1,384 research outputs found

    Association between fast food purchasing and the local food environment

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    Objective: In this study, an instrument was created to measure the healthy and unhealthy characteristics of food environments and investigate associations between the whole of the food environment and fast food consumption.Design and subjects: In consultation with other academic researchers in this field, food stores were categorised to either healthy or unhealthy and weighted (between +10 and &minus;10) by their likely contribution to healthy/unhealthy eating practices. A healthy and unhealthy food environment score (FES) was created using these weightings. Using a cross-sectional study design, multilevel multinomial regression was used to estimate the effects of the whole food environment on the fast food purchasing habits of 2547 individuals.Results: Respondents in areas with the highest tertile of the healthy FES had a lower likelihood of purchasing fast food both infrequently and frequently compared with respondents who never purchased, however only infrequent purchasing remained significant when simultaneously modelled with the unhealthy FES (odds ratio (OR) 0.52; 95% confidence interval (CI) 0.32&ndash;0.83). Although a lower likelihood of frequent fast food purchasing was also associated with living in the highest tertile of the unhealthy FES, no association remained once the healthy FES was included in the models. In our binary models, respondents living in areas with a higher unhealthy FES than healthy FES were more likely to purchase fast food infrequently (OR 1.35; 95% CI 1.00&ndash;1.82) however no association was found for frequent purchasing.Conclusion: Our study provides some evidence to suggest that healthier food environments may discourage fast food purchasing.<br /

    HIV prevalence and undiagnosed infection among a community sample of gay and bisexual men in Scotland, 2005-2011: implications for HIV testing policy and prevention

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    &lt;b&gt;Objective&lt;/b&gt;&lt;p&gt;&lt;/p&gt; To examine HIV prevalence, HIV testing behaviour, undiagnosed infection and risk factors for HIV positivity among a community sample of gay men in Scotland.&lt;p&gt;&lt;/p&gt; &lt;b&gt;Methods&lt;/b&gt;&lt;p&gt;&lt;/p&gt; Cross-sectional survey of gay and bisexual men attending commercial gay venues in Glasgow and Edinburgh, Scotland with voluntary anonymous HIV testing of oral fluid samples in 2011. A response rate of 65.2% was achieved (1515 participants).&lt;p&gt;&lt;/p&gt; &lt;b&gt;Results&lt;/b&gt;&lt;p&gt;&lt;/p&gt; HIV prevalence (4.8%, 95% confidence interval, CI 3.8% to 6.2%) remained stable compared to previous survey years (2005 and 2008) and the proportion of undiagnosed infection among HIV-positive men (25.4%) remained similar to that recorded in 2008. Half of the participants who provided an oral fluid sample stated that they had had an HIV test in the previous 12 months; this proportion is significantly higher when compared to previous study years (50.7% versus 33.8% in 2005, p&#60;0.001). Older age (&#62;25 years) was associated with HIV positivity (1.8% in those &#60;25 versus 6.4% in older ages group) as was a sexually transmitted infection (STI) diagnosis within the previous 12 months (adjusted odds ratio 2.13, 95% CI 1.09–4.14). There was no significant association between age and having an STI or age and any of the sexual behaviours recorded.&lt;p&gt;&lt;/p&gt; &lt;b&gt;Conclusion&lt;/b&gt;&lt;p&gt;&lt;/p&gt; HIV transmission continues to occur among gay and bisexual men in Scotland. Despite evidence of recent testing within the previous six months, suggesting a willingness to test, the current opt-out policy may have reached its limit with regards to maximising HIV test uptake. Novel strategies are required to improve regular testing opportunities and more frequent testing as there are implications for the use of other biomedical HIV interventions.&lt;p&gt;&lt;/p&gt

    Towards biocultural approaches to peatland conservation: The case for fish and livelihoods in Indonesia

