Association Between Change in Accelerometer-Measured and Self-Reported Physical Activity and Cardiovascular Disease in the Look AHEAD Trial

OBJECTIVE: To conduct <i>post-hoc</i> secondary analysis examining the association between change in physical activity (PA), measured with self-report and accelerometry, from baseline to 1 and 4 years and cardiovascular disease (CVD) outcomes in the Look AHEAD Trial. <p>RESEARCH DESIGN AND METHODS: Participants were adults with overweight/obesity and type 2 diabetes with PA data at baseline and year 1 or 4 (n = 1,978). Participants were randomized to diabetes support and education or intensive lifestyle intervention. Measures included accelerometry-measured moderate-to-vigorous PA (MVPA), self-reported PA, and composite (morbidity and mortality) CVD outcomes.</p> <p>RESULTS: In pooled analyses of all participants, using Cox proportional hazards models, each 100 MET-min/wk increase in accelerometry-measured MVPA from baseline to 4 years was associated with decreased risk of the subsequent primary composite outcome of CVD. Results were consistent for changes in total MVPA [HR=0.97 (95% CI: 0.95, 0.99)] and MVPA accumulated in <u>></u>10-minute bouts [HR=0.95 (95% CI: 0.91, 0.98)], with a similar pattern for secondary CVD outcomes. Change in accelerometry-measured MVPA at 1 year and self-reported change in PA at 1 and 4 years were not associated with CVD outcomes.</p> <p>CONCLUSIONS: Increased accelerometry-measured MVPA from baseline to year 4 is associated with decreased risk of CVD outcomes. This suggests the need for long-term engagement in MVPA to reduce the risk of CVD in adults with overweight/obesity and type 2 diabetes.</p>

Association Between Change in Accelerometer-Measured and Self-Reported Physical Activity and Cardiovascular Disease in the Look AHEAD Trial

OBJECTIVE: To conduct <i>post-hoc</i> secondary analysis examining the association between change in physical activity (PA), measured with self-report and accelerometry, from baseline to 1 and 4 years and cardiovascular disease (CVD) outcomes in the Look AHEAD Trial. <p>RESEARCH DESIGN AND METHODS: Participants were adults with overweight/obesity and type 2 diabetes with PA data at baseline and year 1 or 4 (n = 1,978). Participants were randomized to diabetes support and education or intensive lifestyle intervention. Measures included accelerometry-measured moderate-to-vigorous PA (MVPA), self-reported PA, and composite (morbidity and mortality) CVD outcomes.</p> <p>RESULTS: In pooled analyses of all participants, using Cox proportional hazards models, each 100 MET-min/wk increase in accelerometry-measured MVPA from baseline to 4 years was associated with decreased risk of the subsequent primary composite outcome of CVD. Results were consistent for changes in total MVPA [HR=0.97 (95% CI: 0.95, 0.99)] and MVPA accumulated in <u>></u>10-minute bouts [HR=0.95 (95% CI: 0.91, 0.98)], with a similar pattern for secondary CVD outcomes. Change in accelerometry-measured MVPA at 1 year and self-reported change in PA at 1 and 4 years were not associated with CVD outcomes.</p> <p>CONCLUSIONS: Increased accelerometry-measured MVPA from baseline to year 4 is associated with decreased risk of CVD outcomes. This suggests the need for long-term engagement in MVPA to reduce the risk of CVD in adults with overweight/obesity and type 2 diabetes.</p>

“YouTube’s predator problem”: Platform moderation as governance-washing, and user resistance

YouTube experienced large-scale criticism in early 2019 for predatory behavior toward children on the platform. To address concerns about children’s safety, YouTube acted quickly by demonetizing and deactivating comments on videos featuring minors. In this paper, we analyze both the company’s response to this scandal and how users received that response. We argue that YouTube’s reaction was governance-washing, which presents the appearance of vigorous platform moderation and leverages popular perceptions of technology to create the look of authority while deflecting questions about substance. While YouTubers and users did not dispute that the pedophilic comments were heinous, they questioned the effectiveness of the company’s solutions, arguing that YouTube’s platform governance actions did not solve the problem. Ultimately, we show that users have cogent critiques of governance policies that pretend to be comprehensive but fail to solve what they purport to address, and offer up the term “governance-washing” as a useful framework to make sense of such cases.

