Return to pre-injury health status and function 12 months after hospitalisation for sport and active recreation related orthopaedic injury

Background Hospitalised sport and active recreation injuries can have serious long-term consequences. Despite this, few studies have examined the long-term outcomes of these injuries. The purpose of this study was to establish whether patients hospitalised with orthopaedic sport and active recreation injuries, have returned to their pre-injury levels of health status and function, 12 months post injury and identify factors associated with poor outcomes. The present work was a cohort study with retrospective assessment of pre-injury status and prospective assessment of outcome at 12 months post injury.

Methods Adults with orthopaedic sport and active recreation injuries, captured by the Victorian Orthopaedic Trauma Outcomes Registry were recruited to the study. Pre-injury and 12-month outcomes were assessed using the 36-item Short Form Health Survey (SF-36) and the extended Glasgow Outcome Scale. Differences in pre-injury and post-injury SF-36 scores were examined and demographic, injury, hospital and physical activity variables were assessed for associations with outcome using multivariate linear regression.

Results Of the 324 participants 98% were followed-up at 12 months post injury. At 12 months, participants reported a mean 7.0-point reduction in physical health (95% CI 5.8 to 7.8) and a 2.5-point reduction in mental health (95% CI 1.2 to 3.0), with 58% (95% CI 52.6% to 63.4%) reporting reduced function. Sporting group (p=0.001), Injury Severity Score >15 (p=0.007) and high pre-injury vigorous activity levels (p=0.04), were related to poorer physical health outcomes.

Conclusions At 12 months post injury, most participants reported large reductions in physical health and reduced function. This information is important for furthering our understanding of the burden of sport and active recreation injury and setting priorities for treatment and rehabilitation.

Monumental vision : a confrontation with the image of the Eternal Return

"Monumental Vision” is a nuanced summary of Nietzschean nihilism and the Eternal Return as rite of passage for free subjects and as condensed image of speculative intelligence proper. Utilizing Gerhard Richter’s “Sheet 692” from Atlas, a series of photographs of the mountains and lake at Sils Maria, Switzerland, as summary judgment of the limit imposed by this condition on all systems of representation, this form of vision discloses the chiasmus embedded in consciousness itself. In constantly revisiting Sils, the very location where Nietzsche “suffered” the vision of the Eternal Return, Richter has engaged repeatedly this origin for what has come into his work via Nietzsche – that is, an elective veil that refuses all compromises with transcendence until such is merged with immanence.

As situated amidst modernist “ideology as intellection”, and subsequent nascent forms of anti-modernism, the Eternal Return as image also signals the return of the Kantian “aesthetic-teleological” synthesis in non-discursive or purely visual agency. As an elective form of aesthetic vision, and as image of time insofar as it registers an overwhelming externality (Other) that nominally swallows and empowers the subject at once, this excoriating sense of universal praxis underwrites artistic and architectural production of the highest order, renegotiating concepts of the paradigmatic.

Utilizing Georg Simmel’s late work on Rembrandt (1916) and his encounter with Schopenhauer and Nietzsche (1907), the essay suggests that by the 1920s the avant-garde premises of modernism had already come under attack by an ahistorical and synoptic vision here denoted “monumental vision,” which also contains the imprint of eschatological time (invoking a schism present in rationality as such). The two readings of this image perpetrated by Karl Löwith in Nietzsche’s Philosophy of the Eternal Recurrence of the Same (Nietzsches Philosophie der ewigen Wiederkehr des Gleichen, 1935), or the cosmological and the ethical, while considered irreconcilable by Löwith, have since the 1960s been recalibrated through the figure of the event to pose possible scenarios out of the stalemate of the confrontation between Self and Other (ipseity and alterity) buried within this image as limit. In this manner, the image of the Eternal Return stands at the boundary between two forms of time (or two worlds) and signals the irreducible confrontation present in speculative thought and the necessity of closure through an aesthetic vision that produces a unitary field for all creative acts.

Notably, Nietzsche’s startling vision from Zarathustra suggests that the limit imposed by the Eternal Return is also a mask for an austere condition within subjectivity closely resembling the conundrum of Fichte’s I facing I, or thought turned toward thought itself (absolute subjectivity as cipher for Being). In Alenka Zupančič’s reading, in The Shortest Shadow: Nietzsche’s Philosophy of the Two (2003), the Eternal Return effectively contains a secret formal function that grinds all “error” to dust – a highly suggestive interpretation that also neutralizes the schism introduced by Löwith between the cosmological and the ethical.

