bluuebunny/crossref_metadata_2025_split huggingface dataset:
Analysis and Mitigation of Striping Noise in Two Water Vapor Sounding Channels of Global Precipitation Measurement (GPM) Microwave Imager
Authors: Dong H. , Zou X. 
Published: June 2017

AbstractThe Global Precipitation Measurement (GPM) Microwave Imager (GMI) plays an important role in monitoring global precipitation. In this study, an along-track striping noise is found in GMI observations of brightness temperatures for the two highest-frequency channels—12 and 13—with their central frequencies centered at 183.31 GHz. These two channels are designed for sounding the water vapor in the middle and upper troposphere. The pitch maneuver data of deep space confirmed an existence of striping noise in channels 12 and 13. A striping noise mitigation method is used for extracting the striping noise from the earth scene or deep space measurements of brightness temperatures by combining the principle component analysis (PCA) with the ensemble empirical mode decomposition (EEMD) method. A power spectrum density analysis indicated that the frequency of striping noise ranges between 0.06 and 0.533 s−1, where the right bound of 0.533 s−1of frequency is exactly the inverse of the time (i.e., 1.875 s) it takes for the GMI to complete one conical scan line. The magnitude of striping noise in the brightness temperature observations of GMI channels 12 and 13 is about ±0.3 K. It is shown that after striping noise mitigation, the observation minus model simulation (O − B) distributions of both the earth scene and deep space brightness temperatures show no visible striping features.
Feasibility Study of the Reconstruction of Historical Weather with Data Assimilation
Authors: Toride Kinya , Neluwala Panduka , Kim Hyungjun , Yoshimura Kei 
Published: June 2017

AbstractThere is a large amount of documented weather information all over the world, including Asia (e.g., old diaries, log books, etc.). The ultimate goal of this study is to reconstruct historical weather by deriving total cloud cover (TCC) from historically documented weather records and to assimilate them using a general circulation model and a data assimilation scheme. Two experiments are performed using the Global Spectral Model and an ensemble Kalman filter: 1) a reanalysis data experiment and 2) a ground observation data experiment, for 18 synthesized observation stations in Japan according to the Historical Weather Data Base. By assuming that weather records can be converted into three TCC categories, the synthetic observation data of daily TCC are created from reanalysis data, with a large observation error of 30%, and by classifying ground observation data into the three categories. Compared with the simulation without assimilation of any observation, the results of the reanalysis data experiment show improvements, not only in TCC but also in other meteorological variables (e.g., humidity, precipitation, precipitable water, wind, and pressure). For specific humidity at 2 m above the surface, the monthly averaged root-mean-square error is reduced by 18%–22% downstream of the assimilated region. The results of the ground observation data experiment are not as successful as a result of additional error sources, indicating the bias needs to be handled correctly. By showing improvements with the loosely classified cloud information, the feasibility of the developed model to be applied for historical weather reconstruction is confirmed.
Evolution and Vertical Structure of an Undular Bore Observed on 20 June 2015 during PECAN
Authors: Mueller Dana , Geerts Bart , Wang Zhien , Deng Min , Grasmick Coltin 
Published: June 2017

AbstractThis study documents the evolution of an impressive, largely undular bore triggered by an MCS-generated density current on 20 June 2015, observed as part of the Plains Elevated Convection at Night (PECAN) experiment. The University of Wyoming King Air with profiling nadir- and zenith-viewing lidars sampled the south-bound bore from the time the first bore wave emerged from the nocturnal convective cold pool and where updrafts over 10 m s−1 and turbulence in the wave’s wake were encountered, through the early dissipative stage in which the leading wave began to lose amplitude and speed. Through most of the bore’s life cycle, its second wave had a higher or equal amplitude relative to the leading wave. Striking roll clouds formed in wave crests and wave energy was detected to about 5 km AGL. The upstream environment indicates a negative Scorer parameter region due to flow reversal at midlevels, providing a wave trapping mechanism. The observed bore strength of 2.4–2.9 and speed of 15–16 m s−1 agree well with values predicted from hydraulic theory. Surface and profiling measurements collected later in the bore’s life cycle, just after sunrise, indicate a transition to a soliton.
Diurnal Cycle of a Heavy Rainfall Corridor over East Asia
Authors: Chen Guixing , Sha Weiming , Iwasaki Toshiki , Wen Zhiping 
Published: June 2017

