The use and effectiveness of behavioural modification techniques in achieving and maintaining normal weight and fitness – the lifestyle changes for adults in Cyprus

BACKGROUND and AIM: Research showed that behavioural modification techniques were the most effective way to achieve and maintain a healthy weight compared to diet and exercise alone. If behavioural modification was the most effective technique, then at least the two thirds of the candidates (Weight Loss Candidate with Behaviour Modification-WLCB) who used the specific behavioural modification techniques regarding eating and physical activity would achieve a weight loss of average ½ -1kg per week for the 18 weeks of the treatment and then maintain it or continue to lose after treatment termination with a total treatment period of 36 weeks. The treatment was efficient and long-lasting compared to the control candidates who followed a diet plan only. Furthermore, if the use of behavioural modification was the most effective way for diet and exercise, then the weight loss and maintenance would be more efficient and long-lasting. The principal aim of this project was to develop behaviour modification techniques (protocol and guidelines) in order to promote effective weight management for sedentary and active Cypriot adults, concentrating on nutrition and exercise. STUDY DESIGN: The study was quantitative and qualitative in nature using an action research approach. Furthermore, it was observational and longitudinal using structured methods and a representative sample of adults 19-50 years of age is investigated for 36 weeks. METHODS: Anthropometric data and health and diet history were taken using standard methods from 315 (the control and intervention group (1:1) Cypriot adults from rural and urban areas. Individualised diet plans, personalised physical activities as well as behavioural modification parameters were assessed with the aid of a questionnaire, interview, food and exercise diary and behavioural checklist. Obesity and overweight were defined using the current International Obesity Task Force definition. The validated questionnaires for Physical Activity (IPAQ) and the nutritional assessment (National Integrated Health Associates) were used for initial assessment and the behavioural checklists were used for the follow up. Behavioural checklists were completed by the candidates on a bi-weekly basis along with the food and exercise diary. The questionnaire reliability (test-retest), internal consistency and ability to differentiate obese vs. normal-weight adult behaviours were tested using a pilot population of 50 adults not enrolled in a formal weight loss programme. Its reliability (checklists, food and exercise diary) and predictive validity were tested using a selective population: 265 adults of the observational group enrolled in behavioural modification treatment vs. diet. OBJECTIVES OF THE STUDY: Τhe objectives of the research were a) The study of every aspect of weight management and thus be capable of making suggestions for the development of guidelines and protocols for behavioural modification to health professionals working with the public. b) The identification and adjustment of eating and exercise behaviour related to body weight in order to achieve an efficient weight management in Cypriot overweight/obese adults. c) The evaluation of the effectiveness of the modest lifestyle changes in weight management induced by short-term energy/calorie restriction and behaviour modification in overweight and obese Greek Cypriots with Body Mass Index (BMI) above 25 or 30 respectively, or body weight 20% or above of Ideal Body weight (IBW), or body fat above normal levels. d) The development of education and counselling protocols and guidelines for professionals for weight management protocols based on the Mediterranean Diet and the eating and exercise habits of Cypriot Adults. e) The implementation of the protocols to intervention groups in order to identify the efficiency. OUTCOMES: The outcomes of the project was the development of an education and counselling protocol/manual which included teaching tools and guidelines for professionals for weight management with the title “Protocol and Guidelines for professional users for weight management for Adults: assessment, categorization, therapy/ follow up of overweight and obesity”. The development of an eating behaviour and physical activity protocol/manual based on the Mediterranean Diet and the demonstrated eating and exercise habits of Cypriot Adults can be used by the stakeholders and the public for efficient and effective weight management. RESULTS: The average length of weight loss treatment was 18 weeks for the intervention and the control groups, and the average weight loss for the intervention group was 11.96kg (t-test, p-value ≤ 0.001) and for the control group was 5.56kg (t-test, p-value≤ 0.002). During the 18 weeks of the maintenance period the 50% of the intervention group continued to lose while, an additional 48% of them maintained the weight and only 2% of them gained weight. CONCLUSIONS: To conclude, the prevalence of obesity worldwide has reached epidemic proportions. Physical inactivity and poor diet have been identified as primary contributors to the leading causes of death in developed countries including Cyprus. It is unfortunate that more emphasis is given to calorie restriction dieting rather than behavioural modification for diet and physical activity in achieving and maintaining weight loss. The fact is that incorporating appropriate behavioural modification techniques for diet and sufficient physical activity into one’s life is an essential component of achieving a healthy body weight. The research project aimed at developing a behavioural approach and behavioural modification techniques for the treatment of obesity and weight management adjusted to the needs of the Cypriot adult population. The difference of this approach underlines the emphasis that has to be given to the follow-up programme for the maintenance of the weight loss through behavioural modification. This approach evolved from the environmental control of eating behaviour to a broader approach characterized by systematic manipulation of all factors associated with eating and exercise patterns. The need for the project derives from the fact that obesity is a chronic condition with a substantial potential for relapse; therefore long–term treatments are needed. The expected outcomes of this project are the development of guidelines and protocols to be used by health professionals. The ultimate goal is the reduction of the obesity epidemic in Cyprus

