bluuebunny/crossref_metadata_2025 huggingface dataset:
Tools for Transparency in Central Government Spending
Authors: Rahal Charles
Published: September 2018

Trust in government, policy effectiveness and the governance agenda has rarely been more important than in the opening decades of the twenty first century. For that reason, we herein present centgovspend, an open source software library which provides functionality to automatically scrape and parse central government spending at the micro level. While the design ideals are internationally applicable to any future data origination pipelines, we specifically tailor it to the United Kingdom, a country which is unique not only in terms of its transparency in procurement, but also one which was subject to a parliamentary expenses scandal, years of austerity, and then a volatile political process regarding a referendum to leave the European Union. The library optionally reconciles suppliers and subsequently analyzes payments made to private entities. Our implementation results in scraping over 4.9m payments worth over £3.5tn in value. As a way of showcasing what such a dataset makes possible, we outline three prototype applications in the fields of public administration (procurement across Standard Industry Classifier), sociology (stratification across those who supply government) and network science (board interlock across suppliers) before presenting suggestions for the future direction of public procurement data origination and analysis.
The contemporary cybercrime ecosystem: A multi-disciplinary overview of the state of affairs and developments
Authors: Broadhead Stearns
Published: September 2018

This article provides a multi-disciplinary overview of the contemporary cybercrime ecosystem and its developments. It does so by reviewing, synthesising and reporting on recent cybercrime research from fields such as cybersecurity, law and criminology. This article is divided into four main parts. The first part offers background on cybercrime and some of its main elements. It defines terminology, sets out a legal taxonomy of cybercrime offences and presents the estimated costs, threat agents and characteristics of various illicit activities and technical aspects of cybercrime. Parts two, three and four build on this preceding analysis by (separately) examining three prominent threat vectors within the ecosystem – malware, the darknet and Bitcoin and other cryptocurrencies. For each threat vector, the article identifies and investigates features, history, functions and current and expected states of development within the ecosystem. Through its attention to and synthesis of current research and results from different fields, this article offers a synoptic account of the cybercrime ecosystem, which can bridge potential knowledge gaps between fields.
The Role of Cash Transfers in Rebuilding Livelihoods in an Emergency Response: the Typhoon Haiyan Case Study
Authors: Gazi Nothando
Published: September 2018

The number of climate-related disasters is increasing more than ever before and cash is becoming an increasingly important tool to deliver assistance during a disaster response due to its flexibility and ability to cut across sectors, amongst other benefits. This research seeks to explore the role of cash in linking the relief phase to the long-term recovery through the promotion of sustainable livelihoods, by focusing on Typhoon Haiyan (known locally as Yolanda) as a case study. The Philippines has high exposure and vulnerability to climate-related disasters, however, it boasts of one of the most advanced social protection systems in the East Asia Pacific region (Bowen, 2015). In order to reach the research objectives, the research methodology employed involves a review of related literature, a field-based evaluation involving interviewing humanitarian practitioners and the adoption of DFID’s Sustainable Livelihood Framework (1999) as a framework of analysis. The results show that cash-based livelihood programming plays a vital role in leading the transition from relief to recovery due to the Value for Money (VfM) it delivers, role in strengthening local market and supply chains and the positive economic multiplier effects that benefit the wider community. Most interventions focus on asset creation, however, investment should be made into disaster risk reduction to reduce vulnerabilities that worsen the impact of shocks on poor households. Also, to enhance the benefits resulting from cash programming, supporting activities should be used in parallel with cash provision. Cash-for-training and livelihood start-up grants can empower women by increasing their human capital and introducing them to the formal economy. More work is required to transform the structures and policies that disadvantage women through patriarchal power systems.
Introduction: From Beavers to Land: Building on Past Debates to Unpack the Contemporary Entanglements of Algonquian Family Hunting Territories
Authors: Chaplier Mélanie , Scott Colin
Published: September 2018

In 1986, Anthropologica published a special issue on Algonquian Family Hunting Territories (FHT) with diverse ethnographic research that overturned, grounded and reframed the earlier literature on the origins and the private-primitive communism property descriptions of Algonquian land tenure systems. The issue presented research developed with. for and in the emerging northern Indigenous political and legal struggles to continue to live on and govern their lands in the midst of rapid economic and state interventions. In this Introduction to the special issue, we provide a historical overview as well as a renewed framework for the analysis of Indigenous territoriality and governance which has been informed by the ways Algonquian peoples have continued to respond to the challenges they faced in the last thirty years. We describe the evolution of the Algonquian lives on the land and governance in the midst of resource exploitation and extraction, as well as important shifts within continually emerging Algonquian socialities.
Introduction: Document/ation: Power, Interests, Accountabilities
Authors: Pigg Stacy Leigh , Erikson Susan L. , Inglis Kathleen
Published: September 2018

