16. DOWNSTREAM VIEW OF OUTLET STRUCTURE AND OUTLET CHANNEL, FROM ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

16. DOWNSTREAM VIEW OF OUTLET STRUCTURE AND OUTLET CHANNEL, FROM WEST END OF EMBANKMENT. - Prado Dam, Outlet Works, Santa Ana River near junction of State Highways 71 & 91, Corona, Riverside County, CA

21. AERIAL VIEW OF THE OUTLET STRUCTURE AND OUTLET CHANNEL, ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

21. AERIAL VIEW OF THE OUTLET STRUCTURE AND OUTLET CHANNEL, LOOKING UPSTREAM.... Volume XVII, No. 11, December 26, 1939. - Prado Dam, Outlet Works, Santa Ana River near junction of State Highways 71 & 91, Corona, Riverside County, CA

Socioeconomic area disparities in tobacco retail outlet density: a Western Australian analysis.

PubMed

Wood, Lisa J; Pereira, Gavin; Middleton, Nick; Foster, Sarah

2013-05-20

To examine the association between tobacco outlet density and area socioeconomic status (SES) in Western Australia. Ecological cross-sectional study investigating the relationship between the area SES of, and the density of tobacco retail outlets in, WA suburbs and towns for the Perth metropolitan area, and at the regional and state level. SES was determined using the 2006 Australian Bureau of Statistics Index of Relative Socioeconomic Advantage and Disadvantage (IRSAD) and classified into quartiles (very low, low, high and very high); tobacco outlet data were sourced from the WA Department of Health register of retailers licensed to sell tobacco at May 2011. Tobacco outlet density rate (per 10 000 residents). In WA overall, suburbs and towns with a very low IRSAD had more than four times the number of tobacco outlets compared with those with a very high IRSAD (P> < 0.001). This trend was similar when analyses were restricted to the Perth metropolitan area and to regional areas. Suburbs and towns in regional WA with a very low IRSAD had more than five times the number of tobacco outlets than those with a very high IRSAD (P> < 0.001). This study provides the first Australian evidence of a strong relationship between area SES and tobacco outlet density. Findings are consistent with a number of United States studies that report higher tobacco outlet densities in lower SES or minority neighbourhoods. The results underscore the importance of policy approaches to limit the number of tobacco retail licences granted, and to reduce the geographic density of outlets in more disadvantaged suburbs and towns.

Recognition of the optical packet header for two channels utilizing the parallel reservoir computing based on a semiconductor ring laser

NASA Astrophysics Data System (ADS)

Bao, Xiurong; Zhao, Qingchun; Yin, Hongxi; Qin, Jie

2018-05-01

In this paper, an all-optical parallel reservoir computing (RC) system with two channels for the optical packet header recognition is proposed and simulated, which is based on a semiconductor ring laser (SRL) with the characteristic of bidirectional light paths. The parallel optical loops are built through the cross-feedback of the bidirectional light paths where every optical loop can independently recognize each injected optical packet header. Two input signals are mapped and recognized simultaneously by training all-optical parallel reservoir, which is attributed to the nonlinear states in the laser. The recognition of optical packet headers for two channels from 4 bits to 32 bits is implemented through the simulation optimizing system parameters and therefore, the optimal recognition error ratio is 0. Since this structure can combine with the wavelength division multiplexing (WDM) optical packet switching network, the wavelength of each channel of optical packet headers for recognition can be different, and a better recognition result can be obtained.

Personal values, marketing attitudes and nutrition trust are associated with patronage of convenience food outlets in the Asia-Pacific region: a cross-sectional study.

PubMed

De Jong, Breanna; Worsley, Anthony; Wang, Wei Chun; Sarmugam, Rani; Pham, Quynh; Februhartanty, Judhiastuty; Ridley, Stacey

2017-02-16

An online cross-sectional survey examined the relationships between the demographic characteristics, personal values, trust in sources of nutrition information and the use of convenience food outlets among middle-class household food providers in the Asia-Pacific region. The survey was administered to 3945 household food providers in Melbourne, Singapore, Shanghai, Vietnam and Indonesia in late 2013. Information about demographics, personal values, trust in sources of nutrition information and use of convenience food outlets was elicited. Exploratory factor analysis, two-step clustering and logistic regression were employed. The analyses found that the use of convenience food outlets was positively related to hedonist values and trust in food industry sources of nutrition information. However, lesser use of convenience food outlets and trust in health sources of nutrition information was associated with traditional (community-oriented) values. Further replication and extension of these findings would be useful. However, they suggest that improvements in the quality of foods sold in convenience food outlets combined with stronger regulation of food marketing and long-term food education are required.

6. VIEW OF OUTLET GATE WHEEL AND STEM, WITH OUTLET ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

6. VIEW OF OUTLET GATE WHEEL AND STEM, WITH OUTLET CHANNEL IN BACKGROUND, LOOKING SOUTHEAST - High Mountain Dams in Upalco Unit, Island Lake Dam, Ashley National Forest, 4.8 miles North of Miners Gulch Campground, Mountain Home, Duchesne County, UT

16. VIEW OF HIGHLINE CANAL PIPELINE OUTLET, SHOWING THE OUTLET, ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

16. VIEW OF HIGHLINE CANAL PIPELINE OUTLET, SHOWING THE OUTLET, A GROUNDWATER PUMP (LEFT), AND THE SOUTH BRANCH OF THE CANAL (FOREGROUND), August 1989 - Highline Canal & Pumping Station, South side of Salt River between Tempe, Phoenix & Mesa, Tempe, Maricopa County, AZ

Thoracic outlet syndrome part 2: conservative management of thoracic outlet.

PubMed

Watson, L A; Pizzari, T; Balster, S

2010-08-01

Thoracic outlet syndrome (TOS) is a symptom complex attributed to compression of the nerves and vessels as they exit the thoracic outlet. Classified into several sub-types, conservative management is generally recommended as the first stage treatment in favor of surgical intervention. In cases where postural deviations contribute substantially to compression of the thoracic outlet, the rehabilitation approach outlined in this masterclass will provide the clinician with appropriate management strategies to help decompress the outlet. The main component of the rehabilitation program is the graded restoration of scapula control, movement, and positioning at rest and through movement. Adjunctive strategies include restoration of humeral head control, isolated strengthening of weak shoulder muscles, taping, and other manual therapy techniques. The rehabilitation outlined in this paper also serves as a model for the management of any shoulder condition where scapula dysfunction is a major contributing factor. Copyright 2010 Elsevier Ltd. All rights reserved.

Underage purchasing of alcohol from packaged liquor outlets: an Australian study.

PubMed

Rowland, Bosco C; Hall, Jessica K; Kremer, Peter J; Miller, Peter G; Toumbourou, John W

2017-10-01

Access to the supply of alcohol is an important factor influencing adolescent alcohol consumption. Although alcohol sales outlets are prohibited from selling alcohol to underage youth, there has been limited research investigating compliance. The present study sought to estimate the extent to which adolescents that appeared underage were successfully able to purchase alcohol from packaged liquor outlets in Australia; and to identify store and sales characteristics associated with illegal purchasing. In 2012, purchase surveys were conducted (n= 310) at packaged liquor outlets in 28 urban and rural communities across three states of Australia: Western Australia, Queensland and Victoria. Confederates successfully purchased alcohol at 60% (95% CI: 55-66) of outlets. The density of general alcohol outlets in the surrounding area and the type of liquor outlet were predictors of successful alcohol purchases; however, this was moderated by the state in which the purchase was made. Regional geographical location was also found to predict underage alcohol purchase. The majority of alcohol sales outlets in Australia breach regulations prohibiting sales to underage youth. Consistent enforcement of policies across the states of Australia, and reducing the number of alcohol outlets, will help prevent alcohol outlets illegally selling alcohol to underage adolescents. © The Author 2016. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

High sensitivity of tidewater outlet glacier dynamics to shape

NASA Astrophysics Data System (ADS)

Enderlin, E. M.; Howat, I. M.; Vieli, A.

2013-02-01

Variability in tidewater outlet glacier behavior under similar external forcing has been attributed to differences in outlet shape (i.e. bed elevation and width), but this dependence has not been investigated in detail. Here we use a numerical ice flow model to show that the dynamics of tidewater outlet glaciers under external forcing are highly sensitive to width and bed topography. Our sensitivity tests indicate that for glaciers with similar discharge, the trunks of wider glaciers and those grounded over deeper basal depressions tend to be closer to flotation, so that less dynamically induced thinning results in rapid, unstable retreat following a perturbation. The lag time between the onset of the perturbation and unstable retreat varies with outlet shape, which may help explain intra-regional variability in tidewater outlet glacier behavior. Further, because the perturbation response is dependent on the thickness relative to flotation, varying the bed topography within the range of observational uncertainty can result in either stable or unstable retreat due to the same perturbation. Thus, extreme care must be taken when interpreting the future behavior of actual glacier systems using numerical ice flow models that are not accompanied by comprehensive sensitivity analyses.

High sensitivity of tidewater outlet glacier dynamics to shape

NASA Astrophysics Data System (ADS)

Enderlin, E. M.; Howat, I. M.; Vieli, A.

2013-06-01

Variability in tidewater outlet glacier behavior under similar external forcing has been attributed to differences in outlet shape (i.e., bed elevation and width), but this dependence has not been investigated in detail. Here we use a numerical ice flow model to show that the dynamics of tidewater outlet glaciers under external forcing are highly sensitive to width and bed topography. Our sensitivity tests indicate that for glaciers with similar discharge, the trunks of wider glaciers and those grounded over deeper basal depressions tend to be closer to flotation, so that less dynamically induced thinning results in rapid, unstable retreat following a perturbation. The lag time between the onset of the perturbation and unstable retreat varies with outlet shape, which may help explain intra-regional variability in tidewater outlet glacier behavior. Further, because the perturbation response is dependent on the thickness relative to flotation, varying the bed topography within the range of observational uncertainty can result in either stable or unstable retreat due to the same perturbation. Thus, extreme care must be taken when interpreting the future behavior of actual glacier systems using numerical ice flow models that are not accompanied by comprehensive sensitivity analyses.

Alcohol outlet business hours and violent crime in New York state.

PubMed

Schofield, Timothy P; Denson, Thomas F

2013-01-01

Alcohol-related harm places a significant strain on victims, perpetrators and society. The present research reports on how licensed alcohol outlet business hours may influence the reported incidence of interpersonal violence and the associated burden of disease. We examined the relationship between alcohol outlet business hours and violent crime in 2009 in New York State (excluding New York City). Regression analyses modeled the burden of disease for the violence associated with outlet business hours. Every 1 h increase in weekly outlet business hours was associated with a greater reported incidence of violent crimes generally, more reported aggravated assaults and more reported non-gun violence. The estimated cost from having licensed premises open after 1 a.m. was $194 million in 2009. The findings suggest that alcohol outlet business hours affect the incidence of reported violence even in regions that would not be considered to have severe problems with alcohol-fueled violence.

Alcohol outlets, social disorganization, and robberies: accounting for neighborhood characteristics and alcohol outlet types.

PubMed

Snowden, Aleksandra J; Freiburger, Tina L

2015-05-01

We estimated spatially lagged regression and spatial regime models to determine if the variation in total, on-premise, and off-premise alcohol outlet(1) density is related to robbery density, while controlling for direct and moderating effects of social disorganization.(2) Results suggest that the relationship between alcohol outlet density and robbery density is sensitive to the measurement of social disorganization levels. Total alcohol outlet density and off-premise alcohol outlet density were significantly associated with robbery density when social disorganization variables were included separately in the models. However, when social disorganization levels were captured as a four item index, only the association between off-premise alcohol outlets and robbery density remained significant. More work is warranted in identifying the role of off-premise alcohol outlets and their characteristics in robbery incidents. Copyright © 2015 Elsevier Inc. All rights reserved.

Standardizing Documentation of FITS Headers

NASA Astrophysics Data System (ADS)

Hourcle, Joseph

2014-06-01

Although the FITS file format[1] can be self-documenting, human intervention is often needed to read the headers to write the necessary transformations to make a given instrument team's data compatible with our preferred analysis package. External documentation may be needed to determine what the values are of coded values or unfamiliar acronyms.Different communities have interpreted keywords slightly differently. This has resulted in ambiguous fields such as DATE-OBS, which could be either the start or mid-point of an observation.[2]Conventions for placing units and additional information within the comments of a FITS card exist, but they require re-writing the FITS file. This operation can be quite costly for large archives, and should not be taken lightly when dealing with issues of digital preservation.We present what we believe is needed for a machine-actionable external file describing a given collection of FITS files. We seek comments from data producers, archives, and those writing software to help develop a single, useful, implementable standard.References:[1] Pence, et.al. 2010, http://dx.doi.org/10.1051/0004-6361/201015362[2] Rots, et.al, (in preparation), http://hea-www.cfa.harvard.edu arots/TimeWCS/

Asynchronous broadcast for ordered delivery between compute nodes in a parallel computing system where packet header space is limited

DOE Office of Scientific and Technical Information (OSTI.GOV)

Kumar, Sameer

Disclosed is a mechanism on receiving processors in a parallel computing system for providing order to data packets received from a broadcast call and to distinguish data packets received at nodes from several incoming asynchronous broadcast messages where header space is limited. In the present invention, processors at lower leafs of a tree do not need to obtain a broadcast message by directly accessing the data in a root processor's buffer. Instead, each subsequent intermediate node's rank id information is squeezed into the software header of packet headers. In turn, the entire broadcast message is not transferred from the rootmore » processor to each processor in a communicator but instead is replicated on several intermediate nodes which then replicated the message to nodes in lower leafs. Hence, the intermediate compute nodes become "virtual root compute nodes" for the purpose of replicating the broadcast message to lower levels of a tree.« less

24 CFR 3280.806 - Receptacle outlets.

Code of Federal Regulations, 2014 CFR

2014-04-01

..., 125-volt, either single or duplex. (b) All 120 volt single phase, 15 and 20 ampere receptacle outlets... Receptacle outlets. (b) All 125-volt, single-phase, 15- and 20-ampere receptacle outlets installed outdoors... 24 Housing and Urban Development 5 2014-04-01 2014-04-01 false Receptacle outlets. 3280.806...

Alcohol outlets and clusters of violence

PubMed Central

2011-01-01

Background Alcohol related violence continues to be a major public health problem in the United States. In particular, there is substantial evidence of an association between alcohol outlets and assault. However, because the specific geographic relationships between alcohol outlets and the distribution of violence remains obscured, it is important to identify the spatial linkages that may exist, enhancing public health efforts to curb both violence and morbidity. Methods The present study utilizes police-recorded data on simple and aggravated assaults in Cincinnati, Ohio. Addresses of alcohol outlets for Cincinnati, including all bars, alcohol-serving restaurants, and off-premise liquor and convenience stores were obtained from the Ohio Division of Liquor Control and geocoded for analysis. A combination of proximity analysis, spatial cluster detection approaches and a geographic information system were used to identify clusters of alcohol outlets and the distribution of violence around them. Results A brief review of the empirical work relating to alcohol outlet density and violence is provided, noting that the majority of this literature is cross-sectional and ecological in nature, yielding a somewhat haphazard and aggregate view of how outlet type(s) and neighborhood characteristics like social organization and land use are related to assaultive violence. The results of the statistical analysis for Cincinnati suggest that while alcohol outlets are not problematic per se, assaultive violence has a propensity to cluster around agglomerations of alcohol outlets. This spatial relationship varies by distance and is also related to the characteristics of the alcohol outlet agglomeration. Specifically, spatially dense distributions of outlets appear to be more prone to clusters of assaultive violence when compared to agglomerations with a lower density of outlets. Conclusion With a more thorough understanding of the spatial relationships between alcohol outlets and the

The feasibility and acceptability of screening for hypertension in private drug retail outlets: a pilot study in Mwanza region, Tanzania.

PubMed

Michael, Denna; Kezakubi, Dotto; Juma, Adinan; Todd, Jim; Reyburn, Hugh; Renju, Jenny

2016-09-01

Hypertension is a major contributor to ill health in sub-Saharan Africa. Developing countries need to increase access for screening. This study assesses the feasibility and acceptability of using private sector drug retail outlets to screen for hypertension in Mwanza region, Tanzania. A pilot study took place in eight drug retail outlets from August 2013 to February 2014. Customers ≥18 years were invited for screening. Socio-demographic characteristics, hypertension knowledge, hypertension screening and treatment history were collected. Subjects with systolic blood pressure over 140 mmHg were referred for follow up. Referral slips captured attendance. Mystery client visits and follow up phone calls were conducted to assess service quality. A total of 971 customers were screened, one person refused; 109 (11.2%) had blood pressure over 140/90 mmHg and were referred for ongoing assessment; 85/109 (78.0%) were newly diagnosed. Customers reported that the service was acceptable. Service providers were able to follow the protocol. Only 18/85 (21%) newly diagnosed participants visited the referral clinic within two weeks. Blood pressure screening was feasible and acceptable to customers of private drug retail outlets. However many who were referred failed to attend at a referral centre and further research is needed in this area. © The Author 2016. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene.

An automatic detection method for the boiler pipe header based on real-time image acquisition

NASA Astrophysics Data System (ADS)

Long, Yi; Liu, YunLong; Qin, Yongliang; Yang, XiangWei; Li, DengKe; Shen, DingJie

2017-06-01

Generally, an endoscope is used to test the inner part of the thermal power plants boiler pipe header. However, since the endoscope hose manual operation, the length and angle of the inserted probe cannot be controlled. Additionally, it has a big blind spot observation subject to the length of the endoscope wire. To solve these problems, an automatic detection method for the boiler pipe header based on real-time image acquisition and simulation comparison techniques was proposed. The magnetic crawler with permanent magnet wheel could carry the real-time image acquisition device to complete the crawling work and collect the real-time scene image. According to the obtained location by using the positioning auxiliary device, the position of the real-time detection image in a virtual 3-D model was calibrated. Through comparing of the real-time detection images and the computer simulation images, the defects or foreign matter fall into could be accurately positioning, so as to repair and clean up conveniently.

46 CFR 52.05-45 - Circumferential joints in pipes, tubes and headers (modifies PW-41).

Code of Federal Regulations, 2010 CFR

2010-10-01

... 46 Shipping 2 2010-10-01 2010-10-01 false Circumferential joints in pipes, tubes and headers (modifies PW-41). 52.05-45 Section 52.05-45 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) MARINE ENGINEERING POWER BOILERS Requirements for Boilers Fabricated by Welding § 52.05-45...

46 CFR 52.05-45 - Circumferential joints in pipes, tubes and headers (modifies PW-41).

Code of Federal Regulations, 2014 CFR

2014-10-01

... 46 Shipping 2 2014-10-01 2014-10-01 false Circumferential joints in pipes, tubes and headers (modifies PW-41). 52.05-45 Section 52.05-45 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) MARINE ENGINEERING POWER BOILERS Requirements for Boilers Fabricated by Welding § 52.05-45...

46 CFR 52.05-45 - Circumferential joints in pipes, tubes and headers (modifies PW-41).

Code of Federal Regulations, 2011 CFR

2011-10-01

... 46 Shipping 2 2011-10-01 2011-10-01 false Circumferential joints in pipes, tubes and headers (modifies PW-41). 52.05-45 Section 52.05-45 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) MARINE ENGINEERING POWER BOILERS Requirements for Boilers Fabricated by Welding § 52.05-45...

46 CFR 52.05-45 - Circumferential joints in pipes, tubes and headers (modifies PW-41).

Code of Federal Regulations, 2012 CFR

2012-10-01

... 46 Shipping 2 2012-10-01 2012-10-01 false Circumferential joints in pipes, tubes and headers (modifies PW-41). 52.05-45 Section 52.05-45 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) MARINE ENGINEERING POWER BOILERS Requirements for Boilers Fabricated by Welding § 52.05-45...

46 CFR 52.05-45 - Circumferential joints in pipes, tubes and headers (modifies PW-41).

Code of Federal Regulations, 2013 CFR

2013-10-01

... 46 Shipping 2 2013-10-01 2013-10-01 false Circumferential joints in pipes, tubes and headers (modifies PW-41). 52.05-45 Section 52.05-45 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) MARINE ENGINEERING POWER BOILERS Requirements for Boilers Fabricated by Welding § 52.05-45...

Shape optimized headers and methods of manufacture thereof

DOEpatents

Perrin, Ian James

2013-11-05

Disclosed herein is a shape optimized header comprising a shell that is operative for collecting a fluid; wherein an internal diameter and/or a wall thickness of the shell vary with a change in pressure and/or a change in a fluid flow rate in the shell; and tubes; wherein the tubes are in communication with the shell and are operative to transfer fluid into the shell. Disclosed herein is a method comprising fixedly attaching tubes to a shell; wherein the shell is operative for collecting a fluid; wherein an internal diameter and/or a wall thickness of the shell vary with a change in pressure and/or a change in a fluid flow rate in the shell; and wherein the tubes are in communication with the shell and are operative to transfer fluid into the shell.

Obesity-promoting food environments and the spatial clustering of food outlets around schools.

PubMed

Day, Peter L; Pearce, Jamie

2011-02-01

The increasing prevalence of overweight and obesity in school-aged children is potentially linked to contextual influences such as the food environment around schools. The proximity of fast-food and convenience stores to schools may enhance access to unhealthy foods and have a negative impact on diet. This study used spatial cluster analysis to determine whether food outlets are clustered around schools and evaluated the extent of food outlet clustering by school and school neighborhood sociodemographic characteristics. The locations in 2008 of all schools, fast-food outlets, and convenience stores in five urban regions across New Zealand were geocoded. Using GIS analysis conducted in 2009, the number and proportion of outlets within 400-m and 800-m road distance around each school was calculated. The spatial clustering of food outlets within 1.5 km of schools was determined using a multi-type K-function. Food outlet type, school level, SES, the degree of population density, and commercial land use zoning around each school were compared. Primary/intermediate schools had a total proportion of 19.3 outlets per 1000 students within 800 m compared to 6.6 for secondary schools. The most socially deprived quintile of schools had three times the number and proportion of food outlets compared to the least-deprived quintile. There was a high degree of clustering of food outlets around schools, with up to 5.5 times more outlets than might be expected. Outlets were most clustered up to 800 m from schools and around secondary schools, socially deprived schools, and schools in densely populated and commercially zoned areas. Food environments in New Zealand within walking proximity to schools are characterized by a high density of fast-food outlets and convenience stores, particularly in more-socially deprived settings. These obesogenic environments provide ready access to obesity-promoting foods that may have a negative impact on student diet and contribute to inequalities in

Audit of tobacco retail outlets in Hangzhou, China.

PubMed

Gong, Ting; Lv, Jun; Liu, Qingmin; Ren, Yanjun; Li, Liming; Kawachi, Ichiro

2013-07-01

To determine the prevalence of tobacco advertisements and warning messages at points of sale as well as to examine the density of tobacco retail outlets in neighbourhoods and around schools in Hangzhou, China. Tobacco retail outlets (n=1639) in all food and tobacco specialty stores were observed objectively by trained students. Tobacco advertisements and warning messages were assessed with an audit, and stores' addresses were recorded with Global Positioning System coordinates. The distances (1) between all pairs of tobacco retail outlets (2) between each tobacco retail outlet and 15 middle schools were calculated to assess the density of tobacco retail outlets in neighbourhoods and around schools. Among the 1639 tobacco retail outlets, <1% had 'no sales to minors' signs, 1.5% had tobacco warning messages, 28% had signs indicating tobacco sale and 12.4% had tobacco advertisements. For 48.7% of tobacco retail outlets, the nearest distances to other tobacco retail outlets were <50 m. For 80% of schools, there was at least one tobacco retail outlets within a 100 m radius. Tobacco advertisement in retail outlets is prevalent and the density of tobacco retail outlets is high in Hangzhou, China. Signs indicating 'no sales to minors' and tobacco warning signs are almost non-existent. These findings point to an urgent need for the enforcement of regulations on display of 'no sales to minors' and a new density standard for tobacco retail outlets based on protecting the public's health.

Dual circuit embossed sheet heat transfer panel

DOEpatents

Morgan, G.D.

1984-02-21

A heat transfer panel provides redundant cooling for fusion reactors or the like environment requiring low-mass construction. Redundant cooling is provided by two independent cooling circuits, each circuit consisting of a series of channels joined to inlet and outlet headers. The panel comprises a welded joinder of two full-size and two much smaller partial-size sheets. The first full-size sheet is embossed to form first portions of channels for the first and second circuits, as well as a header for the first circuit. The second full-sized sheet is then laid over and welded to the first full-size sheet. The first and second partial-size sheets are then overlaid on separate portions of the second full-sized sheet, and are welded thereto. The first and second partial-sized sheets are embossed to form inlet and outlet headers, which communicate with channels of the second circuit through apertures formed in the second full-sized sheet. 6 figs.

Dual-circuit embossed-sheet heat-transfer panel

DOEpatents

Morgan, G.D.

1982-08-23

A heat transfer panel provides redundant cooling for fusion reactors or the like environment requiring low-mass construction. Redundant cooling is provided by two independent cooling circuits, each circuit consisting of a series of channels joined to inlet and outlet headers. The panel comprises a welded joinder of two full-size and two much smaller partial-size sheets. The first full-size sheet is embossed for form first portions of channels for the first and second circuits, as well as a header for the first circuit. The second full-sized sheet is then laid over and welded to the first full-size sheet. The first and second partial-size sheets are then overlaid on separate portions of the second full-sized sheet, and are welded thereto. The first and second partial-sized sheets are embossed to form inlet and outlet headers, which communicate with channels of the second circuit through apertures formed in the second full-sized sheet.

Dual circuit embossed sheet heat transfer panel

DOEpatents

Morgan, Grover D.

1984-01-01

A heat transfer panel provides redundant cooling for fusion reactors or the like environment requiring low-mass construction. Redundant cooling is provided by two independent cooling circuits, each circuit consisting of a series of channels joined to inlet and outlet headers. The panel comprises a welded joinder of two full-size and two much smaller partial-size sheets. The first full-size sheet is embossed to form first portions of channels for the first and second circuits, as well as a header for the first circuit. The second full-sized sheet is then laid over and welded to the first full-size sheet. The first and second partial-size sheets are then overlaid on separate portions of the second full-sized sheet, and are welded thereto. The first and second partial-sized sheets are embossed to form inlet and outlet headers, which communicate with channels of the second circuit through apertures formed in the second full-sized sheet.

Field validation of secondary data sources for enumerating retail tobacco outlets in a state without tobacco outlet licensing.

PubMed

D'Angelo, Heather; Fleischhacker, Sheila; Rose, Shyanika W; Ribisl, Kurt M

2014-07-01

Identifying tobacco retail outlets for U.S. FDA compliance checks or calculating tobacco outlet density is difficult in the 13 States without tobacco retail licensing or where licensing lists are unavailable for research. This study uses primary data collection to identify tobacco outlets in three counties in a non-licensing state and validate two commercial secondary data sources. We calculated sensitivity and positive predictive values (PPV) to examine the evidence of validity for two secondary data sources, and conducted a geospatial analysis to determine correct allocation to census tract. ReferenceUSA had almost perfect sensitivity (0.82) while Dun & Bradstreet (D&B) had substantial sensitivity (0.69) for identifying tobacco outlets; combined, sensitivity improved to 0.89. D&B identified fewer "false positives" with a PPV of 0.82 compared to 0.71 for ReferenceUSA. More than 90% of the outlets identified by ReferenceUSA were geocoded to the correct census tract. Combining two commercial data sources resulted in enumeration of nearly 90% of tobacco outlets in a three county area. Commercial databases appear to provide a reasonably accurate way to identify tobacco outlets for enforcement operations and density estimation. Copyright © 2014 Elsevier Ltd. All rights reserved.

The association of alcohol outlet density with illegal underage adolescent purchasing of alcohol.

PubMed

Rowland, Bosco; Toumbourou, John W; Livingston, Michael

2015-02-01

Although previous studies have suggested that greater community densities of alcohol sales outlets are associated with greater alcohol use and problems, the mechanisms are unclear. The present study examined whether density was associated with increased purchasing of alcohol by adolescents younger than the legal purchase age of 18 in Australia. The number of alcohol outlets per 10,000 population was identified within geographic regions in Victoria, Australia. A state-representative student survey (N = 10,143) identified adolescent reports of purchasing alcohol, and multilevel modeling was then used to predict the effects for different densities of outlet types (packaged, club, on-premise, general, and overall). Each extra sales outlet per 10,000 population was associated with a significant increase in the risk of underage adolescent purchasing. The strongest effect was for club density (odds ratio = 1.22) and packaged (takeaway) outlet density (odds ratio = 1.12). Males, older children, smokers, and those with substance-using friends were more likely to purchase alcohol. One mechanism by which alcohol sales outlet density may influence population rates of alcohol use and related problems is through increasing the illegal underage purchasing of alcohol. Copyright © 2015 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.

Race, Ethnicity, and Exposure to Alcohol Outlets.

PubMed

Morrison, Christopher; Gruenewald, Paul J; Ponicki, William R

2016-01-01

Prior studies suggest that Black and Hispanic minority populations are exposed to greater concentrations of alcohol outlets, potentially contributing to health disparities between these populations and the White majority. We tested the alternative hypothesis that urban economic systems cause outlets to concentrate in low-income areas and, controlling for these effects, lower demand among minority populations leads to fewer outlets. Market potential for alcohol sales, a surrogate for demand, was estimated from survey and census data across census block groups for 50 California cities. Hierarchical Bayesian conditional autoregressive Poisson models then estimated relationships between observed geographic distributions of outlets and the market potential for alcohol, income, population size, and racial and ethnic composition. Market potentials were significantly smaller among lower income Black, Hispanic, and Asian populations. Block groups with greater market potential and lower income had greater concentrations of outlets. When we controlled for these effects, the racial and ethnic group composition of block groups was mostly unrelated to outlet concentrations. Health disparities related to exposure to alcohol outlets are primarily driven by distributions of income and population density across neighborhoods.

Complex Greenland outlet glacier flow captured

PubMed Central

Aschwanden, Andy; Fahnestock, Mark A.; Truffer, Martin

2016-01-01

The Greenland Ice Sheet is losing mass at an accelerating rate due to increased surface melt and flow acceleration in outlet glaciers. Quantifying future dynamic contributions to sea level requires accurate portrayal of outlet glaciers in ice sheet simulations, but to date poor knowledge of subglacial topography and limited model resolution have prevented reproduction of complex spatial patterns of outlet flow. Here we combine a high-resolution ice-sheet model coupled to uniformly applied models of subglacial hydrology and basal sliding, and a new subglacial topography data set to simulate the flow of the Greenland Ice Sheet. Flow patterns of many outlet glaciers are well captured, illustrating fundamental commonalities in outlet glacier flow and highlighting the importance of efforts to map subglacial topography. Success in reproducing present day flow patterns shows the potential for prognostic modelling of ice sheets without the need for spatially varying parameters with uncertain time evolution. PMID:26830316

Validation of commercial business lists as a proxy for licensed alcohol outlets.

PubMed

Carlos, Heather A; Gabrielli, Joy; Sargent, James D

2017-05-19

Studies of retail alcohol outlets are restricted to regions due to lack of U.S. national data. Commercial business lists (BL) offer a possible solution, but no data exists to determine if BLs could serve as an adequate proxy for license data. This paper compares geospatial measures of alcohol outlets derived from a commercial BL with license data for a large US state. We validated BL data as a measure of off-premise alcohol outlet density and proximity compared to license data for 5528 randomly selected California residential addresses. We calculated three proximity measures (Euclidean distance, road network travel time and distance) and two density measures (kernel density estimation and the count within a 2-mile radius) for each dataset. The data was acquired in 2015 and processed and analyzed in 2015 and 2016. Correlations and reliabilities between density (correlation 0.98; Cronbach's α 0.97-0.99) and proximity (correlations 0.77-0.86; α 0.87-0.92) measures were high. For proximity, BL data matched license in 55-57% of addresses, overstated distance in 19%, and understated in 24-26%. BL data can serve as a reliable proxy for licensed alcohol outlets, thus extending the work that can be performed in studies on associations between retail alcohol outlets and drinking outcomes.

Community Alcohol Outlet Density and Underage Drinking

PubMed Central

Chen, Meng-Jinn; Grube, Joel W.; Gruenewald, Paul J.

2009-01-01

Aim This study examined how community alcohol outlet density may be associated with drinking among youths. Methods Longitudinal data were collected from 1091 adolescents (aged 14–16 at baseline) recruited from 50 zip codes in California with varying levels of alcohol outlet density and median household income. Hierarchical linear models were used to examine the associations between zip code alcohol outlet density and frequency rates of general alcohol use and excessive drinking, taking into account zip code median household income and individual-level variables (age, gender, race/ethnicity, personal income, mobility, and perceived drinking by parents and peers). Findings When all other factors were controlled, higher initial levels of drinking and excessive drinking were observed among youths residing in zip codes with higher alcohol outlet densities. Growth in drinking and excessive drinking was on average more rapid in zip codes with lower alcohol outlet densities. The relation of zip code alcohol outlet density with drinking appeared to be mitigated by having friends with access to a car. Conclusion Alcohol outlet density may play a significant role in initiation of underage drinking during early teen ages, especially when youths have limited mobility. Youth who reside in areas with low alcohol outlet density may overcome geographic constraints through social networks that increase their mobility and the ability to seek alcohol and drinking opportunities beyond the local community. PMID:20078485

Race, Ethnicity, and Exposure to Alcohol Outlets

PubMed Central

Morrison, Christopher; Gruenewald, Paul J.; Ponicki, William R.

2016-01-01

Objective: Prior studies suggest that Black and Hispanic minority populations are exposed to greater concentrations of alcohol outlets, potentially contributing to health disparities between these populations and the White majority. We tested the alternative hypothesis that urban economic systems cause outlets to concentrate in low-income areas and, controlling for these effects, lower demand among minority populations leads to fewer outlets. Method: Market potential for alcohol sales, a surrogate for demand, was estimated from survey and census data across census block groups for 50 California cities. Hierarchical Bayesian conditional autoregressive Poisson models then estimated relationships between observed geographic distributions of outlets and the market potential for alcohol, income, population size, and racial and ethnic composition. Results: Market potentials were significantly smaller among lower income Black, Hispanic, and Asian populations. Block groups with greater market potential and lower income had greater concentrations of outlets. When we controlled for these effects, the racial and ethnic group composition of block groups was mostly unrelated to outlet concentrations. Conclusions: Health disparities related to exposure to alcohol outlets are primarily driven by distributions of income and population density across neighborhoods. PMID:26751356

46 CFR 193.15-25 - Discharge outlets.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 46 Shipping 7 2010-10-01 2010-10-01 false Discharge outlets. 193.15-25 Section 193.15-25 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) OCEANOGRAPHIC RESEARCH VESSELS FIRE PROTECTION EQUIPMENT Carbon Dioxide Extinguishing Systems, Details § 193.15-25 Discharge outlets. (a) Discharge outlets...

46 CFR 76.15-25 - Discharge outlets.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 46 Shipping 3 2010-10-01 2010-10-01 false Discharge outlets. 76.15-25 Section 76.15-25 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) PASSENGER VESSELS FIRE PROTECTION EQUIPMENT Carbon Dioxide Extinguishing Systems, Details § 76.15-25 Discharge outlets. (a) Discharge outlets shall...

46 CFR 76.15-25 - Discharge outlets.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 46 Shipping 3 2013-10-01 2013-10-01 false Discharge outlets. 76.15-25 Section 76.15-25 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) PASSENGER VESSELS FIRE PROTECTION EQUIPMENT Carbon Dioxide Extinguishing Systems, Details § 76.15-25 Discharge outlets. (a) Discharge outlets shall...

46 CFR 76.15-25 - Discharge outlets.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 46 Shipping 3 2011-10-01 2011-10-01 false Discharge outlets. 76.15-25 Section 76.15-25 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) PASSENGER VESSELS FIRE PROTECTION EQUIPMENT Carbon Dioxide Extinguishing Systems, Details § 76.15-25 Discharge outlets. (a) Discharge outlets shall...

46 CFR 76.15-25 - Discharge outlets.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 46 Shipping 3 2012-10-01 2012-10-01 false Discharge outlets. 76.15-25 Section 76.15-25 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) PASSENGER VESSELS FIRE PROTECTION EQUIPMENT Carbon Dioxide Extinguishing Systems, Details § 76.15-25 Discharge outlets. (a) Discharge outlets shall...

46 CFR 76.15-25 - Discharge outlets.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 46 Shipping 3 2014-10-01 2014-10-01 false Discharge outlets. 76.15-25 Section 76.15-25 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) PASSENGER VESSELS FIRE PROTECTION EQUIPMENT Carbon Dioxide Extinguishing Systems, Details § 76.15-25 Discharge outlets. (a) Discharge outlets shall...

46 CFR 193.15-25 - Discharge outlets.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 46 Shipping 7 2011-10-01 2011-10-01 false Discharge outlets. 193.15-25 Section 193.15-25 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) OCEANOGRAPHIC RESEARCH VESSELS FIRE PROTECTION EQUIPMENT Carbon Dioxide Extinguishing Systems, Details § 193.15-25 Discharge outlets. (a) Discharge outlets...

46 CFR 76.17-20 - Discharge outlets.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 46 Shipping 3 2011-10-01 2011-10-01 false Discharge outlets. 76.17-20 Section 76.17-20 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) PASSENGER VESSELS FIRE PROTECTION EQUIPMENT Foam Extinguishing Systems, Details § 76.17-20 Discharge outlets. (a) Discharge outlets shall be of an...

46 CFR 95.17-20 - Discharge outlets.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 46 Shipping 4 2010-10-01 2010-10-01 false Discharge outlets. 95.17-20 Section 95.17-20 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) CARGO AND MISCELLANEOUS VESSELS FIRE PROTECTION EQUIPMENT Foam Extinguishing Systems, Details § 95.17-20 Discharge outlets. (a) Discharge outlets shall be...

46 CFR 95.17-20 - Discharge outlets.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 46 Shipping 4 2011-10-01 2011-10-01 false Discharge outlets. 95.17-20 Section 95.17-20 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) CARGO AND MISCELLANEOUS VESSELS FIRE PROTECTION EQUIPMENT Foam Extinguishing Systems, Details § 95.17-20 Discharge outlets. (a) Discharge outlets shall be...

46 CFR 76.17-20 - Discharge outlets.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 46 Shipping 3 2010-10-01 2010-10-01 false Discharge outlets. 76.17-20 Section 76.17-20 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) PASSENGER VESSELS FIRE PROTECTION EQUIPMENT Foam Extinguishing Systems, Details § 76.17-20 Discharge outlets. (a) Discharge outlets shall be of an...

46 CFR 95.15-25 - Discharge outlets.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 46 Shipping 4 2010-10-01 2010-10-01 false Discharge outlets. 95.15-25 Section 95.15-25 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) CARGO AND MISCELLANEOUS VESSELS FIRE PROTECTION EQUIPMENT Carbon Dioxide Extinguishing Systems, Details § 95.15-25 Discharge outlets. (a) Discharge outlets...

46 CFR 95.15-25 - Discharge outlets.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 46 Shipping 4 2012-10-01 2012-10-01 false Discharge outlets. 95.15-25 Section 95.15-25 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) CARGO AND MISCELLANEOUS VESSELS FIRE PROTECTION EQUIPMENT Carbon Dioxide Extinguishing Systems, Details § 95.15-25 Discharge outlets. (a) Discharge outlets...

46 CFR 95.15-25 - Discharge outlets.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 46 Shipping 4 2011-10-01 2011-10-01 false Discharge outlets. 95.15-25 Section 95.15-25 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) CARGO AND MISCELLANEOUS VESSELS FIRE PROTECTION EQUIPMENT Carbon Dioxide Extinguishing Systems, Details § 95.15-25 Discharge outlets. (a) Discharge outlets...

Off-premise alcohol outlet characteristics and violence.

PubMed

Snowden, Aleksandra J; Pridemore, William Alex

2014-07-01

There is considerable evidence of an association between alcohol outlet density and violence. Although prior research reveals the importance of specific characteristics of bars on this association and that the relationship between bar density and violence may be moderated by these characteristics, there are few similar studies of the characteristics of off-premise outlets (e.g., liquor and convenience stores). We examined whether immediate environment, business practice, staff, and patron characteristics of off-premise alcohol outlets are associated with simple and aggravated assault density. Cross-sectional design using aggregate data from 65 census block groups in a non-metropolitan college town, systematic social observation, and spatial modeling techniques. We found limited effects of immediate environment, business practice, staff, and patron characteristics on simple assault density and no effect on aggravated assault density. Only two out of 17 characteristics were associated with simple assault density (i.e., nearby library and male patrons). This is the first study to examine the association between several off-premise alcohol outlet characteristics and assault. Our findings suggest that where the off-premise outlets are located, how well the immediate environment is maintained, what types of beverages the outlets sell, who visits them, and who works there matter little in their association with violence. This suggests the importance of outlet density itself as a primary driver of any association with violence. Public policies aimed at reducing alcohol outlet density or clustering may be useful for reducing violence.

Socioeconomic determinants of exposure to alcohol outlets.

PubMed

Morrison, Christopher; Gruenewald, Paul J; Ponicki, William R

2015-05-01

Alcohol outlets tend to be located in lower income areas, exposing lower income populations to excess risks associated with alcohol sales through these establishments. The objective of this study was to test two hypotheses about the etiology of these differential exposures based on theories of the economic geography of retail markets: (a) outlets will locate within or near areas of high alcohol demand, and (b) outlets will be excluded from areas with high land and structure rents. Data from the 2010 National Drug Strategy Household Survey were used to develop a surrogate for alcohol demand (i.e., market potential) at two census geographies for the city of Melbourne, Australia. Bayesian conditional autoregressive Poisson models estimated multilevel spatial relationships between counts of bars, restaurants, and off-premise outlets and market potential, income, and zoning ordinances (Level 1: n = 8,914). Market potentials were greatest in areas with larger older age, male, English-speaking, high-income populations. Independent of zoning characteristics, greater numbers of outlets appeared in areas with greater market potentials and the immediately surrounding areas. Greater income excluded outlets in local and surrounding areas. These findings are consistent with the hypothesis that alcohol outlets are located in areas with high demand and are excluded from high-income areas. These processes appear to take place at relatively small geographic scales, encourage the concentration of outlets in specific low-income areas, and represent a very general economic process likely to take place in communities throughout the world.

Socioeconomic Determinants of Exposure to Alcohol Outlets

PubMed Central

Morrison, Christopher; Gruenewald, Paul J.; Ponicki, William R.

2015-01-01

Objective: Alcohol outlets tend to be located in lower income areas, exposing lower income populations to excess risks associated with alcohol sales through these establishments. The objective of this study was to test two hypotheses about the etiology of these differential exposures based on theories of the economic geography of retail markets: (a) outlets will locate within or near areas of high alcohol demand, and (b) outlets will be excluded from areas with high land and structure rents. Method: Data from the 2010 National Drug Strategy Household Survey were used to develop a surrogate for alcohol demand (i.e., market potential) at two census geographies for the city of Melbourne, Australia. Bayesian conditional autoregressive Poisson models estimated multilevel spatial relationships between counts of bars, restaurants, and off-premise outlets and market potential, income, and zoning ordinances (Level 1: n = 8,914). Results: Market potentials were greatest in areas with larger older age, male, English-speaking, high-income populations. Independent of zoning characteristics, greater numbers of outlets appeared in areas with greater market potentials and the immediately surrounding areas. Greater income excluded outlets in local and surrounding areas. Conclusions: These findings are consistent with the hypothesis that alcohol outlets are located in areas with high demand and are excluded from high-income areas. These processes appear to take place at relatively small geographic scales, encourage the concentration of outlets in specific low-income areas, and represent a very general economic process likely to take place in communities throughout the world. PMID:25978830

Outlet diffusers to increase culvert capacity.

DOT National Transportation Integrated Search

2016-06-01

Aging infrastructure and changing weather patterns present the need to increase the capacity of existing highway culverts. This research approaches this challenge through the use of diffuser outlet systems to increase pipe capacity and reduce outlet ...

49 CFR 179.220-18 - Bottom outlets.

Code of Federal Regulations, 2010 CFR

2010-10-01

... Specifications for Non-Pressure Tank Car Tanks (Classes DOT-111AW and 115AW) § 179.220-18 Bottom outlets. (a) The... equivalent, except that bottom outlet closure plugs may be attached by 1/4-inch chain. When the bottom outlet... valve body may be steam jacketed, in which case the breakage groove or its equivalent must be below the...

Modular heat exchanger

DOEpatents

Culver, Donald W.

1978-01-01

A heat exchanger for use in nuclear reactors includes a heat exchange tube bundle formed from similar modules each having a hexagonal shroud containing a large number of thermally conductive tubes which are connected with inlet and outlet headers at opposite ends of each module, the respective headers being adapted for interconnection with suitable inlet and outlet manifold means. In order to adapt the heat exchanger for operation in a high temperature and high pressure environment and to provide access to all tube ports at opposite ends of the tube bundle, a spherical tube sheet is arranged in sealed relation across the chamber with an elongated duct extending outwardly therefrom to provide manifold means for interconnection with the opposite end of the tube bundle.

Double-outlet right ventricle revisited.

PubMed

Ebadi, Ameneh; Spicer, Diane E; Backer, Carl L; Fricker, F Jay; Anderson, Robert H

2017-08-01

Double-outlet right ventricle is a form of ventriculoarterial connection. The definition formulated by the International Society for Nomenclature of Paediatric and Congenital Heart Disease is based on hearts with both arterial trunks supported in their greater part by a morphologically right ventricle. Bilateral infundibula and ventricular septal defects are highly debated criteria. This study examines the anatomic controversies surrounding double-outlet right ventricle. We show that hearts with double-outlet right ventricle can have atrioventricular-to-arterial valvular continuity. We emphasize the difference between the interventricular communication and the zone of deficient ventricular septation. The hearts examined were from the University of Florida in Gainesville; Johns Hopkins All Children's Hospital, St Petersburg, Fla; and Lurie Children's Hospital, Chicago, Ill. Each specimen had at least 75% of both arterial roots supported by the morphologically right ventricle, with a total of 100 hearts examined. The morphologic method was used to assess anatomic features, including arterial-atrioventricular valvular continuity, subarterial infundibular musculature, and the location of the hole between the ventricles. Most hearts had fibrous continuity between one of the arterial valves and an atrioventricular valve, with bilateral infundibula in 23%, and intact ventricular septum in 5%. Bilateral infundibula are not a defining feature of double-outlet right ventricle, representing only 23% of the specimens in our sample. The interventricular communication can have a posteroinferior muscular rim or extend to become perimembranous (58%). Double-outlet right ventricle can exist with an intact ventricular septum. Copyright © 2017 The American Association for Thoracic Surgery. All rights reserved.

Intelligent electrical outlet for collective load control

DOE Office of Scientific and Technical Information (OSTI.GOV)

Lentine, Anthony L.; Ford, Justin R.; Spires, Shannon V.

Various technologies described herein pertain to an electrical outlet that autonomously manages loads in a microgrid. The electrical outlet can provide autonomous load control in response to variations in electrical power generation supply in the microgrid. The electrical outlet includes a receptacle, a sensor operably coupled to the receptacle, and an actuator configured to selectively actuate the receptacle. The sensor measures electrical parameters at the receptacle. Further, a processor autonomously controls the actuator based at least in part on the electrical parameters measured at the receptacle, electrical parameters from one or more disparate electrical outlets in the microgrid, and amore » supply of generated electric power in the microgrid at a given time.« less

Towards the Complete Characterization of Marine-Terminating Glacier Outlet Systems

NASA Astrophysics Data System (ADS)

Mayer, L. A.; Jakobsson, M.; Mix, A. C.; Jerram, K.; Hogan, K.; Heffron, E.; Muenchow, A.

2016-12-01

The Petermann Glacier Experiment was aimed at understanding past variations in Petermann Glacier and their relationship to changes in climatic and oceanographic conditions. A critical component of the experiment was a comprehensive program conducted on the icebreaker Oden to map submarine glacial landforms, offering insight into past ice dynamics and establishing the overall geomorphological context of the region. Concurrent water-column mapping provided remarkable insight into modern glacial, oceanographic, and biological processes suggesting that a carefully designed experiment could provide a near-complete characterization of marine-terminating glacier outlet systems. Water-column mapping revealed seeps emanating from several seafloor regions. These features appeared along common depth zones and may represent fresh water emanating from a submerged aquifer; initial pore water analyses of cores also imply a fresh water flux into the fjord system. Water-column data also show a spatially consistent but variable distribution of a strong mid-water scattering layer, a biological response possibly tracing the inflow of Atlantic water into the fjord and enhanced by input from local outlet glaciers. The continuous nature of these acoustic records over 30 days offers a complete 4-D picture of the distribution of the scattering layer (and perhaps internal circulation patterns and water-mass interactions) with a spatial and temporal distribution far beyond that achievable by traditional oceanographic stations. Additional, higher-resolution water-column imaging around local outlet glaciers presents a clear picture of subglacial sediment-laden meltwater plumes. Thus in addition to the paleoceanographic information they provided, the acoustic systems deployed captured a 4D-view of many of the modern geological, oceanographic and ecological processes within and adjacent to the Petermann Glacier marine system. With the addition of seafloor and water-column sampling, long

Antivortex Device for Multi-Outlet Liquid Reservoir

NASA Technical Reports Server (NTRS)

Grayson, Gary David (Inventor); Addison, Stephen Michael (Inventor)

2016-01-01

A liquid reservoir with a sump includes at least two outlet ports in fluid communication with a fluid conduit. An anti-vortex device includes a first plate extending across the at least two outlet ports and a second plate coupled to the first plate and extending substantially perpendicular to the first plate. The anti-vortex device is configured to disrupt formation of a vortex formed by liquid passing from the reservoir through said outlet ports.

49 CFR 178.345-11 - Tank outlets.

Code of Federal Regulations, 2010 CFR

2010-10-01

... unloading of lading, as distinguished from outlets such as manhole covers, vents, vapor recovery devices... away from the loading/unloading outlet. The actuating mechanism must be corrosion-resistant and...

7 CFR 993.108 - Non-human consumption outlet.

Code of Federal Regulations, 2012 CFR

2012-01-01

..., that any prunes or prune waste received for a non-human use will be used only within such outlet. [26... 7 Agriculture 8 2012-01-01 2012-01-01 false Non-human consumption outlet. 993.108 Section 993.108... CALIFORNIA Administrative Rules and Regulations Definitions § 993.108 Non-human consumption outlet. Non-human...

7 CFR 993.108 - Non-human consumption outlet.

Code of Federal Regulations, 2014 CFR

2014-01-01

..., that any prunes or prune waste received for a non-human use will be used only within such outlet. [26... 7 Agriculture 8 2014-01-01 2014-01-01 false Non-human consumption outlet. 993.108 Section 993.108... CALIFORNIA Administrative Rules and Regulations Definitions § 993.108 Non-human consumption outlet. Non-human...

Writing user selectable data on the extended header of seismic recordings made on the Texas Instruments DFS-V

USGS Publications Warehouse

Robinson, W.C.

1996-01-01

A circuit has been developed to allow the writing of up to 192 digits of user-selectable data on a portion of tape called extended header, which is always available for use before each DFS-V seismic record is written. Such data could include navigation information, air gun and streamer depth and shot times.

Preliminary Cosmogenic Surface Exposure Ages on Laurentide Ice-sheet Retreat and Opening of the Eastern Lake Agassiz Outlets

NASA Astrophysics Data System (ADS)

Leydet, D.; Carlson, A. E.; Sinclair, G.; Teller, J. T.; Breckenridge, A. J.; Caffee, M. W.; Barth, A. M.

2015-12-01

The chronology for the eastern outlets of glacial Lake Agassiz holds important consequences for the cause of Younger Dryas cold event during the last deglaciation. Eastward routing of Lake Agassiz runoff was originally hypothesized to have triggered the Younger Dryas. However, currently the chronology of the eastern outlets is only constrained by minimum-limiting radiocarbon ages that could suggest the eastern outlets were still ice covered at the start of the Younger Dryas at ~12.9 ka BP, requiring a different forcing of this abrupt climate event. Nevertheless, the oldest radiocarbon ages are still consistent with an ice-free eastern outlet at the start of the Younger Dryas. Here we will present preliminary 10-Be cosmogenic surface exposure ages from the North Lake, Flat Rock Lake, glacial Lake Kaministiquia, and Lake Nipigon outlets located near Thunder Bay, Ontario. These ages will date the timing of the deglaciation of the Laurentide ice sheet in the eastern outlet region of glacial Lake Agassiz. This will provide an important constraint for the hypothesized freshwater forcing of the cause of Younger Dryas cold event.

A 70-year record of outlet glacier retreat in northern Greenland

NASA Astrophysics Data System (ADS)

Hill, Emily; Carr, Rachel; Stokes, Chris; Gudmundsson, Hilmar

2017-04-01

Over the past two decades, the Greenland Ice Sheet (GrIS) has undergone accelerated mass loss increasing its contribution to sea level rise. This is partly attributed to increased mass loss from dynamic marine-terminating outlet glaciers. Despite marine-terminating outlet glaciers in northern Greenland draining 40% of the ice sheet by area, they are comparatively less well-studied than other regions of the ice sheet (e.g. central west or south-east). This region could be susceptible to marine-ice sheet instability due to large proportions of the bedrock rested below sea level and is also unique in the presence of large floating ice tongues. Here, we use a range of satellite imagery sources, accompanied by historical maps, to examine multi-decadal front position changes at 21 outlet glaciers in northern Greenland between 1948 and 2016. We accompany these terminus changes, with annual records of ice velocity, climate-ocean forcing data, and glacier-specific factors (e.g. fjord-width and basal topography) to understand the dominant forcing on glacier dynamics in the region. Over the last 70 years, there has been a clear pattern of glacier retreat in northern Greenland. This is particularly notable during the last two decades, where 62% of our study glaciers showed accelerated retreat. This was most notable at Humboldt, Tracy, Hagen Brae, C. H. Ostenfeld and Petermann Glaciers, and in the case of the latter three glaciers, this involved substantial retreat of their floating ice tongues (> 10 km). Alongside retreat, several study glaciers underwent simultaneous velocity increases. However, the collapse of floating ice tongues did not always result in increased velocity. Similar to other regions of the ice sheet, recent glacier retreat in the northern regions of the Greenland Ice Sheet could be linked to climatic-oceanic forcing, but at this stage this remains largely unknown. This response to external forcing is further complicated by the presence of glacier

The Geography of Fast Food Outlets: A Review

PubMed Central

Fraser, Lorna K.; Edwards, Kimberly L.; Cade, Janet; Clarke, Graham P.

