bluuebunny/crossref_metadata_2025_split huggingface dataset:
An Analytic Theory of Near-Surface Relative Humidity over Land
Authors: McColl Kaighin A. , Tang Lois I. 
Published: December 2023

Abstract
There is no simple explanation for the spatial structure of near-surface relative humidity over land. We present a diagnostic theory for zonally and temporally averaged near-surface relative humidity (RH) over land based on energy budgets of an atmospheric column in radiative–convective equilibrium. The theory analytically relates RH to the surface evaporative fraction (EF), has no calibrated parameters, and is quantitatively accurate when compared with RH from a reanalysis, and with cloud-permitting simulations over an idealized land surface. The theory is used to answer two basic questions. First, why is RH never especially low (e.g., 1%)? The theory shows that established lower bounds on EF over land and ocean are equivalent to lower bounds on RH that preclude particularly low values, at least for conditions typical of the modern Earth. Second, why is the latitudinal profile of RH over land shaped like the letter W, when both specific humidity and saturation specific humidity essentially decline monotonically from the equator to the poles? The theory predicts that the latitudinal profile of RH should look more like that of water stored in the soil (which also exhibits a W-shaped profile) than in the air (which does not).
Direct Observation of Wave-Coherent Pressure Work in the Atmospheric Boundary Layer
Authors: Zippel Seth F. , Edson James B. , Scully Malcolm E. , Keefe Oaklin R. 
Published: December 2023

Abstract
Surface waves grow through a mechanism in which atmospheric pressure is offset in phase from the wavy surface. A pattern of low atmospheric pressure over upward wave orbital motions (leeward side) and high pressure over downward wave orbital motions (windward side) travels with the water wave, leading to a pumping of kinetic energy from the atmospheric boundary layer into the waves. This pressure pattern persists above the air–water interface, modifying the turbulent kinetic energy in the atmospheric wave-affected boundary layer. Here, we present field measurements of wave-coherent atmospheric pressure and velocity to elucidate the transfer of energy from the atmospheric turbulence budget into waves through wave-coherent atmospheric pressure work. Measurements show that the phase between wave-coherent pressure and velocity is shifted slightly above 90° when wind speed exceeds the wave phase speed, allowing for a downward energy flux via pressure work. Although previous studies have reported wave-coherent pressure, to the authors’ knowledge, these are the first reported field measurements of wave-coherent pressure work. Measured pressure work cospectra are consistent with an existing model for atmospheric pressure work. The implications for these measurements and their importance to the turbulent kinetic energy budget are discussed.

Significance Statement
Surface waves grow through a pattern of atmospheric pressure that travels with the water wave, acting as a pump against the water surface. The pressure pumping, sometimes called pressure work, or the piston pressure, results in a transfer of kinetic energy from the air to the water that makes waves grow larger. To conserve energy, it is thought that the pressure work on the surface must extract energy from the mean wind profile or wind turbulence that sets the shape of the wind speed with height. In this paper, we present direct measurements of pressure work in the atmosphere above surface waves. We show that the energy extracted by atmospheric pressure work fits existing models for how waves grow and a simple model for how waves reduce energy in the turbulent kinetic energy budget. To our knowledge, these are the first reported field measurements of wave-coherent pressure work.
Adverse childhood experiences in mental health of young adults: An exploratory study from Delhi-NCR, India
Authors: Chaudhary Vineet , Walia Gagandeep Kaur , Devi Naorem Kiranmala , Shekhawat Lokesh Singh , Saraswathy Kallur Nava 
Published: December 2023

