The Effect of Pull Speed and Heat Treatment on Thermal Donors in Czhocralski Silicon

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Height and body-mass index trajectories of school-aged children and adolescents from 1985 to 2019 in 200 countries and territories: a pooled analysis of 2181 population-based studies with 65 million participants

Summary Background Comparable global data on health and nutrition of school-aged children and adolescents are scarce. We aimed to estimate age trajectories and time trends in mean height and mean body-mass index (BMI), which measures weight gain beyond what is expected from height gain, for school-aged children and adolescents. Methods For this pooled analysis, we used a database of cardiometabolic risk factors collated by the Non-Communicable Disease Risk Factor Collaboration. We applied a Bayesian hierarchical model to estimate trends from 1985 to 2019 in mean height and mean BMI in 1-year age groups for ages 5–19 years. The model allowed for non-linear changes over time in mean height and mean BMI and for non-linear changes with age of children and adolescents, including periods of rapid growth during adolescence. Findings We pooled data from 2181 population-based studies, with measurements of height and weight in 65 million participants in 200 countries and territories. In 2019, we estimated a difference of 20 cm or higher in mean height of 19-year-old adolescents between countries with the tallest populations (the Netherlands, Montenegro, Estonia, and Bosnia and Herzegovina for boys; and the Netherlands, Montenegro, Denmark, and Iceland for girls) and those with the shortest populations (Timor-Leste, Laos, Solomon Islands, and Papua New Guinea for boys; and Guatemala, Bangladesh, Nepal, and Timor-Leste for girls). In the same year, the difference between the highest mean BMI (in Pacific island countries, Kuwait, Bahrain, The Bahamas, Chile, the USA, and New Zealand for both boys and girls and in South Africa for girls) and lowest mean BMI (in India, Bangladesh, Timor-Leste, Ethiopia, and Chad for boys and girls; and in Japan and Romania for girls) was approximately 9–10 kg/m2. In some countries, children aged 5 years started with healthier height or BMI than the global median and, in some cases, as healthy as the best performing countries, but they became progressively less healthy compared with their comparators as they grew older by not growing as tall (eg, boys in Austria and Barbados, and girls in Belgium and Puerto Rico) or gaining too much weight for their height (eg, girls and boys in Kuwait, Bahrain, Fiji, Jamaica, and Mexico; and girls in South Africa and New Zealand). In other countries, growing children overtook the height of their comparators (eg, Latvia, Czech Republic, Morocco, and Iran) or curbed their weight gain (eg, Italy, France, and Croatia) in late childhood and adolescence. When changes in both height and BMI were considered, girls in South Korea, Vietnam, Saudi Arabia, Turkey, and some central Asian countries (eg, Armenia and Azerbaijan), and boys in central and western Europe (eg, Portugal, Denmark, Poland, and Montenegro) had the healthiest changes in anthropometric status over the past 3·5 decades because, compared with children and adolescents in other countries, they had a much larger gain in height than they did in BMI. The unhealthiest changes—gaining too little height, too much weight for their height compared with children in other countries, or both—occurred in many countries in sub-Saharan Africa, New Zealand, and the USA for boys and girls; in Malaysia and some Pacific island nations for boys; and in Mexico for girls. Interpretation The height and BMI trajectories over age and time of school-aged children and adolescents are highly variable across countries, which indicates heterogeneous nutritional quality and lifelong health advantages and risks

Rising rural body-mass index is the main driver of the global obesity epidemic in adults

Body-mass index (BMI) has increased steadily in most countries in parallel with a rise in the proportion of the population who live in cities(.)(1,2) This has led to a widely reported view that urbanization is one of the most important drivers of the global rise in obesity(3-6). Here we use 2,009 population-based studies, with measurements of height and weight in more than 112 million adults, to report national, regional and global trends in mean BMI segregated by place of residence (a rural or urban area) from 1985 to 2017. We show that, contrary to the dominant paradigm, more than 55% of the global rise in mean BMI from 1985 to 2017-and more than 80% in some low- and middle-income regions-was due to increases in BMI in rural areas. This large contribution stems from the fact that, with the exception of women in sub-Saharan Africa, BMI is increasing at the same rate or faster in rural areas than in cities in low- and middle-income regions. These trends have in turn resulted in a closing-and in some countries reversal-of the gap in BMI between urban and rural areas in low- and middle-income countries, especially for women. In high-income and industrialized countries, we noted a persistently higher rural BMI, especially for women. There is an urgent need for an integrated approach to rural nutrition that enhances financial and physical access to healthy foods, to avoid replacing the rural undernutrition disadvantage in poor countries with a more general malnutrition disadvantage that entails excessive consumption of low-quality calories.Peer reviewe

