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BackgroundWhile spinal cord injury (SCI) caregiving can be a rewarding experience, caregivers often experience reduced mental and physical health. ObjectiveThis article describes the methodology of a study examining the efficacy of a newly developed telehealth Transition Assistance Program (TAP) for caregivers of individuals with acute SCI. MethodsA mixed-methods, randomized controlled trial is comparing TAP outcomes to that of a standard-of-care control. The study is recruiting for 48 months and incorporating quantitative outcome measures. ResultsThis study was funded by the Craig H. Neilsen Foundation in April 2017. It was approved by the institutional review boards at Virginia Commonwealth University and the Hunter Holmes McGuire Veterans Affairs Medical Center that same year. Participant recruitment and data collection began in 2018. ConclusionsThis study is implementing and testing an SCI caregiver intervention unlike any created before, targeting a critical time period that, until now, other SCI caregiver interventions have overlooked. Research personnel intend to disseminate the intervention and study findings through the publication of manuscripts and presentations at conferences. If the current study shows improvements in caregiver or patient well-being, the TAP for SCI caregivers could become part of the standard of care for acute SCI. Trial RegistrationClinicalTrials.gov NCT03244098; https://www.clinicaltrials.gov/ct2/show/NCT03244098 International Registered Report Identifier (IRRID)DERR1-10.2196/28256

Objective: To investigate predictors of mental health help-seeking as well as identify topics for which college student-athletes are most likely to seek help. Participants: Student-athletes (N = 328) from three Division II and III universities. Method: Participants completed a survey packet on stigma, attitudes, and intentions toward seeking mental health services as well as willingness to seek help for specific topics. Results: Structural equation modeling indicated public stigma was significantly related to self-stigma, self-stigma was related to attitudes, and attitudes were related to intentions. Using logistic regression analysis, self-stigma and attitudes were associated with an increased likelihood of having sought mental health services in the past. Comment: These results can be used to help sport psychologists and other mental health staff develop programing that might increase service use among student-athletes. Using a multifaceted approach that decreases stigma and improves attitudes could have the most meaningful effect on encouraging service use.

This editorial discusses the importance of preparing communities, cities, and nations for extreme flooding events. It highlights the need to adapt infrastructure to be more resilient, while acknowledging the tradeoff between efficiency and resilience. The editorial provides examples of infrastructure failures during past flooding events and discusses the challenges of adapting critical infrastructure systems to a changing climate. The document includes articles that explore different approaches to managing flood risk, the use of satellite data for monitoring and warning systems, and the vulnerability of industrial process facilities to flood damage. The authors emphasize the need for comprehensive solutions that consider uncertainties and involve collaboration between academia and the public and private sectors. The text also mentions the challenges of developing protective infrastructures, retrofitting existing infrastructures, and considering implications throughout the lifecycle. [Extracted from the article]

Researchers have inconsistently found differences between student-athletes and nonathletes regarding levels of stigma and attitudes toward counseling. One limitation of previous comparison studies is that they do not control for factors known to influence attitudes and stigma, such as gender and previous treatment history. Therefore, the purpose of this study was to examine differences in stigma and attitudes toward counseling between a sample of student-athletes and nonathletes while controlling for these variables. In this brief report (N = 902), we used multivariate analysis of covariance (MANCOVA) to analyze differences between the groups. After controlling for gender and previous therapy experience, there were no differences between the groups on stigma or attitudes. The results of this study have implications for future outreach and intervention with student-athlete populations.

The purpose of the current study was to explore differences in narcissistic tendencies between athletes and non-athletes, and to identify the moderating effect of athlete status on the relationship between narcissism and aggression. Participants in this study were college athletes (N = 117) from NCAA Division I and Division III programs, and non-athletes (N = 471) from the same institutions. Participants completed a questionnaire that assessed narcissistic grandiosity, narcissistic vulnerability, and general aggression. Independent samples t-tests revealed no significant differences between athletes and non-athletes in narcissistic grandiosity or vulnerability. Moderated regression analysis demonstrated that athlete status does not influence the relationship between narcissism and aggression, which was positive for both athletes and non-athletes. These findings contradict the stereotype that athletes are generally more narcissistic and support the relationship between narcissism and aggression that has been identified previously. Based on the findings, mental health and sport professionals would do well to be aware of the role narcissism may play in aggressive behaviors exhibited by their clients and players., The concept of narcissism can be traced back to Greek mythology, in which the hunter Narcissus fell in love with his own reflection and ultimately died as a result of [...]

