Grill-specific footprints for common fuel/grill types in the USA have been estimated from public information and data from a major grill manufacturer. In 2022, grill-specific footprints vary by a ratio of 9:1. A typical gas grill has the highest footprint; a wood-pellet grill is lowest; charcoal briquettes, electricity and super-efficient gas grills come in-between those two. Efficiency varies greatly for gas (natural gas or propane) grills: a typical gas grill has twice the footprint of a super-efficient one. In 2027, the footprint rankings could change considerably from 2022. With biofuel substitution, the super-efficient gas grill would move ahead of pellets. Electricity and charcoal could improve but would still place fifth and sixth. The range of grill-specific footprints could fall to 4.5:1, and within a much-lower range. The highest footprint in 2027 is almost 60% lower than 2022′s highest.

Youth violence is a growing public health phenomenon that plagues communities both nationally and internationally, leading to billions of dollars in costly consequences. Youth violence ranks among the top five causes of death among youth in the United States. The development of violence risk assessment tools that identify at-risk youth measures risk factors that lead to violent behavior. In addition, some risk assessment tools identify risk-reduction interventions used to reduce the risk of future or chronic violence. More recent research has focused on individual differences in risk and resilience factors of youth. Moreover, researchers have identified both gender and ethnic differences in risk and resilience models utilized for risk reduction. However, the development and evolution of risk assessment for future violence among youth should not stagnate, as gender and ethnic differences should be incorporated into revised and new assessment tools. After carefully considering the available research, violence assessments should be refined to include gender and culturally relevant considerations to become a reliable and valid resource that is both gender and culturally inclusive and unbiased.

The ability of patients and health care providers to use various forms of technology for general health has significantly increased in the past several years with the expansion of telehealth, digital applications, personal digital devices, smartphones, and other internet-connected platforms and devices. For individuals with diabetes, this also includes connected blood glucose meters, continuous glucose monitoring devices, and insulin delivery systems. In this article, the authors outline several steps to facilitate the acquisition, management, and meaningful use of digital diabetes data that can enable successful implementation of both diabetes technology and telehealth services in primary care clinics.

Grill-specific footprints for common fuels/grill types in the USA are estimated from public information and data from a major grill manufacturer. These are a function of both 1) a fuel’s footprint and 2) a grill’s efficiency of cooking. In 2022, grill-specific footprints vary by 9:1. A typical gas grill is highest at 3.6 lb CO2e/grill session, nine times that of a wood-pellet grill, lowest at 0.4 lb. Charcoal briquettes, electricity and super-efficient gas grills come in-between. Pellets are lowest, because they are made from waste wood and their production burden is modest. Electricity has the highest fuel footprint, yet the second-lowest grill-specific footprint, thanks to its high efficiency. Briquettes come in fourth, because their production involves fossil gas, and they contain some fossil coal. Grill efficiency is key for gas (natural gas or propane): a typical gas grill has twice the footprint of a super-efficient one. In 2027, with bio substitution, the super-efficient gas grill would move ahead of pellets. Electricity and charcoal could improve but would still place fifth and sixth. The range of grill-specific footprints could fall to 4.5:1, within a much-lower range, the highest footprint in 2027 almost 60% lower than 2022’s highest.

Youth violence is a phenomenon that plagues our way of life both locally and internationally, leading to costly consequences. Youth violence ranks among the top five causes of death among youth. Risk assessment tools that measure the future risk of violence have been developed to identify at-risk youth, allowing risk-reduction measures to be implemented to reduce the risk of chronic violence. Some researchers interested in determining the level of risk in certain individuals concern themselves solely with the assessment of risk, while others attempt to determine possible solutions to the issues. However, the development and evolution of risk assessment for future violence among youth should not become stagnate, as there are both gender and ethnicity differences that must be considered when approaching risk assessment and the reduction of future risk of violence.

We consider the problem of utility maximization in online ranking applications while also satisfying a pre-defined fairness constraint. We consider batches of items which arrive over time, already ranked using an existing ranking model. We propose online post-processing for re-ranking these batches to enforce adherence to the pre-defined fairness constraint, while maximizing a specific notion of utility. To achieve this goal, we propose two deterministic re-ranking policies. In addition, we learn a re-ranking policy based on a novel variation of learning to search. Extensive experiments on real world and synthetic datasets demonstrate the effectiveness of our proposed policies both in terms of adherence to the fairness constraint and utility maximization. Furthermore, our analysis shows that the performance of the proposed policies depends on the original data distribution w.r.t the fairness constraint and the notion of utility.

While a great deal of research has been conducted on the risk and resilience factors in youth, there is limited research on the differences in these factors between cultures, ethnicities, and gender. The current researcher hoped to provide documentation of the different risk and resilience factors for White, Latino, and African American male and female youth, towards the goal of presenting solutions to youth violence in all groups. By determining ethnic differences in risk and resilience factors, it should be possible to give them appropriate weights within the CARE-2 assessment, thus reducing bias and increasing predictability of future chronic violence. By accurately predicting which youth are most likely to become violent based on risk factors, preventive measures can be put in place to minimize incidents of violence among high-risk youth.

