One Foundation's Experience with Primary and Integrated Care Grantmaking: Lessons on Leverage and Policy Change

Significant changes in health care practice usually require changes in compensation practice -- and may also require changes in licensing (of facilities and/or professions), certification and professional training. This is important work that requires a long-term commitment. And it may give rise to push-back from various sources invested in the current state of affairs:* Professionals, not wanting others to be licensed to perform similar services at lower reimbursement rates* Payers, not wanting to open a door to new categories of reimbursable services* Training institutions reluctant to alter curriculum, until it is clear that a new approach has staying powerFoundations are in a powerful position to speak out for change, as we "don't have a dog in the fight." That neutrality can be our strength, particularly as we become known for speaking clearly and from a basis in factual information and evidence-based approaches

The Effects of Traditional versus Ability-Based Physical Training on the Health and Fitness of Custody Assistant Recruits

International Journal of Exercise Science 15(3): 1641-1660, 2022. This study investigated traditional training (TT) versus ability-based training (ABT) in custody assistant recruits. Retrospective analysis was conducted on two recruit classes who completed an 8-week academy. The TT group (18 males, 13 females) followed a physical training model where recruits completed the same exercises with the same intensity; the ABT group (17 males, 12 females) had exercises tailored towards their ability. Pre- and post-academy, recruits were assessed in: body mass; body fat percentage (BF%); resting heart rate (RHR); blood pressure (BP); waist circumference (WC); waist-to-hip ratio (WHR); grip strength; push-ups; sit-ups; YMCA step test recovery HR; 201-m run; and 2.4-km run. Independent samples t-tests evaluated between-class pre-test differences, with significance set at p ≤ 0.05. Paired samples t-tests (p ≤ 0.05) detected within-group training changes. Change scores were calculated for each variable; independent samples t-tests (p ≤ 0.05) compared change scores between groups. The TT group had lower BF%, BP, and WC; and were superior in sit-ups and the 2.4-km run before training. After academy, the TT recruits improved WHR, grip strength, recovery HR, 201-m run, and 2.4-km run, but increased diastolic BP. The ABT recruits decreased BF%, RHR, and WC, and improved push-ups, sit-ups, recovery HR, 201-m run, and the 2.4-km run. ABT recruits had greater positive changes in BF%, RHR, diastolic BP, and sit-ups. TT and ABT recruits generally experienced favorable fitness changes; the degree of positive change tended to be greater for ABT recruits for select tests. Coupled with the diastolic BP increase for TT recruits, this may provide evidence for ABT

Investigation into Characteristics of Bench Press using PUSH Band

Introduction: Sport scientist and strength coaches use resistance training to increase athletic performance and muscle hypertrophy. Improving muscular strength is the most essential task for these scientists, however, how best to identify weakness has yet to be established. The popularity of velocity-based resistance training has recently increased as a method to prescribe resistance training intensity, therefore, the purpose of the study was to identify the characteristics of bench press concentric velocity. It is hypothesized that the velocity output will decrease during the change from the 75% relative load of the 1RM to the 85% relative load of 1RM. It is believed that there will be a greater output of velocity during the 75% set than the 85% set. Methods: Nine female collegiate athletes (18-21 yrs), participated in this study. PUSH™ bands were used to measure barbell velocity during the bench press exercise. Each female was expected to preform 3 sets of 5 repetitions (3x5) at an intensity of 75% and 85% of their 1 repetition maximum (1RM). Only data from repetition 2-4 were used for analysis. Results: The results drawn from data collected supported our hypothesis showing a decrease in velocity among the 85% 1RM test when compared to the 75% 1RM test group. Comparisons were drawn using a t-Test table comprised of PUSH™ Band data. Conclusion: The results supported the hypothesis that this type of technology can identify the load specific velocity to help strength coaches to identify the optimal resistance for certain training program and goals by using collected data with the PUSH™ Band to identify weakness in strength and/or endurance

Grand Push Auto: a car based exertion game

Grand Push Auto is an exertion game in which players aim to push a full sized car to ever increasing speeds. The re-appropriation of a car as essentially a large weight allows us to create a highly portable and distributable exertion game in which the main game element has a weight of over 1000 kilograms. In this paper we discuss initial experiences with GPA, and present 3 questions for ongoing study which have been identified from our early testing: How might we appropriate existing objects in exertion game design, and does appropriation change how we think about these objects in different contexts, for example environmental awareness? How does this relate to more traditional sled based weight training? How can we create exertion games that allow truly brutal levels of force

Grand Push Auto: a car based exertion game

Grand Push Auto is an exertion game in which players aim to push a full sized car to ever increasing speeds. The re-appropriation of a car as essentially a large weight allows us to create a highly portable and distributable exertion game in which the main game element has a weight of over 1000 kilograms. In this paper we discuss initial experiences with GPA, and present 3 questions for ongoing study which have been identified from our early testing: How might we appropriate existing objects in exertion game design, and does appropriation change how we think about these objects in different contexts, for example environmental awareness? How does this relate to more traditional sled based weight training? How can we create exertion games that allow truly brutal levels of force

