{"title":"Identification of a reliable sacral-sparing examination to assess the ASIA impairment scale in patients with traumatic spinal cord injury.","authors":"Yuto Ariji, Tetsuo Hayashi, Ryosuke Ideta, Ryuichiro Koga, Satoshi Murai, Tomoki Naka, Ryusei Ifuku, Fumihiro Towatari, Hiroaki Sakai, Hiroyuki Kurata, Takeshi Maeda","doi":"10.1080/10790268.2022.2047548","DOIUrl":"10.1080/10790268.2022.2047548","url":null,"abstract":"<p><strong>Objectives: </strong>We evaluated the time course of the American Spinal Cord Injury Association (ASIA) impairment scale (AIS) for up to three months in participants within 72 h after traumatic spinal cord injury (TSCI) with complete paralysis. We aimed to determine the most useful sacral-sparing examination (deep anal pressure [DAP], voluntary anal contraction [VAC], S4-5 light touch [LT], or pin prick [PP] sensation) in determining AIS grades.</p><p><strong>Design: </strong>Retrospective cohort study.</p><p><strong>Setting: </strong>Spinal Injuries Center, Fukuoka, Japan.</p><p><strong>Participants: </strong>Among 668 TSCI participants registered in the Japan Single Center study for Spinal Cord Injury Database (JSSCI-DB) between January 2012 and May 2020, we extracted the data of 80 patients with AIS grade A within 72 h after injury and neurological level of injury (NLI) at T12 or higher.</p><p><strong>Interventions: </strong>None.</p><p><strong>Outcome measures: </strong>The sacral-sparing examination at the time of the change to incomplete paralysis was compared to the AIS determination using a standard algorithm and with each assessment including the VAC, DAP, S4-5LT, and S4-5PP examinations at the time of AIS functional change. Agreement among assessments was evaluated using weighted kappa coefficients. The relationship was evaluated using Spearman's rank correlation coefficients.</p><p><strong>Results: </strong>Fifteen participants (18.8%) improved to incomplete paralysis (AIS B to D) within three months after injury. The single assessment among the sacral-sparing examinations with the highest agreement and strongest correlation with AIS determination was the S4-5LT examination (<i>k</i> = 0.89, <i>P</i> < 0.01, <i>r</i> = 0.84, <i>P</i> < 0.01).</p><p><strong>Conclusions: </strong>The S4-5LT examination is key in determining complete or incomplete paralysis due to its high discriminatory power.</p>","PeriodicalId":45403,"journal":{"name":"Revista De Historia Economica","volume":"19 1","pages":"286-292"},"PeriodicalIF":1.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10885764/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79259365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"历史学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Katherine Bromm, Antoinette B Coe, Sarah E Vordenberg
{"title":"The Impact of Rurality and Age on Colorectal Cancer Screening Among Michigan Residents.","authors":"Katherine Bromm, Antoinette B Coe, Sarah E Vordenberg","doi":"10.24926/iip.v14i1.5212","DOIUrl":"10.24926/iip.v14i1.5212","url":null,"abstract":"<p><p><b>Background:</b> Colorectal cancer (CRC) is a prevalent cause of cancer-related deaths in Michigan, but not all Michigan adults had appropriate CRC screening. <b>Objective:</b> To assess the relationship between rurality and age on CRC screenings to inform how pharmacists could focus their efforts to educate, facilitate, or offer CRC health screenings. <b>Methods:</b> This was a retrospective, cross-sectional study using 2018 Michigan Behavioral Risk Factor Surveillance System (MiBRFSS) survey data. Michigan participants aged ≥ 50 years were included. Outcomes included the utilization of stool-based tests, sigmoidoscopies, colonoscopies, and the most recent CRC screening. Demographic variables included age, sex, income, race/ethnicity, relationship status, education level, employment status, income, rurality, and health insurance. Representative sampling weights were used to adjust for the complex survey design. Descriptive statistics, chi-square, and multivariable logistic regression analyses were conducted. IBM SPSS version 28.0.1.0 was used and an a priori p-value of <0.05 was deemed significant. <b>Results:</b> A weighted total of 3,762,540 participants were included, of which 21.3% (n = 781,907) reported living in a rural area and approximately 70% (n = 2,616,646) were between the ages of 50-69 years old. Most participants reported being White, non-Hispanic (n = 3,104,117, 84.5%), having health insurance (n = 3,619,801, 96.4%), and having a colonoscopy (74.6%, n= 2,620,581). There was no difference based on rurality. Compared to those aged 50-59 years, adults 60-69 years (AOR = 1.97, 95% CI: 1.58,2.45), 70-79 years (AOR = 3.29, 95% CI: 2.40,4.51), and ≥ 80 years (AOR = 2.23, 95% CI: 1.54,3.24) had higher odds of receiving a colonoscopy. Lack of insurance was associated with lower odds of receiving a colonoscopy (AOR = 0.38, 95% CI: 0.23, 0.56). <b>Conclusion:</b> Most participants reported having a CRC screening but efforts to increase CRC screening in Michigan adults aged 50-59 are warranted.