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Standard ultra-high temperature ceramic (UHTC) manufacturing results in components with large differences in properties due to variability in microstructural “critical flaw” distributions. Critical flaws can be any irregularity in a component, such as a secondary phase, cracks, pores, etc. This is problematic when designing reproducible UHTC components. The goal of this project is to understand how these critical flaws evolve during hot pressing of ZrB2 (a UHTC) by examining them in 3D. This study incorporates 3D imaging such as (i) preliminary in-situ high-temperature pressureless sintering X-ray µ-CT, (ii) ex-situ X-ray µ-CT, and (iii) 3D electron imaging and backscattered diffraction data collected at different stages of densification. 3D microstructure statistics along with unique observations of individual pore and secondary phase evolution will be presented. This data is brought together to give a holistic view of the densification of ZrB2 during hot pressing at multiple length scales. This data will be incorporated into a process-structure-property (PSP) database for statistical modeling to reduce uncertainty during ZrB2 processing.

i. The Antarctic Treaty System (beginning in 1959 with the Antarctic Treaty) and its emphasis on conservation and protection, exemplified in the Convention on the Conservation of Antarctic Marine Living Resources (1980) and its Protocol on Environmental Protection to the Antarctic Treaty (1991), provide the most recent articulation of the global interest in Antarctica and the Southern Ocean and the need for their protection. ii. The Southern Ocean and its ecosystems play critical roles in the climate system. Ecosystem functions are at risk because of anthropogenic climate change. iii. Global policies and actions are urgently required to safeguard Southern Ocean ecosystems from the effects of climate change, ocean warming and acidification caused by greenhouse gas emissions. iv. Regional human pressures on Southern Ocean species and ecosystems have been dominated by fisheries, with human presence (science and tourism) and pollution having localised, but increasing, impacts. v. The Marine Ecosystem Assessment for the Southern Ocean (MEASO) has demonstrated the array of existing knowledge, data, tools and approaches available for informing decisions on conserving and sustaining the marine ecosystems in the region and the services they provide, and how implementation of those processes could be improved.

This study aimed to 1) develop a consensus (≥70% agreement between experts) on injury risk factors specific to women playing rugby league, 2) establish the importance of the identified injury risk factors and the feasibility of mitigating these risk factors and 3) establish context specific barriers to injury risk management. Aim 1: A Delphi panel, consisting of 12 experts in rugby league and injury (e.g., physiotherapists, research scientists) were asked to identify injury risk factors specific to women playing rugby league. Aim 2: seven coaches of women's rugby league teams were asked to rate each risk factor that achieved consensus by their importance and feasibility to manage. Aim 3: Coaches reported barriers which restrict injury risk factor mitigation. Of the 53 injury risk factors which achieved consensus, the five injury risk factors with the highest combination of importance and feasibility ratings were: "poor tackle technique", "a lack of pre-season intensity", "training session are too short", "the current medical standards", and "limited access to physiotherapists". Following the identification of injury risk factors, their feasibility to manage and context specific barriers, this study proposes three constraint driven, integrated solutions which may reduce the barriers which limit injury risk factor management.

Participation in women’s rugby league has been growing since the foundation of the English women’s rugby league Super League in 2017. However, the evidence base to inform women’s rugby league remains sparse. This study provides the largest quantification of anthropometric and physical qualities of women’s rugby league players to date, identifying differences between positions (forwards & backs) and playing level (Women’s Super League [WSL] vs. International). The height, weight, body composition, lower body strength, jump height, speed and aerobic capacity of 207 players were quantified during the pre-season period. Linear mixed models and effects sizes were used to determine differences between positions and levels. Forwards were significantly (p < 0.05) heavier (forwards: 82.5 ± 14.8kg; backs: 67.7 ± 9.2kg) and have a greater body fat % (forwards: 37.7 ± 6.9%; backs: 30.4 ± 6.3%) than backs. Backs had significantly greater lower body power measured via jump height (forwards: 23.5 ± 4.4cm; backs: 27.6 ± 4.9cm), speed over 10m (forwards: 2.12 ± 0.14s; backs: 1.98 ± 0.11s), 20m (forwards: 3.71 ± 0.27s; backs: 3.46 ± 0.20s), 30m (forwards: 5.29 ± 0.41s; backs: 4.90 ± 0.33s), 40m (forwards: 6.91 ± 0.61s; backs: 6.33 ± 0.46s) and aerobic capacity (forwards: 453.4 ± 258.8m; backs: 665.0 ± 298.2m) than forwards. Additionally, international players were found to have greater anthropometric and physical qualities in comparison to their WSL counterparts. This study adds to the limited evidence base surrounding the anthropometric and physical qualities of elite women’s rugby league players. Comparative values for anthropometric and physical qualities are provided which practitioners may use to evaluate the strengths and weaknesses of players, informing training programs to prepare players for the demands of women’s rugby league.

The importance of contributors that can result in negative player outcomes in sport and the feasibility and barriers to modifying these to optimise player health and well-being have yet to be established. Within rugby codes (rugby league, rugby union and rugby sevens), within male and female cohorts across playing levels (full-time senior, part-time senior, age grade), this project aims to develop a consensus on contributors to negative biopsychosocial outcomes in rugby players (known as the CoNBO study) and establish stakeholder perceived importance of the identified contributors and barriers to their management. This project will consist of three parts; part 1: a systematic review, part 2: a three-round expert Delphi study and part 3: stakeholder rating of feasibility and barriers to management. Within part 1, systematic searches of electronic databases (PubMed, Scopus, MEDLINE, SPORTDiscus, CINAHL) will be performed. The systematic review protocol is registered with PROSPERO. Studies will be searched to identify physical, psychological and/or social factors resulting in negative player outcomes in rugby. Part 2 will consist of a three-round expert Delphi consensus study to establish additional physical, psychological and/or social factors that result in negative player outcomes in rugby and their importance. In part 3, stakeholders (eg, coaches, chief executive officers and players) will provide perceptions of the feasibility and barriers to modifying the identified factors within their setting. On completion, several manuscripts will be submitted for publication in peer-reviewed journals. The findings of this project have worldwide relevance for stakeholders in the rugby codes. PROSPERO registration number CRD42022346751.

