bluuebunny/crossref_metadata_2025_split huggingface dataset:
<p class="HeadingRunIn"><strong><em>Rhyacophila dandaganu, </em>a new caddisfly from the southern Cumberland Plateau (USA) (Trichoptera: Rhyacophilidae)</strong></p>
Authors: ROBINSON JASON L. , PARKER CHARLES R. 
Published: July 2019

We describe a new species in the caddisfly genus Rhyacophila (Trichoptera: Rhyacophilidae) from the southern Cumberland Plateau of the United States. Rhyacophila dandaganu n. sp. is placed in the Rhyacophila lobifera Group from North America, the second known species in this group. The new species is distinguished from Rhyacophila lobifera Betten, 1934 by the shape and dimensions of several genitalic structures, as well as the absence of parameres accompanying the endotheca and the characteristic shape of the tenth segment and phallicata. We discuss the geographic range of these two species and the questions raised by the curious (apparent) lack of sympatric populations. We discuss some testable hypotheses that might determine how populations of R. dandaganu n. sp. and R. lobifera could maintain phenotypic distinctiveness, in the absence of obvious geographic barriers to gene flow, including behavioral, chemical or tactile mating cues.
Inversion Climatology in High-Production Agricultural Regions of Missouri and Implications for Pesticide Applications
Authors: Bish Mandy D. , Guinan Patrick E. , Bradley Kevin W. 
Published: July 2019

ABSTRACTMost pesticides applied in the United States have labels that include language prohibiting application during temperature inversions. This restriction, which is well known and is followed by aerial pesticide applicators, has more recently become a focus for ground pesticide applicators. This is partially due to the recent introduction of genetically engineered soybean and cotton with tolerance to dicamba herbicide. Dicamba has been utilized for more than 50 years to control weeds in grain crops, such as corn. In 2017, dicamba was approved for use in dicamba-tolerant soybean and cotton. In 2017 and 2018, dicamba movement onto nontarget plants was substantial. As based on patterns of injury to nontolerant crops and time of applications, some of which occurred during the evening, inversions were likely contributors to off-target movement. Historically, most research on surface temperature inversions and pesticides focused on aerial applications. Research presented here focused on development of inversion profiles at atmospheric heights relevant to ground applications, which typically occur 46–107 cm above ground level (AGL). During the 2015–17 soybean growing seasons, data were collected at three heights AGL (46, 168, and 305 cm) in three soybean-producing regions of Missouri to characterize inversions. Over 600 inversions were characterized; all were nocturnal in nature. Inversions typically lasted overnight at two locations; duration varied at the third. The largest temperature difference recorded was 6°C. This research has resulted in real-time inversion monitoring that is available online to applicators (http://agebb.missouri.edu/weather/realTime/maps/index.php#temp_inversion), and the data generated can be utilized to improve accuracy of low-level inversion forecasting models.
Impacts of Summer North Atlantic Sea Surface Temperature Anomalies on the East Asian Winter Monsoon Variability
Authors: Chen Zhang , Wu Renguang , Wang Zhibiao 
Published: July 2019

Abstract
The present study investigates the impacts of the North Atlantic sea surface temperature (SST) anomalies on the East Asian winter monsoon (EAWM) variability. It is found that the northern component of the EAWM variability is associated with a dipole pattern of preceding summer North Atlantic SST anomalies during 1979–2016. The processes linking preceding summer North Atlantic SST to EAWM include the North Atlantic air–sea interactions and atmospheric wave train triggered by the North Atlantic SST anomalies. Atmospheric wind anomalies in the preceding spring–summer result in the formation of a dipole SST anomaly pattern through surface heat flux changes. In turn, the induced SST anomalies provide a feedback on the atmosphere, modifying the location and intensity of anomalous winds over the North Atlantic. The associated surface heat flux anomalies switch the North Atlantic SST anomaly distribution from a dipole pattern in summer to a tripole pattern in the following winter. The North Atlantic tripole SST anomalies excite an atmospheric wave train extending from the North Atlantic through Eurasia to East Asia in winter, resulting in anomalous EAWM. However, the relationship of the northern component of EAWM to preceding summer North Atlantic SST anomalies is weak before the late 1970s. During 1956–76, due to weak air–sea interaction over the North Atlantic, no obvious tripole SST anomaly pattern is established in winter. The atmospheric wave train in winter is located at higher latitudes, leading to a weak connection between the northern component of EAWM and the preceding summer North Atlantic dipole SST anomaly pattern.
Limb Correction of Geostationary Infrared Imagery in Clear and Cloudy Regions to Improve Interpretation of RGB Composites for Real-Time Applications
Authors: Elmer Nicholas J. , Berndt Emily , Jedlovec Gary , Fuell Kevin 
Published: July 2019