2010-01-01

The availability of food high in fat, salt and sugar through Fast Food (FF) or takeaway outlets, is implicated in the causal pathway for the obesity epidemic. This review aims to summarise this body of research and highlight areas for future work. Thirty three studies were found that had assessed the geography of these outlets. Fourteen studies showed a positive association between availability of FF outlets and increasing deprivation. Another 13 studies also included overweight or obesity data and showed conflicting results between obesity/overweight and FF outlet availability. There is some evidence that FF availability is associated with lower fruit and vegetable intake. There is potential for land use policies to have an influence on the location of new FF outlets. Further research should incorporate good quality data on FF consumption, weight and physical activity. PMID:20623025

The geography of Fast Food outlets: a review.

PubMed

Fraser, Lorna K; Edwards, Kimberly L; Cade, Janet; Clarke, Graham P

2010-05-01

The availability of food high in fat, salt and sugar through Fast Food (FF) or takeaway outlets, is implicated in the causal pathway for the obesity epidemic. This review aims to summarise this body of research and highlight areas for future work. Thirty three studies were found that had assessed the geography of these outlets. Fourteen studies showed a positive association between availability of FF outlets and increasing deprivation. Another 13 studies also included overweight or obesity data and showed conflicting results between obesity/overweight and FF outlet availability. There is some evidence that FF availability is associated with lower fruit and vegetable intake. There is potential for land use policies to have an influence on the location of new FF outlets. Further research should incorporate good quality data on FF consumption, weight and physical activity.

Alcohol outlet density and assault: a spatial analysis.

PubMed

Livingston, Michael

2008-04-01

A large number of studies have found links between alcohol outlet densities and assault rates in local areas. This study tests a variety of specifications of this link, focusing in particular on the possibility of a non-linear relationship. Cross-sectional data on police-recorded assaults during high alcohol hours, liquor outlets and socio-demographic characteristics were obtained for 223 postcodes in Melbourne, Australia. These data were used to construct a series of models testing the nature of the relationship between alcohol outlet density and assault, while controlling for socio-demographic factors and spatial auto-correlation. Four types of relationship were examined: a normal linear relationship between outlet density and assault, a non-linear relationship with potential threshold or saturation densities, a relationship mediated by the socio-economic status of the neighbourhood and a relationship which takes into account the effect of outlets in surrounding neighbourhoods. The model positing non-linear relationships between outlet density and assaults was found to fit the data most effectively. An increasing accelerating effect for the density of hotel (pub) licences was found, suggesting a plausible upper limit for these licences in Melbourne postcodes. The study finds positive relationships between outlet density and assault rates and provides evidence that this relationship is non-linear and thus has critical values at which licensing policy-makers can impose density limits.

Validity of Secondary Retail Food Outlet Data

PubMed Central

Fleischhacker, Sheila E.; Evenson, Kelly R.; Sharkey, Joseph; Pitts, Stephanie B.J.; Rodriguez, Daniel A.

2013-01-01

Context Improving access to healthy foods is a promising strategy to prevent nutrition-related chronic diseases. To characterize retail food environments and identify areas with limited retail access, researchers, government programs, and community advocates have primarily used secondary retail food outlet data sources (e.g., InfoUSA or government food registries). To advance the state of the science on measuring retail food environments, this systematic review examined the evidence for validity reported for secondary retail food outlet data sources for characterizing retail food environments. Evidence acquisition A literature search was conducted through December 31, 2012 to identify peer-reviewed published literature that compared secondary retail food outlet data sources to primary data sources (i.e., field observations) for accuracy of identifying the type and location of retail food outlets. Data were analyzed in 2013. Evidence synthesis Nineteen studies met the inclusion criteria. The evidence for validity reported varied by secondary data sources examined, primary data–gathering approaches, retail food outlets examined, and geographic and sociodemographic characteristics. More than half of the studies (53%) did not report evidence for validity by type of food outlet examined and by a particular secondary data source. Conclusions Researchers should strive to gather primary data but if relying on secondary data sources, InfoUSA and government food registries had higher levels of agreement than reported by other secondary data sources and may provide sufficient accuracy for exploring these associations in large study areas. PMID:24050423

Youth activity spaces and daily exposure to tobacco outlets.

PubMed

Lipperman-Kreda, Sharon; Morrison, Christopher; Grube, Joel W; Gaidus, Andrew

2015-07-01

We explored whether exposure to tobacco outlets in youths' broader activity spaces differs from that obtained using traditional geographic measures of exposure to tobacco outlet within buffers around homes and schools. Youths completed an initial survey, daily text-prompted surveys, and carried GPS-enabled phones for one week. GPS locations were geocoded and activity spaces were constructed by joining sequential points. We calculated the number of tobacco outlets around these polylines and around homes and schools. Results suggest that activity spaces provide a more accurate measure of tobacco outlet exposures than traditional measures. Assessing tobacco outlet exposure within activity spaces may yield significant information to advance the field. Copyright © 2015 Elsevier Ltd. All rights reserved.

Tobacco Retail Outlets and Vulnerable Populations in Ontario, Canada

PubMed Central

Chaiton, Michael O.; Mecredy, Graham C.; Cohen, Joanna E.; Tilson, Melodie L.

2013-01-01

Interest has been increasing in regulating the location and number of tobacco vendors as part of a comprehensive tobacco control program. The objective of this paper is to examine the distribution of tobacco outlets in a large jurisdiction, to assess: (1) whether tobacco outlets are more likely to be located in vulnerable areas; and (2) what proportion of tobacco outlets are located close to schools. Retail locations across the Province of Ontario from Ministry of Health Promotion data were linked to 2006 Census data at the neighbourhood level. There was one tobacco retail outlet for every 1,000 people over age 15 in Ontario. Density of outlets varied by public health unit, and was associated with the number of smokers. Tobacco outlets were more likely to be located in areas that had high neighbourhood deprivation, in both rural and urban areas. Outlets were less likely to be located in areas with high immigrant populations in urban areas, with the reverse being true for rural areas. Overall, 65% of tobacco retailers were located within 500 m of a school. The sale of tobacco products is ubiquitous, however, neighbourhoods with lower socio-economic status are more likely to have easier availability of tobacco products and most retailers are located within walking distance of a school. The results suggest the importance of policies to regulate the location of tobacco retail outlets. PMID:24351748

Evaluating two process scale chromatography column header designs using CFD.

PubMed

Johnson, Chris; Natarajan, Venkatesh; Antoniou, Chris

2014-01-01

Chromatography is an indispensable unit operation in the downstream processing of biomolecules. Scaling of chromatographic operations typically involves a significant increase in the column diameter. At this scale, the flow distribution within a packed bed could be severely affected by the distributor design in process scale columns. Different vendors offer process scale columns with varying design features. The effect of these design features on the flow distribution in packed beds and the resultant effect on column efficiency and cleanability needs to be properly understood in order to prevent unpleasant surprises on scale-up. Computational Fluid Dynamics (CFD) provides a cost-effective means to explore the effect of various distributor designs on process scale performance. In this work, we present a CFD tool that was developed and validated against experimental dye traces and tracer injections. Subsequently, the tool was employed to compare and contrast two commercially available header designs. © 2014 American Institute of Chemical Engineers.

49 CFR 178.337-8 - Openings, inlets, and outlets.

Code of Federal Regulations, 2011 CFR

2011-10-01

... used to transport chlorine. The requirements for inlets and outlets on chlorine cargo tanks are in... dioxide, helium, krypton, neon, nitrogen, and xenon, or mixtures thereof. (6) In addition to the internal... equalization of pressure. (b) Inlets and discharge outlets on chlorine tanks. The inlet and discharge outlets...

49 CFR 178.337-8 - Openings, inlets, and outlets.

Code of Federal Regulations, 2010 CFR

2010-10-01

... used to transport chlorine. The requirements for inlets and outlets on chlorine cargo tanks are in... dioxide, helium, krypton, neon, nitrogen, and xenon, or mixtures thereof. (6) In addition to the internal... equalization of pressure. (b) Inlets and discharge outlets on chlorine tanks. The inlet and discharge outlets...

49 CFR 179.100-14 - Bottom outlets.

Code of Federal Regulations, 2011 CFR

2011-10-01

... Transportation Other Regulations Relating to Transportation (Continued) PIPELINE AND HAZARDOUS MATERIALS SAFETY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) SPECIFICATIONS FOR TANK CARS Specifications for Pressure Tank Car Tanks (Classes DOT-105, 109, 112, 114 and 120) § 179.100-14 Bottom outlets. (a) Bottom outlets...

49 CFR 179.100-14 - Bottom outlets.

Code of Federal Regulations, 2013 CFR

2013-10-01

... Transportation Other Regulations Relating to Transportation (Continued) PIPELINE AND HAZARDOUS MATERIALS SAFETY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) SPECIFICATIONS FOR TANK CARS Specifications for Pressure Tank Car Tanks (Classes DOT-105, 109, 112, 114 and 120) § 179.100-14 Bottom outlets. (a) Bottom outlets...

49 CFR 179.100-14 - Bottom outlets.

Code of Federal Regulations, 2014 CFR

2014-10-01

... Transportation Other Regulations Relating to Transportation (Continued) PIPELINE AND HAZARDOUS MATERIALS SAFETY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) SPECIFICATIONS FOR TANK CARS Specifications for Pressure Tank Car Tanks (Classes DOT-105, 109, 112, 114 and 120) § 179.100-14 Bottom outlets. (a) Bottom outlets...

Tobacco Retail Outlet Density and Young Adult Tobacco Initiation

PubMed Central

Pearson, Jennifer L.; Anesetti-Rothermel, Andrew; Xiao, Haijun; Kirchner, Thomas R.; Vallone, Donna

2016-01-01

Background: A growing body of evidence indicates that the density of tobacco retail outlets around the home residence may influence tobacco use among youth and adults. The purpose of this study was to examine the impact of neighborhood tobacco retail outlet density on young adult initiation of different tobacco product types. Methods: Cross-sectional data from a 2013 nationally representative sample of young adults aged 18–34 was examined in relation to a 2012 geocoded listing of all outlets likely to sell tobacco in the United States. Separate multivariable logistic regression analyses examined associations between neighborhood outlet density and past 6 months first use of cigarettes, non-cigarette combustible products, and noncombustible products among adults aged 18–24 and 25–34. Results: Outlet density was significantly associated with recent initiation of cigarettes and other combustibles, but this impact varied for younger and older groups. Increased density was significantly associated with a higher likelihood of initiating cigarette use among adults aged 25–34 (OR = 3.75, 95% CI = 1.18, 11.90), and of initiating non-cigarette combustible use among 18–24 year olds (OR = 3.16, 95% CI = 1.03, 9.74). There was no impact of outlet density on recent noncombustible product initiation among either group. Conclusion: This study is the first to examine the impact of tobacco outlet density on young adult initiation of cigarettes and other tobacco products. Findings demonstrate that residential neighborhood outlet density is associated with recent initiation of combustible products and this effect varies by product type and age. The tobacco outlet environment may be a critical factor in promoting young adult tobacco use initiation. PMID:25666816

Relating Off-Premises Alcohol Outlet Density to Intentional and Unintentional Injuries

PubMed Central

Morrison, Christopher; Smith, Karen; Gruenewald, Paul J.; Ponicki, William R.; Lee, Juliet P.; Cameron, Peter

2015-01-01

Aims This study investigated the hypotheses that (i) intentional and unintentional injuries occur more frequently in areas with greater density of off-premises alcohol outlets; and (ii) larger and chain outlets selling cheaper alcohol contribute more substantially to injury risk than smaller and independent outlets. Design Ecological cross-sectional. Setting From the 256 Statistical Area level 2 (SA2) Census units in Melbourne, Australia, we selected a random sample of 62 units. There were 2,119 Statistical Area level 1 (SA1) units nested within the selected SA2 units. Participants The selected units contained 295 off-premises outlets. Measurements Two independent observers conducted premises assessments in all off-premises outlets, assessing the volume of alcohol available for sale (paces of shelf space), price (least wine price), and other operating characteristics (chain vs. independent, drive-through). Outlet counts, assessed outlet characteristics, and other area characteristics (population density, median age, median income, retail zoning) were aggregated within SA1 units. Dependent variables were counts of ambulance attended intentional injuries (assaults, stabbings, shootings) and unintentional injuries (falls, crush injuries, and object strikes). Findings In univariable analyses, chain outlets were larger (r = 0.383; p < 0.001) and sold cheaper alcohol (r = −0.484; p < 0.001) compared with independent outlets. In Bayesian spatial Poisson models, off-premises outlet density was positively related to both intentional (Incidence Rate Ratio = 1.38; 95% Credible Interval: 1.19, 1.60) and unintentional injuries (IRR = 1.18; 95% CI: 1.06, 1.30). After disaggregation by outlet characteristics, chain outlet density was also related to both intentional (IRR = 1.35; 95% CI: 1.11, 1.64) and unintentional injuries (IRR = 1.20; 95% CI: 1.08, 1.38). Conclusions Greater off-premises outlet density is related to greater incidence of traumatic injury, and chain outlets

46 CFR 193.15-25 - Discharge outlets.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 46 Shipping 7 2013-10-01 2013-10-01 false Discharge outlets. 193.15-25 Section 193.15-25 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) OCEANOGRAPHIC RESEARCH VESSELS FIRE PROTECTION EQUIPMENT Carbon Dioxide and Clean Agent Extinguishing Systems, Details § 193.15-25 Discharge outlets. (a...

46 CFR 193.15-25 - Discharge outlets.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 46 Shipping 7 2014-10-01 2014-10-01 false Discharge outlets. 193.15-25 Section 193.15-25 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) OCEANOGRAPHIC RESEARCH VESSELS FIRE PROTECTION EQUIPMENT Carbon Dioxide and Clean Agent Extinguishing Systems, Details § 193.15-25 Discharge outlets. (a...

5 CFR 591.217 - In which outlets does OPM collect prices?

Code of Federal Regulations, 2010 CFR

2010-01-01

... popular outlets in each survey area. OPM selects these outlets based on their proximity to the housing... that reflect sales volume. To the extent practical, OPM prices like items in the same types of outlets... surveys and select outlets based on the results of those surveys. ...

Availability of limited service food outlets surrounding schools in British Columbia.

PubMed

Black, Jennifer L; Day, Meghan

2012-06-05

The purpose of this study was to provide a descriptive profile of the availability of limited service food outlets surrounding public schools in British Columbia, Canada. Data from the 2010 Canadian Business Data Files were used to identify limited service food outlets including fast food outlets, beverage and snack food stores, delis and convenience stores. The number of food outlets within 800 metres of 1,392 public schools and the distance from schools to the nearest food outlets were assessed. Multivariate regression models examined the associations between food outlet availability and school-level characteristics. In 2010, over half of the public schools in BC (54%) were located within a 10-12 minute walk from at least one limited service food outlet. The median closest distance to a food outlet was just over 1 km (1016 m). Schools comprised of students living in densely populated urban neighbourhoods and neighbourhoods characterized by lower socio-economic status were more likely to have access to limited service food outlets within walking distance. After adjusting for school-level median family income and population density, larger schools had higher odds of exposure to food vendors compared to schools with fewer students. The availability of and proximity to limited service food outlets vary widely across schools in British Columbia and school-level characteristics are significantly associated with food outlet availability. Additional research is needed to understand how food environment exposures inside and surrounding schools impact students' attitudes, food choices and dietary quality.

Relating off-premises alcohol outlet density to intentional and unintentional injuries.

PubMed

Morrison, Christopher; Smith, Karen; Gruenewald, Paul J; Ponicki, William R; Lee, Juliet P; Cameron, Peter

2016-01-01

This study investigated the hypotheses that (i) intentional and unintentional injuries occur more frequently in areas with greater density of off-premises alcohol outlets; and (ii) larger and chain outlets selling cheaper alcohol contribute more substantially to injury risk than smaller and independent outlets. Ecological cross-sectional. From the 256 Statistical Area level 2 (SA2) census units in Melbourne, Australia, we selected a random sample of 62 units. There were 2119 Statistical Area level 1 (SA1) units nested within the selected SA2 units. The selected units contained 295 off-premises outlets. Two independent observers conducted premises assessments in all off-premises outlets, assessing the volume of alcohol available for sale (paces of shelf space), price (least wine price) and other operating characteristics (chain versus independent, drive-through). Outlet counts, assessed outlet characteristics and other area characteristics (population density, median age, median income, retail zoning) were aggregated within SA1 units. Dependent variables were counts of ambulance attended intentional injuries (assaults, stabbings, shootings) and unintentional injuries (falls, crush injuries and object strikes). In univariable analyses, chain outlets were larger (r = 0.383; P < 0.001) and sold cheaper alcohol (r = -0.484; P < 0.001) compared with independent outlets. In Bayesian spatial Poisson models, off-premises outlet density was positively related to both intentional [incidence rate ratio (IRR) = 1.38; 95% credible interval (CI) = 1.19, 1.60] and unintentional injuries (IRR = 1.18; 95% CI = 1.06, 1.30). After disaggregation by outlet characteristics, chain outlet density was also related to both intentional (IRR = 1.35; 95% CI = 1.11, 1.64) and unintentional injuries (IRR = 1.20; 95% CI = 1.08, 1.38). Greater off-premises outlet density is related to greater incidence of traumatic injury, and chain outlets appear to

14 CFR 29.977 - Fuel tank outlet.

Code of Federal Regulations, 2014 CFR

2014-01-01

... STANDARDS: TRANSPORT CATEGORY ROTORCRAFT Powerplant Fuel System § 29.977 Fuel tank outlet. (a) There must be... airplanes, prevent the passage of any object that could restrict fuel flow or damage any fuel system... 14 Aeronautics and Space 1 2014-01-01 2014-01-01 false Fuel tank outlet. 29.977 Section 29.977...

14 CFR 25.977 - Fuel tank outlet.

Code of Federal Regulations, 2014 CFR

2014-01-01

... STANDARDS: TRANSPORT CATEGORY AIRPLANES Powerplant Fuel System § 25.977 Fuel tank outlet. (a) There must be... airplanes, prevent the passage of any object that could restrict fuel flow or damage any fuel system... 14 Aeronautics and Space 1 2014-01-01 2014-01-01 false Fuel tank outlet. 25.977 Section 25.977...

14 CFR 23.977 - Fuel tank outlet.

Code of Federal Regulations, 2013 CFR

2013-01-01

... STANDARDS: NORMAL, UTILITY, ACROBATIC, AND COMMUTER CATEGORY AIRPLANES Powerplant Fuel System § 23.977 Fuel... damage any fuel system component. (b) The clear area of each fuel tank outlet strainer must be at least... 14 Aeronautics and Space 1 2013-01-01 2013-01-01 false Fuel tank outlet. 23.977 Section 23.977...

14 CFR 23.977 - Fuel tank outlet.

Code of Federal Regulations, 2014 CFR

2014-01-01

... STANDARDS: NORMAL, UTILITY, ACROBATIC, AND COMMUTER CATEGORY AIRPLANES Powerplant Fuel System § 23.977 Fuel... damage any fuel system component. (b) The clear area of each fuel tank outlet strainer must be at least... 14 Aeronautics and Space 1 2014-01-01 2014-01-01 false Fuel tank outlet. 23.977 Section 23.977...

14 CFR 29.977 - Fuel tank outlet.

Code of Federal Regulations, 2013 CFR

2013-01-01

... STANDARDS: TRANSPORT CATEGORY ROTORCRAFT Powerplant Fuel System § 29.977 Fuel tank outlet. (a) There must be... airplanes, prevent the passage of any object that could restrict fuel flow or damage any fuel system... 14 Aeronautics and Space 1 2013-01-01 2013-01-01 false Fuel tank outlet. 29.977 Section 29.977...

14 CFR 25.977 - Fuel tank outlet.

Code of Federal Regulations, 2013 CFR

2013-01-01

... STANDARDS: TRANSPORT CATEGORY AIRPLANES Powerplant Fuel System § 25.977 Fuel tank outlet. (a) There must be... airplanes, prevent the passage of any object that could restrict fuel flow or damage any fuel system... 14 Aeronautics and Space 1 2013-01-01 2013-01-01 false Fuel tank outlet. 25.977 Section 25.977...

14 CFR 25.977 - Fuel tank outlet.

Code of Federal Regulations, 2012 CFR

2012-01-01

... STANDARDS: TRANSPORT CATEGORY AIRPLANES Powerplant Fuel System § 25.977 Fuel tank outlet. (a) There must be... airplanes, prevent the passage of any object that could restrict fuel flow or damage any fuel system... 14 Aeronautics and Space 1 2012-01-01 2012-01-01 false Fuel tank outlet. 25.977 Section 25.977...

14 CFR 29.977 - Fuel tank outlet.

Code of Federal Regulations, 2011 CFR

2011-01-01

... STANDARDS: TRANSPORT CATEGORY ROTORCRAFT Powerplant Fuel System § 29.977 Fuel tank outlet. (a) There must be... airplanes, prevent the passage of any object that could restrict fuel flow or damage any fuel system... 14 Aeronautics and Space 1 2011-01-01 2011-01-01 false Fuel tank outlet. 29.977 Section 29.977...

14 CFR 29.977 - Fuel tank outlet.

Code of Federal Regulations, 2010 CFR

2010-01-01

... STANDARDS: TRANSPORT CATEGORY ROTORCRAFT Powerplant Fuel System § 29.977 Fuel tank outlet. (a) There must be... airplanes, prevent the passage of any object that could restrict fuel flow or damage any fuel system... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Fuel tank outlet. 29.977 Section 29.977...

14 CFR 25.977 - Fuel tank outlet.

Code of Federal Regulations, 2010 CFR

2010-01-01

... STANDARDS: TRANSPORT CATEGORY AIRPLANES Powerplant Fuel System § 25.977 Fuel tank outlet. (a) There must be... airplanes, prevent the passage of any object that could restrict fuel flow or damage any fuel system... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Fuel tank outlet. 25.977 Section 25.977...

14 CFR 23.977 - Fuel tank outlet.

Code of Federal Regulations, 2010 CFR

2010-01-01

... STANDARDS: NORMAL, UTILITY, ACROBATIC, AND COMMUTER CATEGORY AIRPLANES Powerplant Fuel System § 23.977 Fuel... damage any fuel system component. (b) The clear area of each fuel tank outlet strainer must be at least... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Fuel tank outlet. 23.977 Section 23.977...

14 CFR 25.977 - Fuel tank outlet.

Code of Federal Regulations, 2011 CFR

2011-01-01

... STANDARDS: TRANSPORT CATEGORY AIRPLANES Powerplant Fuel System § 25.977 Fuel tank outlet. (a) There must be... airplanes, prevent the passage of any object that could restrict fuel flow or damage any fuel system... 14 Aeronautics and Space 1 2011-01-01 2011-01-01 false Fuel tank outlet. 25.977 Section 25.977...

14 CFR 23.977 - Fuel tank outlet.

Code of Federal Regulations, 2011 CFR

2011-01-01

... STANDARDS: NORMAL, UTILITY, ACROBATIC, AND COMMUTER CATEGORY AIRPLANES Powerplant Fuel System § 23.977 Fuel... damage any fuel system component. (b) The clear area of each fuel tank outlet strainer must be at least... 14 Aeronautics and Space 1 2011-01-01 2011-01-01 false Fuel tank outlet. 23.977 Section 23.977...

14 CFR 23.977 - Fuel tank outlet.

Code of Federal Regulations, 2012 CFR

2012-01-01

... STANDARDS: NORMAL, UTILITY, ACROBATIC, AND COMMUTER CATEGORY AIRPLANES Powerplant Fuel System § 23.977 Fuel... damage any fuel system component. (b) The clear area of each fuel tank outlet strainer must be at least... 14 Aeronautics and Space 1 2012-01-01 2012-01-01 false Fuel tank outlet. 23.977 Section 23.977...

14 CFR 29.977 - Fuel tank outlet.

Code of Federal Regulations, 2012 CFR

2012-01-01

... STANDARDS: TRANSPORT CATEGORY ROTORCRAFT Powerplant Fuel System § 29.977 Fuel tank outlet. (a) There must be... airplanes, prevent the passage of any object that could restrict fuel flow or damage any fuel system... 14 Aeronautics and Space 1 2012-01-01 2012-01-01 false Fuel tank outlet. 29.977 Section 29.977...

Bladder outlet obstruction in women: definition and characteristics.

PubMed

Groutz, A; Blaivas, J G; Chaikin, D C

2000-01-01

The prevalence of bladder outlet obstruction in women is unknown and most probably has been underestimated. Moreover, there are no standard definitions for the diagnosis of bladder outlet obstruction in women. Our study was conducted to define as well as to examine the clinical and urodynamic characteristics of bladder outlet obstruction among women referred for evaluation of voiding symptoms. Bladder outlet obstruction was defined as a persistent, low, maximum "free" flow rate of <12 mL/s in repeated non-invasive uroflow studies, combined with high detrusor pressure at a maximum flow (p(det.Q)(max) >20 cm H(2)O) during detrusor pressure-uroflow studies. A urodynamic database of 587 consecutive women identified 38 (6.5%) women with bladder outlet obstruction. The mean age of the patients was 63.9 +/- 17.5 years. The mean maximum "free" flow, voided volume, and residual urinary volume were 9.4 +/-3.9 mL/s, 144. 9 +/- 72.7 mL, and 86.1 +/- 98.8 mL, respectively. The mean p(det. Q)(max) was 37.2 +/- 19.2 cm H(2)O. Previous anti-incontinence surgery and severe genital prolapse were the most common etiologies, accounting for half of the cases. Other, less common, etiologies included urethral stricture (13%), primary bladder neck obstruction (8%), learned voiding dysfunction (5%), and detrusor external sphincter dyssynergia (5%). Symptomatology was defined as mixed obstructive and irritative in 63% of the patients, isolated irritative in 29%, and isolated obstructive in other 8%. In conclusion, bladder outlet obstruction in women appears to be more common than was previously recognized, occurring in 6.5% of our patients. Micturition symptoms relevant to bladder outlet obstruction are non-specific, and a full urodynamic evaluation is essential in making the correct diagnosis and formulating a treatment plan.

Social disadvantage and exposure to lower priced alcohol in off-premise outlets.

PubMed

Morrison, Christopher; Ponicki, William R; Smith, Karen

2015-07-01

Greater concentrations of off-premise alcohol outlets are found in areas of social disadvantage, exposing disadvantaged populations to excess risk for problems such as assault, child abuse and intimate partner violence. This study examines whether the outlets to which they are exposed also sell cheaper alcohol, potentially further contributing to income-related health disparities. We conducted unobtrusive observations in 295 off-premise outlets in Melbourne, Australia, randomly selected using a spatial sample frame. In semi-logged linear regression models, we related the minimum purchase price for a 750 mL bottle of wine to a national index of socioeconomic advantage for the census areas in which the outlets were located. Other independent variables characterised outlet features (e.g. volume, chain management) and conditions of the local alcohol market (adjacent outlet characteristics, neighbourhood characteristics). A one decile increase in socioeconomic advantage was related to a 1.3% increase in logged price. Larger outlets, chains, outlets adjacent to chains, outlets in greater proximity to the nearest neighbouring outlet and those located in areas with more students also had cheaper alcohol. Not only are disadvantaged populations exposed to more outlets, the outlets to which they are exposed sell cheaper alcohol. This finding appears to be consistent with the spatial dynamics of typical retail markets. © 2015 Australasian Professional Society on Alcohol and other Drugs.

Social Disadvantage and Exposure to Lower Priced Alcohol in Off-Premise Outlets

PubMed Central

Morrison, Christopher; Ponicki, William R; Smith, Karen

2015-01-01

Introduction and Aims Greater concentrations of off-premise alcohol outlets are found in areas of social disadvantage, exposing disadvantaged populations to excess risk for problems such as assault, child abuse and intimate partner violence. This study examines whether the outlets to which they are exposed also sell cheaper alcohol, potentially further contributing to income-related health disparities. Design and Methods We conducted unobtrusive observations in 295 off-premise outlets in Melbourne, Australia, randomly selected using a spatial sample frame. In semi-logged linear regression models we related the minimum purchase price for a 750ml bottle of wine to a national index of socio-economic advantage for the Census areas in which the outlets were located. Other independent variables characterised outlet features (e.g., volume, chain management) and conditions of the local alcohol market (adjacent outlet characteristics, neighbourhood characteristics). Results A one decile increase in socio-economic advantage was related to a 1.3% increase in logged price. Larger outlets, chains, outlets adjacent to chains, outlets in greater proximity to the nearest neighbouring outlet, those located in areas with more students also had cheaper alcohol. Discussion and Conclusions Not only are disadvantaged populations exposed to more outlets, the outlets to which they are exposed sell cheaper alcohol. This finding appears to be consistent with the spatial dynamics of typical retail markets. PMID:25808717

49 CFR 178.345-11 - Tank outlets.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 49 Transportation 3 2012-10-01 2012-10-01 false Tank outlets. 178.345-11 Section 178.345-11... Containers for Motor Vehicle Transportation § 178.345-11 Tank outlets. (a) General. As used in this section, “loading/unloading outlet” means any opening in the cargo tank wall used for loading or unloading of lading...

49 CFR 178.345-11 - Tank outlets.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 49 Transportation 3 2013-10-01 2013-10-01 false Tank outlets. 178.345-11 Section 178.345-11... Containers for Motor Vehicle Transportation § 178.345-11 Tank outlets. (a) General. As used in this section, “loading/unloading outlet” means any opening in the cargo tank wall used for loading or unloading of lading...

49 CFR 178.345-11 - Tank outlets.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 49 Transportation 3 2014-10-01 2014-10-01 false Tank outlets. 178.345-11 Section 178.345-11... Containers for Motor Vehicle Transportation § 178.345-11 Tank outlets. (a) General. As used in this section, “loading/unloading outlet” means any opening in the cargo tank wall used for loading or unloading of lading...

49 CFR 178.345-11 - Tank outlets.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 49 Transportation 3 2011-10-01 2011-10-01 false Tank outlets. 178.345-11 Section 178.345-11... Containers for Motor Vehicle Transportation § 178.345-11 Tank outlets. (a) General. As used in this section, “loading/unloading outlet” means any opening in the cargo tank wall used for loading or unloading of lading...

49 CFR 179.220-18 - Bottom outlets.

Code of Federal Regulations, 2011 CFR

2011-10-01

...-shaped breakage groove shall be cut (not cast) in the upper part of the outlet nozzle at a point... nozzle extends below the bottom of the outer shell, a V-shaped breakage groove shall be cut (not cast) in... projection of the bottom outlet equipment may not be more than that allowed by appendix E of the AAR...

Outlet Glacier-Ice Shelf-Ocean Interactions: Is the Tail Wagging the Dog?

NASA Astrophysics Data System (ADS)

Parizek, B. R.; Walker, R. T.; Rinehart, S. K.

2009-12-01

While the massive interior regions of the Antarctic and Greenland Ice Sheets are presently ``resting quietly", the lower elevations of many outlet glaciers are experiencing dramatic adjustments due to changes in ice dynamics and/or surface mass balance. Oceanic and/or atmospheric forcing in these marginal regions often leads to mass deficits for entire outlet basins. Therefore, coupling the wagging tail of ice-ocean interactions with the vast ice-sheet reservoirs is imperative for accurate assessments of future sea-level rise. To study ice-ocean dynamic processes, we couple an ocean-plume model that simulates ice-shelf basal melting rates based on temperature and salinity profiles combined with plume dynamics associated with the geometry of the ice-shelf cavity (following Jenkins, 1991 and Holland and Jenkins, 1999) with a two-dimensional, isothermal model of outlet glacier-ice shelf flow (as used in Alley et al., 2007; Walker et al., 2008; Parizek et al., in review). Depending on the assigned temperature and salinity profiles, the ocean model can simulate both water-mass end-members: either cold High Salinity Shelf Water (HSSW) or relatively warm Circumpolar Deep Water (CDW), as well as between-member conditions. Notably, the coupled system exhibits sensitivity to the initial conditions. In particular, melting concentrated near the grounding line has the greatest effect in forcing grounding-line retreat. Retreat is further enhanced by a positive feedback between the ocean and ice, as the focused melt near the grounding line leads to an increase in the local slope of the basal ice, thereby enhancing buoyancy-driven plume flow and subsequent melt rates.

Scour at culvert outlets in mixed bed materials.

DOT National Transportation Integrated Search

1982-09-01

"The study of localized scour at culvert outlets has been on-going to control and manage erosion along highway embankments. Herein is presented an investigation of scour at culvert outlets which refines and extends the state-of-the-art of predicting ...

Plug into a Great Outlet for Creativity

ERIC Educational Resources Information Center

Skophammer, Karen

2009-01-01

Is there beauty in the wall socket that people plug their appliances into daily? Can one find beauty in the grate covering the heat vent in his classroom? The author posed these very questions to her third-grade students. She had the students take a good look at the outlet cover (or plate) on the wall. After thinking and discussing the outlets,…

Community organization moderates the effect of alcohol outlet density on violence.

PubMed

Pridemore, William Alex; Grubesic, Tony H

2012-12-01

There is growing evidence from multiple disciplines that alcohol outlet density is associated with community levels of assault. Based on the theoretical and empirical literatures on social organization and crime, we tested the hypothesis that the association between alcohol outlet density and neighbourhood violence rates is moderated by social organization. Using geocoded police data on assaults, geocoded data on the location of alcohol outlets, and controlling for several structural factors thought to be associated with violence rates, we tested this hypothesis employing negative binomial regression with our sample of 298 block groups in Cincinnati. Our results revealed direct effects of alcohol outlet density and social organization on assault density, and these effects held for different outlet types (i.e., off-premise, bars, restaurants) and levels of harm (i.e., simple and aggravated assaults). More importantly, we found that the strength of the outlet-assault association was significantly weaker in more socially organized communities. Subsequent analyses by level of organization revealed no effects of alcohol outlet density on aggravated assaults in organized block groups, but significant effects in disorganized block groups. We found no association between social (dis)organization and outlet density. These results clarify the community-level relationship between alcohol outlets and violence and have important implications for municipal-level alcohol policies. © London School of Economics and Political Science 2012.

Alcohol beverage control, privatization and the geographic distribution of alcohol outlets

PubMed Central

2012-01-01

Background With Pennsylvania currently considering a move away from an Alcohol Beverage Control state to a privatized alcohol distribution system, this study uses a spatial analytical approach to examine potential impacts of privatization on the number and spatial distribution of alcohol outlets in the city of Philadelphia over a long time horizon. Methods A suite of geospatial data were acquired for Philadelphia, including 1,964 alcohol outlet locations, 569,928 land parcels, and school, church, hospital, park and playground locations. These data were used as inputs for exploratory spatial analysis to estimate the expected number of outlets that would eventually operate in Philadelphia. Constraints included proximity restrictions (based on current ordinances regulating outlet distribution) of at least 200 feet between alcohol outlets and at least 300 feet between outlets and schools, churches, hospitals, parks and playgrounds. Results Findings suggest that current state policies on alcohol outlet distributions in Philadelphia are loosely enforced, with many areas exhibiting extremely high spatial densities of outlets that violate existing proximity restrictions. The spatial model indicates that an additional 1,115 outlets could open in Philadelphia if privatization was to occur and current proximity ordinances were maintained. Conclusions The study reveals that spatial analytical approaches can function as an excellent tool for contingency-based “what-if” analysis, providing an objective snapshot of potential policy outcomes prior to implementation. In this case, the likely outcome is a tremendous increase in alcohol outlets in Philadelphia, with concomitant negative health, crime and quality of life outcomes that accompany such an increase. PMID:23170899

Sea ice breakup and marine melt of a retreating tidewater outlet glacier in northeast Greenland (81°N).

PubMed

Bendtsen, Jørgen; Mortensen, John; Lennert, Kunuk; K Ehn, Jens; Boone, Wieter; Galindo, Virginie; Hu, Yu-Bin; Dmitrenko, Igor A; Kirillov, Sergei A; Kjeldsen, Kristian K; Kristoffersen, Yngve; G Barber, David; Rysgaard, Søren

2017-07-10

Rising temperatures in the Arctic cause accelerated mass loss from the Greenland Ice Sheet and reduced sea ice cover. Tidewater outlet glaciers represent direct connections between glaciers and the ocean where melt rates at the ice-ocean interface are influenced by ocean temperature and circulation. However, few measurements exist near outlet glaciers from the northern coast towards the Arctic Ocean that has remained nearly permanently ice covered. Here we present hydrographic measurements along the terminus of a major retreating tidewater outlet glacier from Flade Isblink Ice Cap. We show that the region is characterized by a relatively large change of the seasonal freshwater content, corresponding to ~2 m of freshwater, and that solar heating during the short open water period results in surface layer temperatures above 1 °C. Observations of temperature and salinity supported that the outlet glacier is a floating ice shelf with near-glacial subsurface temperatures at the freezing point. Melting from the surface layer significantly influenced the ice foot morphology of the glacier terminus. Hence, melting of the tidewater outlet glacier was found to be critically dependent on the retreat of sea ice adjacent to the terminus and the duration of open water.

Alcohol outlet density and violence: a geospatial analysis.

PubMed

Zhu, L; Gorman, D M; Horel, S

2004-01-01

To examine the relationship between alcohol outlet density and violent crime controlling for neighbourhood sociostructural characteristics and the effects of spatially autocorrelated error. The sample for this ecologic study comprised 188 census tracts from the City of Austin, Texas and 263 tracts from the City of San Antonio, Texas. Data pertaining to neighbourhood social structure, alcohol density and violent crime were collected from archival sources, and analysed using bivariate, multivariate and geospatial analyses. Using ordinary least squares analysis, the neighbourhood sociostructural covariates explained close to 59% of the variability in violent crime rates in Austin and close to 39% in San Antonio. Adding alcohol outlet density in the target and adjacent census tracts improved the explanatory power of both models. Alcohol outlet density in the target census tract remained a significant predictor of violent crime rates in both cities when the effects of autocorrelated error were controlled for. In Austin, the effects of alcohol outlet density in the adjacent census tracts also remained significant. The final model explains 71% of the variance in violent crime in Austin and 56% in San Antonio. The findings show a clear association between alcohol outlet density and violence, and suggest that the issues of alcohol availability and access are fundamental to the prevention of alcohol-related problems within communities.

Ecological Associations of Alcohol Outlets with Underage and Young Adult Injuries

PubMed Central

Gruenewald, Paul J.; Freisthler, Bridget; Remer, Lillian; LaScala, Elizabeth A.; Treno, Andrew J.; Ponicki, William R.

2010-01-01

Objective This paper argues that associations between rates of three specific problems related to alcohol (i.e., accidents, traffic crashes, and assaults) should be differentially related to densities of off-premise outlets among underage youth and young adults based upon age related-patterns of alcohol outlet use. Methods Zip code-level population models assessed local and distal effects of alcohol outlets upon rates of hospital discharges for these outcomes. Results Densities of off-premise alcohol outlets were significantly related to injuries from accidents, assaults, and traffic crashes for both underage youth and young adults. Densities of bars were associated with more assaults and densities of restaurants were associated with more traffic crash injuries for young adults. Conclusions The distribution of alcohol-related injuries relative to alcohol outlets reflect patterns of alcohol outlet use. PMID:20028361

7 CFR 929.57 - Outlets for restricted cranberries.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 7 Agriculture 8 2013-01-01 2013-01-01 false Outlets for restricted cranberries. 929.57 Section 929... SERVICE (MARKETING AGREEMENTS AND ORDERS; FRUITS, VEGETABLES, NUTS), DEPARTMENT OF AGRICULTURE CRANBERRIES....57 Outlets for restricted cranberries. (a) Except as provided in this section and in § 929.56...

7 CFR 929.57 - Outlets for restricted cranberries.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 7 Agriculture 8 2011-01-01 2011-01-01 false Outlets for restricted cranberries. 929.57 Section 929... SERVICE (Marketing Agreements and Orders; Fruits, Vegetables, Nuts), DEPARTMENT OF AGRICULTURE CRANBERRIES....57 Outlets for restricted cranberries. (a) Except as provided in this section and in § 929.56...

7 CFR 929.57 - Outlets for restricted cranberries.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 7 Agriculture 8 2014-01-01 2014-01-01 false Outlets for restricted cranberries. 929.57 Section 929... SERVICE (MARKETING AGREEMENTS AND ORDERS; FRUITS, VEGETABLES, NUTS), DEPARTMENT OF AGRICULTURE CRANBERRIES....57 Outlets for restricted cranberries. (a) Except as provided in this section and in § 929.56...

7 CFR 929.61 - Outlets for excess cranberries.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 7 Agriculture 8 2012-01-01 2012-01-01 false Outlets for excess cranberries. 929.61 Section 929.61... Agreements and Orders; Fruits, Vegetables, Nuts), DEPARTMENT OF AGRICULTURE CRANBERRIES GROWN IN STATES OF... excess cranberries. (a) Noncommercial outlets. Excess cranberries may be disposed of in noncommercial...

7 CFR 929.61 - Outlets for excess cranberries.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 7 Agriculture 8 2013-01-01 2013-01-01 false Outlets for excess cranberries. 929.61 Section 929.61... AGREEMENTS AND ORDERS; FRUITS, VEGETABLES, NUTS), DEPARTMENT OF AGRICULTURE CRANBERRIES GROWN IN STATES OF... excess cranberries. (a) Noncommercial outlets. Excess cranberries may be disposed of in noncommercial...

7 CFR 929.61 - Outlets for excess cranberries.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 7 Agriculture 8 2014-01-01 2014-01-01 false Outlets for excess cranberries. 929.61 Section 929.61... AGREEMENTS AND ORDERS; FRUITS, VEGETABLES, NUTS), DEPARTMENT OF AGRICULTURE CRANBERRIES GROWN IN STATES OF... excess cranberries. (a) Noncommercial outlets. Excess cranberries may be disposed of in noncommercial...

7 CFR 929.61 - Outlets for excess cranberries.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 7 Agriculture 8 2011-01-01 2011-01-01 false Outlets for excess cranberries. 929.61 Section 929.61... Agreements and Orders; Fruits, Vegetables, Nuts), DEPARTMENT OF AGRICULTURE CRANBERRIES GROWN IN STATES OF... excess cranberries. (a) Noncommercial outlets. Excess cranberries may be disposed of in noncommercial...

7 CFR 929.57 - Outlets for restricted cranberries.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 7 Agriculture 8 2010-01-01 2010-01-01 false Outlets for restricted cranberries. 929.57 Section 929... SERVICE (Marketing Agreements and Orders; Fruits, Vegetables, Nuts), DEPARTMENT OF AGRICULTURE CRANBERRIES....57 Outlets for restricted cranberries. (a) Except as provided in this section and in § 929.56...

7 CFR 929.57 - Outlets for restricted cranberries.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 7 Agriculture 8 2012-01-01 2012-01-01 false Outlets for restricted cranberries. 929.57 Section 929... SERVICE (Marketing Agreements and Orders; Fruits, Vegetables, Nuts), DEPARTMENT OF AGRICULTURE CRANBERRIES....57 Outlets for restricted cranberries. (a) Except as provided in this section and in § 929.56...

46 CFR 111.79-1 - Receptacle outlets; general.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 46 Shipping 4 2013-10-01 2013-10-01 false Receptacle outlets; general. 111.79-1 Section 111.79-1 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) ELECTRICAL ENGINEERING ELECTRIC SYSTEMS-GENERAL REQUIREMENTS Receptacles § 111.79-1 Receptacle outlets; general. (a) There must be a sufficient...

46 CFR 111.79-1 - Receptacle outlets; general.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 46 Shipping 4 2011-10-01 2011-10-01 false Receptacle outlets; general. 111.79-1 Section 111.79-1 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) ELECTRICAL ENGINEERING ELECTRIC SYSTEMS-GENERAL REQUIREMENTS Receptacles § 111.79-1 Receptacle outlets; general. (a) There must be a sufficient...

46 CFR 111.79-1 - Receptacle outlets; general.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 46 Shipping 4 2012-10-01 2012-10-01 false Receptacle outlets; general. 111.79-1 Section 111.79-1 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) ELECTRICAL ENGINEERING ELECTRIC SYSTEMS-GENERAL REQUIREMENTS Receptacles § 111.79-1 Receptacle outlets; general. (a) There must be a sufficient...

46 CFR 111.79-1 - Receptacle outlets; general.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 46 Shipping 4 2010-10-01 2010-10-01 false Receptacle outlets; general. 111.79-1 Section 111.79-1 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) ELECTRICAL ENGINEERING ELECTRIC SYSTEMS-GENERAL REQUIREMENTS Receptacles § 111.79-1 Receptacle outlets; general. (a) There must be a sufficient...

46 CFR 111.79-1 - Receptacle outlets; general.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 46 Shipping 4 2014-10-01 2014-10-01 false Receptacle outlets; general. 111.79-1 Section 111.79-1 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) ELECTRICAL ENGINEERING ELECTRIC SYSTEMS-GENERAL REQUIREMENTS Receptacles § 111.79-1 Receptacle outlets; general. (a) There must be a sufficient...

AGU hydrology publication outlets

NASA Astrophysics Data System (ADS)

Freeze, R. Allan

In recent months I have been approached on several occasions by members of the hydrology community who asked me which of the various AGU journals and publishing outlets would be most suitable for a particular paper or article that they have prepared.Water Resources Research (WRR) is the primary AGU outlet for research papers in hydrology. It is an interdisciplinary journal that integrates research in the social and natural sciences of water. The editors of WRR invite original contributions in the physical, chemical and biological sciences and also in the social and policy sciences, including economics, systems analysis, sociology, and law. The editor for the physical sciences side of the journal is Donald R. Nielson, LAWR Veihmeyer Hall, University of California Davis, Davis, CA 95616. The editor for the policy sciences side of the journal is Ronald G. Cummings, Department of Economics, University of New Mexico, Albuquerque, NM 87131

Acute Alcohol Consumption, Alcohol Outlets, and Gun Suicide

PubMed Central

Branas, Charles C.; Richmond, Therese S.; Ten Have, Thomas R.; Wiebe, Douglas J.

2014-01-01

A case–control study of 149 intentionally self-inflicted gun injury cases (including completed gun suicides) and 302 population-based controls was conducted from 2003 to 2006 in a major US city. Two focal independent variables, acute alcohol consumption and alcohol outlet availability, were measured. Conditional logistic regression was adjusted for confounding variables. Gun suicide risk to individuals in areas of high alcohol outlet availability was less than the gun suicide risk they incurred from acute alcohol consumption, especially to excess. This corroborates prior work but also uncovers new information about the relationships between acute alcohol consumption, alcohol outlets, and gun suicide. Study limitations and implications are discussed. PMID:21929327

Acute alcohol consumption, alcohol outlets, and gun suicide.

PubMed

Branas, Charles C; Richmond, Therese S; Ten Have, Thomas R; Wiebe, Douglas J

2011-01-01

A case-control study of 149 intentionally self-inflicted gun injury cases (including completed gun suicides) and 302 population-based controls was conducted from 2003 to 2006 in a major US city. Two focal independent variables, acute alcohol consumption and alcohol outlet availability, were measured. Conditional logistic regression was adjusted for confounding variables. Gun suicide risk to individuals in areas of high alcohol outlet availability was less than the gun suicide risk they incurred from acute alcohol consumption, especially to excess. This corroborates prior work but also uncovers new information about the relationships between acute alcohol consumption, alcohol outlets, and gun suicide. Study limitations and implications are discussed.

7 CFR 993.108 - Non-human consumption outlet.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 7 Agriculture 8 2010-01-01 2010-01-01 false Non-human consumption outlet. 993.108 Section 993.108... CALIFORNIA Administrative Rules and Regulations Definitions § 993.108 Non-human consumption outlet. Non-human... feed, or other product for non-human use, who has established, to the satisfaction of the committee...

7 CFR 993.108 - Non-human consumption outlet.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 7 Agriculture 8 2011-01-01 2011-01-01 false Non-human consumption outlet. 993.108 Section 993.108... CALIFORNIA Administrative Rules and Regulations Definitions § 993.108 Non-human consumption outlet. Non-human... feed, or other product for non-human use, who has established, to the satisfaction of the committee...

7 CFR 993.108 - Non-human consumption outlet.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 7 Agriculture 8 2013-01-01 2013-01-01 false Non-human consumption outlet. 993.108 Section 993.108... CALIFORNIA Administrative Rules and Regulations Definitions § 993.108 Non-human consumption outlet. Non-human... feed, or other product for non-human use, who has established, to the satisfaction of the committee...

Inland thinning on the Greenland ice sheet controlled by outlet glacier geometry

NASA Astrophysics Data System (ADS)

Felikson, Denis; Bartholomaus, Timothy C.; Catania, Ginny A.; Korsgaard, Niels J.; Kjær, Kurt H.; Morlighem, Mathieu; Noël, Brice; van den Broeke, Michiel; Stearns, Leigh A.; Shroyer, Emily L.; Sutherland, David A.; Nash, Jonathan D.

2017-04-01

Greenland’s contribution to future sea-level rise remains uncertain and a wide range of upper and lower bounds has been proposed. These predictions depend strongly on how mass loss--which is focused at the termini of marine-terminating outlet glaciers--can penetrate inland to the ice-sheet interior. Previous studies have shown that, at regional scales, Greenland ice sheet mass loss is correlated with atmospheric and oceanic warming. However, mass loss within individual outlet glacier catchments exhibits unexplained heterogeneity, hindering our ability to project ice-sheet response to future environmental forcing. Using digital elevation model differencing, we spatially resolve the dynamic portion of surface elevation change from 1985 to present within 16 outlet glacier catchments in West Greenland, where significant heterogeneity in ice loss exists. We show that the up-glacier extent of thinning and, thus, mass loss, is limited by glacier geometry. We find that 94% of the total dynamic loss occurs between the terminus and the location where the down-glacier advective speed of a kinematic wave of thinning is at least three times larger than its diffusive speed. This empirical threshold enables the identification of glaciers that are not currently thinning but are most susceptible to future thinning in the coming decades.

Types and analysis of defects in welding junctions of the header to steam generator shells on power-generating units with VVER-1000

NASA Astrophysics Data System (ADS)

Ozhigov, L. S.; Voevodin, V. N.; Mitrofanov, A. S.; Vasilenko, R. L.

2016-10-01

Investigation objects were metal templates, which were cut during the repair of welding junction no. 111 (header to the steam generator shell) on a power-generating unit with VVER-1000 of the South-Ukraine NPP, and substances of mud depositions collected from walls of this junction. Investigations were carried out using metallography, optical microscopy, and scanning electron microscopy with energy dispersion microanalysis by an MMO-1600-AT metallurgical microscope and a JEOL JSM-7001F scanning electron microscope with the Shottky cathode. As a result of investigations in corrosion pits and mud depositions in the area of welding junction no. 111, iron and copper-enriched particles were revealed. It is shown that, when contacting with the steel header surface, these particles can form microgalvanic cells causing reactions of iron dissolution and the pit corrosion of metal. Nearby corrosion pits in metal are microcracks, which can be effect of the stress state of metal under corrosion pits along with revealed effects of twinning. The hypothesis is expressed that pitting corrosion of metal occurred during the first operation period of the power-generating unit in the ammonia water chemistry conditions (WCC). The formation of corrosion pits and nucleating cracks from them was stopped with the further operation under morpholine WCC. The absence of macrocracks in metal of templates verifies that, during operation, welding junction no. 111 operated under load conditions not exceeding the permissible ones by design requirements. The durability of the welding junction of the header to the steam generator shell significantly depends on the technological schedule of chemical cleaning and steam generator shut-down cooling.

39. OUTLET WORKS: CONTROL HOUSE STRUCTURAL DETAILS. Sheet 33, ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

39. OUTLET WORKS: CONTROL HOUSE - STRUCTURAL DETAILS. Sheet 33, August 20, 1938. File no. SA 121/72. - Prado Dam, Outlet Works, Santa Ana River near junction of State Highways 71 & 91, Corona, Riverside County, CA

34. OUTLET WORKS: GATES ELEVATIONS AND SECTION. Sheet 43, ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

34. OUTLET WORKS: GATES - ELEVATIONS AND SECTION. Sheet 43, August 20, 1938. File no. SA 121/89(?). - Prado Dam, Outlet Works, Santa Ana River near junction of State Highways 71 & 91, Corona, Riverside County, CA

45. OUTLET WORKS: SERVICE BRIDGE BEARING DETAILS. Sheet 39, ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

45. OUTLET WORKS: SERVICE BRIDGE - BEARING DETAILS. Sheet 39, August 20, 1938. File no. SA 121/78. - Prado Dam, Outlet Works, Santa Ana River near junction of State Highways 71 & 91, Corona, Riverside County, CA

44. OUTLET WORKS: SERVICE BRIDGE GIRDER DETAILS. Sheet 38, ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

44. OUTLET WORKS: SERVICE BRIDGE - GIRDER DETAILS. Sheet 38, August 20, 1938. File no. SA 121/77. - Prado Dam, Outlet Works, Santa Ana River near junction of State Highways 71 & 91, Corona, Riverside County, CA

31. OUTLET WORKS: INTAKE PLAN AND SECTIONS. Sheet 21, ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

31. OUTLET WORKS: INTAKE - PLAN AND SECTIONS. Sheet 21, August 20, 1938. File no. SA 121/60. - Prado Dam, Outlet Works, Santa Ana River near junction of State Highways 71 & 91, Corona, Riverside County, CA

38. OUTLET WORKS: CONTROL HOUSE PLAN AND ELEVATIONS. Sheet ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

38. OUTLET WORKS: CONTROL HOUSE - PLAN AND ELEVATIONS. Sheet 32, August 20, 1938. File no. SA 121/71. - Prado Dam, Outlet Works, Santa Ana River near junction of State Highways 71 & 91, Corona, Riverside County, CA

43. OUTLET WORKS: SERVICE BRIDGE PLAN AND ELEVATION. Sheet ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

43. OUTLET WORKS: SERVICE BRIDGE - PLAN AND ELEVATION. Sheet 37, August 20, 1938. File no. SA 121/76. - Prado Dam, Outlet Works, Santa Ana River near junction of State Highways 71 & 91, Corona, Riverside County, CA

30. CONSTRUCTION LAYOUT DETAILS OF OUTLET WORKS AND SPILLWAY. ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

30. CONSTRUCTION LAYOUT - DETAILS OF OUTLET WORKS AND SPILLWAY. Sheet C-10, September, 1938. File no. SA 343/1. - Prado Dam, Outlet Works, Santa Ana River near junction of State Highways 71 & 91, Corona, Riverside County, CA

Melting beneath Greenland outlet glaciers and ice streams

NASA Astrophysics Data System (ADS)

Alexander, David; Perrette, Mahé; Beckmann, Johanna

2015-04-01

Basal melting of fast-flowing Greenland outlet glaciers and ice streams due to frictional heating at the ice-bed interface contributes significantly to total glacier mass balance and subglacial meltwater flux, yet modelling this basal melt process in Greenland has received minimal research attention. A one-dimensional dynamic ice-flow model is calibrated to the present day longitudinal profiles of 10 major Greenland outlet glaciers and ice streams (including the Jakobshavn Isbrae, Petermann Glacier and Helheim Glacier) and is validated against published ice flow and surface elevation measurements. Along each longitudinal profile, basal melt is calculated as a function of ice flow velocity and basal shear stress. The basal shear stress is dependent on the effective pressure (difference between ice overburden pressure and water pressure), basal roughness and a sliding parametrization. Model output indicates that where outlet glaciers and ice streams terminate into the ocean with either a small floating ice tongue or no floating tongue whatsoever, the proportion of basal melt to total melt (surface, basal and submarine melt) is 5-10% (e.g. Jakobshavn Isbrae; Daugaard-Jensen Glacier). This proportion is, however, negligible where larger ice tongues lose mass mostly by submarine melt (~1%; e.g. Nioghalvfjerdsfjorden Glacier). Modelled basal melt is highest immediately upvalley of the grounding line, with contributions typically up to 20-40% of the total melt for slippery beds and up to 30-70% for resistant beds. Additionally, modelled grounding line and calving front migration inland for all outlet glaciers and ice streams of hundreds of metres to several kilometres occurs. Including basal melt due to frictional heating in outlet glacier and ice stream models is important for more accurately modelling mass balance and subglacial meltwater flux, and therefore, more accurately modelling outlet glacier and ice stream dynamics and responses to future climate change.

