bluuebunny/crossref_metadata_2025_split huggingface dataset:
Large-Eddy Simulation of Post-Cold-Frontal Continental Stratocumulus
Authors: Mechem David B. , Kogan Yefim L. , Schultz David M. 
Published: September 2010

Abstract
Previous large-eddy simulations (LES) of stratocumulus-topped boundary layers have been exclusively set in marine environments. Boundary layer stratocumulus clouds are also prevalent over the continent but have not been simulated previously. A suite of LES runs was performed for a case of continental post-cold-frontal stratocumulus observed by the Atmospheric Radiation Measurement Program (ARM) Climate Research Facility (ACRF), located in northern Oklahoma. Comparison with fixed, ground-based sensors necessitated an Eulerian approach in which it was necessary to supply to the model estimates of synoptic-scale advection and vertical motion, particularly given the quickly evolving, baroclinic nature of the synoptic environment. Initial analyses from the Rapid Update Cycle model supplied estimates for these forcing terms.
Turbulent statistics calculated from the LES results are consistent with large-eddy observations obtained from millimeter-wave cloud radar. The magnitude of turbulence is weaker than in typical marine stratocumulus, a result attributed to highly decoupled cloud and subcloud circulations associated with a deep layer of negative buoyancy flux arising from the entrainment of warm, free-tropospheric air. Model results are highly sensitive to variations in advection of temperature and moisture and much less sensitive to changes in synoptic-scale vertical velocity and surface fluxes. For this case, moisture and temperature advection, rather than entrainment, tend to be the governing factors in the analyzed cloud system maintenance and decay. Typical boundary layer entrainment scalings applied to this case do not perform very well, a result attributed to the highly decoupled nature of the circulation. Shear production is an important part of the turbulent kinetic energy budget. The dominance of advection provides an optimistic outlook for mesoscale, numerical weather prediction, and climate models because these classes of models represent these grid-scale processes better than they do subgrid-scale processes such as entrainment.
The Vertical Distribution of Radon in Clear and Cloudy Daytime Terrestrial Boundary Layers
Authors: Williams Alastair G. , Zahorowski Wlodek , Chambers Scott , Griffiths Alan , Hacker Jörg M. , Element Adrian , Werczynski Sylvester 
Published: September 2010

Abstract
Radon (222Rn) is a powerful natural tracer of mixing and exchange processes in the atmospheric boundary layer. The authors present and discuss the main features of a unique dataset of 50 high-resolution vertical radon profiles up to 3500 m above ground level, obtained in clear and cloudy daytime terrestrial boundary layers over an inland rural site in Australia using an instrumented motorized research glider. It is demonstrated that boundary layer radon profiles frequently exhibit a complex layered structure as a result of mixing and exchange processes of varying strengths and extents working in clear and cloudy conditions within the context of the diurnal cycle and the synoptic meteorology. Normalized aircraft radon measurements are presented, revealing the characteristic structure and variability of three major classes of daytime boundary layer: 1) dry convective boundary layers, 2) mixed layers topped with residual layers, and 3) convective boundary layers topped with coupled nonprecipitating clouds. Robust and unambiguous signatures of important atmospheric processes in the boundary layer are identifiable in the radon profiles, including “top-down” mixing associated with entrainment in clear-sky cases and strongly enhanced venting and subcloud-layer mixing when substantial active cumulus are present. In poorly mixed conditions, radon gradients in the daytime atmospheric surface layer significantly exceed those predicted by Monin–Obukhov similarity theory. In two case studies, it is demonstrated for the first time that a sequence of vertical radon profiles measured over the course of a single day can consistently reproduce major structural features of the evolving boundary layer.
The Influence of Stratification and Nonlocal Turbulent Production on Estuarine Turbulence: An Assessment of Turbulence Closure with Field Observations
Authors: Scully Malcolm E. , Geyer W. Rocky , Trowbridge John H. 
Published: August 2010

