bluuebunny/crossref_metadata_2025_split huggingface dataset:
Validation of Depression, Anxiety and Stress Scale (DASS-21) among healthcare workers during the outbreak of delta variant of SARS-CoV-2 in Ghana
Authors: Marfoh Kissinger , Samba Ali , Okyere Eunice , Kushigbor Priscilla , Acheampong Franklin 
Published: March 2023

Background: Today COVID-19 is having a dire effect on the mental and physical health of the general population. Although the long-term psychological effects of COVID-19 remain unknown, studies have shown increasing depression, anxiety and stress among healthcare workers. The aim of the study was to examine the psychometric properties and validation of the Depression, Anxiety, and Stress Scale (DASS-21) and evaluate the level of depression, anxiety, and stress among healthcare workers in a tertiary hospital during the SARS-CoV-2 delta variant outbreak. Methods: Using an online questionnaire, we conducted a cross-sectional study on 1201 healthcare workers in a tertiary hospital. The validation of DASS-21 was performed by examining the factorial structure (construct validity) using confirmatory factor analysis (CFA), internal consistency (reliability), convergent validity, discriminate validity and measurement invariance. Results: Cronbach's Alpha was acceptable for depression (0.88), anxiety (0.81), and stress (0.86). CFA provides support for the three-factor oblique model with the following fit indexes: (Chi-Square χ2/ (degrees of freedom) = 1628.5/(186), p < 0.001), comparative fit index (CFI = 0.923), Tucker-Lewis index (TLI = 0.901), standardized root mean square residual (SRMR = 0.0452) and root mean square error of approximation (RMSEA = 0.07). DASS-21 achieved both configural and metric invariance. Conclusions: Our results indicate that DASS-21 is a reliable and valid self-reporting screening tool for depression, anxiety and stress among healthcare workers. This tool is also invariant across sex, doctors, nurses, and non-clinical healthcare workers. Thus DASS-21 is an essential screening tool to identify healthcare workers at a higher risk of developing work-related mental health disorders.
Possibilidades de criminalização de gênero contra travestis e mulheres transexuais
Authors: Rabelo Luciana Do Amaral , Nascimento João Pedro Rodrigues , De Arruda Rejane Alves 
Published: March 2023

RESUMOPensar a sexualidade e o gênero induz à necessária reflexão sobre como as ideias e práticas a elas relacionadas são produzidas no interior das sociedades e de que forma são capazes de construir estigmas que diferenciam determinados grupos de indivíduos. As violências direcionadas às travestis e mulheres transexuais têm por fundamentos o preconceito e o estigma irracional ocasionados pela quebra nos padrões esperados de gênero. Considerando que o respeito às diferentes identidades é essencial para assegurar a dignidade humana, vê-se que o enfrentamento à violência se torna primordial para garantir o desenvolvimento humano. Assim, a partir do método dedutivo, e dos tipos de pesquisa bibliográfico e documental, o trabalho objetiva analisar de que forma os tribunais brasileiros têm interpretado o ordenamento jurídico para punir a violência de gênero contra a população de mulheres transgênero. Percebe-se que o Poder Judiciário tem se utilizado das Leis nº 11.340/2006 (Maria da Penha), 13.104/2015 (Feminicídio) e 7.716/1989 (Racismo), para punir os casos de violência transfóbica. Dessa forma, é dever inafastável da República democrática a proteção de minorias contra a violência e estigmatização, para que todos possam exercer o gênero e a sexualidade livremente em todas as suas potencialidades. Palavras-chave: Direitos Humanos; Violência de Gênero; Transexualidade; Identidade de Gênero; Poder Judiciário.
Incidence and risk factors for five-year recurrent disc herniation after primary single-level lumbar discectomy
Authors: Geere Jonathan H. , Swamy Girish N. , Hunter Paul R. , Geere Jo-Anne L. , Lutchman Lennel N. , Cook Andrew J. , Rai Amarjit S. 
Published: March 2023

