Military medicine
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To our knowledge, we are reporting the first case of a pectoralis major tendon avulsion from rappelling. The mechanism of injury in this case differs biomechanically from the commonly associated activity of bench pressing. The patient's initial presentation, course of corrective treatment, and postoperative rehabilitation is discussed in detail. ⋯ This report is relevant to individuals involved in rappelling, high-demand athletes, and the surgeons who treat them. Nonoperative management of pectoralis major tendon tears is contrasted with operative repair. The current literature supports operative treatment in high-demand athletes, laborers, and military personnel to allow them to regain full strength and endurance.
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Studies have shown that 21% to 51% of African-American women (AAW) reported breastfeeding, lagging behind Caucasian (61%-71%) and Hispanic (67%-71%) women despite breastfeeding's health benefits. This study aimed to assess AAWs "intent" to breastfeed and describe the relationship among knowledge, age, education, parity, and selected factors of the theory of planned behavior with their intent. The theory of planned behavior assumes intentions are immediate antecedent of behavior. ⋯ The results were that breastfeeding intent was related to AAW's age, education, and perceived subjective norms (social pressures) and behavioral control (success in breastfeeding); only age and perceived behavior-control best "predicted" breastfeeding intent. Healthy People 2010's objectives are to increase numbers to 75% of women who breastfeed. This study notes the importance of health care providers in promoting AAW to breastfeed by initiating culturally sensitive strategies that enhances AAW's social support and personal confidence toward breastfeeding success.