bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Triple Helix Frame Contributes to Strategic Innovation in Nearshore Wind Park Ecosystems
Authors: Brink Tove 
Published: August 2020

This research shows how port authorities in a triple helix context can contribute to strategic innovation with reduction of Levelized Cost of Energy in nearshore wind park ecosystems. The empirical qualitative case study was conducted from September 2017 to June 2018 with a port and a nearshore wind park owner and a logistic business actor operating on land and one operating at sea. Individual interviews and three joint network meetings provided data for the research.
The findings reveal that port authorities in triple helix contexts can contribute to strategic innovation through use of the cross-disciplinary trinity of ‘organization’, ‘business model innovation’ and ‘financial cash flow’ to address value creation on project ecosystem level. The findings are summarized in a model for overview on the shift in interest and the basic understanding of flow. It is shown that the triple helix discussions provide a meaningful frame to achieve strategic innovation for competitive advantage of renewable wind energy ecosystem.Keywordsstrategic innovation – ecosystems – renewable energy – offshore wind parks
Genome-wide analysis revisits incipient sympatric and allopatric speciation in a beetle
Authors: Hong Wei , Li Kexin , Sharaf Kamal , Song Xiaoying , Pavlìcek Tomàš , Zhao Huabin , Nevo Eviatar 
Published: August 2020

Abstract
The grain beetle, Oryzaephilus surinamensis, is a widespread species distributed in the wild and in granaries. Our earlier extensive biological studies indicated that the beetle shows incipient sympatric speciation (SS) in the wild at Evolution Canyon I (EC-I), Israel, and allopatric speciation, in a granary. Here we provide genome-wide evidence supporting our adaptive evolution scenario involving two models of speciation, SS in the wild, and allopatric in the granary. The EC-I microsite is a hot spot of SS across life from bacteria to mammals caused by the sharp opposite microclimates. The tropical hot, dry and savannoid biome dubbed the “African” slope (AS), sharply contrasts with the opposite temperate, cool, humid, and forested biome on the European” slope (ES), separated by only ~250 meters. The third allopatric granary population is 26 km north of EC-I. The granary population showed larger genomic, morphological, and behavioral distances, smaller genome size, more unique transposable elements, and reproductive isolation, displaying faster genomic divergence than between the wild populations at EC-I. The incipient SS of the wild populations, and the speciation of the granary population are reinforced by the substantial genomic divergence among the three beetle populations, supporting again the evolutionary scenario of incipient SS with gene flow at EC-I, and allopatric speciation in the granary population. We propose additional studies in Israel, the Mediterranean basin, and worldwide, to negate alternative explanations, based on a broader sampling and analysis.
Taiwanese Public Perceptions of Diplomatic Recognition: an Experimental Analysis
Authors: Rich Timothy S. , Dahmer Andi 
Published: August 2020

Abstract
What explains public support for Taiwan’s diplomatic recognition efforts? A sizable literature addresses the role of China and ‘dollar diplomacy’ in influencing countries to recognise Taiwan, yet little research addresses how these factors potentially influence Taiwanese public perceptions of efforts to maintain formal diplomatic recognition. Through four waves of an experimental survey design, we find that Taiwanese are more supportive of efforts when framed in terms of responding to China but support decreases when efforts are framed as potentially leading to increased demands for international aid from diplomatic partners.
Inscribing the Eternal into the Everyday: Voice in Bedil’s Ruqa⁠ʿāt
Authors: Keshavmurthy Prashant 
Published: August 2020

Abstract
Can we read ʿAbd al-Qādir Bedil’s (1644–1720) oeuvre in ways that socialize it against his own pervasive Sufi posture of ascetic distance from everyday social exchanges? What kind of selfhood comes into view if we do so? Of all the genres Bedil wrote in, his correspondence best allows us such a socialization. This essay explores Bedil’s epistolary voice in terms of a tension between the trans-mundane ghazal metaphors he uses in his letters and the mundane specificities of each epistolary situation. It puts this voice into relation with prior models of Persian epistolography (inshā), with Arabic-Persian literary theories of wonder in Bedil’s milieu and with models of Sufi wit, reflecting on what his appropriations of these genres allowed him in each case. It concludes by reflecting on how Bedil’s voice might be understood in the wider contexts of non-European practices of civility and the order of mimesis it assumes.
Flights of Imagination: Avicenna’s Phoenix (ʿAnqā) and Bedil’s Figuration for the Lyric Self
Authors: Mikkelson Jane 
Published: August 2020

