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Diets deficient in fibre are reported globally. The associated health risks of insufficient dietary fibre are sufficiently grave to necessitate large-scale interventions to increase population intake levels. The Danish Whole Grain Partnership (DWP) is a public–private enterprise model that successfully augmented whole-grain intake in the Danish population. The potential transferability of the DWP model to Slovenia, Romania and Bosnia-Herzegovina has recently been explored. Here, we outline the feasibility of adopting the approach in the UK. Drawing on the collaborative experience of DWP partners, academics from the Healthy Soil, Healthy Food, Healthy People (H3) project and food industry representatives (Food and Drink Federation), this article examines the transferability of the DWP approach to increase whole grain and/or fibre intake in the UK. Specific consideration is given to the UK’s political, regulatory and socio-economic context. We note key political, regulatory, social and cultural challenges to transferring the success of DWP to the UK, highlighting the particular challenge of increasing fibre consumption among low socio-economic status groups – which were also most resistant to interventions in Denmark. Wholesale transfer of the DWP model to the UK is considered unlikely given the absence of the key ‘success factors’ present in Denmark. However, the DWP provides a template against which a UK-centric approach can be developed. In the absence of a clear regulatory context for whole grain in the UK, fibre should be prioritised and public–private partnerships supported to increase the availability and acceptability of fibre-rich foods.
The origins of aerial performance are difficult to identify with any certainty, but ever since Jules Léotard popularised trapeze in the mid-nineteenth century, aerial arts have captured the public imagination. The role that aerial action has played, and continues to play, within performances is to provide spectacle and sensation. Although aerial action appears to demonstrate performers taking real risks, there is a distance between what the performer experiences and the audience perceives. Examining both key historical figures and contemporary practice, this chapter proposes four aesthetics for aerial performance: weightlessness, risk, gender, and physical appearance.
Marketing strategies today often rely on creating an emotional connection to the brand through personalizing or humanizing the business. This article explores how both the American Ringling Bros and Barnum & Bailey and the British Bertram Mills Circus used this strategy in the early twentieth century to encourage audiences to attend their circus rather than any other. John Ringling and Bertram Mills may best be remembered for totemic images but their celebrity was constructed through a reiterative performance process. In this article Kate Holmes examines the shifts in their representation performed in press, publicity, and anecdote to explore how each iteration of their public identity functioned to publicize their respective circuses at significant points. She also explores how these circus celebrity identities, focused on achieving financial success for a commercial enterprise, activated and perpetuated national self-identities linked to class. Kate Holmes, who has previous experience as a qualified marketer, recently completed a PhD in Drama at the University of Exeter. Her research on circus performance has been published in Early Popular Visual Culture and is forthcoming in Stage Women, a collection of essays on early twentieth-century female performers.
In recent years, the Department of Health and Human Services (HHS) contraception mandate associated with the Patient Protection and Affordable Care Act (ACA) has been a contentious issue that has created clash-of-rights claims between advocates of reproductive freedom and advocates of religious freedom. Americans differ considerably in their views toward whether religiously affiliated institutions that object to the use of contraceptives should be granted an exemption to the HHS contraception mandate. This article explores the determinants of Americans’ support for or opposition to the religious exemption. We focus particularly on the effects of individuals’ religious orientations, gender, and political attitudes that generate support for competing rights claims. Using data from a 2012 Pew Research Center survey, we (surprisingly) find little evidence of a gender effect. Rather, we find that support for the religious exemption is driven largely by church attendance and moral conservatism, with adherence to specific religious traditions having relatively minor effects. We also find that support for the religious exemption to the HHS contraception mandate is influenced by political variables (i.e., partisanship and ideology, attitudes toward President Obama, and Tea Party support) and demographic attributes (i.e., number of children in a given household, racial/ethnic identity, education, and age). We conclude that the clash of values over the contraception mandate is driven largely by religion and political attitudes.
Seroepidemiological studies have shown an association between raised antibody titres against Chlamydia pneumoniae, and carotid atherosclerosis or stroke. However, direct evidence for a causal link between arterial infection with C. pneumoniae and carotid disease remains weak. We hypothesized that long-term follow-up of patients with pathologically-proven arterial C. pneumoniae infection might provide further insight into the role of C. pneumoniae in carotid atherosclerosis.
Methods:
We followed a cohort of 70 carotid endarterectomy patients for ipsilateral restenosis, contralateral progression, and all-cause mortality (four year median follow-up period). All patients had presence or absence of C. pneumoniae in their carotid plaques documented by immunohistochemistry after endarterectomy. A survival function was generated and the log-rank test was used to assess the difference in survival between subjects with and without documented chlamydial infection in their plaque.
Results:
Baseline demographic and cardiovascular risk factors were similar between the two groups, and survival analysis demonstrated no difference (p>0.05) in all-cause mortality, or all-cause mortality combined with restenosis and progression.
Conclusion:
Our data finds no causal role for C. pneumoniae in restenosis or progression of carotid disease or mortality in this patient population with advanced carotid atherosclerosis.
We studied echocardiographically 17 children with depletion of carnitine due to treatment over 1–3 years with antibiotics containing pivalic acid. When the children were depleted of carnitine, the left ventriclar posterior wall was significantly thickened in diastole when compared to a reference group. Six months later, after normalisation of the concentrations of carnitine, the left ventricular posterior wall was significantly thinner and did not differ from the reference group. We conclude that drugs containing pivalic acid, when given for several months, decrease the stores of carnitine to levels where cardiac involvement occurs.
The ICD – 10 and DSM – IV diagnostic criteria for hyperkinetic disorder and attention-deficit hyperactivity disorder (ADHD) require symptoms or impairment in two or more settings. Thus, information on children's symptoms in school is usually required. This paper presents the Child ADHD Teacher Telephone Interview (CHATTI), an instrument aimed at systematically obtaining this information.
Aims
To examine the stability, test–retest reliability and criterion validity of the CHATTI for children referred with a suspected diagnosis of ADHD.
Method
Data were obtained from 79 teachers, of whom 36 were interviewed on two occasions.
Results
Overall, the CHATTI shows good stability test–retest reliability and criterion validity for symptom scores. Test–retest reliability for some individual items was low. Reliability for the operationalised criteria of ‘pervasiveness' (i.e. symptoms at school and home) and ‘school impairment’ was excellent (κ=1).
Conclusions
The CHATTI appears to be a promising tool for assessing ADHD symptoms in a school setting and could be useful in clinical as well as research settings.
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