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The current review aimed to synthesise the literature on food literacy interventions among adolescents in secondary schools, the attitudes and perceptions of food literacy interventions in secondary schools, and their effects on dietary outcomes.
The systematic review searched five electronic databases from the earliest record to present.
The studies selected for the review were from sixteen countries: Australia (n 10), Canada (n 1), China (n 1), France (n 1), Greece (n 2), Iran (n 1), South Africa (n 1), South India (n 1), Kenya (n 1), Norway (n 2), Portugal (n 1), Denmark (n 1), Northern Ireland (n 1), USA (n 17), UK (n 1) and Sweden (n 2).
Adolescents aged 10–19 years.
Forty-four studies were eligible for inclusion. Adolescents with greater nutritional knowledge and food skills showed healthier dietary practices. Studies found a mixed association between food literacy and long-term healthy dietary behaviour. Two studies showed an improvement in adolescents’ cooking skills and food safety knowledge; six studies showed an improvement in overall food safety knowledge; six studies showed an improvement in overall food and nutritional knowledge; and two studies showed an improvement in short-term healthy dietary behaviour.
Food literacy interventions conducted in a secondary-school setting have demonstrated a positive impact on healthy food and nutritional knowledge. However, there appears to be limited evidence supporting food literacy interventions and long-term dietary behaviours in adolescents. More evidence-based research is required to adequately measure all domains of food literacy and more age-specific food literacy interventions.
We review the various functional cognitive disorders (FCDs) – complaints about memory function or another cognitive process in the absence of relevant neuropathology. These are increasingly coming to the attention of psychiatrists and neurologists and FCD encompasses some newly recognised conditions in addition to classic types such as pseudodementia and psychogenic amnesia. The clinical features, neuropsychological findings and treatment are presented and discussed.
After reading this article you will be able to:
•describe clinical features of FCD and how it differs from neurodegenerative causes of cognitive impairment
•be able to subclassify cases of FCD using the proposed nosology
•understand how to discuss the diagnosis with the patient and explain how the symptoms arise.
Background: Cervical sponylotic myelopathy (CSM) may present with neck and arm pain. This study investiagtes the change in neck/arm pain post-operatively in CSM. Methods: This ambispective study llocated 402 patients through the Canadian Spine Outcomes and Research Network. Outcome measures were the visual analogue scales for neck and arm pain (VAS-NP and VAS-AP) and the neck disability index (NDI). The thresholds for minimum clinically important differences (MCIDs) for VAS-NP and VAS-AP were determined to be 2.6 and 4.1. Results: VAS-NP improved from mean of 5.6±2.9 to 3.8±2.7 at 12 months (P<0.001). VAS-AP improved from 5.8±2.9 to 3.5±3.0 at 12 months (P<0.001). The MCIDs for VAS-NP and VAS-AP were also reached at 12 months. Based on the NDI, patients were grouped into those with mild pain/no pain (33%) versus moderate/severe pain (67%). At 3 months, a significantly high proportion of patients with moderate/severe pain (45.8%) demonstrated an improvement into mild/no pain, whereas 27.2% with mild/no pain demonstrated worsening into moderate/severe pain (P <0.001). At 12 months, 17.4% with mild/no pain experienced worsening of their NDI (P<0.001). Conclusions: This study suggests that neck and arm pain responds to surgical decompression in patients with CSM and reaches the MCIDs for VAS-AP and VAS-NP at 12 months.
Queues are part of everyday routine and experienced by most shoppers, yet little attention has been given to providing historical accounts of queuing as a consumer task or as a shopper experience. This paper examines grocery shop queues and the changing experience of shoppers in historical perspective, specifically focusing upon the shift from counter-service to self-service grocery formats in Britain from 1945 to 1975. The paper draws upon a wide range of material using evidence from oral histories and witness groups, which is supported by contemporary sources from the Mass Observation Archive, newspapers, shopper surveys, and trade publications and reports. The conceptual framework developed in the paper explores the public and private dimensions of queues to consider the experiences and perceptions of shoppers during a period of rapid change in the retail grocery system. More generally, the paper contributes to our understanding of how management innovations are connected to untraded public values.