In this introduction we argue that ethnographic attention to documents, as a mundane feature of everyday life, can reveal social manoeuvres that accelerate or detain particular configurations of power and accountability. We use the term “document/ation” to convey this space of possibility in moments of action. The articles collected in this special issue foreground the dynamic tensions between systematisation and ambiguity that arise in situations of verification, appraisal or validation.
“When the Government Changes, the Card Will Also Change”: Questioning Identity in Biometric Smartcards for National Health Insurance (RSBY) in India
Authors: Ecks Stefan
Published: September 2018

Since the mid-2000s, government initiatives in India have been gripped by the idea that biometric identification is more efficient than any form of paper-based documentation. In this article, I explore how new health care schemes in India have adopted this technocratic promise. On the basis of ethnographic research in Karnataka, I describe how enrolments for biometric smartcards for RSBY insurance proceeds. These enrolments are meant to turn the rural poor into consumer citizens, yet the RSBY cards elicit unexpected responses from the beneficiaries. Instead of reproducing state authority, the new ID cards become a fulcrum for questioning the stability of government.
Proofing Exemption: Documenting Indigeneity at the Canada–US Border
Authors: Kalman Ian
Published: September 2018

Document exemption is a form of documentation built upon maintaining documentary regimes while seemingly obviating them. An inquiry into this exemption expands anthropological assumptions about documentation. This article discusses forms of exemption instituted for Indigenous residents of the Akwesasne Mohawk territory when they cross the Canada–US border. I show how customary, de facto exemption from providing travel documents to border officers represented a workable way for Akwesasne residents and border officers to enact seemingly incompatible visions of sovereignty. De jure exemption for Akwesasne residents from paying taxes on cross-border goods, while locally desirable, also shows how “proving” one's status as can result in more state intrusion.
The Pre-Enrollment Medical Student Data Predictios of Pre-Clinic Failure
Authors: Chiengkriwate Piyawan , Sripichian Waranya , Musem Sunisa
Published: September 2018

Objective: To identify potential pre-enrollment predictors of undergraduate medical students failure in pre-clinic class.Material and Method: A retrospective descriptive analytic study, medical students who had admitted in 2008-2012 to the Prince of Songkla University. The pre-enrollment data base was used to identify students background, high school Grade Point Average (GPA), Ordinary National Education Test (O-NET) score, and family background. The entry pathway and academic performance in the pre-clinic class were also collected and entered into analytic studies by using p-value<0.050 for each significant variable.Results: Nine hundred and fifty six medical students were enrolled, 418 (43.7%) was male, 274 (28.7%) had entered via the Collaborative Project to Increase Production of Rural Doctor (CPIRD) entry pathway, and 419 (43.8) had graduated from a high school in Songkhla province. Thirty nine (4.1%) students had failed in pre-clinic course. Comparing in achievement with the failure group revealed significant differences in GPA median (interquartile range) [3.8 (3.7, 3.9) vs 3.7 (3.5, 3.8)] and O-NET score [60 (51.4, 69.0) vs 53 (43.8, 60.0)], and proportion of CPIRD entry pathway (27.4% vs 59.0%) (p-value<0.001). However univariate conditional logistic regression analysis regression showed that the 10 (1%) with absent parent [odds ratio (OR)=42, 95% confidence interval (95% CI)=11.3 to 156 p-value<0.001), GPA less than 3.5 (OR=5.14, 95% CI=2.47 to 10.69, p-value<0.001), and O-NET score less than 50 compare with at least 60 (OR=4.34, 95% CI=1.81 to 10.40, p-value=0.001) were associated with pre-clinic failure.Conclusion: The GPA and O-NET scores, CPIRD entry pathway and absent parent were identified as significant pre-enrollment predictors of pre-clinic failure.
Gut Microbiota and Probiotics in Neonate
Authors: Thatrimontrichai Auncha
Published: September 2018

The collaboration and symbiotic relationship between microbiota and humans is complex. Development of the gut microbiota in infants is a dynamic process that is dependent on maternal-fetal-neonatal determinants. Vast collaborative enterprises of cooperative, co-dependent, and competitive ecologies are enormously powerful when merged together as one discrete entity or organ. This forgotten and invisible organ has both benefits and harm in health throughout the life cycle and across the next generations for the long term. Rapid advances in microbiology, genomic research and metagenomics analysis have uncovered the microbial contribution in both the hugeness and diversity of the microbial sphere. As a result, simultaneous findings have repercussions for microbial growth and health in the neonatal period and extend into childhood and adulthood. Pioneer microbiota in and on the neonate may find 'windows of opportunity' to promote health and prevent diseases. Oral probiotics is one choice to alter and balance the gut microbiota. However, the heterogeneity of research outcomes cannot be applied routinely in premature infants.
Depression and Associated Factors among Elderly Outpatients in Songklanagarind Hospital, Thailand: A Cross-Sectional Study
Authors: Anantapong Kanthee , Pitanupong Jarurin , Werachattawan Nisan , Aunjitsakul Warut
Published: September 2018