Long-term athletic development practices have been recommended for the past two decades. However, limited research exists exploring the knowledge and skills required by practitioners to optimise long-term athletic development. Therefore, this study aimed to evaluate the knowledge, adherence, practices, and challenges of practitioners responsible for delivering long-term athletic development. A mixed methods survey was completed by 236 practitioners (e.g., sport coaches, physical education teachers) consisting of four parts; 1) demographics, 2) knowledge, 3) adherence, and 4) practices and challenges. Quantitative and qualitative data were analysed by Friedman’s analysis of variance and thematic analyses, respectively. Quantitative findings showed practitioners 1) recognised their responsibility for delivering long-term athletic development, 2) have a familiarity with existing developmental models, and 3) had high adherence, focused upon health and wellbeing, to delivering long-term athletic development. However, practices associated with growth and maturity, monitoring and assessment, and the systematic progression and individualisation of training had lower adherence. Qualitative analysis indicated that practitioner’s perceived definitions of athleticism and long-term athletic development were inconsistent, especially according to the psychological components (i.e., confidence). Practitioners’ descriptions of their long-term athletic development practices identified two higher order themes; 1) goals, in which long-term athletic development “is for life” and the importance of “an individual centered journey” highlighted as sub-themes; and 2) realities of delivering long-term athletic development, whereby variety in programme delivery, monitoring development and practical challenges were noted as key priorities. Eight practical challenges were identified including governance and priorities, resources, education, early specialization, high training volumes, staff comm

The measurement, analysis, and reporting of physical qualities within sport is vital for practitioners to support athlete development. However, several challenges exist to support this process (e.g., establishing comparative data, managing large data sets) within sport. This article presents 7 challenges associated with physical testing in sport and offers solutions to overcome them. These solutions are supported by a description of the Profiling Physical Qualities (ProPQ) tool. The ProPQ tool uses advanced data analysis, visualization, and interactive elements, to enhance stakeholders' use of data to optimize player development and coaching practices. The ProPQ is currently used across rugby league in England.

The measurement, analysis, and reporting of physical qualities within sport is vital for practitioners to support athlete development. However, several challenges exist to support this process (e.g., establishing comparative data, managing large data sets) within sport. This article presents 7 challenges associated with physical testing in sport and offers solutions to overcome them. These solutions are supported by a description of the Profiling Physical Qualities (ProPQ) tool. The ProPQ tool uses advanced data analysis, visualization, and interactive elements, to enhance stakeholders' use of data to optimize player development and coaching practices. The ProPQ is currently used across rugby league in England.

The importance of contributors that can result in negative player outcomes in sport and the feasibility and barriers to modifying these to optimise player health and well-being have yet to be established. Within rugby codes (rugby league, rugby union and rugby sevens), within male and female cohorts across playing levels (full-time senior, part-time senior, age grade), this project aims to develop a consensus on contributors to negative biopsychosocial outcomes in rugby players (known as the CoNBO study) and establish stakeholder perceived importance of the identified contributors and barriers to their management. This project will consist of three parts; part 1: a systematic review, part 2: a three-round expert Delphi study and part 3: stakeholder rating of feasibility and barriers to management. Within part 1, systematic searches of electronic databases (PubMed, Scopus, MEDLINE, SPORTDiscus, CINAHL) will be performed. The systematic review protocol is registered with PROSPERO. Studies will be searched to identify physical, psychological and/or social factors resulting in negative player outcomes in rugby. Part 2 will consist of a three-round expert Delphi consensus study to establish additional physical, psychological and/or social factors that result in negative player outcomes in rugby and their importance. In part 3, stakeholders (eg, coaches, chief executive officers and players) will provide perceptions of the feasibility and barriers to modifying the identified factors within their setting. On completion, several manuscripts will be submitted for publication in peer-reviewed journals. The findings of this project have worldwide relevance for stakeholders in the rugby codes. PROSPERO registration number CRD42022346751.

This study aimed to 1) develop a consensus (≥70% agreement between experts) on injury risk factors specific to women playing rugby league, 2) establish the importance of the identified injury risk factors and the feasibility of mitigating these risk factors and 3) establish context specific barriers to injury risk management. Aim 1: A Delphi panel, consisting of 12 experts in rugby league and injury (e.g., physiotherapists, research scientists) were asked to identify injury risk factors specific to women playing rugby league. Aim 2: seven coaches of women's rugby league teams were asked to rate each risk factor that achieved consensus by their importance and feasibility to manage. Aim 3: Coaches reported barriers which restrict injury risk factor mitigation. Of the 53 injury risk factors which achieved consensus, the five injury risk factors with the highest combination of importance and feasibility ratings were: "poor tackle technique", "a lack of pre-season intensity", "training session are too short", "the current medical standards", and "limited access to physiotherapists". Following the identification of injury risk factors, their feasibility to manage and context specific barriers, this study proposes three constraint driven, integrated solutions which may reduce the barriers which limit injury risk factor management.

