Larco Section 9

[Lane Frisch]

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Background: National and subnational C-section rates are seldom available in low- and middle-income countries to guide policies and interventions. We aimed to describe the C-section rates at the national and subnational levels in Peru (2012-2020).

Methods: Based on the Peruvian national birth registry, we quantified C-section rates at the national, regional and province levels; also, by natural regions (Coast, Highlands, and Amazon). Using individual-level data from the mother, we stratified the C-section rates by educational level, healthcare insurance and provider. Ecologically, we studied the correlations between C-section rates and human development index (HDI), altitude above sea level, proportion of the population living in poverty and proportion of rural population.

Findings: C-section rate in Peru decreased slightly from 2012 (397%) to 2020 (380%). A widening gap of C-section rates was observed through the study years among the Coast that showed higher rates and the other natural regions that showed lower rates. The rates in most of the 25 regions showed a flat trend, particularly in the last four years and some provinces showed a very low rate. The rates were highest in mothers with higher education and in users of private health insurance. Higher HDI, health facility located at lower altitude, lower poverty and urbanization were positively correlated with higher C-section rates.

Interpretation: C-section rates in Peru are above the international recommendations. Large differences by natural region, provinces and women socioeconomic status were found. Further efforts are needed to achieve the recommended C-section rates.

In very high traffic installations, environment (rec center, emergency rooms, etc.) can cause people to activate push plate switches so hard that the cover plate may damage the drywall behind it. A surface mounted box and switch may be an option , or in some instances, shimming the wall switch allows enough clearance. But Larco has you covered:

Based on customer feedback, Larco has developed a "Dress Wall Protector" plate for our 6" stainless steel press wall switches. It is intended for installations where the traffic is high and activation pressure may be excessive. In either case, the dress wall protector will prevent damage to the surrounding wall dry wall caused by "chaotic" activation of the switches. The part number is 0022828700. You can also check out the Larco UWAV for more options.

There are American National Standards Institute (ANSI) standards sponsored by the Builders Hardware Manufacturers Association (BHMA) that determined basic installation limits for each style of door. Standards are listed in ANSI/BHMA A156.10.

Typical trim kits used in the automatic door industry are comprised of three (3) pieces of aluminum extrusion that have been mitered at the corners for a clean fit. Each piece is pre-drilled and countersunk - ready for installation. The kits also include stainless steel screws with anchors to hold them securely.

Any number of Larco mats can be installed side-by-side to obtain any dimensions required. To join mats effectively the lock lip edge is removed from each mat where any two mats are joined together, and a section of Active Joiner extrusion #230010 is placed under that seam. Joining mats in this way guarantees a 100% "active" seam.

ANSI/BHMA A156.10 standards call for the trim to have a width equal to four (4) times the thickness of the mat. This means for a half inch thick mat, the trim would have to be at least two inches wide at a minimum.

What type of edge attachment does the mat have? Some trim is designed to "rest" on the gradual tapered edge of the mat, while other trim "traps" the mat, and still others "lock" the mat in place.What type of traffic and loads are anticipated? Grocery stores have heavy foot traffic and heavy loads (shopping carts). Hospitals require a more gradual ramp, with less foot traffic but heavy loads (hospital beds and wheel chairs).

Choose a trim that will best meet the needs of the installation. Generally speaking, if heavy loads are expected, use a trim element that has additional internal support and will provide the best slope angle to disperse the weight evenly.

Larco mats are available in a number of color options. Standard mat colors are black or yellow. Other colors are available for an additional charge, including brown, grey, blue, red and other custom colors. Larco can also create colored-inset logo designs or signage. Contact the factory for options.

Choosing the right Larco safety mat controller is an important decision, balancing features and options required while maintaining a high level of productivity. Larco's high-quality, high-performance safety controls can accommodate almost any industrial safety demand.

Remove any loose debris from the mat surface before beginning the cleaning process.Use a flat fan spray nozzle with a pattern angle of 15 degrees or larger.Keep spray distance 12 inches (305 mm) or more away from the mat surface.Spray pressure should not exceed 1,500 psi (103.4 Bar)Water temperature should not exceed 190o F (88o C)Keep the spray pattern moving; do not concentrate it in one location for an extended period of time.Heavily soiled mats should be pre-soaked for 10 minutes with the mixed cleaning solution. Areas can be brushed with a hand utility brush.When cleaning is completed, rinse with clean water.

Wear safety glasses and all recommended safety gear.Install safety signs indicating wet floors.Install safety barriers where required.Turn off required electrical connections.Cover all equipment that can be damaged by cleaning.Be sure the area is completely dry before removing safety barriers and signs and restoring electrical connections.

Larco can modify any of the standard mat sizes at time of manufacturing to create an unlimited number of "custom" mat sizes and shapes. Fully customized lengths and/or widths as well as engineered notches, angles and radiuses are available on any of our mats. Contact the factory to discuss your design requirements.

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