Objective: Elderly patients with their deteriorating global health are becoming more vulnerable to mental disorders,especially depression. The aim of this study is to determine the prevalence and associated factors of depression amongstpatients attending outpatient clinics in Songklanagarind Hospital, a tertiary care center in southern Thailand.Material and Method: This is a cross-sectional descriptive study. Elderly people (65-99 years of age) attending the outpatient department of Songklanagarind Hospital during 1st of September-30th of November 2015 were included in the study. The sample size was calculated using Epicalc in R program. We used the 15-item Thai Geriatric DepressionScale (TGDS-15) questionnaire to find the prevalence of depression among this group. Associated factors of depression were identified by multiple logistic regression using a backward-stepwise method.Results: The total number of participants in this study was 408. The prevalence of depression based on the TGDS-15,cut-off score of >5, among elderly outpatients in Songklanagarind Hospital was 9.6%. However, regarding multiple regression analysis, no statistically significant factors; sex, age, marital status, educational level, and religion, could be found to be associated with depression.Conclusion: Almost one-tenth of the elderly patients visiting the outpatient clinics within Songklanagarind Hospital haddepression. This prevalence was quite high. The depression would worsen their health conditions. Good, rigorousscreening coupled with a referral system should be encouraged and then implemented in this hospital.
Completeness of data record in the obstetric record form
Authors: Boonratsamee Nattinee , Pinjaroen Sutham , Suwanrath Chitkasaem
Published: September 2018

Objective: To survey the completeness of obstetric data records.Material and Method: A survey study was conducted to determine the completeness of obstetric data records of women who delivered at Songklanagarind Hospital from January 1, to June 30, 2012 in the obstetric data record forms of the Statistical Unit, Department of Obstetrics and Gynecology, Faculty of Medicine, Prince of Songkla University. The data consisted of 5 parts including general information, obstetric history, pregnancy outcome, complications andoperative obstetrics with indications. Rates of completeness by recorders were calculated.Results: A total of 1,698 obstetric data records were evaluated. The overall rate of completeness was 10.1%. The rates of completeness of the general information (part 1), recorded by nurses, and the clinical part (parts 2 to 5), recorded by physicians, were 36.7% and 26.1%. The intern had the highest rate of completeness, followed by the extern and the resident.Conclusion: The rate of completeness of obstetric data records was low. The feedback report will be sent to theDepartment of Obstetrics and Gynecology to find out an appropriate strategy to improve quality of electronic databasefor future use in research and quality service management.
The Relationship between Psychological Distress and Coping Strategies in Patients with Advanced or Terminal Stage Hepatocellular Carcinoma: A Cross-Sectional Descriptive Study
Authors: Temtap Suthisa , Nilmanat Kittikorn
Published: September 2018

Objectives: This study was aim to describe the relationship between psychological distress and coping strategies among patients with advanced or terminal stage hepatocellular carcinoma.Material and Method: This is a cross-sectional descriptive study. Data were collect from hospitalized sample at medical units in a tertiary care hospital in southern Thailand during April 2015 - December 2016. Ninety-six sample of advanced or terminal stage hepatocellular carcinoma. Research instruments consisted of 4 parts: (1) a demographic data form, (2) The Karnofsky Performance Status Scale, (3) psychological distress questionnaires using Hospital Anxiety and Depression Scale, and (4) coping strategies questionnaire developed by researchers based on Lazarus and Folkman’s stress and coping theory and literature reviews. Cronbach’s alphas for Hospital Anxiety and Depression Scale and coping strategies questionnaire were 0.89 and 0.84. Data were analyzed using descriptive statistics and Pearson’s product moment correlation coefficient was used.Results: A relationship analysis found that there was a moderate, negative correlation between psychological distress and coping strategies (r=-0.66, p-value<0.001)Conclusion: The results of this study reveal that increases in psychological distress were correlated with decreases in coping strategies among patients with advanced or terminal stage hepatocellular carcinoma. A screening assessment for psychological distress is needed. The results of this study can be used for developing nursing program to promote effective coping strategies among patients with advanced or terminal stage hepatocellular carcinoma to help them live well at the end of life.
Radiation Induced Hemorrhagic Cystitis: Current Treatments
Authors: Kongseang Chaiyut , Attawettayanon Worapat , Kanchanawanichkul Watid
Published: September 2018

Gross hematuria is the most common presentation in genitourinary cancer patients. Patient with radiation cystitis also have similar presentation. Radiation cystitis can cause hematuria in various degrees, most of patients usually had mild to moderate degree which can be successfully treated with conservative treatment. In some patients, degree of hematuria may be severe that leads to mortality, correct treatment may decrease mortality rate. We review the current literature regarding the current management of radiation cystitis.
Prevalence of Uncontrolled Blood Pressure in Hypertensive Patients Attending The Primary Care Unit of Songklanagarind Hospital
Authors: Sangsuwan Tharntip , Jamulitrat Silom
Published: September 2018