Long-term athletic development practices have been recommended for the past two decades. However, limited research exists exploring the knowledge and skills required by practitioners to optimise long-term athletic development. Therefore, this study aimed to evaluate the knowledge, adherence, practices, and challenges of practitioners responsible for delivering long-term athletic development. A mixed methods survey was completed by 236 practitioners (e.g., sport coaches, physical education teachers) consisting of four parts; 1) demographics, 2) knowledge, 3) adherence, and 4) practices and challenges. Quantitative and qualitative data were analysed by Friedman’s analysis of variance and thematic analyses, respectively. Quantitative findings showed practitioners 1) recognised their responsibility for delivering long-term athletic development, 2) have a familiarity with existing developmental models, and 3) had high adherence, focused upon health and wellbeing, to delivering long-term athletic development. However, practices associated with growth and maturity, monitoring and assessment, and the systematic progression and individualisation of training had lower adherence. Qualitative analysis indicated that practitioner’s perceived definitions of athleticism and long-term athletic development were inconsistent, especially according to the psychological components (i.e., confidence). Practitioners’ descriptions of their long-term athletic development practices identified two higher order themes; 1) goals, in which long-term athletic development “is for life” and the importance of “an individual centered journey” highlighted as sub-themes; and 2) realities of delivering long-term athletic development, whereby variety in programme delivery, monitoring development and practical challenges were noted as key priorities. Eight practical challenges were identified including governance and priorities, resources, education, early specialization, high training volumes, staff comm

Participation in women’s rugby league has been growing since the foundation of the English women’s rugby league Super League in 2017. However, the evidence base to inform women’s rugby league remains sparse. This study provides the largest quantification of anthropometric and physical qualities of women’s rugby league players to date, identifying differences between positions (forwards & backs) and playing level (Women’s Super League [WSL] vs. International). The height, weight, body composition, lower body strength, jump height, speed and aerobic capacity of 207 players were quantified during the pre-season period. Linear mixed models and effects sizes were used to determine differences between positions and levels. Forwards were significantly (p < 0.05) heavier (forwards: 82.5 ± 14.8kg; backs: 67.7 ± 9.2kg) and have a greater body fat % (forwards: 37.7 ± 6.9%; backs: 30.4 ± 6.3%) than backs. Backs had significantly greater lower body power measured via jump height (forwards: 23.5 ± 4.4cm; backs: 27.6 ± 4.9cm), speed over 10m (forwards: 2.12 ± 0.14s; backs: 1.98 ± 0.11s), 20m (forwards: 3.71 ± 0.27s; backs: 3.46 ± 0.20s), 30m (forwards: 5.29 ± 0.41s; backs: 4.90 ± 0.33s), 40m (forwards: 6.91 ± 0.61s; backs: 6.33 ± 0.46s) and aerobic capacity (forwards: 453.4 ± 258.8m; backs: 665.0 ± 298.2m) than forwards. Additionally, international players were found to have greater anthropometric and physical qualities in comparison to their WSL counterparts. This study adds to the limited evidence base surrounding the anthropometric and physical qualities of elite women’s rugby league players. Comparative values for anthropometric and physical qualities are provided which practitioners may use to evaluate the strengths and weaknesses of players, informing training programs to prepare players for the demands of women’s rugby league.

The measurement, analysis, and reporting of physical qualities within sport is vital for practitioners to support athlete development. However, several challenges exist to support this process (e.g., establishing comparative data, managing large data sets) within sport. This article presents 7 challenges associated with physical testing in sport and offers solutions to overcome them. These solutions are supported by a description of the Profiling Physical Qualities (ProPQ) tool. The ProPQ tool uses advanced data analysis, visualization, and interactive elements, to enhance stakeholders' use of data to optimize player development and coaching practices. The ProPQ is currently used across rugby league in England.

Background: The European AIDS Clinical Society (EACS) Guidelines cover key aspects of HIV management with major updates every two years. Guideline highlights: The 2019 Guidelines were extended with a new section focusing on drug–drug interactions and other prescribing issues in people living with HIV (PLWH). The recommendations for treatment-naïve PLWH were updated with four preferred regimens favouring unboosted integrase inhibitors. A two-drug regimen with dolutegravir and lamivudine, and a three-drug regimen including doravirine were also added to the recommended initial regimens. Lower thresholds for hypertension were expanded to all PLWH and for cardiovascular disease prevention, the 10-year predicted risk threshold for consideration of antiretroviral therapy (ART) modification was lowered from 20% to 10%. Frailty and obesity were added as new topics. It was specified to use urine albumin to creatinine ratio to screen for glomerular disease and urine protein to creatinine ratio for tubular diseases, and thresholds were streamlined with the Kidney Disease: Improving Global Outcomes (KDIGO) recommendations. Hepatitis C virus (HCV) treatment recommendations were split into preferred and alternative treatment options. The algorithm for management of recently acquired HCV infection was updated and includes recommendations for early chronic infection management. Treatment of resistant tuberculosis (TB) was streamlined with the World Health Organization (WHO) recommendations, and new tables on immune reconstitution inflammatory syndrome, on when to start ART in the presence of opportunistic infections and on TB drug dosing were included. Conclusions: The EACS Guidelines underwent major revisions of all sections in 2019. They are available in four different formats including a new interactive web-based version and are translated into Chinese, French, German, Japanese, Portuguese, Russian and Spanish.

