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To provide baseline evidence of sugar-sweetened beverage (SSB) consumption in a sample of Irish children prior to the introduction of the SSB tax; to identify the energy contribution of SSB to daily energy intake; and to explore the association between SSB consumption and overweight/obesity.
Design:
Cross-sectional study.
Setting:
Primary schools in Cork, Ireland in 2012.
Participants:
1075 boys and girls aged 8–11 years. SSB consumption was assessed from 3-d food diaries. BMI was used to define obesity (International Obesity Taskforce definitions). Plausible energy reporters (n 724, 68 % of total sample) were classified using Schofield equation.
Results:
Eighty-two per cent of children with plausible energy intake consumed SSB. Mean energy intake from SSB was 485 kJ (6 % of total kJ). Mean kilojoules from SSB increased with weight status from 443 kJ for normal-weight children to 648 kJ for children with overweight/obesity (5·8 and 7·6 % of total kJ, respectively). Mean SSB intake was significantly higher in children with overweight/obesity than normal-weight children (383 and 315 ml/d). In adjusted analyses, children consuming >200 ml/d had an 80 % increased odds of overweight/obesity compared to those consuming <200 ml/d (OR 1·8, 95 % CI 1·0, 3·5). Family socioeconomic status and lifestyle determinants, including frequency of takeaway consumption and TV viewing, were also significantly associated with SSB consumption.
Conclusions:
SSB account for a substantial proportion of daily energy intake and are significantly associated with child overweight/obesity. This study provides baseline data from a sample of children from which the impact of the SSB tax can be benchmarked.
Edited by
Brian W. Breed, University of Massachusetts, Amherst,Elizabeth Keitel, University of Massachusetts, Amherst,Rex Wallace, University of Massachusetts, Amherst
Healthcare-associated outbreaks and pseudo-outbreaks of rapidly growing mycobacteria (RGM) are frequently associated with contaminated tap water. A pseudo-outbreak of Mycobacterium chelonae–M. abscessus in patients undergoing bronchoscopy was identified by 2 acute care hospitals. RGM was identified in bronchoscopy specimens of 28 patients, 25 of whom resided in the same skilled nursing facility (SNF). An investigation ruled out bronchoscopy procedures, specimen collection, and scope reprocessing at the hospitals as sources of transmission.
Objective.
To identify the reservoir for RGM within the SNF and evaluate 2 water system treatments, hyperchlorination and point-of-use (POU) membrane filters, to reduce RGM.
Design.
A comparative in situ study of 2 water system treatments to prevent RGM transmission.
Setting.
An SNF specializing in care of patients requiring ventilator support.
Methods.
RGM and heterotrophic plate count (HPC) bacteria were examined in facility water before and after hyperchlorination and in a subsequent 24-week assessment of filtered water by colony enumeration on Middlebrook and R2A media.
Results.
Mycobacterium chelonae was consistently isolated from the SNF water supply. Hyperchlorination reduced RGM by 1.5 log10 initially, but the population returned to original levels within 90 days. Concentration of HPC bacteria also decreased temporarily. RGM were reduced below detection level in filtered water, a 3-log10 reduction. HPC bacteria were not recovered from newly installed filters, although low quantities were found in water from 2-week-old filters.
Conclusion.
POU membrane filters may be a feasible prevention measure for healthcare facilities to limit exposure of sensitive individuals to RGM in potable water systems.
In discussions of Roman poets, the term ‘career’ is most often used in reference to authors who wrote in a variety of genres, such as Ennius, Virgil and Ovid. In the work of these poets, well-marked transitions from one genre to another adumbrate literary biographies of sorts. By contrast, the satiric poets, with the exception of the prolific and versatile Horace, are not described as having progressed through ‘careers’. This has several likely causes: the fact that most of the poets in question restricted themselves to satire, the different length and structure of each poet's contribution, differences among the authors' social and financial circumstances, the genre's strong associations with performance and the idea of the fictive persona, and the current interest in satire as social discourse. But the prominent constructed author figure and his commentaries on his environment, his memories and his aims, encourage us to consider satiric texts as stories about the author. Satire's characteristic subjectivity can be read as manifesting a ‘career consciousness’ in the generic formula. We may define the satiric career as the narrative that is strung together with even the briefest fictionalized portraits of the satirist figure, a narrative that posits an on-going and symbiotic relationship between the satiric text and the world that the poet inhabits and negotiates.