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Ancient clinical observations, mentioned above, suggest that obesity was already recognized in association with both diabetes and sudden death, although the signi cance of the morbidity and excess mortality conferred by overweight and obesity has only been fully appreciated much more recently. Interestingly, the life insurance industry can claim credit for having drawn attention to the relationship between obesity and premature death. As early as 1901, actuarial data showed that excess weight, especially around the abdomen, was associated with a shortened life expectancy. This risk has been con rmed by large numbers of systematic studies in numerous populations, and these led to the World Health Organization (WHO) classi cation of obesity which strati es increasing degrees of risk according to rising BMI. This classi cation was rst formulated in 1995 and has subsequently been modi ed to make allowance for the increased susceptibility of Asian populations to the adverse effects of obesity (see 9). A particular relationship between abdominal obesity and early death could be discerned from the early life-insurance data, but it was the thorough studies of Jean Vague (1947) (Figure 1.10), working in Marseille, which clearly established the overriding importance of abdominal (central) obesity in conferring excess mortality. Vague s conclusions were clear, but the adipo-muscular ratio that he used to distinguish android obesity (in the abdominal distribution typical of males) from gynoid (gluteofemoral) adiposity characteristic of women was cumbersome. Simpler measures of abdominal obesity the ratio of waist circumference to hip circumference, and even waist circumference alone are now widely used in clinical practice and in research settings. Indeed, cut-off values of waist circumference that indicate increased cardiovascular risk and premature death have been proposed and these appear to be more powerfully predictive than BMI (see 9).

The summary may be sufficient in many circumstances, but additional detail can be included if required, such as the benefit-cost analysis justifying the action. The summary can refer to existing work plans and processes. Managers should amend existing work plans appropriately. Medium risks: All Medium risks should be reviewed and, where resources are available, suitable cost-effective reduction actions should be implemented and a Risk Action Plan summary completed (Figure 6.8). The aim should be to reduce all Medium risks unless it is decided, based on an assessment of costs versus benefits, to accept the risk. Low risks: The managers responsible should take into account the identified risks, and ensure existing controls, plans and procedures are adequate to cover them. Where the risk is inherently Extreme or High, managers must also ensure that the control processes are being implemented correctly and effectively. For all risks that have an inherent risk level of Extreme or High, a summary should also be completed, focusing on the processes for enhancing and monitoring the effectiveness of the controls. Risk Action Plan summaries may be supplemented as necessary by more formal Risk Management Plans. These may take many forms, according to the nature of the risks and

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Unfortunately, we cannot use S matrices conveniently for determining overall response because we cannot multiply them together to produce anything useful. We require a matrix equation for overall transfer function of the form V1 = MVn+1 = M1 M2 M3 Mn Vn+1 . (2.18)

To choose a range of linetypes to load, click the first linetype in the range, press Shift, and click the last linetype in the range. To choose more than one noncontiguous linetype, press Ctrl for each additional linetype that you choose. To select all or clear all of the linetypes, right-click in the dialog box and choose the desired option from the shortcut menu. As soon as you load a linetype and click OK, you return to the Select Linetype dialog box. The loaded linetype now appears on the list. Choose it and click OK. You re now back in the Layer Properties Manager dialog box.

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(Continued) Advantages Inexpensive, non-invasive Potential for use in a wide variety of settings, including workplace and school Easy to administer to large groups Potential to promote behaviour change Objective measure of common activity behaviour (i.e. walking) Disadvantages Loss of accuracy when jogging or running is assessed Possibility of participant tampering

I once worked on a storage subsystem that had all types of availability features: hot-swappable disks and power supplies, as well as redundant fans, disks, controllers, and electrically separate back-plane busses for each half of the disk subsystem. The single backplane was split into distinct halves to keep failures on one side from taking down the other. However, there were two serviceability problems: replacing the back plane or even the fan required powering off the entire disk subsystem. There was no serviceability.

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