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Anatomy is a key knowledge area in chiropractic and is formally offered in the undergraduate component of chiropractic education. There is the potential for loss of anatomy knowledge before the opportunity to apply it in a clinical setting. This study aimed to determine whether chiropractic clinicians retain a level of anatomy knowledge comparable to that of chiropractic students and to compare chiropractors' self-rating of their anatomical knowledge against an objective knowledge assessment tool. A previously validated multiple-choice test was utilized to measure retention of limb musculoskeletal (MSK) knowledge in Australian chiropractors. One hundred and one registered chiropractors completed the questionnaire and responses were scored, analyzed, and compared to scores attained by undergraduate and postgraduate chiropractic students who had previously completed the same questionnaire. The results indicated that practitioners retained their anatomy knowledge, with a significantly higher total mean score than the undergraduate group [total mean score = 36.5% (±SD 13.6%); P < 0.01] but not significantly different to the postgraduate group [total mean score = 52.2% (±SD 14.1%); P = 0.74]. There was a weak positive correlation between chiropractors' self-rated knowledge and test performance scores indicating the effectiveness of this Australian chiropractic group in self-assessing their anatomy knowledge. This study found that Australian chiropractors' knowledge of MSK anatomy was retained during the transition from university to clinical practice and they accurately evaluated their own test performance.

Many medical schools practice commemorative ceremonies to honor body donors. Attitudes of medical education stakeholders toward these ceremonies have not yet been fully investigated. The aim of this study was to explore anatomy students' attitudes toward commemorations at a multicultural institution which has not introduced these ceremonies yet. A survey was carried out on different groups of anatomy students that were exposed and not yet exposed to human remains. The survey was used to record basic demographic data from the respondents, ask if they would support the establishment of an anatomy commemoration and in which format. A total of 756 anatomy students participated in the survey (response rate 69.8%). The majority (76.3%) were in favor of introducing a commemoration for donors. The associations of students' gender, attitude toward body donation, and level of exposure to human remains with attitudes toward commemoration for donors were identified (P < 0.05), whereas ethnicity and religion seemed to have no influence on attitudes (P > 0.05). Most students believed that anatomy staff and students should organize the commemoration. There was a preference for the commemoration to be secular with revealed identities of donors, and not recorded for social media. The support for the establishment of commemorations transcended cultural and religious differences and confirmed students' respectful attitude toward donors. Anatomy commemorations seem to have potential not only to engage students with one another, and donor families, but also to pave the way for students to become life-long ethical and empathetic learners and practitioners.

Objective. This study is the first to investigate the incidence of personal importation of prescription medicines among Australians aged 45 years or older, and the reasons driving this behaviour. Methods. An online survey was distributed to Australians, aged 45 years or older, who were taking prescription medicines. Recruitment was conducted via Qualtrics. The survey was completed by 1180 respondents. Results. In our sample, 1.8% of respondents had imported prescription medicines in the previous 12 months, 21.9% had not taken, or had delayed taking, a prescribed medicine due to cost, 21.9% described medicines as unaffordable/very unaffordable, and 17.7% took some budgetary measure to pay for their medicines. The most significant predictors (P < 0.001) of importation were doctors raising it as an option (1.0% vs 42.9%), awareness of the Personal Importation Scheme (0.8% vs 22.6%), believing that importing was safe (1.6% vs 20.9%), paying more than the maximum PBS co-payment for any individual medicine (0.4% vs 8.1%), higher monthly spend on medicines (1.0% vs 6%), and delaying or not taking a medicine due to cost (0.9% vs 5.0%). Almost half (44.4%) would consider importing medicines to save money. Conclusions. Potentially hundreds of thousands of Australians are importing prescription medicines from abroad, and many Australians indicate they are willing to import medicines to save money. [ABSTRACT FROM AUTHOR]

