bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Validation Study of the Stress and Anxiety to Viral Epidemics−6 Scale Among Patients With Cancer in the COVID-19 Pandemic
Authors: Kim Hyeyeong , Kim Harin , Lee Hyuk Joo , Cho Eulah , Koh Su-Jin , Ahmed Oli , Chung Seockhoon 
Published: April 2022

Introduction:The study aimed to explore the psychometric properties of the Stress and Anxiety to Viral Epidemics-6 (SAVE-6) scale among patients with cancer who are in serious situations in the current COVID-19 pandemic.MethodsThe survey included questions on the participants' demographic information, clinical history of cancer (including cancer type, stage, current treatment or diagnosis of complete remission), and scores on rating scales, including the SAVE-6 scale, Coronavirus Anxiety Scale (CAS), and the Patient Health Questionnaire-9 (PHQ-9).ResultsThe confirmatory factor analysis (CFA) results determined that the model fits the single factor structure of the SAVE-6 scale among patients with cancer. The multi-group CFA showed that SAVE-6 can measure the anxiety response in a similar way across multiple variables, such as sex, presence of clinical depression, being in a state of complete remission, or currently undergoing cancer treatment. The SAVE-6 scale showed good reliability (Cronbach's alpha = 0.819) and convergent validity with the rating scales, such as CAS [r = 0.348 (95% CI, 0.273–0.419), p &lt; 0.001] and PHQ-9 items score [r = 0.251 (95% CI, 0.172–0.328), p &lt; 0.001].ConclusionsThis study confirms SAVE-6 as a reliable and valid rating scale for measuring the anxiety response of patients with cancer during the current COVID-19 pandemic.
Decision-Making Within Forensic Psychiatric Investigations: The Use of Various Information Sources by Different Expert Groups to Reach Conclusions on Legal Insanity
Authors: Göranson Lizel , Svensson Olof , Andiné Peter , Bromander Sara , Bagge Ann-Sophie Lindqvist , Karlén Malin Hildebrand 
Published: April 2022

BackgroundWhich type of information experts use to make decisions regarding legal insanity within forensic psychiatric investigations (FPI) is relatively unknown, both in general and when considering variations due to case context. It is important to explore this area to be able to counteract the effects of various kinds of cognitive bias.MethodThe aim was to explore whether FPI expert groups differed regarding case-specific as well as general use of information types required to make decisions on severe mental disorder (SMD). Three FPI case vignettes were presented to three professional groups involved in FPIs in Sweden (n = 41): forensic psychiatrists (n = 15), psychologists (n = 15), and social workers (n = 11). The participants reported which types of information they required to reach conclusions regarding SMD in each case. They also reported which types of information they had used within general FPI praxis during the previous year and the information types’ perceived usefulness.ResultsThe expert groups differed somewhat regarding what type of information they required for the cases (e.g., results from cognitive testing), but some information was required in all cases (e.g., client’s self-report). Regarding the preliminary assessment of SMD in the three cases, minor differences were found. Within the general FPI praxis, experts reported using several information types, while the general perceived usefulness of these sources varied.DiscussionThe professional groups relied partly on a “core” of information sources, but some case-specific adaptations were found. The professional groups’ inclination to suspect SMD also varied somewhat. This indicates a need to explore the potential consequences of these similarities and differences.
A Scoping Review and Narrative Synthesis Comparing the Constructs of Social Determinants of Health and Social Determinants of Mental Health: Matryoshka or Two Independent Constructs?
Authors: Handerer Fritz , Kinderman Peter , Shafti Matina , Tai Sara 
Published: April 2022

