bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Morphology of Adjectives in the Neo-Aramaic Dialects of ʿAqra
Authors: Al-Zebari Aziz Emmanuel Eliya 
Published: June 2021

Abstract
The present article presents a synchronic description of the morphology of adjectives in the highly endangered Neo-Aramaic dialects of ʿAqra in the Kurdistan region of Iraq. It discusses the morphology of adjectives in these dialects as used in the sixties of the last century. In particular, the article highlights adjectival patterns, inflectional features, and the adaptation of loanwords from Kurdish, Arabic, and Turkish. The article contributes to the description of the grammar of some 150 North-Eastern Neo-Aramaic (NENA) dialects in the Kurdistan region that are gradually falling into disuse, due to internal disputes, wars, economic crises, and globalisation.
The National Weather Service–North Carolina State University Internship Course: Impacts and Success over a Generation
Authors: Green Thomas A. , Leins Daniel , Lackmann Gary M. , Morrow James , Blaes Jonathan 
Published: June 2021

AbstractNearly 100 North Carolina State University (NCSU) students have participated in a unique, highly structured internship course conducted by the National Weather Service (NWS) Weather Forecast Office (WFO) in Raleigh, North Carolina. Here, we explore the impact that this course has had on their professional development and career trajectories. As of this writing, the course has been running for 17 years; this paper provides an update on how the course has changed over time, and information concerning participant outcomes. Changes include a reduction in class size to allow for more individualized mentoring, and the addition of experiences outside of the WFO. The course serves as a compelling selling point in student recruiting for the Department of Marine, Earth, and Atmospheric Sciences (MEAS), and participation also helps to ensure that the curriculum is adequately preparing students for positions in the NWS. The NWS benefits from a pool of potential employees that will require less spin-up time if hired; additionally, some NCSU graduates have participated in similar student volunteer programs at their respective offices once hired.
A Common Base Mode of Asian Summer Monsoon Variability across Timescales
Authors: Wang Xudong , Xie Shang-Ping , Guan Zhaoyong , Wang Minyang 
Published: June 2021

AbstractThe summer intraseasonal oscillation (ISO) is characterized by a northward-moving rainband in the Indo–western Pacific warm pool region. The physical origin of the ISO is not fully understood, as it is masked by strong interaction of convection and circulation. This study examines intraseasonal to interannual variability during June–August over the Indo–western Pacific warm pool region. The results show that the tropical northwest Pacific anomalous anticyclone (NWP-AAC) is a fundamental mode on both intraseasonal and interannual time scales, destabilized by the monsoon mean state, specifically through barotropic energy conversion and convective feedback in the low-level confluence between the monsoon westerlies and easterly trade winds. On the interannual time scale, the NWP-AAC shows a biennial tendency, reversing phase from the summer of El Niño to the summer that follows; the AAC in post–El Niño summer is excited indirectly through sea surface temperature anomalies in the Indo–NWP. On the intraseasonal time scale, the column-integrated moisture advection causes the NWP-AAC-related convection to propagate northward. Our results provide a unifying view of multiscale Asian summer monsoon variability, with important implications for subseasonal to seasonal prediction.
Marketing Healthy Food in an African City: Consumer Motivations for Adopting Orange-Fleshed Sweet Potato in Maputo, Mozambique
Authors: Brouwer Roland 
Published: June 2021

