NCube/papyrus huggingface dataset:
Exploring factors influencing occupational therapists’ perception of patients’ rehabilitation potential after acquired brain injury

Background/aim Clinical practice guidelines advocate for early involvement of rehabilitation professionals in screening acquired brain injury patients’ rehabilitation needs and determining the required rehabilitation services. Little is yet known about the nature of occupational therapists’ role in this context. This exploratory study sought to identify factors influencing occupational therapists’ perception of acquired brain injury patients’ rehabilitation potential for inpatient rehabilitation.  Methods A qualitative approach was used to analyse data from a focus group involving 12 occupational therapists working in acute care and inpatient rehabilitation. A consensus-seeking technique was used to identify patient-related factors participants perceived as most important to consider when assessing rehabilitation potential. The transcription of the group discussion was analysed using an interpretive description approach to identify additional factors influencing occupational therapists’ perception.  Results Participants agreed on 11 patient-related factors most important to consider: age, behaviour, cognitive abilities, endurance, home environment, medical status, observed improvement in acute care post-injury, physical abilities, post-injury functional status, pre-injury functional status, patient and family expectations. Additional factors included the influence of the organisational context (i.e. acute care and broader health care context) as well as occupational therapists’ professional expertise, knowledge of scientific evidence, concerns for ethical decisions and interpretive activities (i.e. clinician's interpretation of patients’ characteristics in light of all other factors).  Conclusions Findings suggest that assessing rehabilitation potential is a complex process that goes beyond strictly appraising patients’ characteristics. Additional factors influence clinicians’ perception of patients’ rehabilitation potential. Clinicians should pay more attention to these factors when making evidence-based decisions regarding patients’ potential to benefit from rehabilitation.

Keyphrases: Acute care, Qualitative research, Stroke, Traumatic brain injury
Lower limb joint moments on the fast belt contribute to a reduction of step length asymmetry over ground after split-belt treadmill training in stroke : a pilot study

The main goal was to investigate changes in muscle activity and joint moments related to step length (SL) symmetry improvements in individuals poststroke following repeated split-belt treadmill (SBT) walking. Twelve individuals with a first unilateral cerebral stroke presenting initial SL asymmetry (ratio = 1.10-2.05), and mean time post stroke 23 (SD 24.7 months) were included. Participants were trained during six sessions of SBT walking using an error-augmentation protocol. The training resulted in a reduction in SL asymmetry during walking over ground retained over 1-month post-training (p = 0.002). Significant increases in SL and joint moments (plantarflexors: 20-60%, knee flexors: 20-60% and hip extensors: 0-20% of the gait cycle) were observed on the side trained on the fast belt (effect size from 0.41 to 0.60). The improvement in SL symmetry was observed with an increase in plantarflexion joint moment symmetry. Changes in muscle activity varied among participants. In contrast to previous findings with a single exposure to SBT-training, our results showed no negative effects on paretic plantarflexors when walking over ground after repeated exposure to SBT walking. These findings justify larger trials to gain more solid information on the current protocol which appears as an efficient training for long-term recovery on SL asymmetry and on affected plantarflexors.

Keyphrases: Stroke, Muscle activity and joint biomechanics, Symmetry, Training
L'influence des forces de lutte contre le terrorisme sur l'efficacité de l'opération de paix de l'ONU au Mali