AbstractRed–green–blue (RGB) composites are increasingly used by operational forecasters to interpret vast amounts of satellite imagery by reducing several bands into a single, easily understood product which identifies important atmospheric features with unique colors. Limb effects, a result of an increase in optical pathlength of the absorbing atmosphere between the satellite and Earth as viewing zenith angle increases, adversely affects RGB composite interpretation by causing anomalous reductions in brightness temperature, thus changing the color interpretation of the RGB composites. In a previous paper, Elmer et al. demonstrated a limb correction technique that effectively removes limb effects from polar-orbiting infrared channels in both clear and cloudy regions using latitudinally and seasonally varying correction coefficients. This study applies the Elmer et al. limb correction to Air Mass RGB composites derived from geostationary sensors and compares the limb-corrected geostationary imagery to limb-corrected polar-orbiter imagery and satellite-derived atmospheric profiles. A statistical comparison in overlapping regions shows that the limb correction reduces the absolute mean brightness temperature difference from 4–12 K to 0–2 K for all infrared bands, demonstrating that the Elmer et al. limb correction algorithm is a robust method of removing limb effects from infrared imagery derived from both geostationary and polar-orbiting sensors. The limb-corrected RGB composites derived from geostationary sensors present several advantages, including the improved depiction of atmospheric features and enabling wider use of imagery from overlapping geostationary coverage regions where viewing zenith angles are large for both geostationary sensors.
Introducing Along-Track Error Correlations for Altimetry Data in a Regional Ocean Prediction System
Authors: Storto Andrea , Oddo Paolo , Cozzani Elisa , Coelho Emanuel Ferreira 
Published: July 2019

AbstractBecause of the systematic error in the processing of altimetry data, sea level anomaly (SLA) observation errors are likely affected by nonnegligible spatial correlations. To account for these, we exploit the synergy of altimetry data with in situ profiles from gliders, piloted to follow the altimetry tracks during the Long-Term Glider Mission for Environmental Characterization 2017 (LOGMEC17) observational campaign in the Ligurian Sea. The assimilation of along-track unfiltered sea level anomalies in a regional ocean analysis and forecast system is consequently optimized by means of introducing spatial correlations for the SLA observation errors. In particular, collocated data of glider and altimetry are used to derive an along-track error covariance model for the sea level anomaly assimilation, assuming that most of the covariance behavior versus separation distance stems from altimetry. Spatial scales of the altimetry error are found to have a correlation radius of about 12 km for the dataset utilized in the Ligurian Sea, using a simple Gaussian shape for the error correlation, shorter than the correlation radius found through assimilation output diagnostics. A variational data assimilation system is modified to relax the usual assumption of uncorrelated altimetry observation errors, thus allowing for along-track error correlations. Its implementation provides promising results in the regional ocean prediction system, outperforming in most verification skill scores the use of uncorrelated observational errors without compromising the analysis scheme efficiency.
Concerns About Verbal Communication in the Operating Room: A Field Study
Authors: Garosi Ehsan , Kalantari Reza , Zanjirani Farahani Ahmad , Zuaktafi Mojgan , Hosseinzadeh Roknabadi Esmaeil , Bakhshi Ehsan 
Published: July 2019

