3,702 research outputs found

    ACCESS TO SERVICES FOR THE HOMELESS

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    poster abstractMy project is based on research done in the anthropology and geography departments by myself, Dr. Zimmerman and Courtney Singleton pertaining to homeless encampments in Indianapolis. This poster presentation illustrates locations of selected encampments and their access to service providers. Geographic information system (GIS) technologies were used to conduct a network analysis that visually shows access to services and quantifies travel time and network distance to selected service locations. The analysis presented is based on data collected by my colleagues from subjects in one specific camp describing preferred travel routes, distances traveled and services needed- prescription medication for example. I plan to apply this analytical method to other encampments to create a model of hypothetical routes based upon tow paths, walking trails and street networks

    IUPUI Center for Health Geographics

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    poster abstractThe IUPUI Center for Health Geographics develops and supports research innovation through integration of geographic information science, medical informatics, community informatics, and public health. Our areas of research emphasis include geospatial technologies and standards for health surveillance, spatial and temporal contexts of health behaviors and health outcomes, and space-time models for investigating disease and mortality trends. Our poster highlights our collaborations, which include interdisciplinary partnerships with investigators in the fields of geographic information science, social science, clinical epidemiology, medical informatics, and health services research

    Socioeconomic indicators of heat-related health risk supplemented with remotely sensed data

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    <p>Abstract</p> <p>Background</p> <p>Extreme heat events are the number one cause of weather-related fatalities in the United States. The current system of alert for extreme heat events does not take into account intra-urban spatial variation in risk. The purpose of this study is to evaluate a potential method to improve spatial delineation of risk from extreme heat events in urban environments by integrating sociodemographic risk factors with estimates of land surface temperature derived from thermal remote sensing data.</p> <p>Results</p> <p>Comparison of logistic regression models indicates that supplementing known sociodemographic risk factors with remote sensing estimates of land surface temperature improves the delineation of intra-urban variations in risk from extreme heat events.</p> <p>Conclusion</p> <p>Thermal remote sensing data can be utilized to improve understanding of intra-urban variations in risk from extreme heat. The refinement of current risk assessment systems could increase the likelihood of survival during extreme heat events and assist emergency personnel in the delivery of vital resources during such disasters.</p

    Strategies for Monitoring Multiuse Trail Networks: Implications for Practice

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    Many municipalities, park districts, and nonprofit organizations have begun monitoring nonmotorized traffic on multiuse trails as the need for information about the use of facilities has grown and relatively low-cost sensors for automated monitoring have become available. As they have gained experience, they have begun to move from site-specific monitoring on individual trails to a more comprehensive monitoring of trail networks. This case study review compares strategies developed by 10 organizations for monitoring traffic on multiuse trails, including local, multicounty, statewide, and multistate trail networks. The focus is on approaches to the design of monitoring networks, particularly the rationales or objectives for monitoring and the selection of monitoring sites. It is shown that jurisdictions are following principles of monitoring established by FHWA and that the design of monitoring networks is evolving to meet new challenges, including monitoring large-scale networks. Relevant outcomes and implications for practice are summarized. The researchers concluded that FHWA guidelines can be adapted to many circumstances and can increase information for decision making. Trail monitoring is informing decisions related to facility planning, investment, and safety

    Real-time simulation of arbitrary visual fields

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    Photodissociation of Non-Covalent Peptide-Crown Ether Complexes

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    Highly chromogenic 18-crown-6-dipyrrolylquinoxaline coordinates primary amines of peptides, forming non-covalent complexes that can be transferred to the gas-phase by electrospray ionization. The appended chromogenic crown ether facilitates efficient energy transfer to the peptide upon ultraviolet irradiation in the gas phase, resulting in diagnostic peptide fragmentation. Collisional-activated dissociation and infrared multiphoton dissociation of these non-covalent complexes result only in their disassembly with the charge retained on either the peptide or crown ether, yielding no sequence ions. Upon UV photon absorption the intermolecular energy transfer is facilitated by the fast activation timescale of ultraviolet photodissociation (<10 ns) and by the collectively strong hydrogen bonding between the crown ether and peptide, thus allowing effective transfer of energy to the peptide moiety before disruption of the intermolecular hydrogen bonds

    Identifying risk factors for healthcare-associated infections from electronic medical record home address data

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    <p>Abstract</p> <p>Background</p> <p>Residential address is a common element in patient electronic medical records. Guidelines from the U.S. Centers for Disease Control and Prevention specify that residence in a nursing home, skilled nursing facility, or hospice within a year prior to a positive culture date is among the criteria for differentiating healthcare-acquired from community-acquired methicillin-resistant <it>Staphylococcus aureus </it>(MRSA) infections. Residential addresses may be useful for identifying patients residing in healthcare-associated settings, but methods for categorizing residence type based on electronic medical records have not been widely documented. The aim of this study was to develop a process to assist in differentiating healthcare-associated from community-associated MRSA infections by analyzing patient addresses to determine if residence reported at the time of positive culture was associated with a healthcare facility or other institutional location.</p> <p>Results</p> <p>We identified 1,232 of the patients (8.24% of the sample) with positive cultures as probable cases of healthcare-associated MRSA based on residential addresses contained in electronic medical records. Combining manual review with linking to institutional address databases improved geocoding rates from 11,870 records (79.37%) to 12,549 records (83.91%). Standardization of patient home address through geocoding increased the number of matches to institutional facilities from 545 (3.64%) to 1,379 (9.22%).</p> <p>Conclusions</p> <p>Linking patient home address data from electronic medical records to institutional residential databases provides useful information for epidemiologic researchers, infection control practitioners, and clinicians. This information, coupled with other clinical and laboratory data, can be used to inform differentiation of healthcare-acquired from community-acquired infections. The process presented should be extensible with little or no added data costs.</p

    Community Participation Among Individuals with Serious Mental Illnesses Leaving Jail

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    Studies have found that higher levels of community participation are associated with a number of positive outcomes such as increased recovery and quality of life. People with serious mental illnesses (SMI) leaving jail face a number of barriers that limit their ability to participate in community activities. In this paper we examine whether the combined experience of mental illness and recent discharge from jail furthers the community isolation that is already experienced by individuals with serious mental illnesses. This analysis found that people with SMI recently released from jail had significantly lower levels of community participation in terms of overall number of community participation days and activities, number of time spent in activities individuals identified as important, and on measures of sufficiency related to the time spent engaged in these activities. Community participation is a key component of community re-integration for people with SMI leaving jail. The results of this study show that services for people with SMI leaving jail need to include interventions that foster engagement in community based activities

    Challenges in Monitoring Regional Trail

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    This study reports traffic monitoring results at 30 locations on a 972-mi shared-use trail network across the east-central United States. We illustrate challenges in adapting the principles in the Federal Highway Administration’s Traffic Monitoring Guide to a regional trail network. We make four contributions: 1) we use factor analysis and k-means clustering to implement a stratified random process for selecting monitoring sites; 2) we illustrate quality assurance procedures and the challenges of obtaining valid results from a multi-state monitoring system; 3) we describe variation in trail traffic volumes across five land use classes in response to daily weather and seasons; and 4) we report two performance measures for the network: annual average daily trail traffic and trail miles traveled. The Rails to Trails Conservancy deployed passive infrared traffic monitors in 2015 through 2017. Site-specific regression models were used to impute missing daily traffic volumes. The effects of weather were consistent across land use classes but the effects of temporal variables, including weekend and season of year, varied. A plan for short-duration monitoring is presented. Results confirm the FHWA monitoring principles and the difficulties of implementing them regionally
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