Nutrition and physical activity programs for obesity treatment (PRONAF study). methodological approach of the project

Este trabajo aborda la metodología seguida para llevar a cabo el proyecto de investigación PRONAF (Clinical Trials Gov.: number NCT01116856.) Background: At present, scientific consensus exists on the multifactorial etiopatogenia of obesity. Both professionals and researchers agree that treatment must also have a multifactorial approach, including diet, physical activity, pharmacology and/or surgical treatment. These two last ones should be reserved for those cases of morbid obesities or in case of failure of the previous ones. The aim of the PRONAF study is to determine what type of exercise combined with caloric restriction is the most appropriate to be included in overweigth and obesity intervention programs, and the aim of this paper is to describe the design and the evaluation methods used to carry out the PRONAF study. Methods/design: One-hundred nineteen overweight (46 males) and 120 obese (61 males) subjects aged 18–50 years were randomly assigned to a strength training group, an endurance training group, a combined strength + endurance training group or a diet and physical activity recommendations group. The intervention period was 22 weeks (in all cases 3 times/wk of training for 22 weeks and 2 weeks for pre and post evaluation). All subjects followed a hypocaloric diet (25-30% less energy intake than the daily energy expenditure estimated by accelerometry). 29–34% of the total energy intake came from fat, 14–20% from protein, and 50–55% from carbohydrates. The mayor outcome variables assesed were, biochemical and inflamatory markers, body composition, energy balance, physical fitness, nutritional habits, genetic profile and quality of life. 180 (75.3%) subjects finished the study, with a dropout rate of 24.7%. Dropout reasons included: personal reasons 17 (28.8%), low adherence to exercise 3 (5.1%), low adherence to diet 6 (10.2%), job change 6 (10.2%), and lost interest 27 (45.8%). Discussion: Feasibility of the study has been proven, with a low dropout rate which corresponds to the estimated sample size. Transfer of knowledge is foreseen as a spin-off, in order that overweight and obese subjects can benefit from the results. The aim is to transfer it to sports centres. Effectiveness on individual health-related parameter in order to determine the most effective training programme will be analysed in forthcoming publications.

Understanding sprint velocity fluctuations for improved project plans with Scrum: a case study

Starting from the documentation of high sprint velocity fluctuations in a Scrum project, this paper presents a thorough approach to identify the sources of issues arising in the context of Scrum implementation. Given that Scrum provides guidance on identifying process issues but not their root causes, various approaches are explored. This is of great relevance because Scrum defines project schedules relying heavily on sprint velocity and because it is the most widely used agile methodology. The findings provide a new approach to evaluate such fluctuations and establish a more realistic project assessment than what is currently defined by Scrum. In this respect, this paper contributes to improve the understanding of the software development process using this agile framework.

A small settings case study using TSPi in a software project

This article introduces a small setting case study about the benefits of using TSPi in a software project. An adapted process from the current process based on the TSPi was defined. The pilot project had schedule and budget constraints. The process began by gathering historical data from previous projects in order to get a measurement repository. The project was launched with the following goals: increase the productivity, reduce the test time and improve the product quality. Finally, the results were analysed and the goals were verified

The association between older age and receipt of care and outcomes in patients with acute coronary syndromes : a cohort study of the Myocardial Ischaemia National Audit Project (MINAP)

Peer reviewed

Anaerobic Digestion Project Working Guide: A Case Study Analysis and Procedural Summary of Anaerobic Digester Projects for the United States Agricultural Sector

Renewable energy such as biomass has given markets, including dairy farms, an effective approach to reducing the costs of sustaining a profitable business. Anaerobic digestion systems offer dairy farms a very effective way to reduce manure odor, comply with soil and water pollution regulations, manufacture compost for general market sales, produce irrigation capacity and generate on-site electricity as well as the ability to sell excess electricity back to the local utilities. This project defines anaerobic digestion technologies and practices, analyzes case studies and presents a step-by-step anaerobic digestion project startup checklist. The result is an anaerobic digestion project working guide that acts as a tool to aid dairy farmers in their own potential anaerobic digestion project.

Local impact of foreign trade; a study in methods of local economic accounting, a Special Project Committee statement and a staff report

Cover title.

The Vicos experiment : a study of the impacts of the Cornell-Peru project in a highland community /

"April 1982."

Development of cost simulation study of alcoholism insurance benefit packages : project description and recommendations.

Mode of access: Internet.

Treatment and utilization of landfill gas : Mountain View project feasibility study ... /

Mode of access: Internet.

Ship simulation study of Grays Harbor Navigation Project, Grays Harbor, Washington /

Authors: J. Christopher Hewlett, Kathren M. Eagles, Carl J. Huval, Larry L. Daggett.

55 mph - Interstate Communications Project. Task 2: target audience segmentation study. Final report.

National Highway Traffic Safety Administration, Washington, D.C.

San Antonio Alcohol Safety Action Project - analytic study no. 1-2: final analysis of overall project impact - 1972 through 1974. Final report.

National Highway Traffic Safety Administration, Washington, D.C.

Study summary - project TRANSIS phase II. Preliminary report.

Transportation Department, Office of the Assistant Secretary for Environment, Safety and Consumer Affairs, Washington, D.C.

Impact study on driving by special populations, final report. Volume I - conduct of the project and state of the art.

National Highway Traffic Safety Administration, Washington, D.C.