bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Cyclical Behavior of Credit and Liquidity Risks on Bank Stability in MENA Countries with a Dual Banking System
Authors: Lachaab Mohamed 
Published: May 2023

The purpose of this paper is to investigate whether credit and liquidity risks individually and/or jointly impact bank stability in the context of the dual banking system in the MENA region, and to check whether Islamic banks have different patterns in terms of the effect of the two risk categories on bank stability. Towards these goals, we estimate a dynamic panel model on a sample of 30 conventional banks and 14 Islamic banks from 9 countries covering the period 2004-2020, which is characterized by economic and political fluctuations and instability and includes the global financial crisis in 2008, the Arab Spring in 2011 and the COVID-19 pandemic in 2020. We found that the credit and liquidity risks impact individually and jointly bank stability. Our results also show that as banks are subject to more credit risk, they raise their risk-taking more during booms than during recessions, and as banks are subject to more liquidity risk, they take more risk during good economic times than bad ones. Additionally, controlling for Islamic banks, we find evidence that the negative effects of credit risk and liquidity risk on bank stability seem to be more pronounced for these types of banks. Our empirical results have valuable recommendations to risk managers and regulators. Firstly, the risk management unit of the banks should not only focus on illiquid or credit risky banks with the potential problem of instability, but also pay more attention to both risks jointly. Second, special attention should be paid to the risk management of Islamic banks since the effect of the two risk categories on their stability is more pronounced. Third, Islamic banks should launch research and development (RnD) programs to develop Islamic financial markets for better risk management. Fourth, the monetary policy authorities should consider both the quality of borrowers and bank liquidity in the formulation of monetary policy as channels through which they can conduct an effective monetary policyto attain the macroeconomic objectives of the policy. Finally, policymakers should consider the improvement of institutional structure, a well-functioning Islamic money market, and sound regulatory framework as prerequisites to make the banks more stable.
Life’s Essential 8, Genetic Susceptibility, and Incident Cardiovascular Disease: A Prospective Study
Authors: Li Xiang , Ma Hao , Wang Xuan , Feng Han , Qi Lu 
Published: May 2023

Background:
The American Heart Association recently released a new cardiovascular health (CVH) metric, Life’s Essential 8 (LE8), for health promotion. However, the association between levels of LE8 and the risk of cardiovascular disease (CVD) outcomes is not known from a large prospective cohort. We aim to analyze the relationship between CVH, indicated by LE8, and risks of coronary heart disease (CHD), stroke, and CVD. Moreover, we sought to test whether the genetic susceptibility to CHD or stroke could be modified by LE8.

Methods:
A total of 137 794 participants free of CVD from the UK Biobank were included. CVH was scored using LE8 and categorized as low, moderate, and high.

Results:

During a median of 10 years, 8595 CVD cases (6968 CHDs and 1948 strokes) were documented. A higher LE8 score was associated with remarkably lower risks of CHD, stroke, and CVD (
P
<0.001 for all). Comparing the high CVH to the low CVH, the hazard ratios (95% CI) were 0.34 (0.30–0.38) for CHD, 0.45 (0.37–0.54) for stroke, and 0.36 (0.33–0.40) for CVD. Moreover, the model with LE8 achieved higher accuracy and outperformed the model with Life’s Simple 7 for CHD, stroke, and CVD (
P
<0.001 for all). The protective associations of the LE8 score with CVD outcomes were more pronounced among women (
P
interaction, <0.001 for CHD and 0.0013 for CVD, respectively) and among younger adults (
P
interaction, <0.001, 0.007, and <0.001 for CHD, stroke, and CVD, respectively). In addition, a significant interaction was found between the genetic risk of CHD and the LE8 score (
P
interaction, <0.001). The inverse association was stronger among those with a lower genetic risk of CHD.

