bluuebunny/crossref_metadata_2025_split huggingface dataset:
An Assessment of the Impact of Municipal Laws on the Policing of Cybercrimes in Nigeria
Authors: Olukolu Rasul Oriyomi 
Published: October 2019

AbstractInternet crime can be defined as unlawful acts using the computer as either a tool or a target or both. Internet networks are used positively to conduct businesses, manage industrial and governmental activities, engage in personal communications, and conduct research. Also, certain confidential information is stored or passed through the medium of the internet. Credit cards containing information of users are used as the major means of buying and selling on the internet. Information infrastructure has become a critical part of the backbone of global economies; therefore, it is imperative that the general public be able to rely on the availability of such informational services with confidence that their communications and data are safe from unauthorized access or modification. It then becomes important for these and other information to be more secured. However, the speed of the internet, its affordability, and its elimination of distance make the internet the hotbed of crimes globally. Cybercrime growth has skyrocketed in recent times, especially in Nigeria; hence, the need for immediate action by law makers to stem the tide. This research, therefore, examines the adequacy or otherwise of the Nigerian legal framework in checking crimes being perpetrated using the internet as a platform with a view to making useful suggestions.
Unpacking the Laundry Machine: Why Is Dirty Money in the Social Club?
Authors: Nkoane Paul 
Published: October 2019

AbstractThe article provides an overview of the methods accepted to be critical for the laundering of illicit property, i.e. placement, layering, and integration. This is done to inform the reader of the obscurity the methods provide to illicit property and the possible costs involved. It is submitted that these typical methods would only be necessary when organised criminals launder huge sums of money. The article illustrates that when laundering relatively smaller amounts criminals prefer other cheaper methods to achieve the same end. The article, therefore, undertakes an objective analysis of the techniques of money laundering likely to be orchestrated in the South African social clubs schemes. The focus is on social organisations that engage in collecting money from members to deposit into a single account for a common goal. These organisations are termed stokvels. It is submitted that some of the collected amounts may not come from licit activities and may be highly difficult to identify. The article analyses the reason why people use social clubs and proposes methods that could be used to stall the refining of illicit money in such schemes.
Leveraging Modern Artificial Intelligence for Remote Sensing and NWP: Benefits and Challenges
Authors: Boukabara Sid-Ahmed , Krasnopolsky Vladimir , Stewart Jebb Q. , Maddy Eric S. , Shahroudi Narges , Hoffman Ross N. 
Published: October 2019

AbstractArtificial intelligence (AI) techniques have had significant recent successes in multiple fields. These fields and the fields of satellite remote sensing and NWP share the same fundamental underlying needs, including signal and image processing, quality control mechanisms, pattern recognition, data fusion, forward and inverse problems, and prediction. Thus, modern AI in general and machine learning (ML) in particular can be positively disruptive and transformational change agents in the fields of satellite remote sensing and NWP by augmenting, and in some cases replacing, elements of the traditional remote sensing, assimilation, and modeling tools. And change is needed to meet the increasing challenges of Big Data, advanced models and applications, and user demands. Future developments, for example, SmallSats and the Internet of Things, will continue the explosion of new environmental data. ML models are highly efficient and in some cases more accurate because of their flexibility to accommodate nonlinearity and/or non-Gaussianity. With that efficiency, ML can help to address the demands put on environmental products for higher accuracy, for higher resolution—spatial, temporal, and vertical, for enhanced conventional medium-range forecasts, for outlooks and predictions on subseasonal to seasonal time scales, and for improvements in the process of issuing advisories and warnings. Using examples from satellite remote sensing and NWP, it is illustrated how ML can accelerate the pace of improvement in environmental data exploitation and weather prediction—first, by complementing existing systems, and second, where appropriate, as an alternative to some components of the NWP processing chain from observations to forecasts.
Improving the Representation of Subsurface Water Movement in Land Models
Authors: Gharari Shervan , Clark Martyn P. , Mizukami Naoki , Wong Jefferson S. , Pietroniro Alain , Wheater Howard S. 
Published: October 2019

