bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Intra-Americas Springtime Sea Surface Temperature Anomaly Dipole as Fingerprint of Remote Influences
Authors: Muñoz Ernesto , Wang Chunzai , Enfield David 
Published: August 2009

Abstract
The influence of teleconnections on the Intra-Americas Sea (IAS; Gulf of Mexico and Caribbean Sea) has been mostly analyzed from the perspective of El Niño–Southern Oscillation (ENSO) on the Caribbean Sea (the latter being an extension of the tropical North Atlantic). This emphasis has overlooked both 1) the influence of other teleconnections on the IAS and 2) which teleconnections affect the Gulf of Mexico climate variability. In this study the different fingerprints that major teleconnection patterns have on the IAS during boreal spring are analyzed. Indices of teleconnection patterns are regressed and correlated to observations of oceanic temperature and atmospheric data from reanalyses and observational datasets. It is found that the Pacific teleconnection patterns that influence the IAS SSTs do so by affecting the Gulf of Mexico in an opposite manner to the Caribbean Sea. These analyzed Pacific climate patterns are the Pacific–North American (PNA) teleconnection, the Pacific decadal oscillation (PDO), and ENSO. The North Atlantic Oscillation (NAO) is related to a lesser degree with the north–south SST anomaly dipole than are Pacific teleconnection patterns. It is also found that the IAS influence from the midlatitude Pacific mostly affects the Gulf of Mexico, whereas the influence from the tropical Pacific mostly affects the Caribbean Sea. Therefore, the combination of a warm ENSO event and a positive PNA event induces a strong IAS SST anomaly dipole between the Gulf of Mexico and the Caribbean Sea during spring.
By calculating an index that represents the IAS SST anomaly dipole, it is found that the dipole forms mostly in response to changes in the air–sea heat fluxes. In the Gulf of Mexico the dominant mechanisms are the air–sea differences in humidity and temperature. The changes in shortwave radiation also contribute to the dipole of net air–sea heat flux. The changes in shortwave radiation arise, in part, by the cloudiness triggered by the air–sea differences in humidity, and also by the changes in the convection cell that connects the Amazon basin to the IAS. Weaker Amazon convection (e.g., in the event of a warm ENSO event) reduces the subsidence over the IAS, and henceforth the IAS cloudiness increases (and the shortwave radiation decreases). This study contributes to a greater understanding of how the IAS is influenced by different Pacific and Atlantic teleconnections.
Resonant Forcing of Mixed Layer Inertial Motions by Atmospheric Easterly Waves in the Northeast Tropical Pacific*
Authors: Mickett John B. , Serra Yolande L. , Cronin Meghan F. , Alford Matthew H. 
Published: August 2009

AbstractWestward-propagating atmospheric easterly waves contribute to much of the variability of the low-level wind fields within the northeast tropical Pacific. With the dominant period of these waves (3–5 days) close to the local inertial period (2.4 days at 12°N to 5.7 days at 5°N), there is the expectation that the associated winds may resonantly force mixed layer inertial motions in this region. The authors test this hypothesis using a simple slab model and roughly 4½ yr of wind data from four NOAA Tropical Atmosphere Ocean/Eastern Pacific Investigation of Climate Processes (TAO/EPIC) buoys along 95°W at 12°, 10°, 8°, and 5°N. The degree of resonance is determined by comparing model simulations using observed wind stress with simulations forced with reversed-rotation wind stress. Results strongly indicate that Pacific easterly waves (PEWs) resonantly force inertial motions in the region. This resonance shows both significant seasonality and latitudinal dependence that appears to be related to the meridional position and intensity of the PEWs. North of the zonal axis of the mean track of the PEWs, the low-level winds associated with the waves rotate predominantly clockwise with time and resonantly force mixed layer inertial motions. South of this axis, the winds rotate counterclockwise, resulting in dissonant (antiresonant) forcing. As this axis migrates annually from about 4°N during the boreal winter/spring to a maximum northerly position of about 8°–10°N in the late boreal summer/early fall, the region of strongest resonance follows, consistently remaining to its north. Model output suggests that resonant forcing results in roughly 10%–25% greater net annual flux of kinetic energy from the wind to mixed layer inertial motions than in neutral or nonresonant conditions. This finding has strong implications for mixed layer properties, air–sea coupling, and the generation of near-inertial internal waves.
In Situ Calibration of Hot-Film Probes Using a Collocated Sonic Anemometer: Implementation of a Neural Network
Authors: Kit E. , Cherkassky A. , Sant T. , Fernando H. J. S. 
Published: August 2009

