Innovation of Crutches

The following project focuses on the redesign of crutches, and more specifically, a redesign of the most common type of crutch, the axillary crutch. Every year, there are approximately 21 million Emergency Room visits for lower leg injuries, many of which would lead to short term crutch use [1]. In this project, we attempted to correct common issues associated with the use of the axillary (underarm) crutch such as pinched nerves, poor posture, and exhaustion with use. We also identified the problem of common crutches not being suited for certain body types such as the difference in body shape between men and women, therefore trying to change the overall shape of the crutch to be suitable for those of all size and shapes. Over the course of three semesters, we have successfully created three sets of prototype crutches. In these prototypes, we successfully implemented our research on structures, materials, and energy return to create a more ergonomic, safe, and user-friendly assistive device. As a culmination of the junior and senior engineering projects, this project shows how research and redesign processes can be implemented effectively

“All the World’s a Stage” and Each Has a Role to Play: A Collaborative Cross-Unit Metadata Project in Five Acts

The COVID-19 pandemic and the resulting shift to working from home proved a boon for digital collections. At Clemson University Libraries the metadata team facilitated a work-from-home project, during which 14 employees across two units described a collection of over 2400 photographs. From the standpoint of both the metadata reviewers and metadata creators, we will provide an overview of the project and workflows, including how training, communication, metadata creation, and quality control were managed remotely. This presentation reflects a balanced cross-unit perspective on what worked well and what could be improved for future virtual collaborative projects

“All the world’s a stage” and each has a role to play: A collaborative cross-unit metadata project in five acts

As a result of the COVID-19 pandemic, the metadata team at Clemson University Libraries facilitated a work-from-home project, during which 14 employees across two units described a collection of over 2,400 photographs. From the standpoint of both the metadata reviewers and metadata creators, this session provided an overview of the project, including how it was managed remotely. This presentation reflects a balanced cross-unit perspective on what worked well and what could be improved

Evaluation of the effectiveness of anterior cruciate ligament injury prevention programme training components: a systematic review and meta-analysis

Background- Anterior cruciate ligament (ACL) injury prevention programmes have shown mixed results, which may be due to differing emphasis on training components. The purpose of this study was to (1) quantify the overall and relative duration of each training component encompassed within these programmes and (2) examine the effect of these durations on ACL injury rates.Methods- A systematic review was completed and meta-analyses performed on eligible studies to produce a pooled OR estimate of the effectiveness of these programmes. Meta-regression was used to detect any relationship that programme duration and the duration of individual training components had on ACL injury rates.Results- 13 studies were included for review. Results of the meta-analyses revealed a significant reduction of injuries after preventative training programmes for all ACL injuries (pooled OR estimate of 0.612, 95% CI 0.44 to 0.85; p=0.004) and for non-contact ACL injuries (OR 0.351, 95% CI 0.23 to 0.54; p<0.001). Results of meta-regression analysis revealed that a greater duration of balance training was associated with a higher injury risk for ACL injury (p=0.04), while greater durations of static stretching was associated with a lower injury risk for non-contact ACL injuries (p=0.04).Conclusions- While ACL prevention programmes are successful in reducing the risk of ACL injury, the ideal combination and emphasis of training components within these programmes remains unclear. Evidence indicates that greater emphases on balance training and static stretching may be associated with an increase and decrease in injury risk, respectively

The Effect of Simulation based Training on Medical Students’ Perceptions, Knowledge, and Skill at Baseline and 6 month Follow up

The principal goal of most simulation-based learning is enhanced clinical skill, with the desired outcome being skill retention and improved performance over time. While evide nce supports simulation based training at the clerkship, graduate, and post graduate level, the evidence supporting its long term benefit at the pre clerkship level is less well established. Using quantitative methods, this research assessed the effect of skill based clinical simulation training on all second year medical students’ enrolled in two simulation courses at the University of Michigan during the 2013 2014 academic year (n=39). Pre course, post course, and 6 month follow up questionnaires were adm inistered, and analysis of variance was used to assess change in students\u27 knowledge, self reported confidence, and competency. Students in Course 1 (n=12) completed a post course and 6 month follow up skills test, and results were compared to faculty cont rols. Differences between groups were assessed using t tests. Odds ratios were calculated.Knowledge improved from pre course to post course; the gain was retained at follow up only for students in Course 1. Students perceived the courses as improving know ledge, confidence, and skill, though scores were significantly lower at follow up. For the subset of students participating in the skills test, the time to complete central line and thoracentesis at follow up did not significantly differ from post course; however, an increase was observed for lumbar puncture. Compared to faculty, students took significantly more time to complete the central line procedure. Outcomes for needle redirects and correct sequencing were mixed, with most procedures showing no signi ficant difference between measurement periods. Assessing students’ skill and the maintenance of that skill over time using objective and empirically derived measures can be challenging. The evaluation strategy described herein could be adapted to many proc edures commonly practiced within primary care and other medical specialties. Brief exposure to clinical simulation early in medical training and prior to clerkships can have a positive and lasting effecton medical students’ knowledge, confidence, and skil l for selected procedures

Agricultural Safety Education: Formative Assessment of a Curriculum Integration Strategy