</p>","PeriodicalId":45403,"journal":{"name":"Revista De Historia Economica","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10686677/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79260874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"历史学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"RHE series 2 volume 41 issue 2 Cover and Back matter","authors":"","doi":"10.1017/s0212610923000083","DOIUrl":"https://doi.org/10.1017/s0212610923000083","url":null,"abstract":"An abstract is not available for this content so a preview has been provided. As you have access to this content, a full PDF is available via the ‘Save PDF’ action button.","PeriodicalId":45403,"journal":{"name":"Revista De Historia Economica","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135639441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"历史学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"RHE series 2 volume 41 issue 2 Cover and Front matter","authors":"","doi":"10.1017/s0212610923000071","DOIUrl":"https://doi.org/10.1017/s0212610923000071","url":null,"abstract":"An abstract is not available for this content so a preview has been provided. As you have access to this content, a full PDF is available via the ‘Save PDF’ action button.","PeriodicalId":45403,"journal":{"name":"Revista De Historia Economica","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135639442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"历史学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"RHE series 2 volume 41 issue 1 Cover and Back matter","authors":"","doi":"10.1017/s0212610923000034","DOIUrl":"https://doi.org/10.1017/s0212610923000034","url":null,"abstract":"","PeriodicalId":45403,"journal":{"name":"Revista De Historia Economica","volume":"41 1","pages":"b1 - b2"},"PeriodicalIF":1.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46420667","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"历史学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"RHE series 2 volume 41 issue 1 Cover and Front matter","authors":"","doi":"10.1017/s0212610923000022","DOIUrl":"https://doi.org/10.1017/s0212610923000022","url":null,"abstract":"","PeriodicalId":45403,"journal":{"name":"Revista De Historia Economica","volume":"41 1","pages":"f1 - f3"},"PeriodicalIF":1.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41396449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"历史学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"NURSING BABIES TO FIGHT POVERTY: WAGES OF WET NURSES OF SPANISH FOUNDLING HOSPITALS IN THE 18TH AND 19TH CENTURIES","authors":"C. Sarasúa, P. Erdozáin, Ricardo Hernández","doi":"10.1017/S0212610922000167","DOIUrl":"https://doi.org/10.1017/S0212610922000167","url":null,"abstract":"ABSTRACT Foundling hospitals spread across Europe in the 18th and 19th centuries, taking in hundreds of thousands of children each year. In Spain, the hospitals of major cities had staffs of more than 1,000 external wet nurses, who worked mainly in rural localities. Their cash wages were key for the household economies of the poor rural and urban populations. This article presents a methodology to interpret wet-nurse wages and explains their utility with respect to other occupations for men and women. Our results include a series of nominal and real wages for wet nurses and a calculation of their contributions to family income. The level of wages these institutions could offer was a major determinant in the supply of wet-nurse labour.","PeriodicalId":45403,"journal":{"name":"Revista De Historia Economica","volume":"41 1","pages":"243 - 271"},"PeriodicalIF":1.0,"publicationDate":"2023-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44748913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"历史学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"RHE series 2 volume 40 issue 3 Cover and Front matter","authors":"","doi":"10.1017/s0212610922000143","DOIUrl":"https://doi.org/10.1017/s0212610922000143","url":null,"abstract":"","PeriodicalId":45403,"journal":{"name":"Revista De Historia Economica","volume":"40 1","pages":"f1 - f3"},"PeriodicalIF":1.0,"publicationDate":"2022-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42625190","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"历史学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"RHE series 2 volume 40 issue 3 Cover and Back matter","authors":"","doi":"10.1017/s0212610922000155","DOIUrl":"https://doi.org/10.1017/s0212610922000155","url":null,"abstract":"","PeriodicalId":45403,"journal":{"name":"Revista De Historia Economica","volume":"40 1","pages":"b1 - b2"},"PeriodicalIF":1.0,"publicationDate":"2022-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42454156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"历史学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"SUSTENANCE AND STRIFE. STANDARDS OF LIVING AND FAMILY VULNERABILITY DURING SPAIN'S INDUSTRIALISATION. THE BILBAO ESTUARY, 1914-1935","authors":"S. Houpt, Juan Carlos Rojo Cagigal","doi":"10.1017/S0212610922000131","DOIUrl":"https://doi.org/10.1017/S0212610922000131","url":null,"abstract":"ABSTRACT Did industrialisation improve standards of living in interwar industrial Spain? We seek to contrast this empirically with high frequency data from 1914 until 1936 for the Bilbao area, an emerging industrial centre. Contrary to existing historiography suggesting that overall standards of living improved, we find that welfare ratios remained at the same level and, at times, fluctuated significantly below sustenance levels. Demographic and socioeconomic variables were highly responsive to short-term real wage shocks driven by food price increases and the delay in nominal wage increases. Interwar industrialisation provided improvements, but did not provide protection from recurring deprivations and these may have constituted an important part of future political and socioeconomic polarisation and violence.","PeriodicalId":45403,"journal":{"name":"Revista De Historia Economica","volume":"41 1","pages":"273 - 304"},"PeriodicalIF":1.0,"publicationDate":"2022-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47647234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"历史学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}