bluuebunny/crossref_metadata_2025_split huggingface dataset:
Opportunities for Occupational Therapy on a Primary Care Team
Authors: Winship Jodi M. , Ivey Carole K. , Etz Rebecca S. 
Published: July 2019

Abstract
Importance: Leaders in the occupational therapy profession have called for occupational therapy’s inclusion in primary care, but little is known about the occupational needs of patients in this setting.
Objective: To explore the need for and potential role of occupational therapy in a team-based primary care clinic.
Design: A qualitative descriptive study using a convenience sample of clinicians and patients. Meetings and semistructured interviews were recorded, transcribed, and coded by multiple coders using a general immersion–crystallization approach to identify relevant themes.
Setting: Outpatient complex care clinic of an urban academic medical center.
Participants: The study included a voluntary sample of clinicians and patients from the complex care clinic. Patients were recruited from a staff-provided list; eligible patients had attended the clinic for at least 1 yr. All patients had multiple chronic conditions and were uninsured or received Medicaid.
Results: Researchers attended 10 clinician team meetings and conducted 13 patient interviews and 10 clinician interviews. Four domains of patient need were identified by both patients and clinicians: complex medical management, patients’ limited resources, mental health needs, and challenges to occupation. Clinicians also identified cognitive–behavioral challenges affecting care, including lack of engagement and poor problem solving.
Conclusions and Relevance: The makeup of the clinic team reflected their intent to address medical, socioeconomic, and mental health domains. However, cognitive–behavioral challenges and patients’ occupational limitations were not consistently addressed. Thus, patients had unmet needs that occupational therapy practitioners were qualified to address.
What this Article Adds: This study adds to the available literature examining patient needs and clinician challenges in a primary care clinic. Patients have occupational needs that are not being addressed in primary care, indicating a need for occupational therapy in this setting.
Complex Task Performance Assessment (CTPA) and Functional Cognition in People With Parkinson’s Disease
Authors: Davis Alison , Wolf Timothy J. , Foster Erin R. 
Published: July 2019

Abstract
OBJECTIVE. The objective of this study was to determine how Parkinson’s disease (PD) affects functional cognition as assessed by the Complex Task Performance Assessment (CTPA) and to examine the associations of CTPA performance with other indicators of executive function in people with PD.
METHOD. Volunteers with PD without dementia (n = 20) and community control participants (n = 19) completed neuropsychological testing, patient-reported outcome measures, and the CTPA.
RESULTS. There were no group differences for CTPA performance accuracy; however, the PD group took longer to complete the CTPA than did the control group. In the PD group, inefficient CTPA performance correlated with poorer cognitive flexibility and worse reported everyday shifting and task monitoring.
CONCLUSION. Decreased executive function, namely cognitive flexibility and attentional control, may impair functional cognition in people with PD. Future studies with larger, more diverse samples are warranted to determine the discriminant validity and sensitivity of the CTPA. Use of performance-based assessments such as the CTPA may increase the understanding of functional cognition in people with PD.
EDGAR v4.3.2 Global Atlas of the three major greenhouse gas emissions for the period 1970–2012
Authors: Janssens-Maenhout Greet , Crippa Monica , Guizzardi Diego , Muntean Marilena , Schaaf Edwin , Dentener Frank , Bergamaschi Peter , Pagliari Valerio , Olivier Jos G. J. , Peters Jeroen A. H. W. , van Aardenne John A. , Monni Suvi , Doering Ulrike , Petrescu A. M. Roxana , Solazzo Efisio , Oreggioni Gabriel D. 
Published: July 2019