Conclusions:
High level of CVH, defined by LE8, was associated with significantly lower risks of CHD, stroke, and CVD.
Tongue-flicking: an idiosyncratic displacement behaviour in a free-ranging and urban-dwelling population of Balinese long-tailed macaques
Authors: Chertoff Sydney , Wandia I Nengah , Leca Jean-Baptiste 
Published: May 2023

Abstract
This brief report describes the occurrence of an idiosyncratic behaviour, labelled tongue-flicking, that was performed by one subadult male long-tailed macaque living in a free-ranging population in Bali, Indonesia. Tongue-flicking may serve a similar purpose as a displacement behaviour in which the subject sticks his tongue out of his mouth and moves it either slightly up and down or in and out without bringing it all the way back into the mouth. Additionally, while abnormal behaviours in non-human animals are almost exclusively reported in captive individuals, the investigation of idiosyncratic behaviours such as tongue-flicking allows us to explore the potential occurrence of abnormal behaviours in free-ranging populations. This preliminary descriptive analysis of tongue-flicking aims to highlight the need for understanding the motivational bases and affective implications (e.g., welfare) of abnormal behaviours in captive and free-living animals.
Kinetic Energy Spectra and Spectral Budget of Radiative–Convective Equilibrium
Authors: Lai Kwan Tsaan , Waite Michael L. 
Published: May 2023

Abstract
The atmospheric kinetic energy spectrum and energy cascade are investigated in idealized simulations of radiative–convective equilibrium (RCE). WRF is employed to perform cloud-resolving simulations of an idealized radiative–convective equilibrium with and without aggregation with Δx = 4 km. The horizontal kinetic energy (HKE) spectrum for the aggregated simulation in the upper troposphere is steeper than the nonaggregated case and closer to −5/3. The HKE spectra for the nonaggregated simulation in the upper troposphere and the lower stratosphere are much shallower than the −5/3 spectrum. In the upper troposphere, the divergent kinetic energy has a similar magnitude to the rotational kinetic energy in both the nonaggregated simulation and aggregated simulation. Energy is mainly gained from the buoyancy flux and mainly lost from the vertical energy flux for scales larger than 20 km. Downscale energy transfer is found in the upper troposphere. Numerical dissipation is the main source of energy loss at small scales. In the lower stratosphere, the divergent kinetic energy dominates the kinetic energy spectrum in both simulations. Energy is mainly gained from the vertical energy flux and is balanced by the loss from the buoyancy flux term, transfer term, and dissipation. An Eliassen–Palm flux analysis suggests that wave–mean-flow interaction may be responsible for the upscale energy transfer found in the lower stratosphere. The magnitudes of our kinetic energy spectra are similar to spectra calculated from aircraft data. Rotation is found to promote aggregation and steepen the energy spectrum.
Varying Relationship between La Niña and SST Anomalies in the Kuroshio and Adjacent Regions during Boreal Winter: Role of the East Asian Winter Monsoon
Authors: Chen Sheng , Chen Jiepeng , Wang Xin , Xiao Ziniu 
Published: May 2023

Abstract
The winter sea surface temperature (SST) anomalies in the Kuroshio and adjacent regions (KAR), which greatly influence the East Asian–North Pacific–North American climate, are closely related to El Niño–Southern Oscillation (ENSO). This SST relationship between the KAR and the equatorial eastern-central Pacific is widely assumed to be symmetric between El Niño and La Niña. Compared to previous studies indicating the significant and strong KAR warming during El Niño winters, this study indicates weakly negative KAR SST anomalies in the composite analysis for all La Niña events. Positive winter KAR SST anomalies unexpectedly appear in approximately half of La Niña events, which counteract negative SST anomalies in the rest of La Niña events. Further analysis suggests that the impact of La Niña on KAR SST anomalies is modulated by the East Asian winter monsoon (EAWM) during early winter. The weaker-than-normal EAWM offsets the anomalous northeasterly winds in the KAR induced by La Niña and then reinforces the KAR warming through warm oceanic advection. As for strong EAWM, it enhances the northeasterly winds to the west of an anomalous Philippine Sea cyclone associated with La Niña, leading to KAR cooling with more latent heat flux loss from the ocean and anomalous cold oceanic advection. Additionally, when the EAWM is independent of ENSO and is associated with the western Pacific pattern, it also can exhibit a pronounced influence on the KAR SST anomalies via the major processes of surface latent flux and horizontal heat advection in the ocean, accompanied by a change in Kuroshio transport.

