APPLIED SPORT PSYCHOLOGY IN ELITE CLIMBING: WORKING WITH ATHLETES, COACHES, AND A FEDERATION

International audienceSport climbing is being promoted as an Olympic sport for Tokyo 2020. Embracing the Olympic project constitutes an opportunity for both climbing structure and elite-level actors to grow together, nevertheless it also creates tensions and difficulties due to the rapid changes and professionalization of structure. Working as an applied sport psychologist in this unique context, I share and discuss the advantages of being involved not only at individual level with athletes, but also in a holistic ecological approach with coaches and a federation. Departing from this context and my professional philosophy, I discuss the specificity, needs, and orientations that are particular for each level. I share an example of a sport psychology project that strengthens the interactive involvement of the athletes, coaches, and the federation and creates an added value for all three parties. Finally, I share and discuss the challenges and perspectives from such an engaging experience

Parental risk factors and children entering out-of-home care: The effects of cumulative risk and parent’s sex

BackgroundParental difficulties, including mental ill health, substance misuse, domestic violence and learning disability have been associated with children entering out-of-home care. There is also evidence that these issues may co-occur within families. Understanding how the co-occurrence of these difficulties is associated with care entry is complex because they may co-occur in the same or different household members and have different impacts on the likelihood of care entry when they occur in mothers, fathers or in single parent households.MethodAdministrative data from local authority children’s services in Wales were linked with demographic data to identify households in which children lived prior to entering care. Linkage to birth data identified biological mothers. Linkage with primary care, emergency department, hospital admissions and substance misuse services data enabled indicators of substance misuse, mental health, assaults in the home, learning disability and neurodivergence in the adults in those households to be identified. A series of multilevel binary logistic regression models were used to explore the odds of a household having one or more children entering care if risk factors were present. These considered the effects of individual risks, and cumulative risk both in individual adults in the household, and across the whole household. The effects of the number of adults, having adults with no risks and the differential impacts of risks in biological mothers, other women or men were also explored. Additional models explored these factors in single adult households.ResultsCumulative risks increased the likelihood of care entry, however this effect disappeared when individual risks were controlled for. The presence of an individual with no risks in the household acted as a protective factor. Overall, the impact of the risks on the odds of care entry was substantially greater if the risks were present in the biological mother than if they occurred in other adults (men or women) in the household. In single adult households risk factors had a much greater impact when they occurred in households headed by women as opposed to men.ConclusionSubstantial differences in the effects of risk factors in female and male adults are apparent and further research is needed to understand why this is occurring to ensure that parents are treated equally in terms of support and statutory intervention regardless of their sex

Understanding Suicide Clusters Through Exploring Self Harm Behaviors: a 10-year data-linkage cohort follow-up study of a Suicide Cluster using the Secure Anonymised Information Linkage (SAIL) Databank

Background: There is little information about characteristics and long-term outcomes of individuals who self-harm during a suicide cluster. Aims: To compare characteristics of individuals who self-harmed during a suicide cluster in South Wales (~10 deaths between Dec 2007 and Mar 2008) with others who self-harmed prior to the cluster, and to evaluate 10-year self-harm and mortality outcomes. Method: Using records from the hospital serving the catchment area of the suicide cluster, enhanced by national routinely collected linked data, we created two groups: individuals who self-harmed a) during the suicide cluster, and b) one year before. We compared individuals’ characteristics and performed logistic regression to compute odds ratios of 10-year self-harm and mortality outcomes. Results: Individuals who self-harmed during the cluster were less likely to be hospitalized or have a mental health history than those who self-harmed prior to the cluster. No significant group differences were found for 10-year self-harm outcomes, but all-cause mortality was higher for males. Limitations: Sample size was small, and data were lacking on psychological and social proximity to individuals who died during the suicide cluster. Conclusion: Our findings highlight the importance of long-term healthcare follow-up of those who self-harm during a suicide cluster, particularly males

Experimentation of ‘Link for Health’, a new Telehealth application in Cochin Hospital, France

Orange and Cochin Hospital have experimented ‘Link for Health’, a new Telehealth application in the Department of Oncology of Cochin Hospital, France.This new application allows a complete Telehealth service combining mobile application, sensors and questionnaires to return by internet to healthcare team.The purpose of this paper is to analyse and experiment the effectiveness of the Telehealth service, in oral and intravenous anti-cancer therapy to improve clinical and process outcomes.Results were analysed in terms of benefits for the patients and the hospital team

L’élevage et les friches au cœur de complémentarités entre littoral périurbain et arrière-pays. L’exemple du projet Fricato1en Pyrénées Orientales

