Feasibility of vertical force-velocity profiles to monitor changes in muscle function following different fatigue protocols.

PURPOSE: This study aimed to explore the feasibility of vertical force-velocity (F-V) profiles to monitor changes in muscle function following different fatigue protocols. The between-day reliability of vertical F-V profiles and the acute effects of two fatigue protocols on the changes of lower limb muscle function were examined. METHODS: Twelve resistance trained males completed a preliminary session to determine their back squat one-repetition maximum (1RM). Afterwards, they randomly performed two experimental sessions that only differed in the fatigue protocol applied: heavy-load traditional (HLT; five repetitions at 80% 1RM) and light-load ballistic (LLB; five repetitions at 30% 1RM) squat protocols. Participants' vertical F-V profiles (maximum theoretical force [F0], maximum theoretical velocity [v0], and maximum power output [Pmax]) were calculated before and immediately after each fatigue protocol. RESULTS: F0, v0, and Pmax showed acceptable to good between-day reliability (coefficient of variation ≤ 4.4%; intraclass correlation coefficient ≥ 0.84). Both fatigue protocols promoted a comparable reduction in Pmax (-10.1% for HLT and -12.2% for LLB). However, the LLB squat protocol reduced more v0 (-9.7%) than F0 (-0.4%), while the HLT squat protocol reduced F0 (-8.4%) more than v0 (-4.1%). CONCLUSIONS: The vertical F-V profile can be used to monitor changes in muscle function given its acceptable between-day reliability and its high sensitivity to detect the acute effect of force-oriented and velocity-oriented fatigue protocols on specific maximal neuromuscular capacities.

Women's Empowerment Through Access to Safe Transport: The Impact of Sexual and Nonsexual Victimization on Female Commuters in Bangladesh and Cambodia.

An examination of women's experience on public transport in Bangladesh and Cambodia found that victimization does reduce perceived safety or transport use. In a cultural context where women are socialized to fear and avoid public spaces, experiencing victimization may confirm rather than change previous beliefs. Moreover, it is possible that the participants' use of public transport was driven by necessity rather than choice and that they were unable to change travel patterns in response to victimization. These findings underscore the importance of targeting public violence toward women and the broader societal norms that limit their participation in public life.

Can an inertial measurement unit, combined with machine learning, accurately measure ground reaction forces in cricket fast bowling?

This study examined whether an inertial measurement unit (IMU) could measure ground reaction force (GRF) during a cricket fast bowling delivery. Eighteen male fast bowlers had IMUs attached to their upper back and bowling wrist. Each participant bowled 36 deliveries, split into three different intensity zones: low = 70% of maximum perceived bowling effort, medium = 85%, and high = 100%. A force plate was embedded into the bowling crease to measure the ground truth GRF. Three machine learning models were used to estimate GRF from the IMU data. The best results from all models showed a mean absolute percentage error of 22.1% body weights (BW) for vertical and horizontal peak force, 24.1% for vertical impulse, 32.6% and 33.6% for vertical and horizontal loading rates, respectively. The linear support vector machine model had the most consistent results. Although results were similar to other papers that have estimated GRF, the error would likely prevent its use in individual monitoring. However, due to the large differences in raw GRFs between participants, researchers may be able to help identify links among GRF, injury, and performance by categorising values into levels (i.e., low and high).

Evaluating the Effectiveness of Apps Designed to Reduce Mobile Phone Use and Prevent Maladaptive Mobile Phone Use: Multimethod Study.