Objective To assess verbal communication patterns which could contribute to poor performance among surgical team members in an operating room. Background There exist certain challenges in communication in health care settings. Poor communication can have negative effects on the performance of a surgical team and patient safety. A communication pattern may be associated with poor performance when the process of sending and receiving information is interrupted or the content of conversation is not useful. Method This cross-sectional field study was conducted with 54 surgical teams working in two Iranian hospitals during 2015. Two observers recorded all verbal communications in an operating room. An in-depth assessment of various annotated transcripts by an expert panel was used to assess verbal communication patterns in the operating room. Results Verbal communication patterns which could contribute to poor performance were observed in 63% of the surgeries, categorized as communication failures (17 events), protests (23 events), and irrelevant conversations (164 events). The anesthesiologists and the circulating nurses had the most concerning communication patterns. The failure of devices and poor planning were important factors that contributed to concerning patterns. Conclusion Concerning patterns of verbal communication are not rare in operating rooms. Analyzing the annotated transcripts of surgeries can conduce to identifying all these patterns, and their causes. Concerning communication patterns can be reduced in the operating room by providing interventions, properly planning for surgeries, and fixing defective devices. Application The method used in this study can be followed to assess communication problems in operating rooms and to find solutions.
Role of shortwave and microwave diathermy in peripheral neuropathy
Authors: Fu Tengfei , Lineaweaver William C. , Zhang Feng , Zhang Jian 
Published: July 2019

Objective This study was performed to review the current evidence for the efficacy of shortwave and microwave diathermy in promoting nerve regeneration after peripheral nerve injuries in both animal models and human patients. Methods An extensive literature search was conducted without publication data restrictions. Studies including the intervention and outcome in animal or human models were selected. Non-English studies, reviews, letters, and case reports were excluded. Results Eleven articles were included in this study. Shortwave diathermy at the frequency of 27.12 or 40.68 MHz was used in six of seven animal studies, while only one study utilized microwave diathermy at 915 MHz. Seven animal experiments demonstrated that shortwave or microwave diathermy produces an increased myelinated nerve fiber number, myelin sheath thickness, and axon diameter as well as improved electrophysiological parameters and locomotion. A total of 128 patients (207 wrists) were enrolled in four clinical studies. The clinical use of diathermy in human patients with carpal tunnel syndrome showed positive effects on pain, hand function, and electrophysiological findings. Conclusions Shortwave or microwave diathermy can improve the electrophysiological parameters, myelinated fiber number, and axon diameter of the injured nerve.
Reducing catheter-associated complications using 4% sodium citrate versus sodium heparin as a catheter lock solution
Authors: Huang He-ming , Jiang Xin , Meng Ling-bing , Di Chen-yi , Guo Peng , Qiu Yong , Dai Ya-lun , Lv Xian-qiang , Shi Chang-jin 
Published: July 2019

Objective Use of a catheter lock solution plays a decisive role in vascular access. The effects of different concentrations of heparin and different types of catheter lock solutions are controversial. Therefore, this study aimed to compare the efficacy and safety of sodium citrate and sodium heparin catheter lock solutions. Methods A total of 120 patients were divided into four groups (30 patients per group) according to the use of catheter lock solution as follows: 6250 U/mL sodium heparin, 5000 U/mL sodium heparin, 2500 U/mL sodium heparin, and 4% sodium citrate. Coagulation function and the incidence of catheter occlusion, hemorrhage, and catheter-related infections were recorded. Results The different catheter lock solutions were significantly related to conduit blockage, hemorrhage, infection, and leakage levels. In the 4% sodium citrate group, the odds ratio was 0.688 for conduit blockage (95% confidence interval [CI], 0.206–2.297), 0.286 for hemorrhage (95% CI, 0.091–0.899), 0.266 for infection (95% CI, 0.073–0.964), and 0.416 for leakage (95% CI, 0.141–1.225) compared with the 6250 U/mL sodium heparin. Conclusions The solution 4% sodium citrate can effectively reduce the risk of catheter obstruction, bleeding, infection, and leakage better than sodium heparin in patients with long-term intravenous indwelling catheters.
Subjective score and outcomes after discharge from the intensive care unit: a prospective observational study
Authors: Taniguchi Leandro Utino , Ramos Fernando José da Silva , Momma Arthur Khan , Martins Filho Antônio Paulo Ramos , Bartocci Juliana Jardim , Lopes Maria Fernanda Dias , Sad Matheus Horta , Rodrigues Cinthia Mendes , Pires Siqueira Ellen Maria , Vieira José Mauro 
Published: July 2019