Purpose: To compare the physical qualities between academy and international youth rugby league (RL) players using principal component analysis. Methods: Six hundred fifty-four males (age = 16.7 [1.4] y; height = 178.4 [13.3] cm; body mass = 82.2 [14.5] kg) from 11 English RL academies participated in this study. Participants completed anthropometric, power (countermovement jump), strength (isometric midthigh pull; IMTP), speed (10 and 40 m speed), and aerobic endurance (prone Yo-Yo IR1) assessments. Principal component analysis was conducted on all physical quality measures. A 1-way analysis of variance with effect sizes was performed on 2 principal components (PCs) to identify differences between academy and international backs, forwards, and pivots at under 16 and 18 age groups. Results: Physical quality measures were reduced to 2 PCs explaining 69.4% of variance. The first PC (35.3%) was influenced by maximum and 10-m momentum, absolute IMTP, and body mass. Ten and forty-meter speed, body mass and fat, prone Yo-Yo, IMTP relative, maximum speed, and countermovement jump contributed to PC2 (34.1%). Significant differences (P < .05, effect size = −1.83) were identified between U18 academy and international backs within PC1. Conclusion: Running momentum, absolute IMTP, and body mass contributed to PC1, while numerous qualities influenced PC2. The physical qualities of academy and international youth RL players are similar, excluding U18 backs. Principal component analysis can reduce the dimensionality of a data set and help identify overall differences between playing levels. Findings suggest that RL practitioners should measure multiple physical qualities when assessing physical performance.

Purpose: To compare the physical qualities between academy and international youth rugby league (RL) players using principal component analysis. Methods: Six hundred fifty-four males (age = 16.7 [1.4] y; height = 178.4 [13.3] cm; body mass = 82.2 [14.5] kg) from 11 English RL academies participated in this study. Participants completed anthropometric, power (countermovement jump), strength (isometric midthigh pull; IMTP), speed (10 and 40 m speed), and aerobic endurance (prone Yo-Yo IR1) assessments. Principal component analysis was conducted on all physical quality measures. A 1-way analysis of variance with effect sizes was performed on 2 principal components (PCs) to identify differences between academy and international backs, forwards, and pivots at under 16 and 18 age groups. Results: Physical quality measures were reduced to 2 PCs explaining 69.4% of variance. The first PC (35.3%) was influenced by maximum and 10-m momentum, absolute IMTP, and body mass. Ten and forty-meter speed, body mass and fat, prone Yo-Yo, IMTP relative, maximum speed, and countermovement jump contributed to PC2 (34.1%). Significant differences (P < .05, effect size = −1.83) were identified between U18 academy and international backs within PC1. Conclusion: Running momentum, absolute IMTP, and body mass contributed to PC1, while numerous qualities influenced PC2. The physical qualities of academy and international youth RL players are similar, excluding U18 backs. Principal component analysis can reduce the dimensionality of a data set and help identify overall differences between playing levels. Findings suggest that RL practitioners should measure multiple physical qualities when assessing physical performance.

Background: The European AIDS Clinical Society (EACS) Guidelines have since 2005 provided multidisciplinary recommendations for the care of HIV-positive persons in geographically diverse areas. Guideline highlights: Major revisions have been made in all sections of the 2017 Guidelines: antiretroviral treatment (ART), comorbidities, coinfections and opportunistic diseases. Newly added are also a summary of the main changes made, and direct video links to the EACS online course on HIV Management. Recommendations on the clinical situations in which tenofovir alafenamide may be considered over tenofovir disoproxil fumarate are provided, and recommendations on which antiretrovirals can be used safely during pregnancy have been revised. Renal and bone toxicity and hepatitis C virus (HCV) treatment have been added as potential reasons for ART switches in fully virologically suppressed individuals, and dolutegravir/rilpivirine has been included as a treatment option. In contrast, dolutegravir monotherapy is not recommended. New recommendations on non-alcoholic fatty liver disease, chronic lung disease, solid organ transplantation, and prescribing in elderly are included, and human papilloma virus (HPV) vaccination recommendations have been expanded. All drug–drug interaction tables have been updated and new tables are included. Treatment options for direct-acting antivirals (DAAs) have been updated and include the latest combinations of sofosbuvir/velpatasvir/voxilaprevir and glecaprevir/pibrentasvir. Recommendations on management of DAA failure and acute HCV infection have been expanded. For treatment of tuberculosis (TB), it is underlined that intermittent treatment is contraindicated, and for resistant TB new data suggest that using a three-drug combination may be as effective as a five-drug regimen, and may reduce treatment duration from 18-24 to 6-10 months. Conclusions: Version 9.0 of the EACS Guidelines provides a holistic approach to HIV care and is translated

A plethora of research exists examining the physical qualities of rugby league players. However, no research has investigated practitioners’ insights into the use, analysis and perceptions of such fitness testing data that is vital for applying research into practice. Therefore, this study aimed to examine practitioners’ (coaches and strength & conditioning [S&C] coaches) perceptions and challenges of using fitness testing and the development of physical qualities. Twenty-four rugby league practitioners were purposefully sampled and completed a semi-structured interview. Interviews were transcribed and thematically analysed identifying five themes (it’s important, but it’s not everything; monitoring; evaluation and decision making; motivation; and other external challenges). The theme of “it’s important, but it’s not everything” emerged as a fundamental issue with regard fitness testing and the use of such data and that physical data alone does not inform coaches decisions. There appears conflicts between coaches and S&C coaches’ perceptions and use of fitness data, identifying complexities of supporting players in multidisciplinary teams. Collectively, the findings highlight the multifaceted nature of academy rugby league and suggest that practitioners should utilise fitness testing to inform player evaluations, positively influence training and assist with decision making. Moreover, practitioners should understand the combination of factors that influence fitness testing and work collaboratively to enhance talent development strategies.

