Alien Registration- Williams, Annie (Waterville, Kennebec County)

https://digitalmaine.com/alien_docs/14629/thumbnail.jp

The Cardiometabolic and Skeletal Profile of Female Endurance Athletes with Amenorrhea and Oligomenorrhea

Background Menstrual disturbances, namely amenorrhea and oligomenorrhea are relatively common disorders in female endurance athletes as a result of low energy availability (LEA). LEA is characterised by the perturbation of several hormones of which are involved in the regulation of bone (re)modelling and also those with cardio-protective properties. The impact on bone health is relatively well understood, but the extent of cardiometabolic risk factors ranging along a scale of both time and severity of menstrual disturbances is yet to be determined. Methods In this observational study, 4 amenorrheic athletes (AA), 3 oligomenorrheic athletes (OA) and 5 eumenorrheic athletes (EA) completed the LEAF-Q and received measurements of stature, mass, resting heart rate, resting blood pressure, waist circumference, body composition using bioelectrical impedance analysis and dual energy X-ray absorptiometry (DXA). Bone Mineral Density was measured by DXA at the total body, total hip, femoral neck, and anteriorposterior lumbar spine (L1-L4). Results There were statistically significant differences in the total body and lumbar spine BMD Zscores between amenorrheic and eumenorrheic athletes. Mean BMD Z-scores (-1.13 - 1.33) for the amenorrheic group were not outside of the normal range (>-0.2). Total body water (TBW) was at the top end of the normal range for the amenorrheic group, but not statistically significant from the eumenorrheic group. TBW was, negatively associated with waist:height ratio (R=-.874, p=<.001). Waist:height ratio was positively associated with total body BMD Zscore (R=.741, P=.006). BMD total body (Z-score) was positively associated with percentage body fat (PBF) (R=.682, p=0.015). Conclusions This study confirms the findings of previous work, that exemplify the differences in bone density between amenorrheic and eumenorrheic endurance athletes. Further studies need to be undertaken to confirm bone loss and better understand the time-course for any bone loss from onset of menstrual disturbance. Due to COVID-19 restrictions, the study sample size was limited and biochemical markers of cardiometabolic status were possible

Some Causes and Cures for Truancy in the Elementary School

Truancy has by now bean with us long enough to urge us to note sane causes and cures, if there is anything fundamental and permanent in experimentation. It is the purpose of this discussion to help the teacher reorganize her problem and work out remedies here suggested. Toward this effort is first made to give a historical background with statements of some of the psychological and the natural causes of truancy, its dangers, and its remedies

Broadening Responsibilities: Consideration Of The Potential To Broaden The Role Of Uniformed Fire Service Employees

What is this report about? This report, commissioned by the National Joint Council for Local Authority Fire and Rescue Services (NJC), aims to identify what impact, if any, firefighters can have on the delivery of emergency medical response and wider community health interventions in the UK. What are the overall conclusions? Appropriately trained and equipped firefighters co-responding1 to targeted, specific time critical medical events, such as cardiac arrest, can improve patient survival rates. The data also indicate that there is support from fire service staff – and a potential need from members of the public, particularly the elderly, isolated or vulnerable – to expand ‘wider work’. This includes winter warmth assessments, Safe and Well checks, community defibrillator training and client referrals when staff believe someone may have dementia, are vulnerable or even, for example, have substance dependencies such as an alcohol addiction. However, there is currently insufficient data to estimate the net benefit of this work

Improving relationship-based practice, practitioner confidence and family engagement skills through restorative approach training

