Community Services Institute

The aim of this study was to investigate the effects of rope jumping on fitness. Thestudy also investigated whether the effects of rope jumping were induced by a combinationof jumping with the rope or simply by jumping repetitively. A sample of 15 female basketballathletes were recruited to this study (basketball experience = 12.2 4.42 years; BMI = 24.6 2.95 kg/m) and randomly allocated to one of three groups: rope jumping group (n = 5), jumpwithout rope group (n = 5), and control group (n = 5). The intervention groups participated injump training (with or without the rope) for nine weeks. Three weeks into the intervention, allsports were stopped due to Covid-19 and the remaining sessions were held online. A significantdifference between the three groups was observed in lower-body power output: +3.72% forthe without rope group, -0.04% for the rope jumping group, and -10.3% for the control group.No significant differences were observed between the groups for the change in all other fitnessvariables. Rope jumping and jumping-without-the-rope were found to be equally effective inincreasing lower-body power output.

BackgroundThere is limited evidence describing methods and challenges for implementing anterior cruciate ligament (ACL) injury prevention programs (IPP) in a “real-world” context.ObjectiveEvaluate the effects of a ACL IPP workshop on elite-division youth soccer coaches' behavioral determinants to implement a ACL IPP, and describe coaches' subsequent ACL IPP implementation compliance.DesignDescriptive study.SettingElite-division youth soccer club.ParticipantsA convenient sample of 34 soccer coaches (age=34.6±9.1 yrs) of elite-division youth soccer club teams.InterventionsWe administered a workshop aimed at increasing coaches' behavioral determinants to implement a ACL IPP. Coaches were provided with instructional materials following the workshop.Main outcome measurementsCoaches' behavioral determinants regarding ACL IPP using pre/post-workshop surveys and coaches' subsequent rate and fidelity of implementation of the ACL IPP during the following soccer season.ResultsWilcoxon signed-rank tests indicated the workshop increased coach attitude toward; conducting a ACL IPP (P=.020), substituting a ACL IPP for a warm-up (P=.007), and improving player cutting and landing technique by implementing a ACL IPP (P=.001). The workshop increased coaches' perceived behavioral control; coaches felt more comfortable in their ability to teach their team a ACL IPP (P=.002) and more confident leading a ACL IPP if given instructions (P=.025). The workshop increased coaches' intent to implement a ACL IPP the next season (P<.001); for 15 minutes (P=.008) and 20 minutes (P=.011) prior to the start of a training session. Only 53% of the club's teams implemented the ACL IPP, with implementers demonstrating high variability in program fidelity.ConclusionsACL IPP workshops can effectively increase coach attitudes, perceived behavioral control, and intent to implement a ACL IPP. However, amplification of behavioral determinants does not appear to directly translate to high-level implementation compliance. Future research should investigate supplementary strategies to facilitate optimal ACL IPP implementation to improve compliance.

Occult (asymptomatic) dilated cardiomyopathy (ODCM) is highly prevalent in Doberman Pinschers. Assess ability of NT-proBNP assay to detect ODCM and predict death. 155 asymptomatic Dobermans presenting for ODCM screening. Echocardiography, 24-hour Holter, and NT-proBNP assay were performed prospectively. Diagnosis was based on increased left ventricular end-systolic dimension, >50 ventricular premature complexes (VPCs), or both on Holter. Utility was evaluated using receiver-operating characteristic curves. Effect of age, weight, sex, disease status, VPCs, and NT-proBNP on survival was analyzed using Kaplan-Meier and Cox-proportional hazard analysis. Seventy-three (47.1%) Dobermans were diagnosed with ODCM, including 31, 17, and 25 that met Holter, echocardiographic, or both criteria, respectively. Sensitivity of NT-proBNP > 457 pmol/L to detect these groups was 45.2, 76.5, and 96.0%, respectively. Combination of NT-proBNP and Holter to detect ODCM yielded sensitivity of 94.5%, specificity of 87.8%, and accuracy of 91.0%. Follow-up data were available for 78 Dobermans. The median survival time of Dobermans with > 50 VPCs (469 days), NT-proBNP > 900 pmol/L (284 days), or ODCM (474 days) was significantly (P < .0001) shorter than those with < 50 VPCs (1743 days), NT-proBNP < 900 pmol/L (1743 days), or without disease (1743 days). NT-proBNP concentration and disease status were independently predictive of all-cause mortality. The combination of NT-proBNP assay and Holter detected ODCM with high accuracy. NT-proBNP and disease status were independently associated with survival. NT-proBNP assay identified Dobermans with high probability of increased LVIDs consistent with ODCM, and can facilitate pursuit of confirmatory diagnostic testing, such as echocardiography, in suspected Dobermans.

A questionnaire survey of primary care musculoskeletal extended-scope physiotherapists (ESPs) was undertaken to determine information about their conversion rates and referral barriers, with regard to radiological and consultant referrals. A sample of 200 musculoskeletal ESPs classified as having a speciality in orthopaedics and working in primary care were recruited via the 'ESP Professional Network'. A total of 100 (50%) responses were received. Forty-seven per cent of primary care ESPs indicated that they recorded their conversion rates, but only 31 participants submitted conversion rate data. Overall, the average conversion rate for all participants was 74% (range 30-95%). Forty-three per cent of respondents identified that they had experienced barriers when referring for radiological investigations and 38% that they experienced barriers when referring patients to secondary care for a consultant opinion. Commissioning barriers such as poorly commissioned care pathways were the most common theme in both areas. Fifty per cent of respondents identified that they used a referral criteria when referring patients to secondary care. Commonly, these criteria had been developed in conjunction with secondary care consultants or commissioners. ESPs in primary care have reported similar conversion rates to those working in secondary care. There is a need for further empirical conversion rate studies in primary care to validate these self-reported findings and to enable ESPs to demonstrate clinical efficiency and benchmark their performance.

This paper summarizes a theoretical argument for the use of a mentalization-based approach to the systemic problem of school bullying. The Peaceful Schools Project of the Menninger Department of Psychiatry, Baylor College of Medicine, is an experimental test of this model. Data is presented from a randomized controlled trial of this intervention in nine elementary schools in the Midwest.

This paper advances the hypothesis that for a child to feel safe and to learn at school certain psychological conditions must be met. These conditions are described using concepts derived from psychoanalytic research and include; a background of SAFETY and a feeling of WELL BEING derived from a healthy ego with perceptual skills appropriate to the task, a HOLDING environment of adults who can respond appropriately to the child's developmental needs, an environment that provides CONTAINMENT and helps children process negativity in relationships, processes that help children regulate affect, value relationships, and leam to mentalise, in a SECURE ATTACHMENT experience, and finally, supports that encourage children to function as responsible members of a community organized as an OPEN SOCIAL SYSTEM.

The authors describe a system of intensive psychiatric services they developed to deal with the emergencies and difficult cases in a catchment area of 200,000 people in a low socioeconomic section of Paris. Mobile emergency and visiting teams including indigenous homemakers focus their intervention on the family of the designated patient in its home setting. The dynamics and techniques of home visiting are outlined as well as the process of metabolism of anxiety in the team that enables it to function as a therapeutic small group in its encounter with patients, families, and social networks.