bluuebunny/crossref_metadata_2025_split huggingface dataset:
Poster (Knowledge Generation) ID 1969160
Authors: Furlan Julio C. , Loh Eldon , Boulos Mark I. 
Published: December 2023

Background
This ongoing cross-sectional study aims to examine the potential association between moderate-to-severe sleep apnea and severe cardiovascular dysfunction after spinal cord injury (SCI).

Methods
This cross-sectional study included participants who were newly diagnosed with sleep apnea using a home-based/hospital unattended sleep screening test that quantifies the apnea-hypopnea index (AHI). Episodes of AD were defined as a sudden increase in systolic blood pressure (BP) of at least 20 mmHg. We exclude episodes of AD during sleep that were caused by triggers other than apnea or hypopnea.

Participants
This study included English-speaking adults with subacute or chronic (≥1 month after SCI onset), cervical or high-thoracic (T6 or more cranial), complete or incomplete SCI, who reported clinical symptoms and/or signs suggestive of sleep apnea.

Results
This study included 45 individuals (14 females and 31 males; age range: 20 to 84 years, mean age: 57.0 years) with motor complete (n=22) or incomplete SCI at cervical (n=38) or high thoracic levels. Time since SCI varied from 1.5 months to 52 years. Their mean apnea-hypopnea index (AHI) was 16.0 events/hour (AHI range: 0.8 to 51.7 events/hour). Higher AHI was significantly correlated with more frequent silent episodes of AD (Rsqr=0.220, p=0.001) during sleep. The AHI was not associated with systolic BP (p=0.903), diastolic BP (p=0.639), mean arterial pressure (p=0.714), and heart rate (p=0.669) during sleep.

Conclusions
The results of this cross-sectional study suggest that more severe sleep apnea is associated with frequent silent episodes of AD during sleep among individuals living with cervical or high-thoracic SCI.
Workshop (Clinical/Best Practice Implementation) ID 1972517
Authors: Chernesky John , Kaiser Anita , Munro Barry , Walden Kristen , Gainforth Heather , Musselman Kristin E. 
Published: December 2023

Background/Objectives
Teams with diverse perspectives and experiences have been increasingly recognized for their ability to identify key issues and utilize creativity and problem solving to plan and implement research and clinical initiatives that lead to greater impact. Yet, often we are unsure how to best engage individuals with differing expertise, such as those with lived experience, clinicians, healthcare administrators, engineers, researchers, funders and policy experts. After completing this workshop, participants will be able to: 1) Understand the principles and value of meaningfully engaging with a diverse team when conducting research or clinical projects, 2) Identify strategies that can facilitate the meaningful engagement of individuals with differing expertise, and 3) Create a plan of engagement for a research study or clinical initiative.

Methods/Overview
A combination of lecture-based and case-based learning will be used to explain the guiding principles and best-practices for meaningful engagement and to discuss relevant resources, such as the North American Spinal Cord Injury (SCI) Consortium’s SCI Resource Advocacy Course and the Integrated Knowledge Translation Guiding Principles. Participants will be asked to apply these principles and practices to one of their own research or clinical initiatives through small group discussion. The Canadian Activity-Based Therapy (ABT) Community of Practice, which brings together diverse groups to address priorities for ABT research and clinical care, will be used as a case example during large group discussion.

Results
Not applicable.

Conclusions
Through this workshop, participants will gain knowledge and strategies that can be applied to facilitate meaningful engagement in research and clinical initiatives.
Poster (Clinical/Best Practice Implementation) ID 1984772
Authors: Sreenivasan Vidya , Curran Dorothyann , Chase Andrea 
Published: December 2023

Background/Objectives
Literature shows that patients with spinal cord injury place high importance on addressing sexual health issues such as fertility, physical functioning, understanding sensory changes and relationship counselling. In order to promote sexual health inclusivity for inpatients at our rehabilitation centre and to assist staff with initiating sexual health discussions, a series of steps was taken to promote sexual health as part of the rehabilitation program. All staff on the ward received a standardized training session and posters were put up around the Centre to promote sexual health for patients with spinal cord injury. A pamphlet for patients was developed and an introduction to sexual health was initiated by staff at two time points during the rehabilitation stay. All new inpatients, regardless of gender, age or disability severity, were offered the pamphlet and the introduction.