Abstract
The phoenix (ʿanqā) appears in the philosophy of Avicenna (d.1037) as his example of a “vain intelligible,” a fictional being that exists in the soul, but not in the world. This remarkable bird is notable (along with the Earth, the moon, the sun, and God) for being a species of one. In this essay, I read the poetry Bedil of Delhi (d.1720) in conversation with the philosophical system of Avicenna, arguing that the phoenix in Bedil’s own philosophical system functions as a key figuration that allows him simultaneously to articulate rigorous impersonal systematic ideas and to document his individual first-personal experiences of those ideas. The phoenix also plays a metaliterary role, allowing Bedil to reflect on this way of doing philosophy in the first person—a method founded on the lyric enrichment of Avicennan rationalism. Paying attention to the adjacencies between poetry and philosophy in Bedil, this essay traces the phoenix’s transformations from a famous philosophical example into one of Bedil’s most striking figurations in his arguments about imagination, mind, and self.
Daily Autocorrelation and Mean Temperature/Moisture Rise as Determining Factors for Future Heat-Wave Patterns in the United States
Authors: Barnston Anthony G. , Lyon Bradfield , Coffel Ethan D. , Horton Radley M. 
Published: September 2020

AbstractThe frequency of heat waves (defined as daily temperature exceeding the local 90th percentile for at least three consecutive days) during summer in the United States is examined for daily maximum and minimum temperature and maximum apparent temperature, in recent observations and in 10 CMIP5 models for recent past and future. The annual average percentage of days participating in a heat wave varied between approximately 2% and 10% in observations and in the model’s historical simulations during 1979–2005. Applying today’s temperature thresholds to future projections, heat-wave frequencies rise to more than 20% by 2035–40. However, given the models’ slight overestimation of frequencies and positive trend rates during 1979–2005, these projected heat-wave frequencies should be regarded cautiously. The models’ overestimations may be associated with their higher daily autocorrelation than is found in observations. Heat-wave frequencies defined using apparent temperature, reflecting both temperature and atmospheric moisture, are projected to increase at a slightly (and statistically significantly) faster rate than for temperature alone. Analyses show little or no changes in the day-to-day variability or persistence (autocorrelation) of extreme temperature between recent past and future, indicating that the future heat-wave frequency will be due predominantly to increases in standardized (using historical period statistics) mean temperature and moisture content, adjusted by the local climatological daily autocorrelation. Using nonparametric methods, the average level and spatial pattern of future heat-wave frequency is shown to be approximately predictable on the basis of only projected mean temperature increases and local autocorrelation. These model-projected changes, even if only approximate, would impact infrastructure, ecology, and human well-being.
Differences in PET/CT standardized uptake values involvement and survival compared to histologic subtypes of lung adenocarcinoma
Authors: Ercelep Ozlem , Alan Ozkan , Telli Tugba A. , Tuylu Tugba B. , Arıkan Rukiye , Demircan Nazim Can , Simsek Eda T. , Babacan Nalan A. , Kaya Serap , Dane Faysal , Bozkurtlar Emine , Ones Tunc , Lacin Tunc , Yumuk Perran Fulden 
Published: September 2020

