Outcomes and costs of primary care surveillance and intervention for overweight or obese children : the LEAP 2 randomised controlled trial

Objective To determine whether ascertainment of childhood obesity by surveillance followed by structured secondary prevention in primary care improved outcomes in overweight or mildly obese children.

Design Randomised controlled trial nested within a baseline cross sectional survey of body mass index (BMI). Randomisation and outcomes measurement, but not participants, were blinded to group assignment.

Setting 45 family practices (66 general practitioners) in Melbourne, Australia.

Participants 3958 children visiting their general practitioner in May 2005-July 2006 were surveyed for BMI. Of these, 258 children aged 5 years 0 months up to their 10th birthday who were overweight or obese by International Obesity Taskforce criteria were randomised to intervention (n=139) or control (n=119) groups. Children who were very obese (UK BMI z score 3.0) were excluded.

Intervention Four standard consultations over 12 weeks targeting change in nutrition, physical activity, and sedentary behaviour, supported by purpose designed family materials.

Main outcomes measures Primary measure was BMI at 6 and 12 months after randomisation. Secondary measures were mean activity count/min by 7-day accelerometry, nutrition score from 4-day abbreviated food frequency diary, and child health related quality of life. Differences were adjusted for socioeconomic status, age, sex, and baseline BMI.

Results Of 781 eligible children, 258 (33%) entered the trial; attrition was 3.1% at 6 months and 6.2% at 12 months. Adjusted mean differences (intervention – control) at 6 and 12 months were, for BMI, –0.12 (95% CI –0.40 to 0.15, P=0.4) and –0.11 (–0.45 to 0.22, P=0.5); for physical activity in counts/min, 24 (–4 to 52, P=0.09) and 11 (–26 to 49, P=0.6); and, for nutrition score, 0.2 (–0.03 to 0.4, P=0.1) and 0.1 (–0.1 to 0.4, P=0.2). There was no evidence of harm to the child. Costs to the healthcare system were significantly higher in the intervention arm.

Conclusions Primary care screening followed by brief counselling did not improve BMI, physical activity, or nutrition in overweight or mildly obese 5-10 year olds, and it would be very costly if universally implemented. These findings are at odds with national policies in countries including the US, UK, and Australia.

Law schools told to leap into social media learning

Law schools should use social media websites such as Twitter and Facebook, and blogs to strengthen ties with students and keep them more engaged with their studies, argues an Australian academic research paper.

Taking the LEAP with the Oculus HMD and CAD - plucking at thin air?

Achieving adequate visualisation of designs within CAD packages remains a challenge for designers with current methods of 3D CAD visualisation requiring either a high level of technical ability, or expensive hardware and software. The recent re-emergence of consumer VR has lowered the barrier for everyday developers wanting to visualise their designs in true 3D. This paper presents the CAD Interaction Lab (CIL) which employs the Oculus Rift Head Mounted Display (HMD) and Leap Motion Controller (LMC) to provide a low cost method enabling users to use their hands to dissect a mechanic model to manipulate and inspect individual components in realistic 3D. Qualitative observations of user interactions with the CIL show that users were able to intuitively manipulate the CAD model using natural hand movements with only minimal instruction.

One small scan for radiology, one giant leap for forensic medicine - Post-mortem imaging replaces forensic autopsy in a case of traumatic aortic laceration

The questions of cause and manner of death are the most pressing ones in any forensic investigation. Traditionally, autopsy is the means to provide answers to these questions and despite the increasing use of CT and MR in the post-mortem setting, imaging has usually been an adjunct to forensic autopsy. Here we describe a case where post-mortem CT and MR were performed instead of autopsy, at the request of the responsible public prosecutor. The forensic conclusions derived from imaging, including cause and manner of death were accepted by the legal authorities, thereby setting precedence for future cases. This case represents a landmark in forensic medicine and is another step toward the full realization of minimally invasive forensic autopsy.

Desarrollo de un prototipo usando como dispositivo de interacción Leap Motion

Leap Motion [1] es un pequeño dispositivo que se coloca frente al monitor, conectado mediante un cable USB al ordenador, capaz de capturar los movimientos de nuestras manos y dedos con alta precisión, además de algunos objetos como pinceles o bolígrafos. El objetivo principal de este trabajo es evaluar las capacidades de este dispositivo y crear un prototipo que sea capaz de grabar y reconocer gestos para que pueda ser fácilmente integrado a cualquier aplicación. Para ello, el prototipo consta de 2 funciones principales: Grabar un movimiento: en el que recojo los datos que nos ofrece el Leap Motion, los proceso y los guardo en un formato específico. Reconocer un gesto: en el que comparo en cada momento el gesto que se está realizando con los gestos grabados mediante un algoritmo que detectara si son similares o no. Este es un resumen básico del prototipo, sin embargo debemos tener en cuenta una serie de requisitos y parámetros para hacerlo más eficiente y personalizable dependiendo de las necesidades del usuario. ---ABSTRACT---Leap Motion [1] is a small device we place in front of the display unit, connected to a USB cable to the computer. It is able to capture the motion of our hands and fingers with high accuracy, as well as some objects such as pens and brushes. This project's main goal is to evaluate the proficiency of the device, and create a prototype that is able to record and recognize gestures in order for it to be easily integrated into any application. For that, the prototype has 2 main functions: Recording a motion: in which I collect the data offered by the Leap Motion, process it and keep it in a specific format. Recognizing a gesture: in which I compare each time the gesture being made with the gestures recorded using an algorithm to detect whether they are similar or not. This is a basic summary of the prototype, but we need to take into consideration a number of requirements and parameters to make it more efficient and customizable depending on the user's needs.

