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The rs7903146 variant in the tcf7l2 gene increases the risk of prediabetes/type 2 diabetes in obese adolescents by impairing b-cell function and hepatic insulin sensitivity

OBJECTIVE In this study, we aimed to explore the mechanism by which TCF7L2 rs7903146 risk allele confers susceptibility to impaired glucose tolerance (IGT) or type 2 diabetes (T2D) in obese adolescents. RESEARCH DESIGN AND METHODS The rs7903146 variant in the TCF7L2 gene was genotyped in a multiethnic cohort of 955 youths. All subjects underwent an oral glucose tolerance test with the use of the O

Familial associations of male breast cancer with other cancers

Purpose: Male breast cancer is associated with female breast cancer in families but whether male breast cancer clusters with other discordant cancers has not been studied. As concordant male breast cancers are utterly rare, discordant associations of male breast cancer with other cancers may reveal genetic and possible environmental risk factors contributing to male breast cancer susceptibility. M

SOLID WASTE MANAGEMENT IN URBAN AREAS: PROPERTIES OF CURBSIDE COLLECTION POINTS TO ADDRESS LOGISTICAL AND ENVIRONMENTAL DEMANDS

Purpose: A well-functioning curbside system must consider several properties, such as the location of collection points, from a logistical standpoint to ensure efficient hauling and transportation. The collection point itself should also promote a good working Environment for the collection personnel. However, many older urban areas were not designed with modern logistical and environmental aspect

EFFECTIVE AND EFFICIENT WASTE SORTING IN CONSTRUCTION SITES

Purpose: Construction waste is one of the larger waste streams in the developed world. Its environmental impact can be reduced by increased waste sorting. Waste sorting efficiency, however, is influenced by the characteristics of an evolving construction site with space limitation, changing layout, different waste streams over time, and the many different actors involved. This study explores facto

An ethnographic observation study of the facilitator role in an implementation process

BackgroundEven though the importance of a facilitator during an implementation process is well described, the facilitator’s role is rarely problematized in relation to the organizational context in terms of power and legitimacy; themes which have recently been brought to the fore when studying change in health care organizations. Therefore, in this article, we present a qualitative study with the

Value of a QALY and VSI estimated with the chained approach

The value of a quality-adjusted life-year (QALY) and the value of a statistical injury (VSI) are important measures within health economics and transport economics. Several studies have, therefore, estimated people's willingness to pay (WTP) for these estimates, but most results show scale insensitivity. The 'original' chained approach (CA) is a method developed to mitigate this problem by combini

Helping students to learn without teachers present

Surveys of students’ and teachers’ experiences at the Department of Geology, Lund University, have shown a need and wish among students to get, for example, more practice in using and understanding geological terminology and to understand the context of different features. Among teachers a common problem is (too) limited time per student to always give meaningful feedback and support. Learning mat

The meaning of awaiting bariatric surgery

Background:The understanding of the association between the objective conditions of health and the subjective perceptions of morbidly obese patients appears to be poor. The use of objective indicators alone produces results totally unrelated to the feelings and experiences of the bariatric patients studied. No study has approached the bariatric patient from both an inside and a preoperative perspe

An analysis of everyday life activities and their consequences for energy use

In this chapter, we discuss the need for deeper knowledge about the relation between people’s daily activities and their electricity use and how to increase our knowledge through time use surveys and the visualization of aggregate activity patterns. To understand people’s energy consumption and how to improve energy efficiency or reduce demand during certain peak hours requires an understanding of

Liver blood dynamics after bariatric surgery : The effects of mixed-meal test and incretin infusions

Aims/hypothesis: The mechanisms for improved glycemic control after bariatric surgery in subjects with type 2 diabetes (T2D) are not fully known. We hypothesized that dynamic hepatic blood responses to a mixed-meal are changed after bariatric surgery in parallel with an improvement in glucose tolerance. Methods: A total of ten morbidly obese subjects with T2D were recruited to receive a mixed-meal

Skin autofluorescence as a measure of advanced glycation end product levels is associated with carotid atherosclerotic plaque burden in an elderly population

BACKGROUND: Advanced glycation end product is an established risk marker in diabetic vascular disease, but its possible associations with atherosclerosis in a general population are yet to be investigated. We studied the degree of carotid atherosclerosis and its association with skin autofluorescence in an elderly population.METHODS: Carotid ultrasound and skin autofluorescence measurements were p

Genome editing of human pancreatic beta cell models : problems, possibilities and outlook

Understanding the molecular mechanisms behind beta cell dysfunction is essential for the development of effective and specific approaches for diabetes care and prevention. Physiological human beta cell models are needed for this work. We review the possibilities and limitations of currently available human beta cell models and how they can be dramatically enhanced using genome-editing technologies

Child-centred health dialogue for primary prevention of obesity in child health services – a feasibility study

Aims: The aim of this study was to test a Child-Centred Health Dialogue model for primary prevention of obesity for 4-year-old children in Child Health Services, for its feasibility and the responsiveness of its outcomes.Methods: A feasibility study was set up with a non-randomised quasi-experimental cluster design comparing usual care with a structured multicomponent child-centred health dialogue