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Visual attribution in medical imaging seeks to make evident the diagnostically-relevant components of a medical image, in contrast to the more common detection of diseased tissue deployed in standard machine vision pipelines (which are less straightforwardly interpretable/explainable to clinicians). We here present a novel generative visual attribution technique, one that leverages latent diffusion models in combination with domain-specific large language models, in order to generate normal counterparts of abnormal images. The discrepancy between the two hence gives rise to a mapping indicating the diagnostically-relevant image components. To achieve this, we deploy image priors in conjunction with appropriate conditioning mechanisms in order to control the image generative process, including natural language text prompts acquired from medical science and applied radiology. We perform experiments and quantitatively evaluate our results on the COVID-19 Radiography Database containing labelled chest X-rays with differing pathologies via the Frechet Inception Distance (FID), Structural Similarity (SSIM) and Multi Scale Structural Similarity Metric (MS-SSIM) metrics obtained between real and generated images. The resulting system also exhibits a range of latent capabilities including zero-shot localized disease induction, which are evaluated with real examples from the cheXpert dataset., Competing Interests: Declarations. Competing interests: The authors declare no competing interests., (© 2024. The Author(s).)

Abstract: Watson, A, Murray, A, Coughlan, D, Wells, J, Ehlert, A, Xu, J, Turner, A, and Bishop, C. Understanding training load in golf: A survey of swing coaches, performance practitioners, and medical staff. J Strength Cond Res 39(1): e20-e29, 2025-The present study aimed to investigate the current opinions and practices of golf coaches, performance practitioners, and medical staff working in golf, on the topic of monitoring training load in the sport. A cross-sectional, explorative survey was undertaken, which included specific questions for each subgroup using a combination of Likert scale and "Yes" or "No" questions. A total of 89 practitioners completed the survey with 23 being golf coaches, 35 being performance practitioners, and 31 being medical practitioners. Results showed that virtually all technical coaches and support staff practitioners agreed on the importance of monitoring training load in golf. However, our findings identified a noticeable gap between what is current opinion and what is actually done in day-to-day practice, relating to training load monitoring in the sport. Although the majority of coaches and practitioners are in agreement with the value of assessing load in golf, the number that actually monitor and collect data relating to this is substantially lower. Therefore, further consideration and research is undoubtedly required on this topic to help inform and change current practice in golf., (Copyright © 2024 National Strength and Conditioning Association.)

This paper explores the application of positionality and reflexivity drawing on the experience of a British Minority Ethnic (BME) group senior nurse researching nurses with the same ethnic heritage in an IPA study. It explores how using IPA informed reflexivity and positionality as a researcher who shared the same ethnicity with the research participants. The IPA study allowed for the exploration of Internationally Educated Nurses' (IENs) perspectives on their integration into British healthcare and their navigation of career progression. The central aims of an IPA study are to understand the participant's world, its description, the development of a clear, and open interpretative analysis with a descriptive focus on the social, cultural and theoretical context, and the participant's sense-making of their lived experience. In this paper, we discuss how the lead researcher employed reflexivity, stated his intentionality and positionality in the conduct of the IPA study. This paper discusses some examples of the effects of positionality and reflexivity in the conduct of research by researchers of different racial background, and explicate the influence of personal and professional experiences of a researcher in using reflexivity and positionality to ensure cross-cultural validity and reliability of an IPA research. This paper concludes that appropriate use of reflexivity and positionality in an IPA study may recognise the personal and professional influence of a researcher's experiences on the research process, including their ethnicity., (© 2024 The Author(s). Nursing Inquiry published by John Wiley & Sons Ltd.)

Abstract: Gonzalo-Skok, O and Bishop, C. Effects of maturation on the magnitude and direction of asymmetry in jumping and change of direction speed in young elite football players. J Strength Cond Res 39(1): 70-78, 2025-Physical performance is often affected by maturation in young athletes and provides an interesting challenge to optimize performance. The present study analyzed whether maturation affects directional dominance, chronological age, body mass, and biological age predictors and assessed between chronological or biological age-group differences in young footballers. One hundred eight elite male players (U-15 to U-19) were tested on bilateral vertical and unilateral vertical and horizontal jumping, sprinting (40 m), and change of direction (COD) ability over single and multiple CODs (times and the percentage-based COD deficit [%CODD]). Almost half of the players (45%) at post-peak height velocity (PHV) showed consistency in the direction of asymmetry (jumping and COD). Ten-meter sprint time was the main predictor to explain the %CODD. Standing height affects unilateral horizontal jumping, and peak speed and unilateral horizontal jumping were the main predictors for unilateral vertical jumping. Post-PHV reported significantly (p < 0.05, effect size [ES] = 0.76-1.50) greater vertical and horizontal jumping, and linear and COD speed performance than mid-PHV. Significant differences (p < 0.05) in jumping, sprinting, and COD performance were found between U-15 and the rest of groups. Furthermore, the U-16 group showed a significant difference (p < 0.05) to the U-19 (for peak speed) and U-18 groups (for 40-m sprint and peak speed). Significantly (p = 0.04, ES = 0.47) lower %CODD asymmetries were found in mid-PHV compared with post-PHV. The study highlights the impact of maturation on the direction of asymmetry, tending to show the same weak side as maturation increases (i.e., older, and more experienced and mature players). Finally, decreasing between-limbs asymmetry should be considered during maturation, especially as greater football specialization., (Copyright © 2024 National Strength and Conditioning Association.)