bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Influences of Atlantic Sea Surface Temperature Anomalies on the ENSO-Independent Interannual Variability of East Asian Summer Monsoon Rainfall
Authors: Yang Ying , Zhu Zhiwei , Shen Xinyong , Jiang Leishan , Li Tim 
Published: October 2022

Abstract
As the most dominant tropical climate mode on the interannual time scale, El Niño–Southern Oscillation (ENSO) is suggested to significantly influence the interannual variation of East Asian summer monsoon rainfall (IEASMR). However, the leading mode of IEASMR remains almost untouched when the impacts of preceding ENSO events are linearly removed, suggesting the existence of alternative impact factors and predictability sources of IEASMR. After removing the impact of ENSO, the sea surface temperature anomalies (SSTAs) over both the tropical Atlantic and extratropical North Atlantic are found to be related to IEASMR through atmospheric teleconnections. Positive SSTA over the tropical Atlantic could induce tropical diabatic heating, which triggers an equivalent barotropic Rossby wave train emanating from the Atlantic, going across the Eurasian continent, and ending with a cyclonic anomaly over northeast Asia. The tropical diabatic heating could also induce western North Pacific anomalous anticyclone via tropical routes. The dipole SSTA pattern with cooling in the west and warming in the east over the extratropical North Atlantic induces local circulation anomalies through heat flux exchange, which could further perturb a Rossby wave train with a cyclonic anomaly over northeast Asia, thus modulating IEASMR. Numerical experiments with prescribed atmospheric heating associated with Atlantic SSTAs could realistically reproduce these teleconnections toward IEASMR. By adding the predictability sources of Atlantic SSTAs, the seasonal hindcast skills of IEASMR could be significantly improved over both the tropical western North Pacific and subtropical land regions such as central China and Japan.

Significance Statement
The purpose of this article is to identify the alternative impact factors of the interannual variation of East Asian summer monsoon rainfall (IEASMR), after removing the impact of ENSO, considering the limited contribution of ENSO to the variances of IEASMR. Here, we find that the Atlantic sea surface temperature anomalies (SSTAs) play a considerable role in driving IEASMR. The impact of ENSO on IEASMR is mainly confined to the tropical western North Pacific, while the Atlantic SSTAs influence rainfall over subtropical East Asia and the tropical western North Pacific through both tropical and extratropical routes. The results unravel the important roles of Atlantic SSTAs in driving ENSO-independent IEASMR, which will have a large implication for the seasonal prediction of East Asian summer climate.
On the Rapid Weakening of Typhoon Trami (2018): Strong Sea Surface Temperature Cooling Associated with Slow Translation Speed
Authors: Chang Kuo-Feng , Wu Chun-Chieh , Ito Kosuke 
Published: October 2022

Abstract
This work investigates the rapid weakening (RW) processes of Typhoon Trami (2018) by examining sea surface temperature (SST) cooling based on air–sea coupled simulations during typhoon passage. The cold wake and Trami’s RW occurred as the storm was moving at a very slow translation speed. A marked structural change of Trami is found in a three-dimensional ocean-coupled model experiment during the RW stage, in which the convective clouds and convective bursts in the inner core of the simulated TC dramatically decrease, resulting in the loss of diabatic heating and leading to weakening of the TC. In the simulation, the enthalpy flux dramatically decreases in the inner core because of the SST cooling during the RW period, while a stable boundary layer (SBL) is formed in the TC’s inner-core region. The expanding SBL coverage stabilizes the atmosphere and suppresses convection in the inner core, leading to weakening of the storm. A more stable atmosphere in the cold wake is also identified by the inner-core dropsonde data from the field program of Tropical Cyclones-Pacific Asian Research Campaign for Improvement of Intensity Estimations/Forecasts. The strong SST cooling also changes the evolution of Trami’s eyewall replacement cycle (ERC) and limits the eyewall contraction after the ERC.
Comparison Between Pediatric Patients With and Without Close Contact With COVID-19 in a Brazilian City During SARS-CoV-2 Pandemics
Authors: Pinto Isabela M.C. , Helito Alberto C. , Fonseca Ricardo Luiz A. , Gumiero Flavia N. , El-Mafarjeh Elias , Luglio Michele 
Published: October 2022