AbstractMoist convection occurred repeatedly in the midnight-to-morning hours of 11–16 June 1998 and yielded excessive rainfall in a narrow latitudinal corridor over East Asia, causing severe flood. Numerical experiments and composite analyses of a 5-day period are performed to examine the mechanisms governing nocturnal convection. Both simulations and observations show that a train of MCSs concurrently developed along a quasi-stationary mei-yu front and coincided with the impact of a monsoon surge on a frontogenetic zone at night. This process was regulated primarily by a nocturnal low-level jet (NLLJ) in the southwesterly monsoon that formed over southern China and extended to central China. In particular, the NLLJ acted as a mechanism of moisture transport over the plains. At its northern terminus, the NLLJ led to a zonal band of elevated conditionally unstable air where strong low-level ascent overcame small convective inhibition, triggering new convection in three preferred plains. An analysis of convective instability shows that the low-tropospheric intrusion of moist monsoon air generated CAPE of ~1000 J kg−1prior to convection initiation, whereas free-atmospheric forcing was much weaker. The NLLJ-related horizontal advection accounted for most of the instability precondition at 100–175 J kg−1h−1. At the convective stage, instability generation by the upward transport of moisture increased to ~100 J kg−1h−1, suggesting that ascending inflow caused feedback in convection growth. The convection dissipated in late morning with decaying NLLJ and moisture at elevated layers. It is concluded that the diurnally varying summer monsoon acted as an effective discharge of available moist energy from southern to central China, generating the morning-peak heavy rainfall corridor.
College students’ knowledge, attitudes and adherence to public service announcements on Ebola in Nigeria: Suggestions for improving future Ebola prevention education programmes
Authors: Ajilore Kolade , Atakiti Ifeoluwa , Onyenankeya Kevin 
Published: June 2017

Introduction: Apprehension over a possible recurrence of Ebola remains pervasive among college students in Nigeria. Prevention education continues to be carried out through public service announcements (PSAs) on radio, television and in the social media. However, little is known about college students’ knowledge, attitudes and adherence to PSAs on Ebola virus. The purpose of this study was to investigate college students’ knowledge and attitude about Ebola and factors that predict adherence to Ebola education information mediated through PSAs. Methods: A total of 211 copies of structured questionnaire were administered to a multi-stage sample drawn from a medium-sized private university in Nigeria. Results: The majority of the participants responded correctly to the questions related to Ebola virus transmission. Nearly 86% of students agreed that Ebola can be contracted through the body secretions of a sick person, 83% students identified the basic symptoms of Ebola as fatigue and vomiting, while 82% agreed that regular washing of hands and use of hand sanitisers can prevent transmission of Ebola. Knowledge and attitudes emerged as significant predictors of students’ adherence to PSA advice on Ebola disease ( p < .05). Discussion: Misconceptions about the causes and transmission of Ebola abound in spite of the high awareness about the virus, suggesting that the Ebola PSAs may not have succeeded in dispelling some strongly held beliefs about Ebola virus disease. The findings suggest that a considerable percentage of college students no longer follow the advice contained in Ebola-related PSAs. It may be that the declaration that Nigeria is Ebola free by World Health Organization (WHO) has given rise to a lax attitude towards the disease. Conclusion: In spite of their shortcomings, PSAs remains an important vehicle for conveying Ebola prevention education to college students.
Rights of people with mental disorders: Realities in healthcare facilities in Tunisia
Authors: Rekhis Mayssa , Ben Hamouda Abir , Ouanes Sami , Rafrafi Rym 
Published: June 2017

