bluuebunny/crossref_metadata_2025_split huggingface dataset:
Epidemiology Surveillance and Capacity Improvement: A Characterization of Texas, 2017
Authors: Stone Kahler W. , Felkner Marilyn , Garza Eric , Perez-Patron Maria , Schmit Cason , McDonald Thomas J. , Horney Jennifer A. 
Published: March 2021

AbstractObjectives:In response to increasing caseloads of foodborne illnesses and high consequence infectious disease investigations, the Texas Department of State Health Services (DSHS) requested funding from the Texas Legislature in 2013 and 2015 for a new state-funded epidemiologist (SFE) program.Methods:Primary cross-sectional survey data were collected from 32 of 40 local health departments (LHDs) via an online instrument and analyzed to quantify roles, responsibilities, and training of epidemiologists in Texas in 2017 and compared to similar state health department assessments.Results:Sixty-six percent of SFEs had epidemiology-specific training (eg, master’s in public health) compared to 45% in state health department estimates. For LHDs included in this study, the mean number of epidemiologists per 100 000 was 0.73 in medium LHDs and 0.46 in large LHDs. SFE positions make up approximately 40% of the LHD epidemiology workforce of all sizes and 56% of medium-sized LHD epidemiology staff in Texas specifically.Conclusions:Through this program, DSHS increased epidemiology capacity almost twofold from 0.28 to 0.47 epidemiologists per 100 000 people. These findings suggest that capacity funding programs like this improve epidemiology capacity in local jurisdictions and should be considered in other regions to improve general public health preparedness and epidemiology capacity.
Non-Pediatric Nurses’ Willingness to Provide Care to Pediatric Patients during a Disaster: An Assessment of Pediatric Surge Capacity in Four Midwestern Hospitals
Authors: Rebmann Terri , Charney Rachel L. , Eschmann Rebecca L. , Fitzpatrick M. Colleen 
Published: March 2021

AbstractObjective:To assess non-pediatric nurses’ willingness to provide care to pediatric patients during a mass casualty event (MCE).Methods:Nurses from 4 non-pediatric hospitals in a major metropolitan Midwestern region were surveyed in the fall of 2018. Participants were asked about their willingness to provide MCE pediatric care. Hierarchical logistical regression was used to describe factors associated with nurses’ willingness to provide MCE pediatric care.Results:In total, 313 nurses were approached and 289 completed a survey (response rate = 92%). A quarter (25.3%, n = 73) would be willing to provide MCE care to a child of any age; 12% (n = 35) would provide care only to newborns in the labor and delivery area, and 16.6% (n = 48) would only provide care to adults. Predictors of willingness to provide care to a patient of any age during an MCE included providing care to the youngest-age children during routine duties, reporting confidence in calculating doses and administering pediatric medications, working in the emergency department, being currently or previously certified in PALS, and having access to pediatric-sized equipment in the unit or hospital.Conclusion:Pediatric surge capacity is lacking among nurses. Increasing nurses’ pediatric care self-efficacy could improve pediatric surge capacity and minimize morbidity and mortality during MCEs.
Factors Associated With Emergency Medical Services Providers’ Acceptance of the Seasonal Influenza Vaccine
Authors: Rosenblum Andrew J. , Wend Christopher M. , Huang Ruthe , Spangler Scott , Barnett Daniel J. , Levy Matthew J. 
Published: March 2021