This study aimed to investigate rugby league coaches’ perceptions of physical qualities for current and future performance, while also establishing the training practices of Under-16 and Under-19 players. Twenty-four practitioners (rugby coach, strength and conditioning coach) working within nine Super League clubs completed a questionnaire. The questionnaire required practitioners to rank eleven physical qualities (i.e., strength, power, acceleration, maximum speed, aerobic endurance, change of direction, agility, height, body mass, lean mass and fat mass) by importance for current performance, future performance and career longevity according to playing position (forwards, backs, hookers & halves). Practitioners were asked to provide detail on the frequency and duration of each type of training session completed during a typical week throughout each phase of the season; pre-season, in-season (early), in-season (mid), and in-season (late). Typically, practitioners ranked strength, power and acceleration qualities highest, and endurance and anthropometric qualities lowest. The importance of physical qualities varied according to each playing level and position. Training practices of U16 and U19 players differed during each phase of the season, with U19 players undertaking greater training volumes than U16s players. Overall, the physical qualities coaches perceived as most important were not reflected within their training practices. Rugby league practitioners can use this information as a reference source to design long term athletic development plans, prescribe training and during player development procedures. Moreover, these data can inform and improve training practices while influencing the design of pre-season preparatory phases and in-season periods.

A plethora of research exists examining the physical qualities of rugby league players. However, no research has investigated practitioners’ insights into the use, analysis and perceptions of such fitness testing data that is vital for applying research into practice. Therefore, this study aimed to examine practitioners’ (coaches and strength & conditioning [S&C] coaches) perceptions and challenges of using fitness testing and the development of physical qualities. Twenty-four rugby league practitioners were purposefully sampled and completed a semi-structured interview. Interviews were transcribed and thematically analysed identifying five themes (it’s important, but it’s not everything; monitoring; evaluation and decision making; motivation; and other external challenges). The theme of “it’s important, but it’s not everything” emerged as a fundamental issue with regard fitness testing and the use of such data and that physical data alone does not inform coaches decisions. There appears conflicts between coaches and S&C coaches’ perceptions and use of fitness data, identifying complexities of supporting players in multidisciplinary teams. Collectively, the findings highlight the multifaceted nature of academy rugby league and suggest that practitioners should utilise fitness testing to inform player evaluations, positively influence training and assist with decision making. Moreover, practitioners should understand the combination of factors that influence fitness testing and work collaboratively to enhance talent development strategies.

This study aimed to investigate rugby league coaches’ perceptions of physical qualities for current and future performance, while also establishing the training practices of Under-16 and Under-19 players. Twenty-four practitioners (rugby coach, strength and conditioning coach) working within nine Super League clubs completed a questionnaire. The questionnaire required practitioners to rank eleven physical qualities (i.e., strength, power, acceleration, maximum speed, aerobic endurance, change of direction, agility, height, body mass, lean mass and fat mass) by importance for current performance, future performance and career longevity according to playing position (forwards, backs, hookers & halves). Practitioners were asked to provide detail on the frequency and duration of each type of training session completed during a typical week throughout each phase of the season; pre-season, in-season (early), in-season (mid), and in-season (late). Typically, practitioners ranked strength, power and acceleration qualities highest, and endurance and anthropometric qualities lowest. The importance of physical qualities varied according to each playing level and position. Training practices of U16 and U19 players differed during each phase of the season, with U19 players undertaking greater training volumes than U16s players. Overall, the physical qualities coaches perceived as most important were not reflected within their training practices. Rugby league practitioners can use this information as a reference source to design long term athletic development plans, prescribe training and during player development procedures. Moreover, these data can inform and improve training practices while influencing the design of pre-season preparatory phases and in-season periods.

Antarctic krill (Euphausia superba) are swarming, oceanic crustaceans, up to two inches long, and best known as prey for whales and penguins – but they have another important role. With their large size, high biomass and daily vertical migrations they transport and transform essential nutrients, stimulate primary productivity and influence the carbon sink. Antarctic krill are also fished by the Southern Ocean’s largest fishery. Yet how krill fishing impacts nutrient fertilisation and the carbon sink in the Southern Ocean is poorly understood. Our synthesis shows fishery management should consider the influential biogeochemical role of both adult and larval Antarctic krill.

Antarctic krill (Euphausia superba) are swarming, oceanic crustaceans, up to two inches long, and best known as prey for whales and penguins – but they have another important role. With their large size, high biomass and daily vertical migrations they transport and transform essential nutrients, stimulate primary productivity and influence the carbon sink. Antarctic krill are also fished by the Southern Ocean’s largest fishery. Yet how krill fishing impacts nutrient fertilisation and the carbon sink in the Southern Ocean is poorly understood. Our synthesis shows fishery management should consider the influential biogeochemical role of both adult and larval Antarctic krill.

Antarctic krill (Euphausia superba) are swarming, oceanic crustaceans, up to two inches long, and best known as prey for whales and penguins – but they have another important role. With their large size, high biomass and daily vertical migrations they transport and transform essential nutrients, stimulate primary productivity and influence the carbon sink. Antarctic krill are also fished by the Southern Ocean’s largest fishery. Yet how krill fishing impacts nutrient fertilisation and the carbon sink in the Southern Ocean is poorly understood. Our synthesis shows fishery management should consider the influential biogeochemical role of both adult and larval Antarctic krill.

The original version of this Article included an incorrect competing interests statement, which read ‘The authors declare no competing interests’, rather than the correct ‘The authors declare the following competing interest: Steve Nicol has been employed to provide scientific advice to the Association of Responsible Krill harvesting companies.’ This has been corrected in both the PDF and HTML versions of the Article.

