YA4-H! Youth Advocates for Health: Impact of a 4-H Teens-as-Teachers Program

This article reports the results of an evaluation of the YA4-H! Youth Advocates for Health—Teens as Teachers program. Consistent with previous research on the impact of teen teaching, the teens participating in the program gained confidence and skill with regard to teaching younger youths. The program also affected the teens\u27 understanding that they are role models for younger youths and their desire to be role models. Additionally, the teens learned the content they taught and adopted new healthful behaviors. These results are promising and add to the growing body of evidence suggesting that teens learn and adopt practices they teach to younger youths

Food Insecurity and Eating Disorders: A Review of Emerging Evidence

Purpose of Review: This review summarizes emerging evidence for the relationship between food insecurity and eating disorder (ED) pathology, outlines priorities for future research in this area, and comments on considerations for clinical and public health practice. Recent Findings: Among adults, food insecurity is cross-sectionally associated with higher levels of overall ED pathology, binge eating, compensatory behaviors, binge-eating disorder, and bulimia nervosa. Evidence for similar relationships among adolescents has been less robust; however, compared to studies of adults, there have been substantially fewer studies conducted in adolescents to date. Summary: Emerging evidence consistently indicates that food insecurity is cross-sectionally associated with bulimic-spectrum ED pathology among adults. Findings emphasize the need for ED research to include marginalized populations who have historically been overlooked in the ED field. Much more research is needed to better understand the relationship between food insecurity and ED pathology and to determine effective ways to intervene

Shoulder Check:Investigating Shoulder Injury Rates, Types, Severity, Mechanisms, and Risk Factors in Canadian Youth Ice Hockey

Objective: To describe shoulder-related injury rates, types, severity, mechanisms, and risk factors in youth ice hockey players during games and practices. Study Design: Secondary analysis of data from a 5-year prospective cohort study Safeto-Play (2013-2018). Subjects: Overall, 4419 individual players (representing 6585 player-seasons; 3806 males: 613 females) participated. During this period, 118 primary shoulder-related game injuries and 12 practice injuries were reported. Outcome Measures: Injury surveillance data was collected from 2013-2018 (time-loss or medical attention injuries). Descriptive statistics were calculated, and injury rates with 95% CI were estimated using Poisson regression. An exploratory multivariable mixed-effects Poisson regression model (clustering by team and offset by exposure hours) examined risk factors. Results: The shoulder injury rate was 0.70 injuries/1000 game-hours (95% CI 0.371.33) and 0.07 injuries/1000 practice-hours (95% CI 0.04-0.12). Two-thirds of game injuries (n=79, 69%) resulted in >8 days of time-loss, and more than one-third (n=44, 39%) resulted in >28 days of time-loss. An 82% lower rate of shoulder injury was associated with policy prohibiting body checking compared to leagues allowing body checking [IRR=0.18 (95% CI 0.10-0.32)]. A higher shoulder injury rate was seen for those who reported any injury in the last 12-months compared to those with no history [IRR=2.32 (95% CI 1.57-3.41)]. Conclusions: Most shoulder injuries resulted in more than one week of time-loss. Risk factors for shoulder injury included participation in a body checking league and history of injury in the previous 12 months. Further study of prevention strategies specific to the shoulder may merit further consideration in ice hockey

Shoulder Check:Investigating Shoulder Injury Rates, Types, Severity, Mechanisms, and Risk Factors in Canadian Youth Ice Hockey