Background: Computed tomography‐guided transthoracic biopsy (CT‐TTB) is the 'gold standard' biopsy for lung nodules. Radial‐endobronchial ultrasound (R‐EBUS) bronchoscopy is another recommended biopsy but carries a lower diagnostic yield. Addition of cryobiopsy with R‐EBUS (Cryo‐Radial) has shown promising results. There are no studies comparing CT‐TTB with Cryo‐Radial biopsy. Aim: The co‐primary aims were the diagnostic yeild and safety. The secondary aim: ability to test epidermal growth factor receptor (EGFR). Methods: A randomised controlled, multicentre exploratory study was conducted at three tertiary hospitals. Patients with nodules >1 cm on CT of the chest were randomised to CT‐TTB or Cryo‐Radial. With Cryo‐Radial, patients had 1–3 cryo‐biopsies in addition to at least one R‐EBUS biopsy through the 2.6 mm guide sheath. Results: Forty‐eight patients were randomised: 22 to CT‐TTB and 26 to Cryo‐Radial. Sixteen in the CT‐TTB and 20 in the Cryo‐Radial received the allocated biopsy. The diagnostic yield was CT‐TTB 93.8% (15/16) versus Cryo‐Radial 85% (17/20) P = 0.61 and the odds ratio was 0.37. For 5/13 (38%), a diagnosis was solely made on cryobiopsy. Eleven (78%) of 14 in CT‐TTB versus 7/10 (70%) Cryo‐Radial were suitable for EGFR testing P = 0.66, with odds ratio 0.63. Pneumothorax occurrence was 44% (7/16) in CT‐TTB versus 4.2% (1/24) in Cryo‐Radial. Two (12.5%) of 16 CT‐TTB required chest drain insertion. Conclusion: Cryo‐Radial is comparable in diagnostic yield and ability to perform EGFR testing with a significantly lower risk of pneumothorax, compared with CT‐TTB. Cryo‐Radial has the additional advantage of mediastinal staging during the same procedure with Linear‐EBUS and is a promising first‐line tool in the diagnostic method of lung cancer. [ABSTRACT FROM AUTHOR]

Sound general and sports nutrition knowledge in athletes is essential for making appropriate dietary choices. Assessment of nutrition knowledge enables evaluation and tailoring of nutrition education. However, few well-validated tools are available to assess nutrition knowledge in athletes. The objective of the present study was to establish the validity of the Platform to Evaluate Athlete Knowledge Sports – Nutrition Questionnaire (PEAKS-NQ) for use in the United Kingdom and Irish (UK-I) athletes. To confirm content validity, twenty-three sports nutritionists (SNs) from elite, UK-I sports institutes provided feedback on the PEAKS-NQ via a modified Delphi method. After minor changes, the UK-I version of the PEAKS-NQ was administered to UK-I SN from the British Dietetic Association Sport and Exercise Nutrition Register, and elite athletes (EA) training at elite sports institutes in the UK and Ireland. Independent samples t-test and independent samples median tests were used to compare PEAKS-NQ total and subsection scores between EA and SN (to assess construct validity). Cronbach’s alpha (good ≥ 0⋅7) was used to establish internal consistency. The SN achieved greater overall [SN (n 23) 92⋅3 (9⋅3) v. EA (n 154): 71⋅4 (10⋅0)%; P < 0⋅001] and individual section scores (P < 0⋅001) except Section B, Identification of Food Groups (P = 0⋅07). Largest knowledge differences between SN and EA were in Section D, Applied Sports Nutrition [SN: 88⋅5 (8⋅9) v. EA: 56⋅7 (14⋅5)%; P < 0⋅00]. Overall ES was large (2⋅1), with subsections ranging from 0⋅6 to 2⋅3. Cronbach’s alpha was good (0⋅83). The PEAKS-NQ had good content and construct validity, supporting its use to assess nutrition knowledge of UK-I athletes. [ABSTRACT FROM AUTHOR]

The aim of this study is to conduct a pilot survey to determine core anatomy content for chiropractic curriculum based on the perception of chiropractors and anatomy educators involved in teaching in an Australian chiropractic program. A survey of anatomical structures previously used in a medical survey, with similar criteria for synthesizing responses, was used and classified according to whether the respondents rated an item as essential, important, acceptable, or not required in a chiropractic program. The item was scored as core if ≥60% of respondents rated it essential, recommended if 30%–59% rated it essential, not recommended if 20%–29% rated it essential, or not core if < 20% rated it essential. The respondents rated 81.6% of all musculoskeletal concepts as core and 18.4% as recommended, 88.8% of the vertebral column items as core, and 11.2% of the items as recommended, 69.4% upper limb and pectoral girdle items as core, 23.7% of items as recommended, 5.5% as not recommended and 1.3% as not core items for inclusion, 85.3% of all lower limb and pelvic girdle items as core, 14.4% as recommended and 0.3% not recommended. Chiropractors and anatomists involved in teaching in an Australian chiropractic program rated most musculoskeletal items as essential for inclusion in a chiropractic teaching program to ensure adequate preparation for safe practice and to promote alignment with the standards of anatomy education delivered into the clinical professions. [ABSTRACT FROM AUTHOR]