Significance Statement
The interannual variability of SST from Philippine Sea to the Kuroshio and adjacent regions is considered an important forecast factor of the eastern China climate. Previous studies have reported a dipole SST pattern with Philippine Sea cooling and warming in the Kuroshio and adjacent regions during El Niño winter is dominant, and simply regarded that the effect of La Niña on western North Pacific SST anomalies was a mirror image of that of El Niño events. Here, we have found two distinctive SST patterns in the western North Pacific during La Niña winter. One type is the dipole SST pattern, characterized by Philippine Sea warming and by cooling in the Kuroshio and adjacent regions. The other type is the monopole SST pattern with uniform warming expanding from the Philippine Sea to the Kuroshio and adjacent regions. The dipole (monopole) SST pattern in western North Pacific is modulated by La Niña and a strong (weak) EAWM. Analysis shows that the above two SST patterns during La Niña winter are equally important during 1950–2021. This study has identified the influence of the EAWM independent of ENSO on the SST anomalies in the Kuroshio and adjacent regions.
Molecular characteristics of carbapenem-resistant gram-negative bacilli in pediatric patients in China
Authors: Yin Lijun , Lu Lu , He Leiyan , Lu Guoping , Cao Yun , Wang Laishuan , Zhai Xiaowen , Wang Chuanqing 
Published: May 2023

Abstract
Background
Carbapenem-resistant gram-negative bacilli (CR-GNB) have been increasingly reported in China. However, dynamic monitoring data on molecular epidemiology of CR-GNB are limited in pediatric patients.

Results
300 CR-GNB isolates (200 Carbapenem-resistant K. pneumoniae (CRKP), 50 carbapenem-resistant A.baumannii (CRAB) and 50 carbapenem-resistant P. aeruginosa (CRPA)) were investigated. The predominant carbapenemase gene was blaNDM−1 (73%) and blaKPC−2 (65%) in neonates and non-neonates. Meanwhile, the predominant STs were ST11 (54%) in neonates and ST17 (27.0%) and ST278 (20.0%) in non-neonates. Notably, a shift in the dominant sequence type of CRKP infections from ST17 /ST278-NDM-1 to ST11-KPC-2 was observed during the years 2017–2021 and KPC-KP showed relatively higher resistance to aminoglycosides and quinolones than NDM-KP.BlaOXA−23 was isolated from all the CRAB isolates while only one isolate expressing blaBIC and 2 isolates expressing blaVIM−2 were found in CRPA isolates. ST195 (22.0%) and ST244 (24.0%) were the most common in CRAB and CRPA isolates and all the STs of CRAB belonged to CC92 while CRPA presents ST types with diversity distribution.

Conclusion
CRKP showed different molecular phenotypes in neonates and non-neonates and was changing dynamically and high-risk clone of ST11 KPC-KP should be paid more attention. Most CRKP and CRAB strains shared the same CCs, suggesting that intrahospital transmission may occur, and large-scale screening and more effective measures are urgently needed.
Leaf litter chemistry and its effects on soil microorganisms in different ages of Zanthoxylum planispinum var. Dintanensis
Authors: Song Yanping , Yu Yanghua , Li Yitong , Du Mingfeng 
Published: May 2023

Abstract
Background
Leaf litter is the products of metabolism during the growth and development of plantation, and it is also an important component of nutrient cycling in plantation ecosystems. However, leaf litter chemistry and its effects on soil microorganisms in different ages, as well as the interactions between chemical components in leaf litter have been rarely reported. Based on this, this paper took Zanthoxylum planispinum var. dintanensis (hereafter Z. planispinum) plantations of 5–7, 10–12, 20–22, and 28–32 years old as the objects. By using one-way ANOVA, Pearson correlation analysis and redundancy analysis, we investigated leaf litter chemistry and its effects on soil microorganisms in different ages, and to reveal internal correlation of various chemical components in leaf litter, which can provide a scientific basis for the regulation of soil microbial activity in plantations.

Results
The variation of organic carbon with plantation age was more stable compared to total nitrogen and phosphorus of leaf litter. Nitrogen resorption was stronger than phosphorus resorption efficiency in Z. planispinum, and resorption efficiencies of leaf nitrogen and phosphorus for different ages were lower than the global average. Total nitrogen was highly significantly positively correlated with lignin, and total potassium was significantly positively correlated with tannin, suggesting the increase of inorganic substances in leaf litter would promote the accumulation of secondary metabolites. The leaf litter chemical traits explained up to 72% of soil microorganisms, where lignin was positively correlated with fungi and negatively correlated with bacteria, indicating that fungi are able to decompose lower quality litter and can break down complex and stable organic compounds more rapidly than bacteria. The nutrient elements carbon and nitrogen in the leaf litter and their interrelationship also have a great impact on soil microorganisms, because carbon is not only the element that provides energy, but also the element with the largest content in the microbiota.