Selected Aspects of Carbon Stock Assessment in Aboveground Biomass

Given the significance of national carbon inventories, the importance of large-scale estimates of carbon stocks is increasing. Accurate biomass estimates are essential for tracking changes in the carbon stock through repeated assessment of carbon stock, widely used for both vegetation and soil, to estimate carbon sequestration. Objectives: The aim of our study was to determine the variability of several aspects of the carbon stock value when the input matrix was (1) expressed either as a vector or as a raster; (2) expressed as in local (1:10,000) or regional (1:100,000) scale data; and (3) rasterized with different pixel sizes of 1, 10, 100, and 1000 m. Method: The look-up table method, where expert carbon content values are attached to the mapped landscape matrix. Results: Different formats of input matrix did not show fundamental differences with exceptions of the biggest raster of size 1000 m for the local level. At the regional level, no differences were notable. Conclusions: The results contribute to the specification of best practices for the evaluation of carbon storage as a mitigation measure, as well as the implementation of national carbon inventories.

Correlates of cardiorespiratory fitness among overweight or obese individuals with type 2 diabetes

IntroductionMechanistic studies suggest that type 2 diabetes is independently associated with low cardiorespiratory fitness (CRF). Little is known about the CRF profile in type 2 diabetes; we assessed the correlates of low CRF among overweight/obese adults with type 2 diabetes.Research design and methodsA total of 4215 participants with type 2 diabetes and without cardiovascular disease underwent maximal exercise testing in the Look AHEAD (Action for Health in Diabetes) study. Low CRF was defined based on the Aerobics Center Longitudinal Study reference standards. Calorie intake and physical activity were assessed using questionnaires. Body fat composition was assessed using dual-energy X-ray absorptiometry.ResultsWaist circumference, systolic blood pressure, glycemic measures, whole body fat, caloric intake, and fat-free mass were inversely associated with fitness across sex (all p<0.001). Comparing with moderate or high CRF groups, the low CRF group was associated with higher adjusted odds of obesity (OR 3.19 (95% CI 1.95 to 5.20) in men, 3.86 (95% CI 2.55 to 5.84)) in women), abdominal obesity (OR 3.99 (95% CI 2.00 to 7.96) in men, 2.28 (95% CI 1.08 to 4.79) in women), hypertension (OR 1.74 (95% CI 1.09 to 2.77) in men, 1.44 (95% CI 1.02 to 2.05) in women), metabolic syndrome (OR 5.52 (95% CI 2.51 to 12.14) in men, 2.25 (95% CI 1.35 to 3.76) in women), use of beta-blocker (1.22 (95% CI 0.86 to 1.73) in men, 1.33 (95% CI 1.03 to 1.73) in women), and ACE inhibitor/angiotensin-receptor blocker (1.86 (95% CI 1.39 to 2.50) in men, 1.07 (95% CI 0.86 to 1.32) in women). Women with low CRF had higher odds of current smoking (2.02 (95% CI 1.25 to 3.28)).ConclusionsLow CRF was associated with increased odds of cardiometabolic correlates in a large cohort of adults with type 2 diabetes.

War-like Violence: Violating the Ontological Contract

Examining the continuities and differences between war and war-like violence, focusing on the war like violence of racism and rape through the lens of Sartre’s ontology of “The Look”, Merleau-Ponty’s concept of a body schema, and Beauvoir’s analysis of women as “the sex”, I argue that war-like violence deploys the affect perceptions of shame, degrada-tion, humiliation and disgust to violate the ontological contract of intersubjectivity and mutual vulnerability.

