Worst Case Scenarios in Soccer Training and Competition: Analysis of Playing Position, Congested Periods, and Substitutes

Aim: To understand mean (WCSₘₑₐₙ) and peak (WCSₚₑₐₖ) worst case scenarios within training and game play in male professional soccer. Methods: Thirty-one (n = 31) first team players were monitored across 37 matches and 14 MD-3 sessions. Playing status was distinguished, football drills analyzed, and performance explored in long-period: >6 days, moderate-period: 5–6 days, and congested-period: ≤4 days. Relative total distance (TD), high-speed running distance (HSRD, >19.8 km·h⁻¹), sprint distance (SD, >25.2 km·h⁻²), accelerations/decelerations (A+D, >3 m·s⁻²), accelerations (Acc, >3 m·s⁻²), and decelerations (Dec, >−3 m·s⁻²) were measured as well as Maximum acceleration (Max Acc; m·s⁻²) and deceleration (Max Dec; m·s⁻²). Results: Analysis of variance found differences between matches and training in WCSmean for TD, HSRD, SD, and Max Dec in all positions (p  .275). Fullbacks displayed differences between match and training in Max Acc (moderate ESs; p  .05). Main effects of playing status were discovered for all metrics except Max Dec (p  .124). Analysis showed differences between long- and congested-period for A+D and Dec (large ESs; p ≤ .05). Conclusions: Findings provide more insights into short peak intensity demands of soccer showing that the maximum high velocity action of acceleration and deceleration is not being replicated in training. Nonstarters lack maximum intensity exposure in matches (WCSₚₑₐₖ) increasing the gap between training and competition even higher during congested fixture periods

Impact of the Manchester Glaucoma Enhanced Referral Scheme on NHS costs

Objectives: Glaucoma filtering schemes such as the Manchester Glaucoma Enhanced Referral Scheme (GERS) aim to reduce the number of false positive cases referred to Hospital Eye Services. Such schemes can also have wider system benefits, as they may reduce waiting times for other patients. However, previous studies of the cost consequences and wider system benefits of glaucoma filtering schemes are inconclusive. We investigate the cost consequences of the Manchester GERS. Design: Observational study. Methods: A cost analysis from the perspective of the National Health Service (NHS) was conducted using audit data from the Manchester GERS. Results: 2405 patients passed through the Manchester GERS from April 2013 to November 2016. 53.3% were not referred on to Manchester Royal Eye Hospital (MREH). Assuming an average of 2.3 outpatient visits to MREH were avoided for each filtered patient, the scheme saved the NHS approximately £2.76 per patient passing through the scheme. Conclusion: Our results indicate that glaucoma filtering schemes have the potential to reduce false positive referrals and costs to the NHS

Correlates of psychiatric inpatient admission in a paediatric eating disorder cohort

Objective: The prevalence and correlates of impending psychiatric inpatient admissions in children and adolescents with eating disorders were examined. Method: The sample comprised patients aged 8 to 17 years (91% female), with DSM-5 eating disorder diagnosis, categorised as with (n = 38) or without (n = 247) impending psychiatric admission, assessed between 2006 and 2013. The data source was the Helping to Outline Paediatric Eating Disorders (HOPE) Project registry (N ~ 1000), a prospective, ongoing registry study comprising consecutive paediatric tertiary eating disorder referrals. Results: Multivariate analysis of variance and discriminant function analysis were conducted to examine correlates. The prevalence of impending psychiatric admission was 13.3%. Significant group differences were found on psychological, behavioural, and situational correlates. Specifically, suicidal ideation, depressive symptoms, eating pathology, multiple methods of weight control, anxiety, purging behaviours, family functioning, and exercise for shape and weight control. Conclusions: Almost 1 in 7 young people with an eating disorder who attended assessment had a presentation needing inpatient psychiatric care, and these individuals could be differentiated from individuals not hospitalised or treated in inpatient medical settings. Implications of these findings include better identification of patients at critical psychiatric risk, earlier recognition and intervention for these patients and more focused assessment of comorbid psychiatric symptoms in specialised eating disorder triage and assessment. Adaptions at the study site to clinical and training protocols will be discussed

A new species of alkali-sink Paruroctonus Werner, 1934 (Scorpiones, Vaejovidae) from California’s San Joaquin Valley

Herein a new species of Paruroctonus Werner, 1934 is described from alkali-sink habitats in the San Joaquin Desert of central California, Paruroctonus tulare sp. nov. It can be differentiated from other Paruroctonus by a combination of morphological features including scalloped pedipalp fingers in males, specific setal counts and morphometric ratios, and specific patterns of fuscous pigmentation. It also inhabits a unique distribution allopatric with all other Paruroctonus species except P. variabilis Hjelle, 1982. Photographs of a large series of live P. tulare sp. nov. from across their range and detailed images of several morphological features are provided, their distribution is modeled, a haplotype network is presented, and details about their habitat, ecology, and conservation are discussed