Background: Despite the growing realization regarding the importance of adverse childhood experiences (ACEs) in adult health outcomes, this area of research has received little scientific attention in low- and middle-income countries, including India. Aims: To understand the overall and domain-specific association of exposure to ACEs with current depression, anxiety, stress, and well-being among young adults of Delhi-NCR. Methods: This cross-sectional study was carried out among 1,812 young adults (aged 18–25 years) of both sexes (68.7% females). Fieldwork was conducted on the campuses of the University of Delhi, Delhi, and Amity University, Noida, India. ACEs, depression, anxiety, stress, and well-being were screened using the Adverse Childhood Experiences International Questionnaire, Beck Depression Inventory-II, Beck Anxiety Inventory, Perceived Stress Scale, and WHO-5 Well-Being Index, respectively. Results: Exposure to ACEs was found to increase the odds of moderate/severe depression, moderate/severe anxiety, and high stress and decreased the odds of good well-being in a dose-response manner. Being bullied, followed by emotional abuse, was associated with the highest odds of current moderate/severe depression, moderate/severe anxiety, and high stress and the lowest odds of good well-being. Further, while several domains of household dysfunction showed poor association with studied mental health outcomes, domains of abuse and violence were more consistently associated. Conclusions: The present study revealed the detrimental impact of ACEs on mental health outcomes among young adults of Delhi-NCR, India, and underscored the relevance of ACEs in the Indian context. Considering the lack of trauma awareness in Indian societies, there is an urgent need to create widespread awareness regarding ACEs and associated health implications.
Cats, Commerce, and Cemeteries: The Mummified Felines of Beni Hasan
Authors: Elliott Chris 
Published: December 2023

In February 1890, the remains of around 180,000 mummified cats, weighing about 19.5 tons, were sent from Alexandria to Liverpool and sold at auction to be used as agricultural fertiliser. The mummies originated from a cemetery at Beni Hasan in Egypt. Analysis of contemporary reports in the British press allows this event to be examined in some detail, from the initial discovery of the cemetery and its commercial exploitation locally and internationally, to the popular and academic responses to it. The episode can also be linked to the wider commercial exploitation of mummified remains from ancient Egypt, including as tourist souvenirs, items in private collections, and their acquisition by public museums. Press reports reflected contemporary European attitudes to ancient and modern Egypt, but also domestic concerns with agricultural productivity. [Formula: see text]
The shortcoming of using glibenclamide in exploratory clinical headache provocation studies
Authors: Christophersen Palle , Dyhring Tino 
Published: December 2023

Objective Preclinical and clinical studies implicate the vascular ATP-sensitive potassium (KATP) channel in the signaling cascades underlying headache and migraine. However, attempts to demonstrate that the KATP channel inhibitor glibenclamide would attenuate triggered headache in healthy volunteers have proven unsuccessful. It is questionable, however, whether target engagement was achieved in these clinical studies. Methods Literature data for human glibenclamide pharmacokinetics, plasma protein binding and functional IC50 values were used to predict the KATP receptor occupancy (RO) levels obtained after glibenclamide dosing in the published exploratory clinical headache provocation studies. RO vs. time profiles of glibenclamide were simulated for the pancreatic KATP channel subtype Kir6.2/SUR1 and the vascular subtype Kir6.1/SUR2B. Results At the clinical dose of 10 mg of glibenclamide used in the headache provocation studies, predicted maximal occupancy levels of up to 90% and up to 26% were found for Kir6.2/SUR1 and Kir6.1/SUR2B, respectively. Conclusions The findings of the present study indicate that effective Kir6.1/SUR2B target engagement was not achieved in the clinical headache provocation studies using glibenclamide. Therefore, development of novel selective Kir6.1/SUR2B inhibitors, with good bioavailability and low plasma protein binding, is required to reveal the potential of KATP channel inhibition in the treatment of migraine.
Exploring the Experiences of Virtual Inflammatory Bowel Disease Care in Saskatchewan
Authors: Rohatinsky Noelle , Russell Brooke , Peña-Sánchez Juan Nicolás , Boklaschuk Shannon , Bhasin Sanchit , Fowler Sharyle , Guzowski Tomasz , Wicks Kendall , Wicks Mike 
Published: December 2023