Purpose: Lung adenocarcinoma is histologically diverse but has distinct histologic growth patterns. There is no consensus on the clinical benefit of this histologic model. We aimed to evaluate the differences in the distribution of the preoperative primary tumor positron emission tomography (PET)/computed tomography (CT) standardized uptake values (SUVs) and survival in the lung adenocarcinoma subtypes. Methods: We retrospectively evaluated the data of 107 patients with resected lung adenocarcinoma who had preoperative PET/CT between 2005 and 2017 in a single center. Patients had lepidic, acinar, papillary, micropapillary, and solid histologic subtypes. We compared fluorodeoxyglucose SUVs and survival data of histologic subtypes. Results: The median age of the patients was 62 years (40–75), 76.4% were male, the median SUVmax was 9.4 (1–36.7), and the median follow-up time was 29 months (3–135 months). The median overall survival (OS) was 71 months and the median progression-free survival (PFS) was 33 months. SUVmax was significantly different in histologic subtypes: values for papillary, micropapillary, solid, acinar, and lepidic subtypes were 9.7, 8, 12, 9.1, and 3.9, respectively ( p = 0.000). Solid predominant adenocarcinoma had significantly higher SUVmax than the other subtypes ( p = 0.001). Lepidic predominant adenocarcinoma had significantly lower SUVmax than the other subtypes ( p = 0.000). There was no significant difference in OS between histologic subtypes ( p = 0.66), but PFS was significantly different between the groups ( p = 0.017), and the solid subtype had a shorter PFS than the other histologic subtypes. Conclusion: Lung adenocarcinoma consists of a diverse group of diseases. Different SUVmax values are seen in different histologic subtypes of nonmetastatic lung adenocarcinoma. Solid predominant types have high SUVmax values while lepidic predominant types have lower SUVmax values. The solid subtype had a shorter PFS than the other histologic subtypes.
Indications, Outcomes, and Complications of Lateral Ulnar Collateral Ligament Reconstruction of the Elbow for Chronic Posterolateral Rotatory Instability: A Systematic Review
Authors: Badhrinarayanan Shreya , Desai Ankit , Watson Jay James , White Callum Hoy Reid , Phadnis Joideep 
Published: September 2020

Background: Posterolateral rotatory instability (PLRI) of the elbow can lead to pain, recurrent dislocations, and, in the worst-case scenario, disability. Purpose: To report the indications, outcomes, and complication rates of lateral ulnar collateral ligament (LUCL) reconstruction for chronic PLRI of the elbow. Study Design: Systematic review. Methods: This systematic review was registered with PROSPERO and performed in accordance with PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. The review entailed 17 studies that included 168 patients with isolated LUCL reconstruction for chronic PLRI. Patients with concurrent medial collateral ligament reconstruction were excluded. The primary outcome measures were patient characteristics, indication for surgery, surgical technique, functional outcomes, and complications. Results: Chronic PLRI commonly occurred after a previous traumatic injury (n = 168). Of these, there were 119 simple instabilities (no fracture) and 33 complex instabilities (associated fracture). In 11 patients, PLRI was iatrogenic. The cause was unknown in 5 patients. Grafts used were autograft (n = 102; 61%), allograft (n = 18; 11%), synthetic graft (n = 15; 9%), and unknown (n = 33; 20%). The most common surgical technique was a docking procedure or a modification of this (n = 145; 86%). Other techniques included suture anchors (n = 18; 11%), nonanatomic (n = 1; 0.6%), and unknown (n = 4; 2%). There were 45 complications reported in 37 patients (22%). The most frequent complication was recurrent instability (21/138; 15%). No other major complications were reported. The rate of recurrent instability was significantly higher in revision reconstructions (6/15 elbows; 40%) compared with primary reconstructions (15/123 elbows; 12.2%) ( P = .005). The mean Mayo Elbow Performance Score and abbreviated Disabilities of the Arm, Shoulder and Hand score were 87.5 (range, 40-100) and 18.8 (range, 0-77), respectively. Of the patients in whom range of motion was measured, 134 of 144 patients (93%) regained a functional range (30L–130L). Conclusion: LUCL reconstruction for chronic PLRI proved a reliable method of reconstruction, save for the moderate rate of recurrent instability, which was highest in revision reconstructions.
Association of Urbanicity with Schizophrenia and Related Mortality in China: Association de l’urbanicité avec la schizophrénie et la mortalité qui y est reliée en Chine
Authors: Luo Yanan , Pang Lihua , Guo Chao , Zhang Lei , Zheng Xiaoying 
Published: September 2020