Since the late 1990s, the International Potato Center has promoted orange-fleshed sweet potato (OFSP) cultivars in Mozambique as a healthy food, emphasizing its capacity to reduce the prevalence of vitamin A deficiency among mothers and young children. This article seeks to reveal why consumers in Maputo, the capital city of Mozambique, adopt or reject OFSP looking at the role of food systems and consumer characteristics in access and acceptance of healthy food and at the positioning of OFSP on the market in terms of lifestyle and need satisfaction. The results of 255 street interviews confirm that OFSP is widely known. Information reaches people mainly via informal channels (relatives and retailers). Nonadoption is the result of the positioning of OFSP as food for young children and sick people. The OFSP appeals most to the hedonistic and conservative lifestyle segments. Adoption is associated with the perception of OFSP as a source of vitamins that builds up muscles and improves physical appearance and self-fulfillment. While women are typically responsible for domestic tasks, male adopters emphasize the role of OFSP in family health and well-being more than female adopters. This first attempt to understand the marketing of healthy food in Mozambique exposes many similarities between the urban consumers in Maputo and those in developed countries. The results indicate that future marketing should exploit informal channels such as vendors and emphasize its nutritious value for all consumers instead of focusing on mothers and young children.
The Importance of Education for Middle- and Old-Age Mortality in Chile: Estimates From Panel Data Linked to Death Records
Authors: Sandoval Moisés H. , Turra Cássio M. , Luz Luciana 
Published: June 2021

Objectives To examine the association between education and mortality by age and gender in Chile. Methods We drew data from 10,147 adults aged 40 years and over from the Chilean Social Protection Survey linked to the national death records. We specify five Cox regression models to estimate the main and interaction effects for education levels, age, sex, and mortality. Results The hazard ratios reduce with increasing education. Secondary and tertiary education levels are associated, respectively, with 34% and 41% lower hazard rates than 0–4 years of schooling. Also, the educational gradient in mortality is significantly weaker at older ages, and it does not differ by gender. Discussion Our findings endorse the negative association of formal education with adult mortality, uncovering Chile’s structural problems despite the economic improvements underway. It also corroborates the importance of novel longitudinal data for mortality analyses in Latin America.
A Human Reliability Assessment of Marine Engineering Students through Engine Room Simulator Technology
Authors: Kandemir, Cagatay , Celik Metin 
Published: June 2021

Background It is widely accepted that the simulators are important technological instruments which can be utilized as an effective assessment tool in various domains Developing technologies allow the functionality levels of simulators to increase behavioural realism. For this reason, students in higher educations are involved in various useful practices using simulators. Purpose In this respect, simulators can also provide great opportunities to conduct analysis through human error on which this study conceptualized. Model In this context, this study proposes a human error evaluation approach through simulator technology whilst taking advantage of the SOHRA (Shipboard Operation Human Reliability Analysis) method. As a case study, the proposed approach was applied to a simulator environment with the involvement of marine engineering students. Throughout this case, the students were challenged with various error producing conditions (EPCs) while their performances were observed. Results The attendees were achieved good practice when confronted with EPC23 (unreliable instruments), EPC17 (inadequate checking), and EPC5 (spatial & functional incompatibility). However, the points open for improvement are found on EPC2 (time shortage), EPC24 (absolute judgments required), EPC18 (objectives conflict) and EPC9 (technical unlearning). Conclusion This framework can be utilized in simulator-based training activities to increase operational awareness of marine engineering students. The recent developments in simulator technology can boost the effectiveness of the proposed framework.
Assessment of Risk Factors and Consequences of Mental Health Problems Among Mental Health Patients Admitted in Felege Hiwot Referral Hospital, Bahir Dar, Ethiopia
Authors: Yasegnal Awgchew Shimelash 
Published: June 2021

Introduction Mental health problem is a syndrome characterized by clinically significant disturbance in an individual’s cognition, emotion regulation, or behavior that reflects a dysfunction in the psychological, biological, or developmental processes underlying mental functioning. Objective To assess the risk factors and consequence of mental health problems among patients admitted in Felege Hiwot Referal Hospital in Bahir Dar, Ethiopia. Methodology: Phenomenological research design was used to conduct this study. Using available sampling, a total of 10 participants were involved. Interview was used as a means of collecting the data. The data was analyzed by thematic and narration techniques of analysis. Result Early life experience, social crises, economic problem, biological causes like brain damage and injury, heredity, drug use, and traditional believes such as sin, curse, witchcraft, evil spirit, herbal medicine are found to be the risk factors. Low self esteem, loneliness, hopelessness, economic problem, suicidal attempt, unable to detect the need of the patients, history taking challenge, low level of patience, low drug adherence, and counter transference are found to be the consequence of mental health problem. Conclusion People with mental health problem in the long run are highly prone to suicidal attempt and commitment as a result mental health problem. Recommendations: Concerned government bodies/Health Bureau/and the people shall work on the problems proactively and minimize the consequences through intensive follow up of people with mental health problems.
Acquired acoria and iris pearls in leprosy: Case report
Authors: Morais Luciana Negrão Almeida , David Joacy Pedro Franco , Peres Lima João Victor , Demachki Samia , Diniz Daniel Guerreiro , Almeida Edmundo Frota de 
Published: June 2021