Objective: To evaluate the prevalence of uncontrolled hypertension based on the Thai Guideline on the Treatment of Hypertension 2012, the 7th report of the Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure (JNC7) and its recently released version, 8th Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure (JNC8).Material and Method: We screened 1,311 hypertensive patients who visited the Primary Care Unit at Songklanagarind Hospital from October to December 2013. The outcome of this cross-sectional study was the prevalence of uncontrolled hypertension based on the Thai Guideline on the Treatment of Hypertension 2012, JNC7 and JNC8.Results: The study included a total of 1,181 patients. The prevalences of uncontrolled hypertension were 57.2%, 53.4% and 30.0%, based on the Thai guidelines, JNC7 and JNC8, respectively.Conclusion: The prevalence of uncontrolled hypertension in our setting remained unsatisfactory.
Evaluation of a Novel Fluid Monitoring Device for Hysteroscopic Surgery
Authors: Tintara Hatern , Chetpattananondh Kanadit , Binyara Hordia
Published: September 2018

Objective: To evaluate the performance of a simplified fluid monitoring device for monitoring fluid deficit and uterine perforation during hysteroscopic surgery.Material and Method: A novel fluid deficit monitoring device was developed using a weighing system operated by a microcontroller. The deficit volume in milliliters (mL) is continuously monitored with an updated display every 30 seconds. The deficit LED is preset to begin flashing with an alarm sound if a fluid deficit reaches 750 mL, 1,000 mL, and 2,500 mL. A new algorithm for detection of small uterine perforations was also developed. The device can be loaded with a maximum of four bottles of 1 liter distention media and has two 2 liters collecting canisters. After having passed laboratory testing, the prototype was clinically used in hysteroscopic surgeries.Results: The laboratory testing showed a precision of ±7 mL at 500 mL, with an accuracy of ±8.9% for deficit volume measurement with 100% alarm at the preset levels. The perforation alarm could detect a small uterine perforation with 80.0% accuracy in an average (±standard deviation; S.D.) latency time of 3.2±0.2 minutes with an average (±S.D.) fluid leakage of 472±35 mL. The device performed well in a preliminary series of 42 hysteroscopic surgery cases from October 2014 to February 2016. Deficit-volume detection by the device correlated well with clinical evaluations by operating room personnel (r=0.840, p-value<0.001).Conclusion: The newly developed fluid monitoring device can provide acceptable precision and accuracy for monitoring fluid deficits and detection of small uterine perforations during hysteroscopic surgery.
Radical Prostatectomy in High-Risk Prostate Cancer Patients: Results of a Single- Institution Study
Authors: Chalieopanyarwong Virote , Attawettayanon Worapat , Kanchanawanichkul Watid , Pripatnanont Choosak
Published: September 2018

Objective: To evaluate long-term outcomes of radical prostatectomy and bilateral pelvic lymph node dissection (RP) for high-risk prostate cancer (PC).Material and Method: A retrospective review of high-risk PC patients who received RP, identified from medical records. We collected data from Songklanagarind Hospital, Prince of Songkla University from 2007 to 2015. The Kaplan-Meier method and Cox proportional regression models were used to analyze clinical recurrence (CR) and biochemical recurrence (BCR).Results: In 79 patients, the median follow-up was 27.2 months. The 3-year and 5-year biochemical free survival in men with high-risk PC were 67.7% and 62.9% respectively. Multivariate analysis shows that pathologic stage 3a (hazard ratio=4.87; 95% confidence interval=1.01-23.38) was independently associated with cancer control.Conclusion: Data support the belief that RP has a place in the treatment of high-risk PC. RP was a long-term cancer control in patients with high-risk PC. Only pathologic staging was independently associated with cancer control outcome.
Analysis of an overlapping surgery policy change on costs in a high-volume neurosurgical department
Authors: Guan Jian , Karsy Michael , Brock Andrea A. , Couldwell William T. , Kestle John R. W. , Jensen Randy L. , Dailey Andrew T. , Bisson Erica F. , Schmidt Richard H.
Published: September 2018

OBJECTIVE

Overlapping surgery remains a controversial topic in the medical community. Although numerous studies have examined the safety profile of overlapping operations, there are few data on its financial impact. The authors assessed direct hospital costs associated with neurosurgical operations during periods before and after a more stringent overlapping surgery policy was implemented.

METHODS

The authors retrospectively reviewed the records of nonemergency neurosurgical operations that took place during the periods from June 1, 2014, to October 31, 2014 (pre–policy change), and from June 1, 2016, to October 31, 2016 (post–policy change), by any of the 4 senior neurosurgeons authorized to perform overlapping cases during both periods. Cost data as well as demographic, surgical, and hospitalization-related variables were obtained from an institutional tool, the Value-Driven Outcomes database.

RESULTS

A total of 625 hospitalizations met inclusion criteria for cost analysis; of these, 362 occurred prior to the policy change and 263 occurred after the change. All costs were reported as a proportion of the average total hospitalization cost for the entire cohort. There was no significant difference in mean total hospital costs between the prechange and postchange period (0.994 ± 1.237 vs 1.009 ± 0.994, p = 0.873). On multivariate linear regression analysis, neither the policy change (p = 0.582) nor the use of overlapping surgery (p = 0.273) was significantly associated with higher total hospital costs.

