Understanding the Social Networks That Form within the Context of an Obesity Prevention Intervention

Background. Antiobesity interventions have generally failed. Research now suggests that interventions must be informed by an understanding of the social environment. Objective. To examine if new social networks form between families participating in a group-level pediatric obesity prevention trial. Methods. Latino parent-preschool child dyads (N = 79) completed the 3-month trial. The intervention met weekly in consistent groups to practice healthy lifestyles. The control met monthly in inconsistent groups to learn about school readiness. UCINET and SIENA were used to examine network dynamics. Results. Children's mean age was 4.2 years (SD = 0.9), and 44% were overweight/obese (BMI ≥ 85th percentile). Parents were predominantly mothers (97%), with a mean age of 31.4 years (SD = 5.4), and 81% were overweight/obese (BMI ≥ 25). Over the study, a new social network evolved among participating families. Parents selectively formed friendship ties based on child BMI z-score, (t = 2.08; P < .05). This reveals the tendency for mothers to form new friendships with mothers whose children have similar body types. Discussion. Participating in a group-level intervention resulted in new social network formation. New ties were greatest with mothers who had children of similar body types. This finding might contribute to the known inability of parents to recognize child overweight

A secondary atmosphere on the rocky exoplanet 55 Cancri e

Characterizing rocky exoplanets is a central endeavor of astronomy, and yet the search for atmospheres on rocky exoplanets has hitherto resulted in either tight upper limits on the atmospheric mass or inconclusive results. The 1.95-REarth and 8.8-MEarth planet 55 Cnc e, with a predominantly rocky composition and an equilibrium temperature of ~2000 K, may have a volatile envelope (containing molecules made from a combination of C, H, O, N, S, and P elements) that accounts for up to a few percent of its radius. The planet has been observed extensively with transmission spectroscopy, and its thermal emission has been measured in broad photometric bands. These observations disfavor a primordial H2/He-dominated atmosphere but cannot conclusively determine whether the planet has a secondary atmosphere. Here we report a thermal emission spectrum of the planet obtained by JWST's NIRCam and MIRI instruments from 4 to 12 {\mu}m. The measurements rule out the scenario where the planet is a lava world shrouded by a tenuous atmosphere made of vaporized rock, and indicate a bona fide volatile atmosphere likely rich in CO2 or CO. This atmosphere can be outgassed from and sustained by a magma ocean.Comment: Published online in Nature on May 8, 2024. https://www.nature.com/articles/s41586-024-07432-x. Authors' preprin

A train-the-trainer education and promotion program: chronic fatigue syndrome – a diagnostic and management challenge

<p>Abstract</p> <p>Background</p> <p>Chronic fatigue syndrome (CFS) is a complicated illness for providers and patients. Fewer than 20% of persons with CFS have been diagnosed and treated. For providers, compounding the issue are the challenges in making a diagnosis due to the lack of a biomedical marker.</p> <p>Methods</p> <p>The objective of the CFS diagnosis and management curriculum was to instruct core trainers as to the evaluation, diagnosis, and management of CFS. Over a two year period, 79 primary care physicians, physician assistants, and nurse practitioners from diverse regions in the U.S. participated as core trainers in a two day Train-the-Trainer (TTT) workshop. As core trainers, the workshop participants were expected to show increases in knowledge, self-efficacy, and management skills with the primary goal of conducting secondary presentations.</p> <p>Results</p> <p>The optimal goal for each core trainer to present secondary training to 50 persons in the health care field was not reached. However, the combined core trainer group successfully reached 2064 primary care providers. Eighty-two percent of core trainers responded "Very good" or "Excellent" in a post-tessurvey of self-efficacy expectation and CFS diagnosis. Data from the Chicago workshops showed significant improvement on the Primary Care Opinion Survey (p < 0.01) and on the Relevance and Responsibility Factors of the CAT survey (p = 0.03 and p = 0.04, respectively). Dallas workshop data show a significant change from pre- to post-test scores on the CFS Knowledge test (p = 0.001). Qualitative and process evaluation data revealed that target audience and administrative barriers impacted secondary training feasibility.</p> <p>Conclusion</p> <p>Data show the workshop was successful in meeting the objectives of increasing CFS knowledge and raising perceived self-efficacy towards making a diagnosis. The CFS TTT program informed an educational provider project by shifting the format for physicians to grand rounds and continuing medical education design while retaining TTT aspects for nurse practitioners and physicians assistants. Evaluations also indicate that secondary trainings may be more readily employed and accepted if administrative barriers are addressed early in the planning phases.</p

People and places shaping food procurement among recipients of Supplemental Nutrition Assistance Program (SNAP)

A key gap in existing food environment research is a more complex understanding of the interplay between physical and social contexts, including the influence of social networks on food habits. This mixed methods research examined the nature of social connections at food procurement places among a sample of 30 people receiving Supplemental Nutrition Assistance Program (SNAP) benefits in an urban setting. Results highlight the significance of social connections as motivators to use food places, the value of access to information and other resources at food places, and the role of weak ties with actors within food places to facilitate utilization and interaction. Social connections at the varied places individuals procure food may be leveraged to disseminate information and resources to further healthy food access.Fil: Monteban, Madalena

Transcriptomic landscape of the blastema niche in regenerating adult axolotl limbs at single-cell resolution

Limb regeneration requires a blastema with progenitor cells, immune cells, and an overlying wound epidermis, but molecular identities of these populations are unclear. Here, the authors use single-cell RNA-sequencing to identify transcriptionally distinct cell populations in adult axolotl limb blastemas

A secondary atmosphere on the rocky Exoplanet 55 Cancri e.

Characterizing rocky exoplanets is a central endeavor of astronomy, and yet the search for atmospheres on rocky exoplanets has hitherto resulted in either tight upper limits on the atmospheric mass1-3 or inconclusive results4-6. The 1.95-REarth and 8.8-MEarth planet 55 Cnc e, with a predominantly rocky composition and an equilibrium temperature of ~2000 K, may have a volatile envelope (containing molecules made from a combination of C, H, O, N, S, and P elements) that accounts for up to a few percent of its radius7-13. The planet has been observed extensively with transmission spectroscopy14-22, and its thermal emission has been measured in broad photometric bands23-26. These observations disfavor a primordial H2/He-dominated atmosphere but cannot conclusively determine whether the planet has a secondary atmosphere27,28. Here we report a thermal emission spectrum of the planet obtained by JWST's NIRCam and MIRI instruments from 4 to 12 μm. The measurements rule out the scenario where the planet is a lava world shrouded by a tenuous atmosphere made of vaporized rock29-32, and indicate a bona fide volatile atmosphere likely rich in CO2 or CO. This atmosphere can be outgassed from and sustained by a magma ocean