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Epidemiologic studies relating health outcomes to dietary patterns captured by diet quality indices have shown better quality scores associated with lower mortality and chronic disease incidence. However, changing chronic disease risk factors only alters population health over time, and initial diet quality systematically varies across the population by sociodemographic status. This study uses microsimulation to examine 30-year impacts of improved diet quality by sociodemographic group.Diet quality across 12 sex-, race/ethnicity-, and education-defined subgroups was estimated from the 2011-2012 National Health and Nutrition Examination Survey. In 2021, the Future Adults (dynamic microsimulation) Model was used to simulate population health and economic outcomes over 30 years for these subgroups and all adults. The modeled pathway was through lowering risk for heart disease by following U.S. Dietary Guidelines.Diet quality varied across the sociodemographic subgroups, and half of U.S. adults had diet quality that would be classified as poor. Improving U.S. diet quality to that reported for the top 20% in 2 large health professionals' samples could reduce incidence of heart disease by 9.9% (7.6%-13.8% across the 12 sociodemographic groups) after 30 years. Year 30 would also have 37,000 fewer deaths, 694,000 more quality-adjusted life years, and healthcare cost savings of $59.6 billion (2019 U.S. dollars).Dynamic microsimulation enables predictions of socially important outcomes of prevention efforts, most of which are many years in the future and beyond the scope of trials. This paper estimates the 30-year population health and economic impact of poor diet quality by sociodemographic group.

Wearable cushioning products that accommodate the body contours are challenging to fabricate. A method that controls the curvature of spacer fabric thus facilitating a high degree of conformity to the body is proposed here. Elastic yarn is inlaid into one of the surface layers and the feeding rate is controlled. The physical properties, curvature and compression properties of five samples with the same knitted structure but different feeding rate of the elastic yarn are evaluated. The results show a linear relationship between fabric curvature and feeding rate. Curved spacer fabric with a lower feeding rate has a greater degree of curvature and is thicker, but with a smaller fabric width, and lower weight and density. The compression stiffness and work of compression increase with curvature, which allows strategic cushioning in areas that are relatively more curved, such as the kneecaps. The proposed method can contribute to the development of protective garments.

Sports bras are an essential apparel for active women, but may exert excessive pressure that negatively affects thermoregulation, thermal comfort and wear sensation. This study measures skin temperature changes during short durations of exercise on a treadmill with different bra pressures. The results based on 21 female subjects (age: 27.2 ± 4.5 years old) show that bras with more pressure at the underband or shoulder straps do not cause statistically significant skin temperature changes during exercise (p > 0.05). Nevertheless, compared to the optimal bra fit, significant differences in bra-breast skin temperature are found during running, cooling down and sitting when the bra pressure is increased (p < 0.05), particularly under bra cup (T1) in this study. The FLIR thermal images can visualize the skin temperature changes at abdomen throughout the four activity stages. Subjective sensations of bra thermal comfort, pressure and breast support are assessed. Despite the increased pressure on the shoulders and chest wall, perceptions towards thermal comfort remain unchanged. The perceived pressure comfort and support sensation amongst the 4 bra conditions are comparable. Interestingly, positive sensations of pressure comfort and breast support are perceived with a tight-fitting sports bra during treadmill exercise. High pressures induced by sports bras (>4 kPa) that habitually considered harmful to the human body may not lead to wear discomfort but enhance bra support sensation and a sense of security to the wearers.

A novel spacer fabric with a weft-knitted structure of silicone tube and foam inlays is proposed for use in insoles to alleviate in-shoe pressure, reduce moisture and enhance thermal comfort. The material variables, including the diameter of the spacer yarn, type of inlaid material and net wrap and spacer pattern have been systematically investigated. Their force reduction and thermal characteristics in terms of air and water vapour permeabilities, thermal conductivity and impact force reduction are determined and compared to those of traditional insole materials. The results show that the inlays can effectively enhance the impact force reduction of the 3D spacer fabrics. In comparison to traditional insole materials, the proposed spacer fabric with an inlaid structure can enhance air and moisture permeabilities and heat dissipation to provide greater wear comfort for prolonged use. The air permeability, thermal conductivity and impact force reduction of the inlaid spacer structure can be modified with changes to the diameter of the spacer yarn, type of inlay and net material used and spacer pattern, whilst its water vapour permeability can also be varied by using different types of inlays. Spacer fabric with a higher number of spacer yarn courses and spacer yarn with a large diameter not only exhibits good impact force reduction with uniform thickness, but also offers good thermal conductivity. The findings of this study will contribute toward an insole design with the use of alternative insole materials for optimal foot protection.

