Rehabilitation of a tibial plateau fracture within an elite female mountainbiker. A case report

Tibial plateau fractures present a challenging problem for elite athletes and medical personnel, with many athletes failing to return to previous sporting levels post fracture (Johansson etal, 1992). An elite professional female endurance mountainbiker (Age: 32, Height: 1.58m, Body Mass: 51kg) presented 3 weeks post injury with a severe left tibial plateau fracture, caused by a fall when skiing. An orthopaedic surgeon in France inserted two screw fixations from lateral to medial condyles within the left tibia. X-rays and CT scans revealed a large degree of damage to the superolateral surface of the tibial plateau. The surgeon described an unusual and potentially career threatening injury. The athlete was advised to completely rest for a minimum of 10 weeks. This created uncertainty and concern for future career status and sponsorship. Prior to injury, a 12 week training period in France involved intensive skiing and running on steep alpine roads. During this time the athlete experienced progressive knee pain, perhaps caused by a change in knee load relative to high volume cycling. According to Bargfeldt etal (2011) high impact training loads may cause microcracks within the tibia. Furthermore, female athletes are at particular risk due to amenorrhea, a reduction in oestrogen levels and resultant reduction in bone mass

International Study Abroad: Analysis of the Factors Contributing to and Limiting Student Participation in Study Abroad Programs

As business becomes more globally integrated, organizations are focusing more and more on managers who have foreign relations and global market experience. International education through study abroad programs stands as one of the greatest tools for expanding a student's ability to interact in the changing global economy, developing college graduates into international managers. This paper consists of research conducted to determine the factors influencing students to participate in study abroad programs. Contributing factors and limiting factors were identified and analyzed using a survey distributed to College of Business students at Northern Illinois University. The results reveal that length, cost, and graduation delays all have significant influence on student participation. Personal relations and perceived skills also limit participation. Finally, an overall need to promote study abroad opportunities to students early in their academic career is emphasized.B.S. (Bachelor of Science

The influence of hamstring extensibility on preselected saddle height within experienced competitive cyclists

Background: Contemporary studies have investigated the effects of bicycle saddle height for optimal performance and injury prevention. A recent review established a dynamic knee flexion angle of 25˚-30˚ for optimal economy, anaerobic power, and knee tracking (Bini et al., 2011: Sports Medicine, 41, 463-476). Muyor et al, (2011: Journal of Human Kinetics, 29, 15-23), investigated hamstring extensibility within 96 highly trained cyclists. They concluded that shortened hamstrings had a negative influence over thoracic spinal curvature, yet no influence over saddle height. Whereas, Ferrer-Roca et al (2012: Journal of Strength and Conditioning Research, 26, 3025- 3029) examined 23 high level competitive male road cyclists and concluded that a lack of flexibility may have an influence over lower preselected saddle heights (> 40˚ knee flexion angle). Consequently, there remains uncertainty whether preselected saddle height may be dependent on hamstring extensibility. Purpose: The purpose of the study was to investigate the influence of hamstring extensibility on preselected saddle height within experienced competitive cyclists. It was suggested that preselected saddle height may be dependent on hamstring extensibility to enable a 25˚-30˚ knee flexion angle. Methods: Participants consisted of 32 moderate to high level male and female road cyclists (35.8 ± 8.4 years; 178.22 ± 11.0 cm; 77.7 ± 13.4 kg). They used their own individually set-up road bicycle, which was placed on an indoor wind trainer. Hamstring extensibility was measured using the passive knee extension test. Dynamic 2D analysis was used to measure bicycle knee flexion and passive knee extension angles. A cycling questionnaire was also used to determine experience, training and competition levels. Results: Pearson’s correlation coefficients revealed bicycle knee flexion angle, years cycling (r = -0.35, p 0.05). Discussion: Results suggest that sustained time period on the bike rather than hamstring extensibility determines preselected saddle height. In particular, being competitive for a longer duration precedes either volume or number of years cycling. However, it is apparent that in agreement with Muyor et al., (2011) a single variable such as hamstring length does not predetermine optimal saddle height. In addition, as suggested by Ferrer-Roca et al., (2012), experienced cyclists are unable to achieve a knee flexion angle of 25˚, unless they have sufficient flexibility. Conclusion: Results reveal that with experience, a competitive cyclist’s subjective and objective interpretation of their preselected saddle height becomes more consistent. Although hamstring extensibility does not appear to influence pre-selected saddle height, an initial 35˚ rather than 25˚ knee flexion angle is recommended. Future research should consider mixed methodologies, to further establish safe and effective recommendations for optimising bicycle fit. References Bini, R., Hume, P.A., & Croft, J.L. (2011). Effects of bicycle saddle height on knee injury risk and cycling performance. Sports Medicine, 41, 463-476. Ferrer-Roca, V., Roig, A., Galilea, P., & Garcia Lopez, J. (2012). Influence of saddle height on lower limb kinematics in well trained cyclists: static vs dynamic evaluation in bike fitting. Journal of Strength and Conditioning Research, 26, 3025- 3029. Muyor, J. M., Alacid, F., & Lopez-Minarro, P.A. (2011). Influence of hamstring muscles extensibility on spinal curvatures and pelvic tilt in highly trained cyclists. Journal of Human Kinetics, 29, 15-23

Placental bilharziasis

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The relationship between cerebral hemisphere volume and receptive language functioning in dyslexia and attention-deficit hyperactivity disorder (ADHD).

