bluuebunny/crossref_metadata_2025_split huggingface dataset:
Variability and Dynamics of the Kuroshio and Mindanao Current during the 2010/11 La Niña and in Late 2012
Authors: Li Bo , Yuan Dongliang , Hu Xiaoyue , Yang Ya , Li Yao , Hu Shijian 
Published: April 2024

Abstract
Variability of two Pacific western boundary currents (WBCs)—the Kuroshio and the Mindanao Current—during the strong 2010/11 La Niña event is investigated using ship-based hydrographic observations and moored current-meter data collected off the east coasts of the Philippines. The geostrophic currents calculated using the hydrographic data show that, during the 2010/11 La Niña winter, the Kuroshio decreased by ∼10 Sv (1 Sv ≡ 106 m3 s−1), whereas the Mindanao Current increased by ∼5–10 Sv, relative to the normal winter in late 2012. The interannual variability based on the hydrographic data is confirmed by moored current-meter measurements and satellite altimeter geostrophic currents. A coastally trapped Kelvin wave model is used to explain the interannual variability of the two WBCs during the different ENSO phases. The good comparison of the simulated sea level anomalies around the Philippines with the altimeter data suggests that the interannual variability of the WBCs is associated with Kelvin wave propagation from the Sulawesi–Sulu Seas clockwise around the Philippine Archipelago. We identified that the Kelvin waves are excited by downwelling equatorial Rossby waves propagating into the Indonesian Seas during the La Niña. The transport anomalies of the WBCs are comparable to the total meridional transport anomalies integrated across the interior North Pacific Ocean, suggesting the importance of the WBCs in the heat charge–discharge processes of the western Pacific warm pool during ENSO events.

Significance Statement
The two western boundary currents (WBCs)—the Kuroshio and the Mindanao Current—play the role of closing the subtropical and tropical gyre circulation of the Pacific Ocean. Their variability during ENSO is unknown. Existing studies based on numerical modeling suggest that their variability is highly correlated with ENSO, with the Kuroshio stronger and Mindanao Current weaker during La Niña and vice versa during El Niño. Here, we use in situ hydrographic observations combined with mooring and satellite altimeter data to show that the Kuroshio transport decreases and the Mindanao Current transport increases during the 2010/11 La Niña, the dynamics of which are controlled by the Kelvin wave propagation from the Sulawesi–Sulu Seas clockwise around the Philippine Archipelago. The result is important for the warm pool dynamics during ENSO.
Na’guara!! We peasants do practice agroecology:” Territorial Symphonies in La Alianza, Venezuela
Authors: Domené-Painenao Olga , Mier y Terán Mateo , Limón Fernando , Rosset Peter , Contreras Miguel 
Published: April 2024

In the face of the devastating implementation of corporative agri-food systems, processes of re-territorialization driven by agroecology, such as peasant resistance, become particularly relevant. In this article, we examine the history of the organization La Alianza (The Alliance) in Lara, Venezuela from 1975 to 2020, as narrated by its members, and using the methodology of the systematization of experiences. Based on the analytical categories of agroecology, territory and intersubjectivities, we reconstruct trajectories and organization, identifying harmonious moments which as in the case of a symphony orchestra are triggers for social processes that have promoted the constitution of specific territories. We conclude by showing the possibility of an alternative existence to hegemonic structures, constructed by collective, organized, and conscious subjects that are the driving force behind territories. Frente a la devastadora implementación de los sistemas agroalimentarios corporativos, los procesos de reterritorialización impulsados por la agroecología como, por ejemplo, la resistencia campesina, cobran especial relevancia. Este artículo analiza la historia de la organización La Alianza en Lara, Venezuela, desde 1975 hasta 2020, narrada por sus miembros y utilizando la metodología de la sistematización de experiencias. Reconstruimos trayectorias y el proceso de organización a partir de categorías analíticas pertenecientes a la agroecología, el territorio y las intersubjetividades, identificando momentos de armonía que, al igual que en el caso de una orquesta sinfónica, han sido detonantes de procesos sociales a favor de la constitución de territorios específicos. Concluimos mostrando la posibilidad de una existencia alternativa a las estructuras hegemónicas—una alternativa construida por sujetos colectivos, organizados y conscientes capaces de fungir como la fuerza motriz del territorio.
Aripiprazole for treating delirium: A systematic review—Is it a valid yet understudied treatment?
Authors: Maddalena Stefano , Magistri Carlo , Mellini Cristiano , Sarli Giuseppe 
Published: April 2024