BackgroundMany health research policies invoke the construct of Social Determinants of Health, and more recently the construct of Social Determinants of Mental Health. While frequently referred to in the literature, it is unclear how these constructs relate to each other. Some commentators conceptualise the Determinants of Mental Health as a subgroup of the Determinants of general Health and others describe the Determinants of Mental Health as an autonomous construct. The current review investigates the relationship between both constructs.MethodsComprehensive literature searches were conducted for both constructs separately within seven electronic databases. A template analysis was conducted to compare the conceptualisations of the Social Determinants of Health and the Social Determinants of Mental Health.ResultsOf 4250 search results, 50 papers (25 for each construct) fulfilled our inclusion criteria and were incorporated into a narrative synthesis. Discussions of the Social Determinants of both general and Mental Health listed the same determinants. Both constructs were conceptualised on multiple levels and factors. Stress and health behaviour were also described as mediators for both constructs. The constructs differed, however, with respect to two components of their aetiologies and epistemologies. First, the causal mechanisms invoked for the Determinants of general Health followed predominantly direct pathways, in contrast to indirect pathways for the Social Determinants of Mental Health. Second, the Social Determinants of Mental Health were reported to influence mental health mediated through individuals’ perceptions and appraisal processes. Appraisal processes were considered of far less relevance in the construct of Social Determinants of Health.ConclusionThe constructs of Social Determinants of Health and Social Determinants of Mental Health align in many respects but differ on important aetiological and epistemological grounds. Similar social factors are considered important, but whereas physical health conditions are primarily conceptualised to be driven by objective realities, mental health is explained mainly in terms of perception of these realities. This differentiation between physical and mental health is in line with a modern understanding of mind-body-dualism, the naturalistic dualism after Chalmers. Differentiating the Social Determinants of Mental Health from the Social Determinants of Health might bear relevance for policy making and research.
Clinical and Genetic Correlates of Bipolar Disorder With Childhood-Onset Attention Deficit Disorder
Authors: Nunez Nicolas A. , Coombes Brandon J. , Romo-Nava Francisco , Bond David J. , Vande Voort Jennifer , Croarkin Paul E. , Leibman Nicole , Gardea Resendez Manuel , Veldic Marin , Betcher Hannah , Singh Balwinder , Colby Colin , Cuellar-Barboza Alfredo , Prieto Miguel , Moore Katherine M. , Ozerdem Aysegul , McElroy Susan L. , Frye Mark A. , Biernacka Joanna M. 
Published: April 2022

Background:Bipolar disorder (BD) with co-occurring attention deficit-hyperactivity disorder (ADHD) is associated with an unfavorable course of illness. We aimed to identify potential clinical and genetic correlates of BD with and without ADHD.MethodsAmong patients with BD (N = 2,198) enrolled in the Mayo Clinic Bipolar Biobank we identified those with ADHD diagnosed in childhood (BD+cADHD; N = 350), those with adult-onset attention deficit symptoms (BD+aAD; N = 254), and those without ADHD (N = 1,594). We compared the groups using linear or logistic regression adjusting for age, sex, and recruitment site. For genotyped patients (N = 1,443), logistic regression was used to compare ADHD and BD polygenic risk scores (PRSs) between the BD groups, as well as to non-BD controls (N = 777).ResultsCompared to the non-ADHD BD group, BD+cADHD patients were younger, more often men and had a greater number of co-occurring anxiety and substance use disorders (all p &lt; 0.001). Additionally, BD+cADHD patients had poorer responses to lithium and lamotrigine (p = 0.005 and p = 0.007, respectively). In PRS analyses, all BD patient subsets had greater genetic risk for BD and ADHD when compared to non-BD controls (p &lt; 0.001 in all comparisons). BD+cADHD patients had a higher ADHD-PRS than non-ADHD BD patients (p = 0.012). However, BD+aAD patients showed no evidence of higher ADHD-PRS than non-ADHD BD patients (p = 0.38).ConclusionsBD+cADHD was associated with a greater number of comorbidities and reduced response to mood stabilizing treatments. The higher ADHD PRS for the BD+cADHD group may reflect a greater influence of genetic factors on early presentation of ADHD symptoms.
A Multiscale Spatiotemporal Approach for Smallholder Irrigation Detection
Authors: Conlon Terence , Small Christopher , Modi Vijay 
Published: April 2022

