Prevalence and Determinants of Obesity among Primary School Children in Dar es Salaam, Tanzania.

Childhood obesity has increased dramatically and has become a public health concern worldwide. Childhood obesity is likely to persist through adulthood and may lead to early onset of NCDs. However, there is paucity of data on obesity among primary school children in Tanzania. This study assessed the prevalence and determinants of obesity among primary school children in Dar es Salaam. A cross sectional study was conducted among school age children in randomly selected schools in Dar es Salaam. Anthropometric and blood pressure measurements were taken using standard procedures. Body Mass Index (BMI) was calculated as weight in kilograms divided by the square of height in meters (kg/m2). Child obesity was defined as BMI at or above 95th percentile for age and sex. Socio-demographic characteristics of children were determined using a structured questionnaire. Logistic regression was used to determine association between independent variables with obesity among primary school children in Dar es Salaam. A total of 446 children were included in the analysis. The mean age of the participants was 11.1±2.0 years and 53.1% were girls. The mean BMI, SBP and DBP were 16.6±4.0 kg/m2, 103.9±10.3mmHg and 65.6±8.2mmHg respectively. The overall prevalence of child obesity was 5.2% and was higher among girls (6.3%) compared to boys (3.8%). Obese children had significantly higher mean values for age (p=0.042), systolic and diastolic blood pressures (all p<0.001). Most obese children were from households with fewer children (p=0.019) and residing in urban areas (p=0.002). Controlling for other variables, age above 10 years (AOR=3.3, 95% CI=1.5-7.2), female sex (AOR=2.6, 95% CI=1.4-4.9), urban residence (AOR=2.5, 95% CI=1.2-5.3) and having money to spend at school (AOR=2.6, 95% CI=1.4-4.8) were significantly associated with child obesity. The prevalence of childhood obesity in this population was found to be low. However, children from urban schools and girls were proportionately more obese compared to their counterparts. Primary preventive measures for childhood obesity should start early in childhood and address socioeconomic factors of parents contributing to childhood obesity

Seguiment i recuperació d’espècies afectades per la pesca en ecosistemes marins d’aigües profundes: un esforç conjunt entre biologia i tecnologia

3 pages, 2 figures[EN] The oceans provide important ecosystem services, and protein provisioning is one of the main benefits for humanity. The millenarian Mediterranean fishing activity today accounts for almost half of all the fisheries in the EU, and the use of high-impact fishing methods has made this human activity one of the main drivers of ecosystem degradation, especially in demersal and benthic environments (Puig et al. 2012). Bottom otter gear (hereafter trawling) causes the removal of sediments and endangers demersal living resources and their ecosystems, with fragile epi-faunal species being replaced by mobile scavengers or predators and long-lived species being replaced by short-lived species. In the Mediterranean Sea, many commercial demersal populations are being overexploited, reducing the economic benefits of fisheries and the ecosystem services associated with cultural aspects of iconic species. […][ES] Los océanos proporcionan importantes servicios ecosistémicos, siendo el suministro de proteínas uno de los principales beneficios para la humanidad. La actividad pesquera del Mediterráneo constituye hoy en día casi la mitad de todas las pesquerías de la UE y el uso de métodos de pesca de alto impacto ha convertido a esta actividad en una de las principales impulsoras de la degradación de los ecosistemas de aguas profundas (Puig et al. 2012). El arte de pesca de arrastre provoca la eliminación de sedimentos y pone en peligro los recursos vivos demersales y sus ecosistemas, y las especies de epi-fauna frágiles son reemplazadas por especies carroñeras o depredadoras y las especies longevas son reemplazadas por especies de vida corta. En el mar Mediterráneo, muchas poblaciones de especies comerciales que habitan hábitats demersales están siendo sobreexplotadas, lo que reduce los beneficios económicos de la pesca y los servicios ecosistémicos asociados a los aspectos culturales de algunas especies consideradas icónicas. […][CAT] Els oceans proporcionen importants serveis ecosistèmics, i és el subministrament de proteïnes un dels principals beneficis per a la humanitat. L’activitat pesquera mil·lenària del Mediterrani constitueix avui en dia gairebé la meitat de totes les pesqueres de la UE i la utilització de mètodes de pesca d’alt impacte ha convertit aquesta activitat humana en un dels principals impulsors de la degradació dels ecosistemes, especialment en entorns bentònics (Puig et al. 2012). L’art de pesca d’arrossegament provoca l’eliminació de sediments i posa en perill els recursos vius demersals i els seus ecosistemes, i les espècies d’epi-fauna fràgils són substituïdes per carronyaires o depredadors mòbils i les espècies de llarga vida són substituïdes per espècies de vida curta. A la mar Mediterrània, moltes poblacions demersals comercials estan essent sobreexplotades, el que redueix per a les espècies icòniques, els beneficis econòmics de la pesca i els serveis ecosistèmics associats amb els aspectes culturals. […]Peer reviewe

