Days Of Training Research Articles

Application of Youth-Led Participatory Action Research to Examining Adolescent Sexual and Reproductive Health and Rights in Ontario: What Can We Learn?

Engaging adolescents and young people as partners in research is increasingly acknowledged as a vital strategy to ensure diverse voices are heard and to catalyze social change. This article, coauthored by adolescent and adult researchers, presents the methodological approach and outcomes of a youth-led participatory action research (YPAR) study in which three teams of youth researchers developed and implemented projects examining equity-related factors affecting adolescent sexual and reproductive health and rights (ASRHR) in Ontario, Canada. Teams of four assigned-female youth researchers aged 16-19 years were recruited from three priority regions through purposive sampling. Selected youth completed a paid 5-day virtual YPAR training. Each youth team, supported by adult research mentors, identified key ASRHR issues in their region and developed a related research question. Each team then determined their study's design, obtained institutional ethics approval, and conducted data collection, analysis, and interpretation. Based on their findings, teams proposed potential solutions and communicated results to multiple stakeholders. Methodologically, the YPAR process amplified youth voices through a social justice-framed approach to examining ASRHR. Centering the perspectives, values, and experiences of youth positively impacted the youth researchers themselves, while yielding results that were relevant, meaningful, adolescent-responsive, and culturally informed. Results from the youth-led projects identified multiple barriers to accessing sexual and reproductive health services and products. Policy and practice implications encompassed concerns related to geographical accessibility, equity, service provider competence, and content of sexuality education curricula.

Training protocol and calibration of the International Caries Detection and Assessment System in a school-based clinical trial of elementary school-age children.

This paper demonstrates International Caries Detection and Assessment System (ICDAS) training procedures and inter/intra-examiner reliability for lesion severity, activity, and filling criteria in an elementary school setting. ICDAS training was conducted in December 2021 prior to a school-based cluster-randomized controlled trial. A total of 59 children (6-8 years old) in grades 1-2 from one school in Houston, Texas were recruited. Two licensed dentists received a 5-day training from an ICDAS trainer at the participating school. Thirty-eight children were evaluated at least once by each dental trainee, and 18 had repeat examinations. The ICDAS criteria were used to classify dental caries lesion severity (0-6), lesion activity (active/inactive), and filling material (0-9) of all visually available primary and permanent tooth surfaces. Inter and intra-examiner reliability between each dental trainee and the "gold standard" trainer was evaluated using Kappa statistics. For lesion severity, the examination indicated an inter-rater weighted Kappa of 0.77 (95% CI 0.71-0.82) and 0.82 (95% CI 0.77-0.87) for each trainee examiner compared to the gold standard examiner. The Kappas increased slightly from the first to second examinations (lesion-weighted Kappa: 0.76 to 0.84 and 0.82 to 0.84). The intra-rater reliability indicated excellent reliability for lesion and filling (0.83 to 0.94) and moderate for activity (0.58). ICDAS training/calibration were essential to ensure accuracy and reliability of dental caries measurements. The study demonstrated that ICDAS training of dentists with no prior criteria experience is feasible in a community setting and can lead to high reliability and repeatability.

Trained dogs can detect canine urothelial carcinoma of the bladder

Dog have been trained to detect a variety of human cancers. However, studies examining their ability to find canine cancer are sparse and show variable results. Whilst dogs were shown to be successful at detecting malignant tumors from saliva samples, they were previously unsuccessful at finding canine urothelial carcinoma (UC) from urine. We used advanced training methods to explore if dogs can accurately detect urothelial carcinoma (UC) from canine urine.Urine samples from healthy dogs without urinary tract abnormalities (control), with non-malignant urinary tract disease (control), and with UC (positive) were collected prospectively. Urothelial carcinoma was diagnosed using cytology and/or histopathology. All dogs were naïve of chemotherapy, underwent bladder ultrasound and urinalysis. Residual urine remaining after conventional diagnostic procedures was frozen in glass jars until analysis and used for dog training and testing.Three dogs previously trained to detect human cancer underwent up to 29 days of additional training. They were each presented with 20 control samples (from either 13 or 14 unique individuals), 10 UC positive samples (from between 5 and 7 individuals), in a double-blind trial and their behavioral responses recorded.When considering only unique donor dogs, a mean of 66.7% (range 40–85.7%) of UC were correctly indicated and a mean of 87.5% (range 78.6–92.3%) were correctly ignored. The overall sensitivity (considering all samples) was 80% (range 70–90%), and specificity was 91.7% (range 85–95%). This study suggests that, when using appropriate methods, dogs can be trained to detect canine UC from urine and could serve as an additional non-invasive diagnostic test for the disease.

