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HENDERSON and Bickley showed in AIRCRAFT ENGINEERING for December 19551 that the degree of statical indeterminacy of a skeletal structure may be determined from the ring number of the structure.

This chapter introduces how the built environment and walking are connected. It looks at the interrelationships within the built environment, and how those are changing given planning and policy efforts to facilitate increased walking for both leisure activity and commuting. Using a broad review and case-based approach, the chapter examines this epistemological development of walking and the built environment over time, reviews the connections, policies and design strategies and emerging issues. The chapter shows many cases of cities which are creating a more walkable environment. It also reveals that emerging issues related to technology and autonomous vehicles, vision zero and car-free cities, and increased regional policy may play a continued role in shaping the built environment for walking. This dialogue provides both a core underpinning and a future vision for how the built environment can continue to influence and respond to pedestrians in shaping a more walkable world.

Purpose – To examine potential sex differences among American Indian and Alaska Native peoples (AIANs) in diabetes prevalence, comorbidities, healthcare utilization, and treatment costs within the Indian Health Services (IHS).

Methodology/Approach – Data were drawn from the IHS Improving Healthcare Delivery Data Project with 437,608 persons in our analytical sample. We described sex and age differences in diabetes, comorbidities, healthcare utilization, and treatment costs among the adults with diabetes. We evaluated the statistical differences between men and women using confidence intervals calculated at the 95% level, with nonoverlapping confidence intervals indicating statistical significance.

Findings – The prevalence of diabetes among females was somewhat higher than that of males (10.82 vs 9.16%, respectively, p < 0.05). Among adults with diabetes, males had statistically higher prevalence of hypertension, cardiovascular disease, and substance use disorders and fewer mental health disorders compared to females. Although males had overall lower average cost of services than females, males had higher utilization for hospital inpatient services than females, and females used more outpatient services.

Research limitations/implications – We are limited to one fiscal year of data and thus cannot predict the influence of healthcare utilization patterns on the overall health of this population. Although a large sample, the findings are only generalizable to the active users of the participating IHS Service Units.

Originality/Value of Paper – This study fills a major gap in our knowledge of sex differences in diabetes prevalence, comorbidities, healthcare utilization, and treatment costs among AIANs. Differences in the comorbidities that characterized the AIAN adult males and females with diabetes in this sample have important implications for mortality and cost of care. Diabetes management that addresses such gender-specific comorbidities, particularly substance use disorders among men and mental health disorders among women, promises to reduce these comorbidities and related complications.

Events are social, sporty, cultural, economic and environmental or entertainment-based. They are held on specific dates and times to share common experiences. Event tourism is becoming more and more important, bringing many benefits to the destinations. National and international events are organised to create alternative tourism products, increase the number of visitors, contribute to economic development and create competitive advantage, improve the infrastructure of the destination, increase the quality of life and provide socio-cultural development support. Direct or indirect communication is important for the target audience. Today, event organisers, who want to establish strong ties with the target audience, benefit from technology as it helps to promote the event and motivate people to participate in it. Along with the development of the Internet and the social media, communication and marketing implementations have also changed. High-budgeted events are becoming an important segment of tourism. The development of technology and widespread use of the Internet and social media have added a creative and indispensable competitive element to event marketing communication.

We use new training data from the British Household Panel Survey to explore the degree to which the data are consistent with the predictions of human capital theory. According to the raw data, most work-related training is general and is paid for by employers. Our fixed effects estimates reveal that employer-financed training is associated with higher wages both in the current and future firms, with some evidence that the impact in future firms is larger. These results are consistent with human capital theory with credit constraints, and with the relatively recent literature on training in imperfectly competitive labour markets.

In this paper, we study the different kinds of the primeness on the class of near-rings and we give new characterizations for them. For that purpose, we introduce new concepts called set-divisors, ideal-divisors, etc. and we give equivalent statements for 3-primeness which make 3-primeness looks like the forms of the other kinds of primeness. Also, we introduce a new different kind of primeness in near-rings called K-primeness which lies between 3-primeness and e-primeness. After that, we study different kinds of prime ideals in near-rings and find a connection between them and new concepts called set-attractors, ideal-attractors, etc. to make new characterizations for them. Also, we introduce a new different kind of prime ideals in near-rings called K-prime ideals.

The coating process is broadly employed in the manufacturing of wallpapers, adhesive tapes, wrapping, protection of fabrics and metals, X-ray and photographic films, beautification, books and magazines, film foils, magnetic records, coated paper, etc.