AimsTo identify the incidence and risk factors for five-year same-site recurrent disc herniation (sRDH) after primary single-level lumbar discectomy. Secondary outcome was the incidence and risk factors for five-year sRDH reoperation.MethodsA retrospective study was conducted using prospectively collected data and patient-reported outcome measures, including the Oswestry Disability Index (ODI), between 2008 and 2019. Postoperative sRDH was identified from clinical notes and the centre’s MRI database, with all imaging providers in the region checked for missing events. The Kaplan-Meier method was used to calculate five-year sRDH incidence. Cox proportional hazards model was used to identify independent variables predictive of sRDH, with any variable not significant at the p < 0.1 level removed. Hazard ratios (HRs) were calculated with 95% confidence intervals (CIs).ResultsComplete baseline data capture was available for 733 of 754 (97.2%) consecutive patients. Median follow-up time for censored patients was 2.2 years (interquartile range (IQR) 1.0 to 5.0). sRDH occurred in 63 patients at a median 0.8 years (IQR 0.5 to 1.7) after surgery. The five-year Kaplan-Meier estimate for sRDH was 12.1% (95% CI 9.5 to 15.4), sRDH reoperation was 7.5% (95% CI 5.5 to 10.2), and any-procedure reoperation was 14.1% (95% CI 11.1 to 17.5). Current smoker (HR 2.12 (95% CI 1.26 to 3.56)) and higher preoperative ODI (HR 1.02 (95% CI 1.00 to 1.03)) were independent risk factors associated with sRDH. Current smoker (HR 2.15 (95% CI 1.12 to 4.09)) was an independent risk factor for sRDH reoperation.ConclusionThis is one of the largest series to date which has identified current smoker and higher preoperative disability as independent risk factors for sRDH. Current smoker was an independent risk factor for sRDH reoperation. These findings are important for spinal surgeons and rehabilitation specialists in risk assessment, consenting patients, and perioperative management.Cite this article: Bone Joint J 2023;105-B(3):315–322.
A comparison of different selective ultrasound screening strategies for developmental dysplasia of the hip
Authors: Pakarinen Oskari , Ponkilainen Ville , Uimonen Mikko , Haapanen Marjut , Helenius Ilkka , Kuitunen Ilari 
Published: March 2023

AimsTo analyze whether the addition of risk-based criteria to clinical examination-based selective ultrasound screening would increase the rates of early detected cases of developmental dysplasia of the hip (DDH) and decrease the rate of late detected cases.MethodsA systematic review with meta-analysis was performed. The initial search was performed in the PubMed, Scopus, and Web of Science databases in November 2021. The following search terms were used: (hip) AND (ultrasound) AND (luxation or dysplasia) AND (newborn or neonate or congenital).ResultsA total of 25 studies were included. In 19 studies, newborns were selected for ultrasound based on both risk factors and clinical examination. In six studies, newborns were selected for ultrasound based on only clinical examination. We did not find evidence indicating that there are differences in the incidence of early- and late-detected DDH, or in the incidence of nonoperatively treated DDH between the risk-based and clinical examination-based groups. The pooled incidence of operatively treated DDH was slightly lower in the risk-based group (0.5 (95% confidence interval (CI) 0.3 to 0.7)) compared with the clinical examination group (0.9 per 1,000 newborns, (95% CI 0.7 to 1.0)).ConclusionThe use of risk factors in conjunction with clinical examination in the selective ultrasound screening of DDH might lead to fewer operatively treated cases of DDH. However, more studies are needed before stronger conclusions can be drawn.Cite this article: Bone Joint J 2023;105-B(3):247–253.
Evaluation of at-home physiotherapy
Authors: Boyer Philip , Burns David , Whyne Cari 
Published: March 2023