BACKGROUND: Mobile apps are a popular strategy for reducing mobile phone use and preventing maladaptive mobile phone use (MMPU). Previous research efforts have been made to understand the features of apps that have the potential to reduce mobile phone use and MMPU. However, there has been a lack of a comprehensive examination of the effectiveness of such apps and their features. OBJECTIVE: This paper investigated existing apps designed to reduce mobile phone use and prevent MMPU and examined the evidence of their effectiveness. The research aimed to provide a comprehensive analysis of app features that can reduce mobile phone use and MMPU, while also assessing their effectiveness. In addition, we explored users' perceptions of these apps and the various features the apps offer to understand potential adoption issues and identify opportunities. METHODS: This study used 3 methods: a review of scientific evidence, content analysis, and sentiment analysis. RESULTS: Our study comprehensively examine the common features of 13 apps designed to reduce mobile phone use. We extracted and classified the features into 7 types: self-tracking, social tracking, goal setting, blocking, gamification, simplification, and assessment. The effectiveness of these apps in reducing mobile phone use and MMPU varied from weak to strong. On the basis of content analysis, self-tracking and goal setting were the most frequently used features, whereas gamification and assessment were used the least frequently. The intervention strategies that effectively reduce mobile phone use and MMPU included using grayscale mode, app limit features, and mixed interventions. Overall, users tended to accept these apps, as indicated by sentiment scores ranging from 61 to 86 out of 100. CONCLUSIONS: This study demonstrates that app-based management has the potential to reduce mobile phone use and MMPU. However, further research is required to evaluate the effectiveness of app-based interventions. Collaborations among researchers, app developers, mobile phone manufacturers, and policy makers could enhance the process of delivering, evaluating, and optimizing apps aimed at reducing mobile phone use and MMPU.

The impact of road traffic context on secondary task engagement while driving.

Introduction: Driver distraction has been recognized for a long time as a significant road safety issue. It has been consistently reported that drivers spend considerable time engaged in activities that are secondary to the driving task. The temporary diversion of attention from safety-critical driving tasks has often been associated with various adverse driving outcomes, from minor driving errors to serious motor vehicle crashes. This study explores the role of the driving context on a driver's decision to engage in secondary activities non-critical to the driving task. Method: The study utilises the Naturalistic Engagement in Secondary Tasks (NEST) dataset, a complementary dataset derived from the SHRP2 naturalistic dataset, the most extensive naturalistic study to date. An initial exploratory analysis is conducted to identify patterns of secondary task engagements in relation to context variables. Maximum likelihood Chi-square tests were applied to test for differences in engagement between types of driver distraction for the selected contextual variables. Pearson residual graphs were employed as a supplementary method to visually depict the residuals that constitute the chi-square statistic.Lastly, a two-step cluster analysis was conducted to identify common execution scenarios among secondary tasks. Results: The exploratory analysis revealed interesting behavioral trends among drivers, with higher engagement rates in left curves compared to right curves, while driving uphill compared to driving downhill, in low-density traffic scenarios compared to high-density traffic scenarios, and during afternoon periods compared to morning periods. Significant differences in engagement were found among secondary tasks in relation to locality, speed, and roadway design. The clustering analysis showed no significant associations between driving scenarios of similar characteristics and the type of secondary activity executed. Discussion: Overall, the findings confirm that the road traffic environment can influence how car drivers engage in distracted driving behavior.

Lumbar spine bone mineral adaptation: cricket fast bowlers versus controls.

Elite adult male fast bowlers have high lumbar spine bone mineral, particularly on the contralateral side to their bowling arm. It is thought that bone possesses its greatest ability to adapt to loading during adolescence, but it is unknown at what age the greatest changes in lumbar bone mineral and asymmetry develops in fast bowlers. Objectives: This study aims to evaluate the adaptation of the lumbar vertebrae in fast bowlers compared to controls and how this is associated with age. Methods: 91 male fast bowlers and 84 male controls aged 14-24 years had between one and three annual anterior-posterior lumbar spine dual-energy-X-ray absorptiometry scans. Total (L1-L4) and regional ipsilateral and contralateral L3 and L4 (respective to bowling arm) bone mineral density and content (BMD/C) were derived. Multilevel models examined the differences in lumbar bone mineral trajectories between fast bowlers and controls. Results: At L1-L4 BMC and BMD, and contralateral BMD sites, fast bowlers demonstrated a greater negative quadratic pattern to their accrual trajectories than controls. Fast bowlers had greater increases in BMC in L1-L4 between 14 and 24 years of 55% compared with controls (41%). Within vertebra, asymmetry was evident in all fast bowlers and increased by up to 13% in favour of the contralateral side. Conclusions: Lumbar vertebral adaptation to fast bowling substantially increased with age, particularly on the contralateral side. The greatest accrual was during late adolescence and early adulthood, which may correspond with the increasing physiological demands of adult professional sport.

