Awareness of important injury risk factors associated with excessive pitching volume has been highlighted in the literature, but injury rates remain high. Shoulder pain in baseball players is associated with various changes in musculoskeletal movements, which presents as measurable impairments throughout the kinetic chain. Baseball coaches and rehabilitation professionals have utilized exercise programs targeting strength and flexibility of the throwing arm to prevent injuries. The purpose of this review is to summarize the current evidence regarding the effectiveness of arm care exercise programs in reducing upper extremity injury rates in adolescent baseball players.
 
  A search of electronic databases, including CINAHL with full text, MEDLINE, and SPORTDiscus was conducted to retrieve available articles in English from the years 2010 through 2020. The search terms 
  , and 
  were used.
 
  Clinical review.
 
  Level 4.
 
  Improving shoulder internal rotation range of motion by stretching the posterior shoulder muscles daily was associated with a 36% risk reduction of shoulder and elbow injuries. Group-based arm care exercise programs that target multiple musculoskeletal impairments demonstrated an approximately 50% reduced risk of elbow injury.
 
  For adolescent baseball players, arm care injury prevention programs focusing on important musculoskeletal impairments are effective at reducing injury incidence rates. Multimodal injury prevention programs that improve multiple musculoskeletal impairments are more comprehensive and may result in better injury reduction than programs focusing on a singular impairment.
 For adolescent baseball players, arm care injury prevention programs focusing on important musculoskeletal impairments are effective at reducing injury incidence rates.  https://www.selleckchem.com/products/tabersonine.html  Multimodal injury prevention programs that improve multiple musculoskeletal impairments are more comprehensive and may result in better injury reduction than programs focusing on a singular impairment.Research suggests that evaluations of an object can be simultaneously influenced by (a) the mere co-occurrence of the object with a pleasant or unpleasant stimulus (e.g., mere co-occurrence of object A and negative event B) and (b) the object's particular relation to the co-occurring stimulus (e.g., object A starts vs. stops negative event B). Using a multinomial modeling approach to disentangle the two kinds of influences on choice decisions, three experiments investigated whether learners can intentionally control the relative impact of stimulus co-occurrence and stimulus relations. An integrative analysis of the data from the three experiments (N = 1,154) indicate that incentivized instructions to counteract effects of stimulus co-occurrence by focusing on stimulus relations increased the impact of stimulus relations without affecting the impact of stimulus co-occurrence. Implications for evaluative learning, intentional control, and public policy are discussed.Purpose Although cavitation during laser lithotripsy (LL) contributes to the Moses effect, the impact of cavitation on stone damage is less clear. Using different laser settings, we investigate the role of cavitation bubbles in energy delivery and stone damage. Materials and Methods The role of cavitation in laser energy delivery was characterized by using photodetector measurements synced with high-speed imaging for laser pulses of varying durations. BegoStone samples were treated with the laser fiber oriented perpendicularly in contact with the stone in water or in air to assess the impact of cavitation on crater formation. Crater volume and geometry were quantified by using optical coherence tomography. Further, the role of cavitation in stone damage was elucidated by treatment in water with the fiber oriented parallel to the stone surface and by photoelastic imaging. Results Longer pulse durations resulted in higher energy delivery but smaller craters. Stones treated in water resulted in greater volume, wider yet shallower craters compared with those treated in air. Stones treated with the parallel fiber showed crater formation after 15 pulses, confirmed by high-speed imaging of the bubble collapse with the resultant stress field captured by photoelastic imaging. Conclusions Despite improved energy delivery, the longer pulse mode produced smaller crater volume, suggesting additional processes secondary to photothermal ablation are involved in stone damage. Our critical observations of the difference in stone damage treated in water vs in air, combined with the crater formation by parallel fiber, suggest that cavitation is a contributor to stone damage during LL.Studies of victim number effects in charitable giving consistently find that people care more and help more when presented with an appeal to help an individual compared with an appeal to help multiple people in need. Across three online experiments (N = 1,348), Bayesian estimation revealed the opposite pattern when people responded to multiple appeals to help targets of different sizes (1, 2, 5, 7, and 12). In this joint evaluation context, participants donated more to larger groups, when appeals were presented in both ascending order (Study 1) and random order (Study 2). The pattern held whether or not participants saw an overview of all appeals at the start of the study and when a single individual was added to the array (Study 3). These results clarify how compassion fade findings typical of separate evaluations may not generalize to contexts in which people encounter multiple appeals within a short temporal window.Purpose The purpose of this study was to further evaluate an eight-step partner instructional model developed by Kent-Walsh and McNaughton that has been demonstrated to improve implementation quality and fidelity among adults in clinical and educational settings who support the use of augmentative and alternative communication (AAC) for individuals with complex communication needs. Method This study examined the effectiveness of the eight-step model in a K-12 special education setting. Participants included 26 staff and 19 students. Effects on both communication partner modeling and student AAC system use were assessed. The study expanded upon prior research by employing a group design, including largely adolescent participants, and utilizing multiple AAC hardware and software types. Results Staff receiving training and coaching via the full eight-step model demonstrated gains in the percentage of utterances modeled, and their student partners increased mean length of utterance. The study failed to find statistically significant differences between the experimental group and a comparison group receiving only Stages 1-5 of the model.