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Discusses research recently carried out by Delyn BC and the Audit Commission in its search for performance indicators for the environmental health food safety function, and how this can facilitate improved analysis of “Hazard” and “Risk Management” performance in food premises. Analysis has been made of risk assessment scores from 8,000 food premises inspections carried out by Environmental Health Officers from varying LAs, which have been transferred into a computerized database, located at Delyn BC. Interpretation and observation of the results and illustrations has revealed some fascinating similarities between the LA data presented. Implementation of these proposals could provide more uniform risk analysis and enhanced enforcement standards in food premises, leading to improved food safety by enabling the more accurate focusing of resources and efforts to where they are most needed and effective.

To describe orthopaedic surgical site infection (SSI) surveillance models at two English pilot sites, and to review their effectiveness and integration into clinical governance.

The different organisational models for orthopaedic SSI at two Trusts were examined and assessed.

Both sites recognised that regular feedback to clinical staff and clinical ownership are important determinants of success, and this was addressed by both models. Each site appointed a surveillance coordinator within the infection control service to oversee the programme, but tasked data collection to different staff groups directly involved with the care of orthopaedic patients. Feedback programmes to Clinical Governance Committees, clinical staff and managers were developed, reinforcing surveillance of SSI as a core component of surgical risk management and quality assurance, and an integral part of clinical governance. The pilots demonstrated the importance of a dedicated surveillance coordinator.

Infection following joint replacement surgery is associated with high morbidity and financial costs. In 2004 surveillance of orthopaedic SSI became mandatory in England. A description and assessment of these pilot sites will be of practical value to Trusts that must now implement SSI surveillance.

SSI surveillance is a corner‐stone of risk management and quality clinical care, yet little has been published on organisational frameworks needed for implementation, particularly in the context of clinical governance. This paper addresses these issues in describing and assessing the models at two English pilot sites.

To develop an overview of generalized scales based on pansystems‐relative quantification.

This is a discussion paper exploring the key issues surrounding generalized measures.

The concrete contents of the study include generalized measure views, dimension theory, concepts, logic, theories, Einstein's relativity, quality‐quantity‐degree, methodology of physics, theorems in pansystems mathematics and physics explained within the framework of pan‐scale transformations.

Provides an overview of generalized scales based on pansystems‐relative quantification.

The purpose of this review was to highlight the association between ID and obesity in toddlers and preschool children.

This review aimed to review and evaluate literature of the published research discussing the relationship between ID and overweight and obesity in children under the age of 5 years. Conflicting results of iron status in overweight and obese children under the age of 5 years had been found. However, most articles concluded that ID is associated significantly with overweight and obesity in children because of the systemic inflammatory reaction which is considered the major cause of ID; hepcidin with its resultant effect in decreasing duodenal absorption of iron; in addition to other causes including dietary and genetic factors.

Conflicting results of iron status in overweight and obese children under the age of 5 years had been found, but most articles concluded that ID is associated significantly with overweight and obesity in children, with systemic inflammatory reaction being the major cause through hepcidin with its resultant effect in decreased duodenal absorption of iron, in addition to other causes including dietary and genetic factors.

Many nutrients have been associated with weight gain and ID development. Unbalanced diet either in excess or shortage may affect weight status and serum iron profile. Future research is needed to study more in depth the association between ID and obesity in toddlers and preschool children and to further explore the various factors involved in pathogenesis of ID.