bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Influence of Convection Initiation Strength on Subsequent Simulated Supercell Evolution
Authors: Flournoy Matthew D. , Rasmussen Erik N. 
Published: June 2023

Abstract
Recent studies have shown how very small differences in the background environment of a supercell can yield different outcomes, particularly in terms of tornado production. In this study, we use a novel convection initiation technique to simulate six supercells with a focus on their early development. Each experiment is identical, except for the strength of thermal forcing for the initial convection initiation. Each experiment yields a mature supercell, but differences in storm-scale characteristics like updraft speed, cold pool temperature deficit, and vertical vorticity development abound. Of these, the time when the midlevel updraft strengthens is most strongly related to initiation strength, with stronger thermal forcing favoring quicker updraft development. The same is true for the low-level updraft, with the additional relationship that stronger thermal forcing also tends to yield stronger low-level updrafts for around the first 2 h of the simulations. The experiments with faster updraft development tend to be associated with more rapid surface vortex intensification; however, cold pool evolution differs between simulations with weaker versus stronger thermal forcing. Stronger thermal forcing also yields deviant rightward storm motion earlier in the supercell’s life cycle that remains more consistent for the duration of the simulation. These results highlight the range of supercellular outcomes that are possible across a background environment due to differences in storm-scale initiation strength. They are also of potential importance for predicting the paths and tornado potential of supercells in real time.

Significance Statement
Despite a better understanding of processes related to tornado production in supercell thunderstorms, forecasters still have difficulty discriminating between tornadic and nontornadic supercells in close proximity to each other within the same severe weather event. In this study, we use six simulations of supercells to examine how these different outcomes can occur. Our results show that, given the same background environment, a storm that is more strongly initiated will exhibit faster updraft development and, possibly, quicker tornado production. The opposite can be said for storms that are more weakly initiated. Differences in initiation strength are also associated with different storm motions. These findings inspire future work to better relate supercell evolution to characteristics of initiation and the environment.
Improved Analog Ensemble Formulation for 3-Hourly Precipitation Forecasts
Authors: Jeworrek Julia , West Gregory , Stull Roland 
Published: June 2023

Abstract
Analog ensembles (AnEns) traditionally use a single numerical weather prediction (NWP) model to make a forecast, then search an archive to find a number of past similar forecasts (analogs) from that same model, and finally retrieve the actual observations corresponding to those past forecasts to serve as members of an ensemble forecast. This study investigates new statistical methods to combine analogs into ensemble forecasts and validates them for 3-hourly precipitation over the complex terrain of British Columbia, Canada. Applying the past analog error to the target forecast (instead of using the observations directly) reduces the AnEn dry bias and makes prediction of heavy-precipitation events probabilistically more reliable—typically the most impactful forecasts for society. Two variants of this new technique enable AnEn members to obtain values outside the distribution of the finite archived observational dataset—that is, they are theoretically capable of forecasting record events, whereas traditional analog methods cannot. While both variants similarly improve heavier precipitation events, one variant predicts measurable precipitation more often, which enhances accuracy during winter. A multimodel AnEn further improves predictive skill, albeit at higher computational cost. AnEn performance shows larger sensitivity to the grid spacing of the NWP than to the physics configuration. The final AnEn prediction system improves the skill and reliability of point forecasts across all precipitation intensities.

Significance Statement
The analog ensemble (AnEn) technique is a data-driven method that can improve local weather forecasts. It improves raw model forecasts using past similar model predictions and observations, reducing future forecast errors and providing probabilities for a range of possible outcomes. One limitation of AnEns is that they commonly tend to make rare-event (e.g., heavy precipitation) forecasts appear less extreme. Usually, heavier precipitation events have a higher impact on society and the economy. This study introduces two new AnEn techniques that make operational forecasts of both probabilities and most likely amounts more accurate for heavy precipitation.
Perioperative Factors Associated With Intraoperative Transfusion in Patients Undergoing Major Lower Limb Amputation
Authors: Ganapathy Anand V. , Orloff Elliott A. , Ziegler Kenneth R. 
Published: June 2023