Objective: To analyze clinical differences between a pediatric population with and without confirmed positive close contact for the new coronavirus, to establish the symptoms that define a population currently served in a children’s emergency room for which polymerase chain reaction (PCR) collection for SARS-COV-2 is performed, and thus, make clinical and laboratory screening more reliable and applicable in medical routine. Method: Cross-sectional study that characterized 128 children (0-17 years old) who collected PCR for SARS-COV-2 when seen in an emergency room at a private hospital between March and June 2020. Data were collected from the electronic medical record of the researched hospital. Results: Patients positive for close contact with COVID-19 had more diarrhea ( P = .03) and less fever ( P = .003) and coughing ( P = .03). There was no statistically significant difference between the 2 groups on gender distribution, age, isolation of other etiologic agents, chest x-ray abnormalities, or the need for hospitalization. SARS-Cov-2 PCR showed a higher positivity among patients on the close contact positive group ( P < .001). Conclusion: As seen in previous research, positive SARS-CoV-2 tests are not required for the pediatric population to be diagnosed with the new coronavirus. Diarrhea should be included in those related to a high suspicion of potential SARS-CoV-2 infection, prompting nasopharyngeal PCR collection. However, fever and cough are unspecific symptoms for SARS-CoV-2 infection and should not be considered as warning signs for parents and, more importantly, for pediatricians to collect screening examinations.
Surgical Performance of En Bloc Total Capsulectomy Breast Implant Removal With Uninterrupted Breastfeeding
Authors: Anastasio Collins Rachael , Lima Hope K. 
Published: October 2022

Introduction A 28-year-old woman was able to maintain lactation for her 21-month-old child through the process of an En Bloc Total Capsulectomy Breast Implant Removal. This case study is important as it exemplifies collaborative care to achieve maintenance of lactation through a surgical procedure. Main Issue The participant was providing human milk to her 21-month-old child 4 times per day through breastfeeding and pumping and bottle feeding, and desired to continue lactation through explant surgery. The participant was experiencing Breast Implant Illness, yellowing of the skin and whites of the eyes, bottoming out of the right implant, severe capsular contracture of the right implant causing constant pain, limited mobility of the right arm and shoulder, and concern about an active recall on the brand implant she received. Management The lactation management began 3 weeks prior to the procedure with the participant expressing enough milk prior to the surgery to allow for human milk feeding from a bottle during the 7-day recovery period as desired. The surgical team and IBCLC selected an appropriate bra for recovery to allow for both appropriate surgical site healing and ease of access for pumping. Exclusive pumping was utilized until surgical drains were removed, after which the participant was able to reintroduce breastfeeding. Conclusion En Bloc Total Capsulectomy Breast Implant Removal can be performed while an individual is lactating without complication, given the appropriate multidisciplinary support. A temporary reduction of ease and efficiency of milk removal is possible post-operatively, in this case resolving within 24 hr.
Effect of high pulling speeds on the morphologies of pultrudates in a thermoplastic pultrusion process
Authors: Alsinani Nawaf , Laberge Lebel Louis 
Published: October 2022

During thermoplastic pultrusion, increasing the pulling speed generally leads to a melted polymer pressure rise in the pultrusion dies. Yet, it was not clear if the polymer pressure’s increase would result in a faster impregnation flow that would compensate for the lower residency time inside the heating dies. Thus, the aim of this study was to verify if the speed-induced pressure can counterbalance the decrease in residency time that is required for impregnation quality and to analyze possible pultrudate morphology’s reconfiguration. Three distant pulling speeds were selected: namely 50, 500 and 1000 mm/min. Using a model, the polymer pressure in the pultrusion dies was computed to reach up to 1.0, 10.42, and 20.6 MPa for the respective pultrusion pulling speed. The morphology’s characterization showed a reconfiguration of the pultrudate at a higher pulling speed leading to larger unimpregnated agglomerations and polymer rich areas. The highest tensile strength achieved was 233.4 ± 1.5 MPa at 50 mm/min and dropped by around 20% when the pulling speed was raised to 1000 mm/min. The pultrudate reconfiguration at higher speed, attributed to delayed melting of PP fibers in underfilled dies, is deemed responsible for the loss in impregnation and mechanical properties.
Role of Family Acculturation Stress in Career Development Among Adolescents From Multicultural Families in Korea
Authors: Jo Duckhyun , Woo Sungbum , Yang Eunjoo 
Published: October 2022