In presenting an irrigation detection methodology that leverages multiscale satellite imagery of vegetation abundance, this paper introduces a process to supplement limited ground-collected labels and ensure classifier applicability in an area of interest. Spatiotemporal analysis of MODIS 250 m enhanced vegetation index (EVI) timeseries characterizes native vegetation phenologies at regional scale to provide the basis for a continuous phenology map that guides supplementary label collection over irrigated and non-irrigated agriculture. Subsequently, validated dry season greening and senescence cycles observed in 10 m Sentinel-2 imagery are used to train a suite of classifiers for automated detection of potential smallholder irrigation. Strategies to improve model robustness are demonstrated, including a method of data augmentation that randomly shifts training samples; and an assessment of classifier types that produce the best performance in withheld target regions. The methodology is applied to detect smallholder irrigation in two states in the Ethiopian Highlands, Tigray and Amhara, where detection of irrigated smallholder farm plots is crucial for energy infrastructure planning. Results show that a transformer-based neural network architecture allows for the most robust prediction performance in withheld regions, followed closely by a CatBoost model. Over withheld ground-collection survey labels, the transformer-based model achieves 96.7% accuracy over non-irrigated samples and 95.9% accuracy over irrigated samples. Over a larger set of samples independently collected via the introduced method of label supplementation, non-irrigated and irrigated labels are predicted with 98.3 and 95.5% accuracy, respectively. The detection model is then deployed over Tigray and Amhara, revealing crop rotation patterns and year-over-year irrigated area change. Predictions suggest that irrigated area in these two states has decreased by approximately 40% from 2020 to 2021.
Exercise With Low-Loads and Concurrent Partial Blood Flow Restriction Combined With Patient Education in Females Suffering From Gluteal Tendinopathy: A Feasibility Study
Authors: Høgsholt Mathias , Jørgensen Stian Langgård , Rolving Nanna , Mechlenburg Inger , Tønning Lisa Urup , Bohn Marie Bagger 
Published: April 2022

IntroductionTo date, there exists no gold standard conservative treatment for lateral hip pain due to tendinopathy of the gluteus medius and/or minimus tendon (GT), a condition often complicated by pain and disability. Higher loads during everyday activities and exercise seems to be contraindicated with GT. The purpose of this study was to evaluate the feasibility of exercise with low-loads concurrent partial blood flow restriction (LL-BFR) and patient education for patients present GT.MethodsRecruitment took place at three hospitals in the Central Denmark Region. The intervention consisted of daily sessions for 8 weeks with one weekly supervised session. From week three patients exercised with applied partial blood flow restriction by means of a pneumatic cuff around the proximal thigh of the affected leg. Throughout the intervention patients received patient education on their hip condition. Sociodemographic and clinical variables were collected at baseline. The feasibility of LL-BFR was conducted by adherence to the exercise protocol and drop-out rate. Patient reported outcome measures (The Victorian Institute of Sport Assessment-Gluteal Questionnaire, EuroQol - 5 Dimensions-Visual Analogue Scale, Oxford Hip Score, Copenhagen Hip and Groin Outcome Score), maximal voluntary isometric hip abduction-, hip extension, and knee extension strength (Nm/kg) measured using a handheld dynamometer, and functional capacity tests (30 second chair-stand test and a stair-climb test) was conducted as secondary outcomes.ResultsSixteen women with a median (IQR) age of 51 (46–60) years were included. Median (IQR) Body Mass Index was 26.69 (23.59–30.46) kg/m2. Adherence to the total number of training sessions and the LL-BFR was 96.4 and 94.4%, respectively. Two patients dropped out due to (i) illness before initiation of LL-BFR and (ii) pain in the affected leg related to the LL-BFR-exercise. At follow-up both pain levels and patient-reported outcome measures improved. Isometric hip abduction-, hip extension-, and knee extension strength on both legs and functional performance increased. Conclusion: LL-BFR-exercise seems feasible for treatment of GT. At follow-up, a high adherence and low drop-out rate were observed. Further, patients reported clinically relevant reductions in pain, and showed significant increases in isometric hip and knee strength.
Secondary End-Users’ Perspectives on Gender Differences in the Use of eHealth Applications in Older Adults
Authors: Prinzellner Yvonne , Simon Alisa 
Published: April 2022