AbstractObjective:Influenza vaccination remains the most effective primary prevention strategy for seasonal influenza. This research explores the percentage of emergency medical services (EMS) clinicians who received the seasonal flu vaccine in a given year, along with their reasons for vaccine acceptance and potential barriers.Methods:A survey was distributed to all EMS clinicians in Virginia during the 2018-2019 influenza season. The primary outcome was vaccination status. Secondary outcomes were attitudes and perceptions toward influenza vaccination, along with patient care behaviors when treating an influenza patient.Results:Ultimately, 2796 EMS clinicians throughout Virginia completed the survey sufficiently for analysis. Participants were mean 43.5 y old, 60.7% male, and included the full range of certifications. Overall, 79.4% of surveyed EMS clinicians received a seasonal flu vaccine, 74% had previously had the flu, and 18% subjectively reported previous side effects from the flu vaccine. Overall, 54% of respondents believed their agency has influenza or respiratory specific plans or procedures.Conclusions:In a large, state-wide survey of EMS clinicians, overall influenza vaccination coverage was 79.4%. Understanding the underlying beliefs of EMS clinicians remains a critical priority for protecting these frontline clinicians. Agencies should consider practical policies, such as on-duty vaccination, to increase uptake.
Subsystems of transitive subshifts with linear complexity
Authors: DYKSTRA ANDREW , ORMES NICHOLAS , PAVLOV RONNIE 
Published: March 2021

AbstractWe bound the number of distinct minimal subsystems of a given transitive subshift of linear complexity, continuing work of Ormes and Pavlov [On the complexity function for sequences which are not uniformly recurrent. Dynamical Systems and Random Processes (Contemporary Mathematics, 736). American Mathematical Society, Providence, RI, 2019, pp. 125--137]. We also bound the number of generic measures such a subshift can support based on its complexity function. Our measure-theoretic bounds generalize those of Boshernitzan [A unique ergodicity of minimal symbolic flows with linear block growth. J. Anal. Math.44(1) (1984), 77–96] and are closely related to those of Cyr and Kra [Counting generic measures for a subshift of linear growth. J. Eur. Math. Soc.21(2) (2019), 355–380].
Development of the early Cambrian oryctocephalid trilobiteOryctocarella duyunensisfrom western Hunan, China
Authors: Dai Tao , Hughes Nigel C. , Zhang Xingliang , Peng Shanchi 
Published: March 2021

AbstractAbundant articulated specimens of the oryctocarine trilobiteOryctocarella duyunensisfrom the lower Cambrian (Stage 4, Series 2) Balang Formation at the Bulin section in western Hunan Province, South China, permit the description of all meraspid degrees. The maximum number of thoracic segments observed in this collection is 11. Meraspid growth was accompanied by progressive and gradual change in overall form, and this animal showed an homonymously segmented trunk with variation in the number of pygidial segments during ontogeny. Such variation permits a variety of plausible explanations, but a model of successive instars defined by the number of thoracic segments, and in suborder by the number of pygidial segments, is highly unlikely to explain the growth pattern because it would result in the loss of trunk segments between some instars. Degree-based ontogenetic staging is compatible with the variation observed.
Estimating the frequency of coincidental spatial associations between Clovis artifacts and proboscidean remains in North America
Authors: Mackie Madeline E. , Haas Randall 
Published: March 2021

AbstractThe extent to which Clovis peoples hunted proboscideans is debated. Convention requires that for a proboscidean butchery site to be accepted, contemporaneous artifacts must be spatially associated with faunal remains, and there must be evidence of use of the remains. Fourteen sites in North America currently meet those criteria; at least 31 do not. While these are reasonable requirements for avoiding false positives, such an approach risks identifying false negatives—rejecting spatial associations that are systemic associations. Given the known distributions of Clovis and proboscidean sites, how likely is it that artifacts are coincidentally associated with proboscidean remains? Conversely, how many spatial associations could be unrecognized butchery sites? To answer these questions, we simulated chance associations by plotting empirically informed densities and sizes of archaeological and proboscidean sites on simulated landscapes in which people and animals are (a) uniformly distributed and (b) tethered to water sources. The simulated frequencies of coincidental associations were compared to the observed frequency of co-occurrences. Our results suggest that of the 31 indeterminate empirical associations, at least 17 and as many as 26 are likely systemic associations, more than doubling previous estimates and revealing a greater role of humans in Pleistocene proboscidean exploitation than previously recognized.
Shared genetic architecture across psychiatric disorders
Authors: Grotzinger Andrew D. 
Published: March 2021

