Barriers and enablers for participation in healthy lifestyle programs by adolescents who are overweight: a qualitative study of the opinions of adolescents, their parents and community stakeholders

Background: Overweight or obesity during adolescence affects almost 25% of Australian youth, yet limited research exists regarding recruitment and engagement of adolescents in weight-management or healthy lifestyle interventions, or best-practice for encouraging long-term healthy behaviour change. A sound understanding of community perceptions, including views from adolescents, parents and community stakeholders, regarding barriers and enablers to entering and engaging meaningfully in an intervention is critical to improve the design of such programs. Methods: This paper reports findings from focus groups and semi-structured interviews conducted with adolescents (n=44), parents (n=12) and community stakeholders (n=39) in Western Australia. Three major topics were discussed to inform the design of more feasible and effective interventions: recruitment, retention in the program and maintenance of healthy change. Data were analysed using content and thematic analyses.Results: Data were categorised into barriers and enablers across the three main topics. For recruitment, identified barriers included: the stigma associated with overweight, difficulty defining overweight, a lack of current health services and broader social barriers. The enablers for recruitment included: strategic marketing, a positive approach and subsidising program costs. For retention, identified barriers included: location, timing, high level of commitment needed and social barriers. Enablers for retention included: making it fun and enjoyable for adolescents, involving the family, having an on-line component, recruiting good staff and making it easy for parents to attend. For maintenance, identified barriers included: the high degree of difficulty in sustaining change and limited services to support change. Enablers for maintenance included: on-going follow up, focusing on positive change, utilisation of electronic media and transition back to community services. Conclusions: This study highlights significant barriers for adolescents and parents to overcome to engage meaningfully with weight-management or healthy lifestyle programs. A number of enablers were identified to promote ongoing involvement with an intervention. This insight into specific contextual opinions from the local community can be used to inform the delivery of healthy lifestyle programs for overweight adolescents, with a focus on maximising acceptability and feasibility

LRRC15 mediates an accessory interaction with the SARS-CoV-2 spike protein

The interactions between Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) and human host factors enable the virus to propagate infections that lead to Coronavirus Disease 2019 (COVID-19). The spike protein is the largest structural component of the virus and mediates interactions essential for infection, including with the primary angiotensin-converting enzyme 2 (ACE2) receptor. We performed two independent cell-based systematic screens to determine whether there are additional proteins by which the spike protein of SARS-CoV-2 can interact with human cells. We discovered that in addition to ACE2, expression of LRRC15 also causes spike protein binding. This interaction is distinct from other known spike attachment mechanisms such as heparan sulfates or lectin receptors. Measurements of orthologous coronavirus spike proteins implied the interaction was functionally restricted to SARS-CoV-2 by accessibility. We localized the interaction to the C-terminus of the S1 domain and showed that LRRC15 shares recognition of the ACE2 receptor binding domain. From analyzing proteomics and single-cell transcriptomics, we identify LRRC15 expression as being common in human lung vasculature cells and fibroblasts. Levels of LRRC15 were greatly elevated by inflammatory signals in the lungs of COVID-19 patients. Although infection assays demonstrated that LRRC15 alone is not sufficient to permit viral entry, we present evidence that it can modulate infection of human cells. This unexpected interaction merits further investigation to determine how SARS-CoV-2 exploits host LRRC15 and whether it could account for any of the distinctive features of COVID-19

Intra-regional transportation of a tugboat fouling community between the ports of recife and natal, northeast Brazil