Introduction: Endobronchial radiofrequency ablation (RFA) is a novel minimally invasive approach to management of peripheral non-small-cell lung cancer (NSCLC) in medically inoperable patients. Minimally invasive ablative techniques are generally delivered with cone-beam computed tomography (CBCT) guidance. CBCT requires a significant number of two dimensional imaging projections to be acquired which is then reconstructed as a three-dimensional cone-beam image. The objective of this study was to determine the radiation dosimetry consequent to use of CBCT guidance for bronchoscopic RFA. Methods: Post hoc analysis of data following bronchoscopic RFA of stage I biopsy-confirmed NSCLC performed with CBCT. Effective dose estimates for these patients were calculated using PCXMC2.0 software. Results: Ten patients underwent bronchoscopic RFA, with a median 3 (range 2–4) CBCT spins per procedure. Mean dose area product (DAP) per procedure was 7,778 μGy.m2 (±4,743) with an effective dose of 11.6 mSv (±7.4). The DAP per spin for these 10 patients varied from 83.8 to 8,625.6 μGy.m2 (effective dose range 0.15–13.81 mSv). Conclusion: This is the first study to report radiation dosimetry consequent to CT guidance for bronchoscopic RFA procedures. Effective doses appear comparable to other CT fluoroscopic procedures. [ABSTRACT FROM AUTHOR]

This research addresses the impact of cross-cultural communication competence on the performance of 24 (14 female, 10 male) collegiate doubles tennis pairings. The aims of this study were to: (1) [...]

To identify life satisfaction trajectories at 1–10 years post-traumatic brain injury (TBI) and examine which demographic and injury characteristics at the time of injury are associated with those trajectories. Participants included 1,051 Hispanic individuals from the multi-site, longitudinal TBI Model Systems (TBIMS) database. Individuals were enrolled after sustaining a TBI and while undergoing inpatient rehabilitation at a TBIMS site; they were included if they completed the Satisfaction with Life Scale during one or more follow-up data collections at 1, 2, 5, or 10 years after TBI. A linear (straight-line) movement of life satisfaction trajectories was the best fit to the data. Across the overall sample, life satisfaction increased over time, with higher trajectories for Hispanic individuals who had been partnered at baseline, born outside the US and experienced a nonviolent injury cause. There were no significant interactions between time and any of these main effect predictors, suggesting no differential change over time in life satisfaction trajectories as a function of these characteristics. Results revealed increases in life satisfaction over time among Hispanic individuals with TBI and shed light on critical risks and protective factors that may inform targeted rehabilitation services with this underserved group. [ABSTRACT FROM AUTHOR]

Objective: This study examined demographic and injury-related predictors of cognitive and motor functional independence in Hispanics with traumatic brain injury at years 1, 2, 5, and 10 after hospital discharge. Design: Hispanic participants (n = 1360) from the TBI Model Systems Study were included if they had at least one Functional Independence Measure (FIM) Cognitive and Motor score at any time point (years 1, 2, 5, or 10). Hierarchical linear modeling was used to examine baseline predictors of FIM Cognitive and Motor trajectories across this period. Results: FIM Cognitive trajectories showed a quadratic movement (initial increase followed by a plateau or slight decrease), whereas FIM Motor trajectories showed a cubic movement (initial increase, followed by a plateau, then another increase). Higher FIM Cognitive trajectories were predicted by younger age, shorter length of posttraumatic amnesia, higher education, and having experienced a nonviolent mechanism of injury. Higher FIM Motor trajectories were predicted by younger age, shorter posttraumatic amnesia, and a nonviolent mechanism of injury. Conclusions: The baseline predictors of functional trajectories identified may help create tailored, evidence-based rehabilitation interventions along the continuum of recovery during the first 10 yrs for Hispanics with traumatic brain injury at risk for reduced functional outcomes. [ABSTRACT FROM AUTHOR]

The present study explored the role of sport in citizen diplomacy efforts using the voices of Mexican participants involved with an international sport for development and peace (SDP) program between the United States and Mexico. Collectively, participants' experiences and cultural perspectives highlighted the promising potential of sport to foster citizen diplomacy, while also emphasizing the importance of constructively critiquing such programs. In semi-structured focus group interviews, Mexican participants reflected on connecting with Americans through a sense of shared humanity, expressed optimism for continued and future partnerships with Americans in sport, and described the United States and Americans in idealistic terms. Reflection of these findings yield additional insight on how SDP researchers and practitioners can design and implement future programs to increasingly foster, and prioritize, equitable contributions across groups while also promoting and celebrating the strengths of each culture. [ABSTRACT FROM AUTHOR]