AbstractPsychiatric disorders overlap substantially at the genetic level, with family-based methods long pointing toward transdiagnostic risk pathways. Psychiatric genomics has progressed rapidly in the last decade, shedding light on the biological makeup of cross-disorder risk at multiple levels of analysis. Over a hundred genetic variants have been identified that affect multiple disorders, with many more to be uncovered as sample sizes continue to grow. Cross-disorder mechanistic studies build on these findings to cluster transdiagnostic variants into meaningful categories, including in what tissues or when in development these variants are expressed. At the upper-most level, methods have been developed to estimate the overall shared genetic signal across pairs of traits (i.e. single-nucleotide polymorphism-based genetic correlations) and subsequently model these relationships to identify overarching, genomic risk factors. These factors can subsequently be associated with external traits (e.g. functional imaging phenotypes) to begin to understand the makeup of these transdiagnostic risk factors. As psychiatric genomic efforts continue to expand, we can begin to gain even greater insight by including more fine-grained phenotypes (i.e. symptom-level data) and explicitly considering the environment. The culmination of these efforts will help to inform bottom-up revisions of our current nosology.
Attitudinal Theories of Pleasure andDe ReDesires
Authors: Ventham Elizabeth 
Published: March 2021

AbstractThis article has two main aims. First, it will defend an ‘attitudinal’ account of pleasure, that is, an account of what it is that makes an experience pleasurable for a subject that explains it in terms of a certain kind ofde redesire that the subject has towards that experience. Second, in doing so, the article aims to further our understanding of unconscious desires, and of what the subjects of such desires can be. The article begins by introducing two existing accounts of what makes an experience pleasurable. It then offers a diagnosis of a recent objection to attitudinal accounts from Bramble and existing responses from attitudinal theorists, arguing that the two positions are currently at a stalemate. After this, I argue for the possible existence of unknowable and unconsciousde redesires, and show how such desires provide the best defence of such ‘attitudinal’ accounts.
Data quality methods through remote source data verification auditing: results from the Congenital Cardiac Research Collaborative
Authors: Pettus Joelle A. , Pajk Amy L. , Glatz Andrew C. , Petit Christopher J. , Goldstein Bryan H. , Qureshi Athar M. , Nicholson George T. , Meadows Jeffery J. , Zampi Jeffrey D. , Law Mark A. , Shahanavaz Shabana , Kelleman Michael S. , McCracken Courtney M. ,   the Congenital Cardiac Research Collaborative
Published: March 2021

AbstractBackground:Multicentre research databases can provide insights into healthcare processes to improve outcomes and make practice recommendations for novel approaches. Effective audits can establish a framework for reporting research efforts, ensuring accurate reporting, and spearheading quality improvement. Although a variety of data auditing models and standards exist, barriers to effective auditing including costs, regulatory requirements, travel, and design complexity must be considered.Materials and methods:The Congenital Cardiac Research Collaborative conducted a virtual data training initiative and remote source data verification audit on a retrospective multicentre dataset. CCRC investigators across nine institutions were trained to extract and enter data into a robust dataset on patients with tetralogy of Fallot who required neonatal intervention. Centres provided de-identified source files for a randomised 10% patient sample audit. Key auditing variables, discrepancy types, and severity levels were analysed across two study groups, primary repair and staged repair.Results:Of the total 572 study patients, data from 58 patients (31 staged repairs and 27 primary repairs) were source data verified. Amongst the 1790 variables audited, 45 discrepancies were discovered, resulting in an overall accuracy rate of 97.5%. High accuracy rates were consistent across all CCRC institutions ranging from 94.6% to 99.4% and were reported for both minor (1.5%) and major discrepancies type classifications (1.1%).Conclusion:Findings indicate that implementing a virtual multicentre training initiative and remote source data verification audit can identify data quality concerns and produce a reliable, high-quality dataset. Remote auditing capacity is especially important during the current COVID-19 pandemic.
Large aneurysms and pseudoaneurysms of surgically reconstructed right ventricular outflow tracts
Authors: Tomasulo Catherine E. , Ravishankar Chitra , Natarajan Shobha , Mascio Christopher E. , Glatz Andrew C. 
Published: March 2021

