bluuebunny/crossref_metadata_2025_split huggingface dataset:
Local Topographic Rossby Modes Observed in the Abyssal Sea of Japan
Authors: Senjyu Tomoharu 
Published: August 2023

Abstract
The short-period current fluctuations (topographic wave fluctuations, TWFs) on the southern rim slope of the abyssal Sea of Japan were investigated using current meter datasets from closely spaced mooring arrays. The TWFs occurred almost continuously throughout the year with short periods in a narrow band (1.5–5 days), showing a seasonal modulation in their amplitude. The TWFs were attributable to alternate passage of cyclonic and anticyclonic eddies on the rim slope, which propagated eastward at a speed of 0.15–0.23 m s−1. In addition, the TWFs showed a bottom-intensified characteristic, along with the two-layer structure consisting of an almost barotropic lower layer and a marginally baroclinic upper layer. The lowest topographic Rossby mode, which is a normal mode of the topographic Rossby waves prescribed by the two ridges on the rim slope, was considered as a cause of the TWFs because of its eastward-propagating eddy train structure along the rim slope and the eigenperiod (3–5 days) near the TWF band. In addition, the local time-dependent Sverdrup balance was considered as a mechanism of the TWF generation, since the TWFs significantly correlated with the wind stress curl variations over the observation area with time lags. That is, the current fluctuations near the eigenperiod were selectively amplified via the resonance between the lowest topographic Rossby mode and the Ekman pumping variations induced by the TWF-band wind stress curl. We concluded that the observed TWFs were a manifestation of the wind-induced lowest topographic Rossby mode prescribed by the bottom topography.

Significance Statement
The dispersion relation teaches us that short-period (<10 days) Rossby waves have a very long wavelength (>103 km). However, as atmospheric forcing with both such period and wavelength is absent, the short-period Rossby waves excited by a local forcing generally dissipate quickly in a limited area. Nevertheless, we observed short-period (1.5–5 days) current fluctuations occurring continuously throughout the year in the abyssal (>1000 m) Sea of Japan. The deep current fluctuations were attributable to the propagation of cyclonic and anticyclonic eddy trains on the zonally extended slope. This is the wind-induced lowest topographic Rossby normal mode prescribed by the bottom topography. This study suggests that short-period current fluctuations can occur everywhere if appropriate topographic and atmospheric conditions were established.
Marathon versus Sprint: Two Modes of Tropical Cyclone Rapid Intensification in a Global Convection-Permitting Simulation
Authors: Judt Falko , Rios-Berrios Rosimar , Bryan George H. 
Published: August 2023

Abstract
Tropical cyclones that intensify abruptly experience “rapid intensification.” Rapid intensification remains a formidable forecast challenge, in part because the underlying science has not been settled. One way to reconcile the debates and inconsistencies in the literature is to presume that different forms (or modes) of rapid intensification exist. The present study provides evidence in support of this hypothesis by documenting two modes of rapid intensification in a global convection-permitting simulation and the HURDAT2 database. The “marathon mode” is characterized by a moderately paced and long-lived intensification period, whereas the “sprint mode” is characterized by explosive and short-lived intensification bursts. Differences between the modes were also found in initial vortex structure (well defined versus poorly defined), nature of intensification (symmetric versus asymmetric), and environmental conditions (weak shear versus strong shear). Collectively, these differences indicate that the two modes involve distinct intensification mechanisms. Recognizing the existence of multiple intensification modes may help to better understand and predict rapid intensification by, for example, explaining the lack of consensus in the literature, or by raising awareness that rapid intensification in strongly sheared cyclones is not just an exception to a rule, but a typical process.