Anatomy is a key knowledge area in chiropractic and is formally offered in the undergraduate component of chiropractic education. There is the potential for loss of anatomy knowledge before the opportunity to apply it in a clinical setting. This study aimed to determine whether chiropractic clinicians retain a level of anatomy knowledge comparable to that of chiropractic students and to compare chiropractors' self‐rating of their anatomical knowledge against an objective knowledge assessment tool. A previously validated multiple‐choice test was utilized to measure retention of limb musculoskeletal (MSK) knowledge in Australian chiropractors. One hundred and one registered chiropractors completed the questionnaire and responses were scored, analyzed, and compared to scores attained by undergraduate and postgraduate chiropractic students who had previously completed the same questionnaire. The results indicated that practitioners retained their anatomy knowledge, with a significantly higher total mean score than the undergraduate group [total mean score = 36.5% (±SD 13.6%); P < 0.01] but not significantly different to the postgraduate group [total mean score = 52.2% (±SD 14.1%); P = 0.74]. There was a weak positive correlation between chiropractors' self‐rated knowledge and test performance scores indicating the effectiveness of this Australian chiropractic group in self‐assessing their anatomy knowledge. This study found that Australian chiropractors' knowledge of MSK anatomy was retained during the transition from university to clinical practice and they accurately evaluated their own test performance. [ABSTRACT FROM AUTHOR]

Longitudinal (panel) data provide the opportunity to examine temporal patterns of individuals, because measurements are collected on the same person at different, and often irregular, time points. The data is typically visualised using a "spaghetti plot", where a line plot is drawn for each individual. When overlaid in one plot, it can have the appearance of a bowl of spaghetti. With even a small number of subjects, these plots are too overloaded to be read easily. The interesting aspects of individual differences are lost in the noise. Longitudinal data is often modelled with a hierarchical linear model to capture the overall trends, and variation among individuals, while accounting for various levels of dependence. However, these models can be difficult to fit, and can miss unusual individual patterns. Better visual tools can help to diagnose longitudinal models, and better capture the individual experiences. This paper introduces the R package, brolgar (BRowse over Longitudinal data Graphically and Analytically in R), which provides tools to identify and summarise interesting individual patterns in longitudinal data. [ABSTRACT FROM AUTHOR]

Reliable and valid assessment of sports nutrition knowledge can inform athlete nutrition education to address knowledge gaps. This study aimed to test the reliability and validity of an electronically administered sports nutrition knowledge tool – Platform to Evaluate Athlete Knowledge of Sports Nutrition Questionnaire (PEAKS-NQ). A 94-item PEAKS-NQ was piloted to 149 developmental athletes (DA) in New Zealand, with a subset invited to complete the PEAKS-NQ again to assess reliability. Reliability was evaluated using sign test, intraclass correlation and Cronbach's α. Accredited sports dietitians (ASD; n 255) completed the PEAKS-NQ to establish construct validity via known-groups methodology and provided relevance scores to determine the scale content validity index (S-CVI). Rasch analysis was conducted to identify potentially problematic items and test reliability. Score differences between DA and ASD were analysed using independent t or non-parametric tests. DA (n 88) were 17·8 (sd 1·4) years, 61·4 % female and mostly in high school (94·3 %). ASD (n 45) were 37·8 (sd 7·6) years, 82·2 % female, with >5 years of dietetic experience (59·1 %). ASD scored higher than DA in all sections and overall (91·5 (sd 3·4) v. 67·1 (sd 10·5) %) (P < 0·001). There were no differences between retests (n 18; P = 0·14). Cronbach's α was 0·86. S-CVI indicated good content validity (0·88). Rasch analysis resulted in a fifty-item PEAKS-NQ with high item (0·91) and person (0·92) reliability. The PEAKS-NQ is reliable and valid for assessing sports nutrition knowledge which could assist practitioners effectively tailor and evaluate nutrition education. [ABSTRACT FROM AUTHOR]