Abstract. The Emissions Database for Global Atmospheric Research (EDGAR) compiles
anthropogenic emissions data for greenhouse gases (GHGs), and for multiple air
pollutants, based on international statistics and emission factors. EDGAR data
provide quantitative support for atmospheric modelling and for mitigation
scenario and impact assessment analyses as well as for policy evaluation. The
new version (v4.3.2) of the EDGAR emission inventory provides global
estimates, broken down to IPCC-relevant source-sector levels, from 1970 (the
year of the European Union's first Air Quality Directive) to 2012 (the end
year of the first commitment period of the Kyoto Protocol, KP). Strengths of
EDGAR v4.3.2 include global geo-coverage (226 countries), continuity in time,
and comprehensiveness in activities. Emissions of multiple chemical
compounds, GHGs as well as air pollutants, from relevant sources (fossil fuel
activities but also, for example, fermentation processes in agricultural
activities) are compiled following a bottom-up (BU), transparent and IPCC-compliant methodology. This paper describes
EDGAR v4.3.2 developments with respect to three major long-lived GHGs (CO2,
CH4, and N2O) derived from a wide range of human activities
apart from the land-use, land-use change and forestry (LULUCF) sector and
apart from savannah burning; a companion paper quantifies and discusses
emissions of air pollutants. Detailed information is included for each of the
IPCC-relevant source sectors, leading to global totals for 2010 (in the
middle of the first KP commitment period) (with a 95 % confidence
interval in parentheses): 33.6(±5.9) Pg CO2 yr−1, 0.34(±0.16) Pg CH4 yr−1, and 7.2(±3.7) Tg N2O yr−1. We provide uncertainty factors in emissions
data for the different GHGs and for three different groups of countries: OECD
countries of 1990, countries with economies in transition in 1990, and the
remaining countries in development (the UNFCCC non-Annex I parties). We
document trends for the major emitting countries together with the European
Union in more detail, demonstrating that effects of fuel markets and
financial instability have had greater impacts on GHG trends than effects of
income or population. These data (https://doi.org/10.5281/zenodo.2658138,
Janssens-Maenhout et al., 2019) are visualised with annual and monthly global emissions grid maps
of 0.1∘×0.1∘ for each source sector.
The AROME-WMED reanalyses of the first special observation period of the Hydrological cycle in the Mediterranean experiment (HyMeX)
Authors: Fourrié Nadia , Nuret Mathieu , Brousseau Pierre , Caumont Olivier , Doerenbecher Alexis , Wattrelot Eric , Moll Patrick , Bénichou Hervé , Puech Dominique , Bock Olivier , Bosser Pierre , Chazette Patrick , Flamant Cyrille , Di Girolamo Paolo , Richard Evelyne , Saïd Frédérique 
Published: July 2019

Abstract. To study key processes of the water cycle, two special observation periods (SOPs) of the Hydrological cycle in the Mediterranean experiment (HyMeX) took place during autumn 2012 and winter 2013.
The first SOP aimed to study high precipitation systems and flash flooding in the Mediterranean area.
The AROME-WMED (western Mediterranean) model (Fourrié et al., 2015) is a dedicated version of the mesoscale Numerical Weather Prediction (NWP) AROME-France model, which covers the western Mediterranean basin providing the HyMeX operational center with daily real-time analyses and forecasts.
These products allowed for adequate decision-making for the field campaign observation deployment and the instrument operation. Shortly after the end of the campaign, a first reanalysis with more observations was performed with the first SOP operational software.
An ensuing comprehensive second reanalysis of the first SOP, which included field research observations (not assimilated in real time) and some reprocessed observation datasets, was made with AROME-WMED.
Moreover, a more recent version of the AROME model was used with updated background error statistics for the assimilation process. This paper depicts the main differences between the real-time version and the benefits brought by HyMeX reanalyses with AROME-WMED.
The first reanalysis used 9 % additional data and the second one 24 % more compared to the real-time version. The second reanalysis is found to be closer to observations than the previous AROME-WMED analyses. The second reanalysis forecast errors of surface parameters are reduced up to the 18 and 24 h forecast range. In the middle and upper troposphere, fields are also improved up to the 48 h forecast range when compared to radiosondes. Integrated water vapor comparisons indicate a positive benefit for at least 24 h. Precipitation forecasts are found to be improved with the second reanalysis for a threshold up to 10 mm (24 h)−1. For higher thresholds, the frequency bias is degraded. Finally, improvement brought by the second reanalysis is illustrated with the Intensive Observation Period (IOP8) associated with heavy precipitation over eastern Spain and southern France.
Modeling extreme precipitation over East China with a global variable-resolution modeling framework (MPASv5.2): impacts of resolution and physics
Authors: Zhao Chun , Xu Mingyue , Wang Yu , Zhang Meixin , Guo Jianping , Hu Zhiyuan , Leung L. Ruby , Duda Michael , Skamarock William 
Published: July 2019

