bluuebunny/crossref_metadata_2025_split huggingface dataset:
Mechanisms and Early Warning of Drought Disasters: Experimental Drought Meteorology Research over China
Authors: Li Yaohui , Yuan Xing , Zhang Hongsheng , Wang Runyuan , Wang Chenghai , Meng Xianhong , Zhang Zhiqiang , Wang Shanshan , Yang Yang , Han Bo , Zhang Kai , Wang Xiaoping , Zhao Hong , Zhou Guangsheng , Zhang Qiang , He Qing , Guo Ni , Hou Wei , Zhang Cunjie , Xiao Guoju , Sun Xuying , Yue Ping , Sha Sha , Wang Heling , Zhang Tiejun , Wang Jinsong , Yao Yubi 
Published: October 2018

Abstract
A major experimental drought research project entitled “Mechanisms and Early Warning of Drought Disasters over Northern China” (DroughtEX_China) was launched by the Ministry of Science and Technology of China in 2015. The objective of DroughtEX_China is to investigate drought disaster mechanisms and provide early-warning information via multisource observations and multiscale modeling. Since the implementation of DroughtEX_China, a comprehensive V-shape in situ observation network has been established to integrate different observational experiment systems for different landscapes, including crops in northern China. In this article, we introduce the experimental area, observational network configuration, ground- and air-based observing/testing facilities, implementation scheme, and data management procedures and sharing policy. The preliminary observational and numerical experimental results show that the following are important processes for understanding and modeling drought disasters over arid and semiarid regions: 1) the soil water vapor–heat interactions that affect surface soil moisture variability, 2) the effect of intermittent turbulence on boundary layer energy exchange, 3) the drought–albedo feedback, and 4) the transition from stomatal to nonstomatal control of plant photosynthesis with increasing drought severity. A prototype of a drought monitoring and forecasting system developed from coupled hydroclimate prediction models and an integrated multisource drought information platform is also briefly introduced. DroughtEX_China lasted for four years (i.e., 2015–18) and its implementation now provides regional drought monitoring and forecasting, risk assessment information, and a multisource data-sharing platform for drought adaptation over northern China, contributing to the global drought information system (GDIS).
On the Challenge for ENSO Cycle Prediction: An Example from NCEP Climate Forecast System, Version 2
Authors: Hu Zeng-Zhen , Kumar Arun , Zhu Jieshun , Peng Peitao , Huang Bohua 
Published: October 2018

Abstract
This work demonstrates the influence of the initial amplitude of the sea surface temperature anomaly (SSTA) associated with El Niño–Southern Oscillation (ENSO) following its evolutionary phase on the forecast skill of ENSO in retrospective predictions of the Climate Forecast System, version 2. It is noted that the prediction skill varies with the phase of the ENSO cycle. The averaged skill (linear correlation) of Niño-3.4 index is in a range of 0.15–0.55 for the amplitude of Niño-3.4 index smaller than 0.5°C (e.g., initial phase or neutral condition of ENSO), and 0.74–0.93 for the amplitude larger than 0.5°C (e.g., mature condition of ENSO) for 0–6-month lead predictions. The dependence of the prediction skills of ENSO on its phase is linked to the variation of signal-to-noise ratio (SNR). This variation is found to be mainly due to the changes in the amplitude of the signal (prediction of the ensemble mean) during different phases of the ENSO cycle, as the noise (forecast spread among the ensemble members), both in the Niño-3.4 region and the whole Pacific, does not depend much on the Niño-3.4 amplitude. It is also shown that the spatial pattern of unpredictable noise in the Pacific is similar to the predictable signal. These results imply that skillful prediction of the ENSO cycle, either at the initial time of an event or during the transition phase of the ENSO cycle, when the anomaly signal is weak and the SNR is small, is an inherent challenge.
A national survey of specimen contamination in the UK
Authors: Logie James J , Chaloner Christopher 
Published: October 2018

