bluuebunny/crossref_metadata_2025_split huggingface dataset:
Scenario- Based Learning Approach for Enhancing the Critical Thinking Skills of Grade 9 Students in Araling Panlipunan
Authors: Joaquin Lyn L. , Hermosa Jherwin P. 
Published: June 2023

This study examined the efficacy of Scenario- Based Learning (SBL) Approach for enhancing the Critical thinking skills of Grade 9 students in Araling Panlipunan. Scenario- Based Learning Approach is a student centred approach in Araling Panlipunan and suited to the 21st century learners. Thus, this descriptive quasi-experimental research design determined the cause and effect of SBL approach to the critical thinking skills of 40 Grade 9 students of Col. Lauro D. Dizon Memorilal Integrated High School. The results were analysed using mean and standard deviation, t-test and Pearson-r correlation. The study revealed that using SBL approach, students can become more involved, motivated, and develop their real-world skills. Application of SBL approach had great impact in the learning process. Moreover, there was a significant difference in the responses of learners in the pre-test and posttest. It means that the quality and content of SBL approach has positive impact on the learning process in critical thinking skills. This approach become more effective in critical thinking skills as learners had been able to remember, reason and pay attention to SBL approach video lesson. In addition, usage of technology improved learning. The opportunities for teaching with audio visual lessons are ideally adapted to the learners’ environment. Thus, learning scenario encourages students to think about what they have learned.
Disparities in Postdischarge Ambulatory Care Follow‐Up Among Medicaid Beneficiaries With Diabetes, Hospitalized for Heart Failure
Authors: Khodneva Yulia , Levitan Emily B. , Arora Pankaj , Presley Caroline A. , Oparil Suzanne , Cherrington Andrea L. 
Published: June 2023

Background
Ambulatory follow‐up for all patients with heart failure (HF) is recommended within 7 to 14 days after hospital discharge to improve HF outcomes. We examined postdischarge ambulatory follow‐up of patients with comorbid diabetes and HF from a low‐income population in primary and specialty care.

Methods and Results

Adults with diabetes and first hospitalizations for HF, covered by Alabama Medicaid in 2010 to 2019, were included and the claims analyzed for ambulatory care use (any, primary care, cardiology, or endocrinology) within 60 days after discharge using restricted mean survival time regression and negative binomial regression. Among 9859 Medicaid‐covered adults with diabetes and first hospitalization for HF (mean age, 53.7 years; SD, 9.2 years; 47.3% Black; 41.8% non‐Hispanic White; 10.9% Hispanic/Other [Other included non‐White Hispanic, American Indian, Pacific Islander and Asian adults]; 65.4% women, 34.6% men), 26.7% had an ambulatory visit within 0 to 7 days, 15.2% within 8 to 14 days, 31.3% within 15 to 60 days, and 26.8% had no visit; 71% saw a primary care physician and 12% a cardiology physician. Black and Hispanic/Other adults were less likely to have any postdischarge ambulatory visit (
P
<0.0001) or the visit was delayed (by 1.8 days,
P
=0.0006 and by 2.8 days,
P
=0.0016, respectively) and were less likely to see a primary care physician than non‐Hispanic White adults (adjusted incidence rate ratio, 0.96 [95% CI, 0.91–1.00] and 0.91 [95% CI, 0.89–0.98]; respectively).

