bluuebunny/crossref_metadata_2025_split huggingface dataset:
ANALISIS JALUR DALAM FUNGSI PELAYANAN TERHADAP LOYALITAS NASABAH DENGAN PURNA-PELAYANAN SEBAGAI VARIABEL INTERVENING: STUDI KASUS DI BPR PONOROGO
Authors: Khuzaini Khuzaini 
Published: February 2017

Drinking water District Company (PDAM) as a public service company must create professional service. The availability of fresh and healthy water is an important need for the dweller of Surabaya city because the pure water pollution remains in high degree, and the source of PDAM’s water fountain is limited. PDAM as a service company that serves the society need and concerns with the basic need of human being that has not been substituted yet. For that reason, PDAM is required to give professional services continuously. PDAM as the only one public company that has the highest customer list in the matter of complaining as written in mass media. So that, it needs evaluation and innovation forward the PDAM quality service.This research is done by survey in the form of questionnaire to the PDAM customer of Surabaya. Research sampling are 488 customers that consist of three groups of customer based on their experience of getting problem They are the group of uncomplicated customer, of complicated but can be solved customer, and of complicated and can not be solved customer.Using the technique of factor analysis, regression analysis, and chi-square simultaneously the quality of service influence toward the intention which is taken (behavioral intentions) for the complicated and can not be solved customer either simultaneously or partially the service quality that has not influenced toward the behavioral intentions of the PDAM customer of Surabaya.
PERAN VARIABEL PERILAKU BELAJAR INOVATIF, INTENSITAS KERJASAMA KELOMPOK, KEBERSAMAAN VISI DAN RASA SALING PERCAYA DALAM MEMBENTUK KUALITAS SINERGI
Authors: Sulasmi Siti 
Published: February 2017

This paper is an elaborated work on Sulasmi's research (2003) in the oil refinery company, North Sumatera and Liquidified Natural Gas in East Kalimantan, consisting of 100 workgroup in which there are 50 sub-work group in each group. The research identified the behavior of effective workgroup developing synergetic quality.The result identified is that innovative learning behavior and workgroup intensity contribute to synergetic quality development. The result occurred in the two companies observed. The innovative learning behavior dominated the power generating synergetic quality, nevertheless the workgroup intensity is also significantly determined. Furthermore, elaboration is found that although the variables of innovative learning behavior and workgroup intensity significantly affected synergetic quality, but if they are accompanied by mutual trust which has the greatest influence, consequently it sets the influential power of innovative learning behavior and workgroup intensity aside. From this further study, it was found that mutual trust is the primary drive of synergetic quality.The shared vision is able to support synergetic quality, especially when the shared vision also succeeds to create mutual trust among the group members. Due to the strong role of the mutual trust, and the shared vision also influences to form mutual trust relationship, therefore it needs further research to find out the source of mutual trust and how to create the shared vision.
Reinforcement effect and synergy of carbon nanofillers with different dimensions in high density polyethylene based nanocomposites
Authors: Xiang Dong , Wang Lei , Tang Yuhao , Hill Christopher J. , Chen Biqiong , Harkin-Jones Eileen 
Published: February 2017

AbstractA comparative study of unary and binary carbon nanofiller reinforced high density polyethylene (HDPE) composites with 4 wt.% nanofillers was carried out in order to assess the reinforcement effect and synergy of carbon nanofillers with different dimensions. Rheology and resistivity tests indicate that the relative effectiveness of generating rheological and conductive networks is as follows: multi-walled carbon nanotubes (MWCNTs) > carbon black (CB) > graphene nanoplatelets (GNPs), while the reinforcement effect in modulus is: GNPs > MWCNTs > CB, at the same loading. The resistivity of all the HDPE/CB/MWCNT composites is quite close to the that of HDPE/MWCNT composites, indicating CB may be a good replacement for MWCNTs considering the relatively low cost of CB. A synergistic effect in modulus is observed in the HDPE/GNP/MWCNT and HDPE/CB/MWCNT composites due to the formation of nanofiller–polymer–nanofiller network structures.
A proposed plan for personalized radiosurgery in patients with trigeminal neuralgia
Authors: Mousavi Seyed H. , Niranjan Ajay , Akpinar Berkcan , Monaco Edward A. , Cohen Jonathan , Bhatnagar Jagdish , Chang Yue-Fang , Kano Hideyuki , Huq Sakibul , Flickinger John C. , Dade Lunsford L. 
Published: February 2017

