bluuebunny/crossref_metadata_2025_split huggingface dataset:
Blood Alcohol Concentration Is Associated With Improved AIS Motor Score After Spinal Cord Injury
Authors: Volovetz Josephine , Roach Mary Joan , Stampas Argyrios , Nemunaitis Gregory , Kelly Michael L. 
Published: January 2021

Objective:
To investigate the relationship between blood alcohol concentration (BAC) and neurologic recovery after traumatic spinal cord injury (TSCI) using standardized outcome measures from the International Standards for the Neurological Classification of Spinal Cord Injury (ISNCSCI) examination.

Method:
This is a retrospective review of merged, prospectively collected, multicenter data from the Spinal Cord Injury Model Systems Database and institutional trauma databases from five academic medical centers across the United States. Patients with SCI and a documented BAC were analyzed for American Spinal Injury Association Impairment Scale (AIS) motor score, FIM, sensory light touch score, and sensory proprioception score upon admission and discharge from rehabilitation. Linear regression was used for the analysis.

Results:
The study identified 210 patients. Mean age at injury was 47 ± 20.5 years, 73% were male, 31% had an AIS grade A injury, 56% had ≥1 comorbidity, mean BAC was 0.42 ± 0.9 g/dL, and the mean Glasgow Coma Score upon arrival was 13.27 ± 4.0. ISNCSCI motor score gain positively correlated with higher BAC (4.80; confidence interval [CI], 2.39–7.22; p &lt; .0001). FIM motor gain showed a trend toward correlation with higher BAC, although it did not reach statistical significance (3.27; CI, −0.07 to 6.61; p = .055). ISNCSCI sensory light touch score gain and sensory proprioception score gain showed no correlation with BAC (p = .44, p = .09, respectively).

Conclusion:
The study showed a positive association between higher BAC and neurologic recovery in patients with SCI as measured by ISNCSCI motor score gain during rehabilitation. This finding has not been previously reported in the literature and warrants further study to better understand possible protective physiological mechanisms underlying the relationship between BAC and SCI.
Linking Individual Data From the Spinal Cord Injury Model Systems Center and Local Trauma Registry: Development and Validation of Probabilistic Matching Algorithm
Authors: Chen Yuying , Wen Huacong , Griffin Russel , Roach Mary Joan , Kelly Michael L. 
Published: January 2021

Background:
Linking records from the National Spinal Cord Injury Model Systems (SCIMS) database to the National Trauma Data Bank (NTDB) provides a unique opportunity to study early variables in predicting long-term outcomes after traumatic spinal cord injury (SCI). The public use data sets of SCIMS and NTDB are stripped of protected health information, including dates and zip code.

Objectives:
To develop and validate a probabilistic algorithm linking data from an SCIMS center and its affiliated trauma registry.

Method:
Data on SCI admissions 2011–2018 were retrieved from an SCIMS center (n = 302) and trauma registry (n = 723), of which 202 records had the same medical record number. The SCIMS records were divided equally into two data sets for algorithm development and validation, respectively. We used a two-step approach: blocking and weight generation for linking variables (race, insurance, height, and weight).

Results:
In the development set, 257 SCIMS-trauma pairs shared the same sex, age, and injury year across 129 clusters, of which 91 records were true-match. The probabilistic algorithm identified 65 of the 91 true-match records (sensitivity, 71.4%) with a positive predictive value (PPV) of 80.2%. The algorithm was validated over 282 SCIMS-trauma pairs across 127 clusters and had a sensitivity of 73.7% and PPV of 81.1%. Post hoc analysis shows the addition of injury date and zip code improved the specificity from 57.9% to 94.7%.