Career indecision is a substantial challenge for multicultural adolescents in South Korea. This study investigated the role of acculturation stress in adolescents and their parents in multicultural families on career decisions in South Korea. Perceived career barriers by adolescents and career-related behaviors of their parents were included as mediators. Using national panel data from 1695 cases longitudinally collected over the 3 years, the mediation analysis was conducted. The results showed that acculturation stress experienced by both adolescents and parents negatively predicted the adolescents’ career decisions. In addition, a sequential mediation effect of parental career-related behaviors and adolescents’ career barriers was found in the relationship between parental acculturation stress and adolescents’ career decisions. These results highlight the importance of acculturative stress experienced by families, and not just by individuals, in understanding the career development of multicultural adolescents. The implications of this study’s findings are discussed.
Associations of RPEL1 and miR-1307 gene polymorphisms with disease susceptibility, glucocorticoid efficacy, anxiety, depression, and health-related quality of life in Chinese systemic lupus erythematosus patients
Authors: Yan Zi-Ye , Hu Wan-Qin , Zong Qi-Qun , Yu Guang-Hui , Zhai Chun-Xia , Wang Lin-Lin , Wang Yu-Hua , Zhang Ting-Yu , Li Zhen , Teng Ying , Cai Jing , Chen Yang-Fan , Li Mu , Xu Zhou-Zhou , Pan Fa-Ming , Pan Hai-Feng , Su Hong , Zou Yan-Feng 
Published: October 2022

Objective Our present study intended to examine the associations of RPEL1 and miR-1307 gene polymorphisms (rs4917385 and rs7911488) with susceptibility, glucocorticoids (GCs) efficacy, anxiety, depression, and health-related quality of life (HRQoL) in Chinese systemic lupus erythematosus (SLE) patients. Methods Initially, 1000 participants (500 SLE cases and 500 controls) were recruited for the case–control study. Then, 429 cases who received GCs were followed through 12 weeks to explore GCs efficacy, depression, anxiety, and HRQoL. We selected the iMLDR technique for genotyping: RPEL1: rs4917385 (G/T) and miR-1307: rs7911488 (A/G). Results The minor G allele of rs7911488 reduced the risk of SLE ( p = .024). Four haplotypes consisting of rs4917385 and rs7911488 were associated with SLE susceptibility ( p < .025). Both rs4917385 and rs7911488 were associated with anxiety symptoms and physical function (PF) in SLE patients ( p < .025). The rs4917385 was associated with depression and its improvement. No statistical significance was found between RPEL1 and miR-1307 gene polymorphisms with GCs efficacy. Meanwhile, additive interaction analysis showed a significant association between RPEL1 and miR-1307 gene polymorphisms with tea consumption in anxiety. Conclusion RPEL1 and miR-1307 gene polymorphisms (rs4917385 and rs7911488) might be related to SLE susceptibility in Chinese population. Additionally, the two polymorphisms were possibly associated with depression, anxiety, and HRQoL in Chinese SLE population.
Can American Orthopaedic Foot and Ankle Society (AOFAS) score prevent unnecessary MRI in isolated ankle ligament injuries?
Authors: Kandemir Veysel , Akar Mehmet Sait , Yiğit Şeyhmus , Durgut Fatih , Atiç Ramazan , Özkul Emin 
Published: October 2022

Introduction and Objective Ankle injuries are the most common musculoskeletal injuries. Its incidence is also high among sports injuries. Direct X-ray, ultrasound and MRI can be requested after the history and physical examination in the patient who presents with ankle ligament injury. Some classifications are used for requesting direct X-ray after ankle injury. Since clear limits are not specified in the literature for MRI, the rate of unnecessary MRI examinations is high. We argue that the decision can be made according to the AOFAS score to be checked before MR is requested, and thus unnecessary MR requests can be reduced. Material and Method Ankle MRI images of patients who underwent ankle MRI due to ankle trauma between January 2018 and December 2020 were scanned. 328 patients who met the criteria were included in the study. Patients with AOFAS scores in their outpatient clinic records were identified. AOFAS scores of patients with at least one ligament injury and those with normal MR images were statistically compared. Sensitivity and specificity were determined for the AOFAS score using ROC analysis. Results Patients with ligament damage as a result of MRI examination were 21.3% (n=70), and patients without any ligament damage were 78.7% (n=258). There was a statistically significant difference in terms of AOFAS between the group with ligament damage and the group without ligament damage (p< 0.05). In the ROC analysis, the AOFAS threshold value for MR request was determined as 80.5 (84.3% sensitivity and 72.3% specificity). Based on the determined threshold value, 73 patients who had unnecessary MRI would have been eliminated, thus reducing the number of MRIs by 42.6%. Conclusion The AOFAS scores of patients with ligament damage were statistically significantly lower than those of patients without ligament pathology. Unnecessary MRI can be significantly prevented by using the AOFAS score in ankle traumas without bone fractures.
Does a Positive Methicillin-Resistant Staphylococcus aureus (MRSA) Nasal Screen Predict the Risk for MRSA Skin and Soft Tissue Infection?
Authors: Hitchcock Allison M. , Seabury Robert W. , Kufel Wesley D. , Farooqi Sara , Steele Jeffrey M. , Darko William , Miller Christopher D. , Feldman Elizabeth A. 
Published: October 2022

