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Obesity and associated health risks are significant problems in the psychiatric population. This study measured the impact of increases in state benefits on patients' expenditure on foodstuff and consequent increase in calorie consumption. Data were obtained on increases in state benefits and stock levels of foodstuff ordered by the patients' shop and snack bar before and after the increase in benefits. Calorie levels of the extra stock were calculated. The results indicate that changes in state benefits led to increased expenditure by patients' on foodstuff and a significant increase in calorie provision.

The aim of this study was to evaluate the results of 14 cohorts of patients recruited into an integrated weight management and fitness programme in a high secure psychiatric hospital.

Body measurements and fitness parameters were measured before commencement and after completion of the programme.

Of the 206 patients recruited for the first time to one of 14 programmes, 120 (58 per cent) patients completed their programme, of these 76/120 (63 per cent) lost weight with a mean weight loss of 1.3 kg (sd 3.7). Statistically significant improvements were recorded for hand strength (p<0.005), flexibility (p<0.0001), peak expiratory flow (p<0.0001) and aerobic capacity (p<0.0001). There were no significant changes in systolic blood pressure and resting heart rate, although there was a significant decrease in diastolic blood pressure (p<0.05).

It was not possible to undertake an economic analysis. Motivation to lose weight was not assessed. Data were not available on the hours of staff time taken to deliver the programmes and whether patients were smokers or not.

These programmes complied with NICE guidance for weight management. This service evaluation demonstrates the effectiveness of these specially designed weight management and fitness interventions for patients with complex mental health needs. They could be used in conditions of lesser security and in the community with patients with complex mental health needs.

This is a follow‐up study with significantly more data than presented in an earlier paper which reported on the results of only the first four programmes.

This scholarly work aims to investigate the business career of Alfred J. Kohlberg, an American importer of hand-embroidered handkerchiefs in 1922-1957.

This paper uses archival resources from the National Archives, the Herbert Hoover Presidential Library, the Hoover Institution Archives, the Federal Bureau of Investigation, Custom Courts records, Japanese Government records and other government documents.

Scholars have focused on how Kohlberg’s political activities paved the way for McCarthyism. The sources of his vast wealth have not received attention. Kohlberg parlayed a 1922 trip to Asia into a highly lucrative importing business specializing in Chinese napery. By 1930, he mostly imported hand-embroidered handkerchiefs for sale in upscale American department stores. He employed as many 12,000 people in his Shantou godown and contracted for the employment of at least 100,000 embroiderers and perhaps many hundreds of thousands more. Despite American Government policy and the wishes of other importers, Japanese occupation authority documents show that Kohlberg negotiated a bribe to keep the port open. This paper concludes that Kohlberg’s business reflected traditional Chinese business organization. While he stressed his patriotic activities during the Second World War, Kohlberg promoted his business interest over the national interest. Finally, the Chaoshan Region prospered by providing the modern world with traditional hand-produced goods.

This work explains how the Chaoshan Region functioned in the global economy. It calls for a deeper examination of this entire industry in China and around the world.

This work uses documents from multiple archives, including Japan and the USA. It also includes declassified documents from the Federal Bureau Investigation. This work constitutes a template for international business history.