This study investigated the association between general nutrition knowledge and dietary quality in a convenience sample of athletes (≥ state level) recruited from four Australian State Sport Institutes. General nutrition knowledge was measured by the validated General Nutrition Knowledge Questionnaire and diet quality by an adapted version of the Australian Recommended Food Score (A-ARFS) calculated from food frequency questionnaire data. Analysis of variance and linear modeling were used to assess relationships between variables. Data: mean (Standard Deviation). A total of 101 athletes (Males: 37; Females: 64), 18.6 (4.6) years were recruited mainly from team sports (72.0%). Females scored higher than males for both nutrition knowledge (Females: 59.9%; Males: 55.6%; p = .017) and total A-ARFS (Females: 54.2% Males: 49.4%; p = .016). There was no significant influence of age, level of education, athletic caliber or team/individual sport participation on nutrition knowledge or total A-ARFS. However, athletes engaged in previous dietetic consultation had significantly higher nutrition knowledge (61.6% vs. 56.6%; p = .034) but not total A-ARFS (53.6% vs. 52.0%; p = .466). Nutrition knowledge was weakly but positively associated with total A-ARFS (r = .261, p= .008) and A-ARFS vegetable subgroup (r = .252, p = .024) independently explaining 6.8% and 5.1% of the variance respectively. Gender independently explained 5.6% of the variance in nutrition knowledge (p = .017) and 6.7% in total A-ARFS (p = .016). Higher nutrition knowledge and female gender were weakly but positively associated with better diet quality. Given the importance of nutrition to health and optimal sports performance, intervention to improve nutrition knowledge and healthy eating is recommended, especially for young male athletes. [ABSTRACT FROM AUTHOR]

Many medical schools practice commemorative ceremonies to honor body donors. Attitudes of medical education stakeholders toward these ceremonies have not yet been fully investigated. The aim of this study was to explore anatomy students' attitudes toward commemorations at a multicultural institution which has not introduced these ceremonies yet. A survey was carried out on different groups of anatomy students that were exposed and not yet exposed to human remains. The survey was used to record basic demographic data from the respondents, ask if they would support the establishment of an anatomy commemoration and in which format. A total of 756 anatomy students participated in the survey (response rate 69.8%). The majority (76.3%) were in favor of introducing a commemoration for donors. The associations of students' gender, attitude toward body donation, and level of exposure to human remains with attitudes toward commemoration for donors were identified (P < 0.05), whereas ethnicity and religion seemed to have no influence on attitudes (P > 0.05). Most students believed that anatomy staff and students should organize the commemoration. There was a preference for the commemoration to be secular with revealed identities of donors, and not recorded for social media. The support for the establishment of commemorations transcended cultural and religious differences and confirmed students' respectful attitude toward donors. Anatomy commemorations seem to have potential not only to engage students with one another, and donor families, but also to pave the way for students to become life‐long ethical and empathetic learners and practitioners. [ABSTRACT FROM AUTHOR]

The primary aim of this current study was to compare the role, importance and value placed on music by families with normally hearing (NH) children, to those who had a child with a hearing loss (HL) who wore either hearing aids and/or cochlear implants. A secondary aim was to see whether this differed between the countries. Parents of children aged 2–6 years living in Australia, Finland, and the United Kingdom were invited to complete the Role of Music in Families Questionnaire (RMFQ). Two groups of participants were recruited from each country: (i) parents of NH children, and (ii) parents of children with a HL. The RMFQ had seven subsections covering topics such as music participation, attitudes to music, importance of music in the family, and future perspectives on music. Three hundred and twenty-two families of NH children, and 56 families of children with HL completed the questionnaire (Australia: 50 NH, 25 HL; Finland: 242 NH, 21 HL; United Kingdom: 30 NH, 10 HL). Analyses compared between NH and HL groups within each country, and between the three countries for the NH group, and the HL group, independently. Overall, there were few significant differences between the participation levels, role, or importance of music in families with NH children compared to those with a child who had a HL, regardless of whether the families lived in Australia, Finland or the United Kingdom. Children first started to respond to music at similar ages, and overall music participation frequency, and music enjoyment were relatively similar. The importance of music in the family was also similar between the NH and HL groups. In comparing between the countries, Finnish children had a tendency to have higher participation rates in musical activities, with few other differences noted. Overall, the results of this study indicate that children, regardless of hearing levels or country of residence, have similar levels of music engagement and enjoyment, and HL is not seen as a contraindication to music participation and involvement by the parents involved in this study. [ABSTRACT FROM AUTHOR]

