bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Appropriation and Weaponisation of the Crusades in the Modern Era
Authors: Roche Jason T. 
Published: December 2021

Abstract
The introductory article proposes the hypothesis, which informed the decision making and editorial work in the present volume, that appropriations and weaponisations of the crusades in the modern era rely on culturally embedded master narratives of the past that are often thought to encompass public or cultural memories. Crucially, medievalism, communicated through metonyms, metaphors, symbols and motifs frequently acts as a placeholder instead of the master narratives themselves. The article addresses differences between medievalists’ and modernists’ conceptions of crusades, especially highlighting how the very meaning of words – such as crusade – differ in the respective fields. But the matter at hand goes beyond semantics, for the notion that the act of crusading is a live and potent issue is hard to ignore. There exists a complex and multifaceted crusading present. That people can appeal to master narratives of the crusades via mutable medievalism, which embodies zero-sum, Manichaean-type “clash of civilisations” scenarios, helps explain the continued appeal of the crusades to those who seek to weaponise them. It is hoped that the contributions to the special issue, introduced towards the end of the article, further a better understanding of the ways this has happened in the modern era.
Moist Static Potential Vorticity Budget in Tropical Motion Systems
Authors: Adames Ángel F. , Martes Rosa M. Vargas , Luo Haochang , Rood Richard B. 
Published: December 2021

Abstract
Analyses of simple models of moist tropical motion systems reveal that the column-mean moist static potential vorticity (MSPV) can explain their propagation and growth. The MSPV is akin to the equivalent PV except it uses moist static energy (MSE) instead of the equivalent potential temperature. Examination of an MSPV budget that is scaled for moist off-equatorial synoptic-scale systems reveals that α, the ratio between the vertical gradients of latent and dry static energies, describes the relative contribution of dry and moist advective processes to the evolution of MSPV. Horizontal advection of the moist component of MSPV, a process akin to horizontal MSE advection, governs the evolution of synoptic-scale systems in regions of high humidity. On the other hand, horizontal advection of dry PV predominates in a dry atmosphere. Derivation of a “moist static” wave activity density budget reveals that α also describes the relative importance of moist and dry processes to wave activity amplification and decay. Linear regression analysis of the MSPV budget in eastern Pacific easterly waves shows that the MSPV anomalies originate over the eastern Caribbean and propagate westward due to dry PV advection. They are amplified by the fluxes of the moist component of MSPV over the Caribbean Sea and over the eastern Pacific from 105° to 130°W, underscoring the importance of moist processes in these waves. On the other hand, dry PV convergence amplifies the waves from 90° to 100°W, likely as a result of the barotropic energy conversions that occur in this region.
Longwave Radiation Corrections for the OMNI Buoy Network
Authors: Joseph K. Jossia , Tandon Amit , Venkatesan R. , Farrar J. Thomas , Weller Robert A. 
Published: December 2021

Abstract
The inception of a moored buoy network in the northern Indian Ocean in 1997 paved the way for systematic collection of long-term time series observations of meteorological and oceanographic parameters. This buoy network was revamped in 2011 with Ocean Moored buoy Network for north Indian Ocean (OMNI) buoys fitted with additional sensors to better quantify the air–sea fluxes. An intercomparison of OMNI buoy measurements with the nearby Woods Hole Oceanographic Institution (WHOI) mooring during the year 2015 revealed an overestimation of downwelling longwave radiation (LWR↓). Analysis of the OMNI and WHOI radiation sensors at a test station at National Institute of Ocean Technology (NIOT) during 2019 revealed that the accurate and stable amplification of the thermopile voltage records along with the customized datalogger in the WHOI system results in better estimations of LWR↓. The offset in NIOT measured LWR↓ is estimated first by segregating the LWR↓ during clear-sky conditions identified using the downwelling shortwave radiation measurements from the same test station, and second, finding the offset by taking the difference with expected theoretical clear-sky LWR↓. The corrected LWR↓ exhibited good agreement with that of collocated WHOI measurements, with a correlation of 0.93. This method is applied to the OMNI field measurements and again compared with the nearby WHOI mooring measurements, exhibiting a better correlation of 0.95. This work has led to the revamping of radiation measurements in OMNI buoys and provides a reliable method to correct past measurements and improve estimation of air–sea fluxes in the Indian Ocean.

