Long-term effects of an inpatient weight-loss program in obese children and the role of genetic predisposition-rationale and design of the LOGIC-trial

<p>Abstract</p> <p>Background</p> <p>The prevalence of childhood obesity has increased worldwide, which is a serious concern as obesity is associated with many negative immediate and long-term health consequences. Therefore, the treatment of overweight and obesity in children and adolescents is strongly recommended. Inpatient weight-loss programs have shown to be effective particularly regarding short-term weight-loss, whilst little is known both on the long-term effects of this treatment and the determinants of successful weight-loss and subsequent weight maintenance.</p> <p>The purpose of this study is to evaluate the short, middle and long-term effects of an inpatient weight-loss program for children and adolescents and to investigate the likely determinants of weight changes, whereby the primary focus lies on the potential role of differences in polymorphisms of adiposity-relevant genes.</p> <p>Methods/Design</p> <p>The study involves overweight and obese children and adolescents aged 6 to 19 years, who participate in an inpatient weight-loss program for 4 to 6 weeks. It started in 2006 and it is planned to include 1,500 participants by 2013. The intervention focuses on diet, physical activity and behavior therapy. Measurements are taken at the start and the end of the intervention and comprise blood analyses (DNA, lipid and glucose metabolism, adipokines and inflammatory markers), anthropometry (body weight, height and waist circumference), blood pressure, pubertal stage, and exercise capacity. Physical activity, dietary habits, quality of life, and family background are assessed by questionnaires. Follow-up assessments are performed 6 months, 1, 2, 5 and 10 years after the intervention: Children will complete the same questionnaires at all time points and visit their general practitioner for examination of anthropometric parameters, blood pressure and assessment of pubertal stage. At the 5 and 10 year follow-ups, blood parameters and exercise capacity will be additionally measured.</p> <p>Discussion</p> <p>Apart from illustrating the short, middle and long-term effects of an inpatient weight-loss program, this study will contribute to a better understanding of inter-individual differences in the regulation of body weight, taking into account the role of genetic predisposition and lifestyle factors.</p> <p>Trial Registration</p> <p><a href="http://www.clinicaltrials.gov/ct2/show/NCT01067157">NCT01067157</a>.</p

Comparative assessment of TROPOMI and OMI formaldehyde observations and validation against MAX-DOAS network column measurements

The TROPOspheric Monitoring Instrument (TROPOMI), launched in October 2017 on board the Sentinel-5 Precursor (S5P) satellite, monitors the composition of the Earth's atmosphere at an unprecedented horizontal resolution as fine as 3.5 × 5.5 km2. This paper assesses the performances of the TROPOMI formaldehyde (HCHO) operational product compared to its predecessor, the OMI (Ozone Monitoring Instrument) HCHO QA4ECV product, at different spatial and temporal scales. The parallel development of the two algorithms favoured the consistency of the products, which facilitates the production of long-term combined time series. The main difference between the two satellite products is related to the use of different cloud algorithms, leading to a positive bias of OMI compared to TROPOMI of up to 30 % in tropical regions. We show that after switching off the explicit correction for cloud effects, the two datasets come into an excellent agreement. For medium to large HCHO vertical columns (larger than 5 × 1015 molec. cm−2) the median bias between OMI and TROPOMI HCHO columns is not larger than 10 % (< 0.4 × 1015 molec. cm−2). For lower columns, OMI observations present a remaining positive bias of about 20 % (< 0.8 × 1015 molec. cm−2) compared to TROPOMI in midlatitude regions. Here, we also use a global network of 18 MAX-DOAS (multi-axis differential optical absorption spectroscopy) instruments to validate both satellite sensors for a large range of HCHO columns. This work complements the study by Vigouroux et al. (2020), where a global FTIR (Fourier transform infrared) network is used to validate the TROPOMI HCHO operational product. Consistent with the FTIR validation study, we find that for elevated HCHO columns, TROPOMI data are systematically low (−25 % for HCHO columns larger than 8 × 1015 molec. cm−2), while no significant bias is found for medium-range column values. We further show that OMI and TROPOMI data present equivalent biases for large HCHO levels. However, TROPOMI significantly improves the precision of the HCHO observations at short temporal scales and for low HCHO columns. We show that compared to OMI, the precision of the TROPOMI HCHO columns is improved by 25 % for individual pixels and by up to a factor of 3 when considering daily averages in 20 km radius circles. The validation precision obtained with daily TROPOMI observations is comparable to the one obtained with monthly OMI observations. To illustrate the improved performances of TROPOMI in capturing weak HCHO signals, we present clear detection of HCHO column enhancements related to shipping emissions in the Indian Ocean. This is achieved by averaging data over a much shorter period (3 months) than required with previous sensors (5 years) and opens new perspectives to study shipping emissions of VOCs (volatile organic compounds) and related atmospheric chemical interactions

The OSCAR-MP consensus criteria for quality assessment of retinal optical coherence tomography angiography