AimsAn objective technological solution for tracking adherence to at-home shoulder physiotherapy is important for improving patient engagement and rehabilitation outcomes, but remains a significant challenge. The aim of this research was to evaluate performance of machine-learning (ML) methodologies for detecting and classifying inertial data collected during in-clinic and at-home shoulder physiotherapy exercise.MethodsA smartwatch was used to collect inertial data from 42 patients performing shoulder physiotherapy exercises for rotator cuff injuries in both in-clinic and at-home settings. A two-stage ML approach was used to detect out-of-distribution (OOD) data (to remove non-exercise data) and subsequently for classification of exercises. We evaluated the performance impact of grouping exercises by motion type, inclusion of non-exercise data for algorithm training, and a patient-specific approach to exercise classification. Algorithm performance was evaluated using both in-clinic and at-home data.ResultsThe patient-specific approach with engineered features achieved the highest in-clinic performance for differentiating physiotherapy exercise from non-exercise activity (area under the receiver operating characteristic (AUROC) = 0.924). Including non-exercise data in algorithm training further improved classifier performance (random forest, AUROC = 0.985). The highest accuracy achieved for classifying individual in-clinic exercises was 0.903, using a patient-specific method with deep neural network model extracted features. Grouping exercises by motion type improved exercise classification. For at-home data, OOD detection yielded similar performance with the non-exercise data in the algorithm training (fully convolutional network AUROC = 0.919).ConclusionIncluding non-exercise data in algorithm training improves detection of exercises. A patient-specific approach leveraging data from earlier patient-supervised sessions should be considered but is highly dependent on per-patient data quality.Cite this article: Bone Joint Res 2023;12(3):165–177.
Gradient index effect assisted anisotropic broadband absorption in α-MoO3 metamaterial
Authors: Liu Haotuo , Wu Biyuan , Yang Bing , Ai Qing , Xie Ming , Wu Xiaohu 
Published: March 2023

As an excellent natural hyperbolic material (HM), α−MoO3 has a larger hyperbolic bandwidth and
longer polariton lifetime than other HMs, which makes it an ideal
candidate for broadband absorbers. In this work, we theoretically and
numerically investigated the spectral absorption of an α−MoO3 metamaterial using the gradient index
effect. The results show that the absorber has an average spectral
absorbance of 99.99% at 12.5–18 µm at transverse electric
polarization. When the incident light is transverse magnetic
polarization, the broadband absorption region of the absorber is
blueshifted, and a similar strong absorption is achieved at
10.6–12.2 µm. By simplifying the geometric model of the
absorber using equivalent medium theory, we find that the broadband
absorption is caused by the refractive index matching of the
metamaterial to the surrounding medium. The electric field and power
dissipation density distributions of the metamaterial were calculated
to clarify the location of the absorption. Moreover, the influence of
geometric parameters of pyramid structure on broadband absorption
performance was discussed. Finally, we investigated the effect of
polarization angle on the spectral absorption of the α−MoO3 metamaterial. This research
contributes to developing broadband absorbers and related devices
based on anisotropic materials, especially in solar thermal
utilization and radiation cooling.
Dual-wavelength absorption technique for dryness measurement of wet steam
Authors: Chandra Manish , Seshadri Satyanarayanan , Vasa Nilesh J. 
Published: March 2023

This paper presents a dual-wavelength absorption-based approach for measuring and validating the steam dryness fraction of wet steam. A thermally insulated steam cell with a temperature-controlled measurement window (up to 200°C) is designed and fabricated to minimize condensation during water vapor measurements at different operating pressures (1–10 bars). Water vapor’s measurement sensitivity and accuracy are limited due to other absorbing and non-absorbing species in wet steam. The measurement accuracy is significantly improved with the proposed dual-wavelength absorption technique (DWAT) measurement method. The influence of modifying factors—namely, pressure and temperature—on water vapor absorbance is minimized by a non-dimensional correction factor. The dryness is measured with the help of the water vapor concentration and wet steam mass present in the steam cell. The DWAT dryness measurement approach is validated using a four-stage separating and throttling calorimeter combined with a condensation rig. The accuracy of the dryness measurement system using this optical method is determined to be ±1% for the range of dryness and operating pressure (1–10 bars) of wet steam.
Evaluating the impact of Hazelwood mine fire event on students’ educational development with Bayesian interrupted time-series hierarchical meta-regression
Authors: Gao Caroline X. , Broder Jonathan C. , Brilleman Sam , Campbell Timothy C. H. , Berger Emily , Ikin Jillian , Smith Catherine L. , Wolfe Rory , Johnston Fay , Guo Yuming , Carroll Matthew 
Published: March 2023