Perceived ejaculatory latency and pleasure in different outlets.

PubMed

Corty, Eric W

2008-11-01

Ejaculatory latencies have been studied in coitus and with masturbation, but not with oral or manual stimulation by a partner. The present study extended research on ejaculatory latency to these outlets, and investigated the effect of perceived pleasure on self-reported ejaculatory latency. A convenience sample of male college students, not selected for sexual dysfunction, completed questionnaires assessing the outcome measures. Self-report measures of latency to ejaculation in, and perceived pleasure associated with, four different outlets (vaginal intercourse, oral intercourse, manual stimulation by a partner, and masturbation). Ejaculatory latencies in partnered activities were predictive of each other. Masturbatory latencies were predictive of coital latencies but not oral or manual stimulation latencies; all the partnered activities were predictive of each other. There was no difference in time to ejaculation among any of the partnered outlets, although ejaculation occurred more quickly with masturbation than with coitus or manual stimulation. In terms of pleasure associated with the outlets, vaginal and oral intercourse were perceived as equally pleasurable, and both were rated as more pleasurable than manual stimulation or masturbation, which did not differ from each other. These results suggest that rapidity of ejaculation is consistent across outlets for the partnered sexual activities, and that there is little unique-in terms of ejaculatory latency--about vaginal intercourse compared with oral or manual stimulation by a partner. Masturbation, however, does differ from the partnered activities. Although the average correlation, for individuals, between latency and pleasure for the different outlets is near zero, there are subgroups of men who have (i) a negative relation, (ii) a positive relation, or (iii) no relation. Results show that men, for whom greater pleasure is associated with shorter latency, are more likely to be dissatisfied with their

42. OUTLET WORKS: CONTROL TOWER ELEVATIONS AND SECTIONS NO. ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

42. OUTLET WORKS: CONTROL TOWER - ELEVATIONS AND SECTIONS NO. 2. Sheet 36, August 20, 1938. File no. SA 121/79. - Prado Dam, Outlet Works, Santa Ana River near junction of State Highways 71 & 91, Corona, Riverside County, CA

41. OUTLET WORKS: CONTROL TOWER ELEVATIONS AND SECTIONS NO. ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

41. OUTLET WORKS: CONTROL TOWER - ELEVATIONS AND SECTIONS NO. 1. Sheet 35, August 20, 1938. File no. SA 121/74. - Prado Dam, Outlet Works, Santa Ana River near junction of State Highways 71 & 91, Corona, Riverside County, CA

Accessibility of fast food outlets is associated with fast food intake. A study in the Capital Region of Denmark.

PubMed

Bernsdorf, Kamille Almer; Lau, Cathrine Juel; Andreasen, Anne Helms; Toft, Ulla; Lykke, Maja; Glümer, Charlotte

2017-11-01

Literature suggests that people living in areas with a wealth of unhealthy fast food options may show higher levels of fast food intake. Multilevel logistic regression analyses were applied to examine the association between GIS-located fast food outlets (FFOs) and self-reported fast food intake among adults (+ 16 years) in the Capital Region of Denmark (N = 48,305). Accessibility of FFOs was measured both as proximity (distance to nearest FFO) and density (number of FFOs within a 1km network buffer around home). Odds of fast food intake ≥ 1/week increased significantly with increasing FFO density and decreased significantly with increasing distance to the nearest FFO for distances ≤ 4km. For long distances (>4km), odds increased with increasing distance, although this applied only for car owners. Results suggest that Danish health promotion strategies need to consider the contribution of the built environment to unhealthy eating. Copyright © 2017 Elsevier Ltd. All rights reserved.

37. OUTLET WORKS: CONTROL WORKS ELEVATIONS AND INDEX TO ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

37. OUTLET WORKS: CONTROL WORKS - ELEVATIONS AND INDEX TO REFERENCE DRAWINGS. Sheet 31, August 20, 1938. File no. SA 121/70. - Prado Dam, Outlet Works, Santa Ana River near junction of State Highways 71 & 91, Corona, Riverside County, CA

Local tobacco policy and tobacco outlet density: associations with youth smoking.

PubMed

Lipperman-Kreda, Sharon; Grube, Joel W; Friend, Karen B

2012-06-01

This study investigates the associations between local tobacco policy, tobacco outlet density, and youth smoking. A primary focus is on whether local tobacco policy moderates the relation between outlet density and youth smoking. In all, 1,491 youth (51.9% male, mean age = 14.7 years, standard deviation = 1.05) in 50 midsized California cities were surveyed through a computer-assisted telephone interview. Measures of local clean air policy and youth access policy were created based on a review of tobacco policies in these cities. Outlet density was calculated as the number of retail tobacco outlets per 10,000 persons, and city characteristics were obtained from 2000 U.S. Census data. Using multilevel regression analyses and controlling for city characteristics, tobacco outlet density was positively associated with youth smoking. No significant main effects were found for the two tobacco policy types on any of the smoking outcomes after controlling for interactions and covariates. However, statistically significant interactions were found between local clean air policy and tobacco outlet density for ever smoked and past 12-month cigarette smoking. Comparisons of simple slopes indicated that the positive associations between tobacco outlet density and youth smoking behaviors were stronger at the lowest level of local clean air policy compared with the moderate and high levels. Our results suggest that tobacco outlet density is related to youth smoking. In addition, local clean air policy may act as a moderator of relationship between tobacco outlet density and youth smoking, such that density is less important at moderate and high levels of this tobacco policy. Copyright © 2012 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.

Ayurvedic medicine in Mauritius: Profile of Ayurvedic outlet, use, sale, distribution, regulation and importation.

PubMed

Elaheebocus, Naailah; Mahomoodally, M Fawzi

2017-02-02

Ayurvedic medicine (AM) is a legalised alternative traditional medical system in the multicultural tropical island of Mauritius. A panoply of Ayurvedic specialised shops/centres involved in the provision of Ayurvedic services hereafter termed as 'outlets' operates in different regions of the island and is extensively exploited by a significant number of Mauritians. Nonetheless, there is currently no study geared towards studying the status of AM and profile of Ayurvedic outlets in Mauritius and there is undoubtedly a dearth of standardized regulatory framework governing the practice of AM in Mauritius. The present study attempts to study the profile of Ayurvedic outlets, sale, distribution, regulation and importation of AM in Mauritius. To evaluate the characteristics profile of Ayurvedic shops/clinics/pharmacies/centres, to document common Ayurvedic products used in the treatment and management of diseases, and to analyse existing regulatory control of AM in Mauritius. Ayurvedic outlets were identified using a random approach. Once permission granted, outlets were visited where face-to-face interviews with Ayurvedic practitioners/directors/dispensers were undertaken using a semi-structured questionnaire. The characteristics of the outlets with respect to the type of business registration, procurement and dispensing of products, registration and qualification of personnels employed amongst others were studied. The International Classification of Diseases (ICD) 10 was used to classify common AM dispensed to patients. Additionally, information was sought from local authorities pertaining to existing legislation governing the importation and regulation of AM in Mauritius. A total of 16 Ayurvedic outlets ('pharmacies' (n=3), clinics (n=2), shops (n=5) and centres (n=6)) was surveyed. Six outlets dispensed AM strictly on prescription only after consultation with an onsite full-time employed registered Ayurvedic practitioner. Seven outlets offered AM both on prescription

Pacemaker syndrome with sub-acute left ventricular systolic dysfunction in a patient with a dual-chamber pacemaker: consequence of lead switch at the header.

PubMed

Khurwolah, Mohammad Reeaze; Vezi, Brian Zwelethini

In the daily practice of pacemaker insertion, the occurrence of atrial and ventricular lead switch at the pacemaker box header is a rare and unintentional phenomenon, with less than five cases reported in the literature. The lead switch may have dire consequences, depending on the indication for the pacemaker. One of these consequences is pacemaker syndrome, in which the normal sequence of atrial and ventricular activation is impaired, leading to sub-optimal ventricular filling and cardiac output. It is important for the attending physician to recognise any worsening of symptoms in a patient who has recently had a permanent pacemaker inserted. In the case of a dual-chamber pacemaker, switching of the atrial and ventricular leads at the pacemaker box header should be strongly suspected. We present an unusual case of pacemaker syndrome and right ventricular-only pacinginduced left ventricular systolic dysfunction in a patient with a dual-chamber pacemaker.

The Patient Burden of Bladder Outlet Obstruction after Prostate Cancer Treatment.

PubMed

Liberman, Daniel; Jarosek, Stephanie; Virnig, Beth A; Chu, Haitao; Elliott, Sean P

2016-05-01

Bladder outlet obstruction after prostate cancer therapy imposes a significant burden on health and quality of life in men. Our objective was to describe the burden of bladder outlet obstruction after prostate cancer therapy by detailing the type of procedures performed and how often those procedures were repeated in men with recurrent bladder outlet obstruction. Using SEER (Surveillance, Epidemiology and End Results)-Medicare linked data from 1992 to 2007 with followup through 2009 we identified 12,676 men who underwent at least 1 bladder outlet obstruction procedure after prostate cancer therapy, including external beam radiotherapy in 3,994, brachytherapy in 1,485, brachytherapy plus external beam radiotherapy in 1,847, radical prostatectomy in 4,736, radical prostatectomy plus external beam radiotherapy in 369 and cryotherapy in 245. Histogram, incidence rates and Cox proportional hazards models with repeat events analysis were done to describe the burden of repeat bladder outlet obstruction treatments stratified by prostate cancer therapy type. We describe the type of bladder outlet obstruction surgery grouped by level of invasiveness. At a median followup of 8.8 years 44.6% of men underwent 2 or more bladder outlet obstruction procedures. Compared to men who underwent radical prostatectomy those treated with brachytherapy and brachytherapy plus external beam radiotherapy were at increased adjusted risk for repeat bladder outlet obstruction treatment (HR 1.2 and 1.32, respectively, each p <0.05). After stricture incision the men treated with radical prostatectomy or radical prostatectomy plus external beam radiotherapy were most likely to undergo dilation at a rate of 34.7% to 35.0%. Stricture resection/ablation was more common after brachytherapy, external beam radiotherapy or brachytherapy plus external beam radiotherapy at a rate of 28.9% to 41.2%. Almost half of the men with bladder outlet obstruction after prostate cancer therapy undergo more than 1

12 CFR 7.1014 - Sale of money orders at nonbanking outlets.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 12 Banks and Banking 1 2011-01-01 2011-01-01 false Sale of money orders at nonbanking outlets. 7... ACTIVITIES AND OPERATIONS Bank Powers § 7.1014 Sale of money orders at nonbanking outlets. A national bank may designate bonded agents to sell the bank's money orders at nonbanking outlets. The responsibility...

12 CFR 7.1014 - Sale of money orders at nonbanking outlets.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 12 Banks and Banking 1 2012-01-01 2012-01-01 false Sale of money orders at nonbanking outlets. 7... ACTIVITIES AND OPERATIONS Bank Powers § 7.1014 Sale of money orders at nonbanking outlets. A national bank may designate bonded agents to sell the bank's money orders at nonbanking outlets. The responsibility...

12 CFR 7.1014 - Sale of money orders at nonbanking outlets.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 12 Banks and Banking 1 2014-01-01 2014-01-01 false Sale of money orders at nonbanking outlets. 7... ACTIVITIES AND OPERATIONS Bank Powers § 7.1014 Sale of money orders at nonbanking outlets. A national bank may designate bonded agents to sell the bank's money orders at nonbanking outlets. The responsibility...

12 CFR 7.1014 - Sale of money orders at nonbanking outlets.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 12 Banks and Banking 1 2013-01-01 2013-01-01 false Sale of money orders at nonbanking outlets. 7... ACTIVITIES AND OPERATIONS Bank Powers § 7.1014 Sale of money orders at nonbanking outlets. A national bank may designate bonded agents to sell the bank's money orders at nonbanking outlets. The responsibility...

12 CFR 7.1014 - Sale of money orders at nonbanking outlets.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 12 Banks and Banking 1 2010-01-01 2010-01-01 false Sale of money orders at nonbanking outlets. 7... ACTIVITIES AND OPERATIONS Bank Powers § 7.1014 Sale of money orders at nonbanking outlets. A national bank may designate bonded agents to sell the bank's money orders at nonbanking outlets. The responsibility...

A longitudinal analysis of alcohol outlet density and domestic violence.

PubMed

Livingston, Michael

2011-05-01

A small number of studies have identified a positive relationship between alcohol outlet density and domestic violence. These studies have all been based on cross-sectional data and have been limited to the assessment of ecological correlations between outlet density and domestic violence rates. This study provides the first longitudinal examination of this relationship. Cross-sectional time-series using aggregated data from small areas. The relationships between alcohol outlet density and domestic violence were assessed over time using a fixed-effects model. Controls for the spatial autocorrelation of the data were included in the model. The study uses data for 186 postcodes from within the metropolitan area of Melbourne, Australia for the years 1996 to 2005. Alcohol outlet density measures for three different types of outlets (hotel/pub, packaged liquor, on-premise) were derived from liquor licensing records and domestic violence rates were calculated from police-recorded crime data, based on the victim's postcode. Alcohol outlet density was associated significantly with rates of domestic violence, over time. All three licence categories were positively associated with domestic violence rates, with small effects for general (pub) and on-premise licences and a large effect for packaged liquor licences. In Melbourne, the density of liquor licences is positively associated with rates of domestic violence over time. The effects were particularly large for packaged liquor outlets, suggesting a need for licensing policies that pay more attention to o off-premise alcohol availability. © 2011 The Authors, Addiction © 2011 Society for the Study of Addiction.

12. Photographic copy of copy of Twin Lakes Outlet Works ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

12. Photographic copy of copy of Twin Lakes Outlet Works construction drawing dated January 15, 1951. Drawn by W.A. Doe for the Twin Lakes Reservoir and Canal Co. (copy in possession of Bureau of Reclamation, location of original unknown) 'AS CONSTRUCTED' PLANS OF 1949-50, REHABILITATION OF TWIN LAKES RESERVOIR OUTLET WORKS, DETAILS OF DISCHARGE BASIN. - Twin Lakes Dam & Outlet Works, Beneath Twin Lakes Reservoir, T11S, R80W, S22, Twin Lakes, Lake County, CO

Neighbourhood fast food outlets and obesity in children and adults: the CLAN Study.

PubMed

Crawford, David A; Timperio, Anna F; Salmon, Jo A; Baur, Louise; Giles-Corti, Billie; Roberts, Rebecca J; Jackson, Michelle L; Andrianopoulos, Nick; Ball, Kylie

2008-01-01

We examined associations between density of and proximity to fast food outlets and body weight in a sample of children (137 aged 8-9 years and 243 aged 13-15 years) and their parents (322 fathers and 362 mothers). Children's measured and parents' self-reported heights and weights were used to calculate body mass index (BMI). Locations of major fast food outlets were geocoded. Bivariate linear regression analyses examined associations between the presence of any fast food outlet within a 2 km buffer around participants' homes, fast food outlet density within the 2 km buffer, and distance to the nearest outlet and BMI. Each independent variable was also entered into separate bivariate logistic regression analyses to predict the odds of being overweight or obese. Among older children, those with at least one outlet within 2 km had lower BMI z-scores. The further that fathers lived from an outlet, the higher their BMI. Among 13-15-year-old girls and their fathers, the likelihood of overweight/obesity was reduced by 80% and 50%, respectively, if they had at least one fast food outlet within 2 km of their home. Among older girls, the likelihood of being overweight/obese was reduced by 14% with each additional outlet within 2 km. Fathers' odds of being overweight/obese increased by 13% for each additional kilometre to the nearest outlet. While consumption of fast food has been shown to be associated with obesity, this study provides little support for the concept that exposure to fast food outlets in the local neighbourhood increases risk of obesity.

Association Between Alcohol Outlets and HIV Prevalence in U.S. Counties.

PubMed

Rossheim, Matthew E; Thombs, Dennis L; Suzuki, Sumihiro

2016-11-01

The current study examines associations between on- and off-premise alcohol retail outlets and HIV prevalence in counties across the United States during a 3-year period. Health department and U.S. Census Bureau surveillance data were analyzed from 1,523 counties in 47 states, representing more than 86% of the U.S. population. Multilevel Poisson regression models were used to examine the association between the number of on- and off-premise alcohol outlets in a county and HIV prevalence in the same county, adjusting for the between-year correlation of HIV prevalence within each county. When we adjusted for potential confounders, number of on-premise alcohol outlets within a county was positively associated with HIV prevalence, whereas off-premise alcohol outlets were negatively associated with HIV prevalence. The relations observed in this study are consistent with the niche theory of assortative drinking, which maintains that drinkers who are prone to risk taking may be attracted to alcohol outlets where they can expand their social networks to include similarly high-risk individuals who engage in both heavy drinking and sexual risk taking. This is the largest study conducted to date to examine the association between alcohol retail outlet types and HIV prevalence. Natural experiments are needed to examine specific policy changes that reduce outlet density and its association with HIV incidence.

23. DOWNSTREAM VIEW OF COMPLETED OUTLET CONTROL STRUCTURE.... Volume XIX, ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

23. DOWNSTREAM VIEW OF COMPLETED OUTLET CONTROL STRUCTURE.... Volume XIX, No. 8, April 12, 1940. - Prado Dam, Outlet Works, Santa Ana River near junction of State Highways 71 & 91, Corona, Riverside County, CA

Alcohol outlet density and violence: A geographically weighted regression approach.

PubMed

Cameron, Michael P; Cochrane, William; Gordon, Craig; Livingston, Michael

2016-05-01

We investigate the relationship between outlet density (of different types) and violence (as measured by police activity) across the North Island of New Zealand, specifically looking at whether the relationships vary spatially. We use New Zealand data at the census area unit (approximately suburb) level, on police-attended violent incidents and outlet density (by type of outlet), controlling for population density and local social deprivation. We employed geographically weighted regression to obtain both global average and locally specific estimates of the relationships between alcohol outlet density and violence. We find that bar and night club density, and licensed club density (e.g. sports clubs) have statistically significant and positive relationships with violence, with an additional bar or night club is associated with nearly 5.3 additional violent events per year, and an additional licensed club associated with 0.8 additional violent events per year. These relationships do not show significant spatial variation. In contrast, the effects of off-licence density and restaurant/café density do exhibit significant spatial variation. However, the non-varying effects of bar and night club density are larger than the locally specific effects of other outlet types. The relationships between outlet density and violence vary significantly across space for off-licences and restaurants/cafés. These results suggest that in order to minimise alcohol-related harms, such as violence, locally specific policy interventions are likely to be necessary. [Cameron MP, Cochrane W, Gordon C, Livingston M. Alcohol outlet density and violence: A geographically weighted regression approach. Drug Alcohol Rev 2016;35:280-288]. © 2015 Australasian Professional Society on Alcohol and other Drugs.

11. Photographic copy of copy of Twin Lakes Outlet Works ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

11. Photographic copy of copy of Twin Lakes Outlet Works construction drawing dated January 15, 1951. Drawn by W.A. Doe for the Twin Lakes Reservoir and Canal Co. (copy in possession of Bureau of Reclamation, location of original unknown) 'AS CONSTRUCTED' PLANS OF 1949-1950, REHABILITATION OF TWIN LAKES RESERVOIR OUTLET WORKS, DETAILS OF UPSTREAM WING WALLS. - Twin Lakes Dam & Outlet Works, Beneath Twin Lakes Reservoir, T11S, R80W, S22, Twin Lakes, Lake County, CO

26. UPSTREAM VIEW OF DISCHARGE END OF OUTLET STRUCTURE.... Volume ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

26. UPSTREAM VIEW OF DISCHARGE END OF OUTLET STRUCTURE.... Volume XVI, No. 17, September 29, 1939. - Prado Dam, Outlet Works, Santa Ana River near junction of State Highways 71 & 91, Corona, Riverside County, CA

35. OUTLET WORKS: GATE HOIST ASSEMBLY. Sheet 44, August 20, ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

35. OUTLET WORKS: GATE HOIST ASSEMBLY. Sheet 44, August 20, 1938. File no. SA 121/84(?). - Prado Dam, Outlet Works, Santa Ana River near junction of State Highways 71 & 91, Corona, Riverside County, CA

The geography of violence, alcohol outlets, and drug arrests in Boston.

PubMed

Lipton, Robert; Yang, Xiaowen; Braga, Anthony A; Goldstick, Jason; Newton, Manya; Rura, Melissa

2013-04-01

We examined the relationship between alcohol outlets, drug markets (approximated by arrests for possession and trafficking), and violence in Boston, Massachusetts, in 2006. We analyzed geographic and environmental versus individual factors related to violence and identified areas high in violent crime. We used data from the Boston Police Department, US Census, and Massachusetts State Alcohol Beverage Control Commission. Spatial modeling was employed at the block group level, and violent crime, alcohol outlets, and drug markets were mapped. Relative to other block groups, block groups in the highest decile of violent crime (n = 55) were found to be poorer (e.g., lower incomes, higher percentages of vacant homes), and they had greater numbers of alcohol outlets and higher drug arrest rates. Alcohol outlets and drug possession and trafficking arrests were predictive of violent crime. Also, spatial effects resulting from neighboring block groups were related to violent crime. Both alcohol outlet density and type were associated with violent crime in a differentiated and complex way. With drug possession and trafficking arrests as a proxy for drug markets, spatial relationships between alcohol outlets and violence were found in addition to typical sociodemographic predictors.

The Geography of Violence, Alcohol Outlets, and Drug Arrests in Boston

PubMed Central

Yang, Xiaowen; A. Braga, Anthony; Goldstick, Jason; Newton, Manya; Rura, Melissa

2013-01-01

Objectives. We examined the relationship between alcohol outlets, drug markets (approximated by arrests for possession and trafficking), and violence in Boston, Massachusetts, in 2006. We analyzed geographic and environmental versus individual factors related to violence and identified areas high in violent crime. Methods. We used data from the Boston Police Department, US Census, and Massachusetts State Alcohol Beverage Control Commission. Spatial modeling was employed at the block group level, and violent crime, alcohol outlets, and drug markets were mapped. Results. Relative to other block groups, block groups in the highest decile of violent crime (n = 55) were found to be poorer (e.g., lower incomes, higher percentages of vacant homes), and they had greater numbers of alcohol outlets and higher drug arrest rates. Alcohol outlets and drug possession and trafficking arrests were predictive of violent crime. Also, spatial effects resulting from neighboring block groups were related to violent crime. Both alcohol outlet density and type were associated with violent crime in a differentiated and complex way. Conclusions. With drug possession and trafficking arrests as a proxy for drug markets, spatial relationships between alcohol outlets and violence were found in addition to typical sociodemographic predictors. PMID:23409885

17. OUTLET STRUCTURE, LOOKING NORTH. NOTE ALSO THE DRAINAGE CHANNEL ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

17. OUTLET STRUCTURE, LOOKING NORTH. NOTE ALSO THE DRAINAGE CHANNEL AND CONCRETE FLUME ALONG WEST EDGE OF EMBANKMENT. - Prado Dam, Outlet Works, Santa Ana River near junction of State Highways 71 & 91, Corona, Riverside County, CA

46 CFR 34.15-25 - Discharge outlets-T/ALL.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 46 Shipping 1 2011-10-01 2011-10-01 false Discharge outlets-T/ALL. 34.15-25 Section 34.15-25 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY TANK VESSELS FIREFIGHTING EQUIPMENT Carbon Dioxide Extinguishing Systems, Details § 34.15-25 Discharge outlets—T/ALL. (a) Discharge outlets shall be of an approved...

46 CFR 34.17-20 - Discharge outlets-T/ALL.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 46 Shipping 1 2011-10-01 2011-10-01 false Discharge outlets-T/ALL. 34.17-20 Section 34.17-20 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY TANK VESSELS FIREFIGHTING EQUIPMENT Fixed Foam Extinguishing Systems, Details § 34.17-20 Discharge outlets—T/ALL. (a) Discharge outlets shall be of an approved...

46 CFR 34.17-20 - Discharge outlets-T/ALL.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 46 Shipping 1 2010-10-01 2010-10-01 false Discharge outlets-T/ALL. 34.17-20 Section 34.17-20 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY TANK VESSELS FIREFIGHTING EQUIPMENT Fixed Foam Extinguishing Systems, Details § 34.17-20 Discharge outlets—T/ALL. (a) Discharge outlets shall be of an approved...

46 CFR 34.15-25 - Discharge outlets-T/ALL.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 46 Shipping 1 2010-10-01 2010-10-01 false Discharge outlets-T/ALL. 34.15-25 Section 34.15-25 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY TANK VESSELS FIREFIGHTING EQUIPMENT Carbon Dioxide Extinguishing Systems, Details § 34.15-25 Discharge outlets—T/ALL. (a) Discharge outlets shall be of an approved...

46 CFR 34.15-25 - Discharge outlets-T/ALL.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 46 Shipping 1 2013-10-01 2013-10-01 false Discharge outlets-T/ALL. 34.15-25 Section 34.15-25 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY TANK VESSELS FIREFIGHTING EQUIPMENT Carbon Dioxide Extinguishing Systems, Details § 34.15-25 Discharge outlets—T/ALL. (a) Discharge outlets shall be of an approved...

46 CFR 34.15-25 - Discharge outlets-T/ALL.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 46 Shipping 1 2014-10-01 2014-10-01 false Discharge outlets-T/ALL. 34.15-25 Section 34.15-25 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY TANK VESSELS FIREFIGHTING EQUIPMENT Carbon Dioxide Extinguishing Systems, Details § 34.15-25 Discharge outlets—T/ALL. (a) Discharge outlets shall be of an approved...

46 CFR 34.15-25 - Discharge outlets-T/ALL.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 46 Shipping 1 2012-10-01 2012-10-01 false Discharge outlets-T/ALL. 34.15-25 Section 34.15-25 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY TANK VESSELS FIREFIGHTING EQUIPMENT Carbon Dioxide Extinguishing Systems, Details § 34.15-25 Discharge outlets—T/ALL. (a) Discharge outlets shall be of an approved...

18. GENERAL VIEW OF THE OUTLET STRUCTURE LOOKING DOWNSTREAM AT ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

18. GENERAL VIEW OF THE OUTLET STRUCTURE LOOKING DOWNSTREAM AT WEST ABUTMENT.... Volume XVI, No. 13, July 26, 1939. - Prado Dam, Outlet Works, Santa Ana River near junction of State Highways 71 & 91, Corona, Riverside County, CA

Tobacco outlet density and attitudes towards smoking among urban adolescent smokers.

PubMed

Mennis, Jeremy; Mason, Michael

2016-01-01

This study investigates whether residential exposure to tobacco outlets (i.e., convenience stores and other stores selling tobacco) is associated with attitudes towards smoking among a sample of urban, primarily African American, adolescent smokers. Cross-sectional survey data for 197 adolescents were integrated with spatial data on tobacco outlets via subject home addresses. Ordinal regression was employed to test hypotheses that closer proximity to, and higher concentrations of, tobacco outlets are associated with higher measures of intention to continue to smoke in the future, weaker self-efficacy related to stopping smoking, and more accepting social norms related to smoking, while controlling for characteristics of age, gender, family and peer smoking contexts, and level of nicotine dependence. Moderation by age and gender was also investigated. Higher residential tobacco outlet density is significantly associated with a greater intention to smoke in the next 3 months, a lower readiness to stop smoking, and a greater likelihood of accepting a cigarette from a friend. Residential proximity to a tobacco outlet is significantly associated with a greater intention to smoke 5 years on. Evidence of a relationship between exposure to tobacco outlets and social norms related to smoking was not found, nor was there evidence for moderation of these relationships by age or gender. These results suggest that among urban adolescents who currently smoke, higher residential exposure to tobacco outlets is associated with greater predisposition towards future smoking and lower self-evaluation of the ability to stop smoking.

Revealing the link between licensed outlets and violence: counting venues versus measuring alcohol availability.

PubMed

Liang, Wenbin; Chikritzhs, Tanya

2011-09-01

Associations between alcohol-related harms and numbers of outlets at the neighbourhood level have been demonstrated; however, the degree to which alcohol consumption or sales plays a part in levels of violence is not clear. This has contributed to uncertainty regarding the actual mechanisms by which outlet density may influence levels of violence. This ecological cross-sectional study investigated the effect of outlet numbers and alcohol sales on the risk of assault in Western Australia. For 2000/2001, information on type, number and wholesale alcohol purchases of all licensed outlets in operation, police-reported assault offences, socioeconomic/demographic data were obtained from official sources. Multivariate negative binomial regression was applied to at local government area level in order to assess associations between outlet density, alcohol sales and violence occurring in both licensed and domestic settings. Average alcohol sales volume per off-site outlet was significantly associated with all measures of assault. Numbers of on-site outlets significantly predicted violence with the exception of assaults occurring at residential premises. Alcohol sales from off-site outlets predicted violence occurring at on-site outlets. The link between on-site outlets and violence may be primarily underpinned by negative amenity effects while off-site outlet effects occur via increased availability. Alcohol sales volumes from off-site outlets influence levels of violence, which occur at both licensed and residential settings. The substantial and wide-ranging effects of liquor stores on alcohol-related harms may have been underestimated in the literature and by policy makers. © 2011 Australasian Professional Society on Alcohol and other Drugs.

Validity of secondary retail food outlet data: a systematic review.

PubMed

Fleischhacker, Sheila E; Evenson, Kelly R; Sharkey, Joseph; Pitts, Stephanie B Jilcott; Rodriguez, Daniel A

2013-10-01

Improving access to healthy foods is a promising strategy to prevent nutrition-related chronic diseases. To characterize retail food environments and identify areas with limited retail access, researchers, government programs, and community advocates have primarily used secondary retail food outlet data sources (e.g., InfoUSA or government food registries). To advance the state of the science on measuring retail food environments, this systematic review examined the evidence for validity reported for secondary retail food outlet data sources for characterizing retail food environments. A literature search was conducted through December 31, 2012, to identify peer-reviewed published literature that compared secondary retail food outlet data sources to primary data sources (i.e., field observations) for accuracy of identifying the type and location of retail food outlets. Data were analyzed in 2013. Nineteen studies met the inclusion criteria. The evidence for validity reported varied by secondary data sources examined, primary data-gathering approaches, retail food outlets examined, and geographic and sociodemographic characteristics. More than half of the studies (53%) did not report evidence for validity by type of food outlet examined and by a particular secondary data source. Researchers should strive to gather primary data but if relying on secondary data sources, InfoUSA and government food registries had higher levels of agreement than reported by other secondary data sources and may provide sufficient accuracy for exploring these associations in large study areas. Published by Elsevier Inc. on behalf of American Journal of Preventive Medicine.

Out-of-home food outlets and area deprivation: case study in Glasgow, UK

PubMed Central

Macintyre, Sally; McKay, Laura; Cummins, Steven; Burns, Cate

2005-01-01

Background There is a popular belief that out-of-home eating outlets, which typically serve energy dense food, may be more commonly found in more deprived areas and that this may contribute to higher rates of obesity and related diseases in such areas. Methods We obtained a list of all 1301 out-of-home eating outlets in Glasgow, UK, in 2003 and mapped these at unit postcode level. We categorised them into quintiles of area deprivation using the 2004 Scottish Index of Multiple Deprivation and computed mean density of types of outlet (restaurants, fast food restaurants, cafes and takeaways), and all types combined, per 1000 population. We also estimated odds ratios for the presence of any outlets in small areas within the quintiles. Results The density of outlets, and the likelihood of having any outlets, was highest in the second most affluent quintile (Q2) and lowest in the second most deprived quintile (Q4). Mean outlets per 1,000 were 4.02 in Q2, 1.20 in Q4 and 2.03 in Q5. With Q2 as the reference, Odds Ratios for having any outlets were 0.52 (CI 0.32–0.84) in Q1, 0.50 (CI 0.31 – 0.80) in Q4 and 0.61 (CI 0.38 – 0.98) in Q5. Outlets were located in the City Centre, West End, and along arterial roads. Conclusion In Glasgow those living in poorer areas are not more likely to be exposed to out-of-home eating outlets in their neighbourhoods. Health improvement policies need to be based on empirical evidence about the location of fast food outlets in specific national and local contexts, rather than on popular 'factoids'. PMID:16248898

49. OUTLET WORKS: THREE TON CRANE, ELECTRICAL SYSTEM NO 4. ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

49. OUTLET WORKS: THREE TON CRANE, ELECTRICAL SYSTEM NO 4. Sheet H-4, December 12, 1939. File no. SA 342/60. - Prado Dam, Outlet Works, Santa Ana River near junction of State Highways 71 & 91, Corona, Riverside County, CA

8. CLOSEUP OF THE GATES ON THE TOBY CREEK OUTLET ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

8. CLOSEUP OF THE GATES ON THE TOBY CREEK OUTLET AND THE OUTLET OF THE PUMP DISCHARGE CHANNEL, LOOKING NORTHEAST. - Wyoming Valley Flood Control System, Woodward Pumping Station, East of Toby Creek crossing by Erie-Lackawanna Railroad, Edwardsville, Luzerne County, PA

22. UPSTREAM VIEW OF THE OUTLET CONTROL STRUCTURE AND THE ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

22. UPSTREAM VIEW OF THE OUTLET CONTROL STRUCTURE AND THE PIER FOR THE SERVICE BRIDGE.... Volume XVIII, No. 12, January 29, 1940. - Prado Dam, Outlet Works, Santa Ana River near junction of State Highways 71 & 91, Corona, Riverside County, CA

46 CFR 34.20-20 - Discharge outlets-T/ALL.

Code of Federal Regulations, 2012 CFR

2012-10-01

... least one mounted foam appliance shall be provided for each station that is required in § 34.20-15(c). (c) The number of hand-held appliances provided shall be at least equal to the number of hose outlets at the two foam stations having the most hose outlets. Hand-held appliances shall be stowed in a well...

The ecology of domestic violence: the role of alcohol outlet density.

PubMed

Livingston, Michael

2010-11-01

Studies have consistently found positive associations between the density of alcohol outlets and levels of violence in areas. Few studies have examined whether this relationship holds for domestic violence. This study assesses whether alcohol outlet density is related to domestic violence and whether this relationship is due to alcohol availability or to co-occurring economic disadvantage and social disorganisation. Cross-sectional data on family incidents, liquor outlets and socio-demographic characteristics were obtained for 217 postcodes in Melbourne, Australia. These data were used to construct models assessing the association between alcohol outlet density and domestic violence, both with and without controlling for socio-demographic factors. Models were tested for spatial autocorrelation, and spatial- error models were developed to control for its influence. Outlet density was significantly associated with rates of domestic violence, even controlling for socio-demographic factors. The density of hotels (pubs) was positively associated with domestic violence rates and the density of restaurants and bars was negatively associated with domestic violence. Socio-economic disadvantage was also associated with domestic violence rates. The density of packaged liquor outlets was not associated with rates of domestic violence. The results present a mixed picture, and further study is required to develop a clearer understanding of the links between alcohol availability and domestic violence.

Effects of Outlets on Cracking Risk and Integral Stability of Super-High Arch Dams

PubMed Central

Hu, Hang

2014-01-01

In this paper, case study on outlet cracking is first conducted for the Goupitan and Xiaowan arch dams. A nonlinear FEM method is then implemented to study effects of the outlets on integral stability of the Xiluodu arch dam under two loading conditions, i.e., normal loading and overloading conditions. On the basis of the case study and the numerical modelling, the outlet cracking mechanism, risk, and corresponding reinforcement measures are discussed. Furthermore, the numerical simulation reveals that (1) under the normal loading conditions, the optimal distribution of the outlets will contribute to the tensile stress release in the local zone of the dam stream surface and decrease the outlet cracking risk during the operation period. (2) Under the overloading conditions, the cracks initiate around the outlets, then propagate along the horizontal direction, and finally coalesce with those in adjacent outlets, where the yield zone of the dam has a shape of butterfly. Throughout this study, a dam outlet cracking risk control and reinforcement principle is proposed to optimize the outlet design, select the appropriate concrete material, strengthen the temperature control during construction period, design reasonable impounding scheme, and repair the cracks according to their classification. PMID:25152907

104. DRY CREEK OUTLET (SPILL), TWIN FALLS COUNTY, SOUTH OF ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

104. DRY CREEK OUTLET (SPILL), TWIN FALLS COUNTY, SOUTH OF MURTAUGH, IDAHO; OUTLET FOR MURTAUGH LAKE, SOUTHEAST VIEW. - Milner Dam & Main Canal: Twin Falls Canal Company, On Snake River, 11 miles West of city of Burley, Idaho, Twin Falls, Twin Falls County, ID

25. UPSTREAM VIEW OF LOWER END OF OUTLET STRUCTURE SHOWING ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

25. UPSTREAM VIEW OF LOWER END OF OUTLET STRUCTURE SHOWING FORMS IN PLACE FOR GRAVITY WALL SECTIONS.... Volume XVI, No. 16, August 16, 1939. - Prado Dam, Outlet Works, Santa Ana River near junction of State Highways 71 & 91, Corona, Riverside County, CA

Tobacco retail outlet density and risk of youth smoking in New Zealand.

PubMed

Marsh, Louise; Ajmal, Ali; McGee, Rob; Robertson, Lindsay; Cameron, Claire; Doscher, Crile

2016-12-01

Evidence suggests inconsistent findings on the relationship between density of tobacco outlets around schools and risk of smoking among students. This study examines the density of tobacco outlets around secondary schools in New Zealand (NZ) and current smoking, experimental smoking, susceptibility to smoking, and attempted and successful tobacco purchasing. Smoking data came from the 2012 ASH Year 10 survey, a national survey of youth smoking in NZ. Geographic Information Systems were used to map tobacco retail outlets; a layer of secondary school locations was obtained from Koordinates.com. Logistic regression examined the relationship between density of outlets around schools and smoking behaviours, adjusting for individual-level and school-level confounders. Of the 27 238 students surveyed, 3.5% (952) were current smokers, 4.1% (n=1 128) were experimental smokers, and 39.8% (10 454) of nonsmokers were susceptible to smoking. An inverse relationship was found between the density of tobacco retail outlets and current smoking. Current smokers were significantly more likely to attempt to purchase tobacco if the density of tobacco retail outlets around their school was high. Non-smoking students were more likely to be susceptible to smoking if the density of tobacco outlets around their school was high. There was no statistically significant association between density of tobacco outlets and successful purchasing, nor experimental smoking. Restricting the permitted density of tobacco retail outlets around schools should be part of comprehensive tobacco control. In this regard, both smokers and non-smokers support the introduction of increased regulation of the tobacco retail environment to achieve our national smoke-free 2025 goal. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

Availability of healthier options in traditional and nontraditional rural fast-food outlets

PubMed Central

Creel, Jennifer S; Sharkey, Joseph R; McIntosh, Alex; Anding, Jenna; Huber, J Charles

2008-01-01

Background Food prepared away from home has become increasingly popular to U.S. families, and may contribute to obesity. Sales have been dominated by fast food outlets, where meals are purchased for dining away from home or in the home. Although national chain affiliated fast-food outlets are considered the main source for fast food, fast foods are increasingly available in convenience stores and supermarkets/grocery stores. In rural areas, these nontraditional fast-food outlets may provide most of the opportunities for procurement of fast foods. Methods Using all traditional and nontraditio nal fast-food outlets identified in six counties in rural Texas, the type and number of regular and healthiermenu options were surveyed using on-site observation in all food venues that were primarily fast food, supermarket/grocery store, and convenience store and compared with 2005 Dietary Guidelines. Results Traditional fast-food outlets represented 84 (41%) of the 205 opportunities for procurement of fast food; 109 (53.2%) were convenience stores and 12 (5.8%) supermarkets/grocery stores. Although a s imilar variety of regular breakfast and lunch/dinner entrées were available in traditional fast-food outlets and convenience stores, the variety of healthier breakfast and lunch/dinner entrées was significantly greater in fast food outlets. Compared with convenience stores, supermarkets/grocery stores provided a greater variety of regular and healthier entrées and lunch/dinner side dishes. Conclusion Convenience stores and supermarkets/grocery stores more than double the potential access to fast foods in this rural area than traditional fast-food outlets alone; however, traditional fast food outlets offer greater opportunity for healthier fast food options than convenience stores. A complete picture of fast food environment and the availability of healthier fast food options are essential to understand environmental influences on diet and health outcomes, and identify

Alcohol outlet availability and excessive alcohol consumption in breast cancer survivors.

PubMed

Schootman, Mario; Deshpande, Anjali D; Lynskey, Michael T; Pruitt, Sandi L; Lian, Min; Jeffe, Donna B

2013-01-01

Breast cancer survivors who consume alcohol excessively are at increased risk of recurrence and have worse prognosis. Because the environments in which people live shape many health behaviors, there has been increased attention to how neighborhood environments (eg, alcohol outlet availability) may influence alcohol consumption. The authors hypothesized that proximity to alcohol outlets increases the likelihood of excessive consumption (ie, more than 1 drink/day) among breast cancer survivors independent of their personal or neighborhood characteristics. With the Missouri Cancer Registry, the authors conducted a cross-sectional study of 1047 female breast cancer survivors (aged 27-96 years) 1 year after diagnosis. Using telephone interviews, the authors obtained data regarding survivors' alcohol consumption during the past 30 days and several covariates of alcohol use. They also obtained street addresses of all licensed alcohol outlets in Missouri and calculated the road network distance between a participant's address of residence and the nearest alcohol outlet, using a geographic information system. Logistic regression was used to determine if distance was independently associated with excessive alcohol consumption. Eighteen percent of participants reported consuming more than 1 drink on average per day. Women who lived within 3 miles of the nearest outlet were more likely to report excessive alcohol consumption (odds ratio: 2.09; 95% confidence interval: 1.08, 4.05) than women who lived at least 3 miles from the nearest outlet in adjusted analysis. Opportunities exist to reduce excessive alcohol use among breast cancer survivors through policy (eg, restricting number of alcohol outlets) and behavioral (eg, counseling) interventions.

The effect of alcohol outlets, sales and trading hours on alcohol-related injuries presenting at emergency departments in Perth, Australia, from 2002 to 2010.

PubMed

Hobday, Michelle; Chikritzhs, Tanya; Liang, Wenbin; Meuleners, Lynn

2015-12-01

Few studies have investigated the combined effects of alcohol sales, outlet numbers and trading hours on alcohol-related harms. This study aimed to test whether associations: (i) exist between alcohol-related emergency department (ED) injuries and alcohol sales and counts of outlets; (ii) vary between on- and off-premises outlets; and (iii) vary by trading hours conditions [extended trading permits (ETP) versus standard hours]. Panel study using 117 postcodes over 8 years (2002-10): 936 data points. Perth, Australia. ED injury presentations, aggregated to postcode-level. Alcohol-related injuries were identified using time-based surrogate measures: night injuries (n=51,241) and weekend night injuries (n=30,682). Measures of alcohol availability included number of outlets with standard and extended trading hours and mean sales per postcode. Negative binomial regression modelling with random effects was used to examine associations between availability and alcohol-related injury, controlling for socio-demographic characteristics. (i) Night injuries were associated significantly with counts of on-premises outlets [incident rate ratio (IRR)=1.046; 95% confidence interval (CI)=1.014-1.078] and sales per off-premises outlet (IRR=1.019; 95% CI=1.004-1.035); (ii) counts of on-premises outlets were positively associated with alcohol-related injury while counts of off-premises outlets indicated a negative association; and (iii) weekend night injuries increased by about 5% per on-premises outlet with an ETP (IRR=1.049; 95% CI=1.015-1.084) and by less than 1% for outlets with standard trading hours (IRR=1.008; 95% CI=1.004-1.013). Regions of Perth, Australia with greater off-premises alcohol sales and counts of on-premises alcohol outlets, particularly those with extended trading hours, appear to have higher levels of alcohol-related injuries. © 2015 Society for the Study of Addiction.

46 CFR 153.352 - B/3 and 4 m venting system outlets.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 46 Shipping 5 2011-10-01 2011-10-01 false B/3 and 4 m venting system outlets. 153.352 Section 153.352 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) CERTAIN BULK DANGEROUS CARGOES... Cargo Venting Systems § 153.352 B/3 and 4 m venting system outlets. A B/3 or 4 m venting system outlet...

46 CFR 153.352 - B/3 and 4 m venting system outlets.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 46 Shipping 5 2010-10-01 2010-10-01 false B/3 and 4 m venting system outlets. 153.352 Section 153.352 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) CERTAIN BULK DANGEROUS CARGOES... Cargo Venting Systems § 153.352 B/3 and 4 m venting system outlets. A B/3 or 4 m venting system outlet...

7 CFR 981.467 - Disposition in reserve outlets by handlers.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 7 Agriculture 8 2010-01-01 2010-01-01 false Disposition in reserve outlets by handlers. 981.467 Section 981.467 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL... ALMONDS GROWN IN CALIFORNIA Administrative Rules and Regulations § 981.467 Disposition in reserve outlets...

6. VIEW OF DAM 83, SHOWING OUTLET CHANNEL FLOWING INTO ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

6. VIEW OF DAM 83, SHOWING OUTLET CHANNEL FLOWING INTO POND A WITH DIVERSION GATES LONG EAST (LEFT) SIDE OF OUTLET CHANNEL, LOOKING SOUTH FROM DOWNSTREAM FACE OF THE DAM - Upper Souris National Wildlife Refuge, Dam 83, Souris River Basin, Foxholm, Surrey (England), ND

46 CFR 108.459 - Number and location of outlets.

Code of Federal Regulations, 2013 CFR

2013-10-01

... outlets. (a) A foam extinguishing system in a space must have enough outlets to spread a layer of foam of uniform thickness over the deck or bilge areas of the space. (b) A foam extinguishing system in a space that has a boiler on a flat that is open to or can drain into a lower portion of the space must have...

46 CFR 108.459 - Number and location of outlets.

Code of Federal Regulations, 2010 CFR

2010-10-01

... outlets. (a) A foam extinguishing system in a space must have enough outlets to spread a layer of foam of uniform thickness over the deck or bilge areas of the space. (b) A foam extinguishing system in a space that has a boiler on a flat that is open to or can drain into a lower portion of the space must have...

46 CFR 108.459 - Number and location of outlets.

Code of Federal Regulations, 2011 CFR

2011-10-01

... outlets. (a) A foam extinguishing system in a space must have enough outlets to spread a layer of foam of uniform thickness over the deck or bilge areas of the space. (b) A foam extinguishing system in a space that has a boiler on a flat that is open to or can drain into a lower portion of the space must have...

46 CFR 108.459 - Number and location of outlets.

Code of Federal Regulations, 2012 CFR

2012-10-01

... outlets. (a) A foam extinguishing system in a space must have enough outlets to spread a layer of foam of uniform thickness over the deck or bilge areas of the space. (b) A foam extinguishing system in a space that has a boiler on a flat that is open to or can drain into a lower portion of the space must have...

46 CFR 108.459 - Number and location of outlets.

Code of Federal Regulations, 2014 CFR

2014-10-01

... outlets. (a) A foam extinguishing system in a space must have enough outlets to spread a layer of foam of uniform thickness over the deck or bilge areas of the space. (b) A foam extinguishing system in a space that has a boiler on a flat that is open to or can drain into a lower portion of the space must have...

State-of-the-art Magnetic Resonance Imaging in Vascular Thoracic Outlet Syndrome.

PubMed

Aghayev, Ayaz; Rybicki, Frank J

2015-05-01

Vascular thoracic outlet syndrome is caused by compression of subclavian/axillary vessels during their passage from the thoracic cavity to the axilla. Early diagnosis and treatment is important to prevent debilitating outcomes of vascular thoracic outlet syndrome. Contrast-enhanced three-dimensional (3D) magnetic resonance angiography (MRA) with equilibrium phase using provocative arm positioning is the optimal examination to determine presence, degree of vascular compression, and complications of vascular thoracic outlet syndrome. This article reviews thoracic outlet anatomy, disorders of the vascular component, and typical imaging findings by contrast-enhanced 3D MRA. Published by Elsevier Inc.

Alcohol outlet availability and excessive alcohol consumption in breast cancer survivors

PubMed Central

Schootman, Mario; Deshpande, Anjali D.; Lynskey, Michael; Pruitt, Sandi L.; Lian, Min; Jeffe, Donna B.

2014-01-01

Introduction Breast cancer survivors who consume alcohol excessively are at increased risk of recurrence and have worse prognosis. Because the environments in which people live shape many health behaviors, there has been increased attention to how neighborhood environments (e.g., alcohol outlet availability) may influence alcohol consumption. We hypothesized that proximity to alcohol outlets increases the likelihood of excessive consumption (i.e., more than one drink/day) among breast cancer survivors independent of their personal or neighborhood characteristics. Methods With the Missouri Cancer Registry, we conducted a cross-sectional study of 1047 female breast cancer survivors (aged 27–96 years) one year after diagnosis. Using telephone interviews, we obtained data regarding survivors’ alcohol consumption during the past 30 days and several covariates of alcohol use. We also obtained street addresses of all licensed alcohol outlets in Missouri and calculated the road network distance between a participant’s address of residence and the nearest alcohol outlet using a geographic information system. We used logistic regression to determine if distance was independently associated with excessive alcohol consumption or not. Results Eighteen percent of participants reported consuming more than one drink on average per day. Women who lived within 3 miles of the nearest outlet were more likely to report excessive alcohol consumption (OR: 2.09; 95% CI: 1.08 – 4.05) than women who lived at least 3 miles from the nearest outlet in adjusted analysis. Discussion Opportunities exist to reduce excessive alcohol use among breast cancer survivors through policy (e.g., restricting number of alcohol outlets) and behavioral (e.g., counseling) interventions. PMID:23799690

Associations between proximity and density of local alcohol outlets and alcohol use among Scottish adolescents.

PubMed

Young, Robert; Macdonald, Laura; Ellaway, Anne

2013-01-01

Associations between different alcohol outcomes and outlet density measures vary between studies and may not be generalisable to adolescents. In a cross-sectional study of 979 15-year old Glaswegians, we investigated the association between alcohol outlet availability (outlet density and proximity), outlet type (on-premise vs. off-premise) and frequent (weekly) alcohol consumption. We adjusted for social background (gender, social class, family structure). Proximity and density of on-premise outlets were not associated with weekly drinking. However, adolescents living close (within 200 m) to an off-sales outlet were more likely to drink frequently (OR 1.97, p=0.004), as were adolescents living in areas with many nearby off-premises outlets (OR 1.60, p=0.016). Our findings suggest that certain alcohol behaviours (e.g. binge drinking) may be linked to the characteristics of alcohol outlets in the vicinity. Copyright © 2012 Elsevier Ltd. All rights reserved.

Associations between proximity and density of local alcohol outlets and alcohol use among Scottish adolescents

PubMed Central

Young, Robert; Macdonald, Laura; Ellaway, Anne

2013-01-01

Associations between different alcohol outcomes and outlet density measures vary between studies and may not be generalisable to adolescents. In a cross-sectional study of 979 15-year old Glaswegians, we investigated the association between alcohol outlet availability (outlet density and proximity), outlet type (on-premise vs. off-premise) and frequent (weekly) alcohol consumption. We adjusted for social background (gender, social class, family structure). Proximity and density of on-premise outlets were not associated with weekly drinking. However, adolescents living close (within 200 m) to an off-sales outlet were more likely to drink frequently (OR 1.97, p=0.004), as were adolescents living in areas with many nearby off-premises outlets (OR 1.60, p=0.016). Our findings suggest that certain alcohol behaviours (e.g. binge drinking) may be linked to the characteristics of alcohol outlets in the vicinity. PMID:23220375

48. OUTLET WORKS: ELECTRICAL SYSTEM NO. 3. Sheet H3, October, ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

48. OUTLET WORKS: ELECTRICAL SYSTEM NO. 3. Sheet H-3, October, 1939. File no. SA 342/59. - Prado Dam, Outlet Works, Santa Ana River near junction of State Highways 71 & 91, Corona, Riverside County, CA

49 CFR 178.346-4 - Outlets.

Code of Federal Regulations, 2010 CFR

2010-10-01

... must conform to § 178.345-11 and this section. (b) External self-closing stop-valves are not authorized as an alternative to internal self-closing stop-valves on loading/unloading outlets. [Amdt. 178-89...