Dans un contexte où le terrorisme est de plus en plus présent au sein des conflits civils, les opérations de paix des Nations Unies sont régulièrement déployées au côté de forces de contreterrorisme. Ces derniers manquent généralement d’efficacité dans leur mission en attisant le terrorisme plutôt que de le réduire. Dans ces conditions, en général, les opérations de paix coopèrent avec ces forces de lutte contre le terrorisme ce qui influence leur efficacité dans la mise en œuvre de leur mandat.  Au Mali, depuis 2013, la MINUSMA est déployée en parallèle des forces françaises (l’opération Serval puis Barkhane) et d’une force de contreterrorisme créé par les pays du Sahel. Elle coopère avec elles dans la limite de leurs mandats respectifs. La mission doit ainsi faire face à de nouveaux défis dus à un environnement sécuritaire plus complexe, un manque de ressource pour faire face au terrorisme et une coopération avec le local compliqué à mettre en œuvre. Dans ce sens, l’efficacité de la MINUSMA est largement amoindrie par sa coopération avec les interventions militaires de lutte contre le terrorisme. In a context where terrorism is increasingly present in civil conflicts, United Nations peace operations are regularly deployed alongside counterterrorism forces. The latter are generally ineffective in their mission by fueling terrorism rather than reducing it. Under these conditions, in general, peace operations cooperate with these counterterrorism forces, which influences their effectiveness in the implementation of their mandate. In Mali, since 2013, MINUSMA has been deployed alongside French forces (Operation Serval then Barkhane) and a counterterrorism force created by Sahel countries and cooperating with them within the limits of their respective mandates. The mission must therefore face new challenges due to a more complex security environment, a lack of resources to deal with terrorism and cooperation with the locals which is difficult to implement. In this sense, the effectiveness of MINUSMA is greatly diminished by its cooperation with military interventions that combat terrorism.

Keyphrases: Intervention militaire de contreterrorisme, Opération de paix, Nations Unies, Efficacité, MINUSMA, Mali, Terrorisme, Terrorism, MINUSMA, Mali, Counterterrorism military intervention, Peace operation, United Nations, Efficiency, Terrorism
Identification des besoins de formation continue des travailleurs sociaux pouvant intervenir auprès des endeuillés

Ce mémoire vise à explorer les besoins de formation continue des travailleurs sociaux pouvant intervenir auprès des endeuillés. Il s’agit de mieux comprendre les besoins de formation continue concernant les pertes, le deuil et l’accompagnement des endeuillés. Se situant dans une perspective qualitative exploratoire, six travailleurs sociaux et agents de relations humaines du Centre intégré de la santé et des services sociaux (CISSS) de Lanaudière ont participé à des entrevues semi-dirigées. De plus, une analyse documentaire des formations continues offertes sur le deuil et inscrites au catalogue de l’Ordre des travailleurs sociaux, thérapeutes conjugaux et familiaux du Québec (OTSTCFQ) a été réalisée. Nous avons utilisé un cadre d’analyse intégrateur s’inspirant de plusieurs concepts clés (la formation continue, la motivation, le développement professionnel, le contexte organisationnel, les savoirs) et du modèle d’analyse des besoins de formation ressentis de Labesse (2008) afin d’analyser nos résultats de recherche. Avec une analyse de contenu thématique, ce modèle a permis de mieux comprendre les besoins de formation continue des travailleurs sociaux pouvant intervenir auprès des endeuillés. Cette recherche a aussi permis d’examiner les formations continues actuellement offertes et de déterminer la concordance entre ces dernières et les besoins identifiés par les participants. This thesis aims to explore the continuing training needs of social workers who may intervene with bereaved persons. Its goal is to better understand the continuing education needs regarding loss, mourning and bereavement support. From a qualitative exploratory perspective, six social workers and human relations agents within the Integrated Health and Social Services Centres (IHSSC) of Lanaudière participated in semi-structured interviews. In addition, an in-depth textual analysis of bereavement-related continuing education courses listed within the Order of Social Workers, Marriage and Family Therapists of Quebec (OTSTCFQ) catalogue was carried out. An integrative analytical framework was used, inspired by several key concepts (continuing education, motivation, professional development, organizational context, knowledge) and an analytical model related to perceived training needs (Labesse, 2008) was used to analyze collected data. Through thematic content analysis, this model made it possible to better understand the ongoing training needs of social workers who may provide services for bereaved persons. The research results also allowed us to review the current continuing education training offered and helped determine the degree to which these trainings met the needs identified by participants.