Conclusion:
We demonstrate the feasibility of probabilistic linkage between SCIMS and trauma records, which needs further refinement and validation. Gaining access to injury date and zip code would improve record linkage significantly.
Development of a Participatory Health Care Model for Farmers and Stakeholders Involved in Snakeskin Gourami Fish Farming in Bang Bo District, Samutprakarn Provinces, Thailand
Authors: NANTAPORN Surawit , PIWPONG Ratchanee , KONGPROM Supaporn , CHATHOUAN Thanyaporn , CHANNAK Sirinant , CHUAICHAROEN Pavadee , KURUSTIEN Nopporn , KHUNGTUMNEAM Kamontip , SINTHUPIBULYAKIT Chompunoot , WIKAINAPAKUL Kornwipa , SUTTIRAT Sarawut , DURONGRITICHAI Vanida 
Published: January 2021

The present study was based on a participatory action research (PAR) design with the objectives of developing a participatory health care model for farmers and stakeholders involved in snakeskin gourami fish farming in Bang Bo District. The study was conducted from May 1, 2017 - April 30, 2018. The sample was composed of 85 people who were fish farmers, fish pond owners, and fish farming laborers involved in the processing and distribution of snakeskin gourami, 35 VHVs (village health volunteers), 1 registered nurse, and 1 administrator of a Tambon Health Promoting Hospital (THPH) for a total of 122 subjects. The PAR process involved 3 stages: Stage 1- Situation Analysis, Stage 2 - Participatory Action Research Process, and Stage 3 - Outcome Evaluation.
The findings revealed 2 types of health problems: 1) work-related problems: incorrect work behaviors such as lifting heavy objects 1 - 5 times per day, repetitive work postures/positions causing aching bones and muscles and working fast to obtain large amounts and finish in time until work-related accidents occur such as knife cuts, pricked fingers from fish fins and slips/fallsand 2) Risks and illnesses caused by chronic disease. The synthesis of the participatory health care model disclosed that the health care activities covered 4 dimensions, encompassing health promotion, disease prevention, treatment, and recovery. The sample had a high level of satisfaction in the organization of the project at a mean of 4.40 of 5 points.
PENERAPAN METODE DEMONSTRASI UNTUK MENINGKATKAN KETERAMPILAN MERANGKAI PERALATAN DESTILASI
Authors: - Siti Nurjanna 
Published: January 2021

Guru harus mampu melibatkan siswa dalam proses pembelajaran untuk menemukan materi yangdipelajari sehingga dapat mendorong siswa untuk menerapkannya di kehidupan sehari-hari. Permasalahan yang terjadi di SMK khususnya SMK-SMTI Pontianak adalah adanya miskonsepsi siswa dalam merangkai peralatan destilasi. Selain itu, siswa merasa kebingungan ketika memasang selang kondensor untuk jalur dan arah air pendingin. Hal ini disebabkan karena saat praktikum siswa hanya membaca instruksi kerja pada jobsheet tanpa adanya peragaan. Untuk mengatasi permasalahan tersebut dapat diterapkan metode demonstrasi. Penelitian ini bertujuan untuk meningkatkan keterampilan merangkai peralatan destilasi melalui metode demonstrasi. Penelitian ini merupakan Penelitian Tindakan Kelas (PTK) yang terdiri dari 2 siklus. Obyek penelitian adalah siswa kelas XI F yang berjumlah 16 siswa. Teknik pengumpulan data menggunakan observasi dan tes keterampilan merangkai peralatan destilasi. Teknik analisis data menggunakan analisis kualitatif. Hasil penelitian menunjukkan terjadi peningkatan keterampilan merangkai peralatan destilasi dengan menerapkan metode demonstrasi. Ketuntasan belajar pada siklus I sebesar 75% dan meningkat menjadi 93,75% pada siklus II sehingga besar peningkatan yaitu 18,75%. Nilai rata-rata keterampilan siswa meningkat dari 76 pada siklus I menjadi 85 pada siklus II sehingga besar peningkatan yaitu 9. Dengan demikian disimpulkan bahwa penerapan metode demonstrasi dapat meningkatkan keterampilan merangkai peralatan destilasi siswa.
Kata kunci: demonstrasi, destilasi, keterampilan merangkai
PERAN BPJS KESEHATAN PADA PENINGKATAN KESEJAHTERAAN EKONOMI MASYARAKAT DI MONTERADO STUDI TERHADAP IBU HAMIL
Authors: Deffrinica  
Published: January 2021