WORKING GROUP ON NEPHROPS SURVEYS (WGNEPS ; outputs from 2020)

The Working Group on Nephrops Surveys (WGNEPS) is the international coordination group for Nephrops underwater television and trawl surveys within ICES. This report summarizes the na-tional contributions on the results of the surveys conducted in 2020 together with time series covering all survey years, problems encountered, data quality checks and technological improve-ments as well as the planning for survey activities for 2021.ICE

A new approach to use marine robotic networks for ecosystem monitoring and management: The PLOME Project

4th Marine Imaging Workshop, 3-6 October 2022, Brest, FranceOur understanding of marine ecosystem functioning and processes relies on adequate spatio-temporal multiparametric monitoring procedures. Over the next 3 years, the Project PLOME (Platforms for Long-lasting Observation of Marine Ecosystems) will implement a spatially adaptive and autonomous network of easy-to-use benthic landers with dockable Autonomous Underwater Vehicles (AUVs)ñ This network will be used to intelligently video-monitor and map marine ecosystems and their environment from coastal to deep-sea areas. All platforms will be connected via acoustic or optical communication and will operate over periods of weeks to months with real-time supervision. Stations will provide continuous and intensive temporal observations, while dockable AUVs (with battery recharge and data downloading capability) will provide intensive measurements at various spatial scales, using intelligent and adaptive trajectories to explore surrounding areas. Biological, geochemical and oceanographic data will be generated by an array of sensors including acoustic receivers and cameras. Images will be processed in real-time for species classification and tracking, using advanced data analysis and Deep Learning techniques. Metadata will be communicated between landers and AUVs and transmitted opportunistically whenever an Unmanned Surface Vehicle (USV) connects the platform via aerial communications (i.e. GSM and satellite communications, depending on form distance to shore). The unattended operation will also be possible with an innovation of pop-up buoys that will allow data transfer to the surface from landers and UAVs to be relayed once the pop-up buoys reach the surface. Complex ecological indicators for ecosystem management will be computed from the collected data, by applying advanced computer vision techniques to classify, count and size individuals in video images and to generate multimodal maps of the seabed. A pipeline for automated data treatment will be tailored for multiparametric analyses to derive cause-effect relationships between biological variables and the physical habitatsPeer reviewe

External validation of multidimensional prognostic indices (ADO, BODEx and DOSE) in a primary care international cohort (PROEPOC/COPD cohort)

Background: Due to the heterogeneous and systemic nature of the chronic obstructive pulmonary disease (COPD), the new guidelines are oriented toward individualized attention. Multidimensional scales could facilitate its proper clinical and prognostic assessment, but not all of them were validated in an international primary care cohort, different from the original ones used for model development. Therefore, our main aim is to assess the prognostic capacity of the ADO, BODEx and DOSE indices in primary care for predicting mortality in COPD patients and to validate the models obtained in subgroups of patients, classified by revised Global Initiative for Chronic Obstructive Lung Disease (2011) and updated Spanish Guideline (2014). Besides, we want to confirm that the prognostic capacity of all indices increases if the number of exacerbations is substituted by the interval between them and to assess the impact on health of the patient''s lifestyle, social network and adherence to treatment. Methods: Design: External validation of scales, open and prospective cohort study in primary care. Setting: 36 health centres in 6 European high, medium and low income countries. Subjects: 477 patients diagnosed with COPD, captured in clinical visit by their General Practitioner/Nurse. Predictors: Detailed patient history, exacerbations, lung function test and questionnaires at baseline. Outcomes: Exacerbations, all-cause mortality and specific mortality, within 5 years of recruitment. Analysis: Multivariate logistic regression and Cox regression will be used. Possible non-linear effect of the indices will be studied by using Structured Additive Regression models with penalised splines. Subsequently, we will assess different aspects of the regression models: discrimination, calibration and diagnostic precision. Clinical variables modulated in primary care and the interval between exacerbations will be considered and incorporated into the analysis. Discussion: The Research Agenda for General Practice/Family Medicine highlights that the evidence on predictive values of prognostic indices in primary care is scarce. A prospective cohort like that of PROEPOC/COPD provides good opportunities for research into COPD and make communication easier between family practitioners, nursing staff, pneumologists and other professionals, supporting a multi-disciplinary approach to the treatment of these patients. Trial registration:ISRCTN52402811. Date: 15/01/2015. Prospectively registered

Incidence, clinical characteristics and management of inflammatory bowel disease in Spain: large-scale epidemiological study