Abstract. The non-hydrostatic atmospheric Model for Prediction Across Scales (MPAS-A),
a global variable-resolution modeling framework, is applied at a range of
resolutions from hydrostatic (60, 30, 16 km) to non-hydrostatic (4 km)
scales using regional refinement over East Asia to simulate an extreme
precipitation event. The event is triggered by a typical wind shear in the
lower layer of the Meiyu front in East China on 25–27 June 2012 during the
East Asian summer monsoon season. The simulations are evaluated using ground
observations and reanalysis data. The simulated distribution and intensity
of precipitation are analyzed to investigate the sensitivity to model
configuration, resolution, and physics parameterizations. In general,
simulations using global uniform-resolution and variable-resolution meshes
share similar characteristics of precipitation and wind in the refined
region with comparable horizontal resolution. Further experiments at
multiple resolutions reveal the significant impacts of horizontal resolution
on simulating the distribution and intensity of precipitation and updrafts.
More specifically, simulations at coarser resolutions shift the zonal
distribution of the rain belt and produce weaker heavy precipitation centers
that are misplaced relative to the observed locations. In comparison,
simulations employing 4 km cell spacing produce more realistic features of
precipitation and wind. The difference among experiments in modeling rain
belt features is mainly due to the difference in simulated wind shear
formation and evolution during this event. Sensitivity experiments show that
cloud microphysics have significant effects on modeling precipitation at
non-hydrostatic scales, but their impacts are relatively small compared to
that of convective parameterizations for simulations at hydrostatic scales.
This study provides the first evidence supporting the use of
convection-permitting global variable-resolution simulations for studying
and improving forecasting of extreme precipitation over East China and
motivates the need for a more systematic study of heavy precipitation events
and the impacts of physics parameterizations and topography in the future. The key points are as follows.
Model for Prediction Across Scales (MPAS) simulations at global uniform and variable resolutions share similar characteristics of precipitation and wind in the refined region. Numerical experiments reveal significant impacts of resolution on
simulating the distribution and intensity of precipitation and updrafts. This study provides evidence supporting the use of convection-permitting
global variable-resolution simulation to study extreme precipitation.
Assessment of spatial uncertainty of heavy rainfall at catchment scale using a dense gauge network
Authors: O Sungmin , Foelsche Ulrich 
Published: July 2019

Abstract. Hydrology and remote-sensing communities have made use of dense rain-gauge networks for studying rainfall uncertainty and variability. However, in most regions, these dense networks are only available at small spatial scales (e.g., within remote-sensing subpixel areas) and over short periods of time. Just a few studies have applied a similar approach, i.e., employing dense gauge networks to catchment-scale areas, which limits the verification of their results in other regions. Using 10-year rainfall measurements from a network of 150 rain gauges, WegenerNet (WEGN), we assess the spatial uncertainty in observed heavy rainfall events. The WEGN network is located in southeastern Austria over an area of 20 km × 15 km with moderate orography. First, the spatial variability in rainfall in the region was characterized using a correlogram at daily and sub-daily scales. Differences in the spatial structure of rainfall events between warm and cold seasons are apparent, and we selected heavy rainfall events, the upper 10 % of wettest days during the warm season, for further analyses because of their high potential for causing hazards. Secondly, we investigated the uncertainty in estimating mean areal rainfall arising from a limited gauge density. The average number of gauges required to obtain areal rainfall with errors less than a certain threshold (≤20 % normalized root-mean-square error – RMSE – is considered here) tends to increase, roughly following a power law as the timescale decreases, while the errors can be significantly reduced by establishing regularly distributed gauges. Lastly, the impact of spatial aggregation on extreme rainfall was examined, using gridded rainfall data with various horizontal grid spacings. The spatial-scale dependence was clearly observed at high intensity thresholds and high temporal resolutions; e.g., the 5 min extreme intensity increases by 44 % for the 99.9th and by 25 % for the 99th percentile, with increasing horizontal resolution from 0.1 to 0.01∘. Quantitative uncertainty information from this study can guide both data users and producers to estimate uncertainty in their own observational datasets, consequently leading to the sensible use of the data in relevant applications. Our findings could be transferred to midlatitude regions with moderate topography, but only to a limited extent, given that regional factors that can affect rainfall type and process are not explicitly considered in the study.
Spatiotemporal distributions of icebergs in a temperate fjord: Columbia Fjord, Alaska
Authors: Neuhaus Sarah U. , Tulaczyk Slawek M. , Branecky Begeman Carolyn 
Published: July 2019