AbstractAneurysm and pseudoaneurysm development is a known, albeit uncommon, complication after right ventricular outflow tract surgical reconstruction. Large right ventricular outflow tract aneurysms and pseudoaneurysms have not been extensively described in recent literature and we report our experience with this unusual complication in five patients at our institution over the last 8 years. Although uncommon, this complication has potentially important clinical implications. Thus, clinicians should be aware of its potential, particularly in certain anatomic conditions.
Cognitive restructuring in the multilingual mind: language-specific effects on processing efficiency of caused motion events in Cantonese–English–Japanese speakers
Authors: Wang Yi , Wei Li 
Published: March 2021

AbstractThe current study explores how multilingual speakers with three typologically different languages (satellite-framed, verb-framed and equipollent-framed) encode and gauge event similarity in the domain of caused motion. Specifically, it addresses whether, and to what extent, the acquisition of an L2-English and an L3-Japanese reconstructs the lexicalization and conceptualization patterns established in the L1-Cantonese when the target language is actively involved in the decision-making process. Results show that multilingual speakers demonstrated an ongoing process of cognitive restructuring towards the target language (L3) in both linguistic encoding (event structures and semantic representations) and non-linguistic conceptualization (reaction time). And the degree of the restructuring is modulated by the amount of language contact with the L2 and L3. The study suggests that learning a language means internalizing a new way of thinking and provides positive evidence for L3-biased cognitive restructuring within the framework of thinking-for-speaking.
Blind spots in stigma research? Broadening our perspective on mental illness stigma by exploring ‘what matters most’ in modern Western societies
Authors: Schomerus G. , Angermeyer M. C. 
Published: March 2021

AbstractAimsThe theory of ‘what matters most’ (WMM) has been developed to understand differences in mental illness stigma between cultures, postulating that stigma becomes most pervasive in situations that matter most in a specific cultural context. The rise of populism in Western societies demonstrates that also within one cultural context, different values ‘matter most’ to different groups. We expand the WMM framework to explore the spectrum of stigma manifestations within Western societies, relating it to both conservative/authoritarian and liberal/modern values. From our findings, we will develop hypotheses on how further research into value orientations and stigma might address potential blind spots in stigma research.MethodsBased on a narrative review of the literature on mental illness stigma and value orientations, we apply the WMM framework to cultural mechanisms of stigma within modern Western societies.ResultsThere are several studies showing an association between traditional, authoritarian, conservative values with stronger mental illness stigma, while studies examining the stigma within liberal, modern value orientations are scarce. We hypothesise on situations where encountering a person with mental illness could threaten liberal values and thus might provoke stigma among persons with such value orientations. For example, living with a person with mental illness could be seen as consuming energy and time, thereby jeopardising ‘self-actualisation’, the modern value of realising one's own full potential. As a result, a person highly valuing self-actualisation might try to avoid contact with persons with mental illness. Instances of potential ‘liberal stigma’ also include structural stigma or self-stigma, when, e.g. changing assumptions of what is considered ‘normal’ increase perceptions of being fundamentally different when experiencing mental illness.Conclusions‘WMM’ appears to be a useful framework to direct research to potential blind spots within the field of stigma research. Looking at instances where liberal values conflict with dealing with a person with mental illness could provide a more comprehensive understanding of stigma experiences among persons with mental illness. However, for measuring stigma, tapping into liberal variations of mental illness stigma is methodologically challenging. Qualitative work could be the first step to elicit potential stigma experiences based on conflicts with liberal values.
Simulation of Fluvial Patterns With GANs Trained on a Data Set of Satellite Imagery
Authors: Nesvold Erik , Mukerji Tapan 
Published: March 2021