Background: Skin and soft tissue infections (SSTIs) are often caused by gram-positive bacteria that colonize the skin. Given the overuse of antibiotics, SSTIs are increasingly caused by resistant bacteria, including methicillin-resistant Staphylococcus aureus (MRSA). Guidance on the utility of MRSA nasal screening for MRSA SSTI is limited. Objective: To determine whether MRSA nasal screening predicts the risk of MRSA SSTIs. Methods: This was a single-center, retrospective cohort study of adult patients with an SSTI diagnosis that had MRSA nasal screening and wound cultures obtained within 48 hours of starting antibiotics. Sensitivity, specificity, positive and negative predictive value, and positive and negative likelihood ratios were calculated using VassarStats. Pretest and posttest probabilities were estimated with Microsoft Excel. Results: A total of 884 patient encounters were reviewed between December 1, 2018, and October 31, 2021, and 300 patient encounters were included. The prevalence of MRSA SSTI was 18.3%. The MRSA nasal colonization had a sensitivity of 63.6%, specificity of 93.9%, positive predictive value of 70.0% (95% CI = 55.2%-81.7%), negative predictive value of 92.0% (95% CI = 87.7%-94.9%), positive likelihood ratio of 10.39 (95% CI = 6.12-17.65), negative likelihood ratio of 0.39 (95% CI = 0.27-0.55), positive posttest probability of 70.0%, and negative posttest probability of 8.0%. Conclusions: Given the high positive likelihood ratio, a positive MRSA nasal screen was associated with a large increase in the probability of MRSA SSTI at our institution, and a negative MRSA nasal screen was associated with a small but potentially significant decrease in the probability of MRSA SSTI.
Muscle recovery after total hip arthroplasty: prospective MRI comparison of anterior and posterior approaches
Authors: Robinson Jonathan , Bas Marcel , Deyer Timothy , Cooper H John , Hepinstall Mathew , Ranawat Amar , Rodriguez Jose A 
Published: October 2022

Introduction: The direct anterior approach (DAA) and the posterior approach (PA) are 2 common total hip arthroplasty (THA) exposures. This prospective study quantitatively compared changes in periarticular muscle volume after DAA and PA THA. Materials: 19 patients undergoing THA were recruited prospectively from the practices of 3 fellowship-trained hip surgeons. Each surgeon performed a single approach, DAA or PA. Enrolled patients underwent a preoperative MRI of the affected hip and two subsequent postoperative MRIs at around 6 weeks and 6 months after surgery. Clinical evaluations were done by Harris Hip Score at each follow-up interval. Results: MRIs or 10 DAA and 9 PA patients were analysed. Groups did not differ significantly with regard to BMI, age, or preoperative muscle volume. 1 DAA patient suffered a periprosthetic fracture and was excluded from the study. DAA hips showed significant atrophy in the obturator internus (−37.3%) muscle at early follow-up, with persistent atrophy of this muscle at the final follow-up. PA hips showed significant atrophy in the obturator internus (−46.8%) and externus (−16.0%), piriformis (−8.12%), and quadratus femoris muscles (−13.1%) at early follow-up, with persistent atrophy of these muscles at final follow-up. Loss of anterior capsular integrity was present at final follow-up in 2/10 DAA hips while loss of posterior capsular integrity was present in 5/9 PA hips. There was no difference in clinical outcomes. Discussion: This study demonstrates that DAA showed less persistent muscular atrophy than PA. Regardless of surgical approach, a muscle whose tendon is detached from its insertion is likely to demonstrate persistent atrophy 6 months following THA. Although the study was not powered to compare clinical outcomes, it should be noted that no significant difference in patient outcomes was observed.
Partial Gastric Resection for Symptomatic Anemia following Diagnosis of Merkel Cell Carcinoma (MCC) of the Skin with Gastric Metastasis
Authors: Eagle Zachary , Essien Francis , Shahin George , Jones Amia , McKee John , Elkins Camille , Juakiem Wassem 
Published: October 2022

