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BACKGROUND/OBJECTIVES A lower risk of falls is commonly cited as a reason to treat hypertension conservatively in older individuals. We examined the effect of hypertension treatment and control status and measured blood pressure (BP) level on the risk of falls in older women. DESIGN/SETTING Prospective cohort study. PARTICIPANTS A total of 5971 women (mean age 79 years; 50.4% white, 33.1% black, 16.5% Hispanic/Latina) enrolled in the Women's Health Initiative and Objective Physical Activity and Cardiovascular Health study. MEASUREMENTS BP was measured by trained nurses, and hypertension treatment was assessed by medication inventory. Participants mailed in monthly calendars to self-report falls for 1 year. RESULTS Overall, 70% of women had hypertension at baseline (53% treated and controlled, 12% treated and uncontrolled, 5% untreated). There were 2582 women (43%) who reported falls in the 1 year of surveillance. Compared with nonhypertensive women, when adjusted for fall risk factors and lower limb physical function, the incidence rate ratio (IRR) for falls was 0.82 (confidence interval [CI] = 0.74-0.92) in women with treated controlled hypertension (p = .0008) and 0.73 (CI = 0.62-0.87) in women with treated uncontrolled hypertension (p = .0004). Neither measured systolic nor diastolic BP was associated with falls in the overall cohort. In women treated with antihypertensive medication, higher diastolic BP was associated with a lower risk of falls in a model adjusted for fall risk factors (IRR = 0.993 per mm Hg; 95% CI = 0.987-1.000; p = .04). The only class of antihypertensive medication associated with an increased risk of falls compared with all other types of antihypertensive drugs was β-blockers. CONCLUSION Women in this long-term research study with treated hypertension had a lower risk of falls compared with nonhypertensive women. Diastolic BP (but not systolic BP) is weakly associated with fall risk in women on antihypertensive treatment (

In this article, the researchers employ the framework of plurilingualism and plurilingual competence in a field that has traditionally been dominated by reified conceptualizations of multilingualism that view bi/multilingualism as balanced and complete competence in discrete codes. They present data from a qualitative, longitudinal study of the interplays between the social, cultural, and linguistic in the multiple languages and literacy practices of transnational students at a university in Vancouver, Canada. Their findings question the role of academic English as the sole conduit to success for participants in higher education. They suggest that this relates back to how plurilingualism is defined and integrates the key idea that learning skills, multilingual literacies, (inter)cultural experiences, and different forms of knowledge are transferable and thus constitute assets and tools for better learning (Castellotti & Moore, 2010; Coste, Moore, & Zarate, 1997). Participants revealed a considerable degree of fluidity in their languages and literacy practices as well as shifts in perceptions and practice that change according to context. They proved to be highly plurilingual, reflexively and knowledgeably (Giddens, 1984) moving from contexts in which they mixed different languages and scripts freely to contexts in which they adhered to more normative senses of discrete monolingual practices in English and community languages.

BACKGROUND: Drywall installers are at high-risk of work-related injury. Comprehensive descriptive epidemiology of injuries among drywall installers, particularly over time, is lacking. METHODS: We identified worker-hours and reported and accepted workers' compensation (WC) claims for a 20-year (1989-2008) cohort of 24,830 Washington State union carpenters. Stratified by predominant type of work (drywall installation, other carpentry), work-related injury rates were examined over calendar time and by worker characteristics. Expert interviews provided contextual details. RESULTS: Drywall installers' injury rates, higher than those of other carpenters, declined substantially over this period by 73.6%. Common injury mechanisms were struck by/against, overexertion and falls. Drywall material was considered a contributing factor in 19.7% of injuries. One-third of these drywall material-related injuries resulted in paid lost time, compared to 19.4% of injuries from other sources. Rates of injury were particularly high among workers with 2 to Language: en

The prediction of wear and performance change over the life cycle of the consumable liners used to protect grinding mills is an important element of their optimization. Poor wear behaviour can lead to higher replacement costs and production loss during liner replacement. Prediction of wear behaviour using discrete element method (DEM) can provide valuable information about the impact of the design on the life cycle of the liner. Here, the DEM method is extended to predict the evolution of the shape of the liner throughout the life cycle. Using a Hicom 110 nutating mill as a case study, we demonstrate a process for constructing a wear model that is shown to be able to quantitatively predict the spatially varying wear rates over the surface of the liner. The functional dependence of wear rate on micro-mechanical flow quantities is not currently understood; hence, two model variants for each of the normal impact damage and the shear abrasion damage are considered. This model is validated by comparison with the actual erosion depths of a real liner. It is then used in a multi-step DEM simulation to predict the liner evolution and the operational changes in the mill performance over the full life cycle of the liner. For the Hicom mill, it is demonstrated that the wear is entirely dominated by abrasion and that the best measure of this was the shear energy dissipation of wall contacts. It was also to identify that the floor of the mill was constructed of a more abrasion resistance material. The life cycle analysis showed a 20% decline in power draw as the increasing grinding chamber volume and eroding lifters lead to less efficient operation of the mill.