Factors associated with concussion-symptom knowledge and attitudes toward concussion care seeking in a national survey of parents of middle-school children in the US

Background:Developing appropriate concussion prevention and management paradigms in middle school(MS)settings requires understanding parents’general levels of concussion-related knowledge and attitudes.This study examined factors associated with concussion-symptom knowledge and care-seeking attitudes among parents of MS children(aged 10-15 years).Methods:A panel of 1224 randomly selected U.S.residents,aged ≥18 years and identifying as parents of MS children,completed an online questionnaire capturing parental and child characteristics.The parents’concussion-symptom knowledge was measured using 25 questions,with possible answers being“yes”,“maybe”,and“no”.Correct answers earned 2 points,“maybe”answers earned 1 point,and incorrect answers earned 0 point(range:0-50;higher scores=better knowledge).Concussion care-seeking attitudes were also collected using five 7-point scale items(range:5-35;higher scores=more positive attitudes).Multivariable ordinal logistic regression models identified predictors of higher scores.Models met proportional odds assumptions.Adjusted odds ratios(aORs)with 95%confidence intervals(95%CIs)(excluding 1.00)were deemed statistically significant.Results:Median scores were 39(interquartile range:32-44)for symptom knowledge and 32(interquartile range:28-35)for care-seeking attitude.In multivariable models,odds of better symptom knowledge were higher in women vs.men(aOR=2.28;95%CI:1.71-3.05),white/non-Hispanics vs.other racial or ethnic groups(aOR=1.88;95%CI:1.42-2.49),higher parental age(10-year-increase aOR=1.47;95%CI:1.26-1.71),and greater competitiveness(10%-scale-increase aOR=1.24;95%CI:1.13-1.36).Odds of more positive care-seeking attitudes were higher in white/non-Hispanics vs.other racial or ethnic groups(aOR=1.45;95%CI:1.06-1.99)and in older parental age(10-year-increase aOR=1.24;95%CI:1.05-1.47).Conclusion:Characteristics of middle school children’s parents(e.g.,sex,race or ethnicity,age)are associated with their concussion-symptom knowledge and care-seeking attitudes.Parents’variations in concussion knowledge and attitudes warrant tailored concussion education and prevention.     

新浪微博替代计量指标特征分析

通过对新浪微博替代计量指标进行统计分析,探索中文环境下替代计量指标的特征和规律。研究发现:新浪微博替代计量指标覆盖率不足1%,但由于追踪时间和追踪对象的局限,该数字可能被严重低估;新浪微博关注和讨论较多的论文来自"综合""生物化学、遗传学与分子生物学""保健科学""医学"及"生命科学"等学科;新浪微博替代计量指标的期刊分布满足对数曲线规律,除著名的综合性期刊如Nature等,预印本平台arXiv和开放存取期刊PLoS ONE等也获得了较多关注,生物学和医学的"明星期刊"最多;新浪微博主要关注最新论文,正式出版180天内受到关注的论文比例高达68.66%,同时也会关注经典论文;新浪微博发布者倾向宣传、推介和评论贴近生活、趣味性强、实用性高、涉及生命健康的学术论文,传递出引文无法体现的社会价值和学术价值;新浪微博替代计量指标呈现出显著的离散和集中分布特点,5.1%的学术论文获得了50%的新浪微博关注。此外,受新浪微博关注的论文在全球范围内获得远高于平均水平的关注度。     

Impaired motor control after sport-related concussion could increase risk for musculoskeletal injury: Implications for clinical management and rehabilitation

This review presents a conceptual framework and supporting evidence that links impaired motor control after sport-related concussion(SRC)to increased risk for musculoskeletal injury.Multiple studies have found that athletes who are post-SRC have higher risk for musculoskeletal injury compared to their counterparts.A small body of research suggests that impairments in motor control are associated with musculoskeletal injury risk.Motor control involves the perception and processing of sensory information and subsequent coordination of motor output within the central nervous system to perform a motor task.Motor control is inclusive of motor planning and motor learning.If sensory information is not accurately perceived or there is interference with sensory information processing and cognition,motor function will be altered,and an athlete may become vulnerable to injury during sport participation.Athletes with SRC show neuroanatomic and neurophysiological changes relevant to motor control even after meeting return to sport criteria,including a normal neurological examination,resolution of symptoms,and return to baseline function on traditional concussion testing.In conjunction,altered motor function is demonstrated after SRC in muscle activation and force production,movement patterns,balance/postural stability,and motor task performance,especially performance of a motor task paired with a cognitive task(i.e.,dual-task condition).The clinical implications of this conceptual framework include a need to intentionally address motor control impairments after SRC to mitigate musculoskeletal injury risk and to monitor motor control as the athlete progresses through the return to sport continuum.     

月光恶魔

I stood on the hill all alone. Staring at the full moon.I was bare-footed and only wearing a thin summer dress that blew in the cold northeastern wind.The cold bit at me but I had no care.As I had been wishing the full moon was growing brighter with every passing moment. The moon was almost as bright     

体育课

在约写这篇文章时曾给我规定了这种格式“请写写关于现代体育课的情况,”在这一条件下阐述这一问题就不仅是我个人的观点,而且要站在教育部的立场,特别是要与俄罗斯的“教育法”相联系,因为这一教育法为教育体制打开了新的前景。写关于现代体育课这一题目——意味着在教育师的实践活动中应显示新的师范潮流的折射,实际上,直观地层现出目前改革进行的方向,看来,这一预约稿是相当复杂的,因为如果不是把达到预约目的的机制向教师们介绍,那么文章的任务就将完不成。与此同时,教育改革的中心意力量是有独立确定一     

体育运动中的内部动机——认知评价理论的解释

认知评价理论认为,内部动机以人的能力需要和自我决策需要为基础,任何影响能力感和自我决策感的事件都可影响人的内部动机。象奖金、奖品一类的外部奖励由于其携带的控制性功能很强,往往会对内部动机产生破坏性影响。如果一项活动可提高人的能力感并满足人的自我决策需要,这一活动就因其携带的信息性功能十分突出而加强内部动机。