A novel structure that integrates an inlaid silicone tube in the connective layer of spacer fabric is developed to increase its compression resistance and impact force absorption. Two inlaying meth...

Hypertrophic scars are usually evaluated based on scar assessment scales such as Vancouver Scar Scale (VSS) and the Patient and Observer Scar Assessment Scale (POSAS) which are difficult in recording small changes in the scar conditions over time. This study adopts a simple method to quantify the size of hypertrophic scars on hands by using a camera and tripod set-up for image capturing and a free software, ImageJ, for analysis. The ability to record the changes in scars condition and healing progress of this method were investigated. Four hypertrophic scar samples on the hands were captured at 8 time-points during 24-week of pressure therapy. Three operators were trained for 2h to use the software and then carried out image analysis on 32 scar images to obtain the surface areas of the hand and the scars and repeat the entire measurement for 3 times. The results show that the measured scar surface areas have good intra-operator reliability with an intraclass correlation coefficient (ICC) of 0.943 (0.922, 0.96) and moderate inter-operator reliability with an ICC of 0.554 (0.063, 0.795). No significant within-subject effect of the repeat of measurements (p>0.05) and between-subject effect of the three operators (p>0.05) were found on the scar area measurements and the proportion of the scars on hands but significant differences were found between different time-points of the image capturing (p

Spacer fabrics are commonly used as cushioning materials. Their compression properties are one of the most important concerns in determining their specific end-use. Therefore, it is time and cost- efficient to have another means available that could allow quick and easy modifications to the compression behaviour of spacer fabrics and control them too. In this study, a method that uses an elastic inlay is adopted to modify the physical and compression properties of spacer fabrics. Fifteen samples constructed with different spacer structures and inlay yarns and patterns were fabricated and then evaluated. The results show that spacer fabrics with different thicknesses, densities and compression behaviours can be obtained by using different inlay patterns and elastic yarns. Increasing the number of miss stitches in the inlay pattern can help to increase the thickness and stiffness of spacer fabric and withstand a higher compression strength. However, when the number of miss stitches further increases to 3 miss stitches between every tuck stitch, the irregularity of the spacer structure would increase and could show adverse effects to certain spacer structures. The spacer fabric made by incorporating an elastic inlay can retain air permeability and a lower fabric weight than that made by the knit stitches of elastic yarns together with the surface yarns. By changing the inlay pattern, a spacer fabric with different compression behaviours in different areas of the same fabric can be realised. This novel method can increase the flexibility of creating a spacer fabric with the desired properties.

Insoles provide resistance to ground reaction forces and comfort during walking. In this study, a novel weft-knitted spacer fabric structure with inlays for insoles is proposed which not only absorbs shock and resists pressure, but also allows heat dissipation for enhanced thermal comfort. The results show that the inlay density and spacer yarn increase compression resistance and reduce impact forces. The increased spacer yarn density provides better air permeability but reduces thermal resistance, while a lower inlay density with a random orientation reduces the evaporative resistance. The proposed structure has significantly positive implications for insole applications.

Diffusiophoresis phenomenon of aoft particles suspended in binary electrolyte solutions is explored theoretically in this study based on the spherical cell model, focusing on the chemiphoresis component in absence of diffusion potential. Both the electrostatic and hydrodynamic aspects of the boundary confinement, or steric effect, due to the presence of neighboring particles are examined extensively under various electrokinetic conditions. Significant local extrema are found in mobility profiles expressed as functions of the Debye length in general, synchronized with the strength of the motion-inducing double layer polarization. Moreover, a seemingly peculiar phenomenon is observed that the soft particles may move faster in more concentrated suspensions. The competition between the simultaneous enhancement of the motion-inducing electric driving force and the motion-retarding hydrodynamic drag force from the boundary confinement effect of the neighboring particles is found to be responsible for it. The above findings are also demonstrated experimentally in a very recent study on the diffusiophoretic motion of soft particles through porous collagen hydrogels. The results presented here are useful in various practical applications of soft particles like drug delivery.