(1) Aims: To assess the incidence of inflammatory bowel disease (IBD) in Spain, to describe the main epidemiological and clinical characteristics at diagnosis and the evolution of the disease, and to explore the use of drug treatments. (2) Methods: Prospective, population-based nationwide registry. Adult patients diagnosed with IBD—Crohn’s disease (CD), ulcerative colitis (UC) or IBD unclassified (IBD-U)—during 2017 in Spain were included and were followed-up for 1 year. (3) Results: We identified 3611 incident cases of IBD diagnosed during 2017 in 108 hospitals covering over 22 million inhabitants. The overall incidence (cases/100, 000 person-years) was 16 for IBD, 7.5 for CD, 8 for UC, and 0.5 for IBD-U; 53% of patients were male and median age was 43 years (interquartile range = 31–56 years). During a median 12-month follow-up, 34% of patients were treated with systemic steroids, 25% with immunomodulators, 15% with biologics and 5.6% underwent surgery. The percentage of patients under these treatments was significantly higher in CD than UC and IBD-U. Use of systemic steroids and biologics was significantly higher in hospitals with high resources. In total, 28% of patients were hospitalized (35% CD and 22% UC patients, p < 0.01). (4) Conclusion: The incidence of IBD in Spain is rather high and similar to that reported in Northern Europe. IBD patients require substantial therapeutic resources, which are greater in CD and in hospitals with high resources, and much higher than previously reported. One third of patients are hospitalized in the first year after diagnosis and a relevant proportion undergo surgery. © 2021 by the authors. Licensee MDPI, Basel, Switzerland

CIBERER : Spanish national network for research on rare diseases: A highly productive collaborative initiative

Altres ajuts: Instituto de Salud Carlos III (ISCIII); Ministerio de Ciencia e Innovación.CIBER (Center for Biomedical Network Research; Centro de Investigación Biomédica En Red) is a public national consortium created in 2006 under the umbrella of the Spanish National Institute of Health Carlos III (ISCIII). This innovative research structure comprises 11 different specific areas dedicated to the main public health priorities in the National Health System. CIBERER, the thematic area of CIBER focused on rare diseases (RDs) currently consists of 75 research groups belonging to universities, research centers, and hospitals of the entire country. CIBERER's mission is to be a center prioritizing and favoring collaboration and cooperation between biomedical and clinical research groups, with special emphasis on the aspects of genetic, molecular, biochemical, and cellular research of RDs. This research is the basis for providing new tools for the diagnosis and therapy of low-prevalence diseases, in line with the International Rare Diseases Research Consortium (IRDiRC) objectives, thus favoring translational research between the scientific environment of the laboratory and the clinical setting of health centers. In this article, we intend to review CIBERER's 15-year journey and summarize the main results obtained in terms of internationalization, scientific production, contributions toward the discovery of new therapies and novel genes associated to diseases, cooperation with patients' associations and many other topics related to RD research

Deep-sequencing reveals broad subtype-specific HCV resistance mutations associated with treatment failure

A percentage of hepatitis C virus (HCV)-infected patients fail direct acting antiviral (DAA)-based treatment regimens, often because of drug resistance-associated substitutions (RAS). The aim of this study was to characterize the resistance profile of a large cohort of patients failing DAA-based treatments, and investigate the relationship between HCV subtype and failure, as an aid to optimizing management of these patients. A new, standardized HCV-RAS testing protocol based on deep sequencing was designed and applied to 220 previously subtyped samples from patients failing DAA treatment, collected in 39 Spanish hospitals. The majority had received DAA-based interferon (IFN) a-free regimens; 79% had failed sofosbuvir-containing therapy. Genomic regions encoding the nonstructural protein (NS) 3, NS5A, and NS5B (DAA target regions) were analyzed using subtype-specific primers. Viral subtype distribution was as follows: genotype (G) 1, 62.7%; G3a, 21.4%; G4d, 12.3%; G2, 1.8%; and mixed infections 1.8%. Overall, 88.6% of patients carried at least 1 RAS, and 19% carried RAS at frequencies below 20% in the mutant spectrum. There were no differences in RAS selection between treatments with and without ribavirin. Regardless of the treatment received, each HCV subtype showed specific types of RAS. Of note, no RAS were detected in the target proteins of 18.6% of patients failing treatment, and 30.4% of patients had RAS in proteins that were not targets of the inhibitors they received. HCV patients failing DAA therapy showed a high diversity of RAS. Ribavirin use did not influence the type or number of RAS at failure. The subtype-specific pattern of RAS emergence underscores the importance of accurate HCV subtyping. The frequency of “extra-target” RAS suggests the need for RAS screening in all three DAA target regions