bluuebunny/crossref_metadata_2025_split huggingface dataset:
Nest-site fidelity in Lesser Kestrels: a case of Win–Stay/Lose–Shift?
Authors: Ilan Edith Katsnelson , Bobek Orli , Gal Adiv , Saltz David , Motro Uzi 
Published: July 2019

We studied Lesser Kestrels’ (Falco naumanni) conditional nest-site fidelity, i.e., fidelity that depends on the outcome of the previous nesting attempt in that site. In particular, we were interested in examining whether individual kestrels practice a Win–Stay/Lose–Shift (WSLS) strategy towards their nest-sites; that is, does the tendency to use the same nest-site increase following a successful nesting season, but decrease following a failure. For that purpose, we documented the use of nest-sites by Lesser Kestrels and the breeding success in these sites during 1998–2003 in the city of Jerusalem (Israel). We found that while Lesser Kestrels do not practice WSLS strategy towards their nest-site, the males (but not the females) do so towards their sub-colony – they tend to stay in the same sub-colony if their nesting was successful, whereas they tend to migrate to a different sub-colony after failure. A possible explanation to this sexual difference in WSLS behavior can arise from the fact that changing a sub-colony entails a change of hunting area. The male, being the main food provider in the Lesser Kestrel, may be more sensitive to this opportunity.
A potentially contentious case of correction under Article 32.5.1.1 of the International Code of Zoological Nomenclature
Authors: DICKINSON EDWARD C. , DAVID NORMAND , GREGORY STEVEN M. S. 
Published: July 2019

On page 188 of the same number[1] of the journal volume in which the above pair of names appeared a corrigendum specifies: ‘P. 163. Line 7, erase the words “brachypterus or”’. This action by Gould's publisher introduced a correction that leaves macrorhynchus as the correct original spelling, and this was also used in the index of the volume. It should be observed that the correction is also consistent with Gould's description ("rostro praegrandi", "bill ... also projects much farther…than in any other species inhabiting Australia"), and with the lack of a comment therein on wing length. Gould (1865: 89) used "brachypterus" (which could be viewed as a First Reviser act under Art. 24.2.4), and Mathews (1912: 282) selected "brachypterus" (which could be viewed as a First Reviser act under Art. 24.2.3), but these later acts are unnecessary and nullified as the precedence of the spelling macrorhynchus is objectively determined under Arts. 24.2.5 and 32.5.1.1 combined with Art. 86.3. [1] Duncan (1937) dated pages 119–188 ‘July 1841’.
Revisiting the Dynamics of Eyewall Contraction of Tropical Cyclones
Authors: Li Yuanlong , Wang Yuqing , Lin Yanluan 
Published: July 2019

AbstractThe dynamics of eyewall contraction of tropical cyclones (TCs) has been revisited in this study based on both three-dimensional and axisymmetric simulations and dynamical diagnostics. Because eyewall contraction is closely related to the contraction of the radius of maximum wind (RMW), its dynamics is thus often studied by examining the RMW tendency in previous studies. Recently, Kieu and Stern et al. proposed two different frameworks to diagnose the RMW tendency but had different conclusions. In this study, the two frameworks are evaluated first based on theoretical analysis and idealized numerical simulations. It is shown that the framework of Kieu is a special case of the earlier framework of Willoughby et al. if the directional derivative is applied. An extension of Stern et al.’s approach not only can reproduce but also can predict the RMW tendency. A budget of the azimuthal-mean tangential wind tendency indicates that the contributions by radial and vertical advections to the RMW tendency vary with height. Namely, radial advection dominates the RMW contraction in the lower boundary layer, and vertical advection favors the RMW contraction in the upper boundary layer and lower troposphere. In addition to the curvature, the increase of the radial gradient of horizontal mixing (including the resolved eddy mixing in three dimensions) near the eyewall prohibits eyewall contraction in the lower boundary layer. Besides, the vertical mixing including surface friction also plays an important role in the cessation of eyewall contraction in the lower boundary layer.
Contrasting Spring and Summer Large-Scale Environments Associated with Mesoscale Convective Systems over the U.S. Great Plains
Authors: Song Fengfei , Feng Zhe , Leung L. Ruby , Houze Jr. Robert A. , Wang Jingyu , Hardin Joseph , Homeyer Cameron R. 
Published: July 2019

