Tackling obesity and its complications in secure settings

2014 ◽  
Vol 19 (1) ◽  
pp. 37-46 ◽  
Author(s):  
Clive Long ◽  
Arleen Rowell ◽  
Anita Gayton ◽  
Elizabeth Hodgson ◽  
Olga Dolley

Purpose – The purpose of this paper is to explore the incidence of obesity and its complications in secure psychiatric settings; and to assess changes in body mass index (BMI). Design/methodology/approach – Electronic patient records were used to determine levels of obesity and weight change over a three-year period. BMI levels were related to status, medication and patient characteristics. Findings – The incidence of obesity (34 per cent) in the sample (n=351) was higher than in the general population. One-third of patients were on medication for hyperlipidaemia and 10 per cent were diagnosed with type II diabetes. Patients on regular antipsychotic drugs and sodium valproate and who were less active had higher BMIs. Gender differences over a three-year period showed a tendency for women's weight to continue to increase which may be linked to lower levels of engagement in activities of moderate or vigorous intensity. Originality/value – Previous surveys using secure psychiatric populations have been point in time reviews. The current study tracks changes over a three-year time period and related this to a range of interventions.

2008 ◽  
Vol 28 (5/6) ◽  
pp. 179-192 ◽  
Author(s):  
Paul S. Lambert ◽  
Koon Leai Larry Tan ◽  
Kenneth Prandy ◽  
Vernon Gayle ◽  
Manfred Max Bergman

PurposeThis paper aims to present reasons why social classifications which use occupations should seek to adopt “specific” approaches which are tailored to the country, time period and gender of the subjects under study.Design/methodology/approachThe relative motivations for adopting a specific approach to social classifications are discussed and theoretical perspectives on specificity and empirical evidence on the contribution of specific approaches are reviewed. Also the practical costs of implementing specific social classifications are evaluated, and the authors' development of the “GEODE” data service (grid‐enabled occupational data environment), which seeks to assist this process, is discussed.FindingsSpecific approaches make a non‐trivial difference to the conclusions drawn from analyses of occupation‐based social classifications. It is argued that the GEODE service has reduced the practical challenges of implementing specific measures.Research limitations/implicationsThere remain conceptual and pragmatic challenges in working with specific occupation‐based social classifications. Non‐specific (“universal”) measures are adequate for many purposes.Practical implicationsThe paper argues that there are few excuses for ignoring specific occupation‐based social classifications.Originality/valueThe paper demonstrates that recent technological developments have shifted the balance in the long‐standing debate between universal and specific approaches to occupation‐based social classifications.


2016 ◽  
Vol 44 (2) ◽  
pp. 81-87 ◽  
Author(s):  
Megan Jaskowiak ◽  
Todd Spires

Purpose As medium-sized academic libraries’ budgets continue to shrink or cannot compete with inflation rates, document delivery options like ILLiad and unmediated Get It Now can play a prominent role in providing content lost due to the inevitable cancellation of serial subscriptions. This paper aims to evaluate the impact of using these two options in a US university. Design/methodology/approach This paper examines the usage of these two services for the three fiscal years following the implementation of Get It Now at Bradley University. Findings Questions addressed are as follows. How have they been used over the three-year time period? Which user status group has been using them, undergraduates, graduate students or faculty members? Which departments on campus have been using them the most? Originality/value This study is the first to look at the usage of Get It Now and ILLiad together over multiple years.


foresight ◽  
2019 ◽  
Vol 21 (1) ◽  
pp. 53-83 ◽  
Author(s):  
Seth D. Baum ◽  
Stuart Armstrong ◽  
Timoteus Ekenstedt ◽  
Olle Häggström ◽  
Robin Hanson ◽  
...  

PurposeThis paper aims to formalize long-term trajectories of human civilization as a scientific and ethical field of study. The long-term trajectory of human civilization can be defined as the path that human civilization takes during the entire future time period in which human civilization could continue to exist.Design/methodology/approachThis paper focuses on four types of trajectories: status quo trajectories, in which human civilization persists in a state broadly similar to its current state into the distant future; catastrophe trajectories, in which one or more events cause significant harm to human civilization; technological transformation trajectories, in which radical technological breakthroughs put human civilization on a fundamentally different course; and astronomical trajectories, in which human civilization expands beyond its home planet and into the accessible portions of the cosmos.FindingsStatus quo trajectories appear unlikely to persist into the distant future, especially in light of long-term astronomical processes. Several catastrophe, technological transformation and astronomical trajectories appear possible.Originality/valueSome current actions may be able to affect the long-term trajectory. Whether these actions should be pursued depends on a mix of empirical and ethical factors. For some ethical frameworks, these actions may be especially important to pursue.


