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261.
A method is developed to estimate the stress at the surface in a portable wind tunnel for wind erosion studies. The boundary layer height and the pressure gradient are used in a simple expression from the Kármán Integral Momentum Equation. Values of friction velocity u * are within 10% of experimental values obtained through correlation techniques, including measurements of differential pressures with the Murdoch Turbulence Probe MTP and the X-wire, hot-wire anemometer XWA. Wind velocity and stress profiles reveal logarithmic trends and a constant stress layer near the surface in the DAWA portable wind tunnel. Realignment of the statistics with the mean wind is essential.  相似文献   
262.
Objective: Studies of alcohol-related harm (violence, injury, illness) suggest that the most significant risk factors are the amount of alcohol consumed and whether obviously intoxicated patrons continue to be served. This study's objective was to investigate the effects of a responsible beverage service (RBS)/enhanced alcohol enforcement intervention on bars, bar patrons, and impaired driving.

Method: Two communities—Monroe County, New York, and Cleveland, Ohio—participated in a demonstration program and evaluation. The intervention applied RBS training, targeted enforcement, and corrective actions by law enforcement to a random sample of 10 identified problem bars in each community compared to 10 matched nonintervention problem bars. Data were collected over 3 waves on bar serving practices, bar patron intoxication, drinking and driving, and other alcohol-related harm from intervention and control bars and treatment and comparison communities.

Results: In Monroe County, New York, of the 14 outcome measures analyzed, 7 measures showed statistically significant differences from pre- to postintervention. Six of those measures indicated changes in the desired or positive direction and 2 measures were in the undesired or negative direction. Of note in the positive direction, the percentage of intervention bar patrons who were intoxicated decreased from 44 to 27% and the average blood alcohol concentration of patrons decreased from 0.097 to 0.059 g/dL pre- to postintervention. In Cleveland, Ohio, 6 of the 14 measures showed statistically significant changes pre- to postintervention with 6 in the positive direction and 4 in the negative direction. Of note, the percentage of pseudo-intoxicated patrons denied service in intervention bars increased from 6 to 29%.

Conclusions: Of the 14 outcome measures that were analyzed in each community, most indicated positive changes associated with the intervention, but others showed negative associations. About half of the measures showed no significance, the sample sizes were too small, or the data were unavailable. Therefore, at best, the results of these demonstration programs were mixed. There were, however, some positive indications from the intervention. It appears that when bar managers and owners are aware of the program and its enforcement and when servers are properly trained in RBS, fewer patrons may become intoxicated and greater efforts may be made to deny service to obviously intoxicated patrons. Given that about half of arrested impaired drivers had their last drink at a licensed establishment, widespread implementation of this strategy has the potential to help reduce impaired driving.  相似文献   

263.
The provision of green and open space in the face of wider development pressure is a key urban challenge. Despite this, few studies have critically investigated the quality of life implications of such provision. This paper focuses on perceptions of built environment factors and their influence on neighbourhood quality of life. Data are drawn from a household survey questionnaire completed by 483 residents living in three neighbourhoods in Dublin, Ireland – an inner city neighbourhood, a suburb and a peri-urban settlement. Positive perceptions of green and open space were identified as important predictors of high levels of neighbourhood satisfaction, surpassed only by dwelling characteristics. This suggests that development strategies which fail to provide for properly planned green and open spaces may be detrimental to neighbourhood quality of life. Furthermore, the results suggest a need for design solutions which consider neighbourhood typology in achieving improved neighbourhood quality of life.  相似文献   
264.
Objective: The objective of this study was to leverage a state health department's operational data to allocate in-kind resources (children's car seats) to counties, with the proposition that need-based allocation could ultimately improve public health outcomes.

Methods: This study used a retrospective analysis of administrative data on car seats distributed to counties statewide by the Georgia Department of Public Health and development of a need-based allocation tool (presented as interactive supplemental digital content, adaptable to other types of in-kind public health resources) that relies on current county-level injury and sociodemographic data.

Results: Car seat allocation using public health data and a need-based formula resulted in substantially different recommended allocations to individual counties compared to historic distribution.

Conclusions: Results indicate that making an in-kind public health resource like car seats universally available results in a less equitable distribution of that resource compared to deliberate allocation according to public health need. Public health agencies can use local data to allocate in-kind resources consistent with health objectives; that is, in a manner offering the greatest potential health impact. Future analysis can determine whether the change to a more equitable allocation of resources is also more efficient, resulting in measurably improved public health outcomes.  相似文献   

265.
Aim: The aim of this study was to synthesize published qualitative studies to identify older adults' preferences for communication about driving with health care providers.