Introduction: Military personnel are reported to use more dietary supplements (DS) than the general population. However, a comprehensive investigation of DS use in Australian Army personnel has not been conducted. This study investigated the prevalence and types of DS used by Australian Army personnel and examined the underpinning reasons and demographic factors influencing this use.Materials and Methods: A Convenience sample of Australian Army personnel from both Headquarter (desk-based) and Brigade (field-based) environments completed a researcher-designed DS questionnaire. The questionnaire examined 19 types of DS (including sports foods) and reasons for use. Logistic regression, adjusting for age, sex, education, physical activity, BMI, and occupational group were performed.Results: A total of 667 personnel completed the questionnaire. Overall, 74.5% of personnel reported using ≥1 DS/day, with ~26% reporting use of ≥5 types of DS at least once/week. The most common DS used daily were caffeine (48.4%), vitamin and mineral supplements (34.8%), protein powders (27.9%), creatine (13.3%), and amino acids (13.2%). Reasons for use in descending order were "to provide energy," "performance," "general health," "I like it," "muscle gain," "hydration," "endurance," "convenience," and "weight loss." Using ≥5 DS/week was associated with a higher level of education (p = 0.034), physical activity >10 h/week (p < 0.0005) and having an occupation as a physical training instructor (p = 0.040).Conclusion: If military personnel choose to utilize DS, it is important they are used in a safe, legal and effective manner. Education and up to date guidance on the rapidly evolving range of DS available are therefore necessary. [ABSTRACT FROM AUTHOR]

Introduction: Military personnel require a high standard of health, nutrition, and physical fitness to perform their duties at optimal capacity. This study assessed the barriers and enablers for healthy eating in Australian Army (AA) personnel and identified their level of interest for future nutrition support.Methods: A convenience sample of AA completed a researcher-designed questionnaire assessing dietary, shopping and cooking practices, attitudes towards nutrition, barriers and enablers to healthy eating, and interest in future nutrition initiatives. Chi-square, logistic regression, and general linear models were used to evaluate associations between military roles, sex, and age. Data are reported as proportions (%) or mean ± SD.Results: Participants (n = 667; 91% male; 29.7 ± 9.2 years) reported lack of time (32.7%), motivation (23.7%), ease of access to take away foods (20.8%) and frequent field deployment (16.3%) as main factors challenging healthy eating. Approximately half (58.2%) of the sample reported receiving nutrition education during their military career. Key factors enabling healthy eating included the desire to improve health, physique (reduce fat and/or increase lean mass) and enhance job performance. Regarding interest in future nutrition initiatives, >50% of participants requested assistance to improve physique, general health, sports/physical performance, and dietary supplements as key elements. Face to face (60.3%) and electronic (Internet/smartphone) approaches (52.6%) to nutrition education were most popular.Conclusion: Time, motivation, deployment, and ready access to take away food challenged healthy eating in this AA sample. However, participants were keen to engage with nutrition education for physique improvement, military readiness, and health reasons. [ABSTRACT FROM AUTHOR]

Iron is an essential micronutrient for human health and inadequate intake may result in iron deficiency (ID) or iron deficiency anaemia (IDA). Unlike other recent studies investigating iron status in young women, this cross-sectional study analysed dietary intake and biochemical data from healthy young (18-35 years) women (n = 299) to determine the association between both haem iron (HI) and non-haem iron (NHI) intakes and serum ferritin (SF). Dietary restraint and possible inflammation secondary to obesity were also measured and accounted for, and energy intake was adjusted for using the residuals method. Independent samples t-tests and chi-squared tests were performed, and factors found to be significantly different between iron replete (IR) and ID/IDA participants were analysed using general linear modelling. ID/IDA participants consumed significantly lower total energy than iron replete (IR) (p = 0.003). Lower energy intake was also associated with higher levels of dietary restraint (p = 0.001). Both HI and NHI were positively associated with SF with HI was found to be a stronger predictor (β = 0.128, p = 0.009) than NHI (β = 0.037, p = 0.028). The study demonstrates that intake of both HI and NHI, as well as adequate dietary energy, are associated with normal iron status levels in young women, and that restrained eaters may be at greater risk of low iron status. [ABSTRACT FROM AUTHOR]

This article introduces a novel non parametric penalized likelihood hazard estimation when the censoring time is dependent on the failure time for each subject under observation. More specifically, we model this dependence using a copula, and the method of maximum penalized likelihood (MPL) is adopted to estimate the hazard function. We do not consider covariates in this article. The non negatively constrained MPL hazard estimation is obtained using a multiplicative iterative algorithm. The consistency results and the asymptotic properties of the proposed hazard estimator are derived. The simulation studies show that our MPL estimator under dependent censoring with an assumed copula model provides a better accuracy than the MPL estimator under independent censoring if the sign of dependence is correctly specified in the copula function. The proposed method is applied to a real dataset, with a sensitivity analysis performed over various values of correlation between failure and censoring times. [ABSTRACT FROM PUBLISHER]