Objective: Although higher prevalence of schizophrenia in Chinese urban areas was observed, studies focused on the association between schizophrenia and urbanicity were less in China. Using a national representative population-based data set, this study aimed to investigate the relationship between urbanicity and schizophrenia and its related mortality among adults aged 18 years old and above in China. Methods: Data were obtained from the Second China National Sample Survey on Disability in 2006 and follow-up studies from 2007 to 2010 each year. We restricted our analysis to 1,909,205 participants aged 18 years or older and the 2,071 schizophrenia patients with information of survival and all-caused mortality of the follow-up surveys from 2007 to 2010.Schizophrenia was ascertained according to the International Statistical Classification of Diseases, 10th Revision. The degree of urbanicity and the region of residence were used to be the proxies of urbanicity. Of these, the degree of urbanicity measured by the ratio of nonagricultural population to total population and the region of residence measured by six categorical variables (first-tier cities, first-tier city suburbs, second-tier cities, second-tier city suburbs, other city areas, and rural areas). Logistics regression models and restricted polynomial splines were used to examine the linear/nonlinear relationship between urbanicity and the risk of schizophrenia. Cox proportional hazards regression models were used to test the role of urbanicity on mortality risk of schizophrenia patients. Results: 10% increase in the degree of urbanicity was associated with increased risk of schizophrenia ( OR = 1.44; 95% CI, 1.32 to 1.57). The nonlinear model further confirmed the association between the degree of urbanicity and the risk of schizophrenia. This association existed sex difference, as the level of urbanicity increased, schizophrenia risk of males grew faster than the risk of females. The hazard ratio (HR) of mortality in schizophrenia patients decreased with the elevated of urbanicity level, with a HR of 0.42 (95% CI, 0.21 to 0.84). Conclusions: This research suggested that incremental changes in the degree of urbanicity linked to higher risk of schizophrenia, and as the degree of urbanicity elevated, the risk of schizophrenia increased more for men than for women. Additionally, we found that schizophrenia patients in higher degree of urbanicity areas had lower risk of mortality. These findings contributed to the literature on schizophrenia in developing nations under a non-Western context and indicates that strategies to improve mental health conditions are needed in the progress of urbanicity.
Progression of Acute Kidney Injury to Chronic Kidney Disease in Sepsis Survivors: 1-Year Follow-Up Study
Authors: Arshad Ainan , Ayaz Ahmed , Rehman Sarah , Ukrani Ronika Devi , Akbar Inaara , Jamil Bushra 
Published: September 2020

Background: Despite the fact that septic acute kidney injury (AKI) is considered to be reversible, it can result in permanent kidney damage. Unfortunately, there is a scarcity of long-term follow-up studies highlighting progression to chronic kidney disease (CKD) in sepsis survivors. To address this issue, we conducted this study to assess the development of CKD in sepsis patients with AKI, and to identify risk factors associated with its development. Methods: This retrospective cohort study evaluated medical records of patients admitted at the Aga Khan University Hospital between January-December 2017 with the diagnosis of sepsis and subsequent development of acute kidney injury (AKI). One-year follow-up data was then analyzed to determine whether the AKI resolved or progressed to chronic kidney disease. Results: 1636 sepsis patients were admitted during the study period, out of which 996 (61%) met the inclusion criteria. 612 (61%) developed AKI during the admission. Mortality rate in the AKI group was 44% (n = 272). After 1 year, 47 (19%) patients eventually went on to develop CKD and 81% (n = 195) recovered fully. Risk factors for development of CKD were age ≥ 60 years (p = <0.001), diabetes (p = <0.001), hypertension (p = 0.001) and history of ischemic heart disease (p = <0.001). Conclusion: Mortality rates in sepsis are alarmingly high and even those patients who manage to survive are at risk of developing permanent organ dysfunction. Our study revealed that almost one fifth of all septic AKI survivors went on to develop chronic kidney disease within 1 year, even when AKI was not severe. We recommend that clinicians focus on early recovery of renal function, irrespective of AKI severity, and ensure robust follow-up monitoring to reduce long term morbidity and mortality associated with this devastating illness.
Breastfeeding and Postpartum Glucose Regulation Among Women With Prior Gestational Diabetes: A Systematic Review
Authors: Tarrant Marie , Chooniedass Rishma , Fan Heidi Sze Lok , Del Buono Katie , Masina Stephanie 
Published: September 2020