Conclusions
More than half of Medicaid‐covered adults with diabetes and HF in Alabama did not receive guideline‐concordant postdischarge care. Black and Hispanic/Other adults were less likely to receive recommended postdischarge care for comorbid diabetes and HF.
Religious Beliefs in ‘Aboriginal Taiwan’
Authors: Joby Christopher 
Published: June 2023

Abstract
There are various approaches to building a picture of the ‘spiritual’ entities in which indigenous Formosans believed in ‘Aboriginal Taiwan’. This article does so by studying what sources written in the seventeenth century tell us about them. One source was written by a Chinese observer, and others by two groups of Europeans: Dutch East India Company employees and Spanish missionaries. Thus, one methodological issue is that these authors looked at Formosan belief systems through the different lenses of their own religious experience and tried to fit the Formosan belief systems into their own ‘existing knowledge grids’. A related problem is that the authors’ usage of terms may differ and indeed does differ from modern usage in the anthropology of religion. Despite these methodological issues, the article argues that these sources indicate that different Formosan tribes believed in different spiritual entities and were therefore marked by their heterogeneity.
Interactive 3D Visual Analysis of Weather Prediction Data Reveals Midlatitude Overshooting Convection during the CIRRUS-HL Field Experiment
Authors: Schäfler Andreas , Rautenhaus Marc 
Published: June 2023

Abstract
In summer 2021, microphysical properties and climate impact of high- and midlatitude ice clouds over Europe and the North Atlantic were studied during the Cirrus High Latitude (CIRRUS-HL) airborne field campaign. The related forecasting and flight planning tasks provided a testbed for interactive 3D visual analysis. Operational analyses and forecasts from the European Centre for Medium-Range Weather Forecasts (ECMWF) were visualized with the open-source software “Met.3D.” A combination of traditional 2D displays with innovative 3D views in the interactive visualization framework facilitated rapid and comprehensive exploration of the NWP data. By this means, the benefit of interactive 3D visual forecast products in the routine flight planning procedure was evaluated. Here, we describe the use of 3D tropopause and cloud visualizations during a convective event over the Alps, which became one of the CIRRUS-HL observation targets. For the planning of the research flight on 8 July 2021, our analysis revealed that simulated strong convective updrafts locally disturb the tropopause and inject ice water across the dynamical tropopause into the lower stratosphere. The presented example provides a novel 3D perspective of convective overshooting in a global NWP model and its impact on the tropopause and lower stratosphere. The case study shall encourage the atmospheric science community to further evaluate the use of modern 3D visualization capabilities for NWP analysis.
Development of an Extreme Wind-Driven Rain Climatology for the Southeastern United States Using 1-Min Rainfall and Peak Wind Speed Data
Authors: Belcher Brian N. , DeGaetano Arthur T. , Masters Forrest J. , Crandell Jay , Morrison Murray J. 
Published: June 2023

Abstract
A method is presented to obtain the climatology of extreme wind speeds coincident with the occurrence of rain. The simultaneous occurrence of wind and rain can force water through building wall components such as windows, resulting in building damage and insured loss. To quantify this hazard, extreme value distributions are fit to peak 3-s wind speed data recorded during 1-min intervals with specific reported rain intensities. This improves upon previous attempts to quantify the wind-driven rain hazard that computed wind speed and rainfall-intensity probabilities independently and used hourly data that cannot assure the simultaneous occurrence of peak wind that represents only a several-second interval within the hour and rain that is accumulated over the entire hour. The method is applied across the southeastern United States, where the wind-driven rain hazard is most pronounced. For the lowest rainfall intensities, the computed wind speed extremes agree with published values that ignore rainfall occurrence. Such correspondence is desirable for aligning the rain-intensity-dependent wind speed return periods with established extreme wind statistics. Maximum 50-yr return-period wind speeds in conjunction with rainfall intensities ≥0.254 mm min−1 exceed 45 m s−1 in a swath from Oklahoma to the Gulf Coast and at stations along the immediate Atlantic coast. For rainfall intensities >2.54 mm min−1 maximum, 50-yr return-period wind speeds decrease to 35 m s−1 but occur over a similar area. The methodology is also applied to stations outside the Southeast to demonstrate its applicability for incorporating the wind-driven rain hazard in U.S. building standards.