BackgroundEnvironmental disasters such as wildfires, floods and droughts can introduce significant interruptions and trauma to impacted communities. Children and young people can be disproportionately affected with additional educational disruptions. However, evaluating the impact of disasters is challenging due to difficulties in establishing studies and recruitment post-disasters.ObjectivesWe aimed to (1) develop a Bayesian model using aggregated school-level data to evaluate the impact of environmental disasters on academic achievement and (2) evaluate the impact of the 2014 Hazelwood mine fire (a six-week fire event in Australia).MethodsBayesian hierarchical meta-regression was developed to evaluate the impact of the mine fire using easily accessible aggregated school-level data from the standardised National Assessment Program-Literacy and Numeracy (NAPLAN) test. NAPLAN results and school characteristics (2008–2018) from 69 primary/secondary schools with different levels of mine fire-related smoke exposure were used to estimate the impact of the event. Using an interrupted time series design, the model estimated immediate effects and post-interruption trend differences with full Bayesian statistical inference.ResultsMajor academic interruptions across NAPLAN domains were evident in high exposure schools in the year post-mine fire (greatest interruption in Writing: 11.09 [95%CI: 3.16–18.93], lowest interruption in Reading: 8.34 [95%CI: 1.07–15.51]). The interruption was comparable to a four to a five-month delay in educational attainment and had not fully recovered after several years.ConclusionConsiderable academic delays were found as a result of a mine fire, highlighting the need to provide educational and community-based supports in response to future events. Importantly, this work provides a statistical method using readily available aggregated data to assess the educational impacts in response to other environmental disasters.
The level of adherence to best-practice guidelines by interprofessional teams with and without acute care nurse practitioners in cardiac surgery: A study protocol
Authors: Audet Li-Anne , Lavoie-Tremblay Mélanie , Tchouaket Éric , Kilpatrick Kelley 
Published: March 2023

Background
Acute care nurse practitioners (ACNPs) in postoperative cardiac surgery settings provide significant benefits to patients and organizations. Recent studies have suggested that ACNPs increase the level of adherence to best-practice guidelines by interprofessional teams. It is however, unknown whether interprofessional teams with ACNP are associated with higher levels of adherence to best-practice guidelines compared to interprofessional teams without ACNPs. Furthermore, no extraction tool is available to measure the level of adherence to best-practice guidelines by interprofessional teams in postoperative cardiac surgery settings. This project aims to measure and examine the level of adherence to best-practice guidelines of interprofessional teams with and without ACNPs in a postoperative cardiac surgery setting in Québec, Canada.

Methods
A retrospective observational study will be conducted of 300 patients hospitalized between January 1, 2019 and January 31, 2020 in a postoperative cardiac surgery unit in Québec, Canada. Data will be collected from patient health records and electronic databases. An extraction tool will be developed based on systematic review of the literature, and will include best-practice guidelines and confounding variables related to patient and interprofessional teams’ characteristics. Content and criterion validation, and a pilot-test will be conducted for the development of the tool. A multivariate linear regression model will be developed and adjusted for confounding variables to examine the association between interprofessional teams with and without ACNPs, and level of adherence to best-practice guidelines by those teams.

Discussion
This project represents the first study to measure and examine the level of adherence to best-practice guidelines by interprofessional teams with and without ACNPs in a postoperative cardiac surgery setting. The findings of this project will generate empirical data focusing on the contribution of ACNPs within interprofessional teams, and ultimately enhance the delivery of high quality and evidence-based care for patients and families.
A Literature Review On The Strengths And The Weaknesses Of Flipped Learning
Authors: Astuti Ruslina Tri 
Published: February 2023

ABSTRAK
Tujuan – Tinjauan literatur ini bertujuan untuk menguji kekuatan dan kelemahan Flipped Learning. Tulisan ini mengulas isi dari beberapa artikel dan kajian tentang Flipped Learning yang diterbitkan antara tahun 2016 hingga 2021. Gagasan mendapatkan ulasan ini adalah bahwa Flipped Learning telah mendapat perhatian besar di dunia pendidikan, khususnya di Indonesia karena berfokus pada pembelajaran yang berpusat pada siswa. pembelajaran dan sejalan dengan dua kurikulum terbaru bernama Kurikulum 2013 dan Kurikulum Merdeka.
Metode – Penelitian ini merupakan kajian literatur. Studi ini telah dilakukan sebagai kajian literatur sistematis berdasarkan pedoman asli seperti yang diusulkan oleh Kitchenham. Dalam hal ini tujuan dari review adalah untuk mengkaji kajian pustaka secara sistematik (yang disebut sebagai kajian sekunder), sehingga kajian ini dikategorikan sebagai kajian pustaka tersier.
Hasil – Temuan dari ulasan ini menunjukkan bahwa Flipped Learning menggunakan teori pembelajaran konstruktivisme berdasarkan pembelajaran praktik langsung. Ini menjadi salah satu kekuatan dalam Flipped Learning. Dalam mengejar siswa yang mandiri dan aktif, Flipped Learning berjalan sangat baik karena membalikkan kelas tradisional. Flipped Learning cocok untuk pembelajaran aktif yang berpusat pada siswa. Namun, beberapa temuan dari review ini juga menunjukkan bahwa Flipped Learning juga menurunkan motivasi siswa dalam jangka waktu tertentu dan menjadi salah satu kelemahan dari Flipped Learning.
Peningkatan Keterbukaan Diri Melalui Layanan Bimbingan Kelompok Siswa Kelas VIII MTsN 4 Sleman
Authors: Hartati Endang Vironika 
Published: February 2023