1. View east at west facade of culvert outlet headwall, ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

1. View east at west facade of culvert outlet headwall, above which part of the canal bank has been removed. Foreground to background: streambed and coffer dam (mound in center) that was used in dewatering the culvert; intake pipes (extreme left and right) for dewatering pumps; deteriorated culvert outlet headwall with upper portion of wall fallen away; horizontal masonry cutoff wall extending above the culvert outlet partially up the canal bank (cutoff wall was exposed by removal of part of canal bank); towpath at top of canal bank. - Delaware & Raritan Canal, Six Mile Run Culvert, .2 mile South of Blackwells Mills Road, East Millstone, Somerset County, NJ

Venous Thoracic Outlet Syndrome as a Cause of Intractable Migraines.

PubMed

Chahwala, Veer; Tashiro, Jun; Li, Xiaoyi; Baqai, Atif; Rey, Jorge; Robinson, Handel R

2017-02-01

Thoracic outlet syndrome (TOS) refers to the compression of the neurovascular bundle within the thoracic outlet. Cases are classified by primary etiology-arterial, neurogenic, or venous. In addition to the typical symptoms of arm swelling and paresthesias, headaches have been reported as a potential symptom of TOS. In this report, we describe a patient with debilitating migraines, which were consistently preceded by unilateral arm swelling. Resolution of symptoms occurred only after thoracic outlet decompression. Patients with migraines and concomitant swelling and/or paresthesias, especially related to provocative arm maneuvers, should be considered a possible atypical presentation of TOS and evaluated in more detail. Copyright © 2016 Elsevier Inc. All rights reserved.

Rapid Holocene thinning of outlet glaciers followed by readvance in the western Ross Embayment, Antarctica

NASA Astrophysics Data System (ADS)

Jones, R. S.; Whitmore, R.; Mackintosh, A.; Norton, K. P.; Eaves, S.; Stutz, J.

2017-12-01

Investigating Antarctic deglaciation following the LGM provides an opportunity to better understand patterns, mechanisms and drivers of ice sheet retreat. In the Ross Sea sector, geomorphic features preserved on the seafloor indicate that streaming East Antarctic outlet glaciers once extended >100 km offshore of South Victoria Land prior to back-stepping towards their modern configurations. In order to adequately interpret the style and causes of this retreat, the timing and magnitude of corresponding ice thickness change is required. We present new constraints on ice surface lowering from Mawson Glacier, an outlet of the East Antarctic Ice Sheet that flows into the western Ross Sea. Surface-exposure (10Be) ages from samples collected in elevation transects above the modern ice surface reveal that rapid thinning occurred at 5-8 ka, broadly coeval with new ages of grounding-line retreat at 6 ka and rapid thinning recorded at nearby Mackay Glacier at 7 ka. Our data also show that a moraine formed near to the modern ice margin of Mawson Glacier at 0.8 ka, which, together with historical observations, indicates that glaciers in this region readvanced during the last thousand years. We argue that 1) the accelerated thinning of outlet glaciers was driven by local grounding-line retreat through overdeepened basins during the early-mid Holocene, and 2) the glaciers subsequently readvanced, possibly linked to late Holocene sea-ice expansion, before retreating to their current positions. Our work demonstrates that these outlet glaciers were closely coupled to environmental and topography-induced perturbations near their termini throughout the Holocene.

40. OUTLET WORKS: VIBRATION ABSORBER FOR STANDBY UNIT, Sheet H7, ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

40. OUTLET WORKS: VIBRATION ABSORBER FOR STANDBY UNIT, Sheet H-7, September, 1940. File no. SA 342/79. - Prado Dam, Outlet Works, Santa Ana River near junction of State Highways 71 & 91, Corona, Riverside County, CA

47. OUTLET WORKS: ELECTRICAL SYSTEM NO. 2. Sheet H2, date ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

47. OUTLET WORKS: ELECTRICAL SYSTEM NO. 2. Sheet H-2, date stamped May, 1939. File no. SA 342/10. - Prado Dam, Outlet Works, Santa Ana River near junction of State Highways 71 & 91, Corona, Riverside County, CA

46. OUTLET WORKS: ELECTRICAL SYSTEM NO. 1. Sheet H1, date ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

46. OUTLET WORKS: ELECTRICAL SYSTEM NO. 1. Sheet H-1, date stamped May, 1939. File no. SA 342/9. - Prado Dam, Outlet Works, Santa Ana River near junction of State Highways 71 & 91, Corona, Riverside County, CA

29. OUTLET WORKS: GENERAL PLAN AND SECTIONS. Sheet A1, date ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

29. OUTLET WORKS: GENERAL PLAN AND SECTIONS. Sheet A-1, date stamped January, 1939. File no. SA 949/80. - Prado Dam, Outlet Works, Santa Ana River near junction of State Highways 71 & 91, Corona, Riverside County, CA

Varying impacts of alcohol outlet densities on violent assaults: explaining differences across neighborhoods.

PubMed

Mair, Christina; Gruenewald, Paul J; Ponicki, William R; Remer, Lillian

2013-01-01

Groups of potentially violent drinkers may frequent areas of communities with large numbers of alcohol outlets, especially bars, leading to greater rates of alcohol-related assaults. This study assessed direct and moderating effects of bar densities on assaults across neighborhoods. We analyzed longitudinal population data relating alcohol outlet densities (total outlet density, proportion bars/pubs, proportion off-premise outlets) to hospitalizations for assault injuries in California across residential ZIP code areas from 1995 through 2008 (23,213 space-time units). Because few ZIP codes were consistently defined over 14 years and these units are not independent, corrections for unit misalignment and spatial autocorrelation were implemented using Bayesian space-time conditional autoregressive models. Assaults were related to outlet densities in local and surrounding areas, the mix of outlet types, and neighborhood characteristics. The addition of one outlet per square mile was related to a small 0.23% increase in assaults. A 10% greater proportion of bars in a ZIP code was related to 7.5% greater assaults, whereas a 10% greater proportion of bars in surrounding areas was related to 6.2% greater assaults. The impacts of bars were much greater in areas with low incomes and dense populations. The effect of bar density on assault injuries was well supported and positive, and the magnitude of the effect varied by neighborhood characteristics. Posterior distributions from these models enabled the identification of locations most vulnerable to problems related to alcohol outlets.

Detention basin alternative outlet design study.

DOT National Transportation Integrated Search

2016-10-01

This study examines the outlets structures CDOT has historically employed to drain water quality treatment detention basins and flood control basins, presents two new methods of metering the water quality capture volume (WQCV), namely 1) the Elliptic...

7 CFR 987.56 - Outlets for utility and cull dates.

Code of Federal Regulations, 2010 CFR

2010-01-01

... finds that the use of utility dates of any variety in certain products for human consumption would tend to effectuate the declared policy of the act, the Secretary shall specify such products, and dates of..., alcohol, or brandy outlets, or in such other outlets for non-human food products as the Committee with the...

Alcohol outlets, gonorrhea, and the Los Angeles civil unrest: A longitudinal analysis

PubMed Central

Cohen, Deborah A.; Ghosh-Dastidar, Bonnie; Scribner, Richard; Miu, Angela; Scott, Molly; Robinson, Paul; Farley, Thomas A.; Bluthenthal, Ricky N.; Brown-Taylor, Didra

2007-01-01

This study tests the effect of neighborhood changes on gonorrhea rates. Prior studies that indicate gonorrhea rates are associated with alcohol outlet density and neighborhood deterioration have been cross-sectional and cannot establish causality. After the 1992 Civil Unrest in Los Angeles, 270 alcohol outlets surrendered their licenses due to arson and vandalism thus providing a natural experiment. We geocoded all reported gonorrhea cases from 1988 to 1996 in LA County, all annually licensed alcohol outlets, and all properties damaged as a result of the civil unrest. We ran individual growth models to examine the independent effects of changes in alcohol outlets and damaged buildings on gonorrhea. The individual growth model explained over 90% of the residual variance in census tract gonorrhea rates. After the civil unrest, a unit decrease in the number of alcohol outlets per mile of roadway was associated with 21 fewer gonorrhea cases per 100,000 (p<.01) in tracts affected by the Unrest compared to those not affected. Neighborhood alcohol outlets appear to be significantly associated with changes in gonorrhea rates. The findings suggest that efforts to control sexually transmitted diseases, including gonorrhea and HIV, should address contextual factors that facilitate high-risk behaviors and disease transmission PMID:16423436

The role of tobacco outlet density in a smoking cessation intervention for urban youth.

PubMed

Mennis, Jeremy; Mason, Michael; Way, Thomas; Zaharakis, Nikola

2016-03-01

This study investigates the role of tobacco outlet density in a randomized controlled trial of a text messaging-based smoking cessation intervention conducted among a sample of 187 primarily African American youth in a midsize U.S. city. A moderated mediation model was used to test whether the indirect effect of residential tobacco outlet density on future smoking was mediated by the intention to smoke, and whether this indirect effect differed between adolescents who received the intervention and those who did not. Results indicated that tobacco outlet density is associated with intention to smoke, which predicts future smoking, and that the indirect effect of tobacco outlet density on future smoking is moderated by the intervention. Tobacco outlet density and the intervention can be viewed as competing forces on future smoking behavior, where higher tobacco outlet density acts to mitigate the sensitivity of an adolescent to the intervention's intended effect. Smoking cessation interventions applied to youth should consider tobacco outlet density as a contextual condition that can influence treatment outcomes. Copyright © 2016 Elsevier Ltd. All rights reserved.

Pathways of warm water to the Northeast Greenland outlet glaciers

NASA Astrophysics Data System (ADS)

Schaffer, Janin; Timmermann, Ralph; Kanzow, Torsten; Arndt, Jan Erik; Mayer, Christoph; Schauer, Ursula

2015-04-01

The ocean plays an important role in modulating the mass balance of the Greenland Ice Sheet by delivering heat to the marine-terminating outlet glaciers surrounding the Greenland coast. The warming and accumulation of Atlantic Water in the subpolar North Atlantic has been suggested to be a potential driver of the glaciers' retreat over the last decades. The shelf regions thus play a critical role for the transport of Atlantic Water towards the glaciers, but also for the transfer of freshwater towards the deep ocean. A key region for the mass balance of the Greenland Ice Sheet is the Northeast Greenland Ice Stream. This large ice stream drains the second-largest basin of the Greenland Ice Sheet and feeds three outlet glaciers. The largest one is Nioghalvfjerdsfjorden (79°N-Glacier) featuring an 80 km long floating ice tongue. Both the ocean circulation on the continental shelf off Northeast Greenland and the circulation in the cavity below the ice tongue are weakly constrained so far. In order to study the relevant processes of glacier-ocean interaction we combine observations and model work. Here we focus on historic and recent hydrographic observations and on the complex bathymetry in the Northeast Greenland shelf region, which is thought to steer the flux of warm Atlantic water onto the continental shelf and into the sub-ice cavity beneath the 79°N-Glacier. We present a new global topography data set, RTopo-2, which includes the most recent surveys on the Northeast Greenland continental shelf and provides a detailed bathymetry for all around Greenland. In addition, RTopo-2 contains ice and bedrock surface topographies for Greenland and Antarctica. Based on the updated ocean bathymetry and a variety of hydrographic observations we show the water mass distribution on the continental shelf off Northeast Greenland. These maps enable us to discuss possible supply pathways of warm modified Atlantic waters on the continental shelf and thus potential ways of heat

Turbine vane structure

DOEpatents

Irwin, John A.

1980-08-19

A liquid cooled stator blade assembly for a gas turbine engine includes an outer shroud having a pair of liquid inlets and a pair of liquid outlets supplied through a header and wherein means including tubes support the header radially outwardly of the shroud and also couple the header with the pair of liquid inlets and outlets. A pair of turbine vanes extend radially between the shroud and a vane platform to define a gas turbine motive fluid passage therebetween; and each of the vanes is cooled by an internal body casting of super alloy material with a grooved layer of highly heat conductive material that includes spaced apart flat surface trailing edges in alignment with a flat trailing edge of the casting joined to wall segments of the liner which are juxtaposed with respect to the internal casting to form an array of parallel liquid inlet passages on one side of the vane and a second plurality of parallel liquid return passages on the opposite side of the vane; and a superalloy heat and wear resistant imperforate skin covers the outer surface of the composite blade including the internal casting and the heat conductive layer; a separate trailing edge section includes an internal casting and an outer skin butt connected to the end surfaces of the internal casting and the heat conductive layer to form an easily assembled liquid cooled trailing edge section in the turbine vane.

Hydrological Modeling of the Jezero Crater Outlet-Forming Flood

NASA Technical Reports Server (NTRS)

Fassett, C. I.; Goudge, T. A.

2017-01-01

Abundant evidence exists for lakes on Mars both from orbital observations [e.g., 1-3] and in situ exploration [e.g., 4-5]. These lakes can be divided into two classes: those that were hydrologically closed, so their source valley(s) terminated at the basin [3], and those that were hydrologically open, where there was sufficient flow from inlet valley(s) to cause the lake to breach and form an outlet valley [2]. It is easier to be confident from orbital data alone that a standing body of water must have existed in open basins, because there is no other way for their perched outlet valleys to form. The majority of basins fed by valley networks, rather than by isolated inlet valleys, are open [6], with some important exceptions (e.g., Gale Crater). Jezero crater (Fig. 1) is one of the most well-studied open basin paleolakes on Mars, with a breach that re-mains well above the lowest part of the crater floor, and two sedimentary fans at its northwestern margin that are likely deltaic in origin [7-9]. CRISM observations of these sediments indicate they host a variety of alteration minerals [9-11], including smectite and carbonate, and both the mineralogy of the sediments and their settings suggest they have a strong potential for preserving organic materials [10]. As a result, Jezero is a strong candidate landing site for the Mars 2020 rover. Approximate formative discharges have been estimated for its well-preserved western fan (Q approximately 500m3/s) [7], but to our knowledge, no estimates for the dis-charges associated with formation and incision of its outlet valley have been presented. Indeed, only a few studies [e.g., 12-14] have attempted to reconstruct the formation of outlet breaches broadly similar to Jezero anywhere on Mars, despite the apparent commonality of basins with large outlets [e.g., 2]. The outlet valley formed as a dam breach when the lake overflowed. In such an event, the growth and incision of the breach is directly coupled to flood discharge

Thoracic outlet syndrome: a controversial clinical condition. Part 1: anatomy, and clinical examination/diagnosis

PubMed Central

Hooper, Troy L; Denton, Jeff; McGalliard, Michael K; Brismée, Jean-Michel; Sizer, Phillip S

2010-01-01

Thoracic outlet syndrome (TOS) is a frequently overlooked peripheral nerve compression or tension event that creates difficulties for the clinician regarding diagnosis and management. Investigators have categorized this condition as vascular versus neurogenic, where vascular TOS can be subcategorized as either arterial or venous and neurogenic TOS can subcategorized as either true or disputed. The thoracic outlet anatomical container presents with several key regional components, each capable of compromising the neurovascular structures coursing within. Bony and soft tissue abnormalities, along with mechanical dysfunctions, may contribute to neurovascular compromise. Diagnosing TOS can be challenging because the symptoms vary greatly amongst patients with the disorder, thus lending to other conditions including a double crush syndrome. A careful history and thorough clinical examination are the most important components in establishing the diagnosis of TOS. Specific clinical tests, whose accuracy has been documented, can be used to support a clinical diagnosis, especially when a cluster of positive tests are witnessed. PMID:21655389

A Geospatial Statistical Analysis of the Density of Lottery Outlets within Ethnically Concentrated Neighborhoods

ERIC Educational Resources Information Center

Wiggins, Lyna; Nower, Lia; Mayers, Raymond Sanchez; Peterson, N. Andrew

2010-01-01

This study examines the density of lottery outlets within ethnically concentrated neighborhoods in Middlesex County, New Jersey, using geospatial statistical analyses. No prior studies have empirically examined the relationship between lottery outlet density and population demographics. Results indicate that lottery outlets were not randomly…

Hydrological Modeling of the Jezero Crater Outlet-Forming Flood

NASA Technical Reports Server (NTRS)

Fassett, Caleb I.; Goudge, Timothy A.

2017-01-01

Jezero crater is a site of prime scientific interest because it was a lake early in Mars history. Preserved clay- and carbonate-bearing sedimentary fans on Jezero's western and northwestern margin (Fig. 2) are accessible to future exploration. Geologic context [1] and stratigraphic analysis of the western fan strongly support the interpretation that these fans were deposited as deltas into the lake. This has helped establish Jezero as one of the final candidate landing sites for Mars 2020. The high level of certainty that Jezero was a lake results from the existence of its outlet valley, which required filling of the crater to form [e.g., 1,4]. Here, we specifically focus on how this outlet valley was carved by the dam breach flood that eroded the eastern crater rim. We have completed preliminary modeling in both 1D and 2D of the outlet's formation.

Using public health and community partnerships to reduce density of alcohol outlets.

PubMed

Jernigan, David H; Sparks, Michael; Yang, Evelyn; Schwartz, Randy

2013-04-11

Excessive alcohol use causes approximately 80,000 deaths in the United States each year. The Guide to Community Preventive Services recommends reducing the density of alcohol outlets - the number of physical locations in which alcoholic beverages are available for purchase either per area or per population - through the use of regulatory authority as an effective strategy for reducing excessive alcohol consumption and related harms. We briefly review the research on density of alcohol outlets and public health and describe the powers localities have to influence alcohol outlet density. We summarize Regulating Alcohol Outlet Density: An Action Guide, which describes steps that local communities can take to reduce outlet density and the key competencies and resources of state and local health departments. These include expertise in public health surveillance and evaluation methods, identification and tracking of outcome measures, geographic information systems (GIS) mapping, community planning and development of multisector efforts, and education of community leaders and policy makers. We illustrate the potential for partnerships between public health agencies and local communities by presenting a contemporary case study from Omaha, Nebraska. Public health agencies have a vital and necessary role to play in efforts to reduce alcohol outlet density. They are often unaware of the potential of this strategy and have strong potential partners in the thousands of community coalitions nationwide that are focused on reducing alcohol-related problems.

Using Public Health and Community Partnerships to Reduce Density of Alcohol Outlets

PubMed Central

Sparks, Michael; Yang, Evelyn; Schwartz, Randy

2013-01-01

Excessive alcohol use causes approximately 80,000 deaths in the United States each year. The Guide to Community Preventive Services recommends reducing the density of alcohol outlets — the number of physical locations in which alcoholic beverages are available for purchase either per area or per population — through the use of regulatory authority as an effective strategy for reducing excessive alcohol consumption and related harms. We briefly review the research on density of alcohol outlets and public health and describe the powers localities have to influence alcohol outlet density. We summarize Regulating Alcohol Outlet Density: An Action Guide, which describes steps that local communities can take to reduce outlet density and the key competencies and resources of state and local health departments. These include expertise in public health surveillance and evaluation methods, identification and tracking of outcome measures, geographic information systems (GIS) mapping, community planning and development of multisector efforts, and education of community leaders and policy makers. We illustrate the potential for partnerships between public health agencies and local communities by presenting a contemporary case study from Omaha, Nebraska. Public health agencies have a vital and necessary role to play in efforts to reduce alcohol outlet density. They are often unaware of the potential of this strategy and have strong potential partners in the thousands of community coalitions nationwide that are focused on reducing alcohol-related problems. PMID:23578401

Assessing the relationship between alcohol outlets and domestic violence: routine activities and the neighborhood environment.

PubMed

Roman, Caterina G; Reid, Shannon E

2012-01-01

Studies have consistently found a positive relationship between alcohol outlet density and assault, but only a handful of studies have examined whether outlet density has an influence on domestic violence. Using a framework based in crime opportunity theories, this study estimates spatial econometric regression models to test whether the density of alcohol outlets across neighborhoods is positively associated with police calls for service for domestic violence. Models also were developed to test whether the relationships found were consistent across time periods associated with the use of alcohol outlets (weeknights and weekends). The findings indicate that off-premise outlets were associated with a significant increase in domestic violence, but on-premise outlets (specifically restaurants and nightclubs) were associated with a decrease in domestic violence. The risk for domestic violence in areas of high densities of off-premise outlets was found to be high during the weekend but not during the weeknight, suggesting different routine activities for domestic violence offenders during the week.

Spatial accessibility to physical activity facilities and to food outlets and overweight in French youth

PubMed Central

Casey, R; Chaix, B; Weber, C; Schweitzer, B; Charreire, H; Salze, P; Badariotti, D; Banos, A; Oppert, J-M; Simon, C

2012-01-01

Objective: Some characteristics of the built environment have been associated with obesity in youth. Our aim was to determine whether individual and environmental socio-economic characteristics modulate the relation between youth overweight and spatial accessibility to physical activity (PA) facilities and to food outlets. Design: Cross-sectional study. Subjects: 3293 students, aged 12±0.6 years, randomly selected from eastern France middle schools. Measurements and methods: Using geographical information systems (GIS), spatial accessibility to PA facilities (urban and nature) was assessed using the distance to PA facilities at the municipality level; spatial accessibility to food outlets (general food outlets, bakeries and fast-food outlets) was calculated at individual level using the student home address and the food outlets addresses. Relations of weight status with spatial accessibility to PA facilities and to food outlets were analysed using mixed logistic models, testing potential direct and interaction effects of individual and environmental socio-economic characteristics. Results: Individual socio-economic status modulated the relation between spatial accessibility to PA facilities and to general food outlets and overweight. The likelihood of being overweight was higher when spatial accessibility to urban PA facilities and to general food outlets was low, but in children of blue-collar-workers only. The odds ratio (OR) (95% confidence interval) for being overweight of blue-collar-workers children compared with non-blue-collar-workers children was 1.76 (1.25–2.49) when spatial accessibility to urban PA facilities was low. This OR was 1.86 (1.20–2.86) when spatial accessibility to general food outlets was low. There was no significant relationship of overweight with either nature PA facilities or other food outlets (bakeries and fast-food outlets). Conclusion: These results indicate that disparities in spatial accessibility to PA facilities and to

Spatial accessibility to physical activity facilities and to food outlets and overweight in French youth.

PubMed

Casey, R; Chaix, B; Weber, C; Schweitzer, B; Charreire, H; Salze, P; Badariotti, D; Banos, A; Oppert, J-M; Simon, C

2012-07-01

Some characteristics of the built environment have been associated with obesity in youth. Our aim was to determine whether individual and environmental socio-economic characteristics modulate the relation between youth overweight and spatial accessibility to physical activity (PA) facilities and to food outlets. Cross-sectional study. 3293 students, aged 12 ± 0.6 years, randomly selected from eastern France middle schools. Using geographical information systems (GIS), spatial accessibility to PA facilities (urban and nature) was assessed using the distance to PA facilities at the municipality level; spatial accessibility to food outlets (general food outlets, bakeries and fast-food outlets) was calculated at individual level using the student home address and the food outlets addresses. Relations of weight status with spatial accessibility to PA facilities and to food outlets were analysed using mixed logistic models, testing potential direct and interaction effects of individual and environmental socio-economic characteristics. Individual socio-economic status modulated the relation between spatial accessibility to PA facilities and to general food outlets and overweight. The likelihood of being overweight was higher when spatial accessibility to urban PA facilities and to general food outlets was low, but in children of blue-collar-workers only. The odds ratio (OR) (95% confidence interval) for being overweight of blue-collar-workers children compared with non-blue-collar-workers children was 1.76 (1.25-2.49) when spatial accessibility to urban PA facilities was low. This OR was 1.86 (1.20-2.86) when spatial accessibility to general food outlets was low. There was no significant relationship of overweight with either nature PA facilities or other food outlets (bakeries and fast-food outlets). These results indicate that disparities in spatial accessibility to PA facilities and to general food outlets may amplify the risk of overweight in socio

Methods for implementing a medicine outlet survey: lessons from the anti-malarial market.

PubMed

O'Connell, Kathryn A; Poyer, Stephen; Solomon, Tsione; Munroe, Erik; Patouillard, Edith; Njogu, Julius; Evance, Illah; Hanson, Kara; Shewchuk, Tanya; Goodman, Catherine

2013-02-05

In recent years an increasing number of public investments and policy changes have been made to improve the availability, affordability and quality of medicines available to consumers in developing countries, including anti-malarials. It is important to monitor the extent to which these interventions are successful in achieving their aims using quantitative data on the supply side of the market. There are a number of challenges related to studying supply, including outlet sampling, gaining provider cooperation and collecting accurate data on medicines. This paper provides guidance on key steps to address these issues when conducting a medicine outlet survey in a developing country context. While the basic principles of good survey design and implementation are important for all surveys, there are a set of specific issues that should be considered when conducting a medicine outlet survey. This paper draws on the authors' experience of designing and implementing outlet surveys, including the lessons learnt from ACTwatch outlet surveys on anti-malarial retail supply, and other key studies in the field. Key lessons and points of debate are distilled around the following areas: selecting a sample of outlets; techniques for collecting and analysing data on medicine availability, price and sales volumes; and methods for ensuring high quality data in general. The authors first consider the inclusion criteria for outlets, contrasting comprehensive versus more focused approaches. Methods for developing a reliable sampling frame of outlets are then presented, including use of existing lists, key informants and an outlet census. Specific issues in the collection of data on medicine prices and sales volumes are discussed; and approaches for generating comparable price and sales volume data across products using the adult equivalent treatment dose (AETD) are explored. The paper concludes with advice on practical considerations, including questionnaire design, field worker

Alcohol Consumption, Alcohol Outlets, and the Risk of Being Assaulted With a Gun

PubMed Central

Branas, Charles C.; Elliott, Michael R.; Richmond, Therese S.; Culhane, Dennis P.; Wiebe, Douglas J.

2010-01-01

Background We conducted a population-based case–control study to better delineate the relationship between individual alcohol consumption, alcohol outlets in the surrounding environment, and being assaulted with a gun. Methods An incidence density sampled case–control study was conducted in the entire city of Philadelphia from 2003 to 2006. We enrolled 677 cases that had been shot in an assault and 684 population-based controls. The relationships between 2 independent variables of interest, alcohol consumption and alcohol outlet availability, and the outcome of being assaulted with a gun were analyzed. Conditional logistic regression was used to adjust for numerous confounding variables. Results After adjustment, heavy drinkers were 2.67 times as likely to be shot in an assault when compared with nondrinkers (p < 0.10) while light drinkers were not at significantly greater risk of being shot in an assault when compared with nondrinkers. Regression-adjusted analyses also demonstrated that being in an area of high off-premise alcohol outlet availability significantly increased the risk of being shot in an assault by 2.00 times (p < 0.05). Being in an area of high on-premise alcohol outlet availability did not significantly change this risk. Heavy drinkers in areas of high off-premise alcohol outlet availability were 9.34 times (p < 0.05) as likely to be shot in an assault. Conclusions This study finds that the gun assault risk to individuals who are near off-premise alcohol outlets is about the same as or statistically greater than the risk they incur from heavy drinking. The combination of heavy drinking and being near off-premise outlets resulted in greater risk than either factor alone. By comparison, light drinking and being near on-premise alcohol outlets were not associated with increased risks for gun assault. Cities should consider addressing alcohol-related factors, especially off-premise outlets, as highly modifiable and politically feasible approaches

The roles of outlet density and norms in alcohol use disorder.

PubMed

Ahern, Jennifer; Balzer, Laura; Galea, Sandro

2015-06-01

Alcohol outlet density and norms shape alcohol consumption. However, due to analytic challenges we do not know: (a) if alcohol outlet density and norms also shape alcohol use disorder, and (b) whether they act in combination to shape disorder. We applied a new targeted minimum loss-based estimator for rare outcomes (rTMLE) to a general population sample from New York City (N = 4000) to examine the separate and combined relations of neighborhood alcohol outlet density and norms around drunkenness with alcohol use disorder. Alcohol use disorder was assessed using the World Mental Health Comprehensive International Diagnostic Interview (WMH-CIDI) alcohol module. Confounders included demographic and socioeconomic characteristics, as well as history of drinking prior to residence in the current neighborhood. Alcohol use disorder prevalence was 1.78%. We found a marginal risk difference for alcohol outlet density of 0.88% (95% CI 0.00-1.77%), and for norms of 2.05% (95% CI 0.89-3.21%), adjusted for confounders. While each exposure had a substantial relation with alcohol use disorder, there was no evidence of additive interaction between the exposures. Results indicate that the neighborhood environment shapes alcohol use disorder. Despite the lack of additive interaction, each exposure had a substantial relation with alcohol use disorder and our findings suggest that alteration of outlet density and norms together would likely be more effective than either one alone. Important next steps include development and testing of multi-component intervention approaches aiming to modify alcohol outlet density and norms toward reducing alcohol use disorder. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

Quantifying the Impacts of Outlet Control Structures on Lake Hydrology and Ecology

NASA Astrophysics Data System (ADS)

Budd, B. M.; Kendall, A. D.; Martin, S. L.; Hyndman, D. W.

2012-12-01

There have been limited studies of the impacts of lake level control structures on stream ecology and lake property erosion. We examine the influence of historical lake level management strategies on Higgins Lake in Michigan, which is regionally known for recreation, fisheries, and scenery. Lake control structures have potentially increased shoreline erosion and seasonally-reduced flow through the outlets, likely impacting fish habitat. Concerns over these issues spurred local land owners to seek a study on the possible hydrologic and ecological impacts of the removal or modification of the control structure. Bathymetry maps are fundamental to understanding and managing lake ecosystems. From the 1930's through the 1950's, these maps were developed for thousands of Michigan inland lakes using soundings lowered through holes cut in winter lake ice. Increased land use change and alterations of lake outlets have likely modified erosion and sedimentation rates of these lake systems. Our research includes bathymetry surveys of Higgins Lake using an Acoustic Doppler Current Profiler (ADCP) and side-scan sonar. The new higher-resolution bathymetry serves as the basis for simulating impacts of potential changes in lake management, on a verity of inpoint including shoreline position and fish habitat.

Uncertainty in measuring runoff from small watersheds using instrumented outlet-pond

USDA-ARS?s Scientific Manuscript database

This study quantified the uncertainty associated with event runoff quantity monitored at watershed outlet ponds. Inflow and outflow depth data were collected from 2004 to 2011 at seven instrumented monitoring stations at the outlet of watersheds ranging in size from 35.2 to 159.5 ha on the USDA-ARS ...

Investigating connections between local-remote atmospheric variability and Greenland outlet glacier behavior

NASA Astrophysics Data System (ADS)

Sobolowski, Stefan; Chen, Linling; Miles, Victoria

2016-04-01

/climate dynamics in glacier behavior. Our study suggests a strong relationship between large-scale tropospheric circulation patterns, such as the so-called Greenland Blocking Index (GBI), and glacier front position. This relationship is seen in the wintertime (summertime) circulation influence on spring (fall) front position. Dynamically, a physical pathway is illustrated via canonical correlation analyses and composites of low-mid level winds, which show strong southerly advection into the region when the GBI is positive. There are also potential links between local and remote diabatic heating in the atmospheric column, SSTs, sea-ice concentration and front position. Whether there are physical pathways connecting remote surface processes, such as heating along western Greenland is not yet clear. Causality is always difficult to infer in reanalysis-based studies but physical intuition and theory provide multiple lines of evidence, which suggest a substantial influence of large-scale atmospheric dynamics at the margins of the GrIS. Improving our understanding of these physical connections will be crucial, as we know the outlet glaciers will respond under rapidly changing climate conditions.

The importance of costoclavicular space on possible compression of the subclavian artery in the thoracic outlet region: a radio-anatomical study.

PubMed

Kaplan, Tevfik; Comert, Ayhan; Esmer, Ali Firat; Ataç, Gökçe Kaan; Acar, Halil Ibrahim; Ozkurt, Bulent; Tekdemir, Ibrahim; Han, Serdar

2018-04-16

The purposes of this study were to identify possible compression points along the transit route of the subclavian artery and to provide a detailed anatomical analysis of areas that are involved in the surgical management of the thoracic outlet syndrome (TOS). The results of the current study are based on measurements from cadavers, computed tomography (CT) scans and dry adult first ribs. The width and length of the interscalene space and the width of the costoclavicular passage were measured on 18 cervical dissections in 9 cadavers, on 50 dry first ribs and on CT angiography sections from 15 patients whose conditions were not related to TOS. The average width and length of the interscalene space in cadavers were 15.28 ± 1.94 mm and 15.98 ± 2.13 mm, respectively. The widths of the costoclavicular passage (12.42 ± 1.43 mm) were significantly narrower than the widths and lengths of the interscalene space in cadavers (P < 0.05). The average width and length of the interscalene space (groove for the subclavian artery) in 50 dry ribs were 15.53 ± 2.12 mm and 16.12 ± 1.95 mm, respectively. In CT images, the widths of the costoclavicular passage were also significantly narrower than those of the interscalene space (P < 0.05). The measurements from cadavers, dry first ribs and CT images were not significantly different (P > 0.05). Our results showed that the costoclavicular width was the narrowest space along the passage route of the subclavian artery. When considering the surgical decompression of the subclavian artery for TOS, this narrowest area should always be kept in mind. Since measurements from CT images and cadavers were significantly similar, CT measurements may be used to evaluate the thoracic outlet region in patients with TOS.

46 CFR 108.453 - Discharge outlets.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 46 Shipping 4 2010-10-01 2010-10-01 false Discharge outlets. 108.453 Section 108.453 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) A-MOBILE OFFSHORE DRILLING UNITS DESIGN AND EQUIPMENT Fire Extinguishing Systems Fixed Carbon Dioxide Fire Extinguishing Systems § 108.453 Discharge...

46 CFR 108.453 - Discharge outlets.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 46 Shipping 4 2011-10-01 2011-10-01 false Discharge outlets. 108.453 Section 108.453 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) A-MOBILE OFFSHORE DRILLING UNITS DESIGN AND EQUIPMENT Fire Extinguishing Systems Fixed Carbon Dioxide Fire Extinguishing Systems § 108.453 Discharge...

Understanding private retail drug outlet dispenser knowledge and practices in tuberculosis care in Tanzania.

PubMed

Rutta, E; Tarimo, A; Delmotte, E; James, I; Mwakisu, S; Kasembe, D; Konduri, N; Silumbe, R; Kakanda, K; Valimba, R

2014-09-01

Private sector accredited drug dispensing outlets in Morogoro and pharmacies in Dar es Salaam, Tanzania. To assess 1) the level of knowledge about tuberculosis (TB) among dispensers in Tanzania's retail pharmaceutical sector; 2) practices related to identification of patients with suspected TB; 3) the availability of educational materials and training; and 4) the availability of first- and second-line anti-tuberculosis treatment in retail drug outlets. A cross-sectional descriptive study involving the administration of a structured questionnaire among drug dispensers in 122 pharmacies and 173 accredited drug dispensing outlets. Private retail drug outlets are convenient; most are open at least 12 h per day, 7 days/week. Although 95% of dispensers identified persistent cough as a symptom of TB, only 1% had received TB-related training in the previous 3 years; 8% of outlets stocked first-line anti-tuberculosis medicines, which are legally prohibited from being sold at retail outlets. The majority of respondents reported seeing clients with TB-like symptoms, and of these 95% reported frequently referring clients to nearby health facilities. Private retail pharmaceutical outlets can potentially contribute to TB case detection and treatment; however, a coordinated effort is needed to train dispensers and implement appropriate referral procedures.

Beyond supermarkets: Food outlet location selection in four U.S. cities over time

PubMed Central

Rummo, Pasquale E.; Guilkey, David K.; Ng, Shu Wen; Popkin, Barry M.; Evenson, Kelly R.; Gordon-Larsen, P.

2017-01-01

Introduction Understanding what influences where food outlets locate is important for mitigating disparities in access to healthy food outlets. However, few studies have examined how neighborhood characteristics influence the neighborhood food environment over time, and whether these relationships differ by neighborhood-level income. Methods Neighborhood-level data from four U.S. cities (Birmingham, AL; Chicago, IL; Minneapolis, MN; Oakland, CA) from 1986, 1993, 1996, 2001, 2006, and 2011 were used with two-step econometric models to estimate longitudinal associations between neighborhood-level characteristics (z-scores) and the log-transformed count/km2 (density) of food outlets within real-estate-derived neighborhoods. We examined associations with lagged neighborhood-level sociodemographics and lagged density of food outlets, with interaction terms for neighborhood-level income. Data were analyzed in 2016. Results Neighborhood-level income at earlier years was negatively associated with the current density of convenience stores (β= −0.27; 95% CI: −0.16, −0.38; p<0.001). The percentage of neighborhood white population was negatively associated with fast food restaurant density in low income neighborhoods (10th percentile of income: β= −0.17; 95% CI: −0.34, −0.002; p=0.05), and the density of smaller grocery stores across all income levels (β= −0.27; 95% CI: −0.45, −0.09; p=0.003). There was a lack of policy-relevant associations between the pre-existing food environment and the current density of food outlet types, including supermarkets. Conclusions Socioeconomically-disadvantaged populations and minority populations may attract ‘unhealthy’ food outlets over time. To support equal access to healthy food outlets, the availability of ‘less healthy’ food outlets types may be relatively more important than the potential lack of supermarkets or full-service restaurants. PMID:27865651

Beyond Supermarkets: Food Outlet Location Selection in Four U.S. Cities Over Time.

PubMed

Rummo, Pasquale E; Guilkey, David K; Ng, Shu Wen; Popkin, Barry M; Evenson, Kelly R; Gordon-Larsen, Penny

2017-03-01

Understanding what influences where food outlets locate is important for mitigating disparities in access to healthy food outlets. However, few studies have examined how neighborhood characteristics influence the neighborhood food environment over time, and whether these relationships differ by neighborhood-level income. Neighborhood-level data from four U.S. cities (Birmingham, AL; Chicago, IL; Minneapolis, MN; Oakland, CA) from 1986, 1993, 1996, 2001, 2006, and 2011 were used with two-step econometric models to estimate longitudinal associations between neighborhood-level characteristics (z-scores) and the log-transformed count/km 2 (density) of food outlets within real estate-derived neighborhoods. Associations were examined with lagged neighborhood-level sociodemographics and lagged density of food outlets, with interaction terms for neighborhood-level income. Data were analyzed in 2016. Neighborhood-level income at earlier years was negatively associated with the current density of convenience stores (β= -0.27, 95% CI= -0.16, -0.38, p<0.001). The percentage of neighborhood white population was negatively associated with fast food restaurant density in low-income neighborhoods (10th percentile of income: β= -0.17, 95% CI= -0.34, -0.002, p=0.05), and the density of smaller grocery stores across all income levels (β= -0.27, 95% CI= -0.45, -0.09, p=0.003). There was a lack of policy-relevant associations between the pre-existing food environment and the current density of food outlet types, including supermarkets. Socioeconomically disadvantaged and minority populations may attract "unhealthy" food outlets over time. To support equal access to healthy food outlets, the availability of "less healthy" food outlets types may be relatively more important than the potential lack of supermarkets or full-service restaurants. Copyright © 2016 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.

Using ZIP Code Business Patterns Data to Measure Alcohol Outlet Density

PubMed Central

Matthews, Stephen A.; McCarthy, John D.; Rafail, Patrick S.

2014-01-01

Some states maintain high-quality alcohol outlet databases but quality varies by state, making comprehensive comparative analysis across US communities difficult. This study assesses the adequacy of using ZIP Code Business Patterns (ZIP-BP) data on establishments as estimates of the number of alcohol outlets by ZIP code. Specifically we compare ZIP-BP alcohol outlet counts with high-quality data from state and local records surrounding 44 college campus communities across 10 states plus the District of Columbia. Results show that a composite measure is strongly correlated (R=0.89) with counts of alcohol outlets generated from official state records. Analyses based on Generalized Estimation Equation models show that community and contextual factors have little impact on the concordance between the two data sources. There are also minimal inter-state differences in the level of agreement. To validate the use of a convenient secondary data set (ZIP-BP) it is important to have a high correlation with the more complex, high quality and more costly data product (i.e., datasets based on the acquisition and geocoding of state and local records) and then to clearly demonstrate that the discrepancy between the two to be unrelated to relevant explanatory variables. Thus our overall findings support the adequacy of using a conveniently available data set (ZIP-BP data) to estimate alcohol outlet densities in ZIP code areas in future research. PMID:21411233

Tobacco outlet density near home and school: Associations with smoking and norms among US teens

PubMed Central

Schleicher, Nina C.; Johnson, Trent O.; Fortmann, Stephen P.; Henriksen, Lisa

2016-01-01

This study examined whether living or going to school in neighborhoods with higher tobacco outlet density is associated with higher odds of cigarette smoking among teens, and with perceptions of greater smoking prevalence and peer approval. Using an Internet panel that is representative of US households, we matched data from teen-parent pairs (n=2,771, surveyed June 2011– December 2012) with environmental data about home and school neighborhoods. Density was measured as the number of tobacco outlets per square mile for a ½-mile roadway service area around each participant’s home and school. Logistic regressions tested relationships between tobacco outlet density near home and schools with ever smoking. Linear regressions tested relationships between density, perceived prevalence and peer approval. Models were adjusted for teen, parent/household and neighborhood characteristics. In total, 41.0% of US teens (ages 13–16) lived within ½ mile of a tobacco outlet, and 44.4% attended school within 1,000 feet of a tobacco outlet. Higher tobacco outlet density near home was associated with higher odds of ever smoking, although the relationship was small, OR=1.01, 95% CI (1.00,1.02). Higher tobacco outlet density near home was also associated with perceptions that more adults smoked, coef.=0.09, 95% CI (0.01,0.17). Higher tobacco outlet density near schools was not associated with any outcomes. Living in neighborhoods with higher tobacco outlet density may contribute to teen smoking by increasing access to tobacco products and by cultivating perceptions that smoking is more prevalent. Policy interventions to restrict tobacco outlet density should not be limited to school environments. PMID:27569829

Tobacco outlet density near home and school: Associations with smoking and norms among US teens.

PubMed

Schleicher, Nina C; Johnson, Trent O; Fortmann, Stephen P; Henriksen, Lisa

2016-10-01

This study examined whether living or going to school in neighborhoods with higher tobacco outlet density is associated with higher odds of cigarette smoking among teens, and with perceptions of greater smoking prevalence and peer approval. Using an Internet panel that is representative of US households, we matched data from teen-parent pairs (n=2771, surveyed June 2011-December 2012) with environmental data about home and school neighborhoods. Density was measured as the number of tobacco outlets per square mile for a ½-mile roadway service area around each participant's home and school. Logistic regressions tested relationships between tobacco outlet density near home and schools with ever smoking. Linear regressions tested relationships between density, perceived prevalence and peer approval. Models were adjusted for teen, parent/household and neighborhood characteristics. In total, 41.0% of US teens (ages 13-16) lived within ½ mile of a tobacco outlet, and 44.4% attended school within 1000ft of a tobacco outlet. Higher tobacco outlet density near home was associated with higher odds of ever smoking, although the relationship was small, OR=1.01, 95% CI (1.00, 1.02). Higher tobacco outlet density near home was also associated with perceptions that more adults smoked, coef.=0.09, 95% CI (0.01, 0.17). Higher tobacco outlet density near schools was not associated with any outcomes. Living in neighborhoods with higher tobacco outlet density may contribute to teen smoking by increasing access to tobacco products and by cultivating perceptions that smoking is more prevalent. Policy interventions to restrict tobacco outlet density should not be limited to school environments. Copyright © 2016 Elsevier Inc. All rights reserved.

Socio-Spatial Patterning of Off-Sale and On-Sale Alcohol Outlets in a Texas City

PubMed Central

Han, Daikwon; Gorman, Dennis M.

2014-01-01

Introduction and Aims To examine the socio-spatial patterning of off-sale and on-sale alcohol outlets following a policy change that ended prohibition of off-sale outlets in Lubbock, Texas. Design and Methods The spatial patterning of alcohol outlets by licensing type was examined using the k-function difference (D statistic) to compare the relative degree of spatial aggregation of the two types of alcohol outlets and by the spatial scan statistic to identify statistically significant geographic clusters of outlets. The sociodemographic characteristics of the areas containing clusters of outlets were compared to the rest of the city. In addition, the socioeconomic characteristics of census block groups with and without existing on-sale outlets were compared, as were the socioeconomic characteristics of census block groups with and without the newly issued off-sale licenses. Results The existing on-sale premises in Lubbock and the newly established off-sale premises introduced as a result of the 2009 policy change displayed different spatial patterns, with the latter being more spatially dispersed. A large cluster of on-sale outlets identified in the north-east of the city was located in a socially and economically disadvantaged area of the city. Discussion and Conclusion The findings support the view that it is important to understand the local context of deprivation within a city when examining the location of alcohol outlets and add to the existing research by drawing attention to the importance of geographic scale in assessing such relationships. PMID:24320205

Socio-spatial patterning of off-sale and on-sale alcohol outlets in a Texas city.

PubMed

Han, Daikwon; Gorman, Dennis M

2014-03-01

To examine the socio-spatial patterning of off-sale and on-sale alcohol outlets following a policy change that ended prohibition of off-sale outlets in Lubbock, Texas. The spatial patterning of alcohol outlets by licensing type was examined using the k-function difference (D statistic) to compare the relative degree of spatial aggregation of the two types of alcohol outlets and by the spatial scan statistic to identify statistically significant geographic clusters of outlets. The sociodemographic characteristics of the areas containing clusters of outlets were compared with the rest of the city. In addition, the socioeconomic characteristics of census block groups with and without existing on-sale outlets were compared, as were the socioeconomic characteristics of census block groups with and without the newly issued off-sale licenses. The existing on-sale premises in Lubbock and the newly established off-sale premises introduced as a result of the 2009 policy change displayed different spatial patterns, with the latter being more spatially dispersed. A large cluster of on-sale outlets identified in the north-east of the city was located in a socially and economically disadvantaged area of the city. The findings support the view that it is important to understand the local context of deprivation within a city when examining the location of alcohol outlets and add to the existing research by drawing attention to the importance of geographic scale in assessing such relationships. © 2013 Australasian Professional Society on Alcohol and other Drugs.

Is local alcohol outlet density related to alcohol-related morbidity and mortality in Scottish cities?

PubMed Central

Richardson, E.A.; Hill, S.E.; Mitchell, R.; Pearce, J.; Shortt, N.K.

2015-01-01

Alcohol consumption may be influenced by the local alcohol retailing environment. This study is the first to examine neighbourhood alcohol outlet availability (on- and off-sales outlets) and alcohol-related health outcomes in Scotland. Alcohol-related hospitalisations and deaths were significantly higher in neighbourhoods with higher outlet densities, and off-sales outlets were more important than on-sales outlets. The relationships held for most age groups, including those under the legal minimum drinking age, although were not significant for the youngest legal drinkers (18–25 years). Alcohol-related deaths and hospitalisations were higher in more income-deprived neighbourhoods, and the gradient in deaths (but not hospitalisations) was marginally larger in neighbourhoods with higher off-sales outlet densities. Efforts to reduce alcohol-related harm should consider the potentially important role of the alcohol retail environment. PMID:25840352

Double-outlet right ventricle: Pathology and angiocardiography.

PubMed

Freedom, Robert M.; Yoo, Shi-Joon

2000-01-01

Double-outlet right ventricle is but one form of abnormal ventriculoarterial connection. The definition that more than half of each great artery originates above the morphologically right ventricle is arbitrary. As pointed out by Lecompte, those features that should be defined in hearts with the ventriculoarterial connection of double-outlet right ventricle (and indeed other forms of abnormal ventriculoarterial connection) include the nature of the infundibular septum, ventriculoinfundibular fold, trabeculoseptomargin-alis, attachments of infundibular septum to anterior or posterior limb of trabeculoseptomargin-alis, the size and position of the ventricular septal defect, the spatial relation of great artery(s) to the ventricular septal defect, the spatial relationship between the great, and the distance between the tricuspid and pulmonary valves and the semilunar valves. Copyright 2000 by W.B. Saunders Company

24 CFR 3280.806 - Receptacle outlets.

Code of Federal Regulations, 2011 CFR

2011-04-01

... appliances, be parallel-blade, 15-ampere, 125-volt, either single or duplex. (b) All 120 volt single phase... 24 Housing and Urban Development 5 2011-04-01 2011-04-01 false Receptacle outlets. 3280.806 Section 3280.806 Housing and Urban Development Regulations Relating to Housing and Urban Development...

24 CFR 3280.806 - Receptacle outlets.

Code of Federal Regulations, 2013 CFR

2013-04-01

... appliances, be parallel-blade, 15-ampere, 125-volt, either single or duplex. (b) All 120 volt single phase... 24 Housing and Urban Development 5 2013-04-01 2013-04-01 false Receptacle outlets. 3280.806 Section 3280.806 Housing and Urban Development Regulations Relating to Housing and Urban Development...

24 CFR 3280.806 - Receptacle outlets.

Code of Federal Regulations, 2010 CFR

2010-04-01

... appliances, be parallel-blade, 15-ampere, 125-volt, either single or duplex. (b) All 120 volt single phase... 24 Housing and Urban Development 5 2010-04-01 2010-04-01 false Receptacle outlets. 3280.806 Section 3280.806 Housing and Urban Development Regulations Relating to Housing and Urban Development...

24 CFR 3280.806 - Receptacle outlets.

Code of Federal Regulations, 2012 CFR

2012-04-01

... appliances, be parallel-blade, 15-ampere, 125-volt, either single or duplex. (b) All 120 volt single phase... 24 Housing and Urban Development 5 2012-04-01 2012-04-01 false Receptacle outlets. 3280.806 Section 3280.806 Housing and Urban Development Regulations Relating to Housing and Urban Development...

Changes in density of on-premises alcohol outlets and impact on violent crime, Atlanta, Georgia, 1997-2007.

PubMed

Zhang, Xingyou; Hatcher, Bonnie; Clarkson, Lydia; Holt, James; Bagchi, Suparna; Kanny, Dafna; Brewer, Robert D

2015-05-28

Regulating alcohol outlet density is an evidence-based strategy for reducing excessive drinking. However, the effect of this strategy on violent crime has not been well characterized. A reduction in alcohol outlet density in the Buckhead neighborhood of Atlanta from 2003 through 2007 provided an opportunity to evaluate this effect. We conducted a community-based longitudinal study to evaluate the impact of changes in alcohol outlet density on violent crime in Buckhead compared with 2 other cluster areas in Atlanta (Midtown and Downtown) with high densities of alcohol outlets, from 1997 through 2002 (preintervention) to 2003 through 2007 (postintervention). The relationship between exposures to on-premises retail alcohol outlets and violent crime were assessed by using annual spatially defined indices at the census block level. Multilevel regression models were used to evaluate the relationship between changes in exposure to on-premises alcohol outlets and violent crime while controlling for potential census block-level confounders. A 3% relative reduction in alcohol outlet density in Buckhead from 1997-2002 to 2003-2007 was associated with a 2-fold greater reduction in exposure to violent crime than occurred in Midtown or Downtown, where exposure to on-premises retail alcohol outlets increased. The magnitude of the association between exposure to alcohol outlets and violent crime was 2 to 5 times greater in Buckhead than in either Midtown or Downtown during the postintervention period. A modest reduction in alcohol outlet density can substantially reduce exposure to violent crime in neighborhoods with high density of alcohol outlets. Routine monitoring of community exposure to alcohol outlets could also inform the regulation of alcohol outlet density, consistent with Guide to Community Preventive Services recommendations.

Food prices, access to food outlets and child weight.

PubMed

Powell, Lisa M; Bao, Yanjun

2009-03-01

This study examines the importance of food prices and restaurant and food store outlet availability for child body mass index (BMI). We use the 1998, 2000 and 2002 waves of the child-mother merged files from the 1979 cohort of the National Longitudinal Survey of Youth combined with fruit and vegetable and fast food price data obtained from the American Chamber of Commerce Researchers Association and outlet density data on fast food and full-service restaurants and supermarkets, grocery stores and convenience stores obtained from Dun & Bradstreet. Using a random effects estimation model, we found that a 10% increase in the price of fruits and vegetables was associated with a 0.7% increase in child BMI. Fast food prices were not found to be statistically significant in the full sample but were weakly negatively associated with BMI among adolescents with an estimated price elasticity of -0.12. The price estimates were robust to whether we controlled for outlet availability based on a per capita or per land area basis; however, the association between food outlets and child BMI differed depending on the definition. The associations of fruit and vegetable and fast food prices with BMI were significantly stronger both economically and statistically among low- versus high-socioeconomic status children. The estimated fruit and vegetable and fast food price elasticities were 0.14 and -0.26, respectively, among low-income children and 0.09 and -0.13, respectively, among children with less educated mothers.

Is local alcohol outlet density related to alcohol-related morbidity and mortality in Scottish cities?

PubMed

Richardson, E A; Hill, S E; Mitchell, R; Pearce, J; Shortt, N K

2015-05-01

Alcohol consumption may be influenced by the local alcohol retailing environment. This study is the first to examine neighbourhood alcohol outlet availability (on- and off-sales outlets) and alcohol-related health outcomes in Scotland. Alcohol-related hospitalisations and deaths were significantly higher in neighbourhoods with higher outlet densities, and off-sales outlets were more important than on-sales outlets. The relationships held for most age groups, including those under the legal minimum drinking age, although were not significant for the youngest legal drinkers (18-25 years). Alcohol-related deaths and hospitalisations were higher in more income-deprived neighbourhoods, and the gradient in deaths (but not hospitalisations) was marginally larger in neighbourhoods with higher off-sales outlet densities. Efforts to reduce alcohol-related harm should consider the potentially important role of the alcohol retail environment. Copyright © 2015 The Authors. Published by Elsevier Ltd.. All rights reserved.

Regional economic impacts of water management alternatives: the case of Devils Lake, North Dakota, USA.

PubMed

Leistritz, F Larry; Leitch, Jay A; Bangsund, Dean A

2002-12-01

Devils Lake, located in a closed basin in northeastern North Dakota has over a century-long history of highly fluctuating water levels. The lake has risen nearly 25 feet (7.7 m) since 1993, more than doubling its surface area. Rising water levels have affected rural lands, transportation routes, and communities near the lake. In response to rising lake levels, Federal, state and local agencies have adopted a three-part approach to flood damage reduction, consisting of (1) upper basin water management to reduce the amount of water reaching the lake, (2) protection for structures and infrastructure if the lake continues to rise, and (3) developing an emergency outlet to release some lake water. The purpose of this study was to provide information about the net regional economic effects of a proposed emergency outlet for Devils Lake. An input-output model was used to estimate the regional economic effects of the outlet, under two scenarios: (1) the most likely future situation (MLS) and (2) a best case situation (BCS) (i.e., where the benefits from the outlet would be greatest), albeit an unlikely one. Regional economic effects of the outlet include effects on transportation (road and railroad construction), agriculture (land kept in production, returned to production sooner, or kept in production longer), residential relocations, and outlet construction expenditures. Effects are measured as changes in gross business volume (gross receipts) for various sectors, secondary employment, and local tax collections. The net regional economic effects of the proposed outlet would be relatively small, and consideration of these economic impacts would not strengthen the case for an outlet.

