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Dietary guidelines consistently advocate the reduction of fat in the diet and the food industry has responded by introducing a vast range of reduced fat foods on to the market. However, reduced fat diets are difficult for people to maintain. Nutrition education is at a critical crossroads, such that consumers have received the message to reduce fat in the diet, but are unable or unwilling to comply with this information so that overall health status can be improved. Better understanding of the factors that influence fat intake will help to explain why dietary change is so difficult to sustain. Sensory studies and focus group discussions were conducted with consumers to assess their perceptions, acceptance and preferences for reduced fat products. The results implied that consumers associate reduced fat foods with inferior sensory properties and perceive them with a degree of scepticism and mistrust.

The benefits of green space and nature are increasingly recognized and translated into public health policy and practice. Alongside this trend, inclusion of all people into parks and nature has been an important area of parks and recreation practice. Nature inclusion for those with disabilities, youth, seniors and immigrants has become a focus of Alberta Parks in collaboration with the Ministry of Tourism Parks and Recreation in Western Canada. This study was designed to examine the experiences of participants in two such government-supported inclusive nature activities, including day trips and more extensive week-end or week-long nature experiences for adults with disabilities and caregivers.

Two phases of qualitative data collection occurred as part of a pilot project. The first phase was comprised of eight semi-structured interviews (four adults with cognitive, developmental, emotional/mental health or physical disabilities and four caregivers). In a second phase 27 participants (also adults with a range of disabilities and paid, voluntary or family caregivers) engaged in a semi-structured reflective writing process during the existing nature activities (day trip, week-end or week-long inclusive nature experiences).

This is one of the first studies in the field to embrace the benefits of adopting both a human capabilities approach, emphasizing that human diversity is fundamental to equality and development, and an ecopsychological view, with a concern for individual perspectives and well-being as fundamentally interconnected to the environment.

Three dominant qualitative themes of inclusive nature experiences emerged: ‘Sensory Activation’, ‘Reimagined Social Relations’ and ‘Reinvented Self’. Inclusion in nature for both caregivers and adults with disabilities holds promise as an activity that can support mental well-being through a reimagining and equalizing of relationships and one’s experience of self in the physical environment.

Such evidence is important for decision-making and programme development among collaborative partners, including not-for profit disability-related recreation organizations and both public health and parks departments of government. In particular, the findings highlight areas for further activity development targeting those with sensory impairment and relationship disharmony.

The following annotated bibliography of materials on orienting users to the library and on instructing them in the use of reference and other resources covers publications from 1980. Several items from 1979 were included because information about them had not been available in time for the 1980 listing. Some entries were not annotated because the compiler was unable to secure a copy of the item.

Reviews the main food choice trends driving consumer demand for functional foods and the constraints limiting market development. Considers previous research activity in the functional food arena and subsequently identifies paramount research priorities that may facilitate the development of products that will help satisfy consumer demands for convenience, health and sensory pleasure.

Aarhus Kommunes Biblioteker (Teknisk Bibliotek), Ingerslevs Plads 7, Aarhus, Denmark. Representative: V. NEDERGAARD PEDERSEN (Librarian).

The purpose of this research is to establish whether the meals provided by the prison service enable prisoners to follow government guidelines on nutrition and healthy eating, and the extent to which they do so.

A total of eight prisons, four male (category A, B and C), two female and two young offenders' institutes were randomly identified and visited. Data collection involved taking three days of cyclical menus, the institution's recipes and methods and standard or average portion sizes to calculate the mean nutrient composition of standard, healthy, vegetarian/vegan and Halal menus. Menus were also analysed to establish how well they conformed to the “Balance of Good Health”.

Results show that, with the exception of some nutrients, prisoners have access to and are able to choose a nutritionally balanced diet and in the main do so. All prisons have attempted to make available menus that conform to the Balance of Good Health model; however, in some cases, choice is hampered, primarily because menus have not been annotated accurately; some dishes are not always as healthy as they might or could be; and prisoners in most cases do not actually understand what constitutes a healthy balanced diet.

There is a paucity of data on prison food service and as such this original work adds to the body of knowledge in the field.

Business process redesign (BPR) is used to implement organizational transformations towards more customer‐focused and cost‐effective care. Ideally, these innovations should be carefully described and evaluated so that “best practices” can be re‐applied. To investigate this, available evidence was collected on patient care redesign projects.

The Ebsco Business Source Premier, Embase and Medline databases were searched. Studies on innovations related to re‐engineering patient care that used before‐after design as minimum prerequisites were selected. General characteristics, logistic parameters and other outcome measures to determine the objectives and results and interventions used were looked at.

A total of 86 studies that conformed to the criteria were found: a minority mentioned measurable parameters in their objectives. In the majority of studies, multiple interventions were combined within single studies, making it impossible to compare the effects of individual interventions. Only three randomized controlled trials were found. Furthermore, inconsistencies were noted between the study objectives and the reported results. Many more issues were reported in the results than were mentioned in the study aims. It would appear that publications were hard to find owing to a lack of specific MeSH headings. Nearly 7,500 abstracts were scanned and from these it was concluded that clear and univocal research methods, terms and reporting guidelines are advisable and must be developed in order to learn and benefit from BPR innovations in health care organizations.

This appears to be the first time available evidence about redesign projects in hospitals has been systematically collected and assessed.