Development of a web-based tool to assess daily rating of perceived exertion in agility dogs

ObjectiveTo develop a web-based tool for daily use by agility handlers to log rating of perceived exertion (RPE) for dogs as an aid in quantifying daily exercise and training load and to improve training and conditioning strategies.ProceduresFocus group meetings with small groups of handlers were conducted via internet—based video conferencing using a semi-structured interview format. Meeting notes were coded for reflexive thematic analysis. The RPE logging tool was revised based on handler feedback. Each handler was asked to log their dog’s daily RPE data for 1 week. Data were analyzed to assess compliance and timeliness of entries. Participants completed a post-logging questionnaire to provide feedback about their experiences.ResultsEighteen agility dog handlers participated in all phases of the project. Handler and dog demographics were similar to previously reported demographics of agility participants in the United States. Reflexive thematic analysis of their comments related to the initial draft RPE logging tool yielded 3 initial themes, all of which supported a fourth and major theme: the need for specific and detailed training resources before agility handlers utilized the RPE tool. Of 18 handlers, 14 (78%) submitted logging records for the full week. Median time for data entry was 87 s (IQR = 56–117 s), and 92% of logging records were entered within 1 day of the events which were being recorded. In the follow-up questionnaire the handlers did not identify any major concerns. Based on all available data from the handlers, a final version of the RPE logging tool was produced.Conclusion and clinical relevanceAgility dog handlers are very interested in developing and validating tools to quantify training load for their dogs. The final RPE logging tool was quick and easy to use. Further validation of this logging tool is required with a larger number of handlers and comparison to physiologic data from exercising dogs.

Urinary incontinence in elite female powerlifters aged 20-30: correlating musculoskeletal exam data with incontinence severity index and survey data.

Urinary incontinence (UI) in the powerlifting community has been a hot topic due to its noticeability during competition and the burden it places on female athletes who experience it. UI is even experienced in those we least expect: young, high-performing, females with no history of pregnancy. Current studies have utilized primarily survey methodology, thus there is a lack of clinical information on this topic. Furthermore, the top athletes are underrepresentedbecause previous surveys were open to anyone reporting themselves as a powerlifter, regardless of competition level. The objectives of this study were to determine whether UI in elite female powerlifters is correlated with any musculoskeletal diagnoses and to further evaluate potentially contributing factors for UI within this group. Subjects underwent an osteopathic structural examination and then completed two surveys: the Incontinence Severity Index (ISI/Sandvik Test for Urinary Incontinence) and the Study Questionnaire. In total, there were 31 female participants, all of whom were in the top 2 % of powerlifters in the world between the ages of 20 and 30 years old (as of May 21, 2023) and reside in the United States. The survey results displayed a moderately positive relationship between age (rho=0.449, where rho refers to Spearman's rho), history of pelvic floor examination (rho=0.413), and self-care practice with ISI (rho=0.340). Other survey information such as weight class, height, best total in competition, number of years training, average duration of training day, confidence in ability to contract pelvic floor muscles, history of abdominal or pelvic surgery, history of urinary tract infection (UTI), and sexual activity status all had rho values less than 0.300. With atlantoaxial (AA) rotation to the right, there was an increase in ISI score (p=0.009). Similarly, with AA rotation to the left, there was a decrease in ISI score (p=0.030). All patients with severe ISI had nonphysiologic sacral dysfunctions (p=0.051). Severe ISI-scored participants were more likely to yield a dysfunctional clavicle upon screening (p=0.027). There was a strong correlation between increasing severity of UI and findings of a restricted right clavicle and/or AA rotation to the right (p=0.010). In addition, there were only two individuals with both a restricted right clavicle and AA rotation to the right, and these two individuals both scored severe on the ISI (p=0.012). A pelvic diaphragm dysfunction was present in 74.2 % of the participants. Extension diagnoses of the lumbar spine were found in those with mild UI over those with severe UI (p=0.012). Most other diagnoses were largely unremarkable due to a wide distribution across all ISI scores. Our study revealed a relationship between UI and somatic dysfunctions in this population. These findings may help providers, especially in the fields of primary care, sports medicine, and urogynecology, to expand treatment options for UI in this group in the future. Survey results yielded a positive relationship of moderate strength between age, history of pelvic floor exination, and engaging in leakage prevention practices with ISI. No survey category was found to have a relationship of high strength with ISI. These findings contribute to our knowledge on factors that do (or do not) contribute to incontinence severity.