Background: Mental disorders have been associated worldwide with human rights’ violations. Controversially, many occur in mental health facilities. Aim: This work aimed to assess the rights of people with mental disorders in healthcare facilities in Tunisia. Methods: A cross-sectional study, using the World Health Organization (WHO) quality-rights toolkit, assessed the human rights levels of achievement in Elrazi Hospital, the only psychiatric hospital in Tunisia, in comparison with the National Institute of Nutrition (NIN). The framework was the Convention on the Rights of Persons with Disabilities (CRPD). The assessment was carried through observation, documentation review, and interviews with service users, staff, and family members. The sample was composed of 113 interviewees. Results: In Elrazi Hospital, three out of the five evaluated rights were assessed as only initiated: the right to an adequate standard of living, to exercise legal capacity and to be free from inhuman treatment. By comparison, these rights were partially achieved in the NIN. The right to enjoyment of the highest attainable standard of health was partially achieved and the right to live independently and to be included in the community was not even initiated. These last two rights were at the same level of achievement in the NIN. Conclusion: Significant improvements are needed to adapt the practice in Elrazi Hospital to comply with human rights, especially since the achievement level of these rights is lower than in a non-psychiatric hospital. Our study emphasizes the importance of spreading the CRPD as a standardized framework.
Resilience-based Diabetes Self-management Education: Perspectives From African American Participants, Community Leaders, and Healthcare Providers
Authors: Lehrer H. Matthew , Dubois Susan K. , Brown Sharon A. , Steinhardt Mary A. 
Published: June 2017

Purpose The purpose of this qualitative, focus group study was to further refine the Resilience-based Diabetes Self-management Education (RB-DSME) recruitment process and intervention, build greater trust in the community, and identify strategies to enhance its sustainability as a community-based intervention in African American church settings. Methods Six 2-hour focus groups (N = 55; 10 men and 45 women) were led by a trained moderator with a written guide to facilitate discussion. Two sessions were conducted with individuals diagnosed with type 2 diabetes mellitus (T2DM) who participated in previous RB-DSME pilot interventions and their family members, two sessions with local church leaders, and two sessions with community healthcare providers who care for patients with T2DM. Two independent reviewers performed content analysis to identify major themes using a grounded theory approach. The validity of core themes was enhanced by external review and subsequent discussions with two qualitative methods consultants. Results There was expressed interest and acceptability of the RB-DSME program. Church connection and pastor support were noted as key factors in building trust and enhancing recruitment, retention, and sustainability of the program. Core themes across all groups included the value of incentives, the need for foundational knowledge shared with genuine concern, teaching with visuals, dealing with denial, balancing the reality of adverse consequences with hope, the importance of social support, and addressing healthcare delivery barriers. Conclusion Focus groups documented the feasibility and potential effectiveness of RB-DSME interventions to enhance diabetes care in the African American community. In clinical practice, inclusion of these core themes may enhance T2DM self-care and treatment outcomes.
Association of Ankle Arthritis Score With Need for Revision Surgery
Authors: Croft Stephen , Wing Kevin J. , Daniels Timothy R. , Glazebrook Mark , Dryden Peter , Younger Alastair , Penner Murray J. , Sutherland Jason M. 
Published: June 2017

Background: The Ankle Arthritis Score (AAS) is a new patient-reported outcome derived from the Ankle Osteoarthritis Scale (AOS). This study analyzed longitudinally collected data from a cohort of patients in the Canadian Orthopaedic Foot and Ankle Society (COFAS) Ankle Arthritis Study in order to evaluate whether the postoperative AAS is associated with need for revision surgery. Methods: A multicenter, prospective, ankle-reconstruction study enrolled 653 ankles undergoing total ankle replacement (TAR) or ankle arthrodesis (AA). The AAS was given at baseline and annually during postoperative follow-up. Time to revision surgery was modeled using a proportional hazards model. The final sample included 531 ankles in 509 patients. Results: Sixty-two patients underwent metal-component revision and 8 underwent arthrodesis revision during the follow-up time period. The remaining 461 unrevised ankles (300 TAR, 161 AA) had a minimum follow-up of 2 years (average of 3.4 years). Revision surgery after TAR was found to be associated with a higher postoperative AAS and a longer follow-up. The hazard ratio for the AAS indicated that for every 1-point increase in the score, the rate of revision surgery after TAR was 1 percentage point higher. Conclusions: TAR patients who reported higher levels of postoperative functional impairment, as indicated by a higher AAS, were more likely to require metal-component revision surgery. After adjustment for other patient factors, the risk of revision surgery increased with length of follow-up after TAR. This study provides further evidence for the utility of the AAS in the clinical setting. Level of Evidence: Level III, retrospective cohort study.
Impact of immunoablation and autologous hematopoietic stem cell transplantation on gray and white matter atrophy in multiple sclerosis
Authors: Lee Hyunwoo , Nakamura Kunio , Narayanan Sridar , Brown Robert , Chen Jacqueline , Atkins Harold L , Freedman Mark S , Arnold Douglas L 
Published: June 2017