Significance Statement
Rainfall driven horizontally by strong winds can penetrate building components and cladding. If unmanaged, this can directly damage the building and its contents and become a substantial component of insured losses to buildings. A climatology of wind-driven rain is developed from recently available 1-min weather observations that better represent the joint occurrence of the extremes that define wind-driven rain occurrence than hourly data. This work is a first implementation of 1-min data into extreme-value statistical models, providing a basis for including wind-driven rain in United States building codes. This inclusion would be most significant in the hurricane-prone regions of the southeastern United States. The omission of wind-driven rain in U.S. building codes contrasts to its inclusion in Europe and Canada.
Self-harm and suicidal ideation among young people is more often recorded by child protection than health services in an Australian population cohort
Authors: O’Hare Kirstie , Watkeys Oliver , Dean Kimberlie , Tzoumakis Stacy , Whitten Tyson , Harris Felicity , Laurens Kristin R , Carr Vaughan J , Green Melissa J 
Published: June 2023

Objective: We investigated patterns of service contact for self-harm and suicidal ideation recorded by a range of human service agencies – including health, police and child protection – with specific focus on overlap and sequences of contacts, age of first contact and demographic and intergenerational characteristics associated with different service responses to self-harm. Methods: Participants were 91,597 adolescents for whom multi-agency linked data were available in a longitudinal study of a population cohort in New South Wales, Australia. Self-harm and suicide-related incidents from birth to 18 years of age were derived from emergency department, inpatient hospital admission, mental health ambulatory, child protection and police administrative records. Descriptive statistics and binomial logistic regression were used to examine patterns of service contacts. Results: Child protection services recorded the largest proportion of youth with reported self-harm and suicidal ideation, in which the age of first contact for self-harm was younger relative to other incidents of self-harm recorded by other agencies. Nearly 40% of youth with a health service contact for self-harm also had contact with child protection and/or police services for self-harm. Girls were more likely to access health services for self-harm than boys, but not child protection or police services. Conclusion: Suicide prevention is not solely the responsibility of health services; police and child protection services also respond to a significant proportion of self-harm and suicide-related incidents. High rates of overlap among different services responding to self-harm suggest the need for cross-agency strategies to prevent suicide in young people.
Low Stiffness Dance Flooring Increases Peak Ankle Plantar Flexor Muscle Activation During a Ballet Jump
Authors: Hackney James , Wilcoxon Sarah , Holtmeier Mary , Eaves Hanna , Harker Gerard , Potthast Amy 
Published: June 2023

Introduction: Research in court sports shows that factors which aid in extrinsic shock absorption, that is, flooring and footwear, can help reduce lower extremity injuries. However, since students and performers of ballet or most styles of contemporary dance cannot depend upon footwear, the only extrinsic factor to help them with shock absorption is flooring. Methods: We investigated whether doing sauté on a low stiffness dance floor produced a difference in EMG output of the vastus lateralis, gastrocnemius, of soleus compared to a high stiffness floor. Average and average peak amplitude EMG output from 18 dance students or active dancers performing 8 repetitions of sauté on a low stiffness floor (Harlequin® Woodspring) was compared to a maple hardwood floor on concreted subflooring. Results: The data showed a significant increase in average peak EMG muscle amplitude during jumping on the low stiffness floor compared to a high stiffness floor for the soleus muscle ( P = .033) and a trend for increase average peak output for the medial gastrocnemius ( P = .088). Conclusion: The difference in average peak amplitude of EMG output is explained through the difference in force absorption between floors. With the high stiffness floor, more force of the landing was returned to the dancers’ legs, but the low stiffness floor absorbed some of the force of landing the jump, and therefore muscles needed to contribute more to maintain the same jump height. The force absorption characteristic of the low stiffness floor may decrease injury rates in dance through causing an adjustment in muscle velocity. Rapid eccentric muscle activity carries the greatest possibility of musculotendinous injury and is experienced in lower body muscles controlling all joints during impact absorption, which includes landing of jumps in dance. If a surface can decelerate the landing of a high velocity dance movement, it also decreases the musculotendinous demand for high velocity tension generation.
Intervention Fidelity to VITAL Start (Video Intervention to Inspire Treatment Adherence for Life) in a Randomized Controlled Trial Among Women Living With HIV in Malawi
Authors: Tembo Tapiwa A. , Markham Christine M. , Masiano Steven P. , Sabelli Rachael , Wetzel Elizabeth , Ahmed Saeed , Mphande Mtisunge , Mkandawire Angella M. , Chitani Mike J. , Khama Innocent , Nyirenda Rose , Mazenga Alick , Abrams Elaine J. , Kim Maria H. 
Published: June 2023

