specific criteria. Participants were excluded if they appeared to lack adequate test engagement or had a serious mental illness. The final sample for the current study consisted of 83 veterans (73% male, n = 76), ranging from 50 to 89 years (m = 72.01, SD = 9.70), with and average of 13 years of education (SD = 3.21). Of the sample, 75% reported that they were White, 7% African American/Black, and 1% Latino/Hispanic, and ICD-10 diagnoses ranged from age-related cognitive decline, mild cognitive impairment, vascular dementia, and dementia in other disease classified.
Results:
Using SPSS (Version 27), Pearson correlations were conducted to examine the relationship between the TOP-J raw score, demographic variables, and measures of cognitive functioning, including the WTAR, the RBANS index scores, WAIS-DS, TMT A, TMT B, COWAT, and ANT. Missing data were excluded pairwise in the analyses. Correlation analyses revealed a significant small-to-medium correlation between the TOP-J and the. There were small to medium correlations between the TOP-J, WTAR (r = .31, p = .01), TMT A (r = .27, p = .02), WAIS DS (r = .30, p = .01), and RBANS Attention index (r = .35, p = .04). There was a significant large relationship between the TOP-J and the RBANS Immediate Memory index (r = .52, p = .002). There were no significant associations between the TOP-J, demographic variables (e.g., biological sex, age, and education), TMT-B, COWAT, or ANT.
Conclusions:
The study supported previous decision making research (Moye, Karel, Gurrera & Asar, 2006) that has found the ability to attend to and immediately retain information to be an important foundational component. While the present study did not fully replicate previous findings that the Top-J was correlated to measures of executive functioning, strong correlations did emerge with verbal memory and a measure of crystalized verbal abilities similar to Rabin et al. (2007). Such research informs the assessment practical judgment. It also indicates that one’s ability to acquire and encoded unstructured and contextual verbal information, as well as pre-morbid verbal abilities, may provide potential targets to improve or compensate from decrements in overall practical judgement. This is certainly an areas for future research.
Depression is an important, potentially modifiable dementia risk factor. However, it is not known whether effective treatment of depression through psychological therapies is associated with reduced dementia incidence. The aim of this study was to investigate associations between reduction in depressive symptoms following psychological therapy and the subsequent incidence of dementia.
Methods
National psychological therapy data were linked with hospital records of dementia diagnosis for 119808 people aged 65+. Participants received a course of psychological therapy treatment in Improving Access to Psychological Therapies (IAPT) services between 2012 and 2019. Cox proportional hazards models were run to test associations between improvement in depression following psychological therapy and incidence of dementia diagnosis up to eight years later.
Results
Improvements in depression following treatment were associated with reduced rates of dementia diagnosis up to 8 years later (HR = 0.88, 95% CI 0.83–0.94), after adjustment for key covariates. Strongest effects were observed for vascular dementia (HR = 0.86, 95% CI 0.77–0.97) compared with Alzheimer's disease (HR = 0.91, 95% CI 0.83–1.00).
Conclusions
Reliable improvement in depression across psychological therapy was associated with reduced incidence of future dementia. Results are consistent with at least two possibilities. Firstly, psychological interventions to improve symptoms of depression may have the potential to contribute to dementia risk reduction efforts. Secondly, psychological therapies may be less effective in people with underlying dementia pathology or they may be more likely to drop out of therapy (reverse causality). Tackling the under-representation of older people in psychological therapies and optimizing therapy outcomes is an important goal for future research.
The theme of this fifty-fourth volume of Studies in Church History is ‘The Church and Empire’, and the twenty-three articles included here explore the complex and ever-evolving relationship of ecclesiastical and imperial power within a range of historical contexts. The articles represent plenary addresses and a selection of the communications presented at two highly successful Ecclesiastical History Society conferences during my presidential year – a Summer Conference held at the University of Edinburgh in July 2016 and a Winter Meeting held at Magdalene College, Cambridge, in January 2017. Both conferences attracted a large number of speakers and participants from across the world, and reflected the considerable scholarly interest in questions concerning the relations of Church and empire. These questions include the extent to which Christianity in the Western world became linked to the political power of large imperial states, the nature and extent of the connection of Christianity to the expansion of Western imperialism in the early modern and modern periods, and the manner in which the Church often came into conflict with imperial power, especially when Christians insisted on the spiritual independence of the Church and on maintaining an independent Christian moral witness against the wars of conquest, cruelty, racism, oppression and arrogance of power that too often have been associated with imperial rule.
