8,538 research outputs found
Design and development of a multipurpose, boresighted star tracker
Design and development of boresighted star tracke
Simulating the impact of perpendicular scrape-off layer transport on momentum and power dissipation in magnetic fusion devices
Still the century of ‘new’ environmental policy instruments? Exploring patterns of innovation and continuity
This article re-examines the political interest in and use of ‘new' environmental policy instruments (NEPIs) and other non-regulatory modes of governance. It starts by taking stock of the dynamic debate that has emerged around this topic since the turn of the century. It then contextualizes that debate by examining subsequent challenges to, and transformations in state-led governing and the widely acknowledged rise of 'new governance' more generally. It highlights the mismatch between: (a) the animated discussion of new instruments amongst policy makers and academics; and (b), the less active adoption and performance of them in practice. It makes an overall assessment of the role of instruments - both ‘old' and ‘new' - in the wider debate about governance, and suggests some steps that could be taken by both practitioners and scholars better to understand and possibly even utilise more NEPIs in the future
An Analytic Hierarchy Process for The Evaluation of Transport Policies to Reduce Climate Change Impacts
Transport is the sector with the fastest growth of greenhouse gases emissions, both in developed and in developing countries, leading to adverse climate change impacts. As the experts disagree on the occurrence of these impacts, by applying the analytic hierarchy process (AHP), we have faced the question on how to form transport policies when the experts have different opinions and beliefs. The opinions of experts have been investigated by a means of a survey questionnaire. The results show that tax schemes aiming at promoting environmental-friendly transport mode are the best policy. This incentives public and environmental-friendly transport modes, such as car sharing and car pooling.Analytic Hierarchy Process, Transport Policies, Climate Change
Ketogenic diet-induced weight loss is associated with an increase in vitamin d levels in obese adults
Vitamin D is an important micronutrient involved in several processes. Evidence has shown a strong association between hypovitaminosis D and cardio-metabolic diseases, including obesity. A ketogenic diet has proven to be very effective for weight loss, especially in reducing fat mass while preserving fat-free mass. The aim of this study was to investigate the effect of a ketogenic diet-induced weight loss on vitamin D status in a population of obese adults. We enrolled 56 obese outpatients, prescribed with either traditional standard hypocaloric Mediterranean diet (SHMD) or very low-calorie ketogenic diet (VLCKD). Serum 25(OH)D concentrations were measured by chemiluminescence. The mean value of serum 25-hydroxyvitamin D (25(OH)D) concentrations in the whole population at baseline was 17.8 +/- 5.6 ng/mL, without differences between groups. After 12 months of dietetic treatment, in VLCKD patients serum 25(OH)D concentrations increased from 18.4 +/- 5.9 to 29.3 +/- 6.8 ng/mL (p < 0.0001), vs 17.5 +/- 6.1 to 21.3 +/- 7.6 ng/mL (p = 0.067) in the SHMD group (for each kilogram of weight loss, 25(OH)D concentration increased 0.39 and 0.13 ng/mL in the VLCKD and in the SHMD groups, respectively). In the VLCKD group, the increase in serum 25(OH)D concentrations was strongly associated with body mass index, waist circumference, and fatty mass variation. In a multiple regression analysis, fatty mass was the strongest independent predictor of serum 25(OH)D concentration, explaining 15.6%, 3.3%, and 9.4% of its variation in the whole population, in SHMD, and VLCKD groups, respectively. We also observed a greater reduction of inflammation (evaluated by high-sensitivity C reactive protein (hsCRP) values) and a greater improvement in glucose homeostasis, confirmed by a reduction of HOMA values, in the VLCKD versus the SHMD group. Taken together, all these data suggest that a dietetic regimen, which implies a great reduction of fat mass, can improve vitamin D status in the obese
CHRONIC CONSTIPATION IS A RISK FACTOR FOR METABOLIC SYNDROME
Background and aim: A recent epidemiologic survey in the U.S. provides
indirect evidence that constipation is a risk factor for cardiovascular disease
in postmenopausal females. To characterize the related factors involved in
and to further analyse if this assumption also applies to an Italian population,
we studied the impact of chronic constipation on ischemic cardiopathy and
predisposing risk factors in a large population of female patients in a primary
care setting.
Material and methods: We retrospectively evaluated 754 female patients
(mean age 46±20 years) on data file of a primary care setting. All subjects
requiring medical referral for constipation were screened and presence
of chronic constipation was confirmed by standardized questionnaires. The
presence of clinical and/or instrumental diagnosis of ischemic cardiopathy,
metabolic syndrome, diabetes and blood hypertension was scored in patients
with and without chronic constipation. In all patients the consumption of
drugs potentially delaying colonic transit (calcium channel blockers and
beta blockers) was recorded. Patients on opioid or analgesic treatment were
excluded.
Results: The overall prevalence of chronic constipation was 9.4% (71/754)
with the age being similar in patients with and without constipation (46±19
vs. 51±22, p=NS). The prevalence of metabolic syndrome was significantly
higher in subjects with chronic constipation (5/66 vs 16/667, OR=3.1, 95%
CI 1.1–8.9, p=0.03). Conversely, prevalence of diabetes, blood hypertension,
ischemic cardiopathy was similar in patients with and without constipation
(59/624 vs 10/61; 204/478 vs 28/43; 46/637 vs 6/65, respectively p= all NS).
No significant difference was also observed as far as calcium channel blockers
(64/619 vs 9/62) and beta blockers (81/602 vs 9/62) consumption in patients
with or without constipation respectively.
Conclusions: We showed that chronic constipation is a risk factor for
metabolic syndrome in female patients. Although we did not find any significant
association between chronic constipation and ischemic cardiopathy, our
findings support the hypothesis that constipation may act as cardiovascular
risk factor. Whether this association is dependent on dietary or hormonal
factors deserves further investigation
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