Background: Geometric morphometric analysis with Procrustes superimposition is an advanced computational tool that can be used to quantify dynamic changes in complex three-dimensional structures. The present study couples high resolution CT imaging with a Geometric Morphometric approach in order to further understand the complex dysmorphology that occurs in unilateral coronal synostosis (UCS). Methods: Forty-one UCS patients and 41 age- and sex-matched controls received high-resolution CT imaging. Thirty-one anatomical landmarks were identified on each imaging set. A geometric morphometric workflow was used to perform a Procrustes superimposition to register landmarks into a common space. Procrustes-aligned landmarks were used to derive angle calculations, lengths, and other anatomical measurements. Three-dimensional coordinates were also used to perform a principal components analysis (PCA). Results: Unilateral coronal synostosis patients exhibited significant angular deviation at the levels of the inferior skull base, mid-posterior fossa, and vertex. Both left- and right-sided UCS patients showed increased lengthening in the transverse (left-right) dimension, exhibiting increased length between the left and right EAC (P = 0.047). Conversely, UCS patients revealed shortening in the midline AP dimension as evidenced by the decreased Nasal root-Lambda (P < 0.0001) and Nasal root-superior dorsum sellae (P = 0.01) distances compared with controls. PCA revealed that 25.26% of variation in shape among the patients sampled to be driven by flattening of the skull and that18.93% of variation was driven by right-sided deformity and mediolateral expansion. Conclusions: Significant dysmorphology between UCS patients and controls was quantified using Geometric Morphometric approach, which may be useful in further characterizing the dynamic craniofacial changes in UCS.

ObjectivesInterpersonal violence is an increasingly recognised risk of sport participation and causally linked to negative physical and mental health outcomes. Para athletes from low- and middle-income countries may be at highest risk of physical, psychological, sexual and neglect-related violence due to various factors; however, their perceptions of these abusive behaviours are unknown. This study examined the perceptions and experiences of abuse in para athletes from three lower resourced countries: Ghana, India and Brazil.MethodsQualitative data from semistructured focus group interviews conducted with 26 individuals were collected to explore characteristics of abuse observed, navigated and experienced by para athletes. The framework method for multidisciplinary qualitative research guided data analysis.ResultsAthletes identified a wide range of abusive behaviours they experienced within and outside of sport, including psychological, emotional, physical, sexual and neglect-related violence, which operated on both interpersonal and systemic levels. Most athletes described three less easily recognised forms of abuse in greater detail and more frequently than others: financial abuse, neglect and disability stigma.ConclusionIt is important to hear directly from athletes with diverse experiences and backgrounds and to integrate their insights and priorities into sport safeguarding policies, programmes and interventions. Understanding the requirements and challenges of para athletes and para sport is needed to achieve safe, equitable and inclusive sport. As new insights from diverse sport settings are added to the evidence base, globally balanced, athlete-generated and locally relevant preventative strategies can better protect all athletes.

services, CBOs, community entrepreneurs, and physical spaces offering low-cost or free physical activity and nutrition opportunities on a regular basis were considered. Descriptive data were compiled for each asset and stored in a Excel spreadsheet. Asset data was imported into Google Maps to produce a user-responsive asset map. RESULTS: To date, a total of 183 community wellness assets have been identified across 13 city zip codes. A majority of assets (56%) were clustered into two low income, predominantly (over 90%) African American zip codes. Assets were organized into six descriptive categories on the asset map (e.g. parks, fitness, community garden, social services, nutrition, medical services). CONCLUSIONS: Significant community-based physical activity and healthy nutrition assets are present in Southwest Atlanta. However, the extent to which assets are utilized by high-risk groups is unclear. Systematically linking low-income, high-risk populations to robust physical activity and healthy eating resources remains a challenge for public health practitioners. Additional qualitative inquiry is necessary to determine the quality of goods and services provided by these assets, and to determine community members' attitudes, perceptions, and barriers to accessing these assets regularly. We also aim to employ more sophisticated and mapping techniques in future research to yield more granular asset data.

Background: Despite national and institutional policies, American colleges do not currently provide student-athletes with disabilities equal access to sports opportunities. Disabled youth who wish to pursue their academic and athletic dreams in college thus have prohibitively limited options, even with popular American sports such as basketball. Purpose: The purpose of this study was to identify characteristics and factors that may facilitate the development and perpetuation of collegiate wheelchair basketball programs in the United States. Methods: Five qualitative interviews were conducted with coaches and/or program administrators of established college wheelchair basketball programs. Interviews were coded and analyzed to explore common themes. Results: Thematic data analysis uncovered five common themes important to the development and maintenance of these programs: a) coach characteristics, b) actions to recognize and address equity, c) boosters, d) institutional barriers, and e) network effects. Conclusion: These common factors are important in the development, sustainability, and longevity of college wheelchair basketball programs and should be considered by those interested in starting similar programs.

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