Effects of lifestyle interventions on weight amongst Pasifika communities : a systematic review and meta-analysis

Background Pasifika populations experience high incidence and prevalence of obesity and T2DM. However, no international review of lifestyle intervention studies amongst Pasifika communities exists. This study seeks to identify the effect and translatability of lifestyle strategies on weight amongst Pasifika populations. Methods Lifestyle studies involving ≥90% adult Pasifika participants measuring weight change were eligible for inclusion. Database searching was carried out up to December 2021. Databases searched were MEDLINE (Ovid), EMBASE (Ovid), CINAHL (EBSCOhost) and ProQuest Central. Risk of bias was assessed using RoB2 (RCTs) and the National Heart, Lung and Blood Institute (NHLBI) quality assessment tool. Meta-analysis and meta-regression used a bivariate random-effects model. Strategies were coded against pre-identified components of the newly proposed Cultural and Sustainability Assessment of Intervention (CSAI) framework. Findings Twenty-three studies (n = 4258 participants) met inclusion and exclusion criteria. Thirty-two lifestyle strategies targeting weight loss (WL) and 7 targeting weight maintenance (WM) were extracted. Meta-analysis estimates small but significant effect of -0.26 standard deviations (95% CI -0.51 to -0.02), with RCTs demonstrating a non-significant effect of -0.23 standard deviations (95% CI -0.49 to 0.035). Culturally relevant strategies included community and peer support facilitators and team-based activities. The CSAI identified 14 out of 23 studies with low cultural competency and sustainability scores (<60%). Interpretation Qualitative and quantitative analysis show tailored lifestyle interventions has had an estimated small but beneficial effect on WL amongst Pasifika communities. Potential for tailored interventions design to incorporate psychosocial and behavioural considerations. The CSAI has the potential for systematically identifying cultural and sustainability components of efficacy in interventions

Subverting Decryption in AEAD

This work introduces a new class of Algorithm Substitution Attack (ASA) on Symmetric Encryption Schemes. ASAs were introduced by Bellare, Paterson and Rogaway in light of revelations concerning mass surveillance. An ASA replaces an encryption scheme with a subverted version that aims to reveal information to an adversary engaged in mass surveillance, while remaining undetected by users. Previous work posited that a particular class of AEAD scheme (satisfying certain correctness and uniqueness properties) is resilient against subversion. Many if not all real-world constructions – such as GCM, CCM and OCB – are members of this class. Our results stand in opposition to those prior results. We present a potent ASA that generically applies to any AEAD scheme, is undetectable in all previous frameworks and which achieves successful exfiltration of user keys. We give even more efficient non-generic attacks against a selection of AEAD implementations that are most used in practice. In contrast to prior work, our new class of attack targets the decryption algorithm rather than encryption. We argue that this attack represents an attractive opportunity for a mass surveillance adversary. Our work serves to refine the ASA model and contributes to a series of papers that raises awareness and understanding about what is possible with ASAs

Defect production in silica fibers doped with Tm³⁺

Irradiation of Tm3+ fibers with blue light at 476 nm induces a broad-bandwidth loss in these fibers. We have measured the spectral dependence of the loss for both silica-germania and silica-alumina fibers and show through micro-Raman studies of the core regions of the fibers that this induced loss is correlated with the production of structural defects in the glass host

Agency, qualia and life: connecting mind and body biologically

Many believe that a suitably programmed computer could act for its own goals and experience feelings. I challenge this view and argue that agency, mental causation and qualia are all founded in the unique, homeostatic nature of living matter. The theory was formulated for coherence with the concept of an agent, neuroscientific data and laws of physics. By this method, I infer that a successful action is homeostatic for its agent and can be caused by a feeling - which does not motivate as a force, but as a control signal. From brain research and the locality principle of physics, I surmise that qualia are a fundamental, biological form of energy generated in specialized neurons. Subjectivity is explained as thermodynamically necessary on the supposition that, by converting action potentials to feelings, the neural cells avert damage from the electrochemical pulses. In exchange for this entropic benefit, phenomenal energy is spent as and where it is produced - which precludes the objective observation of qualia