Background. Intervention effectiveness in a randomized controlled trial is attributed to intervention fidelity. Measuring fidelity has increasing significance to intervention research and validity. The purpose of this article is to describe a systematic assessment of intervention fidelity for VITAL Start (Video intervention to Inspire Treatment Adherence for Life)—a 27-minute video-based intervention designed to improve antiretroviral therapy adherence among pregnant and breastfeeding women. Method. Research Assistants (RAs) delivered VITAL Start to participants after enrolment. The VITAL Start intervention had three components: a pre-video orientation, video viewing, and post-video counseling. Fidelity assessments using checklists comprised self (RA assessment) and observer (Research Officers, also known as ROs) assessment. Four fidelity domains (adherence, dose, quality of delivery, and participant responsiveness) were evaluated. Score scale ranges were 0 to 29 adherence, 0 to 3 dose, 0 to 48 quality of delivery and 0 to 8 participant responsiveness. Fidelity scores were calculated. Descriptive statistics summarizing the scores were performed. Results. In total, eight RAs delivered 379 VITAL Start sessions to 379 participants. Four ROs observed and assessed 43 (11%) intervention sessions. The mean scores were 28 ( SD = 1.3) for adherence, 3 ( SD = 0) for dose, 40 (SD = 8.6) for quality of delivery, and 10.4 ( SD = 1.3) for participant responsiveness. Conclusion. Overall, the RAs successfully delivered the VITAL Start intervention with high fidelity. Intervention fidelity monitoring should be an important element of randomized control trial design of specific interventions to ensure having reliable study results.
Effects of Listening to Music During Blood Pressure Check in Primary Care Clinic Settings
Authors: Volkov Robert , Volkova Natalia 
Published: June 2023

Background: Nearly half of adults in the United States (47% or 116 million) have hypertension and only 1 in 4 adults (24%) have their blood pressure under control. In 2020, more than 670, 000 death had hypertension as contributing cause. Listening to sounds of music can lead to reduction in blood pressure which was demonstrated in previous studies. To our knowledge it is the first study done in busy clinical practice with control group evaluating effects of 30 to 50 seconds of listening to music while blood pressure measurement was repeated. Methods:102 consecutive patients seen in primary care clinic from October 4, 2022, through December 14, 2022, were verbally consented to listening to the solo saxophone music while blood pressure measurement was repeated after initial blood pressure measurement revealed systolic blood above 139 millimeters of mercury (mmHg) and diastolic blood pressure above 89 mmHg. They were compared to 100 consecutive control patients, who were presented to clinic at the same time with the same blood pressure elevation parameters for medical assistant blood pressure check and no music intervention was done when blood pressure was repeated. Results:Systolic blood pressure drop in the study group with music intervention was 29.26 mmHg compared to 11.17 mmHg in control subjects ( P value .006) and diastolic blood pressure drop was from 5.99 mmHg to 3.98 mmHg ( P value .03). When separated by gender large systolic blood pressure drop was seen in control group in female patients 30.52 mmHg compared to controls 11.4 ( P value .002) but diastolic blood pressure did not drop significantly 5.43 mmHg to 4.41 mmHg decrease ( P value .184). Male subjects had significant drop in systolic and diastolic blood pressure in study group compared to control: 24.68 mmHg to 10.71 mmHg ( P value .001) and 8 mmHg to 3.71 mmHg ( P value .02), respectively. Conclusion: No significant extra time was required to implement recorded on smart phone music during repeat blood pressure check, which lead to significant improvement in blood pressure levels which could be lifesaving, taking into consideration harmful effects of the elevated blood pressure. This practice could be implemented in many busy primary care clinics and could lead to more relaxing patients’ experience and better blood pressure control. Patients may be advised to consider listening to music as a stress reduction in post pandemic time.
An exploratory study on students’ denominations, personal religious faith, knowledge about, and acceptance of evolution
Authors: Gutowski Roxanne , Aptyka Helena , Großschedl Jörg 
Published: June 2023

