APOLO-Bari, an internet-based program for longitudinal support of bariatric surgery patients: study protocol for a randomized controlled trial

Background: Despite evidence of successful weight loss for bariatric surgery patients, some patients experience considerable weight regain over the long term. Given the strong association between post-surgery health behaviors and outcomes, aftercare intervention to address key behaviors appears to be a reasonable relapse-prevention strategy. As the burden of obesity rates increases in healthcare centers, an internet-based program appears to be a reasonable strategy for supporting bariatric surgery patients in the long term. The primary purpose of the current project is to develop and test the efficacy and perceived utility of APOLO-Bari.Methods/design: This study is a randomized control trial, which will be conducted in two hospital centers in the North of Portugal; it includes a control group receiving treatment as usual and an intervention group receiving the APOLO-Bari program for one year in addition to treatment as usual. A total of 180 male and female participants who underwent bariatric surgery (gastric sleeve or gastric bypass surgery) for 12 to 20 months will be recruited. Both groups will complete a similar set of questionnaires at baseline, every 4 months until the end of the intervention, and at 6 and 12 months follow-up. Assessment includes anthropometric variables and psychological self-report measures. The primary outcome measure will be weight regain measured at the end of treatment, and at 6 and 12 months follow-up. The secondary aims are to test the cost-effectiveness of the intervention and to investigate psychological predictors and trajectories of weight regain. APOLO-Bari was developed to address the weight regain problem in the bariatric population by offering additional guidance to bariatric patients during the postoperative period. The program includes: (a) a psychoeducational cognitive-behavioral-based self-help manual, (b) a weekly feedback messaging system that sends a feedback statement related to information reported by the participant, and (c) interactive chat sessions scheduled witThis research was partially supported by the Fundacao para a Ciencia e a Tecnologia through a European Union COMPETE program grant to Eva Conceicao (IF/01219/2014 and PTDC/MHC-PCL/4974/2012), a doctoral scholarship to Ana Pinto-Bastos (SFRH/BD/104159/2014), a doctoral scholarship to Sofia Ramalho (SFRH/BD/104182/2014), and a postdoctoral scholarship to Ana Rita Vaz (SFRH/BPD/94490/2013), co-financed by FEDER under the PT2020 Partnership Agreement (UID/PSI/01662/2013).info:eu-repo/semantics/publishedVersio

Homogenization of nonlinearly elastic materials, microscopic bifurcation and macroscopic loss of rank-one convexity

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/46162/1/205_2004_Article_BF00380256.pd

ISO LWS measurement of the far-infrared spectrum of Saturn

The spectrum of Saturn from 43 to 197 μm was measured with the ISO Long Wavelength Spectrometer (LWS) during the performance verification phase of the mission. The measurements were made using the LWS in grating mode, with spectral resolutions of 0.29 μm from 43 to 90 μm and 0.6 μm from 90 to 197 μm. The spectrum was compared with an atmospheric radiative-transfer model and four results were obtained: first, the slope of the measured continuum within each detector passband is in good agreement with the model; second, absorption features due to ammonia and phosphine were unambiguously detected, and all detected features were attributed to these two molecules; third, the ammonia absorption features agree reasonably well with the nominal model (based on Voyager IRIS measurements); and fourth, the phosphine absorption features disagree with the nominal model. Superior agreement with the measured spectrum was obtained with a modified PH3 profile in which the tropospheric mixing ratio was increased to 7 × 10-6 and the cutoff due to photodissociation was lowered to 300 mbar. These results are based on trial observations during performance verification of the LWS, and provide an indication of the results we expect to obtain when the spectrum of Saturn is measured comprehensively later in the mission