Background Specimen contamination that goes unnoticed can have many adverse consequences for patients including inappropriate investigations or treatment decisions based on erroneous results. Little is known about UK laboratory practices relating to specimen contamination; therefore, this national survey aimed to gather valuable baseline data. Methods An electronic survey consisting of 26 questions was designed to obtain key information relating to specimen contamination including its frequency, how it is identified by laboratories and actions taken in event of confirmed contamination. The survey was circulated to Heads of Departments of all NHS laboratories in the UK. Results Fifty-two responses (15%) were received from 353 laboratories surveyed. Recording and extracting specimen contamination data from laboratory IT systems appear to be a challenge for many laboratories. There is potentially a lack of awareness of correct order of draw for venous blood collection which is a factor known to contribute to contamination. There is wide variation in contamination rates (EDTA, citrate and drip arm), and the methods laboratories use to identify it which often rely on professional judgement. Similarly, there is little consensus among senior laboratory professionals on how best to report results on contaminated samples, and record events in risk management systems. Conclusions There is a need for greater consensus on laboratories’ approach to specimen contamination, particularly around mechanisms to identify and monitor it, and follow up actions. We make several recommendations to facilitate improvements it this area; however, there is a need to develop consensus guidelines which can aid both clinicians and laboratories.
The 2014 Ontario Child Health Study Emotional Behavioural Scales (OCHS-EBS) Part II: Psychometric Adequacy for Categorical Measurement of Selected DSM-5 Disorders
Authors: Boyle Michael H. , Duncan Laura , Georgiades Katholiki , Wang Li , Comeau Jinette , Ferro Mark A. , Van Lieshout Ryan J. , Szatmari Peter , MacMillan Harriet L. , Bennett Kathryn , Janus Magdalena , Lipman Ellen L. , Kata Anna 
Published: October 2018

Objectives: To compare the reliability and convergent validity of parent assessments from the Mini International Neuropsychiatric Interview for Children and Adolescents (MINI-KID —a structured diagnostic interview) and the Ontario Child Health Study Emotional Behavioural Scales (OCHS-EBS) symptom checklist for classifying conduct disorder (CD), conduct disorder or oppositional defiant disorder (CD-ODD), attention-deficit hyperactivity disorder (ADHD), major depressive disorder (MDD), generalized anxiety disorder (GAD), and separation anxiety disorder (SAD) based on DSM-5 criteria. Methods: Data came from 283 parent-youth dyads aged 9 to 18 years. Parents and youth completed the assessments separately on 2 different occasions 7 to 14 days apart. After converting the OCHS-EBS scale scores to binary disorder classifications, we compare test-retest reliability estimates and use structural equation modelling (SEM) to compare estimates of convergent validity for the same disorders assessed by each instrument. Results: Average test-retest reliabilities based on κ were 0.71 (MINI-KID) and 0.67 (OCHS-EBS). The average β coefficients for 3 latent measures comprising the following indicators—parent perceptions of youth mental health need and impairment, diagnosis of specific disorders based on health professional communications and youth taking prescribed medication, and youth classifications of disorder based on the MINI-KID—were 0.67 (MINI-KID) and 0.69 (OCHS-EBS). Conclusion: The OCHS-EBS and MINI-KID achieve comparable levels of reliability and convergent validity for classifying child psychiatric disorder. The flexibility, low cost, and minimal respondent burden of checklists for classifying disorder make them well suited for studying disorder in the general population and screening in clinical settings.
Right Heart Thrombi: Patient Outcomes by Treatment Modality and Predictors of Mortality: A Pooled Analysis
Authors: Islam Marjan , Nesheim David , Acquah Samuel , Kory Pierre , Kourouni Ismini , Ramesh Navitha , Ehrlich Madeline , Bajpayee Gargi , Steiger David , Filopei Jason 
Published: October 2018

