Racial and Ethnic Disparities in Neurological Care in the United States.

The burden of neurological disease is increasing globally. In the United States, this burden is disproportionally greater for Black and Latino communities who have limited access to neurological care. Health services researchers have attempted to identify racial and ethnic disparities in neurological care and possible solutions.

Groundwater flow in saturated riparian buffers and implications for nitrate removal.

A saturated riparian buffer (SRB) is an edge-of-field conservation practice that intercepts tile drainage and reduces nitrate flux to nearby streams by redistributing the flow as shallow groundwater. In this study, a three-dimensional, finite-difference groundwater model representative of SRBs in central Iowa was developed to assess the flow of groundwater and implications for nitrate removal during spring conditions, when flow to the SRB is highest. The model reproduces field observations of water level with Nash-Sutcliffe efficiency of 0.

Slope stability of streambanks at saturated riparian buffer sites.

Saturated riparian buffers (SRBs) reduce nitrate export from agricultural tile drainage by infusing drainage water into carbon-rich riparian soils where denitrification and plant uptake occur. The water quality benefits from SRBs are well documented, but uncertainties about their effect on streambank stability have led to design standards that limit the maximum bank height and minimum buffer width, thus reducing the number of suitable candidate sites. In this study, the relationship between SRB design and streambank stability was examined through numerical slope stability modeling and validated using field sites.

Deep Learning-Based Object Detection for Unmanned Aerial Systems (UASs)-Based Inspections of Construction Stormwater Practices.

Construction activities typically create large amounts of ground disturbance, which can lead to increased rates of soil erosion. Construction stormwater practices are used on active jobsites to protect downstream waterbodies from offsite sediment transport. Federal and state regulations require routine pollution prevention inspections to ensure that temporary stormwater practices are in place and performing as intended.

Improving the effectiveness of saturated riparian buffers for removing nitrate from subsurface drainage.

A saturated riparian buffer (SRB) is an edge-of-field conservation practice that reduces nitrate export from agricultural lands by redistributing tile drainage as shallow groundwater and allowing for denitrification and plant uptake. We propose an approach to improve the design of SRBs by analyzing a tradeoff in choosing the SRB width, and we apply the approach to six sites with SRBs in central Iowa. A larger width allows for more residence time, which increases the opportunity for removing nitrate that enters the buffer.

A case series of PD-1 inhibitor-associated paraneoplastic neurologic syndromes.

Immune checkpoint inhibitors (ICIs) are highly efficacious for treating many solid tumor types. Because of their immune-activating mechanism of action, ICIs can trigger various immune-mediated toxicities. We present three cases: i) a woman with anti-Ri brainstem encephalitis; ii) a man with anti-Hu sensory neuronopathy; and iii) a woman with suspected combined anti-Hu and anti-NMDA paraneoplastic syndromes associated with the initiation of the ICIs pembrolizumab and nivolumab.