Assessing the performance of symmetric and assymetric implied volatility functions

This study examines several alternative symmetric and asymmetric model specifications of regression-based deterministic volatility models to identify the one that best characterizes the implied volatility functions of S&P 500 Index options in the period 1996–2009. We find that estimating the models with nonlinear least squares, instead of ordinary least squares, always results in lower pricing errors in both in- and out-of-sample comparisons. In-sample, asymmetric models of the moneyness ratio estimated separately on calls and puts provide the overall best performance. However, separating calls from puts violates the put-call-parity and leads to severe model mis-specification problems. Out-of-sample, symmetric models that use the logarithmic transformation of the strike price are the overall best ones. The lowest out-of-sample pricing errors are observed when implied volatility models are estimated consistently to the put-call-parity using the joint data set of out-of-the-money options. The out-of-sample pricing performance of the overall best model is shown to be resilient to extreme market conditions and compares quite favorably with continuous-time option pricing models that admit stochastic volatility and random jump risk factors

An Ultra-Low-Power Micro-Optoelectromechanical Tilt Sensor

Published versio

Understanding the threats posed by non-native species: public vs. conservation managers.

Public perception is a key factor influencing current conservation policy. Therefore, it is important to determine the influence of the public, end-users and scientists on the prioritisation of conservation issues and the direct implications for policy makers. Here, we assessed public attitudes and the perception of conservation managers to five non-native species in the UK, with these supplemented by those of an ecosystem user, freshwater anglers. We found that threat perception was not influenced by the volume of scientific research or by the actual threats posed by the specific non-native species. Media interest also reflected public perception and vice versa. Anglers were most concerned with perceived threats to their recreational activities but their concerns did not correspond to the greatest demonstrated ecological threat. The perception of conservation managers was an amalgamation of public and angler opinions but was mismatched to quantified ecological risks of the species. As this suggests that invasive species management in the UK is vulnerable to a knowledge gap, researchers must consider the intrinsic characteristics of their study species to determine whether raising public perception will be effective. The case study of the topmouth gudgeon Pseudorasbora parva reveals that media pressure and political debate has greater capacity to ignite policy changes and impact studies on non-native species than scientific evidence alone

Paleoseismological investigations along the Kera fault zone, Western Crete: implications for seismic hazard assessment

The island of Crete is the principal landmass in the Aegean arc system. Collision of the Euroasian plate in the north and the African plate in the south gives rise to the subduction related deformation along the Hellenic arc. As a result of the complex deformation, the area is characterized by high seismic activity. Paleoseismic investigations performed along the Kera fault scarp, which is part of a N-S oriented fault system along the Spatha peninsula (NW-Crete), show clear evidence of repeated normal faulting events. Five distinct episodes of faulting are observed. The first two are probably of Middle-Miocene or younger age representing older tectonic episodes, whereas the last three indicate co-seismic displacements most likely during the Pleistocene and Holocene. This is in good agreement with the previous estimates of Holocene average slip rate and the recurrence time estimate of large earthquakes in the order of ca. lmm/yr and 3000yrs, respectively. The Kera fault represents a NE-SW oriented bend in a N-S fault system and therefore has a minor left-lateral strike-slip component. During the 1980's at least three earthquakes could be associated with the Kera fault. More recently, in 1999, there were three small (with magnitudes between 3.0-4.5) offshore events that are probably associated with the same fault system in the offshore extension (to the north) of the N-S oriented faults along the Spatha peninsula. The existence of these earthquakes as well as the recent paleoseismic results clearly demonstrates the need of revising the seismic hazard assessment of the area. The length of the N-S oriented fault system, where the Kera fault represents the middle segment, reaches to a total of 30 km., and is capable of generating an earthquake of magnitude in the range 6.0-6.7. Such a (shallow) earthquake occurring at a short distance to the densely populated north-western coast of Crete is likely to have significant consequences