The effect of body position and mass centre velocity at toe off on the start performance of elite swimmers and how this differs between gender.

The start in swimming is a crucial phase of a race, where improvements in performance can be made. Twenty-four elite swimmers race pace starts were recorded from five above and below water 50 Hz video cameras. Body position at toe off was calculated from the recordings and consisted of the two-dimensional mass centre position at toe off, and the arm, trunk, front leg and rear leg angles.Horizontal, vertical and resultant velocity of the mass centre at toe off, time to 5 m, 10 m and 15 m were also determined. Whilst time to 5 m (starting performance) differed by 0.17 s between genders, body position at toe off showed no significant differences. The difference in start performance was mainly due to a difference in horizontal velocity at toe off. The relationship between arm angle and start performance warrants further investigation as there was a range of techniques adopted but no clear link to performance. The trunk angle at toe off was correlated to starting performance for both males and females. This study demonstrates that the body position at toe off is no different between genders but is a critical determinant of starting performance for both males and females.

Bone health and asymmetry in elite female cricketers.

The aim of this study is to determine if bone mineral density (BMD) and bone asymmetry differs between female cricket fast bowlers, spin bowlers and batters. BMD was determined at the total body, lumbar spine, and proximal femurs in 12 fast bowlers, 13 batters and 11 spin bowlers from pre-season DXA scans. High Z-scores at the total body, lumbar spine, and proximal femur were observed in all cricketers (mean Z-scores: +1.4 to +3.3) compared with a general age matched reference population. Fast bowlers had significantly greater BMD on the contralateral side of the lumbar spine compared with the ipsilateral side (p = 0.001, 5.9-12.1%). No asymmetry was found between hips in all groups. All cricket positions demonstrated high BMD at all measured sites. The lumbar spine of fast bowlers is asymmetric, with significantly greater BMD on the contralateral side of the spine, particularly at L4, possibly in response to the asymmetric lumbar loading patterns observed in bowling.HighlightsElite female cricketers demonstrate high BMD at total body, lumbar spine and proximal femur sites, regardless of playing position compared with a general age and ethnic group matched reference population.Fast bowlers have greater BMD on the contralateral (opposite bowling arm) side of the lumbar spine compared with the ipsilateral side, while a symmetrical pattern was observed in spin bowlers and batters.No asymmetry in BMD or section modulus between hips was observed at any proximal femur site for any cricket position.

Differences in the mechanics of takeoff in reverse and forward springboard somersaulting dives.

Forward and reverse springboard somersaulting dives use similar approaches with a hurdle step prior to the final board contact phase during which forward rotation is produced in forward takeoffs and backward rotation in reverse takeoffs. This study compared forward and reverse takeoffs for joint strength, activation complexity, technique kinematics, and rotation potential. A planar 8-segment torque-driven computer simulation model of springboard diving takeoff was used to determine isometric joint strength by matching performances of a forward 2½ somersault dive and a reverse 1½ somersault dive. Activation complexity for the reverse takeoff was increased to achieve a similar closeness of match as for the forward takeoff. Takeoff technique was optimised to maximise rotation potential of forward and reverse somersaulting dives. Kinematics at touchdown, lowest point and takeoff were compared for the optimised forward and reverse takeoff simulations. It was found that the optimised reverse somersaulting dive exhibited greater isometric strength for ankle plantarflexion and shoulder flexion, greater joint torque activation complexity for ankle plantarflexion and for knee flexion. There was also less forward motion during board depression, more hip extension and knee flexion during the later stages of board recoil, less capacity for rotation potential, and greater vertical velocity at takeoff.

A lateral ankle sprain during a lateral backward step in badminton: A case report of a televised injury incident.

