Psychological consequences of childhood obesity: psychiatric comorbidity and prevention

Childhood obesity is one of the most serious public health challenges of the 21st century with far-reaching and enduring adverse consequences for health outcomes. Over 42 million children <5 years worldwide are estimated to be overweight (OW) or obese (OB), and if current trends continue, then an estimated 70 million children will be OW or OB by 2025. The purpose of this review was to focus on psychiatric, psychological, and psychosocial consequences of childhood obesity (OBy) to include a broad range of international studies. The aim was to establish what has recently changed in relation to the common psychological consequences associated with childhood OBy. A systematic search was conducted in MEDLINE, Web of Science, and the Cochrane Library for articles presenting information on the identification or prevention of psychiatric morbidity in childhood obesity. Relevant data were extracted and narratively reviewed. Findings established childhood OW/OBy was negatively associated with psychological comorbidities, such as depression, poorer perceived lower scores on health-related quality of life, emotional and behavioral disorders, and self-esteem during childhood. Evidence related to the association between attention-deficit/hyperactivity disorder (ADHD) and OBy remains unconvincing because of various findings from studies. OW children were more likely to experience multiple associated psychosocial problems than their healthy-weight peers, which may be adversely influenced by OBy stigma, teasing, and bullying. OBy stigma, teasing, and bullying are pervasive and can have serious consequences for emotional and physical health and performance. It remains unclear as to whether psychiatric disorders and psychological problems are a cause or a consequence of childhood obesity or whether common factors promote both obesity and psychiatric disturbances in susceptible children and adolescents. A cohesive and strategic approach to tackle this current obesity epidemic is necessary to combat this increasing trend which is compromising the health and well-being of the young generation and seriously impinging on resources and economic costs

Evidence for a Disk-Jet Interaction in the Microquasar GRS 1915+105

We report simultaneous X-ray and infrared (IR) observations of the Galactic microquasar GRS1915+105 using XTE and the Palomar 200-inch telescope on August 13-15, 1997 UTC. During the last two nights, the microquasar GRS 1915+105 exhibited quasi-regular X-ray/infrared (IR) flares with a spacing of $\sim 30$ minutes. While the physical mechanism triggering the flares is currently unknown, the one-to-one correspondence and consistent time offset between the X-ray and IR flares establish a close link between the two. At late times in the flares the X-ray and IR bands appear to ``decouple'', with the X-ray band showing large-amplitude fast oscillations while the IR shows a much smoother, more symmetrical decline. In at least three cases, the IR flare has returned to near its minimum while the X-rays continue in the elevated oscillatory state, ruling out thermal reprocessing of the X-ray flux as the source of IR flare. Furthermore, observations of similar IR and radio flares by Fender et al. (1997) imply that the source of the IR flux in such flares is synchrotron emission. The common rise and subsequent decoupling of the X-ray and IR flux and probable synchrotron origin of the IR emission is consistent with a scenario wherein the IR flux originates in a relativistic plasma which has been ejected from the inner accretion disk. In that case, these simultaneous X-ray/IR flares from a black-hole/relativistic-jet system are the first clear observational evidence linking of the time-dependent interaction of the jet and the inner disk in decades of quasar and microquasar studies.Comment: 15 pages, incl. 3 figures. To appear in ApJ Letter