Methods
We conducted a chart review looking at patients before the pamphlet/standardized introduction versus after the implementation to support our hypothesis that patients who received the pamphlet and introduction would be more likely to engage in discussions about sexual health.

Results
More patients did pursue sexual health discussions with the rehab team after the pamphlet was introduced. However, many patients refused the pamphlet or further sexual health discussion. Demographically, patients who were younger were more likely to express interest in further sexual health discussions.

Conclusion
Use of an easy-to-implement tool (pamphlet) combined with a standardized introduction is useful for increasing interest in initiating sexual health discussion by inpatients with SCI.
Poster (Knowledge Generation) ID 1985240
Authors: D’Amico Jessica M. , Castillo Camilo , Rouffet David , Gorassini Monica , Satkunam Lalith 
Published: December 2023

Background
Following a spinal cord injury, there is a significant loss of monoamines below the lesion. In the rat model, exogenous administration of the serotonin precursor, 5-hydroxytryptophan (5HTP), increases neural excitability through augmentation of spinal serotonin levels. To determine whether this compensatory mechanism can be harnessed to restore serotonergic modulation in humans after SCI, participants visited the lab on four occasions where they received i) placebo, ii) carbidopa, iii) 50mg 5HTP+carbidopa, or iv) 100mg 5HTP+carbidopa in a randomized, crossover design. Cutaneomuscular reflexes (CMR) were obtained pre-drug and 30, 60, 90 and 120-min post-drug intake. Surface electromyography was also recorded during a pedalling movement pre- and post-drug.

Results
Nine participants with chronic, complete SCI (35.3±5.5 years) and four participants with chronic, incomplete SCI (47.0±19.7years) were enrolled. Following ingestion of 100mg 5HTP only, the short polysynaptic and long-lasting reflex components of the CMR were significantly increased by ∼ 86±61% and 58±17% respectively in individuals with complete SCI. No significant changes were noted in the cohort of individuals with incomplete SCI. Integrated EMG during pedalling was increased in multiple lower extremity muscles during the extension and flexion phases of the cycle following both 50-mg (82±15% and 51±7%) and 100-mg 5HTP (140±27% and 130±16%) in individuals with more severe injuries, but not in those with incomplete injuries.

Conclusion
Ingestion of 5HTP facilitates neural excitability and induces rhythmic muscle activity in previously inactive muscles during an assisted pedalling movement in individuals with chronic, complete SCI. This has significant clinical implications for rehabilitation after SCI.
Student Competition (Knowledge Generation) ID 1985735
Authors: Aliabadi Saina , Musselman Kristin , Hitzig Sander L , Jaglal Susn , Craven Beverley C. 
Published: December 2023

Background
Individuals with chronic spinal cord injury or disease (SCI/D) are at an increased risk of lower extremity fractures. Novel interventions, including nutraceuticals and pharmacotherapy, are being explored to reduce fracture-related morbidity and mortality.

Objective
This retrospective cohort study aims to evaluate the effectiveness of Denosumab injections with dietary calcium and vitamin D supplements on proximaltibia bone mineral density (BMD) in adults with low bone mass and chronic SCI/D.

Design/Methods
Adult patients with SCI/D over age 18 years, with a baseline distal femur or proximal tibia Z-score &lt;-2.0 or T-score &lt;-2.5 exposed to at least three doses of Denosumab 60mcg/1ml vial injections will consent to chart abstraction. The cumulative Denosumab dose will be the exposure variable. Calcium intake and vitamin D serum levels will be recorded as effect modifiers. Age, sex, and BMI will be recorded as potential confounders. The primary outcome will be the change in proximal tibia BMD from baseline and secondarily the incidence of lower extremity fracture(s).

Results/Findings
Demographic and impairment characteristics of the study population will be reported using appropriate descriptive statistics. The associations between mean BMD change and Denosumab exposure will be calculated and adjusted for confounders using an appropriate univariate/multivariate model based on sample size and data distribution.