In the digital age, people with low digital skills and low digital literacy face marginalization. Here, the area of healthcare and its rapid digitalization deserves special attention, as the risks of health disparities increase for people with a low eHealth literacy. Within the AAL-funded project ‘Got-IT: a toolkit for inclusive and understandable lifestyle data visualizations in eHealth solutions’ (AAL-2020-7-51-SCP), we therefore aim to create an online toolkit to assist the design of inclusive eHealth solutions. As there already exists a large body of literature regarding (e)Health literacy in older adults that focuses on them as end-users of tools, apps etc. this study specifically focuses on secondary end-users of health applications in the field of healthcare. In this context, we conducted three focus group discussions with secondary end-users such as nurses, physiotherapists, psychologists, neurologists as well as social workers.
As a result, it was noted that gender turned out to be an issue in terms of the familiarity and use of eHealth applications. The secondary end-users reported that the focus - when trying to be as inclusive as possible in familiarizing users with low eHealth literacy with health applications - should be on gender-sensitive use of language and gender-sensitive display of medical information. The results of our qualitative study give insights to gender-specific use of eHealth applications for older adults with low eHealth literacy, as well as recommendations of secondary end-users on how to take a more gender-balanced approach when developing, and familiarizing users with eHealth applications.
Invisible Barriers: Societal Norms Versus Female Workplace Progression
Authors: Nupen Dominique , Jagernath Jayseema 
Published: April 2022

Cultural and societal norms constantly assign different family and religious expectations to women as compared to men. Therefore, this research paper seeks to provide insight into the effects of prevalent cultural and societal norms on the progression of lower-level female managers. It examines the impact of these norms on the fulfilment of work-related duties and the resultant implications for the success of a female within their professional role. The research integrated qualitative and quantitative approaches and was carried out within the culturally diverse province of KwaZulu-Natal, in South Africa. Primary data was gathered using a quantitative questionnaire distributed to thirty-five lower-level female managers, typically fulfilling an entry-level supervisory role, within two separate private organisations. The research was independent of race and age. The findings of the study indicate that respondents face societal and cultural norms that adversely affect progression. These include assumptions of weaker and more emotional management styles, lack of support in meeting family and work obligations, and gender biases impacting access to opportunities for progression. The findings also include women from many cultures by virtue of the diverse cultures within the KwaZulu-Natal region. This paper will therefore be of value to female managers from diverse backgrounds in developed and developing countries. Specifically, female managers encountering invisible barriers to breaking through the glass ceiling and progressing to higher levels of management due to their own cultural and societal norms will benefit from insights delivered. The findings will also be of value to mentors of aspiring female managers, male senior managers with female subordinates, and human resources departments. The research paper will commence with a literature review that examines the relevance of cultural and societal norms in the progression of female managers. The research methods and results of the study will then be described, and findings discussed. The paper will conclude with final insights and recommendations for further research.
How can Gender Smart Mobility become a More Intersectional form of Mobility Justice
Authors: Gut Katarzyna , Bridgman Jacquie , Woodcock Andree 
Published: April 2022

This paper discusses ethical issues relating to equity in smart mobility (SM) with a focus on the intersections of gender, race and class. The H2020 TInnGO (Transport and Innovation Gender Observatory) project, in which this work was undertaken, was built around the concept that Gender Smart Mobility (GSM) requires not just the development of smart mobility but the application of gender and diversity mainstreaming.
The paper is set against a background of slow but steady progress towards gender equality in transport, where women in the EU now account for between 22-27% of the transport workforce, and their multimodal journeys are underserved by current transport provision. Gender and diversity mainstreaming recognises the importance of applying intersectionality in creating fair and equitable transport services which can reduce the vulnerability of certain groups to social-exclusion related transport poverty. Although championed by the EU as an objective of transport policy, Gender Mainstreaming (GM) has had limited uptake at national level and has been criticised for its oversimplification of gender, and prioritisation of gender over other factors.
Incorporating intersectionality into transport policy can build on advances already made by GM However little work has been conducted in this area. Therefore, we have discussed how an intersectionality-based policy analysis framework used in health can be applied to this area.
The paper argues for wider use of intersectionality (i.e., gender and diversity mainstreaming) in the SM sector and how it can be operationalised to create more equitable transport and societies. The discussion is timely given the disproportionate impact of COVID-19.
The Future of UK Work-family Rights: The Case for More Flexible Working
Authors: Weldon-Johns Michelle 
Published: April 2022

