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The goal of the current study was to study the contribution of source memory, more specifically, a source memory task, on the memory performance measured with a novel virtual reality (VR)-based neuropsychological assessment test, i.e., the Suite Test.
Method:
The sample included 676 subjects (49.7% female), aged from 12 to 85 years. The Suite test comprises a 360-degree VR environment designed as a furniture shop. Participants must group specific sets of furniture items (ordered by different families of customers) by clicking on the furniture to be packed, following instructions from a voice-over. All participants were administered the full version of the test, which comprises, among others, an immediate recall task, a source memory task, a short-term delayed recall task, a long-term delayed recall task, and a recognition trial.
Results:
Performance on the VR source memory task was associated with recall across age groups, with a stronger contribution in older adults, often enhancing long-term recall. In contrast, younger individuals relied more on immediate and short-term delayed recall, with weaker relationships between source memory and the other types, suggesting that it plays a more secondary role in younger participants.
Conclusions:
The Suite Test VR-based test effectively explores source memory contributions across the lifespan. By immersing participants in a dynamic VR environment, it reveals how source memory relates to other memory types, showing age-related differences and offering valuable insights about cognitive changes, as well as about future research implications in the area of memory assessment.
Clostridioides difficile infection (CDI) guidelines advise against repeat testing within 7 days. This retrospective study identified factors associated with 7-day repeat testing. Attending physicians (aOR = 0.67) and advanced practice practitioners (aOR = 0.61) ordered fewer repeat tests compared to residents. Further research is necessary to address inappropriate repeat testing.
This article explores the role of the Vatican and Catholic aid agencies in resettling European displaced victims of war in the aftermath of the Second World War, contributing to the field of refugee history and humanitarian studies. Focusing on the entanglements between Catholic humanitarians and UN agencies such as UNRRA and IRO, it shows how controlling mobility and managing population movements became a central part of the Vatican’s agenda and paved the way to greater involvement of the Catholic Church in the post-war reconstruction. In doing so, the essay intersects primary sources (predominantly from the Vatican and US Catholic archives) and different historiographical debates, with the aim of nuancing our understanding of post-war ‘refugeedom’ and the emergence of the ‘Cold War West’.
We followed up on previous results showing increased cheating under the threat of potential losses compared to the promise of equivalent gains, as well as inconsistent findings in this literature. Our studies used diverse paradigms, including random number reporting, binary number reporting, performance-level reporting, and reliance on illicit resources. In seven studies of online workers (n = 3,803), we found that participants tended to cheat, though the effect size of cheating (Cohen’s d) varied from 0.14 to 1.18 in different settings. However, in all studied paradigms, we observed no significant effect of gain and loss framing, with an overall effect size of d = 0.004, and with the variance in different studies accounted for by sampling error. Examining the moderating effect of stake size did not yield significant findings. At the individual level, higher cheating was predicted by loss aversion, but, on average, participants did not exhibit loss aversion for the obtained incentives. Thus, we cannot overrule the possibility that the inconsistencies in the literature might simply be due to sampling noise around an extremely small (or zero) effect.
Research ethics consultation services (RECS) provide important ethical guidance to various entities, including investigators and Institutional Review Boards. Established in the late 1980s and influenced by funding requirements from the National Center for Advancing Translational Science, RECS have evolved to address ethical challenges in research. This study aimed to identify key barriers and facilitators affecting the success of RECS, particularly in light of changes in funding and institutional support.
Materials and methods:
From a comprehensive list of 55 Clinical and Translational Science Award programs, 20 RECS were purposively sampled for in-depth interviews. Interviews focused on primary functions, accomplishments, barriers, and facilitators of the service. We performed an abductive analysis on transcribed data.
Results:
Twenty-two research ethics consultants from 20 institutions participated. Respondents emphasized their services’ goal of facilitating ethical research, though many faced barriers such as underutilization and lack of awareness among researchers. Facilitators included institutional support and funding. Support often was contingent on institutional leadership facilitating the service into the university’s research enterprise. Participants reported accomplishments, including successful consultations and contributions to institutional policies.
