An 8-week physiotherapist-led return to sport group program after anterior cruciate ligament reconstruction improves measures of physical and psychological function: A case series.

Background: Low return to competitive sport, high reinjury rates and long-term functional impairment of anterior cruciate ligament reconstruction (ACLR) present significant challenges for patients. A program that facilitates a safe return to sport (RTS) following ACLR could potentially improve outcomes.

Study Design: Case Series.

Development of guidelines for school staff on supporting students who self-harm: a Delphi study.

Objective: Self-harm is a major public health issue that significantly impacts communities, making early intervention and prevention paramount in addressing this public health issue. This study aimed to develop evidence-based, culturally responsive, safe, and practical guidelines to assist school staff in effectively supporting students who self-harm.

Methods: This Delphi study comprised of a five-step process, oversighted by a Rōpū Mātanga Māori (Māori clinical and cultural governance group), and drawing on the expertise and knowledge gained from existing literature, interviews with stakeholders, and two panels of experts (youth and stakeholders).

Young people and adult stakeholders' reflections on how school staff should support students who self-harm: A qualitative study.

Introduction: Self-harm is a significant public health issue affecting school communities, students, and families. The school is an ideal environment for early intervention and prevention. This study aimed to explore the views of young people and stakeholders on how school staff should support students who self-harm in the context of developing accessible and acceptable guidelines.

A high-resolution picture of kinship practices in an Early Neolithic tomb.

To explore kinship practices at chambered tombs in Early Neolithic Britain, here we combined archaeological and genetic analyses of 35 individuals who lived about 5,700 years ago and were entombed at Hazleton North long cairn. Twenty-seven individuals are part of the first extended pedigree reconstructed from ancient DNA, a five-generation family whose many interrelationships provide statistical power to document kinship practices that were invisible without direct genetic data. Patrilineal descent was key in determining who was buried in the tomb, as all 15 intergenerational transmissions were through men.

Green care in first-episode psychosis: short report of a mixed-methods evaluation of a 'woodland group' in an early intervention service.

Aims And Method: In the context of increasing recognition of the role of nature in well-being, but limited evidence for specific patient groups, we describe a mixed-methods evaluation of a 10-week green care intervention (a woodland group) for 18- to 30-year-olds who had experienced a first episode of psychosis. Data were collected using the Questionnaire on the Process of Recovery (QPR), semi-structured service evaluation questionnaires, the NHS Friends and Family Test (FFT), and focus group analysis.

Results: All participants present at week 10 (n = 5) would recommend this group to others; 4/8 participants showed reliable improvement on QPR outcome measures.

What mental health professionals and organisations should do to address climate change.

Aims And Method: The climate change emergency is also a mental healthcare emergency. We seek to provide a framework for what mental health professionals and organisations should do to make their practice more sustainable.

Results: There are ethical, legal and organisational imperatives to make mental healthcare more sustainable.

Green care in psychiatry.

Engagement with natural environments is associated with improved health and well-being in the general population. This has implications for mental healthcare. Implementation of targeted nature-based interventions (green care) meets recovery needs and would enable research to develop, clarifying what works best for whom.

Understanding the Experience and Needs of School Counsellors When Working with Young People Who Engage in Self-Harm.

Self-harm rates are increasing globally and demand for supporting, treating and managing young people who engage in self-harm often falls to schools. Yet the approach taken by schools varies. This study aimed to explore the experience of school staff managing self-harm, and to obtain their views on the use of guidelines in their work.

The Potential of Remedial Techniques for Hazard Reduction of Steel Process by Products: Impact on Steel Processing, Waste Management, the Environment and Risk to Human Health.

The negative impact from industrial pollution of the environment is still a global occurrence, and as a consequence legislation and subsequent regulation is becoming increasingly stringent in response, in particular, to minimising potential impact on human health. These changes have generated growing pressures for the steel industry to innovate to meet new regulations driving a change to the approach to waste management across the industrial landscape, with increasing focus on the principles of a circular economy. With a knowledge of the compositional profiles of process by-products, we have assessed chemical cleaning to improve environmental performance and minimise disruption to manufacturing processes, demonstrating re-use and recycling capacity.

The Association of Manual Muscle Tests and Treatment Outcomes With Headache and Cranial Dysfunctions: A Retrospective Case Series Report.

Background: This study examine whether there is an interrelationship between cranio-sacral dysfunctions and the muscle inhibitions found in the muscles attaching to the skull in patients with headaches.

Primary Study Objective: To present a retrospective case series report assessing the prevalence of positive manual muscle tests (MMTs) in the assessment and management of adults with headache and cervico-cranial dysfunctions and to present patient outcomes pre- and posttreatment.

Methods/design: Fifty-two patient files with headache (HA) (48 females, 4 males) were retrospectively examined.

Enhanced characterisation for the management of industrial steel processing by products: potential of sequential chemical extraction.

There is a pressing need for innovative waste management approaches as environmental regulations become more stringent worldwide alongside increasing demand for a more circular economy. Sequential chemical extraction (SE) analysis, which has previously been applied to environmental media such as soils and sediments, offers the potential to provide an understanding of the composition of solid steel processing by products, aiding the waste classification process and improving environmental protection. The definition of seven-phase associations through a SE method evaluated in this study were for (1) water soluble, (2) ion exchangeable, (3) carbonate, (4) amorphous Fe-Mn oxides, (5) crystalline Fe-Mn oxides, (6) sulphides and (7) silicate residues.