Background Gestational diabetes mellitus is associated with adverse maternal and fetal outcomes and increases subsequent risk of Type 2 diabetes. Researchers have shown that breastfeeding may reduce diabetes risk in women with recent gestational diabetes. Research aim To assess association between infant feeding and postpartum glucose tolerance in mothers with recent gestational diabetes within 1 year postpartum. Methods A literature search was performed up to December 31, 2019, retrieving articles related to infant feeding, gestational diabetes, and postpartum glucose regulation in four major databases (PubMed, Cochrane, CINAHL, and Embase). Methodological quality was assessed using tools from the United States National Institutes of Health and the National Heart, Lung, and Blood Institute. Results The search yielded 15 cohort studies meeting the selection criteria. Of the 15 studies, 13 (86.7%) examined the influence of breastfeeding on postpartum glycemic status, and eight (53.4%) compared the mean blood glucose values between breastfeeding and non-breastfeeding participants. Of the 13 studies that compared postpartum glycemic status, nine (60%) of the research teams found that breastfeeding lowered rates of impaired glucose tolerance, and four (26.7%) showed no significant change. In eight of the studies reporting mean blood glucose values, six (75%) reported significantly lower fasting plasma glucose in breastfeeding participants, with reductions ranging from 3.7 to 7.4 mg/dL (0.2–0.4 mmol/L). Conclusion Breastfeeding has been associated with improved postpartum glucose regulation in mothers with gestational diabetes. In pregnant women with gestational diabetes, breastfeeding may reduce the risk of Type 2 diabetes, and women with gestational diabetes should be strongly encouraged and supported to breastfeed.
Are Internal Medicine Residents Meeting the Bar? Comparing Resident Knowledge and Self-Efficacy to Published Palliative Care Competencies
Authors: Moyer Kristen M. , Ellman Matthew S. , Encandela John , Morrison Laura J. 
Published: September 2020

Background: There is a need for improved primary palliative care (PC) education and resident comfort with providing end-of-life care. Objective: Utilize a new instrument derived from published PC competencies to assess baseline Internal Medicine (IM) resident knowledge and self-efficacy in PC to identify educational gaps and create new PC curricula. Design: We created a 2-part instrument including a Knowledge Test (KT) and a Self-Efficacy Inventory (SEI) addressing 18 PC resident competencies across 5 domains: Pain and Symptom Management (PSM), Communication (COMM), Psychosocial, Spiritual, and Cultural Aspects of Care (PSC), Terminal Care and Bereavement (TCB), and Palliative Care Principles and Practice (PCPP). Setting/Subjects: The instrument was emailed to IM residents at our institution during academic years 2015-2016 and 2016-2017. Measurements: Basic descriptive statistics were performed for the KT and SEI. Mean Rank Analysis and One-way ANOVA were utilized for the KT and SEI, respectively. Congruence was calculated between knowledge and self-efficacy. Results: The mean score on the KT was 73% (range 33-80%). There was no significant difference in knowledge among post-graduate year cohorts. Self-efficacy scores were lower for interns overall and in PCPP, TCB, and COMM domains. Knowledge was concordant with self-efficacy in 42% of participants, higher than self-efficacy in 10% of participants, and lower than self-efficacy in 48% of participants. Conclusions: For approximately half of respondents, high self-efficacy in PC did not correlate with high PC knowledge. A more focused curriculum is needed to help IM residents facilitate mastery of PC competencies by graduation.