The relationship between liquor outlet density and injury and violence in New Mexico.

PubMed

Escobedo, Luis G; Ortiz, Melchor

2002-09-01

This study used an ecologic design based on data from 1990 to 1994 gathered from forensic, vital statistic, census, law enforcement and liquor licensing agencies to assess the relationship between liquor outlet density and alcohol-related health outcomes in New Mexico. Linear regression models show that suicide, alcohol-related crash, and alcohol-related crash fatality (adjusted for age, sex, and minority status) are significantly associated with liquor outlet density. Data also show that, compared with the first tertile, suicide and alcohol-related crash rates increase about 50% and the alcohol-related crash fatality rate two-fold with the third tertile of liquor outlet density. Greater availability of liquor outlets is associated with higher rates of suicide, alcohol-related crash, and alcohol-related crash fatality.

Insights into the availability and distribution of oral artemisinin monotherapy in Myanmar: evidence from a nationally representative outlet survey.

PubMed

Thein, Si Thu; Khin, Hnin Su Su; Thi, Aung

2017-04-25

The containment of artemisinin resistance in Myanmar, historically an important probable origin and route of anti-malarial resistance to the India sub-continent and beyond, is crucial to global malaria control and elimination. This paper describes what is currently known about the sale and distribution of oral artemisinin monotherapy (AMT) across Myanmar, where this medicine is commonly found. A nationally representative 2015 outlet survey was conducted in the private sector, and among community health workers across four geographical domains. A national sample of outlets was screened for availability of malaria testing and treatment, and an audit was completed for all anti-malarials. A total of 3859 outlets across Myanmar had an anti-malarial in stock on the day of survey. Of the 3859 anti-malarial stocking outlets, 988 outlets stocked oral AMT. Availability of oral AMT was highest among outlets in the Western border (36.8%) versus other domains (Eastern, 15.0%; Central, 19.3% Coastal, 10.7%). Over 90% of the oral AMT service delivery points were private sector outlets: general retailers (49.4%), pharmacies (23.5%), and itinerant drug vendors (14.2%). Eleven unique oral AMT products were audited. The most common product audited was Artesunate ® , manufactured by Mediplantex in Vietnam, which accounted for 79.9% of the oral AMT market share. Other oral AMT products were manufactured in China and in Myanmar. Over 60% of oral AMT products had a shelf life at purchase of greater than 2 years and only 14.7% were expired. The median number of oral AMT tablets typically dispensed to treat malaria was two tablets, approximately one tenth of a full adult course. The median price of a 50 mg tablet was $0.16. Given the high availability and distribution of oral AMT, it is possible that Myanmar has become the last remaining viable market for any oral AMT in the region for manufacturers. National and international organizations need to act quickly and effectively to stop

Using ZIP code business patterns data to measure alcohol outlet density.

PubMed

Matthews, Stephen A; McCarthy, John D; Rafail, Patrick S

2011-07-01

Some states maintain high-quality alcohol outlet databases but quality varies by state, making comprehensive comparative analysis across US communities difficult. This study assesses the adequacy of using ZIP Code Business Patterns (ZIP-BP) data on establishments as estimates of the number of alcohol outlets by ZIP code. Specifically we compare ZIP-BP alcohol outlet counts with high-quality data from state and local records surrounding 44 college campus communities across 10 states plus the District of Columbia. Results show that a composite measure is strongly correlated (R=0.89) with counts of alcohol outlets generated from official state records. Analyses based on Generalized Estimation Equation models show that community and contextual factors have little impact on the concordance between the two data sources. There are also minimal inter-state differences in the level of agreement. To validate the use of a convenient secondary data set (ZIP-BP) it is important to have a high correlation with the more complex, high quality and more costly data product (i.e., datasets based on the acquisition and geocoding of state and local records) and then to clearly demonstrate that the discrepancy between the two to be unrelated to relevant explanatory variables. Thus our overall findings support the adequacy of using a conveniently available data set (ZIP-BP data) to estimate alcohol outlet densities in ZIP code areas in future research. Copyright © 2011 Elsevier Ltd. All rights reserved.

Sociodemographic Disparities in Proximity of Schools to Tobacco Outlets and Fast-Food Restaurants

PubMed Central

Ammerman, Alice; Gordon-Larsen, Penny; Linnan, Laura; Lytle, Leslie; Ribisl, Kurt M.

2016-01-01

Objectives. To examine the association of school sociodemographic characteristics with tobacco outlet and fast-food restaurant availability near schools in a national study. Methods. Business lists and data from the National Center for Education Statistics were used to calculate the numbers of tobacco outlets and fast-food restaurants within 800 meters of public schools in 97 US counties. Results. More than 50% of schools with a majority of Hispanic students had both a fast-food restaurant and tobacco outlet nearby, compared with 21% of schools with a majority of White students. In adjusted models, each 10% increase in the number of low-income and Hispanic students enrolled in a school led to a 3% to 5% increase in the odds of the school having both a fast-food restaurant and a tobacco outlet nearby. Conclusions. Low-income and Hispanic students are disproportionately exposed to both tobacco outlets and fast-food restaurants near their schools. Easy access to tobacco products and fast food may influence youth smoking initiation and contribute to poor dietary intake. PMID:27459453

Sociodemographic Disparities in Proximity of Schools to Tobacco Outlets and Fast-Food Restaurants.

PubMed

D'Angelo, Heather; Ammerman, Alice; Gordon-Larsen, Penny; Linnan, Laura; Lytle, Leslie; Ribisl, Kurt M

2016-09-01

To examine the association of school sociodemographic characteristics with tobacco outlet and fast-food restaurant availability near schools in a national study. Business lists and data from the National Center for Education Statistics were used to calculate the numbers of tobacco outlets and fast-food restaurants within 800 meters of public schools in 97 US counties. More than 50% of schools with a majority of Hispanic students had both a fast-food restaurant and tobacco outlet nearby, compared with 21% of schools with a majority of White students. In adjusted models, each 10% increase in the number of low-income and Hispanic students enrolled in a school led to a 3% to 5% increase in the odds of the school having both a fast-food restaurant and a tobacco outlet nearby. Low-income and Hispanic students are disproportionately exposed to both tobacco outlets and fast-food restaurants near their schools. Easy access to tobacco products and fast food may influence youth smoking initiation and contribute to poor dietary intake.

14 CFR 27.977 - Fuel tank outlet.

Code of Federal Regulations, 2012 CFR

2012-01-01

... STANDARDS: NORMAL CATEGORY ROTORCRAFT Powerplant Fuel System § 27.977 Fuel tank outlet. (a) There must be a... rotorcraft, prevent the passage of any object that could restrict fuel flow or damage any fuel system...] Fuel System Components ...

14 CFR 27.977 - Fuel tank outlet.

Code of Federal Regulations, 2010 CFR

2010-01-01

... STANDARDS: NORMAL CATEGORY ROTORCRAFT Powerplant Fuel System § 27.977 Fuel tank outlet. (a) There must be a... rotorcraft, prevent the passage of any object that could restrict fuel flow or damage any fuel system...] Fuel System Components ...

14 CFR 27.977 - Fuel tank outlet.

Code of Federal Regulations, 2014 CFR

2014-01-01

... STANDARDS: NORMAL CATEGORY ROTORCRAFT Powerplant Fuel System § 27.977 Fuel tank outlet. (a) There must be a... rotorcraft, prevent the passage of any object that could restrict fuel flow or damage any fuel system...] Fuel System Components ...

14 CFR 27.977 - Fuel tank outlet.

Code of Federal Regulations, 2011 CFR

2011-01-01

... STANDARDS: NORMAL CATEGORY ROTORCRAFT Powerplant Fuel System § 27.977 Fuel tank outlet. (a) There must be a... rotorcraft, prevent the passage of any object that could restrict fuel flow or damage any fuel system...] Fuel System Components ...

14 CFR 27.977 - Fuel tank outlet.

Code of Federal Regulations, 2013 CFR

2013-01-01

... STANDARDS: NORMAL CATEGORY ROTORCRAFT Powerplant Fuel System § 27.977 Fuel tank outlet. (a) There must be a... rotorcraft, prevent the passage of any object that could restrict fuel flow or damage any fuel system...] Fuel System Components ...

Pseudo-Underage Assessment of Compliance With Identification Regulations at Retail Marijuana Outlets in Colorado

PubMed Central

Buller, David B.; Woodall, W. Gill; Saltz, Robert; Starling, Randall

2016-01-01

Objective: Four states are creating a regulated industry for the retail sale of cannabis products. This pilot study assessed refusal rates of sales to underage-appearing individuals without valid identification (ID) at retail outlets in Colorado. Method: State-licensed retail marijuana outlets (n = 20) in Colorado were included in the sample. Pseudo-underage assessment teams of a buyer and an observer visited each retail outlet once between 11 a.m. and 5 p.m. on four weekdays in August 2015. The observer entered first, performed an unobtrusive environmental scan, and recorded the outcome of the purchase attempt. The buyer attempted to enter the outlet and purchase a cannabis product. If asked for an ID, they did not present one. Once inside, if the clerk offered to sell cannabis, the buyer declined, saying they had insufficient cash, and departed. Results: Most outlets sold both retail and medical marijuana (75%). All outlets (100%) asked the buyer to show an ID. Only one outlet was willing to sell marijuana to the pseudo-underage buyer after the buyer did not provide an ID (95% refusal rate). All outlets (100%) had posted signs stating that an ID was required for entry; approximately half had signs that only individuals 21 years of age or older could enter (55%) and how to properly use marijuana edibles (50%). Conclusions: Compliance with laws restricting marijuana sales to individuals age 21 years or older with a valid ID was extremely high and possibly higher than compliance with restrictions on alcohol sales. The retail market at present may not be a direct source of marijuana for underage individuals, but future research should investigate indirect sales. PMID:27797687

The association between alcohol outlet accessibility and adverse birth outcomes: A retrospective cohort study.

PubMed

Seabrook, J A; Woods, N; Clark, A; de Vrijer, B; Penava, D; Gilliland, J

2018-01-01

Alcohol outlet accessibility is positively associated with alcohol consumption, although this relationship has not been thoroughly examined in pregnant women. The present study examines the relationship between proximity and density of alcohol outlets and risk for low birth weight (LBW: <2,500 grams) and preterm birth (PTB: <37 weeks gestational age), and is the first Canadian study to investigate this association. Maternal accessibility to alcohol outlets was specified using a gravity-type measure of accessibility, which provides the amount of accessibility that a given household has to liquor stores within 30-minutes of their home. All singleton newborns without congenital anomalies that were born between February 2009 and February 2014 at London Health Sciences Centre in London, Ontario, were included in this cohort. The sample consisted of 25,734 live births, of which 5.8% were LBW and 7.6% were PTB. Only 2.0% of women reported alcohol use during pregnancy. Alcohol outlet gravity was positively correlated with the percentage of mothers living in poverty (rs = 0.33, p < 0.001) and in single-parent families (rs = 0.39, p < 0.001), and who self-identify as visible minorities (rs = 0.45, p < 0.001). Alcohol outlet gravity increased the odds that mothers drank alcohol during pregnancy (OR 1.05; 95% CI: 1.02, 1.07), although the association was weak. Furthermore, alcohol outlet gravity did not increase the likelihood of a LBW or PTB infant. Women with high accessibility to alcohol outlets are more likely to consume alcohol during pregnancy, but greater alcohol outlet accessibility does not translate into poor birth outcomes.

Pseudo-Underage Assessment of Compliance With Identification Regulations at Retail Marijuana Outlets in Colorado.

PubMed

Buller, David B; Woodall, W Gill; Saltz, Robert; Starling, Randall

2016-11-01

Four states are creating a regulated industry for the retail sale of cannabis products. This pilot study assessed refusal rates of sales to underage-appearing individuals without valid identification (ID) at retail outlets in Colorado. State-licensed retail marijuana outlets (n = 20) in Colorado were included in the sample. Pseudo-underage assessment teams of a buyer and an observer visited each retail outlet once between 11 A.M. and 5 P.M. on four weekdays in August 2015. The observer entered first, performed an unobtrusive environmental scan, and recorded the outcome of the purchase attempt. The buyer attempted to enter the outlet and purchase a cannabis product. If asked for an ID, they did not present one. Once inside, if the clerk offered to sell cannabis, the buyer declined, saying they had insufficient cash, and departed. Most outlets sold both retail and medical marijuana (75%). All outlets (100%) asked the buyer to show an ID. Only one outlet was willing to sell marijuana to the pseudo-underage buyer after the buyer did not provide an ID (95% refusal rate). All outlets (100%) had posted signs stating that an ID was required for entry; approximately half had signs that only individuals 21 years of age or older could enter (55%) and how to properly use marijuana edibles (50%). Compliance with laws restricting marijuana sales to individuals age 21 years or older with a valid ID was extremely high and possibly higher than compliance with restrictions on alcohol sales. The retail market at present may not be a direct source of marijuana for underage individuals, but future research should investigate indirect sales.

Association Between Alcohol Use Among College Students and Alcohol Outlet Proximity and Densities.

PubMed

Tanumihardjo, Jacob; Shoff, Suzanne M; Koenings, Mallory; Zhang, Zhumin; Lai, HuiChuan J

2015-08-01

Alcohol consumption is common on college campuses and is associated with negative consequences. Factors associated with availability of alcohol are not completely understood. To describe how proximity and density of alcohol outlets are associated with any drinking and binge drinking in students at the University of Wisconsin-Madison. Participants were full-time students enrolled in the Young Adults Eating and Active for Health, a multisite, randomized intervention that assessed a variety of health behaviors. Geographic information systems were used to calculate proximity and enumerate alcohol outlet densities. Participants were categorized as "drinkers" or "nondrinkers" based on self-reported alcohol consumption. Binge drinking was categorized as "non-binge drinker," "frequent binge drinker," and "excessive binge drinker." Analysis included regression, t tests, and chi-square tests. RESULTS. Among the 166 participants, 126 (76%) were drinkers. Among drinkers, 80 (63%) were either frequent or excessive binge drinkers. Drinkers lived closer to an alcohol outlet than non-drinkers (0.18 +/- 0.15 vs. 0.61 +/- 1.59 miles, respectively, P=0.005). Within a 1-mile walking radius, there were 47% more establishments for drinkers (153 +/- 47 compared to 104 +/- 55 outlets for nondrinkers, P<0.0001). At distances of 0.10-0.25 and 0.25-0.50 miles, twice as many outlets were available to drinkers (19 +/- 19 and 43 +/- 25, respectively) compared to nondrinkers (7 +/- 11 and 20 +/- 22, respectively), P<0.001. Proximity and density were hot associated with binge drinking frequency. Drinkers lived closer to alcohol outlets and had significantly more outlets available at a distance of up to 1 mile. Municipal and college administrators could consider limiting alcohol license distributions in municipalities with high alcohol consumption.

Occurrence and seasonal variations of per- and polyfluoroalkyl substances (PFASs) including fluorinated alternatives in rivers, drain outlets and the receiving Bohai Sea of China.

PubMed

Chen, Hong; Han, Jianbo; Zhang, Can; Cheng, Jiayi; Sun, Ruijun; Wang, Xiaomeng; Han, Gengchen; Yang, Wenchao; He, Xin

2017-12-01

A simultaneous sampling campaign was undertaken to study the pollution by 21 per- and polyfluoroalkyl substances (PFASs) in rivers, drain outlets and their receiving Bohai Sea of China. Chlorinated polyfluoroalkyl ether sulfonic acids (Cl-PFESAs) are being used as fluorinated alternatives and they were included in this study. In comparison with other regions and countries, high concentrations of ∑ 21 PFASs in seawater samples from the Bohai Sea, ranging from 5.03 to 41 700 ng/L (median: 64.8 ng/L), were observed. The spatial distribution of PFAS levels in this sea area was in the ranking of Laizhou Bay > Liaodong Bay > Bohai Bay > other sea areas. By comparing the levels and composition profiles of PFASs in the seawater and their sources (rivers and drain outlets), it was concluded that rivers and drain outlets are the primary sources of PFAS contamination to the Bohai Sea. These PFAS levels varied seasonally among the rivers and drain outlets, but statistically significant changes were not observed. Levels of 6:2 and 8:2 Cl-PFESAs in rivers, drain outlets and receiving sea were firstly reported in the present study. Relatively high concentrations of 6:2 Cl-PFESA were found in drain outlets, ranging from below method limits of quantification (MLQ) to 7600 ng/L, but 8:2 Cl-PFAES detection was infrequent and all median concentration below MLQ. Mass discharges to the sea of 6:2 Cl-PFESA from rivers and drain outlets to the sea were estimated to be 37 and 17 kg/y, respectively. Copyright © 2017. Published by Elsevier Ltd.

Proximity to Fast-Food Outlets and Supermarkets as Predictors of Fast-Food Dining Frequency.

PubMed

Athens, Jessica K; Duncan, Dustin T; Elbel, Brian

2016-08-01

This study used cross-sectional data to test the independent relationship of proximity to chain fast-food outlets and proximity to full-service supermarkets on the frequency of mealtime dining at fast-food outlets in two major urban areas, using three approaches to define access. Interactions between presence of a supermarket and presence of fast-food outlets as predictors of fast-food dining were also tested. Residential intersections for respondents in point-of-purchase and random-digit-dial telephone surveys of adults in Philadelphia, PA, and Baltimore, MD, were geocoded. The count of fast-food outlets and supermarkets within quarter-mile, half-mile, and 1-mile street network buffers around each respondent's intersection was calculated, as well as distance to the nearest fast-food outlet and supermarket. These variables were regressed on weekly fast-food dining frequency to determine whether proximity to fast food and supermarkets had independent and joint effects on fast-food dining. The effect of access to supermarkets and chain fast-food outlets varied by study population. Among telephone survey respondents, supermarket access was the only significant predictor of fast-food dining frequency. Point-of-purchase respondents were generally unaffected by proximity to either supermarkets or fast-food outlets. However, ≥1 fast-food outlet within a 1-mile buffer was an independent predictor of consuming more fast-food meals among point-of-purchase respondents. At the quarter-mile distance, ≥1 supermarket was predictive of fewer fast-food meals. Supermarket access was associated with less fast-food dining among telephone respondents, whereas access to fast-food outlets were associated with more fast-food visits among survey respondents identified at point-of-purchase. This study adds to the existing literature on geographic determinants of fast-food dining behavior among urban adults in the general population and those who regularly consume fast food. Copyright �

Endoscopic stenting versus operative gastrojejunostomy for malignant gastric outlet obstruction.

PubMed

Chandrasegaram, Manju D; Eslick, Guy D; Mansfield, Clare O; Liem, Han; Richardson, Mark; Ahmed, Sulman; Cox, Michael R

2012-02-01

Malignant gastric outlet obstruction represents a terminal stage in pancreatic cancer. Between 5% and 25% of patients with pancreatic cancer ultimately experience malignant gastric outlet obstruction. The aim in palliating patients with malignant gastric outlet obstruction is to reestablish an oral intake by restoring gastrointestinal continuity. This ultimately improves their quality of life in the advanced stages of cancer. The main drawback to operative bypass is the high incidence of delayed gastric emptying, particularly in this group of patients with symptomatic obstruction. This study aimed to compare surgical gastrojejunostomy and endoscopic stenting in palliation of malignant gastric outlet obstruction, acknowledging the diversity and heterogeneity of patients with this presentation. This retrospective study investigated patients treated for malignant gastric outlet obstruction from December 1998 to November 2008 at Nepean Hospital, Sydney, Australia. Endoscopic duodenal stenting was performed under fluoroscopic guidance for placement of the stent. The operative patients underwent open surgical gastrojejunostomy. The outcomes assessed included time to diet, hospital length of stay (LOS), biliary drainage procedures, morbidity, and mortality. Of the 45 participants in this study, 26 underwent duodenal stenting and 19 had operative bypass. Comparing the stenting and operative patients, the median time to fluid intake was respectively 0 vs. 7 days (P < 0.001), and the time to intake of solids was 2 vs. 9 days (P = 0.004). The median total LOS was shorter in the stenting group (11 vs. 25 days; P < 0.001), as was the median postprocedure LOS (5 vs. 10 days; P = 0.07). Endoscopic stenting is preferable to operative gastrojejunostomy in terms of shorter LOS, faster return to fluids and solids, and reduced morbidity and in-hospital mortality for patients with a limited life span.

Patterning of neighbourhood food outlets and longitudinal associations with children's eating behaviours.

PubMed

Timperio, Anna; Crawford, David; Leech, Rebecca M; Lamb, Karen E; Ball, Kylie

2018-06-01

This study examined cross-sectional and prospective associations between typologies of neighbourhood food environment and dietary patterns among 10-12 year-old children. Baseline data were collected in 2003 and follow-up data in 2006 from children in Melbourne or Geelong. Parents completed a food frequency questionnaire at both time points. 'Healthful' and 'energy-dense' dietary pattern scores were computed. A Geographic Information System was used to determine the presence or absence of food outlets (cafés/restaurant; fast food; supermarkets/grocery stores; convenience store; greengrocer; and butcher, seafood or poultry retailer) within an 800 m road network buffer of home. Three typologies were identified: 1-variety of food outlets, including those selling core/fresh foods (n = 96); 2-café/restaurant and convenience (n = 160); 3-few types of outlets (n = 208). Latent class analysis was used to identify underlying unobservable typologies of neighbourhood food outlet availability. Linear mixed models were fitted to determine cross-sectional (n = 439) and longitudinal (n = 173) associations between the three identified neighbourhood typologies and each (log-transformed) dietary pattern, accounting for clustering within families and schools. There was little evidence of cross-sectional associations. The longitudinal analyses showed that compared to those with a variety of food outlets, those with few types had 25% lower scores for the healthful dietary pattern (p < 0.05) three years later. For optimal dietary patterns, availability of a variety of food outlets close to home, particularly those where core/fresh foods are available, may be important. Copyright © 2018 Elsevier Inc. All rights reserved.

Integral collector storage system with heat exchange apparatus

DOEpatents

Rhodes, Richard O.

2004-04-20

The present invention relates to an integral solar energy collector storage systems. Generally, an integral collector storage system includes a tank system, a plurality of heat exchange tubes with at least some of the heat exchange tubes arranged within the tank system, a first glazing layer positioned over the tank system and a base plate positioned under the tank system. In one aspect of the invention, the tank system, the first glazing layer an the base plate each include protrusions and a clip is provided to hold the layers together. In another aspect of the invention, the first glazing layer and the base plate are ribbed to provide structural support. This arrangement is particularly useful when these components are formed from plastic. In yet another aspect of the invention, the tank system has a plurality of interconnected tank chambers formed from tubes. In this aspect, a supply header pipe and a fluid return header pipe are provided at a first end of the tank system. The heat exchange tubes have inlets coupled to the supply header pipe and outlets coupled to the return header pipe. With this arrangement, the heat exchange tubes may be inserted into the tank chambers from the first end of the tank system.

Tobacco outlet density and tobacco knowledge, beliefs, purchasing behaviours and price among adolescents in Scotland.

PubMed

Tunstall, Helena; Shortt, Niamh K; Niedzwiedz, Claire L; Richardson, Elizabeth A; Mitchell, Richard J; Pearce, Jamie R

2018-06-01

Despite long-term falls in global adult smoking prevalence and over 50 years of tobacco control policies, adolescent smoking persists. Research suggests greater densities of tobacco retail outlets in residential neighbourhoods are associated with higher adolescent smoking rates. Policies to reduce retail outlets have therefore been identified by public health researchers as a potential 'new frontier' in tobacco control. Better understanding of the pathways linking density of tobacco retailers and smoking behaviour could support these policies. In this study we use path analysis to assess how outlet density in the home environment is related to adolescent tobacco knowledge, beliefs, retail purchases and price in Scotland. We assessed 22,049 13 and 15 year old respondents to the nationally representative cross-sectional 2010 Scottish School Adolescent Lifestyle and Substance Use Survey. Outlet density was based on Scottish Tobacco Retailers Register, 2012, data. A spatially-weighted Kernel Density Estimation measure of outlet density within 400 m of respondents' home postcode was grouped into tertiles. The analysis considered whether outlet density was associated with the number of cigarette brands adolescents could name, positive beliefs about smoking, whether smokers purchased cigarettes from shops themselves or through adult proxies and perceived cost of cigarettes. Models were stratified by adolescent smoking status. The path analyses indicated that outlet density was not associated with most outcomes, but small, significant direct effects on knowledge of cigarette brands among those who had never smoked were observed. With each increase in outlet density tertile the mean number of brands adolescents could name rose by 0.07 (mean = 1.60; SD = 1.18; range = 4). This suggests greater outlet densities may have affected adolescents' knowledge of cigarette brands but did not encourage positive attitudes to smoking, purchases from shops or lower cigarette

The inequitable distribution of tobacco outlet density: the role of income in two Black Mid-Atlantic geopolitical areas.

PubMed

Fakunle, D O; Milam, A J; Furr-Holden, C D; Butler, J; Thorpe, R J; LaVeist, T A

2016-07-01

Studies have shown that communities with higher concentrations of low-income racial and ethnic minorities correlate with a greater presence of tobacco outlets. Community-level income has consistently been among the strongest predictors of tobacco outlet density. This study analyzes two Maryland geopolitical areas with similar racial concentrations yet differing income levels in an attempt to disentangle the race-income relationship with tobacco outlet density. In this cross-sectional examination of tobacco outlet and census tract-level sociodemographic data, Baltimore City, Maryland, and Prince George's County, Maryland, were geocoded to determine tobacco outlet density. Tobacco outlet density was defined as the mean number of tobacco outlets per 1000 persons per census tract. Comparisons of tobacco outlet density and sociodemographic variables were analysed via two-sample t-tests, and the direct effect of sociodemographic variables on tobacco outlet density for each area was analysed via spatial lag regressions. Prince George's County, the area with the higher income level ($77,190 vs $43,571), has a significantly lower tobacco outlet density than Baltimore City (P < 0.001). Prince George's County has a 67.5% Black population and an average of 3.94 tobacco outlets per 1000 persons per tract. By contrast, Baltimore City has a 65.3% Black population and an average of 7.95 tobacco outlets per 1000 persons per tract. Spatial lag regression model results indicate an inverse relationship between income and tobacco outlet density in Baltimore City and Prince George's County (β = -0.03, P < 0.01 &β = -0.01, P = 0.02, respectively), and a significant interaction term indicating a greater magnitude in the relationship between income and tobacco outlet density in Baltimore City (β = -0.05, P < 0.01). Results suggest that higher socio-economic status, even in primarily underrepresented racial and ethnic geopolitical areas, is linked to lower tobacco outlet

Land And Forest Area Changes In The Vicinity Of The Mississippi River Gulf Outlet, Central Wetlands Region, 1935-2010

DTIC Science & Technology

2012-03-01

Abstract: As part of the overall Mississippi River Gulf Outlet (MRGO) Ecosystem Restoration Study , the Central Wetlands Unit (CWU) is a critical coastal...The CWU AU data set was digitized in a vector polygon format using ESRI ArcGIS ® software (Environmental Systems Research Institute, Redlands, CA). The...Terrebonne, and Mississippi River Delta basins . The majority of land loss observed in the CWU occurred within the 1935-1958, 1965-1978, and 2004-2006

49 CFR 179.100-14 - Bottom outlets.

Code of Federal Regulations, 2010 CFR

2010-10-01

... Transportation Other Regulations Relating to Transportation PIPELINE AND HAZARDOUS MATERIALS SAFETY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION HAZARDOUS MATERIALS REGULATIONS SPECIFICATIONS FOR TANK CARS Specifications for Pressure Tank Car Tanks (Classes DOT-105, 109, 112, 114 and 120) § 179.100-14 Bottom outlets...

49 CFR 179.103-5 - Bottom outlets.

Code of Federal Regulations, 2010 CFR

2010-10-01

... Transportation Other Regulations Relating to Transportation PIPELINE AND HAZARDOUS MATERIALS SAFETY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION HAZARDOUS MATERIALS REGULATIONS SPECIFICATIONS FOR TANK CARS Specifications for Pressure Tank Car Tanks (Classes DOT-105, 109, 112, 114 and 120) § 179.103-5 Bottom outlets...

Density of tobacco retail outlets near schools and smoking behaviour among secondary school students.

PubMed

Scully, Maree; McCarthy, Molly; Zacher, Meghan; Warne, Charles; Wakefield, Melanie; White, Victoria

2013-12-01

To investigate whether the density of tobacco retail outlets near schools in Victoria, Australia, is associated with adolescent smoking behaviour. Cross-sectional survey data of 2,044 secondary school students aged 12-17 years was combined with tobacco outlet audit data. Associations between students' self-reported tobacco use and the density of tobacco outlets near schools was examined using multilevel logistic and negative binomial regression models, with cigarette price at local milk bars and key socio-demographic and school-related variables included as covariates. Increased tobacco retail outlet density was associated with a significant increase in the number of cigarettes smoked in the previous seven days among students who smoked in the past month (IRR=1.13; 95% CI 1.02-1.26), but not the odds of smoking in the past month in the larger sample (OR=1.06; 95% CI 0.90-1.24), after controlling for local mean price of cigarettes and socio-demographic and school-related variables. This study suggests there is a positive association between tobacco retail outlet density and cigarette consumption among adolescent smokers, but not smoking prevalence, in the Australian context. There is value in considering policy measures that restrict the supply of tobacco retail outlets in school neighbourhoods as a means of reducing youth cigarette consumption.

Giant Hepatic Hemangioma Presenting as Gastric Outlet Obstruction

PubMed Central

Aydin, Cemalettin; Akbulut, Sami; Kutluturk, Koray; Kahraman, Aysegul; Kayaalp, Cuneyt; Yilmaz, Sezai

2013-01-01

Hemangioma, a most frequently encountered primary benign tumor of the liver, is generally determined incidentally during the course of radiologic tests for other reasons. Most lesions are less than 3 cm and a significant proportion of patients are asymptomatic, although the size and location of the lesion in some patients may be associated with the onset of symptoms. Pressure on the stomach and duodenum of giant hemagiomas developing in the left lobe of the liver, in particular, may result in the development of abdominal pain, nausea, vomiting, and feeling bloated, which are characteristic of a gastric outlet obstruction. A 42-year-old man presented with findings of gastric outlet obstruction and weight loss as a result of a giant hepatic hemangioma. PMID:23438272

Distances to on- and off-premise alcohol outlets and experiences of alcohol-related amenity problems.

PubMed

Wilkinson, Claire; Livingston, Michael

2012-06-01

There are a number of studies in recent years that have examined the relationship of alcohol outlets to the incidence of alcohol-related problems. Only a small number of these studies examine the types of alcohol-related problems which may be considered amenity problems, such as neighbourhood disturbance, litter and noise. This paper examines the association between the proximity of someone's home to alcohol outlets and their experience of public amenity problems. Data came from an Australian general population survey: the Alcohol's Harm to Others Survey (2008). Two thousand six hundred and forty-nine Australians aged 18 years and over were asked about their experiences of a number of amenity-type problems and the distance they lived to the nearest on- and off-premise alcohol outlet. Bivariate results showed that respondents living closer to on- and off-premise outlets reported more problems, with minor differences by distance to on- and off-premise outlet. In multivariate logistic regression analyses, controlling for possible confounding effects of the respondent and neighbourhood characteristics, living closer to on-premise outlets was independently associated with reporting being kept awake or disturbed at night and living closer to an off-premise outlet was independently associated with reporting property damage. A possible interpretation of the results is that respondents living close to on- and off-premise outlets experience more amenity problems than those living further away, but that these experiences are concentrated among demographic groups who live in these areas. Direction of influence cannot be inferred from these cross-sectional findings. © 2011 Australasian Professional Society on Alcohol and other Drugs.

A Document-Based EHR System That Controls the Disclosure of Clinical Documents Using an Access Control List File Based on the HL7 CDA Header.

PubMed

Takeda, Toshihiro; Ueda, Kanayo; Nakagawa, Akito; Manabe, Shirou; Okada, Katsuki; Mihara, Naoki; Matsumura, Yasushi

2017-01-01

Electronic health record (EHR) systems are necessary for the sharing of medical information between care delivery organizations (CDOs). We developed a document-based EHR system in which all of the PDF documents that are stored in our electronic medical record system can be disclosed to selected target CDOs. An access control list (ACL) file was designed based on the HL7 CDA header to manage the information that is disclosed.

49 CFR 179.220-18 - Bottom outlets.

Code of Federal Regulations, 2012 CFR

2012-10-01

... Transportation Other Regulations Relating to Transportation (Continued) PIPELINE AND HAZARDOUS MATERIALS SAFETY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) SPECIFICATIONS FOR TANK CARS Specifications for Non-Pressure Tank Car Tanks (Classes DOT-111AW and 115AW) § 179.220-18 Bottom outlets. (a) The inner container...

49 CFR 179.103-5 - Bottom outlets.

Code of Federal Regulations, 2013 CFR

2013-10-01

... Transportation Other Regulations Relating to Transportation (Continued) PIPELINE AND HAZARDOUS MATERIALS SAFETY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) SPECIFICATIONS FOR TANK CARS Specifications for Pressure Tank Car Tanks (Classes DOT-105, 109, 112, 114 and 120) § 179.103-5 Bottom outlets. (a) In addition to...

49 CFR 179.103-5 - Bottom outlets.

Code of Federal Regulations, 2014 CFR

2014-10-01

... Transportation Other Regulations Relating to Transportation (Continued) PIPELINE AND HAZARDOUS MATERIALS SAFETY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) SPECIFICATIONS FOR TANK CARS Specifications for Pressure Tank Car Tanks (Classes DOT-105, 109, 112, 114 and 120) § 179.103-5 Bottom outlets. (a) In addition to...

49 CFR 179.103-5 - Bottom outlets.

Code of Federal Regulations, 2011 CFR

2011-10-01

... Transportation Other Regulations Relating to Transportation (Continued) PIPELINE AND HAZARDOUS MATERIALS SAFETY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) SPECIFICATIONS FOR TANK CARS Specifications for Pressure Tank Car Tanks (Classes DOT-105, 109, 112, 114 and 120) § 179.103-5 Bottom outlets. (a) In addition to...

49 CFR 178.255-5 - Bottom discharge outlets.

Code of Federal Regulations, 2010 CFR

2010-10-01

... closure at it lower end. Each valve or plug shall be designed to insure against unseating due to stresses or shocks incident to transportation. Bottom outlets shall be adequately protected against handling...

Association Between Distance From Home to Tobacco Outlet and Smoking Cessation and Relapse.

PubMed

Pulakka, Anna; Halonen, Jaana I; Kawachi, Ichiro; Pentti, Jaana; Stenholm, Sari; Jokela, Markus; Kaate, Ilkka; Koskenvuo, Markku; Vahtera, Jussi; Kivimäki, Mika

2016-10-01

Reduced availability of tobacco outlets is hypothesized to reduce smoking, but longitudinal evidence on this issue is scarce. To examine whether changes in distance from home to tobacco outlet are associated with changes in smoking behaviors. The data from 2 prospective cohort studies included geocoded residential addresses, addresses of tobacco outlets, and responses to smoking surveys in 2008 and 2012 (the Finnish Public Sector [FPS] study, n = 53 755) or 2003 and 2012 (the Health and Social Support [HeSSup] study, n = 11 924). All participants were smokers or ex-smokers at baseline. We used logistic regression in between-individual analyses and conditional logistic regression in case-crossover design analyses to examine change in walking distance from home to the nearest tobacco outlet as a predictor of quitting smoking in smokers and smoking relapse in ex-smokers. Study-specific estimates were pooled using fixed-effect meta-analysis. Walking distance from home to the nearest tobacco outlet. Quitting smoking and smoking relapse as indicated by self-reported current and previous smoking at baseline and follow-up. Overall, 20 729 men and women (age range 18-75 years) were recruited. Of the 6259 and 2090 baseline current smokers, 1744 (28%) and 818 (39%) quit, and of the 8959 and 3421 baseline ex-smokers, 617 (7%) and 205 (6%) relapsed in the FPS and HeSSup studies, respectively. Among the baseline smokers, a 500-m increase in distance from home to the nearest tobacco outlet was associated with a 16% increase in odds of quitting smoking in the between-individual analysis (pooled odds ratio, 1.16; 95% CI, 1.05-1.28) and 57% increase in within-individual analysis (pooled odds ratio, 1.57; 95% CI, 1.32-1.86), after adjusting for changes in self-reported marital and working status, substantial worsening of financial situation, illness in the family, and own health status. Increase in distance to the nearest tobacco outlet was not associated with smoking

Numerical Study of Outlet Boundary Conditions for Unsteady Turbulent Internal Flows Using the NCC

NASA Technical Reports Server (NTRS)

Liu, Nan-Suey; Shih, Tsan-Hsing

2009-01-01

This paper presents the results of studies on the outlet boundary conditions for turbulent internal flow simulations. Several outlet boundary conditions have been investigated by applying the National Combustion Code (NCC) to the configuration of a LM6000 single injector flame tube. First of all, very large eddy simulations (VLES) have been performed using the partially resolved numerical simulation (PRNS) approach, in which both the nonlinear and linear dynamic subscale models were employed. Secondly, unsteady Reynolds averaged Navier- Stokes (URANS) simulations have also been performed for the same configuration to investigate the effects of different outlet boundary conditions in the context of URANS. Thirdly, the possible role of the initial condition is inspected by using three different initial flow fields for both the PRNS/VLES simulation and the URANS simulation. The same grid is used for all the simulations and the number of mesh element is about 0.5 million. The main purpose of this study is to examine the long-time behavior of the solution as determined by the imposed outlet boundary conditions. For a particular simulation to be considered as successful under the given initial and boundary conditions, the solution must be sustainable in a physically meaningful manner over a sufficiently long period of time. The commonly used outlet boundary condition for steady Reynolds averaged Navier-Stokes (RANS) simulation is a fixed pressure at the outlet with all the other dependent variables being extrapolated from the interior. The results of the present study suggest that this is also workable for the URANS simulation of the LM6000 injector flame tube. However, it does not work for the PRNS/VLES simulation due to the unphysical reflections of the pressure disturbances at the outlet boundary. This undesirable situation can be practically alleviated by applying a simple unsteady convection equation for the pressure disturbances at the outlet boundary. The

From Medical to Recreational Marijuana Sales: Marijuana Outlets and Crime in an Era of Changing Marijuana Legislation.

PubMed

Freisthler, Bridget; Gaidus, Andrew; Tam, Christina; Ponicki, William R; Gruenewald, Paul J

2017-06-01

A movement from medical to recreational marijuana use allows for a larger base of potential users who have easier access to marijuana, because they do not have to visit a physician before using marijuana. This study examines whether changes in the density of marijuana outlets were related to violent, property, and marijuana-specific crimes in Denver, CO during a time in which marijuana outlets began selling marijuana for recreational, and not just medical, use. We collected data on locations of crimes, marijuana outlets and covariates for 481 Census block groups over 34 months (N = 16,354 space-time units). A Bayesian Poisson space-time model assessed statistical relationships between independent measures and crime counts within "local" Census block groups. We examined spatial "lag" effects to assess whether crimes in Census block groups adjacent to locations of outlets were also affected. Independent of the effects of covariates, densities of marijuana outlets were unrelated to property and violent crimes in local areas. However, the density of marijuana outlets in spatially adjacent areas was positively related to property crime in spatially adjacent areas over time. Further, the density of marijuana outlets in local and spatially adjacent blocks groups was related to higher rates of marijuana-specific crime. This study suggests that the effects of the availability of marijuana outlets on crime do not necessarily occur within the specific areas within which these outlets are located, but may occur in adjacent areas. Thus studies assessing the effects of these outlets in local areas alone may risk underestimating their true effects.

Durability of hand-sewn valves in the right ventricular outlet.

PubMed

Nunn, Graham R; Bennetts, Jayme; Onikul, Ella

2008-08-01

The objective was to compare the medium- and long-term outcomes for pericardial monocusp valves, polytetrafluoroethylene (Gore-Tex, WL Gore and Associates Inc, Flagstaff, Ariz) 0.1-mm monocusp valves, and bileaflet 0.l-mm polytetrafluoroethylene valves and their efficiency in the right ventricular outlet. We reviewed all hand-sewn right ventricular outlet valves created by the author (Graham R. Nunn) in the setting of repaired tetralogy of Fallot or equivalent right ventricular outlet pathology when the native pulmonary valve could not be preserved. The valves were assessed by serial transthoracic echocardiography and more recently by magnetic resonance imaging angiography for late valve function. The bileaflet polytetrafluoroethylene valves were constructed in a standardized fashion from a semicircle of 0.1-mm polytetrafluoroethylene (the radius of which equaled the length of the outflow tract incision) that gave a lengthened free edge to the leaflets, central fixation of the free edge posteriorly just proximal to the branch pulmonary arteries, and generous augmentation of the outflow tract with polytetrafluoroethylene patch-plasty. The bileaflet configuration shortens the closing time against the posterior wall, and the leaflets are forced to maintain their configuration without prolapse into the right ventricular outlet. The valve can be generously oversized in young children to try to avoid the need for replacement. A total of 54 patients met the selection criteria--22 patients received fresh autologous pericardial monocusps, 7 patients received polytetrafluoroethylene (0.1-mm) monocusps, and 25 patients received bileaflet polytetrafluoroethylene (0.1-mm) outlet valves. The pericardial valves have the longest follow-up, and all valves developed free pulmonary incompetence. Polytetrafluoroethylene monocusps had reliable competence early after surgery but progressed to pulmonary incompetence. The bileaflet polytetrafluoroethylene (0.1-mm) valves have remained

Velocities of antarctic outlet glaciers determined from sequential Landsat images

USGS Publications Warehouse

MacDonald, Thomas R.; Ferrigno, Jane G.; Williams, Richard S.; Lucchitta, Baerbel K.

1989-01-01

Approximately 91.0 percent of the volume of present-day glacier ice on Earth is in Antarctica; Greenland contains about another 8.3 percent of the volume. Thus, together, these two great ice sheets account for an estimated 99.3 percent of the total. Long-term changes in the volume of glacier ice on our planet are the result of global climate change. Because of the relationship of global ice volume to sea level (± 330 cubic kilometers of glacier ice equals ± 1 millimeter sea level), changes in the mass balance of the antarctic ice sheet are of particular importance.Whether the mass balance of the east and west antarctic ice sheets is positive or negative is not known. Estimates of mass input by total annual precipitation for the continent have been made from scattered meteorological observations (Swithinbank 1985). The magnitude of annual ablation of the ice sheet from calving of outlet glaciers and ice shelves is also not well known. Although the velocities of outlet glaciers can be determined from field measurements during the austral summer,the technique is costly, does not cover a complete annual cycle,and has been applied to just a few glaciers. To increase the number of outlet glaciers in Antarctica for which velocities have been determined and to provide additional data for under-standing the dynamics of the antarctic ice sheets and their response to global climate change, sequential Landsat image of several outlet glaciers were measured.

Neighborhood alcohol outlet density and genetic influences on alcohol use: evidence for gene-environment interaction.

PubMed

Slutske, Wendy S; Deutsch, Arielle R; Piasecki, Thomas M

2018-05-07

Genetic influences on alcohol involvement are likely to vary as a function of the 'alcohol environment,' given that exposure to alcohol is a necessary precondition for genetic risk to be expressed. However, few gene-environment interaction studies of alcohol involvement have focused on characteristics of the community-level alcohol environment. The goal of this study was to examine whether living in a community with more alcohol outlets would facilitate the expression of the genetic propensity to drink in a genetically-informed national survey of United States young adults. The participants were 2434 18-26-year-old twin, full-, and half-sibling pairs from Wave III of the National Longitudinal Study of Adolescent to Adult Health. Participants completed in-home interviews in which alcohol use was assessed. Alcohol outlet densities were extracted from state-level liquor license databases aggregated at the census tract level to derive the density of outlets. There was evidence that the estimates of genetic and environmental influences on alcohol use varied as a function of the density of alcohol outlets in the community. For example, the heritability of the frequency of alcohol use for those residing in a neighborhood with ten or more outlets was 74% (95% confidence limits = 55-94%), compared with 16% (95% confidence limits = 0-34%) for those in a neighborhood with zero outlets. This moderating effect of alcohol outlet density was not explained by the state of residence, population density, or neighborhood sociodemographic characteristics. The results suggest that living in a neighborhood with many alcohol outlets may be especially high-risk for those individuals who are genetically predisposed to frequently drink.

The subclavius posticus muscle: an unusual cause of thoracic outlet syndrome.

PubMed

Smayra, T; Nabhane, L; Tabet, G; Menassa-Moussa, L; Hachem, K; Haddad-Zebouni, S

2014-09-01

We present the case of a 30-year-old female, complaining of thoracic outlet compression symptoms caused by a supernumerary muscle, the subclavius posticus, accompanied by a caudally inserted middle scalenus muscle on the second rib. This rare anatomic variant was clearly shown on CT angiography and MRI images and surgical treatment was successful. As first described by Rosenmuller in 1800, subclavius posticus is a supernumerary muscle originating from the cranial surface of the sternal end of the first rib, running laterodorsally beneath the clavicle, and inserting into the superior border of the scapula. Its role in thoracic outlet syndrome has been seldom demonstrated in living patients nor described in imaging, although it is theoretically easily recognizable on modern imaging modalities. It should be taken into account during workout of patients with thoracic outlet syndrome, since it can be potentially treated.

Development of a solenoid actuated planar valveless micropump with single and multiple inlet-outlet arrangements

NASA Astrophysics Data System (ADS)

Kumar, N.; George, D.; Sajeesh, P.; Manivannan, P. V.; Sen, A. K.

2016-07-01

We report a planar solenoid actuated valveless micropump with multiple inlet-outlet configurations. The self-priming characteristics of the multiple inlet-multiple outlet micropump are studied. The filling dynamics of the micropump chamber during start-up and the effects of fluid viscosity, voltage and frequency on the dynamics are investigated. Numerical simulations for multiple inlet-multiple outlet micropumps are carried out using fluid structure algorithm. With DI water and at 5.0 Vp-p, 20 Hz frequency, the two inlet-two outlet micropump provides a maximum flow rate of 336 μl min-1 and maximum back pressure of 441 Pa. Performance characteristics of the two inlet-two outlet micropump are studied for aqueous fluids of different viscosity. Transport of biological cell lines and diluted blood samples are demonstrated; the flow rate-frequency characteristics are studied. Viability of cells during pumping with multiple inlet multiple outlet configuration is also studied in this work, which shows 100% of cells are viable. Application of the proposed micropump for simultaneous pumping, mixing and distribution of fluids is demonstrated. The proposed integrated, standalone and portable micropump is suitable for drug delivery, lab-on-chip and micro-total-analysis applications.

The association between the geography of fast food outlets and childhood obesity rates in Leeds, UK.

PubMed

Fraser, Lorna K; Edwards, Kimberley L

2010-11-01

To analyse the association between childhood overweight and obesity and the density and proximity of fast food outlets in relation to the child's residential postcode. This was an observational study using individual level height/weight data and geographic information systems methodology. Leeds in West Yorkshire, UK. This area consists of 476 lower super-output areas. Children aged 3-14 years who lived within the Leeds metropolitan boundaries (n=33,594). The number of fast food outlets per area and the distance to the nearest fast food outlet from the child's home address. The weight status of the child: overweight, obese or neither. 27.1% of the children were overweight or obese with 12.6% classified as obese. There is a significant positive correlation (p<0.001) between density of fast food outlets and higher deprivation. A higher density of fast food outlets was significantly associated (p=0.02) with the child being obese (or overweight/obese) in the generalised estimating equation model which also included sex, age and deprivation. No significant association between distance to the nearest fast food outlet and overweight or obese status was found. There is a positive relationship between the density of fast food outlets per area and the obesity status of children in Leeds. There is also a significant association between fast food outlet density and areas of higher deprivation. Copyright © 2010 Elsevier Ltd. All rights reserved.

The Moderating Role of Gender in the Relationship Between Tobacco Outlet Exposure and Tobacco Use Among African American Young Adults.

PubMed

Brown, Qiana; Milam, Adam J; Bowie, Janice V; Ialongo, Nicholas S; Gaskin, Darrell J; Furr-Holden, Debra

2016-04-01

Tobacco outlet exposure is a correlate of tobacco use with potential differences by gender that warrant attention. The aim of this study is to explore the moderating role of gender in the relationship between tobacco outlet exposure and past month tobacco use among African American young adults 21 to 24 years old. This cross-sectional study (n = 283) used geospatial methods to determine the number of tobacco outlets within walking distance (i.e., a quarter mile) of participants' homes and distance to the nearest outlet. Logistic regression models were used to test interactions between gender and tobacco outlet exposure (i.e., density and proximity). Tobacco outlets were classified based on whether or not they were licensed to sell tobacco only (TO outlets) or tobacco and alcohol (TA outlets). Neither density nor proximity was associated with past month tobacco use in the pooled models. However, gender modified the relationship between TO outlet density and tobacco use, and this relationship was significant only among women (OR = 1.02; p < 0.01; adjusted OR = 1.01; p < 0.05). This study underscores the importance of reducing tobacco outlet density in residential neighborhoods, especially TO outlets, as well as highlights potential gender differences in the relationship between tobacco outlet density and tobacco use.

16 CFR Appendix D to Part 436 - Sample Item 20(3) Table-Status of Franchise Outlets

Code of Federal Regulations, 2013 CFR

2013-01-01

... 16 Commercial Practices 1 2013-01-01 2013-01-01 false Sample Item 20(3) Table-Status of Franchise Outlets D Appendix D to Part 436 Commercial Practices FEDERAL TRADE COMMISSION TRADE REGULATION RULES... Item 20(3) Table—Status of Franchise Outlets Status of Franchise Outlets For years 2004 to 2006 Column...

16 CFR Appendix D to Part 436 - Sample Item 20(3) Table-Status of Franchise Outlets

Code of Federal Regulations, 2014 CFR

2014-01-01

... 16 Commercial Practices 1 2014-01-01 2014-01-01 false Sample Item 20(3) Table-Status of Franchise Outlets D Appendix D to Part 436 Commercial Practices FEDERAL TRADE COMMISSION TRADE REGULATION RULES... Item 20(3) Table—Status of Franchise Outlets Status of Franchise Outlets For years 2004 to 2006 Column...

16 CFR Appendix D to Part 436 - Sample Item 20(3) Table-Status of Franchise Outlets

Code of Federal Regulations, 2010 CFR

2010-01-01

... 16 Commercial Practices 1 2010-01-01 2010-01-01 false Sample Item 20(3) Table-Status of Franchise Outlets D Appendix D to Part 436 Commercial Practices FEDERAL TRADE COMMISSION TRADE REGULATION RULES... Item 20(3) Table—Status of Franchise Outlets Status of Franchise Outlets For years 2004 to 2006 Column...

16 CFR Appendix D to Part 436 - Sample Item 20(3) Table-Status of Franchise Outlets

Code of Federal Regulations, 2011 CFR

2011-01-01

... 16 Commercial Practices 1 2011-01-01 2011-01-01 false Sample Item 20(3) Table-Status of Franchise Outlets D Appendix D to Part 436 Commercial Practices FEDERAL TRADE COMMISSION TRADE REGULATION RULES... Item 20(3) Table—Status of Franchise Outlets Status of Franchise Outlets For years 2004 to 2006 Column...

16 CFR Appendix D to Part 436 - Sample Item 20(3) Table-Status of Franchise Outlets

Code of Federal Regulations, 2012 CFR

2012-01-01

... 16 Commercial Practices 1 2012-01-01 2012-01-01 false Sample Item 20(3) Table-Status of Franchise Outlets D Appendix D to Part 436 Commercial Practices FEDERAL TRADE COMMISSION TRADE REGULATION RULES... Item 20(3) Table—Status of Franchise Outlets Status of Franchise Outlets For years 2004 to 2006 Column...

Examining the interaction between food outlets and outdoor food advertisements with primary school food environments.

PubMed

Walton, Mat; Pearce, Jamie; Day, Peter

2009-09-01

Schools are commonly seen as a site of intervention to improve children's nutrition, and prevent excess weight gain. Schools may have limited influence over children's diets; however, with home and community environments also exerting an influence within schools. This study considered the environment of food outlets and outdoor food advertisements surrounding four case study primary schools in New Zealand, and the impact of that external environment on within-school food environments. The shortest travel route between school and home addresses, and the number of food outlets and advertisements passed on that route, was calculated for each student. Interviews with school management were conducted. The schools with a higher percentage of students passing food outlets and advertisements considered that their presence impacted on efforts within schools to improve the food environment. Limiting students' exposure to food outlets and outdoor food adverts through travel route planning, reducing advertising, or limiting the location of food outlets surrounding schools could be explored as intervention options to support schools in promoting nutrition.

Corrosive-induced gastric outlet obstruction without oesphageal involvement: a case report.

PubMed

Ali, N; Eni, U E

2005-01-01

The objective of this paper is to report an unusual case of isolated gastric outlet obstruction following corrosive ingestion. A case report of a 28-year old female seen by the authors. The literature on gastric outlet obstruction following ingestion of corrosives is reviewed briefly. Features of worsening gastric outlet obstruction were found in this 28-year old female five months after ingestion of hydrochloric acid. There was an antecedent history of depressive illness. The upper gastrointestinal barium contrast radiographs showed a normal oesophagus and proximal stomach. The distal stomach was however scarred, contracted with severe antropyloric stenosis. She underwent nutritional rehabilitation with high protein diet and made an uneventful recovery after a gastrojejunostomy. This case suggests a relative resistance of the oesophagus to corrosive acids as reported in the literature. The stomach, however, is more susceptible to acids causing burns with subsequent cicatrisation around the antrum and pylorus.

Expiry of medicines in supply outlets in Uganda.