Significance Statement
Downwelling longwave radiation (LWR↓) is an important climate variable for calculating air–sea heat exchange and quantifying Earth’s energy budget. An intercomparison of LWR↓ measurements between ocean observing platforms in the north Indian Ocean revealed a systematic offset in National Institute of Ocean Technology (NIOT) Ocean Moored buoy Network for north Indian Ocean (OMNI) buoys. The observed offset limited our capability to accurately estimate air–sea fluxes in the Indian Ocean. The sensor measurements were compared with a standard reference system, which revealed problems in thermopile amplifier as the root cause of the offset. This work led to the development of a reliable method to correct the offset in LWR↓ and revamping of radiation measurements in NIOT-OMNI buoys. The correction is being applied to the past measurements from 12 OMNI buoys over 8 years to improve the estimation of air–sea fluxes in the Indian Ocean.
Communicating Properties of Changes in Lagged Weather Forecasts
Authors: Jewson Stephen , Scher Sebastian , Messori Gabriele 
Published: December 2021

Abstract
Weather forecasts, seasonal forecasts, and climate projections can help their users make good decisions. It has recently been shown that when the decisions include the question of whether to act now or wait for the next forecast, even better decisions can be made if information describing potential forecast changes is also available. In this article, we discuss another set of situations in which forecast change information can be useful, which arise when forecast users need to decide which of a series of lagged forecasts to use. Motivated by these potential applications of forecast change information, we then discuss a number of ways in which forecast change information can be presented, using ECMWF reforecasts and corresponding observations as illustration. We first show metrics that illustrate changes in forecast values, such as average sizes of changes, probabilities of changes of different sizes, and percentiles of the distribution of changes, and then show metrics that illustrate changes in forecast skill, such as increase in average skill and probabilities that later forecasts will be more accurate. We give four illustrative numerical examples in which these metrics determine which of a series of lagged forecasts to use. In conclusion, we suggest that providers of weather forecasts, seasonal forecasts, and climate projections might consider presenting forecast change information, in order to help forecast users make better decisions.

Significance Statement
In certain situations, decisions that are made using weather and climate predictions could be improved if information about possible future changes in the predictions were also made available. We discuss these situations, and present a number of ways that providers of forecasts could present such information.
Misinformation and Instant Access: Inconsistent Reporting during Extreme Climatic Events, Reflecting on Tropical Cyclone Idai
Authors: Fraser Keegan , Fitchett Jennifer M. 
Published: December 2021

AbstractIn an era of globalization, the spread of misinformation is becoming increasingly problematic. The dissemination of inaccurate and conflicting news on events such as tropical cyclones can result in people being placed at increased risk and can negatively influence the amount of aid received by the affected region. This study scrutinizes media articles and, with the use of comparative analysis, uncovers the potential cause of misinformation in disaster journalism. The results of the study found that 59% (n= 80) of the articles reported on wind speed values and 80% (n= 80) of the articles reported on the number of fatalities. Results indicate that 44% (n= 80) of the articles used official sources, uncovering that a potential source of misinformation is not only what is provided to journalists from official sources but also how the various sources can lead to contradicting news articles. The variations in news reports can be attributed to factors such as the influx of different reports and the changing conditions during a disaster, all of which make consistent reporting on a disaster a challenging process.
Automated Dispensing Cabinet Functionality Expansion to Reduce Controlled Substance Inventory Discrepancies
Authors: Rhodes James A. M. , McCarthy Bryan C. , Scott Anthony C. 
Published: December 2021

Background: Automated dispensing cabinets have the potential to create technology-induced errors that can arise during controlled substance medication dispensing. Despite enhancements made to the medication use process, the impact of ADC functionality on technology-induced controlled substance discrepancies have yet to be described. Objective: To evaluate the impact of ADC functionality expansion on technology-induced errors such as controlled substance discrepancies created during “blind inventory counts” and cassette dispensing errors. Methods: This quasi-experimental study was conducted over 18 months that evaluated the expanded use of dispensing cassettes within 8 ADCs at the University of Chicago Medicine. Unit-dose controlled substances with high usage were directed for inventory reassignment to cassettes. Controlled substance dispenses, blind inventory counts discrepancies and cassette dispensing errors were evaluated before and after cassette expansion. ADC discrepancy and Cassette Dispensing Error rates were calculated using 1-week segments across the study period. Results: Of the 64 040 dispenses during the study period, the proportion of cassette dispenses increased from 16% to 72% after cassette expansion. Controlled substance discrepancies decreased from 11 to 7 discrepancies for every 1000 dispenses ( P < .0001). After cassette expansion, cassette dispensing errors increased to roughly 28 errors for every 1000 dispenses ( P < .0001). Conclusion: Expansion of ADC functionality created opportunities for reduced technology-induced controlled substance discrepancy rates at the expense of increased cassette dispensing errors.
Death and COVID-19 Anxiety in Home-Quarantined Individuals Aged 65 and Over During the Pandemic
Authors: Aslaner Hümeyra , Özen Betül , Erten Zeliha K. , Gökçek Mebrure Beyza 
Published: December 2021