Effects Of A Six-Week Functional Training Program On Fitness And Body Composition Of Fire Science Majors

Introduction: The leading cause of on duty death of firefighters is sudden cardiac events. Current research has shown the effects of fire physical training programs on firefighters, but has not researched fire specific physical training programs for the fire science major population. Purpose: The purpose of this study was to examine the effects of a six-week functional program on fitness and body composition of fire science majors. Methods: Fire science college students (N = 16) volunteered to take part in a six-week fire specific fitness program. The subjects that fully completed the study (N = 12) were randomly assigned to a control group (CG; n=6) or an exercise group (EG; n=6). Both groups underwent pre and post testing prior to and following the six-week training period. Subjects performed a battery of fitness tests which included: one-mile run, body fat percentage, height, weight, waist and hip circumference, push-up, sit-up, flexed-arm hang, and a fire specific physical performance test. The CG was asked to resume their usual fitness and nutrition regimen. The EG participated in the six-week, four-day per week training program. Results: Age (yr.), EG: 21.8 + 3.5; CG: 22.2 + 4.5; Height (in.), EG: 72.0 + 5.5; CG: 71.6 + 3.1; Weight (lbs.), EG: 203.8 + 40.1; CG: 170.1 + 21.8. The EG showed a greater percent change than the CG in body weight, body fat percentage, the one-mile run, the stair climb, and the push-up tests. No significant differences were found for any of the tests. Discussion: The results suggest that the low sample size was a major limitation in this study. Although no significant differences were found for the battery of tests, beneficial trends were shown in the percent changes in comparison of EG to CG from pretest to posttest. With a greater sample size, potential improvements from fire specific training could be revealed

Kinetic relationships between ankle plantar flexor and hip flexor power during gait in mildly affected adults with spastic hemiplegic and diplegic cerebral palsy - A case series study based on a ballistic strength training rehabilitation program

Postponed access: the file will be accessible after 2021-05-15Background: In normal gait, the ankle plantar flexors provide most propulsive energy during push-off, with smaller contribution of hip flexors. However, the interplay between these two joints remains unclear in spastic cerebral palsy. The objective of this study was to evaluate the kinetic relationship between the ankle plantar flexor and hip flexor power in late stance of gait (A2/H3) in mildly affected adults with spastic cerebral palsy. By implementing a ballistic strength training program, it was hypothesized that these exercises would exaggerate ankle plantar flexor power so the need for hip flexor power compensation would decrease, and thereby result in an increased A2/H3 ratio. Method: Ten adults with spastic hemiplegic and diplegic cerebral palsy, Gross Motor Function Classification System I-II, was recruited to attend an eight week ballistic strength training program mainly prescribed to most paretic limb. Three-dimensional gait analysis with a force plate was used to investigate the impact on ankle and hip power generation in push-off before, during and after intervention. At least three gait trials at self-selected speed was analyzed for each limb to calculate peak ankle and hip flexor power in the sagittal plane and relationship between them (A2/H3 ratio). Results: 7 participants completed the study protocol. 6 out of these 7 participants increased A2/H3 ratio on the most paretic limb, while 5 increased on uninvolved limb. As expected, the change was more evident on the most paretic limb compared to the uninvolved limb. Conclusion: Findings from this study provide a better understanding of the interplay between power patterns in the ankle and hip joint in spastic cerebral palsy with a possible implication to clinical practice. However, the results cannot direct any casual relationships between change in A2/H3 ratio and ballistic strength training. Until evidence is found, we assume that ballistic strength training is feasible to alter A2/H3 ratio in adults with spastic cerebral palsy, yet further analytic investigation is needed.MAMD-HELSEFYST39

Strategies for Developing Sustainable Design Practice for Students and SME Professionals

Designers and engineers seem finally to be awakening to the challenge that sustainable development has given. Educators and students alike are keenly aware of the need to become more effective in the training and practice of their specific disciplines with respect to sustainability. \noindent In the past four years since this research has developed, there has been a marked change in the mass market appeal for sustainable products and services. Implementation of sustainable design practice from both recent graduates and also innovative small and medium enterprises (SMEs) at a local level is slow. One would assume that the consumer drive would push a change in design practice but perhaps the complexities of sustainable design along with the lack of experience in the field are providing barriers to designers and marketers alike. In addition the SME sector alone makes up the bulk of industry within the European Union (EU) varying in some countries from 80-95% of the total numbers of companies (Tukker et al. 2000). These industries by their nature find it difficult to dedicate expertise solely to sustainable development issues. The strategy outlined in this paper intended to introduce concepts of sustainable design thinking and practice to both SMEs and undergraduate students. \noindent This current and ongoing research qualitatively assesses appropriate models for educating for sustainable design thinking with SME employees and undergraduate design students. The sample groups include Industrial Design and Product Design undergraduate students in Ireland at the Institute of Technology, Carlow (IT Carlow), The University of Limerick (UL) and a sample of SMEs in the South East of Ireland, with broad national participation from other students of design and professionals from industry. Current levels of understanding of students and SME professionals of key environmental and social issues are measured