Suchergebnisse

Der ehemalige Terrorismusexperte der Clinton- und Bush-Administration berichtet über die Entwicklungen vom 1. Golfkrieg bis zum Irakkrieg und über die Versäumnisse und Möglichkeiten im Anti-Terrorkampf das terroristische Netzwerk zu zerschlagen, das sich inzwischen neu formieren konnte. (Barbara Riedl)

Background: It has been suggested that altering the knee flexion angle during a commonly used supine isometric strength test developed with professional soccer players changes preferential hamstring muscle recruitment. The aim of this study was to examine the electromyography (EMG) knee joint-angle relationship during this test, as these data are currently unknown. Methods: Ten recreational male soccer athletes (age: 28 ± 2.4 years) were recruited and performed a supine isometric strength test on their dominant leg with the knee placed at two pre-selected flexion angles (30° and 90°). The surface EMG of the gluteus maximus, biceps femoris, semitendinosus, and medial gastrocnemius was measured, in addition to the within-session reliability (intraclass correlation coefficient (ICC) and coefficient of variation (CV)). Results: Within-session reliability showed large variation dependent upon the test position and muscle measured (CV% = 8.8–36.1) Absolute mean EMG activity and percentage of maximum voluntary isometric contraction (MVIC) indicated different magnitudes of activation between the two test positions; however, significant mean differences were present for the biceps femoris only with greater activation recorded at the 30° knee angle (% MVIC: 31 ± 9 vs. 22 ± 7; p = 0.002). These differences (30% mean difference) were greater than the observed typical measurement error (CV% = 13.1–14.3 for the 90° and 30° test positions, respectively). Furthermore, the percentage MVIC showed a trend of heightened activation of all muscles with the knee positioned at 30°, but there was also more within-subject variation, and this was more pronounced for the gluteus maximus (CV% = 36.1 vs. 19.8) and medial gastrocnemius (CV% 31 vs. 22.6). Conclusions: These results indicate that biceps femoris and overall posterior chain muscle activation is increased with the knee positioned at 30° of flexion; however, the 90° angle displayed less variation in performance within individual participants, especially in the gluteus maximus and medial gastrocnemius. Thus, practitioners using this test to assess hamstring muscle strength should ensure appropriate familiarisation is afforded, and then may wish to prioritise the 30° knee position.

Vaccine acceptance depends on public trust and confidence in the safety and efficacy of vaccines and immunization, the health system, healthcare professionals and the wider vaccine research community. This systematic review analyses the current breadth and depth of vaccine research literature that explicitly refers to the concept of trust within their stated aims or research questions. After duplicates were removed, 19,643 articles were screened by title and abstract. Of these 2,779 were screened by full text, 35 of which were included in the final analysis. These studies examined a range of trust relationships as they pertain to vaccination, including trust in healthcare professionals, the health system, the government, and friends and family members. Three studies examined generalized trust. Findings indicated that trust is often referred to implicitly (19/35), rather than explicitly examined in the context of a formal definition or discussion of the existing literature on trust in a health context. Within the quantitative research analysed, trust was commonly measured with a single-item measure (9/25). Only two studies used validated multiitem measures of trust. Three studies examined changes in trust, either following an intervention or over the course of a pandemic. The findings of this review indicate a disconnect between the current vaccine hesitancy research and the wider health-related trust literature, a dearth in research on trust in low and middle-income settings, a need for studies on how trust levels change over time and investigations on how resilience to trust-eroding information can be built into a trustworthy health system.

Vaccine acceptance depends on public trust and confidence in the safety and efficacy of vaccines and immunization, the health system, healthcare professionals and the wider vaccine research community. This systematic review analyses the current breadth and depth of vaccine research literature that explicitly refers to the concept of trust within their stated aims or research questions. After duplicates were removed, 19,643 articles were screened by title and abstract. Of these 2,779 were screened by full text, 35 of which were included in the final analysis. These studies examined a range of trust relationships as they pertain to vaccination, including trust in healthcare professionals, the health system, the government, and friends and family members. Three studies examined generalized trust. Findings indicated that trust is often referred to implicitly (19/35), rather than explicitly examined in the context of a formal definition or discussion of the existing literature on trust in a health context. Within the quantitative research analysed, trust was commonly measured with a single-item measure (9/25). Only two studies used validated multi-item measures of trust. Three studies examined changes in trust, either following an intervention or over the course of a pandemic. The findings of this review indicate a disconnect between the current vaccine hesitancy research and the wider health-related trust literature, a dearth in research on trust in low and middle-income settings, a need for studies on how trust levels change over time and investigations on how resilience to trust-eroding information can be built into a trustworthy health system.