Background: Delirium is a neuropsychiatric condition that commonly occurs in medical settings, especially among older individuals. Despite the lack of strong evidence in the literature, haloperidol is considered the first-line pharmacological intervention. Unfortunately, its adverse effects can be severe, and psychiatrists are considering the use of alternative drugs targeting dopamine and serotonin domains (atypical antipsychotics). Among them, aripiprazole is considered to have one of the safest pharmacological profiles. Aims: The purpose of this study is to examine the studies on aripiprazole as a pharmacological treatment of delirium present in today’s literature. Methods: We carried out systematic research of MedLine, PubMed, Cochrane, Embase, and ScienceDirect examining articles written between January 2002 and September 2023, including experimental studies published in peer-reviewed journals. Results: The 6 final included studies examined a total of 130 patients, showing a delirium resolution in a 7-day span of 73.8% of patients treated with aripiprazole. Conclusions: Considering the limited data currently available, we can assert that aripiprazole is at least as efficient as haloperidol, the true point is that it has a far better tolerability and safety profile. Nonetheless, further studies are necessary to provide more compelling data, together with a more precise indication regarding minimum efficient dose, as the main limitations of our review are the very small sample size, the small percentage of subjects with preexisting dementia, and the fact that most studies used scales with low specificity for the examined condition.
An industry review of recent graduate employees' performance compared to workplace expectations: An environmental science case study
Authors: Richardt Sarah Ann , Towner Steven , Brent Gayle , Castley James Guy 
Published: April 2024

This study developed and tested a model of higher education environmental science program review through industry-wide surveys of environmental science graduate employers. We surveyed 62 environmental professionals who manage recent environmental science graduate employees in eastern Australia. The survey captured expectations of graduates’ skill performance compared to workplace expectations in the first 6 months of employment in both degree-specific skills and general employment skills. Graduate employee skill importance was ranked significantly higher than their actual performance in degree-specific skills including field work, formal correspondence, policy development, data analysis/interpretation, and understanding environmental legislation. Performance was also significantly lower than expectations of generic employment skills including foundation, collaborative, and employability skills. Work placement within undergraduate programs was reported as being pivotal in efficiently preparing graduates, although workplace time limitations hinder participation. This study provides new evidence for universities to adopt work placement or other work integrated learning as a core program component, embed skill awareness and skill portfolio development in curricula, and periodically undertake industry review of graduate employee performance compared to workplace expectations. The new model presented here, of higher education program review, incorporating both graduate employee performance and employer expectations, will assist universities continuing relevancy in a dynamic employment market.
Awareness, willingness to use pre-exposure prophylaxis, and use of post-exposure prophylaxis for HIV prevention among men who have sex with men in Mexico
Authors: Chapin-Bardales Johanna , Algarin Angel B , Baruch-Dominguez Ricardo , Smith Laramie R , Hernandez-Avila Mauricio , Sanchez Travis 
Published: April 2024