PubMed

Nakyanzi, Josephine Katabaazi; Kitutu, Freddy Eric; Oria, Hussein; Kamba, Pakoyo Fadhiru

2010-02-01

The expiry of medicines in the supply chain is a serious threat to the already constrained access to medicines in developing countries. We investigated the extent of, and the main contributing factors to, expiry of medicines in medicine supply outlets in Kampala and Entebbe, Uganda. A cross-sectional survey of six public and 32 private medicine outlets was done using semi-structured questionnaires. The study area has 19 public medicine outlets (three non-profit wholesalers, 16 hospital stores/pharmacies), 123 private wholesale pharmacies and 173 retail pharmacies, equivalent to about 70% of the country's pharmaceutical businesses. Our findings indicate that medicines prone to expiry include those used for vertical programmes, donated medicines and those with a slow turnover. Awareness about the threat of expiry of medicines to the delivery of health services has increased. We have adapted training modules to emphasize management of medicine expiry for pharmacy students, pharmacists and other persons handling medicines. Our work has also generated more research interest on medicine expiry in Uganda. Even essential medicines expire in the supply chain in Uganda. Sound coordination is needed between public medicine wholesalers and their clients to harmonize procurement and consumption as well as with vertical programmes to prevent duplicate procurement. Additionally, national medicine regulatory authorities should enforce existing international guidelines to prevent dumping of donated medicine. Medicine selection and quantification should be matched with consumer tastes and prescribing habits. Lean supply and stock rotation should be considered.

Review of recent developments and applications in low-pressure (vacuum outlet) gas chromatography

USDA-ARS?s Scientific Manuscript database

The concept of low pressure (LP) vacuum outlet gas chromatography (GC) was introduced more than 50 years ago, but it was not until the 2000s that its theoretical applicability to fast analysis of GC-amenable chemicals was realized. In practice, LPGC is implemented by placing the outlet of a short, ...

Experimental study of flow distribution and pressure loss with circumferential inlet and outlet manifolds

NASA Technical Reports Server (NTRS)

Dittrich, R. T.

1972-01-01

Water flow tests with circumferential inlet and outlet manifolds were conducted to determine factors affecting fluid distribution and pressure losses. Various orifice sizes and manifold geometries were tested over a range of flow velocities. With inlet manifolds, flow distribution was related directly to orifice discharge coefficients. A correlation indicated that nonuniform distribution resulted when the velocity head ratio at the orifice was not in the range of constant discharge coefficient. With outlet manifolds, nonuniform flow was related to static pressure variations along the manifold. Outlet manifolds had appreciably greater pressure losses than comparable inlet manifolds.

49 CFR 179.200-17 - Bottom outlets.

Code of Federal Regulations, 2010 CFR

2010-10-01

... valve due to stresses or shocks incident to transportation. (5) Bottom outlet nozzle of interior valves..., they must be of good weldable quality in conjunction with metal of tank. (6) To provide for the... welded to tank, they shall be of good weldable quality in conjunction with metal of tank. (3) If the...

49 CFR 179.200-17 - Bottom outlets.

Code of Federal Regulations, 2013 CFR

2013-10-01

... valve due to stresses or shocks incident to transportation. (5) Bottom outlet nozzle of interior valves..., they must be of good weldable quality in conjunction with metal of tank. (6) To provide for the... welded to tank, they shall be of good weldable quality in conjunction with metal of tank. (3) If the...

49 CFR 179.200-17 - Bottom outlets.

Code of Federal Regulations, 2014 CFR

2014-10-01

... valve due to stresses or shocks incident to transportation. (5) Bottom outlet nozzle of interior valves..., they must be of good weldable quality in conjunction with metal of tank. (6) To provide for the... welded to tank, they shall be of good weldable quality in conjunction with metal of tank. (3) If the...

49 CFR 179.200-17 - Bottom outlets.

Code of Federal Regulations, 2012 CFR

2012-10-01

... valve due to stresses or shocks incident to transportation. (5) Bottom outlet nozzle of interior valves..., they must be of good weldable quality in conjunction with metal of tank. (6) To provide for the... welded to tank, they shall be of good weldable quality in conjunction with metal of tank. (3) If the...

49 CFR 179.200-17 - Bottom outlets.

Code of Federal Regulations, 2011 CFR

2011-10-01

... valve due to stresses or shocks incident to transportation. (5) Bottom outlet nozzle of interior valves..., they must be of good weldable quality in conjunction with metal of tank. (6) To provide for the... welded to tank, they shall be of good weldable quality in conjunction with metal of tank. (3) If the...

Effect of spiral outlet hydraulic passage geometrics on the radial thrust

NASA Astrophysics Data System (ADS)

Lugova, S. O.; Ignateva, P. I.

2017-08-01

The article presents the results of investigation of the effect of geometrics of a double-volute outlet hydraulic passage on the magnitude and direction of acting of the radial reaction forces in a between-bearings single-stage centrifugal pump with a double entry impeller. The investigation has been performed with the use of a computing experiment. Characteristic curves as well as values and directions of the radial thrust have been compared for three variants of outlet hydraulic passages differing in the width at their entrance.

7 CFR 929.61 - Outlets for excess cranberries.

Code of Federal Regulations, 2010 CFR

2010-01-01

... Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing... MASSACHUSETTS, RHODE ISLAND, CONNECTICUT, NEW JERSEY, WISCONSIN, MICHIGAN, MINNESOTA, OREGON, WASHINGTON, AND LONG ISLAND IN THE STATE OF NEW YORK Order Regulating Handling Reports and Records § 929.61 Outlets for...

Effect of blade outlet angle on radial thrust of single-blade centrifugal pump

NASA Astrophysics Data System (ADS)

Nishi, Y.; Fukutomi, J.; Fujiwara, R.

2012-11-01

Single-blade centrifugal pumps are widely used as sewage pumps. However, a large radial thrust acts on a single blade during pump operation because of the geometrical axial asymmetry of the impeller. This radial thrust causes vibrations of the pump shaft, reducing the service life of bearings and shaft seal devices. Therefore, to ensure pump reliability, it is necessary to quantitatively understand the radial thrust and clarify the behavior and generation mechanism. This study investigated the radial thrust acting on two kinds of single-blade centrifugal impellers having different blade outlet angles by experiments and computational fluid dynamics (CFD) analysis. Furthermore, the radial thrust was modeled by a combination of three components, inertia, momentum, and pressure, by applying an unsteady conservation of momentum to this impeller. As a result, the effects of the blade outlet angle on both the radial thrust and the modeled components were clarified. The total head of the impeller with a blade outlet angle of 16 degrees increases more than the impeller with a blade outlet angle of 8 degrees at a large flow rate. In this case, since the static pressure of the circumference of the impeller increases uniformly, the time-averaged value of the radial thrust of both impellers does not change at every flow rate. On the other hand, since the impeller blade loading becomes large, the fluctuation component of the radial thrust of the impeller with the blade outlet angle of 16 degrees increases. If the blade outlet angle increases, the fluctuation component of the inertia component will increase, but the time-averaged value of the inertia component is located near the origin despite changes in the flow rate. The fluctuation component of the momentum component becomes large at all flow rates. Furthermore, although the time-averaged value of the pressure component is almost constant, the fluctuation component of the pressure component becomes large at a large flow rate

Evaluation of Partial Cut-out of Sacroiliac Screws From the Sacral Ala Slope via Pelvic Inlet and Outlet View.

PubMed

Zhang, Jingwei; Hamilton, Ryan; Li, Ming; Ebraheim, Nabil A; He, Xianfeng; Liu, Jiayong; Zhu, Limei

2015-12-01

An anatomic and radiographic study of placement of sacroiliac screws. The aim of this study was to quantitatively assess the risk of partial cut-out of sacroiliac screws from the sacral ala slope via inlet and outlet view. The partial cut-out of sacroiliac screws from the superior surface of sacral ala can jeopardize the L5 nerve root, which is difficult to identify on the pelvic inlet and outlet views. Computed tomography images of 60 patients without pelvic ring deformity or injury were used to measure the width (on inlet view) and height (on outlet view) of the sacral ala. The angle of the sacral ala slope was measured on lateral view. According to the measured parameters, the theoretical safe trajectories of screw placement were calculated using inverse trigonometric functions. Under fluoroscopic guidance, a sacroiliac screw was placed close to the midline on both inlet and outlet views, including posterosuperior, posteroinferior, anterosuperior, and anteroinferior regions to the midline. The incidence of screw partial cut-out from the superior surface of sacral ala was identified. The measured widths and heights of the sacral alas were 28.1 ± 2.8 and 29.8 ± 3.1 mm, respectively. The average angle between the superior aspect of the S1 vertebral body and the superior aspect of the sacral ala was 37.2 ± 2.5 degrees. The rate of partial cut-out of the screws from the superior surface of sacral ala slope was 12.5% (5/40) in posterosuperior, 0% (0/40) in posteroinferior, 70% (28/40) in anterosuperior, and 20% (8/40) in anteroinferior. To avoid the risk of partial cut-out from sacroiliac screw placement, more precise description should be added to the conventional description: the sacroiliac screws should be placed at the inferior half portion on outlet view and at the posterior half portion on inlet view. 4.

Supermarket and fast-food outlet exposure in Copenhagen: associations with socio-economic and demographic characteristics.

PubMed

Svastisalee, Chalida M; Nordahl, Helene; Glümer, Charlotte; Holstein, Bjørn E; Powell, Lisa M; Due, Pernille

2011-09-01

To investigate whether exposure to fast-food outlets and supermarkets is socio-economically patterned in the city of Copenhagen. The study was based on a cross-sectional multivariate approach to examine the association between the number of fast-food outlets and supermarkets and neighbourhood-level socio-economic indicators. Food business addresses were obtained from commercial and public business locators and geocoded using a geographic information system for all neighbourhoods in the city of Copenhagen (n 400). The regression of counts of fast-food outlets and supermarkets v. indicators of socio-economic status (percentage of recent immigrants, percentage without a high-school diploma, percentage of the population under 35 years of age and average household income in Euros) was performed using negative binomial analysis. Copenhagen, Denmark. The unit of analysis was neighbourhood (n 400). In the fully adjusted models, income was not a significant predictor for supermarket exposure. However, neighbourhoods with low and mid-low income were associated with significantly fewer fast-food outlets. Using backwise deletion from the fully adjusted models, low income remained significantly associated with fast-food outlet exposure (rate ratio = 0·66-0·80) in the final model. In the city of Copenhagen, there was no evidence of spatial patterning of supermarkets by income. However, we detected a trend in the exposure to fast-food outlets, such that neighbourhoods in the lowest income quartile had fewer fast-food outlets than higher-income neighbourhoods. These findings have similarities with studies conducted in the UK, but not in the USA. The results suggest there may be socio-economic factors other than income associated with food exposure in Europe.

The impact of insecticide-treated material to reduce flies among pork outlets in Kampala, Uganda.

PubMed

Heilmann, Martin; Roesel, Kristina; Grace, Delia; Bauer, Burkhard; Clausen, Peter-Henning

2017-06-01

Synanthropic flies have adapted to the mass of decaying organic matter near human settlements. As such, they feed and breed on food, faeces and other organic material and are known vectors for various diseases. Many of these diseases are associated with food, and foodborne diseases are of growing concern in developing countries where human population and food consumption increase. This pilot study aims at investigating the impact of a novel application of insecticide-treated material (ZeroFly®) to reduce flies among pork outlets in Kampala, Uganda. A cross-sectional survey randomly selected 60 of 179 pork outlets in Kampala. A controlled longitudinal trial followed in which 23 out of the 60 pork outlets were recruited for an intervention with insecticide-treated material. The pork outlets were randomly allocated to a group of 18 netted pork outlets (intervention) and five non-netted pork outlets (control). Monitoring took place over 15 weeks including 2 weeks as the baseline survey. The units were monitored for fly abundance using non-attractant sticky traps, which were placed within the pork outlet once per week for 48 consecutive hours. Medians of fly numbers before and after the intervention indicated a decrease of fly numbers of 48% (p = 0.002). Fly bioassays showed that the insecticidal activity of the netting remained active over the entire intervention period and led to a total paralysis of flies within at least 6 h after exposure. Insecticide-treated material provides a practical and sustainable solution in controlling flies and is therefore recommended as a complementary strategy for an integrated vector control and hygiene management.

Spatial panel analyses of alcohol outlets and motor vehicle crashes in California: 1999–2008

PubMed Central

Ponicki, William R.; Gruenewald, Paul J.; Remer, Lillian G.

2014-01-01

Although past research has linked alcohol outlet density to higher rates of drinking and many related social problems, there is conflicting evidence of density’s association with traffic crashes. An abundance of local alcohol outlets simultaneously encourages drinking and reduces driving distances required to obtain alcohol, leading to an indeterminate expected impact on alcohol-involved crash risk. This study separately investigates the effects of outlet density on (1) the risk of injury crashes relative to population and (2) the likelihood that any given crash is alcohol-involved, as indicated by police reports and single-vehicle nighttime status of crashes. Alcohol outlet density effects are estimated using Bayesian misalignment Poisson analyses of all California ZIP codes over the years 1999–2008. These misalignment models allow panel analysis of ZIP-code data despite frequent redefinition of postal-code boundaries, while also controlling for overdispersion and the effects of spatial autocorrelation. Because models control for overall retail density, estimated alcohol-outlet associations represent the extra effect of retail establishments selling alcohol. The results indicate a number of statistically well-supported associations between retail density and crash behavior, but the implied effects on crash risks are relatively small. Alcohol-serving restaurants have a greater impact on overall crash risks than on the likelihood that those crashes involve alcohol, whereas bars primarily affect the odds that crashes are alcohol-involved. Off-premise outlet density is negatively associated with risks of both crashes and alcohol involvement, while the presence of a tribal casino in a ZIP code is linked to higher odds of police-reported drinking involvement. Alcohol outlets in a given area are found to influence crash risks both locally and in adjacent ZIP codes, and significant spatial autocorrelation also suggests important relationships across geographical units

Contamination of faecal coliforms in ice cubes sampled from food outlets in Kubang Kerian, Kelantan.

PubMed

Noor Izani, N J; Zulaikha, A R; Mohamad Noor, M R; Amri, M A; Mahat, N A

2012-03-01

The use of ice cubes in beverages is common among patrons of food outlets in Malaysia although its safety for human consumption remains unclear. Hence, this study was designed to determine the presence of faecal coliforms and several useful water physicochemical parameters viz. free residual chlorine concentration, turbidity and pH in ice cubes from 30 randomly selected food outlets in Kubang Kerian, Kelantan. Faecal coliforms were found in ice cubes in 16 (53%) food outlets ranging between 1 CFU/100mL to >50 CFU/ 100mL, while in the remaining 14 (47%) food outlets, in samples of tap water as well as in commercially bottled drinking water, faecal coliforms were not detected. The highest faecal coliform counts of >50 CFU/100mL were observed in 3 (10%) food outlets followed by 11-50 CFU/100mL and 1-10 CFU/100mL in 7 (23%) and 6 (20%) food outlets, respectively. All samples recorded low free residual chlorine concentration (<0.10mg/L) with the pH ranging between 5.5 and 7.3 and turbidity between 0.14-1.76 NTU. Since contamination by faecal coliforms was not detected in 47% of the samples, tap water and commercially bottled drinking water, it was concluded that (1) contamination by faecal coliforms may occur due to improper handling of ice cubes at the food outlets or (2) they may not be the water sources used for making ice cubes. Since low free residual chlorine concentrations were observed (<0.10mg/ L) in all samples as well as in both tap water and commercially bottled drinking water, with the pH ranged between 5.5-7.3, ineffective disinfection of water source as a contributing factor to such high counts of faecal coliforms in ice cubes also could not be ruled out. Therefore, a periodical, yet comprehensive check on the food outlets, including that of ice cube is crucial in ensuring better food and water for human consumption.

The premises is the premise: understanding off- and on-premises alcohol sales outlets to improve environmental alcohol prevention strategies.

PubMed

Chinman, Matthew; Burkhart, Q; Ebener, Patricia; Fan, Cha-Chi; Imm, Pamela; Osilla, Karen Chan; Paddock, Susan M; Wright, Annie

2011-06-01

Environmental strategies to prevent the misuse of alcohol among youth--e.g., use of public policies to restrict minors' access to alcohol--have been shown to reduce underage drinking. However, implementation of policy changes often requires public and private partnerships. One way to support these partnerships is to better understand the target of many of the environmental strategies, which is the alcohol sales outlet. Knowing more about how off-premises outlets (e.g., liquor and convenience stores) and on-premises outlets (e.g., bars and restaurants) are alike and different could help community-based organizations better tailor, plan, and implement their environmental strategies and strengthen partnerships between the public and commercial sectors. We conducted a survey of managerial or supervisory staff and/or owners of 336 off- and on-premises alcohol outlets in six counties in South Carolina, comparing these two outlet types on their preferences regarding certain alcohol sales practices, beliefs toward underage drinking, alcohol sales practices, and outcomes. Multilevel logistic regression showed that while off- and on-premises outlets did have many similarities, off-premises outlets appear to engage in more practices designed to prevent sales of alcohol to minors than on-premises outlets. The relationship between certain Responsible Beverage Service (RBS) practices and outcomes varied by outlet type. This study furthers the understanding of the differences between off- and on-premises alcohol sales outlets and offers options for increasing and tailoring environmental prevention efforts to specific settings.

The Premises is the Premise: Understanding Off- and On-Premises Alcohol Sales Outlets to Improve Environmental Alcohol Prevention Strategies

PubMed Central

Chinman, Matthew; Burkhart, Q; Ebener, Patricia; Fan, Cha-Chi; Imm, Pamela; Osilla, Karen Chan; Paddock, Susan M.; Wright, Patricia Ann

2017-01-01

Environmental strategies to prevent the misuse of alcohol among youth—e.g., use of public policies to restrict minors’ access to alcohol—have been shown to reduce underage drinking. However, implementation of policy changes often requires public and private partnerships. One way to support these partnerships is to better understand the target of many of the environmental strategies, which is the alcohol sales outlet. Knowing more about how off-premises outlets (e.g., liquor and convenience stores) and on-premises outlets (e.g., bars and restaurants) are alike and different could help community-based organizations better tailor, plan, and implement their environmental strategies and strengthen partnerships between the public and commercial sectors. We conducted a survey of managerial or supervisory staff and/or owners of 336 off- and on-premises alcohol outlets in six counties in South Carolina, comparing these two outlet types on their preferences regarding certain alcohol sales practices, beliefs toward underage drinking, alcohol sales practices, and outcomes. Multilevel logistic regression showed that while off- and on-premises outlets did have many similarities, off-premises outlets appear to engage in more practices designed to prevent sales of alcohol to minors than on-premises outlets. The relationship between certain Responsible Beverage Service (RBS) practices and outcomes varied by outlet type. This study furthers the understanding of the differences between off- and on-premises alcohol sales outlets and offers options for increasing and tailoring environmental prevention efforts to specific settings. PMID:21373877

Modeling of Greenland outlet glaciers response to future climate change

NASA Astrophysics Data System (ADS)

Beckmann, J.

2017-12-01

Over the past two decades net mass loss from the Greenland ice sheet (GIS) quadrupled, resulting in 25% of the global mean sea level (GMSL) rise. Increased mass loss of the GIS is caused by enhanced surface melting and speedup of the marine-terminating outlet glaciers. This speedup has been related, among other factors, to enhanced submarine melting, which in turn is caused by warming of the surrounding ocean and by increased subglacial, meltwater discharge. Yet, ice-ocean processes are not properly represented in contemporary Greenland Ice Sheet models used to project future changes in the GIS. In this work, we performed numerical experiments with a one-dimensional plume model coupled to a one-dimensional (depth- and width- integrated) ice flow model for several representative outlet glaciers in Greenland. We investigate the dynamic response of the coupled ice-flow plume model to scenarios of future climate change. In particular, we examine the transient response of the outlet glaciers to projected changes in surface melting, ocean temperature and subglacial discharge. With our modeling approach we quantify the amount of the surface and submarine melting and the resulting retreat and mass loss for each individual glacier for the next 100 years.

Expiry of medicines in supply outlets in Uganda

PubMed Central

Nakyanzi, Josephine Katabaazi; Kitutu, Freddy Eric; Oria, Hussein

2010-01-01

Abstract Problem The expiry of medicines in the supply chain is a serious threat to the already constrained access to medicines in developing countries. Approach We investigated the extent of, and the main contributing factors to, expiry of medicines in medicine supply outlets in Kampala and Entebbe, Uganda. A cross-sectional survey of six public and 32 private medicine outlets was done using semi-structured questionnaires. Local setting The study area has 19 public medicine outlets (three non-profit wholesalers, 16 hospital stores/pharmacies), 123 private wholesale pharmacies and 173 retail pharmacies, equivalent to about 70% of the country’s pharmaceutical businesses. Our findings indicate that medicines prone to expiry include those used for vertical programmes, donated medicines and those with a slow turnover. Relevant changes Awareness about the threat of expiry of medicines to the delivery of health services has increased. We have adapted training modules to emphasize management of medicine expiry for pharmacy students, pharmacists and other persons handling medicines. Our work has also generated more research interest on medicine expiry in Uganda. Lessons learned Even essential medicines expire in the supply chain in Uganda. Sound coordination is needed between public medicine wholesalers and their clients to harmonize procurement and consumption as well as with vertical programmes to prevent duplicate procurement. Additionally, national medicine regulatory authorities should enforce existing international guidelines to prevent dumping of donated medicine. Medicine selection and quantification should be matched with consumer tastes and prescribing habits. Lean supply and stock rotation should be considered. PMID:20428373

DOES ALCOHOL OUTLET DENSITY MODERATE THE RELATIONSHIP BETWEEN LEVELS OF ALCOHOL USE AND CHILD PHYSICAL ABUSE?

PubMed Central

Freisthler, Bridget; Wolf, Jennifer Price

2016-01-01

Objectives Parental alcohol use and alcohol outlet density are both associated with child abuse. Guided by alcohol availability theory, this paper examines whether alcohol outlet density moderates the relationship between parental alcohol use and child physical abuse. Methods A general population telephone survey of 3,023 parents or legal guardians 18 years or older was conducted across 50 California cities, while densities of alcohol outlets were measured for by zip code. Data were analyzed via overdispersed multilevel Poisson models. Results Ex-drinkers, light drinkers, and heavy drinkers use physical abuse more often than lifetime abstainers. Moderate drinking was not related to child physical abuse. Proportion of bars was negatively related to frequency of physical abuse. Moderating relationships between alcohol outlet density and drinking categories were found for all drinking patterns. Conclusion Different types of alcohol outlets may be differentially related to drinking patterns, indicating that the interaction of drinking patterns and the drinking environment may place children at greater risk for being physically abused. PMID:27642071

Investigation of the Association Between Alcohol Outlet Density and Alcohol-Related Hospital Admission Rates in England: Study Protocol

PubMed Central

Holmes, John; Green, Mark; Strong, Mark; Pearson, Tim; Meier, Petra

2016-01-01

Background Availability of alcohol is a major policy issue for governments, and one of the availability factors is the density of alcohol outlets within geographic areas. Objective The aim of this study is to investigate the association between alcohol outlet density and hospital admissions for alcohol-related conditions in a national (English) small area level ecological study. Methods This project will employ ecological correlation and cross-sectional time series study designs to examine spatial and temporal relationships between alcohol outlet density and hospital admissions. Census units to be used in the analysis will include all Lower and Middle Super-Output Areas (LSOAs and MSOAs) in England (53 million total population; 32,482 LSOAs and 6781 MSOAs). LSOAs (approximately 1500 people per LSOA) will support investigation at a fine spatial resolution. Spatio-temporal associations will be investigated using MSOAs (approximately 7500 people per MSOA). The project will use comprehensive coverage data on alcohol outlets in England (from 2003, 2007, 2010, and 2013) from a commercial source, which has estimated that the database includes 98% of all alcohol outlets in England. Alcohol outlets may be classified into two broad groups: on-trade outlets, comprising outlets from which alcohol can be purchased and consumed on the premises (eg, pubs); and off-trade outlets, in which alcohol can be purchased but not consumed on the premises (eg, off-licenses). In the 2010 dataset, there are 132,989 on-trade and 51,975 off-trade outlets. The longitudinal data series will allow us to examine associations between changes in outlet density and changes in hospital admission rates. The project will use anonymized data on alcohol-related hospital admissions in England from 2003 to 2013 and investigate associations with acute (eg, admissions for injuries) and chronic (eg, admissions for alcoholic liver disease) harms. The investigation will include the examination of conditions that

7 CFR 989.24a - Non-normal outlets.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 7 Agriculture 8 2014-01-01 2014-01-01 false Non-normal outlets. 989.24a Section 989.24a Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (MARKETING AGREEMENTS AND ORDERS; FRUITS, VEGETABLES, NUTS), DEPARTMENT OF AGRICULTURE RAISINS PRODUCED FROM GRAPES...

7 CFR 989.24a - Non-normal outlets.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 7 Agriculture 8 2010-01-01 2010-01-01 false Non-normal outlets. 989.24a Section 989.24a Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements and Orders; Fruits, Vegetables, Nuts), DEPARTMENT OF AGRICULTURE RAISINS PRODUCED FROM GRAPES...

7 CFR 989.24a - Non-normal outlets.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 7 Agriculture 8 2013-01-01 2013-01-01 false Non-normal outlets. 989.24a Section 989.24a Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (MARKETING AGREEMENTS AND ORDERS; FRUITS, VEGETABLES, NUTS), DEPARTMENT OF AGRICULTURE RAISINS PRODUCED FROM GRAPES...

7 CFR 989.24a - Non-normal outlets.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 7 Agriculture 8 2012-01-01 2012-01-01 false Non-normal outlets. 989.24a Section 989.24a Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements and Orders; Fruits, Vegetables, Nuts), DEPARTMENT OF AGRICULTURE RAISINS PRODUCED FROM GRAPES...

Does neighborhood fast-food outlet exposure amplify inequalities in diet and obesity? A cross-sectional study.

PubMed

Burgoine, Thomas; Forouhi, Nita G; Griffin, Simon J; Brage, Søren; Wareham, Nicholas J; Monsivais, Pablo

2016-06-01

Greater exposures to fast-food outlets and lower levels of education are independently associated with less healthy diets and obesity. Little is known about the interplay between these environmental and individual factors. The purpose of this study was to test whether observed differences in fast-food consumption and obesity by fast-food outlet exposure are moderated by educational attainment. In a population-based cohort of 5958 adults aged 29-62 y in Cambridgeshire, United Kingdom, we used educational attainment-stratified regression models to estimate the food-frequency questionnaire-derived consumption of energy-dense "fast foods" (g/d) typically sold in fast-food restaurants and measured body mass index (BMI; in kg/m(2)) across geographic information system-derived home and work fast-food exposure quartiles. We used logistic regression to estimate the odds of obesity (BMI ≥30) and calculated relative excess risk due to interaction (RERI) on an additive scale. Participant data were collected during 2005-2013 and analyzed in 2015. Greater fast-food consumption, BMI, and odds of obesity were associated with greater fast-food outlet exposure and a lower educational level. Fast-food consumption and BMI were significantly different across education groups at all levels of fast-food outlet exposure (P < 0.05). High fast-food outlet exposure amplified differences in fast-food consumption across levels of education. The relation between fast-food outlet exposure and obesity was only significant among those who were least educated (OR: 2.05; 95% CI: 1.08, 3.87; RERI = 0.88), which suggested a positive additive interaction between education and fast-food outlet exposure. These findings suggest that efforts to improve diets and health through neighborhood-level fast-food outlet regulation might be effective across socioeconomic groups and may serve to reduce observed socioeconomic inequalities in diet and obesity.

Thoracic outlet syndrome: definition, aetiological factors, diagnosis, management and occupational impact.

PubMed

Laulan, Jacky; Fouquet, Bernard; Rodaix, Camille; Jauffret, Penelope; Roquelaure, Yves; Descatha, Alexis

2011-09-01

Thoracic outlet syndrome is a controversial cause of neck and shoulder pain due to complex mechanisms involving muscular dysfunction and nerve compression. Although management of thoracic outlet syndrome must be based on a multidisciplinary approach, physicians and occupational therapist should be familiar with the principles of diagnosis and treatment. The purpose of this article is to review the definitions, diagnosis and management of this syndrome. A particular emphasis was described on the links between the workplace and the individual in the pathogenesis, prevalence in the workforce and the course of this disease.

Assessment of Greenland Outlet Glacier Albedo Variability

NASA Astrophysics Data System (ADS)

Stroeve, J.

2003-04-01

Recent studies have shown that the coastal regions of the Greenland ice sheet are thinning rapidly. Analysis of passive microwave satellite data since 1979 have revealed a corresponding positive trend in the areal extent of melt. This trend was emphasized in 2002, when the total area of surface melt on the Greenland ice sheet surpased the maximum melt extent from the past 24 years by more than 9%. Increases in coastal temperatures have certainly contributed to melting near the margins. However, the high rate of thinning in the coastal regions, up to several m/yr, cannot be explained by increases in temperatures alone. Some of the thinning is likely creep thinning resulting from discharge velocities that exceed balance velocities. In order to better understand the role of ablation in the recent thinning rates, the variability in the surface albedo at four outlet glaciers is analyzed from 1981 to 2000 using the AVHRR Polar Pathfinder data set. The four glaciers analyzed are the following: Storstrommen (77N, 23W), Kangerdlugssuaq (68N, 33W), Petermann (81N, 62W) and Jakobshavn (69N, 50W). Clear sky albedo changes over time from May through September for the period 1981-2000 are presented. These months are chosen in order to capture the full cycle of melt onset and refreeze. The albedo record at the glaciers shows large seasonal and interannual variability. Resuls indicate a steady decrease in surface albedo during the summer months from 1981 to 2000, particularly in the Jakobshavn drainage basin.

Food outlet availability, deprivation and obesity in a multi-ethnic sample of pregnant women in Bradford, UK.

PubMed

Fraser, L K; Edwards, K L; Tominitz, M; Clarke, G P; Hill, A J

2012-09-01

The obesogenic environment model would suggest that increased availability or access to energy dense foods which are high in saturated fat may be related to obesity. The association between food outlet location, deprivation, weight status and ethnicity was analysed using individual level data on a sample of 1198 pregnant women in the UK Born in Bradford cohort using geographic information systems (GIS) methodology. In the non South Asian group 24% were obese as were 17% of the South Asian group (BMI > 30). Food outlet identification methods revealed 886 outlets that were allocated into 5 categories of food shops. More than 95% of all participants lived within 500 m of a fast food outlet. Women in higher areas of deprivation had greater access to fast food outlets and to other forms of food shops. Contrary to hypotheses, there was a negative association between BMI and fast food outlet density in close (250 m) proximity in the South Asian group. Overall, these women had greater access to all food stores including fast food outlets compared to the non South Asian group. The stronger association between area level deprivation and fast food density than with area level deprivation and obesity argues for more detailed accounts of the obesogenic environment that include measures of individual behaviour. Copyright © 2012 Elsevier Ltd. All rights reserved.

40 CFR 63.3555 - How do I determine the outlet THC emissions and add-on control device emission destruction or...

Code of Federal Regulations, 2010 CFR

2010-07-01

... 40 Protection of Environment 12 2010-07-01 2010-07-01 true How do I determine the outlet THC.../outlet Concentration Option § 63.3555 How do I determine the outlet THC emissions and add-on control... section to determine either the outlet THC emissions or add-on control device emission destruction or...

40 CFR 63.3555 - How do I determine the outlet THC emissions and add-on control device emission destruction or...

Code of Federal Regulations, 2013 CFR

2013-07-01

... 40 Protection of Environment 13 2013-07-01 2012-07-01 true How do I determine the outlet THC... Control Efficiency/outlet Concentration Option § 63.3555 How do I determine the outlet THC emissions and... methods in this section to determine either the outlet THC emissions or add-on control device emission...

40 CFR 63.3555 - How do I determine the outlet THC emissions and add-on control device emission destruction or...

Code of Federal Regulations, 2014 CFR

2014-07-01

... 40 Protection of Environment 13 2014-07-01 2014-07-01 false How do I determine the outlet THC... Control Efficiency/outlet Concentration Option § 63.3555 How do I determine the outlet THC emissions and... methods in this section to determine either the outlet THC emissions or add-on control device emission...

40 CFR 63.3555 - How do I determine the outlet THC emissions and add-on control device emission destruction or...

Code of Federal Regulations, 2011 CFR

2011-07-01

... 40 Protection of Environment 12 2011-07-01 2009-07-01 true How do I determine the outlet THC.../outlet Concentration Option § 63.3555 How do I determine the outlet THC emissions and add-on control... section to determine either the outlet THC emissions or add-on control device emission destruction or...

40 CFR 63.3555 - How do I determine the outlet THC emissions and add-on control device emission destruction or...

Code of Federal Regulations, 2012 CFR

2012-07-01

... 40 Protection of Environment 13 2012-07-01 2012-07-01 false How do I determine the outlet THC... Control Efficiency/outlet Concentration Option § 63.3555 How do I determine the outlet THC emissions and... methods in this section to determine either the outlet THC emissions or add-on control device emission...

The density of alcohol outlets and adolescent alcohol consumption: An Australian longitudinal analysis.

PubMed

Rowland, B; Evans-Whipp, Tracy; Hemphill, Sheryl; Leung, Rachel; Livingston, M; Toumbourou, J W

2016-01-01

Higher density of alcohol outlets has been linked to increased levels of adolescent alcohol-related behaviour. Research to date has been cross-sectional. A longitudinal design using two waves of annual survey data from the Australian arm of the International Youth Development Study was used. The sample comprised 2835 individuals with average age at wave 2 of 14 years (SD=1.67; range=11-17 years). GSEM was used to examine how absolute levels of alcohol outlet density was associated with student-reported alcohol use one year later, while controlling for prior alcohol use, risk factors at wave one and changes in density over the 2 years. Adolescents' perception of alcohol availability and friends' alcohol use were tested as potential mediators of the association between alcohol outlet density and adolescent alcohol use. Elasticity modelling identified a 10% increase in overall density at wave one was associated with an approximately 17% increase in odds of adolescent alcohol consumption at wave two. Living in areas with a higher density of outlets was associated with a statistically significant increase in the likelihood of adolescents developing early age alcohol consumption. Copyright © 2015 Elsevier Ltd. All rights reserved.

Healthier choices in an Australian health service: a pre-post audit of an intervention to improve the nutritional value of foods and drinks in vending machines and food outlets

PubMed Central

2013-01-01

Background Vending machines and shops located within health care facilities are a source of food and drinks for staff, visitors and outpatients and they have the potential to promote healthy food and drink choices. This paper describes perceptions of parents and managers of health-service located food outlets towards the availability and labelling of healthier food options and the food and drinks offered for sale in health care facilities in Australia. It also describes the impact of an intervention to improve availability and labelling of healthier foods and drinks for sale. Methods Parents (n = 168) and food outlet managers (n = 17) were surveyed. Food and drinks for sale in health-service operated food outlets (n = 5) and vending machines (n = 90) in health care facilities in the Hunter New England region of NSW were audited pre (2007) and post (2010/11) the introduction of policy and associated support to increase the availability of healthier choices. A traffic light system was used to classify foods from least (red) to most healthy choices (green). Results Almost all (95%) parents and most (65%) food outlet managers thought food outlets on health service sites should have signs clearly showing healthy choices. Parents (90%) also thought all food outlets on health service sites should provide mostly healthy items compared to 47% of managers. The proportion of healthier beverage slots in vending machines increased from 29% to 51% at follow-up and the proportion of machines that labelled healthier drinks increased from 0 to 26%. No outlets labelled healthier items at baseline compared to 4 out of 5 after the intervention. No changes were observed in the availability or labelling of healthier food in vending machines or the availability of healthier food or drinks in food outlets. Conclusions Baseline availability and labelling of healthier food and beverage choices for sale in health care facilities was poor in spite of the support of parents and outlet managers

Healthier choices in an Australian health service: a pre-post audit of an intervention to improve the nutritional value of foods and drinks in vending machines and food outlets.

PubMed

Bell, Colin; Pond, Nicole; Davies, Lynda; Francis, Jeryl Lynn; Campbell, Elizabeth; Wiggers, John

2013-11-25

Vending machines and shops located within health care facilities are a source of food and drinks for staff, visitors and outpatients and they have the potential to promote healthy food and drink choices. This paper describes perceptions of parents and managers of health-service located food outlets towards the availability and labelling of healthier food options and the food and drinks offered for sale in health care facilities in Australia. It also describes the impact of an intervention to improve availability and labelling of healthier foods and drinks for sale. Parents (n = 168) and food outlet managers (n = 17) were surveyed. Food and drinks for sale in health-service operated food outlets (n = 5) and vending machines (n = 90) in health care facilities in the Hunter New England region of NSW were audited pre (2007) and post (2010/11) the introduction of policy and associated support to increase the availability of healthier choices. A traffic light system was used to classify foods from least (red) to most healthy choices (green). Almost all (95%) parents and most (65%) food outlet managers thought food outlets on health service sites should have signs clearly showing healthy choices. Parents (90%) also thought all food outlets on health service sites should provide mostly healthy items compared to 47% of managers. The proportion of healthier beverage slots in vending machines increased from 29% to 51% at follow-up and the proportion of machines that labelled healthier drinks increased from 0 to 26%. No outlets labelled healthier items at baseline compared to 4 out of 5 after the intervention. No changes were observed in the availability or labelling of healthier food in vending machines or the availability of healthier food or drinks in food outlets. Baseline availability and labelling of healthier food and beverage choices for sale in health care facilities was poor in spite of the support of parents and outlet managers for such initiatives. The intervention

Communicating Ebola through social media and electronic news media outlets: A cross-sectional study.

PubMed

Househ, Mowafa

2016-09-01

Social media and electronic news media activity are an important source of information for the general public. Yet, there is a dearth of research exploring the use of Twitter and electronic news outlets during significant worldly events such as the recent Ebola Virus scare. The purpose of this article is to investigate the use of Twitter and electronic news media outlets in communicating Ebola Virus information. A cross-sectional survey of Twitter data and Google News Trend data from 30 September till 29 October, 2014 was conducted. Between 30 September and 29 October, there were approximately 26 million tweets (25,925,152) that contained the word Ebola. The highest number of correlated activity for Twitter and electronic news outlets occurred on 16 October 2014. Other important peaks in Twitter data occurred on 1 October, 6 October, 8 October, and 12 October, 2014. The main influencers of the Twitter feeds were news media outlets. The study reveals a relationship between electronic news media publishing and Twitter activity around significant events such as Ebola. Healthcare organizations should take advantage of the relationship between electronic news media and trending events on social media sites such as Twitter and should work on developing social media campaigns in co-operation with leading electronic news media outlets (e.g. CNN, Yahoo, Reuters) that can have an influence on social media activity. © The Author(s) 2015.

Future sea-level rise from Greenland's main outlet glaciers in a warming climate.

PubMed

Nick, Faezeh M; Vieli, Andreas; Andersen, Morten Langer; Joughin, Ian; Payne, Antony; Edwards, Tamsin L; Pattyn, Frank; van de Wal, Roderik S W

2013-05-09

Over the past decade, ice loss from the Greenland Ice Sheet increased as a result of both increased surface melting and ice discharge to the ocean. The latter is controlled by the acceleration of ice flow and subsequent thinning of fast-flowing marine-terminating outlet glaciers. Quantifying the future dynamic contribution of such glaciers to sea-level rise (SLR) remains a major challenge because outlet glacier dynamics are poorly understood. Here we present a glacier flow model that includes a fully dynamic treatment of marine termini. We use this model to simulate behaviour of four major marine-terminating outlet glaciers, which collectively drain about 22 per cent of the Greenland Ice Sheet. Using atmospheric and oceanic forcing from a mid-range future warming scenario that predicts warming by 2.8 degrees Celsius by 2100, we project a contribution of 19 to 30 millimetres to SLR from these glaciers by 2200. This contribution is largely (80 per cent) dynamic in origin and is caused by several episodic retreats past overdeepenings in outlet glacier troughs. After initial increases, however, dynamic losses from these four outlets remain relatively constant and contribute to SLR individually at rates of about 0.01 to 0.06 millimetres per year. These rates correspond to ice fluxes that are less than twice those of the late 1990s, well below previous upper bounds. For a more extreme future warming scenario (warming by 4.5 degrees Celsius by 2100), the projected losses increase by more than 50 per cent, producing a cumulative SLR of 29 to 49 millimetres by 2200.

Contoured tank outlets for draining of cylindrical tanks in low-gravity environment. [Lewis Research Center Zero Gravity Facility

NASA Technical Reports Server (NTRS)

Symons, E. P.

1979-01-01

An analysis is presented for defining the outlet contour of a hemispherical-bottomed cylindrical tank that will prevent vapor ingestion when the tank is drained. The analysis was used to design two small-scale tanks that were fabricated and then tested in a low gravity environment. The draining performance of the tanks was compared with that for a tank with a conventional outlet having a constant circular cross-sectional area, under identical conditions. Even when drained at off-design conditions, the contoured tank had less liquid residuals at vapor ingestion than the conventional outlet tank. Effects of outflow rate, gravitational environment, and fluid properties on the outlet contour are discussed. Two potential applications of outlet contouring are also presented and discussed.

7 CFR 929.104 - Outlets for excess cranberries.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 7 Agriculture 8 2013-01-01 2013-01-01 false Outlets for excess cranberries. 929.104 Section 929... SERVICE (MARKETING AGREEMENTS AND ORDERS; FRUITS, VEGETABLES, NUTS), DEPARTMENT OF AGRICULTURE CRANBERRIES... excess cranberries. (a) In accordance with § 929.61, excess cranberries may be disposed of only in the...

7 CFR 929.104 - Outlets for excess cranberries.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 7 Agriculture 8 2014-01-01 2014-01-01 false Outlets for excess cranberries. 929.104 Section 929... SERVICE (MARKETING AGREEMENTS AND ORDERS; FRUITS, VEGETABLES, NUTS), DEPARTMENT OF AGRICULTURE CRANBERRIES... excess cranberries. (a) In accordance with § 929.61, excess cranberries may be disposed of only in the...

7 CFR 929.104 - Outlets for excess cranberries.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 7 Agriculture 8 2012-01-01 2012-01-01 false Outlets for excess cranberries. 929.104 Section 929... SERVICE (Marketing Agreements and Orders; Fruits, Vegetables, Nuts), DEPARTMENT OF AGRICULTURE CRANBERRIES... excess cranberries. (a) In accordance with § 929.61, excess cranberries may be disposed of only in the...

7 CFR 929.104 - Outlets for excess cranberries.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 7 Agriculture 8 2011-01-01 2011-01-01 false Outlets for excess cranberries. 929.104 Section 929... SERVICE (Marketing Agreements and Orders; Fruits, Vegetables, Nuts), DEPARTMENT OF AGRICULTURE CRANBERRIES... excess cranberries. (a) In accordance with § 929.61, excess cranberries may be disposed of only in the...

Has Tanzania embraced the green leaf? Results from outlet and household surveys before and after implementation of the Affordable Medicines Facility-malaria.

PubMed

Thomson, Rebecca; Festo, Charles; Johanes, Boniface; Kalolella, Admirabilis; Bruxvoort, Katia; Nchimbi, Happy; Tougher, Sarah; Cairns, Matthew; Taylor, Mark; Kleinschmidt, Immo; Ye, Yazoume; Mann, Andrea; Ren, Ruilin; Willey, Barbara; Arnold, Fred; Hanson, Kara; Kachur, S Patrick; Goodman, Catherine

2014-01-01

The Affordable Medicines Facility-malaria (AMFm) is primarily an artemisinin combination therapy (ACT) subsidy, aimed at increasing availability, affordability, market share and use of quality-assured ACTs (QAACTs). Mainland Tanzania was one of eight national scale programmes where AMFm was introduced in 2010. Here we present findings from outlet and household surveys before and after AMFm implementation to evaluate its impact from both the supply and demand side. Outlet surveys were conducted in 49 randomly selected wards throughout mainland Tanzania in 2010 and 2011, and data on outlet characteristics and stocking patterns were collected from outlets stocking antimalarials. Household surveys were conducted in 240 randomly selected enumeration areas in three regions in 2010 and 2012. Questions about treatment seeking for fever and drugs obtained were asked of individuals reporting fever in the previous two weeks. The availability of QAACTs increased from 25.5% to 69.5% among all outlet types, with the greatest increase among pharmacies and drug stores, together termed specialised drug sellers (SDSs), where the median QAACT price fell from $5.63 to $0.94. The market share of QAACTs increased from 26.2% to 42.2%, again with the greatest increase in SDSs. Household survey results showed a shift in treatment seeking away from the public sector towards SDSs. Overall, there was no change in the proportion of people with fever obtaining an antimalarial or ACT from baseline to endline. However, when broken down by treatment source, ACT use increased significantly among clients visiting SDSs. Unchanged ACT use overall, despite increases in QAACT availability, affordability and market share in the private sector, reflected a shift in treatment seeking towards private providers. The reasons for this shift are unclear, but likely reflect both persistent stockouts in public facilities, and the increased availability of subsidised ACTs in the private sector.

Metal halogen battery system with multiple outlet nozzle for hydrate

DOEpatents

Bjorkman, Jr., Harry K.

1983-06-21

A metal halogen battery system, including at least one cell having a positive electrode and a negative electrode contacted by aqueous electrolyte containing the material of said metal and halogen, store means whereby halogen hydrate is formed and stored as part of an aqueous material, means for circulating electrolyte through the cell and to the store means, and conduit means for transmitting halogen gas formed in the cell to a hydrate former whereby the hydrate is formed in association with the store means, said store means being constructed in the form of a container which includes a filter means, said filter means being inoperative to separate the hydrate formed from the electrolyte, said system having, a hydrate former pump means associated with the store means and being operative to intermix halogen gas with aqueous electrolyte to form halogen hydrate, said hydrate former means including, multiple outlet nozzle means connected with the outlet side of said pump means and being operative to minimize plugging, said nozzle means being comprised of at least one divider means which is generally perpendicular to the rotational axes of gears within the pump means, said divider means acting to divide the flow from the pump means into multiple outlet flow paths.

An ecological analysis of alcohol-outlet density and campus-reported violence at 32 U.S. colleges.

PubMed

Scribner, Richard A; Mason, Karen E; Simonsen, Neal R; Theall, Katherine; Chotalia, Jigar; Johnson, Sandy; Schneider, Shari Kessel; DeJong, William

2010-03-01

The purpose of this study was to assess the relationships among campus violence, student drinking levels, and the physical availability of alcohol at off-campus outlets in a multisite design. An ecological analysis of on-campus violence was conducted at 32 U.S. colleges. Dependent variables included campus-reported rates of rape, robbery, assault, and burglary obtained from a U.S. Department of Education online database for the years 2000-2004. Measures of student alcohol use and demographics were obtained from student surveys conducted for the Social Norms Marketing Research Project from 2000 to 2004. Measures of alcohol-outlet density within 3 miles of each campus were obtained from state alcohol-licensing authorities for 2004. Both on- and off-premise alcohol-outlet densities were associated with the campus rape-offense rate but not with the assault or robbery rates. Student drinking level was associated with both campus rape and assault rates but not with the campus robbery rate. The apparent effect of on-premise outlet density on campus rape-offense rates was reduced when student drinking level was included in the model, suggesting that the effect of on-premise outlet density may be mediated by student drinking level. Separate analyses revealed a similar mediational role for off-premise outlet density. These findings demonstrate that there is a campus-level association between sexual violence and the campus-community alcohol environment.

Statistical Approaches Used to Assess the Equity of Access to Food Outlets: A Systematic Review

PubMed Central

Lamb, Karen E.; Thornton, Lukar E.; Cerin, Ester; Ball, Kylie

2015-01-01

Background Inequalities in eating behaviours are often linked to the types of food retailers accessible in neighbourhood environments. Numerous studies have aimed to identify if access to healthy and unhealthy food retailers is socioeconomically patterned across neighbourhoods, and thus a potential risk factor for dietary inequalities. Existing reviews have examined differences between methodologies, particularly focussing on neighbourhood and food outlet access measure definitions. However, no review has informatively discussed the suitability of the statistical methodologies employed; a key issue determining the validity of study findings. Our aim was to examine the suitability of statistical approaches adopted in these analyses. Methods Searches were conducted for articles published from 2000–2014. Eligible studies included objective measures of the neighbourhood food environment and neighbourhood-level socio-economic status, with a statistical analysis of the association between food outlet access and socio-economic status. Results Fifty-four papers were included. Outlet accessibility was typically defined as the distance to the nearest outlet from the neighbourhood centroid, or as the number of food outlets within a neighbourhood (or buffer). To assess if these measures were linked to neighbourhood disadvantage, common statistical methods included ANOVA, correlation, and Poisson or negative binomial regression. Although all studies involved spatial data, few considered spatial analysis techniques or spatial autocorrelation. Conclusions With advances in GIS software, sophisticated measures of neighbourhood outlet accessibility can be considered. However, approaches to statistical analysis often appear less sophisticated. Care should be taken to consider assumptions underlying the analysis and the possibility of spatially correlated residuals which could affect the results. PMID:29546115

Surf zone entrainment, along-shore transport, and human health implications of pollution from tidal outlets

NASA Astrophysics Data System (ADS)

Grant, S. B.; Kim, J. H.; Jones, B. H.; Jenkins, S. A.; Wasyl, J.; Cudaback, C.

2005-10-01

Field experiments and modeling studies were carried out to characterize the surf zone entrainment and along-shore transport of pollution from two tidal outlets that drain into Huntington Beach and Newport Beach, popular public beaches in southern California. The surf zone entrainment and near-shore transport of pollutants from these tidal outlets appears to be controlled by prevailing wave conditions and coastal currents, and fine-scale features of the flow field around the outlets. An analysis of data from dye experiments and fecal indicator bacteria monitoring studies reveals that the along-shore flux of surf zone water is at least 50 to 300 times larger than the cross-shore flux of surf zone water. As a result, pollutants entrained in the surf zone hug the shore, where they travel significant distances parallel to the beach before diluting to extinction. Under the assumption that all surf zone pollution at Huntington Beach originates from two tidal outlets, the Santa Ana River and Talbert Marsh outlets, models of mass and momentum transport in the surf zone approximately capture the observed tidal phasing and magnitude of certain fecal indicator bacteria groups (total coliform) but not others (Escherichia coli and enterococci), implying the existence of multiple sources of, and/or multiple transport pathways for, fecal pollution at this site. The intersection of human recreation and near-shore pollution pathways implies that, from a human health perspective, special care should be taken to reduce the discharge of harmful pollutants from land-side sources of surface water runoff, such as tidal outlets and storm drains.

The Impact of the Tobacco Retail Outlet Environment on Adult Cessation and Differences by Neighborhood Poverty

PubMed Central

Anesetti-Rothermel, Andrew; Pearson, Jennifer L.; Xiao, Haijun; Vallone, Donna; Kirchner, Thomas R.

2014-01-01

Aims This study examined the impact of tobacco retail outlets on cessation outcomes over time among non-treatment-seeking smokers and assessed differences by neighborhood poverty and individual factors. Design Observational longitudinal cohort study using geospatial data. We used generalized estimating equations to examine cessation outcomes in relation to the proximity and density of tobacco retail outlets near the home. Setting Eight large Designated Media Areas across the U.S. Participants A total of 2,377 baseline smokers followed over 3 waves from 2008 to 2010. Measurements Outlet addresses were identified through North American Industry Classification System codes and proximity and density measures were constructed for each participant at each wave. Outcomes included past 30-day abstinence and pro-cessation attitudes. Findings Smokers in high poverty census tracts living between 500 meters and 1.9 kilometers from an outlet were over 2 times more likely to be abstinent than those living fewer than 500 meters from an outlet (p<.05). Density within 500 meters of home was associated with reduced abstinence (OR: 0.94; CI: 0.90, 0.98) and lower pro-cessation attitudes (Coef: −0.07, CI: −0.10, −0.03) only in high poverty areas. In low poverty areas, density within 500 meters was associated with greater pro-cessation attitudes (OR: 0.06; CI: 0.01, 0.12). Gender, education and heaviness of smoking did not moderate the impact of outlet proximity and density on cessation outcomes. Conclusions In the US, density of tobacco outlets within 500 meters of the home residence appears to be negatively associated with smoking abstinence and pro-cessation attitudes only in poor areas. PMID:25171184

A sensitivity study of fast outlet glaciers to short timescale cyclical perturbations

NASA Astrophysics Data System (ADS)

Aykutlug, E.; Dupont, T. K.

2015-01-01

The dynamic response of outlet glaciers on short (annual to decadal) timescales is affected by various external forcings, such as basal or oceanic conditions. Understanding the sensitivity of the dynamic response to such forcings can help assess more accurate ice volume projections. In this work, we investigate the spatiotemporal sensitivity of outlet glaciers to fast cyclical forcings using a one-dimensional depth and width-averaged heuristic model. Our results indicate that even on such short timescales, nonlinearities in ice dynamics may lead to an asymmetric response, despite the forcing functions being symmetric around each reference value. Results also show that such short-timescale effects become more pronounced as glaciers become closer to flotation. While being qualitatively similar for both downsloping and upsloping bed geometries, the results indicate higher sensitivity for upsloping ("West Antarctica-like") beds. The range in asymmetric response for different configurations motivate parameterizing or including short-timescale effects in models while investigating the dynamic behavior of outlet glaciers.

Mir-29 repression in bladder outlet obstruction contributes to matrix remodeling and altered stiffness.

