bluuebunny/crossref_metadata_2025_split huggingface dataset:
Sustainability of Blood Pressure Reduction in Black Barbershops
Authors: Victor Ronald G. , Blyler Ciantel A. , Li Ning , Lynch Kathleen , Moy Norma B. , Rashid Mohamad , Chang L. Cindy , Handler Joel , Brettler Jeffrey , Rader Florian , Elashoff Robert M. 
Published: December 2018

Background:
We developed a new model of hypertension care for non-Hispanic black men that links health promotion by barbers to medication management by American Society of Hypertension–certified pharmacists and demonstrated efficacy in a 6-month cluster-randomized trial. The marked reduction in systolic blood pressure (BP) seen at 6 months warranted continuing the trial through 12 months to test sustainability, a necessary precondition for implementation research.

Methods:
We enrolled a cohort of 319 black male patrons with systolic BP ≥140 mm Hg at baseline. Fifty-two Los Angeles County barbershops were assigned to either a pharmacist-led intervention or an active control group. In the intervention group, barbers promoted follow-up with pharmacists who prescribed BP medication under a collaborative practice agreement with patrons’ primary care providers. In the control group, barbers promoted follow-up with primary care providers and lifestyle modification. After BP assessment at 6 months, the intervention continued with fewer in-person pharmacist visits to test whether the intervention effect could be sustained safely for 1 year while reducing pharmacist travel time. Final BP and safety outcomes were assessed in both groups at 12 months.

Results:

At baseline, mean systolic BP was 152.4 mm Hg in the intervention group and 154.6 mm Hg in the control group. At 12 months, mean systolic BP fell by 28.6 mm Hg (to 123.8 mm Hg) in the intervention group and by 7.2 mm Hg (to 147.4 mm Hg) in the control group. The mean reduction was 20.8 mm Hg greater in the intervention (95% CI, 13.9–27.7;
P
<0.0001). A BP <130/80 mm Hg was achieved by 68.0% of the intervention group versus 11.0% of the control group (
P
<0.02). These new 12-month efficacy data are statistically indistinguishable from our previously reported 6-month data. No treatment-related serious adverse events occurred in either group over 12 months. Cohort retention at 12 months was 90% in both groups.

Conclusions:
Among black male barbershop patrons with uncontrolled hypertension, health promotion by barbers resulted in large and sustained BP reduction over 12 months when coupled with medication management by American Society of Hypertension–certified pharmacists. Broad-scale implementation research is both justified and warranted.

Clinical Trial Registration:

URL:
https://www.clinicaltrials.gov
. Unique identifier: NCT 02321618.
Favorable Cardiovascular Health at Young and Middle Ages and Dementia in Older Age—The CHA Study
Authors: Vu Thanh‐Huyen T. , Zhao Lihui , Liu Lei , Schiman Cuiping , Lloyd‐Jones Donald M. , Daviglus Martha L. , Liu Kiang , Garside Daniel B. , Stamler Jeremiah , Fries James F. , Shih Ya‐Chen Tina , Allen Norrina B. 
Published: December 2018

Background

Data are sparse on the association of cardiovascular health (
CVH
) in younger/middle age with the incidence of dementia later in life.

Methods and Results

We linked the CHA (Chicago Heart Association Detection Project in Industry) study data, assessed in 1967 to 1973, with 1991 to 2010 Medicare and National Death Index data. Favorable
CVH
was defined as untreated systolic blood pressure/diastolic blood pressure ≤120/≤80 mm Hg, untreated serum total cholesterol <5.18 mmol/L, not smoking, bone mass index <25 kg/m
2
, and no diabetes mellitus.
International Classification of Diseases, Ninth Revision (ICD‐9)
codes and claims dates were used to identify the first dementia diagnosis. Cox models were used to estimate hazard ratios of incident dementia after age 65 years by baseline
CVH
status. Among 10 119 participants baseline aged 23 to 47 years, 32.4% were women, 9.2% were black, and 7.3% had favorable baseline
CVH
. The incidence rate of dementia during follow‐up after age 65 was 13.9%. After adjustment, the hazard ratio for incident dementia was lowest in those with favorable baseline
CVH
and increased with higher risk factor burden (
P
‐trend<0.001). The hazards of dementia in those with baseline favorable, moderate, and 1‐only high‐risk factor were lower by 31%, 26%, and 20%, respectively, compared with those with ≥2 high‐risk factors. The association was attenuated but remained significant (
P
‐trend<0.01) when the model was further adjusted for competing risk of death. Patterns of associations were similar for men and women, and for those with a higher and lower baseline education level.