Tujuan – Tujuan penelitian ini adalah untuk meningkatkan keterbukaan diri siswa kelas VIII MTs N 4 Sleman melalui layanan bimbingan kelompok.
Metode – Jenis Penelitian ini adalah penelitian eksperimental. Populasi penelitian ini adalah siswa kelas VIII MTs N 4 Sleman Yogyakarta sejumlah 144 siswa, sampel diambil sebanyak 10 siswa yang mengalami keterbukaan diri rendah dengan menggunakan Teknik Purposive Sampling. Pengumpulan data keterbukaan diri dalam penelitian ini menggunakan angket yang telah diuji cobakan pada 36 siswa di luar subyek penelitian dan telah memenuhi syarat validitas dan reliabilitas, sedangkan teknik analisis menggunakan t-test.
Hasil – Hasil penelitian menunjukkan bahwa hipotesis terbukti atau layanan bimbingan kelompok berpengaruh terhadap peningkatan keterbukaan diri siswa kelas VIII MTsN 4 Sleman. Dari hasil t-test diketahui thitung=8.034 dengan nilai p=.000 < 0.05 berarti ada pengaruh layanan bimbingan kelompok terhadap peningkatan keterbukaan diri siswa kelas VIII MTsN 4 Sleman. Diharapkan guru pembimbing dapat memberikan layanan bimbingan kelompok terhadap keterbukaan diri siswa.
Pembimbingan Terstruktur Model Social Emotional Learning (SEL) untuk Meningkatkan Kompetensi Pedagogik Guru dalam Mengelola Kelas
Authors: Susiyati Susiyati 
Published: February 2023

Tujuan – Penelitian ini bertujuan untuk meningkatkan kompetensi pedagogik guru MIN 4 Gunungkidul dalam mengelola kelas dengan pembimbingan terstruktur model pembelajaran social emotional learning (SEL).
Metode – Penelitian ini menggunakan prosedur penelitian tindakan. Penelitian Tindakan dilakukan dengan diawali kondisi awal atau pra siklus. Pra siklus dalam penelitian ini adalah data hasil supervisi yang menyangkut kompetensi pedagogik guru dalam pengelolaan sebelum dilakukan tindakan pelatihan model pembelajaran Social Emotional Learning (SEL). Subjek penelitian ini adalah 9 orang guru di MIN 4 Gunungkidul. Adapun indikator keberhasilan dalam penelitian ini adalah apabila telah terjadi peningkatan kompetensi pedagogik guru dalam implementasi pembelajaran aktif sebesar 73% atau sebanyak 8 orang guru telah mampu mengelola kelas dengan menerapkan model pembelajaran Social Emotional Learning (SEL).
Hasil – Berdasarkan penelitian yang dilakukan di Madrasah Ibtidaiyah Negeri 4 Gunungkidul Yogyakarta dan dari data-data diperoleh kesimpulan bahwasanya pembimbingan terstruktur dengan model pembelajaran Social Emotional Learning (SEL) mampu meningkatkan kompetensi pedagogik guru dalam mengelola kelas. Adapun langkah-langkah dalam pembimbingan terstruktur yaitu penyusunan perencanaan yang meliputi jadwal, pelaksanaan, evaluasi serta tindak lanjut dan dengan model pembelajaran Social Emotional Learning (SEL) mempengaruhi keberhasilan guru dalam meningkatkan kompetensi pedagogik guru dalam mengelola kelas.