AbstractMesoscale convective systems (MCSs) are frequently observed over the U.S. Great Plains during boreal spring and summer. Here, four types of synoptically favorable environments for spring MCSs and two types each of synoptically favorable and unfavorable environments for summer MCSs are identified using self-organizing maps (SOMs) with inputs from observational data. During spring, frontal systems providing a lifting mechanism and an enhanced Great Plains low-level jet (GPLLJ) providing anomalous moisture are important features identified by SOM analysis for creating favorable dynamical and thermodynamic environments for MCS development. During summer, the composite MCS environment shows small positive convective available potential energy (CAPE) and convective inhibition (CIN) anomalies, which are in stark contrast with the large positive CAPE and negative CIN anomalies in spring. This contrast suggests that summer convection may occur even with weak large-scale dynamical and thermodynamic perturbations so MCSs may be inherently less predictable in summer. The two synoptically favorable environments identified in summer have frontal characteristics and an enhanced GPLLJ, but both shift north compared to spring. The two synoptically unfavorable environments feature enhanced upper-level ridges, but differ in the strength of the GPLLJ. In both seasons, MCS precipitation amount, area, and rate are much larger in the frontal-related MCSs than in nonfrontal MCSs. A large-scale index constructed using pattern correlation between large-scale environments and the synoptically favorable SOM types is found to be skillful for estimating MCS number, precipitation rate, and area in spring, but its explanatory power decreases significantly in summer. The low predictability of summer MCSs deserves further investigation in the future.
MJO Teleconnections over the PNA Region in Climate Models. Part I: Performance- and Process-Based Skill Metrics
Authors: Wang Jiabao , Kim Hyemi , Kim Daehyun , Henderson Stephanie A. , Stan Cristiana , Maloney Eric D. 
Published: July 2019

AbstractWe propose a set of MJO teleconnection diagnostics that enables an objective evaluation of model simulations, a fair model-to-model comparison, and a consistent tracking of model improvement. Various skill metrics are derived from teleconnection diagnostics including five performance-based metrics that characterize the pattern, amplitude, east–west position, persistence, and consistency of MJO teleconnections and additional two process-oriented metrics that are designed to characterize the location and intensity of the anomalous Rossby wave source (RWS). The proposed teleconnection skill metrics are used to compare the characteristics of boreal winter MJO teleconnections (500-hPa geopotential height anomaly) over the Pacific–North America (PNA) region in 29 global climate models (GCMs). The results show that current GCMs generally produce MJO teleconnections that are stronger, more persistent, and extend too far to the east when compared to those observed in reanalysis. In general, models simulate more realistic teleconnection patterns when the MJO is in phases 2–3 or phases 7–8, which are characterized by a dipole convection pattern over the Indian Ocean and western to central Pacific. The higher model skill for phases 2, 7, and 8 may be due to these phases producing more consistent teleconnection patterns between individual MJO events than other phases, although the consistency is lower in most models than observed. Models that simulate realistic RWS patterns better reproduce MJO teleconnection patterns.
Making better choices about mental health investment: The case for urgent reform of Australia’s Better Access Program
Authors: Rosenberg Sebastian , Hickie AM Ian 
Published: July 2019

