A Structural Analysis of the Beef Slaughtering Industry in South Dakota

The income received from the production of beef, South Dakota\u27s most important product, could be greatly expanded by an increase in cattle slaughter. The main objective of this study is to analyze the beef packing industry in the state. in an attempt to determine the optimum number, location and size of specialized beef slaughter plants in South Dakota. Recent structural changes in the meat packing industry should be beneficial to the meat packing industry in South Dakota. It is hoped that this study will provide useful information to industry personnel for making investment decisions. This information could also be used by area development groups to determine the relative competitive position of their area as a potential site for a beef packing plant. This study has in addition the following associated objectives. 1. Review trends and recent developments in the beef production and slaughter industries and their implications for South Dakota. 2. Estimate operating costs for selected sizes of beef slaughter plants in South Dakota. 3. Estimate optimum patterns of shipment of live cattle to packing plants and meat to demand centers. This study divides the state into eleven potential beef supply areas and considers eight demand centers located throughout the United States. The beef industry in South Dakota is analyzed with respect to production patterns, slaughter numbers and marketing patterns. Trends in the beef slaughter industry are reviewed and implications are made as to their application to the situation in South Dakota. Estimates of operating costs are made for different sized plants in the state, and transportation costs are synthesized for assembling the cattle at the potential plants and transporting the meat to the demand centers. A simplex transportation model was used to simulate the optimum location and size of potential packing plants. The model considers the presence of economies of scale in plant operations and various assembly and distribution costs associated with different transportation distances

Reference values and clinical predictors of bone strength for HR-pQCT-based distal radius and tibia strength assessments in women and men.

Reference values for radius and tibia strength using multiple-stack high-resolution peripheral quantitative computed tomography (HR-pQCT) with homogenized finite element analysis are presented in order to derive critical values improving risk prediction models of osteoporosis. Gender and femoral neck areal bone mineral density (aBMD) were independent predictors of bone strength. INTRODUCTION The purpose was to obtain reference values for radius and tibia bone strength computed by using the homogenized finite element analysis (hFE) using multiple stacks with a HR-pQCT. METHODS Male and female healthy participants aged 20-39 years were recruited at the University Hospital of Bern. They underwent interview and clinical examination including hand grip, gait speed and DXA of the hip. The nondominant forearm and tibia were scanned with a double and a triple-stack protocol, respectively, using HR-pQCT (XCT II, SCANCO Medical AG). Bone strength was estimated by using the hFE analysis, and reference values were calculated using quantile regression. Multivariable analyses were performed to identify clinical predictors of bone strength. RESULTS Overall, 46 women and 41 men were recruited with mean ages of 25.1 (sd 5.0) and 26.2 (sd 5.2) years. Sex-specific reference values for bone strength were established. Men had significantly higher strength for radius (mean (sd) 6640 (1800) N vs. 4110 (1200) N; p < 0.001) and tibia (18,200 (4220) N vs. 11,970 (3150) N; p < 0.001) than women. In the two multivariable regression models with and without total hip aBMD, the addition of neck hip aBMD significantly improved the model (p < 0.001). No clinical predictors of bone strength other than gender and aBMD were identified. CONCLUSION Reference values for radius and tibia strength using multiple HR-pQCT stacks with hFE analysis are presented and provide the basis to help refining accurate risk prediction models. Femoral neck aBMD and gender were significant predictors of bone strength

The impact of reactive case detection on malaria transmission in Zanzibar in the presence of human mobility

Malaria persists at low levels on Zanzibar despite the use of vector control and case management. We use a metapopulation model to investigate the role of human mobility in malaria persistence on Zanzibar, and the impact of reactive case detection. The model was parameterized using survey data on malaria prevalence, reactive case detection, and travel history. We find that in the absence of imported cases from mainland Tanzania, malaria would likely cease to persist on Zanzibar. We also investigate potential intervention scenarios that may lead to elimination, especially through changes to reactive case detection. While we find that some additional cases are removed by reactive case detection, a large proportion of cases are missed due to many infections having a low parasite density that go undetected by rapid diagnostic tests, a low rate of those infected with malaria seeking treatment, and a low rate of follow up at the household level of malaria cases detected at health facilities. While improvements in reactive case detection would lead to a reduction in malaria prevalence, none of the intervention scenarios tested here were sufficient to reach elimination. Imported cases need to be treated to have a substantial impact on prevalence

Design Considerations for Technology Interventions to Support Social and Physical Wellness for Older Adults with Disability