Establishing a baseline for the study of maritime cultural heritage in the Gaza Strip

As a result of its geographic location, cultural diversity and historical trajectory, the Gaza strip is a key zone of scholarly enquiry and has a central role in the historical, social, political, economic, legislative and environmental discourses for the wider region. Existing historical knowledge of Gaza is dominated by combative narrative trends that emphasise the events of the 20th and 21st centuries and invoke archaeology extensively. In this context, cycles of material preservation and damage—often accompanying other forms of violence—have attracted the attention of academics and international media. Among the corollaries of this situation, is the destruction and marginalisation of vulnerable cultural heritage, particularly maritime cultural heritage, which is subjected to additional environmental, climatic, and anthropogenic pressures. As a means of countering the challenges on current field research in the region and to further assess the damage and threats faced by archaeological fabric, this paper combines data from coastal and archaeological research conducted in the Gaza Strip to create a benchmark for the study of its maritime archaeology. Additional information on the alteration of coastal landscape is deduced through the analysis of aerial photographs and satellite imagery. This study falls within the scope of the Maritime Endangered Archaeology in the Middle East and Africa Project (MarEA). MarEA aims to comprehensively document and assess vulnerable maritime archaeology (underwater, nearshore, coastal) and produce baseline information that can enhance existing infrastructure on archaeological monitoring and management.</p

Managerial overconfidence and the buyback anomaly

While positive, long-run abnormal returns following share repurchaseannouncements are substantially lower when CEOs are overconfident. This effect is particularly strong for (i) difficult to value firms, such as small, young, non-dividend paying, distressed, and having negative earnings firms, (ii) firms with poor past stock return performance and high book-to-market ratio, indicators of possible overreaction to bad news, and (iii) financially constrained firms. Overall, these results are consistent with the mispricing hypothesis as a motive for repurchases and as an explanation for the buyback anomaly. Additionally, irrespective of the CEO’s level of confidence, abnormal returns are considerably larger for financially constrained firms, implying their managers require larger undervaluation due to the higher cost of capital

Artificial Neural Network Enhanced Parametric Option Pricing

In this paper we explore ways that alleviate problems of nonparametric (artificial neural networks) and parametric option pricing models by combining the two. The resulting enhanced network model is compared to standard artificial neural networks and to parametric models with several historical and implied parameters. Empirical results using S\&P 500 index call options strongly support our approach.Option pricing, implied volatilities, implied parameters, artificial neural networks, optimization

Diffuse precordial ST-segment elevation in inferior-right myocardial infarction

A right ventricular (RV) myocardial infarction (MI) may yield precordial ST-segment elevation (STE). Accordingly, combined inferior and precordial STE may be produced during an inferior-RV MI. Such an electrocardiographic picture may be mistakenly regarded as showing wrapped left anterior descending artery (LADA) occlusion or double vessel occlusion. We present a patient with inferior-RV MI and STE in the inferior, all precordial and right chest leads, in whom the diffuse precordial STE was probably mistakenly regarded as showing anterior MI. However, the STE resolution in V1-V2 and late R&#8217; wave in V1, which were combined with a recanalized RV branch, favored the RV origin of this STE. Furthermore, the LADA was patent when V3-V6 showed severe ischemia, while its lesion was angiographically stable. Thus its simultaneous occlusion was unlikely. The late R&#8217; wave in V1 indicates RV transmural conduction delay;as highlighted herein, it is diagnostic of a RV myocardial infarction. (Cardiol J 2010; 17, 6: 628-631