Keyphrases: deuil, perte, accompagnement, endeuillés, besoin, formation continue, travailleurs  sociaux, bereavement, loss, mourning, support, bereaved, need, continuing education, training, social workers
Combining scoping review and concept analysis methodologies to clarify the meaning of rehabilitation potential after acquired brain injury

Purpose: Clinicians make judgments about patients’ rehabilitation potential because it is considered by many as a prerequisite for referral to rehabilitation. However, the concept is rarely defined. This research aimed to clarify the concept of rehabilitation potential in the context of acquired brain injury patient referral to post-acute rehabilitation. Method: Literature search (conducted in Medline, CINAHL and Embase) and article selection followed a scoping review methodology while a concept analysis methodology guided data extraction and analysis. Results: Eighteen documents met inclusion criteria. Findings suggest four defining attributes of the concept. Rehabilitation potential (1) emerges from clinicians’ interpretation of patient characteristics and is influenced by the health care environment, (2) involves the prediction of how a patient might improve with rehabilitation interventions, (3) is a multi-level concept and (4) can change over time. The most critical consequence to assessing a patient’s rehabilitation potential is the impact on the patient’s opportunity to access post-acute rehabilitation services. Conclusion: Rehabilitation potential is a concept rooted in clinical reasoning. We propose an operational definition and a conceptual model to provide a solid foundation for future research to advance policy and clinical decision-making regarding equitable access to post-acute rehabilitation.

Keyphrases: Brain injuries, Stroke, Clinical decision-making, Referral and consultation, Health services accessibility
La mobilité internationale étudiante postsecondaire et la COVID-19 : quelles sont les incidences de la pandémie sur les étudiants internationaux et leur environnement

En 2020, la pandémie de la COVID-19 est venue perturber la vie de millions de personnes à travers le monde. Pendant plusieurs semaines ou mois, de nombreux pays ont mis au ralenti, voire à l’arrêt, une partie de leur économie, fermé leurs frontières, imposé confinement, couvre-feu, distanciation sociale, etc. Les conséquences sur le quotidien des populations sont alors diverses selon leur situation. Dans ce travail dirigé, il sera mis en évidence comment tout l’écosystème des étudiants en mobilité internationale en général, puis plus particulièrement au Canada et au Québec, a été impacté. Pour eux, la réussite académique, l’adaptation sociale, l’intégration professionnelle sont des éléments clés dans leur parcours d’étudiant mais aussi pour leur avenir sur le marché du travail. L'engagement des étudiants est donc prépondérant pour rencontrer ce succès. Cependant, de leur côté, les établissements postsecondaires et les états, parce qu’ils en attendent à la fois un bénéfice financier, politique et économique doivent, s’ils veulent que ce flux migratoire perdure, adapter leurs enseignements et leurs politiques pour le soutenir.

Keyphrases: Mobilité internationale par les études, Adaptation, Intégration, Académique, Sociale, Professionnelle, COVID-19, Impacts, Canada
L’instrumentalisation des opéras de Giacomo Puccini par le régime fasciste italien : le cas de Turandot

Ce mémoire porte sur l’instrumentalisation politique de la figure du compositeur Giacomo Puccini (1858-1924) et de ses œuvres, plus spécifiquement Turandot (1926), pendant la période fasciste en Italie (1922-1945). Il traite de la dichotomie entre tradition et modernité présente dans la propagande culturelle fasciste, notamment dans la réappropriation du mythe de Puccini à la suite de son décès en 1924, puis de façon exacerbée dans l’utilisation politique de Turandot, plus particulièrement au moment de la création de l’opéra en 1926.   Cette recherche repose sur l’étude de la presse italienne et des revues culturelles de l’époque afin d’analyser la manipulation du discours entourant la figure de Puccini. L’exploitation de son statut de compositeur national, le développement de son image d’homme du peuple et l’exaltation de son génie musical, vu à la fois comme universel et italien, ont permis aux représentants du régime d’héroïser Puccini selon les divers idéaux fascistes.  Ultimement, ce mémoire vise à montrer comment Puccini a fait l’objet d’une récupération idéologique afin de favoriser un consensus populaire et une consolidation identitaire permettant la légitimation du pouvoir mussolinien. Ce cas de figure exemplifie les effets de la rhétorique et des mécanismes culturels d’une hégémonie totalitaire dans la vie musicale d’une nation. This thesis explores the political appropriation of composer Giacomo Puccini (1858-1924) and his operas during the fascist period in Italy (1922-1945). It highlights the dichotomy created by the regime’s insistence on both tradition and modernity in its cultural propaganda, as mirrored in the reinterpretation of the myth surrounding Puccini after his death in 1924—particularly in the political use of Turandot after the opera’s 1926 premiere.  Based on a detailed study of the Italian press of the time and of cultural magazines controlled by the regime, this research analyzes the manipulation of the discourse surrounding Puccini’s image in fascist Italy. Party members exploited Puccini’s myth by insisting on his status as a national Italian composer, his image as a man of the people, and his musical genius, considered as both universal and quintessentially Italian. Through this rhetoric, Puccini became a standard-bearer of fascist ideology, praised both as a composer of the great Italian opera tradition and as a highly modern creator.  Ultimately, the aim of this thesis is to understand how Puccini was subjected to an ideological appropriation that legitimized fascist authority by fostering social consensus and establishing a strong Italian collective identity. Puccini’s case exemplifies the effects of a totalitarian regime’s rhetoric and cultural mechanisms on the musical life of a nation.