Background Individuals with inflammatory bowel disease (IBD) require life-long interactions with the healthcare system. Virtual care (VC) technologies are becoming increasingly utilized for accessing healthcare services. Research related to the use of VC technology for the management of IBD in Canada is limited. This study aimed to examine the VC experiences from the perspectives of individuals with IBD and gastroenterology care providers (GCPs). Methods A patient-oriented, qualitative descriptive approach was used. Semi-structured interviews were completed with individuals with IBD and GCPs. Data were analyzed using an inductive content analysis approach. Results A total of 25 individuals with IBD and five GCPs were interviewed. Three categories were identified: benefits of virtual IBD care delivery, challenges of virtual IBD care delivery, and optimizing IBD care delivery. Individuals with IBD and GCPs were satisfied with the use of VC technology for appointments. Participants believed VC was convenient and allowed enhanced access to care. However, VC was not considered ideal in some instances, such as during disease flares or first appointments. Thus, a blended use of virtual and in-person appointments was suggested for individualized care. Conclusions The virtual method of connecting patients and providers is deemed useful for routine appointments and for persons living in rural areas. VC is becoming more common in the IBD care environment. Nurses are in a key position to facilitate and enhance virtual IBD care delivery for the benefit of both individuals living with IBD and providers.
Influences of Faith on Rural Appalachian Older Adult Health: An Ethnonursing Study
Authors: Strange Karina E. , Mixer Sandra J. , Embler Pam , Smith Jennifer L. , Troutman-Jordan Meredith 
Published: December 2023

Introduction: Rural Appalachian older adults (RAOAs) constitute a vulnerable population and experience significant health disparities. The combination of age, poverty, rural residence, health care provider shortages, and limited transportation increases risks for poor health outcomes. Spirituality enhances older adult health; however, little is known about spirituality–health linkages of RAOAs. Therefore, the purpose of this study was to discover the influences of spirituality on RAOA health. Methodology: Culture Care Theory and ethnonursing method guided analysis of 32 RAOA interviews in community settings in East Tennessee. Results: “Faith” is an integral component of RAOA culture and health. Three themes were extrapolated: (a) Relationship with God is personal; (b) faith beliefs and practices influence health, illness, death, and dying; and [the need to] (c) “Open the door” for spiritual care. Discussion: Faith assessment and spiritual care recommendations contribute to culturally congruent care for RAOAs and may be transferable to care for other older adults.
Association Between Oral Health Status and Survival Time in Terminally Ill Cancer Patients
Authors: Lee Yoo Jeong , Hwang In Cheol , Choi Youn Seon , Ahn Hong Yup , Lee Eun Jeong , Kim Da Eun 
Published: December 2023

Introduction Patients with terminal cancer often experience various oral problems. Whether oral health status is associated with the survival of terminally ill cancer patients receiving palliative care remains unclear. Methods We analyzed the data of 59 Korean patients with terminal cancer receiving palliative care, including their oral health status, using a modified Korean version of the Oral Health Assessment Tool (OHAT). Patients were categorized into “Good,” “Moderate,” or “Poor” groups based on OHAT scores. The Kaplan-Meier method was used to compare the median survival time, and the prognosis between groups was estimated using Cox proportional hazard models. Results The most common oral symptoms observed were xerostomia (69.5%) and mucositis (17.0%). Significantly shorter survival times were observed in patients with hyperbilirubinemia, elevated creatinine levels, and no use of dentures. The “Poor” group had a shorter survival than the “Good” oral group ( P = .010). A multivariate Cox proportional hazards analysis revealed that the “Poor” group was significantly associated with poor survival compared to the “Good” group (hazard ratio, 2.05; P = .047). Conclusion Terminally ill cancer patients with poor oral health may have a higher risk of shorter survival. Palliative care professionals should pay attention to oral health. Further research is needed to determine the effects of oral care on survival.
Proximal Supination Osteotomy for Hallux Valgus: Comparison of Clinical and Radiologic Outcomes for the Most Severe Deformities
Authors: Okuda Ryuzo , Tanaka Kei , Shima Hiroaki 
Published: December 2023