Spacer fabrics are good for impact force absorption and have the potential for vibration isolation. Inlay knitting of additional material to the spacer fabrics can give reinforcement to the structure. This study aims to investigate the vibration isolation properties of three-layer sandwich fabrics with silicone inlay. The effect of the presence of the inlay, inlay patterns and materials on the fabric geometry, vibration transmissibility and compression behaviour were evaluated. The results showed that the silicone inlay increases the unevenness of the fabric surface. The fabric using polyamide monofilament as the spacer yarn in the middle layer creates more internal resonance than that using polyester monofilament. Silicone hollow tubes inlay increases the magnitude of damping vibration isolation, whereas inlaid silicone foam tubes have the opposite effect. Spacer fabric with silicone hollow tubes inlaid by tuck stitches has not only high compression stiffness but also becomes dynamic, showing several resonance frequencies within the tested frequency range. The findings show the possibility of the silicone inlaid spacer fabric and provide a reference for developing vibration isolation materials with knitted structure and textiles materials.

Attention toward automated driving has recently increased. This has also increased the need to monitor drivers’ actions, such as finger touch/pressure sensing on the steering wheel. This study demonstrates an active signal-generating spacer-fabric-type continuous touch/pressure sensor comprising five yarn layers: surface-insulating cotton, upper conductive, monofilament spacer, lower conductive and bottom-insulating cotton yarn. The sensor actively generates signals, and the magnitude of the voltage output through a diode bridge and capacitor circuit determines if the fingers are ‘not touching’, ‘touching’, ‘pushing’ or ‘pushing hard’. This demonstrates that the proposed sensor can be operated as an active signal-generating touch/pressure sensor and can also detect ‘pushing hard’ actions. Furthermore, the active signal-generating operation originates from the electromagnetic waves emitted by electrical appliances and cables powered by a commercial power supply frequency in the environment. The proposed sensor will contribute to developing high-cushioning touch/pressure sensors with low power consumption and excellent air permeability that can be used in electric and autonomous vehicles.

BACKGROUND: Macroeconomic changes are associated with population health outcomes, such as mortality, accidents, and alcohol use. Diet quality is a risk or protective factor that could be influenced by economic conditions. OBJECTIVE: This study examined the trajectory of diet quality measured by the Healthy Eating Index 2015 before, during, and after the 2008/2009 Great Recession. DESIGN: Repeated cross-sectional survey data from the National Health and Nutrition Examination Survey (NHANES) were analyzed. PARTICIPANTS/SETTING: The analytic sample included 48,679 adults who completed at least one dietary recall from NHANES 1999–2018. MAIN OUTCOME MEASURES: Diet quality was assessed with a 24-hour dietary recall to calculate the Healthy Eating Index (HEI)-2015 total scores, a measure of the conformance with the 2015–2020 Dietary Guidelines for Americans. STATISTICAL ANALYSES PERFORMED: Least squares regression was used to adjust for demographic changes across waves. RESULTS: Diet quality improved noticeably during the Great Recession and deteriorated as economic conditions improved. CONCLUSIONS: Deteriorating economic circumstances may constrain choices, but that does not necessarily imply a worsening of dietary quality. During the Great Recession, American diets became more consistent with Dietary Guidelines for Americans recommendations, possibly because of a shift towards food prepared at home instead of prepared food bought away from home.

Spacer fabrics are commonly used as cushioning materials. They can be reinforced by using a knitting method to inlay materials into the connective layer which reinforces the structure of the fabric. The compression properties of three samples that were fabricated by inlaying three different types of silicone-based elastic tubes and one sample without inlaid material have been investigated. The mechanical properties of the elastic tubes were evaluated and their relationship to the compression properties of the inlaid spacer fabrics was analysed. The compression behaviour of the spacer fabrics at an initial compressive strain of 10% is not affected by the presence of the inlaid tubes. The Young’s modulus of the inlaid tubes shows a correlation with fabric compression. Amongst the inlaid fabric samples, the spacer fabric inlaid with highly elastic silicone foam tubes can absorb more compression energy, while that inlaid with silicone tubes of higher tensile strength has higher compressive stiffness.

