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The purpose of this paper was to systematically review the peer-reviewed literature on the role of the coach developer (CD). Three questions guided this review: (a) who is the CD, (b) what do they do, and (c) how do they do it? Using five electronic databases—SPORTDiscus, ERIC, PsycInfo, Web of Science, and Scopus—a total of 595 articles were initially found with 42 identified as appropriate for inclusion following PRISMA guidelines. A further 11 were added, via the screening of reference lists and during the process of writing, to total 53 articles. Data analysis comprised of content analysis to describe and identify gaps in the research, and reflexive thematic analysis to facilitate the analysis of the findings from the included studies. Content analysis findings show an increase in researching this role and a breadth of methodology and theoretical frameworks being employed. Utilising reflexive thematic analysis, seven themes were generated to understand the who, what, and how of the CD. Findings suggest a diverse and contextualised appreciation of the various roles the CD undertakes as encompassed by the International Council for Coaching Excellence (ICCE) umbrella term definition. The discussion reveals the complexity of the role as CDs navigate who they are, what they do, and how they do it. Recommendations are made for future research to mediate knowledge gaps and move towards alignment and understanding of this key figure.

Competing challenges in adolescence and young adulthood can distract from optimal type 1 diabetes (T1D) self-management, and increase risks of premature morbidity and mortality. There are limited data mapping the glycemic control of people with T1D in this age group, across Australasia.Clinical data were extracted from the Australasian Diabetes Data Network, a prospective clinical diabetes registry. Inclusion criteria were individuals with T1D aged 16-25 years at their last recorded T1D healthcare visit (from 1st January 2011 to 31st December 2020), with T1D duration of at least 1 year. Data were stratified by two last recorded T1D healthcare visit ranges, while generalized estimated equation (GEE) modeling was used to examine factors associated with HbA1c across visits during the 10 year period.Data from 6329 young people (52.6% male) attending 24 diabetes centers across Australasia were included. At the last visit within the most recent 5 years, mean ± SD age was 18.5 ± 2.3 years, T1D duration was 8.8 ± 4.7 years and HbA1c was 8.8 ± 1.8% (72.2 ± 19.9 mmol/mol); only 12.3% had an HbA1c below the international target of7.0% (53 mmol/mol). Across all T1D healthcare visits, in GEE modeling, higher HbA1c was associated with female sex (B = 0.20; 95% CI 0.12 to 0.29, p 0.001), longer T1D duration (B = 0.04, 0.03 to 0.05, p 0.001). Lower HbA1c was associated with attendance at a pediatric T1D healthcare setting (B = -0.33, -0.45 to -0.21, p 0.001) and use of CSII versus BD/MDI therapy (B = -0.49, -0.59 to 0.40, p 0.001).This Australasian study demonstrates widespread and persistent sub-optimal glycemic control in young people with T1D, highlighting the urgent need to better understand how healthcare services can support improved glycemic control in this population.

To investigate in a population-based pediatric cohort: prevalence of moderate-severe diabetic ketoacidosis (DKA) at type 1 diabetes (T1D) diagnosis over two decades and its association with long-term glycemic control.Children16 years diagnosed with T1D in Western Australia 2000-2019 were included and followed up for ≤14 years. Moderate-severe DKA at diagnosis was defined as serum pH 7.2 or bicarbonate10 mmol/L with hyperglycemia and ketosis. HbA1c was measured ~3-monthly. Trend in prevalence of moderate-severe DKA at diagnosis was investigated using a logistic regression model adjusting for sex, age, socioeconomic status, and area of residence. Long-term glycemic control associated with DKA at diagnosis was investigated using linear mixed models adjusting for the same variables and also for visit frequency, CGM and pump use.Moderate-severe DKA occurred in 534 of 2111 (25.3%) participants. Odds of presenting with moderate-severe DKA increased by 4.1% (95% CI: 2.3, 5.9; p 0.001) per year. Patients with moderate-severe DKA at diagnosis had higher HbA1c levels than other patients initially; the groups were similar between 2 and 6 years duration; from 7 years HbA1c levels tracked higher in the group with moderate-severe DKA at diagnosis with significant differences at 8 and 12 years (p 0.05).The increasing prevalence of DKA at diagnosis of pediatric T1D is concerning and highlights the need for early detection programs. Unlike a similar US study, this study did not find a consistent, clinically significant relationship between DKA at diagnosis and long-term HbA1c, raising important questions about the influence of other factors on long-term glycemic outcomes.

