Underestimating the true impact of obesity Reply

Non peer reviewe

The WHO/ILO report on long working hours and ischaemic heart disease - Conclusions are not supported by the evidence

Working hours is a ubiquitous exposure given that most adults are employed, and one that is modifiable via legislative change if not always through individual-level choice. According to a recent report from the World Health Organization (WHO) and International Labour Organization (ILO), there is currently sufficient evidence to conclude that long working hours (i.e., ≥55 h per week) elevate the risk of fatal and non-fatal ischaemic heart disease to a clinically meaningful extent. After assessing the data used by the ILO/WHO, we feel that the expert group has not correctly applied their own framework for assessing the strength of the evidence. In the meta-analysis of observational studies in the report, the association between long working hours and incident heart disease appeared stronger in lower quality cohort studies with a high risk of bias (minimally-adjusted hazard ratio 1.20, 95% CI 1.01-1.41, compared to standard 35-40 weekly hours) than in the superior-quality studies with a lower risk of bias for which the estimate was not significantly different from the null (1.08, 95% CI 0.93-1.25). There was also marked effect modification, such that there was no increase in ischaemic heart disease for those working long hours in high socioeconomic status occupations, a finding also reported in analyses of a recent census-based cohort study which was not included in the report. Our meta-analysis of all these studies confirm that the findings are not consistent but differ between subgroups and that the summary age- and sex-adjusted hazard ratio for long working hours in high socioeconomic status occupations does not support excess risk: 0.85, 95% CI 0.63-1.13 (Pinteraction = 0.005, total N = 451,982). For these and other reasons detailed in this commentary, we advance a more cautious interpretation of the existing evidence. The conclusions should be restricted to low socioeconomic status occupations only and more research is still needed to confirm or refute harmfulness and determine clinical relevance

Identifying Collective Modes via Impurities in the Cuprate Superconductors

We show that the pinning of collective charge and spin modes by impurities in the cuprate superconductors leads to qualitatively different fingerprints in the local density of states (LDOS). In particular, in a pinned (static) spin droplet, the creation of a resonant impurity state is suppressed, the spin-resolved LDOS exhibits a characteristic spatial pattern, and the LDOS undergoes significant changes with increasing magnetic field. Since all of these fingerprints are absent in a charge droplet, impurities are a new probe for identifying the nature and relative strength of collective modes.Comment: 4 pages, 4 figure

Unresolved grief and its consequences. A nationwide follow-up of teenage loss of a parent to cancer 6-9 years earlier.

PURPOSE: The early loss of a parent is a tragedy and a serious life event. This study investigated grief resolution and morbidity in cancer-bereaved teenagers 6 to 9 years after the loss of a parent to cancer. METHODS: In a nationwide population-based study of 622 of 851 (73 %) youths who as teenagers 6 to 9 years earlier had lost a parent to cancer, we explored the magnitude of unresolved grief and its association with psychological and physiological morbidity. Participants answered a study-specific anonymous questionnaire including questions about if they had worked through their grief and about their current health. RESULTS: Six to nine years post-loss 49 % reported unresolved grief (8 % no and 41 % a little grief resolution). They had, in comparison with youths reporting resolved grief, statistically significantly elevated risks, e.g. for insomnia (sons' relative risk (RR) 2.3, 95 % CI 1.3-4.0; daughters' RR 1.7, 95 % CI 1.1-2.7), fatigue (sons' RR 1.8, 95 % CI 1.3-2.5; daughters' RR 1.4, 95 % CI 1.1-1.7) and moderate to severe depression, i.e. score >9, PHQ-9 (sons' RR 3.6, 95 % CI 1.4-8.8; daughters' RR 1.8, 95 % CI 1.1-3.1). Associations remained for insomnia in sons, exhaustion in daughters and fatigue in both sons and daughters when depression, negative intrusive thoughts and avoiding reminders of the parents' disease or death were included in a model. CONCLUSIONS: Approximately half of cancer-bereaved youth report no or little grief resolution 6 to 9 years post-loss, which is associated with fatigue, sleeping problems and depressive symptoms

Complete Experimental Structure Determination of the p(3x2)pg Phase of Glycine on Cu{110}

We present a quantitative low energy electron diffraction (LEED) surface-crystallograpic study of the complete adsorption geometry of glycine adsorbed on Cu{110} in the ordered p(3×2) phase. The glycine molecules form bonds to the surface through the N atoms of the amino group and the two O atoms of the de-protonated carboxylate group, each with separate Cu atoms such that every Cu atom in the first layer is involved in a bond. Laterally, N atoms are nearest to the atop site (displacement 0.41 Å). The O atoms are asymmetrically displaced from the atop site by 0.54 Å and 1.18 Å with two very different O-Cu bond lengths of 1.93 Å and 2.18 Å. The atom positions of the upper-most Cu layers show small relaxations within 0.07 Å of the bulk-truncated surface geometry. The unit cell of the adsorbate layer consists of two glycine molecules, which are related by a glide-line symmetry operation. This study clearly shows that a significant coverage of adsorbate structures without this glide-line symmetry must be rejected, both on the grounds of the energy dependence of the spot intensities (LEED-IV curves) and of systematic absences in the LEED pattern

Description of the Infection Status in a Norwegian Cattle Herd Naturally Infected by Mycobacterium avium subsp. paratuberculosis

The Norwegian surveillance and control programme for paratuberculosis revealed 8 seroreactors in a single dairy cattle herd that had no clinical signs of Mycobacterium avium subsp. paratuberculosis (M. a. paratuberculosis) infection. Paratuberculosis had been a clinical problem in goats several years previously in this herd. All 45 cattle were culled and a thorough investigation of the infection status was conducted by the use of interferon-γ (IFN-γ) immunoassay, measurement of antibodies, and pathological and bacteriological examination

Restoring Rangelands for Nutrition and Health for Humans and Livestock

Drylands cover 40% of the global land area and host 2 billion people, of which 90% live in low- or middleincome countries. Drylands often face severe land degradation, low agricultural productivity, rapid population growth, widespread poverty, and poor health. Governance structures and institutions are often eroded. Livestock-based livelihoods, largely depending on seasonal migration are common. Pastoralist communities and their land are highly vulnerable to climate shocks, while there are also changes in land tenure, insecurity/conflicts and rapid infrastructure development. Drylands Transform is an interdisciplinary research project revolving around the UN Sustainable Development Goals (SDGs). The project aim is to contribute new knowledge to a transformative change and sustainable development of drylands in East Africa to help escape the ongoing negative spiral of land, livestock and livelihood degradation. We investigate the links between land health, livelihoods, human well-being, and land management and governance with several study sites along the Kenya-Uganda border. Through strong stakeholder engagement we will explore challenges and pathways towards a social-ecological transformation in these drylands. The entry point is the urgent need to identify and enhance synergies between food and nutrition security (SDG2), land and ecosystem health (SDG15) and governance and justice (SDG16) for sustainable dryland development, aiming to improve health and equity (SDGs 3 and 5), while minimizing trade-offs between agricultural productivity, natural resources management and climate change. We are using innovative field research approaches focusing on livelihood improvement through rangeland (grazing areas) restoration and governance interventions. We will present results from the initial work to assess land health using the Land Degradation Surveillance Framework and explore the links with human health and well-being through household survey data. We will also show how we will co-develop sustainable dryland management options (e.g., field experiments with fodder grasses and shrubs) with local communities and set-up knowledge sharing hubs