Abstract
Field observations of turbulent kinetic energy (TKE), dissipation rate ɛ, and turbulent length scale demonstrate the impact of both density stratification and nonlocal turbulent production on turbulent momentum flux. The data were collected in a highly stratified salt wedge estuary using the Mobile Array for Sensing Turbulence (MAST). Estimates of the dominant length scale of turbulent motions obtained from the vertical velocity spectra provide field confirmation of the theoretical limitation imposed by either the distance to the boundary or the Ozmidov scale, whichever is smaller. Under boundary-limited conditions, anisotropy generally increases with increasing shear and decreased distance to the boundary. Under Ozmidov-limited conditions, anisotropy increases rapidly when the gradient Richardson number exceeds 0.25. Both boundary-limited and Ozmidov-limited conditions demonstrate significant deviations from a local production–dissipation balance that are largely consistent with simple scaling relationships for the vertical divergence in TKE flux. Both the impact of stratification and deviation from equilibrium turbulence observed in the data are largely consistent with commonly used turbulence closure models that employ “nonequilibrium” stability functions. The data compare most favorably with the nonequilibrium version of the L. H. Kantha and C. A. Clayson stability functions. Not only is this approach more consistent with the observed critical gradient Richardson number of 0.25, but it also accounts for the large deviations from equilibrium turbulence in a manner consistent with the observations.
Disability, HRQoL and resource use among chronic and episodic migraineurs: Results from the International Burden of Migraine Study (IBMS)
Authors: Blumenfeld AM , Varon SF , Wilcox TK , Buse DC , Kawata AK , Manack A , Goadsby PJ , Lipton RB 
Published: September 2010

Background: Migraine imposes significant burden on patients, their families and health care systems. In this study, we compared episodic to chronic migraine sufferers to determine if migraine status predicted headache-related disability, health-related quality of life (HRQoL) and health care resource utilization.Methods: A Web-based survey was administered to panelists from nine countries. Participants were classified as having chronic migraine (CM), episodic migraine (EM) or neither using a validated questionnaire. Data collected and then analyzed included sociodemographics, clinical characteristics, Migraine Disability Assessment, Migraine-Specific Quality of Life v2.1, Patient Health Questionnaire and health care resource utilization.Findings: Of the respondents, 5.7% had CM and 94.3% had EM, with CM patients reporting significantly more severe disability, lower HRQoL, higher levels of anxiety and depression and greater health care resource utilization compared to those with EM.Interpretation: These results provide evidence that will enhance our understanding of the factors driving health care costs and will contribute to development of cost-effective health care strategies.
Validity of an Internet version of the Multiple Sclerosis Neuropsychological Questionnaire
Authors: Akbar Nadine , Honarmand Kimia , Kou Nancy , Levine Brian , Rector Neil , Feinstein Anthony 
Published: September 2010

Background: Neuropsychological batteries are long and require expertise to administer. For this reason, the Multiple Sclerosis Neuropsychological Questionnaire (MSNQ) was developed as it is quick and easy to complete. The informant version of the scale has proven to be a useful screen for cognitive impairment in multiple sclerosis (MS). Objective: The objective was to validate an Internet version of the MSNQ. Methods: The following psychometric data were collected at home over the Internet in 82 MS patients: (a) patient self-report version MSNQ (P-MSNQ), (b) informant version MSNQ (I-MSNQ), and (c) Center for Epidemiological Studies Depression Scale (CES-D). Thereafter patients underwent in-office testing with the Brief Repeatable Battery of Neuropsychological Tests (BRB-N). The sensitivity and specificity of the Internet MSNQ to detect cognitive impairment relative to the BRB-N was determined using receiver operating characteristic (ROC) curve analysis. Results: Thirty-five percent of the sample was cognitively impaired. The P-MSNQ was correlated with depression and two tests of the BRB-N. The I-MSNQ was correlated with depression and all five tests of the BRB-N. A cut-off score of 26 on the I-MSNQ gave a sensitivity and specificity of 72% and 60% respectively. Test-retest and internal reliability analyses were strong for both the P-MSNQ and I-MSNQ. Conclusion: This is the first attempt at an Internet validation of the MSNQ. The modest sensitivity and specificity values suggest that further research is needed before either the patient or informant version of the MSNQ can be used for neuropsychological screening purposes over the Internet.
IDH1 mutations are detected in 6.6% of 1414 AML patients and are associated with intermediate risk karyotype and unfavorable prognosis in adults younger than 60 years and unmutated NPM1 status
Authors: Schnittger Susanne , Haferlach Claudia , Ulke Madlen , Alpermann Tamara , Kern Wolfgang , Haferlach Torsten 
Published: August 2010