CONCLUSIONS

A more restrictive overlapping surgery policy was not associated with a reduction in the direct costs of hospitalization for neurosurgical procedures.
Stereotactic radiation treatment planning and follow-up studies involving fused multimodality imaging
Authors: Hamm Klaus D. , Surber Gunnar , Schmücking Michael , Wurm Reinhard E. , Aschenbach Rene , Kleinert Gabriele , Niesen A. , Baum Richard P.
Published: September 2018

Object. Innovative new software solutions may enable image fusion to produce the desired data superposition for precise target definition and follow-up studies in radiosurgery/stereotactic radiotherapy in patients with intracranial lesions. The aim is to integrate the anatomical and functional information completely into the radiation treatment planning and to achieve an exact comparison for follow-up examinations. Special conditions and advantages of BrainLAB's fully automatic image fusion system are evaluated and described for this purpose.

Methods. In 458 patients, the radiation treatment planning and some follow-up studies were performed using an automatic image fusion technique involving the use of different imaging modalities. Each fusion was visually checked and corrected as necessary. The computerized tomography (CT) scans for radiation treatment planning (slice thickness 1.25 mm), as well as stereotactic angiography for arteriovenous malformations, were acquired using head fixation with stereotactic arc or, in the case of stereotactic radiotherapy, with a relocatable stereotactic mask. Different magnetic resonance (MR) imaging sequences (T1, T2, and fluid-attenuated inversion-recovery images) and positron emission tomography (PET) scans were obtained without head fixation. Fusion results and the effects on radiation treatment planning and follow-up studies were analyzed.

The precision level of the results of the automatic fusion depended primarily on the image quality, especially the slice thickness and the field homogeneity when using MR images, as well as on patient movement during data acquisition. Fully automated image fusion of different MR, CT, and PET studies was performed for each patient. Only in a few cases was it necessary to correct the fusion manually after visual evaluation. These corrections were minor and did not materially affect treatment planning. High-quality fusion of thin slices of a region of interest with a complete head data set could be performed easily. The target volume for radiation treatment planning could be accurately delineated using multimodal information provided by CT, MR, angiography, and PET studies. The fusion of follow-up image data sets yielded results that could be successfully compared and quantitatively evaluated.

Conclusions. Depending on the quality of the originally acquired image, automated image fusion can be a very valuable tool, allowing for fast (∼ 1–2 minute) and precise fusion of all relevant data sets. Fused multimodality imaging improves the target volume definition for radiation treatment planning. High-quality follow-up image data sets should be acquired for image fusion to provide exactly comparable slices and volumetric results that will contribute to quality contol.
A methodology for verification of radiotherapy dose calculation
Authors: Agazaryan Nzhde , Ullrich Wolfgang , Lee Steve P. , Solberg Timothy D.
Published: September 2018

Object. A methodology for dosimetric verification of radiation therapy plans was developed and implemented. Dosimetric accuracy of clinically active intensity-modulated radiotherapy (IMRT) and intensity-modulated radiosurgery (IMRS) programs was assessed using this methodology.

Methods. The methodology included several dosimetric tasks that were performed to assess the dosimetric accuracy of a treatment plan. Absolute dosimetry of the composite plan was performed using an ionization chamber. Film dosimetry was performed for each individual field and for the multifield composite plan. Calculated dose distributions and film measurements were compared using software developed for the specific tasks. Two-dimensional maps of gamma index, dose difference, and distance-to-agreement were calculated and displayed.

To date, good agreement between measurements and calculations has been observed in 160 clinical IMRT and IMRS plans. The largest observed absolute dose disagreement was −4.79%. The mean absolute dose difference was 0.26%, with a standard deviation of 1.75%. The authors specify a 3% dose difference and 3-mm distance as the scaling acceptability criteria for the gamma index calculations of the film measurement analysis. The planning and delivery system in clinical use has proven consistently to satisfy these criteria.

Conclusions. The dosimetric verification methods and the software tools developed were both quantitative and clinically practical. The measurements and the analysis demonstrated that the IMRT and IMRS planning and delivery system in use was sufficiently accurate for highly conformal treatments.
TRANSPARANSI DALAM PROSES SELEKSI CALON ANGGOTA PANITIA PENGAWAS (PANWAS) PEMILU TAHUN 2017
Authors: Nasution Sri Roserdevi , Harsini Harsini , Kusumawardhani Fajarwaty , Kusumawardhani Fajarwaty
Published: September 2018