Nous explorons dans ce texte un projet de valorisation des friches littorales en vue de diversifier les modèles agricoles de plaine et d’améliorer l’autonomie fourragère d’éleveurs pastoraux de piémont. Nous avons suivi la genèse et l’évolution de ce projet et conduit des entretiens auprès de tous les acteurs (éleveurs, acteurs territoriaux, conseillers élevage). Nous analysons la dynamique du projet en retenant trois dimensions: matérielle, organisationnelle, sociale. Ce projet ouvre des perspectives importantes. Les premiers résultats montrent que 100-120 ha permettraient à 5 à 7 éleveurs d’être autonomes en fourrage et céréales. L’analyse de la trajectoire permet d’identifier des difficultés (investir en matériel de culture, disposer de quelques parcs en montagne, avoir une certaine maitrise foncière), qui seront autant de pistes de travail pour la suite ou d’éléments à prendre en compte dans la conception de ce type de dispositif d’intégration culture-élevage à l’échelle du territoire. La production de légumineuses en plaine s’avère être un levier majeur de transitions agro écologiques en plaine et de renforcement de la conduite du troupeau et des ressources pastorales en piémont. Elle interroge les modèles d’agriculture spécialisée en plaine et change le regard des éleveurs sur leurs activités

Parental risk factors and children entering out-of-home care: The effects of cumulative risk and parent's sex

Background Parental difficulties, including mental ill health, substance misuse, domestic violence and learning disability have been associated with children entering out-of-home care. There is also evidence that these issues may co-occur within families. Understanding how the co-occurrence of these difficulties is associated with care entry is complex because they may co-occur in the same or different household members and have different impacts on the likelihood of care entry when they occur in mothers, fathers or in single parent households. Method Administrative data from local authority children’s services in Wales were linked with demographic data to identify households in which children lived prior to entering care. Linkage to birth data identified biological mothers. Linkage with primary care, emergency department, hospital admissions and substance misuse services data enabled indicators of substance misuse, mental health, assaults in the home, learning disability and neurodivergence in the adults in those households to be identified. A series of multilevel binary logistic regression models were used to explore the odds of a household having one or more children entering care if risk factors were present. These considered the effects of individual risks, and cumulative risk both in individual adults in the household, and across the whole household. The effects of the number of adults, having adults with no risks and the differential impacts of risks in biological mothers, other women or men were also explored. Additional models explored these factors in single adult households. Results Cumulative risks increased the likelihood of care entry, however this effect disappeared when individual risks were controlled for. The presence of an individual with no risks in the household acted as a protective factor. Overall, the impact of the risks on the odds of care entry was substantially greater if the risks were present in the biological mother than if they occurred in other adults (men or women) in the household. In single adult households risk factors had a much greater impact when they occurred in households headed by women as opposed to men. Conclusion Substantial differences in the effects of risk factors in female and male adults are apparent and further research is needed to understand why this is occurring to ensure that parents are treated equally in terms of support and statutory intervention regardless of their sex

Annual Catalogue of the Minnesota State Normal School at Moorhead. Seventh Year. (1894-1895)

https://red.mnstate.edu/bulletins/1064/thumbnail.jp

Sarcopenia Predicts Early Dose-Limiting Toxicities and Pharmacokinetics of Sorafenib in Patients with Hepatocellular Carcinoma

BACKGROUND: Sorafenib induces frequent dose limiting toxicities (DLT) in patients with advanced hepatocellular carcinoma (HCC). Sarcopenia has been associated with poor performance status and shortened survival in cancer patients. PATIENTS AND METHODS: The characteristics of Child Pugh A cirrhotic patients with HCC receiving sorafenib in our institution were retrospectively analyzed. Sorafenib plasma concentrations were determined at each visit. Toxicities were recorded during the first month of treatment, and sarcopenia was determined from baseline CT-scans. RESULTS: Forty patients (30 males) were included. Eleven (27.5%) were sarcopenic. Eighteen patients (45%) experienced a DLT during the first month of treatment. Sarcopenic patients experienced significantly more DLTs than non-sarcopenic patients did (82% versus 31%, p = 0.005). Grade 3 diarrhea was significantly more frequent in sarcopenic patients than in non-sarcopenic patients (45.5% versus 6.9%, p = 0.01), but not grade 3 hand foot syndrome reaction (9% versus 17.2%, p = 1). On day 28, median sorafenib AUC (n = 17) was significantly higher in sarcopenic patients (102.4 mg/l.h versus 53.7 mg/l.h, p = 0.013). CONCLUSIONS: Among cirrhotic Child Pugh A patients with advanced HCC, sarcopenia predicts sorafenib exposure and the occurrence of DLT within the first month of treatment