Observations of Rapid Disk-Jet Interaction in the Microquasar GRS 1915+105

We present evidence that ~ 30 minute episodes of jet formation in the Galactic microquasar GRS 1915+105 may sometimes entirely be a superposition of smaller, faster phenomena. We base this conclusion on simultaneous X-ray and infrared observations in July 2002, using the Rossi X-ray Timing Explorer and the Palomar 5 meter telescope. On two nights, we observed quasi-periodic infrared flares from GRS 1915+105, each accompanied by a set of fast oscillations in the X-ray light curve (indicating an interaction between the jet and accretion disk). In contrast to similar observations in 1997, we find that the duration of each X-ray cycle matches the duration of its accompanying infrared flare, and we observed one instance in which an isolated X-ray oscillation occurred at the same time as a faint infrared "subflare" (of duration ~ 150 seconds) superimposed on one of the main flares. From these data, we are able to conclude that each X-ray oscillation had an associated faint infrared flare and that these flares blend together to form, and entirely comprise, the ~ 30 minute events we observed. Part of the infrared emission in 1997 also appears to be due to superimposed small flares, but it was overshadowed by infrared-bright ejections associated with the appearance of a sharp "trigger" spike in each X-ray cycle that were not present in 2002. We also study the evolution of the X-ray spectrum and find significant differences in the high energy power law component, which was strongly variable in 1997 but not in 2002. Taken together, these observations reveal the diversity of ways in which the accretion disk and jet in black hole systems are capable of interacting and solidify the importance of the trigger spike for large ejections to occur on ~ 30 minute timescales in GRS 1915+105.Comment: 17 pages, 9 figures; accepted for publication in The Astrophysical Journa

Probate of Missouri estates

"Nearly everyone who dies leaves sufficient assets to require probate of his or her estate. This article answers common questions about probate. It does not qualify you as an executor or administrator but does give you general information about probating an estate."--First page.Stephen F. Matthews (Associate Professor and Attorney), and Patrick B. Starke (Research Analyst, Agricultural Economics Department, College of Agriculture), and Ellen S. Roper (Circuit Judge of Boone County, MO. Probate Division)New 10/79/10

UV-Optical Pixel Maps of Face-On Spiral Galaxies -- Clues for Dynamics and Star Formation Histories

UV and optical images of the face-on spiral galaxies NGC 6753 and NGC 6782 reveal regions of strong on-going star formation that are associated with structures traced by the old stellar populations. We make NUV--(NUV-I) pixel color-magnitude diagrams (pCMDs) that reveal plumes of pixels with strongly varying NUV surface brightness and nearly constant I surface brightness. The plumes correspond to sharply bounded radial ranges, with (NUV-I) at a given NUV surface brightness being bluer at larger radii. The plumes are parallel to the reddening vector and simple model mixtures of young and old populations, thus neither reddening nor the fraction of the young population can produce the observed separation between the plumes. The images, radial surface-brightness, and color plots indicate that the separate plumes are caused by sharp declines in the surface densities of the old populations at radii corresponding to disk resonances. The maximum surface brightness of the NUV light remains nearly constant with radius, while the maximum I surface brightness declines sharply with radius. An MUV image of NGC 6782 shows emission from the nuclear ring. The distribution of points in an (MUV-NUV) vs. (NUV-I) pixel color-color diagram is broadly consistent with the simple mixture model, but shows a residual trend that the bluest pixels in (MUV-NUV) are the reddest pixels in (NUV-I). This may be due to a combination of red continuum from late-type supergiants and [SIII] emission lines associated with HII regions in active star-forming regions. We have shown that pixel mapping is a powerful tool for studying the distribution and strength of on-going star formation in galaxies. Deep, multi-color imaging can extend this to studies of extinction, and the ages and metallicities of composite stellar populations in nearby galaxies.Comment: LaTeX with AASTeX style file, 29 pages with 12 figures (some color, some multi-part). Accepted for publication in The Astrophysical Journa

Bacteremia in critical care units at Bugando Medical Centre, Mwanza, Tanzania: the role of colonization and contaminated cots and mothers’ hands in cross-transmission of multidrug resistant Gram-negative bacteria