Urgent measures were taken for those at the age of 65 and over who were at the risk group all over the world due to the COVID-19 pandemic. It is known that many individuals at the age of 65 and over have experienced anxiety due to the uncertainties. This study aimed to determine the anxiety and death anxiety in individuals aged 65 and over who were isolation at home due to being diagnosed with COVID-19 or being in contact during the pandemic process. The study is descriptive and cross-sectional. It was performed with 656 home-quarantined individuals aged between 65–80 years with positive or negative real-time polymerase chain reaction (RT-PCR) test result. A form including questions about the death anxiety and the Coronavirus Anxiety Scale Short Form prepared by the researchers were administered to the individuals by phone call. Of the participants, 49.5% were male. Median COVID-19 anxiety score was 4 (0–18). Anxiety scores of the male and female participants were similar. Participants with negative polymerase chain reaction (PCR) results and those with death anxiety had higher COVID anxiety scores. Death anxiety has increased by 1.661 times in male gender, 1.983 times in RT-PCR positivity and 0.146 times in the presence of symptoms. Individuals with positive COVID-19 test results or those aged 65 and over who had death anxiety and negative COVID-19 test result but who were in home-isolation due to being a contact had higher anxiety score. For this reason, those with death anxiety can be supported in line with their religious beliefs to reduce anxiety. Those with negative PCR test results in quarantine can be adequately informed about the COVID-19.
The effects of atorvastatin on emotional processing, reward learning, verbal memory and inflammation in healthy volunteers: An experimental medicine study
Authors: De Giorgi Riccardo , Martens Marieke , Rizzo Pesci Nicola , Cowen Philip J , Harmer Catherine J 
Published: December 2021

Background: Growing evidence from clinical trials and epidemiological studies suggests that statins can have clinically significant antidepressant effects, potentially related to anti-inflammatory action on several neurobiological structures. However, the underlying neuropsychological mechanisms of these effects remain unexplored. Aims: In this experimental medicine trial, we investigated the 7-day effects of the lipophilic statin, atorvastatin on a battery of neuropsychological tests and inflammation in healthy volunteers. Methods: Fifty healthy volunteers were randomised to either 7 days of atorvastatin 20 mg or placebo in a double-blind design. Participants were assessed with psychological questionnaires and a battery of well-validated behavioural tasks assessing emotional processing, which is sensitive to putative antidepressant effects, reward learning and verbal memory, as well as the inflammatory marker, C-reactive protein. Results: Compared to placebo, 7-day atorvastatin increased the recognition ( p = 0.006), discriminability ( p = 0.03) and misclassifications ( p = 0.04) of fearful facial expression, independently from subjective states of mood and anxiety, and C-reactive protein levels. Otherwise, atorvastatin did not significantly affect any other psychological and behavioural measure, nor peripheral C-reactive protein. Conclusions: Our results reveal for the first time the early influence of atorvastatin on emotional cognition by increasing the processing of anxiety-related stimuli (i.e. increased recognition, discriminability and misclassifications of fearful facial expression) in healthy volunteers, in the absence of more general effects on negative affective bias. Further studies exploring the effects of statins in depressed patients, especially with raised inflammatory markers, may clarify this finding and inform future clinical trials.
“You Just Have to Keep Going, You Can’t Give Up”: Coping mechanisms among young adults with lupus transferring to adult care
Authors: Bitencourt Nicole , Ciosek Ashley , Kramer Justin , Solow E Blair , Bermas Bonnie , Wright Tracey , Nassi Lorien , Makris Una 
Published: December 2021

Introduction Coping mechanisms and emotional regulation are important contributors to psychosocial health during stressful life events. We sought to describe the coping and emotional responses of persons with childhood-onset systemic lupus erythematosus during the transfer from pediatric to adult healthcare. Methods Semi-structured in-depth one-on-one interviews were conducted with 13 young women aged 18–24 of minority background who had transferred to adult care in a public hospital system. Thematic analysis was used to identify themes motifs from the data. Results Participants described the use of (1) problem-focused coping such as the use of clear communication and self-education, (2) adaptive emotion-focused coping such as cognitive reframing and acceptance, (3) social coping including support-seeking, (4) meaning-making coping including positive religious framing and viewing events as learning opportunities for growth, and (5) disengaged coping including denial and social isolation. A range of emotional responses associated with the transfer were described including fear, anger, loss, and feelings of empowerment and excitement. Conclusion Effective coping and emotional regulation are modifiable factors that may impact transfer-related outcomes and psychosocial health. Addressing coping mechanisms is relevant to the optimized transfer to adult care.
Using Focus Groups to Understand Dialysis Staff Perspectives on Delivering Transplant Education
Authors: Kayler Liise K. , Ranahan Molly , Keller Maria , Dolph Beth , H. Feeley Thomas 
Published: December 2021