Because poor comprehension has been associated with small cerebral volume and there is a high comorbidity between developmental dyslexia, attention-deficit hyperactivity disorder (ADHD), and specific language impairment, the goal of this study was to determine whether cerebral volume is reduced in dyslexia and attention-deficit hyperactivity disorder in general, as some suggest, or whether the reduction in volume corresponds to poor receptive language functioning, regardless of the diagnosis. Participants included 46 children with and without dyslexia and attention-deficit hyperactivity disorder, aged 8 to 12 years. Our results indicated that cerebral volume was comparable between those with and without dyslexia and attention-deficit hyperactivity disorder overall. However, when groups were further divided into those with and without receptive language difficulties, children with poor receptive language had smaller volumes bilaterally as hypothesized. Nonetheless, the relationship between cerebral volume and receptive language was not linear; rather, our results suggest that small volume is associated with poor receptive language only in those with the smallest volumes in both dyslexia and attention-deficit hyperactivity disorder

Learning to Teach Argumentation: Research and development in the science classroom

The research reported in this study focuses on an investigation into the teaching of argumentation in secondary science classrooms. Over a one-year period, a group of 12 teachers from schools in the greater London area attended a series of workshops to develop materials and strategies to support the teaching of argumentation in scientific contexts. Data were collected at the beginning and end of the year by audio and video recording lessons where the teachers attempted to implement argumentation. To assess the quality of argumentation, analytical tools derived from Toulmin's argument pattern (TAP) were developed and applied to classroom transcripts. Analysis shows there was development in teachers' use of argumentation across the year. Results indicate that the pattern of use of argumentation is teacher-specific, as is the nature of change. To inform future professional development programmes, transcripts of five teachers, three showing a significant change and two no change, were analysed in more detail to identify features of teachers' oral contributions that facilitated and supported argumentation. The analysis showed that all teachers attempted to encourage a variety of processes involved in argumentation and that the teachers whose lessons included the highest quality of argumentation (TAP analysis) also encouraged higher order processes in their teaching. The analysis of teachers' facilitation of argumentation has helped to guide the development of in-service materials and to identify the barriers to learning in the professional development of less experienced teachers

"The extreme penalty of the law": mercy and the death penalty as aspects of state power in colonial Nyasaland, c. 1903-47

Open access article.Capital punishment was the pinnacle of the colonial judicial system and its use of state violence, but has previously been neglected as a topic of historical research in Africa. This article is based on the case files and legal records of over 800 capital trials – predominantly for murder – dating between 1900 and 1947. It outlines the functioning of the legal system in Nyasaland and the tensions between “violence” and “humanitarianism” in the use and reform of the death penalty. Capital punishment was a political penalty as much as a judicial punishment, with both didactic and deterrent functions: it operated through mercy and the sparing of condemned lives as well as through executions. Mercy in Nyasaland was consistent with colonial political objectives and cultural values: it was decided not only on the facts of cases, but according to British conceptions of “justice”, “order”, “criminality”, and “African” behaviour. This article analyses the use of mercy in Nyasaland to provide a lens on the nature of colonial governance, and the tensions between African and colonial understandings of violence.Arts and Humanities Research Council (UK) and the Beit Fund, University of Oxfor

Probe-caught spontaneous and deliberate mind wandering in relation to self-reported inattentive, hyperactive and impulsive traits in adults.

Research has revealed a positive relationship between types of mind wandering and ADHD at clinical and subclinical levels. However, this work did not consider the relationship between mind wandering and the core symptoms of ADHD: inattention, hyperactivity and impulsivity. Given that the DMS-V attributes mind wandering to inattention only, and that only inattention is thought to result from impairment to the executive function linked to mind wandering, the present research sought to examine this relationship in 80 undiagnosed adults. Using both standard and easy versions of the Sustained Attention to Response Task (SART) we measured both spontaneous and deliberate mind wandering. We found that spontaneous mind wandering was related to self-reported inattentive traits when the task was cognitively more challenging (standard SART). However, hyperactive and impulsive traits were related to spontaneous mind wandering independent of task difficulty. The results suggest inattentive traits are not uniquely related to mind wandering; indeed, adults with hyperactive/impulsive traits were more likely to experience mind wandering, suggesting that mind wandering might not be useful diagnostic criteria for inattention