Weight losses with low energy formula diets in obese patients with and without type 2 diabetes: Systematic review and meta-analysis

Aim: To provide a systematic review, of published data, to compare weight losses following very low calorie (<800 kcal per day VLCD) or low-energy liquid-formula (>800 kcal per day LELD) diets, in people with and without type 2 diabetes mellitus (T2DM). Methods: Systematic electronic searches of Medline (1946–2015) and Embase (1947–2015) to identify published studies using formula total diet replacement diets (VLCD/LELD). Random effects meta-analysis using weighted mean difference (WMD) in body weight between groups (with and without diabetes) as the summary estimate. Results: Final weight loss, in the five included studies, weighted for study sizes, (n=569, mean BMI=35.5–42.6 kg/m2), was not significantly different between participants with and without T2DM: −1.2 kg; 95% CI: −4.1 to 1.6 kg). Rates of weight loss were also similar in the two groups −0.6 kg per week (T2DM) and 0.5 kg per week (no diabetes), and for VLCD (lt;800 kcal per day) and LELD (>800 kcal per day). Conclusions: Weight losses with liquid-formula diets are very similar for VLCD and LELD and for obese subjects with or without T2DM. They can potentially achieve new weight loss/ maintenance targets of >15–20% for people with severe and medically complicated obesity

How Does the Sun's Spectrum Vary?

Recent observations made by the Spectral Irradiance Monitor (SIM) on the Solar Radiation and Climate Experiment (SORCE) spacecraft suggest that the Sun's visible and infrared spectral irradiance increased from 2004 to 2008, even as the total solar irradiance measured simultaneously by SORCE's Total Irradiance Monitor (TIM) decreased. As well, solar ultraviolet (UV) irradiance decreased 3 to 10 times more than expected from prior observations and model calculations of the known effects of sunspot and facular solar features. Analysis of the SIM spectral irradiance observations during the solar minimum epoch of 2008, when solar activity was essentially invariant, exposes trends in the SIM observations relative to both total solar irradiance and solar activity that are unlikely solar in origin. We suggest that the SIM's radically different solar variability characterization is a consequence of undetected instrument sensitivity drifts, not true solar spectrum changes. It is thus doubtful that simulations of climate and atmospheric change using SIM measurements are indicative of real behavior in the Earth's climate and atmosphere

Different associations between body composition and alcohol when assessed by exposure frequency or by quantitative estimates of consumption

Background: Alcohol intake is widely assumed to contribute to excess body fatness, especially among young men; however, the evidence is inconsistent. We have addressed this research question by investigating associations between reported alcohol consumption and body composition from large representative national surveys in a high alcohol‐consuming country with a high obesity prevalence. Methods: The present study comprised a secondary analysis of combined cross‐sectional nationally representative Scottish Health Surveys (1995–2010). Reported alcohol‐drinking frequency was divided into five groups: from ‘nonfrequent drinking’ (reference) to daily/‘almost every day’ among 35 837 representative adults [mean (SD) age: 42.7 (12.7) years (range 18–64 years)]. Quantitative alcohol consumption was categorised into seven groups: from ‘1–7 to ≥50 10 g units per week’. Regression models against measured body mass index (BMI) and waist circumference (WC) were adjusted for age, physical activity, income, smoking, deprivation category and economic status. Results: Among alcohol‐consuming men, heavier drinking (21–28 units per week) was associated with a higher BMI by +1.4 kg m–2 [95% confidence interval (CI) = 1.38–1.43] and higher WC by +3.4 cm (95% CI = 3.2–3.6) than drinking 1–7 units per week. However, those who reported daily drinking frequency were associated with a lower BMI by −2.45 kg m–2 (95% CI = −2.4 to −2.5) and lower WC by −3.7 cm (95% CI = −3.3 to −4.0) than those who reported less‐frequent drinking. Similar associations were found for women. Most of these associations were restricted to subjects aged >30 years. Unexplained variances in BMI and WC are large. Conclusions: Quantitative alcohol consumption and frequency of consumption were positively and inversely associated, respectively, with both BMI and WC among alcohol‐consuming adults. Surveys are needed that evaluate both the quantity and frequency of consumption. The lowest BMI and WC were associated with a ‘Mediterranean’ drinking style (i.e. relatively little, but more frequently)

Applications of low enthalpy geothermal energy: the case of the Faculty of Physical and Mathematical Sciences at the University of Chile