Discussion:
Our findings indicate that RECS play a crucial role in supporting ethical research practices, though their effectiveness is often contingent on institutional relationships and funding. Key recommendations include tracking consults, defining consultation outcomes, and fostering the development of new consultants to sustain the field of research ethics.
Co-decision-making is the middle of the three new tiers of support for those whose capacity is in question or lacking under the Assisted Decision-Making (Capacity) Act 2015. In co-decision-making, decision-making authority is shared jointly between the person and their chosen co-decision-maker. Co-decision-making is a new and challenging concept and the capacity test to be applied by healthcare professional assessors is complex. I suggest that thinking about the minimum requirements for joint decision-making and about the idea of ‘partial capacity’ are helpful in determining where co-decision-making fits on a capacity spectrum. Whatever the difficulties, co-decision-making is a core support arrangement in the new law, and there is a responsibility on all seeking to support a relevant person to work to ensure it is a viable and useful option.
Episodic memory naturally declines with age. The method of loci is an encoding strategy that has been shown to enhance episodic memory. However, it relies heavily on associative memory, as it consists in associating each item of a to-be-learnt list with a location along a familiar route, and associative memory is thought to be the source of the episodic age-related decline. However, when associative memory is supported by semantic knowledge, older adults can compensate for this decline. This study aims to explore the use of the method of loci, that we adapted to leverage pre-existing knowledge in semantic memory, to improve episodic memory in aging.
Methods:
Word recall performance of young (18–30 years old) and older (60–75 years old) participants was tested after encoding word lists using the method of loci under two conditions: congruent or incongruent with pre-existing knowledge, compared to a control condition.
Results:
The results showed significant memory performance improvement in both groups when the method of loci was used with congruent associations. In contrast, in older adults, performance in the incongruent condition did not improve compared with that observed during encoding without a specific strategy, highlighting the importance of semantic links for associative memory. Furthermore, using the method of loci with congruent associations, older adults displayed recall performance equivalent to young adults, while it was not the case with incongruent associations.
Conclusions:
The method of loci applied in conditions of semantic congruence thus appears to be a promising compensatory strategy for older adults.
Apprenticeship was important from the late sixteenth century for training and maintaining the English workforce. Masters and mistresses were committed by the apprenticeship indenture to provide food, clothing, shelter and training. Reference was rarely made, however, to what happened should the apprentice fall ill. Much the same was true of contracts between an employer and the young person who was hired to live and work in their household. Both sides of the agreement accepted that responsibility for sickness was part of the employer’s or master’s wider obligations. For some household heads, this was an unwelcome undertaking and from the early eighteenth century it became more common for them to opt out of this role. The fall in the age of these young workers during the eighteenth century and the relaxation of the rules of apprenticeship seem to have encouraged this development. Severe outbreaks of smallpox occurring throughout the country, particularly until the 1770s, highlighted the wider problem of sickness. An examination of the experiences of individual children who fell ill in this period provides insight into the lives of young workers when at their most vulnerable and dependent.
Sexual slavery has been an ongoing human rights issue within South Korea since World War II, yet discourse has almost exclusively centred on World War II sex slaves. Redress efforts typically focus on these survivors, their bodies symbolising the Korean nation, with post-World War II Korean sex slaves generally seen as ‘willing’ prostitutes. Nevertheless, the bodies, experiences and victimhood of all survivors remain contested. This paper discusses the connection between the ‘ideal’ victims, the World War II Korean sex slaves, and an example of ‘non-ideal’ victims, the gijichon women of the 1970s. Drawing upon recent judgments, Korean law and society, it analyses the impact of an ‘ideal’ victim construct upon survivors’ pursuit of redress in the Korean courts. In this paper I argue that, despite some success within domestic courts, the ‘ideal’ victim construct can explain why all survivors remain marginalised and have yet to receive full truth and justice.