AbstractAlthough the integral quantities of atmospheric turbulence are conveniently measured using sonic anemometers, obtaining relevant finescale variables such as the kinetic energy dissipation using conventional hot-film/wire techniques remains a challenge because of two main difficulties. The first difficulty is the mean wind variability, which causes violation of the requirement that mean winds have a specific alignment with the hot-film/wire probe. To circumvent this problem, a combination of collocated sonic and hot-film anemometers, with the former measuring mean winds and aligning the latter in the appropriate wind direction via an automated platform, is successfully designed and implemented. The second difficulty is the necessity of frequent and onerous calibrations akin to hot-film anemometry that lead to logistical difficulties during outdoor (field) measurements. This is addressed by employing sonic measurements to calibrate the hot films in the same combination, with the output (velocity) to input (voltage) transfer function for the hot film derived using a neural network (NN) model. The NN is trained using low-pass-filtered hot-film and sonic data taken in situ. This new hot-film calibration procedure is compared with the standard calibration method based on an external calibrator. It is inferred that the sonic-based NN method offers great potential as an alternative to laborious standard calibration techniques, particularly in the laboratory and in stable atmospheric boundary layer settings. The NN approximation technique is found to be superior to the conventionally used polynomial fitting methods when used in conjunction with unevenly spaced calibration velocity data generated by sonic anemometers.
Identifying and Estimating Biases between XBT and Argo Observations Using Satellite Altimetry
Authors: DiNezio Pedro N. , Goni Gustavo J. 
Published: August 2009

Abstract
A methodology is developed to identify and estimate systematic biases between expendable bathythermograph (XBT) and Argo observations using satellite altimetry. Pseudoclimatological fields of isotherm depth are computed by least squares adjustment of in situ XBT and Argo data to altimetry-derived sea height anomaly (SHA) data. In regions where the correlations between isotherm depth and SHA are high, this method reduces sampling biases in the in situ observations by taking advantage of the high temporal and spatial resolution of satellite observations. Temperature profiles from deep XBTs corrected for a bias identified and adopted during the 1990s are considered in this study. The analysis shows that the pseudoclimatological isotherm depths derived from these corrected XBTs are predominantly deeper than the Argo-derived estimates during the 2000–07 period. The XBT-minus-Argo differences increase with depth consistent with hypothesized problems in the XBT fall-rate equation. The depth-dependent XBT-minus-Argo differences suggest a global positive bias of 3% of the XBT depths. The fact that this 3% error is robust among the different ocean basins provides evidence for changes in the instrumentation, such as changes in the terminal velocity of the XBTs. The value of this error is about the inverse of the correction to the XBT fall-rate equation (FRE) implemented in 1995, suggesting that this correction, while adequate during the 1990s, is no longer appropriate and could be the source of the 3% error. This result suggests that for 2000–07, the XBT dataset can be brought to consistency with Argo by using the original FRE coefficients without the 1995 correction.
Nonlinear Balance in Terrain-Following Coordinates
Authors: Decker Steven G. 
Published: August 2009

