Increasing injuries as trampoline parks expand within Australia: a call for mandatory standards

© 2018 The Authors Objective: To quantify an apparent increase in indoor trampoline park related injuries in children and young people across Australia, and to understand the implications for current regulatory standards. Methods: Retrospective analyses of three state-based Injury Surveillance databases, identifying children and adolescents presenting to emergency departments between the years 2005 and 2017, who had sustained injuries during trampolining activity at an indoor trampoline park. Results: Across the three datasets, 487 cases were identified. No cases were recorded prior to 2012, the year the first indoor trampoline park opened. At least half occurred among those aged 10–14 years. In Victoria, 58% were male, with 52% in Queensland and 60% in Western Australia being male, respectively. Hospital admission rates in these states were 15%, 11.7% and 14.5%, respectively. The most frequent injury types were dislocations, sprains and strains, followed by fractures, with some head and spinal injuries. Conclusions: Across several states in Australia, the incidence of indoor trampoline park related injuries is concerning, as these venues are increasing in number. Some injuries can be serious and result in lifelong disability for children or adolescents. Implications for public health: National safety standards that apply to indoor trampoline park operators are not currently mandatory; injury prevention efforts would be assisted if such standards were mandatory

Neck Loads During Head-First Entries into Trampoline Dismount Foam Pits: Considerations for Trampoline Park Safety

Serious cervical spine injuries have been documented from falls into foam pits at trampoline parks. To address the lack of evidence on how foam pits should be designed for mitigating neck injury risk, this study aimed to quantify neck loads during head-first entry into varying foam pit designs. An instrumented Hybrid III anthropomorphic test device was dropped head-first from a height of up to 1.5 m into three differently constructed foam pits, each using a different mechanism to prevent direct contact between the falling person and the floor (foam slab, trampoline or net bed). Measured neck loads were compared to published injury reference values. In the simplest, foam-only pit design, increasing foam depth tended to reduce peak compressive force. At least one injury assessment reference metric was exceeded in all pit conditions tested for 1.5 m falls, most commonly the time-dependent neck compression criterion. The results highlight the importance of adequate foam depth in combination with appropriate pit design in minimizing injury risk. The risk of cervical spine injury may not be reduced sufficiently with current foam pit designs

Training Load, Injury Burden, and Team Success in Professional Rugby Union:Risk Versus Reward

CONTEXT: Individual and team injury burden and performance are 2 key considerations facing practitioners in the daily prescription of an athlete's training load. Whereas a considerable number of researchers have examined univariate relationships between training load and performance, training load and injury, or injury and performance, few investigators have examined all 3 concurrently. OBJECTIVE: To assess the association among training load, injury burden, and performance in professional rugby union. DESIGN: Descriptive epidemiology study. SETTING: The English Premiership competition. PATIENTS OR OTHER PARTICIPANTS: Individual injury and training load data, as well as team performance data, were captured during the 2015–2016 (n = 433 players) and 2016–2017 (n = 569 players) seasons. MAIN OUTCOME MEASURE(S): Data were aggregated into team average scores for each week, including weekly (acute) load, smoothed chronic load, changes in load, injury burden, and weekly performance. Linear mixed modelling techniques were used to assess the association among measures. RESULTS: Injury burden was negatively associated with performance, with a high weekly burden associated with a likely harmful (P = .01) decrease in performance. Training load measures displayed only trivial associations with performance. Only the acute:chronic workload ratio measure was clearly associated with injury burden, with a possibly harmful effect (P = .02). Both squad size and player availability were associated with only trivial changes in performance. CONCLUSIONS: Whereas no association between average training load and performance existed, associations between training load and injury burden and between injury burden and performance were clear. Further investigation using more sensitive and individualized measures of load, performance, and injury may elicit a clearer relationship and should be considered for future work

Elliptic genera of 2d N=2 gauge theories

We compute the elliptic genera of general two-dimensional and gauge theories. We find that the elliptic genus is given by the sum of Jeffrey-Kirwan residues of a meromorphic form, representing the one-loop determinant of fields, on the moduli space of flat connections on T (2). We give several examples illustrating our formula, with both Abelian and non-Abelian gauge groups, and discuss some dualities for U(k) and SU(k) theories. This paper is a sequel to the authors' previous paper (Benini et al., Lett Math Phys 104:465-493, 2014)

Cascades with Adjoint Matter: Adjoint Transitions

A large class of duality cascades based on quivers arising from non-isolated singularities enjoy adjoint transitions - a phenomenon which occurs when the gauge coupling of a node possessing adjoint matter is driven to strong coupling in a manner resulting in a reduction of rank in the non-Abelian part of the gauge group and a subsequent flow to weaker coupling. We describe adjoint transitions in a simple family of cascades based on a Z2-orbifold of the conifold using field theory. We show that they are dual to Higgsing and produce varying numbers of U(1) factors, moduli, and monopoles in a manner which we calculate. This realizes a large family of cascades which proceed through Seiberg duality and Higgsing. We briefly describe the supergravity limit of our analysis, as well as a prescription for treating more general theories. A special role is played by N=2 SQCD. Our results suggest that additional light fields are typically generated when UV completing certain constructions of spontaneous supersymmetry breaking into cascades, potentially leading to instabilities.Comment: 29 pages, a few typos fixed, improved discussion, added figure; now there is 1 figur