Background Little is known about awareness and willingness to use or purchase HIV pre-exposure prophylaxis (PrEP) among men who have sex with men (MSM) in Mexico. Methods MSM in Mexico were recruited via advertisements on online social venues to participate in Encuesta de Sexo Entre Hombres, an online behavioral survey. Awareness of PrEP, willingness to take PrEP if available for free, willingness to purchase PrEP, awareness of post-exposure prophylaxis (PEP), and ever PEP use were assessed in descriptive and multivariate analyses. Results Overall, 54.8% (4588/8376) of participants were aware of PrEP. Of those aware, 77.6% were willing to use PrEP if free and 52.6% were willing to purchase PrEP, generally at a maximum monthly cost of $500MXP. Both awareness of and willingness to use PrEP if free or for purchase were significantly greater among MSM who were younger, and varied by demographic, recent healthcare use, and behavioral risk factors. Only 8.2% had ever used PEP, which was highly associated with healthcare utilization. Conclusions About half of Mexican MSM were aware of PrEP. The majority of those aware were willing to use PrEP if available for free and many were willing to purchase PrEP at low cost. Leveraging demographic, recent healthcare use, and behavioral risk characteristics associated with awareness and willingness to use PrEP could be useful in designing future PrEP programs for MSM in Mexico. Expanding healthcare settings in which PEP is available may also support identifying candidates for PrEP and scaling up PrEP implementation.
Cost of Illness and Out-of-pocket Expenditure of Ankylosing Spondylitis and Rheumatoid Arthritis at a Tertiary Care Hospital in North India Using Conventional Disease-modifying Antirheumatic Drugs
Authors: Bali Ojasvini , Singla Sumeet 
Published: April 2024

Background: The economic burden of rheumatoid arthritis (RA) and ankylosing spondylitis (AS) in India is significant. Aim: To estimate the cost of illness (COI) and out-of-pocket expenditure of AS and RA among patients on conventional disease-modifying antirheumatic drugs. Methodology: A retrospective, cross-sectional study on 87 participants using a prevalence-based, bottom-up approach and the human capital method was adopted to calculate the direct and indirect costs of RA and AS. Results: The average COI for patients with RA was estimated to be ₹51,741 person per year, whereas the COI for patients with AS was ₹41,379 per person per year (Consumer Price Index 2021: 134.44). Direct cost was the major contributor to COI constituting 65.21% [₹33,743] and 58.84% [₹24,348] of the total COI of RA and AS, respectively. Increasing disease severity, longer duration of illness and increasing impairment of daily activities were significantly associated with increasing COI of both RA and AS. The main expense towards annual direct costs per year in patients with RA was medication expenses, whereas for patients with AS, it was investigation expenses. Out-of-pocket spending was significant as nearly half (54.95%) of the direct expenditure on health for both RA [₹18,544] and AS (39.2%) [₹9,544] was borne by patients themselves. RA and AS caused catastrophic health expenditure in 14.92% and 6.67% of households, respectively. Indirect costs of RA and AS were ₹17,998 and ₹17,030, respectively. Indirect costs of RA and AS increased as productivity at work decreased. Average overall work productivity impairment and overall activity impairment reached close to 50% and was comparable for RA and AS. Conclusion: The economic burden of RA and AS is significant. There is an urgent need to prioritise policies and interventions for management of rheumatological conditions.
Prehabilitation: The underutilised weapon for chronic pain management
Authors: Tidmarsh Lydia V. , Harrison Richard , Finlay Katherine A. 
Published: April 2024

Objective Prehabilitation encompasses preparatory clinical intervention(s) delivered during the period between diagnosis and treatment commencement. Despite widespread successful usage preoperatively, psychological prehabilitation is neglected in outpatient chronic pain management. Although pain management waitlists are associated with treatment attrition and psychological and physical decline, this time window is underutilised in preventing escalation. Waitlists present an under-explored opportunity to ‘prehabilitate’ patients waiting for treatment. This topical review aimed to: (1) examine the effectiveness of psychological prehabilitation for pain services; (2) evaluate the psychological and physical decline associated with waiting for pain management; (3) highlight key psychological prehabilitative targets for increasing treatment engagement; (4) promote pain management psychological prehabilitation within personalised pain medicine, building recommendations for future interventions. Methods Studies regarding the impact of waitlists and prehabilitation for chronic pain were reviewed. Results Findings demonstrated that the psychological constructs of patient expectations, health locus of control, self-efficacy and pain catastrophizing dynamically influence attrition, treatment engagement and outcomes while waiting. These constructs are amenable to change, emphasising their potential utility within a targeted waitlist intervention. Conclusions Prehabilitating chronic pain patients towards treatment engagement could circumvent cycles of failed treatment seeking, preventing psychological and physical decline, and reducing healthcare utilisation. Utilising the waitlist to identify psychosocial risk factors (external health locus of control, low self-efficacy and high pain catastrophizing) would identify who requires additional support to prevent increased risk of treatment failure, enhancing personalised care before prescribed treatment is accessed. This review cements the urgent need for pain services to engage proactively with prehabilitation innovation.
Association of the Stability Ratio With Postoperative Clinical Function and Recurrence of Instability in Patients With Anterior Shoulder Instability: A Retrospective Cohort Study
Authors: Hu Qingxiang , Zhou Zhekun , Sun Benben , Zhang Guangcheng , Zhu Qi , Zhang Xiaofeng , Wu Di , He Yaohua 
Published: April 2024