PubMed

Ekman, Mari; Bhattachariya, Anirban; Dahan, Diana; Uvelius, Bengt; Albinsson, Sebastian; Swärd, Karl

2013-01-01

Recent work has uncovered a role of the microRNA (miRNA) miR-29 in remodeling of the extracellular matrix. Partial bladder outlet obstruction is a prevalent condition in older men with prostate enlargement that leads to matrix synthesis in the lower urinary tract and increases bladder stiffness. Here we tested the hypothesis that miR-29 is repressed in the bladder in outlet obstruction and that this has an impact on protein synthesis and matrix remodeling leading to increased bladder stiffness. c-Myc, NF-κB and SMAD3, all of which repress miR-29, were activated in the rat detrusor following partial bladder outlet obstruction but at different times. c-Myc and NF-κB activation occurred early after obstruction, and SMAD3 phosphorylation increased later, with a significant elevation at 6 weeks. c-Myc, NF-κB and SMAD3 activation, respectively, correlated with repression of miR-29b and miR-29c at 10 days of obstruction and with repression of miR-29c at 6 weeks. An mRNA microarray analysis showed that the reduction of miR-29 following outlet obstruction was associated with increased levels of miR-29 target mRNAs, including mRNAs for tropoelastin, the matricellular protein Sparc and collagen IV. Outlet obstruction increased protein levels of eight out of eight examined miR-29 targets, including tropoelastin and Sparc. Transfection of human bladder smooth muscle cells with antimiR-29c and miR-29c mimic caused reciprocal changes in target protein levels in vitro. Tamoxifen inducible and smooth muscle-specific deletion of Dicer in mice reduced miR-29 expression and increased tropoelastin and the thickness of the basal lamina surrounding smooth muscle cells in the bladder. It also increased detrusor stiffness independent of outlet obstruction. Taken together, our study supports a model where the combined repressive influences of c-Myc, NF-κB and SMAD3 reduce miR-29 in bladder outlet obstruction, and where the resulting drop in miR-29 contributes to matrix remodeling and

Do people really know what food retailers exist in their neighborhood? Examining GIS-based and perceived presence of retail food outlets in an eight-county region of South Carolina

PubMed Central

Barnes, Timothy L.; Bell, Bethany A.; Freedman, Darcy A.; Colabianchi, Natalie; Liese, Angela D.

2015-01-01

Measures of neighborhood food environments have been linked to diet and obesity. However, the appropriate measurement methods and how people actually perceive their food environments are still unclear. In a cross-sectional study of 939 adults, the perceived presence of food outlets was compared to the geographic-based presence of outlets within a participant’s neighborhood, utilizing percent agreement and Kappa statistics. Perceived presence was based on survey-administered questions, and geographic-based presence was characterized using 1-, 2-, 3- and 5-mile (1-mile=1.6 km) Euclidean- and network-based buffers centered on each participant’s residence. Analyses were also stratified by urban and non-urban designations. Overall, an individual’s perceived neighborhood food environment was moderately correlated with the geographic-based presence of outlets. The performance of an individual’s perception was most optimal using a 2- or 3-mile geographic-based neighborhood boundary and/or when the participant lived in a non-urban neighborhood. This study has implications for how researchers measure the food environment. PMID:26046635

Do people really know what food retailers exist in their neighborhood? Examining GIS-based and perceived presence of retail food outlets in an eight-county region of South Carolina.

PubMed

Barnes, Timothy L; Bell, Bethany A; Freedman, Darcy A; Colabianchi, Natalie; Liese, Angela D

2015-04-01

Measures of neighborhood food environments have been linked to diet and obesity. However, the appropriate measurement methods and how people actually perceive their food environments are still unclear. In a cross-sectional study of 939 adults, the perceived presence of food outlets was compared to the geographic-based presence of outlets within a participant's neighborhood, utilizing percent agreement and Kappa statistics. Perceived presence was based on survey-administered questions, and geographic-based presence was characterized using 1-, 2-, 3- and 5-mile (1-mile=1.6km) Euclidean- and network-based buffers centered on each participant's residence. Analyses were also stratified by urban and non-urban designations. Overall, an individual's perceived neighborhood food environment was moderately correlated with the geographic-based presence of outlets. The performance of an individual's perception was most optimal using a 2- or 3-mile geographic-based neighborhood boundary and/or when the participant lived in a non-urban neighborhood. This study has implications for how researchers measure the food environment. Copyright © 2015 Elsevier Ltd. All rights reserved.

Associations between county and municipality zoning ordinances and access to fruit and vegetable outlets in rural North Carolina, 2012.

PubMed

Mayo, Mariel Leah; Pitts, Stephanie B Jilcott; Chriqui, Jamie F

2013-12-05

Zoning ordinances and land-use plans may influence the community food environment by determining placement and access to food outlets, which subsequently support or hinder residents' attempts to eat healthfully. The objective of this study was to examine associations between healthful food zoning scores as derived from information on local zoning ordinances, county demographics, and residents' access to fruit and vegetable outlets in rural northeastern North Carolina. From November 2012 through March 2013, county and municipality zoning ordinances were identified and double-coded by using the Bridging the Gap food code/policy audit form. A healthful food zoning score was derived by assigning points for the allowed use of fruit and vegetable outlets. Pearson coefficients were calculated to examine correlations between the healthful food zoning score, county demographics, and the number of fruit and vegetable outlets. In March and April 2013, qualitative interviews were conducted among county and municipal staff members knowledgeable about local zoning and planning to ascertain implementation and enforcement of zoning to support fruit and vegetable outlets. We found a strong positive correlation between healthful food zoning scores and the number of fruit and vegetable outlets in 13 northeastern North Carolina counties (r = 0.66, P = .01). Major themes in implementation and enforcement of zoning to support fruit and vegetable outlets included strict enforcement versus lack of enforcement of zoning regulations. Increasing the range of permitted uses in zoning districts to include fruit and vegetable outlets may increase access to healthful fruit and vegetable outlets in rural communities.

Associations Between County and Municipality Zoning Ordinances and Access to Fruit And Vegetable Outlets in Rural North Carolina, 2012

PubMed Central

Mayo, Mariel Leah; Chriqui, Jamie F.

2013-01-01

Introduction Zoning ordinances and land-use plans may influence the community food environment by determining placement and access to food outlets, which subsequently support or hinder residents’ attempts to eat healthfully. The objective of this study was to examine associations between healthful food zoning scores as derived from information on local zoning ordinances, county demographics, and residents’ access to fruit and vegetable outlets in rural northeastern North Carolina. Methods From November 2012 through March 2013, county and municipality zoning ordinances were identified and double-coded by using the Bridging the Gap food code/policy audit form. A healthful food zoning score was derived by assigning points for the allowed use of fruit and vegetable outlets. Pearson coefficients were calculated to examine correlations between the healthful food zoning score, county demographics, and the number of fruit and vegetable outlets. In March and April 2013, qualitative interviews were conducted among county and municipal staff members knowledgeable about local zoning and planning to ascertain implementation and enforcement of zoning to support fruit and vegetable outlets. Results We found a strong positive correlation between healthful food zoning scores and the number of fruit and vegetable outlets in 13 northeastern North Carolina counties (r = 0.66, P = .01). Major themes in implementation and enforcement of zoning to support fruit and vegetable outlets included strict enforcement versus lack of enforcement of zoning regulations. Conclusion Increasing the range of permitted uses in zoning districts to include fruit and vegetable outlets may increase access to healthful fruit and vegetable outlets in rural communities. PMID:24309091

Does neighborhood fast-food outlet exposure amplify inequalities in diet and obesity? A cross-sectional study12

PubMed Central

Forouhi, Nita G; Griffin, Simon J; Brage, Søren; Wareham, Nicholas J

2016-01-01

Background: Greater exposures to fast-food outlets and lower levels of education are independently associated with less healthy diets and obesity. Little is known about the interplay between these environmental and individual factors. Objective: The purpose of this study was to test whether observed differences in fast-food consumption and obesity by fast-food outlet exposure are moderated by educational attainment. Design: In a population-based cohort of 5958 adults aged 29–62 y in Cambridgeshire, United Kingdom, we used educational attainment–stratified regression models to estimate the food-frequency questionnaire–derived consumption of energy-dense “fast foods” (g/d) typically sold in fast-food restaurants and measured body mass index (BMI; in kg/m2) across geographic information system–derived home and work fast-food exposure quartiles. We used logistic regression to estimate the odds of obesity (BMI ≥30) and calculated relative excess risk due to interaction (RERI) on an additive scale. Participant data were collected during 2005–2013 and analyzed in 2015. Results: Greater fast-food consumption, BMI, and odds of obesity were associated with greater fast-food outlet exposure and a lower educational level. Fast-food consumption and BMI were significantly different across education groups at all levels of fast-food outlet exposure (P < 0.05). High fast-food outlet exposure amplified differences in fast-food consumption across levels of education. The relation between fast-food outlet exposure and obesity was only significant among those who were least educated (OR: 2.05; 95% CI: 1.08, 3.87; RERI = 0.88), which suggested a positive additive interaction between education and fast-food outlet exposure. Conclusion: These findings suggest that efforts to improve diets and health through neighborhood-level fast-food outlet regulation might be effective across socioeconomic groups and may serve to reduce observed socioeconomic inequalities in diet and

Henoch Schönlein purpura presenting as duodenal ulcer and gastric outlet obstruction.

PubMed

Rathore, Mukesh; Shrivastava, Rimjhim; Goyal, Ravinder; Radotra, B D; Thapa, B R

2014-02-01

Henoch-Schönlein purpura (HSP) is an acute small vessel leucocytoclastic vasculitis. It is the commonest vasculitis in children, with an incidence of about 10 cases per 100, 000 a year. Gastrointestinal manifestations are commonly encountered, however hematemesis and gastric outlet obstruction are rarely reported. The authors present the case of a 5-y-old boy having hematemesis, gastric outlet obstruction and multiple duodenal ulcers. He improved with steroids and conservative management.

High temperature solar thermal receiver

NASA Technical Reports Server (NTRS)

1979-01-01

A design concept for a high temperature solar thermal receiver to operate at 3 atmospheres pressure and 2500 F outlet was developed. The performance and complexity of windowed matrix, tube-header, and extended surface receivers were evaluated. The windowed matrix receiver proved to offer substantial cost and performance benefits. An efficient and cost effective hardware design was evaluated for a receiver which can be readily interfaced to fuel and chemical processes or to heat engines for power generation.

A cross-sectional analysis of the relationship between tobacco and alcohol outlet density and neighbourhood deprivation.

PubMed

Shortt, Niamh K; Tisch, Catherine; Pearce, Jamie; Mitchell, Richard; Richardson, Elizabeth A; Hill, Sarah; Collin, Jeff

2015-10-05

There is a strong socio-economic gradient in both tobacco-and alcohol-related harm. One possible factor contributing to this social gradient may be greater availability of tobacco and alcohol in more socially-deprived areas. A higher density of tobacco and alcohol outlets is not only likely to increase supply but also to raise awareness of tobacco/alcohol brands, create a competitive local market that reduces product costs, and influence local social norms relating to tobacco and alcohol consumption. This paper examines the association between the density of alcohol and tobacco outlets and neighbourhood-level income deprivation. Using a national tobacco retailer register and alcohol licensing data this paper calculates the density of alcohol and tobacco retail outlets per 10,000 population for small neighbourhoods across the whole of Scotland. Average outlet density was calculated for neighbourhoods grouped by their level of income deprivation. Associations between outlet density and deprivation were analysed using one way analysis of variance. There was a positive linear relationship between neighbourhood deprivation and outlets for both tobacco (p <0.001) and off-sales alcohol (p <0.001); the most deprived quintile of neighbourhoods had the highest densities of both. In contrast, the least deprived quintile had the lowest density of tobacco and both off-sales and on-sales alcohol outlets. The social gradient evident in alcohol and tobacco supply may be a contributing factor to the social gradient in alcohol- and tobacco-related disease. Policymakers should consider such gradients when creating tobacco and alcohol control policies. The potential contribution to public health, and health inequalities, of reducing the physical availability of both alcohol and tobacco products should be examined in developing broader supply-side interventions.

The impact of the tobacco retail outlet environment on adult cessation and differences by neighborhood poverty.

PubMed

Cantrell, Jennifer; Anesetti-Rothermel, Andrew; Pearson, Jennifer L; Xiao, Haijun; Vallone, Donna; Kirchner, Thomas R

2015-01-01

This study examined the impact of tobacco retail outlets on cessation outcomes over time among non-treatment-seeking smokers and assessed differences by neighborhood poverty and individual factors. Observational longitudinal cohort study using geospatial data. We used generalized estimating equations to examine cessation outcomes in relation to the proximity and density of tobacco retail outlets near the home. Eight large Designated Media Areas across the United States. A total of 2377 baseline smokers followed over three waves from 2008 to 2010. Outlet addresses were identified through North American Industry Classification System codes and proximity and density measures were constructed for each participant at each wave. Outcomes included past 30-day abstinence and pro-cessation attitudes. Smokers in high poverty census tracts living between 500 m and 1.9 km from an outlet were over two times more likely to be abstinent than those living fewer than 500 m from an outlet (P < 0.05). Density within 500 m of home was associated with reduced abstinence [odds ratio (OR) = 0.94; confidence interval (CI) = 0.90, 0.98) and lower pro-cessation attitudes (Coeff = -0.07, CI = -0.10, -0.03) only in high poverty areas. In low poverty areas, density within 500 m was associated with greater pro-cessation attitudes (OR = 0.06; CI = 0.01, 0.12). Gender, education and heaviness of smoking did not moderate the impact of outlet proximity and density on cessation outcomes. In the United States, density of tobacco outlets within 500 m of the home residence appears to be negatively associated with smoking abstinence and pro-cessation attitudes only in poor areas. © 2014 Society for the Study of Addiction.

Water Quality Outlet Works Prototype Tests, Warm Springs Dam Dry Creek, Russian River Basin Sonoma County, California

DTIC Science & Technology

1989-03-01

34.4* TECHNICAL REPORT HL-89-4 WATER QUALITY OUTLET WORKS PROTOTYPE TESTS, WARM SPRINGS DAM DRY CREEK, RUSSIAN RIVER BASIN AD-A207 058 SONOMA COUNTY , CALIFORNIA...Clawflcation) [7 Water Quality Outlet Works Prototype Tests, Warm Springs Dam, Dry Creek, Russian River Basin, Sonoma County , California 12. PERSONAL...Cointogobvil Be,,pesso Figur 1. iciniyama Pealm WATER QUALITY OUTLET WORKS PROTOTYPE TESTS WARM SPRINGS DAM, DRY CREEK, RUSSIAN RIVER BASIN SONOMA COUNTY , CALIFORNIA

7. WEST DAM STRUCTURE, LOOKING NORTHWEST. QUARRIES AT BOTTOM; OUTLET ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

7. WEST DAM STRUCTURE, LOOKING NORTHWEST. QUARRIES AT BOTTOM; OUTLET STRUCTURE UNDER CONSTRUCTION CUTTING INTO HILL AT TOP OF PICTURE. - Eastside Reservoir, Diamond & Domenigoni Valleys, southwest of Hemet, Hemet, Riverside County, CA

Special type culvert headwall, Culvert No. 124 Outlet, oblique view, ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Special type culvert headwall, Culvert No. 124 Outlet, oblique view, view to southwest - Route No. 1-Overton-Lake Mead Road, Culverts and Headwalls, 6 miles south of Overton, Overton, Clark County, NV

Special type culvert headwall, Culvert No. 109 Outlet, oblique view, ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Special type culvert headwall, Culvert No. 109 Outlet, oblique view, view to southeast - Route No. 1-Overton-Lake Mead Road, Culverts and Headwalls, 6 miles south of Overton, Overton, Clark County, NV

6. VIEW SHOWING INCLINED OUTLET GATE WHEEL, STEM AND STEM ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

6. VIEW SHOWING INCLINED OUTLET GATE WHEEL, STEM AND STEM GUIDE (18' HARDESTY GATE), LOOKING SOUTHEAST - High Mountain Dams in Bonneville Unit, Long Lake Dam, Wasatch National Forest, Kamas, Summit County, UT

5. VIEW OF UPRIGHT OUTLET GATE WHEEL, STEM AND STEM ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

5. VIEW OF UPRIGHT OUTLET GATE WHEEL, STEM AND STEM GUIDE (HARDESTY CAST IRON RECTANGULAR SLIDE GATE), LOOKING SOUTHWEST - High Mountain Dams in Bonneville Unit, Lost Lake Dam, Kamas, Summit County, UT

The association between the density of retail tobacco outlets, individual smoking status, neighbourhood socioeconomic status and school locations in New South Wales, Australia.

PubMed

Marashi-Pour, Sadaf; Cretikos, Michelle; Lyons, Claudine; Rose, Nick; Jalaludin, Bin; Smith, Joanne

2015-01-01

We explored the association between the density of tobacco outlets and neighbourhood socioeconomic status, and between neighbourhood tobacco outlet density and individual smoking status. We also investigated the density of tobacco outlets around primary and secondary schools in New South Wales (NSW). We calculated the mean density of retail tobacco outlets registered in NSW between 2009 and 2011, using kernel density estimation with an adaptive bandwidth. We used generalised ordered logistic regression model to explore the association between socioeconomic status and density of tobacco outlets. The association between neighbourhood tobacco outlet density and individuals' current smoking status was investigated using random-intercept generalised linear mixed models. We also calculated the median tobacco outlet density around NSW schools. More disadvantaged Census Collection Districts (CDs) were significantly more likely to have higher tobacco outlet densities. After adjusting for neighbourhood socioeconomic status and participants' age, sex, country of birth and Aboriginal status, neighbourhood mean tobacco outlet density was significantly and positively associated with individuals' smoking status. The median of tobacco outlet density around schools was significantly higher than the state median. Policymakers could consider exploring a range of strategies that target tobacco outlets in proximity to schools, in more disadvantaged neighbourhoods and in areas of existing high tobacco outlet density. Crown Copyright © 2014. Published by Elsevier Ltd. All rights reserved.

Antral hyperplastic polyp: A rare cause of gastric outlet obstruction

PubMed Central

Aydin, Ibrahim; Ozer, Ender; Rakici, Halil; Sehitoglu, Ibrahim; Yucel, Ahmet Fikret; Pergel, Ahmet; Sahin, Dursun Ali

2014-01-01

INTRODUCTION Gastric polyps are usually found incidentally during upper gastrointestinal endoscopic examinations. These polyps are generally benign, with hyperplasia being the most common. While gastric polyps are often asymptomatic, they can cause gastric outlet obstruction. PRESENTATION OF CASE A 64 years-old female patient presented to our polyclinic with a history of approximately 2 months of weakness, occasional early nausea, vomiting after meals and epigastric pain. A polypoid lesion of approximately 25 mm in diameter was detected in the antral area of the stomach, which prolapsed through the pylorus into the duodenal bulbus, and subsequently caused gastric outlet obstruction, as revealed by upper gastrointestinal endoscopy of the patient. The polyp was retrieved from the pyloric canal into the stomach with the aid of a tripod, and snare polypectomy was performed. DISCUSSION Currently, widespread use of endoscopy has led to an increase in the frequency of detecting hyperplastic polyps. While most gastric polyps are asymptomatic, they can cause iron deficiency anemia, acute pancreatitis and more commonly, gastric outlet obstruction because of their antral location. Although there are no precise principles in the treatment of asymptomatic polyps, polyps >5 mm should be removed due to the possibility of malignant transformation. CONCLUSION According to the medical evidence, polypectomy is required for gastric hyperplastic polyps because of the risks of complication and malignancy. These cases can be successfully treated endoscopically. PMID:24747755

Benefits and limitations of animal models in partial bladder outlet obstruction for translational research.

PubMed

Kitta, Takeya; Kanno, Yukiko; Chiba, Hiroki; Higuchi, Madoka; Ouchi, Mifuka; Togo, Mio; Moriya, Kimihiko; Shinohara, Nobuo

2018-01-01

The functions of the lower urinary tract have been investigated for more than a century. Lower urinary tract symptoms, such as incomplete bladder emptying, weak urine stream, daytime urinary frequency, urgency, urge incontinence and nocturia after partial bladder outlet obstruction, is a frequent cause of benign prostatic hyperplasia in aging men. However, the pathophysiological mechanisms have not been fully elucidated. The use of animal models is absolutely imperative for understanding the pathophysiological processes involved in bladder dysfunction. Surgical induction has been used to study lower urinary tract functions of numerous animal species, such as pig, dog, rabbit, guinea pig, rat and mouse, of both sexes. Several morphological and functional modifications under partial bladder outlet obstruction have not only been observed in the bladder, but also in the central nervous system. Understanding the changes of the lower urinary tract functions induced by partial bladder outlet obstruction would also contribute to appropriate drug development for treating these pathophysiological conditions. In the present review, we discuss techniques for creating partial bladder outlet obstruction, the characteristics of several species, as well as issues of each model, and their translational value. © 2017 The Japanese Urological Association.

The concept of double inlet-double outlet right ventricle: a distinct congenital heart disease.

PubMed

Spadotto, Veronica; Frescura, Carla; Ho, Siew Yen; Thiene, Gaetano

The aim of this study was to estimate the incidence and to analyze the anatomy of double inlet-double outlet right ventricle complex and its associated cardiac anomalies in our autopsy series. Among the 1640 hearts with congenital heart disease of our Anatomical Collection, we reviewed the specimens with double inlet-double outlet right ventricle, according to the sequential-segmental analysis, identifying associated cardiac anomalies and examining lung histology to assess the presence of pulmonary vascular disease. We identified 14 hearts with double inlet-double outlet right ventricle (0.85%). Right atrial isomerism was observed in 10 hearts, situs solitus in 3 and left atrial isomerism in one. Regarding the mode of atrioventricular connection, all hearts but one had a common atrioventricular valve. Systemic or pulmonary venous abnormalities were noted in all patients with atrial isomerism. In nine patients a valvular or subvalvular pulmonary stenosis was present. Among the functionally "univentricular hearts", double inlet- double outlet right ventricle represents a peculiar entity, mostly in association with right atrial isomerism. Multiple cardiac anomalies are associated and may complicate surgical repair. Copyright © 2016 Elsevier Inc. All rights reserved.

The relationship between the density of alcohol outlets and parental supply of alcohol to adolescents.

PubMed

Rowland, B; Toumbourou, J W; Satyen, L; Livingston, M; Williams, J

2014-12-01

This study investigated whether the number of alcohol outlets per 10,000 population in a given area (density) influenced parental supply of alcohol to adolescents; differences in Australian born and acculturating parents were also examined. A state-representative student survey in Victoria identified that the majority of adolescents (55%) reported that they had used alcohol in the past 12months; 34 % of those who had consumed alcohol reported that it had been supplied by their parents. Multilevel modelling identified that there were no overall effects of density, however there were different effects based on parent country of birth and type of license. Specifically, each unit increase in the density of takeaway liquor stores increased the likelihood by 2.03 that children with both Australian-born parents would be supplied alcohol. Adolescents with both migrant parents on the other hand, had a 1.36 increased risk of being supplied alcohol as the density of outlets requiring at-venue consumption increased. The findings of this study suggest that in Australia, alcohol outlet density is associated with parental supply of alcohol to children, with this effect moderated by the cultural background of the parent and type of outlet density. Future research should investigate the association between the density of alcohol outlets and public approval of parents supplying alcohol to adolescents. Copyright © 2014 Elsevier Ltd. All rights reserved.

Neurogenic Thoracic Outlet Syndrome Caused by Vascular Compression of the Brachial Plexus: A Report of Two Cases

PubMed Central

Hanna, Amgad; Bodden, Larry O'Neil; Siebiger, Gabriel R. L.

2018-01-01

Thoracic outlet syndrome (TOS) is caused by compression of the brachial plexus and/or subclavian vessels as they pass through the cervicothoracobrachial region, exiting the chest. There are three main types of TOS: neurogenic TOS, arterial TOS, and venous TOS. Neurogenic TOS accounts for approximately 95% of all cases, and it is usually caused by physical trauma (posttraumatic etiology), chronic repetitive motion (functional etiology), or bone or muscle anomalies (congenital etiology). We present two cases in which neurogenic TOS was elicited by vascular compression of the inferior portion of the brachial plexus. PMID:29497457

7. VIEW OF INCLINED OUTLET GATE WHEEL, STEM AND STEM ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

7. VIEW OF INCLINED OUTLET GATE WHEEL, STEM AND STEM GUIDE (15' HARDESTY MODEL 115 GATE), LOOKING NORTHWEST - High Mountain Dams in Bonneville Unit, Marjorie Lake Dam, Wasatch National Forest, Kamas, Summit County, UT

4. VIEW OF INCLINED OUTLET GATE, STEM, STEM GUIDE AND ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

4. VIEW OF INCLINED OUTLET GATE, STEM, STEM GUIDE AND WHEEL (10' HARDESTY VERTICAL LIFT GATE), LOOKING NORTHWEST - High Mountain Dams in Bonneville Unit, Pot Lake Dam, Wasatch National Forest, Kamas, Summit County, UT

6. VIEW OF OUTLET GATE WHEEL AND STEM, LOOKING NORTHWEST ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

6. VIEW OF OUTLET GATE WHEEL AND STEM, LOOKING NORTHWEST - High Mountain Dams in Upalco Unit, Twin Pots Dam, Ashley National Forest, 10.1 miles North of Mountain Home, Mountain Home, Duchesne County, UT

3. AERIAL VIEW OF THREE BEARS LAKE, SHOWING OUTLET STREAM, ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

3. AERIAL VIEW OF THREE BEARS LAKE, SHOWING OUTLET STREAM, BURLINGTON NORTHERN TRACKS, AND U.S. HIGHWAY 2, LOOKING NORTHEAST - Three Bears Lake & Dams, North of Marias Pass, East Glacier Park, Glacier County, MT

Relationship between community-level alcohol outlet accessibility and individual-level herpes simplex virus type 2 infection among young women in South Africa.

PubMed

Rosenberg, Molly; Pettifor, Audrey; Lippman, Sheri A; Thirumurthy, Harsha; Emch, Michael; Miller, William C; Selin, Amanda; Gómez-Olivé, Francesc Xavier; Hughes, James P; Laeyendecker, Oliver; Tollman, Stephen; Kahn, Kathleen

2015-05-01

Exposure to alcohol outlets may influence sexual health outcomes at the individual and community levels. Visiting alcohol outlets facilitates alcohol consumption and exposes patrons to a risky environment and network of potential partners, whereas the presence of alcohol outlets in the community may shift social acceptance of riskier behavior. We hypothesize that living in communities with more alcohol outlets is associated with increased sexual risk. We performed a cross-sectional analysis in a sample of 2174 South African schoolgirls (ages 13-21 years) living across 24 villages in the rural Agincourt subdistrict, underpinned by long-term health and sociodemographic surveillance. To examine the association between number of alcohol outlets in village of residence and individual-level prevalent herpes simplex virus type 2 (HSV-2) infection, we used generalized estimating equations with logit links, adjusting for individual- and village-level covariates. The median number of alcohol outlets per village was 3 (range, 0-7). Herpes simplex virus type 2 prevalence increased from villages with no outlets (1.4% [95% confidence interval, 0.2-12.1]), to villages with 1 to 4 outlets (4.5% [3.7-5.5]), and to villages with more than 4 outlets (6.3% [5.6, 7.1]). An increase of 1 alcohol outlet per village was associated with an 11% increase in the odds of HSV-2 infection (adjusted odds ratio [95% confidence interval], 1.11 [0.98-1.25]). Living in villages with more alcohol outlets was associated with increased prevalence of HSV-2 infection in young women. Structural interventions and sexual health screenings targeting villages with extensive alcohol outlet environments could help prevent the spread of sexually transmitted infections.

Access to food retail outlets in County Durham, UK: a pragmatic cross-sectional study.

PubMed

Mills, Susanna; Wright, Tim

2015-02-26

Strong links exist between deprivation, obesity, and dietary quality. Increasing interest has focussed on the concept of access to food and so-called food deserts, defined by a policy working group of the UK Low Income Project Team in 1995 as "areas of relative exclusion where people experience physical and economic barriers to accessing healthy food". We aimed to establish the accessibility of food retail outlets in County Durham, a county in north-east England, UK, considering physical access, affordability, and food range and quality. In a pragmatic cross-sectional study in County Durham, we used information from town surveys and food business databases to locate and identify food retail outlets. The prevalence of deprivation, obesity, retail outlets, takeaway outlets, and ratio of retail to takeaway outlets was mapped, to establish local food access, and any associations with deprivation and obesity. The times taken to travel from residences to supermarkets using private car and public transport were also measured. 400 members of the community participated in eight focus groups and commissioned on-street surveys. Focus group transcripts were reviewed alongside the on-street survey responses to identify key issues. Most residents shopped at least weekly for food (n=368, 92%), used a supermarket for their main food shop (372, 93%), travelled for up to 15 min (340, 85%), and used a car for transport (188, 47%). Many survey respondents indicated high levels of satisfaction with food retail outlets (average rating 8·7 out of 10 for agreement with the statement "Overall I am satisfied with the shop where I do my main food shopping"), although financial constraints and transport inconvenience were identified as barriers. Difficulties with food shopping were more widely described in focus groups, and many individuals felt that local shopping provision had declined, with an emergent excess of takeaway outlets. Food retail access was reduced for the disabled, full

Local concentration of fast-food outlets is associated with poor nutrition and obesity.

PubMed

Kruger, Daniel J; Greenberg, Emily; Murphy, Jillian B; DiFazio, Lindsay A; Youra, Kathryn R

2014-01-01

We investigated the relationship of the local availability of fast-food restaurant locations with diet and obesity. We geocoded addresses of survey respondents and fast-food restaurant locations to assess the association between the local concentration of fast-food outlets, BMI, and fruit and vegetable consumption. The survey was conducted in Genesee County, Michigan. There were 1345 individuals included in this analysis, and the response rate was 25%. The Speak to Your Health! Community Survey included fruit and vegetable consumption items from the Behavioral Risk Factor Surveillance System, height, weight, and demographics. We used ArcGIS to map fast-food outlets and survey respondents. Stepwise linear regressions identified unique predictors of body mass index (BMI) and fruit and vegetable consumption. Survey respondents had 8 ± 7 fast-food outlets within 2 miles of their home. Individuals living in close proximity to fast-food restaurants had higher BMIs t(1342) = 3.21, p < .001, and lower fruit and vegetable consumption, t(1342) = 2.67, p = .008. Individuals may be at greater risk for adverse consequences of poor nutrition because of the patterns in local food availability, which may constrain the success of nutrition promotion efforts. Efforts to decrease the local availability of unhealthy foods as well as programs to help consumers identify strategies for obtaining healthy meals at fast-food outlets may improve health outcomes.

The molecular genetic basis of mitochondrial malfunction in bladder tissue following outlet obstruction.

PubMed

Levin, Robert M; Hudson, Alan P

2004-08-01

Bladder dysfunction following partial outlet obstruction is a frequent consequence of benign prostatic hyperplasia and an increasingly common problem given the aging of the general population. Recent studies from this and other groups have begun to elucidate the molecular bases for the well described physiological malfunctions that characterize this clinical entity. We summarized and synthesized that information. Using modern methods of molecular genetics, including real-time polymerase chain reaction, real-time reverse transcriptase-polymerase chain reaction and others, as well as traditional experimental techniques such as electron microscopy we and others examined the transcriptional profile, morphology, etc of bladder smooth muscle mitochondria in experimental models of outlet obstruction. Data from many studies have demonstrated that aberrant gene expression in the mitochondrial and mitochondria related nuclear genetic systems underlies the loss of compliance and other attributes of bladder dysfunction following outlet obstruction. Such aberrant transcriptional characteristics engender loss of function in the electron transport and oxidative phosphorylation systems. Morphological studies of mitochondria in the animal model systems support this conclusion. In large part the loss of function in bladder smooth muscle following outlet obstruction results from the attenuation of mitochondrial energy production. In this article we reviewed and synthesized all available experimental observations relevant to this problem and we suggest future lines of inquiry that should prove fruitful in developing new strategies to treat the condition.

The Impact of Alcohol Outlet Density on the Geographic Clustering of Underage Drinking Behaviors within Census Tracts

PubMed Central

Reboussin, Beth A.; Song, Eun-Young; Wolfson, Mark

2011-01-01

Background The regulation of alcohol outlet density has been considered as a potential means of reducing alcohol consumption and related harms among underage youth. Whereas prior studies have examined whether alcohol outlet density was associated with an individual’s alcohol consumption and related harms, this study examines whether it is related to the co-occurrence, or clustering, of these behaviors within geographic areas, specifically census tracts. Methods The Enforcing Underage Drinking Laws Randomized Community Trial provided cross-sectional telephone survey data in 2006 and 2007 from 10,754 youth aged 14–20 from 5 states residing in 1556 census tracts. The alternating logistic regression approach was used to estimate pairwise odds ratios between responses from youth residing in the same census tract and to model them as a function of alcohol outlet density. Results Riding with a drinking driver, making an alcohol purchase attempt and making a successful alcohol purchase attempt clustered significantly within census tracts with the highest off-premise alcohol outlet density while frequent drinking clustered within census tracts with the greatest on-premise density. Driving after drinking and experiencing non-violent alcohol-related consequences clustered marginally within census tracts with the greatest on-premise and off-premise alcohol outlet density, respectively. Conclusions Although youth primarily receive alcohol from social sources, commercial alcohol access is geographically concentrated within census tracts with the greatest off-premise outlet density. A potentially greater concern is the clustering of more frequent drinking and drinking and driving within census tracts with the greatest on-premise outlet density which may necessitate alternative census tract level initiatives to reduce these potentially harmful behaviors. PMID:21463343

17. VIEW TO NORTH SHOWING FISH WATER RELEASE OUTLET AS ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

17. VIEW TO NORTH SHOWING FISH WATER RELEASE OUTLET AS WELL AS SOUTHWEST AND SOUTHEAST ELEVATIONS OF FLOAT HOUSE. - Pit 4 Diversion Dam, Pit River west of State Highway 89, Big Bend, Shasta County, CA

8. DETAIL VIEW OF INCLINED OUTLET GATE WHEEL, LOOKING EAST ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

8. DETAIL VIEW OF INCLINED OUTLET GATE WHEEL, LOOKING EAST - High Mountain Dams in Upalco Unit, Kidney Lake Dam, Ashley National Forest, 4.7 miles North of Miners Gulch Campground, Mountain Home, Duchesne County, UT

5. VIEW OF OUTLET GATE WHEEL AND STEM, LOOKING NORTH ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

5. VIEW OF OUTLET GATE WHEEL AND STEM, LOOKING NORTH - High Mountain Dams in Upalco Unit, Island Lake Dam, Ashley National Forest, 4.8 miles North of Miners Gulch Campground, Mountain Home, Duchesne County, UT

4. VIEW SHOWING OUTLET GATE WHEEL AND STEM, LOOKING NORTH ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

4. VIEW SHOWING OUTLET GATE WHEEL AND STEM, LOOKING NORTH - High Mountain Dams in Upalco Unit, Clements Lake Dam, Ashley National Forest, 6.5 miles North of Miners Gulch Campground, Mountain Home, Duchesne County, UT

Working with Media Outlets To Communicate with the Public.

ERIC Educational Resources Information Center

Wallace, Mark L.

2000-01-01

Offers suggestions from a veteran public relations practitioner on how colleges can effectively use media resources to advertise academic programs, workforce training, and continuing education opportunities. Focuses on maximizing the benefits of using these five media outlets: newspapers, radio and TV, direct mail, the Internet, and cable…

Simulation of a proposed emergency outlet from Devils Lake, North Dakota

USGS Publications Warehouse

Vecchia, Aldo V.

2002-01-01

From 1993 to 2001, Devils Lake rose more than 25 feet, flooding farmland, roads, and structures around the lake and causing more than $400 million in damages in the Devils Lake Basin. In July 2001, the level of Devils Lake was at 1,448.0 feet above sea level1, which was the highest lake level in more than 160 years. The lake could continue to rise to several feet above its natural spill elevation to the Sheyenne River (1,459 feet above sea level) in future years, causing extensive additional flooding in the basin and, in the event of an uncontrolled natural spill, downstream in the Red River of the North Basin as well. The outlet simulation model described in this report was developed to determine the potential effects of various outlet alternatives on the future lake levels and water quality of Devils Lake.Lake levels of Devils Lake are controlled largely by precipitation on the lake surface, evaporation from the lake surface, and surface inflow. For this study, a monthly water-balance model was developed to compute the change in total volume of Devils Lake, and a regression model was used to estimate monthly water-balance data on the basis of limited recorded data. Estimated coefficients for the regression model indicated fitted precipitation on the lake surface was greater than measured precipitation in most months, fitted evaporation from the lake surface was less than estimated evaporation in most months, and ungaged inflow was about 2 percent of gaged inflow in most months. Dissolved sulfate was considered to be the key water-quality constituent for evaluating the effects of a proposed outlet on downstream water quality. Because large differences in sulfate concentrations existed among the various bays of Devils Lake, monthly water-balance data were used to develop detailed water and sulfate mass-balance models to compute changes in sulfate load for each of six major storage compartments in response to precipitation, evaporation, inflow, and outflow from

7. VIEW OF INCLINED OUTLET GATE WHEEL AND STEM, LOOKING ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

7. VIEW OF INCLINED OUTLET GATE WHEEL AND STEM, LOOKING NORTH - High Mountain Dams in Upalco Unit, Kidney Lake Dam, Ashley National Forest, 4.7 miles North of Miners Gulch Campground, Mountain Home, Duchesne County, UT

6. VIEW OF SHOWING DOWNSTREAM OUTLET PIPE AND COLLAR (12' ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

6. VIEW OF SHOWING DOWNSTREAM OUTLET PIPE AND COLLAR (12' DIAMETER CORRUGATED STEEL PIPE ENCASED IN 6' CONCRETE), LOOKING NORTH - High Mountain Dams in Bonneville Unit, Island Lake Dam, Wasatch National Forest, Kamas, Summit County, UT

5. VIEW OF UPRIGHT OUTLET GATE, STEM, STEM GUIDE AND ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

5. VIEW OF UPRIGHT OUTLET GATE, STEM, STEM GUIDE AND WHEEL (10' HARDESTY CAST IRON VERTICAL LIFT GATE), LOOKING WEST - High Mountain Dams in Bonneville Unit, Weir Lake Dam, Wasatch National Forest, Kamas, Summit County, UT

5. VIEW OF INCLINED OUTLET GATE WHEEL, STEM AND STEM ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

5. VIEW OF INCLINED OUTLET GATE WHEEL, STEM AND STEM GUIDE, (12' DIAMETER HARDESTY MODEL 112 CIRCULAR GATE), LOOKING NORTHEAST - High Mountain Dams in Bonneville Unit, Island Lake Dam, Wasatch National Forest, Kamas, Summit County, UT

5. VIEW SHOWING INCLINED OUTLET GATE WHEEL, STEM AND STEM ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

5. VIEW SHOWING INCLINED OUTLET GATE WHEEL, STEM AND STEM GUIDE (28' WIDE HARDESTY CAST IRON SLIDE HEADGATE), LOOKING NORTHEAST - High Mountain Dams in Bonneville Unit, Duck Lake Dam, Wasatch National Forest, Kamas, Summit County, UT

8. VIEW OF DOWNSTREAM OUTLET CULVERT AND WING RETAINING WALLS, ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

8. VIEW OF DOWNSTREAM OUTLET CULVERT AND WING RETAINING WALLS, LOOKING NORTHWEST - High Mountain Dams in Upalco Unit, Twin Pots Dam, Ashley National Forest, 10.1 miles North of Mountain Home, Mountain Home, Duchesne County, UT

Effects of Orifice-Weir Outlet on Hydrology and Water Quality of a Drained Forested Watershed

Treesearch

Devendra M. Amatya; R. Wayne Skaggs; J.W. Gilliam; J.H. Hughes

2003-01-01

Orifice-weir structures at ditch outlets are proposed to reduce peak drainage rates during high flows and to store water during the growing season in poorly drained managed pine plantations. Two coastal watersheds, one conventionally drained (D1) and another with an orifice-weir outlet (D3), were monitored to examine the effects of this orifice treatment on drainage...

Explicit Simulation of Networks of Outlet Glaciers to Constrain Greenland's Sea Level Contribution

NASA Astrophysics Data System (ADS)

Ultee, E.; Bassis, J. N.

2017-12-01

Ice from the Greenland Ice Sheet drains to the ocean through hundreds of outlet glaciers, many of which are too small to be accurately resolved in continental-scale ice sheet models. Moreover, despite the fact that dynamic changes in Greenland outlet glaciers are currently responsible for about half of the ice sheet's contribution to global sea level, all but the largest are often excluded from major sea level assessments. We have previously developed and validated a simple model that simulates advance and retreat of networks of marine-terminating glaciers based on the perfect plastic approximation. Here we apply this model to a selection of forcing scenarios, representing both climate persistence and extreme scenarios, to constrain changes in calving flux from the most significant Greenland outlet glaciers. Our model can be implemented in standalone mode or as the calving module in a more sophisticated large-scale model, providing constraints on Greenland's future contribution to global sea level rise under a range of scenarios.

4. VIEW OF INCLINED OUTLET GATE WHEEL AND STEM, LOOKING ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

4. VIEW OF INCLINED OUTLET GATE WHEEL AND STEM, LOOKING NORTHWEST - High Mountain Dams in Upalco Unit, Brown Duck Lake Dam, Ashley National Forest, 4.4 miles North of Miners Gulch Campground, Mountain Home, Duchesne County, UT

7. VIEW OF UPRIGHT OUTLET GATE, WHEEL STEM AND STEM ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

7. VIEW OF UPRIGHT OUTLET GATE, WHEEL STEM AND STEM GUIDE (14' DIAMETER CIRCULAR CALCO CAST IRON SLIDE GATE), LOOKING SOUTHEAST - High Mountain Dams in Bonneville Unit, Fire Lake Dam, Wasatch National Forest, Kamas, Summit County, UT

4. AERIAL VIEW OF DAM SITE SHOWING OUTLET WORKS AND ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

4. AERIAL VIEW OF DAM SITE SHOWING OUTLET WORKS AND DIVERSION CHANNEL IN FOREGROUND.... Volume XVIII, No. 9, March 5, 1940. - Prado Dam, Santa Ana River near junction of State Highways 71 & 91, Corona, Riverside County, CA

Farm-to-Consumer Retail Outlet Use, Fruit and Vegetable Intake, and Obesity Status among WIC Program Participants in Alabama.

PubMed

Singleton, Chelsea R; Baskin, Monica; Levitan, Emily B; Sen, Bisakha; Affuso, Ermanno; Affuso, Olivia

2016-07-01

We studied whether use of farm-to-consumer (FTC) retail outlets (eg, farmers market, farm/roadside stand) was associated with daily fruit and vegetable (F&V) intake or obesity status among women who participate in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) in Birmingham, AL. We used a cross-sectional study design and recruited a convenience sample of 312 women (mean age = 27.6; 67.0% non-Hispanic black; 45.6% obese) participating in Birmingham's WIC Program. Participants were recruited between October 2014 and January 2015. Participants who self-reported purchasing produce from a FTC outlet during the 2014 farmers' market season were classified as FTC outlet users. Multivariable-adjusted regression models were used to examine associations between FTC outlet use, daily F&V intake, and obesity status (ie, body mass index ≥ 30). Approximately 26.1% of participants were classified as FTC outlet users. After adjusting for socio-demographic factors and WIC Cash Value Voucher redemption, FTC outlet use was associated with increased odds of consuming ≥ 5 servings of F&Vs per day (OR: 2.01; 95%: 1.15 - 3.50), but not obesity status (OR: 0.68; 95% CI: 0.39 - 1.20). FTC retail outlet use was associated with F&V intake among program participants but not obesity status.

Farm-to-Consumer Retail Outlet Use, Fruit and Vegetable Intake, and Obesity Status among WIC Program Participants in Alabama

PubMed Central

Singleton, Chelsea R.; Baskin, Monica; Levitan, Emily B.; Sen, Bisakha; Affuso, Ermanno; Affuso, Olivia

2017-01-01

Objectives We studied whether use of farm-to-consumer (FTC) retail outlets (eg, farmers market, farm/roadside stand) was associated with daily fruit and vegetable (F&V) intake or obesity status among women who participate in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) in Birmingham, AL. Methods We used a cross-sectional study design and recruited a convenience sample of 312 women (mean age = 27.6; 67.0% non-Hispanic black; 45.6% obese) participating in Birmingham’s WIC Program. Participants were recruited between October 2014 and January 2015. Participants who self-reported purchasing produce from a FTC outlet during the 2014 farmers’ market season were classified as FTC outlet users. Multivariable-adjusted regression models were used to examine associations between FTC outlet use, daily F&V intake, and obesity status (ie, body mass index ≥ 30). Results Approximately 26.1% of participants were classified as FTC outlet users. After adjusting for socio-demographic factors and WIC Cash Value Voucher redemption, FTC outlet use was associated with increased odds of consuming ≥ 5 servings of F&Vs per day (OR: 2.01; 95%: 1.15 – 3.50), but not obesity status (OR: 0.68; 95% CI: 0.39 – 1.20). Conclusions FTC retail outlet use was associated with F&V intake among program participants but not obesity status. PMID:27338991

Antral hyperplastic polyp: A rare cause of gastric outlet obstruction.

PubMed

Aydin, Ibrahim; Ozer, Ender; Rakici, Halil; Sehitoglu, Ibrahim; Yucel, Ahmet Fikret; Pergel, Ahmet; Sahin, Dursun Ali

2014-01-01

Gastric polyps are usually found incidentally during upper gastrointestinal endoscopic examinations. These polyps are generally benign, with hyperplasia being the most common. While gastric polyps are often asymptomatic, they can cause gastric outlet obstruction. A 64 years-old female patient presented to our polyclinic with a history of approximately 2 months of weakness, occasional early nausea, vomiting after meals and epigastric pain. A polypoid lesion of approximately 25mm in diameter was detected in the antral area of the stomach, which prolapsed through the pylorus into the duodenal bulbus, and subsequently caused gastric outlet obstruction, as revealed by upper gastrointestinal endoscopy of the patient. The polyp was retrieved from the pyloric canal into the stomach with the aid of a tripod, and snare polypectomy was performed. Currently, widespread use of endoscopy has led to an increase in the frequency of detecting hyperplastic polyps. While most gastric polyps are asymptomatic, they can cause iron deficiency anemia, acute pancreatitis and more commonly, gastric outlet obstruction because of their antral location. Although there are no precise principles in the treatment of asymptomatic polyps, polyps >5mm should be removed due to the possibility of malignant transformation. According to the medical evidence, polypectomy is required for gastric hyperplastic polyps because of the risks of complication and malignancy. These cases can be successfully treated endoscopically. Copyright © 2014 The Authors. Published by Elsevier Ltd.. All rights reserved.

3. View southwest at dewatered culvert outlet headwall, with part ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

3. View southwest at dewatered culvert outlet headwall, with part of canal bank removed in back (left) of headwall. - Delaware & Raritan Canal, Ten Mile Run Culvert, 1.5 miles South of Blackwells Road, East Millstone, Somerset County, NJ

5. VIEW OF UPRIGHT OUTLET GATE WHEEL, STEM AND STEM ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

5. VIEW OF UPRIGHT OUTLET GATE WHEEL, STEM AND STEM GUIDE, LOOKING NORTHWEST - High Mountain Dams in Upalco Unit, Drift Lake Dam, Ashley National Forest, 11.4 miles Northwest of Swift Creek Campground, Mountain Home, Duchesne County, UT

6. EASTERLY AERIAL VIEW SHOWING THE RIGHT ABUTMENT AND OUTLET ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

6. EASTERLY AERIAL VIEW SHOWING THE RIGHT ABUTMENT AND OUTLET CONTROL WORKS IN THE FOREGROUND.... Volume XX, No. 8, September 9, 1940. - Prado Dam, Santa Ana River near junction of State Highways 71 & 91, Corona, Riverside County, CA

Seismic damage analysis of the outlet piers of arch dams using the finite element sub-model method

NASA Astrophysics Data System (ADS)

Song, Liangfeng; Wu, Mingxin; Wang, Jinting; Xu, Yanjie

2016-09-01

This study aims to analyze seismic damage of reinforced outlet piers of arch dams by the nonlinear finite element (FE) sub-model method. First, the dam-foundation system is modeled and analyzed, in which the effects of infinite foundation, contraction joints, and nonlinear concrete are taken into account. The detailed structures of the outlet pier are then simulated with a refined FE model in the sub-model analysis. In this way the damage mechanism of the plain (unreinforced) outlet pier is analyzed, and the effects of two reinforcement measures (i.e., post-tensioned anchor cables and reinforcing bar) on the dynamic damage to the outlet pier are investigated comprehensively. Results show that the plain pier is damaged severely by strong earthquakes while implementation of post-tensioned anchor cables strengthens the pier effectively. In addition, radiation damping strongly alleviates seismic damage to the piers.

46 CFR 111.81-1 - Outlet boxes and junction boxes; general.

Code of Federal Regulations, 2010 CFR

2010-10-01

... fixture, wiring device, or similar item, including each separately installed connection and junction box... used. (d) As appropriate, each outlet-box or junction-box installation must meet the following...

6. VIEW SHOWING CREST OF DAM AND OUTLET GATE WHEEL, ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

6. VIEW SHOWING CREST OF DAM AND OUTLET GATE WHEEL, STEM AND STEM GUIDE, LOOKING SOUTHEAST - High Mountain Dams in Upalco Unit, Milk Lake Dam, Ashley National Forest, 9.4 miles Northwest of Swift Creek Campground, Mountain Home, Duchesne County, UT

Publication Outlets for School Psychology Faculty: 2010 to 2015

ERIC Educational Resources Information Center

Hulac, David; Johnson, Natalie D.; Ushijima, Shiho C.; Schneider, Maryia M.

2016-01-01

Many school psychology faculty are required to publish for purposes of retention and promotion. It is useful to have an understanding of the different outlets for scholarly publications. In the present study, we investigated the peer-reviewed journals in which school psychology faculty were published between 2010 and 2015, the number of articles…

46 CFR 34.20-20 - Discharge outlets-T/ALL.

Code of Federal Regulations, 2011 CFR

2011-10-01

... Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY TANK VESSELS FIREFIGHTING EQUIPMENT Deck Foam System... least one mounted foam appliance shall be provided for each station that is required in § 34.20-15(c... at the two foam stations having the most hose outlets. Hand-held appliances shall be stowed in a well...

46 CFR 34.20-20 - Discharge outlets-T/ALL.

Code of Federal Regulations, 2010 CFR

2010-10-01

... Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY TANK VESSELS FIREFIGHTING EQUIPMENT Deck Foam System... least one mounted foam appliance shall be provided for each station that is required in § 34.20-15(c... at the two foam stations having the most hose outlets. Hand-held appliances shall be stowed in a well...

Outlet strut fracture of Björk-Shiley convexo-concave valves: can valve-manufacturing characteristics explain the risk?

PubMed

Omar, R Z; Morton, L S; Beirne, M; Blot, W J; Lawford, P V; Hose, R; Taylor, K M

2001-06-01

Björk-Shiley 60 degrees convexo-concave prosthetic heart valves (Shiley, Inc, Irvine, Calif, a subsidiary of Pfizer, Inc) continue to be a concern for approximately 35,000 nonexplanted patients worldwide, with approximately 600 events reported to the manufacturer to date. Fractures of the outlet struts of the valves began to appear in the early 1980s and have continued to the present, but their causes are only partially understood. A matched case-control study was conducted evaluating manufacturing records for 52 valves with outlet strut fractures and 248 control subjects matched for age at implantation, valve size, and valve position. In addition to the risk factors recognized as determinants of outlet strut fracture, the United Kingdom case-control study has observed 7- to 9-fold increased risk with performance of multiple hook deflection tests. This test was performed more than once, usually after rework on the valve. Six valves in this study underwent multiple hook deflection tests, of which 4 experienced an outlet strut fracture. Cracks and further rework were noted for these valves. Significant associations were also observed between outlet strut fracture and disc-to-strut gap measurements taken before the attachment of the sewing ring. It is our view that a combination of factors related to valve design, manufacturing process, and patient characteristics are responsible for outlet strut fractures of Björk-Shiley convexo-concave valves. Multiple hook deflection tests have emerged as a potential new risk factor for outlet strut fracture in both The Netherlands and the United Kingdom. This factor appears to be correlated with the presence of other abnormalities. A further study is needed to investigate the factors correlated with multiple hook deflection tests. On confirmation of risk, the presence of multiple hook deflection tests may be added to equations, quantifying the risk of outlet strut fracture for comparison against risk of mortality and serious

Catchment Power and the Joint Distribution of Elevation and Travel Distance to the Outlet

NASA Astrophysics Data System (ADS)

Sklar, L. S.; Riebe, C. S.; Bellugi, D. G.; Lukens, C. E.; Noll, C.

2014-12-01

The delivery of water, sediment and solutes by catchments is influenced by the distribution of source elevations and their travel distances to the outlet. For example, elevation affects the magnitude and phase of precipitation, as well as the climatic factors that govern rock weathering, which influences the particle size and production rate of sediment from slopes. Travel distance, in turn, affects the timing of flood peaks at the outlet and the degree of sediment size reduction by wear, which affect particle size distributions at the outlet. The distributions of elevation and travel distance have been studied extensively but separately, as the hypsometric curve and width function. Yet a catchment can be considered as a collection of points, each with paired values of elevation and travel distance. We refer to the joint distribution of these two fundamental catchment attributes as "catchment power," recognizing that the ratio of elevation to travel distance is proportional to the average rate of loss of the potential energy provided by source elevation, as water or sediment travel to the outlet. We explore patterns in catchment power across a suite of catchments spanning a range of relief, drainage area and channel network geometry. We also develop an empirical algorithm for generating synthetic catchment power distributions, which can be parameterized with data from natural catchments, and used to explore the effects of varying the shape of the distribution on fluxes of water, sediment, isotopes and other landscape products passing through catchment outlets. Ultimately, our goal is to understand how catchment power distributions arise from the branching properties of networks and the relief structure of landscapes. This new way of quantifying catchment geometry may provide a fresh perspective on problems of both practical and theoretical interest.

DETAIL OF WING WALL ON OUTLET SIDE OF CULVERT. NOTE ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

DETAIL OF WING WALL ON OUTLET SIDE OF CULVERT. NOTE THE INCLUSIONS IN THE CONCRETE. OBLIQUE VIEW TO THE SOUTH-SOUTHWEST. 21 - Burlington Northern Santa Fe Railroad, Cajon Subdivision, Structure 58.1X, Between Cajon Summit and Keenbrook, Devore, San Bernardino County, CA

6. VIEW SHOWING UPRIGHT OUTLET GATE WHEEL, STEM AND STEM ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

6. VIEW SHOWING UPRIGHT OUTLET GATE WHEEL, STEM AND STEM GUIDE, WITH LOG ACCESS STRUCTURE, LOOKING WEST - High Mountain Dams in Upalco Unit, Bluebell Lake Dam, Ashley National Forest, 11.2 miles Northwest of Swift Creek Campground, Mountain Home, Duchesne County, UT

3. OVERALL VIEW OF DEER LAKE AND UPRIGHT OUTLET GATE ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

3. OVERALL VIEW OF DEER LAKE AND UPRIGHT OUTLET GATE WHEEL, STEM AND STEM GUIDE, LOOKING NORTH - High Mountain Dams in Upalco Unit, Deer Lake Dam, Ashley National Forest, 5.8 miles North of Swift Creek Campground, Mountain Home, Duchesne County, UT

5. VIEW SHOWING UPRIGHT OUTLET GATE WHEEL, STEM AND STEM ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

5. VIEW SHOWING UPRIGHT OUTLET GATE WHEEL, STEM AND STEM GUIDE, WITH LOG ACCESS STRUCTURE, LOOKING SOUTHEAST - High Mountain Dams in Upalco Unit, Bluebell Lake Dam, Ashley National Forest, 11.2 miles Northwest of Swift Creek Campground, Mountain Home, Duchesne County, UT

Alcohol outlet densities and alcohol price: the British Columbia experiment in the partial privatization of alcohol sales off-premise.

