bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Role of CO2 and Dynamic Vegetation on the Impact of Temperate Land-Use Change in the HadCM3 Coupled Climate Model
Authors: Armstrong Edward , Valdes Paul , House Jo , Singarayer Joy 
Published: February 2016

Abstract
Human-induced land-use change (LUC) alters the biogeophysical characteristics of the land surface influencing the surface energy balance. The level of atmospheric CO2 is expected to increase in the coming century and beyond, modifying temperature and precipitation patterns and altering the distribution and physiology of natural vegetation. It is important to constrain how CO2-induced climate and vegetation change may influence the regional extent to which LUC alters climate. This sensitivity study uses the HadCM3 coupled climate model under a range of equilibrium forcings to show that the impact of LUC declines under increasing atmospheric CO2, specifically in temperate and boreal regions. A surface energy balance analysis is used to diagnose how these changes occur. In Northern Hemisphere winter this pattern is attributed in part to the decline in winter snow cover and in the summer due to a reduction in latent cooling with higher levels of CO2. The CO2-induced change in natural vegetation distribution is also shown to play a significant role. Simulations run at elevated CO2, yet present-day vegetation show a significantly increased sensitivity to LUC, driven in part by an increase in latent cooling. This study shows that modeling the impact of LUC needs to accurately simulate CO2-driven changes in precipitation and snowfall and incorporate accurate, dynamic vegetation distribution.
Two-Meter Temperature and Precipitation from Atmospheric Reanalysis Evaluated for Alaska
Authors: Lader Rick , Bhatt Uma S. , Walsh John E. , Rupp T. Scott , Bieniek Peter A. 
Published: February 2016

AbstractAlaska is experiencing effects of global climate change that are due, in large part, to the positive feedback mechanisms associated with polar amplification. The major risk factors include loss of sea ice and glaciers, thawing permafrost, increased wildfires, and ocean acidification. Reanalyses, integral to understanding mechanisms of Alaska’s past climate and to helping to calibrate modeling efforts, are based on the output of weather forecast models that assimilate observations. This study evaluates temperature and precipitation from five reanalyses at monthly and daily time scales for the period 1979–2009. Monthly data are evaluated spatially at grid points and for six climate zones in Alaska. In addition, daily maximum temperature, minimum temperature, and precipitation from reanalyses are compared with meteorological-station data at six locations. The reanalyses evaluated in this study include the NCEP–NCAR reanalysis (R1), North American Regional Reanalysis (NARR), Climate Forecast System Reanalysis (CFSR), ERA-Interim, and the Modern-Era Retrospective Analysis for Research and Applications (MERRA). Maps of seasonal bias and standard deviation, constructed from monthly data, show how the reanalyses agree with observations spatially. Cross correlations between the monthly gridded and daily station time series are computed to provide a measure of confidence that data users can assume when selecting reanalysis data in a region without many surface observations. A review of natural hazards in Alaska indicates that MERRA is the top reanalysis for wildfire and interior-flooding applications. CFSR is the recommended reanalysis for North Slope coastal erosion issues and, along with ERA-Interim, for heavy precipitation in southeastern Alaska.
Implications of North Atlantic Sea Surface Salinity for Summer Precipitation over the U.S. Midwest: Mechanisms and Predictive Value
Authors: Li Laifang , Schmitt Raymond W. , Ummenhofer Caroline C. , Karnauskas Kristopher B. 
Published: February 2016