A 5d/3d duality from relativistic integrable system

We propose and prove a new exact duality between the F-terms of supersymmetric gauge theories in five and three dimensions with adjoint matter fields. The theories are compactified on a circle and are subject to the Omega deformation. In the limit proposed by Nekrasov and Shatashvili, the supersymmetric vacua become isolated and are identified with the eigenstates of a quantum integrable system. The effective twisted superpotentials are the Yang-Yang functional of the relativistic elliptic Calogero-Moser model. We show that they match on-shell by deriving the Bethe ansatz equation from the saddle point of the five-dimensional partition function. We also show that the Chern-Simons terms match and extend our proposal to the elliptic quiver generalizations.Comment: 30 pages, 4 figures. v2: typo corrected, references adde

Key features of palliative care service delivery to Indigenous peoples in Australia, New Zealand, Canada and the United States: A comprehensive review

Background: Indigenous peoples in developed countries have reduced life expectancies, particularly from chronic diseases. The lack of access to and take up of palliative care services of Indigenous peoples is an ongoing concern. Objectives: To examine and learn from published studies on provision of culturally safe palliative care service delivery to Indigenous people in Australia, New Zealand (NZ), Canada and the United States of America (USA); and to compare Indigenous peoples’ preferences, needs, opportunities and barriers to palliative care. Methods: A comprehensive search of multiple databases was undertaken. Articles were included if they were published in English from 2000 onwards and related to palliative care service delivery for Indigenous populations; papers could use quantitative or qualitative approaches. Common themes were identified using thematic synthesis. Studies were evaluated using Daly’s hierarchy of evidence-for-practice in qualitative research. Results: Of 522 articles screened, 39 were eligible for inclusion. Despite diversity in Indigenous peoples’ experiences across countries, some commonalities were noted in the preferences for palliative care of Indigenous people: to die close to or at home; involvement of family; and the integration of cultural practices. Barriers identified included inaccessibility, affordability, lack of awareness of services, perceptions of palliative care, and inappropriate services. Identified models attempted to address these gaps by adopting the following strategies: community engagement and ownership; flexibility in approach; continuing education and training; a whole-of-service approach; and local partnerships among multiple agencies. Better engagement with Indigenous clients, an increase in number of palliative care patients, improved outcomes, and understanding about palliative care by patients and their families were identified as positive achievements. Conclusions: The results provide a comprehensive overview of identified effective practices with regards to palliative care delivered to Indigenous populations to guide future program developments in this field. Further research is required to explore the palliative care needs and experiences of Indigenous people living in urban areas

The ball in play demands of international rugby union

Objectives: Rugby union is a high intensity intermittent sport, typically analysed via set time periods or rolling average methods. This study reports the demands of international rugby union via global positioning system (GPS) metrics expressed as mean ball in play (BiP), maximum BiP (max BiP), and whole match outputs. Design: Single cohort cross sectional study involving 22 international players, categorised as forwards and backs. Methods: A total of 88 GPS files from eight international test matches were collected during 2016. An Opta sportscode timeline was integrated into the GPS software to split the data into BiP periods. Metres per min (m.min-1), high metabolic load per min (HML), accelerations per min (Acc), high speed running per min (HSR), and collisions per min (Coll) were expressed relative to BiP periods and over the whole match (>60min). Results: Whole match metrics were significantly lower than all BiP metrics (p < 0.001). Mean and max BiP HML, (p < 0.01) and HSR (p < 0.05) were significantly higher for backs versus forwards, whereas Coll were significantly higher for forwards (p < 0.001). In plays lasting 61s or greater, max BiP m.min-1 were higher for backs. Max BiP m.min-1, HML, HSR and Coll were all time dependant (p < 0.05) showing that both movement metrics and collision demands differ as length of play continues. Conclusions: This study uses a novel method of accurately assessing the BiP demands of rugby union. It also reports typical and maximal demands of international rugby union that can be used by practitioners and scientists to target training of worst-case scenario's equivalent to international intensity. Backs covered greater distances at higher speeds and demonstrated higher HML, in general play as well as 'worst case scenarios'; conversely forwards perform a higher number of collisions

Implications of different stellar spectra for the climate of tidally locked Earth-like exoplanets (article)

This is the final version. Available from EDP Sciences via the DOI in this recordThe dataset associated with this article is located in ORE at: https://doi.org/10.24378/exe.2383The majority of potentially habitable exoplanets detected orbit stars cooler than the Sun, and therefore are irradiated by a stellar spectrum peaking at longer wavelengths than that incident on Earth. Here we present results from a set of simulations of tidally–locked terrestrial planets orbiting three di erent host stars to isolate the e ect of the stellar spectra on the simulated climate. Specifically, we perform simulations based on TRAPPIST–1e, adopting an Earth-like atmosphere and using the UK Met O ce Unified Model in an idealised ‘aqua–planet’ configuration. Whilst holding the planetary parameters constant, including the total stellar flux (900 W/m2) and orbital period (6.10 Earth days), we compare results between simulations where the stellar spectrum is that of a quiescent TRAPPIST–1, Proxima Centauri and the Sun. The simulations with cooler host stars had an increased proportion of incident stellar radiation absorbed directly by the troposphere compared to the surface. This, in turn, led to an increase in the stability against convection, a reduction in overall cloud coverage on the dayside (reducing scattering), leading to warmer surface temperatures. The increased direct heating of the troposphere also led to more e cient heat transport from the dayside to the nightside and, therefore, a reduced day–night temperature contrast. We inferred that planets with an Earth–like atmosphere orbiting cooler stars had lower dayside cloud coverage, potentially allowing habitable conditions at increased orbital radii, compared to similar planets orbiting hotter stars for a given planetary rotation rate.Leverhulme TrustScience and Technology Facilities Council (STFC)Leverhulme Trus