Abstract
Land models are increasingly used and preferred in terrestrial hydrological prediction applications. One reason for selecting land models over simpler models is that their physically based backbone enables wider application under different conditions. This study evaluates the temporal variability in streamflow simulations in land models. Specifically, we evaluate how the subsurface structure and model parameters control the partitioning of water into different flow paths and the temporal variability in streamflow. Moreover, we use a suite of model diagnostics, typically not used in the land modeling community to clarify model weaknesses and identify a path toward model improvement. Our analyses show that the typical land model structure, and their functions for moisture movement between soil layers (an approximation of Richards equation), has a distinctive signature where flashy runoff is superimposed on slow recessions. This hampers the application of land models in simulating flashier basins and headwater catchments where floods are generated. We demonstrate the added value of the preferential flow in the model simulation by including macropores in both a toy model and the Variable Infiltration Capacity model. We argue that including preferential flow in land models is essential to enable their use for multiple applications across a myriad of temporal and spatial scales.
Visualizing Climate Change Adaptation: An Effective Tool for Agricultural Outreach?
Authors: Schattman Rachel E. , Hurley Stephanie E. , Greenleaf Holly L. , Niles Meredith T. , Caswell Martha 
Published: October 2019

AbstractLandscape photovisualizations (PVZs) are digitally altered photographs that show existing landscapes altered to include a simulated future scenario. They are commonly used to support dialogue and decision-making in multistakeholder contexts. In agricultural sectors, stakeholders increasingly must contend with pressures to adapt to climatic changes and shifts in weather patterns. This study examines the potential of PVZs to engage agricultural stakeholders about climate change adaptation, specifically around best management practices (BMPs). In 2015, survey data were collected (n= 133) at six agricultural conferences Vermont. Participants were asked about their climate change knowledge, perceptions of adaptation, and their intentions to adopt or recommend one or more of the following BMPs: riparian buffers, drainage tiles with constructed wetlands, retention ponds, and silvopasture. In addition, respondents were asked about how well PVZs did or did not clarify their understanding of each BMP and its associated limiting factors. Results from five multivariate ordered logit models show an increase in interest among some agricultural stakeholders in adopting a BMP (among farmers) or recommending a BMP (among agricultural advisors) after seeing a PVZ depicting that practice. Interest in adoption or recommendation of BMPs was also more likely among respondents who believe that it is important for farms to adapt to climate change. Although PVZs are not common in agricultural outreach programs, these results suggest that PVZs are relevant to agricultural education and land-use decision-making, specifically in the domain of climate change adaptation.
Electronic Consults in Otolaryngology: A Pilot Study to Evaluate the Use, Content, and Outcomes in an Academic Health System
Authors: Gilani Sapideh , Bommakanti Krishna , Friedman Lawrence 
Published: October 2019

Objectives: To categorize the primary reasons for electronic consults (eConsults) to otolaryngology from primary care physicians (PCPs). To determine how many patients avoided subsequent in-person otolaryngology office visits. Methods: This is a retrospective analysis of a pilot study that took place between 2016 and 2017 regarding eConsults to adult otolaryngology placed by primary care physicians at the University of California, San Diego (UCSD) Medical Center. The complaints were categorized as related to the following: ear, nose, throat or neck. Initial recommendations were classified as (1) providing education only (no intervention), (2) suggesting medical therapy provided by the PCP, or (3) suggesting surgical intervention. Univariate statistics and multinomial logistic regression were used to analyze the association of problem type with the need for follow-up in the otolaryngology offices. The data was analyzed for differences in patient age and gender. Results: The study population included 64 patients (average age 54.6 years, 60.9% male). Within this group, 41% of consults were for ear complaints, 15% for nose complaints, 28% had throat-related complaints, and 16% had neck-related complaints. In-person follow-up was not required for 82.8% of the consults. Overall, 76.9% of ear, 100% of nose, 88.9% of throat, and 70.0% of neck complaints did not require in-person visits. Conclusions: eConsults to otolaryngology were primarily for ear concerns. Of the eConsults, 82.4% did not require in-person follow-up. We therefore conclude that the use of eConsults prevented substantial office visits that would not otherwise be necessary. Efforts should be made to promote the widespread use of eConsults, which may to the more efficient use of resources.
Understanding family perspectives on supported employment
Authors: Keefe Kristen , Styron Thomas , O’Connell Maria , Mattias Kate , Davidson Larry , Costa Mark 
Published: October 2019

