Chiropractic Care in a Multidisciplinary Sports Health Care Environment: A Survey of Canadian National Team Athletes.

Objective: The purpose of this study was to describe the utilization of health team practitioners among national-level athletes and report their injury profile as well as access to and knowledge of chiropractic care.

Methods: This study was a retrospective analysis of non-identifiable, cross-sectional survey data that were previously collected from members of the AthletesCAN organization who voluntarily completed a web-based, bilingual survey in July or August 2017. The sport of the athlete, number of years on a national team, number and type of injuries, health care practitioners visited, and specific details on chiropractic care were collected.

A Pilot Randomised Control Trial Exploring the Feasibility and Acceptability of Delivering a Personalised Modular Psychological Intervention for Anxiety Experienced by Autistic Adults: Personalised Anxiety Treatment-Autism (PAT-A).

Anxiety is commonly experienced by autistic people and impacts on quality of life and social participation. New anxiety interventions are required to effectively meet the needs of autistic people. Personalised Anxiety Treatment-Autism (PAT-A©) is a bespoke, modular approach to treating anxiety in up to 12 sessions.

Treating anxiety in autistic adults: study protocol for the Personalised Anxiety Treatment-Autism (PAT-A©) pilot randomised controlled feasibility trial.

Background: Anxiety is common in autistic adults and significantly limits everyday opportunities and quality of life. Evidence-based psychological therapies offered by mental health services often fail to meet the needs of autistic adults. The development of appropriate treatments for mental health conditions and, in particular, anxiety has been identified as a key priority by the autism community.

THE INFLUENCE OF HIP JOINT ANGLE ON THE RATIO BETWEEN ADDUCTION AND ABDUCTION TORQUE IN EXPERIENCED, RECREATIONAL MALE ICE HOCKEY PLAYERS.

Background: Strains of the adductor muscle group of the hip are common amongst ice hockey players. The ratio of isometric strengths between the hip adductors and abductors has been offered as a risk factor for hip adductor strain; however, there is no description for how the ratio between hip adductor and abductor strength varies as a function of hip abduction angle.

Hypothesis/purpose: The aim of this study was to determine the influence of hip joint abduction angle on measured ratios of hip adduction to abduction torque in experienced, recreational, male hockey players.

What were the impacts of the Committee on Safety of Medicines warning and publication of the NICE guidelines on trends in child and adolescent antidepressant prescribing in primary care? A population based study.

Objectives: To assess the impact of both the Committee on Safety of Medicines (CSM) warning (December 2003) and the National Institute for Health and Care Excellence (NICE) guidance (September 2005) on antidepressant prescription rates in children and adolescents within the UK primary care service.

Setting: Population based study of primary care antidepressant prescribing using the Clinical Practice Research Datalink (CPRD).

Participants: Under-18s presenting to primary care with a depressive disorder or related diagnostic code recorded in the CPRD.

T vector velocity: A new ECG biomarker for identifying drug effects on cardiac ventricular repolarization.

Background: We present a new family of ECG biomarkers for assessing drug effects on ventricular repolarization. We show that drugs blocking inward (depolarizing) ion currents cause a relative increase of the T vector velocity (TVV) and accelerate repolarization, while drugs blocking outward ion currents cause a relative decrease of the TVV and delay repolarization. The results suggest a link between the TVV and the instantaneous change of the cellular action potentials that may contribute to bridge the gap between the surface ECG and myocardial cellular processes.

Teachers' perceptions of Restricted and Repetitive Behaviours (RRBs) in children with ASD: Attributions, confidence and emotional response.

Background: Restricted and Repetitive Behaviours (RRBs) are some of the most difficult behaviours to manage in children with Autism Spectrum Disorders (ASD). Although RRBs frequently occur in educational settings, we know little about the way in which teachers understand these behaviours.

Aims: The study aimed to explore the attributions, emotional response and feelings of confidence held by teachers working in different educational settings when faced with RRBs.

Tendon neuroplastic training for lateral elbow tendinopathy: 2 case reports.

Objective: To report 2 cases of lateral elbow tendinopathy treated with a novel adaptation of tendon neuroplastic training (TNT).

Clinical Features: A 61-year-old male machine operator presented with one year of bilateral lateral elbow pain related to his occupation of using torque wrenches. A 37-year-old male electrician presented with two months of recurrent left lateral elbow pain related to repetitive motions of gripping and pulling at work.

Personalized Medication Response Prediction for Attention-Deficit Hyperactivity Disorder: Learning in the Model Space vs. Learning in the Data Space.

Attention-Deficit Hyperactive Disorder (ADHD) is one of the most common mental health disorders amongst school-aged children with an estimated prevalence of 5% in the global population (American Psychiatric Association, 2013). Stimulants, particularly methylphenidate (MPH), are the first-line option in the treatment of ADHD (Reeves and Schweitzer, 2004; Dopheide and Pliszka, 2009) and are prescribed to an increasing number of children and adolescents in the US and the UK every year (Safer et al., 1996; McCarthy et al.

Delayed diagnosis of an isolated posterolateral corner injury: a case report.

Introduction: Isolated injuries to the posterolateral corner of the knee are a rare and commonly missed injury associated with athletic trauma, motor vehicle accidents, and falls. Delayed or missed diagnoses can negatively impact patient prognosis, contributing to residual instability, chronic pain, and failure of surgical repair to other ligaments.

Case Presentation: A 44-year-old male CrossFit athlete presented with a history of two non-contact hyperextension injuries to his left knee while walking on ice.

Atypical presentation of axillary web syndrome (AWS) in a male squash player: a case report.