Significance Statement
Hurricanes are serious threats to society—in particular those that suddenly and quickly intensify before striking land. Forecasting these “rapid intensification” events is a challenge, in part because we do not fully understand the science behind rapid intensification. This study furthers our understanding of hurricane rapid intensification by documenting that rapid intensification comes in different types. Specifically, we show that one type of rapid intensification happens under conditions that meteorologists have thought would lessen the chances of intensification. Awareness of such a type of rapid intensification could lead to better predictions of hurricane intensity because forecasters are more cognizant of this type of event and the conditions in which they occur.
Evaluation of Skipping in College Students with and without Autism Spectrum Disorder
Authors: Orozco Isabel Munoz , Hernandez Kimberly , Mata Joevanie , Todd Teri , Mache Melissa , Jarvis Danielle N. 
Published: August 2023

Children with Autism Spectrum Disorder (ASD) demonstrate motor skill deficits in comparison to their neurotypically developing peers. However, it is unknown whether these motor skill deficits persist into adulthood. We evaluated skipping kinematics and motor performance in college students with and without ASD. We collected kinematic data from 20 college students, 10 with ASD and 10 without ASD, using a 12-camera three-dimensional motion capture system while participants completed three skipping trials. We scored skipping performance using Everyone Can! and the Halverson Developmental Sequences for Skipping, and we processed data using Cortex, Visual 3D, and MATLAB. We extracted data for center of mass excursion, peak velocity of joint extension, and peak joint angles of the hip, knee, and ankle of the dominant leg. Independent t-tests and Mann-Whitney U tests were used to examine differences between groups with an alpha level of p [Formula: see text] 0.05. We found no statistically significant differences for peak sagittal plane joint angles, velocities, or vertical center of mass excursion. However, the ASD group demonstrated greater medio-lateral center of mass displacement (ASD M = .08, SD = .1 m; Control M = .03, S = .03 m; p = .026) and greater frontal plane knee excursion (ASD M = 11.49, SD = 6.23°; Control M = 5.29, SD = 2.44°; p = .01) than participants without ASD. Similarly, the ASD group performed less proficiently in skipping than the group without ASD, as assessed by the developmental scoring methods (Everyone Can! composite score medians [interquartile range]: ASD M = 10.5, SD = 8; Control M = 15.0, SD = 0, p = .008). Despite many similarities in skipping kinematics between groups, participants with ASD were less proficient in skip performance than participants without ASD. Interventions for individuals with ASD addressing skipping proficiency or the performance of other locomotor skills, such as running and jumping, may promote participation in activities that involve complex motor skills and help individuals with ASD lead more physically active lives.
A randomized controlled trial of Vitamin D supplementation in Iranian patients with schizophrenia: Effects on serum levels of glycogen synthase kinase‐3β and symptom severity
Authors: Kalejahi Parinaz , Kheirouri Sorayya , Noorazar Seyed Gholamreza 
Published: August 2023

Background Growing evidence has shown that hypovitaminosis D is a risk factor for developing schizophrenia and comorbid conditions. Therefore, this study aimed to examine the effect of vitamin D supplementation on serum levels of vitamin D, metabolic factors related to insulin resistance (IR) and the severity of the disorder in patients with schizophrenia. Methods Forty-eight chronic male patients with schizophrenia with vitamin D deficiency (≤20 ng/mL= (≤50 nmol/l) were selected and randomly assigned to vitamin D treatment and placebo groups. Subjects were supplemented for 8 weeks with vitamin D (2000 IU/day) or placebo. Results Within-group comparison revealed that the vitamin D group had a significant reduction in waist circumference, Positive and Negative Syndrome Scale – total score (PANSS-TS), and glycogen synthase kinase 3 beta (GSK-3β) levels ( P = .022, P = <.001 and P = .013, respectively). On the other hand, the placebo group showed a significant increase in the level of fasting serum insulin and Homeostatic Model Assessment of Insulin Resistance (HOMA-IR) ( P = .003 and P = .003). The between-group comparison showed a significant difference in terms of PANSS-TS, GSK-3β, fasting serum insulin (FSI), and HOMA-IR ( P = .022, P = .048, P = .013 and P = .014 respectively). Conclusions Among vitamin D deficient patients with schizophrenia, vitamin D supplementation may affect GSK-3 β, an important biomarker in schizophrenia and insulin resistance. In addition, vitamin D supplementation in such patients may reduce the disorder’s symptom severity.
A Radiostereometric Analysis of Tendon Migration After Arthroscopic and Mini-Open Biceps Tenodesis: Interference Screw Versus Single Suture Anchor Fixation
Authors: Forsythe Brian , Patel Harsh H. , Berlinberg Elyse J. , Forlenza Enrico M. , Okoroha Kelechi R. , Williams Brady T. , Yanke Adam B. , Cole Brian J. , Verma Nikhil N. 
Published: August 2023