This study aimed to identify the incrusting and sedentary animals associated with the hull of a tugboat active in the ports of Pernambuco and later loaned to the port of Natal, Rio Grande do Norte. Thus, areas with dense biofouling were scraped and the species then classified in terms of their bioinvasive status for the Brazilian coast. Six were native to Brazil, two were cryptogenic and 16 nonindigenous; nine of the latter were classified as established (Musculus lateralis, Sphenia fragilis, Balanus trigonus, Biflustra savartii, Botrylloides nigrum, Didemnum psammatodes, Herdmania pallida, Microscosmus exasperatus, and Symplegma rubra) and three as invasive (Mytilopsis leucophaeta, Amphibalanus reticulatus, and Striatobalanus amaryllis). The presence of M. leucophaeata, Amphibalanus eburneus and A. reticulatus on the boat's hull propitiated their introduction onto the Natal coast. The occurrence of a great number of tunicate species in Natal reflected the port area's benthic diversity and facilitated the inclusion of two bivalves - Musculus lateralis and Sphenia fragilis - found in their siphons and in the interstices between colonies or individuals, respectively. The results show the role of biofouling on boat hulls in the introduction of nonindigenous species and that the port of Recife acts as a source of some species.Este trabalho objetivou identificar os animais incrustantes e sedentários associados ao casco de um rebocador que atuava nos Portos de Pernambuco e foi cedido para o Porto de Natal, Rio Grande do Norte. Áreas com densa bioincrustação foram raspadas e as espécies foram posteriormente classificadas em relação ao status de bioinvasão no litoral brasileiro. Dentre as espécies identificadas, seis eram nativas do Brasil, duas criptogênicas e 16 exóticas. Destas, oito foram classificadas como estabelecidas (Musculus lateralis, Sphenia fragilis, Balanus trigonus, Biflustra savartii, Botrylloides nigrum, Didemnum psammatodes, Herdmania pallida, Microscosmus exasperatus, Symplegma rubra) e três como invasoras (Mytilopsis leucophaeta, Amphibalanus reticulatus e Striatobalanus amaryllis). A presença de M. leucophaeata, Amphibalanus eburneus e A. reticulatus no casco da embarcação, propiciou sua introdução na costa de Natal. A ocorrência de grande número de espécies de tunicados em Natal refletiu a biodiversidade bêntica da área portuária e facilitou a inclusão de dois bivalves, Musculus lateralis e Sphenia fragilis, encontrados em seus sifões e nos interstícios entre colônias ou indivíduos, respectivamente. Os dados obtidos indicam que a incrustação em cascos de embarcações tem um papel preponderante na introdução de espécies exóticas, e que o Porto do Recife atuou como fonte de algumas destas espécies

Virology Experts in the Boundary Zone Between Science, Policy and the Public: A Biographical Analysis

This article aims to open up the biographical black box of three experts working in the boundary zone between science, policy and public debate. A biographical-narrative approach is used to analyse the roles played by the virologists Albert Osterhaus, Roel Coutinho and Jaap Goudsmit in policy and public debate. These figures were among the few leading virologists visibly active in the Netherlands during the revival of infectious diseases in the 1980s. Osterhaus and Coutinho in particular are still the key figures today, as demonstrated during the outbreak of novel influenza A (H1N1). This article studies the various political and communicative challenges and dilemmas encountered by these three virologists, and discusses the way in which, strategically or not, they handled those challenges and dilemmas during the various stages of the field’s recent history. Important in this respect is their pursuit of a public role that is both effective and credible. We will conclude with a reflection on the H1N1 pandemic, and the historical and biographical ties between emerging governance arrangements and the experts involved in the development of such arrangements

Design of the Balance@Work project: systematic development, evaluation and implementation of an occupational health guideline aimed at the prevention of weight gain among employees

<p>Abstract</p> <p>Background</p> <p>Occupational health professionals may play an important role in preventive health promotion activities for employees. However, due to a lack of knowledge and evidence- and practice based methods and strategies, interventions are hardly being implemented by occupational physicians to date. The aim of the Balance@Work project is to develop, evaluate, and implement an occupational health guideline aimed at the prevention of weight gain among employees.</p> <p>Methods</p> <p>Following the guideline development protocol of the Netherlands Society of Occupational Medicine and the Intervention Mapping protocol, the guideline was developed based on literature, interviews with relevant stakeholders, and consensus among an expert group. The guideline consists of an individual and an environmental component. The individual component includes recommendations for occupational physicians on how to promote physical activity and healthy dietary behavior based on principles of motivational interviewing. The environmental component contains an obesogenic environment assessment tool. The guideline is evaluated in a randomised controlled trial among 20 occupational physicians. Occupational physicians in the intervention group apply the guideline to eligible workers during 6 months. Occupational physicians in the control group provide care as usual. Measurements take place at baseline and 6, 12, and 18 months thereafter. Primary outcome measures include waist circumference, daily physical activity and dietary behavior. Secondary outcome measures include sedentary behavior, determinants of behavior change, body weight and body mass index, cardiovascular disease risk profile, and quality of life. Additionally, productivity, absenteeism, and cost-effectiveness are assessed.</p> <p>Discussion</p> <p>Improving workers' daily physical activity and dietary behavior may prevent weight gain and subsequently improve workers' health, increase productivity, and reduce absenteeism. After an effect- and process evaluation the guideline will be adjusted and, after authorisation, published. Together with several implementation aids, the published guideline will be disseminated broadly by the Netherlands Society of Occupational Medicine.</p> <p>Trial Registration</p> <p>ISRCTN73545254/NTR1190</p