bluuebunny/crossref_metadata_2025_split huggingface dataset:
Investigating the Impact of Multiphysics on Modeled Planetary Boundary Layer Height Estimates during the PECAN Field Campaign
Authors: Pan Keming , Arellano Avelino F. , Guo Yafang , Demoz Belay 
Published: September 2024

Abstract
Accurate representation of the planetary boundary layer (PBL) in numerical weather prediction is crucial to air quality, weather forecasting, and climate change research and operations. Here, we evaluate the estimates of PBL height (PBLH) from a set of convective-permitting simulations conducted using the Weather Research and Forecasting (WRF) Model during the Plains Elevated Convection at Night (PECAN) campaign (from June to mid-July 2015). Our analysis aims to quantify the variability in PBLH, along with its associated surface variables and atmospheric profiles, to gauge the influence of model physics on the accuracy of simulated PBL properties. Specifically, we conducted twenty-four 45-day retrospective simulations encompassing different combinations of three PBL and two microphysics schemes, two initial and boundary condition (ICBC) datasets, and two model vertical grid spacings. We compare these simulations with measurements from surface sites and radiosonde launches across four sites in the southern Great Plains during PECAN. Our findings indicate that deriving PBLH from modeled atmospheric profiles yields a narrower spread (200–300 m) compared to PBLH calculated from the model’s PBL scheme (400–500 m) relative to radiosonde-derived PBLH under fair weather conditions. The choice of PBL scheme and ICBCs exerts the most significant impact (by up to 400 m) on the spread of modeled PBLH and associated atmospheric profiles, primarily influencing the representation of surface heating, transport, and mixing processes in the model. The model has difficulty reproducing the correct thermodynamic profile under cloud-intense conditions. These results underscore the benefit of using the physically consistent approach in retrieving, evaluating, and assimilating PBLH estimates, as well as the utility of multiphysics to better address model uncertainties.

Significance Statement
Studies on weather forecast models typically involve running the model multiple times and adjusting model inputs slightly each time to produce a range of predicted variables. This range is crucial for evaluating forecast probabilities and integrating observations into the model. We found that using different model physics schemes can result in an equal or greater spread for predicted variables (here, we focus on boundary layer height and related variables), compared to input tweaks alone. Additionally, a particular scheme can introduce biases. These findings underscore the importance of employing multiple physics schemes in the model, as they widen the coverage (potentially doubling) of outputs, and thus better address forecast uncertainties.
The Joint Influences of the South Asian Jet Wave Train and Eurasian Teleconnection on the Wet–Cold Extreme over South China in February 2022
Authors: Wang Meng , Li Xiuzhen 
Published: September 2024

Abstract
In February 2022, an extreme wet and cold event hits South China, with the regional precipitation ranking the second highest on record, while the temperature ranked the third lowest since 1979. In this study, the physical mechanisms of this extreme event are investigated from the perspective of multiple time-scale interactions. Results show that the strong confrontation between the warm and moist air advection by the India–Burma trough (IBT) and the invasion of cold air activity related to the strengthening of the East Asian winter monsoon (EAWM) is the key to trigger this extreme event. Further analyses show that the multitime-scale coupling of the South Asian jet wave train and Eurasian (EU) teleconnection is the main reason for the strong cold and warm–moist airflow. The EU teleconnection on both intraseasonal and synoptic time scales plays a key role in triggering this extreme event by strengthening the EAWM. On the synoptic time scale, not only the EU teleconnection but also the South Asian jet wave train plays a key role. They show a stronger intensity on this time scale, and their coupling is obvious. The South Asian jet wave train enhances the moisture supply by deepening the IBT, which further conflicts with the strong EAWM modulated by the EU teleconnection over South China, leading to this extreme wet–cold event. The forecast skills in the Subseasonal to Seasonal (S2S) Prediction project models of this event are evaluated in this paper, and results show that the ECMWF model can successfully predict the extreme precipitation by capturing the coupling of the two wave trains with a 5-day lead time.
The Role of Sea Ice Insulation Effects on the Probability of AMOC Transitions
Authors: van Westen René M. , Jacques-Dumas Valérian , Boot Amber A. , Dijkstra Henk A. 
Published: September 2024