Abstract. Much of the world's ice enters the ocean via outlet
glaciers terminating in fjords. Inside fjords, icebergs may affect
glacier–ocean interactions by cooling incoming ocean waters, enhancing
vertical mixing, or providing back stress on the terminus. However,
relatively few studies have been performed on iceberg dynamics inside
fjords, particularly outside of Greenland. We examine icebergs calved from
Columbia Glacier, Alaska, over 8 months spanning late winter to mid-fall
using 0.5 m resolution satellite imagery, identifying icebergs based on
pixel brightness. Iceberg sizes fit a power-law distribution with an overall
power-law exponent, m, of -1.26±0.05. Seasonal variations in the
power-law exponent indicate that brittle fracture of icebergs is more
prevalent in the summer months. Combining our results with those from
previous studies of iceberg distributions, we find that iceberg calving
rate, rather than water temperature, appears to be the major control on the
exponent value. We also analyze icebergs' spatial distribution inside the
fjord and find that large icebergs (10 000–100 000 m2
cross-sectional area) have low spatial correlation with icebergs of smaller
sizes due to their tendency to ground on shallow regions. We estimate the
surface area of icebergs in contact with incoming seawater to be 3.0±0.63×104 m2. Given the much larger surface area of the terminus,
9.7±3.7×105 m2, ocean interactions with the terminus may
have a larger impact on ocean heat content than interactions with icebergs.
The presence of women in Leïla Slimani’s work
Authors: Fernández Erquicia Irati 
Published: July 2019

This article aims to study the presence of women in Leïla Slimani’s work, and to analyze the subjects that are related to women’s identity in her work. In her two first novels and in her latest testimony book, Leïla Slimani seems to be very interested in the image of women and in the role that they play in our society. The sex addiction of Adèle in Dans le jardin de l’ogre (2014), the image of the mother and the babysitter in Chanson douce (2016), and the testimony of women in Sexe et mensonges: la vie sexuelle au Maroc (2017c), show the point of view of Slimani about contemporary women in her work.
This will study different subjects such as sexuality, maternity, family, violence, power and religion, emphasising the importance of the construction of women’s identity in the contemporary society.
Validación y Confiabilidad de la versión francesa de la escala de ansiedad lingüística "Foreign Language Classroom Anxiety Scale" y aplicado a estudiantes franceses: Revisión del análisis de Horwitz y Cope, Aida y Pérez y Martínez.
Authors: Jarie Laurane , Salavera Bordás Carlos , Merino Orozco Abel , Usán Supervía Pablo 
Published: July 2019

La ansiedad ante el aprendizaje de las lenguas extranjeras es una de las variables más influyentes en el aprendizaje de idiomas extranjeros. Horwitz y Cope (1986, 1991) desarrollaron un marco teórico alrededor del constructo específico de ansiedad lingüística que consigue explicar el rol de esta variable dentro del proceso de enseñanza – aprendizaje de las lenguas extranjeras. Los autores elaboraron una escala estadísticamente fiable y válida para poder medir los niveles de ansiedad lingüística. La presente investigación pretende estudiar la validación y la confiabilidad del instrumento Foreign Language Classroom Anxiety Scale traducido al idioma francés para su aplicación con estudiantes franceses de secundaria así como repetir el análisis factorial de la FLCAS realizado por Aida (1994), Pérez y Martínez (2001). La adaptación del instrumento, se distribuye, tras el análisis con rotación Varimax, en cuatro factores que explican el 58,78% de la varianza total y un alpha de Cronbach de ,77.
Laparoscopic Management of Phrenic Endometriosis
Authors: Silveira Cassia Gisele Terrassani , Agic Admir , Kleemann Markus , Merz Hartmut , Hornung Daniela 
Published: July 2019