The fate of a contracting liquid filament depends on the Ohnesorge number (
), the initial aspect ratio (
) and surface perturbation. Generally, it is believed that there exists a critical aspect ratio
such that longer filaments break up and shorter ones recoil into a single drop. Through computational and experimental studies, we report a transitional regime for filaments with a broad range of intermediate aspect ratios, where there exist multiple
thresholds at which a novel breakup mode alternates with no-break mode. We develop a simple model considering the superposition of capillary waves, which can predict the complicated new phase diagram. In this model, the breakup results from constructive interference between the capillary waves that originate from the ends of the filament.
Teaching undergraduate students, mentoring graduate students, and generating publishable research are distinct tasks for many political scientists. This article highlights lessons for merging these activities through experiences from an initiative that sparked a series of collaborative-research projects focused on opinions about crime and punishment in the United States. This article describes three collaborative projects conducted between 2015 and 2017 to demonstrate how to merge undergraduate teaching, graduate training, and producing research. By participating in these projects, students learned about social-scientific research through hands-on experiences designing experiments, collecting and analyzing original data, and reporting empirical findings to a public audience. This approach is an effective way to engage students and generate research that can advance professional goals.
Community-led total sanitation (CLTS) is an intervention that strives to end the practice of open defaecation. This study measured the effectiveness of CLTS in Nyando District by examining the association between community open defaecation-free (ODF) status and childhood diarrhoeal illness. A cross-sectional study design was used among households with children ⩽5 years old to ascertain information on acute diarrhoea in the past year (outcome), sanitation and health behaviours. Water testing was conducted to determine Escherichia coli and turbidity levels for 55 water sources. Data were obtained from 210 parents or caregivers from an ODF community and 216 parents or caregivers in a non-ODF community. The non-ODF participants reported a non-significant 16% increased risk of diarrhoea compared with the participants from the ODF community. Children's HIV positivity (adjusted prevalence ratio (aPR) = 2.29; 95% CI 2.07–2.53), unsafe child stool disposal (aPR = 1.92; 95% CI 1.74–2.12) and low household income (aPR = 1.93; 95% CI 1.46–2.56) were associated with diarrhoea, in the non-ODF community. The ODF location had a higher percentage of E. coli in the drinking water compared with the non-ODF location (76.7% vs. 60%). Diarrhoeal disease rates in children ⩽5 years old did not differ by whether a latrine intervention was implemented. Water sampling findings suggest water safety may have decreased the effectiveness of the CLTS’ improvement of childhood diarrhoea. Improved water treatment practices, safe stool disposal and education may improve the CLTS intervention in ODF communities and therefore reduced the risk of childhood diarrhoea.
Introduction: Despite revolutionary changes in the medical education landscape, journal club (JC) continues to be a ubiquitous pedagogical tool and is a primary way that residency programs review new evidence and teach evidence-based medicine. JC is a community of practice among physicians, which may help translate research findings into practice. Program representatives state that JC should have a goal of translating novel research into changes in clinical care, but there has been minimal evaluation of the success of JC in achieving this goal. Specifically, emergency medicine resident perspectives on the utility of JC remain unknown. Methods: We designed a multi-centre qualitative study for three distinct academic environments at the University of British Columbia (Vancouver, Victoria and Kelowna). Pilot testing was performed to generate preliminary themes and to finalize the interview script. An exploratory, semi-structured focus group was performed, followed by multiple one-on-one interviews using snowball sampling. Iterative thematic analysis directed data collection until thematic sufficiency was achieved. Analysis was conducted using a constructivist Grounded Theory method with communities of practice as a theoretical lens. Themes were compared to the existing literature to corroborate or challenge existing educational theory. Results: Pilot testing has revealed the following primary themes: (1) Only select residents are able to increase their participation in JC over the course of residency and navigate the transition from peripheral participant to core member; (2) These residents use their increased clinical experience to perceive relevance in JC topics, and; (3) Residents who remain peripheral participants identify a lack time to prepare for journal club and a lack of staff physician attendance as barriers to resident engagement. We will further develop these themes during the focus group and interview phases of our study. Conclusion: JC is a potentially valuable educational resource for residents. JC works as a community of practice only for a select group of residents, and many remain peripheral participants for the duration of their residency. Incorporation of Free Open-Access Medical Education resources may also decrease preparation time for residents and staff physicians and increase buy-in. To augment clinical impact, the JC community of practice may need to expand beyond emergency medicine and include other specialties.