Axillary Web Syndrome (AWS), also known as lymphatic cording, refers to a condition in which a rope-like soft-tissue density develops in the axilla. It usually appears in the 5 to 8 week period following breast cancer surgery and can lead to shoulder pain and restricted motion. We present a case of AWS in a male squash player with no history of breast cancer or surgery following a period of intense exercise.

Mallards (Anas platyrhynchos) and wastewater ponds, Part I: Mallard ducks overwintering at a northern wastewater treatment pond.

In northern urban areas, wastewater treatment ponds (WWTPs) may provide a thermal refuge during winter (~10°C) that is used by normally migratory mallards (Anas platyrhynchos). On the ponds, mallards may experience stress due to crowding, or through the ingestion of WWTP water, be exposed to a diverse array of synthetic chemicals, which may have adverse health effects. Photographic sampling was used to assess mallard sex ratios and behavioural patterns throughout the late winter on wastewater ponds in Edmonton, Canada.

Getting it right! Enhancing youth involvement in mental health research.

Background: Few studies relating to youth mental health have actively involved young people in the design and conduct of research.

Aims: This qualitative study explores the perceptions of young people about involving them in mental health research.

Method: An opportunistic sample of eight young people (aged 14-24 years) from non-statutory mental health organizations was interviewed.

Youth Speak: increasing engagement of young people in mental health research.

Background: Patient and Public Involvement is now an essential part of health-related research. Evidence suggests that research that involves patients and members of the public can enhance methodological rigor and facilitate the implementation of research findings.

Aims: Our paper describes the development of a youth research group (Youth Speak) aimed at increasing youth engagement in mental health research.

Behavioural activation therapy for adolescents 'at risk' for psychosis?

The following hypothesis explores the possibility of using behavioural activation therapy for adolescents with an at-risk mental state for psychosis. Support is drawn from psychosis-related survey and pilot data as well as a robust evidence base for adult depression. However, we acknowledge that extensive feasibility work is required before exploring this hypothesis further.

Adolescent family perceptions in the At-Risk Mental State for psychosis.

Aim: There is a long-standing interest in the relationship between patients affected by psychosis and their families. Previous research also suggests that perceived family dysfunction is a factor commonly associated with psychological problems in adolescence. The current study examined the role of self-reported family perceptions in the context of adolescents with an At-Risk Mental State (ARMS) for psychosis.

Practitioner review: schizophrenia spectrum disorders and the at-risk mental state for psychosis in children and adolescents--evidence-based management approaches.

Background: Schizophrenia spectrum disorders are severe mental illnesses which often result in significant distress and disability. Attempts have been made to prospectively identify and treat young people viewed as at high risk of impending nonaffective psychosis. Once a schizophrenia spectrum disorder has developed, prompt identification and management is required.

Assessing adolescent preference in the treatment of first-episode psychosis and psychosis risk.

Aim: The objective of this study was to investigate the treatment preferences of adolescents with a first-episode psychosis (FEP) or at-risk mental state (ARMS) for psychosis.

Methods: A questionnaire was distributed to all adolescents (12-18 years) within an early intervention in psychosis service based in North-East England, during a 3-month period.

Results: Forty eligible young people responded (53% response rate).

Attitudes of patients and clinicians in relation to the at-risk state for psychosis.

Aim: In the last decade, advances have been made in identifying young people who may be at relatively high risk (HR) of developing psychosis. Given the controversial and experimental nature of the HR concept, the attitudes and experiences of mental health professionals and patients are likely to influence practice in this area. Previous work has been published that has speculated on the potential risks and advantages of identifying and intervening within the HR state.

Metacognitive beliefs in adolescents with an at-risk mental state for psychosis.

Aim: The self-regulatory executive function model suggests that metacognitive beliefs play a role in all forms of psychological disorder, including psychosis. However, our understanding of these beliefs and their relationship with symptoms in adolescents with an at-risk mental state (ARMS) for psychosis is limited.

Methods: The Metacognitions Questionnaire short form (MCQ-30) was administered to 31 adolescents with an identified ARMS.

The 'at-risk mental state' for psychosis in adolescents: clinical presentation, transition and remission.

Despite increased efforts over the last decade to prospectively identify individuals at ultra-high risk of developing a psychotic illness, limited attention has been specifically directed towards adolescent populations (<18 years). In order to evaluate how those under 18 fulfilling the operationalised criteria for an At-Risk Mental State (ARMS) present and fare over time, we conducted an observational study. Participants (N = 30) generally reported a high degree of functional disability and frequent and distressing perceptual disturbance, mainly in the form of auditory hallucinations.

Experience of child and adolescent mental health clinicians working within an at-risk mental state for psychosis service: a qualitative study.

Aim: To qualitatively examine the common experiences of child and adolescent mental health clinicians working with adolescents suspected of having an 'at-risk mental state' (ARMS) for psychosis.

Methods: A semistructured interview was conducted with six experienced child and adolescent mental health clinicians working in North East England.

Results: A thematic analysis of clinicians' experiences indicated that the identification and management of an ARMS within this patient group is particularly complex.

Observations of a small sample of adolescents experiencing an at-risk mental state (ARMS) for psychosis.

Some commentaries express concern that the At-Risk Mental State (ARMS) designation can be stigmatizing and induce a lasting sense of personal fragility. However, no studies have actually explored the personal perspectives of those so categorized. The purpose of this study was to explore how adolescents with an ARMS label understand and experience their condition medically and personally.

Attitudes and knowledge of child and adolescent mental health clinicians in relation to the psychosis risk syndrome.

Aim: To evaluate the knowledge and attitudes of clinicians in a Child and Adolescent Mental Health Service in relation to the 'At-Risk Mental State' concept in psychosis.

Methods: A questionnaire was constructed and administered to child and adolescent mental health clinicians working in North East England.

Results: Sixty-seven per cent (n=121) of eligible clinicians responded.