18 research outputs found
Data Extraction for Risk Factors for Musculoskeletal Injury in Military Service Members Meta Analysis
No full textRaw data repository from extraction of data for meta-analysis from final 74 studies
Edward G. Seidensticker and his Snow Country
No full textSnow Country, which is without questions Kawabata Yasunari's masterpiece, won him a Nobel Prize of Literature in 1968. He was the first Japanese writer to receive the Nobel Prize. Most western readers of Japanese literature however expected that Mishima Yukio rather than Kawabata would win a Nobel Prize. His style was much easier for Westerners to understand while Kawabata's style was too much Japanese ambiguity in its tone as a nobel and too much poetry in its diction, which Westerners as a rule don't enjoy. Seidensticker once told that the prose of Kawabata was much closer to those of Murasaki Shikibu --more poetic and ambiguous in its literary nuances. So it was assumed by many critics that Kawabata's Snow Country was a work which was unable to translate into any western languages. However, after the publication of the English translation by Seidensticker, the translation of Snow Country into various languages increased in its quantity and quality. Thus Snow Country has gained a world-wide popularity as a great Japanese literary work and favorable reputation with readers on both sides of the Pacific Ocean. It is probably true that Kawabata had less chance to be honored with the Nobel Prize of Literature without Seidensticker's transalation work. In the following papaer, the author wishes to snow how Seidensticker labored to create his own Snow Country, arguing how he translated the original work faithfully and artisticaly into his own language as a man of Western literature
Translational manipulation under anesthesia for patients with frozen shoulder: a case series study with five-year health care utilization and post-manipulative arthroscopic findings
No full textIdentifying special operative trainees at-risk for musculoskeletal injury using full body kinematics
No full textIntroduction: Non-combat musculoskeletal injuries (MSKIs) during military training significantly impede the US military’s functionality, with an annual cost exceeding $3.7 billion. This study aimed to investigate the effectiveness of a markerless motion capture system and full-body biomechanical movement pattern assessments to predict MSKI risk among military trainees.Methods: A total of 156 male United States Air Force (USAF) airmen were screened using a validated markerless biomechanics system. Trainees performed multiple functional movements, and the resultant data underwent Principal Component Analysis and Uniform Manifold And Projection to reduce the dimensionality of the time-dependent data. Two approaches, semi-supervised and supervised, were then used to identify at-risk trainees.Results: The semi-supervised analysis highlighted two major clusters with trainees in the high-risk cluster having a nearly five times greater risk of MSKI compared to those in the low-risk cluster. In the supervised approach, an AUC of 0.74 was produced when predicting MSKI in a leave-one-out analysis.Discussion: The application of markerless motion capture systems to measure an individual’s kinematic profile shows potential in identifying MSKI risk. This approach offers a novel way to proactively address one of the largest non-combat burdens on the US military. Further refinement and wider-scale implementation of these techniques could bring about substantial reductions in MSKI occurrence and the associated economic costs
Much work remains to reach consensus on musculoskeletal injury risk in military service members:A systematic review with meta-analysis
No full textMusculoskeletal injuries are the most common reason military service members cannot perform their military duties. Not only are they costly and associated with long-term disability, often long after completion of military service, but injuries also adversely affect the military readiness of a nation. This can be seen as a threat to national security and part of the impetus behind many efforts to better understand, predict, and mitigate injury risk in the military. A systematic review of literature published between 1995 and October 31, 2020 was conducted to identify significant risk factors of musculoskeletal injury in military populations across the world. 74 out of 170 eligible studies addressed comprehensive injuries, providing 994 unique risk factors. 46 of these studies provided data that could be included in a meta-analysis, which was possible for 15 predictor variables. Seven predictors were significant in meta-analysis: female sex(RR=1.46;95CI 1.30,1.64), high body mass index(RR=1.36;95CI 1.21,1.53), functional movement screen pain (RR=1.70;95CI 1.55,1.87) or scores ≤ 14(RR=1.42 95CI 1.29,1.56), prior injury(RR=1.54;95CI 1.32,1.80), slower running performance(RR=1.33;95CI 1.18,1.51), and poorer push-up performance(RR=1.15;95CI 1.04,1.27). Low BMI, height, weight, smoking, physical activity scores, and sit-up and jump performance were not significant risk factors in the meta-analysis. Most studies had a high risk of bias. Lack of raw data and large heterogeneity in definitions of predictors and injury outcomes limited comparison across many studies
A multicentre randomised, 1-year comparative effectiveness, parallel-group trial protocol of a physical therapy approach compared to corticosteroid injections
No full textCorticosteroid injections (CSIs) are commonly used as an initial or a primary intervention for knee osteoarthritis (OA). Consistent evidence indicates CSIs offer symptom relief with conflicting reports regarding long-term efficacy. Physical therapy (PT) offers a non-invasive alternative. There is moderate evidence suggesting short-term and long-term symptom relief and functional improvement with PT interventions. Patients with knee OA are more commonly prescribed CSI than PT prior to total joint replacement. UnitedHealthcare and Military Health System data show substantially more total knee replacement patients receive preoperative CSI than PT. There are no studies comparing CSI to a PT approach in individuals with knee OA. The primary objective of this study is to compare the effectiveness of CSI to PT in individuals with knee OA at 1, 2 and 12 months.We plan to recruit 156 participants meeting established knee OA criteria. Following informed consent, participants will be randomised to receive either CSI or PT. All participants will receive instruction on recommended exercise and weight control strategies plus usual medical care. The CSI intervention consisting of 3 injections and the PT intervention consisting of 8-12 sessions will be spaced over 12 months. Measures of the dependent variables (DVs) will occur at baseline, 4 weeks, 8 weeks, 6 months and 12 months post enrolment. This pragmatic, randomised clinical trial will be a mixed-model 2×5 factorial design. The independent variables are treatment (CSI and PT) and time with five levels from baseline to 1 year. The primary DV is the Western Ontario & McMaster Universities Arthritis Index (WOMAC). We will also compare healthcare utilisation between the 2 groups.The protocol was approved by the Madigan Army Medical Center Institutional Review Board. The authors intend to publish the results in a peer-reviewed source.NCT01427153