Social and physical wellness are important considerations for maintaining one’s health into older age and remaining independent. However, some segments of the older adult population, such as those aging with disability, are at increased risk for loneliness and reduced physical activity, which could result in negative health consequences. There is a critical need to understand how to deploy social and physical wellness interventions for people aging with disability. We provide an overview of constructs related to social and physical wellness, as well as evidence-based interventions effective with older populations. Our review yields considerations for how interventions may need to be developed or modified to be efficacious for this population segment. Technology may be a key component in adopting interventions, particularly tele-technologies, which we define and discuss in depth.<br /

The PRO-AGE study: an international randomised controlled study of health risk appraisal for older persons based in general practice

BACKGROUND: This paper describes the study protocol, the recruitment, and base-line data for evaluating the success of randomisation of the PRO-AGE (PRevention in Older people – Assessment in GEneralists' practices) project. METHODS/DESIGN: A group of general practitioners (GPs) in London (U.K.), Hamburg (Germany) and Solothurn (Switzerland) were trained in risk identification, health promotion, and prevention in older people. Their non-disabled older patients were invited to participate in a randomised controlled study. Participants allocated to the intervention group were offered the Health Risk Appraisal for Older Persons (HRA-O) instrument with a site-specific method for reinforcement (London: physician reminders in electronic medical record; Hamburg: one group session or two preventive home visits; Solothurn: six-monthly preventive home visits over a two-year period). Participants allocated to the control group received usual care. At each site, an additional group of GPs did not receive the training, and their eligible patients were invited to participate in a concurrent comparison group. Primary outcomes are self-reported health behaviour and preventative care use at one-year follow-up. In Solothurn, an additional follow-up was conducted at two years. The number of older persons agreeing to participate (% of eligible persons) in the randomised controlled study was 2503 (66.0%) in London, 2580 (53.6%) in Hamburg, and 2284 (67.5%) in Solothurn. Base-line findings confirm that randomisation of participants was successful, with comparable characteristics between intervention and control groups. The number of persons (% of eligible) enrolled in the concurrent comparison group was 636 (48.8%) in London, 746 (35.7%) in Hamburg, and 1171 (63.0%) in Solothurn. DISCUSSION: PRO-AGE is the first large-scale randomised controlled trial of health risk appraisal for older people in Europe. Its results will inform about the effects of implementing HRA-O with different methods of reinforcement

Subset currents on free groups

We introduce and study the space of \emph{subset currents} on the free group $F_N$. A subset current on $F_N$ is a positive $F_N$-invariant locally finite Borel measure on the space $\mathfrak C_N$ of all closed subsets of $\partial F_N$ consisting of at least two points. While ordinary geodesic currents generalize conjugacy classes of nontrivial group elements, a subset current is a measure-theoretic generalization of the conjugacy class of a nontrivial finitely generated subgroup in $F_N$, and, more generally, in a word-hyperbolic group. The concept of a subset current is related to the notion of an "invariant random subgroup" with respect to some conjugacy-invariant probability measure on the space of closed subgroups of a topological group. If we fix a free basis $A$ of $F_N$, a subset current may also be viewed as an $F_N$-invariant measure on a "branching" analog of the geodesic flow space for $F_N$, whose elements are infinite subtrees (rather than just geodesic lines) of the Cayley graph of $F_N$ with respect to $A$.Comment: updated version; to appear in Geometriae Dedicat

Swiss Frailty Network and Repository: protocol of a Swiss Personalized Health Network's driver project observational study.

Early identification of frailty by clinical instruments or accumulation of deficit indexes can contribute to improve healthcare for older adults, including the prevention of negative outcomes in acute care. However, conflicting evidence exists on how to best capture frailty in this setting. Simultaneously, the increasing utilisation of electronic health records (EHRs) opens up new possibilities for research and patient care, including frailty. The Swiss Frailty Network and Repository (SFNR) primarily aims to develop an electronic Frailty Index (eFI) from routinely available EHR data in order to investigate its predictive value against length of stay and in-hospital mortality as two important clinical outcomes in a study sample of 1000-1500 hospital patients aged 65 years and older. In addition, we will examine the correlation between the eFI and a test-based clinical Frailty Instrument to compare both concepts in Swiss older adults in acute care settings. As a Swiss Personalized Health Network (SPHN) driver project, our study will report on the characteristics and usability of the first nationwide eFI in Switzerland connecting all five Swiss University Hospitals' Geriatric Departments with a representative sample of patients aged 65 years and older admitted to acute care. The study protocol was approved by the competent ethics committee of the Canton of Zurich (BASEC-ID 2019-00445). All acquired data will be handled according to SPHN's ethical framework for responsible data processing in personalised health research. Analyses will be performed within the secure BioMedIT environment, a national infrastructure to enable secure biomedical data processing, an integral part of SPHN. NCT04516642