Objective: To explore the impact of proposed expansion of Australia’s Better Access Program and alternatives. Method: Australia’s Better Access Program, which costs taxpayers AUD28 million every week, is once again the focus of national political and professional scrutiny. The current Medicare Review calls for a massive expansion. This article reviews its history and context. It challenges the recommendations made by the Review. It also provides three scenarios which model the proposed expansion, with significant implications for consumers, the workforce and taxpayers. Results: The capacity for continued growth of the Program is demonstrated. At the same time. Conclusion: There has been recent evidence suggesting the impact of the programme on key mental health indicators in Australia has been negligible, while also perpetuating social, economic and geographic inequities. While advocacy for increased mental health expenditure is easy, active reform of existing patterns of service is hard. Nonetheless, this article suggests that it is timely to reconsider the structure and scale of this AUD1.5 billion annual investment, which has the potential to grow to up to AUD10 billion per year over the next decade. In our view, it is possible to make the programme fit for purpose in the 21st century. Specifically, the principal focus could be shifted to better support the interdisciplinary, team-based care that responds to the needs of people with more complex mental health problems. An increased role for incorporation of digital technologies alongside clinical services is part of the mix. The combination of changes suggested would suggest that the programme could be rebranded as ‘Better Access and Quality’. This shift in the primary focus of the clinical programme away from brief interventions for those with lower needs to more sustained interventions with those with greater impairment requires new service models, as well as new regionally based health care systems. In addition, we propose specific outcomes that can be measured regionally, and collated nationally, to properly evaluate the impact of the programme and drive systemic quality improvement.
Acceptance of Opt-Out HIV Screening in Outpatient Settings in the United States: A Systematic Review and Meta-Analysis
Authors: Gebrezgi Merhawi T. , Mauck Daniel E. , Sheehan Diana M. , Fennie Kristopher P. , Cyrus Elena , Degarege Abraham , Trepka Mary Jo 
Published: July 2019

Objectives: In the United States, about 15% of persons living with HIV infection do not know they are infected. Opt-out HIV screening aims to normalize HIV testing by performing an HIV test during routine medical care unless the patient declines. The primary objective of this systematic review and meta-analysis was to assess the acceptance of opt-out HIV screening in outpatient settings in the United States. Methods: We searched in PubMed and CINAHL (Cumulative Index to Nursing and Allied Health Literature) for studies published from January 1, 2006, through December 31, 2018, of opt-out HIV screening in outpatient settings. We collected data from selected studies and calculated for each study (1) the percentage of persons who were offered HIV testing, (2) the percentage of persons who accepted the test, and (3) the percentage of new HIV diagnoses among persons tested. We also collected information on the reasons given by patients for opting out. The meta-analysis used a random-effects model to estimate the average percentages of HIV testing offered, HIV testing accepted, and new HIV diagnoses. Results: We initially identified 6986 studies; the final analysis comprised 14 studies. Among the 8 studies that reported the size of the study population eligible for HIV screening, 71.4% (95% confidence interval [CI], 53.9%-89.0%) of the population was offered an HIV test on an opt-out basis. The test was accepted by 58.7% (95% CI, 47.2%-70.2%) of persons offered the test. Among 9 studies that reported data on new HIV diagnoses, 0.18% (95% CI, 0.08%-0.26%) of the persons tested had a new HIV diagnosis. Patients’ most frequently cited reasons for refusal of HIV screening were that they perceived a low risk of having HIV or had previously been tested. Conclusions: The rates of offering and accepting an HIV test on an opt-out basis could be improved by addressing health system and patient-related factors. Setting a working target for these rates would be useful for measuring the success of opt-out HIV screening programs.
Evaluation of the Golden Ratio in Nasal Conchae for Surgical Anatomy
Authors: Petekkaya Emine , Ulusoy Mahinur , Bagheri Hassan , Şanlı Şükrü , Ceylan Mehmet Seyit , Dokur Mehmet , Karadağ Mehmet 
Published: July 2019

