The built environment as determinant of childhood obesity: a systematic literature review

We evaluated the epidemiological evidence on the built environment and its link to childhood obesity, focusing on environmental factors such as traffic noise and air pollution, as well as physical factors potentially driving obesity-related behaviours, such as neighbourhood walkability and availability and accessibility of parks and playgrounds. Eligible studies were i) conducted on human children below the age of 18 years, ii) focused on body size measurements in childhood, iii) examined at least one built environment characteristic, iv) reported effect sizes and associated confidence intervals, and v) were published in English language. A z-Test, as alternative to the meta-analysis, was used to quantify associations due to heterogeneity in exposure and outcome definition. We found strong evidence for an association of traffic-related air pollution (nitrogen dioxide and nitrogen oxides exposure; p<0.001) and built environment characteristics supportive of walking (street intersection density; p<0.01 and access to parks; p<0.001) with childhood obesity. We identified a lack of studies which account for interactions between different built environment exposures or verify the role and mechanism of important effect modifiers such as age

A hysteretic multiscale formulation for validating computational models of heterogeneous structures

A framework for the development of accurate yet computationally efficient numerical models is proposed in this work, within the context of computational model validation. The accelerated computation achieved herein relies on the implementation of a recently derived multiscale finite element formulation, able to alternate between scales of different complexity. In such a scheme, the micro-scale is modelled using a hysteretic finite elements formulation. In the micro-level, nonlinearity is captured via a set of additional hysteretic degrees of freedom compactly described by an appropriate hysteric law, which gravely simplifies the dynamic analysis task. The computational efficiency of the scheme is rooted in the interaction between the micro- and a macro-mesh level, defined through suitable interpolation fields that map the finer mesh displacement field to the coarser mesh displacement field. Furthermore, damage related phenomena that are manifested at the micro-level are accounted for, using a set of additional evolution equations corresponding to the stiffness degradation and strength deterioration of the underlying material. The developed modelling approach is utilized for the purpose of model validation; firstly, in the context of reliability analysis; and secondly, within an inverse problem formulation where the identification of constitutive parameters via availability of acceleration response data is sought

Urinary metabolic profiles in early pregnancy are associated with preterm birth and fetal growth restriction in the Rhea mother-child cohort study

Syftet med studien var att undersöka vilka möjligheter matematikundervisning utomhus kan ge för elevernas utveckling och lärande. Syftet var även att undersöka hur utomhusmatematik kan användas som ett komplement till den traditionella inomhusundervisningen i ämnet matematik. Studien baserades på en kvalitativ forskningsansats där kvalitativa semistrukturerade intervjuer och ostrukturerade observationer användes som metoder för att besvara studiens forskningsfrågor. Sex lärare i F-3 intervjuades och två observationer på två olika skolor genomfördes. Resultatet visar att utomhusmatematiken kompletterar matematikundervisningen inomhus genom ett samspel mellan arbetssätt och miljöer. Resultatet visar även på flera positiva effekter med utomhusmatematik så som verklighetsanknytning, motivation, fysisk aktivitet, hälsa, sinnligt lärande, tillåtande miljö och sociala effekter.  De positiva effekter utomhusmatematiken medföljer för elevernas utveckling och lärande bör uppmärksamma fler lärare om dess möjligheter.

Reactivity to AQP4 epitopes in relapsing–remitting multiple sclerosis

Autoantibodies against the water channel AQP4, expressed predominately in central nervous system astrocytes, are markers and pathogenic factors in Devic's disease. In this study we examined whether Multiple Sclerosis (MS) patients recognize antigenic epitopes on AQP4 that may define distinct disease subsets. We screened sera from 45 patients with relapsing–remitting MS (RRMS) and 13 patients with primary progressive MS (PMS). 23 Neuromyelitis Optica (NMO) patients previously characterized were used as assay positive/negative controls. Sera from 23 patients with Systemic Lupus Erythematosus, 23 with primary Sjogren syndrome without neurological involvement and from 28 healthy individuals were also used as controls. NMO-positive sera exhibited reactivity against the intracellular epitope AQPaa252-275, confirming previous observations. All RRMS sera tested negative for anti-AQP4 antibodies using a cell-based assay, but surprisingly, 13% of them reacted with the epitope AQPaa252-275. PMS, healthy and disease controls showed no specific reactivity. Whether these antibodies define distinct MS subsets and have a pathogenic potential pointing to convergent pathogenetic mechanism with NMO, or are simply markers of astrocytic damage, remains to be determined

Leptin, acylcarnitine metabolites and development of adiposity in the Rhea mother-child cohort in Crete, Greece.