Abstract
Recent simulations performed with the Community Earth System Model (CESM) have suggested a crucial role of sea ice processes in Atlantic meridional overturning circulation (AMOC) hysteresis behavior under varying surface freshwater forcing. Here, we further investigate this issue using additional CESM simulations and a novel conceptual ocean–sea ice box model. The CESM simulations suggest that the presence of sea ice gives rise to the existence of statistical equilibria with a weak AMOC strength. This is confirmed in the conceptual model, which captures similar AMOC hysteresis behavior as in the CESM simulation and where steady states are computed versus freshwater forcing parameters. In the conceptual model, transition probabilities between the different equilibrium states are determined using rare event techniques. The transition probabilities from a strong AMOC state to a weak AMOC state increase when considering sea ice insulation effects and indicate that sea ice promotes these transitions. On the other hand, sea ice insulation effects strongly reduce the probabilities of the reverse transition from a weak AMOC state to a strong AMOC state and this implies that sea ice also limits AMOC recovery. The results here indicate that sea ice effects play a dominant role in AMOC hysteresis width and influence transition probabilities between the different equilibrium states.

Significance Statement
We develop a novel conceptual ocean–sea ice box model to explain AMOC hysteresis behavior recently found in a modern complex climate model (the Community Earth System Model) and determine how sea ice insulation effects influence the hysteresis width and the probability of AMOC transitions.
Challenges and Opportunities for Extension in Drought Adaptation: A Case Study of Ranching in New Mexico
Authors: Dinan Maude , Brunson Mark , Elias Emile , Brown Joel 
Published: September 2024

Abstract
Prolonged drought poses significant challenges for food and fiber production in the U.S. Southwest, where range livestock production has great economic and cultural significance. Sustaining rangeland agriculture in the region necessitates swift and nimble uptake of drought adaptations. While the Cooperative Extension Service serves as a promising resource to drought adaptation among ranchers, how Extension staff perceive their capacity to support ranching clientele in that endeavor is not well understood. We interviewed university Extension professionals across New Mexico to explore their perceptions of drought. We found that their perceived ability to aid in drought adaptation was dependent upon interpersonal, as well as structural, factors. These factors differed across ranching regions in New Mexico. This case study highlights the importance of Extension networks, opportunity for novel Extension training, and a need for heightened attention to structural barriers.
Mindset and participation: Correlations among healthy children
Authors: Rosenberg Limor 
Published: September 2024

Introduction: Mindsets are ability-related beliefs concerning the malleability of human traits such as intelligence or personality. Mindsets span a continuum between fixed and growth mindsets; they shape engagement and behavior and contribute to performance and achievements. However, children’s mindsets regarding participation in daily activities have yet to be studied. The study objectives were to explore the domain-specificity of children’s mindsets and the correlations between mindsets and participation. Methods: Sixty-six children (36 boys) aged 6–9 years ( m = 7.39 ± 0.85) completed the Kids’ Mindset Questionnaire assessing mindset regarding behavior, praxis, and literacy. Their parents completed the Children Participation Questionnaire-School. Results: Children were found to endorse growth mindsets. However, the behavior mindset score was the lowest compared to praxis and literacy mindsets ( X2 = 8.72, p = 0.013). Behavior and literacy mindsets were not correlated with participation; however, the praxis mindset was positively correlated with children’s independence and enjoyment in participation ( r = 0.29, r = 0.249, p < 0.05, respectively). Conclusions: Children tend to endorse growth mindsets; however, mindsets are domain-specific; the behavior mindset is the least malleable. Children’s beliefs regarding the malleability of praxis skills are of value for their involvement in participation. For occupational therapy practitioners, fostering children’s growth mindset can be a complementary way to promote optimal participation.
Exploration of collaborative goal setting in occupational therapy for adults with aphasia
Authors: Escher Anne , Gandhi Arti , Berger Sue 
Published: September 2024

