Blakepetterson1369

While there is a multitude of evidence supporting the efficacy of injury prevention training programmes, the literature investigating the implementation of these programmes is, in contrast, rather limited. This narrative review sought to describe the commonly reported barriers and facilitators of the implementation of injury prevention training programmes among athletes in organised sport. We also aimed to identify necessary steps to promote the uptake and sustainable use of these programmes in non-elite athletic communities. We identified 24 publications that discussed implementing evidence-based injury prevention training programmes. Frequently reported barriers to implementation include the perceived time and financial cost of the programme, coaches lacking confidence in their ability to implement it, and the programme including exercises that were difficult or confusing to follow. Frequently reported facilitators to implementation include the coach being aware of programme efficacy, shared motivation to complete the programme from both coaches and athletes, and the ability to easily integrate the programme into practice schedules. The current literature is focused on high-income, high-resource settings. We recommend that future studies focus on understanding the best practices of programme dissemination in culturally and economically diverse regions. Programmes ought to be of no financial burden to the user, be simply adaptable to different sports and individual athletes and be available for use in easily accessible forms, such as in a mobile smartphone application.

Achilles tendinopathy (AT) is a common overuse injury in runners. While the mainstay of treatment for AT is tendon loading exercises (physical therapy and exercise programme (EXER)), some patients have refractory symptoms. Extracorporeal shockwave therapy (ESWT) and photobiomodulation therapy (PBMT) have each been evaluated to facilitate tendon healing; the influence of combining treatments is unknown and limited studies have been completed in runners. This randomised control study, with an elective cross-over at 3 months, will evaluate the efficacy of three forms of treatment of non-insertional AT (1) EXER (loading programme specific to Achilles tendon combined with physical therapy); (2) EXER and ESWT; (3) EXER, ESWT and PBMT. Sixty runners will be assigned using block randomisation into one of three treatment groups (n=20). After 3 months, each participant may elect a different treatment than previously assigned and will be followed for an additional 3 months. The EXER Achilles loading programme will be standardised using the Silbernagel at-home programme. The primary outcome of interest is treatment group responses using the Victorian Institute of Sports Assessment-Achilles (VISA-A) Score. Secondary outcomes include the Patient-Reported Outcomes Measurement Information System-29 questions, the University of Wisconsin Running Injury and Recovery Index, heel raise to fatigue test, hopping test and ultrasound measurements. We will also capture patient preference and satisfaction with treatment. We hypothesise that the cohorts assigned EXER+ESWT+PBMT and EXER+ESWT will see greater improvements in VISA-A than the EXER cohort, and the largest gains are anticipated in combining ESWT+PBMT. The elective cross-over phase will be an exploratory study and will inform us whether patient preference for treatment will impact the treatment response.

NCT04725513.