Tujuan penelitian ini adalah untuk melihat tingkat kesejahteraan ibu hamil sebelum dan sesudah memperoleh BPJS kesehatan. Penelitian disajikan dengan pendekatan deskriftif kualitatif. Data diperoleh melalui metode Focus Group Discussion (FGD) dan wawancara terstruktur dengan angket (kuisioner). Sampel penelitian ini adalah ibu hamil desa Goa Boma yang berjumlah 24 orang. Hasil penelitian ini menunjukan bahwa sebagian besar ibu hamil merasakan manfaat dari layanan kesehatan ketika akan melahirkan bahkan ketika pemulihan. Dengan memanfaatkan layanan BPJS Kesehatan ini, mereka dapat melakukan penghematan biaya pemeriksaan kesehatan dan persalinan. Pendapatan mereka dapat dimanfaatkan untuk kebutuhan rumah tangga lainnya dan atau untuk memenuhi kebutuhan anak yang sudah dilahirkan. Meskipun kelas layanan kesehatan yang mereka dapatkan adalah kelas dua dan tiga, tetapi pelayanan yang mereka dapatkan dinilai ‘cukup’.
Kata Kunci: BPJS Kesehatan, Tingkat Kesejahteraan Ekonomi, Ibu Hamil, FDG.
ANALISIS PENGARUH NILAI TUKAR RUPIAH ATAS DOLAR AS DAN UTANG NEGARA TERHADAP INDEKS HARGA SAHAM GABUNGAN (IHSG) DAN IMPLIKASINYA PADA PRODUK DOMESTIK BRUTO (PDB) INDONESIA
Authors: Vinsensius Vinsensius , Assih Prihat , Apriyanto Gaguk 
Published: January 2021

Tujuan penelitian ini untuk menganalisis pengaruh nilai tukar rupiah atas dolar AS dan utang negara terhadap IHSG dan implikasinya pada PDB Indonesia. Penelitian ini menggunakan metode kuantitatif. Data penelitian menggunakan data time series triwulan (Januari, April, Juli, Oktober) mulai dari tahun 2010 – 2018 yang didapatkan melalui website Bank Indonesia, Kementerian Keuangan Republik Indonesia, Bursa Efek Indonesia dan Kementerian Perdagangan Republik Indonesia. Metode analisis data menggunakan path analysis. Hasil penelitian didapatkan nilai tukar rupiah atas dolar AS tidak berpengaruh signifikan terhadap IHSG dengan nilai sebesar 0,246, utang negara berpengaruh signifikan terhadap IHSG dengan nilai sebesar 0,000, nilai tukar rupiah atas dolar AS berpengaruh signifikan terhadap PDB dengan nilai sebesar 0,000, utang negara berpengaruh signifikan terhadap PDB dengan nilai sebesar 0,000, IHSG berpengaruh signifikan terhadap PDB dengan nilai sebesar 0,001, nilai tukar rupiah atas dolar AS tidak berpengaruh terhadap PDB Indonesia melalui IHSG dengan nilai pengaruh langsung sebesar 0,399 lebih besar dari pengaruh tidak langsung sebesar 0,090 dan utang negara berpengaruh terhadap PDB Indonesia melalui IHSG dengan nilai pengaruh langsung sebesar 0,364 lebih kecil dari pengaruh tidak langsung sebesar 0,447.
A Soldier’s Post-Traumatic Stress Disorder in Kevin Power’s The Yellow Birds
Authors: Satriawan Faizal Yusuf , Rahayu Mundi 
Published: January 2021