Background: Studies suggest that similar clinical results are achieved via arthroscopic and open biceps tenodesis (BT) techniques. Purpose: To quantify the postoperative migration of the BT construct between arthroscopic suprapectoral BT (ASPBT) and open subpectoral BT (OSPBT) techniques via interference screw (IS) or single-suture suture anchor (SSSA) fixation using radiostereometric analysis. Study Design: Cohort study; Level of evidence, 2. Methods: Distal migration of the biceps tendon after OSPBT with a polyetheretherketone IS, OSPBT with 1 SSSA, ASPBT with polyetheretherketone IS, and ASPBT with 2 SSSAs was measured prospectively. Patients with symptomatic biceps tendinopathy and preoperative patient-reported outcome measures (PROMs) including Constant-Murley subjective, Single Assessment Numeric Evaluation, or Patient-Reported Outcomes Measurement Information System–Upper Extremity scores were included. A tantalum bead was sutured on the proximal end of the long head of the biceps tendon before fixation of tendon tissue. Anteroposterior radiographs were performed immediately postoperatively, at 1 week, and at 3 months. Bead migration was measured, and preoperative PROMs were compared with those at latest follow-up. Results: Of 115 patients, 94 (82%) were available for final follow-up. IS fixation yielded the least tendon migration with no difference between the open and arthroscopic approaches (4.31 vs 5.04 mm; P = .70). Fixation with 1 suture anchor demonstrated significantly greater migration than that achieved with an IS at both 1 week (6.47 vs 0.1 mm, 6.47 vs 1.75 mm, P < .001;) and 3 months (14.76 vs 4.31 mm, 14.76 vs 5.04 mm, P < .001) postoperatively. Two-suture anchor fixation yielded significantly greater migration than IS fixation at 1 week (7.02 vs 0.1 mm, P < .001; 7.02 vs 1.75 mm, P = .003) but not 3 months postoperatively (8.06 vs 4.31 mm, P = .10; 8.06 vs 5.04 mm, P = .07). Four patients with suture anchor fixation (3 patients in the OSPBT 1 SSSA group, 9.4%, and 1 patient in the ASPBT 2 SSSAs group, 3.8%) developed a Popeye deformity, whereas no Popeye deformities occurred in the IS groups. Mean 3-month bead migration in patients with and without a Popeye deformity was 60.8 and 11.2 mm, respectively ( P < .0001). PROMs did not differ among groups at final follow-up. Conclusion: Interference screw fixation yielded the least tendon migration whether achieved arthroscopically or open. The available data indicated that fixation with 1 SSSA but not 2 SSSAs resulted in significantly greater migration than that achieved with an IS. Despite variations in tendon migration, PROMs were similar among all groups. When SSSAs are used, tendon migration may be minimized by using ≥2 anchors.
Understanding Eating Disorders in Children and Adolescent Population
Authors: Ram Jai R. , Shelke Swati B. 
Published: August 2023