Abstract
Potential vorticity (PV) is a powerful concept in geophysical fluid dynamics. One property of PV that makes it so powerful is that it may be inverted under certain conditions, one of which is the imposition of a balance constraint. Previous studies have made use of a particular nonlinear balance constraint suited to isobaric coordinates as part of their inversion procedures. The present study constructs and tests a new nonlinear balance constraint that may be applied directly to the output of the Weather Research and Forecasting (WRF) model on its native terrain-following vertical coordinate. Output from the nonlinear balance operator is examined in the context of idealized and real-data WRF forecasts, and the results indicate that the simplifications necessary to derive the nonlinear balance operator are justified on the synoptic and meso-α scales. On the other hand, once the scales resolved by the model are small enough, neglected terms reach magnitudes on the order of the retained terms, even over flat terrain. This suggests that the use of this operator within a PV inversion scheme that also uses the WRF vertical coordinate would not capture a divergent portion of the flow that may be significant.
An Examination of Background Error Correlations between Mass and Rotational Wind over Precipitation Regions
Authors: Caron Jean-François , Fillion Luc 
Published: August 2009

Abstract
The differences in the balance characteristics between dry and precipitation areas in estimated short-term forecast error fields are investigated. The motivation is to see if dry and precipitation areas need to be treated differently in atmospheric data assimilation systems. Using an ensemble of lagged forecast differences, it is shown that perturbations are, on average, farther away from geostrophic balance over precipitation areas than over dry areas and that the deviation from geostrophic balance is proportional to the intensity of precipitation. Following these results, the authors investigate whether some improvements in the coupling between mass and rotational wind increments over precipitation areas can be achieved by using only the precipitation points within an ensemble of estimated forecast errors to construct a so-called diabatic balance operator by linear regression. Comparisons with a traditional approach to construct balance operators by linear regression show that the new approach leads to a gradually significant improvement (related to the intensity of the diabatic processes) of the accuracy of the coupling over precipitation areas as judged from an ensemble of lagged forecast differences. Results from a series of simplified data assimilation experiments show that the new balance operators can produce analysis increments that are substantially different from those associated with the traditional balance operator, particularly for observations located in the lower atmosphere. Issues concerning the implementation of this new approach in a full-fledged analysis system are briefly discussed but their investigations are left for a following study.
Golf After Total Knee Arthroplasty
Authors: Jackson Jeffrey D. , Smith Jay , Shah Jay P. , Wisniewski Stephen J. , Dahm Diane L. 
Published: August 2009

Background Golf provides an opportunity for relatively low-impact exercise for nearly all age groups and is considered a recommended activity for patients after total knee arthroplasty. Hypothesis We hypothesized that total knee arthroplasty would afford patients increased ability to participate in and enjoy golf, allowing a large percentage of these patients to walk the golf course. Study Design Case series; Level of evidence, 4. Methods Surveys were sent to 151 golfers who had undergone primary total knee arthroplasty from 1995 to 2000. The detailed survey included 33 questions specific to the patients’ golf performance, enjoyment of golf, frequency of participation, timing of return to play, presence of pain, use of a cart, and related golf-specific issues. Results We received and evaluated 93 responses (62%). Fifty-seven percent reported they had returned to golf within 6 months after total knee arthroplasty. Eighty-one percent of respondents reported golfing as frequently, or more frequently, than before knee replacement. Notably, golfers reported less pain while golfing after total knee arthroplasty than before (13% vs 83%; P < .0001), and 94% of respondents reported currently enjoying golf as much as or more than before surgery. Twenty-eight percent of respondents stated that they walked the course, rather than using a motorized golf cart, before surgery, while only 14% walked the course after surgery ( P = .02). Conclusion In this population of golfers, total knee arthroplasty reliably relieved pain that had been previously experienced while golfing, and increased or maintained this group’s enjoyment of playing golf. However, 86% of these patients reported using a cart while golfing. Further patient education is needed regarding the potential health benefits of walking during golf after total knee arthroplasty.
Patellar Tendon Versus Hamstring Tendon Autografts for Anterior Cruciate Ligament Reconstruction
Authors: Taylor Dean C. , DeBerardino Thomas M. , Nelson Bradley J. , Duffey Michele , Tenuta Joachim , Stoneman Paul D. , Sturdivant Rodney X. , Mountcastle Sally 
Published: August 2009