Introduction Kidney transplant education in dialysis facilities could be optimized with internet resources, like videos, but most qualitative research predates widespread availability of online video education about kidney transplantation. To improve understanding of dialysis staff transplant education practices, as well as the potential value of video, we conducted focus groups of dialysis center staff members in Buffalo, NY. Methods/Approach Seventeen focus groups (97 participants: 53 nurses, 10 dialysis technicians, 6 social workers, 6 dieticians, 7 administrative personnel, 2 trainees, and 1 insurance coordinator) from 8 dialysis facilities in Buffalo, NY, were conducted, audio-recorded, transcribed, and analyzed. After thematic data analysis, a diverse patient and caregiver community advisory board was invited to comment, and their voices were integrated. Findings: Five key themes were identified that captured barriers to transplant education delivery and how online video could be a facilitator: (1) delivery of transplant education was reliant on one person, (2) other dialysis staff had time to answer transplant questions but felt uninformed, (3) patient lack of interest in existing supplementary transplant education, (4) patient disinterest in transplantation education was due to education timing, feeling overwhelmed, and transplant fear/ambivalence, and (5) video education could be flexible, low effort, and spark transplant interest. Study limitations are potential selection bias and inclusion of English-speaking participants only. Discussion Dialysis staff barriers of time, insufficient knowledge, and limited resources to provide education to patients and their care partners may be mitigated with online educational videos without increasing staff workload.
Can Reducing Implant Costs Increase Revenue for Surgically Treated Ankle Fractures: Time-Driven Activity-Based Costing for 1-Year Episode of Care
Authors: Freking Will , Okelana Bandele , Only Arthur , McMillan Logan , Kibble Kendra , Parikh Harsh , Williams Benjamin , Shearer David , Cunningham Brian 
Published: December 2021

Background: The purpose of this study was to investigate whether decision-making regarding implant selection affects the reimbursement margins for the surgical fixation of ankle fractures. Methods: All ankle fractures treated between 2010 and 2017 within a single-insurer database were identified via Current Procedural Terminology codes by review of electronic medical record. Implant cost was determined via the implant record cross-referenced with the single contract institutional charge master database. The Time-Driven Activity-Based Costing (TDABC) technique was used to determine the costs of care during all activities throughout the 1-year episode of care. Statistical analysis consisted of multiple linear regression and goodness-of-fit analyses. Results: In all, 249 patients met inclusion criteria. Implant costs ranged from $173 to $3944, averaging $1342 ± $751. The TDABC-estimated cost of care ranged from $1416 to $9185, averaging $3869 ± $1384. Finally, the total reimbursed cost of care ranged between $1335 and $65 645, averaging $13 954 ± $9445. The implant costs occupied an estimated 34.7% of the TDABC-estimated cost of care per surgical encounter. Implant cost, as a percentage of the overall TDABC, was estimated as 36.2% in the inpatient setting and 33% in the outpatient setting, which was the second highest percentage behind surgical costs in both settings. We found a significant increase in net revenue of $1.93 for each dollar saved on implants in the outpatient setting, whereas the increase in net revenue per dollar saved of $1.03 approached significance in the inpatient setting. Conclusion: There is a direct relationship between intraoperative decision-making, as evidenced by implant choices, and the revenue generated by surgical fixation of ankle fractures. Intraoperative decision-making that is cognitive of implant cost can facilitate adoption of institutional cost containment measures and prompt increased healthcare value. Level of Evidence: Level III: Retrospective cohort study
Northern Michigan University online campus: A case of digital transformation in higher education
Authors: Ngafeeson Madison N 
Published: December 2021

The Northern Michigan University (NMU) online campus, fondly known as the “Global Campus,” is now 5 years old. Launched in 2016, this online and distance education initiative had as its mission to create academic programs that meet students’ learning and service needs “at the same high standard we do for on-campus students” (NMU). This was a kind of organic final step in the journey of digital transformation that began sixteen years before. Nonetheless, how does NMU make a pivot from 117 years of traditional face-to-face learning model to create value and compete in the digital education space? Worse still, when the Covid-19 global pandemic hits in March 2020 and the campus is forced to shut down (mandating all face-to-face teaching and learning, and to transition to online delivery within just two business days and a weekend); how does the university handle this new set of challenges as its online model gets tested in real-time? The story of NMU’s evolution to online education is told by intrinsic and extrinsic factors including declining enrollments due to changing local economics and regional demographics, an old business model now compounded by a global pandemic. This mix of factors would seem to present NMU with both an opportunity to refine its online model and some new challenges to overcome. This evolution also speaks to the importance of having an overarching digital strategy that can drive true digital transformation.