BACKGROUND: This study presents a kinematic analysis of an acute lateral ankle sprain incurred during a televised badminton match. The kinematics of this injury were compared to those of 19 previously reported cases in the published literature. METHODS: Four camera views of an acute lateral ankle sprain incurred during a televised badminton match were synchronized and rendered in 3-dimensional animation software. A badminton court with known dimensions was built in a virtual environment, and a skeletal model scaled to the injured athlete's height was used for skeletal matching. The ankle joint angle and angular velocity profiles of this acute injury were compared to the summarized findings from 19 previously reported cases in the published literature. RESULTS: At foot strike, the ankle joint was 2° everted, 33° plantarflexed, and 18° internally rotated. Maximum inversion of 114° and internal rotation of 69° was achieved at 0.24 s and 0.20 s after foot strike, respectively. After the foot strike, the ankle joint moved from an initial position of plantarflexion to dorsiflexion-from 33° plantarflexion to 53° dorsiflexion (range = 86°). Maximum inversion, dorsiflexion, and internal rotation angular velocity were 1262°/s, 961°/s, and 677°/s, respectively, at 0.12 s after foot strike. CONCLUSION: A forefoot landing posture with a plantarflexed and internally rotated ankle joint configuration could incite an acute lateral ankle sprain injury in badminton. Prevention of lateral ankle sprains in badminton should focus on the control and stability of the ankle joint angle during forefoot landings, especially when the athletes perform a combined lateral and backward step.

Is distraction on the road associated with maladaptive mobile phone use? A systematic review.

Maladaptive Mobile Phone Use (MMPU) (also known as Smartphone Addiction, Nomophobia, Fear of Missing Out, or Problematic Mobile Phone Use) is a growing mental health problem. However, the health and safety consequences of MMPU remain unexplored in many real-life contexts. A potential setting where MMPU may have some negative repercussions is on the road. It is well established that road users (e.g., drivers, motorcyclists, pedestrians, and cyclists) increasingly injure themselves or others due to distractions such as phone use while on the road. Emerging research suggests that MMPU is a possible determinant of this risky behaviour. Therefore, it is essential to investigate the relationship between MMPU and mobile phone use behaviour on the road, as it could help guide and improve interventions aimed at increasing road safety. This systematic review investigated the relationship between maladaptive mobile phone use and mobile phone use behaviour on the road in terms of attitudes and risk perception, intention, phone use engagement, performance changes, and safety outcomes. A total of 44 studies were identified with 47 unique samples of road users, of which 68.1% (32/47) were comprised of drivers, 19.1% (9/47) were pedestrians, 8.5% (4/47) were unspecified road users, and there was one group of motorcyclists and cyclists. Our findings confirmed that MMPU is related to risky behaviour on the roads. In the 29 studies considering observed or self-reported behaviour, 90.9% (30/33) found that road users who scored higher in MMPU are more likely to use their phones on the road as cyclists, drivers, motorcyclists, and pedestrians. Of the nine studies that analysed performance changes, 55.6% (5/9) showed evidence that MMPU changes the performance of road users engaging in mobile phone use, meaning that there is evidence suggesting that MMPU determines the level of impairment. Of the nine studies that analysed the safety-related-outcomes, 66.7% (6/9) found that the higher the MMPU score, the more likely road users are to experience safety-critical traffic events. This review contributes to the literature by showing a pathway between the negative health consequences of MMPU and road trauma. We also identified that the quality of the studies was generally low due to study design and blinding aspects. This field of research also lacks standard practices as researchers avoid using established and well-validated questionnaires, often creating new ones to measure MMPU. This hinders the generalisability of the findings and raises questions about the construct validity and external validity of MMPU. The usefulness of future research would be enhanced by a consistent methodological approach using the same scales based on standard behavioural definitions. The cross-disciplinary nature of MMPU effects means that transport and road safety professionals need to work with healthcare professionals and technology organisations to understand and address MMPU as a contributing factor to road crashes.

Activity specific areal bone mineral density is reduced in athletes with stress fracture and requires profound recovery time: A study of lumbar stress fracture in elite cricket fast bowlers.