Purpose: To describe a case of a patient presenting with acquired acoria and iris pearls, a rare eye manifestation and pathognomonic finding for leprosy; to reinforce clinical, histopathological, and therapeutic aspects of ocular involvement in leprosy. Methods: Case report. Case description: A 62-year-old male presenting with acquired acoria and iris pearls in both eyes due to leprosy also had anterior uveitis and cataract. Histopathological diagnosis of iris pearls was confirmed by the presence of Hansen’s bacilli. Ophthalmological examination revealed improvement of the visual acuity after iridectomy and extracapsular cataract extraction. Conclusions: To our knowledge, this is the first reported case of acquired acoria in a leprosy patient. It led to impaired vision and reversible blindness. Proper diagnosis and ophthalmological treatment of patients with these conditions are essential for the maintenance of a good quality of life.
TSH Mediated the Effect of Iodized Salt on Child Cognition in a Randomized Clinical Trial
Authors: Mohammed Husein , Marquis Grace S , Aboud Frances , Bougma Karim , Samuel Aregash 
Published: June 2021

Objectives: This study examines the hormonal mediators of the effect of iodized salt in pregnancy on child cognition. Methods: Sixty districts across 6 zones in the Amhara region of Ethiopia were randomly allocated to a control or intervention arm of early market access to iodized salt. Twenty-two villages per arm were randomly selected for this sub-study. A total of 1220 pregnant women who conceived after the intervention began were enrolled and assessed for their iodine and iron status. Data were collected once on the household socio-demographic status and iodized salt use, and maternal urinary iodine during pregnancy. Then, infants’ diet, urinary iodine level, cognitive development (Bayley III), serum hormonal levels, iron status, and inflammation markers were measured between 2 and 13 months of age. Results: The median maternal urinary iodine concentration was adequate and significantly higher in the intervention mothers than that of the controls (163 vs 121 µg/L, P < .0001). Intervention children compared to the control children had lower thyroid-stimulating hormone (TSH) (mean: 2.4 ± 1.0 µIU/mL vs 2.7 ± 1.0 µIU/mL, effect size = 0.18, P < .01) and thyroglobulin (Tg) (41.6 ± 1.0 ng/mL vs 45.1 ± 1.0 ng/mL, effect size = 0.14, P < .05). There was an interaction between the intervention and iron stores such that cognition was higher with iron (effect size = 0.28, 100 vs 94 IQ points). TSH was a partial mediator (12%) of the effect of the intervention on child cognition (Sobel z-score = 2.1 ± 0.06, P < .05). Conclusion: TSH partially mediated the effect of the iodized salt intervention on child cognition.
Analysis of 565 thrombectomies for anterior circulation stroke: A Brazilian registry
Authors: Fornazari Vitor Rodrigues , Castro-Afonso Luís Henrique de , Nakiri Guilherme Seizem , Abud Thiago Giansante , Monsignore Lucas Moretti , Dias Francisco Antunes , Pontes-Neto Octávio Marques , Abud Daniel Giansante 
Published: June 2021