Background Intraoperative transfusions in vascular patients undergoing major lower limb amputations (LLAs) are associated with worse postoperative outcomes. Methods We conducted a retrospective study from 2015 to 2020 to identify perioperative factors associated with the need for intraoperative transfusion for patients undergoing below knee or above knee amputations secondary to vascular disease. Results A total of 65 patients with major LLAs were identified, 39 (60%) with below knee and 26 (40%) with above knee amputations. There were 15 (23%) patients who were transfused intraoperatively and 50 (77%) who were not. Six (15%) of the below knee patients and 9 (34%) of the above knee patients required intraoperative transfusion. Of the variables studied, only preoperative hemoglobin (8.6 ± .4 vs 9.9 ± .2 g/dL, P = .01), change in hemoglobin (−.1 ± .4 vs .8 ± .2 g/dL, P = .01), estimated intraoperative blood loss (416 ± 168 vs 126 ± 14 mL, P = .04), and operative duration (116 ± 19 min. vs 89 ± 6 min, P = .046) were associated with a transfusion requirement with these patients having a longer length of stay (42 [13-76] vs 21 [12-31] days, P = .04) and a higher risk of mortality (33% vs 10%, P = .03). Discussion The study is limited by a small sample size from a single institution. However, patients who received an intraoperative transfusion had a lower starting hemoglobin, higher estimated blood loss, required longer hospital stays, and were at a higher risk for post-discharge mortality.
Homeless Outreach Psychiatric Engagement for Lisboa (HOPE 4 Lisboa): One year of marontology, and one John Doe living with Diogenes syndrome
Authors: Gama Marques João , Chesi Daniela , Coelho Raquel Oliveira , Castanheira Costa Inês , Santos Antão Celso , Pedro Carlos Alberto , Silva Santos Paulo , Xavier Diogo José 
Published: June 2023

Background: In Europe, psychiatric disorders seem to affect up to 50% of the homeless. In Portugal there were, at a certain time, circa 3,396 homeless people, half living in the capital city, Lisboa. Aims: The Homeless Outreach Psychiatric Engagement for Lisboa (HOPE 4 Lisboa) was created, in January 1st 2022, as a collaboration including staff from the local state asylum, medical school and town hall in Lisboa, Portugal, in order to provide better treatment for the super difficult cases of psychiatric patients living homeless in Lisboa. Method: During 2022, the HOPE 4 team made night rounds, every 15 days on Tuesday’s night (20:30 to 23:30) trying to reach, at least, one dozen of homeless psychiatric patients, previously identified. Results: The HOPE 4 Lisboa interviewed 101 patients (53.4%) out of the 189 programed visits. From this group, 72 (72%) had already a previous psychiatric diagnosis. From those 101 patients, reports for 47 (47%) were sent for an eventual compulsory psychiatric assessment. From those 47 only 21 patients (21%) were admitted in the psychiatry ward. Finally we discuss the most super difficult patient we found, as a small case report: a John Doe living in complete Diogenes syndrome. Conclusions: there are still a few psychiatrists interested in treating homeless people completely or partially out of the classic mental health care systems. Some claim to be doing interstitial psychiatry, others street psychiatry, but we could also call it marontology.
Uncertainty and Participatory Democracy
Authors: Pellizzoni Luigi 
Published: June 2023

The article deals with some implications of radical uncertainty for participatory democracy, and more precisely for Participatory Technology Assessment (PTA). Two main forms of PTA are discussed. One is aimed at involving lay citizens and highlighting public opinion. The other is addressed to stakeholder groups and organisations, not only in terms of interest mediation but also of inclusion of their insight into a problem. Radical uncertainty makes ‘intractable’ many environmental and technological issues and brings into question traditional and new approaches to policy-making. Its consequences are explored from the viewpoint of new science, deliberative democracy, and network governance. Radical uncertainty calls for a rethinking of the aims of public deliberation, and a reinterpretation of the divide between opinion- and position-oriented PTA. To look for a public opinion, understood as a shared principled view, can prove misleading, as can thinking of stakeholder participatory arrangements in the usual way. When facts and values overlap, and are deeply controversial, the only opportunity for mutual understanding may be to look for practical, ‘local’ answers, based on different positional insights. Moreover, radical uncertainty also affects interest determination and pursuit, and may enhance the opportunity of joint, inclusive, non-strategic issue definition and solution-devising. This vision of public deliberation is consistent with the idea of network governance. However, fragmentation can affect the effectiveness and legitimacy of participatory policies. Trying to handle fragmentation from the top, as many suggest, is unlikely to be successful. A more promising endeavour is to foster deliberative settings which, although positioned at the level of ‘local’ and often contingent networks and commonalities, are open to include ‘Otherness’ – other contexts, other problem definitions, other concerns.
Patient and provider perspectives on the use of patient portals during pregnancy and the postpartum period
Authors: MacEwan Sarah R , Fareed Naleef , Jonnalagadda Pallavi , Heffer Holly , Petrecca Abigail M , McAlearney Ann Scheck 
Published: June 2023

