Obesity and COVID-19: The Two Sides of the Coin

The World Health Organization declared COVID-19, the infectious disease caused by the coronavirus SARS-CoV-2, a pandemic on March 12, 2020. COVID-19 is causing massive health problems and economic suffering around the world. The European Association for the Study of Obesity (EASO) promptly recognised the impact that the outbreak could have on people with obesity. On one side, emerging data suggest that obesity represents a risk factor for a more serious and complicated course of COVID-19 in adults. On the other side, the health emergency caused by the outbreak diverts attention from the prevention and care of non-communicable chronic diseases to communicable diseases. This might be particularly true for obesity, a chronic and relapsing disease frequently neglected and linked to significant bias and stigmatization. The Obesity Management Task Force (OMTF) of EASO contributes in this paper to highlighting the key aspects of these two sides of the coin and suggests some specific actions.     

Influence of praziquantel and Ca2+ on the bilayer-isotropic-hexagonal transition of model membranes

Praziquantel induces a bilayer to isotropic transition in the absence of Ca2+ in a mixed phospholipid membrane consisting of phosphatidylethanolamine (PE) and phosphatidylserine (PS) at a molar ratio of 2:1 at 25 degrees C or 35 degrees C, irrespective of the lipid/drug molar ratio (10:1; 2:1). Addition of Ca2+ at different PS/Ca2+ molar ratios (4:1, 2:1 or 1:1) leads to a transition to a hexagonal (HII) state. With a phospholipid membrane of different composition (PE/PS molar ratio 4:1) praziquantel exerts quite different effects in the presence of Ca2+ (PS/Ca2+ molar ratio 1:1). An isotropic-signal appears together with a bilayer one at 25 degrees C, while a HII-signal can be detected at 35 degrees C. Thus, two separate phases coexist at this PE/PS molar ratio, while at a PE/PS molar ratio of 2:1, praziquantel and Ca2+ induce only a HII-signal. The results with these model membranes show that praziquantel and Ca2+ exert drastic influences on bilayer-isotropic-hexagonal transitions. The possibility that this drug might act in the schistosomal tegumental membranes in the same way is discussed.     

Ergonomic evaluation of three new principles for mono‐incision in laparoscopic surgery

Several instruments exist for performing a simple laparoscopic procedure through one trocar‐incision. However, all of these instruments have well‐known image‐related disadvantages. In order to solve these problems three principles have been developed for which a new device was designed. The functionality of this device was evaluated with regard to four parameters: duration of task completion, number of errors, image‐stability and preference by users.

Although the differences between the three principles were small, the tests clearly showed that the problems surgeons experienced before have been significantly diminished by the new device. Time measurements showed a preference for principles 1 and 2 (1: manual zoom camera in combination with a standard grasping device; 2: laparoscope with an angle of 45° in combination with a standard grasping device), the surgeons expressing preference for principle 2. Furthermore, the new trocar system is the first device for mono‐incision in which two standard instruments (currently available on the market) are used simultaneously without enlarging the incision. Finally, each surgeon can work with the new device using the principle he/she is preferring.