Integrating collaboration into the classroom: Connecting community service learning to language documentation training

As training in language documentation becomes part of the regular course offerings at many universities, there is a growing need to ensure that classroom discussions of documentary linguistic theory and best practices are balanced with the practical application of these skills and concepts. In this article, we consider Community Ser-vice Learning (CSL) in partnership with community-based organizations as one means of grounding language documentation training in realistic and collaborative practice. As a case study, we discuss one recent CSL project undertaken as a collaboration between the Yukon Native Language Centre and graduate students in a semester-long introductory course on language documentation at Carleton University. This collabo-ration focused on annotating recently digitized legacy language lessons for several Indigenous languages spoken in the Yukon Territory, Canada, using documentary linguistic software tools to create a text-searchable, multimedia database for future pedagogical applications. Drawing on the reflections of both community- and univer-sity-based collaborators, we discuss the design of this project, some of the challenges that needed to be addressed as it progressed, and offer several recommendations for future initiatives to integrate CSL into language documentation training.National Foreign Language Resource Cente

OPENMINDS: CREATING A MENTAL HEALTH WORKSHOP FOR TEENAGERS TO TACKLE STIGMA AND RAISE AWARENESS

As a group of four clinical medical students from Cambridge University, we undertook a Student Selected Module (SSC- "OpenMinds") whereby we designed and delivered a workshop about mental health to year 9 pupils. The aim of our SSC was to produce an interactive, informative lesson which addressed the complex issues of stigma and discrimination against those suffering from a mental illness as well as teaching the pupils how to recognise mental health problems and provide them with guidance on how to seek help. We split a fifty minute session into the following sections: tackling stigma; how common mental illness is; celebrity examples; real life examples; role play; and small group work. To engage the pupils we used a combination of teaching modalities targeting all learning. We delivered the workshop to four separate classes and received feedback from the pupils after each. We used this feedback to adapt and improve our presentation and assess the efficacy. Feedback was overwhelmingly positive with the striking results of 101/109 pupils saying that they would recommend the workshop to a friend and 68/109 pupils saying they enjoyed all aspects. Our SSC built upon work by a contingent of trainee Psychiatrists who undertook a similar project of mental health education for teenagers, called "Heads above the rest", in Northern Ireland with great success. By continuing their work we were able to demonstrate that medical students can successfully complete the same project under the guidance of a Psychiatrist, thus increasing the sustainability of the project by reducing the time burden on the Psychiatrists. Participating in the project was also valuable to our own personal development of teaching skills

Paving the path for injury prevention in rugby-7s:A systematic review and meta-analysis

This review and meta-analysis aimed to describe the current rugby-7s injury epidemiological literature by examining injury data from both sexes, all levels of play, and their associated risk factors. Studies published up until March 2024 were included. These studies were retrieved from six databases using search terms related to rugby-7s or sevens, tackle, collision, collision sport, injury, athlete, incidence rate, mechanism, and risk factor. Only peer-reviewed original studies using prospective or retrospective cohort designs with a clearly defined rugby-7s sample were considered. Included studies needed to report one injury outcome variable. Non-English and qualitative studies; reviews, conference papers, and abstracts were excluded. Twenty studies were included. The meta-analysis used the DerSimonian–Laird continuous random-effects method to calculate the pooled estimated means and 95% confidence interval. The estimated mean injury incidence rate for men was 108.5/1000 player-hours (95% CI: 85.9–131.0) and 76.1/1000 player-hours (95% CI: 48.7–103.5) for women. The estimated mean severity for men was 33.9 days (95% CI: 20.7–47.0) and 44.2 days (95% CI: 32.1–56.3) for women. Significantly more match injuries occurred in the second half of matches, were acute, located at the lower limb, diagnosed as joint/ligament, and resulted from being tackled. Fatigue, player fitness, and previous injuries were associated with an increased risk of injury. There were no statistically significant differences between women's and men's injury profiles. However, the inherent cultural and gendered factors which divide the two sports should not be ignored. The findings from this review will help pave the way forward beyond the foundational stages of injury prevention research in rugby-7s.</p

Paving the path for injury prevention in rugby-7s:A systematic review and meta-analysis

