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Lose yourself in doing what needs to be done, without a thought of permanent outcome or gain.
Opponents of Proposition F, like No on Prop F's Hannan, say "Well, we're in America, and we're in California". In a San Francisco voter guide, independent urban planning group Spur listed pros and cons of Prop F. It ultimately recommended a "no" vote, if only because a ballot vote would lead to a permanent outcome that can be changed only by another costly ballot vote.
The main problem with the assessment in this study is that it considers the major loss of functional ability as a permanent outcome.
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Independently, a higher proportion of scrum compared with tackle-related ASCIs resulted in permanent outcomes (82% vs 50%).
The loose-forward positional grouping accounted for 31% (n=8 of 26) of all permanent outcomes, 63% (n=5 of 8) of which came from the tackle.
In Senior players, 85% (n=22 of 26) of all ASCIs had permanent outcomes (neurological deficit, quadriplegia or fatal) in comparison to 26% (n=5 of 19) in Junior players.
Eighty-two per cent (n=14 of 17; outcome 'not provided' for n=2) of scrum-related injuries had permanent outcomes compared with 50% of tackle injuries (n=8 of 16; outcome 'not provided' for n=1; table 1B).
Of these permanent outcomes, the hooker alone accounted for 46% (n=12 of 26) of all injuries, 83% of which (n=10 of 12) were as a result of the scrum.
The incidence of ASCIs with permanent outcomes was significantly higher at the Senior level (4.52 per 100 000 players, 95% CI 0.74 to 8.30) than the Junior level (0.24 per 100 000 players, 95% CI 0 to 0.65) during this period.
These newborns, because of their peculiar intrauterine growth pattern, are characterised by a trunk mass larger than the head and consequently are more exposed to shoulder dystocia, bone fractures and brachial plexus injury, possibly with permanent outcomes [ 9, 10].
The small difference between non-permanent and permanent outcomes, and therefore the epidemiological importance of including these outcomes, has been stated by various authors in the past 3 24 and was clearly illustrated in a recent UK study of spinal injuries in junior players.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com