Abstract
Moisture originating from the subtropical North Atlantic feeds precipitation throughout the Western Hemisphere. This ocean-to-land moisture transport leaves its imprint on sea surface salinity (SSS), enabling SSS over the subtropical oceans to be used as an indicator of terrestrial precipitation. This study demonstrates that springtime SSS over the northwestern portion of the subtropical North Atlantic significantly correlates with summertime precipitation over the U.S. Midwest. The linkage between springtime SSS and the Midwest summer precipitation is established through ocean-to-land moisture transport followed by a soil moisture feedback over the southern United States. In the spring, high SSS over the northwestern subtropical Atlantic coincides with a local increase in moisture flux divergence. The moisture flux is then directed toward and converges over the southern United States, which experiences increased precipitation and soil moisture. The increased soil moisture influences the regional water cycle both thermodynamically and dynamically, leading to excessive summer precipitation in the Midwest. Thermodynamically, the increased soil moisture tends to moisten the lower troposphere and enhances the meridional humidity gradient north of 36°N. Thus, more moisture will be transported and converged into the Midwest by the climatological low-level wind. Dynamically, the increases in soil moisture over the southern United States enhance the west–east soil moisture gradient eastward of the Rocky Mountains, which can help to intensify the Great Plains low-level jet in the summer, converging more moisture into the Midwest. Owing to these robust physical linkages, the springtime SSS outweighs the leading SST modes in predicting the Midwest summer precipitation and significantly improves rainfall prediction in this region.
BASTA: A 95-GHz FMCW Doppler Radar for Cloud and Fog Studies
Authors: Delanoë Julien , Protat Alain , Vinson Jean-Paul , Brett Williams , Caudoux Christophe , Bertrand Fabrice , Parent du Chatelet Jacques , Hallali Ruben , Barthes Laurent , Haeffelin Martial , Dupont Jean-Charles 
Published: February 2016

AbstractDoppler cloud radars are amazing tools to characterize cloud and fog properties and to improve their representation in models. However, commercially available cloud radars (35 and 95 GHz) are still very expensive, which hinders their widespread deployment. This study presents the development of a lower-cost semioperational 95-GHz Doppler cloud radar called the Bistatic Radar System for Atmospheric Studies (BASTA). To drastically reduce the cost of the instrument, a different approach is used compared to traditional pulsed radars: instead of transmitting a large amount of energy for a very short time period (as a pulse), a lower amount of energy is transmitted continuously. By using a specific signal processing technique, the radar can challenge expensive radars and provide high-quality measurements of cloud and fog. The latest version of the instrument has a sensitivity of about −50 dBZ at 1 km for 3-s integration and a vertical resolution of 25 m. The BASTA radar currently uses four successive modes for specific applications: the 12.5-m vertical resolution mode is dedicated to fog and low clouds, the 25-m mode is for liquid and ice midtropospheric clouds, and the 100- and 200-m modes are ideal for optically thin high-level ice clouds. The advantages of such a radar for calibration procedures and field operations are also highlighted. The radar comes with a set of products dedicated to cloud and fog studies. For instance, cloud mask, corrected Doppler velocity, and multimode products combining the high-sensitivity mode and high-resolution modes are provided.
The Prognostic Value of Percentage Total Plaque Score Adjusted to Age
Authors: Ayoub Chadi , Yam Yeung , Chen Li , Arasaratnam Punitha , Chow Clara K. , Hillis Graham S. , Kritharides Leonard , Chow Benjamin J.W. 
Published: February 2016

Background: Total plaque score (TPS) on coronary computed tomography angiography (CCTA) has been validated as a surrogate measure of coronary artery disease (CAD) burden and is prognostic. We propose a novel measure, percentage TPS adjusted to age (%TPS/age), that may reflect vascular age and potentially more rapidly progressive atherosclerosis and evaluate its potential prognostic value. Methods: %TPS/age was calculated for consecutive patients prospectively enrolled into our institutional CCTA registry and evaluated for primary composite outcome of cardiac death, nonfatal myocardial infarction, and late revascularization. Results: Of 1896 patients identified (mean age 57.7 ± 11.4 years, 50.1% male, median follow-up 18.6 months [interquartile range: 15.3, 32.4]), 552 (29%) had %TPS/age = 0 (no atherosclerosis), with 1 (0.2%) primary outcome observed (annual event rate [AER] = 0.1%). Two events (0.4%, AER = 0.3%) were observed in %TPS/age < 0.314 category, 22 (5.0%, AER = 2.2%) in %TPS/age 0.314 to 0.699 category, and 54 (12.0%, AER = 5.7%) in %TPS/age ≥ 0.700 category. After adjusting for clinical predictors and obstructive CAD, higher %TPS/age category was associated with hazard ratio 1.95 (1.31-2.88, P < .001) for primary outcome on multivariable analysis, Harrell-C-Statistic 0.87 (confidence interval 95%: 0.84-0.90), and net reclassification improvement of 0.71 ( P < .001). Conclusion: %TPS/Age has incremental prognostic value to traditional risk factors and CCTA measures of CAD and improves evaluation of burden of coronary atherosclerosis and clinical risk.
Adherence to the 2013 Blood Cholesterol Guidelines in Patients With Diabetes at a PCMH
Authors: Hinds April , Lopez Debra , Rascati Karen , Jokerst Jason , Srinivasa Maaya 
Published: February 2016