The epitheliochorial placenta of the pig does not allow the passage of immunoglobulin to the foetus and thus the young piglet is born without passive immune protection. During the first 36 h of life there is a massive transmission of macromolecules across the intestine, virtually all that are present in the gut may be effectively endocytosed and transmitted into the blood stream. The postnatal transmission of antibody from colostrum during this period provides the young animal with a spectrum of serum antibodies indistinguishable from that of its mother. It is established that even in utero the piglet is capable of mounting some response to antigenic challenge. Despite this, the ability of the young animal to respond may be influenced profoundly by the absorption of macromolecules (antibodies and antigens in colostrum and in sow's milk as well as antigens in the farrowing house) during the first hours after birth. These effects range from passive protection from infectious agents during the neonatal period to determining the precise nature of the immune response to antigens during later periods (e.g. at weaning).
At birth all cellular components of the immune system are represented but during the first few weeks of life dramatic changes occur in the number and distribution of these cells. Our histological studies have shown that shortly after birth the predominant T lymphocytes in the small intestine are T2+, T4− and T8−; whilst in other organs there are large numbers of conventional T4+ and T8+ cells. By 1 week of age there is a dramatic increase in the numbers of T4+ cells, whilst T8+ cells remain low, and only start to increase by week 7. Thus, changes in lymphocyte populations are occurring concurrent with increasing exposure to environmental antigens. The functional capacity of these cells also changes during this period and this process may be particularly affected by early weaning.
During the neonatal period an animal is presented with a vast array of antigenic material for the first time. How and when these antigens are presented may profoundly influence the capacity of the immune system to respond to them.
To investigate the effectiveness and usability of automated procedural guidance during virtual temporal bone surgery.
Two randomised controlled trials were performed to evaluate the effectiveness, for medical students, of two presentation modalities of automated real-time procedural guidance in virtual reality simulation: full and step-by-step visual presentation of drillable areas. Presentation modality effectiveness was determined through a comparison of participants’ dissection quality, evaluated by a blinded otologist, using a validated assessment scale.
While the provision of automated guidance on procedure improved performance (full presentation, p = 0.03; step-by-step presentation, p < 0.001), usage of the two different presentation modalities was vastly different (full presentation, 3.73 per cent; step-by-step presentation, 60.40 per cent).
Automated procedural guidance in virtual temporal bone surgery is effective in improving trainee performance. Step-by-step presentation of procedural guidance was engaging, and therefore more likely to be used by the participants.
Brazil has an “African-origin” population that is proportionally more than four times larger that of African Americans in the United States, but white Brazilians mostly dominate electoral politics. How do ordinary citizens explain this phenomenon? Drawing on a large-sample survey of public opinion in the state of Rio de Janeiro, this article explores perceived explanations for nonwhite underrepresentation in the political arena. It also examines attitudes toward a particular black candidate, Benedita da Silva, to discern the state of negro identity politics. Most Brazilians in Rio de Janeiro cite racial prejudice to explain nonwhite exclusion, although whites do this less than nonwhites. Indicators of a racial undercurrent in political preferences suggest the importance of allegiances based on perceived common racial origins. Class is robustly associated with voting preferences, suggesting that, in contrast to the United States, class differences among nonwhites in Brazil could attenuate the success of negro identity politics.
The Atypical Maternal Behavior Instrument for Assessment and Classification (AMBIANCE; Bronfman, Madigan, & Lyons-Ruth, 2009–2014; Bronfman, Parsons, & Lyons-Ruth, 1992–2004) is a widely used and well-validated measure for assessing disrupted forms of caregiver responsiveness within parent–child interactions. However, it requires evaluating approximately 150 behavioral items from videotape and extensive training to code, thus making its use impractical in most clinical contexts. Accordingly, the primary aim of the current study was to identify a reduced set of behavioral indicators most central to the AMBIANCE coding system using latent-trait item response theory (IRT) models. Observed mother–infant interaction data previously coded with the AMBIANCE was pooled from laboratories in both North America and Europe (N = 343). Using 2-parameter logistic IRT models, a reduced set of 45 AMBIANCE items was identified. Preliminary convergent and discriminant validity was evaluated in relation to classifications of maternal disrupted communication assigned using the full set of AMBIANCE indicators, to infant attachment disorganization, and to maternal sensitivity. The results supported the construct validity of the refined item set, opening the way for development of a brief screening measure for disrupted maternal communication. IRT models in clinical scale refinement and their potential for bridging clinical and research objectives in developmental psychopathology are discussed.