Author Correction: Seroepidemiological study of factors affecting anti-spike IgG antibody titers after a two-dose mRNA COVID-19 vaccination in 3744 healthy Japanese volunteers
No full textMinimal Data Elements for Surveillance and Reporting Of Musculoskeletal Injuries in the MILitary (ROMMIL) International Consensus Statement
No full textIntroduction A systematic approach to collecting and reporting injury data in military settings is necessary to maximize the impact of musculoskeletal injury-related research. An international consensus on recommended core data set of elements to capture and report is necessary. The purpose was to summarize the process and results from an international consensus study to establish recommended common minimum data elements for surveillance and Reporting Of Musculoskeletal injuries in the MILitary (ROMMIL).Methods A ten-step hybrid consensus process was performed. Knowledge users were embedded in the process for co-creation of pertinent questions, data elements, and voting. Evidence synthesis included a scoping review on the barriers and facilitators to implementing injury prevention programs, followed by a knowledge user survey. A sequential three round Delphi study refined and validated the final elements in the recommendation checklist. Consensus recommendations were presented to an international audience of stakeholders. Participants voted on each statement with 0 representing no importance, 5 somewhat important, and 10 maximum importance.Results The consensus recommendation includes one data principle of keeping continuous data continuous and 33 minimum data elements. Data elements include demographics, lifestyle, service branch, musculoskeletal/surgical history, exposure, and injury characteristics. The data principle endorsed by knowledge users recommends that continuous variables (e.g. age, weight, exposure) remain continuous and not categorized into groups. Dissenting viewpoints are detailed to provide fair and balanced consensus recommendations.Conclusions The ROMMIL checklist could be leveraged by clinicians, researchers and knowledge users working in miliary settings when comparing and harmonizing data across studies, service branches, and countries. The ROMMIL checklist will support improved data synthesis to better inform evidence-based practice in military medicine, and the ability to generate more useful prognostic models to quantify injury risk
Boundless Venus: the Crossover of the Conscious and Unconscious in the Works of Haruki Murakami
No full textThe objective of this thesis, Boundless Venus, is to examine consciousness in the
works of the contemporary Japanese writer Haruki Murakami. Principally the
discussion concerns itself with the unconscious, its conduits, its benefits upon the
conscious; which lead to the transformation of the self and structure of the literature.
Although the subject has been touched upon before, the conscious and unconscious
have previously been examined as exclusive concepts in Murakami. This research
will be looking at the recent change in the ‘crossover’ between these concepts,
which makes the concepts no longer two mutually exclusive concepts but ‘inclusive
concepts’. This is vital to understanding Murakami’s more recent works and the
nature of his influence on literature.
Boundless Venus explores the entire works of Haruki Murakami, principally his
most recent novel 1Q84 (2011) and his novels Hard-Boiled Wonderland and the
End of the World (1991) and The Wind-up Bird Chronicle (1997). It approaches the
work from a psychoanalytic and critical point of view and focuses on significant
narrative techniques, character development, and themes such as sex, music, and
dreams, used by Murakami to explore the relationship between the conscious and
unconscious and to narrate the crossover between the two
Methodology used to develop the minimum common data elements for surveillance and Reporting of Musculoskeletal Injuries in the MILitary (ROMMIL) statement [version 2; peer review: 1 approved, 2 approved with reservations]
No full textBackground The objective was to summarize the methodology used to develop the international minimum data elements for surveillance and Reporting of Musculoskeletal Injuries in the MILitary (ROMMIL) statement. This is a recommended list of elements to be collected and reported when conducting injury surveillance research in military settings. Methods A Delphi methodology was employed to reach consensus. Preliminary steps included conducting a literature review and surveying a convenience sample of military stakeholders to 1) identify barriers and facilitators of military musculoskeletal injury (MSKI) prevention programs, 2) identify relevant knowledge gaps, and 3) establish future research priorities. A sequential three-round Delphi consensus survey followed, including relevant stakeholders from militaries around the world, using results to conduct an asynchronous knowledge user meeting (mixture of in-person and live video conference and recording) to explore the level of agreement among subject matter experts. Knowledge users, including former and current military service members, civilian practitioners working in military health networks, and international subject matter experts having experience with policy, execution, or clinical investigation of MSKI mitigation programs, MSKI diagnoses, and MSKI risk factors in military settings. For each round, participants scored questions on a Likert scale of 1-5. Scores ranged from No Importance (1) to Strong Importance (5). Results Literature review and surveys helped inform the scope of potential variables. Three rounds were necessary to reach minimum consensus. Ninety-five, 65, and 42 respondents participated in the first, second and third rounds, respectively. Conclusions Achieving consensus across relevant knowledge users representing military organizations globally can be challenging. This paper details the methodology employed to reach consensus for a core minimum data elements checklist for conducting MSKI research in military settings and improve data harmonization and scalability efforts. These methods can be used as a resource to assist in future consensus endeavors of similar nature