Purpose: The golden ratio is reached by the fractal model of the number sequence which is known as the “Fibonacci series” and has a convergent ratio of approximately 1.618 between 2 consecutive Fibonacci numbers. Golden ratio relationships have been shown in several plants in the nature and several organs and structures in the human body. The conchae, which form an important part of the nasal valve, have a special geometric significant in terms of providing turbulence to the laminar airflow that passes to the nasal cavity. Methods: This study made golden ratio calculations on 34 adults aged 20 to 45 years over computed tomography (CT) images. Totally, 34 volunteers (male, n = 18 and female, n = 16) with no nasal pathologies participated in the study. Using Adobe Photoshop, golden ratio calculations were made by applying the Fibonacci spiral on the images that best showed the conchae and meatuses on the CT images. Results: The intersection points of the spiral that was projected on the inferior and middle nasal concha were determined as S0, S1, S2, S3, and S4. The distances of S0-S1, S1-S2, S2-S3, and S3-S4 were measured. The concha measurements of the women showed significantly similar values to the golden ratio constant of ∼1.618 in the RS3/S4 and LS3/S4 measurements. Conclusion: We found that the S3/S4 region that captured the golden ratio in our study corresponds to the base part of the inferior nasal concha, and its place of spiraling in the nasal cavity is observed to have an important role in creating vortices.
Clinical course in children and adolescents with ventricular septal defect
Authors: Noori Noor Mohammad , Teimouri Alireza 
Published: July 2019

Background Ventricular septal defect, the most common congenital heart defect, is characterized by an opening between the ventricles. This study aimed to evaluate the clinical course and associations between the characteristics of ventricular septal defect. Methods This cross-sectional study was conducted on 1498 children with ventricular septal defects, aged <19 years, who were referred to our center between 2003 and 2018. The diagnosis was suspected from a combination of clinical and laboratory findings, and confirmed by transthoracic echocardiography. Results Of the 1498 children, 54.9% were boys, 78.4% of defects were perimembranous, 30.4% of patients had pulmonary hypertension, 67.5% had regular follow-up, and 76 (5.1%) had complications including 28 (1.9%) with Eisenmenger syndrome; 10 died due to Eisenmenger syndrome during follow-up. The defects closed spontaneously in 38.9% and after surgery in 20.9%. Boys tended to have more perimembranous, inlet, and outlet forms (56.40%, 50.60%, 51.90%, respectively), whereas girls had more muscular types (51.80%). Most patients with pulmonary hypertension had perimembranous defects (83.10%). The majority of patients with pulmonary hypertension had large (63.40%) or moderate (36.60%) defects. Pulmonary hypertension had a significant association with defect size ( p < 0.001). After surgery, residual defects were found mostly in cases of large defects (84.60%). Most patients with spontaneous closure were younger than 4 years. Conclusion Almost four-fifths of children with ventricular septal defects had perimembranous types, and almost one-third had pulmonary hypertension which was associated with defect size. Two-fifths of the defects closed spontaneously. There was a low incidence of complications after surgery.
Kawasaki disease manifesting as bilateral facial nerve palsy and meningitis: a case report and literature review
Authors: Zhang Bo , Hao Yunpeng , Zhang Yanfeng , Yang Nuo , Li Hang , Liang Jianmin 
Published: July 2019

Background Kawasaki disease (KD) is an acute multisystem vasculitic syndrome that predominantly affects infants and young children. Neurological complications are rare in patients with KD and the diagnosis is challenging. We report a case of KD that manifested as bilateral facial nerve palsy and meningitis. Case report A 6-month-old boy presented with a 10-day history of fever. Four days before admission, the patient developed a rash, conjunctival injection, perioral and perianal excoriation, and bilateral facial nerve palsy. Brain magnetic resonance imaging was normal. Echocardiography showed dilated coronary arteries and coronary artery aneurysms. A cerebrospinal fluid examination showed an elevated leukocyte count. A diagnosis of KD was made, and the patient was treated with gamma globulin and aspirin. The patient’s fever subsided on the following day and the right-sided facial nerve palsy was relieved 1 month later. An 18-month follow-up showed that the left-sided facial nerve palsy persisted and the patient’s condition remained stable. Conclusion KD manifesting as bilateral facial nerve palsy and meningitis is extremely rare. Clinicians should be aware of this condition, and early diagnosis and appropriate treatment should be emphasized.
Airway Obstruction Risk in Unique Infant Cleft Phenotype: PSIO Protocol Modification Recommendations
Authors: Foglio Aaron M. , Lee Jonathan Y. , Naran Sanjay , Schuster Lindsay A. , Davit Alexander , Goldstein Jesse A. , Losee Joseph E. 
Published: July 2019