Introduction: Aphasia, an acquired communication disorder, often results in restrictions to participation in daily activities leading to a decline in social networks, reduced quality of life, and decreased emotional well-being. Collaborative goal setting in rehabilitation settings is an important aspect of client-centered therapy for all clients; however, it is often ignored for people with aphasia due to lack of time, limited training in communication strategies, and a negative approach toward communicating with the person with aphasia. Method: This study used qualitative descriptive methodology to explore the experience of adults with aphasia with collaborative goal setting. Through interviews and observation, authors sought to gain an understanding of the facilitators and barriers to collaborative goal setting for people with aphasia. Participants were four adults with poststroke aphasia recruited from a university Aphasia Resource Center. Findings: Findings demonstrate that the environment and a client-centered approach support goal setting while too many adaptations and limited comprehension limit goal setting. Conclusion: The authors conclude that occupational therapy practitioners should support collaborative goal setting for people with aphasia through use of aphasia-friendly goal-setting processes, including adaptations to existing goal-setting measures as appropriate.
Dynamic VAD simulations: Performing accurate simulations of ventricular assist devices in interaction with the cardiovascular system
Authors: Crone Vincenz , Hahne Mario , Knüppel Finn , Wurm Frank-Hendrik , Torner Benjamin 
Published: September 2024

Medical advancements, particularly in ventricular assist devices (VADs), have notably advanced heart failure (HF) treatment, improving patient outcomes. However, challenges such as adverse events (strokes, bleeding and thrombosis) persist. Computational fluid dynamics (CFD) simulations are instrumental in understanding VAD flow dynamics and the associated flow-induced adverse events resulting from non-physiological flow conditions in the VAD. This study aims to validate critical CFD simulation parameters for accurate VAD simulations interacting with the cardiovascular system, building upon the groundwork laid by Hahne et al. A bidirectional coupling technique was used to model dynamic (pulsatile) flow conditions of the VAD CFD interacting with the cardiovascular system. Mesh size, time steps and simulation method (URANS, LES) were systematically varied to evaluate their impact on the dynamic pump performance (dynamic [Formula: see text] curve) of the HeartMate 3, aiming to find the optimal simulation configuration for accurately reproduce the dynamic [Formula: see text] curve. The new Overlapping Ratio (OR) method was developed and applied to quantify dynamic [Formula: see text] curves. In particular, mesh and time step sizes were found to have the greatest influence on the calculated pump performance. Therefore, small time steps and large mesh sizes are recommended to obtain accurate dynamic [Formula: see text] curves. On the other hand, the influence of the simulation method was not significant in this study. This study contributes to advancing VAD simulations, ultimately enhancing clinical efficacy and patient outcomes.
A Study on How  Consumer-generated Advertising Influences the Purchase Intention of Online Consumers in C2C  Marketplace
Authors: Roy Bidisha , Mazumdar Sitanath , Guha Banhi 
Published: September 2024

Consumer-generated advertising (CGA) campaigns have become a pivotal online marketing tool in light of the substantial increase in smartphone usage. As a result, there is a rising recognition of the importance of studying purchase intention (PI) within the realm of online CGA on consumer-to-consumer (C2C) platforms. The present study investigates the factors that influence individuals’ intention to make purchases on C2C platforms as a result of CGA. The conceptual model was developed using the theory of planned behaviour (TPB) and quantitative data. Based on survey data, the model has been analyzed and tested using the structural equation modelling technique for each construct. According to this investigation, the ‘attitude’ of online shoppers is the main factor influencing ‘PI’ or ‘behavioural intention’ as a result of online CGA on a C2C marketplace. The two most important aspects of products and services that affect attitude are their ‘perceived usefulness’ and ‘perceived ease of use’. According to the study, online marketers should place greater emphasis on a product’s or service’s utility in order to improve online shoppers’ attitudes, which will then result in increased PI. The model, developed in conjunction with the primary study findings, will aid in the development of CGA strategies for C2C market in order to increase purchase intent.
Pressing Update: Aprocitentan for the Treatment of Hypertension
Authors: Phillips Bradley , Vascimini Angelina , Whitner Chardae , St. Onge Erin , Huston Jessica 
Published: September 2024