Introduction Extrapelvic endometriosis is a rare condition typically associated with variable symptomatology and complex diagnosis. Case report: Here, we report a rare case of phrenic endometriosis manifested insidiously in a woman of reproductive age after a prolonged history of endometriosis with several surgical interventions, including laparoscopic bowel resection a few months ago. The patient presented with menstrual-related, cyclical, right upper abdominal pain. Results Accurate surgical inspection during the laparoscopic procedure enabled the identification and full resection of a deep infiltrating endometriotic lesion growing from the peritoneum into the phrenic tissue, which was suspected by symptomatology. No pulmonary complications were detected before or after surgery except for a small right-sided pneumothorax, which did not require drainage and disappeared spontaneously after five days. Conclusions The rare case reported here emphasizes the importance of a very exact conversation with the patient before surgery, a systematic and accurate surgical exploration for the diagnosis, and the successful laparoscopic treatment of a symptomatic phrenic disease in a woman with a longstanding history of endometriosis.
Association Rate between Incisional and Pelvic Endometriosis
Authors: Alborzi Saeed , Hamedi Bahareh , Abbasi Sedigheh , Parsanejad Mohammad Ebrahim , Zolghadri Jaleh 
Published: July 2019

Purpose To investigate the association rate between abdominal wall and pelvic endometriosis in a population of Iranian patients, in University and private hospitals of Shiraz University of Medical Sciences. Methods 30 women were diagnosed as abdominal wall endometriosis according to the clinical signs and symptoms (dysmenorrhea, dyspauronia and pelvic pain) and the sonographic findings. The mean age of the patients was 30.5 ±3.3 (range 21–35) years. All the patients underwent resection of abdominal wall mass and investigation of the pelvic cavity for detecting pelvic endometriosis by laparoscopy. The pelvic endometriosis was scored and the stage was determined. Results 28 (93.3%) patients were found to have concomitant pelvic endometriosis. The mean score of pelvic endometriosis was 9.3 ± 6.6 (range 3–33). Of the patients, 10 (33.3%) suffered from stage I endometriosis, 16 (53.3%) from stage II, and 2 (6.7%) from stage III. Only 2 (6.7%) patients did not have concomitant pelvic endometriosis. The abdominal wall mass was successfully excised in all the cases. The histopathology diagnosis was confirmed in all the cases. Conclusions The association rate between abdominal wall and pelvic endometriosis is higher than that previously reported, up to 90%. Thus, routine investigation of the pelvic cavity is recommended in all the patients with abdominal wall endometriosis.
Familia humana y fraternidad (política) en la Declaración Universal de Derechos de 1948
Authors: Bertomeu María Julia 
Published: July 2019

La Declaración de 1948 recuperó ideas filosófico-políticas básicas y fundamentales que habían sido ignoradas en la historia política real, o negadas iusfilosóficamente en la academia con el auge del utilitarismo moral y positivismo jurídico. El primer considerando del preámbulo de la Declaración de 1948 afirma enfáticamente, por ejemplo: que la libertad ha de ser universalizada a “todos” y es inalienable, que la “igualdad” bien entendida dimana de la libertad bien entendida, y que la humanidad no está dividida en razas, etnias, géneros, clases o culturas, sino que forma un todo indivisible al que llama “la familia humana”. Y ya en el Artículo 1) de esa misma Declaración se incorpora la “fraternidad”, no como un adorno retórico o como un encomiable sentimiento social o –menos— como una consigna culturalmente particularista o arbitraria, sino como un deber exigible de manera universal: “Todos los seres humanos (…) deben comportarse fraternalmente los unos con los otros”. Así pues, reflexionar políticamente hoy sobre la fraternidad va de la mano de una reflexión sobre el significado profundo de los derechos humanos fundamentales.
« Née en France, j’ai l’impression que je suis tamoule avant tout. Qui suis-je ? » Identités hybrides et positionnements dynamiques des adultes de parents migrants tamouls en France
Authors: Vijayaratnam Mélanie , Skandrani Sara , Moro Marie-Rose 
Published: July 2019

Pour se construire, les adultes enfants de migrants doivent concilier les référents culturels de leurs parents ainsi que leur culture d’appartenance française.
En nous appuyant sur des entretiens menés auprès de quinze jeunes femmes issues de la seconde génération de Tamouls indiens et sri lankais de France, nous nous intéressons à leur positionnement et leurs stratégies identitaires.
Les analyses qualitatives révèlent que les jeunes femmes tamoules nées en France possèdent un répertoire d’identités qui change constamment selon les situations. Ceci leur permet d’explorer différents positionnements identitaires afin de s’engager et d’adhérer à ceux qui leur correspondent.