Eating disorders (EDs) are increasingly recognized in children and adolescents. Anorexia nervosa (AN) and bulimia nervosa (BN) are less common in children and adolescents than adults, but both disorders can occur in this age group. Binge-eating disorder (BED) is the most common ED in children and adolescents and is more prevalent in females than males. EDs may present differently in children and adolescents than in adults, and parents or caregivers may be the first to notice changes in eating patterns or body weight. Diagnostic criteria for EDs in children and adolescents include disturbances in eating behavior, weight or shape concerns, and significant distress or impairment in social, academic, or occupational functioning. Multidisciplinary approaches are recommended for treating EDs in children and adolescents, including medical management, nutritional counseling, and psychological interventions. Evidence-based treatments for AN and BN include family-based therapy, cognitive-behavioral therapy, and interpersonal psychotherapy. Cognitive-behavioral therapy and interpersonal psychotherapy are recommended for children and adolescents with BED. Hospitalization may be necessary in severe cases. Early identification and intervention are crucial for improving treatment outcomes and reducing the risk of long-term complications. Treatment approaches should be tailored to developmental and cultural needs and involve a multidisciplinary team. Continued research is needed to improve early detection, prevention strategies, and treatments for this vulnerable population. EDs in children and adolescents are a significant public health concern that can have serious physical and psychological consequences. It is important for healthcare providers and caregivers to be aware of the signs and symptoms of EDs in young people and to seek prompt and appropriate treatment
Guidelines and treatment for illicit drug related presentations in emergency departments: A scoping review
Authors: Au Ruby Tszwai , Hotham Elizabeth , Suppiah Vijayaprakash 
Published: August 2023

Objective This review aimed to identify current pharmacological and non-pharmacological treatment employed in emergency departments (EDs) for the management of patients presenting with illicit drug-related presentations (IDP) and compare current treatments with recommendations provided in guidelines. Method The review consists of English peer-reviewed journal articles and grey literature published in electronic databases: Ovid MEDLINE, PubMed, Embase Classic+Embase, Ovid Emcare and APA PsycInfo between 2015 and 2022. Results Twelve studies were identified from the search, with agitation and aggression being the most common presentations, and cannabis being the most prevalent illicit drug. Ventilatory support and restraints were the most reported non-pharmacological interventions while benzodiazepines and antipsychotics were the most commonly prescribed pharmacological agents. Non-coercive de-escalation strategies were recommended in all guidelines, with verbal de-escalation being the initial approach before other interventions, such as medications and restraints. However, de-escalation strategies were not reported in any studies. Conclusions Pharmacological interventions for patients with IDP and related symptoms were in accordance with guidelines. Use of restraints was identified in included studies with notable lack of reporting of de-escalation strategies which may have been deemed insignificant and not reported. Future research could investigate the appropriateness of restrictive interventions as well as the employment of non-restrictive de-escalation strategies.
CLEFT RR- New app to Calculate Recurrence Risk in Cleft lip and Palate
Authors: Lacerda Rosa Helena Wanderley , Mendonça Alice Castro G. , Laurentino Rebeca Andrade , Furtado Paulo Germano Cavalcanti , Filgueiras Vitor Marques , Filgueiras Fernanda Maria Bezerra , Bezerra Luan Carlos da Silva , Vieira Alexandre Rezende 
Published: August 2023

Objective To describe the Cleft Recurrence Risk (Cleft RR) App, designed to be used on genetic counseling for cleft lip and/ or palate. Design A validation study, single cohort. Setting Tertiary care children's Hospital. Patients, Participants The manual obtained the results of 100 cases undergoing genetic counseling at the cleft lip and palate treatment center. Interventions The application for genetic counseling for cleft lip and/ or palate is designed to calculate quickly the recurrence risk considering the ancestry, cleft type, sex, and family history and thus encourage the implementation of genetic counseling in cleft lip and palate centers around the world. Main Outcome Measure(s) The data were submitted to the Bland-Altman statistics. Results After defining parameters the application development follows the steps: development, prototyping, and documentation. The validation of the calculated data was performed by comparing the results of 100 cases undergoing genetic counseling at the cleft lip and palate treatment center obtained by the manual method with the results obtained by the mobile app method; the data were submitted to the Bland-Altman statistics and a high concordance was found. Conclusions The mobile app for use by healthcare professionals proved to be simple to use, easy to apply, and provided accurate results. Cleft Recurrence Risk is an application for smartphones developed for genetic counseling in cleft lip and palate, supplementary use by health professionals, and should not replace professional performance.
Evaluating the feasibility, acceptability, and preliminary effectiveness of tele-comprehensive behavior therapy for tics (teleCBIT) for Tourette syndrome in youth and adults
Authors: Capriotti Matthew R , Wellen Brianna CM , Young Brianna N , Himle Michael B , Conelea Christine A , Espil Flint M , Simpson Heather , Mathews Carol A 
Published: August 2023