OBJECTIVE: This study aims to investigate relations of serum leptin at age 4 with development of adiposity and linear growth during 3 years of follow-up among 75 Greek children and to identify serum metabolites associated with leptin at age 4 and to characterize their associations with adiposity gain and linear growth. METHODS: Linear regression models that accounted for maternal age, education and gestational weight gain and child's age and sex were used to examine associations of leptin and leptin-associated metabolites measured at age 4 with indicators of adiposity and linear growth at age 7. RESULTS: Each 1-unit increment in natural log-(ln)-transformed leptin corresponded with 0.33 (95% CI: 0.10, 0.55) units greater body mass index-for-age z-score gain during follow-up. Likewise, higher levels of the leptin-associated metabolites methylmalonyl-carnitine and glutaconyl-carnitine corresponded with 0.14 (95% CI: 0.01, 0.27) and 0.07 (95% CI: -0.01, 0.16) units higher body mass index-for-age z-score gain, respectively. These relationships did not differ by sex or baseline weight status and were independent of linear growth. CONCLUSIONS: These findings suggest that leptin, methylmalonyl-carnitine and possibly glutaconyl-carnitine are associated with weight gain during early childhood. Future studies are warranted to confirm these findings in other populations

C+L band gain equalization for extended reach WDM-ring PON using hybrid Raman/in line EDFA amplification

“Copyright © [2010] IEEE. Reprinted from ICTON 2010. ISBN 978-1-4244-7798-2. This material is posted here with permission of the IEEE. Internal or personal use of this material is permitted. However, permission to reprint/republish this material for advertising or promotional purposes or for creating new collective works for resale or redistribution must be obtained from the IEEE by writing to [email protected]. By choosing to view this document, you agree to all provisions of the copyright laws protecting it.”In this paper, we investigate by simulation the feasibility of gain enlargement and equalization on extended reach WDM-ring PON by means of hybrid Raman/EDFA amplification. The system under analysis is composed by a bidirectional pump at 1480 nm and 16 channels (8 C band + 8 L band). The simulation describes an 80 km WDM ring with 8 nodes in which 2 channels are added/dropped. The results demonstrate gain equalization with a ripple of 2.54 dB over a bandwidth of 50 nm by using a 1480 nm bidirectional pump with 1 W and spans of EDF with a total length of 22 m

A systematic review of metabolomic studies of childhood obesity: State of the evidence for metabolic determinants and consequences

Childhood obesity has become a global epidemic and carries significant long-term consequences to physical and mental health. Metabolomics, the global profiling of small molecules or metabolites, may reveal the mechanisms of development of childhood obesity and clarify links between obesity and metabolic disease. A systematic review of metabolomic studies of childhood obesity was conducted, following Preferred Reporting Items for Systematic Reviews (PRISMA) guidelines, searching across Scopus, Ovid, Web of Science and PubMed databases for articles published from January 1, 2005 to July 8, 2020, retrieving 1271 different records and retaining 41 articles for qualitative synthesis. Study quality was assessed using a modified Newcastle–Ottawa Scale. Thirty-three studies were conducted on blood, six on urine, three on umbilical cord blood, and one on saliva. Thirty studies were primarily cross-sectional, five studies were primarily longitudinal, and seven studies examined effects of weight-loss following a life-style intervention. A consistent metabolic profile of childhood obesity was observed including amino acids (particularly branched chain and aromatic), carnitines, lipids, and steroids. Although the use of metabolomics in childhood obesity research is still developing, the identified metabolites have provided additional insight into the pathogenesis of many obesity-related diseases. Further longitudinal research is needed into the role of metabolic profiles and child obesity risk

A neurostructural biomarker of dissociative amnesia: a hippocampal study in dissociative identity disorder

BACKGROUND: Little is known about the neural correlates of dissociative amnesia, a transdiagnostic symptom mostly present in the dissociative disorders and core characteristic of dissociative identity disorder (DID). Given the vital role of the hippocampus in memory, a prime candidate for investigation is whether total and/or subfield hippocampal volume can serve as biological markers of dissociative amnesia. METHODS: A total of 75 women, 32 with DID and 43 matched healthy controls (HC), underwent structural magnetic resonance imaging (MRI). Using Freesurfer (version 6.0), volumes were extracted for bilateral global hippocampus, cornu ammonis (CA) 1-4, the granule cell molecular layer of the dentate gyrus (GC-ML-DG), fimbria, hippocampal-amygdaloid transition area (HATA), parasubiculum, presubiculum and subiculum. Analyses of covariance showed volumetric differences between DID and HC. Partial correlations exhibited relationships between the three factors of the dissociative experience scale scores (dissociative amnesia, absorption, depersonalisation/derealisation) and traumatisation measures with hippocampal global and subfield volumes. RESULTS: Hippocampal volumes were found to be smaller in DID as compared with HC in bilateral global hippocampus and bilateral CA1, right CA4, right GC-ML-DG, and left presubiculum. Dissociative amnesia was the only dissociative symptom that correlated uniquely and significantly with reduced bilateral hippocampal CA1 subfield volumes. Regarding traumatisation, only emotional neglect correlated negatively with bilateral global hippocampus, bilateral CA1, CA4 and GC-ML-DG, and right CA3. CONCLUSION: We propose decreased CA1 volume as a biomarker for dissociative amnesia. We also propose that traumatisation, specifically emotional neglect, is interlinked with dissociative amnesia in having a detrimental effect on hippocampal volume