Epidemiology of Acute Injuries in Surfing: Type, Location, Mechanism, Severity, and Incidence: A Systematic Review

Prospective and retrospective studies have examined traumatic injuries within competitive and recreational surfers worldwide using online surveys and health care facility (HCF; e.g., hospital, emergency department, medical record) data. However, few studies have provided a synthesis of all available literature. The purpose of this study was to obtain, critique and synthesise all literature specific to acute surfing injuries, and evaluate differences in injury type, mechanism and location between HCF and survey data. A systematic literature review design was used to identify relevant articles from three major databases. Peer-reviewed epidemiological studies of musculoskeletal surfing injuries were included. A modified AXIS tool was used for critical appraisal, and objective data was extracted and synthesized by lead researchers. Overall frequencies for injury location, type and mechanism were calculated from raw injury data. A total of 19 cross-sectional articles of fair to good quality (Modified AXIS 54.2–83.3%) were included in this study; 17 were National Health and Medical Research Council (NHMRC) level III-2 (retrospective) and two were level II (prospective). Articles examined competitive, recreational and combined populations. Injury data from Australia, Brazil, UK, USA, Portugal, Japan, Norway, and worldwide were represented. Skin (46.0%; HCF 50.1%, survey 43.8%) and being struck by own surfboard (38.6%; HCF 73.4%, survey 36.7%) were the most common injury type and mechanism. Head, face and neck injuries were most common in HCF (43.1%) versus lower limb injuries (36.4%) in survey data. Incidence proportion was highest in aerialists (0.48). Incidence rate (number of injuries per 1000 h) ranged from 0.74 in Australian surfers (Melbourne) to 6.6 in international contest surfers from medical record data. This review highlights the prevalence of skin, board-related, head, face and neck, and lower limb surfing injuries across available literature. Proposed use of protective equipment and foam-based surfboards in dangerous or crowded surf locations may reduce injury risk

Child protection and the needs and rights of disabled children and young people: A scoping study

Child abuse, as defined by the NSPCC, refers to ''behaviour that causes significant harm to a child. It also includes when someone knowingly fails to prevent serious harm to a child' (see http://www.child-to-child.org/about/childprotection.htm). The four types of abuse included in this study are physical, emotional, sexual abuse and neglect. The World Health Organisation treats maltreatment, a word used in the US, as synonymous with abuse. Child protection, as defined by the voluntary agency Child-to-Child, is 'a broad term to describe philosophies, policies, standards, guidelines and procedures to protect children from both intentional and unintentional harm' (see http://www.child-tochild. org/about/childprotection.htm). This term is still used in Scotland and N Ireland and is the one we use most in this report. England and Wales use the term safeguarding, which perhaps implies the inclusion of early intervention and preventative practice. Finally, in referring to disabled children we include young people aged 0-18 with physical, sensory, learning or communication impairments or mental distress. This was a scoping study which aimed to lay the groundwork for a larger piece of research

The future of humanistic psychology : autonomy, relatedness and competence

The world has changed dramatically since the 1940s when Carl Rogers developed the client-centred approach to therapy: a key moment in the development of humanistic psychology. Psychologists, psychotherapists and counsellors are working within multiple worldwide crises across economic, ecological and psychological spheres (Hawkins and Shohet (2012, p.9), quoting Gilding’s (2011) book title, refer to this as the ‘great disruption’ to life as we know it). For humanistic psychology and, indeed, any helping profession, to meet the challenges of the modern world it must evolve and adapt, continually improving its theory and practice. In this chapter, we will discuss the ways in which humanistic psychology can grow and adapt through actualising its potential in three key areas: autonomy, relatedness and competence. These are three fundamental human needs highlighted by self-determination theory (Ryan & Deci, 2000), which is itself a key theoretical development in humanistic psychology. By thinking about these as three areas for growth in the humanistic approach itself, we explore potential directions for the future of the approach

Interactions between grizzly bears and hikers in Glacier National Park, Montana

Behavior of grizzly bears (Ursus arctos) toward people was studied by examining hikers' reports of grizzly bear observations and by intensively observing grizzlies in an area of Glacier National Park that was heavily used by day-hikers. Of concern were the apparent habituation of grizzly bears to people in the study area, the increasing rate of human injuries by grizzly bears in the park, and the increased involvement of lone adult and subadult bears in injuries to hikers. Associations between environmental circumstances, including the presence and behavior of people, and grizzly bears' behavior were evaluated. Human use of the study area was associated primarily with season and weather. Numbers of grizzly bears observed were also associated with season as it reflected patterns of habitat use. Behavior of grizzly bears was associated primarily with the level of human activity, the presence of bear-bells, and the climatic circumstances under which the bears were seen. Although grizzly bears' fear response toward people appeared to habituate, they maintained a degree of vigilance that was related to conditions affecting the ease of scent perception. Charges, which have been associated with hiker injuries, involved only people who did not have bearbells. Charges occurred primarily along trails that received little human use although grizzly bears were also startled by hikers on trails with high levels of human use. Evidence indicated that habituation of grizzly bears' fear response did not lead to the increasing trend in the rate of human injuries. On the contrary, habituation may contribute to a reduction in the rate of injuries that result from fear-induced aggression. A possible mechanism for the increased rate of injuries is presented. Other types of aggression relevant to danger of human injury by grizzly bears are discussed

