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Abstract: This study examined the reproducibility and repeatability of muscle thickness (MT) measurements with ultrasound for the following muscles: extensor carpi radialis, extensor digitorum longus (both flexed and extended), gluteus medius, longissimus lumborum, semitendinosus, and supraspinatus. Three examiners measured thickness of these muscles in five Thoroughbreds on 3 consecutive days. The day of measurement did not have any effect on the mean MT value of the muscles examined (P > .05). The left longissimus lumborum muscle was the only muscle for which the second measurement varied from the first and third (P < .05). The examiners had an effect on the mean coefficient of variation (CV) of the thickness of the flexed left extensor carpi radialis and flexed left extensor digitorum longus. The daily measurements varied more in the case of one of the examiners. Mean CVs higher or close to 10% were reported for both sides of the flexed extensor digitorum longus and for the supraspinatus muscles. The lowest CV was calculated for the longissimus lumborum and the extended semitendinosus (<5%). The largest disagreements between the examiners were observed for both sides of the flexed extensor digitorum longus and the supraspinatus (>10%–<20%). The best agreement was measured for the extended extensor carpi radialis and the longissimus lumborum (>3%–<7%). The results showed that for some muscles, it was difficult to locate the exact anatomical site for taking the MT measurements. To reduce CV, it was suggested that only one examiner should take all the measurements and the whole procedure must be such that it is as comfortable as possible for this particular examiner. [ABSTRACT FROM AUTHOR]

Background: Despite the early demonstrated safety and effectiveness of COVID-19 vaccines in children, uptake was slow throughout the pandemic and remains low globally. Understanding vaccine refusal could provide insights to improving vaccine uptake in future pandemics., Methods: In a population-wide registry of all COVID-19 paediatric vaccination appointments, we used interrupted time series analysis to evaluate the impact of public policies. In a population-based cohort of adults, we used population attributable fractions to assess the individual and joint contributions of potential determinants to paediatric COVID-19 vaccination, and used mediation analysis to identify modifiable mediators between political views and paediatric vaccination., Findings: School vaccination requirements were associated with an increase in vaccination appointments by 278.7% (95% CI 85.3-673.9) in adolescents aged 12-17 and 112.8% (27.6-255.0) in children aged 5-11. Government-mandated vaccine pass, required for entry into restaurants, shopping malls and supermarkets, was associated with increased vaccination appointments by 108.7% (26.6-244.0) in adolescents. The following four determinants may explain 82.5% (63.5-100.0) of the reasons why children were unvaccinated: familial political views, vaccine hesitancy for children, mistrust in doctors and academics, and vaccine misconceptions. The influence of political views may be mitigated since 95.9% (76.4-100.0) of its association with vaccine reluctance for adolescents was mediated by modifiable factors such as mistrust in health authorities and low vaccine confidence., Interpretation: School vaccination requirements and vaccine passes were associated with increased vaccine uptake. Clinicians should recognise that factors beyond health, such as political views, can influence paediatric vaccine uptake to a significant extent. Nonetheless, such influences could be mitigated by targeted interventions and public policies., Funding: Hong Kong Jockey Club Charities Trust, Research Grants Council, University Grants Committee, and Health Bureau., Competing Interests: Leung was an official advisor to the Hong Kong SAR Government on COVID-19. Cowling consults for AstraZeneca, Fosun Pharma, GlaxoSmithKline, Haleon, Moderna, Novavax, Pfizer, Roche, and Sanofi Pasteur. The authors report no other potential conflicts of interest., (© 2023 The Authors.)