Objective: To describe shoulder-related injury rates, types, severity, mechanisms, and risk factors in youth ice hockey players during games and practices. Study Design: Secondary analysis of data from a 5-year prospective cohort study Safeto-Play (2013-2018). Subjects: Overall, 4419 individual players (representing 6585 player-seasons; 3806 males: 613 females) participated. During this period, 118 primary shoulder-related game injuries and 12 practice injuries were reported. Outcome Measures: Injury surveillance data was collected from 2013-2018 (time-loss or medical attention injuries). Descriptive statistics were calculated, and injury rates with 95% CI were estimated using Poisson regression. An exploratory multivariable mixed-effects Poisson regression model (clustering by team and offset by exposure hours) examined risk factors. Results: The shoulder injury rate was 0.70 injuries/1000 game-hours (95% CI 0.371.33) and 0.07 injuries/1000 practice-hours (95% CI 0.04-0.12). Two-thirds of game injuries (n=79, 69%) resulted in >8 days of time-loss, and more than one-third (n=44, 39%) resulted in >28 days of time-loss. An 82% lower rate of shoulder injury was associated with policy prohibiting body checking compared to leagues allowing body checking [IRR=0.18 (95% CI 0.10-0.32)]. A higher shoulder injury rate was seen for those who reported any injury in the last 12-months compared to those with no history [IRR=2.32 (95% CI 1.57-3.41)]. Conclusions: Most shoulder injuries resulted in more than one week of time-loss. Risk factors for shoulder injury included participation in a body checking league and history of injury in the previous 12 months. Further study of prevention strategies specific to the shoulder may merit further consideration in ice hockey

Differences in injury and concussion rates in a cohort of Canadian female and male youth Rugby Union:A step towards targeted prevention strategies

Objective: To examine differences in match and training musculoskeletal injury and concussion rates and describe mechanisms of concussion while considering previous playing experience in female and male Canadian high school Rugby Union ('rugby') players. Methods: A 2-year prospective cohort study was completed in a high school league (n=361 females, 421 player-seasons; n=429 males, 481 player-seasons) in Calgary, Canada over the 2018 and 2019 rugby playing seasons. Baseline testing was completed at the start of each season and injury surveillance and individual player participation through session attendance was documented to quantify individual-level player exposure hours. Injury incidence rates (IRs) and incidence rate ratios (IRRs) were calculated using Poisson regression, offset by player exposure hours and clustered by team. Results: Overall match IR for females was 62% higher than males (overall IRR=1.62, 95% CI: 1.20 to 2.18) and the overall training IR was twice as high for females (overall IRR=2.15, 95% CI: 1.40 to 3.32). The female match concussion IR was 70% higher than the males (concussion IRR=1.70, 95% CI: 1.08 to 2.69). Females had a 75% greater tackle-related IR compared with males (IRR=1.75, 95% CI: 1.20 to 2.56). Additionally, female tacklers had a twofold greater rate of injury compared with male tacklers (IRR=2.17, 95% CI: 1.14 to 4.14). Previous playing experience was not associated with tackle-related injury or concussion IRs. Conclusion: The rate of injury and concussion was significantly higher in females within this Canadian high school cohort. These results emphasise the need for development, implementation and evaluation of female-specific injury and concussion prevention strategies to reduce injury and concussion in female youth rugby.</p

Long-term Declines in the Size of Northern Fulmar (Fulmarus glacialis) Colonies on Eastern Baffin Island, Canada