Redox homeostasis and age-related deficits in neuromuscular integrity and function

Skeletal muscle is a major site of metabolic activity and is the most abundant tissue in the human body. Age-related muscleatrophy (sarcopenia) and weakness, characterized by progressive loss of lean muscle mass and function, is a major contributorto morbidity and has a profound effect on the quality of life of older people. With a continuously growing older population(estimated 2 billion of people aged >60 by 2050), demand for medical and social care due to functional deficits, associatedwith neuromuscular ageing, will inevitably increase. Desp ite the importance of this ‘epidemic’ problem, the primarybiochemical and molecular mechanisms underlying age-related deficits in neuromuscular integrity and function have not beenfully determined. Skeleta l muscle generates reactive oxygen and nitrogen species (RONS) from a variety of subcellular sources,and age-associated oxidative damage has been suggested to be a major fac tor contributing to the initiation and progression ofmuscle atrophy inherent with ageing. RONS can modulate a variety of intracellular signal transduction processes, anddisruption of these events over time due to altered redox control has been proposed as an underlying mechanis m of ageing.The role of oxidants in ageing has been extensively examined in different model organisms that have undergone geneticmanipulations with inconsistent findings. Transgenic and knockout rodent studies have provided insight into the function ofRONS regulatory systems in neuromuscular ageing. This review summarizes almost 30 years of research in the field of redoxhomeostasis and muscle ageing, providing a detailed discussion of the experimental approaches that have been undertaken inmurine models to examine the role of redox regulation in age-related muscle atrophy and weakness

Heterogeneous contributions of change in population distribution of body mass index to change in obesity and underweight NCD Risk Factor Collaboration (NCD-RisC)

From 1985 to 2016, the prevalence of underweight decreased, and that of obesity and severe obesity increased, in most regions, with significant variation in the magnitude of these changes across regions. We investigated how much change in mean body mass index (BMI) explains changes in the prevalence of underweight, obesity, and severe obesity in different regions using data from 2896 population-based studies with 187 million participants. Changes in the prevalence of underweight and total obesity, and to a lesser extent severe obesity, are largely driven by shifts in the distribution of BMI, with smaller contributions from changes in the shape of the distribution. In East and Southeast Asia and sub-Saharan Africa, the underweight tail of the BMI distribution was left behind as the distribution shifted. There is a need for policies that address all forms of malnutrition by making healthy foods accessible and affordable, while restricting unhealthy foods through fiscal and regulatory restrictions

Hun hadde vært syk i to timer, hun hadde vært sykepleier så lenge alle kunne huske : En analyse av pasientperspektivet ved bruk av eget materiale

Abstract Purpose: In the summer of 1999 I got the disease Guillain Barré syndrom. During my recovery I wrote a text about my experiences at the hospital. In this paper I investigate the patient perspective by using that text. To make the distinction between the patient and the doctor perspective clearer I have also made use of my medical journal. Methods: Qualitative text analysis. There are some extra challenges writing about oneself. To encounter this I invited three persons to read my text, and to meet me and discuss my findings. Results and discussion: Reading the text I found four important categories: 1) Meeting with the hospital, 2) confused relationship to own identity, 3) a changed perspective of time, and 4) emotions. In literature about GBS patients specifically as well as patient perspectives in general I find many of the same aspects as in my own text. In the meeting with the hospital I focus on the importance of information and the feeling of being a stranger as a patient. The confused relationship to my identity is expressed as a clear distinction between the unable body and the idle mind. The doctors and I had a different relationship to time, while they used time as an instrument to estimate my objective disease, I lived in the time with a “here-and-now” perspective. The text is coloured with different emotions. I am holding on to my conviction that I will recover. These positive thoughts get stronger when I experience progress. Visiting friends and family is also clearly important for my well being. I also describe fear, anger and disappointment, especially when getting worse and realizing my dependency on the nursing staff. In the medical journal I find some notes about my feelings, there is, however no recollection of the medical staff talking directly with me about it. Implications: The feeling of being a stranger to oneself and to the hospital explains much of the communication barrier between the patient and doctor. Knowledge about patient perspectives can help the doctors to communicate better with their patients. In specific I find that focusing on the patient as a person and including his questions and thoughts can reduce the feeling of being a stranger. Remembering the patients changed perspective of time can improve the timing of the given information. And at last, directly addressing the patient’s feelings and making the conditions easy for close visitors will help the patient to overcome emotionally