Background: The stability ratio (SR) is used to assess the stability of the glenoid in anterior shoulder instability (ASI). However, the association between the SR and postoperative clinical function and instability recurrence after arthroscopic Bankart repair is unknown. Hypothesis: Patients with a higher SR would have better postoperative clinical scores and a lower incidence of recurrent instability than patients with a lower SR after arthroscopic Bankart repair. Study Design: Cohort study; Level of evidence, 3. Methods: A total of 62 patients who underwent arthroscopic Bankart repair for ASI between 2013 and 2019 were enrolled. All patients had at least 2 years of follow-up data. The preoperative SR was calculated via biomechanical testing based on patient-specific 3-dimensional glenoid models, and patients were evenly divided into 2 groups: high SR (≥16.13%) and low SR (<16.13%). Baseline information (patient characteristics, clinical history, bone defect area [BDA], and SR), clinical scores at the final follow-up (Single Assessment Numerical Evaluation, Western Ontario Shoulder Index, and American Shoulder and Elbow Surgeons), and instability recurrence were compared between the 2 groups. Results: No significant differences were found in the baseline information between the high- and low-SR groups, except for the BDA (8.5% [high-SR group] vs 11.9% [low-SR group]; P = .01). No patients in the high-SR group had recurrent instability, while 6 patients (19.4%) had recurrent instability in the low-SR group ( P = .02). Patients in the high-SR group had superior clinical outcomes compared with those in the low-SR group in terms of postoperative Western Ontario Shoulder Index scores (median, 205 vs 410, respectively; P = .006) and American Shoulder and Elbow Surgeons scores (median, 98.3 vs 95, respectively; P = .02). Conclusion: In the present study, the SR was significantly associated with postoperative clinical function and recurrence of instability after arthroscopic Bankart repair in patients with ASI.
Variations in the sleep-related breathing disorder index on polysomnography between men with HIV and controls: a matched case-control study
Authors: Chen Yen-Chin , Chen Chang-Chun , Lin Wen-Kuei , Toh Han Siong , Ko Nai-Ying , Lin Cheng-Yu 
Published: April 2024

Abstract
Background
Both sleep-related breathing disorders (SRBDs) and HIV infection can interfere with normal sleep architecture, and also cause physical and psychological distress. We aimed to understand the differences in the obstructive patterns, sleep architecture, physical and psychological distress when compared between people living with HIV (PLWH) and matched the severity of SRBDs controls.

Methods
A comparative study using matched case-control design was conducted. Men with HIV infection (case group) were enrolled from 2016 to 2019. A control group with HIV seronegative men were matched for SRBDs severity, and were selected from sleep medicine center database for comparison.

Results
The mean age of the 108 men (including 54 cases and 54 matched controls) was 33.75 years. Central-apnea index (CI) was higher in the case group rather than matched controls (mean CI, 0.34 vs. 0.17, p = 0.049). PLWH had a lower mean percentage of stage 3 sleep (10.26% vs. 13.94%, p = 0.034) and a higher percentage of rapid eye movement sleep (20.59% vs. 17.85%, p = 0.011) compared to matched controls. Nocturnal enuresis and sleepiness causing traffic accidents were more frequent complaint in PLWH compared to controls.

Conclusions
Early detected SRBDs and subtypes in PLWH to begin treatment for the underlying cause could reduce the risk of sleepiness-related traffic accidents.
Burden of undiagnosed depression among older adults in India: a population based study
Authors: Devikrishna NB. , Mishra Nand Lal , Singh Abhishek 
Published: April 2024

Abstract
Background
The study explored the levels and associated factors of undiagnosed depression among community-dwelling older Indian adults. It also identified the socio-demographic predictors of undiagnosed depression among the study population at national and state levels.