Post-traumatic stress disorder (PTSD) develops in some individuals who have real-life experience with psychological problems such as shocking, scary, or dangerous events (Davison, 2006). This paper aims at uncovering PTSD in Kevin Powers' The Yellow Birds novel that underlies the behavior of the main characters, Private John Bartle. In the context of war, soldiers often face deadly situations in the middle of warfare. This experience is a kind of horrible death, such as the worst experiences that can be made these people vulnerable and psychologically affected, such as psychosis. This research discusses the causes, symptoms, and the impact of PTSD that occur to the Private John Bartle, the main character. The researcher uses the theory of post-traumatic stress disorder development by Gerald C Davison. The results of the analysis show that: (1) The main cause of post-traumatic stress disorder suffered by Bartle is the tragic death of his best friend on the battlefield, the adverse effects of the war occurred recently; (2) The process of re-experiencing the symptoms experienced by the main character of the novel The Yellow Birds began when Bartle finished his service as a service member who served in the Iraq war; (3) The effect of post-traumatic stress disorder was finally found after the post-traumatic stress disorder suffered by Private John Bartle ended his deployment in the Iraq war. For further studies, it is suggested a comprehensive viewpoint in implementing this approach for the new researcher who has been engaging in related fields of post-traumatic stress disorder. The Yellow Birds novel by Kevin Powers can be used as an illustration of how a post-war soldier struggling with his post-traumatic stress disorder when he comes home.
Supervivencia a largo plazo posterior a la radioterapia definitiva combinada con terapia sistémica en carcinoma de células escamosas de cabeza y cuello localmente avanzado en una sola práctica médica en Medellín, Colombia.
Authors: Lema-Medina Mauricio , Lema-Calidonio Camila , Preciado Beatriz Elena , Quiceno Diana Marcela , Mora Sandra Paulina 
Published: January 2021

Objetivo: Dar a conocer los resultados de supervivencia en una cohorte de pacientes con carcinoma de células escamosas de cabeza y cuello localmente avanzado tratados en Colombia.
Materiales y métodos: Estudio observacional, retrospectivo, con análisis de supervivencia. Se obtuvieron las características clínicas y los resultados de los pacientes adultos con carcinoma de células escamosas de cabeza y cuello localmente avanzado, tratados entre 2001 y 2018 en una sola práctica médica en Colombia. Se realizó el análisis de supervivencia con curvas de Kaplan-Meier. Se utilizó el paquete estadístico SPSS v 22.
Resultados: Se incluyeron 60 pacientes, el 70% hombres. El 30% presentaron carcinomas orofaríngeos. Se encontraron 29(48,3%) pacientes en estadio IVA. La cirugía con intención curativa se realizó en 17(28,3%). Se administró quimiorradioterapia o bioradioterapia concomitante a base de cisplatino con cetuximab a 29(48,3%) y 12(20%) pacientes, respectivamente; mientras que 19 (31,7%) fueron tratados con radioterapia y quimioterapia en varios enfoques secuenciales o alternos. No hubo muertes relacionadas con el tratamiento en esta cohorte. En los 41 pacientes tratados con radioterapia concomitante con cisplatino o cetuximab, la supervivencia a los 50 meses fue del 75,5%, y no se registraron más progresiones ni muertes en el seguimiento posterior. La mediana de seguimiento fue de 35, 2 (14,8- 73,8 meses). Tanto la mediana para la supervivencia global como para la supervivencia libre de enfermedad fue de 118,9 meses (IC95%: 0-1). Al comparar la supervivencia global entre los pacientes que pertenecen al régimen de salud subsidiado versus contributivo, se encontraron diferencias estadísticamente significativas (HR 3,9; IC 95%: 1,5 -10,5; p <0,01).
Conclusión: La integración de la terapia sistémica a la radioterapia definitiva en el tratamiento de este carcinoma en Colombia resultó en una supervivencia similar a la de los países desarrollados.
Supervivencia de mujeres jóvenes con cáncer de mama en el Instituto de Cancerología Las Américas entre 2007 y 2016
Authors: Montoya-Restrepo María , Barcenas Carlos , Gómez-Wolf Rodolfo , Cock-Rada Alicia , Castaño-Vasquez Mileny , García-García Héctor 
Published: January 2021

