DEVELOPMENT OF A FUNDAMENTAL RATING SYSTEM FOR IDENTIFYING SPRAWL: A CASE STUDY UTILIZING SMALL CITIES IN MICHIGAN

Urban sprawl research generally fits into one or more of four realms including definitions, causes, components, and consequences. Although research on consequences continues to thrive, research on components is in its adolescence, primarily due a lack of consensus on definition. Recent studies such as Ewing et al. 2014 have narrowed the list of sprawl metrics to about 20 within four factors including development density, land use mix, activity centering, and street accessibility. This main product of this research is a Sprawl Scorecard for small Michigan cities varying in size from Traverse City, nearly 50,000 people in the urban cluster, down to Saint Ignace, with only 2,500. 42 small cities are included in the study, with an even spread of cities across the state.\u3e/p\u3e One of the limitations with sprawl research is the focus on large cities. There is good reason to study large cities. Large cities affect more people, have more economic influence, and suffer recognizable consequences of sprawl (e.g., traffic congestion). However, large cities have more confounding variables at play than small cities making it difficult to narrow down the components. Even assuming components could be measured well, large cities have more players making change difficult. In small cities, sprawl may not affect everyone’s lives in the same magnitude (e.g., Houghton’s “rush-minute”), but sprawl does exist and is noticeable. Sprawl is easier to measure in small cities and if measured well, policy is much easier to change as there are many fewer players involved and less existing development. The Sprawl Scorecard provides insight to local and regional planners to mitigate sprawl in their regions. This research also offers researchers several paths for future work in all four areas of sprawl research. Included with the development of the Sprawl Scorecard is original software written in Python using ArcGIS. The first program generated Extended Urban Clusters, based on Extended Urban Areas developed by Wolman et al. The second calculated 21 sprawl metric scores for each city and the third used principal components analysis to combine the metrics into four component scores and an overall Sprawl Score for each city

Point source generation of chiral fields:measures of near- and far-field optical helicity

To consider the relationship between different measures of chirality in an optical field, the simplest case is considered: direct spontaneous emission of circularly polarized light by a point source. In the electromagnetic fields radiated from a suitably chiral source, such as a low-symmetry chiral molecule undergoing radiative decay, optical helicity is exhibited in the extent of a difference in left- and right-handed circular polarization components. There are several practical measures for quantifying the emergence of ensuing optical helicity, exhibiting different forms of dependence on the properties of the emitter and the positioning of a detector. By casting each measure in terms of an irreducible helicity density, connections and distinctions can be drawn between results expressible in either classical or quantum form

Severe postpartum disruption of the pelvic ring: report of two cases and review of the literature

Pelvic dislocations are rare during labor, and the treatment is controversial. We report two cases of young women who sustained postpartum disruption of the pelvic ring: one case is an 8.8 cm wide separation of the pubic symphysis with sacroiliac joint disruption underwent surgical stabilization and the second case with 4.0 cm disruption being treated non-operatively. These cases illustrated of importance of accurate diagnosis, careful physical exam, fully informed consent and specific treatment for this condition

Evaluating environmental drivers of spatial variability in free-living nematode assemblages along the Portuguese margin

Understanding processes responsible for shaping biodiversity patterns on continental margins is an important requirement for comprehending anthropogenic impacts in these environments and further management of biodiversity. Continental margins perform crucial functions linked to key ecological processes which are mainly structured by surface primary productivity and particulate organic matter flux to the seafloor, but also by heterogeneity in seafloor characteristics. However, to what extent these processes control local and regional biodiversity remains unclear. In this study, two isobathic parallel transects located at the shelf break (300-400 m) and upper slope (1000 m) of the western Iberian margin were used to test how food input and sediment heterogeneity affect nematode diversity independently from the spatial factors geographical distance and water depth. We also examined the potential role of connectedness between both depth transects through molecular phylogenetic analyses. Regional generic diversity and turnover were investigated at three levels: within a station, between stations from the same depth transect, and between transects. High variability in food availability and high sediment heterogeneity at the shelf-break transect were directly linked to high diversity within stations and higher variation in community structure across stations compared to the upper slope transect. Contrastingly, environmental factors (food availability and sediment) did not vary significantly between stations located at the upper slope, and this lack of differences were also reflected in a low community turnover between these deeper stations. Finally, differences in nematode communities between both transects were more pronounced than differences within each of the isobathic transects, but these changes were paralleled by the previously mentioned environmental changes. These results suggest that changes in community structure are mainly dictated by environmental factors rather than spatial differences at the western Iberian margin. Furthermore, phylogenetic relationships revealed no evidence for depth-endemic lineages, indicating regular species interchanges across different depths