Objective: Anatomy plays a key role in health professionals' education. The aim of this study was to analyze the anatomy curricula within Australian and New Zealand osteopathic programmes. Methods: A survey was distributed to all osteopathic programmes. Data on programme structure, delivery methods, assessment, resources, teaching academic profiles, and staff to student ratios were collected in 2020. This study was approved by the Macquarie Human Ethics Research Committee. Results: All four osteopathic programmes participated in this study. The mean number of total contact hours in anatomy was 203.1 (SD±59.0). The anatomy teaching staff to student ratio varied between 1:17 to 1:35. All programmes employed a regional-based approach to anatomy content delivery with a variety of resources including cadavers, plastic models, interactive software, and medical images. The high proportion of clinically qualified academic staff involved in the delivery of anatomy education and relatively low staff to student ratios compare favorably with those in medical education. Despite the challenges posed by the Covid-19 pandemic, the delivery of anatomy within osteopathic programmes were placed online with minimal interruptions, while complying with all accreditation requirements. Conclusion: Anatomy holds an important position in osteopathic education within Australia and New Zealand and compares favorably with anatomy education within other health disciplines such as physiotherapy and chiropractic. This study adds to the understanding of the status of anatomy within osteopathic education in Australia and New Zealand. Currently, Australia has no national guidelines for the teaching of anatomy in osteopathic education, further research is required on a core anatomy syllabus. [ABSTRACT FROM AUTHOR]

Muscle dysmorphia (MD) is characterized by the pathological pursuit of muscularity and leanness, which includes eating- and exercise-related practices. The aim of this cross-sectional study was to identify correlations of MD symptomatology in natural bodybuilders. An online survey assessing diet, supplementation and training practices, and MD and eating disorder symptoms was completed by male bodybuilders with recent experience competing in a drug-tested competition. Sixty participants (age 29.6 ± 7.1 years) completed the survey. Eating disorder scores ( β = .298), rate of pre-competition weight loss ( β = .307) and number of competitions ( β = −.257) were significant predictors of MD. The association between the EAT-26 and MDDI underscores the salience of disordered eating pathology in presentations of MD. Supporting this, greater rate of pre-competition weight loss, which may reflect disordered eating practices, is also associated with MD symptomatology. The inverse association of competition experience suggests novice bodybuilders may display increased MD symptomatology. [ABSTRACT FROM AUTHOR]

Aim: This pilot study aimed to evaluate the food label literacy component of an electronic‐Nutrition Literacy Tool (e‐NutLiT) designed to assess nutrition literacy in adult Australians, and explore the influence of demographic factors. Methods: Obese participants (OP) from an Australian obesity clinic and a criterion group of dietetic students (DS) from two Australian dietetic programs were recruited to complete the e‐NutLit; OP also completed the ‘Newest Vital Sign’ (NVS), a health literacy screening tool. Construct validity was assessed by comparing scores from the two groups. Associations between demographic factors and e‐NutLit scores were also explored. Results: Sixty‐one participants (OP: n = 32; DS: n = 29) completed the study. The total e‐NutLit scores for OP was significantly lower than that of DS (71.9 ± 17.9%; 94.5 ± 5.6%, respectively: P = 0.01). Items requiring calculation of nutrient intake from the nutrition information panel (NIP) and interpreting endorsement logos were the worst performing sections on the e‐NutLit in both OP (35.9%; 71.9%) and DS (86.2%; 75.8%). Adequate health literacy, indicated by an NVS ≥ 4, was strongly associated with higher scores on the e‐NutLit in OP (P = 0.01). Level of education (≤year 10) and lack of engagement in food shopping were significantly associated with poorer competency on the e‐NutLit (P < 0.05). Conclusions: Comparison of scores indicated that construct validity was established on most items for participants with lower literacy. The e‐NutLit identified specific weaknesses, such as nutrient calculations and interpretation of endorsement logos. This pilot study will help inform further development of the e‐NutLit. [ABSTRACT FROM AUTHOR]

