Winkler Dencker (hookcough53)

Increased muscle cost was observed under the selective capsulorrhaphy conditions, however this was dependent on the task and capsulorrhaphy condition. Larger increases in muscle cost were observed under the capsulorrhaphy conditions that incurred the greatest reductions in shoulder range of motion (i.e., total inferior, total anterior, anteroinferior, and total posterior conditions) and during tasks that required shoulder kinematics closer to end range of motion (i.e., upward reach and head touch). The elevated muscle loading observed could present a risk to joint capsule repair. Appropriate rehabilitation following glenohumeral capsulorrhaphy is required to account for the elevated demands placed on muscles, particularly when a significant range of motion loss presents. Nearly 20 years after the terrorist attacks of September 11, 2001, multiple studies have documented the adverse mental consequences among World Trade Center (WTC) rescue, recovery, and clean-up workers. However, scarce research has examined mental health stigma and barriers to care in WTC-exposed individuals, and no known study has examined whether rates of endorsement may differ between police and "nontraditional" responders, the latter comprising a heterogeneous group of workers and volunteers. To identify the prevalence and correlates of mental health stigma and barriers to care in WTC responders. Mental health stigma and barriers to care and their correlates were examined in 6,777 police and 6,272 nontraditional WTC responders. Nontraditional responders endorsed more stigma or barriers to care concerns than police responders. Within a subsample who screened positive for a psychiatric disorder, police were more likely than nontraditional responders to endorse "concerns that negative job consequences might result" (17.9% vs. 9.1%), while nontraditional responders were more likely to endorse "I don't know where to go to find counseling services" (18.4% vs.6.6%). Within this subsample, mental health service need and more severe WTC-related posttraumatic stress disorder symptoms were associated with increased likelihood of endorsing stigma or barriers; pre-9/11 psychiatric history and non-Hispanic Black race/ethnicity were associated with lower likelihood of endorsing stigma or barriers. Results of this study underscore the burden of mental health stigma and barriers to care in WTC responders, and highlight the need for targeted interventions to address these concerns and promote mental healthcare utilization in this population. Results of this study underscore the burden of mental health stigma and barriers to care in WTC responders, and highlight the need for targeted interventions to address these concerns and promote mental healthcare utilization in this population.Recent comparative studies show that cooperative breeding is positively correlated with harsh and unpredictable environments and it is suggested that this association occurs because helpers buffer the negative effects of adverse ecological conditions on fitness. In the Kalahari, rainfall varies widely between- and within years, affecting primary production and the availability of the principal prey of cooperatively breeding Kalahari meerkats, Suricata suricatta. Our study aimed to establish whether the presence and number of helpers buffer the negative effects of variation in rainfall on the fecundity and body mass of breeding females, and the survival and growth of pups. We investigate the relationship between group size and variation in rainfall on dominant female fecundity, body mass, and offspring survival and growth using an additive modelling approach on 21 years of individual-based records of the life histories of individual meerkats. We show that breeding female fecundity is reduced during periods of low rainfall but that the effects of low rainfall are mitigated by increases in group size and body mass because heavier females a