Purpose The purpose of this study is to assess adherence to the 2013 blood cholesterol guideline in a population with diabetes based on the atherosclerotic cardiovascular (ASCVD) risk. Methods Patients with diabetes were assessed to see whether they received the appropriate intensity statin therapy via chart review. Patients seen by a physician or pharmacist at CommUnityCare, a PCMH, from December 2013 to October 2014 were included in this retrospective study. The ASCVD risks were calculated to determine if the patients received appropriate intensity statin. Results A total of 583 patients met the inclusion criteria; there were 475 in the physician only group and 108 with additional pharmacist visits. Statin therapy was prescribed in 71% of patients in the physician group and 88% of patients in the pharmacist/physician group. The appropriate intensity statin was prescribed in 32% of patients in the physician group and 35% of patients in the pharmacist/physician group. The appropriate intensity statin in statin naïve patients was prescribed in 45% of the physician group and 50% of patients in the pharmacist/physician group. Conclusion The proportion of patients prescribed an appropriate intensity statin did not differ between patients managed by physicians alone compared to those managed by pharmacists and physicians. Overall adherence to the 2013 blood cholesterol guidelines was 33%, and this measure can be used as a baseline assessment of current adherence with the guidelines.
Psychometric Evaluation of a Korean Version of the Adherence to Refills and Medications Scale (ARMS) in Adults With Type 2 Diabetes
Authors: Kim Chun-Ja , Park Eunyoung , Schlenk Elizabeth A. , Kim Moonsun , Kim Dae Jung 
Published: February 2016

Purpose The purpose of the study was to examine the reliability and validity of the Adherence to Refills and Medications Scale-Korean (ARMS-K) among Korean adults with type 2 diabetes. Methods The Korean translated ARMS-K was back-translated to ensure translation equivalency. A cross-sectional survey was used to evaluate the psychometric properties with exploratory factor analysis for validity and Cronbach’s alpha coefficients for reliability. Results The factor analysis of construct validity identified 3 dimensions of the ARMS-K, explaining 54.7% of the total variance. The internal consistency reliability for the total instrument was acceptable with a Cronbach’s alpha of .801. There was good correlation between the ARMS-K and 8-item Morisky Medication Adherence Scale-Korean version ( r = −0.698), indicating that these scales measure theoretically related constructs as evidence of convergent validity. As evidence of known groups validity, there was a significant association between the ARMS-K score and glycemic control ( P = .048), indicating that the good glycemic controlled group was more likely to have a higher rate of adherence to refills and medications than the poor glycemic controlled group. Conclusions These results support the cross-cultural applicability of the concepts underlying the ARMS-K. The ARMS-K can be used not only to assess adherence to refills and medications in Koreans with diabetes but also to examine the potential role of adherence to refills and medications in enhanced glycemic control of people with diabetes in a variety of clinical settings.
Effects of Pulsed Electromagnetic Fields on Return to Sports After Arthroscopic Debridement and Microfracture of Osteochondral Talar Defects
Authors: Reilingh Mikel L. , van Bergen Christiaan J.A. , Gerards Rogier M. , van Eekeren Inge C. , de Haan Rob J. , Sierevelt Inger N. , Kerkhoffs Gino M.M.J. , Krips Rover , Meuffels Duncan E. , van Dijk C.N. , Blankevoort Leendert 
Published: February 2016