Conclusions

In this large population‐based study, a favorable
CVH
profile at younger age is associated with a lower risk of dementia in older age.
Discussing Out‐of‐Pocket Costs With Patients: Shared Decision Making for Sacubitril‐Valsartan in Heart Failure
Authors: Smith Graham H. , Shore Supriya , Allen Larry A. , Markham David W. , Mitchell Andrea R. , Moore Miranda , Morris Alanna A. , Speight Candace D. , Dickert Neal W. 
Published: December 2018

Background
“Financial toxicity” is a concern for patients, but little is known about how patients consider out‐of‐pocket cost in decisions. Sacubitril‐valsartan provides a contemporary scenario to understand financial toxicity. It is guideline recommended for heart failure with reduced ejection fraction, yet out‐of‐pocket costs can be considerable.

Methods and Results

Structured interviews were conducted with 49 patients with heart failure with reduced ejection fraction at heart failure clinics and inpatient services. Patient opinions of the drug and its value were solicited after description of benefits using graphical displays. Descriptive quantitative analysis of closed‐ended responses was conducted, and qualitative descriptive analysis of text data was performed. Of participants, 92% (45/49) said that they would definitely or probably switch to sacubitril‐valsartan if their physician recommended it and out‐of‐pocket cost was $5 more per month than their current medication. Only 43% (21/49) would do so if out‐of‐pocket cost was $100 more per month (
P
<0.001). At least 40% across all income categories would be unlikely to take sacubitril‐valsartan at $100 more per month. Participants exhibited heterogeneous approaches to cost in decision making and varied on their use and interpretation of probabilistic information. Few (20%) participants stated physicians had initiated a conversation about cost in the past year.

Conclusions
Out‐of‐pocket cost variation reflective of contemporary cost sharing substantially influenced stated willingness to take sacubitril‐valsartan, a guideline‐recommended therapy with mortality benefit. These findings suggest a need for cost transparency to promote shared decision making. They also demonstrate the complexity of cost discussion and need to study how to incorporate out‐of‐pocket cost into clinical decisions.
Cross-Document Co-Reference Resolution using Sample-Based Clustering with Knowledge Enrichment
Authors: Dutta Sourav , Weikum Gerhard 
Published: December 2018

Identifying and linking named entities across information sources is the basis of knowledge acquisition and at the heart of Web search, recommendations, and analytics. An important problem in this context is cross-document co-reference resolution (CCR): computing equivalence classes of textual mentions denoting the same entity, within and across documents. Prior methods employ ranking, clustering, or probabilistic graphical models using syntactic features and distant features from knowledge bases. However, these methods exhibit limitations regarding run-time and robustness. This paper presents the CROCS framework for unsupervised CCR, improving the state of the art in two ways. First, we extend the way knowledge bases are harnessed, by constructing a notion of semantic summaries for intra-document co-reference chains using co-occurring entity mentions belonging to different chains. Second, we reduce the computational cost by a new algorithm that embeds sample-based bisection, using spectral clustering or graph partitioning, in a hierarchical clustering process. This allows scaling up CCR to large corpora. Experiments with three datasets show significant gains in output quality, compared to the best prior methods, and the run-time efficiency of CROCS.
Parsing Algebraic Word Problems into Equations
Authors: Koncel-Kedziorski Rik , Hajishirzi Hannaneh , Sabharwal Ashish , Etzioni Oren , Ang Siena Dumas 
Published: December 2018

