Applying the Socio-Ecological Model to barriers to implementation of ACL injury prevention programs: A systematic review

Background: Preventing anterior cruciate ligament (ACL) injuries is important to avoid long-term adverse health consequences. Identifying barriers to implementation of these prevention programs is crucial to reducing the incidence of these injuries. Our purpose was to identify barriers of implementation for ACL injury prevention programs and suggest mechanisms for reducing the barriers through application of a SocioEcological Model (SEM). Methods: Studies investigating ACL prevention program effectiveness were searched in Medline via PubMed and the Cochrane Library, and a subsequent review of the references of the identified articles, yielded 15 articles total. Inclusion criteria encompassed prospective controlled trials, published in English, with ACL injuries as the primary outcome. Studies were independently appraised by 2 reviewers for methodological quality using the PEDro scale. Barriers to implementation were identified when reported in at least 2 separate studies. A SEM was used to suggest ways to reduce the identified barriers. Results: Five barriers were identified: motivation, time requirements, skill requirements for program facilitators, compliance, and cost. The SEM suggested ways to minimize the barriers at all levels of the model from the individual through policy levels. Conclusion: Identification of barriers to program implementation and suggesting how to reduce them through the SEM is a critical first step toward enabling ACL prevention programs to be more effective and ultimately reducing the incidence of these injurie

SOFIA/EXES Observations of Water Absorption in the Protostar AFGL 2591 at High Spectral Resolution

We present high spectral resolution (~3 km/s) observations of the nu_2 ro-vibrational band of H2O in the 6.086--6.135 micron range toward the massive protostar AFGL 2591 using the Echelon-Cross-Echelle Spectrograph (EXES) on the Stratospheric Observatory for Infrared Astronomy (SOFIA). Ten absorption features are detected in total, with seven caused by transitions in the nu_2 band of H2O, two by transitions in the first vibrationally excited nu_2 band of H2O, and one by a transition in the nu_2 band of H2{18}O. Among the detected transitions is the nu_2 1(1,1)--0(0,0) line which probes the lowest lying rotational level of para-H2O. The stronger transitions appear to be optically thick, but reach maximum absorption at a depth of about 25%, suggesting that the background source is only partially covered by the absorbing gas, or that the absorption arises within the 6 micron emitting photosphere. Assuming a covering fraction of 25%, the H2O column density and rotational temperature that best fit the observed absorption lines are N(H2O)=(1.3+-0.3)*10^{19} cm^{-2} and T=640+-80 K.Comment: 6 pages, 3 figures, 1 table, accepted for publication in ApJ

The Exemplar T8 Subdwarf Companion of Wolf 1130

We have discovered a wide separation (188.5") T8 subdwarf companion to the sdM1.5+WD binary Wolf 1130. Companionship of WISE J200520.38+542433.9 is verified through common proper motion over a ~3 year baseline. Wolf 1130 is located 15.83 +/- 0.96 parsecs from the Sun, placing the brown dwarf at a projected separation of ~3000 AU. Near-infrared colors and medium resolution (R~2000-4000) spectroscopy establish the uniqueness of this system as a high-gravity, low-metallicity benchmark. Although there are a number of low-metallicity T dwarfs in the literature, WISE J200520.38+542433.9 has the most extreme inferred metallicity to date with [Fe/H] = -0.64 +/- 0.17 based on Wolf 1130. Model comparisons to this exemplar late-type subdwarf support it having an old age, a low metallicity, and a small radius. However, the spectroscopic peculiarities of WISE J200520.38+542433.9 underscore the importance of developing the low-metallicity parameter space of the most current atmospheric models.Comment: Accepted to ApJ on 05 September 2013; 33 pages in preprint format, 8 figures, 3 table

‘Question Moments’: A Rolling Programme of Question Opportunities in Classroom Science

This article has been made available through the Brunel Open Access Publishing Fund.This naturalistic study integrates specific 'question moments' into lesson plans to increase pupils' classroom interactions. A range of teaching tools has explored students' ideas through opportunities to ask and write questions. Their oral and written outcomes provide data on individual and group misunderstandings. Changes to the schedule of lessons were introduced to discuss these questions and solve disparities. Flexible lesson planning over fourteen lessons across a four-week period of highschool chemistry accommodated students' contributions and increased student participation, promoted inquiring and individualised teaching, with each teaching strategy feeding forward into the next