Background: Osteochondral defects (OCDs) of the talus usually affect athletic patients. The primary surgical treatment consists of arthroscopic debridement and microfracture. Various possibilities have been suggested to improve the recovery process after debridement and microfracture. A potential solution to obtain this goal is the application of pulsed electromagnetic fields (PEMFs), which stimulate the repair process of bone and cartilage. Hypothesis: The use of PEMFs after arthroscopic debridement and microfracture of an OCD of the talus leads to earlier resumption of sports and an increased number of patients that resume sports. Study Design: Randomized controlled trial; Level of evidence, 1. Methods: A total of 68 patients were randomized to receive either PEMFs (n = 36) or placebo (n = 32) after arthroscopic treatment of an OCD of the talus. The primary outcomes (ie, the number of patients who resumed sports and time to resumption of sports) were analyzed with Kaplan-Meier curves as well as Mann-Whitney U, chi-square, and log-rank tests. Secondary functional outcomes were assessed with questionnaires (American Orthopaedic Foot and Ankle Society ankle-hindfoot score, Foot and Ankle Outcome Score, EuroQol, and numeric rating scales for pain and satisfaction) at multiple time points up to 1-year follow-up. To assess bone repair, computed tomography scans were obtained at 2 weeks and 1 year postoperatively. Results: Almost all outcome measures improved significantly in both groups. The percentage of sport resumption (PEMF, 79%; placebo, 80%; P = .95) and median time to sport resumption (PEMF, 17 weeks; placebo, 16 weeks; P = .69) did not differ significantly between the treatment groups. Likewise, there were no significant between-group differences with regard to the secondary functional outcomes and the computed tomography results. Conclusion: PEMF does not lead to a higher percentage of patients who resume sports or to earlier resumption of sports after arthroscopic debridement and microfracture of talar OCDs. Furthermore, no differences were found in bone repair between groups. Registration: Netherlands Trial Register NTR1636.
Inclusive urbanization: Can the 2030 Agenda be delivered without it?
Authors: McGranahan Gordon , Schensul Daniel , Singh Gayatri 
Published: February 2016

Governments are wary of rapid urbanization, yet eager for the economic benefits that cities bring. The resulting tension is reflected in exclusionary cities created through strategies that privilege economic growth and result in many people being left behind. There is both exclusion from the city and exclusion and segregation in the city. This paper’s redefinition of inclusion moves beyond a focus on identity-based disadvantage, to frame inclusion as a counter to both overt discrimination and structurally created disadvantage. It explores three levels of inclusive urbanization: eliminating discriminatory exclusion, giving the disadvantaged a bigger voice in existing institutions, and guaranteeing human rights.  Drawing on examples of emerging economies, the paper points to the dangers of pursuing a growth-first strategy for urbanization, as exclusion can become entrenched and difficult to reverse, even with increased prosperity. It then examines how more inclusive urbanization can be achieved and how this relates to the Sustainable Development Goals (part of the 2030 Agenda). The world’s governments have committed themselves to balanced development that integrates economic, social and environmental goals, and have pledged that “no one will be left behind”. Inclusive urbanization is needed to achieve this balance, and to move the world towards the progressive realization of human rights for all.
Spiritual development in Iranian nurses
Authors: Davoodvand Shirmohammad , Abbaszadeh Abbas , Ahmadi Fazlollah 
Published: February 2016

