Match injuries in amateur Rugby Union: a prospective cohort study - FICS Biennial Symposium Second Prize Research Award

Background: The majority of Rugby Union (rugby) players participate at the amateur level. Knowledge of player characteristics and injury risks is predominantly ascertained from studies on professional or junior athletes in rugby. The objectives of the current study are to: (1) describe the health-related quality of life (HRQoL) and physical characteristics of a cohort of amateur rugby players; (2) describe the incidence, severity and mechanism of match injuries in amateur rugby, and; (3) explore factors associated with rates of match injury in this population. Methods: Participants (n = 125) from one amateur men’s rugby club were followed in a one-season (2012) prospective cohort study. Match injury and match time exposure data were collected. A participant match exposure log was maintained. Baseline variables collected include: participant’s age, playing experience, position of play, the SF-36v2 health survey, height and weight. Injury incidence rates (IIRs) per 1000 match-hours exposure were calculated. Injury sub-groups were compared by calculating rate ratios of two IIRs. Poisson mixed-effects generalised linear modelling was used to explore relationships between IIRs and baseline predictors. Results: A total of 129 injuries occurred during a combined period of 2465 match-hours of exposure. The overall IIR was 52.3 (43.7–62.2) /1000 match-hours exposure. Moderate-severe injuries (>1 week time-loss from play) comprised 36 % of all injuries. Tackling was the most common mechanism of injury, the head/face was the most common body region of injury and sprain/ligament injuries were the most common injury type. Fewer years of rugby participation, lower BMI and lower SF-36v2 mental component summary score were associated with higher IIR in amateur rugby. Age, player position i.e., backs versus forwards and SF-36v2 physical component summary score were not associated with injury incidence. Conclusion: Amateur rugby players report similar HRQoL as the general population. We found amateur players had a higher rate of injury and lower injury severity than previous amateur studies, but location, type, and mechanism were similar. In this study pre-season HRQoL and BMI were weakly associated with higher injury rate when controlling for other factors; a finding that should be interpreted with caution and clarified with future research

Evolution of the nuclear modification factors with rapidity and centrality in d+Au collisions at $\sqrt{s_{NN}} = 200 GeV

We report on a study of the transverse momentum dependence of nuclear modification factors $R_{dAu}$ for charged hadrons produced in deuteron + gold collisions at $\sqrt{s_{NN}}= 200$GeV, as a function of collision centrality and of the pseudorapidity ($\eta = 0,1,2.2,3.2$) of the produced hadrons. We find significant and systematic decrease of $R_{dAu}$ with increasing rapidity. The midrapidity enhancement and the forward rapidity suppression are more pronounced in central collisions relative to peripheral collisions. These results are relevant to the study of the possible onset of gluon saturation at RHIC energies.Comment: Four pages, four figures. Published in PRL. Figures 1 and 2 have been updated, and several changes made to the tex

Recent Results from the BRAHMS Experiment

We present recent results obtained by the BRAHMS experiment at the Relativistic Heavy Ion Collider (RHIC) for the systems of Au + Au and Cu + Cu at \rootsnn{200} and at 62.4 GeV, and p + p at \rootsnn{200}. Nuclear modification factors for Au + Au and Cu + Cu collisions are presented. Analysis of anti-particle to particle ratios as a function of rapidity and collision energy reveal that particle populations at the chemical freeze-out stage for heavy-ion reactions at and above SPS energies are controlled by the baryon chemical potential. From the particle spectra we deduce significant radial expansion ($\beta \approx$ 0.75), as expected for systems created with a large initial energy density. We also measure the elliptic flow parameter $v_2$ versus rapidity and \ptn. We present rapidity dependent $p/\pi$ ratios within $0 < y < 3$ for Au + Au and Cu + Cu at \rootsnn{200}. \Raa is found to increase with decreasing collision energy, decreasing system size, and when going towards more peripheral collisions. However, \Raa shows only a very weak dependence on rapidity (for $0 < y < 3.2$), both for pions and protons.Comment: 16 pages and 14 figures, proceedings for plenary talk at Quark Matter 2005, Budapest, Hungar

Centrality dependence of charged-particle pseudorapidity distributions from d+Au collisions at sqrt(s_{NN})=200 GeV

Charged-particle pseudorapidity densities are presented for the d+Au reaction at sqrt{s_{NN}}=200 GeV with -4.2 <= eta <= 4.2$. The results, from the BRAHMS experiment at RHIC, are shown for minimum-bias events and 0-30%, 30-60%, and 60-80% centrality classes. Models incorporating both soft physics and hard, perturbative QCD-based scattering physics agree well with the experimental results. The data do not support predictions based on strong-coupling, semi-classical QCD. In the deuteron-fragmentation region the central 200 GeV data show behavior similar to full-overlap d+Au results at sqrt{s_{NN}}=19.4 GeV.Comment: 4 pages, 3figures; expanded discussion of uncertainties; added 60-80% centrality range; added additional discussion on centrality selection bia

Scanning the phases of QCD with BRAHMS

BRAHMS has the ability to study relativistic heavy ion collisions from the final freeze-out of hadrons all the way back to the initial wave-function of the gold nuclei. This is accomplished by studying hadrons with a very wide range of momenta and angles. In doing so we can scan various phases of QCD, from a hadron gas, to a quark gluon plasma and perhaps to a color glass condensate.Comment: 8 pages, 6 figures, proceedings of plenary talk at Quark Matter 2004 conferenc

