BackgroundIn the Canadian Alliance for Healthy Hearts and Minds (CAHHM) cohort, participants underwent magnetic resonance imaging (MRI) of the brain, heart, and abdomen, that generated incidental findings (IFs). The approach to managing these unexpected results remain a complex issue. Our objectives were to describe the CAHHM policy for the management of IFs, to understand the impact of disclosing IFs to healthy research participants, and to reflect on the ethical obligations of researchers in future MRI studies.MethodsBetween 2013 and 2019, 8252 participants (...) (mean age 58 ± 9 years, 54% women) were recruited with a follow-up questionnaire administered to 909 participants (40% response rate) at 1-year. The CAHHM policy followed a restricted approach, whereby routine feedback on IFs was not provided. Only IFs of severe structural abnormalities were reported.ResultsSevere structural abnormalities occurred in 8.3% (95% confidence interval 7.7–8.9%) of participants, with the highest proportions found in the brain (4.2%) and abdomen (3.1%). The majority of participants (97%) informed of an IF reported no change in quality of life, with 3% of participants reporting that the knowledge of an IF negatively impacted their quality of life. Furthermore, 50% reported increased stress in learning about an IF, and in 95%, the discovery of an IF did not adversely impact his/her life insurance policy. Most participants (90%) would enrol in the study again and perceived the MRI scan to be beneficial, regardless of whether they were informed of IFs. While the implications of a restricted approach to IF management was perceived to be mostly positive, a degree of diagnostic misconception was present amongst participants, indicating the importance of a more thorough consent process to support participant autonomy.ConclusionThe management of IFs from research MRI scans remain a challenging issue, as participants may experience stress and a reduced quality of life when IFs are disclosed. The restricted approach to IF management in CAHHM demonstrated a fair fulfillment of the overarching ethical principles of respect for autonomy, concern for wellbeing, and justice. The approach outlined in the CAHHM policy may serve as a framework for future research studies.Clinical trial registrationhttps://clinicaltrials.gov/ct2/show/nct02220582. (shrink)

Those who deny the usefulness of the concept of “motive” for psychology commonly bring two arguments in support of theirview. The first is that the whole notion of “motive” is “animistic” and “folklorish”, since a motive cannot be directly observed. The second is that “motives” cannot be accurately observed, and therefore are beyond the scope of scientific study, because they are “the secret of the agent”, and the agenthimself has no indubitable knowledge of his “motives”. In a recent article, Professor (...) MacIver defends the view that the imputation of “motives” is necessary to a complete explanation of behaviour. To the first of the above criticisms, he replies that such a view neglects a part of reality and that since “motives” exist they should be studied by psychology. This reply does nothing to demonstrate the necessity of imputing motives in order to obtain a complete explanation of behaviour. To the second criticism he replies “motives” are not the secret of the agent, and we can only assert that the agent has mistaken his “motive” if we can gain indepen-dent knowledge of it. We can do this, Professor MacIver asserts, by observing typical behaviour in typical circum-stances, and making inferences from the coherence of total situations. Professor MacIver's replies to the second of the above criticisms are valid only if “motive” is defined as equivalent to “need”, so that we can say “under such-and-such conditions, such-and-such behaviour occurs”. A statement of this type says nothing about the agent's awareness of his goal. When the term “consciousness” is carefully defined along the lines suggested by Boring, the methods of imputation described by Professor MacIver can be seen to lead us only to the agent's “drives”, or “needs”, defined without reference to the agent's awareness of his goal. Professor MacIver uses “motives” to mean “awareness of the goal”, but gives us no clue as to how they may be imputed, and adduces no proof that their imputation is necessary. A possible criterion of the presence of a “motive” is the degree of direction observable in the organism's varied reac-tions in response to frustration, though the more precise definition of such a criterion must await further experiment. In view of the ambiguity of the term “motive” and its penumbra of false suggestion, it is desirable that the term be dropped from psychology. (shrink)