Restorative Approach (RA) is an ethos and process that has been linked to a reduction of interpersonal conflict and improved relationships in various service settings but whose use is little explored in family services. This paper describes the findings of an evaluation of a training programme; The Restorative Approaches Family Engagement Project that was delivered to voluntary sector family practitioners across Wales with the intent of increasing the use of RA amongst practitioners and agencies, raising practitioner confidence when working with vulnerable families, and improving the extent to which and how practitioners engage with families. The study employed mixed methods. Quantitative measures investigated pre- and post- training practitioner perceptions of confidence, levels of family engagement, and organisational attitudes to RA. Post-training focus groups explored practitioner opinion of RAFEP and perceived changes to service delivery and receipt. Findings suggest RAFEP training promoted practitioner understanding of RA and increased perceptions of confidence when working with families in four specific aspects: developing positive relationships with service users, increasing communication, identifying service user needs/goals, and facilitating change. Qualitative data indicated that practitioners attributed the increased confidence to the service delivery framework engendered by the training and associated tools which facilitated its use and improved family engagement. Whilst host organisations were generally supportive of practitioners attending RAFEP training there was little evidence that knowledge and use of RA had been fully integrated into practitioner host agencies unless the organisation had previously used a restorative ethos

Examining the Mediating Role of Challenge and Threat Appraisal Tendencies on the Relationships Between Mastery Imagery Ability, Perceived Stress and Proactive Coping

Given the associations between mastery imagery ability, challenge and threat appraisal tendencies, perceived stress and proactive coping, and the implications for health, this research utilised a two-study approach to assess these associations and was the first study to examine whether appraisal states had a mediating role on the relationships of mastery imagery ability with perceived stress and proactive coping. Study 1 used a sample of 148 participants (M age = 22.52, SD = 4.36 years) and Study 2 used a sample of 338 participants (M age = 19.26, SD = 1.58 years). Participants completed online questionnaires measuring mastery imagery ability, challenge and threat appraisal tendencies, perceived stress, and proactive coping. In Study 1, only threat appraisal mediated the relationship between mastery imagery ability and perceived stress. However, both challenge and threat appraisal mediated the relationship between mastery imagery ability and proactive coping. Study 2 results showed challenge appraisal also mediated these relationships, but threat appraisal played no mediating role. Both studies demonstrate the important mediatory role of stress appraisal states, and the role they can have in regulating stress, but further research is warranted to establish when one stress appraisal may mediate the relationship over the other

The feasibility of a flexible exercise participation programme (FEPP) for individuals with multiple sclerosis

Background and purpose Individuals with multiple sclerosis (MS) want health advice regarding participation in their choice of exercise. To address this need, a flexible exercise participation programme (FEPP) was developed, underpinned by the MS aerobic exercise guidelines and supported by a physiotherapist using behaviour change techniques. The aim of this study was to investigate the feasibility of the FEPP for individuals with minimal disability from MS. Methods A feasibility study utilising a single group pre/post-intervention design was conducted. The 12-week FEPP was completed by 10 individuals with MS (EDSS 0–3.5). Exercise progression in duration, intensity or frequency of exercise (in line with MS exercise guidelines) was guided by a self-perceived weekly energy level score, and weekly telephone coaching sessions using behavioural change techniques. Trial feasibility was assessed via measures of process (recruitment and retention), resources/management (communication time; data entry) and scientific feasibility (safety; compliance). Secondary FEPP feasibility outcomes included the Goal Attainment Scale (GAS) T-score, exercise participation (weekly exercise diary), high-level mobility (HiMAT), vitality (Subjective Vitality Scale), biomarkers for inflammation (cytokines levels [IL2, IL4, IL6, IL10, TNF and IFNγ]), and acceptability (participant survey). Results Process: In total, 11 (85%) of 13 eligible participants enroled at baseline with 10 (91%) completing the study. Resources/management: Coaching sessions included a baseline interview—mean 39 min (SD: 6.6) and telephone coaching—mean 10 min (SD: 3.8) per week. Outcome measure data collection time—mean 44 min (SD: 2.1). Scientific feasibility: Two participants experienced a fall during their exercise participation. Self-reported compliance was high (99%). GAS T-scores increased significantly, indicating achievement of exercise participation goals. Secondary outcomes showed trends towards improvement. Discussion The FEPP was feasible, safe and highly acceptable for use with individuals with MS and warrants a larger trial to explore effectiveness

Instructional Resources for Social Studies In the Primary Grades, Asheville, N.C.

Thesis (M.A.)--Boston Universit