Perceptions of healthcare workers on implementing the 2022 WHO verbal autopsy instrument in rural India through the existing public health system

ABSTRACT Background: Cause-of-death (CoD) information is crucial for health policy formulation, planning, and program implementation. Verbal Autopsy (VA) is an approach employed for the collection and analysis of CoD estimates at the population level where medical certification of cause of death is low and, secondly, for integrating it with the existing public health system by utilizing the grassroots level workforce. Objective: The study aims to understand the field perspectives on implementing the 2022 WHO VA instrument in rural India through the existing public health system. Methods: This article is derived from a qualitative arm of study that was conducted in one of the blocks of Kanpur district, Uttar Pradesh. Frontline health workers (FHWs), as well as Medical Officers (MOs) serving in the Community Health Centre (CHC) area, were selected as study participants. A 5-day training and orientation workshop was conducted to train the FHWs to conduct computer-assisted personal interview VA using the 2022 WHO VA instrument. MOs have been trained to assign the CoD via Physician-Certified VA (PCVA). In-depth interviews (IDIs) were conducted with FHWs involved in conducting VA and physicians involved in conducting PCVA within the field practice area. Results: A total of 13 IDIs were conducted, consisting of 10 FHWs and 3 MOs, within the selected CHC area of Ghatampur. Based on the responses received, five major themes were identified. Although VA is being used to collect CoD information from the community in India through a Sample Registration Survey (SRS), the key findings suggest that this activity could be scaled up by utilizing the existing public health system. However, additional manpower may be required for constant monitoring and evaluation of the program. Incentivization of FHWs would aid in the timely completion of VAs and coordination with local and higher health authorities. Conclusion: The perception of healthcare workers about the feasibility and acceptability of VA in this study highlighted some of the challenges and possible solutions that could aid in developing a comprehensive model to improve CoD information at the population level through the existing public health system.

Pre-Extension Demonstration of Black Cumin Technologies in Goro and Ginnir Districts of Bale and East Bale Zones Southeastern Oromia

Pre-extension demonstration of improved black cumin technologies was carried out in Goro and Ginnir districts. The new variety Urgessa was demonstrated and evaluated against the standard check Gemechis where plot size of 10*10 m was used for each variety. Row planting was applied using seed rate of 12 kg /ha and fertilizer (NPS) rate of 100 kg/ha. Yield data, number of farmers participated on training and mini field days, production costs and farmers’ feedback were collected using field observation, check list, and focus group discussion. Descriptive statistics was used to analyze quantitative data. Cost-benefit analysis was used for profitability analysis. Awareness creation activities like training and mini field days were arranged for target beneficiaries and other stakeholders. Combined yield evaluation was carried out in which Urgessa gave higher seed yield of 13.84 qt/ha while Gemechis gave 11.73 qt/ha. Direct matrix ranking was used to rank black cumin varieties. Consequently, farmers gave the higher score for Urgessa variety. The result of pair wise ranking indicated that farmers gave high attention for traits of yield, number of branch per plant and number of capsule per plant. The result of profitability analysis also revealed that the farmer who prefers to produce Urgessa variety could get an extra net benefit of 24,360.00 ETB/ha than who prefers to produce Gemechis variety in single production season. Therefore, based on farmers’ preference and profitability analysis, Urgessa variety is recommended for pre-scaling up.