Introduction The benefits of mechanical thrombectomy in the treatment of patients with acute stroke due to large vessel occlusions (LVOs) have been extensively demonstrated by randomized trials and registries in developed countries. However, data on thrombectomy outside controlled trials are scarce in developing countries. The aim of this study was to assess the safety and efficacy, and to investigate the predictors for good and poor outcomes of thrombectomy for treatment of AIS due to anterior circulation LVOs in Brazil. Materials and Methods This was a single center registry of thrombectomy in the treatment of stroke caused by anterior circulation LVOs. Between 2011 and 2019, a total of 565 patients were included. Results the mean baseline NIHSS score on admission was 17.2. The average baseline ASPECTS was 8, and 91.0% of patients scored ≥6. Half of the patients received intravenous thrombolysis. The mean time from symptom onset to arterial puncture was 296.4 minutes. The mean procedure time was 61.4 minutes. The rates of the main outcomes were recanalization (TICI 2b-3) 85.6%, symptomatic intracranial hemorrhage (sICH) 8,1%, good clinical outcome (mRS=0-2) 43,5%, and mortality 22.1% at three months. Conclusions This study demonstrates the efficacy and safety of mechanical thrombectomy for treatment of patients with AIS of the anterior circulation in real-life conditions under limited facilities and resources. The results of the present study were relatively similar to those of large trials and population registers of developed countries.
Increased risk of valvular heart disease in patients with ankylosing spondylitis: a nationwide population-based longitudinal cohort study
Authors: Siao Wun-Zhih , Liu Chin-Hsiu , Wang Yu-Hsun , Wei James Cheng-Chung , Jong Gwo-Ping 
Published: June 2021

Aims: We aimed to evaluate the risk of valvular heart disease (VHD) among patients with ankylosing spondylitis (AS). Methods: This was a population-based cohort study utilizing the Longitudinal Health Insurance Research Database of the National Health Insurance in Taiwan. Patients with and without coding of newly diagnosed AS from 1999 to 2013 were assigned to the AS and non-AS groups, respectively. Primary outcome was the incidental risk of VHD. Multiple Cox regression was used to estimate the adjusted hazard ratio of VHD. Subgroup analysis and sensitivity tests were also conducted. Results: The AS group included 3780 patients, and 22,680 matched subjects without an AS diagnosis were identified as controls. The AS group had an increased risk of VHD compared with non-AS controls (adjusted hazard ratio: 1.63; 95% confidence interval: 1.43–1.86; p < 0.001). Subgroup analysis also revealed an increased risk of individual types of VHD, including aortic, mitral, and tricuspid valve disease. Patients in the AS group had a higher incidence of valve replacement surgery after the onset of VHD. Conclusion: Patients with AS had a significant risk of VHD compared to non-AS controls in this population-based cohort study. Screening for VHD may be needed in caring patients with AS. We suggest that echocardiography may be performed when patients are diagnosed with AS.
Lack of Surgeon Standardization on Implant Selection in Ankle Fracture Fixation May Increase Costs and Decrease Contribution Margin
Authors: Bernstein David N. , Hanna Philip , Merchan Nelson , Rodriguez Edward K. , Appleton Paul T. , Kwon John Y. , Wixted John J. 
Published: June 2021

Background Surgical standardization has been shown to decrease costs without impacting quality; however, there is limited literature on this subject regarding ankle fracture fixation. Methods. Between October 5, 2015 and September 27, 2017, a total of 168 patients with isolated ankle fractures who underwent open reduction, internal fixation (ORIF) were analyzed. Financial data were analyzed across ankle fracture classification type, implant characteristics, and surgeons. Bivariate analyses were conducted. One-way analysis of variance was used to compare hardware costs across all 5 surgeons. Linear regression analysis was used to determine if hardware cost differed by surgeon when accounting for fracture type. Results The mean contribution margin was $4853 (SD $6446). There was a significant difference in implant costs by surgeon (range, lowest-cost surgeon: $471 [SD $283] to $1609 [SD $819]; P < .001). There was no difference in the use of a suture button or locking plate by fracture type (P = .13); however, the cost of the implant was significantly higher if a suture button or locking plate was used ($1014 [SD $666] vs $338 [SD $176]; P < .001). There was an association between surgeon 3 (β = 200.32 [95% CI 6.18-394.47]; P = .043) and surgeon 4 (β = 1131.07 [95% CI 906.84-1355.30]; P < .001) and higher hardware costs. Conclusions Even for the same ankle fracture type, a wide variation in implant costs exists. The lack of standardization among surgeons accounted for a nearly 3.5-fold difference, on average, between the lowest- and highest-cost surgeons, negatively affecting contribution margin. Levels of Evidence Level IV
Patients With Chronic Foot and Ankle Conditions Experience Significant Improvements in Sleep Quality Following Surgical Intervention
Authors: Kunze Kyle N. , Farivar Daniel , Wu Kevin , Holmes George B. , Lee Simon , Lin Johnny , Bohl Daniel D. , Hamid Kamran S. 
Published: June 2021