Abstract
Mutations in the IDH1 gene at position R132 coding for the enzyme cytosolic isocitrate dehydrogenase are known in glioma and have recently been detected also in acute myeloid leukemia (AML). These mutations result in an accumulation of α-ketoglutarate to R (2)-2-hydroxyglutarate (2HG). To further clarify the role of this mutation in AML, we have analyzed IDH1R132 in 1414 AML patients. We detected IDH1R132 mutations in 93 of 1414 patients (6.6%) with a clear prevalence in intermediate risk karyotype group (10.4%, P < .001). Although IDH1R132 mutations can incidentally occur together with all other molecular markers, there were strong associations with NPM1 mutations (14.2% vs 5.4% in NPM1wt, P < .001) and MLL-PTD (18.2% vs 7.0% in MLLwt, P = .020). IDH1-mutated cases more often had AML without maturation/French-American-British M1 (P < .001), an immature immunophenotype, and female sex (8.7% vs 4.7% in male, P = .003) compared with IDH1wt cases. Prognosis was adversely affected by IDH1 mutations with trend for shorter overall survival (P = .110), a shorter event-free survival (P < .003) and a higher cumulative risk for relapse (P = .001). IDH1 mutations were of independent prognostic relevance for event-free survival (P = .039) especially in the age group < 60 years (P = .028). In conclusion, these data show that IDH1R132 may significantly add information regarding characterization and prognostication in AML.
Comparison of information-theoretic to statistical methods for gene-gene interactions in the presence of genetic heterogeneity
Authors: Sucheston Lara , Chanda Pritam , Zhang Aidong , Tritchler David , Ramanathan Murali 
Published: September 2010

Abstract

Background
Multifactorial diseases such as cancer and cardiovascular diseases are caused by the complex interplay between genes and environment. The detection of these interactions remains challenging due to computational limitations. Information theoretic approaches use computationally efficient directed search strategies and thus provide a feasible solution to this problem. However, the power of information theoretic methods for interaction analysis has not been systematically evaluated. In this work, we compare power and Type I error of an information-theoretic approach to existing interaction analysis methods.

Methods
The k- way interaction information (KWII) metric for identifying variable combinations involved in gene-gene interactions (GGI) was assessed using several simulated data sets under models of genetic heterogeneity driven by susceptibility increasing loci with varying allele frequency, penetrance values and heritability. The power and proportion of false positives of the KWII was compared to multifactor dimensionality reduction (MDR), restricted partitioning method (RPM) and logistic regression.

Results
The power of the KWII was considerably greater than MDR on all six simulation models examined. For a given disease prevalence at high values of heritability, the power of both RPM and KWII was greater than 95%. For models with low heritability and/or genetic heterogeneity, the power of the KWII was consistently greater than RPM; the improvements in power for the KWII over RPM ranged from 4.7% to 14.2% at for α = 0.001 in the three models at the lowest heritability values examined. KWII performed similar to logistic regression.

Conclusions
Information theoretic models are flexible and have excellent power to detect GGI under a variety of conditions that characterize complex diseases.
Prevalence of primary biliary cirrhosis in adults referring hospital for annual health check-up in Southern China
Authors: Liu Haiying , Liu Yunfeng , Wang Luxia , Xu Dexing , Lin Bingliang , Zhong Renqian , Gong Sitang , Podda Mauro , Invernizzi Pietro 
Published: September 2010

AbstractBackgroundPrimary biliary cirrhosis (PBC) is an autoimmune liver disease characterized by the presence of anti-mitocondrial autoantibodies (AMA) which has an essential role also for diagnosis. In addition, also some anti-nuclear antibodies (ANA) have been shown to be highly specific PBC. The purpose of this study was to assess the prevalence of PBC among the adults referring hospital for annual health check-up in Southern China by screening sera for PBC-specific autoantibodies.MethodsAMA and ANA were screened in 8,126 adults (mean age 44 ± 15 years, 48% females) by indirect immunofluorenscence (IIF). Positive sera were tested by ELISA/immunoblotting for AMA-M2, anti-sp100 and anti-gp210. A diagnosis of PBC was re-assessed six months after the initial testing.ResultsOut of 8,126 individuals 35 were positive for AMA and 79 positive for ANA. Nineteen, 4, and 3 of the subjects positive for AMA and/or ANA showed reactivity for AMA-M2, anti-sp100 or gp210, respectively, further tested with ELISA/immunoblotting. Fourteen in the 39 individuals positive for AMA at IIF, AMA-M2, anti-gp210, or anti-sp100 had abnormal cholestatic liver functional indices. One definite and 3 probable PBC diagnosis could be made in 4 cases including 3 females and 1 male after half a year.ConclusionsWe found a point prevalence rate of PBC among Southern Chinese adults attending for yearly health check-up of 492 cases per million (95% CI, 128 to 1,093) and 1,558 cases per million (95% CI, 294 to 3,815) for women over 40, a finding similar to prevalence reported in other geographical areas.
Pneumomediastinum as a complication of emphysematous cholecystitis: Case report
Authors: Delgado-Plasencia Luciano , González-García Ignacio , Rodríguez-González Diana , Torres-Monzón A Esther 
Published: September 2010