Background Controversy remains over the most appropriate graft for anterior cruciate ligament reconstruction. Hypothesis There is no significant difference in outcomes after 4-strand hamstring and patellar tendon autograft anterior cruciate ligament reconstructions using similar fixation techniques. Study Design Randomized controlled trial; Level of evidence, 1. Methods Between August 2000 and May 2003, 64 Keller Army Hospital patients with complete anterior cruciate ligament tears were randomized to hamstring (n = 32) or patellar tendon (n = 32) autograft anterior cruciate ligament reconstruction. Operative graft fixation and rehabilitative techniques were the same for both groups. Follow-up assessments included the Single Assessment Numeric Evaluation score, Lysholm score, International Knee Documentation Committee score, and Knee Injury and Osteoarthritis Outcome Score. Postoperative radiographs were analyzed for tunnel location and orientation. Results Eleven women and 53 men were randomized. Eighty-three percent of the patients (53 of 64) had follow-up of greater than 2 years, or to the point of graft rupture or removal (average follow-up, 36 months). Four hamstring grafts (12.5%) and three patellar tendon grafts (9.4%) ( P = .71) ruptured. One deep infection in a hamstring graft patient necessitated graft removal. Forty-five of the 56 patients with intact grafts had greater than 2-year follow-up. Patients with patellar tendon grafts had greater Tegner activity scores ( P = .04). Single Assessment Numeric Evaluation scores were 88.5 (95% confidence interval: 83.1, 93.8) and 90.1 (95% confidence interval: 85.2, 96.1) for the hamstring and patellar tendon groups, respectively ( P = .53). Lysholm scores were 90.3 (95% confidence interval: 84.4, 96.1) and 90.4 (95% confidence interval: 84.5, 96.3) for the hamstring and patellar tendon groups, respectively ( P = .97). There were no significant differences in knee laxity, kneeling pain, isokinetic peak torque, International Knee Documentation Committee score, or Knee Injury and Osteoarthritis Outcome Scores. Postoperative graft rupture correlated with more horizontal tibial tunnel orientation. Conclusion Hamstring and patellar tendon autografts provide similar objective, subjective, and functional outcomes when assessed at least 2 years after anterior cruciate ligament reconstruction.
The cost-effectiveness of a new disease management model for frail elderly living in homes for the elderly, design of a cluster randomized controlled clinical trial
Authors: Boorsma Marijke , van Hout Hein PJ , Frijters Dinnus H , Ribbe Miel W , Nijpels Giel 
Published: August 2009

Abstract

Background
The objective of this article is to describe the design of a study to evaluate the clinical and economic effects of a Disease Management model on functional health, quality of care and quality of life of persons living in homes for the elderly.

Methods
This study concerns a cluster randomized controlled clinical trial among five intervention homes and five usual care homes in the North-West of the Netherlands with a total of over 500 residents. All persons who are not terminally ill, are able to be interviewed and sign informed consent are included. For cognitively impaired persons family proxies will be approached to provide outcome information. The Disease Management Model consists of several elements: (1) Trained staff carries out a multidimensional assessment of the patients functional health and care needs with the interRAI Long Term Care Facilities instrument (LTCF). Computerization of the LTCF produces immediate identification of problem areas and thereby guides individualized care planning. (2) The assessment outcomes are discussed in a Multidisciplinary Meeting (MM) with the nurse, primary care physician, nursing home physician and Psychotherapist and if necessary other members of the care team. The MM presents individualized care plans to manage or treat modifiable disabilities and risk factors. (3) Consultation by an nursing home physician and psychotherapist is offered to the frailest residents at risk for nursing home admission (according to the interRAI LTCF). Outcome measures are Quality of Care indicators (LTCF based), Quality Adjusted Life Years (Euroqol), Functional health (SF12, COOP-WONCA), Disability (GARS), Patients care satisfaction (QUOTE), hospital and nursing home days and mortality, health care utilization and costs.