Objective: This article reviews the published data including the pharmacology, efficacy, and safety of aprocitentan, a novel endothelin receptor antagonist developed to treat hypertension in conjunction with additional agents. Data sources: A literature search was conducted from drug discovery until May 2024 through PubMed, MEDLINE, and National Institutes of Health Clinical Trials Registry utilizing the following search terms: Tryvio, aprocitentan, hypertension, resistant hypertension, endothelin receptor antagonist, and ACT-132577. Study selection and data extraction: All relevant English-language studies, or studies that could be appropriately translated into English, containing the pharmacology, pharmacokinetics, safety, and efficacy of aprocitentan, were selected for review. Data synthesis: In the setting of resistant hypertension, aprocitentan has shown significant reductions in blood pressure in both medical office and 24-hour ambulatory settings at 4 weeks with a sustained effect at 40 weeks. Studies evaluating cardiovascular risk reduction have not been conducted at this time. Fluid retention and edema were the most frequent adverse events reported in clinical studies with aprocitentan. As a class, endothelin receptor antagonists may cause fetal harm; aprocitentan should be used with caution to avoid embryo-fetal toxicity. Relevance to patient care and clinical practice in comparison to existing drugs: Owing to the existent barriers for the treatment of resistant hypertension, aprocitentan presents itself as an effective option when added to traditional antihypertensives. This single-strength, once-daily regimen may serve as an appealing option to both patients and prescribers. Conclusion: Aprocitentan is a safe and effective medication for the treatment of hypertension when added to other pharmacological therapies.
Mental Health Needs of Inpatient Psychiatric Nurses During the COVID-19 Pandemic
Authors: Gresham Angel D. , Paun Olimpia , Heyland Michelle 
Published: September 2024

Introduction: The lack of mental health supports and resources for psychiatric nurses during the COVID-19 pandemic contributed to stress, burnout, and reduced mental wellness. Simultaneously, the pandemic’s safety mitigation measures made significant changes to the inpatient psychiatric population environment making it difficult to maintain a therapeutic milieu and increased mental health challenges among staff and patients. Aims: This study aimed to identify external and internal resilience factors, mental health support, and resources provided by organizations, and additional mental health support and resources inpatient psychiatric nurses felt would have been beneficial during the pandemic. Methods: An anonymous web-based survey was administered via American Psychiatric Nurses Association Member Bridge. Notably, 68 respondents represented 23 states across the United States. Results: Interpersonal peer relationships, self-awareness, self-care, mindfulness, and purpose were identified resilience factors. Free counseling, decompression rooms, pastoral support, self-care discounts, and support groups were top support and resource options. Policies, time-off, personal protective equipment (PPE) availability, counseling and self-care, and appreciation were major themes reflecting what participants thought would have been beneficial. Coping strategies, organizational support, resilience, altruism, and family and peer support were instrumental in psychiatric nurses’ survival during the pandemic. Conclusion: Identifying factors of resilience is key to supporting and protecting the mental health of psychiatric nurses. Organizations can better support their nurses when they understand what mental health support and resource options are perceived as most beneficial by inpatient nurses.
Emergency surgery influences oncological outcome in small intestinal neuroendocrine tumors
Authors: Butz Frederike , Supper Leonie , Reinhard Lisa , Dukaczewska Agata , Jann Henning , Fehrenbach Uli , Müller-Debus Charlotte Friederike , Skachko Tatiana , Pratschke Johann , Goretzki Peter E. , Mogl Martina T. , Dobrindt Eva M. 
Published: September 2024