Background: One integral way by which individuals in recovery pursue meaning and productivity in their lives is via employment. Unfortunately, the vast majority of individuals with serious mental illness (SMI) who express the desire to work remain unemployed. Families have the potential to play an important role in the domain of supported employment (SE), though may not have the knowledge or skills to do so. Aims: This quantitative study aimed to better understand the perspectives of family members on the role of employment in recovery and the barriers faced by their loved ones in pursuing work. Method: Participants included 86 family members of individuals with SMI who were affiliated with their state NAMI Chapter and agreed to take part in an online survey. Wilcoxon signed-rank tests were used to determine meaningful differences between the highest and lowest ranked statements for each main research question. Results: Family members recognize that employment is important to recovery and offers individuals with SMI a valued social role. Relative to other factors, financial independence and being employed in a competitive job were viewed as less important to recovery. The most salient barriers to employment included stable housing, need for transportation, concerns about losing benefits, low self-esteem, and medication side effects. Conclusions: While family members can appreciate the importance of SE and their loved ones’ desire to work, they still tend to rank other factors as more integral to recovery. This underscores the need for additional education about the potential for employment to facilitate these other factors in recovery.
Comparison of Interstitial Fluid Glucose Levels Obtained by Continuous Glucose Monitoring and Flash Glucose Monitoring in Patients With Type 2 Diabetes Mellitus Undergoing Hemodialysis
Authors: Yajima Takahiro , Takahashi Hiroshi , Yasuda Keigo 
Published: October 2019

Background: The accuracy of flash glucose monitoring (FGM, FreeStyle Libre Pro [FSL-Pro]) remains unclear in patients with type 2 diabetes mellitus (T2DM) undergoing hemodialysis. Methods: We assessed 13 patients with T2DM undergoing hemodialysis. They simultaneously underwent FGM, continuous glucose monitoring (CGM, iPro2), and self-monitoring blood glucose (SMBG). Results: Parkes error grid analysis against SMBG showed that 49.0% and 51.0% of interstitial fluid glucose (ISFG) levels measured using FGM and 93.3% and 6.7% of those measured using CGM fell into zones A and B, respectively. Mean absolute relative difference (MARD) against SMBG for FGM was significantly higher than that for CGM (19.5% ± 13.2% vs 8.1% ± 7.6%, P < .0001). Parkes error grid analysis of 2496 paired ISFG levels between FGM and CGM showed that 53.6%, 46.2%, and 0.2% of the plots fell into zones A, B, and C, respectively. Mean ISFG levels were lower with FGM than with CGM (143.7 ± 67.2 mg/dL vs 164.6 ± 58.5 mg/dL; P < .0001). Mean absolute relative difference of ISFG levels between FGM and CGM was 19.2% ± 13.8%. Among three groups classified according to CGM ISFG levels (hypoglycemia, <70 mg/dL; euglycemia, 70-180 mg/dL; and hyperglycemia, >180 mg/dL), the MARDs for hypoglycemia (31.9% ± 25.0%) and euglycemia (22.8% ± 14.6%) were significantly higher than MARD for hyperglycemia (13.0% ± 8.5%) ( P < .0001 in both). Conclusions: Flash glucose monitoring may be clinically acceptable. Average ISFG levels were lower with FGM than with CGM, and MARDs were higher for hypoglycemia and euglycemia in patients with T2DM undergoing hemodialysis.
Introduction of a standardised protocol, including systematic use of tranexamic acid, for management of severe adult trauma patients in a low-resource setting: the MSF experience from Port-au-Prince, Haiti
Authors: Jachetti Alessandro , Massénat Rose Berly , Edema Nathalie , Woolley Sophia C. , Benedetti Guido , Van Den Bergh Rafael , Trelles Miguel 
Published: October 2019