Background: Immunoablation and autologous hematopoietic stem cell transplantation (IA/aHSCT) halts relapses, white matter (WM) lesion formation, and pathological whole-brain (WB) atrophy in multiple sclerosis (MS) patients. Whether the latter was due to effects on gray matter (GM) or WM warranted further exploration. Objective: To model GM and WM volume changes after IA/aHSCT to further understand the effects seen on WB atrophy. Methods: GM and WM volume changes were calculated from serial baseline and follow-up magnetic resonance imaging (MRI) ranging from 1.5 to 10.5 years in 19 MS patients treated with IA/aHSCT. A mixed-effects model with two predictors (total busulfan dose and baseline T1-weighted WM lesion volume “T1LV”) characterized the time-courses after IA/aHSCT. Results: Accelerated short-term atrophy of 2.1% and 3.2% occurred in GM and WM, respectively, on average. Both busulfan dose and T1LV were significant predictors of WM atrophy, whereas only busulfan was a significant predictor of GM atrophy. Compared to baseline, a significant reduction in GM atrophy, not WM atrophy, was found. The average rates of long-term GM and WM atrophy were −0.18%/year (standard error (SE): 0.083) and −0.07%/year (SE: 0.14), respectively. Conclusion: Chemotherapy-related toxicity affected both GM and WM. WM was further affected by focal T1-weighted lesion-related pathologies. Long-term rates of GM and WM atrophy were comparable to those of normal-aging.
Patient perceptions of experience with cardiac rehabilitation after isolated heart valve surgery
Authors: Hansen Tina B , Berg Selina K , Sibilitz Kirstine L , Zwisler Ann D , Norekvål Tone M , Lee Anne , Buus Niels 
Published: June 2017

Background: Little evidence exists on whether cardiac rehabilitation is effective for patients after heart valve surgery. Yet, accepted recommendations for patients with ischaemic heart disease continue to support it. To date, no studies have determined what heart valve surgery patients prefer in a cardiac rehabilitation programme, and none have analysed their experiences with it. Aims: The purpose of this qualitative analysis was to gain insight into patients’ experiences in cardiac rehabilitation, the CopenHeartVR trial. This trial specifically assesses patients undergoing isolated heart valve surgery. Methods: Semi-structured interviews were conducted with nine patients recruited from the intervention arm of the trial. The intervention consisted of a physical training programme and a psycho-educational intervention. Participants were interviewed three times: 2–3 weeks, 3–4 months and 8–9 months after surgery between April 2013 and October 2014. Data were analysed using qualitative thematic analysis. Results: Participants had diverse needs and preferences. Two overall themes emerged: cardiac rehabilitation played an important role in (i) reducing insecurity and (ii) helping participants to take active personal responsibility for their health. Despite these benefits, participants experienced existential and psychological challenges and musculoskeletal problems. Participants also sought additional advice from healthcare professionals both inside and outside the healthcare system. Conclusions: Even though the cardiac rehabilitation programme reduced insecurity and helped participants take active personal responsibility for their health, they experienced existential, psychological and physical challenges during recovery. The cardiac rehabilitation programme had several limitations, having implications for designing future programmes.
A challenging entity of endovascular embolization with ONYX for brainstem arteriovenous malformation: Experience from 13 cases
Authors: Jin Hengwei , Liu Zhan , Chang Qing , Chen Chang , Ge Huijian , Lv Xianli , Li Youxiang 
Published: June 2017