A novel blended and interprofessional approach to pediatric emergency training: self-assessment, perception, and perceived long-term effects

BackgroundWe developed a blended training program at a tertiary pediatric center based on hospital-specific emergency guidelines, profession-specific Virtual Patients (VPs), and interprofessional team training. Using this novel approach, we addressed differing educational needs of medical and nursing staff and intrinsic cognitive overload among participants, aiming for harmonization of in-house emergency proceedings.MethodsSelf-assessments of pediatric emergency knowledge and skills were conducted before (T1) and after (T2) preparation using VPs, as well as after the team training day (T3). At T3, participants completed questionnaires on the training approach, its components, and learning impact. Ten months after the training, a follow-up survey (T4) queried perceived benefits within and beyond emergency situations.ResultsA total of 56 medical staff and 56 nursing staff members participated in the pilot phase. Of these, N = 55 (98%) and N = 48 (85%), respectively, returned self-assessments; questionnaires were completed by N = 55 (98%) and N = 51 (91%), respectively. In both groups, 57 participants (50.9%) completed the follow-up survey. After team training (T3), both groups had statistically significant increased knowledge and skill scores compared with those at T1. Regarding the blended approach and its components, medical and nursing staff alike rated the entire course and its guidelines, the preparatory VPs, and the team training very highly. Participants felt being better prepared for pediatric emergencies. Perceived strengths of the training approach were in the triangulation of teaching methods and its interprofessionalism. More training scenarios were requested, as well as recurrent training. In the follow-up, participants reported improved confidence and calmness, as well as improved communication and collaboration when involved in an emergency. Beyond emergencies, benefits were reported in daily routines.ConclusionsOur blended approach was perceived as being effective in improving preparedness among medical and nursing house staff. This approach permits customization of content and deliberate practice to improve pediatric critical care.

The effects of prosocial video games on empathy and prosocial behavior in athletes: evidence from cross-sectional survey and experimental studies

ABSTRACT This study examines the effects of prosocial video games (PVG) on the empathy and prosocial behavior of athletes, as well as comparing the intervention effects with non-athletes. In Study 1, questionnaires were used to assess video game exposure, empathy levels, and prosocial-related indicators among both athletes and non-athletes. Study 2 employed a mixed design with a 2 (prosocial/neutral video game group) × 2 (pre/post-test) factorial design, with participants engaging in a 30-min daily video game intervention over a 14-day period. The results showed that in Study 1, PVG exposure in both groups exhibited a positive correlation with levels of positive empathy, and PVG exposure was also found to predict certain prosocial indicators. In Study 2, compared to the neutral video game group, athletes in the PVG group demonstrated an improvement in positive empathy levels as well as sports prosocial behavior towards opponents following the intervention; the PVG non-athlete group showed higher levels of empathy. Overall, prosocial video games can improve athletes’ positive empathy and sports prosocial behavior, and similar effects are also observed in non-athletes. These findings suggest that increasing PVG exposure is a promising way to promote prosocial behavior in athletes and can be used in their daily routines and training settings.

Ketamine differentially affects implicit and explicit memory processes in rats.