Abstract

Background
Bleeding is an important cause of death in trauma victims. In 2010, the CRASH-2 study, a multicentre randomized control trial on the effect of tranexamic acid (TXA) administration to trauma patients with suspected significant bleeding, reported a decreased mortality in randomized patients compared to placebo. Currently, no evidence on the use of TXA in humanitarian, low-resource settings is available. We aimed to measure the hospital outcomes of adult patients with severe traumatic bleeding in the Médecins Sans Frontières Tabarre Trauma Centre in Port-au-Prince, Haiti, before and after the implementation of a Massive Haemorrhage protocol including systematic early administration of TXA.

Methods
Patients admitted over comparable periods of four months (December2015- March2016 and December2016 - March2017) before and after the implementation of the Massive Haemorrhage protocol were investigated. Included patients had blunt or penetrating trauma, a South Africa Triage Score ≥ 7, were aged 18–65 years and were admitted within 3 h from the traumatic event. Measured outcomes were hospital mortality and early mortality rates, in-hospital time to discharge and time to discharge from intensive care unit.

Results
One-hundred and sixteen patients met inclusion criteria. Patients treated after the introduction of the Massive Haemorrhage protocol had about 70% less chance of death during hospitalization compared to the group “before” (adjusted odds ratio 0.3, 95%confidence interval 0.1–0.8). They also had a significantly shorter hospital length of stay (p = 0.02).

Conclusions
Implementing a Massive Haemorrhage protocol including early administration of TXA was associated with the reduced mortality and hospital stay of severe adult blunt and penetrating trauma patients in a context with poor resources and limited availability of blood products.
Stroke follow-up in primary care: a Norwegian modelling study on the implications of multimorbidity for guideline adherence
Authors: Pedersen Rune Aakvik , Petursson Halfdan , Hetlevik Irene 
Published: October 2019

Abstract

Background
Specialized acute treatment and high-quality follow-up is meant to reduce mortality and disability from stroke. While the acute treatment for stroke takes place in hospitals, the follow-up of stroke survivors largely takes place in general practice. National guidelines give recommendations for the follow-up. However, previous studies suggest that guidelines are not sufficiently adhered to. It has been suggested that this might be due to the complexity of general practice. A part of this complexity is constituted by patients’ multimorbidity; the presence of two or more chronic conditions in the same person. In this study we investigated the extent of multimorbidity among stroke survivors residing in the communities. The aim was to assess the implications of multimorbidity for the follow-up of stroke in general practice.

Methods
The study was a cross sectional analysis of the prevalence of multimorbidity among stroke survivors in Mid-Norway. We included 51 patients, listed with general practitioners in 18 different clinics. The material consists of the general practitioners’ medical records for these patients. The medical records for each patient were reviewed in a search for diagnoses corresponding to a predefined list of morbidities, resulting in a list of chronic conditions for each participant. These 51 lists were the basis for the subsequent analysis. In this analysis we modelled different hypothetical patients and assessed the implications of adhering to all clinical guidelines affecting their diseases.

Result
All 51 patients met the criteria for multimorbidity. On average the patients had 4.7 (SD: 1.9) chronic conditions corresponding to the predefined list of morbidities. By modelling implications of guideline adherence for a patient with an average number of co-morbidities, we found that 10–11 annual consultations with the general practitioner were needed for the follow-up of the stable state of the chronic conditions. More consultations were needed for patients with more complex multimorbidity.