A balanced diet informed by sound nutrition knowledge is key for operational readiness and the health of military personnel. Unfortunately, research suggests that military personnel have inadequate dietary intakes. This study assessed general nutrition knowledge, diet quality and their association in Australian military personnel. A convenience sample of male military personnel (n 211) including Army soldiers and officers completed a validated general nutrition knowledge questionnaire (GNKQ) and FFQ. The GNKQ assessed knowledge of dietary guidelines (Section A), sources of nutrients (Section B), choosing everyday foods (Section C) and diet-disease relationships (Section D). The Australian Recommended Food Score (ARFS) was used to assess diet quality from FFQ data. Statistical analyses included the χ² test, Spearman's correlation test, t test, median test, ANCOVA and ordinal logistic regression. The mean total GNKQ score was 52⋅7 %. Participants performed best on Section A (58⋅5 %) followed by Sections B (57⋅3%) and C (57⋅0%) and worst on Section D (31⋅0 %). Overall, officers scored significantly higher than soldiers (58⋅7 v. 51⋅9%, P = 0⋅001). Age was weakly but positively correlated with GNKQ total scores (r 0⋅307; P < 0⋅0005), with no significant effects seen for level of education (P = 0⋅463) or living arrangement (P = 0⋅167). Overall ARFS was 37⋅6 (SD 7⋅7) (50⋅8%) with officers scoring significantly higher than soldiers (54⋅7 v. 50⋅3%, P = 0⋅040). No demographic variables influenced total ARFS. The total GNKQ score had a significant, positive but weak relationship with total ARFS (r 0⋅179; P = 0⋅009). Given the importance of nutrition to personnel health and operational readiness, initiatives to improve nutrition knowledge and diet quality are recommended in this population, especially in soldiers. [ABSTRACT FROM AUTHOR]

The aim of the present study was to investigate and benchmark the level of general nutrition knowledge in elite Australian athletes (EA) against a similar aged community (CM) and criterion sample with dietetic training (DT). EA (n 175), CM (n 116) and DT (n 53) completed the General Nutrition Knowledge Questionnaire (GNKQ), which assesses four domains (sections A–D) of general nutrition knowledge (section A: dietary guidelines; section B: sources of nutrients; section C: choosing everyday foods; section D: diet–disease relationships). Age, sex and education level were collected in all groups, and athletic calibre and sport type (team or individual) in EA. Dietitians and nutrition scientists (n 53) re-examined the GNKQ for content validity, resulting in instrument revision (R-GNKQ; ninety-six items). Psychometric assessment (internal consistency: Cronbach-α; test–retest: Spearman rank correlation) was performed in a sub-sample (n 28). Independent t tests, ANOVA and ANCOVA (χ2 for categorical variables) were used to assess between-group differences. DT scored higher than EA and CM in all sub-sections and overall (P < 0·005). EA scored lower than CM in GNKQ for section B (P < 0·005) and overall (P < 0·005), and in R-GNKQ for section B (P < 0·005), section C (P < 0·005), section D (P = 0·006) and overall (P < 0·005). Overall score was influenced by age (P = 0·036 for GNKQ: P = 0·053 for R-GNKQ), sex (P = 0·016 for GNKQ: P = 0·003 for R-GNKQ) and athletic calibre (P = 0·029 for R-GNKQ only), but not level of education, living situation or ethnicity. EA and CM performed best on section A and worst on D. EA had lower overall general knowledge scores than CM. This was significantly influenced by age and sex. [ABSTRACT FROM PUBLISHER]

The Bird Island in Algoa Bay supports a breeding colony of South African (Cape) fur seals, Arctocephalus pusillus pusillus (n = 1000–3000) on Black Rocks which is the easternmost extreme of their breeding range and so it is likely to be the most environmentally marginal of the existing fur seal colonies. Conditions on Bird Island for seal pups are not as benign as they might first appear, particularly with regard to air temperatures. Climatic conditions on Bird Island were recorded in 1993–1995 and are compared to the conditions at Port Elizabeth Airport 63 km W-SW from the Bird Islands. Daily maximum and minimum temperatures, sea surface temperatures (SSTs) and rainfall were compared to concurrent Port Elizabeth data. Wind speeds and directions and sea swell heights at Bird Island were also recorded. Air temperatures ranged from 9°C to 33°C, SSTs ranged from 12°C to 23°C, total annual rainfall was ≈ 600 mm and there were typically relatively strong winds (13–15 knots/7–8 m s− 1) predominantly W-SW and E-NE. Intermittent periods of calm hot weather during summer pupping season would lead to potentially lethal hyperthermia (heat stroke). In 1993–1995, about 50% of summer days were potentially lethal to seal pups in the open by hyperthermia if the wind speed is near zero. Eddying of the Agulhas Current and strong winds leads to irregular favourable small-scale upwelling events, but incursions of warm water in hot still weather occurred in January–March 1993 and November–December 1993 and likely lead to starvation of some pups as well as endangering seal pups by hyperthermia. Detailed climate data are usually not available for seal colony sites, but we found good correlations between the offshore Bird Islands and climate data collected from the nearest permanent weather station (Port Elizabeth Airport) making it possible to infer long-term changes in conditions on Bird Island based upon Port Elizabeth data. We show that modest (2°C) increases in average summer temperatures would greatly increase the number of potentially lethal hot days. [ABSTRACT FROM AUTHOR]