Traditional insole materials which trap heat and moisture inside footwear cause discomfort to the wearer. Here, a novel textile-fabricated insole material with a 3D structure that offers good porosity and breathability for improving the footwear microclimate is proposed. Changes in foot skin temperature and humidity when wearing the textile-fabricated insole throughout treadmill walking are collected from 21 female subjects (age: 25.5 ± 4.5) and compared with traditional and 3D printed insoles. Subjective assessment of their perceived thermal comfort with various insole conditions is also conducted. In comparison to polyurethane, 3D printed thermoplastic polyurethane and leather insoles, textile-fabricated insoles show no significant changes in foot skin temperature. Nevertheless, a significant reduction of the relative humidity of the skin of the sole (3.21%) and heel (24.41%) is found. The findings are a valuable reference for the fabrication of insoles with higher wear comfort.

Increasing concern about footwear comfort today amongst consumers has motivated manufacturers to design footwear with optimal thermal comfort. In this study, footwear preferences and the mi...

Many anti-vibration gloves are available in the market but there are lacks of understanding of their effectiveness in facilitating various hand movements. This study addresses the knowledge gap through a wear trial with five types of anti-vibration gloves made of chloroprene rubber and spacer fabric. Surface electromyography of three forearm muscles of 16 male subjects was conducted during gripping, key pinching, woodblock transporting, screw inserting and screw driving tasks. The correlation between the compression properties of the gloves and hand performance was also evaluated. The results show that hand dexterity is inhibited and more muscle activity is needed to carry the woodblocks with the spacer fabric glove without special design features. A thicker glove can reduce the demand of the flexor digitorum superficialis muscle when using an impact driver. A thinner dorsal side and tailored padding can enhance hand dexterity. The findings can be used as a reference for designing anti-vibration gloves.

BACKGROUND AND AIMS: We study the trajectory of depressive symptoms among US adults before, during, and after the 2008/2009 Great Recession. METHODS: We use repeated cross-sectional surveys of the National Health and Nutrition Examination Survey (NHANES) between 2005 and 2018. Mental health is assessed with the Patient Health Questionnaire-9 (PHQ-9), with the following categorization for depressive symptoms: none or mild (score 0–9), moderate or severe (score 10–27). A parallel time series was calculated from the Behavioral Risk Factor Surveillance System (BRFSS) on self-reported number of days with poor mental health. RESULTS: NHANES data show a statistically significant increase in depressive symptoms from 2005/2006 to 2007/2008 (the beginning of the Great Recession), but there were no significant or consistent changes after 2007/2008. In particular, the deterioration in the adjusted predicted PHQ-9 scores occurred prior to the large increase in unemployment rate (2009/2010). As the macroeconomic situations improved and unemployment rates recovered, mental health did not return to the previous level. In the latest wave of NHANES (2017/2018), unemployment rates were at the lowest level over the analysis period; however, the adjusted predicted PHQ-9 scores were higher than that at the beginning of the Great Recession. Trends of PHQ-9 scores were similar across income groups – all groups had an increase in depressive symptoms after 2005/2006 and PHQ-9 scores were still high in 2017/2018 after controlling for sociodemographic status. Group with the lowest income had higher levels of depressive symptoms at every time point. BRFSS data shows no consistent changes in the number of days with poor mental health that parallel economic conditions. DISCUSSION: Depressive symptoms at the population level did not match the economic cycle before, during and after the Great Recession. Future research is needed to better understand the lack of correlation between population mental health and macroeconomic conditions.

In this article, the impact of postural variations on hand anthropometry and distribution of skin strain ratios has been investigated. The literature suggests the glove fit directly affects hand functions. However, gloves currently manufactured based on a static posture failed to provide optimum fit. Workers often do not wear protective gloves due to discomfort caused by improper design, which increases the risk of hand injury. Full-color three-dimensional scans of the hands are captured with thirty healthy subjects (20 females, 10 males) to analyze the hand measurements and skin deformation with various postures. 42 of the 57 hand dimensions were found to have significant differences (p >0.05) related to hand posture. The skin strain ratios further suggest that the slant of the web space, dorsal-length and surface area should be increased, while the angles of the web space and length of the palm reduced to advance glove patterns. This research contributes to constructing gloves with optimum fit, performance, and comfort. Results show that in consideration of hand postures, the angle of the slant of web space between digits 2 and 5 and the finger length on the dorsal side should be increased, whilst the finger length on the palm side should be reduced in glove pattern design. Gloves currently constructed based on a splayed posture cannot provide a good fit. Consideration should be given to hand measurements in dynamic postures.