This study aims to determine and analyze the selection process of candidate members of the Election Supervisory Committee (Panwas) Election in two districts and two cities in the province of Riau. The selection takes place in mid-2017, in response to Law No. 15 of 2011 on General Election. Moreover, Riau will hold the Elections to the Regions in 2018 and Legislative Election and the Presidential and Vice Presidential Election in 2019. The existence of Panwas is a necessity in the effort to make the election more qualified and produce leaders in accordance with the conscience of the people. But please note how transparency in the selection process of candidates for Panwas members who have a very big mandate in the nation's democratic process. Selection of Panwas member candidates should fulfill the element of transparency as a proof of the implementation of good governance.The method used in this research is qualitative research methods. Data collection is done by using primary data in the form of in-depth interviews to the informants.Purposive sampling is chosen to be a technique in getting informants in accordance with this research. In addition, secondary data derived from the Election Supervisory Agency and mass media documents also support and sharpen the case studies as the analytical blades in this study.
PARTISIPASI MASYARAKAT DALAM PEMBANGUNAN DESA SUNGAI BULUH KECAMATAN BUNUT KABUPATEN PELALAWAN
Authors: Hernimawati Hernimawati , Nielwaty Elly , Aliyana Aliyana
Published: September 2018

The purpose of this study was to find out and analyze community participation and analyze barriers to community participation in the development of Sungai Buluh Village, Bunut District, Pelalawan District. The method used in this research is qualitative descriptive. In this study the analysis unit was the community involved in the development in Sungai Buluh village. The results of the study found that not many people participated in development because most people were not aware of the activities. Suggestions from this study In order to achieve development success in increasing community participation, the socialization program should be maximized again in meetings so that many people attend the village planning meetings held
Nutrition for Substance Use Disorder Recovery: The Gut-Brain Axis
Authors: Wiss David A
Published: September 2018

With substance use disorder rates rising, there is an urgent need for new and effective treatment modalities. The utilization of nutrition services in addiction treatment has not been standardized, but there is a growing trend towards incorporating registered dietitian nutritionists into the treatment team. This comprehensive overview explores the impact of alcohol, cocaine, methamphetamine, and opioids on nutritional status. This presentation places particular emphasis on gut health, microbiome, and associated neural interactions. Homeostatic and hedonic mechanisms of eating behavior are discussed in the context of eating disorders and food addiction. Given the current crisis of addictive disorders, consideration should be given to prioritizing efforts to improve eating habits and overall health in recovery programs. Guidelines for nutrition interventions will be proposed, and a summary of where more information is needed will point towards future directions.
Recovery From Alcohol and Other Drug Problems in the U.S. Population: Prevalence, Pathways, and Predictors
Authors: Kelly John , Bergman Brandon , Hoeppner Bettina , Eddie David , Vilsaint Corrie , Hoffman Lauren
Published: September 2018

The concept of "recovery" has become the organizing paradigm in many middle and high income countries globally with a goal of orienting services in cost effective ways to help sufferers achieve and maintain long term remission. Despite this focus, little is known from an epidemiological and public health perspective about the prevalence, pathways, and predictors of recovery, and the changes that ensue in quality of life and functioning with time in recovery. Using data from the recent National Recovery Study, this talk reviewed a variety of findings on all of these aspects of recovery from significant alcohol and other drug problems.
Co-Occurring Disorders: An integrated approach to treatment
Authors: Roschelli Sonia M , Smith Torresy J
Published: September 2018

Treating and overcoming co-occurring disorders can be complex and challenging for clinicians and clients. In the past, the field has attempted to treat co-occurring disorders separately, but evidence in recent years suggests that treating both disorders at the same time yields the best results. This presentation will offer an overview of the challenges and clinical issues that are present in helping people with dual diagnoses. Recommendations for assessment and treatment of co-occurring disorders will be provided, and a case example will be presented to assist with application of information.
Addressing Grief and Loss through the Continuum of Care: A Focus on Patient Experiences and Professional Practices
Authors: Ryan James M
Published: September 2018

Grief and loss are universal parts of the human experience. They are also some of the most profound experiences that a human being encounters in life. In addiction treatment, grief and loss must be addressed in order for an individual to successfully journey into recovery. In recovery, individuals must have the skills to cope with grief and loss to successfully maintain their sobriety when life happens. Integrated grief and loss is the ultimate objective. Treatment should focus on “stuck points” without pathologizing the individual’s experience. This presentation is the beginning of a discussion about best practices when addressing grief and loss in addiction treatment and the types of interventions that have proven most successful.
Students Voicing Collegiate Recovery
Authors: Cheney Ann M , Cravalho Danielle
Published: September 2018

Young adults increasingly enter college with substance use addiction. Some may achieve recovery before setting their foot on a college campus whereas others during their college years. These students often struggle to maintain sobriety as they act out their daily lives because they find themselves in abstinence-hostile environments (Bugbee et al., 2016; Harris et al., 2008). This presentation will discuss students’ collegiate recovery experiences and will report on a photovoice project documenting students’ recovery experience and recovery management and support needs. Photovoice is a participatory social action method that uses photography to answer research questions (Wang, 2006); a photovoice exhibit, involving a gallery of participants’ photographs and linked narrative text to explicate the photos’ meaning, disseminates the findings. The presentation will focus on the narratives of students in recovery and attendees will obtain an in-depth understanding of recovery students’ experiences of stigma, shame and isolation, and marginalized social positions, which are intimately tied to their addiction histories. Students in recovery represent an invisible student group that struggles to access resources and needed healthcare services. The photovoice method can act as a powerful tool to empower marginalized students to share their recovery experiences and articulate their needs; ultimately providing a vehicle for structural-level and systemic change.
From acceptance to graduation: Supporting students in recovery throughout their college experience
Authors: Singer Leah J , Shiflet John A
Published: September 2018