AbstractModels that can generate realistic Earth surface patterns are important both for geomorphological applications and as prior models for underdetermined inverse problems. Generative machine learning methods such as GANs and the increasing availability of large remote sensing data sets represents an exciting combination for this purpose. Several studies show promising results for GANs trained on artificial data sets in geostatistics, but it is necessary to further quantify how well such models reproduce and generalize real data. The conditioning ability of GANs is often evaluated based on output which originates from a trained generator. In reality, geophysical data necessarily arises from elsewhere. Here, we use more realistic training data than in previous studies and evaluate performance using an extensive set of metrics and real images outside the training data set. The data set consists of multispectral satellite imagery of 38 large river deltas, a type of Earth surface pattern which is limited in number. The channel network is used to create training images with four sedimentary facies, which are subsequently used to train a Wasserstein GAN of deltaic 2D patterns. GANs successfully reproduce all training data characteristics and produce manifold the number of combinations with respect to the training data. However, there does not seem to be an infinite number of discrete combinations of facies, and the posterior landscapes are not well‐shaped for efficient exploration in the presence of so‐called hard data. Thus, GANs should have many exciting applications in geosciences, but it will depend on the type of measurement data.
Revisiting the Global Patterns of Seasonal Cycle in Sea Surface Salinity
Authors: Yu Lisan , Bingham Frederick M. , Lee Tong , Dinnat Emmanuel P. , Fournier Severine , Melnichenko Oleg , Tang Wenqing , Yueh Simon H. 
Published: March 2021

AbstractArgo profiling floats and L‐band passive microwave remote sensing have significantly improved the global sampling of sea surface salinity (SSS) in the past 15 years, allowing the study of the range of SSS seasonal variability using concurrent satellite and in situ platforms. Here, harmonic analysis was applied to four 0.25° satellite products and two 1° in situ products between 2016 and 2018 to determine seasonal harmonic patterns. The 0.25° World Ocean Atlas (WOA) version 2018 was referenced to help assess the harmonic patterns from a long‐term perspective based on the 3‐year period. The results show that annual harmonic is the most characteristic signal of the seasonal cycle, and semiannual harmonic is important in regions influenced by monsoon and major rivers. The percentage of the observed variance that can be explained by harmonic modes varies with products, with values ranging between 50% and 72% for annual harmonic and between 15% and 19% for semiannual harmonic. The large spread in the explained variance by the annual harmonic reflects the large disparity in nonseasonal variance (or noise) in the different products. Satellite products are capable of capturing sharp SSS features on meso‐ and frontal scales and the patterns agree well with the WOA 2018. These products are, however, subject to the impacts of radiometric noises and are algorithm dependent. The coarser‐resolution in situ products may underrepresent the full range of high‐frequency small scale SSS variability when data record is short, which may have enlarged the explained SSS variance by the annual harmonic.
A Global LIS/OTD Climatology of Lightning Flash Extent Density
Authors: Peterson Michael , Mach Douglas , Buechler Dennis 
Published: March 2021

AbstractPrevious lightning climatologies derived from Lightning Imaging Sensor (LIS) and Optical Transient Detector (OTD) total lightning measurements have quantified lightning frequency as a Flash Rate Density (FRD). This approach assumes that lightning flashes can be represented as points and quantifies the frequency of lightning centered in each grid cell. However, lightning has a finite extent that can reach hundreds of kilometers. A new climatology based on Flash Extent Density (FED) is constructed for LIS (including ISS‐LIS) and OTD that accounts for the horizontal dimension of lightning. The FED climatology documents the frequency that an observer can expect lightning to be visible overhead—regardless of where the flash began or ended. This new FED climatology confirms and elaborates on the previous global LIS/OTD FRD and Americas‐only Geostationary Lightning Mapper (GLM) findings. The FED climatology maintains Lake Maracaibo as the global lightning hotspot with an average of 389 flashes/day but designates Karabre in the Democratic Republic of the Congo as the global thunderstorm duty (percent of the total viewtime where lightning is observed) hotspot at 7.29%. Meanwhile, Kuala Lumpur is the national capital city with the most lightning, and its airport (KUL) is the top major airport affected by lightning (in terms of duty). The FED seasonal cycle and month‐to‐month changes in the “center of lightning” for the three continental chimney regions are also discussed.