OBJECTIVEDuring the last 25 years, more than 100,000 patients worldwide with trigeminal neuralgia (TN) have undergone stereotactic radiosurgery (SRS) with a standard dose of radiation. However, the radiobiological effect of radiation is determined by the amount of energy delivered to the tissue (integral dose [ID] = mean dose × target volume) and is directly associated with the nerve volume. Although the trigeminal nerve volume varies among patients with TN, the clinical impact of this variation in delivered energy is unknown. The objective of this study was to evaluate the effect of delivered ID on the outcome of TN radiosurgery.METHODSThe authors evaluated 155 patients with unilateral TN who had undergone SRS as their initial surgical management over a 13-year period. The authors measured the postganglionic ID within the SRS target and retrospectively stratified patients into 3 groups: low (< 1.4 mJ), medium (1.4–2.7 mJ), and high (> 2.7 mJ) ID. Clinical outcomes, which included pain status (scored using the Barrow Neurological Institute Pain Scale) and sensory dysfunction (scored using the Barrow Neurological Institute Numbness Scale), were evaluated at a median follow-up of 71 months.RESULTSPatients who were treated with a medium ID had superior pain relief either with or without medications (p = 0.006). In the medium ID group, the rates of complete pain relief without medications at 1, 3, and 6 years after SRS were 67%, 54%, and 33%, respectively, while the rates in the rest of the cohort were 55%, 36%, and 19%, respectively. Patients given a high ID had a higher rate of post-SRS trigeminal sensory deterioration (p < 0.0001). At 1, 3, and 6 years after SRS, the high ID group had an estimated rate for developing sensory dysfunction of 35%, 45%, and 50%, respectively, while the rates in patients receiving low and medium IDs were 3%, 4%, and 9%, respectively. The optimal clinical outcome (maximum pain relief and minimal trigeminal sensory dysfunction) was obtained in patients who had received a medium ID.CONCLUSIONSWith current dose selection methods, nerve volume affects long-term clinical outcomes in patients with TN who have undergone SRS. This study suggests that the prescribed SRS dose should be customized for each TN patient based on the nerve volume.
Modification of surgical procedure for “probable” limited dorsal myeloschisis
Authors: Lee Ji Yeoun , Chong Sangjoon , Choi Young Hun , Phi Ji Hoon , Cheon Jung-Eun , Kim Seung-Ki , Park Sung Hye , Kim In-One , Wang Kyu-Chang 
Published: February 2017

OBJECTIVESince the entity limited dorsal myeloschisis (LDM) was proposed, numerous confusing clinical cases have been renamed according to the embryopathogenesis. However, clinical application of this label appears to require some clarification with regard to pathology. There have been cases in which all criteria for the diagnosis of LDM were met except for the presence of a neural component in the stalk, an entity the authors call “probable” LDM. The present study was performed to meticulously review these cases and suggest that a modified surgical strategy using limited laminectomy is sufficient to achieve the surgical goal of untethering.METHODSThe authors retrospectively reviewed the imaging findings, operative notes, and pathology reports of spinal dysraphism patients with subcutaneous stalk lesions who had presented to their institution between 2010 and 2014.RESULTSAmong 33 patients with LDM, 13 had the typical nonsaccular lesions with simple subcutaneous stalks connecting the skin opening to the spinal cord. Four cases had “true” LDM meeting all criteria for diagnosis, including pathological confirmation of CNS tissue by immunohistochemical staining with glial fibrillary acidic protein. There were also 9 cases in which all clinical, imaging, and surgical findings were compatible with LDM, but the “neural” component in the resected stalk was not confirmed. For all the cases, limited exposure of the stalk was done and satisfactory untethering was achieved.CONCLUSIONSOne can speculate based on the initial error of embryogenesis that if the entire stalk were traced to the point of insertion on the cord, the neural component would be proven. However, this would require an extended level of laminectomy/laminotomy, which may be unnecessary, at least with regard to the completeness of untethering. Therefore, the authors propose that for some selected cases of LDM, a minimal extent of laminectomy may suffice for untethering, although it may be insufficient for diagnosing a true LDM.
Does subjective improvement in adults with intracranial arachnoid cysts justify surgical treatment?
Authors: Rabiei Katrin , Hellström Per , Högfeldt-Johansson Mats , Tisell Magnus 
Published: February 2017