Ketamine, a non-competitive NMDA receptor antagonist, produces antidepressant effects at subanesthetic doses. The therapeutic effect, however, is often accompanied by cognitive side effects, including memory impairments. Yet, the specific effects of ketamine on different processes of implicit and explicit memory remain to be elucidated. We examined the effect of an antidepressant dose of ketamine (10mg/kg, IP) on the encoding, retrieval, and modulation processes of fear memory and spatial memory in adult Wistar rats. Ketamine was administered before the fear acquisition, retrieval, or extinction procedures in a Pavlovian fear conditioning task. In another set of experiments, it was administered before the training, probe trial, or reversal training phases of the Morris Water Maze (MWM). The antidepressant dose of ketamine partially impaired fear extinction when administered before the acquisition or retrieval. In contrast, it facilitated memory modulation and decreased the escape latency in the first day of reversal training in the MWM when administered before the training or reversal training sessions. Encoding or retrieval performance in either type of memory was not affected. These findings show that ketamine does not impair the acquisition or retrieval processes of cued fear or spatial memory; but exerts differential effects on memory modulation of these implicit and explicit memory paradigms, by disrupting fear extinction and facilitating reversal spatial learning.

A Novel Approach for Monitoring Training Load and Wellness in Women's College Gymnastics.

Monitoring training load has the potential to improve sport performance and reduce injuries in athletes. This study examined training load and its association with wellness in artistic gymnastics. Training load and changes in training load (acute:chronic workload ratio [ACWR]) vary throughout 1 season; wellness is inversely correlated with training load and ACWR. Prospective case series. Level 3. A total of 30 female collegiate gymnasts from 4 Division I National Collegiate Athletic Association teams participated (mean age, 20 ± 2 years). During 4 months, before daily training, wellness surveys assessed sleep, energy, soreness, and mood (1-10; higher = better). After daily training, training load surveys assessed training duration per event (warm-up, vault, bars, beam, floor, strength and conditioning) and session rating of perceived exertion (RPE; 1-10; 10 = hardest) per event. Coaches reported technical complexity of training per event (1-4; 4 = hardest). Training load was calculated as [duration] × [RPE] × [technical complexity]. ACWR represented a ratio between acute [1-week] and chronic [4-week rolling average] training loads. ACWR and weekly training load fluctuated throughout the season (ACWR mean weekly range: 0.68-1.11; training load mean weekly range: 2073-6193 arbitrary units). ACWR and weekly training loads were trichotomized into low, medium, and high groups; positive correlations were observed between each wellness variable and ACWR (P < 0.01) and between each wellness variable and weekly training load (P < 0.01). Our novel training load monitoring framework for women's college gymnastics enabled us to characterize training load and its relationship with wellness throughout 1 season. This method should be explored in gymnasts across various ages and competitive levels. This study proposes a framework and the initial findings of monitoring training load and wellness in collegiate women's gymnastics.

The Early Youth Engagement (EYE-2) intervention in first-episode psychosis services: pragmatic cluster randomised controlled trial and cost-effectiveness evaluation.

Early intervention in psychosis (EIP) services improve outcomes for young people, but approximately 30% disengage. To test whether a new motivational engagement intervention would prolong engagement and whether it was cost-effective. We conducted a multicentre, single-blind, parallel-group, cluster randomised controlled trial involving 20 EIP teams at five UK National Health Service (NHS) sites. Teams were randomised using permuted blocks stratified by NHS trust. Participants were all young people (aged 14-35 years) presenting with a first episode of psychosis between May 2019 and July 2020 (N = 1027). We compared the novel Early Youth Engagement (EYE-2) intervention plus standardised EIP (sEIP) with sEIP alone. The primary outcome was time to disengagement over 12-26 months. Economic outcomes were mental health costs, societal costs and socio-occupational outcomes over 12 months. Assessors were masked to treatment allocation for primary disengagement and cost-effectiveness outcomes. Analysis followed intention-to-treat principles. The trial was registered at ISRCTN51629746. Disengagement was low at 15.9% overall in standardised stand-alone services. The adjusted hazard ratio for EYE-2 + sEIP (n = 652) versus sEIP alone (n = 375) was 1.07 (95% CI 0.76-1.49; P = 0.713). The health economic evaluation indicated lower mental healthcare costs linked to reductions in unplanned mental healthcare with no compromise of clinical outcomes, as well as some evidence for lower societal costs and more days in education, training, employment and stable accommodation in the EYE-2 group. We found no evidence that EYE-2 increased time to disengagement, but there was some evidence for its cost-effectiveness. This is the largest study to date reporting positive engagement, health and cost outcomes in a total EIP population sample. Limitations included high loss to follow-up for secondary outcomes and low completion of societal and socio-occupational data. COVID-19 affected fidelity and implementation. Future engagement research should target engagement to those in greatest need, including in-patients and those with socio-occupational goals.