INTRODUCTION Extra-articular scapula body fractures have been shown to have good outcomes with nonsurgical management. What is not known is whether routine postinjury imaging of these fractures is necessary for monitoring healing and alignment. As the shift toward providing cost-effective healthcare continues, we sought to evaluate if routine postinjury imaging of these fractures resulted in any change in management while secondarily evaluating the imaging for fracture patterns at risk of displacement. METHODS A retrospective review of all extra-articular scapula body fractures managed nonsurgically at our institution was performed from January 2013 to December 2017. We measured the glenopolar angle, lateral border offset, sagittal angulation, and translation on both injury CT scans and follow-up radiographs to evaluate if any displacement occurred. In fractures that displaced more than 10 mm or 10° in any measurement, we evaluated the fracture pattern to see if any particular pattern posed a risk for displacement. In addition, we evaluated the cost of imaging for all radiographs obtained in the follow-up period. RESULTS A total of 139 patients with 147 extra-articular scapula body fractures were included in our analysis. No patient experienced a change in management based on postinjury radiographs. A total of 120 patients underwent postinjury imaging with a total of 204 radiographic series ordered, equating to $172,769.50 in radiograph expenses. Final radiographs were obtained at an average of 48.4 days postinjury, and overall, no significant difference was observed (P < 0.05) in any radiographic measurement when compared with the initial injury imaging; however, when looking at fractures that displaced, transverse fracture patterns of the scapula body represented a risk factor for displacement (relative risk = 6.5). DISCUSSION Satisfactory outcomes have previously been demonstrated with nonsurgical management of scapula body fractures and for most of these injuries postinjury imaging may not be necessary or cost effective. LEVEL OF EVIDENCE Level IV.

This paper explores the tension between the tools that data reusers in the field of education prefer to use when working with qualitative video data and the tools that repositories make available to data reusers. Findings from this mixed-methods study show that data reusers utilizing qualitative video data did not use repository-based tools. Rather, they valued common, widely available tools that were collaborative and easy to use.

Background: Although previous studies have measured general proximal forearm bone mineral density (BMD), no study has systematically mapped the 3-dimensional trabecular BMD of the proximal ulna. The aim of this study was to describe the 3-dimensional distribution of the trabecular bone density of the proximal ulna. We hypothesize a variable distribution of proximal ulna trabecular BMD depending on the region of interest (ROI). Methods: Computed tomographic (CT) scans of 9 fresh-frozen cadaveric proximal ulna specimens with a mean age of 59.3 +/- 8.1 years were studied. Each CT file was converted from DICOM to a QCT file that could be analyzed using QCT software (QCT Pro Version 6.1, Model 4 CT Calibration Phantom; MindWays Software Inc, Austin, TX, USA). The ROIs were defined as spheres of trabecular bone 3 mm in diameter located throughout the proximal ulna. Results: ROIs proximal to the trochlear notch demonstrated higher BMD than ROIs distal to the trochlear notch. Furthermore, volar ROIs adjacent to the ulnohumeral joint tended to have higher BMD than dorsal ROIs. The highest BMD was found in the tip of the olecranon. Conclusion: Hardware in fixation constructs for proximal ulnar fractures should be directed toward ROIs with the highest BMD to maximize purchase. Hardware should approach the ulnohumeral joint without penetrating the joint to capture trabecular bone with the highest BMD. The most important fixation in such a construct will be that which captures trabecular bone with maximum BMD proximal to the trochlear notch (eg, the tip of the olecranon). (C) 2019 Published by Elsevier Inc. on behalf of Journal of Shoulder and Elbow Surgery Board of Trustees.

Energy-related greenhouse gas emissions dominate the carbon footprints of most product systems, where petroleum is one of the main types of energy sources. This is consumed as a variety of refined products, most notably diesel, petrol (gasoline) and jet fuel (kerosene). Refined product carbon footprints are of great importance to regulators, policymakers and environmental decision-makers. For instance, they are at the heart of current legislation, such as the European Union’s Renewable Energy Directive or the United States’ Renewable Fuels Standard. This study identified 14 datasets that report footprints for the same system, namely, petroleum refinery operations in Europe. For the main refined products, i.e., diesel, petrol and jet fuel, footprints vary by at least a factor of three. For minor products, the variation is even greater. Five different organs of the European Commission have estimated the refining footprints, where for the main products, these are relatively harmonic; for minor products, much less so. The observed variation in carbon footprints is due mainly to differing approaches to refinery modelling, especially regarding the rationale and methods applied to assign shares of the total burden from the petroleum refinery operation to the individual products. Given the economic/social importance of refined products, a better harmony regarding their footprints would be valuable to their users.

Objectives To provide guidance for safe and appropriate vitamin and mineral supplementation regimens for patients who use vitamins marketed for ocular use concurrently with general-purpose multivitamin (MVI) supplementation. Data sources Primary and tertiary evidence was compiled from secondary literature reference databases. Study selection Dosage exposure with the use of supplements marketed for the prevention of ocular disease, including those recommended by the Age-Related Eye Disease Studies (AREDS), when used in combination with conventional MVI/nutrient products was determined. An analysis of the data was performed to suggest appropriate supplement recommendations. Data extraction Combined dosages for single and duplicate ingredients found in ocular supplements and select MVI/nutrient supplements were compared with U.S. Food and Drug Administration--recommended daily value intake levels and the National Academy of Medicine recommendations on vitamin and nutrient tolerable upper intake levels (TUILs). Results With the exception of copper, all studied product components that conformed to AREDS guidelines for vitamin and nutrient levels far exceeded U.S. Food and Drug Administration--recommended daily value intake level limits. Furthermore, vitamin A and zinc exceeded the National Academies of Medicine TUIL when a multivitamin product was combined with an ocular-specific vitamin or nutrient that conformed with AREDS-recommended dosage levels. Several products marketed specifically for ocular use failed to provide AREDS-recommended vitamin or nutrient levels even when combined with MVI products. Conclusion With the exception of vitamin A and zinc, the addition of typical multivitamin preparations to AREDS-recommended vitamin and nutrient regimens do not result in vitamin and mineral dosages that exceed TUIL as outlined by the National Academy of Medicine. However, combined AREDS and MVI regimens can create a substantial vitamin or mineral burden that is not appropriate for all older adult populations, particularly those with comorbidities, contributing to susceptibility of component toxicity.