OBJECTIVESubjective improvement of patients who have undergone surgery for intracranial arachnoid cysts has justified surgical treatment. The current study aimed to evaluate the outcome of surgical treatment for arachnoid cysts using standardized interviews and assessments of neuropsychological function and balance. The relationship between arachnoid cyst location, postoperative improvement, and arachnoid cyst volume was also examined.METHODSThe authors performed a prospective, population-based study. One hundred nine patients underwent neurological, neuropsychological, and physiotherapeutic examinations. The arachnoid cysts were considered symptomatic in 75 patients, 53 of whom agreed to undergo surgery. In 32 patients, results of the differential diagnosis revealed that the symptoms were due to a different underlying condition and were unrelated to an arachnoid cyst. Neuropsychological testing included target reaction time, Grooved Pegboard, Rey Auditory Verbal Learning, Rey Osterrieth complex figure, and Stroop tests. Balance tests included the extended Falls Efficacy Scale, Romberg, and sharpened Romberg with open and closed eyes. The tests were repeated 5 months postoperatively. Cyst volume was pre- and postoperatively measured using OsiriX software.RESULTSPatients who underwent surgery did not have results on balance and neuropsychological tests that were different from patients who declined or had symptoms unrelated to the arachnoid cyst. Patients with a temporal arachnoid cyst performed within the normal range on the neuropsychological tests. Seventy-seven percent of the patients who underwent surgery reported improvement, yet there were no differences in test results before and after surgery. Arachnoid cysts in the temporal region and posterior fossa did not influence the preoperative results of neuropsychological and motor tests. The arachnoid cyst volume decreased postoperatively (p < 0.0001), but there was no relationship between volume reduction and clinical improvement.CONCLUSIONSThe results of this study speak against objectively verifiable improvement following surgical treatment in adults with intracranial arachnoid cysts.
Microsurgical versus endovascular interventions for blood-blister aneurysms of the internal carotid artery: systematic review of literature and meta-analysis on safety and efficacy
Authors: Shah Sumedh S. , Gersey Zachary C. , Nuh Mohamed , Ghonim Hesham T. , Elhammady Mohamed Samy , Peterson Eric C. 
Published: February 2017

OBJECTIVEBlood-blister aneurysms (BBAs) of the internal carotid artery (ICA) have a poor natural history associated with high morbidity and mortality. Currently, both surgical and endovascular techniques are employed to treat BBAs; thus, the authors sought to perform a meta-analysis to compare the efficacy and safety of these approaches.METHODSA literature search of PubMed, MEDLINE, and Google Scholar online databases was performed to include pertinent English-language studies from 2005 to 2015 that discussed the efficacy and safety of either surgical or endovascular therapies to treat BBAs.RESULTSThirty-six papers describing 256 patients with BBAs treated endovascularly (122 procedures) or surgically (139 procedures) were examined for data related to therapeutic efficacy and safety. Pooled analysis of 9 papers demonstrated immediate and late (mean 20.9 months) aneurysm occlusion rates of 88.9% (95% CI 77.6%–94.8%) and 88.4% (95% CI 76.7%–94.6%), respectively, in surgically treated patients. Pooled analysis of 12 papers revealed immediate and late aneurysm obliteration rates of 63.9% (95% CI 52.3%–74.1%) and 75.9% (95% CI 65.9%–83.7%), respectively, in endovascularly treated aneurysms. Procedure-related complications and overall poor neurological outcomes were slightly greater in the surgically treated cases than in the endovascularly treated cases (27.8% [95% CI 19.6%–37.8%] vs 26.2% [95% CI 18.4%–35.8%]), indicating that endovascular therapy may provide better outcomes.CONCLUSIONSBlood-blister aneurysms are rare, challenging lesions with a poor prognosis. Although surgical management potentially offers superior aneurysm obliteration rates immediately after treatment and at the long-term follow-up, endovascular therapy may have a better safety profile and provide better functional outcomes than surgery. A registry of patients treated for BBAs may be warranted to better document the natural course of the disease as well as treatment outcomes.
Comparison of the effects of bilateral and unilateral training after stroke: A meta-analysis
Authors: Lee Yejin , Kim Moon Young , Park Ji-Hyuk , Park Hae Yean 
Published: February 2017

