Approximately 10 years after diagnosis, only a small percentage of persons with IBD believed they received the correct amount of information about the issues they regarded as most important to have discussed at diagnosis.
BACKGROUND Carers are vital to the health economy, saving the NHS over £132 billion per year. 1 This makes it fundamental to support them in both their carer and patient roles. A significant proportion of these carers are aged <18 years. There are 166 363 known young carers in England alone, which is likely to be just the tip of the iceberg. 2 Young carers are children and young people 18 years of age who provide regular or ongoing care and emotional support to a family member who is physically or mentally ill, disabled, or misuses substances. 2 A BBC survey of UK secondary schools found one in 12 students had moderate or high levels of care responsibilities. 3 Wong reports as many as two in every 11 students may have a caring role. 4 These numbers are only set to rise with ageing first-time parents and extending life expectancy.
Peak force (PF), contractile rate of force development (RFD) and contractile impulse (CI) are of great importance to competitive weightlifters (WL). These athletes routinely perform successive bouts of high-intensity resistance exercise (HIRE) within the same day (double-day training) with the aim of improving muscular function and weightlifting performance. The purpose of this investigation was to determine and compare the PF, contractile RFD and CI responses to double-day training between WL and resistance trained (RT) adults (n = 16 per group). Furthermore, we sought to establish whether acute changes in muscle function were associated with acute changes in muscle architecture. Isometric front squat PF, contractile RFD, CI and the pennation angle (θ(p)), anatomical and physiological thickness of the m. vastus lateralis (VL) were determined before and after two equivalent HIRE sessions separated by 4-6 h rest. Each session consisted of ten single repetitions of the dynamic barbell front squat interspersed with 2-min rest, using a load equivalent to 90% of the pre-session PF. Weightlifters demonstrated greater PF at all time points when compared to RT adults and exhibited no significant within or between session changes in PF, contractile RFD or CI. Conversely, RT adults demonstrated within- and between-session decreases in PF and between-session increases in contractile RFD and CI. As no correlations were found between the relative within-session changes in muscle function and the concomitant changes in muscle architecture, other factors must contribute to the divergent responses in PF, contractile RFD and CI between WL and RT adults.
It has been estimated that 1 in every 12 pupils is a young carer. Results from a Yorkshire secondary school survey, published here, show that this number could be even higher. This article describes how to work collaboratively to identify and support these vulnerable young people.
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