New Farmer Jump Start Project

Southwest Iowa development groups looked at several ways to entice new farmers to commit to local food production

Data Quality and Analysis: Managing and Using Home and Community-based Services Data for Quality Improvement

The Data Management and Use Series represents the third in a group of papers synthesizing the ideas and practices of states as they improve the quality of home and community based services (HCBS) and supports for older persons and persons with disabilities

Containing loss risk in a low inertia GB power system

There is a reduction in the percentage penetration of synchronous machines within the GB power system; leading to a decrease in inertia, and an increase in system rate of change of frequency (RoCoF) following a frequency event. This raises the challenge of containing frequency deviations within the relevant operational limits. As a result, steps need to be taken by the system operator to manage the risk to system security. In order to better understand this risk, this paper presents the challenge in light of the changing energy landscape and the current and future frequency response services available to contain frequency deviations. Although frequency response services may be capable of containing some events within frequency limits, in low inertia scenarios these responses alone are not capable of containing excursions within practical RoCoF limits. Consequently, further action must be taken to ensure system security. The system operator currently employs an interim solution of limiting the largest loss risk, depending on system inertia and the RoCoF limit. While this is suitable in the short-term, it is unlikely that this option will be viable in the future

Acceptability of HIV Testing Sites Among Rural and Urban African Americans Who Use Cocaine

African Americans (AAs) who use cocaine in the Southern region of the U.S. have a relatively high risk of HIV and need for HIV testing. Among this group, those residing in rural areas may have less favorable opinions about common HIV testing sites, which could inhibit HIV testing. We examined rural/urban variations in their acceptability of multiple HIV testing sites (private physician clinic, local health department, community health center, community HIV fair, hospital emergency department, blood plasma donation center, drug abuse treatment facility, and mobile van or community outreach worker). Results from partial proportional odds and logistic regression analyses indicate that rural AA who use cocaine have lower odds of viewing local health departments (OR = 0.09, 95 % CI = 0.03–0.21), physician offices (OR = 0.19, 95 % CI = 0.09–0.42), and drug use treatment centers (OR = 0.49; 95 % CI = 0.30–0.80) as acceptable relative to their urban counterparts. The findings have implications for further targeting HIV testing toward AAs who use of cocaine, particularly those residing in the rural South

Containing a credible loss to within frequency stability limits in a low inertia GB power system

There is a reduction in the percentage penetration of synchronous machines within the Great Britain (GB) power system leading to a decrease in inertia, and an increase in system rate of change of frequency (RoCoF) resulting from power imbalances. This raises the challenge of containing frequency deviations to within the relevant operational limits. As a result, steps need to be taken by the system operator to manage the risk to system security. In order to better understand this risk, this paper presents the challenge in light of the changing energy landscape and the current and future frequency response services available to contain frequency deviations. Although the current GB frequency response services may be capable of containing most events within frequency limits, in low inertia scenarios these responses alone are not capable of containing excursions within practical RoCoF limits. Consequently, further action must be taken to ensure system security. The system operator currently employs an interim solution of limiting the largest loss risk, depending on system inertia and the RoCoF limit. While this is suitable in the short-term, it is unlikely that this option will be cost-effective in the future

A machine control shell for next generation manufacturing machines

There is a growing pressure on many manufacturing oganisations to produce products in small volumes. However, to date, most automation projects have centred on high volume production. The major impediment to the application of programmable automation lies in the high cost of engineering solutions. Already a range of control system components are available to produce flexible automation schemes but as yet the selection and use of those components is a highly specialised exercise which is generally not well understood. This paper describes the need for an open control architecture for programmable machines and outlines findings of a proof of concept research project aimed at formalising the design of control systems. The work has resulted in a “motion control shell' which can much reduce the cost and time involved when building machine controllers

Connective Tissue Growth Factor Promotes Fibrosis Downstream of TGFΒ and IL-6 in Chronic Cardiac Allograft Rejection

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/72574/1/j.1600-6143.2009.02826.x.pd

Evaluation of Criteria to Detect Masked Hypertension

The prevalence of masked hypertension, out-of-clinic daytime systolic/diastolic blood pressure (SBP/DBP)≥135/85 mmHg on ambulatory blood pressure monitoring (ABPM) among adults with clinic SBP/DBP<140/90 mmHg, is high. It is unclear who should be screened for masked hypertension. We derived a clinic blood pressure (CBP) index to identify populations for masked hypertension screening. Index cut-points corresponding to 75% to 99% sensitivity and prehypertension were evaluated as ABPM testing criterion. In a derivation cohort (n=695), the index was clinic SBP+1.3*clinic DBP. In an external validation cohort (n=675), the sensitivity for masked hypertension using an index ≥190 mmHg and ≥217 mmHg and prehypertension status was 98.5%, 71.5% and 82.5%, respectively. Using NHANES data (n=11,778), we estimated that these thresholds would refer 118.6, 44.4 and 59.3 million US adults, respectively, to ABPM screening for masked hypertension. In conclusion, the CBP index provides a useful approach to identify candidates for masked hypertension screening using ABPM

Differences in night-time and daytime ambulatory blood pressure when diurnal periods are defined by self-report, fixed-times, and actigraphy: Improving the Detection of Hypertension study

To determine whether defining diurnal periods by self-report, fixed-time or actigraphy produce different estimates of nighttime and daytime ambulatory blood pressure (ABP)

Sedentary behavior and subclinical atherosclerosis in African Americans: cross-sectional analysis of the Jackson heart study

BACKGROUND: Previous studies have reported conflicting results as to whether an association exists between sedentary time and cardiovascular disease (CVD) risk among African Americans. These studies, however, were limited by lack of consideration of sedentary behavior in leisure versus non-leisure settings. To elucidate this relation, we investigated the associations of television (TV) viewing time and occupational sitting with carotid intima-media thickness (CIMT), a subclinical atherosclerosis measure, in a community-based sample of African Americans. METHODS: We studied 3410 participants from the Jackson Heart Study, a single-site, community-based study of African Americans residing in Jackson, MS. CIMT was assessed by ultrasonography and represented mean far-wall thickness across right and left sides of the common carotid artery. TV viewing time, a measure of leisure sedentary behavior, and occupational sitting, a measure of non-leisure sedentary behavior, were assessed by questionnaire. RESULTS: In a multivariable regression model that included physical activity and CVD risk factors, longer TV viewing time (2-4 h/day and >4 h/day) was associated with greater CIMT (adjusted mean ± SE difference from referent [4 h/day; P-trend =0.001). In contrast, more frequent occupational sitting ('sometimes' and 'often/always') was associated with lower CIMT (adjusted mean ± SE difference from referent ['never/seldom']:-0.021 ± 0.009 mm for 'sometimes', and-0.018 ± 0.008 mm for 'often/always'; P-trend = 0.042). CONCLUSIONS: Longer TV viewing time was associated with greater CIMT, while occupational sitting was associated with lower CIMT. These findings suggest the role of sedentary behaviors in the pathogenesis of CVD among African Americans may vary by whether individuals engage in leisure versus non-leisure sedentary behaviors