In recent decades, the industry has observed a significant shift towards the use of renewable energy, such as solar, wind and geothermal. The Chilean scenario has not been an exception, and much progress has been made in sustainable energy prospection and implementation, especially in the electricity sector, where solar and wind power amount 2300 MW, and since April 2017, the first geothermal power plant (48 MW) has come into operation. In the area of low enthalpy geothermal energy, the use is around 19 MW. The Faculty of Physical and Mathematical Sciences at the University of Chile has been contributing to this transformational process, with its Sustainable Campus initiative. The first step of this initiative is the introduction of renewable energy on site, which has been achieved through the installation of a solar photovoltaic plant of 15 kW. Along this line, the design and implementation of a geothermal air conditioning system (HAVC) is underway, which will serve the classrooms and offices in the traditional engineering building of the campus. The technology to be used in this project is the Ground Heat Pump (GHP). The present paper includes an introduction of the applications of low enthalpy geothermal energy in Chile, a description of the Office of Engineering for Sustainable Development at the Faculty of Physical and Mathematical Sciences, and the design of a geothermal HAVC system in the university campus, considering economic, environmental, technical and social aspects. Besides the operation of the GHP, the system will be used for teaching purposes to incorporate sustainable development in the curriculum of the university. The expected savings of the geothermal system versus an aerothermal design are 41,070 kWh annually, considering both cooling and heating.This research was partially funded by the Andean Geothermal Center of Excellence (CEGA) and the Complex Engineering Systems Institute, ISCI (Project CONICYT: FB0816)

The Impact of Different Absolute Solar Irradiance Values on Current Climate Model Simulations

Simulations of the preindustrial and doubled CO2 climates are made with the GISS Global Climate Middle Atmosphere Model 3 using two different estimates of the absolute solar irradiance value: a higher value measured by solar radiometers in the 1990s and a lower value measured recently by the Solar Radiation and Climate Experiment. Each of the model simulations is adjusted to achieve global energy balance; without this adjustment the difference in irradiance produces a global temperature change of 0.48C, comparable to the cooling estimated for the Maunder Minimum. The results indicate that by altering cloud cover the model properly compensates for the different absolute solar irradiance values on a global level when simulating both preindustrial and doubled CO2 climates. On a regional level, the preindustrial climate simulations and the patterns of change with doubled CO2 concentrations are again remarkably similar, but there are some differences. Using a higher absolute solar irradiance value and the requisite cloud cover affects the model's depictions of high-latitude surface air temperature, sea level pressure, and stratospheric ozone, as well as tropical precipitation. In the climate change experiments it leads to an underestimation of North Atlantic warming, reduced precipitation in the tropical western Pacific, and smaller total ozone growth at high northern latitudes. Although significant, these differences are typically modest compared with the magnitude of the regional changes expected for doubled greenhouse gas concentrations. Nevertheless, the model simulations demonstrate that achieving the highest possible fidelity when simulating regional climate change requires that climate models use as input the most accurate (lower) solar irradiance value

AN EXPLORATION OF THE ROLE OF CULTURE IN SOCIAL MEDIA ADVERTISING AND CONSUMER PURCHASE DECISION IN THE SAUDI ARABIA FASHION MARKET: A QUALITATIVE STUDY

Social media advertising is a significant feature of digital marketing; it is an important marketing tool in the fashion industry since it can influence promoting mentalities, brand perspectives, and buying expectations. In Saudi Arabia, social media advertising has a significant influence upon consumers‟ purchase decisions. However, Saudi social life is based on Islamic foundations which shape the national culture; this creates an obstacle for many Saudi consumers when it comes to fashion advertisements on social media. Hence, this study aims to investigate the cultural factors influencing Saudi consumers‟ purchase decisions in the context of fashion YouTube adverts. This study adopts a qualitative approach based on semistructured interviews with Saudi consumers. The results reveal that Saudi consumers‟ purchase decision towards fashion advertisements on YouTube is highly influenced by the following: 1) Islamic foundations, 2) Celebrities, 3) Language, 4) Online word of mouth, and 5) Consistency and repetition

Spacecraft instrument calibration and stability

The following topics are covered: instrument degradation; the Solar Backscatter Ultraviolet (SBUV) Experiment; the Total Ozone Mapping Spectrometer (TOMS); the Stratospheric Aerosol and Gas Experiment 1 (SAGE-1) and SAGE-2 instruments; the Solar Mesosphere Explorer (SME) UV ozone and near infrared airglow instruments; and the Limb Infrared Monitor of the Stratosphere (LIMS)

