Professionalism, Golf Coaching and a Master of Science Degree: A commentary

As a point of reference I congratulate Simon Jenkins on tackling the issue of professionalism in coaching. As he points out coaching is not a profession, but this does not mean that coaching would not benefit from going through a professionalization process. As things stand I find that the stimulus article unpacks some critically important issues of professionalism, broadly within the context of golf coaching. However, I am not sure enough is made of understanding what professional (golf) coaching actually is nor how the development of a professional golf coach can be facilitated by a Master of Science Degree (M.Sc.). I will focus my commentary on these two issues

Management of Anticoagulant and Thrombolytic Agents in Deep Venous Thrombosis

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/68445/2/10.1177_153857448201600101.pd

Growth Based Morphogenesis of Vertebrate Limb Bud

Many genes and their regulatory relationships are involved in developmental phenomena. However, by chemical information alone, we cannot fully understand changing organ morphologies through tissue growth because deformation and growth of the organ are essentially mechanical processes. Here, we develop a mathematical model to describe the change of organ morphologies through cell proliferation. Our basic idea is that the proper specification of localized volume source (e.g., cell proliferation) is able to guide organ morphogenesis, and that the specification is given by chemical gradients. We call this idea “growth-based morphogenesis.” We find that this morphogenetic mechanism works if the tissue is elastic for small deformation and plastic for large deformation. To illustrate our concept, we study the development of vertebrate limb buds, in which a limb bud protrudes from a flat lateral plate and extends distally in a self-organized manner. We show how the proportion of limb bud shape depends on different parameters and also show the conditions needed for normal morphogenesis, which can explain abnormal morphology of some mutants. We believe that the ideas shown in the present paper are useful for the morphogenesis of other organs

Measurement of the decay η′ →π0π0η at MAMI

An experimental study of the η′→π0π0η→6γ decay has been conducted with the best up-to-date statistical accuracy, by measuring η′ mesons produced in the γp→η′p reaction with the A2 tagged-photon facility at the Mainz Microtron, MAMI. The results obtained for the standard parametrization of the η′→π0π0η matrix element are consistent with the most recent results for η′→ππη decays, but have smaller uncertainties. The available statistics and experimental resolution allowed, for the first time, an observation of a structure below the π+π- mass threshold, the magnitude and sign of which, checked within the framework of the nonrelativistic effective-field theory, demonstrated good agreement with the cusp that was predicted based on the ππ scattering length combination, a0-a2, extracted from K→3π decays

IMPLEMENTING PRIMARY HEALTH CARE POLICY UNDER CHANGING GLOBAL POLITICAL CONDITIONS: LESSONS LEARNED FROM 4 NATIONAL SETTINGS.

Based on the International Workshop at the NAPCRG Conference in Colorado Springs, November 13, 2016, a full report is published at http://bit.do/NAPCRGFullPaperImplementingPrimaryHealthcare. Health systems struggle with equitable and affordable health spending. Over-medication, low-value care, poor access and social determinants of health amplify inequity. At the same time, primary health care (PHC) improves efficiency, equity, effectiveness, and population health. Community-based–person- and population-centered care reduces health inequalities. This requires ongoing policy. This paper explores how to secure long-term PHC policies, from policy makers obsessed with “quick wins.”Chris van Weel, Deborah Turnbull, Andrew Bazemore, Carmen Garcia-Penã, Martin Roland, Richard H. Glazier, Robert L. Phillips, Felicity Goodyear-Smit

A randomized control trial of an Ultra-Short zidovudine regimen in the prevention of perinatal HIV transmission in rural Zimbabwe

OBJECTIVE To assess the practicality and effectiveness of an Ultra-Short zidovudine regimen for prevention of perinatal HIV transmission in rural Zimbabwe. DESIGN Double-blinded placebo-controlled randomized clinical trial. SETTING The Salvation Army Howard Hospital, a district hospital in rural Zimbabwe. SUBJECTS 222 HIV positive pregnant women presenting for antenatal care prior to 36 weeks were randomized. Twenty nine women were lost to follow up. INTERVENTION In the Thai regimen, mothers received zidovudine (300 mg po bid) from 36 weeks gestation until labour, and zidovudine (300 mg po q3h) during labour, and the neonates received a placebo. In the Ultra-Short regimen, the mothers received a placebo from 36 weeks to labour, then zidovudine (300 mg po q3h) in labour. The neonates received zidovudine (2 mg/kg po qid) for the first three days of life. MAIN OUTCOME MEASURE Infant HIV RNA status at six weeks of life. RESULTS Results were available for 90 infants from the Thai group and 89 infants from the Ultra-Short group. Infant HIV seroconversion rates at six weeks of life were 18.9% (95%CI 10.8 to 27.0) with the Thai regimen, and 15.7% [95% Confidence Interval (CI) 8.1 to 23.4] with the Ultra-Short regimen. The upper bound of seroconversion in the Ultra-Short group was lower than the 25% seroconversion boundary that was specified to show equivalence. CONCLUSIONS Although the Ultra-Short regimen has equivalent efficacy to the Thai regimen, it also has many practical advantages. Ultra-Short is thus a preferable protocol