Ainslie argues there are two main kinds of willpower suppression, which is necessarily effortful, and resolve, which is not. We agree with the distinction but argue that all resolve is effortful. Alleged cases of effortless resolve are indeed cases of what Ainslie calls habits, namely stable results of prior uses of resolve.Ainslie offers an encompassing and compelling account of willpower, although his big-picture view comes occasionally at the cost of low resolution. We comment on ambiguity in the metacognitive and prospective mechanisms of resolve implicated in recursive self-prediction. We hope to show both the necessity and promise of specifying testable cognitive mechanisms of willpower.Ainslie advances our understanding of self-control by theoretically unifying multiple forms of willpower. But one crucial question remains unanswered How do agents pick the right forms of willpower in each situation? I argue that willpower requires tactical skill, which detects willpower-demanding contexts, selects context-appropriate tactics, and monitors their implementation. Research on tactical skill will significantly advance our understanding of willpower.Willpower is often conceptualized as incorporating effortful and momentary suppression of immediate but ultimately inferior rewards. Yet, growing evidence instead supports a process of attribute weighting, whereby normatively optimal choices arise from separable evaluation of different attributes (e.g., time and money). Strategic allocation of attention settles conflicts between competing choice-relevant attributes, which could be expanded to include self-referential predictions ("resolve").Ainslie insightfully refines the concept of willpower by emphasizing low-effort applications of resolve. However, he gives undue weight to intertemporal discounting as the problem that willpower is needed to overcome. Nonhumans typically don't encounter choices that differ only in the time of consumption. Humans learn to transform uncertainty into problems they can solve using culturally evolved mechanisms for quantifying risk.This quasi-experimental study examined the effect of Supporting Family Doctors to Address Elder Abuse (SAFE) educational intervention among family doctors practicing at public primary care clinics in Malaysia. SAFE is an intensive, multimodal, locally tailored, and culturally sensitive face-to-face educational intervention on elder abuse. A significant mean score improvement of knowledge [Baseline 5.33 (SD1.33) to 6-month post-intervention 6.45 (SD 1.35); p less then 0.001] and perceived behavioral control [Baseline 50.83 (SD 8.87) to six-month post-intervention 56.16 (SD 9.56); p less then 0.001] observed in the intervention group compared to the control group. No significant difference in attitude, subjective norm, and practice scores between the two groups over time. SAFE educational intervention for family doctors was effective to improve but not sustainable knowledge and perceived behavioral control toward elder abuse identification and management. We recommend SAFE educational intervention as part of the continuous medical education for family doctors supplemented with a change in organization and national policy.Dehydration is linked to worse cognitive functions and preference for beverages that are linked to obesity and other health conditions. Saudi Arabia's hot climate can exacerbate these effects and it is important to ensure that children in the region understand the benefits of adequate water intake. To evaluate secondary school student perceptions and practices regarding water intake, investigate how water intake is related to BMI and school performance, and compare international schools to national schools. This cross-sectional study surveyed understanding and practices relating to water intake of national and international secondary school students using a questionnaire based on a random selection of schools and students. One-hundred and sixty-two students from international schools (I) and 157 from national schools (N) responded. Most were aged 16 and 17 years old (I61.1%, N76.5%, p = .005). The average BMI of all students was 24.9 ± 6.013 (I23.6 ± 4.658, N26.1 ± 6.931, p less then 0.001). Students understood beverages do not replace water intake (I80.2%, N75.8%, p = .337) and preferred water when thirsty (I77.8%, N75.2%, p = .549). However, water consumption was low with more than 50% of students drinking less than 1500 ml a day (I54.3%, N70.7%, p = .002). A positive correlation between BMI and water intake was observed only among international school students. Students have inadequate water intake despite understanding the importance of hydration. There are some differences between international school students and national school students that can be attributed to the availability and sources of water, though other factors cannot be excluded.The aim of this work was to compare the prevalence of opisthorchiasis, diphyllobothriasis, and ascariasis among the rural indigenous and long-term resident people of Khanty-Mansi Autonomous Okrug (KMAO) in the years 1988-89 and 2018-19. Helminth infections were identified by faecal microscopic examinations conducted during health check-ups. We analysed 399 medical records for years 1988-89 and 549 records for 2018-19.  https://www.selleckchem.com/ALK.html  There were found a decrease in the prevalence of ascariasis among the indigenous people, but the region remains a hotbed of fish-transmitted helminthiases. The spread of D. latus infestation has remained close to 5% in the indigenous adults. The number of opisthorchiasis-infected children, both indigenous and non-indigenous, has increased significantly (p less then 0.05). Among the indigenous adults, opisthorchiasis in 2018-19 was at as high level as in 1988-89 (57.5% vs 54.4%). The non-indigenous adults had O. felineus infestations in 2018-19 frequently than in 1988-89 (p = 0.06). The results of our study on the prevalence of helminth infection in the population of the northern Ob River basin agree with the many years average annual incidence of helminthiases in KMAO.Malaysia is becoming an aging nation, with 32 medical schools providing 5,000 graduates every year. The extent these graduates have been trained in core concepts in geriatric medicine remains unclear. This work aims to describe the current state of teaching provision on aging and geriatric medicine to the medical undergraduates in Malaysia. A survey was developed by geriatric medicine experts from the Malaysian Society of Geriatric Medicine (MSGM) to review the teaching provision based on the recommended MSGM Undergraduate Geriatric Medicine Curriculum and was sent to all medical schools across the country. The response rate was 50% (16 out of 32 medical schools). Among 16 medical schools, 10 (62.5%) delivered the learning outcomes as part of an integrated curriculum, and five via a mixed geriatric and integrated curriculum at varying degrees of completeness, ranging from 19% to 94%. One particular medical school did not deliver any of the core topics as part of its undergraduate curriculum. It has been identified that the strongest barrier to delivery was lack of expertise, followed by the fact that the topics were not included in the current curriculum.