The impact of postural variations on hand anthropometry and distribution of skin strain ratios are important for the improvement of gloves fit, comfort, performance and functionality. This protocol helps to obtain the detailed hand dimension measurement at 3 different hand postures by 3D scanning method. 57 measurements, including 17 circumferential dimensions, 30 length dimensions, 8 angular dimensions and 2 surface area dimensions can be obtained.

The treatment of hypertrophic scars (HSs) is considered to be the most challenging task in wound rehabilitation. Conventional silicone sheet therapy has a positive effect on the healing process of HSs. However, the dimensions of the silicone sheet are typically larger than those of the HS itself which may negatively impact the healthy skin that surrounds the HS. Furthermore, the debonding and displacement of the silicone sheet from the skin are critical problems that affect treatment compliance. Herein, we propose a bespoke HS treatment design that integrates pressure sleeve with a silicone sheet and use of silicone gel using a workflow of three-dimensional (3D) printing, 3D scanning and computer-aided design, and manufacturing software. A finite element analysis (FEA) is used to optimize the control of the pressure distribution and investigate the effects of the silicone elastomer. The result shows that the silicone elastomer increases the amount of exerted pressure on the HS and minimizes unnecessary pressure to other parts of the wrist. Based on this treatment design, a silicone elastomer that perfectly conforms to an HS is printed and attached onto a customized pressure sleeve. Most importantly, unlimited scar treating gel can be applied as the means to optimize treatment of HSs while the silicone sheet is firmly affixed and secured by the pressure sleeve.

Bras give support to the breasts and prevent damage to their different components during daily activities. Previous studies have however merely focused on specific types of bras and/or shoulder straps but failed to provide specific guidelines on bra features and materials that can be used to improve the support different functions of bras. The purpose of this study is to evaluate the breast control performance of various types and designs of bra under the conditions of walking and running. Two younger women and 1 older woman (all with a bra size of 36C/80C) have participated in a wear trial to don a total of 12 different commercial bras with different design features, and a changeable bra in which 12 different variables are examined, including the materials, strap width and type of underwire. The 3D movement of the breasts in the various bra conditions during walking at a speed of 4 km/h and running at 6 km/h is recorded and then compared with the braless condition by using an 11-camera motion capture system. The percentage of change in the nipple displacement in the vertical direction relative to the clavicle displacement is used to quantify and compare the breast control performance of the bras. A significant difference (p

Smaller airways increase resistance and the propensity toward turbulent airflow, both of which are thought to be mechanisms behind greater resistive and total work of breathing (Wb) in females. Previous research examining the effect of airway size on the Wb between the sexes is limited by the inability to experimentally manipulate airway size. Heliox (21% oxygen, balance helium) is less dense than room air, which reduces turbulent airflow and airway resistance. The purpose of our study was to utilize heliox inspiration in women to provide a stimulus physiologically similar to increasing airway size. We hypothesized that when breathing heliox women would have a Wb similar to men breathing room air. Eighteen healthy young subjects (n = 9 women, 9 men) completed two maximal exercise tests on a cycle ergometer over 2 days. Subjects breathed room air for one test and heliox for the other. Wb was assessed with an esophageal balloon catheter. During the room air trial, when ventilations were >65 L/min, women had a significantly greater Wb compared with men (P < 0.05). The greater Wb in women was due to greater resistance to turbulent flow. For both sexes, breathing heliox resulted in increased expiratory flow (+132 ± 18% of room air), an elimination of expiratory flow limitation, and a reduction in Wb (69 ± 12% of room air) (all P < 0.05). When the women were breathing heliox, Wb was not different from that in the men breathing room air. Our findings support the idea that the smaller conducting airways in females are responsible for a greater total and resistive Wb. NEW & NOTEWORTHY When healthy young women breathe heliox gas during exercise, their work of breathing is not different from men breathing room air. Heliox inspiration reduces airway resistance and promotes laminar flow, which is a physiologically similar effect of increasing airway size. Our findings provide experimental evidence that smaller airways in women are responsible for the greater work of breathing during exercise.