The role of intergenerational relationships in challenging educational inequality : improving participation of working-class pupils in higher education

Analysis of data on school leavers in the UK points to considerable inequality in access to higher education. This is particularly acute in Scotland where access to the most competitive courses remains extremely difficult for those young people who are first in their generation to try and enter university or from low-income households. Programs to address this issue have had varied approaches framed around policy ambitions to “close the attainment gap” or “raise aspirations.” However, research has argued that these approaches have largely conceptualized the problem at an individual rather than structural level (Cummings et al., 2012; Gorard, Beng, & Davies, 2012). The Intergenerational Mentoring Network is an ongoing research and development project which recruits retired professionals as volunteer mentors and matches them with 15–18 year old secondary school pupils from lower-income areas of the city. This paper draws from research within this project to demonstrate the difficulties these young people face surrounding their interaction with very different social and cultural worlds, of which they have limited understanding and very restricted access. The paper illuminates the crucial role that intergenerational relationships can play in supporting young people in their journey into higher education. These are roles that, collectively, are enabling more young people to move into university and professional careers and through increasing social mobility are challenging inequality

Change processes in school-based humanistic counselling

Background: Recent research has indicated that school-based humanistic counselling (SBHC) is effective for young people in reducing psychological distress and facilitating achievement of personal goals. However, the processes by which this form of counselling brings about change are not yet understood. Aim: This study aims to clarify the dynamic processes of change that young people go through when they attend SBHC, in order inform school counselling practice, training and further research. Method: This is a qualitative interview study with 14 participants who had recently completed between two and nine sessions of SBHC as part of a randomised controlled trial (RCT). Interviews were transcribed and analysed using a grounded theory approach resulting in the development of five change process models. Results: Multiple change processes were evident for individual clients; and were labelled relief, increasing self-worth, developing insight, enhancing coping strategies and improving relational skills. Implications: The data indicate that multiple pathways of change are possible, and that change processes associated with different theories of personality change are not mutually exclusive. The study is limited by a small, selective sample and low testimonial validity, and further qualitative research is needed to understand change processes in SBHC more fully

Mentor suitability and mentoring relationship quality : lessons from the Glasgow Intergenerational Mentoring Network

The research literature on mentoring is diverse, draws mainly on studies from the US and spans youth, academic and workplace mentoring (Eby et al, 2010). School-based mentoring programmes targeted at socially disadvantaged young people vary from those employing peer mentors, older students and adults of different ages, and show modest positive impacts on outcomes such as truancy, misconduct and academic abilities (Rhodes et al., 2005). A meta-analysis of 73 US mentoring programmes (DuBois et al, 2011) suggested overall effectiveness showing positive outcomes for young people across social, emotional, academic and behavioural domains, and positioning mentoring as having equal effectiveness compared with other forms of youth intervention. Furthermore, the findings showed that young people not engaged in mentoring declined over time on similar outcomes

