Defining instances and limbs during performance of the standing turn

Conventions have been reported to describe walking and turning gait. No such descriptions appear for the 180° standing turn and as such there are inconsistencies in the literature reporting on this movement. The complexity of explaining the standing turning motion, variation in number of steps when turning, and differing strategies used means conventions will make research reporting easier to comprehend and less likely for errors in interpretation. We propose definitions of the 180° standing turning motion and steps used to complete a turn for able-bodied and pathological populations to encourage consistency in reporting. It is recommended that the definitions be applied in future research on standing turns

Acrodermatitis continua of Hallopeau: clinical perspectives.

Acrodermatitis continua of Hallopeau (ACH) is a rare, sterile pustular eruption of one or more digits. The condition presents with tender pustules and underlying erythema on the tip of a digit, more frequently arising on a finger than a toe. As far as classification, ACH is considered a localized form of pustular psoriasis. The eruption typically occurs after local trauma or infection, but such a history is not always present and various other etiologies have been described including infectious, neural, inflammatory, and genetic causes. The natural progression of ACH is chronic and progressive, often resulting in irreversible complications such as onychodystrophy that can result in anonychia, as well as osteitis that can result in osteolysis of the distal phalanges. Because of the rarity of ACH, there have been no randomized controlled studies to evaluate therapies, resulting in an absence of standardized treatment guidelines. In clinical practice, a wide variety of treatments have been attempted, with outcomes ranging from recalcitrance to complete resolution. In recent years, the introduction of biologics has provided a new class of therapy that has revolutionized the treatment of ACH. Specifically, rapid and sustained responses have been reported with the use of anti-tumor necrosis factor agents like infliximab, adalimumab, and etanercept; IL-17 inhibitors like secukinumab; IL-12/23 inhibitors like ustekinumab; and IL-1 inhibitors like anakinra. Nevertheless, there remains a considerable need for more research into treatment for the benefit of individual patients with ACH as well as for the clinical knowledge gained by such efforts. The purpose of this review is to provide a comprehensive overview of the key features of ACH as well as a discussion of clinical management strategies for this unique and debilitating condition

How rape myths are used and challenged in rape and sexual assault trials

Court responses to rape and sexual assault have been repeatedly criticized in England and Wales (Brown et al., 2010). In particular, research has identified prevalent stereotypes about rape in both the criminal justice system and wider society, with these rape myths often being used as the predominant explanation for inadequate victim/survivor treatment (see Temkin and Krahé, 2008). The existing literature, though, tends to rely on interviews or is outdated by policy, so the present research uses court observations to explore what is actually happening in adult rape and sexual assault trials. The findings show that rape myths are still routinely used at trial, but that they are sometimes resisted using judicial directions or prosecution comments. In addition, the research highlights how rape myths are kept ‘relevant’ to trial through a focus on inconsistencies, a dichotomy of wholly truthful/untruthful witnesses, and conceptualisations of ‘rational’ behaviour as being the ‘normal’ way to act. These findings provide a new understanding of rape myths and have implications for policy; in particular, that while training legal professionals is helpful, it cannot be expected to fully address the use of rape myths

Emerging Methods to Objectively Assess Pruritus in Atopic Dermatitis.

INTRODUCTION:Atopic dermatitis (AD) is an inflammatory skin disease with a chronic, relapsing course. Clinical features of AD vary by age, duration, and severity but can include papules, vesicles, erythema, exudate, xerosis, scaling, and lichenification. However, the most defining and universal symptom of AD is pruritus. Pruritus or itch, defined as an unpleasant urge to scratch, is problematic for many reasons, particularly its negative impact on quality of life. Despite the profoundly negative impact of pruritus on patients with AD, clinicians and researchers lack standardized and validated methods to objectively measure pruritus. The purpose of this review is to discuss emerging methods to assess pruritus in AD by describing objective patient-centered tools developed or enhanced over the last decade that can be utilized by clinicians and researchers alike. METHODS:This review is based on a literature search in Medline, Embase, and Web of Science databases. The search was performed in February 2019. The keywords were used "pruritus," "itch," "atopic dermatitis," "eczema," "measurements," "tools," "instruments," "accelerometer," "wrist actigraphy," "smartwatch," "transducer," "vibration," "brain mapping," "magnetic resonance imaging," and "positron emission tomography." Only articles written in English were included, and no restrictions were set on study type. To focus on emerging methods, prioritization was given to results from the last decade (2009-2019). RESULTS:The search yielded 49 results in PubMed, 134 results in Embase, and 85 results in Web of Science. Each result was independently reviewed in a standardized manner by two of the authors (M.S., K.L.), and disagreements between reviewers were resolved by consensus. Relevant findings were categorized into the following sections: video surveillance, acoustic surveillance, wrist actigraphy, smart devices, vibration transducers, and neurological imaging. Examples are provided along with descriptions of how each technology works, instances of use in research or clinical practice, and as applicable, reports of validation studies and correlation with other methods. CONCLUSION:The variety of new and improved methods to evaluate pruritus in AD is welcomed by clinicians, researchers, and patients alike. Future directions include next-generation smart devices as well as exploring new territories, such as identifying biomarkers that correlate to itch and machine-learning programs to identify itch processing in the brain. As these efforts continue, it will be essential to remain patient-centered by developing techniques that minimize discomfort, respect privacy, and provide accurate data that can be used to better manage itch in AD

Panel: The Challenges of Cybersecurity Curriculum

Cybersecurity is defined as: 1) measures to protect information technology; the information it contains, processes, and transmits and associated physical and virtual elements (which together comprise cyberspace) ; 2) the degree of protection resulting from application of those measures; and 3) the associated field of professional endeavor Fischer (2005). A Frost & Sullivan Market Survey in 2011 sponsored by (ISC)2 revealed a thorough insight into the critical trends and opportunities rising in the information security profession worldwide. The key findings were: 1. Application vulnerabilities represent the number one threat to organizations. 2. Mobile devices were the second highest security concern for the organization 3. Professionals aren’t ready for social media threats 4. Cloud computing illustrates a serious gap between technology implementation and the skills necessary to provide security 5. Information security professionals weathered the economic recession very well 6. Developing countries illustrated opportunities for growth with an experienced and more educated workforce 7. The information security workforce continues to show signs of strong growth 8. A clear skills gap exists that jeopardizes professionals’ ability to protect organizations in the near future The underlining trend affecting all these key issues is the lack of appropriate skills being demonstrated by information security professionals for protecting cybesecurity treats against organizations and that ... the information security profession could be on a dangerous course, where information security professionals are engulfed in their current job duties and responsibilities, leaving them ill-prepared for the major changes ahead, and potentially endangering the organizations they secure. (Ayoub, 2011) Smith, Koohang & Behling (2010) stated that higher education has a responsibility in designing and re-designing cybersecurity curriculum that prepare graduates with necessary knowledge and skills to become competent cybersecurity professionals. These knowledge and skills must also set the foundation for these graduates to become certified cybersecurity professionals. The purpose of this panel is to discuss two themes. They are as follows: Theme 1 - Cybersecurity curriculum: What is a sound cybersecurity curriculum that can prepare graduates with necessary knowledge and skills to protect organization\u27s cybersecurity treats? What should the curriculum entail regarding continuous improvement given the ever-changing nature of cybersecurity? How does a cybersecurity curriculum aligned with curriculum models (e.g., IS 2010, IT 2008) and special accreditation bodies (e.g., ABET). Theme 2 - Cybersecurity certification: Do graduates need to pass cybersecurity certification? What role does the university curriculum play in preparing graduates for taking and passing these certificates