Abstract

Background
Emphysematous cholecystitis is a variant of acute cholecystitis which is generally caused by gas-forming organisms. Emphysematous cholecystitis may cause gas spreading within the subcutaneous tissue, peritoneal cavity and retroperitoneum.

Case presentation
We present a case of emphysematous cholecystitis in a middle-aged diabetic patient who, postoperatively, presented edema in both flanks and left chest crepitation on palpation, associated with hemodynamic worsening. Computed tomography scan of the chest and abdomen revealed a large pneumomediastinum, pneumoretroperitoneum, gas in subcutaneous tissue and flank abscesses. In both blood and surgical wound exudate cultures, Escherichia coli was found.

Conclusion
Emphysematous cholecystitis should be considered as a possible cause of pneumomediastinum.
Simulated effect of pneumococcal vaccination in the Netherlands on existing rules constructed in a non-vaccinated cohort predicting sequelae after bacterial meningitis
Authors: Commandeur Arno E , de Jonge Rogier CJ , Koomen Irene , Spanjaard Lodewijk , van Furth A Marceline , Terwee Caroline B 
Published: September 2010

AbstractBackgroundPreviously two prediction rules identifying children at risk of hearing loss and academic or behavioral limitations after bacterial meningitis were developed.Streptococcus pneumoniaeas causative pathogen was an important risk factor in both. Since 2006 Dutch children receive seven-valent conjugate vaccination againstS. pneumoniae. The presumed effect of vaccination was simulated by excluding all children infected byS. pneumoniaewith the serotypes included in the vaccine, from both previous collected cohorts (between 1990-1995).MethodsChildren infected by one of the vaccine serotypes were excluded from both original cohorts (hearing loss: 70 of 628 children; academic or behavioral limitations: 26 of 182 children). All identified risk factors were included in multivariate logistic regression models. The discriminative ability of both new models was calculated.ResultsThe same risk factors as in the original models were significant. The discriminative ability of the original hearing loss model was 0.84 and of the new model 0.87. In the academic or behavioral limitations model it was 0.83 and 0.84 respectively.ConclusionIt can be assumed that the prediction rules will also be applicable on a vaccinated population. However, vaccination does not provide 100% coverage and evidence is available that serotype replacement will occur. The impact of vaccination on serotype replacement needs to be investigated, and the prediction rules must be validated externally.
Long-term effect of stereotactic body radiation therapy for primary hepatocellular carcinoma ineligible for local ablation therapy or surgical resection. Stereotactic radiotherapy for liver cancer
Authors: Kwon Jung Hyun , Bae Si Hyun , Kim Ji Yoon , Choi Byung Ock , Jang Hong Seok , Jang Jeong Won , Choi Jong Young , Yoon Seung Kew , Chung Kyu Won 
Published: September 2010

Abstract

Background
We evaluated the long-term effect of stereotactic body radiation therapy (SBRT) for primary small hepatocellular carcinoma (HCC) ineligible for local therapy or surgery.

Methods
Forty-two HCC patients with tumors ≤ 100 cc and ineligible for local ablation therapy or surgical resection were treated with SBRT: 30-39 Gy with a prescription isodose range of 70-85% (median 80%) was delivered daily in three fractions. Median tumor volume was 15.4 cc (3.0-81.8) and median follow-up duration 28.7 months (8.4-49.1).