Antarctic krill (Euphausia superba) are swarming, oceanic crustaceans, up to two inches long, and best known as prey for whales and penguins – but they have another important role. With their large size, high biomass and daily vertical migrations they transport and transform essential nutrients, stimulate primary productivity and influence the carbon sink. Antarctic krill are also fished by the Southern Ocean’s largest fishery. Yet how krill fishing impacts nutrient fertilisation and the carbon sink in the Southern Ocean is poorly understood. Our synthesis shows fishery management should consider the influential biogeochemical role of both adult and larval Antarctic krill.

Background: The European AIDS Clinical Society (EACS) guidelines are intended for all clinicians involved in the care of HIV-positive persons, and are available in print, online, and as a free App for download for iPhone and Android. Guideline highlights: The 2015 version of the EACS guidelines contains major revisions in all sections; antiretroviral treatment (ART), comorbidities, coinfections and opportunistic diseases. Among the key revisions is the recommendation of ART for all HIV-positive persons, irrespectively of CD4 count, based on the Strategic Timing of AntiRetroviral Treatment (START) study results. The recommendations for the preferred and the alternative ART options have also been revised, and a new section on the use of pre-exposure prophylaxis (PrEP) has been added. A number of new antiretroviral drugs/drug combinations have been added to the updated tables on drug-drug interactions, adverse drug effects, dose adjustment for renal/liver insufficiency and for ART administration in persons with swallowing difficulties. The revisions of the coinfection section reflect the major advances in anti-hepatitis C virus (HCV) treatment with direct-acting antivirals with earlier start of treatment in individuals at increased risk of liver disease progression, and a phasing out of interferon-containing treatment regimens. The section on opportunistic diseases has been restructured according to individual pathogens/diseases and a new overview table has been added on CD4 count thresholds for different primary prophylaxes. Conclusions: The diagnosis and management of HIV infection and related coinfections, opportunistic diseases and comorbidities continue to require a multidisciplinary effort for which the 2015 version of the EACS guidelines provides an easily accessable and updated overview.

Contains fulltext : 174061.pdf (publisher's version ) (Closed access), OBJECTIVES: The common data elements (CDE) project was developed by the National Institute of Neurological Disorders and Stroke (NINDS) to provide clinical researchers with tools to improve data quality and allow for harmonization of data collected in different research studies. CDEs have been created for several neurological diseases; the aim of this project was to develop CDEs specifically curated for mitochondrial disease (Mito) to enhance clinical research. METHODS: Nine working groups (WGs), composed of international mitochondrial disease experts, provided recommendations for Mito clinical research. They initially reviewed existing NINDS CDEs and instruments, and developed new data elements or instruments when needed. Recommendations were organized, internally reviewed by the Mito WGs, and posted online for external public comment for a period of eight weeks. The final version was again reviewed by all WGs and the NINDS CDE team prior to posting for public use. RESULTS: The NINDS Mito CDEs and supporting documents are publicly available on the NINDS CDE website ( https://commondataelements.ninds.nih.gov/ ), organized into domain categories such as Participant/Subject Characteristics, Assessments, and Examinations. CONCLUSION: We developed a comprehensive set of CDE recommendations, data definitions, case report forms (CRFs), and guidelines for use in Mito clinical research. The widespread use of CDEs is intended to enhance Mito clinical research endeavors, including natural history studies, clinical trial design, and data sharing. Ongoing international collaboration will facilitate regular review, updates and online publication of Mito CDEs, and support improved consistency of data collection and reporting.

Contains fulltext : 174061.pdf (publisher's version ) (Closed access), OBJECTIVES: The common data elements (CDE) project was developed by the National Institute of Neurological Disorders and Stroke (NINDS) to provide clinical researchers with tools to improve data quality and allow for harmonization of data collected in different research studies. CDEs have been created for several neurological diseases; the aim of this project was to develop CDEs specifically curated for mitochondrial disease (Mito) to enhance clinical research. METHODS: Nine working groups (WGs), composed of international mitochondrial disease experts, provided recommendations for Mito clinical research. They initially reviewed existing NINDS CDEs and instruments, and developed new data elements or instruments when needed. Recommendations were organized, internally reviewed by the Mito WGs, and posted online for external public comment for a period of eight weeks. The final version was again reviewed by all WGs and the NINDS CDE team prior to posting for public use. RESULTS: The NINDS Mito CDEs and supporting documents are publicly available on the NINDS CDE website ( https://commondataelements.ninds.nih.gov/ ), organized into domain categories such as Participant/Subject Characteristics, Assessments, and Examinations. CONCLUSION: We developed a comprehensive set of CDE recommendations, data definitions, case report forms (CRFs), and guidelines for use in Mito clinical research. The widespread use of CDEs is intended to enhance Mito clinical research endeavors, including natural history studies, clinical trial design, and data sharing. Ongoing international collaboration will facilitate regular review, updates and online publication of Mito CDEs, and support improved consistency of data collection and reporting.