The term ‘environment’ is not uniformly defined in the public health sciences, which causes crucial inconsistencies in research, health policy, and practice. As we shall indicate, this is somewhat entangled with diverging pathogenic and salutogenic perspectives (research and policy priorities) concerning environmental health. We emphasise two distinct concepts of environment in use by the World Health Organisation. One significant way these concepts differ concerns whether the social environment is included. Divergence on this matter has profound consequences for the understanding of (...) health and disease, for measures derived from that understanding targeting health promotion and disease prevention, and consequently, for epistemic structures and concept development in scientific practice. We hope to improve the given situation in public health by uncovering these differences and by developing a fruitful way of thinking about environment. Firstly, we side with the salutogenic conception of environment as a _health resource_ (as well as a source of health risks). Secondly, we subdivide the concept of environment into four _health-oriented environmental categories_ (viz., natural, built-material, socio-cultural, and psychosocial) and we link these with other theoretical notions proposed in the health sciences literature. Thirdly, we propose that in public health ‘environment’ should be understood as consisting of all extrinsic factors that influence or are influenced by the health, well-being, and development of an individual. Consequently, none of the four categories should be excluded from the concept of environment. We point out the practical relevance and fruitfulness of the conception of environment as a health source and frame this in causal terms, representing _individual health environments_ as causal networks. Throughout, we side with the view that for the design of human health-promoting settings, increased attention and consideration of environmental resources of salutogenic potential is particularly pressing. (shrink)

The average male–female performance difference in the three sports of track athletics, swimming and time trial cycling are examined between the years 1948 and 1976. During this period females have gradually come to participate in a much larger number of events, particularly those of longer duration. In each of these three sports, women's performances in relation to men's have more or less continuously improved and it appears that if the changes between 1948 and 1976 are maintained, average female performance will (...) equal that of males for all events currently competed in by both sexes in these sports at some time during the next century. Estimates as to when, precisely, this will occur vary somewhat according to the basis on which the calculations are made. The other main change evident during these years is that in all three sports women's performances relative to men's for events of long duration have become as good or better than their relative performance at events of short duration. (shrink)

laudationem ferculum est insecutum plane non pro expectatione magnum: novitas tamen omnium convertit oculos. rotundum enim repositoriurr duodecim habebat signa in orbe disposita, super quae proprium convenien. temque materiae structor imposuerat cibum: super arietem cicer arietinum, super taurum bubulae frustum, super geminos testiculos ac rienes, supei cancrum coronam, super leonem ficum Africanam, super virginem steriliculam super libram stateram in cuius altera parte scriblita erat, in altera placenta super scorpionem † pisciculum marinum, super sagittarium oclopetam, supei capricornum locustam marinam,† super pisces (...) duos mullos. in medio autem caespes cum herbis excisus favum sustinebat. (shrink)

laudationem ferculum est insecutum plane non pro expectatione magnum: novitas tamen omnium convertit oculos. rotundum enim repositoriurr duodecim habebat signa in orbe disposita, super quae proprium convenien. temque materiae structor imposuerat cibum: super arietem cicer arietinum, super taurum bubulae frustum, super geminos testiculos ac rienes, supei cancrum coronam, super leonem ficum Africanam, super virginem steriliculam super libram stateram in cuius altera parte scriblita erat, in altera placenta super scorpionem † pisciculum marinum, super sagittarium oclopetam, supei capricornum locustam marinam,† super pisces (...) duos mullos. in medio autem caespes cum herbis excisus favum sustinebat. (shrink)

Open peer commentary on the article “Elementary Students’ Construction of Geometric Transformation Reasoning in a Dynamic Animation Environment” by Alan Maloney. Upshot: Parnorkou and Maloney describe how a dynamic animation environment, Graphs ’n Glyphs, supported fourth-grade students’ understandings of translations and rotations. Two elements were critical in their teaching experiment: the design of the software and tasks. This commentary focuses on the decisions that they made and possible implications they had for students’ reasoning.

It is now generally agreed that the Satyricon was written in the age of Nero by the Emperor's Arbiter elegantiae. The view that it should be dated to the age of the Antonines has been reasserted since the war, and the work of scholars who have refuted it has produced several new arguments of value; notably in the matter of the economic and social background in the Satyricon. H. C. Schnur has recently restated the economic arguments for the Neronian date, (...) with some new points, and with convincing force. (shrink)