Prevalência lesiva em atletas femininas de rugby da seleção francesa: associação entre as lesões no joelho, força muscular e alinhamento postural

Projeto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciada em FisioterapiaObjetivo: o presente estudo teve como propósito analisar a prevalência das lesões desportivas numa equipa feminina de rugby pertencentes à seleção nacional francesa, determinar a existência de desequilíbrios entre a força muscular dos quadríceps e dos isquiotibiais, e se estes poderão estar associados com alterações posturais, assim como o facto de ter ou não lesão. Metodologia: estudo misto, observacional de corte transversal e retrospetivo, com uma amostra constituída por 20 atletas de género feminino, com idades compreendidas entre os 18 e os 35 anos. Foram entrevistadas para se efetuar a caracterização biológica, de treino e lesiva, seguindo-se uma avaliação postural através do programa Software para Avaliação Postural (SAPO), e a uma avaliação da força no dinamómetro isocinético. Resultados: durante 2 épocas desportivas foram referidas 45 lesões, das quais 53,3% ocorreram no membro inferior, 33,3% no membro superior e 13.3% na cabeça/tronco. O joelho foi o local com maior prevalência lesiva, sendo as lesões ligamentares as mais frequentes e com maior severidade. A força isocinética concêntrica de ambos os membros é idêntica, independentemente de já ter ocorrido lesão. Relativamente à força isocinética excêntrica já existem diferenças significativas entre os membros aquando da flexão do joelho. Os valores do alinhamento postural das atletas sem e com lesão no joelho são similares. Conclusão: Não existe uma relação entre a ocorrência de lesões no joelho e as variáveis biológicas, as características de treino, os défices de força isocinética e os padrões posturais.Objective: the purpose of this study was to analyze the prevalence of sports injuries in a female rugby team belonging to the French national team, to determine the existence of imbalances between the muscular strength of the quadriceps and hamstrings, and whether these could be associated with postural changes, as well as the fact of having or not injury. Methodology: Mixed study, cross-sectional and retrospective study, with a sample of 20 female athletes, aged between 18 and 35 years. They perform the biological, training and injury characterization, followed by a postural evaluation through the Software for Postural Evaluation (SAPO) program, and an evaluation of the strength in the isokinetic dynamometer. Results: during two sports seasons were reported 45 injuries, of which 53.3% occurred in the lower limb, 33.3% in the upper limb and 13.3% in the head / trunk. The knee was the site with a higher prevalence of injury were ligament lesions were the most frequent and more severe. The concentric isokinetic force of both limbs is identical regardless of whether an injury has already occurred. Regarding the eccentric isokinetic force there are already significant differences between the limbs with knee flexion. The values of the postural alignment of the athletes without and with knee injury are similar. Conclusion: There is no relationship between the occurrence of knee injuries and the biological variables, training characteristics, isokinetic strength deficits, and postural patterns.N/

‘Just gripping my heart and squeezing’:Naming and explaining the emotional experience of receiving bad news in the paediatric oncology setting

Objective To explore recipients’ perspectives on the range and origins of their emotional experiences during their ‘bad news’ consultations. Methods Participants were four bereaved families of children who had changed from active treatment to palliative care in paediatric oncology. Data was collected using emotional touchpoint storytelling. The names (descriptors) given to the emotional experiences were linguistically classified. Explanations of their perceived origins were examined using applied thematic analysis. Results 26 descriptors were given, relating to bodily sensations, affective states, evaluations and cognitive conditions. Three themes were identified in the origins of these experiences – ‘becoming aware’, ‘the changes’ and ‘being in this situation’. Parents described strong emotional displays during the consultation including physical collapse. These related to the internal process of ‘becoming aware’. Three descriptors were given as originating from the clinicians and their delivery of the news – ‘supported’, ‘included’, ‘trusting’. Conclusions Recipients perceive their emotional experiences as mainly originating from the news itself, and perceived consequences of it, rather than its delivery. Strong emotional reactions during the interaction are not necessarily an indicator of ineffectual delivery. Practice Implications Findings offer a thematic framing that may support and deepen practitioners’ understanding of recipients’ emotional reactions during bad news consultations

Rachel Field Correspondence

Entries include a biography, hand written letters on personal stationery and plain paper, and newspaper biographical and review clippings with photographic images of Fiel

Inflammatory bowel diseases and food additives:to add fuel on the flames!