Abstract
Background
The theory of evolution serves as an overarching scientific principle for all areas of biology. Hence, knowledge about and acceptance of evolution are indispensable for holistic education. However, the levels of knowledge about and acceptance of evolution vary greatly. It is supposed that insufficient knowledge and lack of acceptance are associated with high personal religious faith and affiliated denominations. Therefore, it is fundamental to examine knowledge about and acceptance of evolution, personal religious faith, and denomination.

Results
We conducted an exploratory study with German upper secondary school students (N = 172). Firstly, the results showed a weak to moderate correlation between knowledge about and acceptance of evolution. Secondly, students of different denominations differed in their knowledge about evolution, use of key concepts, acceptance of evolution, and personal religious faith but not in their use of misconceptions. Thirdly, the findings revealed that a student’s denomination predicts knowledge level, whereas personal religious faith predicts acceptance.

Conclusions
Our exploratory study indicates that, in addition to the strength of personal religious faith, the denomination may be critical to knowledge about and acceptance of evolution.
Effects of alcohol use on sperm chromatin structure, a retrospective analysis
Authors: Trautman Ariadne , Gurumoorthy Aarabhi , Hansen Keith A. 
Published: June 2023

AbstractBackgroundThe evaluation of the infertile couple is often complex as multiple factors in both the male and female can contribute, including social history. Previous studies have displayed that male ethanol consumption can disturb sperm motility, nuclear maturity, and deoxyribonucleic acid (DNA) integrity. The main purpose of this study is to evaluate the effects of male alcohol use on sperm chromatin structure analysis (SCSA®).This study was a retrospective chart review of 209 couples that presented to a midsize infertility clinic in the Midwest and had a semen analysis and SCSA® performed. Data extracted from the electronic medical record included demographics, tobacco use, alcohol use, occupational exposures, semen analysis results, and SCSA® results (DNA Fragmentation index (DFI) and High DNA stainability (HDS)). Statistical analysis was performed on this data set to determine significance with a p-level of 0.05, with the primary input being level of alcohol use and primary outcome being the SCSA® parameters.ResultsOverall, 11% of the cohort had heavy alcohol use (> 10 drinks/week), 27% moderate (3–10/week), 34% rare (0.5- < 3/week), and 28% none. 36% of the cohort had HDS > 10% (a marker of immature sperm chromatin). Level of alcohol use was not significantly associated with HDS > 10% or DFI. Heavier alcohol use was significantly associated with lower sperm count (p = 0.042). Increasing age was significantly associated with increasing DNA Fragmentation Index (p = 0.006), increased sperm count (p = 0.002), and lower semen volume (p = 0.022). Exposure to heat at work was significantly associated with lower semen volume (p = 0.042). Tobacco use was associated with lower sperm motility (p < 0.0001) and lower sperm count (p = 0.002).ConclusionsThere was not a significant association between the level of alcohol use and the High DNA Stainability or DNA Fragmentation Index of sperm. Increasing age was associated with semen parameters as expected, heat exposure was associated with lower semen volume, and tobacco use was associated with lower sperm motility and density. Further studies could investigate alcohol use and reactive oxidative species in sperm.