In this study, an incompressible flow of non-Newtonian fluid is modeled to inspect the rheological behavior of finite coating thickness in the reverse roll coating process. With the assistance of lubrication approximation theory (LAT), the dimensionless form of governing expressions is simplified. Exact solutions for distributions for velocity, flow rate, temperature and pressure gradient attained utilizing perturbation technique and their variation is presented as well as discussed in graphs. Meanwhile, some important factors from an engineering perspective including coating thickness and transition point were calculated mathematically and are displayed in a tabular manner. Also, streamlines are drawn to observe the flow pattern.

Prandtl fluid parameters provide a controlling factor to regulate the flow rate, velocity, coating thickness, and pressure gradient leading to an efficient coating process. Moreover, the Brinkman number and Prandtl fluid parameters significantly improve the temperature distribution.

In the literature, this study fills a gap in the theoretical prediction of coating thickness rheologically influenced by Prandtl fluid in reverse roll coating process.

The purpose of this paper is to evaluate the latest mounting evidence reporting associations between the important role of whole grains and fibre in lowering the risk of chronic diseases and health.

A general systematic review was conducted to locate and summarise up-to-date published studies within the field. A Medline search identified human-controlled trials and observational studies published in the past five years.

A total of 49 studies were identified. In observational studies, higher intakes of whole grain and dietary fibre were associated with a significantly lower risk of cardiovascular disease, diabetes, abdominal adiposity and certain cancers. This was further supported by human intervention trials, which reported benefits for appetite control, blood lipid levels, glycaemic control, digestive health and secondary cancer prevention. Mechanisms may relate to the micronutrients and phytonutrients present in high fibre foods.

Practical advice is needed to help people identify foods rich in whole grains, e.g. breakfast cereals. UK fibre recommendations should be aligned with European guidelines and food labelling regulations, and a whole grain dietary recommendation, e.g. similar to the US guideline of three portions a day, could be introduced. Government and industry should play a role in communicating dietary fibre guidelines and the health benefits associated with whole grain and fibre, particularly insoluble fibre.

This paper develops knowledge about whole grains, health and the importance of establishing whole-grain dietary recommendations.

Continuity of care and access to primary care have been identified as important contributors to improved health outcomes and reduced reincarceration among people who are justice-involved. While the disproportionate burden of health concerns among incarcerated populations is well documented, less is known about their health service utilization, limiting the potential for effective improvements to current policy and practice. This study aims to examine health status and health care utilization among men recently released from a superjail in a large metropolitan area to better understand patterns of use, risk factors and facilitators.

Participants included adult men (n = 106) matched to a general population group (n = 530) in Ontario, Canada, linked to medical records (88.5% linkage) to examine baseline health status and health utilization three-months post-release. The authors compared differences between the groups in baseline health conditions and estimated the risk of emergency department, primary care, inpatient hospitalization and specialist ambulatory care visits.

Superjail participants had a significantly higher prevalence of respiratory conditions, mental illness, substance use and injuries. Substance use was a significant risk factor for all types of visits and emergency department visits were over three times higher among superjail participants.

This empirical case is illustrative of an emerging phenomenon in some regions of the world where emergency departments serve as de facto “walk-in clinics” for those with criminal justice involvement. Strategic approaches to health services are required to meet the complex social and health needs and disparities in access to care experienced by men released from custody.

The purpose of this paper is to evaluate gender-related differences in the use of drugs for chronic diseases in undocumented migrants.

The authors analyzed the databases of two charitable organizations providing medical help and medicines to undocumented migrants. Data were available for 9,822 patients in the period 2014–2016. The authors grouped medicines according to the Anatomical Therapeutic Chemical (ATC) classification. We considered the ATC group as an indicator of a group of diseases.

Both males and females needed medicines for chronic diseases in a comparable manner. When we analyzed the age distribution, The authors noticed that males showed a tendency to begin to be affected at an earlier age; however, this cumulative difference was not statistically significant. But when we looked at six groups of drugs separately (cardiovascular, respiratory, anti-thrombotic, neurologic, psychiatric, anti-diabetic), the authors found that females always needed drugs for chronic diseases at a later age, always with a significant difference (p<0.0001 for cardiovascular, antithrombotic, antidiabetic and psychoactive drugs; p<0.002 for neurologic products; p<0.04 for drugs used in chronic respiratory conditions).

This is a retrospective study based on the analysis of existing databases, but the peculiar features of this population (undocumented migrants) do not allow at the moment controlled studies.

Our observations could be important when planning public health strategies, especially in the field of prevention.

This is the first report of gender differences in the use of medicines for chronic diseases within a large sample of undocumented migrants.