Objective Brainstem arteriovenous malformations (AVMs) are rare lesions with a high risk of intracranial hemorrhage and are challenging to treat. We present our experience of endovascular embolization with Onyx in these aggressive lesions. Materials and methods Between 2007 and 2016, 13 patients with brainstem AVMs were embolized with Onyx at our center. Twelve patients presented with intracranial hemorrhage and one with headache. Retrospective examinations of patient demographics, clinical presentation, angiographic features, treatment modalities, postoperative complications and outcomes were carried out. Results The AVMs were in the midbrain in 10 patients (one anterior and nine posterior or dorsal), in the posterior pons in two and pontomedullary in one. Complete occlusion was achieved in three patients. Gamma knife radiosurgery was performed in six patients who were near-completely or partially embolized. Postoperative complications, including five cases of ischemia and one case of hemorrhage, resulted in four cases of neurological deterioration and two deaths. Clinical follow-up was obtained in 10 patients at a mean period of 45.2 months (range 3 to 93 months). During the follow-up, good clinical outcomes were observed in seven patients with posterior or dorsal midbrain AVMs, and one patient with a posterior pons AVM that was partially occluded died of intracranial hemorrhage. Conclusion Endovascular embolization for brainstem AVM with Onyx is a technical challenge and the reflux of Onyx may cause severe complications. Individualized treatment is needed based on the specific subtype of brainstem AVM.
Factors determining outcome of corrective osteotomy for malunited paediatric forearm fractures: a systematic review and meta-analysis
Authors: Roth K. C. , Walenkamp M. M. J. , van Geenen R. C. I. , Reijman M. , Verhaar J. A. N. , Colaris J. W. 
Published: June 2017

The aim of this study was to identify predictors of a superior functional outcome after corrective osteotomy for paediatric malunited radius and both-bone forearm fractures. We performed a systematic review and meta-analysis of individual participant data, searching databases up to 1 October 2016. Our primary outcome was the gain in pronosupination seen after corrective osteotomy. Individual participant data of 11 cohort studies were included, concerning 71 participants with a median age of 11 years at trauma. Corrective osteotomy was performed after a median of 12 months after trauma, leading to a mean gain of 77° in pronosupination after a median follow-up of 29 months. Analysis of variance and multiple regression analysis revealed that predictors of superior functional outcome after corrective osteotomy are: an interval between trauma and corrective osteotomy of less than 1 year, an angular deformity of greater than 20° and the use of three-dimensional computer-assisted techniques. Level of evidence: II
Ease of use of tobramycin inhalation powder compared with nebulized tobramycin and colistimethate sodium: a crossover study in cystic fibrosis patients with pulmonary Pseudomonas aeruginosa infection
Authors: Greenwood James , Schwarz Carsten , Sommerwerck Urte , Nash Edward F , Tamm Michael , Cao Weihua , Mastoridis Paul , Debonnett Laurie , Hamed Kamal 
Published: June 2017

Background: This study assessed the ease of use of tobramycin inhalation powder (TIP) administered via T-326 inhaler versus tobramycin inhalation solution (TIS) and colistimethate sodium (COLI), both administered via nebulizers, for the treatment of chronic pulmonary Pseudomonas aeruginosa infection in patients with cystic fibrosis (CF). Methods: A real-world, open-label, crossover, interventional phase IV study was conducted in CF patients aged ⩾6 years with forced expiratory volume in 1 second (FEV1) ⩾25% to ⩽90% predicted. Patients were assigned to one of the three treatment arms in Cycle 1; all patients received TIP in Cycle 2. Each cycle consisted of 28 days on and 28 days off the treatment. Results: A total of 60 patients [mean (standard deviation) age, 27.6 (8.4) years] were allocated to three treatment arms [TIS/TIP ( n = 14); COLI/TIP ( n = 28); TIP/TIP ( n = 18)] in Cycle 1. The mean total administration time, which included device setup and cleaning, in Cycle 1 versus Cycle 2 for TIS/TIP, COLI/TIP, and TIP/TIP arms were 37.0 versus 5.0 min, 16.4 versus 3.8 min, and 4.2 versus 3.4 min, respectively. The difference in mean total administration time was significantly shorter in Cycle 2 than in Cycle 1 for TIS/TIP ( p = 0.0112) and COLI/TIP ( p = 0.0016) arms. Overall, 12 patients were found to have contaminated devices across the two treatment cycles. In the TIP/TIP arm, no contamination of the T-326 inhaler was observed in either cycle. Treatment satisfaction, assessed by the Treatment Satisfaction Questionnaire for Medication and ACCEPT® questionnaire, was better overall for TIP compared with TIS and COLI. There were no unexpected adverse events and most were mild or moderate in intensity. Conclusion: The T-326 inhaler used to deliver TIP was easy to use, required shorter total administration time, and was much less frequently contaminated than the nebulizers. The safety findings observed for TIP were generally consistent with its established safety profile.