Vista del salto de Chulilla [Material gráfico] = Vue du saut de Chulilla = View of the leap of Chulilla

Datos de publicación tomados de la obra a la que pertenece

Study and analysis of the Leap Motion sensor and the Software Development Kit (SDK) for the implementation of visual Human Computer Interfaces

En este proyecto, se presenta un informe técnico sobre la cámara Leap Motion y el Software Development Kit correspondiente, el cual es un dispositivo con una cámara de profundidad orientada a interfaces hombre-máquina. Esto es realizado con el propósito de desarrollar una interfaz hombre-máquina basada en un sistema de reconocimiento de gestos de manos. Después de un exhaustivo estudio de la cámara Leap Motion, se han realizado diversos programas de ejemplo con la intención de verificar las capacidades descritas en el informe técnico, poniendo a prueba la Application Programming Interface y evaluando la precisión de las diferentes medidas obtenidas sobre los datos de la cámara. Finalmente, se desarrolla un prototipo de un sistema de reconocimiento de gestos. Los datos sobre la posición y orientación de la punta de los dedos obtenidos de la Leap Motion son usados para describir un gesto mediante un vector descriptor, el cual es enviado a una Máquina Vectores Soporte, utilizada como clasificador multi-clase.

Uso de Leap Motion en juegos didácticos para niños con necesidades educativas especiales

Este Trabajo de Fin de Grado (TFG) tiene el objetivo incorporar el dispositivo Leap Motion [1] en un juego educativo para niños con necesidades educativas especiales para permitirles aprender de una forma divertida mientras disfrutan con los mini juegos que ofrece nuestra aplicación. Está destinado al apoyo del sistema educativo para los niños con necesidades educativas especiales. Debido al público que tenemos como objetivo debemos de tener en cuenta que hay distintos tipos de usuarios según el tipo de discapacidad que tienen. Entre ellas tenemos discapacidad visual, auditiva, cognitiva y motriz. Tenemos distintos mini juegos para facilitar el aprendizaje de las letras y nuevas palabras, los nombres de colores y diferenciarlos y la asociación de conceptos mediante ejemplos sencillos como son ropa, juguetes y comida. Para hacer que la interacción sea más divertida tenemos distintos tipos de dispositivos de interacción: unos comunes como son el teclado y la pantalla táctil y otros más novedosos como son Kinect [2] y Leap Motion que es el que se introducirá en el desarrollo de este Trabajo de Fin de Grado. El otro objetivo de este proyecto es el estudio de los distintos dispositivos de interacción. Se quiere descubrir qué tipo de sistemas de interacción son más sencillos de aprender, cuáles son más intuitivos para los niños, los que les resultan más interesantes permitiendo captar mejor su atención y sus opuestos, es decir, los que son más difíciles de entender, los más monótonos y los más aburridos para ellos.---ABSTRACT---This Final Degree Project (TFG) aims to incorporate the Leap Motion device [1] in an educational game for children with special educational needs to enable them to learn in a funny way while enjoying the mini games that our application offered. It is intended to support the education system for children with special educational needs. Because the public that we have as objective we must take into account that there are different types of users depending on the type of disability they have. Among them we have visual, auditory, cognitive and motor disabilities. We have different mini games to make easier learning of letters and new words, names and distinguish colors and the association of concepts through simple examples such as clothing, toys and food. To make the interaction more fun we have different interaction devices: common such as the keyboard and the touch screen and other more innovative such as Kinect [2] and Leap Motion which is to be introduced in the development of this Final Degree Work. The other objective of this project is to study the various interaction devices. You want to find out what type of interaction systems are easier to learn, which are more intuitive for children, who are more interesting allowing better capture their attention and their opposites, that is, those that are more difficult to understand, the most monotonous and most boring for them.

The great leap. Turkey under Erdogan. OSW Point of View 51, 27 May 2015

Since the AKP took power in 2002, Turkey has seen a replacement of the state’s elites, a real change of the political system and a redefinition of the state identity. All this has been accompanied by economic development and rapid social transformation. The pro-democratic reforms and improved prosperity in the first decade of the AKP’s rule created the opportunity for Turkey to become part of the West in terms of legal and political standards, while maintaining its cultural distinctness. However, from the point of view of Recep Tayyip Erdogan, the leader of a new Turkey, the political reforms turned out not to be a goal per se but a means to the end of achieving a monopoly on power. Once this goal was achieved, Erdogan began leading Turkey towards the status of an autocratic state focused on the Middle East and resentful towards the West. This trend is unlikely to be reversed under Erdogan’s rule. However, even if the government were to change, there would be no return to the Turkey from before the AKP era. In turn, the Turkish public will have to answer the questions regarding its civilisational identity and the vision of the political and social order.

A New Settlement for the UK: A “Leap in the Dark”. Bruges European Economic Policy Briefings 39/2016

This paper examines the outcome of the negotiations for a new settlement concerning the United Kingdom’s relationship with the European Union. It reviews the nature and possible consequences of the “substantial changes” that were demanded in the areas of economic governance, competitiveness, sovereignty, and immigration. We argue that the proposed arrangements do not amount to much and can prove harmful to the future of the EU. The paper is a follow-up to our analysis of the initial proposals, available under Bruges European Economic Policy Briefings, 38/2016.

Nanka's Leap Year venture; or, How she settled her bills. A comedietta in one act,

On cover: Ames' Publishing Co., W.H. Ames, Proprietor.