The purpose of this study was to assess an agricultural tractor and machinery safety curriculum for teacher training that focused on hands-on integration activities to assist with training youth in machinery safety skills. Teachers attended a single ten-hour summer training seminar hosted in Montana, South Dakota, or Utah during 2017. Teachers completed the National Tractor and Machinery Safe Operation (NSTMOP) exam to measure their existing knowledge prior to beginning the training. Upon seminar completion, teachers took an NSTMOP post-test to measure their knowledge gain of agricultural safety practices and hazard recognition associated with machinery and tractors. A total of 116 teachers completed the training. Fifty-three participants (45.7%) identified as female, and 63 (54.3%) identified as male. The average participant was 35 years old (SD = 11.3) and had 9.5 years of teaching experience (SD = 9.2). The average NSTMOP pre-test score was 35.2 out of 48 (SD = 3.3), and the average NSTMOP post-test score was 40.3 out of 48 (SD = 4.1). Participants‘ scores increased by ten percentage points. A paired-samples t-test was used to determine statistical significance. The difference between pre-test and post-test was significant (t(109) = 11.9, p \u3c 0.001). Open responses indicated continuation of hands-on activities that focused on “how to teach” skills training that is relevant to the students. Teachers suggested developing new activities each year with a rotation of topics for upcoming seminars. Research is needed to determine the training‘s influence on the behaviors of young workers in agriculture

The internationalization of National Biomechanics Day

National Biomechanics Day (NBD) was initiated in 2016 as a nation-wide effort to introduce Biomechanics to high school students throughout the United States. After that initial year, many people around the world joined NBD to promote Biomechanics in their own countries. National Biomechanics Day became international. We describe NBD procedures and events in four of these countries with the intent of demonstrating mechanisms that may enable Biomechanists around the world to successfully join the NBD celebration

Multiplanar Knee Laxity and Perceived Function During Activities of Daily Living and Sport

Context: Greater knee-joint laxity may lead to a higher risk of knee injury, yet it is unknown whether results of self-reported outcome measures are associated with distinct knee-laxity profiles.Objective: To identify the extent to which multiplanar knee laxity is associated with patient-reported outcomes of knee function in healthy individuals during activities of daily living and sport.Design: Descriptive laboratory study.Setting: University research laboratory.Patients or Other Participants: Forty healthy individuals (20 men, 20 women; age=18–31 years).Main Outcome Measure(s): All participants were given the Knee Outcome Survey Activities of Daily Living Scale (KOS-ADL) and Sports Activities Scale (KOS-SAS) and subsequently measured for knee laxity in the sagittal, frontal, and transverse planes. Separate backward stepwise regression analyses were performed to determine the extent to which multiplanar knee-laxity values predicted KOS-ADL and KOS-SAS scores within each sex.Results: Women had higher magnitudes of anterior, posterior (POSTLAX), varus (VARLAX), valgus (VALLAX), and internal-rotation laxity than men and trended toward greater external rotation (ERLAX) laxity. Greater POSTLAX, less VALLAX, and greater VARLAX was associated with lower KOS-ADL scores (KOS-ADL=-4.8 [POSTLAX], + 3.3 [VALLAX] - 2.2 [VARLAX] + 100.4, R2=0.74, P Conclusions: The combination of POSTLAX with less relative VALLAX (women) or less relative ERLAX (men) was a strong predictor of KOS scores, suggesting that a self-reported outcome measure may be beneficial as part of a preparticipation screening battery to identify those with perceived functional deficits associated with their knee laxity

Neural correlates of the affective properties of spontaneous and volitional laughter types

Previous investigations of vocal expressions of emotion have identified acoustic and perceptual distinctions between expressions of different emotion categories, and between spontaneous and volitional (or acted) variants of a given category. Recent work on laughter has identified relationships between acoustic properties of laughs and their perceived affective properties (arousal and valence) that are similar across spontaneous and volitional types (Bryant & Aktipis, 2014; Lavan et al., 2016). In the current study, we explored the neural correlates of such relationships by measuring modulations of the BOLD response in the presence of itemwise variability in the subjective affective properties of spontaneous and volitional laughter. Across all laughs, and within spontaneous and volitional sets, we consistently observed linear increases in the response of bilateral auditory cortices (including Heschl's gyrus and superior temporal gyrus [STG]) associated with higher ratings of perceived arousal, valence and authenticity. Areas in the anterior medial prefrontal cortex (amPFC) showed negative linear correlations with valence and authenticity ratings across the full set of spontaneous and volitional laughs; in line with previous research (McGettigan et al., 2015; Szameitat et al., 2010), we suggest that this reflects increased engagement of these regions in response to laughter of greater social ambiguity. Strikingly, an investigation of higher-order relationships between the entire laughter set and the neural response revealed a positive quadratic profile of the BOLD response in right-dominant STG (extending onto the dorsal bank of the STS), where this region responded most strongly to laughs rated at the extremes of the authenticity scale. While previous studies claimed a role for right STG in bipolar representation of emotional valence, we instead argue that this may in fact exhibit a relatively categorical response to emotional signals, whether positive or negative