Injuries at a Canadian National Taekwondo Championships: a prospective study

BACKGROUND: The purpose of this prospective study was to assess the injury rates in male and female adult Canadian Taekwondo athletes relative to total number of injuries, type and body part injured. METHODS: Subjects (219 males, 99 females) participated in the 1997 Canadian National Taekwondo Championships in Toronto, Canada. Injuries were recorded on an injury form to documents any injury seen and treatment provided by the health care team. These data were later used for this study. The injury form describes the athlete and nature, site, severity and mechanism of the injury. RESULTS: The overall rate of injuries was 62.9/1,000 athlete-exposures (A-E). The males (79.9/1,000 A-E) sustained significantly more injuries than the females (25.3/1,000 A-E). The lower extremities were the most commonly injured body region in the men (32.0 /1,000 A-E), followed by the head and neck (18.3/1,000 A-E). Injuries to the spine (neck, upper back, low back and coccyx) were the third most often injured body region in males (13.8/1,000 A-E). All injuries to the women were sustained to the lower extremities. The most common type of injury in women was the contusion (15.2/1,000 A-E). However, men's most common type of injury was the sprain (22.8/1,000 A-E) followed by joint dysfunction (13.7/1,000A-E). Concussions were only reported in males (6.9/1,000 A-E). Compared to international counterparts, the Canadian men and women recorded lower total injury rates. However, the males incurred more cerebral concussions than their American colleagues (4.7/1,000 A-E). CONCLUSIONS: Similar to what was found in previous studies, the current investigation seems to suggest that areas of particular concern for preventive measures involve the head and neck as well as the lower extremities. This is the first paper to identify spinal joint dysfunction

Consensus statement on abusive head trauma in infants and young children

Abusive head trauma (AHT) is the leading cause of fatal head injuries in children younger than 2 years. A multidisciplinary team bases this diagnosis on history, physical examination, imaging and laboratory findings. Because the etiology of the injury is multifactorial (shaking, shaking and impact, impact, etc.) the current best and inclusive term is AHT. There is no controversy concerning the medical validity of the existence of AHT, with multiple components including subdural hematoma, intracranial and spinal changes, complex retinal hemorrhages, and rib and other fractures that are inconsistent with the provided mechanism of trauma. The workup must exclude medical diseases that can mimic AHT. However, the courtroom has become a forum for speculative theories that cannot be reconciled with generally accepted medical literature. There is no reliable medical evidence that the following processes are causative in the constellation of injuries of AHT: cerebral sinovenous thrombosis, hypoxic-ischemic injury, lumbar puncture or dysphagic choking/vomiting. There is no substantiation, at a time remote from birth, that an asymptomatic birth-related subdural hemorrhage can result in rebleeding and sudden collapse. Further, a diagnosis of AHT is a medical conclusion, not a legal determination of the intent of the perpetrator or a diagnosis of murder. We hope that this consensus document reduces confusion by recommending to judges and jurors the tools necessary to distinguish genuine evidence-based opinions of the relevant medical community from legal arguments or etiological speculations that are unwarranted by the clinical findings, medical evidence and evidence-based literature

Diamond-based 1-D imaging arrays

Diamond has shown great promise for the fabrication of high sensitivity, low dark current, fast and visible-blind deep UV photodetectors. In addition to careful choice of substrate material, defect passivation treatments applied to the diamond after growth have been found to considerably enhance the detector characteristics achieved. In this paper we report on the first purposefully designed 1-D CVD diamond imaging array for the detection of nanosecond 193 nm excimer laser pulses using this approach. It is shown to perform extremely well, giving less than 2% pixel-to-pixel variation in signal response, and is fast enough to avoid any sign of charge build up during prolonged operation

Nearfield Binaural Synthesis and Ambisonics

Ambisonic encodings can be rendered binaurally as well as for speaker arrays. This process is developed for general high-order Ambisonic encodings of soundfields containing near as well as far sources. For sufficently near sources an error is identified resulting from the limited field of validity of the freefield harmonic expansion. A modified expansion is derived that can render such sources correctly

Development of high temperature AlGaAs soft X-ray photon counting detectors

New types of detectors based on the wide band gap material AlGaAs have been developed for soft X-ray spectroscopy applications. We report on the spectroscopic performance of simple p-i-n diodes and avalanche photodiodes (APDs). A number of diode types with different layer thicknesses have also been characterised. X-ray spectra from 55Fe and 109Cd radioactive sources show these diodes can be used for spectroscopy with promising energy resolution (1.0–1.25 keV) over a -30 to +90 °C temperature range. The temperature dependence of the avalanche multiplication process at soft X-ray energies in Al0.8Ga0.2As APDs was also investigated at temperatures from -20 to +80 °C. The temperature dependence of the pure electron initiated multiplication factor (Me) and the mixed carrier initiated avalanche multiplication factor (Mmix) were extracted from the X-ray spectra. The experimental results are compared with a spectroscopic Monte Carlo model for Al0.8Ga0.2As diodes from which the temperature dependence of the pure hole initiated multiplication factor (Mh) is determined. Monte Carlo simulations for the avalanche gain of absorbed X-ray photons have also been developed to study the relationship between avalanche gain and energy resolution for semiconductor X-ray avalanche photodiodes. The model showed that the distribution of gains, which directly affects the energy resolution, depends on the number of injected electron-hole pairs (and hence the photon energy), the relationship between the two ionization coefficients, and the overall mean gain. Our model showed that the conventional notion of APD gains degrading energy resolution significantly is incomplete. We compare the Monte Carlo simulations with experimental data from a number of different Al0.8Ga0.2As diodes

Development of AlGaAs avalanche diodes for soft X-ray photon counting

We report on the performance of avalanche photodiodes (APDs) based on the wide band gap material AlGaAs which have been developed for soft X-ray spectroscopy applications. A number of diode types with different layer thicknesses have been characterised. The temperature dependence of the avalanche multiplication process at soft X-ray energies in Al 0.8Ga 0.2As APDs was investigated at temperatures from +80°C to -20°C. X-ray spectra from a 55Fe radioactive source show these diodes can be used for spectroscopy with promising energy resolution (0.9-2.5keV) over a wide temperature range. The temperature dependence of the pure electron initiated multiplication factor (M e) and the mixed carrier initiated avalanche multiplication factor (M mix) were experimentally measured. The experimental results are compared with a spectroscopic Monte Carlo model for Al 0.8Ga 0.2As diodes from which the temperature dependence of the pure hole initiated multiplication factor (M h) is determined. © 2011 IEEE