Conclusion
This retrospective cohort study will determine the effectiveness of Denosumab injections (with calcium and vitamin D) for maintaining or increasing proximal tibia BMD among patients with chronic SCI/D. The study findings will have a significant impact on Denosumab prescribing practices.
Student Competition (Technology Innovation) ID 1986855
Authors: Fathian Ramin , Khandan Aminreza , Ho Chester , Rouhani Hossein 
Published: December 2023

Background
Up to 70% of individuals with spinal cord injury (SCI) experience shoulder injuries during their lifetime. Previous studies revealed a link between the risk of shoulder injury and propulsion-related kinetic and kinematic parameters that were measured using SMARTWheel or in-lab motion-capture systems. Despite their high accuracy, these systems are time and labour intensive and not commonly accessible.

Objective
To develop and validate a portable and accessible method to estimate the duration of the push phase using a hand-mounted inertial measurement unit (IMU).

Methods
Ten volunteers (7 males, 3 females, age: 28 ± 2 y.o.) consented to participate in the study. An IMU (3D acceleration and angular velocity, sampling frequency: 512 Hz) was attached to participant’s right hand while sitting on the instrumented wheelchair equipped with SMARTWheel (sampling frequency: 240 Hz). The SMARTWheel and IMU readouts were collected while participants were propelling the wheelchair. The peaks in the resultant acceleration and continuous wavelet transform coefficients obtained from IMU were used to identify the hand contact and release, and estimate the push phase duration.

Results
No significant differences (p-value = 0.97, 0.89, and 0.94, respectively) were observed between the parameters obtained for the hand contact and release instants and push duration estimated using IMU compared to SMARTWheel with mean errors (standard deviation) of 8.4 (15.2) ms, 3.8 (22.1) ms and −4.6 (24.6) ms, respectively.

Conclusion
These findings support the validity of using IMU as a portable alternative to the in-lab systems to estimate the push phase duration of manual wheelchair users.
Student Competition (Knowledge Generation) ID 1987946
Authors: Punjani Nayaab , Lemarchant Sighild , Altamentova Svetlana , Chio Jonathon , Wang Jian , Godfrin Yann , Fehlings Michael G. 
Published: December 2023

Background/Objectives
NX210c is a 12-amino acid peptide derived from conserved thrombospondin type 1 repeat sequences in the subcommissural organ-spondin, which has a unique multifunctional mechanism of action to ameliorate outcomes following neurological injuries. The aim of this study was to evaluate the efficacy of NX210c to promote functional recovery and tissue repair in a cervical traumatic spinal cord injury (SCI) model.

Methods/Overview
Adult female Wistar rats were subjected to a C6/C7 clip compression-contusion injury and treated once daily with intraperitoneal injections of NX210c (8 mg/kg) or its vehicle for 8 weeks, beginning 4 hours (h) or 8h post-injury (n=16-17/group), with concurrent neurobehavioural tests.

Results
Earlier NX210c administration at 4h increased forelimb grip strength (p&lt;0.05) and improved several static and dynamic aspects of locomotion including regularity index and base of support of the forelimbs (CatWalk) (p&lt;0.05). Delaying initial administration of NX210c to 8h, promoted weight gain, accelerated bladder control recovery from 14 to 9 days post-injury, and improved trunk balance (inclined plane) as early as one-week post-injury (p&lt;0.05). 94% of NX210c-treated rats compared to 75% of vehicle controls observed weight support at the delayed initial injection timepoint. Histology (n=6/group) demonstrated greater white matter preservation and reduced cavity size at the injury epicenter, and higher neuronal soma counts caudally, with NX210c starting 8h post-injury compared to the vehicle (p&lt;0.05).

Conclusions
NX210c targets various aspects of SCI, improving motor function, bladder control, white matter preservation, and neuronal counts, with more benefits observed at the later initial injection timepoint.
Workshop (Clinical/Best Practice Implementation) ID 2000430
Authors: Furlan Julio C. , Aibe Mitsue S. , Boulos Mark I. 
Published: December 2023

Background/Objectives
Sleep disorders are more common among individuals living with spinal cord injury and spinal cord disease (SCI/D) than among non-disabled people. Upon completion of this workshop, attendees will (1) understand the pathophysiology, diagnosis, classification, clinical consequences and management of the most common sleep disorders in non-disabled people; (2) recognise the current knowledge, knowledge gaps, and recently research-generated knowledge on sleep disorders in individuals living with SCI/D; and (3) appreciate the use of an educational tool to raise awareness on sleep disorders among individuals with SCI/D.