Conclusions
The sustained increase in inorganic nutrients of leaf litter did not favor the decomposition of secondary metabolites, but rather inhibited the degradation of leaf litter. The significant positive effect of the leaf litter chemistry on soil microorganisms indicates the important role of leaf litter in promoting nutrient cycling in Z. planispinum plantations.
Joint effect of human papillomavirus exposure, smoking and alcohol on risk of oral squamous cell carcinoma
Authors: Yang Zheng , Sun Peng , Dahlstrom Kristina R. , Gross Neil , Li Guojun 
Published: May 2023

Abstract
Background
Smoking, alcohol consumption, and human papillomavirus (HPV) infection are known risk factors for oral squamous cell carcinoma (OSCC) including SCC of oropharynx (SCCOP) and SCC of oral cavity (SCCOC). Researchers have examined each of these risk factors independently, but few have observed the potential risk of their interaction. This study investigated the interactions among these risk factors and risk of OSCC.

Methods
Totally 377 patients with newly diagnosed SCCOP and SCCOC and 433 frequency-matched cancer-free controls by age and sex were included. Multivariable logistic regression was performed to calculate ORs and 95% CIs.

Results
We found that overall OSCC risk was independently associated with smoking (adjusted OR(aOR), 1.4; 95%CI, 1.0–2.0), alcohol consumption (aOR, 1.6; 95%CI, 1.1–2.2), and HPV16 seropositivity (aOR, 3.3; 95%CI, 2.2–4.9), respectively. Additionally, we found that HPV16 seropositivity increased the risk of overall OSCC in ever-smokers (aOR, 6.8; 95%CI, 3.4–13.4) and ever-drinkers (aOR, 4.8; 95%CI, 2.9–8.0), while HPV16-seronegative ever-smokers and ever-drinkers had less than a twofold increase in risk of overall OSCC (aORs, 1.2; 95%CI, 0.8–1.7 and 1.8; 95%CI, 1.2–2.7, respectively). Furthermore, the increased risk was particularly high for SCCOP in HPV16-seropositive ever-smokers (aOR, 13.0; 95%CI, 6.0–27.7) and in HPV16-seropositive ever-drinkers (aOR, 10.8; 95%CI, 5.8–20.1), while the similar increased risk was not found in SCCOC.

Conclusion
These results suggest a strong combined effect of HPV16 exposure, smoking, and alcohol on overall OSCC, which may indicate a strong interaction between HPV16 infection and smoking and alcohol consumption, particularly for SCCOP.
Yemeni refugees’ health literacy and experience with the Dutch healthcare system: a qualitative study
Authors: Al-Tamimi Abdulhakeem , Parić Martina , Groot Wim , Pavlova Milena 
Published: May 2023

Abstract
Background
The Netherlands is receiving increasing numbers of Yemeni refugees due to the ongoing war in Yemen. Since there is a lack of knowledge about access to healthcare by refugees, this study investigates the experiences of Yemeni refugees with the Dutch healthcare system from a health literacy perspective.

Methods
Qualitative semi-structured in-depth interviews were conducted among 13 Yemeni refugees in the Netherlands, to gauge their level of health literacy and investigate their experiences with the Dutch healthcare system. Participants were invited using convenience and snowball sampling. Interviews were done in Arabic and then transcribed and translated ad verbatim to English. Deductive thematic analysis was conducted on the transcribed interviews based on the Health Literacy framework.

Results
The participants knew how to use primary and emergency care, and were aware of health problems related to smoking, physical inactivity, and an unhealthy diet. However, some participants lacked an understanding of health insurance schemes, vaccination, and food labels. They also experienced language barriers during the first months after arrival. Furthermore, participants preferred to postpone seeking mental healthcare. They also showed mistrust towards general practitioners and perceived them as uncaring and hard to convince of their health complaints.