Hawksbill sea turtles Eretmochelys imbricata inhabiting the Hawaiian Islands are extremely rare and listed as endangered under the US Endangered Species Act. The paucity of data on basic hawksbill ecology continues to hinder effective management of the species. We analyzed stranding data collected between 1984 and 2018 to gain insights into the distribution, demography, and conservation challenges facing hawksbills in Hawai‘i. In doing so, we present a comprehensive description of the population across developmental stages and rank threats that may be impeding their successful recovery. Over the >30 yr data set, we recorded a total of only 111 juvenile and adult hawksbill stranding events. Interactions with nearshore recreational fishing gear were documented for a large proportion (48.6%) of stranding events in the Hawaiian Islands, identifying this as the primary management challenge for the species. Stranding events were biased towards females (female to male sex ratio of 4.8:1.0), which may be indicative of the population as a whole. Even though the majority of hawksbills nest on the islands of Hawai‘i Moloka‘i, and Maui, the greatest number of juvenile to adult strandings was found to be on the island of Oahu (n = 47). Temporal distribution of the majority of adult hawksbill strandings (72.2%) occurred during a 4 mo period between June and September. We discuss these and other findings that help identify future research and conservation efforts to mitigate anthropogenic threats in Hawai‘i for this enigmatic population.

Halogenated organic compounds (HOCs) in marine species collected from the Atlantic Ocean [3 shortfin mako (Isurus oxyrinchus) and 1 porbeagle (Lamna nasus)], and 12 sea turtles collected from the Pacific Ocean [3 loggerhead (Caretta caretta), 3 green (Chelonia mydas), 3 olive ridley (Lepidochelys olivacea), and 3 hawksbill (Eretmochelys imbricata)] were analyzed with a nontargeted analytical method using two-dimensional gas chromatography coupled to high-resolution time-of-flight mass spectrometry. Sharks and sea turtles had distinct HOC profiles. Halogenated methoxyphenols (halo-MeOPs) were the most abundant compound class identified in sea turtle livers, while polychlorinated biphenyls (PCBs) were the most abundant in shark livers. In addition to legacy contaminants and halo-MeOPs, a total of 110 nontargeted/novel HOCs (NHOCs) were observed in the shark livers. Shortfin mako collected from the northern Gulf of Mexico contained the largest number (89) and most diverse structural classes of NHOCs. Among all NHOCs, a group of compounds with the elemental composition C14H12-nCln (n = 5-8) exhibited the highest concentrations, followed by chlorocarbazoles and tris(chlorophenyl) methanes (TCPMs). Using nontargeted workflows, a variety of known and unknown HOCs were observed, which demonstrate the need to develop more complete chemical profiles in the marine environment.

On August 16, 2021, the Tennessee Department of Health (TDH) was notified of a positive rabies test result from a South American collared anteater (Tamandua tetradactyla) in Washington County, Tennessee. Tamanduas, or lesser anteaters, are a species of anteater in which rabies has not previously been reported. The animal was living at a Tennessee zoo and had been recently translocated from a zoo in Virginia. TDH conducted an investigation to confirm the rabies result, characterize the rabies variant, and ascertain an exposure risk assessment among persons who came into contact with the tamandua. Risk assessments for 22 persons were completed to determine the need for rabies postexposure prophylaxis (rPEP); rPEP was recommended for 13 persons, all of whom agreed to receive it. Using phylogenetic results of the virus isolated from the tamandua and knowledge of rabies epidemiology, public health officials determined that the animal was likely exposed to wild raccoons present at the Virginia zoo. This report describes expansion of the wide mammalian species diversity susceptible to rabies virus infection and summarizes the investigation, highlighting coordination among veterinary and human public health partners and the importance of preexposure rabies vaccination for animal handlers and exotic zoo animals.