Background: There is little available information regarding the difference in outcomes between severe hallux valgus (S-HV), defined as 40 degrees ≤ hallux valgus angle (HVA) < 50 degrees, and what we consider to be “super-severe HV” (SS-HV), defined as >50 degrees, following a proximal metatarsal osteotomy. We aimed to retrospectively compare the outcomes of a proximal metatarsal osteotomy in S- and SS-HV. Methods: The series consisted of 57 female patients (57 feet) treated with a proximal supination osteotomy for symptomatic S- and SS-HV (33 and 24 feet, respectively). The outcome measures included radiographic parameters and for 45 patients included the Self-Administered Foot Evaluation Questionnaire (SAFE-Q) score, and a visual analog scale pain score (VAS-PS) preoperatively and at a minimum follow-up of 12 months with a median of 26 months. No significant differences were found in age, body mass index, and the duration of follow-up between patients with S-HV and SS-HV ( P > .10 for all comparisons) with the numbers available. Results: Preoperative HVA in patients with S- and SS-HV was significantly improved at the final follow-up ( P < .0001 for both comparisons). No significant differences in postoperative HVA and IMA were observed between patients with S- and SS-HV (P = .51 and .50, respectively). All 5 preoperative subscale scores of SAFE-Q in patients with S- and SS-HV significantly improved postoperatively ( P < .01 for all comparisons). Preoperative VAS-PS in patients with S- and SS-HV significantly improved postoperatively ( P < .0001 and <.009, respectively). There were no significant differences in preoperative and postoperative scores of all the SAFE-Q subscales and VAS-PS between patients with S-HV and SS-HV ( P > .10 for all) with the numbers available. Conclusion: We found for this patient group that a proximal supination osteotomy can achieve a large correction for SS-HV as well as S-HV and significantly improve radiologic and clinical outcomes in SS-HV. The outcomes between patients with S- and SS-HV were not different in this series. Level of Evidence: Level III, retrospective comparative study.
Carrying an unintended pregnancy to term and long-term maternal psychological distress: Findings from the Dutch prospective Amsterdam Born Children and their Development study
Authors: Beumer Wieke Y , Roseboom Tessa J , Koot Marjette H , Vrijkotte Tanja , van Ditzhuijzen Jenneke 
Published: December 2023

Background: Given the estimated high rate of unintended pregnancies, it is important to investigate long-term effects on psychological distress in women carrying an unintended pregnancy to term. However, research into associations between unintended pregnancies carried to term and psychological distress postpartum is mixed, and especially, evidence on long-term associations is scarce. Objective: To examine whether carrying an unintended pregnancy to term is associated with maternal psychological distress later in life, up to 12 years postpartum. Design: This study is based on the population-based birth cohort study ‘Amsterdam Born Children and their Development’ study, which included pregnant people in 2003 ( n = 7784) and followed them up until 12 years postpartum. Methods: Unintended pregnancy was measured as a multidimensional construct, based on self-reported data around 16 weeks gestation on pregnancy mistiming, unwantedness and unhappiness. Symptoms of maternal psychological distress were assessed around 3 months, 5 years and 12 years postpartum using multiple questionnaires measuring symptoms of depression, anxiety and stress. Multiple structural equation modelling models were analysed, examining the associations between dimensions of unintended pregnancy and maternal psychological distress per time point, while controlling for important co-occurring risks. Results: Pregnancy mistiming and unhappiness were significant predictors of more maternal psychological distress around 3 months postpartum. Around 5 years postpartum, only pregnancy mistiming was positively associated with maternal psychological distress. Dimensions of unintended pregnancy were no longer associated with maternal psychological distress around 12 years postpartum. Strikingly, antenatal psychological distress was a much stronger predictor of maternal psychological distress than pregnancy intention dimensions. Conclusion: Those who carried a more unintended pregnancy to term reported more symptoms of psychological distress at 3 months and 5 years postpartum. People carrying an unintended pregnancy to term may benefit from extra support, not because of the pregnancy intentions per se, but because they may be related to antenatal psychological distress.
Non-pharmacological interventions for the treatment of post-stroke fatigue: A systematic review
Authors: Komber Ahmad , Chu Shuk Han , Zhao Xu , Komber Hend , Halbesma Nynke , Mead Gillian 
Published: December 2023