Students entering universities while in recovery from addiction face unique challenges, such as transitioning from a high school to a university, adapting to life after treatment, and/or transferring from a junior college or different university setting. Students in recovery also encounter challenges upon graduation including addressing gaps of employment on resumes, interviewing skills, and general professionalism. Cougars in Recovery offers support to students in recovery at the University of Houston in their academic journey through the use of programs including Source of Strength, offering peer to peer mentorship within the community and Career Ready Coogs, providing support for students approaching graduation with professional development resources. Longitudinal data is still being collected to demonstrate the influence of Source of Strength on Cougars in Recovery member retention and how Career Ready Coogs influences professional growth and preparation for graduation. Peer mentorship and professional development programs can help students in recovery navigate the challenges of the collegiate experience and entering the professional world.
Guilford County Solution to the Opioid Problem (GCSTOP): A Model for University/Community Partnerships
Authors: Sills Stephen J , Holleman Chase N , Gruber Kenneth J
Published: September 2018

There were over 700 overdoses and 180 deaths from opioids in Guilford County, NC in 2017. The Guilford Solution to the Opioid Problem (GSTOP) project leverages funds allocated by the STOP-Act to design, implement, and evaluate a rapid response program intended to decrease mortality from opioid overdoses. The program engages citizens who overdose in harm reduction practices, distributes naloxone kits to high-risk users, conducts community health education, coordinates community resources through the CURE Triad collaborative, and builds relationships focused on ending opioid overdose. This presentation will review the development of the partnership between Guilford County Emergency Medical Services and the University of North Carolina at Greensboro that has resulted in the GSTOP demonstration project. The presentation included background on the opioid epidemic in Guilford County, the development of CURE Triad (a community coalition to address overdoses) and the implementation of GSTOP, the unique features of hosting such a program within a university, the evaluation design, and preliminary outcomes of the program.
Harnessing Student Leadership in Building a Center for Students in Recovery at a Private Catholic University in Central Texas
Authors: Gil Karina , Gomez Rebecca , Rucker Dennis , Blackmon Bea , Hamner Lydia C , Gonzalez Noe , Sanchez Armando
Published: September 2018

This presentation describes the different processes and steps taken by two faculty members from the social work department and a group of students to start a Center for Student Recovery (CSR) at a small private university in central Texas serving mostly first-generation Hispanic students. The presentation highlights the unique history of the university and how its mission and values align with the creation of a CSR, making it the first private catholic university with this type of service to its student population.  Additionally, the presentation showcases the different stages undergone by the stakeholders to get to the point of student involvement.  The stages include the social work department obtaining part of an SBIRT (Screening, Brief Intervention, and Referral to Treatment) grant which allowed for training to be embedded in certain classes which sparked conversations of substance and alcohol use among the student population. It also included a student health survey that provided a snapshot of the state of substance and alcohol use on campus, and the approval of a proposal presented to the University’s board of trustee and president. Emphasis is given to the process of recruiting the student leadership, the student’s motivation and their role in the creation of the CSR.
Iron Sharpens Iron: A Student’s Perspective on Diversity Outreach
Authors: Kimball Thomas G , Hernandez Renata R , Mincher Michael S , Treviño Anna L
Published: September 2018

POWER (Providing the Outside World with Empowerment and Resources), a student organization within the Texas Tech’s Collegiate Recovery Program established December 2015, elaborated on their members experience when engaging in the important effort of diversity outreach to persons in recovery from substance and alcohol use disorders and eating disorders.  POWER describes their mission statement to provide a foundation and a voice for underrepresented individuals in recovery by delivering positive end results through opportunities for success with a vision to instill hope for a promising future. These members along with the director of the CCRC and another staff member shared what they have found to be most effective and ineffective when presenting to diverse groups in their community. The presenters provided educational and recovery resources used in reaching out but also the varying and tailored approaches and techniques utilized when conducting outreach work to specific marginalized populations.  These materials and techniques have been honed through many presentations and experience since 2015.  During their presentation, student leaders, and members of POWER, shared their own personal experiences of marginalization as well as their experience as presenters/peer leaders.
A Missing Link: Nutritional Healing in Recovery
Authors: Henley Emmy L
Published: September 2018