This review and meta-analysis aimed to describe the current rugby-7s injury epidemiological literature by examining injury data from both sexes, all levels of play, and their associated risk factors. Studies published up until March 2024 were included. These studies were retrieved from six databases using search terms related to rugby-7s or sevens, tackle, collision, collision sport, injury, athlete, incidence rate, mechanism, and risk factor. Only peer-reviewed original studies using prospective or retrospective cohort designs with a clearly defined rugby-7s sample were considered. Included studies needed to report one injury outcome variable. Non-English and qualitative studies; reviews, conference papers, and abstracts were excluded. Twenty studies were included. The meta-analysis used the DerSimonian–Laird continuous random-effects method to calculate the pooled estimated means and 95% confidence interval. The estimated mean injury incidence rate for men was 108.5/1000 player-hours (95% CI: 85.9–131.0) and 76.1/1000 player-hours (95% CI: 48.7–103.5) for women. The estimated mean severity for men was 33.9 days (95% CI: 20.7–47.0) and 44.2 days (95% CI: 32.1–56.3) for women. Significantly more match injuries occurred in the second half of matches, were acute, located at the lower limb, diagnosed as joint/ligament, and resulted from being tackled. Fatigue, player fitness, and previous injuries were associated with an increased risk of injury. There were no statistically significant differences between women's and men's injury profiles. However, the inherent cultural and gendered factors which divide the two sports should not be ignored. The findings from this review will help pave the way forward beyond the foundational stages of injury prevention research in rugby-7s.</p

A global survey exploring tackle training knowledge, attitudes and practices of women's rugby union coaches

The coaching and performance context in women’s rugby is not well understood, despite growing popularity worldwide. The aim of this study was to describe the knowledge, attitudes and tackle training practices of women’s rugbycoaches in relation to tackle safety and performance. A globally distributed online survey exploring coaches’ knowledge, attitudes and practices towards tackling women’s rugby was completed by 357 coaches (mean age 41 ± 0.6years) from 58 countries. The cross-sectional survey was distributed from March 2023 to June 2023. Survey development was guided by the Health Action Process Approach and informed by coaching experts, research evidence synthesis, and guidelines for international tackle safety programmes. Coaches believed that the risk of tackle injury inwomen’s rugby is high and that proper tackle technique for safety is very important. More than 75% of coacheshad never completed a tackle-specific training course, with only 39% aware of the availability of such courses. Timespent on controlled-contact and full-contact activities varied from 0 to 40+ min per week, averaging 10–20 min forboth types of training. Barriers to the effectiveness of tackle training related to sociocultural factors, coach knowledgegaps, training environments, and player training considerations. Coach education, improved infrastructures, and physical development were ranked the highest priorities for improving tackle safety and performance. These findings informfuture implementation strategies for tackle safety and performance in the context of women’s rugby, highlighting theneed to involve coaches in providing practical solutions, and the role of education and institutional/organisational support in facilitating such improvements

‘Tackling’ rugby safety through a collective approach

Commitment to seeking an evidence-informed approachWhen it comes to player welfare, Rugby Union governing bodies have committed to seeking and funding an evidence-informed approach. This involves using research to make informed decisions about policy, laws and injury prevention programmes. Over the last decade, a growing body of research has informed player safety, for example, modifications to scrum laws to reduce catastrophic head and neck injuries.1 However, major gaps remain, including tackle research focusing on the women’s game.2A socioecological perspectiveIt is well understood that player welfare, specifically injury prevention, is a complex issue. To effectively address these complexities and make a long-term impact requires a dynamic socioecological approach.3 ,4 An athlete operates within a socioecological structure (individual, interpersonal, organisational, community) that is influenced by a web of inter-related factors and actors, both of which change over time and/or when a factor/actor is modified (figure 1). Typically, injury prevention research will identify player level factors that influence injury risk (risk factors), and aim to modify these factors through behaviour change interventions. However, the socioecological view emphasises understanding contextual factors influencing implementation of such modifications. For example, if the behaviour intervention is a training programme, how much time is available to implement the training programme? Or, is the training programme appropriate for all sexes

Cardiovascular risk and systemic inflammation in male professional rugby: a cross-sectional study

Objective: To investigate cardiovascular risk factors’ prevalence and association with systemic inflammation in professional male rugby players (RP). Methods: A cross-sectional investigation of 46 professional male RP (26.1±4.1 years) cardiovascular risk factors were compared by position. Inflammatory markers were compared with healthy controls (n=13) and patients with rheumatoid arthritis (RA) (n=10). Results: Twenty-six per cent of RP had no risk factors, 49% had 1–2 cardiovascular risk factors and 25% had 3–4 risk factors. Forwards had greater body fat (p<0.001), visceral fat (p<0.001), glucose (p=0.025), and C reactive protein (CRP) (p=0.023) compared with backs. RP demonstrated more favourable lipid and glucose profiles than reference values for the general population. Most RP (n=28, 61%) had elevated blood pressure (≥140/90 mm Hg). RP had higher vascular adhesion molecule-1 (VCAM-1) (p=0.004) and intracellular adhesion molecule-1 (ICAM-1) (p=0.002) than healthy controls. RP had lower CRP than patients with RA (p=0.009), while one-third (n=15) displayed equivalent ICAM-1 and VCAM-1 levels. Multivariate clustering and principal component analysis biplots revealed higher triglycerides, inflammatory markers, and worse body composition were associated with forwards. Conclusions: Despite athletic status, most of this rugby cohort had at least one cardiovascular risk factor. Concomitantly, these RP demonstrated increased levels of inflammation, with one-third, primarily forwards, displaying equivalent levels to patients with inflammatory disease. Further studies are needed to unravel the prognostic implications of increased inflammation in RP because unchecked, chronic inflammation may lead to increased cardiovascular disease risk