OBJECTIVES: The aims of this study were to determine whether lumbar areal bone mineral density differed between cricket fast bowlers with and without lumbar stress fracture, and whether bone mineral density trajectories differed between groups during rehabilitation. DESIGN: Cross-sectional and cohort. METHODS: 29 elite male fast bowlers received a post-season anteroposterior lumbar dual-energy X-ray absorptiometry scan and a lumbar magnetic resonance imaging scan to determine stress fracture status. Participants were invited for three additional scans across the 59 weeks post baseline or diagnosis of injury. Bone mineral density was measured at L1 - L4 and ipsilateral and contralateral L3 and L4 sites. Independent-sample t-tests determined baseline differences in bone mineral density and multilevel models were used to examine differences in bone mineral density trajectories over time between injured and uninjured participants. RESULTS: 17 participants with lumbar stress fracture had lower baseline bone mineral density at L1 - L4 (7.6 %, p = 0.034) and contralateral sites (8.8-10.4 %, p = 0.038-0.058) than uninjured participants. Bone mineral density at all sites decreased 1.9-3.0 % by 20-24 weeks before increasing to above baseline levels by 52 weeks post injury. CONCLUSIONS: Injured fast bowlers had lower lumbar bone mineral density at diagnosis that decreased following injury and did not return to baseline until up to a year post-diagnosis. Localised maladaptation of bone mineral density may contribute to lumbar stress fracture. Bone mineral density loss following injury may increase risk of recurrence, therefore fast bowlers require careful management when returning to play.

Influence of segmentation approaches on the before-after evaluation of engineering treatments: A hypothetical treatment approach.

The segmentation of highways is a fundamental step in estimating crash frequency models and conducting a before-after evaluation of engineering treatments, but the effects of segmentation approaches on the engineering treatment evaluations are not known very well. This study examined the effects of segmentation approaches on the before-after evaluation of engineering treatments. In particular, this study evaluated four segmentation approaches by applying the Empirical Bayes technique to a dataset for which the ground truth was known. Four segmentation approaches included Highway Safety Manual (HSM), Fixed (kilometre post), Fisher's, and K-means segmentation. This study utilized a 440 km stretch of rural two-lane two-way highway in Queensland, Australia, to prepare a dataset with known ground truth. The treatment under evaluation was a hypothetical treatment, which should yield a crash modification factor (CMF) of 1. For assigning hypothetical treatment, a total of fifteen datasets were prepared, including ten datasets based on the random assignment and five datasets based on the hotspot identification method. Following the before-after evaluation using the Empirical Bayes technique, the results showed that HSM and Fixed segmentation approaches predict the ground truth in both dataset types. From random assignment datasets, the estimated CMFs using HSM, Fixed, Fisher's, and K-means segmentation approaches deviated from the true CMF (i.e., 1) by 2.32 %, 5.30 %, 6.08 %, and 8.62 %, respectively. In the case of hotspots, the corresponding deviations of CMFs were 8.57 %, 9.37 %, 28.84 %, and 35.43 %, respectively. Overall, HSM segmentation best identified the actual treatment effect, followed by the Fixed segmentation. If the variables to define homogeneity for HSM segmentation are limited, then Fixed segmentation can yield reliable crash modification factors from the before-after treatment evaluations than the crash-based segmentation approaches.

The relationship between bowling intensity and ground reaction force in cricket pace bowlers.

This study examined the relationship between perceived bowling intensity, ball release speed and ground reaction force (measured by peak force, impulse and loading rate) in male pace bowlers. Twenty participants each bowled 36 deliveries, split evenly across three perceived intensity zones: low = 70% of maximum perceived bowling effort, medium = 85%, and high = 100%. Peak force and loading rate were significantly different across the three perceived intensity zones in the horizontal and vertical directions (Cohen's d range = 0.14-0.45, p < 0.01). When ball release speed increased, peak force and loading rate also increased in the horizontal and vertical directions (ηp2 = 0.04-0.18, p < 0.01). Lastly, bowling at submaximal intensities (i.e., low - medium) was associated with larger decreases in peak horizontal force (7.9-12.3% decrease), impulse (15.8-21.4%) and loading rate (7.4-12.7%) compared to decreases in ball release speed (5.4-8.3%). This may have implications for bowling strategies implemented during training and matches, particularly for preserving energy and reducing injury risk.

Lumbar bone stress injuries and risk factors in adolescent cricket fast bowlers.