Student Satisfaction and Performance in an Online Teacher Certification Program

The article presents a study which demonstrates the effectiveness of an online post baccalaureate teacher certification program developed by a Wisconsin university. The case method approach employing multiple methods and multiple data sources were used to investigate the degree to which pre-service teachers were prepared to teach. It was concluded that the study supports online delivery as an effective means of teacher preparation, but it was limited in the number of students followed into their first year of teaching

Factors determining social participation in the first year after kidney transplantation: a prospective study

BACKGROUND: This study describes changes in social participation in the first year after kidney transplantation and examines the influence of clinical factors, health status, transplantation-related symptoms, and psychological characteristics on change in social participation. METHODS: A prospective study was performed on a cohort of primary kidney transplant recipients, transplanted between March 2002 and March 2003. Data on participation in obligatory activities (i.e., employment, education, household tasks) and leisure activities (i.e., volunteer work, assisting others, sports, clubs/associations, recreation, socializing, going out) were collected by in-home interviews (n=61) at 3 months (T1) and 1 year posttransplantation (T2). Analysis of covariance was performed. RESULTS: Data showed an increase in participation in obligatory activities and diversity of leisure participation between T1 and T2, although pre-end-stage renal disease level was not regained and differed from the general population. On T1, the majority of employed recipients were on sick leave, but returned to work on T2. Employment rate remained stable. An increase in obligatory participation was predicted by clinical factors (i.e., peritoneal dialysis, initial hospitalization), whereas change in leisure participation was related to serum albumin and cognitive capacity. No effects were found for type of donation, comorbidity, and renal function. CONCLUSIONS: We found that mainly clinical factors were associated with an increase in participation in society. Although health-status related factors and the psychological attribute self-efficacy may be related to recovery of social participation, their effect was outweighed by the strength of clinical predictors in multivariate analysis

Leptophobic U(1)'s and the R_b - R_c Crisis

In this paper, we investigate the possibility of explaining both the R_b excess and the R_c deficit reported by the LEP experiments through Z-Z' mixing effects. We have constructed a set of models consistent with a restrictive set of principles: unification of the Standard Model (SM) gauge couplings, vector- like additional matter, and couplings which are both generation-independent and leptophobic. These models are anomaly-free, perturbative up to the GUT scale, and contain realistic mass spectra. Out of this class of models, we find three explicit realizations which fit the LEP data to a far better extent than the unmodified SM or MSSM and satisfy all other phenomenological constraints which we have investigated. One realization, the \eta-model coming from E_6, is particularly attractive, arising naturally from geometrical compactifications of heterotic string theory. This conclusion depends crucially on the inclusion of a U(1) kinetic mixing term, whose value is correctly predicted by renormalization group running in the E_6 model given one discrete choice of spectra.Comment: LaTeX, 26 pages, 5 embedded EPSF figures. Version to be published in Phys. Rev.

On the seasonal onset of polar mesospheric clouds and the breakdown of the stratospheric polar vortex in the Southern Hemisphere

Southern Hemisphere (SH) polar mesospheric clouds (PMCs), also known as noctilucent clouds, have been observed to be more variable and, in general, dimmer than their Northern Hemisphere (NH) counterparts. The precise cause of these hemispheric differences is not well understood. This paper focuses on one aspect of the hemispheric differences: the timing of the PMC season onset. Observations from the Aeronomy of Ice in the Mesosphere satellite indicate that in recent years the date on which the PMC season begins varies much more in the SH than in the NH. Using the Canadian Middle Atmosphere Model, we show that the generation of sufficiently low temperatures necessary for cloud formation in the SH summer polar mesosphere is perturbed by year‐to‐year variations in the timing of the late‐spring breakdown of the SH stratospheric polar vortex. These stratospheric variations, which persist until the end of December, influence the propagation of gravity waves up to the mesosphere. This adds a stratospheric control to the temperatures in the polar mesopause region during early summer, which causes the onset of PMCs to vary from one year to another. This effect is much stronger in the SH than in the NH because the breakdown of the polar vortex occurs much later in the SH, closer in time to the PMC season