Methods/Overview
This workshop will include two 20-minute lectures with illustrative cases followed by open discussion on the following topics: (i) pathophysiology, diagnosis, classification, clinical consequences and management of the most common sleep disorders in non-disabled people; and (ii) the current knowledge, knowledge gaps, and recently research-generated knowledge on sleep disorders in individuals living with SCI/D. Finally, an example of educational tool on sleep for individuals living with SCI/D will be presented.

Results
Untreated sleep disorders can have significant short-term and long-term consequences. Early diagnosis and timely treatment is key in the prevention or mitigation of consequences of sleep disorders. Proper management of sleep disorders can have psychosocial and functional impacts on the lives of individuals with SCI/D; it may also mitigate other secondary medical conditions after SCI/D. Finally, there is a pressing need to raise awareness of this issue among individuals living with SCI/D and healthcare professionals.

Conclusion
Sleep disorders are common and understudied in the SCI/D population. Early diagnosis and proper treatment is key to improve the lives of individuals with SCI/D and, likely, reduce other secondary medical conditions from SCI/D. Raising awareness on sleep disorders among individuals with SCI/D is needed.
Poster (Knowledge Generation) ID 2002621
Authors: Jacquemin Géraldine , Dansereau Catherine , Ménard Philippe , Dubois Josée , Maes Véronique , Jaloux Charlotte , Oiknine Noah , Boghossian Elie , Tremblay Dominique 
Published: December 2023

Background
Nerve transfer surgery for patients with spinal cord injury (SCI) is an emergent practice for upper extremity reconstruction currently being implemented in a few clinical settings around the world. In 2019, we implemented an interdisciplinary clinic for upper extremity care in tetraplegic patients. Since the beginning of this collaboration, thirteen patients underwent nerve transfer surgery and followed a specific two-year rehabilitation protocol.
Presentation objectives:

Methods
Thirteen patients underwent a surgical reconstruction of their upper extremity. They followed a rehabilitation process with occupational therapists and physiotherapists. So far, eight patients have completed their two-year rehabilitation process. Routine outcome assessments were collected at 0, 6, 12, 24 months following the surgery.

Results
Twenty-four arms were operated, for a total of 51 nerve transfers. We will present our epidemiological data, details of the surgeries and results on hand opening, grip and pinch strength, functional testing, as well as satisfaction questionnaires.

Conclusion
Nerve transfer surgery is an exciting and innovative technique for our SCI patients. An interdisciplinary setting is the key to success. Our data shows that this surgery, well planned and accompanied by proper rehabilitation, is a promising avenue to improve upper extremity function in people with cervical spinal cord injury.
Poster (Clinical/Best Practice Implementation) ID 2004606
Authors: Milligan James , Lee Joseph , Harrison Allison , MacGregor Kathleen 
Published: December 2023

Background/Objectives
The Centre for Family Medicine Primary Care Mobility Clinic has been active in developing collaborations at various institutions to further the overall research and clinical objectives of serving individuals with spinal cord injuries (SCI). From these initiatives, The Circulus SCI Primary Care Network (Circulus Network) was established to spark intentional collaborative research, education, training and service in primary care for individuals with SCI.

Objectives
The Circulus Network aims to bridge the gaps in primary care for individuals with SCI through research, education, increasing primary care resources, networking with various stakeholders and general advocacy.

Methods/Overview
The Circulus Network is comprised of a Steering Committee and working groups that are representative of key stakeholders. These groups meet on a rotating monthly basis and are supported by a group process consultant. The Circulus Network informs best practice guidelines and improves knowledge translation by hosting quarterly interactive webinars on topics related to SCI and primary care as well as bi-annual Summits.

Results
Since 2021, The Circulus Network has hosted 9 webinars on SCI-related topics with good attendance by network participants. It also hosted a Summit in 2021 in which participants discussed priority planning topics and leveraged expertise to develop action steps. The Steering Committee is planning another Summit for February 2024.