Low-level languages, which require manual memory management from the programmer, remain in wide use for performance-critical applications. Memory-safety bugs are common, and now a major source of exploits. In particular, a use-after-free bug occurs when an object is erroneously deallocated, whilst pointers to it remain active in memory, and those (dangling) pointers are later used to access the object. An attacker can reallocate the memory area backing an erroneously freed object, then overwrite its contents, injecting carefully chosen data into the host program, thus altering its execution and achieving privilege escalation. We present MineSweeper, a system to mitigate use-after-free vulnerabilities by retaining freed allocations in a quarantine, until no pointers to them remain in program memory, thus preventing their reallocation until it is safe. MineSweeper performs efficient linear sweeps of memory to identify quarantined items that have no dangling pointers to them, and thus can be safely reallocated. This allows MineSweeper to be significantly more efficient than previous transitive marking procedure techniques. MineSweeper, attached to JeMalloc, improves security at an acceptable overhead in memory footprint (11.1% on average) and an execution-time cost of only 5.4% (geometric mean for SPEC CPU2006), with 9.6% additional threaded CPU usage. These figures considerably improve on the state-of-the-art for non-probabilistic drop-in temporal-safety systems, and make MineSweeper the only such scheme suitable for deployment in real-world production environments.

Evaluating wildlife population trends is necessary for the development of effective management strategies, which are particularly relevant for highly threatened species. Hawksbill marine turtles (Eretmochelys imbricata) are considered endangered globally and are rare in Hawai‘i. Remnant hawksbill nesting beaches were identified in Hawai‘i in the late 1980s and the primary sites have been monitored since that time. In this study we summarize all available hawksbill nesting activity around the Hawaiian Islands between 1988 and 2018, highlighting relevant demographic and geographic data for the species. Because monitoring effort varied substantially across space and time, we implemented a predictive modeling approach that accounted for varying effort to explore potential trends in annual number of nesting females and nests over time. Field monitoring efforts documented an annual average of 14 ± 4.3 (range: 5–26) nesting females and 48 ± 19.0 (range: 12–93) nests, with a cumulative total of 178 individual nesting females and 1,280 nests recorded across all years. Nesting has been documented on four Hawaiian Islands, with the overwhelming majority of nesting females (78.4%) and nests (86.5%) recorded at four beaches along the southern coast of Hawai‘i Island. Recent monitoring (2018) at a beach on Moloka‘i Island revealed numbers similar to the most important beaches on Hawai‘i Island. Despite difficulty discerning obvious trends when looking solely at the raw tabulated numbers from field monitoring, our analysis suggests both the number of nesting females and nests have been positively trending since 2006, and this is supported by a higher percentage (57.1% of annual cohorts) of neophyte (vs. remigrant) nesters over the second half of the monitoring timeframe. The masking of obvious trends in the tabulated numbers is likely due to decreased overall monitoring effort as a result of reduced funding in recent years, coupled with a shift in focal monitoring effort from the historical primary nesting site of Kamehame, to the more recently established nesting site of Pōhue. Although the positive trend is encouraging, our findings highlight the precarious state of hawksbills in Hawai‘i and the need to enhance monitoring across all sites to support more robust population assessments and management decision making.