Contains fulltext : 174061.pdf (publisher's version ) (Closed access), OBJECTIVES: The common data elements (CDE) project was developed by the National Institute of Neurological Disorders and Stroke (NINDS) to provide clinical researchers with tools to improve data quality and allow for harmonization of data collected in different research studies. CDEs have been created for several neurological diseases; the aim of this project was to develop CDEs specifically curated for mitochondrial disease (Mito) to enhance clinical research. METHODS: Nine working groups (WGs), composed of international mitochondrial disease experts, provided recommendations for Mito clinical research. They initially reviewed existing NINDS CDEs and instruments, and developed new data elements or instruments when needed. Recommendations were organized, internally reviewed by the Mito WGs, and posted online for external public comment for a period of eight weeks. The final version was again reviewed by all WGs and the NINDS CDE team prior to posting for public use. RESULTS: The NINDS Mito CDEs and supporting documents are publicly available on the NINDS CDE website ( https://commondataelements.ninds.nih.gov/ ), organized into domain categories such as Participant/Subject Characteristics, Assessments, and Examinations. CONCLUSION: We developed a comprehensive set of CDE recommendations, data definitions, case report forms (CRFs), and guidelines for use in Mito clinical research. The widespread use of CDEs is intended to enhance Mito clinical research endeavors, including natural history studies, clinical trial design, and data sharing. Ongoing international collaboration will facilitate regular review, updates and online publication of Mito CDEs, and support improved consistency of data collection and reporting.

This prospective trial investigated the population pharmacokinetics of piperaquine given with dihydroartemisinin to treat uncomplicated malaria in 107 Ugandan children 6 months to 2 years old, an age group previously unstudied. Current weight-based dosing does not adequately address physiological changes in early childhood. Patients were administered standard 3-day oral doses and provided 1,282 capillary plasma concentrations from 218 malaria episodes. Less than 30% of treatments achieved 57 ng/mL on day 7. A three-compartment model with first-order absorption described the data well. Age had a statistically significant effect (P < 0.005) on clearance/bioavailability in a model that accounts for allometric scaling. Simulations demonstrated that higher doses in all children, but especially in those with lower weight for age, are required for adequate piperaquine exposure, although safety and tolerance will need to be established. These findings support other evidence that both weight- and age-specific guidelines for piperaquine dosing in children are urgently needed.

Contains fulltext : 140052.pdf (publisher's version ) (Open Access)

Contains fulltext : 140052.pdf (publisher's version ) (Open Access)

This prospective trial investigated the population pharmacokinetics of piperaquine given with dihydroartemisinin to treat uncomplicated malaria in 107 Ugandan children 6 months to 2 years old, an age group previously unstudied. Current weight-based dosing does not adequately address physiological changes in early childhood. Patients were administered standard 3-day oral doses and provided 1,282 capillary plasma concentrations from 218 malaria episodes. Less than 30% of treatments achieved 57 ng/mL on day 7. A three-compartment model with first-order absorption described the data well. Age had a statistically significant effect (P < 0.005) on clearance/bioavailability in a model that accounts for allometric scaling. Simulations demonstrated that higher doses in all children, but especially in those with lower weight for age, are required for adequate piperaquine exposure, although safety and tolerance will need to be established. These findings support other evidence that both weight- and age-specific guidelines for piperaquine dosing in children are urgently needed.

BackgroundHIV prevention trials conducted among disadvantaged vulnerable at-risk populations in developing countries present unique ethical dilemmas. A key concern in bioethics is the validity of informed consent for trial participation obtained from research subjects in such settings. The purpose of this study was to investigate the effectiveness of a continuous informed consent process adopted during the MDP301 phase III vaginal microbicide trial in Mwanza, Tanzania.MethodsA total of 1146 women at increased risk of HIV acquisition working as alcohol and food vendors or in bars, restaurants, hotels and guesthouses have been recruited into the MDP301 phase III efficacy and safety trial in Mwanza. During preparations for the trial, participatory community research methods were used to develop a locally-appropriate pictorial flipchart in order to convey key messages about the trial to potential participants. Pre-recorded audio tapes were also developed to facilitate understanding and compliance with gel-use instructions. A comprehension checklist is administered by clinical staff to all participants at screening, enrolment, 12, 24, 40 and 50 week follow-up visits during the trial. To investigate women's perceptions and experiences of the trial, including how well participants internalize and retain key messages provided through a continuous informed consent process, a random sub-sample of 102 women were invited to participate in in-depth interviews (IDIs) conducted immediately after their 4, 24 and 52 week follow-up visits.Results99 women completed interviews at 4-weeks, 83 at 24-weeks, and 74 at 52 weeks (a total of 256 interviews). In all interviews there was evidence of good comprehension and retention of key trial messages including that the gel is not currently know to be effective against HIV; that this is the key reason for conducting the trial; and that women should stop using gel in the event of pregnancy.ConclusionsProviding information to trial participants

The 24.5 km Laerdal tunnel in western Norway, whose excavation is almost complete, has made full use of the country's hard-rock tunnelling expertise. The 70-120 MPa hard Precambrian gneisses provided generally good conditions, but the overburden of over 800 m led to high vertical stress and the danger of rock bursts. Excavation has been mainly by drilling and blasting. The use of large-scale mucking plant is one of the project's unusual aspects. A complex fan ventilation system was monitored and controlled by high-technology communication links and a computerised centre set up at the Laerdal portal, while adjustments could also be made by workers at the face. Support was by wet shotcrete with a steel fibre content of 40 kg/m3, enhanced by galvanised steel rock bolts., The 24.5 km Laerdal tunnel in western Norway, whose excavation is almost complete, has made full use of the country's hard-rock tunnelling expertise. The 70-120 MPa hard Precambrian gneisses provided generally good conditions, but the overburden of over 800 m led to high vertical stress and the danger of rock bursts. Excavation has been mainly by drilling and blasting. The use of large-scale mucking plant is one of the project's unusual aspects. A complex fan ventilation system was monitored and controlled by high-technology communication links and a computerised centre set up at the Laerdal portal, while adjustments could also be made by workers at the face. Support was by wet shotcrete with a steel fibre content of 40 kg/m3, enhanced by galvanised steel rock bolts.