Background and aims: Patients with small intestinal neuroendocrine tumors (siNETs) frequently present emergently due to bowel ischemia or bowel obstruction. The influence of emergency surgery on the prognosis of siNET remains controversial. The aim of this study was to investigate the association between type of presentation (emergency/elective) and oncological outcome. Methods: Clinicopathological data of patients who underwent bowel resection and were treated due to siNET at the Charité — Universitätsmedizin Berlin, Germany were analyzed retrospectively. Results: A total of 165 patients underwent bowel resection for siNET. Of these, 22.4% (n = 37) were emergency and 77.6% (n = 128) were elective procedures. A preoperative known diagnosis was less common in patients with emergency surgery (48.6% vs 85.2%; p < 0.001) and complete resections of all tumor manifestations were performed less often (32.4% vs 50.8%; p = 0.049), while more completion operations had to be performed (24.3% vs 11.1%; p = 0.049). Overall survival (OS) and progression-free survival (PFS) of emergently operated patients were reduced (5-year OS: 85.2% vs 89.5% ( p = 0.023); 5-year PFS: 26.7% versus 52.5% ( p = 0.018)). In addition, emergency surgery was negatively associated with OS after multivariable regression analysis. Conclusion: Emergency surgery in siNET patients is associated with adverse oncological outcomes including shorter OS and PFS. Prevention of emergency conditions should be emphasized in advanced disease.
iCover as Bridging Stent Graft in Fenestrated Endovascular Aortic Aneurysm Repair
Authors: Menges Anna-Leonie , Landré Vincent , Meuli Lorenz , Zimmermann Alexander , Reutersberg Benedikt 
Published: September 2024

Background: Complex endovascular repair with fenestrated or branched stent grafts is a common approach for treating various types of aortic aneurysms. Bridging stent grafts (BSs) are crucial in connecting aortic endoprosthesis to target vessels, yet current options have demonstrated significant complications. Objective: This retrospective single-center study evaluates the initial outcomes and durability of the iCover stent graft (iCover-SG) when used as a BS in fenestrated endovascular aneurysm repair (FEVAR). Methods: Retrospective analysis screened procedures for complex aortic aneurysms between August 2021 and January 2024. Patients who underwent FEVAR with iCover-SG as BS were included. Primary and secondary endpoints focused on freedom from iCover-SG-related target vessel instability, technical success, and postoperative outcomes. Results: Within the cohort of 28 patients, 94 iCover-SGs were used as BS, supplying 87 target vessels. The freedom from iCover-SG-related target vessel instability throughout the study reached 94% (82/87). Technical success rates were notably high, with primary success achieved in 94% of cases and secondary success in 99%. Over the follow-up duration, there were instances necessitating reintervention related to iCover-SG, including 4 cases of endoleak, 2 cases of T1cEL, and 2 cases of T3cEL. In-hospital mortality was 7% (n=4), with 2 cases attributed to intraoperative complications. Importantly, no deaths were directly attributed to iCover-SG-related issues. Conclusion: The iCover-SG demonstrates promising initial outcomes as a BS in FEVAR, with high technical success rates and satisfactory rates of target vessel instability. Continued monitoring and further studies are warranted to assess long-term durability and outcomes. Clinical Impact This study shows that the iCover stent graft achieves satisfactory technical success and target vessel stability in the short- and mid-term when used as a bridging stent graft in FEVAR procedures. Its successful integration into clinical practice broadens the range of available options, providing clinicians with more versatile tools for managing complex endovascular aortic aneurysms. This expanded selection of bridging stent grafts allows for more personalised treatment strategies, improving procedural precision and patient outcomes. The iCover stent graft’s reliable performance highlights its potential as a valuable addition to current endovascular techniques, ultimately enhancing patient care in challenging cases.