The Potential of Sequential Extraction in the Characterisation and Management of Wastes from Steel Processing: A Prospective Review.

As waste management regulations become more stringent, yet demand for resources continues to increase, there is a pressing need for innovative management techniques and more sophisticated supporting analysis techniques. Sequential extraction (SE) analysis, a technique previously applied to soils and sediments, offers the potential to gain a better understanding of the composition of solid wastes. SE attempts to classify potentially toxic elements (PTEs) by their associations with phases or fractions in waste, with the aim of improving resource use and reducing negative environmental impacts.

Effectiveness and Predictors of Continuation of Paliperidone Palmitate Long-Acting Injection Treatment: A 12-Month Naturalistic Cohort Study.

Antipsychotic long-acting injectable (LAI) medication has an important place as a treatment option in schizophrenia with evolving evidence to support clinical benefit over oral medication. Paliperidone palmitate is recently licensed as an LAI. We studied a naturalistic cohort of all identifiable patients who initiated paliperidone LAI in a specific United Kingdom region (Sussex) from first availability up to January 2013 (n = 179).

Applied kinesiology: distinctions in its definition and interpretation.

Modification of the motor system in assessing and treating as well as understanding one of the causes of musculoskeletal dysfunctions is a topic of growing importance in healthcare. Applied kinesiology (AK) addresses this interest in that it is a system which attempts to evaluate numerous aspects of health (structural, chemical, and mental) by the manual testing of muscles combined with other standard methods of diagnosis. It leads to a variety of conservative, non-invasive treatments which involve joint manipulations or mobilizations, myofascial therapies, cranial techniques, meridian and acupuncture skills, clinical nutrition and dietary management, counseling skills, evaluating environmental irritants, and various reflex techniques.

Conservative chiropractic management of urinary incontinence using applied kinesiology: a retrospective case-series report.

Objective: The purpose of this case series is to describe the chiropractic management of 21 patients with daily stress and occasional total urinary incontinence (UI).

Clinical Features: Twenty-one case files of patients 13 to 90 years of age with UI from a chiropractic clinic were reviewed. The patients had a 4-month to 49-year history of UI and associated muscle dysfunction and low back and/or pelvic pain.

Applied kinesiology methods for a 10-year-old child with headaches, neck pain, asthma, and reading disabilities.

Objective: The purpose of this case report is to describe the chiropractic care of a 10-year-old boy who presented with developmental delay syndromes, asthma, and chronic neck and head pain and to present an overview of his muscular imbalances during manual muscle testing evaluation that guided the interventions offered to this child.

Clinical Features: The child was a poor reader, suffered eye strain while reading, had poor memory for classroom material, and was unable to move easily from one line of text to another during reading. He was using 4 medications for the asthma but was still symptomatic during exercise.

Conservative management of post-surgical urinary incontinence in an adolescent using applied kinesiology: a case report.

Introduction: This case report describes the successful treatment of an adolescent female suffering daily stress and occasional total urinary incontinence with applied kinesiology methods and chiropractic manipulative therapy.

Patient Presentation: A 13-year-old female developed unpredictable urinary incontinence and right hip pain immediately following emergency open appendectomy surgery. The patient was forced to wear an incontinence pad throughout the day and night for 10 months because of unpredictable urinary incontinence.

Association of manual muscle tests and mechanical neck pain: results from a prospective pilot study.

Objective: To determine whether there was a statistical difference for manual muscle test (MMT) findings for cervical muscles in subjects with and without mechanical neck pain (MNP), and to use confidence intervals to evaluate the sensitivity and specificity of the MMT in this group of subjects.

Clinical Features: Manual muscle strength tests were conducted on two groups of patients who reported to two outpatient chiropractic clinics. In group 1, 148 patients were evaluated for MMT data (50 males and 98 females, average age 37), 127 with "whiplash"-type injuries (average duration 16 weeks) and 21 with non-traumatic chronic neck pain (average duration 36 weeks).

Developmental delay syndromes: psychometric testing before and after chiropractic treatment of 157 children.

Objective: This study presents a case series of 157 children with developmental delay syndromes, including the conditions such as dyspraxia, dyslexia, attention-deficit hyperactivity disorder, and learning disabilities who received chiropractic care.

Clinical Features: A consecutive sample of 157 children aged 6 to 13 years (86 boys and 71 girls) with difficulties in reading, learning, social interaction, and school performance who met these inclusion criteria were included.

Intervention And Outcomes: Each patient received a multimodal chiropractic treatment protocol, applied kinesiology chiropractic technique.

On: Hall S, Lewith G, Brien S, Little P: A review of the literature in applied and specialised kinesiology. Forsch Komplementmed 2008;15:40-46.

We commend the authors for attempting an in-depth literature review of such a diverse field as Specialised Kinesiology. Their recommendations for the tools that can be used in methods of analysis in future studies are well advised. The title of their paper, however, suffers from design flaws and is deceptive.

Common errors and clinical guidelines for manual muscle testing: "the arm test" and other inaccurate procedures.

Background: The manual muscle test (MMT) has been offered as a chiropractic assessment tool that may help diagnose neuromusculoskeletal dysfunction. We contend that due to the number of manipulative practitioners using this test as part of the assessment of patients, clinical guidelines for the MMT are required to heighten the accuracy in the use of this tool.

Objective: To present essential operational definitions of the MMT for chiropractors and other clinicians that should improve the reliability of the MMT as a diagnostic test.