Introduction Interest in the use of patient portals to support prenatal and postpartum care is growing. This study was conducted to understand patient and provider perspectives about the impact of portal use during pregnancy and the postpartum period. Methods Interviews were conducted with 30 pregnant or postpartum patients and 15 obstetric care providers at an academic medical center that offers its patients access to an outpatient portal. Interview transcripts were analyzed deductively and inductively to categorize findings and identify emergent themes. Results Patients and providers described how use of a patient portal during pregnancy and postpartum impacted communication (by supporting convenient communication and access to information), care processes (by aiding appointment attendance and helping with medication management), and care experience (by reducing anxiety and promoting patient involvement). Interviewees provided suggestions to improve patient portal use in obstetric care including using portals to increase access to educational materials and supportive resources, to collect patient-generated data, and to increase patient involvement in postpartum care. Discussion Patient portals have particular value for patients’ use during pregnancy and the postpartum period due to the frequency of healthcare visits and the heightened attention to one's health during this time. There are opportunities to tailor portal content and functions to patients’ needs to improve communication, care processes, and care experiences for this patient population. Further improving the functionality of patient portals for patients’ use during pregnancy and the postpartum period has the potential to positively impact patient experiences and health outcomes.
Risk for colorectal cancer after computed tomography verified acute diverticulitis: A retrospective cohort study with long-term follow-up
Authors: Mäntymäki Leena-Mari , Grönroos Juha , Riskumäki Markus , Vahlberg Tero , Karvonen Jukka 
Published: June 2023

Background and objective: Colorectal cancer (CRC) can mimic acute diverticulitis and can thus be misdiagnosed. Therefore, colonic evaluation is recommended after an episode of acute diverticulitis. The aim of this study was to analyze the risk of CRC after computed tomography (CT) verified uncomplicated and complicated acute diverticulitis in short-term and, particularly, long-term follow-up to ensure the feasibility of the primary CT imaging in separating patients with uncomplicated and complicated acute diverticulitis. Methods: A retrospective cohort study was conducted in patients with CT-verified acute diverticulitis in 2003–2012. Data on CT findings and colonic evaluations were analyzed. The patients were divided into those with uncomplicated and complicated acute diverticulitis. Patient charts were reviewed 9–18 years after the initial acute diverticulitis episode. Results: The study population consisted of 270 patients. According to CT scans, 170 (63%) patients had uncomplicated acute diverticulitis and 100 (37%) had complicated acute diverticulitis. Further colonic evaluation was made in 146 (54%) patients. In the whole study population, CRC was found in 7 (2.6%) patients, but CRC was associated with acute diverticulitis in only 4 (1.5%) patients. The short-term risk for CRC was 0.6% (1/170) in uncomplicated acute diverticulitis and 3.0% (3/100) in complicated acute diverticulitis. No additional CRC was found in patients with complicated acute diverticulitis during the long-term follow-up and three cases of CRC found after uncomplicated acute diverticulitis had no observable association with previous diverticulitis. Conclusions: In short-term follow-up, the risk of underlying CRC is very low in CT-verified uncomplicated acute diverticulitis but increased in complicated acute diverticulitis. Long-term follow-up revealed no additional CRCs associated with previous acute diverticulitis, indicating that the short-term results remain consistent also in the long run. These long-term results confirm that colonoscopy should be reserved for patients with complicated acute diverticulitis or with persisting or alarming symptoms.
A systematic review of Spanish academic production in the field of social work
Authors: Chaves-Montero Alfonso , Vázquez-Aguado Octavio 
Published: June 2023

Summary This article is a systematic review of the Spanish scientific production in social work hosted in the Web of Science. Findings The article analyzes the current state of social work research in Spain. Since the creation of the European Higher Education Area, Spanish social work has had to meet university research requirements, including the publication of papers in journals indexed in the world's leading databases. Spanish scientific production is analyzed from its beginnings until 2020. The main findings were that most of such research that was published by Spanish social work academic was in Spanish, while other categories of authors, such as nonsocial work Spanish academic, publish more in English. Spanish-language journals were mostly indexed in Emerging Sources Citation Index (ESCI), while those in English were in Journal Citation Reports (JCR) or Scopus, consistently receiving few citations. Women as main authors exceeded men in percentages of indexed articles. Bibliometric quality measures constructed with Scopus were slightly better than those with JCR. The most developed topics in the area were general and transversal issues such as immigration, social services, social intervention, and social policies. Applications The study demonstrates to Spanish social work researchers that they have greater likelihood of obtaining better quality indexes if they publish in English in JCR- and Scopus-indexed journals, resulting in enhanced academic career visibility.
The influence of political ideology on clinical trial knowledge, invitation, and participation among adults in the United States
Authors: Onyeaka Henry , Weber Daniel B , Chido-Amajuoyi Onyema , Muoghalu Chioma , Amonoo Hermioni L 
Published: June 2023