This paper formalizes the problem of solving multi-sentence algebraic word problems as that of generating and scoring equation trees. We use integer linear programming to generate equation trees and score their likelihood by learning local and global discriminative models. These models are trained on a small set of word problems and their answers, without any manual annotation, in order to choose the equation that best matches the problem text. We refer to the overall system as Alges.We compare Alges with previous work and show that it covers the full gamut of arithmetic operations whereas Hosseini et al. (2014) only handle addition and subtraction. In addition, Alges overcomes the brittleness of the Kushman et al. (2014) approach on single-equation problems, yielding a 15% to 50% reduction in error.
Entity Linking meets Word Sense Disambiguation: a Unified Approach
Authors: Moro Andrea , Raganato Alessandro , Navigli Roberto 
Published: December 2018

Entity Linking (EL) and Word Sense Disambiguation (WSD) both address the lexical ambiguity of language. But while the two tasks are pretty similar, they differ in a fundamental respect: in EL the textual mention can be linked to a named entity which may or may not contain the exact mention, while in WSD there is a perfect match between the word form (better, its lemma) and a suitable word sense. In this paper we present Babelfy, a unified graph-based approach to EL and WSD based on a loose identification of candidate meanings coupled with a densest subgraph heuristic which selects high-coherence semantic interpretations. Our experiments show state-of-the-art performances on both tasks on 6 different datasets, including a multilingual setting. Babelfy is online at http://babelfy.org
Crosslingual and Multilingual Construction of Syntax-Based Vector Space Models
Authors: Utt Jason , Padó Sebastian 
Published: December 2018

Syntax-based distributional models of lexical semantics provide a flexible and linguistically adequate representation of co-occurrence information. However, their construction requires large, accurately parsed corpora, which are unavailable for most languages. In this paper, we develop a number of methods to overcome this obstacle. We describe (a) a crosslingual approach that constructs a syntax-based model for a new language requiring only an English resource and a translation lexicon; and (b) multilingual approaches that combine crosslingual with monolingual information, subject to availability. We evaluate on two lexical semantic benchmarks in German and Croatian. We find that the models exhibit complementary profiles: crosslingual models yield higher accuracies while monolingual models provide better coverage. In addition, we show that simple multilingual models can successfully combine their strengths.
Dual Coordinate Descent Algorithms for Efficient Large Margin Structured Prediction
Authors: Chang Ming-Wei , Yih Wen-tau 
Published: December 2018

Due to the nature of complex NLP problems, structured prediction algorithms have been important modeling tools for a wide range of tasks. While there exists evidence showing that linear Structural Support Vector Machine (SSVM) algorithm performs better than structured Perceptron, the SSVM algorithm is still less frequently chosen in the NLP community because of its relatively slow training speed. In this paper, we propose a fast and easy-to-implement dual coordinate descent algorithm for SSVMs. Unlike algorithms such as Perceptron and stochastic gradient descent, our method keeps track of dual variables and updates the weight vector more aggressively. As a result, this training process is as efficient as existing online learning methods, and yet derives consistently better models, as evaluated on four benchmark NLP datasets for part-of-speech tagging, named-entity recognition and dependency parsing.
Dissipation Characteristics of Tornadic Vortex Signatures Associated with Long-Duration Tornadoes
Authors: French Michael M. , Kingfield Darrel M. 
Published: December 2018