Merkel Cell Carcinoma (MCC) is a rare dermatologic malignancy with significant morbidity and mortality associated with metastatic disease. In this case, we discuss and extremely rare presentation of MCC with metastasis to the stomach in a patient that presented with profound anemia. Unfortunately, mortality following diagnosis of MCC with gastric metastasis approaches 67% at 4 months based on available published reports. Due to its rarity and high rate of mortality, there is a lack of available research and literature to help guide treatment of this rare presentation of MCC. This case report presents a positive outcome associated with a partial gastrectomy for the treatment of symptomatic MCC with gastric metastasis and continued survival with persistently stable hemoglobin at 12 months. Key clinical message: Anemia may be a significant cause of the morbidity and mortality associated with MCC with gastric metastasis. Our case demonstrates a positive outcome associated with partial gastric resection and presents a possible treatment option for this rare disease process.
Using conversation analysis to develop reflective practice in social work
Authors: Caswell Dorte , Dall Tanja 
Published: October 2022

The need for professional reflection has been argued extensively in social work literature. A separate literature has demonstrated the potential of using conversation analytic research (CA) in interventions seeking to inform professional practice in social and health care. Nevertheless, we know little about how social workers actually do ‘reflection’ and how CA can be used to facilitate reflection, specifically. The objective of this paper is to examine how CA can be used in interventions that develop reflective professional practice. Our dataset consists of audio recordings of 21 mutual learning and innovation platforms, taking place as part of a collaboration between researchers and five Danish social work agencies. We use CA to examine how researchers and professionals reflect on social work interactions. We find that the use of CA (a) makes professionals aware of aspects of practice that are often performed in routinised ways and (b) provides concrete starting points for the non-evaluative reflection on such practice. The paper has implications for researchers and professionals looking to utilise CA in developing reflective practice as it outlines one model for intervention, demonstrates the detailed ways in which reflection may be accomplished in interaction and discusses the organisational requirements of such interventions.
Can Discharge Radiographs Predict Junctional Complications? A Decision Tree Analysis
Authors: Lovecchio Francis , Lafage Renaud , Sheikh Alshabab Basel , Shah Sachin , Punyala Ananth , Ang Bryan , Akosman Izzet , Charles Elysee Jonathan , Lafage Virginie , Schwab Frank , Kim Han Jo 
Published: October 2022

Study Design Retrospective cohort study. Objectives To determine if standing pre-discharge radiographs can predict the development of junctional complications. Materials and methods Adult spinal deformity patients who underwent fusion of the lumbar spine (≥5 levels, LIV pelvis) were included. All patients underwent full-length standing radiographs before hospital discharge. Outcomes of interest included 2-year radiographic PJK and proximal junctional failure (PJF). Patients were stratified into 3 exclusive groups: No PJK, PJK, and PJF. Chi-square automatic interaction detection (CHAID) decision tree analysis was utilized to identify pre-discharge proximal junctional angle (PJA) thresholds associated with increased risk of PJK or PJF. Results The 117 study patients had a mean age 65.8 ± 8.5, BMI 27.2 ± 4.9, PI-LL 23.3 ± 17.4, TPA 27.2 ± 11.5. Sample was stratified into 64 (54.7%) No PJK, 39 (33.3%) PJK, 14 (12.0%) PJF. No differences were detected between cohorts in discharge alignment, preop-discharge change, or offset from age-adjusted alignment targets ( P > .005). Decision tree analysis showed that the first branch point depended on the UIV, as most patients with an UT UIV did not develop PJK or PJF (no PJK, 67.4%). For patients with an LT UIV, a second branch point occurred based on the ΔPJA. 89.5% of LT patients with a ΔPJA < 4.3° were free of radiographic PJK and PJF. The third branch point occurred based on the PJA at discharge. Thus, the highest risk group was comprised of ΔPJA ≥4.3° and PJA > 15.5°, as 57.1% of developed PJF and 28.6% PJK. Conclusion Most patients with a lower thoracic UIV, preop-discharge ΔPJA ≥4.3°, and discharge PJA > 15.5° develop PJF.