Inter-ply stitching optimisation of highly drapeable multi-ply preforms

An efficient finite element model has been developed in Abaqus/Explicit to solve highly non-linear fabric forming problems, using a non-orthogonal constitutive relation and membrane elements to model bi-axial fabrics. 1D cable-spring elements have been defined to model localised inter-ply stitch-bonds, introduced to facilitate automated handling of multi-ply preforms. Forming simulation results indicate that stitch placement cannot be optimised intuitively to avoid forming defects. A genetic algorithm has been developed to optimise the stitch pattern, minimising shear deformation in multi-ply stitched preforms. The quality of the shear angle distribution has been assessed using a maximum value criterion (MAXVC) and a Weibull distribution quantile criterion (WBLQC). Both criteria are suitable for local stitch optimisation, producing acceptable solutions towards the global optimum. The convergence rate is higher for MAXVC, while WBLQC is more effective for finding a solution closer to the global optimum. The derived solutions show that optimised patterns of through-thickness stitches can improve the formability of multi-ply preforms compared with an unstitched reference case, as strain re-distribution homogenises the shear angles in each ply

Run 2 Upgrades to the CMS Level-1 Calorimeter Trigger

The CMS Level-1 calorimeter trigger is being upgraded in two stages to maintain performance as the LHC increases pile-up and instantaneous luminosity in its second run. In the first stage, improved algorithms including event-by-event pile-up corrections are used. New algorithms for heavy ion running have also been developed. In the second stage, higher granularity inputs and a time-multiplexed approach allow for improved position and energy resolution. Data processing in both stages of the upgrade is performed with new, Xilinx Virtex-7 based AMC cards.Comment: 10 pages, 7 figure

Management practices for control of ragwort species

The ragwort species common or tansy ragwort (Jacobaea vulgaris, formerly Senecio jacobaea), marsh ragwort (S. aquaticus), Oxford ragwort (S. squalidus) and hoary ragwort (S. erucifolius) are native in Europe, but invaded North America, Australia and New Zealand as weeds. The abundance of ragwort species is increasing in west-and central Europe. Ragwort species contain different groups of secondary plant compounds defending them against generalist herbivores, contributing to their success as weeds. They are mainly known for containing pyrrolizidine alkaloids, which are toxic to grazing cattle and other livestock causing considerable losses to agricultural revenue. Consequently, control of ragwort is obligatory by law in the UK, Ireland and Australia. Commonly used management practices to control ragwort include mechanical removal, grazing, pasture management, biological control and chemical control. In this review the biology of ragwort species is shortly described and the different management practices are discussed

Risk of COVID-19-related death among patients with chronic obstructive pulmonary disease or asthma prescribed inhaled corticosteroids: an observational cohort study using the OpenSAFELY platform

BACKGROUND: Early descriptions of patients admitted to hospital during the COVID-19 pandemic showed a lower prevalence of asthma and chronic obstructive pulmonary disease (COPD) than would be expected for an acute respiratory disease like COVID-19, leading to speculation that inhaled corticosteroids (ICSs) might protect against infection with severe acute respiratory syndrome coronavirus 2 or the development of serious sequelae. We assessed the association between ICS and COVID-19-related death among people with COPD or asthma using linked electronic health records (EHRs) in England, UK. METHODS: In this observational study, we analysed patient-level data for people with COPD or asthma from primary care EHRs linked with death data from the Office of National Statistics using the OpenSAFELY platform. The index date (start of follow-up) for both cohorts was March 1, 2020; follow-up lasted until May 6, 2020. For the COPD cohort, individuals were eligible if they were aged 35 years or older, had COPD, were a current or former smoker, and were prescribed an ICS or long-acting β agonist plus long-acting muscarinic antagonist (LABA-LAMA) as combination therapy within the 4 months before the index date. For the asthma cohort, individuals were eligible if they were aged 18 years or older, had been diagnosed with asthma within 3 years of the index date, and were prescribed an ICS or short-acting β agonist (SABA) only within the 4 months before the index date. We compared the outcome of COVID-19-related death between people prescribed an ICS and those prescribed alternative respiratory medications: ICSs versus LABA-LAMA for the COPD cohort, and low-dose or medium-dose and high-dose ICSs versus SABAs only in the asthma cohort. We used Cox regression models to estimate hazard ratios (HRs) and 95% CIs for the association between exposure categories and the outcome in each population, adjusted for age, sex, and all other prespecified covariates. We calculated e-values to quantify the effect of unmeasured confounding on our results. FINDINGS: We identified 148 557 people with COPD and 818 490 people with asthma who were given relevant respiratory medications in the 4 months before the index date. People with COPD who were prescribed ICSs were at increased risk of COVID-19-related death compared with those prescribed LABA-LAMA combinations (adjusted HR 1·39 [95% CI 1·10-1·76]). Compared with those prescribed SABAs only, people with asthma who were prescribed high-dose ICS were at an increased risk of death (1·55 [1·10-2·18]), whereas those given a low or medium dose were not (1·14 [0·85-1·54]). Sensitivity analyses showed that the apparent harmful association we observed could be explained by relatively small health differences between people prescribed ICS and those not prescribed ICS that were not recorded in the database (e value lower 95% CI 1·43). INTERPRETATION: Our results do not support a major role for regular ICS use in protecting against COVID-19-related death among people with asthma or COPD. Observed increased risks of COVID-19-related death can be plausibly explained by unmeasured confounding due to disease severity. FUNDING: UK Medical Research Council