Socio-economic determinants of selected dietary indicators in British pre-school children

Objectives: To assess the proportion of pre-school children meeting reference nutrient intakes (RNIs) and recommendations for daily intakes of iron, zinc, vitamins C and A, and energy from non-milk extrinsic sugars. To assess whether meeting these five dietary requirements was related to a series of socio-economic variables.Design: Secondary analysis of data on daily consumption of foods and drinks from the National Diet and Nutrition Survey (NDNS) of children aged 1.5-4.5 years based on 4-day weighed intakes.Subjects: One thousand six hundred and seventy-five British pre-school children aged 1.5-4.5 years in 1993.Results: Only 1% of children met all five RNIs/recommendations examined; 76% met only two or fewer. Very few children met the recommendations for intakes of zinc (aged over four years) and non-milk extrinsic sugars (all ages). The number of RNIs/ recommendations met was related to measures of socio-economic class. Children from families in Scotland and the North of England, who had a manual head of household and whose mothers had fewest qualifications, met the least number of RNIs/recommendations.Conclusions: Very few pre-school children have diets that meet all the RNIs and recommendations for iron, zinc, vitamins C and A, and energy from non-milk extrinsic sugars. Dietary adequacy with respect to these five parameters is related to socio-economic factors. The findings emphasise the need for a range of public health policies that focus upon the social and economic determinants of food choice within families

Towards a virtual research environment for paediatric endocrinology across Europe

Paediatric endocrinology is a medical specialty dealing with variations of physical growth and sexual development in childhood. Genetic anomalies that can cause disorders of sexual development in children are rare. Given this, sharing and collaboration on the small number of cases that occur is needed by clinical experts in the field. The EU-funded EuroDSD project (www.eurodsd.eu) is one such collaboration involving clinical centres and clinical and genetic experts across Europe. Through the establishment of a virtual research environment (VRE) supporting sharing of data and a variety of clinical and bioinformatics analysis tools, EuroDSD aims to provide a research infrastructure for research into disorders of sex development. Security, ethics and information governance are at the heart of this infrastructure. This paper describes the infrastructure that is being built and the inherent challenges in security, availability and dependability that must be overcome for the enterprise to succeed

The Effect of LHC Jet Data on MSTW PDFs

We consider the effect on LHC jet cross sections on partons distribution functions (PDFs), in particular the MSTW2008 set of PDFs. We first compare the published inclusive jet data to the predictions using MSTW2008, finding a very good description. We also use the parton distribution reweighting procedure to estimate the impact of these new data on the PDFs, finding that the combined ATLAS 2.76 TeV and 7 TeV data, and CMS 7 TeV data have some significant impact. We then also investigate the impact of ATLAS, CMS and D0 dijet data using the same techniques. In this case we investigate the effect of using different scale choices for the NLO cross section calculation. We find that the dijet data is generally not completely compatible with the corresponding inclusive jet data, often tending to pull PDFs, particularly the gluon distribution, away from the default values. However, the effect depends on the dijet data set used as well as the scale choice. We also note that conclusions may be affected by limiting the pull on the data luminosity chosen by the best fit, which is sometimes a number of standard deviations. Finally we include the inclusive jet data in a new PDF fit explicitly. This enables us to check the consistency of the exact result with that obtained from the reweighting procedure. There is generally good, but not full quantitative agreement. Hence, the conclusion remains that MSTW2008 PDFs already fit the published jet data well, but the central values and uncertainties are altered and improved respectively by significant, but not dramatic extent by inclusion of these data.Comment: 63 pages, 50 figures. Final version. Some added discussion and improved figure

Evaluation of the implementation of the alert issued by the UK National Patient Safety Agency on the storage and handling of potassium chloride concentrate solution

Objectives: To assess the effectiveness of the response of NHS hospital trusts to an alert issued by the National Patient Safety Agency designed to limit the availability of concentrated potassium chloride in hospitals in England and Wales, and to determine the nature of any unintended consequences. Design: Multi-method study involving interviews and a physical inspection of clinical areas. Setting: 207 clinical areas in 20 randomly selected acute NHS trusts in England and Wales between 31 October 2002 and 31 January 2003. Participants: Senior managers and ward based medical and nursing staff. Main outcome measures: Degree of staff awareness of and compliance with the requirements of the national alert, withdrawal of concentrated potassium chloride solutions from non-critical areas, provision of pre-diluted alternatives, storage and recording in accordance with controlled drug legislation. Results: All trusts required that potassium chloride concentrate be stored in a separate locked cupboard from common injectable diluents (100% compliance). Unauthorised stocks of potassium chloride were found in five clinical areas not authorised by the trust (98% compliance). All trusts required documentation control of potassium chloride concentrate in clinical areas, but errors were recorded in 20 of the 207 clinical areas visited (90% compliance). Of those interviewed, 78% of nurses and 30% of junior doctors were aware of the alert. Conclusions: The NPSA alert was effective and resulted in rapid development and implementation of local policies to reduce the availability of concentrated potassium chloride solutions. The success is likely to be partly due to the nature of the proposed changes and it cannot be assumed that future alerts will be equally effective. Continued vigilance will be necessary to help sustain the changes

CCH <i>N</i> = 4-3 emission from dense interstellar clouds

The authors have searched for N = 4 - 3 rotational line emission from the ethynyl radical CCH, at 349 GHz toward a number of galactic molecular clouds. They have detected emission from ten giant molecular clouds and have derived CCH column densities on the order of 1014 - 1015cm-2. They find that CCH emission arises from dense gas, n(H2) ~ 104 - 105cm-3, but not from very dense material, n(H2) > 106cm-3, nor from hot gas such as the "hot core" region in Orion

Atom Formation Rates Behind Shock Waves in Hydrogen and the Effect of Added Oxygen, July 1965 - July 1966

Formation rate of atomic hydrogen behind shock waves in hydrogen-argon mixture