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    This is the author accepted manuscript. The final version is available from Elsevier via the DOI in this recordConservation projects are likely to fail if plans to preserve important wildlife habitats and species are not co-developed between conservation organisations and local communities to reflect the needs and diverse values of the latter. Tropical peatland conservation represents a case in point: local community livelihoods have only recently come into focus, particularly within academic literature. Instead, many previous studies emphasise the need to conserve intact peat swamp forests for their carbon storage, as a habitat for flagship species such as the orangutan, and to provide fire-free landscapes. Here, we explore the socio-environmental issues being faced in the peatland landscapes of Central Kalimantan, Indonesia. This includes the loss of peat-swamp forest, decreases in peatland fish populations and related socio-cultural challenges such as potential loss of fishing livelihoods along with historic and continued experiences of marginalisation of indigenous communities. To find solutions to these complex and interrelated problems, an interdisciplinary approach which focuses on interdependencies and includes multiple worldviews is required. We propose an approach which deploys both Ethan Miller's use of livelihoods (incl. Miller, 2019) and biocultural approaches to conservation to analyse human-nonhuman relationships, with a focus on fish and fishing livelihoods. We draw on data from in-depth social and ecological research in two village communities in Central Kalimantan, and in so doing illustrate how fish conservation has the potential to support important biocultural and livelihood relationships between human and nonhuman communities in peatland areas. Our findings lend support to previous calls for biocultural approaches to conservation in other socio-ecological contexts, and lead us to conclude that tropical peatland conservation initiatives that integrate such approaches will result in improved outcomes for peatlands, forests, biodiversity and people. These findings will be relevant to other tropical peatland areas with high dependence on fishing as a source of livelihood, such as the peatlands of the Amazon and Congo basins.NERC-GCRFRufford FoundationInternational Peatland Societ

    Exploration of the Equilibrium and Stability Properties of Spherical Tokamaks and Projection for MAST-U

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    In preparation for high fusion plasma performance operation of the newly operating spherical tokamak MAST-U, the equilibrium and stability properties of plasmas in the MAST database, as well as projections for MAST-U, are explored. The disruption event characterization and forecasting (DECAF) code is utilized to map disruptions in MAST, particularly with regard to vertical displacement events. Loss of vertical stability control was not found to be common in MAST, providing reassurance for MAST-U operation. MAST equilibria were reconstructed with magnetic diagnostics, adding kinetic diagnostics, or finally also adding magnetic pitch angle data. The reconstructions work well for MAST and the procedures are set up for MAST-U, including determination of the plasma current in the first MAST-U discharges. A 3D wall model of MAST-U has been constructed in the VALEN code, indicating that significant toroidal currents may be induced in the conducting structure. Rotation measurements may also be included in the reconstructions, and a test with the FLOW code of a rotating MAST plasma indicates a modest shift of the pressure contours off of the magnetic flux surfaces may be expected. Unstable resistive wall modes (RWMs) may constrain the performance of high pressure MAST-U plasmas. A machine learning (ML) assisted algorithm for stability calculation developed for the NSTX spherical tokamak has been applied to MAST plasmas. Improvements and expansion of the ML techniques continue, including semi-supervised learning techniques and a detection algorithm for unstable RWMs. Finally, projections of MAST-U plasma stability have been performed, indicating that a region of high pressure operational space exists in which the new passive stabilization plates act to stabilize ideal kink modes and RWMs may be stabilized by kinetic effects or active control

    Epidemic infectious gastrointestinal illness aboard U.S. Navy ships deployed to the Middle East during peacetime operations – 2000–2001

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    BACKGROUND: Infectious gastrointestinal illness (IGI) outbreaks have been reported in U.S. Navy ships and could potentially have an adverse mission impact. Studies to date have been anecdotal. METHODS: We conducted a retrospective analysis of weekly reported disease and non-battle injury health data collected in 2000 – 2001 from 44 U.S. Navy ships while sailing in the 5(th )Fleet (Persian Gulf and nearby seas). RESULTS: During this period, 11 possible IGI outbreaks were identified. Overall, we found 3.3 outbreaks per 100 ship-weeks, a mean outbreak duration of 4.4 weeks, and a mean cumulative ship population attack rate of 3.6%. Morbidity, represented by days lost due to personnel being placed on sick-in-quarters status, was higher during outbreak weeks compared to non-outbreak weeks (p = 0.002). No clear seasonal distribution was identified. CONCLUSION: Explosive outbreaks due to viruses and bacteria with the potential of incapacitating large proportions of the crew raise serious concerns of mission impact and military readiness
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