Measuring Accessibility and Explaining Trends in Commute Mode Choice in Washington, D.C. from 1970 - 2000

This study attempts to find a correlation between commuting modes in Washington DC and characteristics of the city and the people that they serve. It investigates why some census tracts have experienced increases in the commuting share of alternative transportation, such as public transit, walking, and bicycling, while others haven\u27t. Findings demonstrate that demographic variables such as percent Hispanic and foreign born were the strongest predictors of change in commute mode share followed by distance to train station. Land use variables demonstrated weak correlations with variations in mode share due most likely to a lack of density gradient within the study area. The creation of variables to determine land use mix by census tract posed technical challenges as well. Recommendations include policy addressing rising demand for more diverse transportation systems be implemented and further research be conducted on creating more accurate land use variables to include in the model

Without the White Coat: An Analysis of Pathographies by Physicians with Cancer

https://digitalcommons.unmc.edu/emet_posters/1000/thumbnail.jp

Road and bridge construction across gypsum karst in England

Gypsum karst problems in the Permian and Triassic sequences of England have caused difficult conditions for bridge and road construction. In Northern England, the Ripon Bypass crosses Permian strata affected by active gypsum karst and severe subsidence problems. Here, the initial borehole site investigation for the road was supplemented by resistivity tomography studies. The roadway was reinforced with two layers of tensile membrane material within the earth embankment. This will prevent dangerous catastrophic collapse, but will allow sagging to show where problems exist. The River Ure Bridge was constructed across an area of subsidence pipes filled with alluvial deposits. It was built with extra strength, larger than normal foundations. If one pier fails, the bridge is designed for adjacent arches to span the gap without collapse. The bridge piers are also fitted with electronic load monitoring to warn of failure. In the Midlands area of England, road construction over Triassic gypsum has required a phase of ground improvement on the Derby Southern Bypass. Here, the gypsum caps a hill where it was formerly mined; it dips through a karstic dissolution zone into an area of complete dissolution and collapse. The road and an associated flyover were built across these ground conditions. A major grouting program before the earthworks began treated the cavities in the mine workings and the cavernous margin of the gypsum mass. Within the karstic dissolution zone, gypsum blocks and cavities along the route were identified by conductivity and resistivity geophysical surveys, excavated and backfilled. In the areas of complete dissolution and collapse, the road foundation was strengthened with vibrated stone columns and a reinforced concrete road deck was used

Generalizations of the Matching Polynomial to the Multivariate Independence Polynomial

We generalize two main theorems of matching polynomials of undirected simple graphs, namely, real-rootedness and the Heilmann-Lieb root bound. Viewing the matching polynomial of a graph $G$ as the independence polynomial of the line graph of $G$, we determine conditions for the extension of these theorems to the independence polynomial of any graph. In particular, we show that a stability-like property of the multivariate independence polynomial characterizes claw-freeness. Finally, we give and extend multivariate versions of Godsil's theorems on the divisibility of matching polynomials of trees related to $G$.Comment: This research was supported by NSF Grant CCF-155375, 20 page

Symmetrical Drug-Related Intertriginous and Flexural Exanthema Induced by Cellulitis Prophylaxis

Penicillin VK and hydroxyzine are typically well-tolerated antipruritic agents that are indicated in the prophylaxis of cellulitis. We herein report a case of a unique rash occurring during penicillin VK and hydroxyzine treatment in combination with the ingestion of cashews. A 77-year-old male presented with new onset rash. Eleven days after the administration of penicillin VK and hydroxyzine for cellulitis prophylaxis, he developed a symmetric, erythematous, scaling rash on his buttocks and perineal region with associated pruritus and bleeding without fevers, chills, adenopathy, night sweats, or any other symptoms. He was diagnosed with symmetrical drug-related intertriginous and flexural exanthema (SDRIFE) secondary to systemic treatment, an adverse drug reaction that presents as an erythematous rash involving the skin folds. The condition is also known as “baboon syndrome,” as it predominately affects the buttocks. A good outcome was achieved due to a thorough history and physical, timely diagnosis, and cessation of the offending agents

Retropharyngeal Abscess and Pott’s Disease Due to Tuberculosis: A Case Report

Introduction: Extrapulmonary mycobacterial infection can lead to vertebral spondylitis and osteomyelitis (Pott’s disease). Retropharyngeal abscess with concurrent spinal osteomyelitis is a rare presentation of tuberculosis in the US. Chart review on a patient was completed, and the relevant published literature was reviewed. Case Presentation: A previously healthy 34-year-old male originally from Sudan presented to an outside hospital with a 2-month history of neck pain, sore throat, odynophagia, fevers, and chills. MRI showed a retropharyngeal abscess and suspected cervical spine osteomyelitis. Acid-fast bacillus (AFB) smear was positive from a neck drain specimen, but sputum was negative. Chest imaging did not show findings consistent with pulmonary tuberculosis. He was treated with rifampin, isoniazid, pyrazinamide, and ethambutol (RIPE) along with moxifloxacin and linezolid due to concern for possible multidrug resistant tuberculosis and transferred to our center for further care. Culture isolated Mycobacterium tuberculosis. CT neck showed vertebral tuberculous osteomyelitis (Pott’s disease) of C1-C3 with a multiloculated retropharyngeal and prevertebral abscess (Figure 1). The patient was taken to the OR for posterior spinal fusion from occiput to C4 and transoral incision and drainage of the abscess. The post-operative course was uneventful, and moxifloxacin and linezolid were discontinued when Xpert MTB/RIF test revealed rifampin susceptibility. At follow-up the patient’s symptoms had resolved. Patient consent was obtained to utilize this case for educational purposes. Conclusions: This report presents the multidisciplinary treatment of this patient requiring infection control measures and antibiotic therapy by infectious disease, posterior spine fusion by orthopedic surgery, and retropharyngeal abscess drainage by otolaryngology

Ten priority science gaps in assessing climate data record quality

Decision makers need accessible robust evidence to introduce new policies in an effort to mitigate and adapt to climate change. There is an increasing amount of environmental information available to policy makers concerning observations and trends relating to the climate. However, this data is hosted across a multitude of websites often with inconsistent metadata and sparse information relating to the quality, accuracy and validity of the data. Subsequently, the task of comparing datasets to decide which is the most appropriate for a certain purpose is very complex and often infeasible. In support of the European Union’s Copernicus Climate Change Service (C3S) mission to provide authoritative information about the past, present and future climate in Europe and the rest of the world, each dataset to be provided through this service must undergo an evaluation of its climate relevance and scientific quality to help with data comparisons. This paper presents the framework for Evaluation and Quality Control (EQC) of climate data products derived from satellite and in situ observations to be catalogued within the C3S Climate Data Store (CDS). The EQC framework will be implemented by C3S as part of their operational quality assurance programme. It builds on past and present international investment in Quality Assurance for Earth Observation initiatives, extensive user requirements gathering exercises, as well as a broad evaluation of over 250 data products and a more in-depth evaluation of a selection of 24 individual data products derived from satellite and in situ observations across the land, ocean and atmosphere Essential Climate Variable (ECV) domains. A prototype Content Management System (CMS) to facilitate the process of collating, evaluating and presenting the quality aspects and status of each data product to data users is also described. The development of the EQC framework has highlighted cross-domain as well as ECV specific science knowledge gaps in relation to addressing the quality of climate data sets derived from satellite and in situ observations. We discuss 10 common priority science knowledge gaps that will require further research investment to ensure all quality aspects of climate data sets can be ascertained and provide users with the range of information necessary to confidently select relevant products for their specific application