Effects of physical practice on the duration of motor imagery

Motor Simulation Theory proposes that imagined actions are produced using the brain’s motor system, and should therefore always be temporally equivalent to physical movements. However, empirical results are not always consistent with this prediction. Studies indicate that the durations of unfamiliar imagined actions are over-estimated, whereas the durations of more familiar actions may be closer to (or even faster than) actual movement execution. We therefore examined the effects of different levels of practice on the durations of both physically performed and imagined actions. Participants (N=31) completed an initial assessment in which the durations of physically performed and imagined finger movement sequences were measured. Participants then completed three days of physical training in which different sequences received either extensive training (150 repetitions/session), minimal training (10 repetitions/session), or no training. In a subsequent assessment session, we found that the time taken to both physically execute and imagine performing sequences decreased with training. However, contrary to the predictions of Motor Simulation theory, imagined movement durations consistently over-estimated those of physically performed movements. While the difference in the timing of imagined and physically executed movements decreased between the initial and final assessment, this effect was not modulated by training. These results extend our understanding of the relationship between motor imagery and physical practice, and highlight a key limitation in the predictions of Motor Simulation Theory.

PEMBERDAYAAN UKM INDUSTRI MANUFAKTUR DI RANDU, KECAMATAN KENJERAN KOTA SURABAYA

Recently, the industrial of manufacturing has grown into industry 4.0 and its progress significantly enhanced. The activity of public-serving is to develop the ability of small companies to manufacture. Regarding it, a semi-auto welding machine is required to revolute their performance in the small industry. Further, the welding knowledge obtained by training. That is, the public serving is at CV. Manshurin. The methods of public-serving aim to develop the small company. The first activity of it has done by upgrading the welding machine. Thus, training for employees to the welding characteristics is important. An invited trainer in a short class meeting is to deliver the information on the welding morphology and guide to operate the semi-automatic welding machine. Regarding it, the employee training has been done offline. the employee’s knowledge of the welding system increased. Further, the employee of CV. Manshurin skills are also increased. Therefore, they can operate a new welding machine (a semi-automatic welding machine). That is, those facts concluded that the employees receive the enhancement of knowledge, especially the morphology of the welding characteristic. In which, its formations are presented by a trainer who is invited to its training day. Thus, a semi-automatic welding machine improves the quality of the welding result.

A sEMG-based gesture recognition framework for cross-time tasks

Abstract In the practical application of action pattern recognition based on surface electromyography (sEMG) signals, the displacement of the electrodes and the time-varying characteristics of the signals during signal acquisition cross-time can reduce the classification accuracy. In this paper, a 12-day forearm sEMG signal acquisition experiment was conducted, and a cross-time gesture recognition framework based on deep convolutional neural network (CNN) with sEMG signals and short-time Fourier transform (STFT) images is proposed. In the single-day data cross-validation, the recognition rates using multiple CNN modules exceeded 90%. However, the average recognition rate for cross-day data was only 59.0%. The classification effectiveness of the framework was significantly enhanced in multi-day analysis by gradually increasing the number of training days. In particular, 97.4% accuracy was achieved in the cross-time recognition task by using a specific configuration of DenseNet as the network module and extracting features by using one-dimensional (1-D) convolution on signal fragments. Compared with the way of extracting STFT image features as input using two-dimensional (2-D) convolution, the training method of extracting signal features using 1-D convolution reduces the consumed time to about 1%, which is advantageous in terms of model performance.

Capacity building and enhancing knowledge of the healthcare providers on inappropriate practices and dispensing of antimicrobials.