Traumatic surfing injuries in New Zealand: a descriptive epidemiology study

BACKGROUND: New Zealand (NZ) has nearly 14,000 km of coastline and a surfing population of approximately 315,000 surfers. Given its popularity, surfing has a high frequency of injury claims, however, there remains a lack of data on traumatic surfing-related injuries from large population studies. The primary purpose of this study was to examine traumatic surfing injuries in NZ specific to injury incidence, duration, location, type, mechanism of injury and associated risk factors. METHODS: A sample of self-identified surfers currently living in NZ participated in an online retrospective cross-sectional survey between December 2015 and July 2016. Demographic and surfing injury data were collected and analysed. RESULTS: The survey yielded 1,473 respondents (18.3% female); a total of 502 surfers reported 702 major traumatic injuries with an overall incidence proportion of 0.34 (95% CI [0.32–0.37]). When comparing the number of injured surfers who sustained an injury at various body locations, a significantly higher proportion of competitive surfers, compared to recreational surfers, had an injury at the neck (6.8% vs 4%, χ(2) (1,1473) = 5.84, P = 0.019); shoulder (7.4% vs 4.3%, χ(2) (1,1473) = 6.34, P = 0.017), upper back (1% vs 2.4%, χ(2) (1,1473) = 4.77, P = 0.043), lower back (7% vs 3.1%, χ(2) (1,1473) = 11.98, P = 0.001) and knee (7% vs 3.4%, χ(2) (1,1473) = 9.67, P = 0.003). A significantly higher proportion of surfers who performed aerial manoeuvres compared to those who did not reported a higher proportion of knee injuries (9.7% vs 3.9%, χ(2) (1,1473) = 13.00, P = 0.001). With respect to injury duration, the shoulder represented the largest proportion of chronic injuries (>3 months) (44.4%), and the head and face represented the largest proportion of acute injuries (≤3 months) (88%). Muscle and tendon injuries were reported most frequently (25.6%) and direct contact injuries accounted for 58.1% of all injury mechanisms. Key risk factors for traumatic injury included: competitive compared to recreational status (41.0% vs 30.1%, Relative Risk (RR) = 1.36, P < 0.001), ability to perform aerial manoeuvres (48.1% vs 31.8%, RR = 1.51, P < 0.001) and intermediate or above skill level surfers compared to beginner surfers (35.8% vs 22.7%, RR = 1.58, P < 0.001). CONCLUSION: One third of recreational surfers sustained a major traumatic injury in the previous 12 months. For competitive or aerialist surfers the risk was greater, with this proportion approximately half. Overall, the head/face was the most common location of traumatic injury, with competitive surfers being more likely to sustain a neck, shoulder, lower back, and knee injury compared to recreational surfers. The shoulder was associated with the highest proportion of injuries of chronic duration. Future research should investigate injury mechanisms and causation using prospective injury monitoring to better underpin targeted injury prevention programs

Screening and brief intervention delivery in the workplace to reduce alcohol-related harm:A pilot randomized controlled trial

Aim: To explore the feasibility and cost effectiveness of screening and delivery of a brief intervention for hazardous drinking employees. Methods: A pilot randomised controlled trial of a brief intervention delivered by an Occupational Health nurse versus no delivery of brief intervention (control group) conducted in a Local Authority Council (LCA) in the United Kingdom. Changes in quality of life and economic indicators were measured by the EQ-5D. Results: 627 employees were screened of whom 163 (26.01%) fulfilled the inclusion criteria with a total of 57 (35%) agreeing to participate. No significant differences were found between the groups for baseline demographics or levels/patterns of alcohol consumption. A statistically significant effect was found in the mean AUDIT scores over time (F = 8.96, p = 0.004) but not for group (F = 0.017, p = 0.896), and no significant interaction was found (F = 0.148, p = 0.702). The cost of each intervention was calculated at £12.48, the difference in service costs was calculated at £344.50 per person; that is there was a net saving of health and other care costs in the intervention group compared to the control group. The QALYs fell in both intervention and control groups, the difference −0.002 − (−0.010) yields a net advantage of the intervention of 0.008 QALYs. Conclusion: The main results from this pilot study suggest that alcohol brief interventions delivered in the workplace may offer the potential to reduce alcohol-related harm and save public sector resources. A fully powered multi-centre trial is warranted to contribute to the current evidence base and explore further the potential of alcohol brief interventions in the workplace. In a full trial the recruitment method may need to be re-considered

An interdisciplinary approach to enhance children’s listening, learning, and wellbeing in the classroom : The Listen to Learn for Life (L3) Assessment Framework

Introduction: Listening is the gateway to children learning in the mainstream classroom. However, modern classrooms are noisy and dynamic environments making listening challenging. It is therefore critical for researchers from speech and hearing, education, and health sciences to co-design and collaborate to realistically assess how children listen to learn in the classroom and to understand how listening can be improved to enhance children’s learning and wellbeing – an understanding which is currently lacking. Such highly interdisciplinary thinking demands a holistic classroom listening framework that can integrate a range of varied assessments and outcomes. Methods: An extensive review of literature into classroom listening was conducted but failed to identify a suitable framework. In this hypothesis and theory article we present a new framework that we have developed – the Listen to Learn for Life (L3) Assessment Framework. Results: The L3 Assessment Framework holistically incorporates frameworks from health, speech and hearing sciences, and education sectors. The framework accommodates a broad range of different factors that may affect listening, allowing for researchers to choose specific factors dependent on the context of use. Discussion: Selected examples of applying the framework are provided demonstrating how to assess children’s performance during different classroom activities as well as the effectiveness of a chosen intervention. For example, the framework can be used to assess the effectiveness of a wireless remote microphone intervention during group work activities for a child with autism. Conclusion: The L3 Assessment Framework provides a theoretical basis for the future development of research and practice as applied to listening in a classroom setting