‘Surgery is my only hope’:A qualitative study exploring perceptions of living with obesity and the prospect of having bariatric surgery

Summary: The health benefits of bariatric surgery are well documented; however, the occurrence of weight‐regain after surgery, along with the development of mental health difficulties poses a question of how contemporary psychology could assist to prepare people living with obesity prior to undergoing bariatric surgery. This research explored individuals' (in the immediate pre‐operative and post‐operative population) attitudes, beliefs and experiences towards obesity and their journey to bariatric surgery. Seventeen adult participants (males n = 4; age range: 26–64 years) were recruited and participated in a semi‐structured interview. Twelve individuals participated prior to undergoing bariatric surgery. Five individuals participated in the early post‐operative period

Analysis of Fcγ receptor haplotypes in rheumatoid arthritis: FCGR3A remains a major susceptibility gene at this locus, with an additional contribution from FCGR3B

The Fcγ receptors play important roles in the initiation and regulation of many immunological and inflammatory processes, and genetic variants (FCGR) have been associated with numerous autoimmune and infectious diseases. The data in rheumatoid arthritis (RA) are conflicting and we previously demonstrated an association between FCGR3A and RA. In view of the close molecular proximity with FCGR2A, FCGR2B and FCGR3B, additional polymorphisms within these genes and FCGR haplotypes were examined to refine the extent of association with RA. Biallelic polymorphisms in FCGR2A, FCGR2B and FCGR3B were examined for association with RA in two well characterized UK Caucasian and North Indian/Pakistani cohorts, in which FCGR3A genotyping had previously been undertaken. Haplotype frequencies and linkage disequilibrium were estimated across the FCGR locus and a model-free analysis was performed to determine association with RA. This was followed by regression analysis, allowing for phase uncertainty, to identify the particular haplotype(s) that influences disease risk. Our results reveal that FCGR2A, FCGR2B and FCGR3B were not associated with RA. The haplotype with the strongest association with RA susceptibility was the FCGR3A–FCGR3B 158V-NA2 haplotype (odds ratio 3.18, 95% confidence interval 1.13–8.92 [P = 0.03] for homozygotes compared with all genotypes). The association was stronger in the presence of nodules (odds ratio 5.03, 95% confidence interval 1.44–17.56; P = 0.01). This haplotype was also more common in North Indian/Pakistani RA patients than in control individuals, but not significantly so. Logistic regression analyses suggested that FCGR3A remained the most significant gene at this locus. The increased association with an FCGR3A–FCGR3B haplotype suggests that other polymorphic variants within FCGR3A or FCGR3B, or in linkage disequilibrium with this haplotype, may additionally contribute to disease pathogenesis

Report on the State of Alternative Energy in the Arctic

This report provides a contemporary snapshot of domestic energy usage in Canada’s Arctic (spanning Yukon in the west to Nunatsiavut in the east) with a focus on how Northern jurisdictions meet their electricity and space heating needs. Specifically, the research team investigated the role of alternative energy options, including the governance, policies and financial analysis of these sectors. The team also examined the emerging field of energy conservation and efficiency measures, which have featured prominently in recent years. The report also examines eight case studies from across Canada’s Arctic regions, which represent a cross-section of northern alternative energy and energy efficiency technologies, including both public and privately-driven projects. Each case study includes a project description, objectives and drivers, the role of policy, and a description of barriers, outcomes, success factors and lessons learned. The case studies are divided into five operational case studies, describing projects already constructed and producing renewable heat or power, or reducing demand-side energy loss, and three forward-looking case studies, representing projects still under active development. The report concludes with suggested areas for research and policy recommendations regarding energy system planning, financial policy, and education, engagement and collaboration, in the Canadian Arctic context. KEYWORDS Alternative Energy; Arctic; Energy Provision; Energy Policy

Azimuthal C/O variations in a planet-forming disk

The elemental carbon-to-oxygen ratio (C/O) in the atmosphere of a giant planet is a promising diagnostic of that planet’s formation history in a protoplanetary disk. Alongside efforts in the exoplanet community to measure the C/O ratio in planetary atmospheres, observational and theoretical studies of disks are increasingly focused on understanding how the gas-phase C/O ratio varies both with radial location and between disks. This is mostly tied to the icelines of major volatile carriers such as CO and H2O. Using ALMA observations of CS and SO, we have found evidence for an entirely unexpected type of C/O variation in the protoplanetary disk around HD 100546: an azimuthal variation from a typical, oxygen-dominated ratio (C/O ≈ 0.5) to a carbon-dominated ratio (C/O ≳ 1.0). We show that the spatial distribution and peculiar line kinematics of both CS and SO molecules can be well explained by azimuthal variations in the C/O ratio. We propose a shadowing mechanism that could lead to such a chemical dichotomy. Our results imply that tracing the formation history of giant exoplanets using their atmospheric C/O ratios will need to take into account time-dependent azimuthal C/O variations in a planet’s accretion zone

Nansen-bottle stations at the Woods Hole Oceanographic Institution

Author Posting. © Elsevier B.V., 2007. This is the author's version of the work. It is posted here by permission of Elsevier B.V. for personal use, not for redistribution. The definitive version was published in Deep Sea Research Part I: Oceanographic Research Papers 55 (2008): 379-395, doi:10.1016/j.dsr.2007.10.003.Nansen-bottle stations were occupied by ships and personnel of the Woods Hole Oceanographic Institution from 1931 to about 1981. Most of these data are in archives, but using them intelligently to depict the state of the ocean and to assess time changes in it requires knowing how the observations were made, what accuracies can be assigned to them, and generally how to approach them. This report describes the evolving methods on Woods Hole stations for measuring temperature, depth of observation, salinity, and dissolved-oxygen concentration, and for determining station position. Accuracies generally improved over time, although estimates from the early years are sparse, and even later there is indefiniteness. Analytical error is to be distinguished from sloppy sample collection and blunders. The routine for carrying out Nansen-bottle stations, from the 1950s through the 1970s, is reviewed

