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Diffusion tensor imaging is often used to assess white matter (WM) changes following traumatic brain injury (TBI), but is limited in voxels that contain multiple fibre tracts. Fixel‐based analysis (FBA) addresses this limitation by using a novel method of analysing high angular resolution diffusion‐weighted imaging (HARDI) data. FBA examines three aspects of each fibre tract within a voxel: tissue micro‐structure (fibre density [FD]), tissue macro‐structure (fibre‐bundle cross section [FC]) and a combined measure of both (FD and fibre‐bundle cross section [FDC]). This study used FBA to identify the location and extent of micro‐ and macro‐structural changes in WM following TBI. A large TBI sample (Nmild = 133, Nmoderate–severe = 29) and control group (healthy and orthopaedic; N = 107) underwent magnetic resonance imaging with HARDI and completed reaction time tasks approximately 7 months after their injury (range: 98–338 days). The TBI group showed micro‐structural differences (lower FD) in the corpus callosum and forceps minor, compared to controls. Subgroup analyses revealed that the mild TBI group did not differ from controls on any fixel metric, but the moderate to severe TBI group had significantly lower FD, FC and FDC in multiple WM tracts, including the corpus callosum, cerebral peduncle, internal and external capsule. The moderate to severe TBI group also had significantly slower reaction times than controls, but the mild TBI group did not. Reaction time was not related to fixel findings. Thus, the WM damage caused by moderate to severe TBI manifested as fewer axons and a reduction in the cross‐sectional area of key WM tracts. [ABSTRACT FROM AUTHOR]

Objective: To systematically assess the relationship between computer‐mediated communication and social function in older adults aged 55 or older. Methods: Embase, PsycINFO and PubMed were searched (database inception to December 2018). Where available, effect sizes (correlation r) with 95% confidence intervals and P values were calculated for individual studies. Of 4,139 eligible articles retrieved, 17 studies involving a pooled sample of 17,640 participants were included. Results: Frequent computer‐mediated communication was significantly, albeit weakly, associated with higher levels of social support and connectedness (r range = 0.08 to 0.33, P < 0.05). One discrepant negative relationship was noted (r = −0.16, 95% CI [−0.30, −0.02], P = 0.03), involving a distinct sample of gamers. Conclusions: Computer‐mediated communication is related to amount of social functioning in older adults, although the causal nature of this relationship requires further longitudinal investigation. Sample confounds (eg socio‐economic status and successful ageing) may limit the interpretation of these findings. [ABSTRACT FROM AUTHOR]

Objectives: Researchers have pointed to significant omissions in Rowe and Kahn's model of successful ageing and their lack of consultation with older people. This study examined late mid-life and older women's views of successful ageing. Methods: In-depth interviews were conducted with 14 women aged 60–89 years. Participants who identified themselves as spiritual and religious, or spiritual only and not religious, were recruited using the ‘snowball technique’. Thematic analyses were conducted within an Interpretive Phenomenological Analysis framework. Results: Participants described multiple dimensions of successful ageing with 15 subthemes grouped into three overarching categories of personal agency, social value and quality of life/quality of death. Conclusions: Participants’ multidimensional views of successful ageing were broader than Rowe and Kahn's model and included the need to have a degree of autonomy over the place and manner of the last phase of life and final days (successful dying). [ABSTRACT FROM AUTHOR]

Discusses the law and the education of the citizenry. Reasons on the unappealing introduction of law into the university; Education of university students on the 'introduction to law'; Advantages of the development of a general education course in law; Different organizational models for undergraduate law programs;.

A letter to the editor is presented in response to the article on the assessment of patients' decision-making capacity by professor Pēteris Dārzinņš in the 2010 issue of "Australian Occupational Therapy."

A letters to the editor is presented in response to the article about how to assess a patient's medical decision-making capacity.