High Pt Hadron Spectra at High Rapidity

We report the measurement of charged hadron production at different pseudo-rapidity values in deuteron+gold as well as proton+proton collisions at $sqrt{s_{NN}}$ = 200GeV at RHIC. The nuclear modification factors $R_{dAu}$ and $R_{cp}$ are used to investigate new behaviors in the deuteron+gold system as function of rapidity and the centrality of the collisions respectively.Comment: Nine pages 4 figures to be published in the QM2004 Proceedings, typos corrected and one reference adde

Nuclear Modification Factor for Charged Pions and Protons at Forward Rapidity in Central Au+Au Collisions at 200 GeV

We present spectra of charged pions and protons in 0-10% central Au+Au collisions at $\sqrt{s_{NN}}=200$ GeV at mid-rapidity ($y=0$) and forward pseudorapidity ($\eta=2.2$) measured with the BRAHMS experiment at RHIC. The spectra are compared to spectra from p+p collisions at the same energy scaled by the number of binary collisions. The resulting nuclear modification factors for central Au+Au collisions at both $y=0$ and $\eta=2.2$ exhibit suppression for charged pions but not for (anti-)protons at intermediate $p_T$. The $\bar{p}/\pi^-$ ratios have been measured up to $p_T\sim 3$ GeV/$c$ at the two rapidities and the results indicate that a significant fraction of the charged hadrons produced at intermediate $p_T$ range are (anti-)protons at both mid-rapidity and $\eta = 2.2$

The New Physics at RHIC. From Transparency to High pt_t Suppression

Heavy ion collisions at RHIC energies (Au+Au collisions at $\sqrt{s_{NN}}=200$ GeV) exhibit significant new features as compared to earlier experiments at lower energies. The reaction is characterized by a high degree of transparency of the collisions partners leading to the formation of a baryon-poor central region. In this zone, particle production occurs mainly from the stretching of the color field. The initial energy density is well above the one considered necessary for the formation of the Quark Gluon Plasma, QGP. The production of charged particles of various masses is consistent with chemical and thermal equilibrium. Recently, a suppression of the high transverse momentum component of hadron spectra has been observed in central Au+Au collisions. This can be explained by the energy loss experienced by leading partons in a medium with a high density of unscreened color charges. In contrast, such high $p_t$ jets are not suppressed in d+Au collisions suggesting that the high $p_t$ suppression is not due to initial state effects in the ultrarelativistic colliding nuclei.Comment: 15 pages, 11 figures. to appear in Nucl. Physics A. Invited talk at 'Nucleus-Nucleus Collisions 2003' conference, Mosco

Rapidity dependence of high p_T suppression at sqrt{s_{NN}}=62.4{GeV}

We present measurements of charged hadron p_T spectra from Au+Au collisions at sqrt(snn)=62.4 GeV for pseudorapidities eta=0, eta=1 and eta=3.2. Around midrapidity (eta=0, eta=1) we find nuclear modification factors at levels suggesting a smaller degree of high p_T suppression than in the same reaction at higher energy sqrt(snn)=200 GeV. At the high pseudorapidity, eta=3.2, where nuclear modification factors cannot be constructed due to the lack of p+p reference data, we find a significant reduction of R_{CP} (central to peripheral ratio) as compared to midrapidity

Implementing large-system, value-based healthcare initiatives: a realist study protocol for seven natural experiments

IntroductionValue-based healthcare delivery models have emerged to address the unprecedented pressure on long-term health system performance and sustainability and to respond to the changing needs and expectations of patients. Implementing and scaling the benefits from these care delivery models to achieve large-system transformation are challenging and require consideration of complexity and context. Realist studies enable researchers to explore factors beyond ‘what works’ towards more nuanced understanding of ‘what tends to work for whom under which circumstances’. This research proposes a realist study of the implementation approach for seven large-system, value-based healthcare initiatives in New South Wales, Australia, to elucidate how different implementation strategies and processes stimulate the uptake, adoption, fidelity and adherence of initiatives to achieve sustainable impacts across a variety of contexts.Methods and analysisThis exploratory, sequential, mixed methods realist study followed RAMESES II (Realist And Meta-narrative Evidence Syntheses: Evolving Standards) reporting standards for realist studies. Stage 1 will formulate initial programme theories from review of existing literature, analysis of programme documents and qualitative interviews with programme designers, implementation support staff and evaluators. Stage 2 envisages testing and refining these hypothesised programme theories through qualitative interviews with local hospital network staff running initiatives, and analyses of quantitative data from the programme evaluation, hospital administrative systems and an implementation outcome survey. Stage 3 proposes to produce generalisable middle-range theories by synthesising data from context–mechanism–outcome configurations across initiatives. Qualitative data will be analysed retroductively and quantitative data will be analysed to identify relationships between the implementation strategies and processes, and implementation and programme outcomes. Mixed methods triangulation will be performed.Ethics and disseminationEthical approval has been granted by Macquarie University (Project ID 23816) and Hunter New England (Project ID 2020/ETH02186) Human Research Ethics Committees. The findings will be published in peer-reviewed journals. Results will be fed back to partner organisations and roundtable discussions with other health jurisdictions will be held, to share learnings.</jats:sec