Effectiveness of dietary interventions in mental health treatment : A rapid review of reviews

Aim This rapid review of reviews aimed to determine the extent of research undertaken on the effectiveness of dietary interventions for individuals with a mental disorder. Methods Three databases (MEDLINE, Embase, Cochrane Reviews and Cochrane Trials) were searched to February 2021 for systematic reviews including experimental studies assessing the effectiveness of dietary interventions with physical or mental health related outcomes in adults or children with one or more of: severe mental illness, depression or anxiety, eating disorders, or substance use disorder. Results are presented descriptively. Results The number of included reviews was 46 (67% in severe mental illness, 20% in depression and anxiety, 7% in eating disorders, and 7% in substance use disorders). Most reviews were published since 2016 (59%), and included studies conducted in adults (63%). Interventions in the eating disorders and severe mental illness reviews were predominantly education and behaviour change, whereas interventions in the substance use disorders, and depression and anxiety reviews were predominantly supplementation (e.g. omega-3). Twenty-eight and twelve of the reviews respectively reported mental health and dietary outcomes for one or more included studies. Most reviews in severe mental illness, and depression and anxiety reported conclusions supporting the positive effects of dietary intervention, including positive effects on weight-related or mental health outcomes, and on mental health outcomes, respectively. Conclusions A larger number of systematic reviews were identified which evaluated dietary interventions in individuals with severe mental illness, and depression and anxiety, compared with substance use disorders, and eating disorders. Dietary intervention is an important component of the treatment that should be available to individuals living with mental disorders, to support their physical and mental health

Novel time-temperature and ‘consume-within’ indicator based on gas-diffusion

The novel time-temperature indicator label comprises an ammonia sensitive indicator layer film pressed onto a second film, comprising an ammonia-generating, adhesive layer. When separated the blue-coloured indicator film reverts back to its original (ammonia free) yellow form at a controllable, temperature dependant rate. The labels are easily made and stored

Does the Swiss Car Market Reward Fuel Efficient Cars? Evidence from Hedonic Pricing Regressions, Matching and a Regression Discontinuity Design

To correct market failures due to the presence of negative externalities associated with energy consumption, governments have adopted a variety of policies, including taxes, subsidies, regulations and standards, and information-based policies. For example, labels that clearly convey energy consumption rates, associated costs, and emissions of conventional pollutants and CO2, have been devised and used in the last two decades in several countries. In 2003, Switzerland introduced a system of fuel economy labels, based on grades ranging from A to G, where is A best and G is worst, to assist consumers in making decisions that improve the fleet s fuel economy and lower emissions. We use a dataset documenting all passenger cars approved for sale in Switzerland each year from 2000 to 2011 to answer three key research questions. First, what is the willingness to pay for fuel economy? Second, do Swiss drivers - or Swiss auto importers on their behalf - appear to do a one-to-one tradeoff between car purchase price and savings on fuel costs over the lifetime of the car? Third, does the label have an additional effect on price, all else the same, above and beyond that of fuel efficiency alone? Hedonic pricing regressions that exploit the variation in fuel economy across make-models, and over time within make-models, suggest that there is a (modest) capitalization of fuel economy into car prices. The diesel premium, however, exceeds the future fuel cost savings made possible by diesel cars, even at zero discount rates. An alternate calculation suggests that the fuel economy premium is consistent with a very low discount rate (2.5%). We use a sharp regression discontinuity design (RDD) based on the mechanism used by the Swiss Federal Office of Energy to assign cars to the fuel economy label to see if the label has an independent effect on price, above and beyond that of the fuel economy. The RDD approach estimates the effect to be 6-11%. To broaden the fuel economy range over which we assess the effect of the A label, we also deploy matching estimators, and find that the effect of an A label on car price is approximately 5%

Evaluating the feasibility of pangolin farming and its potential conservation impact

Pangolins are threatened by overexploitation for local and international use. They are subject to an international commercial trade ban, and are also the focus of other interventions, including attempts at commercial captive breeding. The impact that the latter could have on the conservation of wild populations deserves consideration. We critically evaluate the feasibility of commercial captive breeding (or farming) of pangolins to displace wild collection and assess its potential conservation impact on pangolin conservation using a recently published framework developed for this purpose. Of the 17 conditions posited that need to be met for supply-side interventions to displace wild collection, we find that pangolins meet a maximum of only six conditions. This analysis suggests that pangolin farming will not displace wild collection in the near future. Major barriers include an inability to breed pangolins on a commercial scale and available data suggest that it would be unprofitable. The immediate impact of pangolin farming on conservation of the species’ is unclear, but it is unlikely to benefit the conservation of wild populations. If commercial captive breeding were possible, it is uncertain how it would affect economic incentives for poaching, interactions between legal and illegal markets, stockpile policies, and how consumers and Traditional Chinese Medicine (TCM) practitioners would respond. To understand better the potential overall impact of pangolin farming on wild populations there is a need for further research on these uncertainties. The framework used has utility in analysing the potential impact of wildlife farming but there remains a need for a more robust approach to evaluate potential impacts of supplyside interventions.http://www.elsevier.com/locate/geccohb2020Mammal Research InstituteZoology and Entomolog

Evaluating the feasibility of pangolin farming and its potential conservation impact