Equine welfare is a major concern within the racing industry. A large proportion of fatalities (50-60%) are the result of falls at fences (Pinchbeck, et al., 2004). Various authors have reported factors affecting fall rates both within steeplechase and hurdle races these include; race length, race speed, ground conditions (the going), the horses Timeform rating, previous history, race progression and whip use (Pinchbeck, et al., 2003; Pinchbeck, et al., 2004). At present there have been few studies carried out investigating the effects of gender on the risk of falling in hurdle racing. This study undertook an investigation of fall rates for hurdlers running during the 2004/05 National Hunt season, discriminating via gender.
We aimed to establish the treatment effect of physical activity for depression in young people through meta-analysis. Four databases were searched to September 2016 for randomised controlled trials of physical activity interventions for adolescents and young adults, 12–25 years, experiencing a diagnosis or threshold symptoms of depression. Random-effects meta-analysis was used to estimate the standardised mean difference (SMD) between physical activity and control conditions. Subgroup analysis and meta-regression investigated potential treatment effect modifiers. Acceptability was estimated using dropout. Trials were assessed against risk of bias domains and overall quality of evidence was assessed using GRADE criteria. Seventeen trials were eligible and 16 provided data from 771 participants showing a large effect of physical activity on depression symptoms compared to controls (SMD = −0.82, 95% CI = −1.02 to −0.61, p < 0.05, I2 = 38%). The effect remained robust in trials with clinical samples (k = 5, SMD = −0.72, 95% CI = −1.15 to −0.30), and in trials using attention/activity placebo controls (k = 7, SMD = −0.82, 95% CI = −1.05 to −0.59). Dropout was 11% across physical activity arms and equivalent in controls (k = 12, RD = −0.01, 95% CI = −0.04 to 0.03, p = 0.70). However, the quality of RCT-level evidence contributing to the primary analysis was downgraded two levels to LOW (trial-level risk of bias, suspected publication bias), suggesting uncertainty in the size of effect and caution in its interpretation. While physical activity appears to be a promising and acceptable intervention for adolescents and young adults experiencing depression, robust clinical effectiveness trials that minimise risk of bias are required to increase confidence in the current finding. The specific intervention characteristics required to improve depression remain unclear, however best candidates given current evidence may include, but are not limited to, supervised, aerobic-based activity of moderate-to-vigorous intensity, engaged in multiple times per week over eight or more weeks. Further research is needed. (Registration: PROSPERO-CRD 42015024388).
Combinatorialists often consider a balanced incomplete-block design to consist of a set of points, a set of blocks, and an incidence relation between them which satisfies certain conditions. To a statistician, such a design is a set of experimental units with two partitions, one into blocks and the other into treatments; it is the relation between these two partitions which gives the design its properties. The most common binary relations between partitions that occur in statistics are refinement, orthogonality and balance. When there are more than two partitions, the binary relations may not suffice to give all the properties of the system. I shall survey work in this area, including designs such as double Youden rectangles.
Many combinatorialists think of a balanced incomplete-block design (BIBD) as a set P of points together with a collection B of subsets of P, called blocks, which satisfy various conditions. For example, see . Some papers, such as [16, 65, 201], call a BIBD simply a design. Others think of it as the pair of sets P and B with a binary incidence relation between their elements. These views are both rather different from that of a statistician who is involved in designing experiments. The following examples introduce the statistical point of view, as well as serving as a basis for the combinatorial ideas in this paper.
Example 1.1 A horticultural enthusiast wants to compare three varieties of lettuce for people to grow in their own gardens. He enlists twelve people in his neighbourhood. Each of these prepares three patches in their vegetable garden, and grows one of the lettuce varieties on each patch, so that each gardener grows all three varieties.
Here the patches of land are experimental units. There may be some differences between the gardeners, so the three patches in a single garden form what is called a block. Each variety occurs just once in each block, and so the blocks are said to be complete. Complete-block designs were advocated by Fisher in , and are frequently used in practice.