Rationale: Right heart thrombi (RiHT) is characterized by the presence of thrombus within the right atrium or right ventricle (RV). Current literature suggests pulmonary embolism (PE) with RiHT carries a high mortality. Guidelines lack recommendations in managing RiHT. We created a pooled analysis on RiHT and report on our institutional experience in managing RiHT. We aimed to evaluate whether patient characteristics and differing treatment modalities predict mortality. Methods: We created a pooled analysis of case reports and series of patients with RiHT and PE between January 1956 and 2017. We also reviewed a series of consecutive patients with RiHT identified from our institutional PE registry. Age, shock, RV dysfunction, clot mobility, treatment modality, and hospital outcome had to be reported. Results: We identified 316 patients in our pooled analysis. Patients received the following therapies: no treatment 15 (5%), systemic anticoagulation 73 (23%), systemic thrombolysis 108 (34%), surgical embolectomy 101 (32%), catheter-directed therapy 11 (3%), and systemic thrombolysis with surgery 8 (3%). In-hospital mortality was 18.7%. Univariate analysis showed age and shock reduced odds of survival. Multivariate analysis showed shock reduced odds of survival (odds ratios [OR] 0.36, 95% confidence interval [CI]: 0.19-0.72, P ≤ .01) while age, RV dysfunction, and clot-mobility did not affect mortality. In a reduced multivariate analysis adjusting for shock, treatment modality, and clot location alone, systemic thrombolysis increased odds of survival when compared to systemic anticoagulation (OR 2.72, 95% CI: 1.11-6.64, P = .02). Our institutional series identified 18 patients, where in-hospital mortality was 22.2%, 18 (100%) had RV dysfunction, and 5 (28%) had shock. Patients received the following therapies: systemic anticoagulation 8 (44.4%), systemic thrombolysis 4 (22.2%), surgical embolectomy 4 (22.2%), and catheter-directed thrombolysis 2 (11.1%). Conclusion: Presence of shock in RiHT is an independent predictor of mortality. Systemic thrombolysis may offer increased odds of survival when compared to systemic anticoagulation. Our findings should be interpreted with caution as they derive from retrospective reports and subject to publication bias.
Prevalence and Risk Factors for Augmented Renal Clearance in a Population of Critically Ill Patients
Authors: Baptista João Pedro , Martins Paulo Jorge , Marques Margarida , Pimentel Jorge Manuel 
Published: October 2018

Background: Critically ill patients show a high, albeit variable, prevalence of augmented renal clearance (ARC). This condition has relevant consequences on the elimination of hydrophilic drugs. Knowledge of risk factors for ARC helps in the early identification of ARC. The aims of this study were evaluation of (1) risk factors for ARC and (2) the prevalence of ARC in critically ill patients over a period of 1 year. Methods: A retrospective cohort study was performed for all consecutive patients admitted to our intensive care unit (ICU). Augmented renal clearance was defined by a creatinine clearance ≥130 mL/min/1.73 m2. “Patient with ARC” was defined as a patient with a median of creatinine clearance ≥130 mL/min/1.73 m2 over the period of admission. Four variables were tested, Simplified Acute Physiology Score II (SAPS II), male gender, age, and trauma as cause for ICU admission. An analysis (patient based and clearance based) was performed with logistic regression. Results: Of 475 patients, 446 were included in this study, contributing to 454 ICU admissions and 5586 8-hour creatinine clearance (8h-CLCR). Overall, the prevalence of patients with ARC was 24.9% (n = 113). In a subset of patients with normal serum creatinine levels, the prevalence was 43.0% (n = 104). Of the set of all 8h-CLCR measurements, 25.4% (1418) showed ARC. In the patient-based analysis, the adjusted odds ratio was: 2.0 (confidence interval [CI]:1.1-3.7; P < .05), 0.93 (CI: 0.91-0.94; P < .01), 2.7 (CI: 1.4-5.3; P < .01), and 0.98 (CI: 0.96 -1.01; P = .15), respectively, for trauma, age, male sex, and SAPS II. In the clearance-based analysis, the adjusted odds ratio were 1.7 (CI: 1.4-1.9; P < .01), 0.94 (CI: 0.932-0.942; P < .01), and 2.9 (CI: 2.4-3.4; P < .01), respectively, for trauma, age, and male sex. Conclusions: Trauma, young age, and male sex were independent risk factors for ARC. This condition occurs in a considerable proportion of critical care patients, which was particularly prevalent in patients without evidence of renal dysfunction.
Tools for managing feline problem behaviors: Pheromone therapy
Authors: Vitale Kristyn R 
Published: October 2018

Practical relevance: Cats are one of the most common companion animals in the world. However, relatively little scientific research has been conducted on cat behavior. With problem behaviors a leading reason for relinquishment of cats to shelters, or abandonment outdoors, solutions to address feline behavioral problems can have important welfare benefits. Because naturally occurring pheromones produce measurable species-specific responses in cats, the use of synthetic pheromone products consisting of the same compounds may activate a specific behavioral response in the receiving individual, allowing humans to better communicate with cats and manage feline problem behavior. Aims: In this article the scientific background for naturally occurring feline pheromones and semiochemicals and their impact on cat behavior is reviewed. This is used as a foundation to explore the three feline synthetic pheromones currently available and the empirical evidence that exists for their effectiveness. From this information, several recommendations for veterinarians and behavior professionals on the application of feline pheromone therapy in the home and veterinary clinic setting are presented. Evidence base: The efficacy of synthetic pheromones as a tool for the management of problem behaviors is a relatively new area of research and only fairly recently has the need to implement more rigorous research methodology been recognized.
Does patient education improve compliance to routine diabetic retinopathy screening?
Authors: Moinul Prima , Barbosa Joshua , Qian Jenny , Chen Mei Lin , Mohaghegh Mohammad , Kaur Harneel , Holmes Julie , Radman Heather , Robinson Tammy , Chaudhary Varun 
Published: October 2018