AbstractWeather Surveillance Radar–1988 Doppler (WSR-88D) data from 36 tornadic supercell cases from 2012 to 2016 are investigated to identify common tornadic vortex signature (TVS) behaviors prior to tornado dissipation. Based on the results of past case studies, four characteristics of TVSs associated with tornado dissipation were identified: weak or decreasing TVS intensity, rearward storm-relative motion of the TVS, large or increasing TVS vertical tilt, and large or increasing TVS horizontal displacement from the main storm updraft. Only cases in which a TVS was within 60 km of a WSR-88D site in at least four consecutive volumes at the end of the tornado life cycle were examined. The space and time restrictions on case selection ensured that the aforementioned quantities could be determined within ~500 m of the surface at several time periods despite the relatively coarse spatiotemporal resolution of WSR-88D systems. It is found that prior to dissipation, TVSs become increasingly less intense, tend to move rearward in a storm-relative framework, and become increasingly more separated from the approximate location of the main storm updraft. There is no clear signal in the relationship between tornado tilt, as measured in inclination angle, and TVS dissipation. The frequency of combinations of TVS dissipation behaviors, the impact of increased low-level WSR-88D scanning on dissipation detection, and prospects for future nowcasting of tornado life cycles also are discussed.
Observed Decadal Transition in Trend of Autumn Rainfall over Central China in the Late 1990s
Authors: Wang Zunya , Zhou Botao 
Published: December 2018

Abstract
This article presents a decadal transition from a decreasing trend to an increasing trend in the late 1990s for autumn rainfall in central China. The atmospheric and oceanic background underlying this regime shift is also addressed. Accompanying the above decadal transition, the moisture convergence and ascending motion averaged in central China both switch from a weakening trend to a strengthening trend. Meanwhile, after the late 1990s, the declining of the Asian sea level pressure (SLP) and the deepening of the Lake Balkhash trough may induce more cold air from high latitudes to break out southward. The strengthening of the low-level southerly in East Asia could transport more moisture northward from low latitudes. More cold air and more warm-moist airflow encountering in the targeted region contribute to the increasing trend of local rainfall. The situation before the late 1990s is generally reversed, which accounts for the decreasing trend of autumn rainfall. The movement of the East Asian jet (EAJ) from southward to northward also has a contribution via its influence on dynamic condition. Additionally, changes in the sea surface temperatures (SSTs) in the western Indian and Atlantic Oceans from a cooling trend to a warming trend in the late 1990s play significant roles through their modulations on moisture transport and cold-air activities.
Contributions of Different Combinations of the IPO and AMO to Recent Changes in Winter East Asian Jets
Authors: Huang Danqing , Dai Aiguo , Yang Ben , Yan Peiwen , Zhu Jian , Zhang Yaocun 
Published: December 2018

AbstractRecent concurrent shifts of the East Asian polar-front jet (EAPJ) and the East Asian subtropical jet (EASJ) in the boreal winter have raised concerns, since they could result in severe weather events over East Asia. However, the possible mechanisms are not fully understood. In this study, the roles of the interdecadal Pacific oscillation (IPO) and the Atlantic multidecadal oscillation (AMO) are investigated by analyzing reanalysis data and model simulations. Results show that combinations of opposite phases of the IPO and AMO can result in significant shifts of the two jets during 1920–2014. This relationship is particularly evident during 1999–2014 and 1979–98 in the reanalysis data. A combination of a negative phase of the IPO (−IPO) and a positive phase of the AMO (+AMO) since the late 1990s has enhanced the meridional temperature gradient and the Eady growth rate and thus westerlies over the region between the two jets, but weakened them to the south and north of the region, thereby contributing to the equatorward and poleward shifts of the EAPJ and EASJ, respectively. Atmospheric model simulations are further used to investigate the relative contribution of −IPO and +AMO to the jet shifts. The model simulations show that the combination of −IPO and +AMO favors the recent jet changes more than the individual −IPO or +AMO. Under a concurrent −IPO and +AMO, the meridional eddy transport of zonal momentum and sensitive heat strengthens, and more mean available potential energy converts to the eddy available potential energy over the region between the two jets, which enhances westerly winds there.
Revisiting the Linkages between the Variability of Atmospheric Circulations and Arctic Melt-Season Sea Ice Cover at Multiple Time Scales
Authors: Yu Lejiang , Zhong Shiyuan , Zhou Mingyu , Lenschow Donald H. , Sun Bo 
Published: December 2018

