Evaluation of High-Volume Injections Using a Modified Dorsal Quadratus Lumborum Block Approach in Canine Cadavers

The quadratus lumborum (QL) block targets the fascial plane surrounding the QL muscle providing abdominal somatic and visceral analgesia. The extension of its analgesic effects is a subject of research, as it could not cover areas of the cranial abdomen in dogs. This study assesses in eight thawed canine cadavers, the distribution of high-volume injections (0.6 mL kg−1 of a mixture of methylene blue and iopromide) injected between the psoas minor muscle and the vertebral body of L1. Anatomical features of the area of interest were studied in two cadavers. In another six dogs, QL blocks were performed bilaterally under ultrasound-guidance. The distribution of contrast was evaluated by computed tomography (CT). Hypaxial abdominal muscles were dissected to visualize the dye spread (spinal nerves and sympathetic trunk) in 5 cadavers. The remaining cadaver was refrozen and cross-sectioned. CT studies showed a maximum distribution of contrast from T10 to L7. The methylene blue stained T13 (10%), L1 (100%), L2 (100%), L3 (100%), L4 (60%) and the sympathetic trunk T10 (10%), T11 (20%), T12 (30%), T13 (70%), L1 (80%), L2 (80%), L3 (60%) and L4 (30%). These findings may suggest that despite the high volume of injectate administered, this modified QL block could not produce somatic analgesia of the cranial abdomen, although it could provide visceral analgesia in dogs.

Disaster Coverage Model (DCM): Six Dimensions to Confront Activities and Workflows for Journalists and News Departments

This work aims to identify, classify, and categorize relevant activities regarding professional journalistic work in major disaster coverage, and develop a conceptual model that organizes them theoretically. We conducted a series of empirical data collection stages (background gathering through in-depth interviews and content analysis) and later applied the theory-building block approach that uses concepts to create and operationalize constructs. The main result is a six-dimension model based on the traditional questions of the journalistic process: How, why, who, when, what, and where. It comprehensively addresses the multiple aspects involved in disaster coverage: emotional, logistic, professional, and ethical challenges, as well as timing, key actors/roles, and their needs and demands according to the disaster type and stage they face. The model also brings together a group of potential activities journalists must confront and carry out when covering major disasters or highly significant social crises. Its main contribution is to make a useful theoretical tool available to academia and the media, striving for a versatile matrix management approach.

CHOOSING THE STYLE OF A NEW DESIGN - THE KEY SHIP DESIGN DECISION

As a former senior designer of naval vessels and, more recently, a leading researcher in ship design, the author has previously presented a description of the ship design process in terms of the important decisions a ship designer makes in concept exploration. Such decision are made consciously or unconsciously in order to produce a new design or, preferably, any design option. It has been contended in many publications that the first real decision that a ship designer makes, in order to proceed, is the selection of the “style” of the design study or of a specific design option. This term was adopted in order to cover, not just a host of design issues and standards implicit in a given study, but also, at this very initial step, the overall characteristics of any particular study. So the term style could be said to be doubly important. The current paper considers the nature of the early ship design process for complex multi-functional vessels and then retraces the origins of the particular use of the term, where it was seen as the last of the five elements in Brown and Andrews’ 1980 encapsulation of the ship design issues that matter to the naval architect, incorporated in the term “S to the 5th”. This leads on to consideration of the various aspects of design style, many of which could be considered “transversals” as they apply across the naval architectural sub-disciplines and to the component material sub-systems comprising a ship. One of the distinctive advantages of the architecturally driven ship synthesis or Design Building Block approach is that it can address many of these style issues in the earliest descriptions of an emergent design study. Examples, drawing on a range of built Royal Navy ship designs, are presented to show their top-level style characteristics, followed by a series of ship design research studies illustrating how the impact of specific component style aspects can be investigated in early stage ship design, using the UCL Design Building Block approach. Finally, recent research led investigations into integrating ship style into early stage ship design are summarized to demonstrate why the choice of “style” is seen to be The Key Ship Design Decision.

The influence of limb role, direction of movement and limb dominance on movement strategies during block jump-landings in volleyball

The identification of movement strategies in situations that are as ecologically valid as possible is essential for the understanding of lower limb interactions. This study considered the kinetic and kinematic data for the hip, knee and ankle joints from 376 block jump-landings when moving in the dominant and non-dominant directions from fourteen senior national female volleyball players. Two Machine Learning methods were used to generate the models from the dataset, Random Forest and Artificial Neural Networks. In addition, decision trees were used to detect which variables were relevant to discern the limb movement strategies and to provide a meaningful prediction. The results showed statistically significant differences when comparing the movement strategies between limb role (accuracy > 88.0% and > 89.3%, respectively), and when moving in the different directions but performing the same role (accuracy > 92.3% and > 91.2%, respectively). This highlights the importance of considering limb dominance, limb role and direction of movement during block jump-landings in the identification of which biomechanical variables are the most influential in the movement strategies. Moreover, Machine Learning allows the exploration of how the joints of both limbs interact during sporting tasks, which could provide a greater understanding and identification of risky movements and preventative strategies. All these detailed and valuable descriptions could provide relevant information about how to improve the performance of the players and how to plan trainings in order to avoid an overload that could lead to risk of injury. This highlights that, there is a necessity to consider the learning models, in which the spike approach unilaterally is taught before the block approach (bilaterally). Therefore, we support the idea of teaching bilateral approach before learning the spike, in order to improve coordination and to avoid asymmetries between limbs.

Using the Homeland Security Exercise and Evaluation Program (HSEEP) Building Block Approach to Implement System Evaluation Theory (SET)

This article shares lessons learned in applying system evaluation theory (SET) to evaluate a Clinical and Translational Research Center (CTR) funded by the National Institutes of Health. After describing how CTR support cores are intended to work interdependently as a system, the case is made for SET as the best fit for evaluating this evaluand. The article then details how the evaluation was also challenged to facilitate a CTR culture shift, helping support cores to move from working autonomously to working together and understanding how the cores’ individual operating processes impact each other. This was achieved by incorporating the Homeland Security Exercise and Evaluation Program (HSEEP) building block approach to implement SET. Each of the seven HSEEP building blocks is examined for alignment with each of SET’s three steps and the ability to systematically support the goal of moving CTR cores toward working interdependently. The implications of using HSEEP to support SET implementation for future evaluations are discussed.

DEVELOPMENT AND IMPLEMENTATION OF A TENTH-ORDER HYBRID BLOCK METHOD FOR SOLVING FIFTH-ORDER BOUNDARY VALUE PROBLEMS

A hybrid convergent method of tenth-order is presented in this work for directly solving fifth-order boundary value problems in ordinary differential equations. A unique direct block approach is obtained by combining multiple Finite Difference Formulas which are derived via the collocation technique. The proposed method is fully analyzed and the existence and uniqueness of the discrete solution is established. Different numerical examples are considered and the results are compared with those provided by existing works in the literature. The comparison shows the good performance of the present method over some cited works in the literature, confirming the competitiveness and superiority of the new numerical integrator.