The Reciprocal Effects of Aging and the Ability to Choose and Wear Clothes of One\u27s Choice

As men and women age, their ability to successful perform the typical activities of daily living become limited because of physical disabilities associated with the aging process. The ability to perform one of these activities, dressing oneself without assistance, has been demonstrated to be especially vulnerable to age-related physical disabilities. The inability to dress oneself has been demonstrated to have a negative impact on the independence, sociability and self-esteem of older adults, and is linked to the reliance on personal care assistance, an extra financial burden for the elderly person or a public expense. Adaptive clothing designed to accommodate for age-related physical disabilities can help the aging person who experiences difficulty in dressing himself/herself to maintain or regain their independence, sociability and self-esteem. Examples of adaptive clothing and accessories are presented. As the number of aging persons continues to rise in America, health care policy makers should address the personal, social and economic advantages of reimbursing the costs of adaptive clothing and accessories for persons whose physical disabilities make it difficult for them to dress themselves. I

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Recrafting Youth Risk Assessment: Developing the Modified Positive Achievement Change Tool for Iowa

Risk assessments have become prevalent in the juvenile justice field. Many of these tools are adopted off-the-shelf and not adapted to fit the characteristics of a jurisdiction’s justice-involved youth. We examined the Positive Achievement Change Tool (PACT) in Iowa. Although used widely, the PACT is relatively unmodified. We updated the tool via item selection and weighting, gender-specific models and multiple outcomes, developing the Modified Positive Achievement Change Tool (M-PACT) for Iowa. We identified an average predictive accuracy increase of 7%. Evidence of reduced racial disparity was also observed, and research implications outline the need to customize assessments to improve predictive accuracy

Do bird species richness and community structure vary with mistletoe flowering and fruiting in Western Australia?

Worldwide, mistletoes act as a keystone resource, providing food (nectar, fruit and foliage) and structural (nesting sites) resources to hundreds of fauna species. In Australia, loranthaceous mistletoes depend on birds for pollination and dispersal, and provide important nectar and fruit resources to a large number of nectarivorous and frugivorous species of bird. We investigated whether avian species richness and community structure varies with flowering and fruiting of two common mistletoe species (Loranthaceae:Wireleaf Mistletoe, Amyema preissii; and Box Mistletoe, A. miquelii), conducting monthly surveys of both birds and mistletoes over 1 year at five sites in south-western Western Australia (WA). Flowering and fruiting periods were distinct and differed both among sites and between mistletoe species. Nectar and ripe fruit were available for up to 5 months (Box Mistletoe) or 6-7 months (Wireleaf Mistletoe) at individual sites, but were available every month of the year across all sites. The presence of fruiting, but not flowering, mistletoe was associated with changes in bird community structure. Mistletoebirds (Dicaeum hirundinaceum) were significantly more likely to be recorded during months when ripe mistletoe fruit was present and the overall bird species richness was higher for these survey months. Mistletoes provide important resources, but further investigation is required to assess whether they act as a keystone resource in south-western WA

Associations between inhibitory control, eating behaviours and adiposity in 6 year-old children

BackgroundLower inhibitory control has been associated with obesity. One prediction is that lower inhibitory control underlies eating behaviours that promote increased energy intakes. This study examined the relationships between children’s inhibitory control measured using the Stop Signal Task (SST), body composition and eating behaviours, which included self-served portion size, number of servings, eating rate, and energy intake at lunch and in an eating in the absence of hunger (EAH) task.MethodsThe sample included 255 6-year-old children from an Asian cohort. Stop-signal reaction time (SSRT) was used as an index of inhibitory control. Children participated in a recorded self-served lunchtime meal, followed by the EAH task where they were exposed to energy-dense snacks. Behavioural coding of oral processing was used to estimate eating rates (g/min). BMI, waist circumference and skinfolds were used as indices of adiposity.ResultsChildren with lower inhibitory control tended to self-serve larger food portions (p = 0.054), had multiple food servings (p = 0.006) and significantly faster eating rates (p = 0.041). Inhibitory control did not predict energy intake at lunch (p = 0.17) or during the EAH task (p = 0.45), and was unrelated to measures of adiposity (p &gt; 0.32). Twenty percent of the children in the sample had problems focusing on the SST and were described as ‘restless’. Post-hoc analysis revealed that these children had lower inhibitory control (p &lt; 0.001) and consumed more energy during the EAH task (p = 0.01), but did not differ in any other key outcomes from the rest of the sample (p &gt; 0.1).ConclusionsChildren with lower inhibitory control showed a trend to select larger food portions, had multiple food servings and faster eating rates, but were equally as responsive to snacks served in the absence of hunger as children with better inhibitory control. Inhibitory control may impact a number of eating behaviours, not limited to energy-dense snacks.</p