Improving User Experience of Virtual Health Assistants: Scoping Review

Background Virtual assistants can be used to deliver innovative health programs that provide appealing, personalized, and convenient health advice and support at scale and low cost. Design characteristics that influence the look and feel of the virtual assistant, such as visual appearance or language features, may significantly influence users’ experience and engagement with the assistant. Objective This scoping review aims to provide an overview of the experimental research examining how design characteristics of virtual health assistants affect user experience, summarize research findings of experimental research examining how design characteristics of virtual health assistants affect user experience, and provide recommendations for the design of virtual health assistants if sufficient evidence exists. Methods We searched 5 electronic databases (Web of Science, MEDLINE, Embase, PsycINFO, and ACM Digital Library) to identify the studies that used an experimental design to compare the effects of design characteristics between 2 or more versions of an interactive virtual health assistant on user experience among adults. Data were synthesized descriptively. Health domains, design characteristics, and outcomes were categorized, and descriptive statistics were used to summarize the body of research. Results for each study were categorized as positive, negative, or no effect, and a matrix of the design characteristics and outcome categories was constructed to summarize the findings. Results The database searches identified 6879 articles after the removal of duplicates. We included 48 articles representing 45 unique studies in the review. The most common health domains were mental health and physical activity. Studies most commonly examined design characteristics in the categories of visual design or conversational style and relational behavior and assessed outcomes in the categories of personality, satisfaction, relationship, or use intention. Over half of the design characteristics were examined by only 1 study. Results suggest that empathy and relational behavior and self-disclosure are related to more positive user experience. Results also suggest that if a human-like avatar is used, realistic rendering and medical attire may potentially be related to more positive user experience; however, more research is needed to confirm this. Conclusions There is a growing body of scientific evidence examining the impact of virtual health assistants’ design characteristics on user experience. Taken together, data suggest that the look and feel of a virtual health assistant does affect user experience. Virtual health assistants that show empathy, display nonverbal relational behaviors, and disclose personal information about themselves achieve better user experience. At present, the evidence base is broad, and the studies are typically small in scale and highly heterogeneous. Further research, particularly using longitudinal research designs with repeated user interactions, is needed to inform the optimal design of virtual health assistants.

A Design of Multi-Purpose Image-Based QR Code

A multi-purpose image-based QR code is designed in this paper. There are four purposes for the generated image-based QR code. In the first purpose, the basic image-based QR code with the look of a host image is with an ingenious layout to be identified easier. In the second one, a saliency region detection method is adopted for enhancing the quality of the image-based QR code. In the third one, the host image is embedded into the image-based QR code for further access to the host image; Finally, the visual cryptography-based watermarking method is applied to the host image embedded image-based QR code. In the case that the specific users need verification from the image-based QR code, the binary verified image can be retrieved when the public share is available. The experimental results demonstrate that the generated image-based QR code not only looked better than some previous works but also had high quality host image embedded and identification ability.

RES Based Islanded DC Microgrid with Enhanced Electrical Network Islanding Detection

An electrical islanding detection method for DC microgrid (MG) is proposed in this paper. Unlikely conventional AC MG system protection has been challenging for the DC MG system. The goal of the proposed scheme is to detect the islanding intelligently within the agent nodes. The proposed islanding detection technique detects the electrical link failure intelligently, and if any electrical link failure occurs, then the proposed technique maintains the MG operation and load sharing. Islanding detection is carried out using an injection signal and utilizes the existing communication network to check network connectivity. After checking the network connectivity, all the nodes maintain the look-up table of the connected network. This research work illustrates that the proposed electrical islanding detection technique is effective in maintaining the DC MG operation in the case of an electrical islanding/link failure scenario. The proposed scheme’s performance is checked through MATLAB/Simulink for the detection of islanding and maintaining the operation.