Development and validation of the brief esophageal dysphagia questionnaire

BackgroundEsophageal dysphagia is common in gastroenterology practice and has multiple etiologies. A complication for some patients with dysphagia is food impaction. A valid and reliable questionnaire to rapidly evaluate esophageal dysphagia and impaction symptoms can aid the gastroenterologist in gathering information to inform treatment approach and further evaluation, including endoscopy.Methods1638 patients participated over two study phases. 744 participants completed the Brief Esophageal Dysphagia Questionnaire (BEDQ) for phase 1; 869 completed the BEDQ, Visceral Sensitivity Index, Gastroesophageal Reflux Disease Questionnaire, and Hospital Anxiety and Depression Scale for phase 2. Demographic and clinical data were obtained via the electronic medical record. The BEDQ was evaluated for internal consistency, split‐half reliability, ceiling and floor effects, and construct validity.Key ResultsThe BEDQ demonstrated excellent internal consistency, reliability, and construct validity. The symptom frequency and severity scales scored above the standard acceptable cutoffs for reliability while the impaction subscale yielded poor internal consistency and split‐half reliability; thus the impaction items were deemed qualifiers only and removed from the total score. No significant ceiling or floor effects were found with the exception of 1 item, and inter‐item correlations fell within accepted ranges. Construct validity was supported by moderate yet significant correlations with other measures. The predictive ability of the BEDQ was small but significant.Conclusions & InferencesThe BEDQ represents a rapid, reliable, and valid assessment tool for esophageal dysphagia with food impaction for clinical practice that differentiates between patients with major motor dysfunction and mechanical obstruction.Validated, rapid clinical assessment tools for esophageal dysphagia are lacking. The brief esophageal dysphagia questionnaire aims to gauge the severity and frequency of dysphagia with additional items to gauge food impaction. The BEDQ is a reliable and valid tool to assess esophageal dysphagia.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/135130/1/nmo12889.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/135130/2/nmo12889_am.pd

A shortening of the life-cycle of major tropical cyclones

In this study a comprehensive picture of the changing intensity life cycle of major (Category 3 and higher) tropical cyclones (TCs) is presented. Over the past decades, the lifetime maximum intensity has increased, but there has also been a significant decrease in duration of time spent at intensities greater than Category 1. These compensating effects have maintained a stable global mean‐accumulated cyclone energy of individual major TCs. The global mean duration of major TCs has shortened by about 1 day from 1982 to 2018. There has been both faster intensification (Categories 1 to 3) and weakening (Categories 3 to 1) by about 40%. The probabilities of rapid intensification and rapid weakening have both risen in the period 2000–2018 compared to 1982–1999. A statistically significant anticorrelation is found between the lifetime maximum intensity and the following duration of the final weakening. This suggests an element of self‐regulation of TC life cycles

Tibial Plateau Fracture

Tibial plateau fractures are a common orthopedic injury. These fractures involve the articular surface of the tibia that is part of the knee joint. Plateau fractures can range from low energy injuries with little or no displacement to complex fractures with significant associated injuries. Stability of these injuries depends on a combination of bony and associated ligamentous injuries. Treatment consists of a wide spectrum of therapies which have been discussed in this chapter. Complications such as compartment syndrome, post-traumatic arthritis, chronic pain, malunion, and wound problems (in addition to other complications) can develop