Patients presenting with a unique unilateral cleft phenotype may be at risk of nasal airway obstruction which can be exacerbated by presurgical infant orthopedic (PSIO) appliance therapy and lip taping. Four patients presented to the UPMC Children’s Hospital of Pittsburgh Cleft-Craniofacial Center with a cleft phenotype characterized by: An anteriorly projected greater alveolar segment and medial collapse of the lesser segment posteriorly, leading to cleft alar base displacement posteromedial to the anteriorly projected greater segment. Resultant bilateral nasal airway obstruction: cleft ala drape over the leading edge of the greater segment’s alveolus (cleft side obstruction) and caudal septum displacement secondary to attachments to the orbicularis oris from the noncleft side (noncleft side obstruction). The patient described presented at 3 months old from an outside institution, where PSIO therapy was undertaken. A second opinion was sought due to concern of significant difficulty in breathing and feeding with the PSIO oral plate. Lip-nose adhesion (LNA) was elected and airway obstruction was immediately relieved after this intervention. Lip-nose adhesion releases the tethered cleft side alar base from the pyriform rim of the posteromedially collapsed lesser segment and unites the superior lip and nostril sill—relieving the cleft side nostril obstruction. During the LNA, the caudal septum is surgically released from the anterior nasal spine and is uprighted, relieving the obstructed noncleft nostril. In this cleft anatomy, the treatment alternatives of modification to the PSIO appliance or LNA should be carefully considered in consultation with the surgeon, PSIO provider, and the infant’s caretakers.
Aquaporin-4 IgG seropositivity is associated with worse visual outcomes after optic neuritis than MOG-IgG seropositivity and multiple sclerosis, independent of macular ganglion cell layer thinning
Authors: Sotirchos Elias S , Filippatou Angeliki , Fitzgerald Kathryn C , Salama Sara , Pardo Santiago , Wang Jiangxia , Ogbuokiri Esther , Cowley Norah J , Pellegrini Nicole , Murphy Olwen C , Mealy Maureen A , Prince Jerry L , Levy Michael , Calabresi Peter A , Saidha Shiv 
Published: July 2019

Background: Comparative studies of characteristics of optic neuritis (ON) associated with myelin oligodendrocyte glycoprotein-IgG (MOG-ON) and aquaporin-4-IgG (AQP4-ON) seropositivity are limited. Objective: To compare visual and optical coherence tomography (OCT) measures following AQP4-ON, MOG-ON, and multiple sclerosis associated ON (MS-ON). Methods: In this cross-sectional study, 48 AQP4-ON, 16 MOG-ON, 40 MS-ON, and 31 healthy control participants underwent monocular letter-acuity assessment and spectral-domain OCT. Eyes with a history of ON >3 months prior to evaluation were analyzed. Results: AQP4-ON eyes exhibited worse high-contrast letter acuity (HCLA) compared to MOG-ON (−22.3 ± 3.9 letters; p < 0.001) and MS-ON eyes (−21.7 ± 4.0 letters; p < 0.001). Macular ganglion cell + inner plexiform layer (GCIPL) thickness was lower, as compared to MS-ON, in AQP4-ON (−9.1 ± 2.0 µm; p < 0.001) and MOG-ON (−7.6 ± 2.2 µm; p = 0.001) eyes. Lower GCIPL thickness was associated with worse HCLA in AQP4-ON (−16.5 ± 1.5 letters per 10 µm decrease; p < 0.001) and MS-ON eyes (−8.5 ± 2.3 letters per 10 µm decrease; p < 0.001), but not in MOG-ON eyes (−5.2 ± 3.8 letters per 10 µm decrease; p = 0.17), and these relationships differed between the AQP4-ON and other ON groups ( p < 0.01 for interaction). Conclusion: AQP4-IgG seropositivity is associated with worse visual outcomes after ON compared with MOG-ON and MS-ON, even with similar severity of macular GCIPL thinning.