Keyphrases: Puccini, fascisme, opéra, Turandot, Mussolini, nationalisme, mythe, exotisme, Italie, propagande, myth, Puccini, Turandot, fascism, opera, nationalism, myth, exoticism, Italy, propaganda
Quantitative MRI in patients with gluteal tendinopathy and asymptomatic volunteers : initial results on T1- and T2*-mapping diagnostic accuracy and correlation with clinical assessment

Objective To determine if T1- and T2*-mapping of the gluteal tendons can discriminate between participants with and without clinical findings of gluteal tendinopathy (GT) and if they correlate with clinical assessment. Materials and methods This prospective study was conducted between January and December 2016. MRI of the hip included spin echo, short-T1 inversion recovery, variable-flip angle, and variable echo-time gradient echo sequences. MRI studies were reviewed independently by two radiologists. Two other readers segmented the gluteal tendons and T1, mono- (T2*m) and biexponential T2* (short (T2*s) and long (T2*l) components) were computed. Results Ten participants with GT (median age; interquartile range: 63 (57–67) years, all women) and 9 participants without GT (57 (55–59) years, 8 women) (P = 0.06) were enrolled. The sensitivity and specificity of reader 1 for disease classification were 40% (95% confidence interval (CI): 17–61%) and 70% (CI: 47–91%), and those of reader 2 were 70% (CI: 43–86%) and 80% (CI: 53–96%), with fair inter-reader agreement (Kappa = .38). T1 values could not discriminate between the two groups. The gluteal tendons T2*m and T2*s showed diagnostic accuracy ranging from .80 to .89. The posterior gluteus medius tendon T2*m and T2*s respectively showed sensitivity and specificity of 90%, and strong correlation (Spearman’s rho = −.71; P = 0.02) with the Lower Extremity Functional Scale score. Conclusion Quantitative MRI could help gain new insight into healthy and diseased gluteal tendons to allow better diagnosis and treatment stratification for patients.

Keyphrases: Magnetic resonance imaging, T1-mapping, T2*-mapping, Tendinopathy, Tendinosis, Gluteal tendons
Older adults’ use of an on-line decision support system : usability and stability of assistive technology recommendations

Online decision support systems (DSS) may help older adults self-select assistive technology (AT) by offering recommendations. User interactions with DSSs may change the recommendations they receive. Objective: We evaluated recommendations stability and usability of an online DSS. Methods: Middle-aged and older adults (n = 43) were observed while using the DSS. The stability of DSS recommendations (ATs and advice) was compared between two time points, using a three-point scale: no, partial, or full agreement. Usability was coded, referencing ISO standards. Results: Half (51%) of participants received AT recommendations from the DSS in both sessions, with full (14%) or partial (12%) agreement. All but one participant received advice, and almost all of them had full (40%) or partial (56%) agreement between sessions. Many of the usability issues appear to be the result of the users inaccurately measuring their environment, challenges in understanding the questions being asked, and improperly making selections from the system. Discussion: Strict AT matching rules versus generic advice, and usability issues, likely reduced the matching rate and stability of AT recommendations. Conclusion: It appears that some users may require assistance with the system, and we suggest changes to the DSS format and content to improve stability and usability.