Introduction Diabetic retinopathy (DR) screening relies on adherence to follow-up eye care. This article assesses if a model of patient education and tele-retina screening among high-risk patients with DR can achieve increased rates of compliance within a one-year follow-up. Methods Between May 2014 and May 2016, DR screening was conducted in a cohort of 101 patients with diabetes in Southern Ontario. Optical coherence tomography and fundus photography images were used to visualize the retina remotely. Enrolled patients participated in an educational seminar at the screening site with the expressed purpose of enhancing patient understanding of DR. A chi-squared test was used to assess patient compliance to follow-up examinations within 6–12 months, while pre-to post-screening HbA1c levels were compared using a dependent t-test. Results Of 101 patients who completed the study, 33 patients (32.6%) have never previously been screened for DR. Baseline compliance to annual screening increased from 36 patients (35.6%) to 51 patients (50.5%) after the tele-retina programme ( p = 0.03). Eighty-nine patients (88%) were referred to an optometrist for ongoing care compared with 12 patients (11.9%) to an ophthalmologist for management of DR. Overall, 100 patients (99.0%) were satisfied with the tele-retina screening. There was no significant change in pre- to-post screening HbA1c levels ( p = 0.91). Discussion Patient education-focused tele-retina screening for DR significantly increased compliance to follow-up in a high-risk, non-compliant patient population. Management of diabetes as captured by HbA1c levels remain unchanged in the cohort indicating a need for ongoing inter-professional collaboration in education and vision screening.
Platelet-Rich Plasma Promotes Migration, Proliferation, and the Gene Expression of Scleraxis and Vascular Endothelial Growth Factor in Paratenon-Derived Cells In Vitro
Authors: Imai Sosuke , Kumagai Ken , Yamaguchi Yasuteru , Miyatake Kazuma , Saito Tomoyuki 
Published: October 2018

Background: Platelet-rich plasma (PRP) is a treatment option for tendon injury because of its effective tendon-healing properties. At the early stage of tendon repair, paratenon-derived cells (PDCs) are thought to play a more important role than tendon proper–derived cells (TDCs). However, there has been no study investigating the effects of PRP on PDCs. Hypothesis: PRP promotes the migration, proliferation, and differentiation of PDCs in vitro. Study Design: Controlled laboratory study. Methods: TDCs and PDCs were isolated from the tendon proper and paratenon of rat Achilles tendons and were cultured to the third passage. PRP was prepared from the rats using the double-spin method. Third-passage TDCs and PDCs were cultured in Dulbecco’s modified Eagle medium with 2% fetal bovine serum (control group) or 2% fetal bovine serum plus 5% PRP (PRP group), and cell migration, proliferation, and differentiation were evaluated. The relative mRNA expression levels of scleraxis (Scx), tenomodulin (Tnmd), collagen type I alpha 1 (Col1a1), collagen type III alpha 1 (Col3a1), and vascular endothelial growth factor A (VEGF) were examined by quantitative real-time reverse transcription polymerase chain reaction. Results: The cell migration rate was significantly higher in the PDCs of the PRP group than in the control group (1.4-fold increase; P = 0.02). Cell proliferation was significantly higher in the PDCs of the PRP group (2.2-fold increase; P < 0.01). In the PDCs, the gene expression levels of Scx, Col1a1, and VEGF were significantly increased by PRP (Scx: 2.0-fold increase, P = 0.01; Col1a1: 5.3-fold increase, P = 0.01; VEGF: 7.8-fold increase, P = 0.01), but the gene expression level of Tnmd, a factor for tendon maturation, was significantly reduced by PRP (0.11-fold decrease; P = 0.02). Conclusion: In vitro PRP promoted migration, proliferation, and tenogenic differentiation with the upregulation of Scx in PDCs. PRP also upregulated the expression of the angiogenic marker VEGF. Clinical Relevance: Our results suggest that PRP treatment in vitro may enhance the tendon-healing properties of PDCs at the initial stage of tendon repair.
Feasibility, acceptability and potential effectiveness of an information technology-based, pharmacist-led intervention to prevent an increase in anticholinergic and sedative load among older community-dwelling individuals
Authors: van der Meer Helene G. , Wouters Hans , Teichert Martina , Griens Fabiënne , Pavlovic Jugoslav , Pont Lisa G. , Taxis Katja 
Published: October 2018

