Encontrando la Comida Saludable: Identifying Food Access Barriers for the Adams County, Pennsylvania Latino Community

Overwhelming research indicates that recent national trends in U.S. food systems have led to the increased prevalence of processed foods and associated diet-related diseases. The effects of unhealthy diets have been distributed unevenly across the country’s socioeconomic and ethnic groups. Certain socioeconomic and ethnic groups face greater geographic, financial and cultural barriers to healthy food access. In Adams County, Pennsylvania, Latinos comprise 5.6% of the population, making them the county’s largest minority group, yet little is known about the food access barriers they face. In this study, we used a combination of surveys and focus groups with Latino residents and personal interviews with community leaders to identify the geographic, financial, and cultural barriers to food access for the county’s Latino community. We found that, though geographic and financial barriers had little effect on the community’s access to healthy food, cultural barriers presented a significant obstacle that needs to be addressed. We hope this study will inform the Adams County Food Policy Council in proposing policy measures that address specific food access issues in the county

F100(3) parallel compressor computer code and user's manual

The Pratt & Whitney Aircraft multiple segment parallel compressor model has been modified to include the influence of variable compressor vane geometry on the sensitivity to circumferential flow distortion. Further, performance characteristics of the F100 (3) compression system have been incorporated into the model on a blade row basis. In this modified form, the distortion's circumferential location is referenced relative to the variable vane controlling sensors of the F100 (3) engine so that the proper solution can be obtained regardless of distortion orientation. This feature is particularly important for the analysis of inlet temperature distortion. Compatibility with fixed geometry compressor applications has been maintained in the model

Development of a Virtual Laparoscopic Trainer using Accelerometer Augmented Tools to Assess Performance in Surgical training

Previous research suggests that virtual reality (VR) may supplement conventional training in laparoscopy. It may prove useful in the selection of surgical trainees in terms of their dexterity and spatial awareness skills in the near future. Current VR training solutions provide levels of realism and in some instances, haptic feedback, but they are cumbersome by being tethered and not ergonomically close to the actual surgical instruments for weight and freedom of use factors. In addition, they are expensive hence making them less accessible to departments than conventional box trainers. The box trainers in comparison, although more economical, lack tangible feedback and realism for handling delicate tissue structures. We have previously reported on the development of a modified digitally enhanced surgical instrument for laparoscopic training, named the Parkar Tool. This tool contains wireless accelerometer and gyroscopic sensors integrated into actual laparoscopic instruments. By design, it alleviates the need for both tethered and physically different shaped tools thereby enhancing the realism when performing surgical procedures. Additionally the software (Valhalla) has the ability to digitally record surgical motions, thereby enabling it to remotely capture surgical training data to analyse and objectively evaluate performance. We have adapted and further developed our initial single training tool method as used with a laparoscopic pyloromyotomy scenario, to an enhanced method using multiple Parkar wireless tools simultaneously, for use in several different case scenarios. This allows the use and measurement of right and left handed dexterity with the benefit of using several tasks of differing complexity. The development of a 3D tissue-surface deformations solution written in OpenGL gives us several different virtual surgical training scenario approximations to use with the instruments. The trainee can start with learning simple tasks e.g. incising tissue, grasping, squeezing and stretching tissue, to more complex procedures such as suturing, herniotomies, bowel anastomoses, as well as the original pyloromyotomy as used in the first model