International audienc

Aviation Risk Management

Risk management plans form a central part of all projects. However, projects in industries such as aviation and aerospace face serious risks due to the inherent hazards that may endanger the lives of those who utilize the products and services resulting from such projects. This study examined the practices of 56 project managers in the field of aviation to understand the unique approach to risk management undertaken by project managers. The results of the study offers approaches to managing risk in project characterized by extreme hazard

Digital Media Player Controls Supporting Music Education

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Occupational Therapy Students’ Perceived Preparedness to Work with Transgender Clients

In order to be a successful practitioner, an occupational therapist must have proper knowledge for treating diverse populations, including clients who are transgender. However, many occupational therapy (OT) programs do not teach content that is specific to the transgender population. This study utilized a complementary mixed-methods design to determine how prepared occupational therapy students perceived themselves to be for working with transgender clients. Entry-level masters and doctoral level occupational therapy students from accredited OT programs across the United States that had completed at least their first Level II fieldwork were recruited to participate. Eighty-five occupational therapy students completed the quantitative survey, and a subsequent six students participated in the phone interview for the qualitative portion of the study. Nearly all of the participants reported that their educators prepared them “not at all” or “some” to work with clients who are transgender. The majority of the participants reported having had contact with members of the transgender community. However, only about a third of participants reported having any transgender content in their courses. The themes that emerged from the qualitative data were limited knowledge about the topic, patient as the educator, self-directed training, and awareness of barriers the transgender community faces. These findings suggest that academic accreditation standards need to be updated to include marginalized populations, including transgender content, to decrease barriers and improve overall care provided to clients

The Report of the Intensive Survey of the Richard B. Russell Dam and Lake, Savannah River, Georgia and South Carolina

https://scholarcommons.sc.edu/archanth_books/1207/thumbnail.jp

The use of mobile technology to facilitate self-management in adults with Type 1 Diabetes: A qualitative explorative approach

Aims: (a) To explore how mobile technology can support self‐management in adults with type 1 diabetes (T1DM). (b) To inform a usability study in the design of a mobile application to facilitate self‐management of T1DM. Design: Qualitative exploratory design. Methods: Semi‐structured interviews were undertaken with adults with T1DM (N = 8). The data collected were analysed using a thematic analysis approach. Results: Mobile technology has the potential to support adults in their self‐management of T1DM through facilitating their decision‐making, saving time and enabling them to easily share their data with their healthcare professional. Participants identified four main visualization characteristics for technology to aid in decision‐making; relationships between inputs, trends, graphs and colours, and identified essential features such as ease of use, convenience and connectivity

Reducing Poverty in California…Permanently

If California were to seriously commit to equalizing opportunity and reducing poverty, how might that commitment best be realized? This is of course a hypothetical question, as there is no evidence that California is poised to make such a serious commitment, nor have many other states gone much beyond the usual lip-service proclamations. There are many reasons for California’s complacency, but an important one is that most people think that poverty is intractable and that viable solutions to it simply don’t exist. When Californians know what needs to be done, they tend to go forward and get it done. When, for example, the state’s roads are in disrepair, there are rarely paralyzing debates about exactly how to go about fixing them; instead we proceed with the needed repairs as soon as the funds to do so are appropriated. The same type of sure and certain prescription might appear to be unavailable when it comes to reducing poverty. It is hard not to be overwhelmed by the cacophony of voices yielding a thick stream of narrow-gauge interventions, new evaluations, and piecemeal proposals.1 Although the research literature on poverty is indeed large and may seem confusing, recent advances have in fact been so fundamental that it is now possible to develop a science-based response to poverty. In the past, the causes of poverty were not well understood, and major interventions, such as the War on Poverty, had to be built more on hunch than science. It is an altogether different matter now. The causes of poverty are well established, and the effects of many possible policy responses to poverty are likewise well established. The simple purpose of this essay is to assemble these advances into a coherent plan that would, if implemented, reduce poverty in California substantially