In the early nineteenth century, many in Britain believed that their conquests in India had a providential purpose, and that imperial Britain had been called by God to Christianize India through an alliance of Church and empire. In 1813, parliament not only opened India to missionary activity, but also provided India with an established Church, which was largely supported by Indian taxation and formed part of the established Church of England. Many hoped that this union of Church and empire would communicate to India the benefits of England's diocesan and parochial structures, with a settled pastorate, parish churches and schools, and a Christian gentry. As the century progressed, the established Church was steadily enlarged, with a growing number of bishoprics, churches, schools, colleges, missionaries and clergy. But it had only limited success in gaining converts, and many Indians viewed it as a form of colonization. From the 1870s, it was increasingly clear that imperial India would not become Christian. Some began reconceptualizing the providential purpose behind the Indian empire, suggesting that the purpose might be to promote dialogue and understanding between the religions of the East and West, or, through the selfless service of missionaries, to promote moral reform movements in Hinduism and Islam.
We continue to be intrigued by the Scottish Enlightenment. How was it that a relatively remote country on the geographical periphery of Europe—with a harsh climate, a largely mountainous terrain, a strict Calvinist creed, a small population and a history of civil strife—emerged in the 1740s as a “hotbed of genius” and a center of the European Enlightenment? The subject, to be sure, has been well studied. There is an immense literature and it can seem that there is little new to be said. Indeed, it may be, as the eminent historian Colin Kidd has observed in this journal, that “the very concept of the ‘Scottish Enlightenment’ has become a stale historiographical commonplace.” And yet the subject continues to intrigue, continues to attract scholars from a variety of disciplines. For something extraordinary happened in eighteenth-century Scotland. Simply to list some of the names cannot fail to impress: David Hume in philosophy and historical writing, Frances Hutcheson in moral philosophy, Adam Smith in moral philosophy and economic thought, Adam Ferguson in social thought, Thomas Reid in philosophy, William Robertson in historical writing, Hugh Blair in rhetoric and literary studies, James Hutton in geology, and Joseph Black in chemistry. The achievements of the Scottish Enlightenment were immense; its world influence has been enduring. And at its heart was the study of moral philosophy and of the moral progress of humankind.
Properties of the microwave emission from HR1099 are examined in an attempt to determine whether the emission arises as gyro-synchrotron radiation from mildly relativistic electrons trapped in magnetic fields above starspots on the active K subgiant component. It is shown that radio curves do not exhibit a systematic variation in phase with the rotation rate, as one might expect for emission from a source situated above a long-lived starspot. However, there is some evidence that the radio flaring occurs at two preferred longitude zones. Whether these zones agree with starspot locations remains to be determined by light curve modelling. What we can say with confidence is that the measured spectral index of the microwave emission does not fit a simple gyro-synchrotron source model, such as that proposed to explain the observed reversal with frequency of the sense of circular polarization.
Case-control studies of sporadic Campylobacter infections have predominately been conducted in non-Hispanic populations. In Arizona, rates of campylobacteriosis have been historically higher than the national average, with particularly high rates in Hispanics. In 2010, health departments and a state university collaborated to conduct a statewide case-control study to determine whether risk factors differ in an ethnically diverse region of the United States. Statistically significant risk factors in the final multivariate model were: eating cantaloupe [odds ratio (OR) 7·64], handling raw poultry (OR 4·88) and eating queso fresco (OR 7·11). In addition, compared to non-Hispanic/non-travellers, the highest risk group were Hispanic/non-travellers (OR 7·27), and Hispanic/travellers (OR 5·87, not significant). Results of this study suggest Hispanics have higher odds of disease, probably due to differential exposures. In addition to common risk factors, consumption of cantaloupe was identified as a significant risk factor. These results will inform public health officials of the varying risk factors for Campylobacter in this region.
In 1894 the prominent English journalist and religious visionary, W. T. Stead, published If Christ came to Chicago!, a work of investigative journalism focusing on the problems of the modern city. The book constituted a manifesto for Stead's notion of the ‘Civic Church’, a religious movement through which he hoped to revive a sense of national religion, and unite churches and philanthropic associations around a shared commitment to follow Christ's example of social service. This article explores the development of Stead's ‘Civic Church’ ideal and his campaign to achieve this in Britain's urban-industrial society between 1886 and 1895.
The Oxford Movement transformed the nineteenth-century Church of England with a renewed conception of itself as a spiritual body. Initiated in the early 1830s by members of the University of Oxford, it was a response to threats to the established Church posed by British Dissenters, Irish Catholics, Whig and Radical politicians, and the predominant evangelical ethos - what Newman called 'the religion of the day'. The Tractarians believed they were not simply addressing difficulties within their national Church, but recovering universal principles of the Christian faith. To what extent were their beliefs and ideals communicated globally? Was missionary activity the product of the movement's distinctive principles? Did their understanding of the Church promote, or inhibit, closer relations among the churches of the global Anglican Communion? This volume addresses these questions and more with a series of case studies involving Europe and the English-speaking world during the first century of the Movement.