The adoption of wet-sprayed shotcrete technology and alternative engineering solutions has allowed significant savings of time in the tight construction schedule for the huge underground hydroelectric powerhouse complex, in a remote area of China's Yunnan province. The three main structures are the powerhouse, 26.4 m wide and 67 m high, the transformer chamber, 16.2 m long and 17.9 m high, and the surge chamber, 22 m long and 73.6 m high. They are being excavated in a series of benches in basalt which is generally of good condition but features areas of fractured rock, jointing and faults. Primary support is by wet-sprayed shotcrete combined with extensive rock bolting and prestressed anchors. The concrete is treated with additives to promote high bonding strength between layers, high strength and durability. A secondary concrete lining will be cast in place in the main powerhouse areas, but the wide span of the powerhouse roof arch is supported by steel rib beams over a 45 m section in poor rock., The adoption of wet-sprayed shotcrete technology and alternative engineering solutions has allowed significant savings of time in the tight construction schedule for the huge underground hydroelectric powerhouse complex, in a remote area of China's Yunnan province. The three main structures are the powerhouse, 26.4 m wide and 67 m high, the transformer chamber, 16.2 m long and 17.9 m high, and the surge chamber, 22 m long and 73.6 m high. They are being excavated in a series of benches in basalt which is generally of good condition but features areas of fractured rock, jointing and faults. Primary support is by wet-sprayed shotcrete combined with extensive rock bolting and prestressed anchors. The concrete is treated with additives to promote high bonding strength between layers, high strength and durability. A secondary concrete lining will be cast in place in the main powerhouse areas, but the wide span of the powerhouse roof arch is supported by steel rib beams over a 45 m section in poor rock.

The high-speed rail link, a major Italian tunnelling project, has been let on a turnkey, fixed-price basis largely as a result of the contractor's confidence in the precise and accurate specifications promised by an integrated approach to tunnel design and construction. The approach is based on the ADECO method, which states that convergence following excavation is largely dependent on face stability. By limiting extrusion of the rock mass into the heading and by taking account of support characteristics and lining installation capacity, the rock mass can be kept within its elastic range and deformation controlled. Extensive geological and geotechnical investigation and route analysis showed that 53% of the ground would need immediate radial confinement and 20% would exhibit clear face instability. The support measures employed in the 18.6 km Vaglia, 15.1 km Firenzuola and 10.4 km Raticosa tunnels are described., The high-speed rail link, a major Italian tunnelling project, has been let on a turnkey, fixed-price basis largely as a result of the contractor's confidence in the precise and accurate specifications promised by an integrated approach to tunnel design and construction. The approach is based on the ADECO method, which states that convergence following excavation is largely dependent on face stability. By limiting extrusion of the rock mass into the heading and by taking account of support characteristics and lining installation capacity, the rock mass can be kept within its elastic range and deformation controlled. Extensive geological and geotechnical investigation and route analysis showed that 53% of the ground would need immediate radial confinement and 20% would exhibit clear face instability. The support measures employed in the 18.6 km Vaglia, 15.1 km Firenzuola and 10.4 km Raticosa tunnels are described.

Tunnel boring machines have become established as a viable alternative to drill and blast, especially on long drives and in situations where largely homogeneous rock is encountered. Using related technology, raise boring has competed with traditional methods of forming vertical and inclined large-diameter boreholes with increasing success since its introduction in the 1950s, its perceived advantages including safety, speed and superior characteristics of the finished borehole. Robbins, now a division of Atlas Copco, is a leading supplier of hard-rock TBMs, having pioneered the technology and produced more than 230 machines. Recent product developments include the introduction of a variable dimension capability. In the field of raise boring the company offers two standard series of raise drills which can bore raises up to 1 km in length. A recent innovation is the BorPak blind boring machine, a remote-controlled miniature TBM. Other suppliers include Neyrpic Framatome Mecanique, which designed and manufactured the TBM for the Cadiz region water supply project in Spain, Construction and Tuneling Services, whose machines are currently working on infrastructure projects around the USA, Universal Bau, which has undertaken raise boring contracts in 17 countries around the world, and Alpine Westfalia, which as Voest-Alpine took over the Demag group's TBM department in 1989 and has tested its latest designs in extremely hard rock during recent contracts in South Africa and South Korea., Tunnel boring machines have become established as a viable alternative to drill and blast, especially on long drives and in situations where largely homogeneous rock is encountered. Using related technology, raise boring has competed with traditional methods of forming vertical and inclined large-diameter boreholes with increasing success since its introduction in the 1950s, its perceived advantages including safety, speed and superior characteristics of the finished borehole. Robbins, now a division of Atlas Copco, is a leading supplier of hard-rock TBMs, having pioneered the technology and produced more than 230 machines. Recent product developments include the introduction of a variable dimension capability. In the field of raise boring the company offers two standard series of raise drills which can bore raises up to 1 km in length. A recent innovation is the BorPak blind boring machine, a remote-controlled miniature TBM. Other suppliers include Neyrpic Framatome Mecanique, which designed and manufactured the TBM for the Cadiz region water supply project in Spain, Construction and Tuneling Services, whose machines are currently working on infrastructure projects around the USA, Universal Bau, which has undertaken raise boring contracts in 17 countries around the world, and Alpine Westfalia, which as Voest-Alpine took over the Demag group's TBM department in 1989 and has tested its latest designs in extremely hard rock during recent contracts in South Africa and South Korea.