Background: Spiritual development is one of the most important aspects of socialization that has attracted the attention of researchers. It is needed to train nursing student and novice nurses to provide high-quality care for patients. There is ambiguity in the definition of spiritual development and its relations, especially in the eastern countries. Research objectives:: To explore the concept of spiritual development in Iranian nurses. Research design: Qualitative content analysis approach. Data were gathered from semi-structured interviews. Participants and research context: The participants were 17 Iranian Muslim nurses selected using a purposeful sampling. The place of interviews was on their choice. Ethical considerations: Based on the principles of the Helsinki declaration, the focus was on preserving the participants’ autonomy, confidentiality, and anonymity. The participants were told the study purposes and trends, and their rights were emphasized; they were then asked to sign written consent forms. Formal research approval was obtained from Kerman University of Medical Sciences. Ethical approval was granted by the University Ethics Committee before the study was conducted (K/92 etc). Findings: Three themes for spiritual development were defined: obligation to religion, commitment to ethics, and commitment to law. From the results, factors such as connection to the limitless divine power, personal and society-oriented ethical codes, and commitment to the law are proposed. Discussion: There are some differences between these findings and previous study, especially in the relation of the spirituality, religion, and law. Some studies, mostly Iranian, support these findings partially. Conclusion: The results suggest that it is better to teach nursing education based on humanistic principles, ethics, and law to the new generation of nurses to improve community health and development. More studies are needed to examine the relation between these themes.
Characteristics of Oral Problems and Effects of Oral Care in Terminally Ill Patients With Cancer
Authors: Nakajima Nobuhisa 
Published: February 2016

Purpose: Various distresses appear in the terminal stage of cancer. Oral problems including dry mouth, stomatitis and candidiasis are one of the important problems which should be resolved. The purpose of this study was to investigate oral problems in this stage and improvement of dry mouth by oral care. Methods: The study subjects were consecutive terminally ill cancer patients admitted over the past 2 years. Patients were divided based on the status of oral food intake into good oral food intake group (≥30%) and poor oral food intake group. The following 3 items were retrospectively investigated: 1) The incidences of these oral problems, 2) Severity of dry mouth and complication with other oral problems, 3) Improvement of dry mouth using standard oral care by nursing staff and specialist oral care including dentists as needed. Results: There were 115 and 158 patients in good and poor oral intake groups, respectively. 1) The incidences of dry mouth, stomatitis, and candidiasis were significantly higher in poor oral intake group ( p < 0.001). 2) Severe cases of dry mouth (Grade-2&3) were noted in 20.0% and 64.8% in good and poor oral intake groups, respectively ( p < 0.0001). Candidiasis complication rate was significantly higher in poor oral intake group ( p = 0.0002). 3) The rate of dry mouth improvement by oral care was 100% in Grade-1, 86% in Grade-2 and 81% in Grade-3. Conclusion: Oral problems occur in many of terminally ill cancer patients. Accurate diagnosis of oral problems and corresponding appropriate interventions are important for improving quality of end-of-life care.
Peripartum depression in parents with multiple sclerosis and psychiatric disorders in children
Authors: Razaz Neda , Tremlett Helen , Marrie Ruth Ann , Joseph K.S. 
Published: February 2016

Background: Although many individuals with multiple sclerosis (MS) experience depression, there are no studies on the frequency and effect of peripartum depression among parents with MS. Objective: To examine the frequency of peripartum depression in individuals with MS and its potential association with children’s psychiatric disorders. Methods: We conducted a cohort study in British Columbia, Canada, using linked health databases, of parents with MS and their children, and age-matched unaffected parent–child dyads. The diagnosis of peripartum depression, MS and psychiatric disorders in children was based on information from hospital admission, physician visit and drug prescription claims. Results: Peripartum depression was significantly more common among MS parents ( n = 360) versus unaffected ( n = 1207) parents (25.8% vs 18.5%, p value 0.02), especially among MS affected fathers versus unaffected fathers (25.7% vs 10.2%, p value < 0.001). The incidence of psychiatric disorders in children was 3.3 and 2.7 per 100 child-years among children with and without an MS parent, respectively. The rate of psychiatric disorders was significantly higher in children with an MS parent (vs without, hazard ratio (HR): 1.34; 95% confidence interval (CI): 1.03–1.74) and among children with parents who had peripartum depression (HR: 1.87; 95% CI: 1.36–2.55). Conclusion: Parental MS is associated with a higher risk of peripartum depression and increases the risk of psychiatric disorders in children.