Introduction Comprehensive behavioral intervention for tics (CBIT) is an efficacious, first-line treatment for Tourette syndrome (TS) and other chronic or persistent tic disorders. However, CBIT's public health impact has been limited by suboptimal treatment access. Preliminary research has shown that providing CBIT over videoconference (teleCBIT) is a promising delivery method for patients who cannot access in-person care. However, extant studies have been small efficacy trials focused only on pediatric patients. Replication of these studies is needed in additional treatment settings and across a wider age range of patients, especially in light of advances in telehealth technology and increasing telehealth adoption among practitioners. Methods We conducted a single-arm trial to evaluate the feasibility, acceptability, and effectiveness of teleCBIT embedded in comprehensive, medical tic specialty clinics. From October 2016 to September 2018, patients were offered teleCBIT at their usual care appointments. Those who were interested and met inclusion/exclusion criteria received 8 sessions of CBIT guided by a manualized protocol. An independent evaluator, masked to treatment progress, administered assessments at baseline, post-treatment, and 3 and 6 months after treatment. Results Twenty-five percent of patients who were offered treatment initiated teleCBIT through the study, and all treatment initiators completed treatment. From pre- to post-treatment, decreases in Yale Global Tic Severity Scale (YGTSS) total tic severity scores showed a large effect size among pediatric patients ( n = 19; t = 5.72, P < 0.001, d = 1.31) and a medium-to-large effect size for adult patients ( n = 10, t = 1.41, P = 0.096, d = 0.664). Thirteen of 19 pediatric patients (68%) and 6 of 10 adult patients (60%) had a positive global treatment response at post-treatment. Patients rated the treatment as highly satisfactory. Ninety-three percent of sessions were free of substantial technical problems. Discussion Within the context of medical tic specialty clinics, teleCBIT demonstrated strong evidence of feasibility, acceptability, and preliminary effectiveness comparable to in-person treatment for both pediatric and adult patients. TeleCBIT warrants study in future research on enhancing care systems for patients with TS. Trial registry https://clinicaltrials.gov/ct2/keydates/NCT04007913
Trends in cardiovascular burden and mortality among adults with prediabetes in the US, 1999–2018
Authors: Zhang Yi , Lu Ruodi , Wang Jian , Zhang Xingjian , Ma Xiao 
Published: August 2023

Background Trends in cardiovascular disease (CVD) risk factors and mortality have been reported among US adults with diabetes, but not among those with prediabetes. This study aimed to examine and compare the trends in CVD risk factors and mortality in US adults with diabetes and prediabetes. Methods In this serial, cross-sectional study, medical records of prediabetic patients from the National Health and Nutrition Examination Survey (NHANES) among adults aged 18 years or older were retrospectively reviewed. Results Data on 17,193 individuals including 7803 with diabetes and 9390 with prediabetes were analyzed from 1999–2000 to 2017–2018. A similar non-linear trend in the mean blood pressure ( p = .991) and plasma fasting glucose ( p = .068) was observed among the population with diabetes and prediabetes. The mean hemoglobin A1c decreased from 7.5% to 7.1% in diabetes and the trend was different from that in prediabetes ( p = .004). Among both groups, a significant decline in the mean total cholesterol was identified while there was a difference in the trend ( p = .003). The prevalence of hypertension remained largely the same for diabetes and it declined from 59.8% to 48.8% for prediabetes ( p = .044). The prevalence of dyslipidemia increased from 40.4% to 53.5% in diabetes and it remained stable for prediabetes. The all-cause mortality decreased from 148.2 to 93.6 per 10,000 person-years between 1999–2006 and 2007–2014 in prediabetes and heart diseases mortality remained unchanged. Conclusion In the US from 1999 to 2018, the adults with prediabetes had different secular trends in the mean hemoglobin A1c and the prevalence of hypertension and dyslipidemia compared to those with diabetes. There was a significant reduction in all-cause mortality from 1999 to 2014 for the population with prediabetes. However, heart diseases mortality remained stable among them.