Cricket fast bowling is associated with a high prevalence of lumbar bone stress injuries (LBSI), especially in adolescent bowlers. This has not been sufficiently explained by risk factors identified in adult players. This study aimed to examine the incidence of LBSI in adolescent fast bowlers over a prospective study and potential risk factors. Forty asymptomatic male fast bowlers (aged 14-17 years) received baseline and annual lumbar dual-energy X-ray absorptiometry (DXA) and magnetic resonance imaging (MRI) scans, and musculoskeletal and bowling workload assessment; 22 were followed up after one year. LBSI prevalence at baseline and annual incidence were calculated. Potential risk factors were compared between the injured and uninjured groups using T-tests with Hedges' g effect sizes. At baseline, 20.5% of participants had at least one LBSI. Subsequent LBSI incidence was 27.3 ± 18.6 injuries per 100 players per year (mean ± 95% CI). Injured bowlers were older on average at the beginning of the season preceding injury (16.8 versus 15.6 years, g = 1.396, P = 0.047). LBSI risk may coincide with increases in bowling workload and intensity as bowlers step up playing levels to more senior teams during late adolescence whilst the lumbar spine is immature and less robust.

Data Collection Procedures and Injury Definitions in Badminton: A Consensus Statement According to the Delphi Approach.

ABSTRACT: Previous studies involving injury surveillance in badminton players have used nonstandardized injury definitions and data collection methodologies. The purpose of this study was to apply a Delphi method to (1) reach a consensus on an injury definition in badminton and (2) develop a standardized badminton injury report form. An Injury Consensus Group was established under the auspices of the Badminton World Federation, and initial injury definitions and injury report form were developed. An internal panel was formed from the Injury Consensus Group, and an external panel was selected based on a combination of profession, experience in the field, sport-specific knowledge/expertise, and geographical location to obtain a widely representative sample. Through 2 rounds of voting by the external panel, consensus was reached on both the definition of an injury in badminton and a standardized injury report form. The agreed injury definition was "Any physical injury sustained by a player during a match or training regardless if further diagnostic tests were done or if playing time was lost" and the injury report form contained the following 7 sections: Injury record, Diagnosis, Injury mechanism, Regarding pain, Pain and return to play/training after injury, Grade of severity, and Recurrence. We recommend the use of the definitions and methods presented in this consensus statement for the reporting of injury in all international and domestic badminton players. This should make future injury surveillance reports directly comparable and hence more informative in recognizing trends over time and differences between countries.

Solid with infused reactive liquid (SWIRL): A novel liquid-based separation approach for effective CO2 capture.

Economical CO2 capture demands low-energy separation strategies. We use a liquid-infused surface (LIS) approach to immobilize reactive liquids, such as amines, on a textured and thermally conductive solid substrate with high surface-area to volume ratio (A/V) continuum geometry. The infused, micrometer-thick liquid retains that high A/V and directly contacts the gas phase, alleviating mass transport resistance typically encountered in mesoporous solid adsorbents. We name this LIS class "solid with infused reactive liquid" (SWIRL). SWIRL-amine requires no water dilution or costly mixing unlike the current liquid-based commercial approach. SWIRL-tetraethylenepentamine (TEPA) shows stable, high capture capacities at power plant CO2 concentrations near flue gas temperatures, preventing energy-intensive temperature swings needed for other approaches. Water vapor increases CO2 capacity of SWIRL-TEPA without compromising stability.

Lumbar Bone Mineral Adaptation: The Effect of Fast Bowling Technique in Adolescent Cricketers.