Background Poor sleep quality is associated with metabolic dysregulation and impaired healing. The purpose of the current study was to quantify the prevalence of poor sleep in patients with atraumatic foot and ankle (F&A) conditions and determine whether surgical treatment is associated with sleep quality improvement. Methods Patients scheduled for surgical management of atraumatic F&A conditions were enrolled by 4 fellowship-trained orthopaedic F&A surgeons between May 2018 and April 2019. Patients completed the Pittsburgh Sleep Quality Index (PSQI) pre- and postoperatively. The PSQI ranges from 0 to 21, with a score ≥5 indicative of poor sleep quality. Patients also reported their perception of how their current F&A pain influenced their sleep quality on a scale of 0 to 10, where 0 indicated no influence and 10 indicated a strong influence (pain perception score [PPS]). Patients with known sleep disorders, acute surgical trauma, and infection were excluded. Results A total of 115 patients were enrolled. The mean preoperative PSQI and PPS were 8.1 ± 3.6 (range, 2-19) and 3.1 ± 2.7 (range, 0-10), respectively. Overall, 86.1% of patients had poor sleep quality (PSQI score ≥5). Similarly, 64.3% of patients had a PPS ≥1, indicating the belief that F&A pain contributed to sleep disturbance. A minimum of 6 months of follow-up was collected for 72 (62.6%) patients. On average, these 72 patients experienced significant improvements in sleep quality (mean PSQI decreased from 7.8 ± 3.2 to 5.4 ± 3.1, P < .001). Of these patients, 59.7% continued to experience poor sleep quality (PSQI ≥5), and 55.6% perceived that F&A pain contributed to sleep disturbance (PPS ≥1). Conclusion In this series, 86.1% of patients presenting for management of atraumatic F&A conditions had poor sleep quality at the time of their initial visit, with 64.3% perceiving their F&A conditions to influence their sleep quality. Improvements in sleep quality were observed at 6 months postoperatively, though over half of patients continued to experience poor sleep quality. The location of pathology and procedure performed was not associated with sleep quality. Levels of Evidence Level IV: Prospective case series
Healthy Lifestyle Counseling by Healthcare Practitioners: A Time to Event Analysis
Authors: Zoltick David , Scribani Melissa Brower , Krupa Nicole , Kern Megan , Vaccaro Eliza , Jenkins Paul 
Published: June 2021

Introduction Medical societies have heavily prioritized preventive care, as evidenced by numerous best practice guidelines supporting counseling patients on lifestyle factors. This report examines preventive counseling by healthcare providers in a rural healthcare system. We utilized electronic medical records to determine whether patient characteristics and chronic conditions were predictors of preventive counseling, and what the average time-interval was before a patient received this counseling. Methods Medical records from a cohort of 395 subjects participating in the 1999 Bassett Health Census Survey were reviewed for documented counseling with respect to smoking cessation, weight management, physical activity, and health condition-related diets (anti-hypertensive and diabetic diets). Results Our analyses revealed extensive delays in counseling for smoking cessation among smokers (median time to counseling = 4.2 years), for weight management among the obese (median time = 4.8 years), and for physical activity for all subjects (median time = 10.9 years). For those with diabetes, a median time of 7.5 years passed before being counseled on a diabetic diet. Hypertensive diet counseling did not occur for more than 50% of hypertensives. Conclusion In this population, we did not find documentation of lifestyle counseling that was in compliance with current guidelines for any of the lifestyle factors. The measurement of actual delay times provides further support for the position that preventive efforts of health care providers need to be improved.