BackgroundUse of laboratory testing has increased in the UK over the past few decades, with considerable geographical variation.AimTo evaluate what laboratory tests are used to monitor people with hypertension, type 2 (T2) diabetes, or chronic kidney disease (CKD) and assess variation in test use in UK primary care.Design & settingLongitudinal cohort study of people registered with UK general practices between June 2013 and May 2018 and previously diagnosed with hypertension, T2 diabetes, or CKD.MethodClinical Practice Research Datalink (CPRD) primary care data linked to ethnic group and deprivation was used to examine testing rates over time, by GP practice, age, sex, ethnic group, and socioeconomic deprivation, with age–sex standardisation.ResultsNearly 1 million patients were included, and more than 27 million tests. The most ordered tests were for renal function (1463 per 1000 person-years), liver function (1063 per 1000 person-years), and full blood count (FBC; 996 per 1000 person-years). There was evidence of undertesting (compared with current guidelines) for HbA1c and albumin:creatinine ratio (ACR) or microalbumin, and potential overtesting of lipids, FBC, liver function, and thyroid function. Some GP practices had up to 27 times higher testing rates than others (HbA1c testing among patients with CKD).ConclusionTesting rates are no longer increasing, but they are not always within the guidelines for monitoring long-term conditions (LTCs). There was considerable variation by GP practice, indicating uncertainty over the most appropriate testing frequencies for different conditions. Standardising the monitoring of LTCs based on the latest evidence would provide greater consistency of access to monitoring tests.

IntroductionType 1 diabetes (T1D) is a chronic and incurable autoimmune disease, diagnosed in early childhood and managed initially in paediatric healthcare services. In many countries, including Australia, national audit data suggest that management and care of T1D, and consequently glycaemic control, are consistently poor. This can lead to adverse outcomes such as cardiovascular disease and nephropathy. T1D treatment is complex, multidisciplinary, multiagency and life-long and should involve patient-centred, developmentally appropriate care. Although an emerging body of literature describes T1D models of care, their components, implementation determinants and associated outcomes are poorly understood.ObjectivesTo provide a study protocol to describe methods to map existing models of care for children and young adults living with T1D. It will identify the gaps and needs in care delivery as viewed by healthcare providers and by children, young people and their families accessing care in metropolitan and rural or remote regions throughout Australia.Methods and analysisA mixed-method study that includes provider and consumer-specific surveys and interviews about current T1D care provisions. Data will be analysed thematically (qualitative) and statistically (quantitative) and synthesised to describe the key characteristics of effective and sustainable models of care for T1D and to identify gaps.Ethics and disseminationEthics approval was granted by the Macquarie University Human Research Ethics Committee in July 2022 (#520221154439676). Results will be disseminated via publication in peer-reviewed journals and at relevant conferences.

Studies show that a driver of coastal debris is the rate between debris deposition and resuspension; however, the influence of beach zone topography on the distribution of debris remains poorly understood. Using five years of marine debris data collected by the COASST citizen science program, we explored the spatiotemporal trends in debris abundance within two regions of the United States Pacific Northwest and investigated whether higher debris loads are associated with beach zones that have a higher propensity to trap debris. We found that beaches with larger wood zones had higher debris loads, adding to the growing evidence that backshore areas of beaches act as sinks for debris. Higher debris loads were also associated with beaches that had larger wrack zones suggesting that onshore transport from the marine reservoir is a dominant source of debris. This study provides a long-term baseline of marine debris which managers could use to inform source reduction interventions.

Oil spills can cause severe impacts on seabirds, the extent of which varies by species. We investigated taxon-specific susceptibility using data from the Nestucca and Tenyo Maru oil spills in the northeast Pacific together with seasonally and spatially overlapping baseline beached bird abundance data collected over a 17-year time-period. Multivariate analyses revealed patterns of variation between spill and non-spill data, primarily driven by differences in the relative abundance of common murres (Uria aalge) and northern fulmars (Fulmarus glacialis). In subsequent susceptibility analyses, alcid (Alcidae spp.) carcasses were generally overrepresented in spill data, while gulls (Larus spp.), tubenoses (Procellariformes spp.), and cormorants (Phalacrocoracidae spp.) were generally under-represented. We found that the baseline data had high variability, suggesting a need for many years of baseline data. We propose that where appropriate baseline data exists, this method can be employed to investigate the seabirds most vulnerable to oiling.