Keyphrases: Activities of daily living, Aging, Assistive technology, Decision support system, Information and communication technologies, Validation studies
Using technology to encourage
the participation of persons with disabilities : exploring cultural leisure activities
in a theatre environment

Inclusive ‘relaxed performances’ are leisure activities where people can participate, within a theatre environment, often with the use of assistive technologies, adapted texts and scripts that support interaction and social inclusion. This paper presents a participatory collaborative research project that examines the challenges faced by people living with disability when accessing theatre performances, and how design, technology and adaptations can facilitate participation and promote empowerment. Embracing a participatory approach with attention given to persons with visual impairments, people with mobility impairments persons with language and communication limitations and those on the autism spectrum, data was collected in 4 phases, from the pre-performance to the presentation of the performance. Post-performance analysis used interpretive approaches and evaluation analysis. Results include the development of potential strategies for the inclusion of people from all perspectives in performances. These strategies include the use of audio description which provides visual information about gestures, props and the layout of the stage.

Keyphrases: Inclusive theatre, Technology, Co-creation, Participatory action research, Relaxed performance, Social inclusion, Disability, Design strategies
Longitudinal associations of cannabis, depression, and anxiety in heterosexual and LGB adolescents

Cannabis use is linked to symptoms of depression and anxiety, particularly among sexual minorities.This study examines the relationships between cannabis, and depression and anxiety symptoms at 13,15, and 17 years using cross-lagged models in a predominantly White (n= 1,430; 92%) subsample of1,548 participants from the Quebec Longitudinal study of Child Development. Multigroup analyseswere conducted to examine the models according to sexual orientation. Demographic covariates wereincluded as control variables, as well as alcohol, cigarette, and other drug use to examine cannabis spec-ificity. The full sample revealed small bidirectional associations, which remained significant once con-trol variables were included in the model: cannabis at 13 and 15 years predicted anxiety symptoms at 15and 17 years respectively, and depression symptoms at 15 years predicted cannabis at 17 years. The ini-tial association between cannabis at 13 years and depression symptoms at 15 years was accounted forby other drug use at 13 years. Substantial differences were found between heterosexual participants andsexual minorities: LGB participants presented a substantially larger positive association between depres-sion symptoms at 15 years and cannabis at 17 years, as well as a negative association between anxietysymptoms at 15 years and cannabis at 17 years. Both of these relationships remained significant whenaccounting for control variables. These results suggest that the relationships between cannabis, anddepression and anxiety symptoms are bidirectional across adolescence, albeit small. Sexual minoritiespresent particularly large associations that may represent self-medication efforts for depressive symp-toms between 15 and 17 years.

Keyphrases: Marijuana, Youth, Mental health, Sexual minority, Substance use
Are the supporters of populist parties loyal voters? Dissatisfaction and stable voting for populist parties

Scholars of electoral behaviour regularly link political dissatisfaction to two types of behaviour: voting for populist parties and unstable voting behaviour. It is therefore not surprising that the electorates of populist parties are generally assumed to be rather volatile. In this article, we argue that this is not necessarily the case – in particular in a context of increasingly strong and viable populist parties. We make use of data from the Comparative Study of Electoral Systems project to show that voters for populist parties are neither more nor less volatile than voters for mainstream parties. Political dissatisfaction among voters for populist parties even increases the likelihood of stable voting for populist parties. The supply of populist parties further conditions the stability of the populist vote, as voters in systems with established populist parties are more likely to vote stably for populist parties. Finally, we find that in a context of strong and stable populist parties, the effect of political satisfaction on vote switching is somewhat reduced.

Keyphrases: Populist vote, Eelectoral volatility, Dissatisfaction, Supply side, CSES data