BACKGROUND AND OBJECTIVES: Optical coherence tomography angiography (OCTA) is a noninvasive high-resolution imaging technique for assessing the retinal vasculature and is increasingly used in various ophthalmologic, neuro-ophthalmologic, and neurologic diseases. To date, there are no validated consensus criteria for quality control (QC) of OCTA. Our study aimed to develop criteria for OCTA quality assessment. METHODS: To establish criteria through (1) extensive literature review on OCTA artifacts and image quality to generate standardized and easy-to-apply OCTA QC criteria, (2) application of OCTA QC criteria to evaluate interrater agreement, (3) identification of reasons for interrater disagreement, revision of OCTA QC criteria, development of OCTA QC scoring guide and training set, and (4) validation of QC criteria in an international, interdisciplinary multicenter study. RESULTS: We identified 7 major aspects that affect OCTA quality: (O) obvious problems, (S) signal strength, (C) centration, (A) algorithm failure, (R) retinal pathology, (M) motion artifacts, and (P) projection artifacts. Seven independent raters applied the OSCAR-MP criteria to a set of 40 OCTA scans from people with MS, Sjogren syndrome, and uveitis and healthy individuals. The interrater kappa was substantial (? 0.67). Projection artifacts were the main reason for interrater disagreement. Because artifacts can affect only parts of OCTA images, we agreed that prior definition of a specific region of interest (ROI) is crucial for subsequent OCTA quality assessment. To enhance artifact recognition and interrater agreement on reduced image quality, we designed a scoring guide and OCTA training set. Using these educational tools, 23 raters from 14 different centers reached an almost perfect agreement (? 0.92) for the rejection of poor-quality OCTA images using the OSCAR-MP criteria. DISCUSSION: We propose a 3-step approach for standardized quality control: (1) To define a specific ROI, (2) to assess the occurrence of OCTA artifacts according to the OSCAR-MP criteria, and (3) to evaluate OCTA quality based on the occurrence of different artifacts within the ROI. OSCAR-MP OCTA QC criteria achieved high interrater agreement in an international multicenter study and is a promising QC protocol for application in the context of future clinical trials and studies

Overview of the O3M SAF GOME-2 operational atmospheric composition and UV radiation data products and data availability

The three Global Ozone Monitoring Experiment-2 instruments will provide unique and long data sets for atmospheric research and applications. The complete time period will be 2007–2022, including the period of ozone depletion as well as the beginning of ozone layer recovery. Besides ozone chemistry, the GOME-2 (Global Ozone Monitoring Experiment-2) products are important e.g. for air quality studies, climate modelling, policy monitoring and hazard warnings. The heritage for GOME-2 is in the ERS/GOME and Envisat/SCIAMACHY instruments. The current Level 2 (L2) data cover a wide range of products such as ozone and minor trace gas columns (NO₂, BrO, HCHO, H₂O, SO₂), vertical ozone profiles in high and low spatial resolution, absorbing aerosol indices, surface Lambertian-equivalent reflectivity database, clear-sky and cloud-corrected UV indices and surface UV fields with different weightings and photolysis rates. The Satellite Application Facility on Ozone and Atmospheric Chemistry Monitoring (O3M SAF) processes and disseminates data 24/7. Data quality is guaranteed by the detailed review processes for the algorithms, validation of the products as well as by a continuous quality monitoring of the products and processing. This paper provides an overview of the O3M SAF project background, current status and future plans for the utilisation of the GOME-2 data. An important focus is the provision of summaries of the GOME-2 products including product principles and validation examples together with sample images. Furthermore, this paper collects references to the detailed product algorithm and validation papers

Comparing naturalized alien plants and recipient habitats across an east–west gradient in the Mediterranean Basin

Aim To investigate alien plant species invasion levels in different habitats and alien species traits by comparing the naturalized flora in different areas of the same biogeographical region. Location Spain, Italy, Greece and Cyprus. Methods Comparison of floristic composition, species traits and recipient habitats of naturalized alien neophytes across an east–west gradient comprising four countries in the European Mediterranean basin. Results A total of 782 naturalized neophytes were recorded; only 30 species were present in all four countries. Although floristic similarity is low, the four alien floras share the same patterns of growth form (mostly herbs), life cycle (mostly perennials) and life form (mostly therophytes, hemicryptophytes and phanerophytes). The majority of the recipient habitats were artificial. Wetlands were the natural habitats, with the highest numbers of naturalized species. Floristic similarity analyses revealed: (1) the highest floristic similarity between Italy and Spain, both of which were more similar to Greece than to Cyprus; (2) two groups of floristic similarity between habitat categories in each country (Greece–Cyprus and Italy–Spain); (3) a higher degree of homogenization in the plant assemblages in different habitats in Greece and Cyprus and a lower degree of homogenization in those in Italy and Spain; and (4) a higher degree of homogenization in artificial and natural fresh-water habitats than in the other natural habitats. Main conclusions The floristic similarity of naturalized neophytes between the four countries is low, although the overall analysis indicates that the western group (Italy–Spain) is separated from the eastern group (Greece–Cyprus). Similar patterns emerged regarding the life-history traits and recipient habitats. The artificial habitats and the natural wet habitats are those that are invaded most and display the greatest homogenization in all four countries. Coastal habitats display a lower degree of homogenization but a high frequency of aliens. Dry shrubs and rocky habitats display a lower degree of homogenization and a low frequency of aliensPeer reviewe