Prediction interval construction using interval type-2 fuzzy logic systems

This study proposes a novel non-parametric method for construction of prediction intervals (PIs) using interval type-2 Takagi-Sugeno-Kang fuzzy logic systems (IT2 TSK FLSs). The key idea in the proposed method is to treat the left and right end points of the type-reduced set as the lower and upper bounds of a PI. This allows us to construct PIs without making any special assumption about the data distribution. A new training algorithm is developed to satisfy conditions imposed by the associated confidence level on PIs. Proper adjustment of premise and consequent parameters of IT2 TSK FLSs is performed through the minimization of a PI-based objective function, rather than traditional error-based cost functions. This new cost function covers both validity and informativeness aspects of PIs. A metaheuristic method is applied for minimization of the non-linear non-differentiable cost function. Quantitative measures are applied for assessing the quality of PIs constructed using IT2 TSK FLSs. The demonstrated results for four benchmark case studies with homogenous and heterogeneous noise clearly show the proposed method is capable of generating high quality PIs useful for decision-making.

Fire and its interaction with ecological processes in box-ironbark forests

Box-Ironbark forests extend across a swathe of northern Victoria on the inland side of the Great Dividing Range. Although extensively cleared and modified, they support a distinctive suite of plants and animals. Historical fire regimes in this ecosystem are largely unknown, as are the effects of fire on most of the biota. However, knowledge of the ecological attributes of plant species has been used to determine minimum and maximum tolerable fire intervals for this ecosystem to guide current fire management. Here, we consider the potential effects of planned fire in the context of major ecological drivers of the current box-ironbark forests: namely, the climate and physical environment; historical land clearing and fragmentation; and extractive land uses. We outline an experimental management and research project based on application of planned burns in different seasons (autumn, spring) and at different levels of burn cover (patchy, extensive). A range of ecological attributes will be monitored before and after burns to provide better understanding of the landscape-scale effects of fire in box-ironbark forests. Such integration of management and research is essential to address the many knowledge gaps in fire ecology, particularly in the context of massively increased levels of planned burning currently being implemented in Victoria.

The return

Face to Face Exhibition

Everyone’s life is so different : the experiences of young Australian adults who return home

The article focuses on the experiences of young Australian adults who return to their parent's homes. It cites several factors that lead young people to return home such as unemployment, divorce and parenthood. It uses qualitative interviews of 22- to 30-year-olds as basis of young adults' experiences. It argues that the decision of returning home is not a failure, but a positive choice in living arrangement.

Minimizing bounded uncertainty impact on scheduling with earliest start and due-date constraints via interval computation

Bounded uncertainty is a major challenge to real life scheduling as it increases the risk and cost depending on the objective function. Bounded uncertainty provides limited information about its nature. It provides only the upper and the lower bounds without information in between, in contrast to probability distributions and fuzzymembership functions. Bratley algorithm is usually used for scheduling with the constraints of earliest start and due-date. It is formulated as . The proposed research uses interval computation to minimize the impact of bounded uncertainty of processing times on Bratley’s algorithm. It minimizes the uncertainty of the estimate of the objective function. The proposed concept is to do the calculations on the interval values and approximate the end result instead of approximating each interval then doing numerical calculations. This methodology gives a more certain estimate of the objective function.

Observer-based controller design of time-delay systems with an interval time-varying delay

This paper considers the problem of designing an observer-based output feedback controller to exponentially stabilize a class of linear systems with an interval time-varying delay in the state vector. The delay is assumed to vary within an interval with known lower and upper bounds. The time-varying delay is not required to be differentiable, nor should its lower bound be zero. By constructing a set of Lyapunov–Krasovskii functionals and utilizing the Newton–Leibniz formula, a delay-dependent stabilizability condition which is expressed in terms of Linear Matrix Inequalities (LMIs) is derived to ensure the closed-loop system is exponentially stable with a prescribed α-convergence rate. The design of an observerbased output feedback controller can be carried out in a systematic and computationally efficient manner via the use of an LMI-based algorithm. A numerical example is given to illustrate the design procedure.