CRP,but not TNF-α or IL-6, decreases after weight loss in patients with morbid obesity exposed to intensive weight reduction and balneological treatment

Objective

The aim of this study was to evaluate the concentrations of C-reactive protein (CRP), tumor necrosis factor-α (TNF-α), interleukin-6 (IL-6), and the degree of homeostasis model assessment-insulin resistance (HOMA-IR) in patients with morbid obesity exposed to a three-week low-calorie diet and balneotherapy.

Methods

The study included 33 patients (25 females and 8 males; mean age 46 years) with body mass index (BMI) values of >40 kg/m². Evaluations of CRP, IL-6, TNF-α, lipid profile, HOMA-IR, and fasting glucose were carried out before (baseline data) and three weeks after the treatment. The control group consisted of 20 healthy volunteers (15 females and 5 males) with a mean age of 39 years and BMI values of ≤24.9 kg/m².

Results

In the blood of patients with morbid obesity we found significantly elevated levels of CRP, TNF-α, triglycerides, HOMA-IR and fasting glucose, but a decreased level of high density lipoprotein (HDL)-cholesterol, compared with the healthy individuals. The treatment resulted in about a 9.4% reduction in body weight from 122.5 to 111.0 kg and a significant decrease in the concentration of CRP, but no change in TNF-α or IL-6. HOMA-IR was significantly reduced.

Conclusion

The decrease in CRP level without changes in TNF-α or IL-6 concentrations after the low-calorie diet and balneological treatment, suggests that an essential amount of adipose tissue must be removed before proper adipocyte function is restored. The decrease in HOMA-IR indicates an improvement in insulin sensitivity, which is beneficial in obese patients.

     

Library as a Partner in Co-Designing Learning Spaces: A Case Study at Tampere University of Technology,Finland

This article presents a case of co-designed temporary learning spaces at a Finnish academic library, together with the results of a user-survey. The experimental development of the multifunctional spaces offered an opportunity for the library to collaborate with its parent organisation thus broadening the role of the library. Hence, library can be seen as a third player facilitating learning spaces. Additionally, the library's own expertise was strengthened through successful cooperation with the undergraduate students and other actors. The results support prior research, where studying in the library is target-oriented differing from other learning spaces in providing support and resources.     

Pawns in a Chess Game

The Spanish Service was established in June 1939, two months after the end of the civil war in Spain and shortly before the start of the Second World War. Its implementation was strongly affected by these conflicts in the context of new international relations. Therefore, this study of the Spanish Service during 1939–1945 allows not only a better understanding of the communicational strategies developed by the BBC, but also of the complex Anglo-Spanish relations and the important role played by the Spanish-language broadcasts therein. The study is mainly based on archival documents from the National Archives in London and memoirs.     

Imagining the Journalist of the Future: Technological Visions of Journalism Education and Newswork

Digitization has resulted in great uncertainty for journalism, leading to disruption of business models, revenue streams, media distinctions, and production practices. This uncertainty has led to many articles, reports, blog posts, and general commentary discussing the future of both journalism and the skills required by journalists to succeed in this environment. This essay analyzes these discourses, focusing specifically on the nature of technology as the sole determiner of journalism’s future, with interventions aimed at journalism education and the structure of newswork. An idealized notion of the technologically adept journalist, ready to usher in digital stability, emerges as the object of these debates and, thanks in large part to the limited scope and ahistorical character of digital discourse, obscures more persistent, systemic critiques of technology and journalism.     

Flipping the classroom to teach systematic reviews: the development of a continuing education course for librarians

Objective:The researchers used the flipped classroom model to develop and conduct a systematic review course for librarians.Setting:The research took place at an academic health sciences library.Method:A team of informationists developed and conducted a pilot course. Assessment informed changes to both course components; a second course addressed gaps in the pilot.Conclusion:The flipped classroom model can be successful in developing and implementing a course that is well rated by students.     

Systematic Dynamic Effects in Multiple Impact Pairs and Distributed Factors

In this paper in general the dynamic effects are considered and described, caused by different stand-ing waves in discrete and distributed systems with impacts and other strongly positional non-linear fac-tors, introduction of which in the models of me-chanical objects is dictated by the necessity to con-sider processes, accompanied with impacts of me-chanical subsystems of different nature.     

一类高阶中立型时滞微分方程的振动性

用不同于已有文献的方法研究了一类高阶中立型微分方程,本文不需要条件f∞t0Q(s)ds=∞,获得了这类方程振动性的几个新的结果.     

德国应用科技大学的办学特点及启示

应用型大学办学模式的探讨需要广开思路,洋为中用。德国应用科技大学办学经验启示我们找准人才培养定位,实施灵活多样的人才培养模式,加大人才培养的实践力度,提高教师专业实践技能,突出科研的应用与转化等。     

User experience of government documents: A framework for informing design decisions

People still use documents in many everyday government processes. From tax payments to passport requests, citizens have to interact with low-interactivity information artifacts such as reports, maps and datasets, among many others. Despite efforts to improve information delivery in the public sector, effective information usage remains a critical topic of action and research. The user experience of government documents has rarely been assessed, despite them being regularly published and frequently used. Considering this, the two following research questions arise: 1) How can government documents be classified (or grouped) in terms of user experience? 2) How can the user experience of government documents be monitored over time in order to inform design decisions? Working with a public agency in Chile, we develop and test a classification and monitoring framework based on two online surveys (N?=?338 and N?=?298). We then propose a framework for understanding user experience of government documents in these three dimensions: interaction goal, volume of information and ease of understanding. Using a graphical representation to classify user experience provides greater visibility of the current status of information produced by a public organization. Furthermore, by monitoring the user experience of a government document at different times, organizations can understand the effect of their design decisions and improve their service quality by implementing user-centered processes.