NCT04725513.Novel Coronavirus disease and the resulting lockdown has created a unique situation of involuntary return migration among labourers in India. It provided a stage for conducting a retrospective study to analyse determinants of return behaviour among internal migrants upon their return. The aim of the paper is to carry out an empirical verification of socio-economic profile of migrant workers, information about destination, determinants of return migration, and future aspirations of the return migrants. Based on a telephonic semi-structured open-ended questionnaire-based survey conducted in February and March 2021 among 238 non-returnees and return migrants of Sonitpur District of Assam, we found that four states from South India, namely-Karnataka, Maharashtra, Tamil Nadu, and Kerala, are the most attractive destinations for migrants from Sonitpur. The bulk of the migrants are young, unmarried men with minimal education, and majority come from households with no cultivable land. About 30% of the returnees went back to their previous destinations within a year, while a sizable portion of non-returnees are willing to return. NSC23766 Not all migrants returned home during pandemic. After controlling for all variables, it was revealed that the percentage of income sent as remittances, the availability of a job card by migrants' households, status of family migration, income, and the number of working days per week are all significantly related to migrants' decision to return. We suggest a hypothesis based on the observations that during times of crisis, migrants with other economic options at sources, such as a job card, are more likely to return.The timing of first period of slow wave sleep (SWS) is often used as a proxy for determining if and when Disorders of Arousal (DOA) such as sleepwalking are likely to occur or did occur in the past. In criminal cases employing a "sleepwalking defense" the prosecution may argue that nocturnal violence or sexually aggressive behavior occurred too early in the sleep period to be associated with SWS. Expert witness opinion on the expected latency to SWS (LSWS) has varied from minutes after sleep onset to ≥60 min. A search of PubMed was conducted for LSWS and for any reports of DOAs occurring from stage N2. A total of 21 studies reported LSWS in normal controls, clinically diagnosed sleepwalkers, in otherwise normal sleepers following different types of sleep deprivation and due to the effects of alcohol. Five studies reported episodes of DOA from N2 sleep. The shortest mean LSWS of 6.4 min was found with a combination of total sleep deprivation and alcohol. In a group of normal research subjects, a LSWS mean of 10.7 min was noted. LSWS in DOA patients occurred as early as a mean of 12.4 min. Two sleep studies performed on Kenneth Parks, acquitted of the murder of his mother-in-law by a sleepwalking defense, reported LSWSs of 9.7 and 10 min. Sleep deprivation but not alcohol was found to decrease LSWS significantly. Expert opinions on LSWS should be based on scientific peer reviewed publications documenting empirical sleep evidence and can be much shorter than is generally reported.Due to the outbreak of COVID-19 disease globally, countries around the world are facing shortages of resources (i.e. testing kits, medicine). A quick diagnosis of COVID-19 and isolating patients are crucial in curbing the pandemic, especially in rural areas. This is because the disease is highly contagious and can spread easily. To assist doctors, several studies have proposed an initial detection of COVID-19 cases using radiological images. In this paper, we propose an alternative method for analyzing chest X-ray images to provide an efficient and accurate diagnosis of COVID-19 which can run on edge devices. The approach acts as an enabler for the deep learning model to be deployed in practical application. Here, the convolutional neural network models which are fine-tuned to predict COVID-19 and pneumonia infection from chest X-ray images are developed by adopting transfer learning techniques. The developed model yielded an accuracy of 98.13%, sensitivity of 97.7%, and specificity of 99.1%. To highlight the important regions in the X-ray images which directs the model to its decision/prediction, we adopted the Gradient Class Activation Map (Grad-CAM). The generated heat maps from the Grad-CAM were then compared with the annotated X-ray images by board-certified radiologists. Results showed that the findings strongly correlate with clinical evidence. For practical deployment, we implemented the trained model in edge devices (NCS2) and this has achieved an improvement of 90% in inference speed compared to CPU. This shows that the developed model has the potential to be implemented on the edge, for example in primary care clinics and rural areas which are not well-equipped or do not have access to stable internet connections.This study investigates the relationship between career development learning (CDL) and students' perceived employability (SPE) with the mediating role of human capital. Using a quantitative method based on structured questionnaires to collect data from 512 Vietnamese students before starting their internship at businesses and 322 of them after 4 months, the results of the partial least square Structural Equational Model analysis showed that CDL positively affects SPE over time. Besides, the study explored the mediating effect of human capital in the relationship between CDL and SPE. In particular, scholastic capital and cultural capital play mediating roles while social capital failed to be in the relationship between CDL and SPE. This study is expected to enrich current literature on students' employability and human capital theory. From practical aspects, the findings of this work can be of benefit to higher education institutions in supporting their students to enhance their employability in labour market.

The fact that a disproportionate share of the disease burden from COVID-19, including mortality, has been borne by racial and ethnic minority communities is well documented. The purpose of this paper is to reassess the "race/ethnicity effect" in COVID-19 mortality in the United States. Using an ecological regression framework and county-level data, the study aims to make two contributions. First, it estimates the race/ethnicity effect for

major racial/ethnic groups at

important junctures during the first year of the pandemic. In doing so, it seeks to provide the fullest possible picture of the nature and evolution of the race/ethnicity effect. Second, it estimates the race/ethnicity effect net of basic socioeconomic factors (SEF). This helps to identify the likely mechanisms through which the race/ethnicity effect operates. Racial/ethnic composition is flexibly measured in two ways-by percentage contributions to county population and by indicators of group plurality. The ecological regressions revealelementary material available at 10.1007/s44155-022-00019-9.

The online version contains supplementary material available at 10.1007/s44155-022-00019-9.

Acute coronary syndrome (ACS) is one of the most significant leading causes of death and disability in the world. The quality of life (QoL) score is used to evaluate the impact of ACS treatments on the patients' physical, emotional, and social functioning. It is considered a significant indicator of the progress of the patients' health status and is useful in predicting patients' needs for continuing, modifying, or changing their treatment plans.

To identify the associations between patients' characteristics and the QoL among ACS patients in Jordan.

A descriptive cross-sectional study was conducted using a convenience sample of 372 participants with ACS from six referral hospitals in Jordan.

Jordanian patients with higher educational level and exercise had significant and positive association with QoL (β = 0.257,

 < .001), (β = 0.191,

 < .001), respectively. Also, patients who reported having dyslipidaemia and having unstable angina (UA) had lower score of QoL (β = -0.165,

 < .001), (β = -0.