Injury Risk Estimation Expertise: Interdisciplinary Differences in Performance on the ACL Injury Risk Estimation Quiz

Background: Simple observational assessment of movement is a potentially low-cost method for anterior cruciate ligament (ACL) injury screening and prevention. Although many individuals utilize some form of observational assessment of movement, there are currently no substantial data on group skill differences in observational screening of ACL injury risk. Purpose/Hypothesis: The purpose of this study was to compare various groups’ abilities to visually assess ACL injury risk as well as the associated strategies and ACL knowledge levels. The hypothesis was that sports medicine professionals would perform better than coaches and exercise science academics/students and that these subgroups would all perform better than parents and other general population members. Study Design: Cross-sectional study; Level of evidence, 3. Methods: A total of 428 individuals, including physicians, physical therapists, athletic trainers, strength and conditioning coaches, exercise science researchers/students, athletes, parents, and members of the general public participated in the study. Participants completed the ACL Injury Risk Estimation Quiz (ACL-IQ) and answered questions related to assessment strategy and ACL knowledge. Results: Strength and conditioning coaches, athletic trainers, physical therapists, and exercise science students exhibited consistently superior ACL injury risk estimation ability (þ2 SD) as compared with sport coaches, parents of athletes, and members of the general public. The performance of a substantial number of individuals in the exercise sciences/sports medicines (approximately 40%) was similar to or exceeded clinical instrument-based biomechanical assessment methods (eg, ACL nomogram). Parents, sport coaches, and the general public had lower ACL-IQ, likely due to their lower ACL knowledge and to rating the importance of knee/thigh motion lower and weight and jump height higher. Conclusion: Substantial cross-professional/group differences in visual ACL injury risk estimation exist. The relatively profound differences in injury risk estimation accuracy and their potential implications for risk screening suggest the need for additional training and outreach

Cross-professional differences in real-time assessment of ACL injury risk

Simple visual inspection of movement is a potentially low cost method for anterior cruciate ligament (ACL) injury screening and prevention. Although many professionals, athletes, and coaches utilize some form of visual inspection of movement/injury risk, there is currently no substantial data on group skill differences. Sports medicine professionals, exercise science students/academics, and strength and conditioning coaches exhibited consistently superior ACL injury risk estimation skill compared to sport coaches, parents of athletes and the general public (about 2 standard deviations). In addition, many individuals’ visual risk assessment accuracy was similar to or exceeded clinical instrument-based biomechanical assessment methods (i.e., ACL nomogram). Perceptual-cognitive mechanisms are discussed

Representing object oriented specifications and designs with extended data flow notations

The issue of using extended data flow notations to document object oriented designs and specifications is discussed. Extended data flow notations, for the purposes here, refer to notations that are based on the rules of Yourdon/DeMarco data flow analysis. The extensions include additional notation for representing real-time systems as well as some proposed extensions specific to object oriented development. Some advantages of data flow notations are stated. How data flow diagrams are used to represent software objects are investigated. Some problem areas with regard to using data flow notations for object oriented development are noted. Some initial solutions to these problems are proposed

Visual estimation of ACL injury risk: Efficient assessment method, group differences, and expertise mechanisms

Simple observational assessment of movement quality (e.g., drop vertical jump biomechanics) is an efficient and low cost method for anterior cruciate ligament (ACL) injury screening and prevention. A recently developed test (see www.ACL-IQ.org) has revealed substantial cross-professional/group differences in visual ACL injury risk estimation skill. Specifically, parents, sport coaches, and to some degree sports medicine physicians, would likely benefit from training or the use of decision support tools. In addition, expertise mechanisms (perceptual-cognitive characteristics of skilled performers) were investigated in order to design training systems to improve risk estimation performance

A Ransomware Case for Use in the Classroom

Given the global growth in ransomware attacks, employees need to understand the risks of ransomware and how to protect against it. This paper presents a teaching case based on an actual ransomware attack on a hospital that undergraduate or graduate course can use to teach students. The case introduces students to Wildcat Hospital, a fictitious 450-bed acute-care facility in a suburban location in the Northeastern United States. A ransomware attack hit Wildcat Hospital as the workday began. Malware infected the hospital\u27s computers and demanded one bitcoin, a virtual currency that affords anonymity, as ransom to restore functionality of the information systems. The chief executive officer and the chief information officer led the organizational response to the attack. We include links to two videos, a demo of a Locky ransomware attack in action, and a National Broadcasting Company (NBC) TV network news report about a similar ransomware incident at another hospital (Hollywood Presbyterian Medical Center in California) to engage students