Methods
The study employed data from the Longitudinal Ageing Study in India wave-I, 2017-18. Based on the data on depression from interviewee’s self-reporting and measurement on Composite International Diagnostic Interview– Short Form (CIDI-SF) and Centre for Epidemiological Studies- Depression scale (CES-D) scales, we estimated undiagnosed depression among older adults (age 60+). We estimated multivariable binary logistic regressions to examine the socio-demographic and health-related predictors of undiagnosed depression among older adults.

Findings
8% (95% CI: 7.8–8.4) of the total older adults had undiagnosed depression on CIDI-SF scale and 5% (95% CI: 4.8–5.3) on the combined CIDI-SF and CES-D. Undiagnosed depression was higher among those who were widowed, worked in the past and currently not working, scheduled castes, higher educated and the richest. Lack of health insurance coverage, presence of any other physical or mental impairment, family history of Alzheimer’s/Parkinson’s disease/ psychotic disorder, lower self-rated health and poor life satisfaction were significant predictors of undiagnosed depression on both CIDI-SF and combined scales.

Conclusion
To improve the health of older adults in India, targeted policy efforts integrating mental health screening, awareness campaigns and decentralization of mental healthcare to primary level is needed. Further research could explore the causal factors behind different levels of undiagnosed depression.
The mediating effect of dispositional mindfulness on the association between UPPS-P impulsivity traits and gaming disorder among Asia-Pacific young adults
Authors: Tang Anson Chui Yan , Lee Regina Lai-Tong , Lee Paul Hong , Tanida Keiko , Chan Shun , Lam Simon Ching , Nailes Jennifer , Malinit Joy P. , Juangco Jose Ronilo G. , Wang Qing , Ligot Jason , Suen Lorna Kwai Ping 
Published: April 2024

Abstract
Background
Little evidence is available to verify the mediating effect of dispositional mindfulness on the association between gaming disorder and various impulsivity traits. The present study aimed to investigate the mediating effect of dispositional mindfulness on the association between the five UPPS-P impulsivity traits and the risk of gaming disorder among young adults.

Methods
It was an inter-regional cross-sectional study using online survey in Australia, Japan, The Philippines and China. Impulsivity measured by the UPPS-P Impulsive Behavior Scale–Short version; dispositional mindfulness measured by the Mindfulness Attention Awareness Scale; and the risk of gaming disorder measured by the Internet Gaming Disorder Scale were collected in the focal regions. Structural equation modeling was performed by SPSS AMOS version 26 to verify the study hypotheses. Bootstrapped 95% confidence interval was reported. Statistical significance was indicated by the p-value below 0.05.

Results
Among the 1,134 returned questionnaires, about 40% of them aged 18–20 years and 21–23 years, respectively. 53.8% were male. 40.7% had been playing digital and video games for over 10 years. The prevalence of gaming disorder was 4.32%. The model fitness indices reflected that the constructed model had an acceptable model fit (χ2(118) = 558.994, p < 0.001; χ2/df = 4.737; CFI = 0.924; TLI = 0.890; GFI = 0.948; RMSEA = 0.058; SRMR = 0.0487). Dispositional mindfulness fully mediated the effect of positive urgency and negative urgency on the risk of gaming disorder. The effect of lack of premeditation on the risk of gaming disorder was partially mediated by dispositional mindfulness. However, dispositional mindfulness did not mediate the effect of sensation seeking on the risk of gaming disorder.

Conclusions
The varied associations between dispositional mindfulness and the five impulsivity traits hints that improving some impulsive traits may increase dispositional mindfulness and so lower the risk of gaming disorder. Despite further studies are needed to verify the present findings, it sheds light on the need to apply interventions on gamers based on their impulsivity profile. Interventions targeting at emotion regulation and self-control such as mindfulness-based interventions seem to be effective to help gamers with dominant features of urgency and lack of premeditation only. Other interventions shall be considered for gamers with high sensation seeking tendency to enhance the effectiveness of gaming disorder prevention.