Hypertrophic scars (HS) are considered to be the greatest unmet challenge in wound and burn rehabilitation. The most common treatment for HS is pressure therapy, but pressure garments may not be able to exert adequate pressure onto HS due to the complexity of the human body. However, the development of three-dimensional (3D) scanning and direct digital manufacturing technologies has facilitated the customized placement of additively manufactured silicone gel onto fabric as a component of the pressure therapy garment. This study provides an introduction on a novel and customized fabrication approach to treat HS and discusses the mechanical properties of 3D printed fabric reinforced with a silicone composite. For further demonstration of the suggested HS therapy with customized silicone insert, silicone inserts for the finger webs and HS were additively manufactured onto the fabric. Through the pressure evaluation by Pliance X system, it proved that silicone insert increases the pressure exerted to the HS. Moreover, the mechanical properties of the additively manufactured fabric silicone composites were characterized. The findings suggest that as compared with single viscosity print materials, the adhesive force of the additively manufactured silicone and fabric showed a remarkable improvement of 600% when print materials with different viscosities were applied onto elevated fabric

Regional marketing is an exercise that regions develop so that they can benefit from the region’s unique advantages and distinguish themselves from other regions. It happens in regions all around the world and with this marketing technique, these places can empower their brands and make the community stronger, it is also used by different industries. One problem that was not yet exploited by researchers is the relation between the region’s image as a wine producer and the individual brand equity of a company in the same region. To address this problem, the purpose of this study is exploring if an individual brand, Vinícola Goés, in a region, São Roque, can dislocate its image from the region’s negative image. To gather data, a survey was conducted with 100 respondents that followed Vinícola Goés on Instagram or that visited the area of São Roque and Vinícola Goés. The survey was conducted online and data lead to the study of the relations between Region’s Image as a wine producer, Perceived Quality of the region’s wine, Purchase Intention of the region’s wine and Brand Equity of an individual company in the region. Analyzing the relations between the variables it is possible to understand if a brand can dislocate its image from the region’s image and the variables that affect this relationship. This study may benefit companies in the wine industry, since the study analyzes the relationship between region of origin and brand equity, and therefore, these companies can understand if their investments in marketing will pay off if their product is segmented towards a different public than the region’s. Also, researchers and students in this field might be interested by the study since it brings a new component into the region of origin study. Diversos trabalhos relacionam variáveis à região de origem, muitos relacionam também, essa estratégia à indústrias do vinho, porém, poucos estudos empíricos analisaram a relação de região de origem no valor de marcas individuais da área, principalmente no Brasil e na indústria do vinho. Assim, este estudo correlaciona variáveis de outros estudos sobre região de origem como qualidade percebida dos produtos da região, intenção de compra e valor de marca, com o objetivo de entender se uma empresa consegue distinguir sua imagem da imagem geral da região. O estudo contribui com a literatura focando em uma vinícola brasileira, a Vinícola Goés, porque a empresa se encontra na região de São Roque, que apresenta uma imagem de produção de vinhos doces de mesa enquanto a empresa tem investido na produção de vinhos finos de alta qualidade. Uma análise quantitativa foi feita pelo método de survey para entender diversas variáveis aos olhos do cliente, imagem da região de origem como produtora de vinhos, qualidade percebida dos vinhos da região, intenção de compra dos vinhos da região e valor da marca. Para coletagem de dados, 100 surveys foram aplicados durante 3 semanas. No final, os dados foram analisados em um modelo para entender a relação entre as variáveis. Os resultados mostram que neste caso, a imagem da região de origem como produtora de vinho não contribui para a explicação da variável de valor individual da marca, a variável que influencia o valor da marca é a intenção de compra dos vinhos da região e há uma relação forte entre imagem da região como produtora de vinho e qualidade percebida dos vinhos da região e também intenção de compra dos vinhos da região.

Fashion programmes have increased the use of e-learning and blended learning to enhance the levels of understanding of students on complex issues. The first year in higher education is important be...