Simulations of the infrared, Raman, and 2D-IR photon echo spectra of water in nanoscale silica pores

Vibrational spectroscopy is frequently used to characterize nanoconfined liquids and probe the effect of the confining framework on the liquid structure and dynamics relative to the corresponding bulk fluid. However, it is still unclear what molecular-level information can be obtained from such measurements. In this paper, we address this question by using molecular dynamics (MD) simulations to reproduce the linear infrared (IR), Raman, and two-dimensional IR (2D-IR) photon echo spectra for water confined within hydrophilic (hydroxyl-terminated) silica mesopores. To simplify the spectra the OH stretching region of isotopically dilute HOD in D2O is considered. An empirical mapping approach is used to obtain the OH vibrational frequencies, transition dipoles, and transition polarizabilities from the MD simulations. The simulated linear IR and Raman spectra are in good general agreement with measured spectra of water in mesoporous silica reported in the literature. The key effect of confinement on the water spectrum is a vibrational blueshift for OH groups that are closest to the pore interface. The blueshift can be attributed to the weaker hydrogen bonds (H-bonds) formed between the OH groups and silica oxygen acceptors. Non-Condon effects greatly diminish the contribution of these OH moieties to the linear IR spectrum, but these weaker H-bonds are readily apparent in the Raman spectrum. The 2D-IR spectra have not yet been measured and thus the present results represent a prediction. The simulated spectra indicates that it should be possible to probe the slower spectral diffusion of confined water compared to the bulk liquid by analysis of the 2D-IR spectra

The Connection between Ultraviolet and X-ray Outflows in AGN: the case of PDS 456

High-velocity outflows from AGN are a well-known phenomena in terms of the Broad Absorption Lines seen in the UV/optical. More recently, similar, possibly related, outflows have been reported in the X-ray. The most extreme example is seen in the nearby, luminous QSO PDS 456, which displays a massive, high velocity (50000 km s-1), high-ionization X-ray outflow of 10 solar masses yr-1. Here we present the UV spectrum of PDS 456 as observed by the Hubble Space Telescope. We find the UV spectrum is also extreme, displaying very broad emission-lines, with CIV 1549 blueshifted by 5000 km s-1 and a broad Ly-alpha absorption trough blueshifted by 14000-24000 km s-1. No strong, broad high-ionization absorption features are seen. We interpret the combined UV and X-ray spectrum of PDS 456 as the signature of a decelerating, cooling outflow, which may be driven by radiation and/or magnetic field. This outflow may be the source of some of the broad emission and absorption-line gas.Comment: Accepted for publication in MNRAS. 6 pages. 6 figure

CROSS-PROFESSIONAL DIFFERENCES IN REAL-TIME ASSESSMENT OF ACL INJURY RISK

Simple visual inspection of movement is a potentially low cost method for anterior cruciate ligament (ACL) injury screening and prevention. Although many professionals, athletes, and coaches utilize some form of visual inspection of movement/injury risk, there is currently no substantial data on group skill differences. Sports medicine professionals, exercise science students/academics, and strength and conditioning coaches exhibited consistently superior ACL injury risk estimation skill compared to sport coaches, parents of athletes and the general public (about 2 standard deviations). In addition, many individuals’ visual risk assessment accuracy was similar to or exceeded clinical instrument-based biomechanical assessment methods (i.e., ACL nomogram). Perceptual-cognitive mechanisms are discussed

Significance Testing at Preshistoric Archeological Site 41RK195, Rusk County, Texas

In May 1994, the Texas Department of Transportation (TxDOT) conducted extensive test excavations at archeological site 41RK195. Located in the path of proposed Loop 571 around Henderson, the site had already been seriously impacted by a sand quarrying operation. Lying atop a large hill near the confluence of Bromley Creek and Flanigan Branch, site 41RK195, now almost totally destroyed, is believed to have been a major site of the region. The small number of artifacts found, in addition to a few seen in private collections, indicates a long history of human habitation for this multicomponent site, including occupation of the Paleoindian, Archaic and Caddoan periods. Any cultural features that may have survived into the historic era were destroyed by the sand quarrying activities