Objective Intensive care unit (ICU) discharge is a decision process that is usually performed subjectively. We evaluated whether a subjective score (Sabadell score) is associated with hospital outcomes. Methods We conducted a prospective cohort study from August 2014 to May 2015 at a tertiary-care private hospital in Brazil. We analyzed 425 patients who were discharged alive from the ICU to the wards. We used univariate and multivariate analysis to identify risk factors associated with a composite endpoint of worse outcomes (later ICU readmission or ward death) during the same hospitalization. Results Forty-three patients (10.1%) were readmitted after ICU discharge, and 19 died in the ward. Compared with patients with successful outcomes, those with the composite endpoint were older and more severely ill, had a nonsurgical reason for hospitalization, more frequently came from the ward, were less frequently independent during daily activities, had sepsis, had higher C-reactive protein concentrations at ICU admission, and had higher Sabadell scores at discharge. The multivariate analysis showed that sepsis and the Sabadell score were independently and significantly associated with worse outcomes. Conclusion Sepsis at admission and the Sabadell score were predictors of worse hospital outcomes. The Sabadell score might be a promising predictive tool.
Whole exome sequencing aids the diagnosis of Simpson–Golabi–Behmel syndrome in two male fetuses
Authors: Xiang Jingjing , Zhang Qin , Song Xiaoyan , Liu Yinghua , Li Haibo , Li Hong , Wang Ting 
Published: July 2019

Objective To diagnose and explore the genetic aetiology of Simpson–Golabi–Behmel syndrome type 1 (SGBS1) in two male fetuses. Methods Prenatal ultrasound scans and further genetic analysis using karyotype analysis, chromosomal microarray analysis, whole exome sequencing (WES) and Sanger sequencing were conducted. Results Prenatal ultrasound scans of two fetuses showed multiple congenital anomalies and hydramnios. Subsequent to termination of the pregnancies, a novel nonsense variant (c.892G>T, p.E298*) in the glypican 3 ( GPC3) gene of the two fetuses was identified by WES and further confirmed by Sanger sequencing. The two fetuses were diagnosed with SGBS1. The mother was heterozygous for the c.892G>T variant. Conclusion This study describes the prenatal sonographic features of SGBS1, emphasizes the role of WES in the diagnosis of SGBS1 and expands the known mutation spectrum of the GPC3 gene.
Early Hip Arthroscopy for Femoroacetabular Impingement Syndrome Provides Superior Outcomes When Compared With Delaying Surgical Treatment Beyond 6 Months
Authors: Kunze Kyle N. , Beck Edward C. , Nwachukwu Benedict U. , Ahn Junyoung , Nho Shane J. 
Published: July 2019