Conclusions
Using our extensive knowledge of primary care for individuals with SCI, we will continue to strengthen and develop the formalized network of patients, care partners, clinicians, researchers, and educators to support primary care of individuals with spinal cord injuries.
THE POTENTIAL OF ENTREPRENEURSHIP SKILL DEVELOPMENT IN INCREASING THE INCOME OF WOMEN ORANG ASLI
Authors: RODDIN ROHAYU , YUSOF YUSMARWATI , IBRAHIM MUKHTAR MARINA , AWANG HALIZAH , NATRAH ABBAS LUTFIAH , HAMZAH NORKHAIROLIZAH 
Published: December 2023

Backwardness and poverty are identified as the main challenges faced by the government in efforts to effectively develop the Orang Asli community. This high level of poverty is closely related to the type of job, the problem of land ownership status, and the low level of education among the Orang Asli community. Entrepreneurship development skill is one potential that can contribute income to this group. The role of women in making the community development process a success is seen as a holistic solution that can contribute to the country's economic progress. Mah Meri woman is as example of successful entrepreneur development. Women of the Mah Meri tribe can be able to market their products, skills, and abilities through the production of their handicrafts. The findings of the study show that entrepreneurship skills can bring about significant changes where the women of the Mah Meri indigenous tribe can increase their income compared to before becoming an entrepreneur. Through this study, it is hoped to provide a clear picture of the potential of entrepreneurship skill development in increasing the income of Orang Asli women.

Kemunduran dan kemiskinan dikenal pasti sebagai cabaran utama yang dihadapi kerajaan dalam usaha membangunkan masyarakat Orang Asli dengan berkesan. Tahap kemiskinan yang tinggi ini berkait rapat dengan jenis pekerjaan, masalah status pemilikan tanah, dan tahap pendidikan yang rendah dalam kalangan masyarakat Orang Asli. Kemahiran pembangunan keusahawanan merupakan satu potensi yang boleh menyumbang pendapatan kepada golongan ini. Peranan wanita dalam menjayakan proses pembangunan masyarakat dilihat sebagai penyelesaian holistik yang boleh menyumbang kepada kemajuan ekonomi negara. Wanita Mah Meri adalah sebagai contoh pembangunan usahawan yang berjaya. Wanita suku Mah Meri boleh memasarkan produk, kemahiran dan kebolehan mereka melalui penghasilan kraftangan mereka. Dapatan kajian menunjukkan kemahiran keusahawanan mampu membawa perubahan yang ketara di mana golongan wanita suku kaum asli Mah Meri dapat meningkatkan pendapatan berbanding sebelum bergelar usahawan. Melalui kajian ini, diharap dapat memberi gambaran yang jelas tentang potensi pembangunan kemahiran keusahawanan dalam meningkatkan pendapatan wanita Orang Asli.
Contra civilización y barbarie: espacios y cuerpos fronterizos en El año del desierto de Pedro Mairal y Las aventuras de la China Iron de Gabriela Cabezón Cámara
Authors: Montecino Vieira David 
Published: December 2023

Este artículo tiene como objetivo interpretar y comparar rasgos fronterizos en dos novelas argentinas posteriores a la crisis de 2001 que trabajan con representaciones del discurso de civilización y barbarie. Para ello, se propone una metodología inspirada en las ideas sobre espacialidad de Lefebvre (1974) combinadas con la semiótica del texto artístico de Lotman (1975), para analizar lo percibido, pensado y vivido de los espacios y cuerpos en los relatos. A nivel diegético, esto se observa en la articulación de un diseño espaciotemporal y las trayectorias de los agentes narrativos. Estas categorías permitirán describir las formas de fronteridad (Amilhat y Giraud, 2011) en las obras, es decir, la dialéctica espacial entre dispositivos de poder simbólico-territoriales y los cuerpos que los dinamizan.
De esta forma se observará que las fuerzas modeladoras de los mundos narrativos articulan una dualidad dominante alrededor de la oposición entre civilización y barbarie que posteriormente verá una posible salida. En las novelas se representan espacios cuyo antagonismo se develará contradictorio y falaz a la luz de la alteridad, instalando una mirada deconstructiva sobre ellos. Complementariamente, los cuerpos de los sujetos narrativos, en constante movimiento por los territorios, viven experiencias que los llevarán al desprendimiento de las oposiciones impuestas, optando por otras lógicas de convivencia.
En este sentido, estas obras presentan rasgos de una episteme decolonial que Mignolo (2003, 2014) denomina pensamiento fronterizo, el cual erige interpelaciones a las hegemonías locales y globales para desentrañar y discutir las intersecciones del capitalismo patriarcal y colonial.