BACKGROUND: The differential effects of bilateral and unilateral training on upper extremity (UE) function remain unclear. OBJECTIVE: To compare the effectiveness of bilateral and unilateral training on UE function and activities of daily living (ADL) after stroke. METHODS: Randomized controlled trials (RCTs) were selected for inclusion by two reviewers after searching the following databases: MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials (CENTRAL), and KoreaMed. Methodological qualities were assessed using the PEDro scale. Effect size was estimated by calculating the standardized mean difference (SMD). RESULTS: Eleven RCTs of sufficient quality were included in our meta-analysis. The effect size on UE capacity was statistically significant in favor of the Constraint-Induced Movement Therapy (CIMT) groups (SMD [fixed], g: – 0.34; 95% CI: – 0.59–0.08; p = 0.01; I2 = 0%). No other SMDs were significant. CONCLUSION: The CIMT tasks were more effective than bilateral training with regard to increased UE capacity; however, this result should be cautiously interpreted since the evaluation tools were designed for assessment of unilateral UE function, not bilateral UE function. Further, the effect of the CIMT tasks on UE capacity was not translated into ADL. Considering the disadvantages of CIMT such as fatigue, bilateral training may be more appropriate for improving ADL.
Improved functions and reduced length of stay after inpatient rehabilitation programs in older adults with stroke: A systematic review and meta-analysis of randomized controlled trials
Authors: Bindawas Saad M. , Vennu Vishal , Moftah Emad 
Published: February 2017

BACKGROUND: to examine the effects of inpatient rehabilitation programs on function and length of stay in older adults with stroke METHODS: A total of five electronic databases were searched for relevant randomized controlled trials that examined the effects of inpatient rehabilitation programs on functional recovery, as measured by the functional independence measure and length of stay, which was measured in days. We included full-text articles written in English, and no time limit. The methodological quality and risk of bias were assessed using the Physiotherapy Evidence Database Scale and the Cochrane collaboration tools respectively. The effect sizes and confidence intervals were estimated using fixed-effect models RESULTS: Eight randomized controlled trials involving 1,910 patients with stroke were included in the meta-analysis showed that patients who participated in the inpatient rehabilitation programs had significantly (p less than 0.05) higher functional independence measure scores (effect size = 0.10; 95 percent confidence interval = 0.01, 0.22) and shorter length of stay (effect size = 0.14; 95 percent confidence interval = 0.03, 0.22). CONCLUSIONS: This systematic review provided evidence that inpatient rehabilitation programs have beneficial effects, improving functionality and reducing length of stay for older adults with stroke.
Robot-assisted end-effector-based gait training in chronic stroke patients: A multicentric uncontrolled observational retrospective clinical study
Authors: Mazzoleni Stefano , Focacci Antonella , Franceschini Marco , Waldner Andreas , Spagnuolo Chiara , Battini Elena , Bonaiuti Donatella 
Published: February 2017

BACKGROUND: Until now studies report inconclusive results as regards the effectiveness of exclusive use of robot-assisted training and clinical indications in stroke patients. OBJECTIVE: To evaluate if the only robot-assisted end-effector-based gait training can be feasible in chronic stroke subjects in terms of gait recovery. METHODS: Five rehabilitation centers participated and one hundred chronic post-stroke patients were recruited. Patients underwent a robot-assisted end-effector-based gait training as only rehabilitation treatment. 6 Minute Walk Test, 10 Meter Walk Test, Timed Up and Go test, Modified Ashworth Scale, Motricity Index, Functional Ambulation Classification (FAC) and Walking Handicap Scale were used as outcome clinical measure. Patients were divided into two groups: those assessed as FAC <3 (Group 1) and as FAC ≥ 3 (Group 2). RESULTS: Statistically significant changes were observed in each clinical outcome measure. Significant changes were observed in Group 1 and in Group 2. Significant percentages of patients achieved Minimally Clinically Important Difference in 6 Minute Walk Test in Group 2 and Timed Up and Go test in Group 1. CONCLUSIONS: Chronic stroke patients exposed to only robot-assisted end-effector-based gait training showed significant improvements in global motor performances, gait endurance, balance and coordination, lower limbs strength and even spasticity.
Impact of the Brain Injury Family Intervention (BIFI) training on rehabilitation providers: A mixed methods study
Authors: Meixner Cara , O’Donoghue Cynthia R. , Hart Vesna 
Published: February 2017