Antecedentes: La incidencia de Cáncer de Mama (CaMa) en jóvenes latinoamericanas es 20 %, en Colombia fluctúa entre 10 y 24 %. Su gravedad se atribuye al diagnóstico en estadios avanzados, mayor frecuencia de tumores triple negativo y HER2+.
Objetivo: Describir la supervivencia global (SG) de mujeres ≤40 años con CaMa infiltrante operadas en el Instituto de Cancerología Las Américas auna (Medellín-Colombia), entre 2007-2016.
Materiales y métodos: Estudio de seguimiento de una cohorte retrospectiva con datos del registro institucional. La supervivencia se calculó desde el diagnóstico hasta la fecha del último control médico o muerte. Se elaboraron curvas de supervivencia de Kaplan Meier y se compararon con log rank test.
Resultados. En el periodo se operaron 4.059 mujeres, de estas 390 (9.6 %) tenían ≤40 años, 365 pacientes cumplieron criterios de inclusión. Al diagnóstico 67 (18.3 %) estadio I, 152 (41.6%) estadio II, 140 (38.3%) estadio III y 6 (1.6%) estadio IV. Por subtipos moleculares hubo 87 (24.1 %) Luminal A, 152 (42.1 %) Luminal B HER2-, 72 (19.9 %) Luminal B HER2+, 17 (4.7 %) HER2- enriquecido y 33 (9.1 %) Triple Negativo. 24.4 % de pacientes fueron HER2-positivas. Tuvieron recaída loco-regional 34 (9.3 %) pacientes y 132 (36.2 %) desarrollaron metástasis a distancia. La mediana de seguimiento fue 60 meses (rango 8-142 meses) y la SG de 81.3% (IC95 %: 76.3-85.4). La SG de tumores triple negativo fue la más baja, 67.7% (IC95 %: 48-81.3).
Conclusiones. Se encontró mayor porcentaje de pacientes con cáncer Luminal B y HER2 positivo a lo reportado en la literatura. La SG fue similar a las reportadas por otros estudios y menor en estadios avanzados y tumores triple negativo.
Débordement, transfert interpersonnel et les perceptions des mères et pères de leur relation coparentale
Authors: Bernard-Giroux Coralie , Lessard Catherine , Dubé Laurence , Pierce Tamarha 
Published: January 2021

Cette étude examine la présence de débordement, de transfert interpersonnel et de différences de genre dans la perception de la qualité des relations coparentales (PQRC) de parents d’un jeune enfant. Les données sont issues d’un projet mené auprès de 54 couples dont le premier enfant avait 19 mois. À la maison et lors d’une visite en laboratoire, chacun des conjoints a rempli des questionnaires autorapportés incluant des mesures sociodémographiques, du niveau de difficulté de l’enfant, de leur bien-être subjectif, de leur stress perçu, de leurs conflits et satisfaction conjugale et de leur PQRC. Le bien-être subjectif et la satisfaction conjugale des pères, de même que le stress perçu et le conflit conjugal rapporté par les mères corrèlent significativement avec leur PQRC, appuyant l’hypothèse de débordement. De plus, le stress perçu et la satisfaction conjugale des pères corrèlent significativement avec la PQRC des mères, appuyant l’hypothèse de transfert interpersonnel. Les résultats n’appuient pas cette hypothèse pour les pères et ne révèlent aucune différence de genre significative. Cette étude soutient la nécessité de prendre en compte les perspectives et expériences distinctes des pères et des mères afin de comprendre leur relation coparentale ou intervenir auprès du couple coparental.
Effets de l'utilisation d'instagram sur l'insatisfaction corporelle des jeunes femmes
Authors: Chartrand Amélie , Lavoie Émélie , Lemay-Langlois Aurélie , Richard Marie-Claude 
Published: January 2021

