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Background: Low-carbohydrate and high-fat (LCHF) diets are shown to have health benefits such as weight loss and improved cardiovascular health. Few studies, however, on LCHF diets have been completed in a real-world primary care setting over an extended period of time.Objectives: To examine the efficacy of a low-carbohydrate, high-fat dietary educational intervention delivered in a family practice setting on weight, body mass index (BMI), blood pressure, glycated haemoglobin (HbA1c), fasting insulin, estimated glomerular filtration rate (eGFR), and albumin to creatinine ratio (ACR). A secondary objective was to determine whether compliance to the program had an effect on outcomes.Methods: In this retrospective chart review, we collected laboratory and anthropometric data from an electronic medical record system for patients (n = 122) at least 19 years of age, who attended at least 2 LCHF educational sessions between January 2018 and May 2020. Pre-post mean differences of outcome were analysed using paired sample t-tests. Independent sample t-tests examined the effect of compliance on the outcomes.Results: Statistically significant reductions in weight (3.96 kg [P < 0.001]) and BMI (1.46 kg/m2 [P = 0.001]) were observed. Compared with patients who participated in ≤5 educational visits, patients who participated in >5 visits showed trends towards more clinically significant changes in weight, BMI, systolic blood pressure, diastolic blood pressure, HbA1c, eGFR, and ACR.Conclusion: Improvements in weight and BMI indicate the utility of providing LCHF health promotion interventions in primary care settings. Greater compliance to LCHF interventions results in greater improvement in laboratory and anthropometric outcomes, including HbA1c. [ABSTRACT FROM AUTHOR]

Sensory attributes of six heat‐resistant chocolates were compared with the standard chocolate using a trained sensory panel who were trained using the Sensory Spectrum method. The panel evaluated the chocolates using three tactile and ten oral attributes at 24, 29, and 38°C. The panel demonstrated consistent rating of the various samples. ANOVA showed that all of the 13 sensory attributes (Firmness to touch, Stickiness to fingers, Snap, Abrasiveness, Hardness with incisors, Fracturability, Cohesiveness of mass, Time to melt, Firmness with tongue, Adhesiveness to teeth, Number of particles, Oily mouthcoating, and Chocolate messiness) were significantly different across the samples. A higher degree of heat resistance was identified by the panelists for the low‐fat gelatin and polyol samples at 38°C. Principal component analysis revealed two principal components; the first pricipal component described the variability due to temperature, and the second principal component described the variability brought about by the various technologies. [ABSTRACT FROM AUTHOR]

There is a paucity of test–retest reliability data for adolescent self-reports of a wide range of risk behaviours. Grade 8 and 11 Students (N=358) completed a questionnaire on two occasions between 10 and 14 days apart. It included items about use of various substances, violent behaviour, suicidality, and sexuality. Cohen''s kappa was almost perfect for 1 item (κ=85.4%); in the substantial range (61–80%) for 4 items; and in the moderate range (41–60%) for 3 items. For the remaining 7 items, the percentage agreement was higher than 92.0%. The questionnaire thus demonstrates adequate test–retest reliability. [Copyright &y& Elsevier]

This paper investigates children's interest in the nursery rhyme genre whilst at the same time considers how children can be encouraged to write reflectively if they are working on something that both stimulates and motivates them to want to write. After reading a story book of nursery rhymes, a group of Y2 children were encouraged to consider what other adventures some of the main rhyme characters might have. By talking about the rhymes, seeing an expert writer modelling the writing process and writing collaboratively with their teacher and with each other, the children wrote an "alternative" nursery rhyme book. They began to see writing as a long term process which is recursive, takes time and effort but which is also very rewarding especially when published in the form of a book. [ABSTRACT FROM AUTHOR]

Gender stereotyping in children's books is not an issue which has disappeared, for all that we have been aware of its problems for a number of years. Here Janet Evans reopens this issue and provides some useful insights into what might be appropriate responses. [ABSTRACT FROM AUTHOR]

Reviews several studies on neuropsychological rehabilitation. 'The Neuropsychology of Obsessive-Compulsive Disorder: A Review and Consideration of Clinical Implications,' by F. Tallis; 'Feeling Cold: An Unusual Brain Injury Symptom and Its Treatment With Vasopressin,' by P. Eames; 'Post-Traumatic Stress Disorder and Head Injury As a Dual Diagnosis: 'Islands' of Memory As a Mechanism,' by N.S. King.

Presents various research on neuropsychology, featured in the 1998 issue of the periodical 'Neuropsychological Rehabilitation.' Frontal lobe deficits after head injury; Prospects for the wider use of virtual reality and its potential for influencing cognitive rehabilitation; Patterns of performance of closed-head injured and healthy samples in Wechsler Adult Intelligence Scale.

Provides information on various studies related to neuropsychology. Presence of unilateral neglect after right hemisphere stroke; Face validity of planning and problem-solving tasks in a normal population; Factors attending mild head injury.

Provides information on several studies related to rehabilitation medicine and psychology. 'Quality of Life as a Measure of Rehabilitation Outcome in Patients With Multiple Sclerosis,' by A. Jonsson; J. Dock and M.H. Ravborg; 'Motivational Deficits After Brain Injury: Effects of Bromocriptine in 11 Patients,' by J.H. Powell, S. Al Adawi, J. Morgan and R.J. Greenwood; 'Outpatients in Neurological Rehabilitation,' by M.P. Barnes and D.A. Skeil.

Illustrations are a fundamental feature in children's picture books and the evidence suggests that they are more than simply window dressing to make books look more attractive. They work in partnership with print to create layers of meaning. Janet Evans here illustrates this by using the responses of a group of children to Angry Arthur. She shows convincingly how encouraging children to respond to books in this way deepens their understanding. [ABSTRACT FROM AUTHOR]

The article presents an obituary for Derek Cracknell, a general practitioner and founder of the emergency charity Magpas.

Describes an alternative approach to patient with phocomelia by using salivary hormone estimation. Medical history of the patient; Methods of monitoring ovulation; Benefits of salivary progesterone measurement.