Trends in movement quality in US Military Academy cadets 2005-17: A JUMP-ACL study

Objectives: This study sought to determine if there were significant trends in lower extremity movement quality, as assessed by the Landing Error Scoring System (LESS) scores and plane-specific LESS subscales, across in 12 recent cohorts of incoming USMA cadets. Design: prospective cohort study. Setting: United States Military Academy. Participants: 7,591. Main outcome measures: Landing Error Scoring System (LESS) scores, adjusted for sex and ACL injury history. Results: Statistically significant inverse trends were found between total LESS score and year (p < 0.01) and sagittal plane subscale and year (p < 0.01). A statistically significant direct trend was found for the frontal/transverse plane subscale and year (p < 0.01). However, each of these trends had a small associated effect size, and none were considered clinically meaningful. Conclusions: There were no meaningful changes in lower extremity movement quality in incoming US Military Academy cadets between 2005 and 2017

Automated Landing Error Scoring System Performance and the Risk of Bone Stress Injury in Military Trainees

Context: Lower extremity bone stress injuries (BSIs) place a significant burden on the health and readiness of the US Armed Forces. Objective: To determine if preinjury baseline performance on an expanded and automated 22-item version of the Landing Error Scoring System (LESS-22) was associated with the incidence of BSIs in a military training population. Design: Prospective cohort study. Setting: US Military Academy at West Point, NY. Patients or Other Participants: A total of 2235 incoming cadets (510 females [22.8%]). Main Outcome Measure(s): Multivariable Poisson regression models were used to produce adjusted incidence rate ratios (IRRs) to quantify the association between preinjury LESS scores and BSI incidence rate during follow-up and were adjusted for pertinent risk factors. Risk factors were included as covariates in the final model if the 95% CI for the crude IRR did not contain 1.00. Results: A total of 54 BSIs occurred during the study period, resulting in an overall incidence rate of 0.07 BSI per 1000 person-days (95% CI = 0.05, 0.09). The mean number of exposure days was 345.4 6 61.12 (range = 3–368 days). The final model was adjusted for sex and body mass index and yielded an adjusted IRR for a LESS-22 score of 1.06 (95% CI = 1.002, 1.13; P = .04), indicating that each additional LESS error documented at baseline was associated with a 6.0% increase in the incidence rate of BSI during the follow-up period. In addition, 6 individual LESS-22 items, including 2 newly added items, were significantly associated with the BSI incidence. Conclusions: We provided evidence that performance on the expanded and automated version of the LESS was associated with the BSI incidence in a military training population. The automated LESS-22 may be a scalable solution for screening military training populations for BSI risk

The Effect of Government Advertising Policies on the Market Power of Cigarette Firms

We estimate market power among cigarette manufacturers over 1952–1984, a period of uniform pricing. We apply the Bresnahan approach; adjust it to the firm level; employ a dynamic model with habit persistence; and add an advertising equation, which helps identify the parameters, increase degrees of freedom, and constrain parameters so we can interpret our results at the firm level, despite the fact that the equations conform to what we might see in a market model. We consider effects of government interventions upon demand and market power and find, for instance, that the 1971 broadcast advertising ban decreased market power. Copyright Springer 2006Advertising policies, broadcast advertising ban, cigarettes, market power, JEL classification, L1, L51, L66, M37,