Background: Multidrug resistance (MDR) is a major clinical problem in tertiary hospitals in Tanzania and jeopardizes the life of neonates in critical care units (CCUs). To better understand methods for prevention of MDR infections, this study aimed to determine, among other factors, the role of MDR-Gram-negative bacteria (GNB) contaminating neonatal cots and hands of mothers as possible role in transmission of bacteremia at Bugando Medical Centre (BMC), Mwanza, Tanzania. Methods: This cross-sectional, hospital-based study was conducted among neonates and their mothers in a neonatal intensive care unit and a neonatology unit at BMC from December 2018 to April 2019. Blood specimens (n = 200) were sub-cultured on 5% sheep blood agar (SBA) and MacConkey agar (MCA) plates. Other specimens (200 neonatal rectal swabs, 200 maternal hand swabs and 200 neonatal cot swabs) were directly inoculated on MCA plates supplemented with 2 μg/ml cefotaxime (MCA-C) for screening of GNB resistant to third generation cephalosporins, r-3GCs. Conventional biochemical tests, Kirby-Bauer technique and resistance to cefoxitin 30 μg were used for identification of bacteria, antibiotic susceptibility testing and detection of MDR-GNB and screening of potential Amp-C beta lactamase producing GNB, respectively. Results: The prevalence of culture confirmed bacteremia was 34.5% of which 85.5% were GNB. Fifty-five (93.2%) of GNB isolated from neonatal blood specimens were r-3GCs. On the other hand; 43% of neonates were colonized with GNB r-3GCs, 32% of cots were contaminated with GNB r-3GCs and 18.5% of hands of neonates’ mothers were contaminated with GNB r-3GCs. The prevalences of MDR-GNB isolated from blood culture and GNB r-3GCs isolated from neonatal colonization, cots and mothers’ hands were 96.6, 100, 100 and 94.6%, respectively. Significantly, cyanosis (OR[95%CI]: 3.13[1.51–6.51], p = 0.002), jaundice (OR[95%CI]: 2.10[1.07–4.14], p = 0.031), number of invasive devices (OR[95%CI]: 2.52[1.08–5.85], p = 0.031) and contaminated cot (OR[95%CI]: 2.39[1.26–4.55], p = 0.008) were associated with bacteremia due to GNB. Use of tap water only (OR[95%CI]: 2.12[0.88–5.09], p = 0.040) was protective for bacteremia due to GNB. Conclusion: High prevalence of MDR-GNB bacteremia and intestinal colonization, and MDR-GNB contaminating cots and mothers’ hands was observed. Improved cots decontamination strategies is crucial to limit the spread of MDR-GNB. Further, clinical presentations and water use should be considered in administration of empirical therapy whilst awaiting culture results

Aquatic community response to volcanic eruptions on the Ecuadorian Andean flank: evidence from the palaeoecological record

Aquatic ecosystems in the tropical Andes are under increasing pressure from human modification of the landscape (deforestation and dams) and climatic change (increase of extreme events and 1.5 °C on average temperatures are projected for AD 2100). However, the resilience of these ecosystems to perturbations is poorly understood. Here we use a multi-proxy palaeoecological approach to assess the response of aquatic ecosystems to a major mechanism for natural disturbance, volcanic ash deposition. Specifically, we present data from two Neotropical lakes located on the eastern Andean flank of Ecuador. Laguna Pindo (1°27.132′S–78°04.847′W) is a tectonically formed closed basin surrounded by a dense mid-elevation forest, whereas Laguna Baños (0°19.328′S–78°09.175′W) is a glacially formed lake with an inflow and outflow in high Andean Páramo grasslands. In each lake we examined the dynamics of chironomids and other aquatic and semi-aquatic organisms to explore the effect of thick (> 5 cm) volcanic deposits on the aquatic communities in these two systems with different catchment features. In both lakes past volcanic ash deposition was evident from four large tephras dated to c.850 cal year BP (Pindo), and 4600, 3600 and 1500 cal year BP (Baños). Examination of the chironomid and aquatic assemblages before and after the ash depositions revealed no shift in composition at Pindo, but a major change at Baños occurred after the last event around 1500 cal year BP. Chironomids at Baños changed from an assemblage dominated by Pseudochironomus and Polypedilum nubifer-type to Cricotopus/Paratrichocladius type-II, and such a dominance lasted for approximately 380 years. We suggest that, despite potential changes in the water chemistry, the major effect on the chironomid community resulted from the thickness of the tephra being deposited, which acted to shallow the water body beyond a depth threshold. Changes in the aquatic flora and fauna at the base of the trophic chain can promote cascade effects that may deteriorate the ecosystem, especially when already influenced by human activities, such as deforestation and dams, which is frequent in the high Andes