Background: There is literature on the association between chronic preoperative pain and worse outcomes among patients undergoing hip arthroscopy for femoroacetabular impingement syndrome (FAIS). However, there are few data on whether there is an optimum window that provides the best midterm surgical outcomes. Purpose: To assess the outcomes of hip arthroscopy for FAIS according to timing of surgical intervention. Study Design: Cohort study; Level of evidence, 3. Methods: Patients undergoing arthroscopic intervention for FAIS with a minimum 2-year follow-up were included. All patients completed the Hip Outcome Score–Activities of Daily Living (HOS-ADL), Hip Outcome Score–Sport Specific (HOS-SS), modified Harris Hip Score (mHHS), International Hip Outcome Tool–12 (iHOT-12), and visual analog scales for pain and satisfaction. Patients were stratified by preoperative symptom duration. We compared 3 to 6 months of symptoms with other subsequent time frames (>6-12, >12-24, and >24 months). Clinically significant outcome was determined with the minimal clinically important difference and patient acceptable symptomatic state. Results: A total of 1049 patients were included (mean ± SD: age, 32.3 ± 12.4 years; follow-up, 30.8 ± 6.7 months). Patients undergoing surgery at 3 to 6 months of symptoms had no significant differences in outcome when compared with those in the >6- to 12-month group except for the iHOT-12 ( P = .028). Patients with symptom duration of >12 to 24 months and >24 months had worse outcomes across all measures ( P < .001). Surgery within 3 to 6 months of symptoms was predictive for achieving the minimal clinically important difference on the HOS-ADL (odds ratio [OR], 1.81; 95% CI, 1.20-2.73) and HOS-SS (OR, 1.90; 95% CI, 1.11-3.17), as well as the patient acceptable symptomatic state on the HOS-ADL (OR, 1.85; 95% CI, 1.34-2.56) and HOS-SS (OR, 1.58; 95% CI, 1.14-2.18), when compared with the other groups. In multivariate regression analysis, symptom duration was predictive of visual analog scale for pain (β = 3.10; 95% CI, 1.56-4.63; P < .001) and satisfaction (β = −4.16; 95% CI, −6.14 to −2.18; P < .001). Conclusion: Among patients with FAIS, surgical intervention early after the onset of symptoms (3-6 months) was associated with superior postoperative outcomes when compared with patients who underwent surgical intervention beyond this time frame. This information may help guide preoperative decision making regarding delay of surgery. These findings should be confirmed in a prospective study.
Risk Factors for Opioid Use After Anterior Cruciate Ligament Reconstruction
Authors: Rao Anita G. , Chan Priscilla H. , Prentice Heather A. , Paxton Elizabeth W. , Funahashi Tadashi T. , Maletis Gregory B. 
Published: July 2019

Background: The misuse of opioid medications has contributed to a significant national crisis affecting public health as well as patient morbidity and medical costs. After orthopaedic surgical procedures, patients may require prescription (Rx) opioid medication, which can fuel the opioid epidemic. Opioid Rx usage after anterior cruciate ligament reconstruction (ACLR) is not well characterized. Purpose: To determine baseline utilization of Rx opioids in patients undergoing ACLR and examine demographic, patient, and surgical factors associated with greater and prolonged postoperative opioid utilization. Study Design: Cohort study; Level of evidence, 3. Methods: Primary elective ACLRs were identified using Kaiser Permanente’s ACLR registry (2005-2015). We studied the association of perioperative risk factors on the number of dispensed opioid Rx in the early (0-90 days) and late (91-360 days) postoperative recovery periods using logistic regression. Results: Of 21,202 ACLRs, 25.5% used at least 1 opioid Rx in the 1-year preoperative period; 17.7% and 2.7% used ≥2 opioid Rx in the early and late recovery periods, respectively. Risk factors associated with greater opioid Rx in both the early and the late periods included the following: ≥2 preoperative opioid Rx, age ≥20 years, American Society of Anesthesiologists classification ≥3, other activity at the time of injury, chondroplasty, chronic pulmonary disease, and substance abuse. Risk factors associated with opioid Rx use during the early period only included the following: other race, acute injury, meniscal injury repair, multiligament injury, and dementia/psychosis. Risk factors associated with greater opioid Rx during the late period only included the following: 1 preoperative opioid Rx, female sex, body mass index ≥25 kg/m2, motor vehicle accident as the mechanism of injury, and hypertension. Conclusion: A quarter of ACLR patients had at least 1 opioid Rx before the procedure, but usage dropped to 2.7% toward the end of the postoperative year. We identified several perioperative risk factors for greater and prolonged opioid usage after ACLR.