INTRODUCTION: Localized bone mineral density (BMD) adaptation of the lumbar spine, particularly on the contralateral side to the bowling arm, has been observed in elite male cricket fast bowlers. No study has investigated this in adolescents, or the role of fast bowling technique on lumbar BMD adaptation. This study aims to investigate lumbar BMD adaptation in adolescent cricket fast bowlers, and its relationship with fast bowling technique. METHODS: Thirty-nine adolescent fast bowlers underwent anteroposterior dual x-ray absorptiometry scan of their lumbar spine. Hip, lumbopelvic and thoracolumbar joint kinematics, and vertical ground reaction kinetics were determined using three-dimensional motion capture and force plates. Significant partial (covariate: fat-free mass) and bivariate correlations of the technique parameters with whole lumbar (L1-L4) BMD and BMD asymmetry (L3 and L4) were advanced as candidate variables for multiple stepwise linear regression. RESULTS: Adolescent fast bowlers demonstrated high lumbar Z-Scores (+1.0; 95% confidence interval [CI], 0.7-1.4) and significantly greater BMD on the contralateral side of L3 (9.0%; 95% CI, 5.8%-12.1%) and L4 (8.2%; 95% CI, 4.9%-11.5%). Maximum contralateral thoracolumbar rotation and maximum ipsilateral lumbopelvic rotation in the period between back foot contact and ball release (BR), as well as contralateral pelvic drop at front foot contact, were identified as predictors of L1 to L4 BMD, explaining 65% of the variation. Maximum ipsilateral lumbopelvic rotation between back foot contact and BR, as well as ipsilateral lumbopelvic rotation and contralateral thoracolumbar side flexion at BR, were predictors of lumbar asymmetry within L3 and L4. CONCLUSIONS: Thoracolumbar and lumbopelvic motion are implicated in the etiology of the unique lumbar bone adaptation observed in fast bowlers whereas vertical ground reaction force, independent of body mass, was not. This may further implicate the osteogenic potential of torsional rather than impact loading in exercise-induced adaptation.

A retrospective registry analysis of the transport-related health burden of wheeled recreational devices in Queensland, Australia.

OBJECTIVE: Evaluate injury patterns from wheeled recreational devices (WRD) in the public space and explore risk factors for hospital admission. METHOD: A cross-sectional analysis of WRD injury prevalence and risk factors for hospital admissions was conducted using data from the Queensland Injury Surveillance Unit (QISU) database for 2007 to 2017. Descriptive statistics and a log-binomial regression model were used to calculate adjusted relative risk for hospital admission. RESULTS: Most WRD injury in the public space was related to stand-alone WRD injury events such as falls, with few reported WRD users being hit by vehicles from 2007 to 2017. Stand-alone WRD injury events had a higher independent risk of hospital admissions when injured in the head/neck/face (RR 2.08, 95%CI 1.6 to 2.8, p<0.001), and when the injury was a fracture (RR 2.57, 95%CI 2.1 to 3.3, p<0.001) or a brain injury (RR 3.19, 95%CI 2.5 to 4.1, p<0.001). CONCLUSION: Head, brain and facial injuries and fractures are leading preventable factors for hospital admissions due to WRD injury. These types of injuries generate a preventable burden to the health system. IMPLICATIONS FOR PUBLIC HEALTH: The results support the need to consider legislation regarding mandatory helmet use for non-motorised WRD when used on public roads and footpaths, while further research is conducted. This strategy could reduce the long-term health outcomes associated with head, face and brain injury in young commuters.

A simulation-based empirical bayes approach: Incorporating unobserved heterogeneity in the before-after evaluation of engineering treatments.

The Empirical Bayes approach for before-after evaluation methodology utilizing the negative binomial model does not account well for unobserved heterogeneity. Building on the Empirical Bayes approach, the objective of this study was to propose a framework to accommodate unobserved heterogeneity in before-after countermeasure evaluation. In particular, this study has proposed a simulation-based Empirical Bayes approach by applying the panel random parameters negative binomial model with parameterized overdispersion (PRNB-PO) to evaluate the effectiveness of engineering treatments. The proposed framework has been tested for the wide centerline treatment (WCLT) on rural two-lane two-way highways in Australia. The empirical analysis included 511 km of WCLT treated highways in a before-after evaluation within a time period of 2010 - 2018 and 430 km of reference sites in Queensland, Australia. The PRNB-PO models outperformed the traditional negative binomial models in terms of goodness-of-fit and prediction performance for total injury crashes, and fatal and serious injury (FSI) crashes. The simulation-based Empirical Bayes approach using the PRNB-PO model resulted in more precise estimates of crash modification factors than the standard Empirical Bayes approach. The WCLT is found to result in significant reductions in total injury crashes by 28.21% (95% confidence interval (CI) = 22.92 - 33.50%), FSI crashes by 13.90% (95% CI = 6.99 - 20.81%), and head-on crashes by 25.45% (95% CI = 14.87 - 36.03%). Overall, WCLT is an effective engineering treatment and should be considered a low-cost countermeasure on rural two-lane two-way highways.