Respiratory diseases are increasing global health burden with persistently high morbidity and mortality. Extracellular vesicles (EVs), which are virtually released by all cell types and carry a variety of molecules like miRNAs, have emerged as crucial mediators of intercellular communication. They play a key role in maintaining lung homeostasis and are involved in the pathogenesis of various respiratory conditions. Furthermore, mesenchymal stromal cell-derived EVs (MSC-EVs) have shown significant therapeutic potential due to their anti-inflammatory, antimicrobial, and reparative properties.
Methods
This narrative review critically assesses the current body of literature on the roles of EVs in respiratory diseases. We examine evidence from pre-clinical and clinical studies that investigate EVs as biomarkers and therapeutics for conditions including asthma, bronchopulmonary dysplasia (BPD), chronic obstructive pulmonary disease (COPD), cystic fibrosis (CF), idiopathic pulmonary fibrosis (IPF), lung cancer, and pulmonary arterial hypertension (PAH).
Results
EVs reflect the physiological or pathological state of their parental cells, making them promising multimodal biomarkers for the early diagnosis and monitoring of disease progression. Additionally, MSC-EVs function as effective, cell-free therapeutic agents. In a variety of disease models, they demonstrate efficacy by modulating immune responses, enhancing alveolar fluid clearance, and restoring epithelial and endothelial barrier integrity, leading to improved survival and outcomes.
Conclusions
EVs hold a dual and transformative potential in respiratory medicine. They may serve as valuable diagnostic and prognostic tools, and their application as cell-free therapeutics represents a novel and promising strategy for treating a wide spectrum of debilitating respiratory diseases.
Approximately 24% of stroke survivors develop post-stroke depression (PSD), which is associated with poor psychological recovery, identity disruption, and reduced self-esteem. Psychological interventions often fail to address these broader challenges. The Wisdom Enhancement Timeline technique, which facilitates autobiographical reflection, has shown promise for depression in older adults. It has not yet been studied in a post-stroke population.
Aims:
This study evaluated the effectiveness of the Wisdom Enhancement Timeline technique in stroke. It was hypothesised that wisdom would improve first, followed by identity/self-esteem and mood.
Method:
A multiple-baseline single-case experimental design (SCED) was used across three stroke survivors. Daily visual analogue scale (VAS) ratings measured mood, identity, self-esteem, and wisdom during the trial. The Patient Health Questionnaire-9 (PHQ-9) measured depressive symptoms at pre- and post-intervention. Visual analysis, Tau-U, generalised least squares regression (adjusting for autocorrelation), and piecewise regression evaluated intervention effects.
Results:
Improvements were observed across all participants and outcomes. Tau-U analysis indicated small-to-large effect sizes across outcomes (effect size range: 0.30–0.92). Breakpoints confirmed wisdom improved first, followed by identity/self-esteem and mood last. Regression confirmed significant level shifts across all outcomes. All participants showed clinically meaningful reductions in PHQ-9 scores, operationalised as a shift from pre-intervention scores above 10 to post-intervention scores below 10.
Conclusions:
Wisdom-based interventions could be beneficial in a stroke population, promoting improvements in mood, identity coherence, self-esteem and wisdom. The Wisdom Enhancement Timeline technique shows promise for PSD treatment, although further research is needed to validate these effects.
Manchester has long been a model for the class divisions characteristic of British Victorian cities, and this segregation has largely been attributed as a spatial phenomenon as informed by qualitative sources from the period. The digitization of historical source material, however, allows for quantitative assessments of residential differentiation. By analysing patterns of residential distribution using nineteenth-century, individual-level census data, it is revealed that early Victorian Manchester was characterized more by residential heterogeneity than segregation. In light of this finding, this article revisits the source base for early Victorian Manchester in order to reconcile the differences in the physical and social dimensions of segregation for a more accurate and holistic understanding of urban dynamics and the mechanisms of class formation. It explains this dissonance by exploring the city’s architectural, occupational, and cultural structures: while rich and poor lived cheek-by-jowl in the industrial city, temporal rhythms of employment, institutionalized cultures of class, and emerging modes of urban maintenance and discipline all produced practices which differentiated and isolated one class from another.