This paper reports on the training programme, aimed for healthcare providers on the concepts of antimicrobial resistance (AMR) and build their understanding and knowledge on the causes and factors contributing to the AMR hence reducing the burden on the healthcare systems. A team of experts developed the curriculum and teaching material. A 2-day training workshop was conducted which included the pre- and post-knowledge assessment of the participants on AMR. Four hundred frontline healthcare workers (HCWs) from public and private hospitals were enrolled for the training. Three types of educational material were produced and used; a guidance booklet, documentaries on AMR, and a set of PowerPoint presentations to explain the AMR and its link with one-health and overall importance. Participants' knowledge increased from 60 to 90 percentage points after the training. Study concluded that the knowledge on AMR among HCWs would positively improve their prescribing and dispensing practices.

How do young soccer players train? A 5-year analysis of weekly microcycle training load characteristics in an elite youth academy

This study aimed to describe the distribution of training load (session rating of perceived exertion (sRPE), duration, and sRPE-training load) across weekly microcycles of an elite youth academy and assess the differences between four different age groups (U15-U16-U17-U19). Training load variables were recorded during in-season training weeks over 5 competitive seasons (from 2014–15 to 2018–19, evaluating new squads for each age group each season) for a total of 456 player observations. Mixed models assessed the variability of the three load variables across the different training days of a weekly microcycle and between the four different age groups. Estimated marginal means, 95% confidence intervals (CI), and effect sizes (d) were calculated for each training day of the microcycle. The main findings were significant differences in the training load variables three and four days before the next Match Day (i.e., MD-3 and MD-4, respectively), with U15 recording lower sRPE (−2.0 AU, d = 0.43–0.72) and U19 a lower duration (−35 min, d &lt; -1.10). All age groups reduced sRPE-training load in the two days before a match, mainly due to a decrease in training duration (−160 AU &amp; −17 min respectively). Match days provided the highest training loads within the weekly microcycle, with moderate-to-large differences between the four age groups (d = 0.77, 1.16 and 1.38 for U15 vs U16-U17-U19 respectively). The low variability in sRPE values in the three central sessions of a weekly microcycle indicates that training duration is an important factor to control when aiming to manipulate within-week training loads in elite youth soccer players.

Adapting and pilot testing a tool to assess the accessibility of primary health facilities for people with disabilities in Luuka District, Uganda

BackgroundPeople with disabilities frequently experience barriers in seeking healthcare that lead to poorer health outcomes compared to people without disabilities. To overcome this, it is important to assess the accessibility of primary health facilities – broadly defined to include a disability-inclusive service provision – so as to document present status and identify areas for improvement. We aimed to identify, adapt and pilot test an appropriate tool to assess the accessibility of primary health facilities in Luuka District, Uganda.MethodsWe conducted a rapid literature review to identify appropriate tools, selecting the Disability Awareness Checklist (DAC) on account of its relative brevity and development as a sensitization and action tool. We undertook three rounds of adaptation, working together with youth researchers (aged 18–35) with disabilities who then underwent 2 days of training as DAC facilitators. The adapted tool comprised 71 indicators across four domains and 12 sub-domains. We also developed a structured feedback form for facilitators to complete with healthcare workers. We calculated median accessibility scores overall, per domain and per sub-domain, and categorised feedback form suggestions by type and presumed investment level. We pilot-tested the adapted tool in 5 primary health facilities in one sub-district of Luuka, nested within a pilot healthcare worker training on disability.ResultsThe median overall facility accessibility score was 17.8% (range 12.3–28.8). Facility scores were highest in the universal design and accessibility domain (25.8%, 22.6–41.9), followed by reasonable accommodation (20.0%, 6.7–33.3). Median scores for capacity of facility staff (6.67%, 6.7–20.0), and linkages to other services were lower (0.0%, 0–25.0). Within the feedback forms, there were a median of 21 suggestions (range 14–26) per facility. Most commonly, these were categorised as minor structural changes (20% of suggestions), with a third categorised as no (2%) or low (33%) cost, and the majority (40%) medium cost.ConclusionsOverall accessibility scores were low, with many opportunities for low-cost improvement at the facility level. We did not identify any issues with the implementation of the tool, suggesting few further adaptations are required for its future use in this setting.