Conclusions
Multimorbidity had a clear impact on the basis for the follow-up of patients with stroke in general practice. Adhering to the guidelines for each condition is challenging, even for patients with few co-morbidities. For patients with complex multimorbidity, adhering to the guidelines is obviously unmanageable.
Perceived barriers and facilitators of the implementation of a combined lifestyle intervention with a financial incentive for chronically ill patients
Authors: Molema C. C. M. , Wendel-Vos G. C. W. , ter Schegget S. , Schuit A. J. , van de Goor L. A. M. 
Published: October 2019

Abstract

Background
This study aims to describe barriers and facilitators of the implementation of a combined lifestyle intervention (CLI) in primary care for patients with chronic disease. The aim of CLI to help patients to create a healthy lifestyle and to maintain this healthy lifestyle. During a CLI a patient receives advice and counselling to improve health-related behavior such as physical activity and diet. Special attention was given to the influence of adding a health promoting financial incentive (HPFI) for the participants to the CLI.

Methods
Twenty-four semi-structured interviews within six care groups were performed between July and October 2017. The interviews were transcribed verbatim and coded by two researchers independently.

Results
Respondents mentioned several preferred characteristics of the CLI such as easy accessibility of the intervention site and the presence of health care professionals during exercise sessions. Moreover, factors that could influence implementation (such as attitude of the health care professionals) and preconditions for a successful implementation of a CLI (such as structural funding and good infrastructure) were identified. Overall, positive HPFIs (e.g. a reward) were preferred over negative HPFIs (e.g. a fine). According to the respondents, HPFIs could positively influence the degree of participation, and break down barriers for participating in and finishing the CLI.

Conclusions
Multiple barriers and facilitators for successful implementation of a CLI were identified. For successful implementing CLIs, a positive attitude of all stakeholders is essential and specific preconditions should be fulfilled. With regard to adding a HPFI, more research is needed to identify the attitude of specific target groups towards an HPFI.
Surgical resection and reconstructive techniques using autologous femoral head bone-grafting in treating partial acetabular defects arising from primary pelvic malignant tumors
Authors: Sun Wei , Zan Pengfei , Ma Xiaojun , Hua Yingqi , Shen Jiakang , Cai Zhengdong 
Published: October 2019

AbstractBackgroundThe aim of this study is to present and evaluate surgical resection and reconstructive techniques using autologous femoral head bone-grafting in treating partial acetabular defects arising from primary pelvic malignant tumors.MethodsFrom January 2009 until January 2015, a total of 20 primary pelvic malignancy cases involving the acetabulum were retrospectively investigated. Surgical resections and reconstructions were conducted based on the type of the tumor with custom osteotomy guides and autologous femoral head bone-grafting. In all cases, prosthesis survival period, complication occurrence, and clinical outcomes data were collected and analyzed.ResultsThirteen male and 7 female patients with an average age of 48 years old (range 23-69 years old) were followed for a median of 69 months (range 48-112 months). Of these cases, 17 included chondrosarcomas and 3 additional patients with a malignant giant cell tumor of bone (MBGCT) as proven by pathology. During follow-up, 3 cases of chondrosarcoma recurred (15%), of which two cases received hemi-pelvic amputation, 1 case of MBGCT relapsed and developed pulmonary metastases. Two cases of acetabular prosthesis with an impending dislocation received closed reduction followed by 6 weeks of hip abduction brace fixation. One case of prosthesis loosening was revised. In another case a deep infection occurred with debridement and prosthesis removal. Musculoskeletal Tumor Society 1993 (MSTS-93) score was utilized to conduct functional evaluation: 13 cases were good, 6 were average and one was poor.ConclusionThe precision of the osteotomies performed is likely crucial for this type of reconstructive strategy to be successful. The use of custom guides for acetabular osteotomies and femoral head reconstruction can improve functional outcomes with relatively low complications at the intermediate length of follow-up.