BACKGROUND: The psychological impact of TBI is vast, leading to adverse effects on survivors and their caregivers. Unhealthy family functioning may be mitigated by therapeutic strategies, particularly interdisciplinary family systems approaches like the well-documented Brain Injury Family Intervention (BIFI). Little is known about the experience of providers who offer such interventions. OBJECTIVE: This mixed methods study aims to demonstrate that a structured three-day training on the BIFI protocol improves providers’ knowledge and confidence in working with survivors and families, and that this outcome is sustainable. METHODS: Participants were 34 providers who participated in an intensive training and completed a web-based survey at four points of time. Quantitative data were analyzed via Wilcoxon signed-rank tests and binomial test of proportions. Qualitative data were analyzed according to rigorous coding procedures. RESULTS: Providers’ knowledge of brain injury and their ability to conceptualize treatment models for survivors and their families increased significantly and mostly remain consistent over time. Qualitative data point to additional gains, such as understanding of family systems. CONCLUSIONS: Past studies quantify the BIFI as an evidence-based intervention. This study supports the effectiveness of training and serves as first to demonstrate the benefit for providers short- and long-term.
Multiple mediation path model of pain’s cascading influence on physical disability in individuals with SCI from Colombia, South America
Authors: Perrin Paul B. , Paredes Alejandra Morlett , Olivera Silvia Leonor , Lozano Juan Esteban , Leal Wendy Tatiana , Ahmad Usman F. , Arango-Lasprilla Juan Carlos 
Published: February 2017

BACKGROUND: Research has begun to document the bivariate connections between pain in individuals with spinal cord injury (SCI) and various aspects of health related quality of life (HRQOL), such as fatigue, social functioning, mental health, and physical functioning. OBJECTIVE: The purpose of this study was to construct and test a theoretical path model illuminating the stage-wise and sequential (cascading) HRQOL pathways through which pain increases physical disability in individuals with SCI in a sample from Colombia, South America. It was hypothesized that increased pain would lead to decreased energy, which would lead to decreased mental health and social functioning, which both would lead to emotional role limitations, which finally would lead to physical role limitations. METHODS: A cross-sectional study assessed individuals with SCI ( n = 40) in Neiva, Colombia. Participants completed a measure indexing various aspects of HRQOL. RESULTS: The path model overall showed excellent fit indices, and each individual path within the model was statistically significant. Pain exerted significant indirect effects through all possible mediators in the model, ultimately suggesting that energy, mental health, social functioning, and role limitations-emotional were likely pathways through which pain exerted its effects on physical disability in individuals with SCI. CONCLUSIONS: These findings uncover several potential nodes for clinical intervention which if targeted in the context of rehabilitation or outpatient services, could result in salubrious direct and indirect effects reverberating down the theoretical causal chain and ultimately reducing physical disability in individuals with SCI.
Association between gait variability, falls and mobility in people with multiple sclerosis: A specific observation on the EDSS 4.0-4.5 level
Authors: Kalron Alon 
Published: February 2017

BACKGROUND: We previously demonstrated that gait variability increases throughout the disease process in people with multiple sclerosis (PwMS). While gait variability tends to remain steady in the lower levels of disability, a significant increase occurs once patients reach the moderate neurological level. OBJECTIVE: To examine the relationship between variability of major spatio-temporal parameters of gait and falls, in PwMS with an expanded disability status scale score of 4.0 and 4.5. METHODS: The study included 91 PwMS, 50 women. Gait variability was studied using an electronic mat. Clinical gait measures included the Two-minute walk test, Timed Up and Go test and the Timed 25-foot walk. RESULTS: Fifty patients were classified as fallers, 41, non-fallers. The MS fallers presented a higher variability score in the step length (37.3% increase) and single support (28.2% increase) compared to participants in the non-fallers. Additionally, gait variability scores were significantly correlated with clinical walking tests. The strongest correlation scores were for variability of the step length. Pearson’s rho scores for the Timed Up and Go test, 2-min walk and Timed 25-foot walk were 0.541, – 0.448 and 0.425, respectively. CONCLUSIONS: This study confirms that gait variability is a potential treatment target for PwMS moderately disabled, in order to decrease risk of falls.