Background Clinical trials remain a critical component of medical innovation. Evidence suggests that individuals’ political ideologies may impact their health behaviors. However, there is a paucity of literature examining the relationship between political ideologies and clinical trial knowledge and participation. Methods Study data were derived from Health Information National Trends Survey 5 Cycle 4 (n = 3300), which was conducted from February to June 2020. We used participants’ characteristics to estimate the prevalence of clinical trial knowledge and participation. We used multivariable logistic regressions to investigate whether political ideology had a significant impact on clinical trial knowledge and participation. Jack-knife replicate weights were applied for population-level estimates. Results Most participants were White (64.2%), earned above US$50,000 (62.4%), and lived in urban areas (88.0%). About 59.2% reported having some knowledge of clinical trials, and only 8.9% had ever been invited to participate in clinical trials. A total of 37.0%, 29.5%, and 33.5% of the population endorsed moderate, liberal, and conservative political viewpoints respectively. In the adjusted logistic regression analysis, compared to conservatives, liberals (adjusted odds ratio, 1.92; 95% confidence interval, 1.31–2.80) and moderates (adjusted odds ratio, 1.43; 95% confidence interval, 1.09–1.88) had significantly greater odds of having knowledge of clinical trials. Also, liberals had higher odds of receiving invitations to participate in clinical trials (odds ratio, 1.76; 95% confidence interval, 1.08–2.85; p = 0.023) and greater odds of trial participation (odds ratio, 3.90; 95% confidence interval, 1.47–10.33; p = 0.007) compared to moderates. Conclusions The mechanism underlying the higher rates of clinical trial invitations to liberals is unclear and requires further comprehensive investigation. Similarly, further qualitative studies are needed to understand the attributes that promote knowledge and increased likelihood of clinical trial participation among liberals. This will provide crucial insight to help design interventions that further involve conservatives and moderates in clinical trials and scientific enterprise.
Online public information about advance care planning: An evaluation of UK and international websites
Authors: Canny Anne , Mason Bruce , Atkins Clare , Patterson Rebecca , Moussa Lorna , Boyd Kirsty 
Published: June 2023

Introduction Healthcare information is increasingly internet-based. Standards require websites to be ‘perceivable, operable, understandable and robust’ with relevant content for citizens in appropriate language. This study examined UK and international websites offering public healthcare information on advance care planning (ACP) using current recommendations for website accessibility and content and informed by a public engagement exercise. Methods Google searches identified websites in English from health service providers, governmental or third sector organisations based in the UK and internationally. Target keywords that would be used by a member of the public informed the search terms. Data extraction used criterion-based assessment and web content analysis of the first two pages of each search result. Public patient representatives as key members of the multidisciplinary research team guided the development of the evaluation criteria. Results A total of 1158 online searches identified 89 websites, reduced to 29 by inclusion/exclusion criteria. Most sites met international recommendations for knowledge/understanding about ACP. Differences in terminology, lack of information about ACP limitations and non-adherence to recommended reading levels, accessibility standards and translation options were apparent. Sites targeting members of the public used more positive, non-technical language than those for both professional and lay users. Conclusions Some websites met accepted standards required to facilitate understanding and public engagement in ACP. Others could be improved significantly. Website providers have important roles and responsibilities in increasing people's understanding of their health conditions, future care options and ability to take an active role in planning for their health and care.
Relationship between functional limitations due to subjective cognitive decline and falling focusing exercise intensity: Results from the Korean Community Health Survey
Authors: Lee Hyeon Ji , Yang Jeong Min , Kim Jae Hyun 
Published: June 2023

Background: To explore the association between functional limitation due to subjective cognitive decline (SCD) and falling by focusing on exercise intensity in the Korean population aged 45 years and older. Study Design: The 2019 Korean Community Health Survey (KCHS) was used to analyze 35,387 people by applying individual weights imposed from the raw data. Methods: To analyze the association between functional limitation due to SCD and falling in the Korean population aged 45 years and older, weighted logistic regression analysis and weighted zero-inflated Poisson regression analysis were used. Results: In both the middle-aged group and the older adult group, the functional limitation due to SCD had a higher fall experience rate and more falls than the non-functional limitation due to SCD group. Additionally, the middle-aged group and the moderate or vigorous physical exercise (MVPE) group had a higher fall experience rate and number of falls than the non-MVPE group; however, the older adult group walking regularly and performing MVPE had a lower fall experience rate and number of falls than the non-exercise group. Conclusions: Active participation in exercise is encouraged and should lead to fewer falls in older adults. Furthermore, a group with functional limitations due to SCD should be provided with exercise guidelines and a community program and facilities that enable regular participation should be developed.