Discussion
This design is unique because no earlier studies were performed to evaluate the effects and costs of this Disease Management Model for disabled persons in homes for the elderly on functional health and quality of care.

Trail registration number
ISRCTN11076857
Validation of the Agilent 244K Oligonucleotide Array–Based Comparative Genomic Hybridization Platform for Clinical Cytogenetic Diagnosis
Authors: Yu Shihui , Bittel Douglas C. , Kibiryeva Nataliya , Zwick David L. , Cooley Linda D. 
Published: August 2009

Abstract
High-resolution microarray comparative genomic hybridization (aCGH) is being adopted for diagnostic evaluation of genomic disorders, but validation for clinical diagnosis has not yet been reported. We present validation data for the Agilent Human Genome Microarray Kit 244K for clinical application. The platform contains approximately 240,000 distinct 60-mer oligonucleotide probes spanning the entire human genome. We studied 45 previously characterized samples (43 abnormal, 2 normal), 32 with knowledge of prior results and 13 in a blinded manner with 11 performed in a reference laboratory providing microarray testing. Array analysis confirmed known aberrations in 43 samples and a normal result in 2. The array analysis corrected 1 karyotype and clarified 2 additional cases. Array data from 6 patients with 22q11.2 deletion found an average of 2.56 megabases (Mb; range, 2.49–2.62 Mb) with a common 2.43-Mb deleted region. Approximately 7 copy number variants from 400 base pairs to 1.6 Mb were identified per sample. Results demonstrate the usefulness of the aCGH-244K platform as a powerful diagnostic tool.
Residency Training in Pathology Informatics
Authors: Kang Hyunseok P. , Hagenkord Jill M. , Monzon Federico A. , Parwani Anil V. 
Published: August 2009

Abstract
Efforts are being made to provide informatics training in residency programs. However, various factors limit this process: (1) limited access to pathology informatics expertise and resources, (2) crowded rotation schedules, and (3) incompatible rotation structures at different institutions. We devised a novel e-learning solution (located at https://secure. opi.upmc.edu/VRPI/index.cfm) that circumvents these limitations.
The course includes didactic lectures given by experts in the field and video-recorded hands-on laboratories. The lectures are supplemented by readings from a textbook. Because it is self-paced, it can accommodate various rotation structures. Module topics and depth of coverage are directed to the level of general practicing pathologists, with quizzes provided for each module. Course progress can be tracked on the Web site by an administrator.
The experience so far with this resource has been positive, and it seems to be effective in improving resident competency in pathology informatics and basic computer skills.
Postchemotherapy Histiocyte-Rich Pseudotumor Involving the Spleen
Authors: Chandra Pranil , Wen Yong Hannah , Tuli Sandeep , Raphael Bruce G. , Amorosi Edward L. , Medeiros L. Jeffrey , Ibrahim Sherif 
Published: August 2009

Abstract
We report 2 cases of splenic postchemotherapy histiocyte-rich pseudotumor. Each patient had a history of diffuse large B-cell lymphoma, treated with multiagent chemotherapy. Computed tomography scans performed on both patients showed splenic masses. A positron emission tomography scan performed on 1 patient showed increased metabolic activity. The preoperative diagnosis in both patients was recurrent lymphoma, prompting splenectomy. The splenectomy specimens showed multiple, tan-white, firm nodules, up to 3.5 cm in diameter, that were histologically composed of central necrotic B cells (CD20+/CD3−), consistent with necrotic lymphoma, surrounded by numerous lipid-laden (xanthomatous) histiocytes. Clinical staging studies at the time of splenectomy showed no other sites of disease. We conclude that these histologic and immunophenotypic findings represent chemotherapy-induced tumor necrosis with a florid histiocytic reaction mimicking residual viable lymphoma. Others have used descriptive terminology or the term xanthomatous pseudotumor for these lesions that have been only rarely reported in the spleen previously.