Background: Anticholinergic/sedative medications are frequently used by older people, despite their negative impacts on cognitive and physical function. We explore the feasibility, acceptability and potential effectiveness of an innovative information technology (IT)-based intervention to prevent an increase in anticholinergic/sedative load in older people. Methods: This was a prospective study in 51 Dutch community pharmacies. Pharmacists used an IT-based tool to identify patients aged ⩾65 years, with existing high anticholinergic/sedative loads (drug burden index ⩾2) and a newly initiated anticholinergic/sedative medication. We determined the following. Feasibility: number of eligible patients identified. Acceptability: pharmacists’ satisfaction with the intervention, pharmacists’ time investment and patients’ willingness to reduce medication use. Potential effectiveness: number of recommendations, rate of agreement of general practitioners (GPs) with proposed recommendations and factors associated with agreement. To evaluate the latter, pharmacists conducted medication reviews and proposed recommendations to GPs for 5–10 patients selected by the IT-based tool. Results: We included 305 patients from 47 pharmacies. Feasibility: a mean of 17.0 (standard deviation, 8.8) patients were identified per pharmacy. Acceptability: 43 pharmacists (91.5%) were satisfied with the intervention. The median time investment per patient was 33 min (range 6.5–210). Of 35 patients, 30 (85.7%) were willing to reduce medication use. Potential effectiveness: pharmacists proposed 351 recommendations for 212 patients (69.5%). GPs agreed with recommendations for 108 patients (35.4%). Agreement to stop a medication was reached in 19.8% of recommendations for newly initiated medications (37 of 187) and for 15.2% of recommendations for existing medications (25 of 164). Agreement was more likely for recommendations on codeine [odds ratio (OR) 3.30; 95% confidence interval (CI) 1.14–9.57] or medications initiated by a specialist (OR 2.85; 95% CI 1.19–6.84) and less likely for pharmacies with lower level of collaboration with GPs (OR 0.15; 95% CI 0.02–0.97). Conclusion: This innovative IT-based intervention was feasible, acceptable and potentially effective. In one-third of patients an increase in anticholinergic/sedative load was prevented within reasonable time investment.
Exercise responsive micro ribonucleic acids identify patients with coronary artery disease
Authors: Mayr Barbara , Müller Edith E , Schäfer Christine , Droese Silke , Breitenbach-Koller Hannelore , Schönfelder Martin , Niebauer Josef 
Published: October 2018

Aims Exercise is a trigger for acute coronary events especially in the untrained. Identifying subjects at risk remains a challenge. We set out to assess whether a distinct pattern of micro ribonucleic acids (miRNAs) expressed in response to an acute bout of all-out exercise might exist that would allow discrimination between health and disease. Methods Twenty healthy subjects and 20 patients with coronary artery disease (CAD) performed an all-out cycle ergometry. Total RNA was extracted from blood drawn before and after exercise. Each blood sample was analysed for 187 target miRNAs by quantitative reverse transcription polymerase chain reaction. Results At baseline, 18 miRNAs allowed discrimination between healthy subjects and CAD patients. In response to an acute all-out exercise in healthy subjects 51 miRNAs and in CAD patients 60 miRNAs were significantly modulated (all p < 0.05). Using logistic regression analysis, a unique pattern of pre-exercise miR-150-5p, post-exercise miR-101-3p, miR-141-3p and miR-200b-3p together with maximal oxygen uptake and maximal power corrected for bodyweight allowed discrimination between healthy subjects and CAD patients with an accuracy of 92.5%. Conclusion In this most comprehensive analysis of exercise effects on circulating miRNAs to date we demonstrate for the first time that a distinct combination of miRNAs together with variables of exercise capacity allow robust discrimination between healthy subjects and CAD patients. We postulate that miRNAs may eventually serve as biomarkers to identify patients with CAD and possibly even those at risk of exercise-induced cardiac events.