Filling the intervention gap: service evaluation of an intensive nonsurgical weight management programme for severe and complex obesity

Background: Weight management including formula total diet replacement (TDR) is emerging as an effective intervention for severe and complex obesity, particularly with respect to type 2 diabetes (T2DM). However, no prospective audit and service evaluation of such programmes have been reported. Methods: Following initial feasibility piloting, the Counterweight‐Plus programme was commissioned across a variety of healthcare providers. The programme includes: Screening, TDR (formula low energy diet), food reintroduction and weight loss maintenance, all delivered by staff with 8 h of training, in‐service mentoring, ongoing specialist support and access to medical consultant expertise. Anonymised data are returned centrally for clinical evaluation. Results: Up to December 2016, 288 patients commenced the programme. Mean (SD) baseline characteristics were: age 47.5 (12.7) years, weight 128.0 (32.0) kg, body mass index 45.7 (10.1) kg m−2, n = 76 (26.5%) were male and n = 99 (34.5%) had T2DM. On an intention‐to‐treat (ITT) basis, a loss of ≥15 kg at 12 months was achieved by 48 patients, representing 22.1% of all who started and 40% of those who maintained engagement. For complete cases, mean (95% confidence interval) weight loss was 13.3 (12.1–14.4) kg at 3 months, 16.0 (14.4–17.6) kg at 6 months and 14.2 (12.1–16.3) kg at 12 months (all P < 0.001), with losses to follow‐up of 10.8%, 29.3% and 44.2%, respectively. Mean loss at 12 months by ITT analyses was: single imputation –10.5 (9.5) kg, last observation carried forward –10.9 (11.6) kg and baseline observation carried forward –7.9 (11.1) kg. The presence of diabetes had no significant impact on weight change outcomes. Conclusions: This nonsurgical approach is effective for many individuals with severe and complex obesity, representing an option before considering surgery. The results are equally effective in terms of weight loss for people with T2DM

Associations of BMI, waist circumference, body fat, and skeletal muscle with type 2 diabetes in adults

Aims: Type 2 diabetes (T2D) is known to be associated with high BMI and waist circumference (WC). These measures do not discriminate well between skeletal muscle (SM) and body fat (BF), which may have opposite influences. Methods: We conducted a secondary analysis of population-based data from 58,128 aged 18–85 yrs from Scottish Health Surveys (2003, 2008–2011) and Health Surveys for England (2003–2006, 2008–2013), excluding pregnant women and insulin-treated diabetes. Logistic regression was used to assess associations of known T2D, and of screened HbA1c > 48 mmol/mol (> 6.5%), with sex-specific quintiles of BMI, WC, and BF% and SM% estimated by validated anthropometric equations, adjusted for age, sex, smoking, ethnicity, country, and survey year. Results: As expected, ORs for having known T2D rose with quintiles of BMI (1, 1.5, 2.3, 3.1, and 6.5) and WC (1, 1.8, 2.5, 3.5, and 8.7). Compared to the lowest BF% quintile, OR for having T2D in highest BF% quintile was 11.1 (95% CI = 8.4–14.6). Compared to the highest SM% quintile, OR for having T2D in lowest SM% quintile was 2.0 (1.7–2.4). Of 72 adults with T2D/HbA1c > 6.5% in the lowest quintile of BF%, 27 (37.5%) were in quintile 1 of SM%. Similar patterns of OR were observed for having HbA1c > 6.5% in those without known T2D. Conclusions: Estimated BF% associates strongly with T2D. Low SM% also has a significant association, suggesting a neglected aspect of aetiology within T2D. These two simple measures with biological relevance, available from data collected in most health surveys, may be more useful than the purely statistical terms BMI

Quantum statistical effects in nano-oscillator arrays

We have theoretically predicted the density of states(DOS), the low temperature specific heat, and Brillouin scattering spectra of a large, free standing array of coupled nano-oscillators. We have found significant gaps in the DOS of 2D elastic systems, and predict the average DOS to be nearly independent of frequency over a broad band f < 50GHz. At low temperatures, the measurements probe the quantum statistics obeyed by rigid body modes of the array and, thus, could be used to verify the quantization of the associated energy levels. These states, in turn, involve center-of mass motion of large numbers of atoms, N > 1.e14, and therefore such observations would extend the domain in which quantum mechanics has been experimentally tested. We have found the required measurement capability to carry out this investigation to be within reach of current technology.Comment: 1 tex file, 3 figures, 1 bbl fil