PubMed

Treno, Andrew J; Ponicki, William R; Stockwell, Tim; Macdonald, Scott; Gruenewald, Paul J; Zhao, Jinhui; Martin, Gina; Greer, Alissa

2013-05-01

Alcohol beverage prices or taxes have been shown to be related to alcohol sales and use and related problems. What is not clear are the mechanisms underlying these relationships. This study examines the relationship between alcohol outlet density under conditions of the partial privatization of off-premise consumption in British Columbia (BC) occurring over the past decade. Two hypotheses are tested. First, reflecting basic supply-demand principles, greater geographic densities of alcohol outlets will be directly related to reductions in beverage prices in response to greater competition. Second, reflecting the effects of niche marketing and resulting market stratification, increased densities of private liquor stores will be especially related to reductions in beverage prices within this outlet category. Data were collected from: (i) a survey of BC private store prices and practices, (ii) alcohol outlet location information, and (iii) data on demographic characteristics. Multilevel models examine the relationships between prices at individual private liquor stores and the densities of government liquor stores, private liquor stores, bars, and restaurants, controlling for background demographics and geographic unit level effects. Spatial dependencies were also examined. Increased densities of private liquor stores were associated with lower mean prices of beer and all alcohol aggregated across brands at the store level. There appeared to be no outlet level effect on discounting patterns, however, with the mean price differences apparently reflecting differences in the quality of brands carried rather than unequal prices for any given brand. Increased densities of private off-sale alcohol outlets appear to result in lower prices charged at said establishments independently of other types of alcohol outlets suggesting that they represent an emerging marketing niche in the context of off-sale outlet privatization. Copyright © 2012 by the Research Society on

EFFECTS OF THE 1906 EARTHQUAKE ON THE BALD HILL OUTLET SYSTEM, SAN MATEO COUNTY, CALIFORNIA.

USGS Publications Warehouse

Pampeyan, Earl H.

1986-01-01

Following the earthquake of April 18, 1906, it was discovered that a brick forebay and other parts of the reservoir outlet system were in the slip zone of the San Andreas fault. The original outlet through which water was directed to San Francisco consisted of two tunnels joined at the brick forebay; one tunnel extends 2,820 ft to the east under Bald Hill on Buri Buri Ridge, and the other tunnel intersects the lake bottom about 250 ft west of the forebay. In 1897 a second intake was added to the system, also joining the original forebay. During the present study the accessible parts of this original outlet system were examined with the hope of learning how the system had been affected by fault slip in 1906.

24 CFR 3280.813 - Outdoor outlets, fixtures, air-conditioning equipment, etc.

Code of Federal Regulations, 2014 CFR

2014-04-01

... in wet locations, except that if located on the underside of the home or located under roof... outside the manufactured home, shall have permanently affixed, adjacent to the outlet, a metal tag which...

R/S analysis based study on long memory about CODMn in Poyang Lake Inlet and Outlet

NASA Astrophysics Data System (ADS)

Wang, Lili

2018-02-01

Rescaled range analysis (R/S) is applied to the long memory behavior analysis of water CODMn series in Poyang Lake Inlet and Outlet in China. The results show that these CODMn series are characterized by long memory, and the characteristics have obvious differences between the Lake Inlet and Outlet. Our findings suggest that there was an obvious scale invariance, namely CODMn series in Lake Inlet for 13 weeks and CODMn in Lake Outlet for 17 weeks. Both displayed a two-power-law distribution and a similar high long memory. We made a preliminary explanation for the existence of the boundary point tc , using self-organized criticality. This work can be helpful to improvement of modelling of lake water quality.

Self-Expandable Metallic Stent Placement in Malignant Gastric Outlet Obstruction

PubMed Central

Ye, Bing-Wei; Lee, Kuei-Chuan; Hsieh, Yun-Cheng; Li, Chung-Pin; Chao, Yee; Hou, Ming-Chih; Lin, Han-Chieh

2015-01-01

Abstract Malignant gastric outlet obstruction is a late complication of intraabdominal malignancy. Self-expandable metallic stent placement has been a safe palliative treatment to relieve obstructive symptoms. We aimed to assess the efficacy and safety of metallic stents in our patients and analyzed the clinical outcome of different brands. Seventy-one patients with inoperable gastric outlet obstruction receiving WallFlex enteral stents (WallFlex group) or Bonastents (Bonastent group) since April 2010 were analyzed retrospectively. The overall technical and clinical success rates of stent placement were 100% and 93%, respectively. The baseline characteristics and clinical outcomes including procedure-related complications, restenosis, and reintervention rates were comparable between the 2 groups. However, the Bonastent group had a higher rate of stent fracture than the WallFlex group (13.3% vs 0%, P = 0.03). The mean duration of overall stent patency was 132.7 days. The mean duration of survival was 181.9 days. Resumption of regular diet or low residual diet at day 7 after stent insertion predicted stent patency (hazard ratio [HR]: 0.28, P = 0.01). Cancer with gastric origin (HR: 0.25, P = 0.045) and poststent chemotherapy (HR: 0.38, P = 0.006) predicted lower mortality; however, peritoneal carcinomatosis (HR: 3.09, P = 0.04) correlated with higher mortality. Metallic stent placement is a safe and effective method for relieving gastric outlet obstruction. Except higher rate of stent fracture in the Bonastent group, there is no significant difference in clinical outcomes between the Bonastent group and the WallFlex group. PMID:26200641

Survey of Publication Outlets in Early Childhood Education: Descriptive Data, Review Processes, and Advice to Authors

ERIC Educational Resources Information Center

Amodei, Michelle L.; Jalongo, Mary Renck; Myers, Jacqueline; Onchwari, Jacqueline; Gargiulo, Richard M.

2013-01-01

Publishing outlets in the field of early childhood vary widely in terms of emphasis on theory, practice, and research as they relate to the care and education of the very young; these outlets also have different readerships (i.e., primarily for teachers, the teachers of their teachers, or the fellow scholars/researchers). Included in the mixture…

Double-outlet left ventricle with L-malposition of the great arteries and subpulmonary ventricular septal defect.

PubMed

Vukomanovic, Vladislav; Prijic, Sergej; Bjelakovic, Bojko

2013-02-01

Double-outlet left ventricle is a very rare congenital cardiac anomaly with various anatomic types. This report describes an infant with the aorta anterior and to the left of the pulmonary trunk, a subpulmonary ventricular septal defect, and pulmonary artery stenosis. This variation has not been described to date in patients with a double-outlet left ventricle.

From Outlet Glacier Changes to Ice Sheet Mass Balance - Evolution of Greenland Ice Sheet from Laser Altimetry Data

NASA Astrophysics Data System (ADS)

Csatho, B. M.; Schenk, A.; Nagarajan, S.; Babonis, G. S.

2010-12-01

along the NW coast, and thinning expanding to higher elevations in SW and N Greenland. Several outlet glaciers, for example Humboldt and Petermann glaciers in NW Greenland and Kangilerngata Sermia in W Greenland exhibit a complex spatial and temporal pattern of thickening-thinning with regions of thickening observed at lower elevations. We will examine the thickening and thinning history and the record of surface velocity of these glaciers to investigate the processes responsible for initiating and sustaining these changes. Moreover, by analyzing the detailed surface elevation change history along flowlines or across drainage basins, the propagation of thinning following perturbations at the glacier terminus can be investigated. Results, depicting the evolution of surface elevation changes of three major outlet glaciers, Jakobshavn, Helheim and Kangerlussuaq glaciers, will be shown.

A cross sectional study investigating the association between exposure to food outlets and childhood obesity in Leeds, UK.

PubMed

Griffiths, Claire; Frearson, Anna; Taylor, Adam; Radley, Duncan; Cooke, Carlton

2014-12-06

Current UK policy in relation to the influence of the 'food environment' on childhood obesity appears to be driven largely on assumptions or speculations because empirical evidence is lacking and findings from studies are inconsistent. The aim of this study was to investigate the number of food outlets and the proximity of food outlets in the same sample of children, without solely focusing on fast food. Cross sectional study over 3 years (n = 13,291 data aggregated). Body mass index (BMI) was calculated for each participant, overweight and obesity were defined as having a BMI >85(th) (sBMI 1.04) and 95(th) (sBMI 1.64) percentiles respectively (UK90 growth charts). Home and school neighbourhoods were defined as circular buffers with a 2 km Euclidean radius, centred on these locations. Commuting routes were calculated using the shortest straight line distance, with a 2 km buffer to capture varying routes. Data on food outlet locations was sourced from Leeds City Council covering the study area and mapped against postcode. Food outlets were categorised into three groups, supermarkets, takeaway and retail. Proximity to the nearest food outlet in the home and school environmental domain was also investigated. Age, gender, ethnicity and deprivation (IDACI) were included as covariates in all models. There is no evidence of an association between the number of food outlets and childhood obesity in any of these environments; Home Q4 vs. Q1 OR = 1.11 (95% CI = 0.95-1.30); School Q4 vs. Q1 OR = 1.00 (95% CI 0.87 - 1.16); commute Q4 vs. Q1 OR = 0.1.00 (95% CI 0.83 - 1.20). Similarly there is no evidence of an association between the proximity to the nearest food outlet and childhood obesity in the home (OR = 0.77 [95% CI = 0.61 - 0.98]) or the school (OR = 1.01 [95% CI 0.84 - 1.23]) environment. This study provides little support for the notion that exposure to food outlets in the home, school and commuting neighbourhoods increase the risk of obesity

24 CFR 3280.813 - Outdoor outlets, fixtures, air-conditioning equipment, etc.

Code of Federal Regulations, 2013 CFR

2013-04-01

... the home or located under roof extensions or similarly protected locations, they may be listed for use..., adjacent to the outlet, a metal tag which reads: This Connection Is for Air Conditioning Equipment Rated at...

24 CFR 3280.813 - Outdoor outlets, fixtures, air-conditioning equipment, etc.

Code of Federal Regulations, 2012 CFR

2012-04-01

... the home or located under roof extensions or similarly protected locations, they may be listed for use..., adjacent to the outlet, a metal tag which reads: This Connection Is for Air Conditioning Equipment Rated at...

24 CFR 3280.813 - Outdoor outlets, fixtures, air-conditioning equipment, etc.

Code of Federal Regulations, 2011 CFR

2011-04-01

... the home or located under roof extensions or similarly protected locations, they may be listed for use..., adjacent to the outlet, a metal tag which reads: This Connection Is for Air Conditioning Equipment Rated at...

1. DETAIL OF TUBE ICE MACHINE OUTLET AT SOUTHWEST CORNER ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

1. DETAIL OF TUBE ICE MACHINE OUTLET AT SOUTHWEST CORNER OF BUILDING 162; ICE MANUFACTURED INSIDE THE BUILDING WAS AUGURED THROUGH THE WALL AND DROPPED INTO COMPARTMENTS IN REFIGERATED RAIL CARS - Rath Packing Company, Cooler Building, Sycamore Street between Elm & Eighteenth Streets, Waterloo, Black Hawk County, IA

Prevalence of foodborne pathogens in grilled chicken from street vendors and retail outlets in Reynosa, Tamaulipas, Mexico.

PubMed

Díaz-López, A; Cantú-Ramírez, R C; Garza-González, E; Ruiz-Tolentino, L; Tellez-Luis, S J; Rivera, G; Bocanegra-García, V

2011-08-01

We analyzed a total of 70 grilled chicken samples bought randomly from street vendors and retail outlets in the city of Reynosa, Mexico, to determine the prevalence of Escherichia coli (Shiga toxin producing and enterotoxin producing), Salmonella spp., Staphylococcus aureus, Listeria spp., and Campylobacter spp. using microbiological methods and PCR detection of bacterial sequences. Of the 70 samples, 27 (38.5%) were from retail outlets and 43 (61.4%) from street vendors. All specimens were negative by both microbiological and molecular methods for Listeria monocytogenes, Shiga toxin 2 of Shiga toxin-producing E. coli, lt of enterotoxin-producing E. coli, and st enterotoxin, and all were negative for Salmonella spp. and Campylobacter jejuni by PCR. Of the samples studied, 49 (70%) had undetectable levels of the foodborne pathogens studied with the methods used. In the remaining 21 (30%) specimens, at least one pathogen was isolated or detected, with E. coli being the pathogen most frequently isolated and with two samples bearing the hlyA gene. We found no statistical difference in bacterial prevalence between retail and street vendor samples. The presence of pathogens in grilled chicken is an important public health risk because of the great demand for and daily consumption of this product in this region.

Turbofan gas turbine engine with variable fan outlet guide vanes

NASA Technical Reports Server (NTRS)

Wood, Peter John (Inventor); LaChapelle, Donald George (Inventor); Grant, Carl (Inventor); Zenon, Ruby Lasandra (Inventor); Mielke, Mark Joseph (Inventor)

2010-01-01

A turbofan gas turbine engine includes a forward fan section with a row of fan rotor blades, a core engine, and a fan bypass duct downstream of the forward fan section and radially outwardly of the core engine. The forward fan section has only a single stage of variable fan guide vanes which are variable fan outlet guide vanes downstream of the forward fan rotor blades. An exemplary embodiment of the engine includes an afterburner downstream of the fan bypass duct between the core engine and an exhaust nozzle. The variable fan outlet guide vanes are operable to pivot from a nominal OGV position at take-off to an open OGV position at a high flight Mach Number which may be in a range of between about 2.5-4+. Struts extend radially across a radially inwardly curved portion of a flowpath of the engine between the forward fan section and the core engine.

Associations between alcohol outlets and emergency department injury presentations: effects of distance from the central business district.

PubMed

Hobday, Michelle; Meuleners, Lynn; Liang, Wenbin; Gilmore, William; Chikritzhs, Tanya

2016-02-01

To examine the effects of licensed outlets and sales on levels of alcohol-related injuries presenting to emergency departments (EDs) in the Inner, Middle and Outer postcode zones of Perth, Australia. Using panel data (2002-2010), a surrogate measure (based on day of week and time of day of presentation) was used to identify alcohol-related injuries presenting at EDs. Postcodes were grouped according to their distance from the central business district (CBD). Numbers of alcohol outlets and their sales were the primary explanatory variables. Data were analysed using negative binomial regression with random effects. In the Inner and Outer postcode zones, counts of on-site outlets were positively associated with alcohol-related injury (IRR: 1.008; 95%CI 1.003-1.013 and IRR: 1.021; 95%CI 1.013-1.030 respectively). An additional off-site outlet was associated with 6.8% fewer alcohol-related injuries (95%CI 0.887-0.980). In the Middle postcode zone, mean off-site sales were positively associated with injury (IRR: 1.024; 95%CI 1.003-1.044). Associations between alcohol availability variables and injury differed by outlet type and distance from the CBD. These findings provide further evidence to support stronger controls on liquor licensing, and indicate the need for different controls according to the location and type of licence. © 2015 Public Health Association of Australia.

Testing a Social Mechanism: Does Alcohol Outlet Density Moderate the Relationship Between Levels of Alcohol Use and Child Physical Abuse?

PubMed

Freisthler, Bridget; Wolf, Jennifer Price

2016-12-01

Parental alcohol use and alcohol outlet density are both associated with child abuse. Guided by alcohol availability theory, this article examines whether alcohol outlet density moderates the relationship between parental alcohol use and child physical abuse. A general population telephone survey of 3,023 parents or legal guardians 18 years or older was conducted across 50 California cities, whereas densities of alcohol outlets were measured for by zip code. Data were analyzed via overdispersed multilevel Poisson models. Ex-drinkers, light drinkers, and heavy drinkers use physical abuse more often than lifetime abstainers. Moderate drinking was not related to child physical abuse. Proportion of bars was negatively related to frequency of physical abuse. Moderating relationships between alcohol outlet density and drinking categories were found for all drinking patterns. Different types of alcohol outlets may be differentially related to drinking patterns, indicating that the interaction of drinking patterns and the drinking environment may place children at greater risk for being physically abused.

Electrical Power Quality--What's behind the Outlet?

ERIC Educational Resources Information Center

Baird, William H.; Secrest, Jeffrey; Padgett, Clifford

2017-01-01

Although we may consider the power outlets in our homes to be nearly ideal voltage sources, a variety of influences in and around the home can cause departures from the nominal 60 Hz, 110-120 V root-mean-square (rms) of the North American grid. Even without instrumentation, we can see that a large motor starting from rest can be sufficient to…

[Gastric outlet obstruction in malignant stenosis: self expanding metal stents].

PubMed

Jury, Gastón; Amieva, Leandro; Bouzas, Guillermo; López Fagalde, Rafael; Pili, Carlos; Ramacciotti, Gonzalo; Jury, Rubén

2012-12-01

Gastric outlet obstruction is a complication that can occur in the evolution of patients with pancreatic adenocarcinoma. Self-expanding metal stents (SEMS) resolve this situation by endoscopy, thus avoiding a laparoscopic gastroenterotomy. The aim of our study is to report our experience in the palliative treatment with SEMS of gastroduodenal neoplasic obstruction at a monovalent gastroenterology institute in Mar del Plata. All patients with symptoms of gastric outlet obstruction of neoplasic origin who fit for SEMS between January 2006 and February 2011 were included. Data were collected regarding the patients' clinical characteristics as well as the type of tumor and the efficacy of the procedure measured according to success and complication rates, length of hospital stay and evaluation of clinical benefit, according to performance status scales and gastric outlet obstruction score (GOOS). A total of 17 prosthesis placed in 16 patients were analyzed. In all cases the procedure was completed successfully. The intervention was performed on an outpatient basis in 12 patients (75%). One patient presented within 7 days gastric haemorrhage related with the stent, who was early treated with argon plasma. Late expected com- plications due to prolonged survival were observed in 60% of patients. None of them was serious and resolved spontaneously or by endoscopic treatment. Average survival was 117 days (range 3 to 300 days) and most patients showed subjective improvement in GOOS scale. SEMS have a high rate of technical and clinical success. However, they are scarcely known in our field. They present an insignificant number of early complications and the resolution of later ones is quite easy. An improvement in GOOS scale and quality of life is achieved.

Transvaginal Mesh and Transanal Resection to Treat Outlet Obstruction Constipation Caused by Rectocele.

PubMed

Shi, Yang; Yu, Yongjun; Zhang, Xipeng; Li, Yuwei

2017-02-01

BACKGROUND The aim of this study was to evaluate the curative effect of transvaginal mesh repair (TVMR) and stapled transanal rectal resection (STARR) in treating outlet obstruction constipation caused by rectocele. MATERIAL AND METHODS Patients who had outlet obstruction constipation caused by rectocele were retrospectively analyzed and 39 patients were enrolled the study. Patients were assigned to either the TVMR or STARR group. Postoperative factors such as complications, pain, recurrence rate, and operative time were compared between the 2 groups. RESULTS Total effective rate was 100% in both groups. No long-term chronic pain occurred and discomfort rate of tenesmus was higher in the STARR group than in the TVMR group. Postoperative defecography showed that the rectocele depth was significantly reduced, and the prolapse of the rectal mucosa and the lower rectal capacity was also decreased. Four cases had mesh exposure in the TVMR group and 2 cases in the STARR group had anastomotic bleeding after the surgery. CONCLUSIONS For outlet obstruction constipation caused by rectocele, TVMR and STARR both obtained satisfactory results. Although TVMR is complex with longer operative time and hospitalization period, its long-term effect is better than that of STARR.

Tobacco outlet density and converted versus native non-daily cigarette use in a national US sample

PubMed Central

Kirchner, Thomas R; Anesetti-Rothermel, Andrew; Bennett, Morgane; Gao, Hong; Carlos, Heather; Scheuermann, Taneisha S; Reitzel, Lorraine R; Ahluwalia, Jasjit S

2017-01-01

Objective Investigate whether non-daily smokers’ (NDS) cigarette price and purchase preferences, recent cessation attempts, and current intentions to quit are associated with the density of the retail cigarette product landscape surrounding their residential address. Participants Cross-sectional assessment of N=904 converted NDS (CNDS). who previously smoked every day, and N=297 native NDS (NNDS) who only smoked non-daily, drawn from a national panel. Outcome measures Kernel density estimation was used to generate a nationwide probability surface of tobacco outlets linked to participants’ residential ZIP code. Hierarchically nested log-linear models were compared to evaluate associations between outlet density, non-daily use patterns, price sensitivity and quit intentions. Results Overall, NDS in ZIP codes with greater outlet density were less likely than NDS in ZIP codes with lower outlet density to hold 6-month quit intentions when they also reported that price affected use patterns (G2=66.1, p<0.001) and purchase locations (G2=85.2, p<0.001). CNDS were more likely than NNDS to reside in ZIP codes with higher outlet density (G2=322.0, p<0.001). Compared with CNDS in ZIP codes with lower outlet density, CNDS in high-density ZIP codes were more likely to report that price influenced the amount they smoke (G2=43.9, p<0.001), and were more likely to look for better prices (G2=59.3, p<0.001). NDS residing in high-density ZIP codes were not more likely to report that price affected their cigarette brand choice compared with those in ZIP codes with lower density. Conclusions This paper provides initial evidence that the point-of-sale cigarette environment may be differentially associated with the maintenance of CNDS versus NNDS patterns. Future research should investigate how tobacco control efforts can be optimised to both promote cessation and curb the rising tide of non-daily smoking in the USA. PMID:26969172

Tobacco outlet density and converted versus native non-daily cigarette use in a national US sample.

PubMed

Kirchner, Thomas R; Anesetti-Rothermel, Andrew; Bennett, Morgane; Gao, Hong; Carlos, Heather; Scheuermann, Taneisha S; Reitzel, Lorraine R; Ahluwalia, Jasjit S

2017-01-01

Investigate whether non-daily smokers' (NDS) cigarette price and purchase preferences, recent cessation attempts, and current intentions to quit are associated with the density of the retail cigarette product landscape surrounding their residential address. Cross-sectional assessment of N=904 converted NDS (CNDS). who previously smoked every day, and N=297 native NDS (NNDS) who only smoked non-daily, drawn from a national panel. Kernel density estimation was used to generate a nationwide probability surface of tobacco outlets linked to participants' residential ZIP code. Hierarchically nested log-linear models were compared to evaluate associations between outlet density, non-daily use patterns, price sensitivity and quit intentions. Overall, NDS in ZIP codes with greater outlet density were less likely than NDS in ZIP codes with lower outlet density to hold 6-month quit intentions when they also reported that price affected use patterns (G 2 =66.1, p<0.001) and purchase locations (G 2 =85.2, p<0.001). CNDS were more likely than NNDS to reside in ZIP codes with higher outlet density (G 2 =322.0, p<0.001). Compared with CNDS in ZIP codes with lower outlet density, CNDS in high-density ZIP codes were more likely to report that price influenced the amount they smoke (G 2 =43.9, p<0.001), and were more likely to look for better prices (G 2 =59.3, p<0.001). NDS residing in high-density ZIP codes were not more likely to report that price affected their cigarette brand choice compared with those in ZIP codes with lower density. This paper provides initial evidence that the point-of-sale cigarette environment may be differentially associated with the maintenance of CNDS versus NNDS patterns. Future research should investigate how tobacco control efforts can be optimised to both promote cessation and curb the rising tide of non-daily smoking in the USA. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go

Obesity and the built environment: does the density of neighborhood fast-food outlets matter?

PubMed

Li, Fuzhong; Harmer, Peter; Cardinal, Bradley J; Bosworth, Mark; Johnson-Shelton, Deb

2009-01-01

Examine variation in obesity among older adults relative to the joint influences of density of neighborhood fast food outlets and residents' behavioral, psychosocial, and sociodemographic characteristics. Cross-sectional and multilevel design. Census block groups, used as a proxy for neighborhoods, within the metropolitan region's Urban Growth Boundary in Portland, Oregon. A total of 1221 residents (mean age, 65 years) recruited randomly from 120 neighborhoods (48% response rate). A geographic information system-based measure of fast food restaurant density across 120 neighborhoods was created. Residents within the sampled neighborhoods were assessed with respect to their body mass indices (BMI), frequency of visits to local fast food restaurants, fried food consumption, levels of physical activity, self-efficacy of eating fruits and vegetables, household income, and race/ethnicity. Multilevel logistic regression analyses. Significant associations were found between resident-level individual characteristics and the likelihood of being obese (BMI > or = 30) for neighborhoods with a high-density of fast food restaurants in comparison with those with a low density: odds ratios for obesity, 95% confidence intervals (CI), were 1.878 (CI, 1.006-3.496) for weekly visits to local fast food restaurants; 1.792 (CI, 1.006-3.190) for not meeting physical activity recommendations; 1.212 (CI, 1.057-1.391) for low confidence in eating healthy food; and 8.057 (CI, 1.705-38.086) for non-Hispanic black residents. Increased density of neighborhood fast food outlets was associated with unhealthy lifestyles, poorer psychosocial profiles, and increased risk of obesity among older adults.

10. INTERIOR OF OUTLET TOWER LOOKING DOWN TO TIER #1 ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

10. INTERIOR OF OUTLET TOWER LOOKING DOWN TO TIER #1 OF SLIDE GATES. STRUCTURE HAS LEVELS ENABLING OPERATORS TO CHOOSE LEVEL WITH BEST QUALITY WATER. OVERHANGING DEVICE THAT LOOKS LIKE A LIGHT STANDARD IS ACTUALLY A METER FOR MEASURING WATER LEVELS. - Lake Mathews, East of Route 15, Riverside, Riverside County, CA

Airborne geophysical investigations of basal conditions at flow transitions of outlet glaciers on the Greenland Ice Sheet

NASA Astrophysics Data System (ADS)

Palmer, S. J.; Dowdeswell, J. A.; Christoffersen, P.; Siegert, M. J.; Blankenship, D. D.; Young, D. A.; Greenbaum, J.

2011-12-01

Recent observations have shown that the fast flowing marine-terminating outlet glaciers which drain the Greenland Ice Sheet (GrIS) have thinned in places at rates in excess of 10 m yr-1. The 21 largest outlet glaciers in Greenland accelerated by 57 % between 1996 and 2005, leading to a 100 Gt yr-1 increase in mass loss due to ice discharge over the same period and a 150 % increase of the GrIS's contribution to sea level. Observations that thinning rates are greater than those expected from changes in surface mass balance alone suggest thinning of some GrIS marine-terminating outlet glaciers can be attributed to changes in ice dynamics. An important question for both scientists and policy makers is how the GrIS will react to projected temperature increases, particularly in the context that the Arctic is likely to warm at a greater rate than the global average due to the ice-albedo feedback. As the combined width of all major marine-terminating glaciers draining the GrIS (as measured at the narrowest point in each case) is less 200 km, an understanding of their dynamics is crucial in predicting the effect of future warming on the ice sheet as a whole. During April 2011, we used a Basler BT-67 aircraft equipped with a suite of geophysical instruments to investigate three major glacier systems in Greenland. Data were acquired at the Sermeq Kujatdl and Rink Glacier systems in West Greenland; and Daugaard Jensen Glacier in East Greenland. The study areas were selected because they are major drainage basins (c. 103-105 km2) which provide a high ice flux to the sea (c. 10-20 km3 yr-1); and are located in different regions of the GrIS with correspondingly different atmospheric and oceanic settings. Here we present results from the High Capability Radar Sounder instrument, a phase coherent VHF ice-penetrating radar which operates in frequency-chirped mode from 52.5 to 67.5 MHz. We use these data to determine ice thickness along flightlines both parallel and perpendicular to

Patterns of fruit and vegetable availability and price competitiveness across four seasons are different in local food outlets and supermarkets.

PubMed

Valpiani, Natalie; Wilde, Parke; Rogers, Beatrice; Stewart, Hayden

2015-10-01

To explore the effect of seasonality on fruit and vegetable availability and prices across three outlet types (farmers' markets, roadside stands and conventional supermarkets). Cross-sectional survey of geographically clustered supermarkets, farmers' markets and roadside stands. Enumerators recorded the availability and lowest price for eleven fruits and eighteen vegetables in each season of 2011. Price data were collected at retail outlets located in central and eastern North Carolina. The sample consisted of thirty-three supermarkets, thirty-four farmers' markets and twenty-three roadside stands. Outside the local harvest season, the availability of many fruits and vegetables was substantially lower at farmers' markets and roadside stands compared with supermarkets. Given sufficient availability, some items were significantly cheaper (P<0·05) at direct retail outlets in the peak season (e.g. cantaloupe cost 36·0 % less at roadside stands than supermarkets), while others were significantly more expensive (e.g. carrots cost 137·9 % more at farmers' markets than supermarkets). Although small samples limited statistical power in many non-peak comparisons, these results also showed some differences by item: two-thirds of fruits were cheaper at one or both direct outlets in the spring and autumn, whereas five of eighteen vegetables cost more at direct retail year-round. Commonly consumed fruits and vegetables were more widely available at supermarkets in central and eastern North Carolina than at direct retail outlets, in each season. Contingent on item availability, price competitiveness of the direct retail outlets varied by fruit and vegetable. For many items, the outlets compete on price in more than one season.

The obturator oblique and iliac oblique/outlet views predict most accurately the adequate position of an anterior column acetabular screw.

PubMed

Guimarães, João Antonio Matheus; Martin, Murphy P; da Silva, Flávio Ribeiro; Duarte, Maria Eugenia Leite; Cavalcanti, Amanda Dos Santos; Machado, Jamila Alessandra Perini; Mauffrey, Cyril; Rojas, David

2018-06-08

Percutaneous fixation of the acetabulum is a treatment option for select acetabular fractures. Intra-operative fluoroscopy is required, and despite various described imaging strategies, it is debatable as to which combination of fluoroscopic views provides the most accurate and reliable assessment of screw position. Using five synthetic pelvic models, an experimental setup was created in which the anterior acetabular columns were instrumented with screws in five distinct trajectories. Five fluoroscopic images were obtained of each model (Pelvic Inlet, Obturator Oblique, Iliac Oblique, Obturator Oblique/Outlet, and Iliac Oblique/Outlet). The images were presented to 32 pelvic and acetabular orthopaedic surgeons, who were asked to draw two conclusions regarding screw position: (1) whether the screw was intra-articular and (2) whether the screw was intraosseous in its distal course through the bony corridor. In the assessment of screw position relative to the hip joint, accuracy of surgeon's response ranged from 52% (iliac oblique/outlet) to 88% (obturator oblique), with surgeon confidence in the interpretation ranging from 60% (pelvic inlet) to 93% (obturator oblique) (P < 0.0001). In the assessment of intraosseous position of the screw, accuracy of surgeon's response ranged from 40% (obturator oblique/outlet) to 79% (iliac oblique/outlet), with surgeon confidence in the interpretation ranging from 66% (iliac oblique) to 88% (pelvic inlet) (P < 0.0001). The obturator oblique and obturator oblique/outlet views afforded the most accurate and reliable assessment of penetration into the hip joint, and intraosseous position of the screw was most accurately assessed with pelvic inlet and iliac oblique/outlet views. Clinical Question.

Inequalities in tobacco outlet density by race, ethnicity and socioeconomic status, 2012, USA: results from the ASPiRE Study.

PubMed

Lee, Joseph G L; Sun, Dennis L; Schleicher, Nina M; Ribisl, Kurt M; Luke, Douglas A; Henriksen, Lisa

2017-05-01

Evidence of racial/ethnic inequalities in tobacco outlet density is limited by: (1) reliance on studies from single counties or states, (2) limited attention to spatial dependence, and (3) an unclear theory-based relationship between neighbourhood composition and tobacco outlet density. In 97 counties from the contiguous USA, we calculated the 2012 density of likely tobacco outlets (N=90 407), defined as tobacco outlets per 1000 population in census tracts (n=17 667). We used 2 spatial regression techniques, (1) a spatial errors approach in GeoDa software and (2) fitting a covariance function to the errors using a distance matrix of all tract centroids. We examined density as a function of race, ethnicity, income and 2 indicators identified from city planning literature to indicate neighbourhood stability (vacant housing, renter-occupied housing). The average density was 1.3 tobacco outlets per 1000 persons. Both spatial regression approaches yielded similar results. In unadjusted models, tobacco outlet density was positively associated with the proportion of black residents and negatively associated with the proportion of Asian residents, white residents and median household income. There was no association with the proportion of Hispanic residents. Indicators of neighbourhood stability explained the disproportionate density associated with black residential composition, but inequalities by income persisted in multivariable models. Data from a large sample of US counties and results from 2 techniques to address spatial dependence strengthen evidence of inequalities in tobacco outlet density by race and income. Further research is needed to understand the underlying mechanisms in order to strengthen interventions. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

Neighborhood Alcohol Outlet Density and Rates of Child Abuse and Neglect: Moderating Effects of Access to Substance Abuse Services

PubMed Central

Morton, Cory M.; Simmel, Cassandra; Peterson, N. Andrew

2014-01-01

This study investigates the relationship between concentrations of on- and off-premises alcohol outlets and rates of child abuse and neglect. Additionally, the study seeks to locate protective features of a neighborhood's built environment by investigating the potentially moderating role that access to substance abuse treatment and prevention services plays in the relationship between alcohol outlet density and child maltreatment. Using a cross-sectional design, this ecological study utilized data from 163 census tracts in Bergen County, New Jersey, on reports of child abuse and neglect, alcohol outlets, substance abuse treatment and prevention facilities, and the United States Census to investigate the linkages between socioeconomic structure, alcohol availability, and access to substance abuse service facilities on rates of child abuse and neglect. Findings indicate areas with a greater concentration of on-premises alcohol outlets (i.e., bars) had higher rates of child neglect, and those with easier access to substance abuse services had lower rates of neglect, controlling for neighborhood demographic and socioeconomic structure. Additionally, the relationship between on-premises alcohol outlet density and rates of child neglect was moderated by the presence of substance abuse service facilities. A greater concentration of off-premises outlets (i.e., liquor stores) was associated with lower rates of physical abuse. Findings suggest that the built environment and socioeconomic structure of neighborhoods have important consequences for child well-being. The implications for future research on the structural features of neighborhoods that are associated with child well-being are discussed. PMID:24529493

Associations between alcohol outlet densities and adolescent alcohol consumption: a study in Australian students.

PubMed

Rowland, B; Toumbourou, J W; Satyen, L; Tooley, G; Hall, J; Livingston, M; Williams, J

2014-01-01

To assess whether the density of alcohol sales outlets in specific geographic communities is associated with adolescent alcohol consumption. A cross-sectional representative sample of secondary school students from Victoria, Australia (N=10,143), aged between 12 and 17 years, self-reported on alcohol use in the last 30 days in 2009. The density of alcohol outlets per local community area was merged with this information. After controlling for risk factors, multilevel modelling (MLM) revealed a statistical interaction between age and density on alcohol consumption. While older adolescents had higher alcohol consumption, increases in the density of alcohol outlets were only significantly associated with increased risk of alcohol consumption for adolescents between the ages of 12 and 14. Increased alcohol availability was associated with an increased risk of alcohol consumption specifically for early adolescents (12 and 14 years). Potential mechanisms as to how density is associated with direct and indirect alcohol availability, such as through parents or older siblings, need to be explored in future research. © 2013 Elsevier Ltd. All rights reserved.

Associations between access to alcohol outlets and alcohol intake and depressive symptoms in women from socioeconomically disadvantaged neighbourhoods in Australia.

PubMed

Lamb, Karen E; Thornton, Lukar E; Teychenne, Megan; Milte, Catherine; Cerin, Ester; Ball, Kylie

2017-01-17

This study examined associations between alcohol outlet access and alcohol intake, depressive symptoms score and risk of depression among women residing in disadvantaged neighbourhoods in Victoria, Australia. Data on depressive symptoms, alcohol intake and socio-demographic characteristics were obtained from a sample of 995 adult women from Victoria, Australia who were surveyed as part of the Resilience in Eating and Activity Despite Inequality (READI) study. The location of all licensed alcohol outlets in Victoria was obtained from the Victorian Commission for Gambling and Liquor Regulation. Participant and alcohol outlet addresses were geocoded to calculate individual alcohol outlet access, defined as the number of outlets (all and by sub-type) within 0.4 km and 3 km of participants' homes. Separate regression models with clustered standard errors were fitted to examine associations between access and alcohol intake according to national recommended limits for short- and long-term harm, frequency of consumption above long-term harm guidelines, depressive symptoms score and risk of depression. Odds of consumption within short-term harm guidelines (≤4 drinks on any day) decreased with increasing access within 3 km, irrespective of outlet type. Typically, there was no evidence to support associations between access and consumption above long-term harm guidelines (>2 drinks on any day) unless considering frequency of consumption at this level where results showed decreased odds of 'don't drink' versus frequently drinking above long-term harm guidelines (i.e., >2 drinks at least once per week) with increasing access at either distance. Although there was no evidence of an association between any of the alcohol outlet access measures and depressive symptoms score, odds of being at risk of depression decreased with increasing access within 3 km. This study found some evidence to support an association between increasing alcohol outlet densities of all types and

Brief report: Using global positioning system (GPS) enabled cell phones to examine adolescent travel patterns and time in proximity to alcohol outlets.

PubMed

Byrnes, Hilary F; Miller, Brenda A; Morrison, Christopher N; Wiebe, Douglas J; Remer, Lillian G; Wiehe, Sarah E

2016-07-01

As adolescents gain freedom to explore new environments unsupervised, more time in proximity to alcohol outlets may increase risks for alcohol and marijuana use. This pilot study: 1) Describes variations in adolescents' proximity to outlets by time of day and day of the week, 2) Examines variations in outlet proximity by drinking and marijuana use status, and 3) Tests feasibility of obtaining real-time data to study adolescent proximity to outlets. U.S. adolescents (N = 18) aged 16-17 (50% female) carried GPS-enabled smartphones for one week with their locations tracked. The geographic areas where adolescents spend time, activity spaces, were created by connecting GPS points sequentially and adding spatial buffers around routes. Proximity to outlets was greater during after school and evening hours. Drinkers and marijuana users were in proximity to outlets 1½ to 2 times more than non-users. Findings provide information about where adolescents spend time and times of greatest risk, informing prevention efforts. Copyright © 2016 The Foundation for Professionals in Services for Adolescents. Published by Elsevier Ltd. All rights reserved.

Shape Optimization for Navier-Stokes Equations with Algebraic Turbulence Model: Numerical Analysis and Computation

DOE Office of Scientific and Technical Information (OSTI.GOV)

Haslinger, Jaroslav, E-mail: hasling@karlin.mff.cuni.cz; Stebel, Jan, E-mail: stebel@math.cas.cz

2011-04-15

We study the shape optimization problem for the paper machine headbox which distributes a mixture of water and wood fibers in the paper making process. The aim is to find a shape which a priori ensures the given velocity profile on the outlet part. The mathematical formulation leads to the optimal control problem in which the control variable is the shape of the domain representing the header, the state problem is represented by the generalized Navier-Stokes system with nontrivial boundary conditions. This paper deals with numerical aspects of the problem.

Alcohol outlet density, drinking contexts and intimate partner violence: a review of environmental risk factors.

PubMed

Cunradi, Carol B; Mair, Christina; Todd, Michael

2014-01-01

Alcohol use is a robust predictor of intimate partner violence (IPV). A critical barrier to progress in preventing alcohol-related IPV is that little is known about how an individual's specific drinking contexts (where, how often, and with whom one drinks) are related to IPV, or how these contexts are affected by environmental characteristics, such as alcohol outlet density and neighborhood disadvantage. The putative mechanism is the social environment in which drinking occurs that may promote or strengthen aggressive norms. Once these contexts are known, specific prevention measures can be put in place, including policy-oriented (e.g., regulating outlet density) and individually oriented (e.g., brief interventions to reduce risk for spousal aggression) measures targeting at-risk populations. This paper reviews applicable theories and empirical research evidence that links IPV to drinking contexts and alcohol outlet density, highlights research gaps, and makes recommendations for future research. © The Author(s) 2015 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.

Neighborhood food outlets, diet, and obesity among California adults, 2007 and 2009.

PubMed

Hattori, Aiko; An, Ruopeng; Sturm, Roland

2013-01-01

Varying neighborhood definitions may affect research on the association between food environments and diet and weight status. The objective of this study was to examine the association between number and type of neighborhood food outlets and dietary intake and body mass index (BMI) measures among California adults according to the geographic size of a neighborhood or food environment. We analyzed data from 97,678 respondents aged 18 years or older from the 2007 and 2009 California Health Interview Survey through multivariable regression models. Outcome variables were BMI, weight status of a BMI of 25.0 or more and a BMI of 30.0 or more, and the number of times per week the following were consumed: fruits, vegetables, sugar-sweetened soft drinks, fried potatoes, and fast food. Explanatory variables were the number of fast-food restaurants, full-service restaurants, convenience stores, small food stores, grocery stores, and large supermarkets within varying distances (0.25 to 3.0 miles) from the survey respondent's residence. We adopted as a measure of walking distance a Euclidean distance within 1 mile. Control variables included sociodemographic and economic characteristics of respondents and neighborhoods. Food outlets within walking distance (≤ 1.0 mile) were not strongly associated with dietary intake, BMI, or probabilities of a BMI of 25.0 or more or a BMI of 30.0 or more. We found significant associations between fast-food outlets and dietary intake and between supermarkets and BMI and probabilities of a BMI of 25.0 or more and a BMI of 30.0 or more for food environments beyond walking distance (> 1.0 mile). We found no strong evidence that food outlets near homes are associated with dietary intake or BMI. We replicated some associations reported previously but only for areas that are larger than what typically is considered a neighborhood. A likely reason for the null finding is that shopping patterns are weakly related, if at all, to neighborhoods in the

Aerodynamic Performance of Scale-Model Turbofan Outlet Guide Vanes Designed for Low Noise

NASA Technical Reports Server (NTRS)

Hughes, Christopher E.

2001-01-01

The design of effective new technologies to reduce aircraft propulsion noise is dependent on an understanding of the noise sources and noise generation mechanisms in the modern turbofan engine. In order to more fully understand the physics of noise in a turbofan engine, a comprehensive aeroacoustic wind tunnel test programs was conducted called the 'Source Diagnostic Test.' The text was cooperative effort between NASA and General Electric Aircraft Engines, as part of the NASA Advanced Subsonic Technology Noise Reduction Program. A 1/5-scale model simulator representing the bypass stage of a current technology high bypass ratio turbofan engine was used in the test. The test article consisted of the bypass fan and outlet guide vanes in a flight-type nacelle. The fan used was a medium pressure ratio design with 22 individual, wide chord blades. Three outlet guide vane design configurations were investigated, representing a 54-vane radial Baseline configuration, a 26-vane radial, wide chord Low Count configuration and a 26-vane, wide chord Low Noise configuration with 30 deg of aft sweep. The test was conducted in the NASA Glenn Research Center 9 by 15-Foot Low Speed Wind Tunnel at velocities simulating the takeoff and approach phases of the aircraft flight envelope. The Source Diagnostic Test had several acoustic and aerodynamic technical objectives: (1) establish the performance of a scale model fan selected to represent the current technology turbofan product; (2) assess the performance of the fan stage with each of the three distinct outlet guide vane designs; (3) determine the effect of the outlet guide vane configuration on the fan baseline performance; and (4) conduct detailed flowfield diagnostic surveys, both acoustic and aerodynamic, to characterize and understand the noise generation mechanisms in a turbofan engine. This paper addresses the fan and stage aerodynamic performance results from the Source Diagnostic Test.

29. DETAIL OF OUTLET DUCTS FOR MST AIRCONDITIONING SYSTEM IN ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

29. DETAIL OF OUTLET DUCTS FOR MST AIR-CONDITIONING SYSTEM IN NORTHWEST CORNER OF SLC-3W MST STATION 70.5 (LOWEST PAYLOAD SERVICE STATION). NOTE RING ATTACHMENT FOR PERSONNEL SAFETY HARNESS IN LEFT FOREGROUND. - Vandenberg Air Force Base, Space Launch Complex 3, Launch Pad 3 West, Napa & Alden Roads, Lompoc, Santa Barbara County, CA

Engineering geology model of the Crater Lake outlet, Mt. Ruapehu, New Zealand, to inform rim breakout hazard

NASA Astrophysics Data System (ADS)

Cook, Stefan C. W.; Kennedy, Ben M.; Villeneuve, Marlène C.

2018-01-01

Mt. Ruapehu, in the central North Island of New Zealand, hosts a hot acidic Crater Lake over the active volcanic vent with a surface elevation of c. 2530 m.a.s.l. Volcanic activity and other montane processes have previously resulted in catastrophic releases of some or all of the c. 10 Mm3 of water retained in the lake, creating serious hazards downstream. A major lahar in March 2007 exposed a 10 m high face representative of the rock units impounding the lake, providing an opportunity to conduct both field and laboratory analysis to characterise the rock mass conditions at the outlet to assess the stability of the outlet area. This paper presents an engineering geology model of Crater Lake outlet. Our model shows three andesitic geological units at the outlet, each with different geological histories and physical and mechanical properties, which impact its stability. Geotechnical methods used to characterise the outlet include laboratory testing of the strength, stiffness, porosity and unit weight, and field-based rock mass characterisation using the geological strength index (GSI) and rock mass rating (RMR). Field observations, geomorphology mapping, historic and contemporary photographs, and laboratory results are combined to create cross sections that provide key information for establishing the engineering geology model. The units are recognised in what is informally termed the Crater Lake Formation: i) The upper surface layer is a c. 2 m thick sub-horizontal dark grey lava unit (Armoured Lava Ledge) with sub-horizontal cooling joints spaced at 0.2 m to 2.0 m intervals. The intact rock has a porosity range of 15-27%, density range of 1723-2101 kg/m3, GSI range of 45-75, and unconfined compressive strength (UCS) range of 19-48 MPa. ii) Below this, and outcropping down the majority of the outlet waterfall is a poorly sorted breccia unit composed of block and matrix material (Lava Breccia). The blocks range from 0.1 m to 0.8 m in diameter with an average porosity

A Longitudinal Analysis of Cigarette Prices in Military Retail Outlets

PubMed Central

Haddock, Christopher Keith; Hyder, Melissa L.; Poston, Walker S. C.; Jahnke, Sara A.; Williams, Larry N.; Lando, Harry

2014-01-01

Objectives. We conducted a longitudinal assessment of tobacco pricing in military retail outlets, including trends within each service branch. Methods. We determined the price of a single pack of Marlboro Red cigarettes at military retail stores located in the continental United States, Alaska, and Hawaii and at their nearest Walmarts in spring 2011 and 2013 (n = 128 for pairs available at both assessments). Results. The average difference between cigarettes sold in military retail outlets and Walmarts decreased from 24.5% in 2011 to 12.5% in 2013. The decrease was partially attributable to significant price decreases at Walmarts. The largest increases in cigarette prices occurred on naval installations. Potential savings at stores on several installations remained substantial in 2013; the largest approached $6 per pack. Stores on 17 military installations decreased cigarette prices during the study period. Conclusions. Tobacco can be purchased in military retail stores at substantial savings over civilian stores. If tobacco pricing is to cease to be an incentive for use among personnel, a revised military tobacco pricing policy is needed. PMID:24524503

The Relationship between Alcohol Outlets, HIV Risk Behavior, and HSV-2 Infection among South African Young Women: A Cross-Sectional Study.

PubMed

Rosenberg, Molly; Pettifor, Audrey; Van Rie, Annelies; Thirumurthy, Harsha; Emch, Michael; Miller, William C; Gómez-Olivé, F Xavier; Twine, Rhian; Hughes, James P; Laeyendecker, Oliver; Selin, Amanda; Kahn, Kathleen

2015-01-01

Alcohol consumption has a disinhibiting effect that may make sexual risk behaviors and disease transmission more likely. The characteristics of alcohol-serving outlets (e.g. music, dim lights, lack of condoms) may further encourage risky sexual activity. We hypothesize that frequenting alcohol outlets will be associated with HIV risk. In a sample of 2,533 school-attending young women in rural South Africa, we performed a cross-sectional analysis to examine the association between frequency of alcohol outlet visits in the last six months and four outcomes related to HIV risk: number of sex partners in the last three months, unprotected sex acts in the last three months, transactional sex with most recent partner, and HSV-2 infection. We also tested for interaction by alcohol consumption. Visiting alcohol outlets was associated with having more sex partners [adjusted odds ratio (aOR), one versus zero partners (95% confidence interval (CI)): 1.51 (1.21, 1.88)], more unprotected sex acts [aOR, one versus zero acts (95% CI): 2.28 (1.52, 3.42)], higher levels of transactional sex [aOR (95% CI): 1.63 (1.03, 2.59)], and HSV-2 infection [aOR (95% CI): 1.30 (0.88, 1.91)]. In combination with exposure to alcohol consumption, visits to alcohol outlets were more strongly associated with all four outcomes than with either risk factor alone. Statistical evidence of interaction between alcohol outlet visits and alcohol consumption was observed for all outcomes except transactional sex. Frequenting alcohol outlets was associated with increased sexual risk in rural South African young women, especially when they consumed alcohol. Sexual health interventions targeted at alcohol outlets may effectively reach adolescents at high risk for sexually transmitted infections like HIV and HSV-2. HIV Prevention Trials Network HPTN 068.

24 CFR 3280.813 - Outdoor outlets, fixtures, air-conditioning equipment, etc.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 24 Housing and Urban Development 5 2010-04-01 2010-04-01 false Outdoor outlets, fixtures, air-conditioning equipment, etc. 3280.813 Section 3280.813 Housing and Urban Development Regulations Relating to Housing and Urban Development (Continued) OFFICE OF ASSISTANT SECRETARY FOR HOUSING-FEDERAL HOUSING...

Is the number of fast-food outlets in the neighbourhood related to screen-detected type 2 diabetes mellitus and associated risk factors?

PubMed

Bodicoat, Danielle H; Carter, Patrice; Comber, Alexis; Edwardson, Charlotte; Gray, Laura J; Hill, Sian; Webb, David; Yates, Thomas; Davies, Melanie J; Khunti, Kamlesh

2015-06-01

We investigated whether a higher number of fast-food outlets in an individual's home neighbourhood is associated with increased prevalence of type 2 diabetes mellitus and related risk factors, including obesity. Cross-sectional study. Three UK-based diabetes screening studies (one general population, two high-risk populations) conducted between 2004 and 2011. The primary outcome was screen-detected type 2 diabetes. Secondary outcomes were risk factors for type 2 diabetes. In total 10 461 participants (mean age 59 years; 53% male; 21% non-White ethnicity). There was a higher number of neighbourhood (500 m radius from home postcode) fast-food outlets among non-White ethnic groups (P<0.001) and in socially deprived areas (P<0.001). After adjustment (social deprivation, urban/rural, ethnicity, age, sex), more fast-food outlets was associated with significantly increased odds for diabetes (OR=1.02; 95% CI 1.00, 1.04) and obesity (OR=1.02; 95% CI 1.00, 1.03). This suggests that for every additional two outlets per neighbourhood, we would expect one additional diabetes case, assuming a causal relationship between the fast-food outlets and diabetes. These results suggest that increased exposure to fast-food outlets is associated with increased risk of type 2 diabetes and obesity, which has implications for diabetes prevention at a public health level and for those granting planning permission to new fast-food outlets.

Neighborhood alcohol outlet density and rates of child abuse and neglect: moderating effects of access to substance abuse services.

PubMed

Morton, Cory M; Simmel, Cassandra; Peterson, N Andrew

2014-05-01

This study investigates the relationship between concentrations of on- and off-premises alcohol outlets and rates of child abuse and neglect. Additionally, the study seeks to locate protective features of a neighborhood's built environment by investigating the potentially moderating role that access to substance abuse treatment and prevention services plays in the relationship between alcohol outlet density and child maltreatment. Using a cross-sectional design, this ecological study utilized data from 163 census tracts in Bergen County, New Jersey, on reports of child abuse and neglect, alcohol outlets, substance abuse treatment and prevention facilities, and the United States Census to investigate the linkages between socioeconomic structure, alcohol availability, and access to substance abuse service facilities on rates of child abuse and neglect. Findings indicate areas with a greater concentration of on-premises alcohol outlets (i.e., bars) had higher rates of child neglect, and those with easier access to substance abuse services had lower rates of neglect, controlling for neighborhood demographic and socioeconomic structure. Additionally, the relationship between on-premises alcohol outlet density and rates of child neglect was moderated by the presence of substance abuse service facilities. A greater concentration of off-premises outlets (i.e., liquor stores) was associated with lower rates of physical abuse. Findings suggest that the built environment and socioeconomic structure of neighborhoods have important consequences for child well-being. The implications for future research on the structural features of neighborhoods that are associated with child well-being are discussed. Copyright © 2014 Elsevier Ltd. All rights reserved.

1. View southeast at northwest facade of dewatered culvert outlet ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

1. View southeast at northwest facade of dewatered culvert outlet headwall, above which part of the canal bank has been removed. Buttresses and upper portion of headwall (above arches) are nineteenth-century additions to the lower, original headwall. - Delaware & Raritan Canal, Ten Mile Run Culvert, 1.5 miles South of Blackwells Road, East Millstone, Somerset County, NJ

4. View southeast at culvert outlet with part of the ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

4. View southeast at culvert outlet with part of the canal bank removed. Right to left: dewatered streambed and coffer dam; tops of culvert barrels and curved wingwalls exposed; horizontal masonry cutoff wall partially up the canal bank. - Delaware & Raritan Canal, Six Mile Run Culvert, .2 mile South of Blackwells Mills Road, East Millstone, Somerset County, NJ

Clinical and urodynamic effects of baclofen in women with functional bladder outlet obstruction: Preliminary report.

PubMed