Results
Complete response (CR) for the in-field lesion was initially achieved in 59.6% and partial response (PR) in 26.2% of patients. Hepatic out-of-field progression occurred in 18 patients (42.9%) and distant metastasis developed in 12 (28.6%) patients. Overall in-field CR and overall CR were achieved in 59.6% and 33.3%, respectively. Overall 1-year and 3-year survival rates were 92.9% and 58.6%, respectively. In-field progression-free survival at 1 and 3 years was 72.0% and 67.5%, respectively. Patients with smaller tumor had better in-field progression-free survival and overall survival rates (<32 cc vs. ≥32 cc, P < 0.05). No major toxicity was encountered but one patient died with extrahepatic metastasis and radiation-induced hepatic failure.

Conclusions
SBRT is a promising noninvasive-treatment for small HCC that is ineligible for local treatment or surgical resection.
Photoperiodic diapause under the control of circadian clock genes in an insect
Authors: Ikeno Tomoko , Tanaka Shinichi I , Numata Hideharu , Goto Shin G 
Published: September 2010

AbstractBackgroundMost organisms have evolved a circadian clock in order to anticipate daily environmental changes and many of these organisms are also capable of sophisticated measurement of daylength (photoperiodism) that is used to regulate seasonal events such as diapause, migration and polymorphism. It has been generally accepted that the same elements are involved in both circadian (daily) and seasonal (annual) rhythms because both rely upon daily light-dark cycles. However, as reasonable as this sounds, there remains no conclusive evidence of such a molecular machinery in insects. We have approached this issue by using RNA interference (RNAi) inRiptortus pedestris.ResultsThe cuticle deposition rhythm exhibited the major properties of circadian rhythms, indicating that the rhythm is regulated by a circadian clock. RNAi directed against the circadian clock genes ofperiodandcycle, which are negative and positive regulators in the circadian clock, respectively, disrupted the cuticle deposition rhythm and distinct cuticle layers were produced by these RNAi. Simultaneously,periodRNAi caused the insect to avert diapause under a diapause-inducing photoperiod whereascycleRNAi induced diapause under a diapause-averting photoperiod. The expression patterns of juvenile hormone-regulated genes and the application of juvenile hormone analogue suggested that neither ovarian development itself nor a downstream cascade of juvenile hormone secretion, were disturbed byperiodandcycleRNAi.ConclusionsThis study revealed that the circadian clock genes are crucial not only for daily rhythms but also for photoperiodic diapause. RNAi directed againstperiodandcyclehad opposite effects not only in the circadian cuticle deposition rhythm but also in the photoperiodic diapause. These RNAi also had opposite effects on juvenile hormone-regulated gene expression. It is still possible that the circadian clock genes pleiotropically affect ovarian development but, based on these results, we suggest that the circadian clock operated by the circadian clock genes,periodandcycle, governs seasonal timing as well as the daily rhythms.See Commentary:http://www.biomedcentral.com/1741-7007/8/115
Insertion torque is not a good predictor of pedicle screw loosening after spinal instrumentation: a prospective study in 8 patients
Authors: Sandén Bengt , Olerud Claes , Larsson Sune , Robinson Yohan 
Published: September 2010

AbstractBackgroundPedicle screw loosening is a major safety concern in instrumented spinal surgery due to loosening with potential pseudarthrosis and possible loss of correction requiring revision surgery. Several cadaver studies have compared insertion torque of pedicle screws with resistance to pullout or cyclic loading. In most of these studies, a correlation has been found between these variables. Clinical studies have been made, comparing insertion torque to bone mineral density or radiological signs of screw loosening. There are no clinical studies comparing insertion torque to extraction torque or other biomechanical parameters in vivo. This study was designed to investigate whether the insertion torque of pedicle screws can be used to predict the purchase of the screws.MethodsThe insertion torque of stainless steel pedicle screws was recorded in eight patients undergoing lumbar fusion surgery with four-screw constructs. Torque gauge manometers were used for the recordings. The implants were removed after one year, and the extraction torque of the screws was recorded.ResultsThe mean insertion torque was 76 ± 41 Ncm and the mean extraction torque 29 ± 36 Ncm. The r value was 0.591, suggesting that there was a correlation between the insertion and extraction torque. However, the scattergram revealed that the screws could be divided into two groups, six screws with a high correlation between insertion and extraction torque, and 26 screws where no correlation could be demonstrated.ConclusionsIn this unique human in-vivo study, the insertion torque could not be used to predict the purchase of lumbar pedicle screws one year after implantation. It could be demonstrated that in vivo insertion torque alone is of minor value to estimate pullout strength, and should be combined with or replaced by more accurate measures.