Research on attachment transmission has focused on variable-centered analyses, where hypotheses are tested by examining linear associations between variables. The purpose of this study was to apply a relationship-centered approach to data analysis, where adult states of mind, maternal sensitivity, and infant attachment were conceived as being three components of a single, intergenerational relationship. These variables were assessed in 90 adolescent and 99 adult mother–infant dyads when infants were 12 months old. Initial variable-centered analyses replicated the frequently observed associations between these three core attachment variables. Relationship-based, latent class analyses then revealed that the most common pattern among young mother dyads featured maternal unresolved trauma, insensitive interactive behavior, and disorganized infant attachment (61%), whereas the most prevalent adult mother dyad relationship pattern involved maternal autonomy, sensitive maternal behavior, and secure infant attachment (59%). Three less prevalent relationship patterns were also observed. Moderation analyses revealed that the adolescent–adult mother distinction differentiated between secure and disorganized intergenerational relationship patterns, whereas experience of traumatic events distinguished between disorganized and avoidant patterns. Finally, socioeconomic status distinguished between avoidant and secure patterns. Results emphasize the value of a relationship-based approach, adding an angle of understanding to the study of attachment transmission.
In 1682 Louis XIV made the important collège (secondary school) of the Jesuits, formerly called Clermont, a royal foundation, and it assumed the name Louis-le-Grand in honor of its illustrious patron. Those fathers continued to hold the school until April 1762 when the Parlement of Paris, the realm's most important court of law, forced them to cease instruction. In the following August the Parlement went further, dissolving the Society of Jesus within its jurisdiction and forcing the fathers to abandon the collège. During those eighty years, and even beyond, the collège itself was, in comparison to other such institutions in France, as “great” as the appellation of its patron. It was large (having nearly 3000 students prior to 1762, although fewer than 600 after that date) and prestigious (having many famous students, including Voltaire and Turgot prior to 1762 and Maximillian Robespierre after the Jesuits departed). It was, in short, one of a handful of very important collèges of the realm, along with such others as Mazarin (Quatre-Nations) within Paris and La Flèche and Juilly outside it.
In the eighteenth century France did not have a system of secondary education. Instead, municipalities, teaching orders, and universities operated individual collèges (secondary schools) on their own initiative and largely free from government control. The universities and the teaching orders, especially the Society of Jesus and the Congregation of the Oratory, provided a uniform administration for their respective collèges. The administration of collèges founded by municipalities varied. Many municipal officials simply had turned over their schools to religious orders and had subsidized their operation. Others had administered their schools independently, with varying degrees of control over the principals and teachers. The situation changed somewhat, however, after 1763, when the government of Louis XV created boards throughout France to administer many collèges, especially those which the Society of Jesus was no longer permitted to operate and which no other religious order could be persuaded to take over. In the establishment of these boards and in the subsequent supervision of them, the royal government and at least one law court attempted to create a loose educational system.
The elastic stresses have been determined, in a single-layer homogeneous snowpack on a realistic avalanche slope, by a two-dimensional finite-element analysis. Calculation of the state of stress throughout the 0.96 m snow layer on a slope approximately that of the Lift Gully at Berthoud Pass, Colorado, resulted in reasonable stress values. In particular, both field experience and the calculated shear stresses predict avalanching in the lower-density snows. Also, tensile stresses were present only in the area of the observed fracture line.
Accurate models of X-ray absorption and re-emission in partly stripped ions are necessary to calculate the structure of stars, the performance of hohlraums for inertial confinement fusion and many other systems in high-energy-density plasma physics. Despite theoretical progress, a persistent discrepancy exists with recent experiments at the Sandia Z facility studying iron in conditions characteristic of the solar radiative–convective transition region. The increased iron opacity measured at Z could help resolve a longstanding issue with the standard solar model, but requires a radical departure for opacity theory. To replicate the Z measurements, an opacity experiment has been designed for the National Facility (NIF). The design uses established techniques scaled to NIF. A laser-heated hohlraum will produce X-ray-heated uniform iron plasmas in local thermodynamic equilibrium (LTE) at temperatures
eV and electron densities
. The iron will be probed using continuum X-rays emitted in a
diameter source from a 2 mm diameter polystyrene (CH) capsule implosion. In this design,
of the NIF beams deliver 500 kJ to the
mm diameter hohlraum, and the remaining
directly drive the CH capsule with 200 kJ. Calculations indicate this capsule backlighter should outshine the iron sample, delivering a point-projection transmission opacity measurement to a time-integrated X-ray spectrometer viewing down the hohlraum axis. Preliminary experiments to develop the backlighter and hohlraum are underway, informing simulated measurements to guide the final design.