Sex differences in lower extremity biomechanics during single leg landings

Background. Females have an increased incident rate of anterior cruciate ligament tears compared to males. Biomechanical strategies to decelerate the body in the vertical direction have been implicated as a contributing cause. This study determined if females would exhibit single leg landing strategies characterized by decreased amounts of hip, knee, and ankle flexion resulting in greater vertical ground reaction forces and altered energy absorption patterns when compared to males. Methods. Recreationally active males (N = 14) and females (N = 14), completed five single leg landings from a 0.3 m height onto a force platform while three-dimensional kinematics and kinetics were simultaneously collected. Findings. Compared to males, females exhibited (1) less total hip and knee flexion displacements (40% and 64% of males, respectively, P < 0.05) and less time to peak hip and knee flexion (48% and 78% of males, respectively, P < 0.05), (2) 9% greater peak vertical ground reaction forces (P < 0.05), (3) less total lower body energy absorption (76% of males, P < 0.05), and (4) 11% greater relative energy absorption at the ankle (P < 0.05)

Energy absorption as a predictor of leg impedance in highly trained females

Although leg spring stiffness represents active muscular recruitment of the lower extremity during dynamic tasks such as hopping and running, the joint-specific characteristics comprising the damping portion of this measure, leg impedance, are uncertain. The purpose of this investigation was to assess the relationship between leg impedance and energy absorption at the ankle, knee, and hip during early (impact) and late (stabilization) phases of landing. Twenty highly trained female dancers (age = 20.3 ± 1.4 years, height = 163.7 ± 6.0 cm, mass = 62.1 ± 8.1 kg) were instrumented for biomechanical analysis. Subjects performed three sets of double-leg landings from under preferred, stiff, and soft landing conditions. A stepwise linear regression analysis revealed that ankle and knee energy absorption at impact, and knee and hip energy absorption during the stabilization phases of landing explained 75.5% of the variance in leg impedance. The primary predictor of leg impedance was knee energy absorption during the stabilization phase, independently accounting for 55% of the variance. Future validation studies applying this regression model to other groups of individuals are warranted

Sex specific abdominal activation strategies during landing

Control of the trunk segment in landing has been implicated as a contributing factor to the higher incidence of anterior cruciate ligament injuries in females than in males. Investigating the sex-specific abdominal activation strategies during landing lends insight into mechanisms contributing to control of the trunk segment. To examine the abdominal activation strategies used by males and females during a landing task. Mixed-model (between-subjects and within-subjects) design. Laboratory. Healthy, recreationally active males (n = 20, age = 23 ± 4.8 years, height = 1.8 ± 0.1 m, mass = 79.6 ± 9.9 kg, body mass index = 24.8 ± 2.7 kg/ m^sup 2^) and females (n = 22, age = 20.8 ± 4.8 years, height = 1.7 ± 0.1 m, mass = 64.1 ± 9.2 kg, body mass index = 22.9 ± 2.6 kg/m^sup 2^). Subjects performed 5 double-leg landings from a box height of 60 cm. Male and female activation amplitudes for the rectus abdominis (RA), external oblique (EO), and transversus abdominis and lower fibers of the internal oblique (TrA-IO) muscles during preactivation (150-millisecond interval just before landing) and after impact (150-millisecond interval immediately after ground contact). Males had greater TrA-IO activation than females (P < .05). Males preferentially activated the TrA-IO muscles relative to the RA and EO, whereas females demonstrated no significant muscle differences. Males and females also differed by phase, with males having more TrA-IO activation than females during the preactivation landing phase (P < .05) but not during the postimpact phase. The TrA-IO was the only muscle to significantly differ by landing phase, decreasing from preactivation to postimpact (P < .05). Males used different abdominal muscle activation strategies than females in landing. The efficacy of these muscle activation strategies to control the trunk should be assessed through trunk kinematic and kinetic measures in future studies