Richard L. Epstein, “Reasoning in Science and Mathematics: Essays on Logic as The Art of Reasoning Well”

Book Reviews: Richard L. Epstein, Reasoning in Science and Mathematics: Essayson Logic as The Art of Reasoning Well, Advanced Reasoning Forum,2011, 134 pp., ISBN-13: 978-0983452126, ISBN-10: 0983452121

Richard L. Epstein, “Critical Thinking”

Richard L. Epstein with Carolyn Kerbrger, Critical Thinking, 3rd Edition, Advanced Reasoning Forum, 2012, 464 pp., ISBN-10: 1938421000, ISBN-13: 978-1938421006.Richard L. Epstein, The Pocket Guide to Critical Thinking, 4th Edition, Advanced Reasoning Forum, 2011, 162 pp., paperback ISBN-13: 9780981550770, ISBN-10: 0981550770, ebook ISBN-13: 9780981550787

Outcomes of a church-based lifestyle intervention among Australian Samoans in Sydney : Le Taeao Afua diabetes prevention program

Aims: To evaluate the effectiveness of a culturally adapted, church-based lifestyle intervention among Australian Samoans living in Sydney. Methods: This was a prospective, pre-post study of a church-wide education and support programme delivered by Community Coach Facilitators and Peer Support Facilitators to prevent, and promote self-management of, Type 2 diabetes. Participants completed questionnaires, anthropometric and HbA1c measurements before and 3–8 months after the intervention. The primary outcome was HbA1c. Results: Overall, 68/107(63.5%) participants completed both before and after intervention data collection (mean age 48.9 ± 14.2 years; 57.2% female). HbA1c dropped significantly between baseline and follow-up among participants with known diabetes (8.1 ± 2.4% (65 mmol/mol) vs 7.4 ± 1.8% (57 mmol/mol); p = 0.040) and non-significantly among participants with newly diagnosed diabetes (8.0 ± 2.1% (64 mmol/mol) vs 7.1 ± 2.3 (54 mmol/mol); p = 0.131). Participants with no diabetes increased their weekly moderate and vigorous physical activity (316.1 ± 291.6mins vs 562.4 ± 486.6mins; p = 0.007) and their diabetes knowledge also improved post-intervention (42.0 ± 13.5% to 61.3 ± 20.2%; p < 0.001). There were no significant reductions in blood pressure, BMI or waist circumference at follow-up. Conclusions: A structured, church-based, culturally tailored lifestyle intervention showed a number of improvements in diabetes risk among Samoans in Sydney. The intervention however, requires a more rigorous testing in a larger randomised controlled trial over a longer time period

Potential impacts of iron biofortification in India

Iron deficiency is a widespread nutrition and health problem in developing countries, causing impairments in physical activity and cognitive development, as well as maternal mortality. Although food fortification and supplementation programmes have been effective in some countries, their overall success remains limited. Biofortification, that is, breeding food crops for higher micronutrient content, is a relatively new approach, which has been gaining international attention recently. We propose a methodology for ex ante impact assessment of iron biofortification, building on a disability-adjusted life years (DALYs) framework. This methodology is applied in an Indian context. Using a large and representative data set of household food consumption, the likely effects of iron-rich rice and wheat varieties are simulated for different target groups and regions. These varieties, which are being developed by an international public research consortium, based on conventional breeding techniques, might be ready for local distribution within the next couple of years. The results indicate sizeable potential health benefits. Depending on the underlying assumptions, the disease burden associated with iron deficiency could be reduced by 19–58%. Due to the relatively low institutional cost to reach the target population, the expected cost-effectiveness of iron biofortification compares favourably with other micronutrient interventions. Nonetheless, biofortification should not be seen as a substitute for other interventions. Each approach has its particular strengths, so they complement one another.<br/