England's Search for the Northern Passages in the Sixteenth and Early Seventeenth Centuries

For persistence of effort in the face of adversity no enterprise in the history of exploration was more remarkable than England's search for the northern passages to the Far East. ... Three routes were available: over the North Pole, by the northeast, and by the northwest, and all featured in exploration plans. The polar route seemed the most direct, but other considerations concentrated the effort on the Northeast and Northwest Passages, and by 1600 the northwest was the favoured route. Thus England established in the sixteenth century a pattern of enterprise which persisted over a period of some 350 years. ..

Addressing Patients' Social Needs: An Emerging Business Case for Provider Investment

Despite growing evidence documenting the impact of social factors on health, providers have rarely addressed patients' social needs in clinical settings. But today, changes in the health care landscape are catapulting social determinants of health from an academic topic to an on-the-ground reality for providers, with public and private payers holding providers accountable for patients' health and health care costs and linking payments to outcomes. These new models are creating economic incentives for providers to incorporate social interventions into their approach to care. Investing in these interventions can enhance patient satisfaction and loyalty, as well as satisfaction and productivity among providers. A variety of tools for addressing patients' social needs are available to providers looking to leverage these opportunities. With the confluence of sound economics and good policy, investing in interventions that address patients' social as well as clinical needs is starting to make good business sense

“It's always on the safe list”: Investigating experiential accounts of picky eating adults

Previous research into severely restricted eating for reasons which are not cultural, medical, due to a lack of food or due to concerns about body image has focused predominantly on “picky/fussy eating” in children. Despite evidence that picky eating does continue into adulthood and recognition in the new diagnostic category Avoidant Restrictive Food Intake Disorder (ARFID) that problematically avoidant and restrictive patterns of eating affect people across the lifespan, relatively little is known about the challenges and consequences faced by older adolescents and adults. This research employs qualitative methods to explore the experience of living as an adult with picky eating behaviours. Semi-structured interviews were undertaken with thirteen adults who identify as picky eaters and eat a highly limited diet, as determined by a checklist food questionnaire. Data were analysed using interpretative phenomenological analysis (IPA). Two themes are presented in this paper: “Constructions of food” and “Motivators for and barriers to change”. These themes show the importance of how individuals perceive food, their diet and themselves, and implications for clinical practice and future research in light of these findings are considered

Warrnambool and Corangamite land suitability decision framework study: technical report

The Warrnambool-Corangamite Land Suitability and Decision Making Framework (the Project) is a joint project between the Corangamite Shire Council (CSC), the Warrnambool City Council (WCC), the Victorian Local Sustainability Accord, and Deakin University.The Project was developed with the objective to establish a land suitability and decision-making framework for the WCC and CSC that can be applied to improve the basis for regional and local planning. The Project aims to improve approaches to regional planning to preserve highly productive agricultural land, protect and enhance the environment, whilst supporting sustainable regional development and settlement

Orthorexia nervosa, mindful eating, and perfectionism: an exploratory investigation

Purpose Research has drawn associations between Mindful Eating (ME) and perfectionism in the aetiology and treatment of eating disorders (ED), but understanding into the relationship between these factors and Orthorexia nervosa (ON) is limited. The purpose of this research is to explore the relationship between perfectionism, ME, and ON. Method Participants (n = 670) completed the Düsseldorf Orthorexia scale, the Mindful Eating Behavior scale, and the Big-Three Perfectionism scale Short-form, to reveal the relationship between ON, ME, and perfectionism. The relationship was assessed using correlational and regression analyses. Results A positive association was observed between perfectionism and ON. Moreover, perfectionism demonstrated a significant negative correlation with three out of four ME facets, with “eating without distraction” displaying the highest correlation. The “eating with awareness” facet of ME demonstrated a significant relationship with ON, in a negative direction. An unexpected relationship was observed between the focused eating facet of ME and ON, with a positive association being found. A further regression analysis revealed both perfectionism and ME to predict orthorexic tendencies. Conclusion These findings identify a relationship between ON, ME, and perfectionism. It offers suggestion for the complexity of ME, and how it should be recognised by its different components, estimating a differential predictability and estimation of ON. Further research is required to clarify the direction of causality in the relationships observed, to inform the clinical diagnoses and intervention of ON. Level of evidence Level V, cross-sectional descriptive study