ANALYSIS OF LOCALIZED LIMB LOADS FOR INJURY RISK DURING RETURN TO RUNNING PROTOCOLS FOLLOWING ACL RECONSTRUCTION

Introduction: Running is a typical goal after anterior cruciate ligament reconstruction (ACLR). Return to running (RTR) protocols are intended to provide a safe, incremental exposure to mechanical loads associated with running but none have been evaluated using existing injury prediction thresholds. Additionally, the influence of daily physical activity (PA) level and adherence to RTR protocol guidelines on predicted injury risk is unknown. Objectives: The purpose of this study was to estimate patellofemoral joint (PFJ), tibiofemoral joint (TFJ), and Achilles tendon (AT) injury risk associated with participation in three different RTR protocols as a function of overall daily PA level and protocol adherence. Methods: Average PFJ, TFJ, and AT force impulse/step during walking and running among 38 people with a history of ACLR were used to estimate cumulative impulse data at each site for each day for three RTR protocols. These RTR protocol impulse estimates were summed with the cumulative impulse at each site at progressively greater daily PA levels and input into two published injury prediction equations, the acute:chronic workload ratio (AC ratio) and percent change in daily load. A clinical scenario of nonadherence was evaluated by one week of no running followed by one week of doubling the mileage required in the protocol. Results: Assuming adherence, the AC ratio was below predicted injury risk thresholds at all sites, regardless of PA level (Figure 1A). However, the percent change injury model predicted increased PFJ injury risk when daily PA levels were less than 3,400 steps/day (Figure 1B). The RTR nonadherence model resulted in an AC ratio exceeding injury risk thresholds with PA levels below 2,300, 2,700, and 7,700 steps/day for the AT, TFJ, and PFJ, respectively, while the percent change model predicted increased injury risk at all sites regardless of PA level. The PFJ was at greatest risk for injury in each RTR protocol, regardless of adherence or daily PA level. Conclusions: The results of this study provide a basis for PA and protocol adherence recommendations and insight to the etiology of injuries associated with RTR after ACLR

Re: Recognition and management of psychosis and schizophrenia in children and young people : summary of NICE guidance.

The publication of NICE guidelines relating to the Recognition and management of Psychosis and Schizophrenia in children and young people 1 is to be welcomed given the lack of published guidance in this area, especially concerning the management of young people deemed to be at high risk of psychosis 2,3. However, we feel that the working group may have missed an opportunity to incorporate the views of current adolescent service users. The guideline development process included service-user representation at all stages. However, there was a dearth of published literature in relation to the experiences and treatment preferences of child and adolescent service users with psychosis to draw on 4 although we note the guidelines did not reference our recently published study in this area 5. Indeed, this is a patient group rarely consulted, possibly due to a perception that young people may find it difficult to articulate hallucinatory experiences or have inaccurate recall of events 6,7. However, there is a growing acceptance that eliciting and learning from service users' views is an important means of improving the quality of future health care and research within the NHS 8,9. Indeed, where the evidence base is uncertain, as in the present case, patient preferences may play a more significant role in treatment selection 10. In response to our concerns we are working with our local Early Intervention in Psychosis service to address this issue by offering information to young people describing possible therapeutic options and asking them to state their preferences

Henri Temianka Correspondence; (taylor)

This collection contains material pertaining to the life, career, and activities of Henri Temianka, violin virtuoso, conductor, music teacher, and author. Materials include correspondence, concert programs and flyers, music scores, photographs, and books.https://digitalcommons.chapman.edu/temianka_correspondence/4195/thumbnail.jp

Henri Temianka Correspondence; (taylor)

This collection contains material pertaining to the life, career, and activities of Henri Temianka, violin virtuoso, conductor, music teacher, and author. Materials include correspondence, concert programs and flyers, music scores, photographs, and books.https://digitalcommons.chapman.edu/temianka_correspondence/4196/thumbnail.jp

Henri Temianka Correspondence; (taylor)

This collection contains material pertaining to the life, career, and activities of Henri Temianka, violin virtuoso, conductor, music teacher, and author. Materials include correspondence, concert programs and flyers, music scores, photographs, and books.https://digitalcommons.chapman.edu/temianka_correspondence/4198/thumbnail.jp

Henri Temianka Correspondence; (taylor)

This collection contains material pertaining to the life, career, and activities of Henri Temianka, violin virtuoso, conductor, music teacher, and author. Materials include correspondence, concert programs and flyers, music scores, photographs, and books.https://digitalcommons.chapman.edu/temianka_correspondence/4199/thumbnail.jp

Can Frames Make Change? Using Communications Science to Translate the Science of Child Mental Health

Mental illness in children is on the rise in the United States, but research shows that the American public does not understand the science of child mental health—what it is and what supports and disrupts it. To build public understanding of child mental health and support for the systemic solutions needed to promote it, the FrameWorks Institute developed a “core story”—a master narrative—that advocates and experts in the field can use to communicate about the issue more effectively. This research is built on interviews with experts and members of the public, cognitive analyses of frames commonly used in media stories about the issue, and surveys of frame elements such as values and metaphors. Findings show that two values—Prosperity and Ingenuity—lifted support for policies related to child mental health. The Levelness Explanatory Metaphor, which compares child mental health to the levelness of a table, is also effective

Space to Think: Using Metaphor to Expand Public Thinking about Criminal Justice Reform

Metaphor is a vital feature of human cognition that is used both in making and creating meaning. As such, it can play a central role in multiple aspects of communication. In this paper, we synthesize theories of metaphor, culture and framing and argue that metaphors can be designed and tested to serve instrumental functions in communications practice. We discuss and explore this theory through a case study approach — presenting an iterative, multi-method research project that was conducted as part of a larger effort designed to reframe criminal justice reform and expand public discourse on this issue. Through this case study, we synthesize and apply several bodies of theory and offer a methodology for studying metaphors as a communication device. We argue for the power of metaphors as tools in effective communications practice

Philip Evergood and Ideologism in the 1930s

Though not in the mainstream of American art, Philip Evergood (1901-1973) was an unusually talented artist. Labeled expressionistic, surrealistic, and even gothic, he was really an aesthetic lone wolf with a restless, quizzical glance, a slightly halting but resonant voice (distinguished by a trace of Etonian accent), and a somewhat suspicious manner that quickly dissolved into a sparkling and mischievous smile (fig. 1). Timidity was a characteristic foreign to his exuberant nature. He was proud to think he bore a strong resemblance to his paternal grandfather, one of Australia\u27s most successful businessmen, who had evidenced a great warmth and loving quality for those he respected, rich or poor, but also a testy, irritable capacity for those he felt were untrue, malicious, conceited or stupid

Gender balance in committees and how it impacts participation : evidence from Costa Rica's legislative assembly

Artículo originalWe examine participation by women and men in legislatures in a critical case. Previous studies found that women often participate less than men in committee hearings and plenary debates. Yet these studies were conducted in cases where women held a fairly small share of seats and generally did not hold leadership positions or have seniority – factors expected to decrease participation. We use data from the Costa Rican Legislative Assembly (2010-2012) to assess whether women still participate less than men when placed in conditions of (near) institutional equality. Costa Rica has a successful 40% gender quota, a woman president, and no immediate reelection to the Assembly so all deputies lack seniority, thus many sex barriers have been broken in Costa Rican politics. In this apparently favorable environment, do women deputies participate equally with men? We answer this question using data from two standing committees, which offer variance on the percentage of women in attendance at each session. Empirical findings suggest that women participate as much as men in committee, even when the number of women on the committee is few. We also find that committee leaders are very active participants, which underscores the importance for women of obtaining committee leadership positions