Conclusion
Yemeni refugees in our study are well-acquainted with many aspects of Dutch healthcare, disease prevention, and health promotion. However, trust in healthcare providers, vaccination literacy and mental health awareness must improve, as also confirmed by other studies. Therefore, it is suggested to ensure appropriate cultural mediation services available for refugees as well as training for healthcare providers focused on understanding cultural diversity, developing cultural competence and intercultural communication. This is crucial to prevent health inequalities, improve trust in the healthcare system and tackle unmet health needs regarding mental healthcare, access to primary care, and vaccination.
Assessing the quality of hospital outpatient services in Iran: a systematic review and meta-analysis
Authors: Farrokhi Pouria , Bagherzadeh Rafat , Arab-Zozani Morteza , Zarei Ehsan 
Published: May 2023

Abstract
Background
Quality healthcare services are considered one of the most effective vehicles for healthcare managers to achieve organizational goals. Therefore, this study aimed to combine the findings of comparable studies to identify consistencies and contradictions in the quality of outpatient services in Iran.

Methods
The current systematic review and meta-analysis study was conducted in 2022 according to PRISMA guideline. All relevant English and Persian studies were searched in databases, including Web of Sciences, PubMed, Scopus, Scientific Information Database, and Magiran. No year restriction was applied. The quality of the studies was assessed by the 22-item Strengthening the Reporting of Observational Studies in Epidemiology checklist. The meta-analysis was conducted by using Open Meta Analyst, and between-study heterogeneity was investigated with I-squared statistic.

Results
Of the 106 retrieved articles, seven studies with a total sample size of 2600 were included in the meta-analysis. The pooled estimate of mean for overall perception was 3.95 (95% CI: 3.34- 4.55, P< 0.001, I2= 99.97), while the pooled estimate of the mean for the overall expectation was 4.43 (95% CI: 4.11- 4.75, P< 0.001, I2= 99.93). The highest and lowest perception mean scores were related to tangibility (3.52, Gap= -0.86) and responsiveness (3.30, Gap= -1.04) dimensions.

Conclusion
Responsiveness was identified as the weakest dimension. Therefore, managers are recommended to design suitable workforce-development programs which focus on the provision of timely and prompt services, polite and courteous interactions with patients, and prioritization of patients’ needs. Moreover, training public sector practitioners along with incentives can fill up the existing gaps.
Interindividual variation of progesterone elevation post LH rise: implications for natural cycle frozen embryo transfers in the individualized medicine era
Authors: Coughlan Carol , Ata Baris , Gallego Raquel Del , Lawrenz Barbara , Melado Laura , Samir Suzan , Fatemi Human 
Published: May 2023

Abstract
Background
The key to optimal timing of frozen embryo transfer (FET ) is to synchronize the embryo with the receptive phase of the endometrium. Secretory transformation of the endometrium is induced by progesterone. In contrast, detection of the luteinizing hormone (LH) surge is the most common surrogate used to determine the start of secretory transformation and to schedule FET in a natural cycle. The accuracy of LH monitoring to schedule FET in a natural cycle relies heavily on the assumption that the period between the LH surge and ovulation is acceptably constant. This study will determine the period between LH rise and progesterone rise in ovulatory natural menstrual cycles.

Methods
Retrospective observational study including 102 women who underwent ultrasound and endocrine monitoring for a frozen embryo transfer in a natural cycle. All women had serum LH, estradiol and progesterone levels measured on three consecutive days until (including) the day of ovulation defined with serum progesterone level exceeding 1ng/ml.

Results
Twenty-one (20.6%) women had the LH rise 2 days prior to progesterone rise, 71 (69.6%) had on the day immediately preceding progesterone rise and 10 (9.8%) on the same day of progesterone rise. Women who had LH rise 2 days prior to progesterone rise had significantly higher body mass index and significantly lower serum AMH levels than women who had LH rise on the same day with progesterone rise.

Conclusion
This study provides an unbiased account of the temporal relationship between LH and progesterone increase in a natural menstrual cycle. Variation in the period between LH rise and progesterone rise in ovulatory cycles likely has implications for the choice of marker for the start of secretory transformation in frozen embryo transfer cycles. The study participants are representative of the relevant population of women undergoing frozen embryo transfer in a natural cycle.