Background: Health care providers play a key role in addressing driving safety and driving retirement with older adults, but conversations about driving can be difficult. Guides exist for family members and providers, but to date less is known about the types of communication and messages older drivers want from their health care providers.

Design: A qualitative metasynthesis of studies published on or before October 10, 2014, in databases (PubMed, CINAHL, PsycINFO, and Web of Science) and grey literature was performed.

Review Methods: Twenty-two published studies representing 518 older adult drivers met the following inclusion criteria: the study (1) was about driving; (2) involved older drivers; (3) was qualitative (rather than quantitative or mixed methods); and (4) contained information on older drivers' perspectives about communication with health care providers.

Results: We identified 5 major themes regarding older adults' communication preferences: (1) driving discussions are emotionally charged; (2) context matters; (3) providers are trusted and viewed as authority figures; (4) communication should occur over a period of time rather than suddenly; and (5) older adults desire agency in the decision to stop driving.

Conclusion: Various stakeholders involved in older driver safety should consider older drivers' perspectives regarding discussions about driving. Health care providers can respect and empower older drivers—and support their family members—through tactful communication about driving safety and mobility transitions during the life course.  相似文献   

266.
Occupational back stress among manual workers in South Africa is now a cause of governmental concern. Yet no data on the back strength of the South African workforce have been published. This study represents a first step in reporting the trunk strength of Xhosa workers in South Africa, in absolute and size-relative terms. Thirty-five male manual workers were tested isometrically while making maximal extension and flexion efforts at 0°, 23°, 46°, 69°, and 92° of stoop. The results show nonlinearity of the extensor-to-flexor (E/F) ratio of the trunk musculature. The E/F ratio increases in deep stoop because of a drop in flexor torques. The data suggest that predictions of flexor from extensor torques or vice versa can confidently be made so long as testing is done away from the fully flexed position. Significant differences between morphologically gracile and robust workers in this sample are discussed. The study has implications for occupational rehabilitation and for prophylaxis, for whereas muscular strength alone may not protect the spine from occupational injury, muscular weakness certainly predisposes it.  相似文献   
267.
268.
Regional Environmental Change - The development of climate change policy in cities has been closely tied to the efforts of particular individuals, policy entrepreneurs. However, there is still much...  相似文献   
269.
Freshwater and the services it provides are vital to both natural ecosystems and human needs; however, extreme climates and their influence on freshwater availability can be challenging for municipal planners and engineers to manage these resources effectively. In Arctic Canada, financial and human capital limitations have left a legacy of freshwater systems that underserve current communities and may be inadequate in the near future under a warming climate, growing population, and increasing demand. We address this challenge to community water resource planning by applying several novel water supply forecasting methods to evaluate the Apex River as an alternative freshwater source for Iqaluit, Nunavut (Canada). Surveys of water isotope composition of the Apex River and tributaries indicated that rainfall is the main source of water replenishment. This information was utilized to calibrate a water resource assessment that considered climate forecasting scenarios and their influence on supply, and alternative scenarios for freshwater management to better adapt to a changing climate. We found that under current climate and demand conditions, the freshwater supply of Iqaluit would be in a perpetual state of drawdown by 2024. Analysis of current infrastructure proposals revealed significant deficiencies in the supply extensions proposed whereby the Apex replenishment pipeline would only provide a 2-year extension to current municipal supply. Our heuristic supply forecast methods allowed for several alternative supply strategies to be rapidly evaluated, which will aid the community planning process by specifically quantifying the service life of the city’s current and future primary water supply.  相似文献   
270.
This ecological study aimed, through the analysis of 1,146 wards in the South West of England (1998–2002), firstly, to examine whether chemical incidents and public casualties are more likely near complex industry (emissions to land, air or water: Integrated Pollution Control industry, IPC) or industry with emissions to air only (Local Air Pollution Control industry, LAPC). Secondly, the study examined whether industry, incidents and casualties are found close to deprivation. Social inequalities were examined across quintiles of wards. Fifty-two wards (4.5%) contained an IPC industry and 712 (62.1%) an LAPC. Incidents occurred in 132 wards (11.5%), with casualties in 59 (5.1%). Chemical incidents occurred more frequently in wards with LAPC (152, IPC 20); the same was true of casualties (211, 12). With each additional LAPC site in a ward, the risk of an incident rose by 22% (95% confidence interval [CI] 8–38%), suggesting a dose–response relationship. No clear social inequalities were found. In the South West of England, the public are more likely to be affected by an incident occurring at a simple LAPC site rather than a complex IPC site. This has implications for emergency planning which, at present, focusses most attention on the larger, more complex IPC sites.  相似文献   
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