Background: Post-stroke fatigue (PSF) affects 50% of stroke survivors. Current guidance on management of this condition is limited. Aims: This systematic review and meta-analysis aimed to identify and analyze all randomized clinical trials (RCTs) of non-pharmacological interventions for the treatment of PSF. Summary of review: Six electronic databases were searched from inception to January 2023 for English-language RCTs investigating the efficacy of non-pharmacological interventions versus passive controls in patients with PSF. The primary outcome was fatigue severity at the end of the intervention. The Cochrane risk-of-bias (ROB)2 tool was used to assess evidence quality. A total of 7990 records were retrieved, 333 studies were scrutinized, and 13 completed RCTs (484 participants) were included. Interventions included psychological therapies, physical therapies, and brain stimulation. Nine studies provided sufficient data for meta-analysis, of which seven also had follow-up data. Fatigue severity was lower in the intervention groups at the end of the intervention compared with control (participants = 310, standardized mean difference (SMD) = −0.57, 95% confidence intervals (CIs) (−0.87 to −0.28)) and at follow-up (participants = 112, SMD = −0.36, 95% CIs (−0.83 to 0.10)). Certainty in the effect estimate was downgraded to low for a serious ROB and imprecision. Subgroup analysis revealed significant benefits with physical therapy and brain stimulation but not psychological therapies, though sample sizes were low. Conclusion: Non-pharmacological interventions improved fatigue but the quality of evidence was low. Further RCTs are needed for PSF management.
Depression screening within 3 months of primary shoulder arthroplasty decreases medical complications, implant complications, and costs of care in patients with diagnosed depressive disorder
Authors: Gordon Adam M , Elali Faisal R , Miller Chaim , Schwartz Jake M , Choueka Jack 
Published: December 2023

Background It is unknown if nonpharmacologic interventions are protective of adverse outcomes in depression patients. We studied whether depression screenings/psychotherapy visits were associated with lower: (a) medical complications, (b) readmission rates, (c) implant-related complications, and (d) healthcare expenditures. Methods A nationwide claims database was queried for primary shoulder arthroplasty from 2010 to 2020. Depression patients included those who had (n  =  3566) and did not have (n  =  17,769) a pre-operative depression screen/psychotherapy visit within 3 months of shoulder arthroplasty. A 90-day period was utilized for complications and readmissions. Implant complications were assessed over 2 years. Costs were surgeon reimbursements. Logistic regression models computed odds ratios (OR) of complications and readmissions. P-values less than 0.005 were significant. Results Depression patients who did not undergo screening had threefold higher odds of 90-day medical complications (28.08 vs. 7.26%; OR: 3.33, p < 0.0001). Readmissions (3.97 vs. 3.48%; p  =  0.719) were similar between non-screened vs. screened patients. Implant complications were higher among non-screened vs. screened patients (15.89 vs. 8.02%; OR: 1.93, p < 0.0001), including prosthetic joint infections (2.05 vs. 0.93%; OR: 2.04, p < 0.0001). Costs were significantly higher in patients without screening ($10,916 vs $8703; p < 0.0001). Discussion Shoulder arthroplasty surgeons may consider counseling their depression patients about the importance of having a recent screening by their physician. Level of Evidence: III
The perspectives of health sciences students the new way of learning: Mixed methods design
Authors: Berenshtein Yisca , Tesler Riki , Hochwald Inbal Halevi , Green Gizell 
Published: December 2023

Objectives The study aimed to determine the following four differences between students in the fields of nursing and health systems management: (a) attitudes towards web-based learning, (b) online course anxiety, (c) online course self-efficacy, and (d) intentional use of technology for learning and find factors that influence students’ intentional learning with technology. Methods The study utilized an explanatory sequential mixed methods design. The study was performed according to the checklist for assessment and reporting of document analysis for mixed methods design and research in health professions education. We included students from the School of Health Sciences, including those studying nursing and health systems management. There were 304 students included in our study. Results Students from health systems management had more positive attitudes toward web-based learning than nursing students. Health science students’ years of study, online course self-efficacy, and web-based learning influence intentional learning with technology among students. The qualitative finding corresponds only with the qualitative result demonstrated that online course self-efficacy predicts the intentional use of technology for learning. Conclusions It is needed to consider factors for designing effective online learning experiences in health science, enabling educators to enhance intentional technology-based learning for nursing and health systems management students through web-based learning optimization.