Abstract
The sharp decline of Arctic sea ice in recent decades has captured the attention of the climate science community. A majority of climate analyses performed to date have used monthly or seasonal data. Here, however, we analyze daily sea ice data for 1979–2016 using the self-organizing map (SOM) method to further examine and quantify the contributions of atmospheric circulation changes to the melt-season Arctic sea ice variability. Our results reveal two main variability modes: the Pacific sector mode and the Barents and Kara Seas mode, which together explain about two-thirds of the melt-season Arctic sea ice variability and more than 40% of its trend for the study period. The change in the frequencies of the two modes appears to be associated with the phase shift of the Pacific decadal oscillation (PDO) and the Atlantic multidecadal oscillation (AMO). The PDO and AMO trigger anomalous atmospheric circulations, in particular, the Greenland high and the North Atlantic Oscillation and anomalous warm and cold air advections into the Arctic Ocean. The changes in surface air temperature, lower-atmosphere moisture, and downwelling longwave radiation associated with the advection are consistent with the melt-season sea ice anomalies observed in various regions of the Arctic Ocean. These results help better understand the predictability of Arctic sea ice on multiple (synoptic, intraseasonal, and interannual) time scales.
Seasonal Prediction of North Atlantic Accumulated Cyclone Energy and Major Hurricane Activity
Authors: Davis Kyle , Zeng Xubin 
Published: December 2018

Abstract
Building upon our previous seasonal hurricane prediction model, here we develop two statistical models to predict the number of major hurricanes (MHs) and accumulated cyclone energy (ACE) in the North Atlantic basin using monthly data from March to May for an early June forecast. The input data include zonal pseudo–wind stress to the 3/2 power, sea surface temperature in the North Atlantic, and, depending on the magnitude of the Atlantic multidecadal oscillation index, the multivariate ENSO index. From 1968 to 2017, these models have a mean absolute error of 0.96 storms for MHs and 30 units for ACE. When tested over an independent period from 1958 to 1967, the models show a 22% improvement for MHs and 16% for ACE over a no-skill metric based on a 5-yr running average. Both the MH and ACE results show consistent improvements over those produced by three other centers using statistical–dynamical hybrid models and a 5-yr running average prediction over the period 2000–17 for MHs (2003–17 for ACE) in a simulated real-time prediction. These improvements vary from 25% to 37% for MHs and from 15% to 37% for ACE. While most forecasting centers called for a slightly above-average hurricane season in May/June 2017, our models predicted in June 2017 a very active season, in much better agreement with observations.
Moral distress of undergraduate nursing students in community health nursing
Authors: Escolar Chua Rowena L , Magpantay Jaclyn Charmaine J 
Published: December 2018

Background: Nurses exposed to community health nursing commonly encounter situations that can be morally distressing. However, most research on moral distress has focused on acute care settings and very little research has explored moral distress in a community health nursing setting especially among nursing students. Aim: To explore the moral distress experiences encountered by undergraduate baccalaureate nursing students in community health nursing. Research design: A descriptive qualitative design was employed to explore the community health nursing experiences of the nursing students that led them to have moral distress. Participants and research context: The study included 14 senior nursing students who had their course in Community Health Nursing in their sophomore year and stayed in the partner communities in their junior year for 6 and 3 weeks during their senior year. Ethical considerations: Institutional review board approval was sought prior to the conduct of the study. Self-determination was assured and anonymity and confidentiality were guaranteed to all participants. Findings: Nursing students are vulnerable and likely to experience moral distress when faced with ethical dilemmas. They encounter numerous situations which make them question their own values and ideals and those of that around them. Findings of the study surfaced three central themes which included moral distress emanating from the unprofessional behavior of some healthcare workers, the resulting sense of powerlessness, and the differing values and mindsets of the people they serve in the community. Conclusion: This study provides educators a glimpse of the morally distressing situations that often occurs in the community setting. It suggests the importance of raising awareness and understanding of these situations to assist nursing students to prepare themselves to the “real world,” where the ideals they have will be constantly challenged and tested.