Author(s):  
Vítor da Conceição Gonçalves ◽  
Fernando Ribeiro Mendes ◽  
Idalina Dias Sardinha ◽  
Ricardo Rodrigues

Purpose – The purpose of this paper is to discuss the contribution of the Porter Report toward increasing the competitiveness of the Portuguese economy and highlights the factors that affected its operationalization. Design/methodology/approach – This paper considers the contributions of the Porter Report, entitled “Building the Competitive Advantages of Portugal”, presented in 1994, particularly with regard to the recommended clusters and public policies, as well as the assessment and warnings provided by Michael Porter in 2002, examining both in the present perspective. Findings – Although Michael Porter, in 2002, made a critical judgment about the country’s evolution since the 1994 report, it is clear that, on the one hand, the recommended development model attracted high attention and had positive repercussion in academic and business circles, while on the other hand, some of the objectives were achieved, albeit at a slower pace than would have been desirable. Political and economic context and the time period are relevant for all technological and geostrategic changes, among others. The accuracy of the diagnosis and the development model proposed by Michael Porter is confirmed and the difficulty in its implementation is highlighted. Originality/value – The analysis of the Portuguese evolution after Porter’s recommendations is instrumental in understanding the competitiveness and development challenges faced by a small peripheral economy in the European integration process. Understanding these difficulties and successes is of utmost importance in improving the definition and in the implementation of policies focused on the competitiveness of countries and regions.


2018 ◽  
Vol 30 (6) ◽  
pp. 749-763 ◽  
Author(s):  
Fotis Vouzas ◽  
Theano Katsogianni

Purpose The purpose of this paper is to present the results of an exploratory literature review investigating the similarities and differences in TQM implementation between 3PL organisations and organisations with an in-house logistics function. Design/methodology/approach The authors collected all relevant papers covering both types of organisations implementing TQM worldwide in a time period from 1991 until today. The aim was to identify key papers and analyse its contents based on the quality of services provided by these two types of organisations. Findings The survey contains information about the forces that encourage managers to implement quality practices in the logistics function, the reasons that impeded the implementation of such a quality programme, the quality methods being used and also the level of their satisfaction with the current quality management in logistics. Research limitations/implications This paper only mentioned the principal papers that have been published globally from 1991 – today. Originality/value The present study is one of the few that reviewed literature from the year 1991 – today in order to provide a comparison of quality management practices between 3PLs and in-house Logistics organisations.


2015 ◽  
Vol 37 (6) ◽  
pp. 733-745 ◽  
Author(s):  
Dave Lyddon

Purpose – The purpose of this paper is to provide an overview of the changing strike activity in the UK over the last 50 years. Design/methodology/approach – The paper draws on a wide literature on UK strikes and an extensive trawl of newspaper sources. It is divided into four main sections. The first two summarise, in turn, the changing amount and locus of strike activity between 1964 and 2014. The third discusses the changing relationship and balance between official and unofficial strikes. The last covers the role of the courts and legislation on strikes, highlighting some key moments in this turbulent history. Findings – The period 1964-2014 can be divided into three sub-periods: high-strike activity until 1979; a transition period of “coercive pacification” in the 1980s; and unprecedentedly low-strike activity since the early 1990s. Unions were more combative against the legislative changes of the 1980s than they are normally given credit for. Research limitations/implications – Given its broad scope, this paper cannot claim to be comprehensive. Originality/value – This is a rare study of the changing nature of UK strikes over such a long time period.


2010 ◽  
Vol 40 (2) ◽  
pp. 235-242 ◽  
Author(s):  
Tanefa A. Apekey ◽  
Anne J.E. Morris ◽  
Shamusi Fagbemi ◽  
G.J. Griffiths