L’utilisation d’Instagram (IG) peut influencer négativement l’image corporelle des jeunes en transition à la vie adulte, alors qu’ils sont plus réceptifs aux influences médiatiques. Les effets négatifs de l’utilisation d’IG sont particulièrement importants chez les jeunes femmes. Peu d’études se sont intéressées spécifiquement à IG et au rôle que peut jouer la littératie médiatique dans sa relation avec l’insatisfaction corporelle. Le présent projet s’intéresse aux liens entre l’utilisation d’IG et l’insatisfaction corporelle chez les Québécoises âgées de 18 à 24 ans, ainsi qu’au rôle médiateur de la littératie médiatique. L’échantillon comporte 77 participantes âgées en moyenne de 21 ans. Le questionnaire en ligne utilisé dans cette étude est composé d’un questionnaire maison, d’une traduction de 10 items du Media Attitudes Questionnaire (MAQ) et de l’Échelle d’Estime Corporelle. Les résultats montrent que la fréquence d’utilisation d’IG est corrélée significativement et négativement à l’insatisfaction corporelle et que cette relation n’est pas médiée ni modérée par la littératie médiatique. Cette recherche permet de pallier certaines lacunes identifiées dans les écrits consultés. Elle éclaire notamment le caractère multifactoriel de la relation entre l’utilisation d’IG et l’insatisfaction corporelle. Elle fournit également des pistes d’intervention intéressantes autour des notions de body positivity et de littératie médiatique.
L'évolution de l'activité physique chez des femmes ayant un cancer du sein
Authors: Girouard Alice , Michel Alexandra , Ouellet Marie-Michèle , Guimond Anne-Josée , Ivers Hans , Savard Josée , Ruel Sophie 
Published: January 2021

Cette étude, menée chez des femmes traitées pour un cancer du sein par chimiothérapie, vise à : (1) dresser un portrait longitudinal global de l’évolution de l’AP mesurée subjectivement (Godin Leisure-Time Exercise Questionnaire; GLTEQ) et objectivement (actigraphe) du pré-traitement jusqu’à six mois post-traitement; (2) étudier la présence de différences individuelles et identifier les différents profils de trajectoires d’AP; (3) investiguer l’effet modérateur du niveau initial d’AP au T1 sur la trajectoire d’AP subséquente; et (4) identifier les variables sociodémographiques et médicales associées aux trajectoires d’AP. Un effet temps significatif a été observé. Les résultats objectifs et subjectifs montrent une diminution significative pendant les traitements pour remonter significativement par la suite. Pour les données subjectives, deux trajectoires distinctes permettent de caractériser l’évolution de l’AP des participantes au GLTEQ, alors que quatre trajectoires caractérisent les données objectives. Les participantes ayant un niveau d’AP subjectif faible au T1 deviennent significativement plus actives au fil du temps, alors que pour la mesure objective, c’est plutôt un niveau élevé d’AP au T1 qui est associé à une augmentation de l’AP dans le temps. Finalement, aucune association entre les trajectoires subjectives d’AP et les variables sociodémographiques et médicales ne s’est avérée significative.
Lien entre le stress parental et la sensibilité maternelle entre six et 18 mois
Authors: Poveda Perdomo Catherine , Bergeron Claudia , Yergeau Mathilde , Savage Laura-Émilie , Gauthier-Légaré Audrey , Lemelin Jean-Pascal , Provost Marc , M. Tarabulsy George 
Published: January 2021

De nombreuses études ont démontré que le stress parental (SP) affecte la qualité des interactions mère-enfant. En effet, de nombreux auteurs proposent que le stress et la détresse que peuvent expérimenter les parents dans leur rôle parental puissent avoir une influence importante sur la sensibilité maternelle (SM) (Cmic & Low, 2002; Deater-Deckard, 1998; Neuhauser, 2018). Cependant, il est possible que les effets entre le SP et la SM lors d’interactions puissent être bidirectionnels (Booth & al., 2018). Ainsi, des niveaux élevés d’insensibilité donneraient lieu à des difficultés comportementales et émotionnelles chez l’enfant, pouvant être à la base d’expériences de SP. Cette étude examine les liens entre le SP et la SM lors d’interactions mère-enfant lorsque l’enfant est âgé de 6, 10, 15 et 18 mois. L’échantillon comprend 160 dyades mère-enfants. La SM est évaluée avec une mesure observationnelle (MBQS) et le SP avec un questionnaire autorapporté (PSI). Les résultats montrent un seul lien bidirectionnel, soit entre le SP à 10 mois et la SM à 18 mois.