Magnetic resonance imaging of the knees of 98 consecutive patients with clinically diagnosed anterior cruciate ligament injuries revealed 47 patients (48%) with focal signal abnormalities consistent with the diagnosis of a "bone bruise." Seventy-one percent of the magnetic resonance images taken within 6 weeks of injury demonstrated a bone bruise, whereas no scans done longer than 6 weeks after injury showed a bruise (P < 0.0001). Also significant was the tendency for lesions to be located in the lateral compartment (P < 0.0001). In the sagittal plane, lesions were most likely to be in the middle third of the lateral femoral condyle and the posterior third of the lateral tibial plateau (P < 0.0001). In 31 patients evaluated arthroscopically, there was no correlation between the presence or location of a bone bruise and articular alterations or meniscal tears observed at surgery.
The digital nomad idea of freedom is often a generalised and subjective notion of freedom that imagines a lifestyle and future where the tensions between work and leisure melt away. This paper finds that in practice, digital nomadism is not always experienced as autonomous and free but is a way of living that requires high levels of discipline and self-discipline. The research suggests that digital nomads often overlook the role of disciplining practices when first starting out, and do not foresee how working in sites of leisure and tourism might make managing a balance between work and non-work problematic. Longitudinal ethnographic fieldwork examines the extent of these disciplining practices and reveals that they are utilised to keep work and leisure time separate.
This article explores ethnographically how digital nomads reconcile their commitment to ‘freedom’ with their relationships to state institutions. It analyses the ways these ‘global citizens’ attempt to weaken ties with nation-states and challenge state–citizen relations in areas of work, citizenship, and mobility. On the surface, digital nomads appear to break the ‘social contract’ via borderless subjectivities, or via the creation of transnational businesses. Yet in practice they remain entangled in multiple state institutions, both directly and via corporate entities, to get closer to their hotly desired ‘freedom’. This article explores digital nomads’ attempts to ‘opt-out’ or ‘re-draw’ the social contract, and illustrates the tension between the imagined social contract and how actual state–citizen relations develop over time and are experienced through the filters of global corporations, free markets, and entrepreneurial thinking.
The current popularity of backpack-type load carriage systems (LCS) by students has precipitated a prevalence of postural abnormalities and pain. This study compared subjective perceptual comfort in standard and vertically loaded LCSs. Sixteen females ages 18-23 years rated their personal LCSs for perceived shoulder, neck, and lower back comfort and for overall comfort, each day for two weeks using 100 mm visual analogue scales (VAS). Each scale contained polar extremities of 'very comfortable' to 'very uncomfortable' and a vertical mark placed on the 100 mm line by the participants indicated their perception of comfort. Following two weeks, participants were given LCSs that distributed the weight vertically and were asked to rate the system in the same way for an additional two-week period. Statistical analysis revealed significant differences in shoulder (p=0.015), neck (p=0.005), and lower back (p=0.036) comfort and overall comfort (p=0.001) between the participants' personal LCSs and the experimental LCS. In conclusion, vertical load placement may redistribute the load in a manner that reduces symptoms of selected anatomical discomfort.
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