Physical and technical demands and preparatory strategies in female field collision sports: a scoping review

Women’s participation in field collision sports is growing world- wide. Scoping reviews provide an overview of scientific litera- ture in a developing area to support practitioners, policy, and research priorities. Our aim is to explore published research and synthesise information on the physical and technical de- mands and preparation strategies of female field collision sports. We searched four databases and identified relevant published studies. Data were extracted to form (1) a numerical analysis and (2) thematic summary. Of 2318 records identified, 43 studies met the inclusion criteria. Physical demands were the most highly investigated (n = 24), followed by technical demands (n = 18), tactical considerations (n = 8) and preparatory strategies (n = 1). The key themes embody a holistic model contributing to both performance and injury prevention outcomes in the context of female field collision sports. Find- ings suggest a gender data gap across all themes and a low evidence base to inform those preparing female athletes for match demands. Given the physical and technical differences in match-demands the review findings do not support the generalisation of male-derived training data to female athletes. To support key stakeholders working within female field collision sports there is a need to increase the visibility of female athletes in the literature.<br/

Integrating sport and exercise medicine clinics into the National Health Service: a qualitative study

Objectives To explore the services National Health Service (NHS)-based sport and exercise medicine (SEM) clinics can offer, and the barriers to creating and integrating SEM services into the NHS. Semi-structured interviews were undertaken to collect data from identified ‘stakeholders’. Stakeholders were identified as individuals who had experience and knowledge of the speciality of SEM and the NHS. An inductive thematic analysis approach was taken to analyse the data. N=15 stakeholder interviews. The management of musculoskeletal (MSK) injuries (both acute and chronic) and concussion were highlighted as the two key services that SEM clinics can offer that would most benefit the NHS. MSK ultrasound was also mentioned by all stakeholders as a critical service that SEM clinics should provide. While exercise medicine is an integral part of SEM, SEM clinics should perhaps not have a heavy exercise medicine focus. The key barriers to setting up SEM clinics were stated to be convincing NHS management, conflict with other specialities and a lack of awareness of the speciality. The management of acute MSK injuries and concussion should be the cornerstone of SEM services, ideally with the ability to provide MSK ultrasound. Education of others on the speciality of SEM, confirming consistent ‘unique selling points’ of SEM clinics and promoting how SEM can add value to the NHS is vital. If the successful integration of SEM into the NHS is not widely achieved, we risk the NHS not receiving all the benefits that SEM can provide to the healthcare system.N/

Epidemiology, prehospital care and outcomes of patients arriving by ambulance with dyspnoea: An observational study

Background: This study aimed to determine epidemiology and outcome for patients presenting to emergency departments (ED) with shortness of breath who were transported by ambulance. Methods: This was a planned sub-study of a prospective, interrupted time series cohort study conducted at three time points in 2014 and which included consecutive adult patients presenting to the ED with dyspnoea as a main symptom. For this sub-study, additional inclusion criteria were presentation to an ED in Australia or New Zealand and transport by ambulance. The primary outcomes of interest are the epidemiology and outcome of these patients. Analysis was by descriptive statistics and comparisons of proportions. Results: One thousand seven patients met inclusion criteria. Median age was 74 years (IQR 61-68) and 46.1 % were male. There was a high rate of co-morbidity and chronic medication use. The most common ED diagnoses were lower respiratory tract infection (including pneumonia, 22.7 %), cardiac failure (20.5%) and exacerbation of chronic obstructive pulmonary disease (19.7 %). ED disposition was hospital admission (including ICU) for 76.4 %, ICU admission for 5.6 % and death in ED in 0.9 %. Overall in-hospital mortality among admitted patients was 6.5 %. Discussion: Patients transported by ambulance with shortness of breath make up a significant proportion of ambulance caseload and have high comorbidity and high hospital admission rate. In this study, >60 % were accounted for by patients with heart failure, lower respiratory tract infection or COPD, but there were a wide range of diagnoses. This has implications for service planning, models of care and paramedic training. Conclusion: This study shows that patients transported to hospital by ambulance with shortness of breath are a complex and seriously ill group with a broad range of diagnoses. Understanding the characteristics of these patients, the range of diagnoses and their outcome can help inform training and planning of services