The journey of students in a Collegiate Recovery Program (CRP) begins with early recovery and continues towards a well-developed mental, spiritual, emotional, and physical state. Much emphasis is placed on mental, emotional, and spiritual healing through traditional recovery programs. Though all of these aspects are vital to flourishing in recovery, nourishing the physical state is often overlooked. The “missing link” within CRPs, the role of nutrition, can significantly impact physical well-being in recovery and a student’s reconnection with their body. Delivering information to CRP staff and students on the many aspects impacted from nutritional deficiencies and imbalances (neurobiological, gastrointestinal, emotional, mental), particularly in early recovery, will provide a means to evaluate  inclusion of nutritional and physical health emphasis at their CRP.  Appropriate implementation, not only knowledge, of resources to support this “missing link” is also crucial  in a student’s journey to flourishing in recovery.
Collegiate Recovery Programs and Treatment Providers: Supporting Outcomes, Not Admissions
Authors: Castedo Sierra , Doorn Nico
Published: September 2018

Collegiate Recovery Programs (CRPs), rooted in slow-moving academic institutions, can be contrasted with relatively fast-moving private treatment entities, and this contrast has great potential for both conflict and mutual benefit. Conflict may arise from a misunderstanding about the role of CRPs in the continuum of care - frequently thought to be a referral source, when, in fact, they work best as a post-treatment resource, improving outcomes for students in recovery. Young adults are the fastest growing demographic seeking treatment for substance use disorders, and, because of this changing age profile, more treatment entities are seeking to serve young adults and coming into contact with CRPs. This presentation explores the nuances and ethical challenges facing those interactions and describes the benefits of collaboration when pursued thoughtfully. The experiences of a CRP and a sober living/IOP facility in Austin, Texas will also be presented as a framework for collaboration.
POP-UP: University and Community Collaborations Towards Addressing Youth Substance Misuse
Authors: Castedo Sierra , McElrath Julie
Published: September 2018

This presentation shares the process and findings of a funded interdisciplinary project involving researchers engaging in the difficult integrative dialogues to incorporate findings from diverse areas of research and practice. This interdisciplinary project, part of the Pop-Up Institute initiative at UT Austin, brought together researchers, community partners, peers, and students for one year to foster the kind of collaborative deconstruction of silos that is essential to the progression of the addiction recovery field. Results, lessons learned, and future directions gleaned from the Pop-Up Institute's year of activities will be discussed during this presentation.
Findings from Transforming Youth Recovery’s 2017 Recovery Census
Authors: Jones Erin K
Published: September 2018

In 2013, Transforming Youth Recovery (TYR) published the 38 Assets for Building Collegiate Recovery Capacity as a guide for its early stage grant program, Seeds of Hope. In 2014 and 2015, TYR surveyed its network of grantees to further validate the initial findings. In 2017, TYR undertook new efforts to understand the diverse types of support programs and services being offered to students in recovery at institutions of higher education. In late 2017 and early 2018, TYR spent time conducting research to: (1) Validate the assumption that institutions of higher education are offering diverse types of prevention, treatment, and recovery support programs and services for students, (2) Offer an expanded definitional framework for school-based recovery support services in higher education to assist in the classification of these resources for enhanced access by students and their families, and (3) Update census data on collegiate recovery programs and services in the U.S. This session covered the findings of this research, which included responses from 118 unique institutions of higher education to the Collegiate Recovery Census. These findings provide the most comprehensive census the field has to date.
The Neuroscience of High-Risk Behavior: Implications for Prevention & Treatment in Youth
Authors: Collier Crystal
Published: September 2018

The average age of first use of alcohol for teen boys is 11 and 13 for teen girls. The average age of first exposure to pornography is 9. More teens are suffering from depression than any other time in our history due to too much screen time. Cyberbullying peaks in the 6th grade. What is happening in our culture and to our children’s neurodevelopment as a result of it? Engaging in high-risk behavior as a teen increases the chance of struggling with addiction as an adult by up to 90% due neurodevelopmental exposure and priming of the mesolimbic reward system. The Neuroscience of High-Risk Behavior elucidates how substances and other risky behavior, such as technology overuse, affect healthy neurodevelopment and how these effects impair adult functioning as well as implications for prevention and treatment. Practical, every-day parenting solutions and clinical techniques will be discussed.
Where do we come from, where are we now, and where are we going? The Evolution of Collegiate Recovery Science
Authors: Ashford Robert D , Brown Austin M , Kimball Thomas
Published: September 2018

Attendees will be provided with a brief history/timeline of collegiate recovery as a field, through the lens of research (with a focus on the explosive growth in knowledge in the last decade). This initial presentation will be followed by a synopsis of the current state of collegiate recovery science, focusing on recent studies in the field (CRP alumni survey; meta-reviews; and any large impact studies published in the last year up to month of the conference). The session will end with a presentation on the directions for the future, making clear calls that not only does the research need to continue and in what suggested ways, but also serving to inspire students to engage in the process as they are our best hope to continue the work in innovative ways we haven't thought of. The current landscape of collegiate recovery research and recovery science overall. Additionally, attendees will be able to describe future directions for this type of inquiry.