PurposeHealthy diet and lifestyle have been shown to be important for obese patients in the management of diet‐related diseases especially in the improvement of cardiovascular disease risk indicators. The purpose of this paper is to determine the effects of a calorie‐restricted low‐fat diet on body weight, cardiovascular disease risk and liver function indicators in an obese, cardiology outpatient with type II diabetes.Design/methodology/approachA male, obese cardiology outpatient was assigned to a calorie‐restricted (6,694.4 kJ/d) low‐fat (not to exceed 20 per cent of total energy intake) diet for 12 weeks. His body mass index (BMI), blood pressure (BP), pulse rate, fasting glucose, total cholesterol, triglyceride, low‐density lipoprotein cholesterol, high‐density lipoprotein (HDL) cholesterol, alanine aminotranseferase, aspartate aminotranseferase (AST) concentration and TC/HDL ratio were measured prior to the start of the diet and during weeks four, eight and 12 of the diet.FindingsThe patient found it difficult making changes to his diet and only reduced his weight by 1 kg. He significantly reduced his serum triglyceride by about 20 per cent, TC/HDL ratio by 13 per cent and fasting blood glucose concentration by 31 per cent. However, there was no significant change in his BP, pulse rate, total and LDL cholesterol concentration. He also reduced his AST concentration by 20 per cent and alanine aminotranseferase (ALT) by 19 per cent.Originality/valueThis paper usefully shows how healthier food choices involving increased intake of fruits and vegetables and restricted intake of total and saturated fat reduced the risk of cardiovascular death in a male cardiology outpatient with type II diabetes.


2014 ◽  
Vol 7 (4) ◽  
pp. 354-375 ◽  
Author(s):  
Karl-Heinz Leitner

Purpose – The purpose of this paper is to study the nature of the strategy formation and its impact on firm performance in relation to market development and product innovation. Design/methodology/approach – The paper is based on an empirical study of 91 Austrian SMEs which covers a time period of ten years. Strategy formation was captured by an analysis of strategic intentions and corresponding actions in two surveys carried out in 1995 and 2003. Findings – The study finds no direct association between strategy formation and performance, though, emergent strategists had less often a growth orientation. Taking into account industry dynamics, shows, contrary to our expectations, that companies which employed an emergent market development strategy achieved higher sales growth in stable than in dynamic industries. Originality/value – The question of the superiority of planned vs emergent strategies has a long debate in strategy formation literature. The authors contribute to this question by investigating the role of different information sources for the formation of market and product innovation strategies and its impact on the performance in different environments over a ten-year time period.


foresight ◽  
2019 ◽  
Vol 21 (6) ◽  
pp. 695-707 ◽  
Author(s):  
Roeland van Straten

Purpose Value is created for firms’ owners when profits outweigh investments over a given time period. This paper aims to distinguish where, within firms, strategic thinking is required for the purposes of creating value. Design/methodology/approach A novel framework is developed, which explains how six sources of value can be identified and logically related to six practical value management levels. Findings Importantly, only one source of value, namely, autonomous revenue growth, demands true strategic thinking because it represents an unknown outcome from the strategist’s perspective. This source of value can be tapped into at any decision-making level. Originality/value This paper clarifies and emphasises that demonstrating strategic wisdom is possible for anyone within a firm and ultimately, it resolves down to the thinking and decision making that increases the chances of generating higher, earlier and more frequent future incoming cash flows.


2019 ◽  
Vol 49 (6) ◽  
pp. 1265-1274 ◽  
Author(s):  
Victor Pozzobon ◽  
Clément Pozzobon

Purpose Cottage is a protein-rich food which is commonly consumed by people targeting weight reduction and athletes willing to eat whole-food instead of protein supplements. Yet out of common knowledge, the scientific community lacks solid evidences of the effect of the inclusion of cottage cheese in a diet. The purpose of this paper is to assess the evidences from scientific literature of the impact of inclusion of cottage cheese in a diet. Design/methodology/approach PubMed and Web of Science were searched for scientific literature dealing with “cottage cheese” and “diet.” There was no restriction regarding the type article type, date nor journal it is published in. References found to during the analysis of the articles extracted from database were also included. Studies search, screening and eligibility analysis were led in parallel by two independent reviewers. Findings This survey shows that cottage cheese is a good source of calcium (with 83 mg/100 g) – but not low fat cottage cheese because of its low vitamin S content (p < 0.001) –, a source of probiotic (1 serving providing the recommended dietary intake), a source of high quality proteins, reduces postprandial blood glucose level – healthy and type II diabetes subjects – (p < 0.05), is not linked to increased cardiovascular diseases nor cancer risks (p < 0.05). Originality/value Based on the findings reported in this review, the inclusion of cottage cheese in a diet can be advised for: women to build up calcium storage to fight osteoporosis; more generally calcium/vitamin D deficient subjects; athletes willing to increase their high-quality proteins intake through whole food consumption; dieters looking for low energy, high protein, high satiety food; untreated type II diabetes patients by reducing postprandial glucose level.


Sign in / Sign up

Export Citation Format

Share Document