The Covid-19 pandemic has highlighted both the significant impacts that the UK lockdown rules have had for working women with caring responsibilities, and the potential of flexible working practices to redefine the ways in which people work. This paper will first examine the current UK right to request flexible working and its limitations particularly: the requirement for 26 weeks continuity of employment; the wide discretion that employers have to refuse such requests; the lack of ability to challenge employer’s decisions; and the limited ability to make subsequent requests and/or to make temporary changes. The paper will then critically examine the UK Department for Business, Energy & Industrial Strategy’s consultation ‘Making Flexible Work the Default’, which addresses the some of these concerns, namely, to change it to a day-one right to request. This examination will consider whether a greater shift to flexible working as the default position, and a redefining of working practices and the work-life paradigm, can have a positive impact for working persons, especially those with caring responsibilities and/or other work-life conflicts. In particular, the paper will critically analyse whether a societal shift to more flexible working can redress the impact of the pandemic for working women with caring responsibilities. In doing so, the paper will reflect on whether this shift represents a challenge to the traditional unburdened worker norm or whether it will continue to reinforce traditional gender roles. Further areas for reform and development will also be identified, including enhanced rights for working fathers and a recognition of new and emerging areas of work-life conflict, such as Menopause in the Workplace, as highlighted by the Women and Equalities Commission’s inquiry on this topic.
Retelling of The Ramayana in The Voice of Sita- A Epic Revisiting in Chitra Banerjee Divakaruni’s The Forest of Enchantment
Authors: Rajkumar G 
Published: April 2022

Epic and Myth has its significance and impact in Indian culture and writing all as the years progressed. The characters and the happenings in the novel have invigorated numerous readers and writers. Reinterpretation /Reevaluation and retelling have arisen in Literature, Re-telling Myth in unique perspective view has become a pattern lately. Drawing out the unseen perspectives of the characters in prewritten text, have impacted numerous in all dialects. The large portion of retelling folklore in current scenario isn’t on men rather on women's Perspective. Most of the stories that rotates around the female characters and their perspective on the happenings. Among numerous Indian writers, Chitra Banerjee Divakaruni is one who gives voice in the predominant man patriarchal culture/society.
The Forest OF Enchantments by Chitra Banerjee Divakaruni is about the retelling of our old lofty epic of The Ramayana according to Sita's perspective. This novel brims the Sita who is a celebrated female character from an ancient India to Modern India. In this way, Divakaruni has changed her perspective from conventional depiction of basic and selfless women into Modern day female characters that is looking for their Self Identity in the male patriarchal world.
Regional Sukuk Issuance Strategy (Islamic Municipal Bonds) in Indonesia
Authors: Hidayat Taufiq , J. Siregar Hermanto , Affandi Mahfudz Ahmad , Ismal Rifki , Muldan Krisma 
Published: April 2022

Islamic Municipal Bonds (sukuk) is one out of fund sources that can be used by regions for financing regional development projects. However, discussion about the Islamic Municipal Bonds issuing in Indonesia are still in the form of discourse. The aims of this study are to analyze the problem of issuing Islamic Municipal Bonds in Indonesia, and to find the best solutions and strategies for launching sukuk in Indonesia. The method that used in this research was the concept of Tawhidy String Relation (TSR) combined with the Delphi and the Analytical Network Process (ANP). The 2 (two) main problems that become obstacles and also root causes in the publishing of Islamic Municipal Bonds are low literacy of sharia and legal and regulatory barriers. The implication of this research was that sharia economic actors could improve economic and financial literacy of sharia. Meanwhile, regarding legal and regulatory issues, the government must encourage the creation of harmonization of laws and implementing regulations that provide legal certainty and accelerate the implementation of the issuance of regional sukuk in Indonesia. Finally, by publishing the Islamic Municipal Bonds, there is an increase in cross-sectoral economic activities based on sharia economics.