Cigarette smoking prevalence among Medicaid enrollees (25.3%) is approximately twice that of privately insured Americans (11.8%), placing Medicaid enrollees at increased risk for smoking-related disease and death (1). Medicaid spends approximately $39 billion annually on treating smoking-related diseases (2). Individual, group, and telephone counseling and seven Food and Drug Administration (FDA)-approved medications* are effective in helping tobacco users quit (3). Although state Medicaid coverage of tobacco cessation treatments improved during 2014-2015, coverage was still limited in most states (4). To monitor recent changes in state Medicaid cessation coverage for traditional (i.e., nonexpansion) Medicaid enrollees, the American Lung Association collected data on coverage of a total of nine cessation treatments: individual counseling, group counseling, and seven FDA-approved cessation medications† in state Medicaid programs during July 1, 2015-June 30, 2017. The American Lung Association also collected data on seven barriers to accessing covered treatments, such as copayments and prior authorization. As of June 30, 2017, 10 states covered all nine of these treatments for all enrollees, up from nine states as of June 30, 2015; of these 10 states, Missouri was the only state to have removed all seven barriers to accessing these cessation treatments. State Medicaid programs that cover all evidence-based cessation treatments, remove barriers to accessing these treatments, and promote covered treatments to Medicaid enrollees and health care providers would be expected to reduce smoking, smoking-related disease, and smoking-attributable federal and state health care expenditures (5-7).

Thermal comfort is an important criterion for the overall wear comfort of shoes. In this study, the materials properties, the microclimate of two types of sport shoes made of leather and mesh spacer fabric were evaluated. The human subjective sensations when wearing the shoes were investigated. Ten youth and ten elderly subjects have taken part in wear trials that consist of three activities: sitting, walking and running, while wearing thetwotypes of shoes and in the barefoot condition. The order of the wear trials is randomized for each subject. The temperature and humidity at six locations of the foot were recorded during the wear trials and subjective perceptions of thermal, humidity and comfort were rated at the end of each wear trial. The results show that the leather sports shoes trap more heat and moisture on the feet than the mesh fabric sports shoes. The effect is more significant during running. Therefore, the shoe upper materials not only affect the temperature and humidity of the foot dorsal but also those of the foot plantar. Gender, foot condition and type of activity have a significant linear relationship with thermal, humidity and comfort perceptions towards footwear. Age does not have any impact on the three subjective perceptions. The findings in this study can therefore act as a reference source for the design and development of footwear that have better wear comfort.

Aging, defined as reduced reproductive ability over an organism's life span, is an inherent characteristic of all living organisms. Aging is extensively studied in eukaryotes, yet is not as well understood in prokaryotes such as Escherichia coli. Most recent studies have discovered that E. coli exhibit asymmetric division, disproving the assumption that E. coli divide into identical cells. Examining aging through asymmetric division, a process that creates a younger cell and an older cell, in these bacteria can possibly elucidate the evolution of aging as an effective strategy for the proliferation of the bacteria's own progeny. The aim of this thesis is to discover an effective, efficient method of observing and quantifying aging in prokaryote cells specifically E. coli. Current methods of analyzing are extremely time consuming. However this thesis aims to cut down the cells needed for analysis to make this process less time consuming, while still retaining the relevant life history information. Using the data generated by this method, a model for asymmetry is able to produce a value of asymmetry similar to the value reported in other published papers. Furthermore the application of this method with a different type of experiment, from another published data, is also successful at estimating asymmetry

It is important to understand how the hand and fingers elongate and contract with hand posture for optimally fitting and comfortable gloves. Nevertheless, the measurement and analysis of the finger segments for glove designs remain largely neglected. Here, the length and proportion of the finger segments when splayed and during gripping, and between the dorsal and palm sides of 30 participants are 3D scanned and analysed. The full digit lengths change by 7.6–11.9% with hand posture, but the finger segment changes are not proportional. The ratios of the fingertip to distal interphalangeal joint/full digit, and fingertip to the proximal interphalangeal joint/full digit, are important variables. The results are validated with 10 more subjects based on ratings of a ready-to-wear sports glove. Inaccurate proportioning of the finger regions causes shifting which results in displacement and discomfort. This research contributes to glove pattern engineering, with a focus on the finger segments.