Pangolins are threatened by overexploitation for local and international use. They are subject to an international commercial trade ban, and are also the focus of other interventions, including attempts at commercial captive breeding. The impact that the latter could have on the conservation of wild populations deserves consideration. We critically evaluate the feasibility of commercial captive breeding (or farming) of pangolins to displace wild collection and assess its potential conservation impact on pangolin conservation using a recently published framework developed for this purpose. Of the 17 conditions posited that need to be met for supply-side interventions to displace wild collection, we find that pangolins meet a maximum of only six conditions. This analysis suggests that pangolin farming will not displace wild collection in the near future. Major barriers include an inability to breed pangolins on a commercial scale and available data suggest that it would be unprofitable. The immediate impact of pangolin farming on conservation of the species’ is unclear, but it is unlikely to benefit the conservation of wild populations. If commercial captive breeding were possible, it is uncertain how it would affect economic incentives for poaching, interactions between legal and illegal markets, stockpile policies, and how consumers and Traditional Chinese Medicine (TCM) practitioners would respond. To understand better the potential overall impact of pangolin farming on wild populations there is a need for further research on these uncertainties. The framework used has utility in analysing the potential impact of wildlife farming but there remains a need for a more robust approach to evaluate potential impacts of supplyside interventions.http://www.elsevier.com/locate/geccohb2020Mammal Research InstituteZoology and Entomolog

Comparative Genomics of Gardnerella vaginalis Strains Reveals Substantial Differences in Metabolic and Virulence Potential

Gardnerella vaginalis is described as a common vaginal bacterial species whose presence correlates strongly with bacterial vaginosis (BV). Here we report the genome sequencing and comparative analyses of three strains of G. vaginalis. Strains 317 (ATCC 14019) and 594 (ATCC 14018) were isolated from the vaginal tracts of women with symptomatic BV, while Strain 409-05 was isolated from a healthy, asymptomatic individual with a Nugent score of 9.Substantial genomic rearrangement and heterogeneity were observed that appeared to have resulted from both mobile elements and substantial lateral gene transfer. These genomic differences translated to differences in metabolic potential. All strains are equipped with significant virulence potential, including genes encoding the previously described vaginolysin, pili for cytoadhesion, EPS biosynthetic genes for biofilm formation, and antimicrobial resistance systems, We also observed systems promoting multi-drug and lantibiotic extrusion. All G. vaginalis strains possess a large number of genes that may enhance their ability to compete with and exclude other vaginal colonists. These include up to six toxin-antitoxin systems and up to nine additional antitoxins lacking cognate toxins, several of which are clustered within each genome. All strains encode bacteriocidal toxins, including two lysozyme-like toxins produced uniquely by strain 409-05. Interestingly, the BV isolates encode numerous proteins not found in strain 409-05 that likely increase their pathogenic potential. These include enzymes enabling mucin degradation, a trait previously described to strongly correlate with BV, although commonly attributed to non-G. vaginalis species.Collectively, our results indicate that all three strains are able to thrive in vaginal environments, and therein the BV isolates are capable of occupying a niche that is unique from 409-05. Each strain has significant virulence potential, although genomic and metabolic differences, such as the ability to degrade mucin, indicate that the detection of G. vaginalis in the vaginal tract provides only partial information on the physiological potential of the organism

Rehabilitation versus surgical reconstruction for non-acute anterior cruciate ligament injury (ACL SNNAP): a pragmatic randomised controlled trial

BackgroundAnterior cruciate ligament (ACL) rupture is a common debilitating injury that can cause instability of the knee. We aimed to investigate the best management strategy between reconstructive surgery and non-surgical treatment for patients with a non-acute ACL injury and persistent symptoms of instability.MethodsWe did a pragmatic, multicentre, superiority, randomised controlled trial in 29 secondary care National Health Service orthopaedic units in the UK. Patients with symptomatic knee problems (instability) consistent with an ACL injury were eligible. We excluded patients with meniscal pathology with characteristics that indicate immediate surgery. Patients were randomly assigned (1:1) by computer to either surgery (reconstruction) or rehabilitation (physiotherapy but with subsequent reconstruction permitted if instability persisted after treatment), stratified by site and baseline Knee Injury and Osteoarthritis Outcome Score—4 domain version (KOOS4). This management design represented normal practice. The primary outcome was KOOS4 at 18 months after randomisation. The principal analyses were intention-to-treat based, with KOOS4 results analysed using linear regression. This trial is registered with ISRCTN, ISRCTN10110685, and ClinicalTrials.gov, NCT02980367.FindingsBetween Feb 1, 2017, and April 12, 2020, we recruited 316 patients. 156 (49%) participants were randomly assigned to the surgical reconstruction group and 160 (51%) to the rehabilitation group. Mean KOOS4 at 18 months was 73·0 (SD 18·3) in the surgical group and 64·6 (21·6) in the rehabilitation group. The adjusted mean difference was 7·9 (95% CI 2·5–13·2; p=0·0053) in favour of surgical management. 65 (41%) of 160 patients allocated to rehabilitation underwent subsequent surgery according to protocol within 18 months. 43 (28%) of 156 patients allocated to surgery did not receive their allocated treatment. We found no differences between groups in the proportion of intervention-related complications.InterpretationSurgical reconstruction as a management strategy for patients with non-acute ACL injury with persistent symptoms of instability was clinically superior and more cost-effective in comparison with rehabilitation management

Smoothboard: A smart alternative

Transforming any surface into a user-friendly interactive whiteboard is usually associated with the purchase of expensive technology. Smoothboard is an inexpensive alternative that was first promoted at a T.E.D. [Technology, Entertainment, Design] conference on YouTube by researcher Johnny Lee in April 2008. Johnny Lee’s demonstration of Wii Remote hacks; bending the low-cost game piece to power an interactive whiteboard, or a multi-touch surface, was an instant hit with viewers. The Smoothboard software, when combined with the Wiimote, enables users to interact with their computer directly either at the screen, or away from the screen on almost any surface. This poster presents the Wintec School of IT adaptation and promotion of this affordable technology