The influence of shoe drop on the kinematics and kinetics of children tennis players

This study investigated the immediate effects of reducing the shoe drop (i.e. the difference between the heel and the forefoot height) on the kinematics and kinetics of the lower extremities of children tennis players performing a tennis-specific movement. Thirteen children tennis players performed a series of simulated open stance forehands wearing 3 pairs of shoes differing only in the drop: 0 (D0), 6 (D6) and the control condition of 12?mm (D12). Two embedded forceplates and a motion capture system were used to analyse the ground reaction forces and ankle and knee joint angles and moments of the leading lower limb. In D6 compared with D12, the peak impact force was reduced by 24% (p?=?.004) and the ankle was less dorsiflexed at foot strike (p?=?.037). In D0 compared with D12, the peak impact force was reduced by 17% (p?=?.049), the ankle was less dorsiflexed at foot strike (p?=?.045) and the knee was more flexed at foot strike (p?=?.007). In addition, 4 out of 13 participants (31%) presented a forefoot strike pattern for some of the trials in D0. No difference was observed across shoe conditions for the peak knee extensor moment (p?=?.658) or the peak ankle plantarflexor moment (p?=?.071). The results provide preliminary data supporting the hypothesis that for children tennis players, using a 6-mm lower shoe drop might reduce heel impact forces and thus limit potentially impact-related injuries.     

Provider documentation of patient education: a lean investigation

Purpose

The study evaluates how providers give patient education materials and identifies improvements to comply with Meaningful Use (MU) requirements.

Methods

Thirty-eight patient-provider interactions in two health care outpatient clinics were observed.

Results

Providers do not uniformly know MU patient education requirements. Providers have individual preferences and find gaps in what is available. Accessing and documenting patient education varies among providers. Embedded electronic health record (EHR) materials, while available, have technical access barriers.

Conclusions

Providers'' EHR skills and knowledge levels contribute to non-standardized patient education delivery.     

The legacy of Nikola Tesla The AC system that he helped to usher in

Alternating Current (AC) is used all over the world today. In India we use AC at 50 Hz (cycles per second) and in USA and Canada at 60 Hz. During the latter part of the 19th century, even during the early part of the 20th century, Direct Current or DC was widely used. Had we continued with DC, electricity would not have been as widely available as it is today and its use would have been cumbersome, costly and severely restricted. We owe it mainly to the Serbian genius Nikola Tesla that electricity has reached almost every nook and corner of most continents.     

Statistics at County Hall

‘But how is statistics used in practice?’ ask our pupils. Peter Reynolds outlines two applications that landed on his desk.     

Using Multicultural Resources for Teachers to Combat Racial Prejudice in the Classroom

As the American population continues to become more diverse there is a need to provide children in early education with factual information about all ethnic groups to decrease prejudice. First, teachers must examine their own beliefs prior to implementing a multicultural approach into the curriculum. Three questions are presented that will assist teachers in evaluating their views and behaviors toward ethnic groups. Informative resources are provided for teachers to educate themselves, parents, and students. Through children's literature, instructional materials, and Internet sources, teachers can promote more positive attitudes among students and educate children to be respectful and accept the individuality of others.     

The psychological significance of secondary sexual characteristics in nine- to eleven-year-old girls

82 9-11-year-old girls were seen in order to study the onset of puberty as represented by breast and pubic hair growth. Girls filled out self-report scales, mothers rated their daughters' breast and pubic hair development using schematic representations of the Tanner stages, and height was measured by a nurse practitioner. Breast growth, but not pubic hair growth, was expected to be associated with a positive body image, positive peer relationships, superior adjustment, and the rating of adult roles as important (marriage, children, and careers). These expectations were confirmed for all but the adult role measures. Controlling for pubic hair growth did not alter the findings for breast development. Associations with height also were examined. Height was linked to superior adjustment and career importance. These findings are discussed in terms of possible roles that different pubertal events may play in the self-definitions of young adolescents as well as the meaning of various physical changes to the girl and to others.