This paper addresses the development of a new algorithm for parameter estimation of ordinary differential equations. Here, we show that (1) the simultaneous approach combined with orthogonal cyclic reduction can be used to reduce the estimation problem to an optimization problem subject to a fixed number of equality constraints without the need for structural information to devise a stable embedding in the case of non-trivial dichotomy and (2) the Newton approximation of the Hessian information of the Lagrangian function of the estimation problem should be used in cases where hypothesized models are incorrect or only a limited amount of sample data is available. A new algorithm is proposed which includes the use of the sequential quadratic programming (SQP) Gauss–Newton approximation but also encompasses the SQP Newton approximation along with tests of when to use this approximation. This composite approach relaxes the restrictions on the SQP Gauss–Newton approximation that the hypothesized model should be correct and the sample data set large enough. This new algorithm has been tested on two standard problems. [ABSTRACT FROM PUBLISHER]

This article discusses three statistical laboratories - on descriptive statistics, statistical inference and regression - for introductory statistics courses. They are presented in Minitab, SPSS (Statistical Pack-age for the Social Sciences) and Excel, three pack-ages widely used in statistics education, and are available from the Web. [ABSTRACT FROM AUTHOR]

The square-root fixed-interval discrete-time smoother has been used extensively in discrete recursive estimation since it was first developed by Rauch, Tung and Streibel [10]. Various people, for example Bierman [2], [3], have recognized the inherent instability in employing this kind of smoother in its original form; they have investigated implementing the recursion more stably. Bierman's paper [3] is one such contribution. In this paper we plan to present a more comprehensive development of Bierman's approach, and to show that this algorithm can be implemented more stably as a square-root smoother. Throughout this paper the fixed-interval discrete-time smoother will be referred to as the RTS smoother. Numerical results are given for the usual form of the RTS smoother, Bierman's algorithm and our square-root formulation of his algorithm. These confirm that the square-root formulation is more desirable than Bierman's algorithm, which performs better than the usual implementation of the RTS smoother. [ABSTRACT FROM PUBLISHER]

We consider a generalisation of the stochastic formulation of smoothing splines, and discuss the smoothness properties of the resulting conditional expectation (generalised smoothing spline), and the sensitivity of the numerical algorithms. One application is to the calculation of smoothing splines with less than the usual order of continuity at the data points. [ABSTRACT FROM PUBLISHER]

Recently, considerable interest has been shown in the connection between smoothing splines and a particular class of stochastic processes. Here the connection with an equivalent class of least squares problems is used to develop algorithms, and properties of the solution are examined. We give an estimate of the condition number of the solution process and compare this with an estimate for the condition number of the Reinsch algorithm in its conventional implementation. [ABSTRACT FROM PUBLISHER]

Inconsistent findings from observational studies have continued the controversy over the effects of glycemic index (GI), glycemic load (GL) and the risk of developing diabetes. Our aim was to systematically evaluate the association between glycemic index (GI), glycemic load (GL) and diabetes risk. Medline, EMBASE, CINAHL and the Cochrane Library databases were searched for the period Jan 1981 -August 2006. From 7 prospective cohort studies identified, 297,317 men and women were followed up for 4 to 9 years. Relative risks were estimated with the Cox proportional hazards model and were subsequently pooled using a random effects model. A total of 5,891 incident cases of diabetes were identified. For comparison between highest versus lowest quantile of GI (High GI median = 59; Low GI median = 45; glucose = 100) and GL (High GL median = 134; Low GL median = 85), a significant positive association was found in fully-adjusted models (GI RR=I.20, 95% Confidence Interval (CI), 1.04-1.38; GL RR=1.16, 95% CI, 1.01-1.34). The association increased when the 3 studies that had poor validity (correlation between Food Frequency Questionnaire and other dietary assessment method <0.5) were excluded from the analysis, leaving a total of 3,302 cases out of 249,078 people (GI RR=1.39, 95% CI, 1.23-1.57; GL RR=1.36, 95% CI, 1.17-1.58). These associations are greater than those observed for wholegrains and diabetes risk. This meta-analysis suggests that there is a positive relationship between glycemic index, glycemic load and the risk of developing diabetes. [ABSTRACT FROM AUTHOR]