We censused three colonies of Northern Fulmars (Fulmarus glacialis) along eastern Baffin Island, Canada, that&nbsp;were estimated to support 155 000 breeding pairs in 1973, but had not been adequately counted since then. The colonies were surveyed in July and August 2018 using photographs taken from a helicopter or a drone. The combined estimated colony sizes were 36 500 pairs, much smaller than historical estimates. Although the 1973 estimates were coarse, this difference represents an apparent 3+% annual decline in numbers at each colony over approximately four decades or more than 87% over three generations (66 years). Several factors may be contributing to these declines, including changes in winter food supplies and the susceptibility of fulmars to fisheries bycatch. We recommend efforts to survey the remaining major fulmar colonies in Arctic&nbsp;Canada to assess the overall population size and trends, and allow for further analyses of potential population drivers.Nous avons recensé trois colonies de fulmars boréaux (Fulmarus glacialis) sur la côte est de l’île de Baffin, au&nbsp;Canada. Selon des estimations réalisées en 1973, 155 000 couples reproducteurs y nichaient, mais aucun dénombrement adéquat n’avait été effectué depuis. Les colonies ont été recensées en juillet et en août 2018 au moyen de photographies prises à partir d’un hélicoptère ou d’un drone. La taille combinée des colonies a été estimée à 36500 couples, soit un nombre beaucoup moins élevé que les estimations précédentes. Bien que les estimations de 1973 étaient des estimations grossières, cette différence représente une baisse annuelle apparente de plus de 3 % à chacune des colonies sur environ quatre décennies, soit plus de 87 % sur trois générations (66 ans). Ces diminutions peuvent être attribuables à plusieurs facteurs, dont les changements caractérisant les approvisionnements en nourriture pendant l’hiver et la susceptibilité des fulmars à faire l’objet de captures accessoires. Nous recommandons que des efforts soient faits pour recenser les grandes colonies de fulmars qui restent dans l’Arctique canadien afin d’évaluer la taille globale de la population et les tendances la caractérisant, ainsi que pour&nbsp;pousser plus loin l’analyse des facteurs susceptibles d’avoir un effet sur leurs populations

The Athletes\u27 Relationships with Training Scale (ART): A Self-Report Measure of Unhealthy Training Behaviors Associated with Eating Disorders

Objective: Several studies indicate that eating-disorder (ED) psychopathology is elevated in athletes compared to non-athletes. The assessment of excessive exercise among athletes is a challenge because, compared to non-athletes, athletes are required to train at higher intensities and for longer periods of time. However, individuals participating in competitive sports are still susceptible to unhealthy physical-activity patterns. Most ED assessments were developed and normed in non-athlete samples and, therefore, do not capture the nuances of athletes\u27 training experiences. The purpose of the current study was to develop and validate a clinically useful, self-report measure of unhealthy training behaviors and beliefs in athletes, the Athletes\u27 Relationships with Training Scale (ART). Method: The initial item pool was administered to N = 267 women collegiate athletes who were participating in an ED prevention program study and N = 65 women athletes who were in ED treatment. Results: Factor analyses indicated the ART had a four-factor structure. Factorial and construct validity of the ART were demonstrated. ART scores significantly predicted health care utilization and differed between athletes with an ED versus athletes without an ED. For athletes in ED treatment, ART scores significantly decreased from treatment admission to discharge. Discussion: The ART showed evidence of strong psychometric properties and clinical utility. The ART could be helpful for clinicians and athletic trainers to help gauge whether athletes are engaging in unhealthy training practices that may warrant clinical attention and for tracking clinical outcomes in athletes with EDs who are receiving treatment

Wordwide patterns of genetic differentiation imply multiple ‘domestications’of Aedes aegypti, a major vector of human diseases

Understanding the processes by which species colonize and adapt to human habitats is particularly important in the case of disease-vectoring arthropods. The mosquito species Aedes aegypti, a major vector of dengue and yellow fever viruses, probably originated as a wild, zoophilic species in sub-Saharan Africa, where some populations still breed in tree holes in forested habitats. Many populations of the species, however, have evolved to thrive in human habitats and to bite humans. This includes some populations within Africa as well as almost all those outside Africa. It is not clear whether all domestic populations are genetically related and represent a single ‘domestication’ event, or whether association with human habitats has developed multiple times independently within the species. To test the hypotheses above, we screened 24 worldwide population samples of Ae. aegypti at 12 polymorphic microsatellite loci. We identified two distinct genetic clusters: one included all domestic populations outside of Africa and the other included both domestic and forest populations within Africa. This suggests that human association in Africa occurred independently from that in domestic populations across the rest of the world. Additionally, measures of genetic diversity support Ae. aegypti in Africa as the ancestral form of the species. Individuals from domestic populations outside Africa can reliably be assigned back to their population of origin, which will help determine the origins of new introductions of Ae. aegypti