Time spent with cats is never wasted: Lessons learned from feline acromegalic cardiomyopathy, a naturally occurring animal model of the human disease

<div><p>Background</p><p>In humans, acromegaly due to a pituitary somatotrophic adenoma is a recognized cause of increased left ventricular (LV) mass. Acromegalic cardiomyopathy is incompletely understood, and represents a major cause of morbidity and mortality. We describe the clinical, echocardiographic and histopathologic features of naturally occurring feline acromegalic cardiomyopathy, an emerging disease among domestic cats.</p><p>Methods</p><p>Cats with confirmed hypersomatotropism (IGF-1>1000ng/ml and pituitary mass; n = 67) were prospectively recruited, as were two control groups: diabetics (IGF-1<800ng/ml; n = 24) and healthy cats without known endocrinopathy or cardiovascular disease (n = 16). Echocardiography was performed in all cases, including after hypersomatotropism treatment where applicable. Additionally, tissue samples from deceased cats with hypersomatotropism, hypertrophic cardiomyopathy and age-matched controls (n = 21 each) were collected and systematically histopathologically reviewed and compared.</p><p>Results</p><p>By echocardiography, cats with hypersomatotropism had a greater maximum LV wall thickness (6.5mm, 4.1–10.1mm) than diabetic (5.9mm, 4.2–9.1mm; Mann Whitney, p<0.001) or control cats (5.2mm, 4.1–6.5mm; Mann Whitney, p<0.001). Left atrial diameter was also greater in cats with hypersomatotropism (16.6mm, 13.0–29.5mm) than in diabetic (15.4mm, 11.2–20.3mm; Mann Whitney, p<0.001) and control cats (14.0mm, 12.6–17.4mm; Mann Whitney, p<0.001). After hypophysectomy and normalization of IGF-1 concentration (n = 20), echocardiographic changes proved mostly reversible. As in humans, histopathology of the feline acromegalic heart was dominated by myocyte hypertrophy with interstitial fibrosis and minimal myofiber disarray.</p><p>Conclusions</p><p>These results demonstrate cats could be considered a naturally occurring model of acromegalic cardiomyopathy, and as such help elucidate mechanisms driving cardiovascular remodeling in this disease.</p></div

Mind-modelling with corpus stylistics in David Copperfield

We suggest an innovative approach to literary discourse by using corpus linguistic methods to address research questions from cognitive poetics. In this article, we focus on the way that readers engage in mind-modelling in the process of characterisation. The article sets out our cognitive poetic model of characterisation that emphasises the continuity between literary characterisation and real-life human relationships. The model also aims to deal with the modelling of the author’s mind in line with the modelling of the minds of fictional characters. Crucially, our approach to mind-modelling is text-driven. Therefore we are able to employ corpus linguistic techniques systematically to identify textual patterns that function as cues triggering character information. In this article, we explore our understanding of mind-modelling through the characterisation of Mr. Dick from David Copperfield by Charles Dickens. Using the CLiC tool (Corpus Linguistics in Cheshire) developed for the exploration of 19th-century fiction, we investigate the textual traces in non-quotations around this character, in order to draw out the techniques of characterisation other than speech presentation. We show that Mr. Dick is a thematically and authorially significant character in the novel, and we move towards a rigorous account of the reader’s modelling of authorial intention

Using formative research to develop the healthy eating component of the CHANGE! school-based curriculum intervention

Background: Childhood obesity is a significant public health concern. Many intervention studies have attempted to combat childhood obesity, often in the absence of formative or preparatory work. This study describes the healthy eating component of the formative phase of the Children’s Health Activity and Nutrition: Get Educated! (CHANGE!) project. The aim of the present study was to gather qualitative focus group and interview data regarding healthy eating particularly in relation to enabling and influencing factors, barriers and knowledge in children and adults (parents and teachers) from schools within the CHANGE! programme to provide populationspecific evidence to inform the subsequent intervention design. Methods: Semi-structured focus group interviews were conducted with children, parents and teachers across 11 primary schools in the Wigan borough of North West England. Sixty children (N = 24 boys), 33 parents (N = 4 male) and 10 teachers (N = 4 male) participated in the study. Interview questions were structured around the PRECEDE phases of the PRECEDE-PROCEED model. Interviews were transcribed verbatim and analysed using the pen-profiling technique. Results: The pen-profiles revealed that children’s knowledge of healthy eating was generally good, specifically many children were aware that fruit and vegetable consumption was ‘healthy’ (N = 46). Adults’ knowledge was also good, including restricting fatty foods, promoting fruit and vegetable intake, and maintaining a balanced diet. The important role parents play in children’s eating behaviours and food intake was evident. The emerging themes relating to barriers to healthy eating showed that external drivers such as advertising, the preferred sensory experience of “unhealthy” foods, and food being used as a reward may play a role in preventing healthy eating. Conclusions: Data suggest that; knowledge related to diet composition was not a barrier per se to healthy eating, and education showing how to translate knowledge into behavior or action is required. The key themes that emerged through the focus groups and pen-profiling data analysis technique will be used to inform and tailor the healthy eating component of the CHANGE! intervention study. Trial registration: Current Controlled Trials ISRCTN03863885 Keywords: Nutrition, Childhood obesity, Pen-profiles, Health, School