EDI&amp;S SO02 The Aspire Initiative: A Community-Based Intervention to Champion Equality, Diversity and Inclusion in the Future Surgical Workforce

Abstract Background In March 2021, the Royal College of Surgeons of England published The Kennedy Report, an independent and powerful review addressing the critical issues surrounding equality, diversity and inclusion within the surgical profession. Chapter 5 of the review states that aspirations to become a surgeon can begin whilst at secondary school, yet students from diverse ethnic and social backgrounds felt discouraged by teachers who doubted their potential. We describe the development and implementation of a strategic careers outreach initiative across the state-funded secondary schools in our diverse community, aiming to engage and support aspiring surgeons early in their journey. Method In June 2023, The Aspire Initiative was launched as an independent entity supported by surgeons from the local Hepato-Pancreato-Biliary Unit and sponsorship from the Royal College of Surgeons of England. Targeting students aged 13 to 17, the initiative offers community open events, inspiring video content, surgical work experience for those over 16, and outreach careers assemblies. Between November 2023 and March 2024, 13 assemblies were delivered at various state-funded secondary schools across Leicester. These sessions were led by surgeons reflecting ethnic, gender, and socio-economic diversity. Students were invited to complete surveys before and after the assembly to assess their impact. Results The pre-session survey, completed by 874 students from Years 8-11, revealed that 149 aspired to be doctors or surgeons, while 243 were considering this (n=392). Of the 392 students, 57% reported that their parents had not attended university. Only 19% had a good understanding of the medical school application process, and 21% knew about the support available. Furthermore, 31% felt knowledgeable about the daily responsibilities and training pathways of medical professionals. The post-session survey, with 420 responses, showed significant improvements: 91% gained a better understanding of a surgical career and 52% felt more inspired and motivated to pursue their aspirations. Conclusion The Kennedy Report recommended that careers outreach to diverse communities should be planned for as a strategic priority. This study highlights the impact of such initiatives in state-funded secondary schools, showing how they provide students from diverse social backgrounds with crucial insights into surgical careers. These programs help students make informed decisions and inspire them to pursue their aspirations by connecting with relatable role models. We propose that engaging with students at the secondary school level offers an ideal opportunity for surgeons to foster and sustain professional relationships with a diverse future workforce, laying foundations for continued support and mentorship.

Training Load and Injuries in Volleyball: An Approach Based on Different Methods of Calculating Acute to Chronic Workload Ratio.

Many questions persist regarding the relationship between training load and injuries in volleyball, as well as the best method for calculating acute:chronic workload ratio (ACWR). This study aimed to investigate the relationship between different metrics of training load and risk of injury in male professional volleyball players. ACWR, as a training load measure, is useful for identifying injury risk in volleyball players, regardless of calculation method. Longitudinal, prospective, and observational design conducted over 3 seasons of professional male volleyball. Level 3. The study included 43 male volleyball players. Internal training load was quantified using the Session Rating of Perceived Exertion. From daily training load values, absolute measures and relative measures were computed. For relative measures, 7 days were employed for acute training load, and 21 and 28 days for chronic training load. A distinction was made between coupled calculation and uncoupled calculation. Injuries were documented using the Injury Surveillance Form proposed by the International Volleyball Federation. ACWR calculated in a coupled manner and by a rolling average demonstrated higher injury risks when analyzing the complete periods (odds ratio [OR] ACWR 7:28 = 2.040; ACWR 7:21 = 1.980) and competitive period (OR ACWR 7:28 = 2.044; ACWR 7:21 = 2.087). In contrast, during the preseason, the coupled exponential averages were more sensitive to the risk of injury (OR ACWR 7:28 = 4.370; ACWR 7.504). Both measures using rolling averages and those calculated from exponential averages can be employed to identify the risk of injuries in volleyball athletes. The findings of this study can be useful to coaching staff, fitness trainers, and healthcare professionals involved in the challenge of reducing the risk of injury in volleyball athletes. The need for continuous monitoring and real-time adjustments of training load is emphasized.