A small-scale concept-based laboratory component: the best of both worlds

In this article, we describe an exploratory study of a small-scale, concept-driven, voluntary laboratory component of Introductory Biology at the Massachusetts Institute of Technology. We wished to investigate whether students' attitudes toward biology and their understanding of basic biological principles would improve through concept-based learning in a laboratory environment. With these goals in mind, and using our Biology Concept Framework as a guide, we designed laboratory exercises to connect topics from the lecture portion of the course and highlight key concepts. We also strove to make abstract concepts tangible, encourage learning in nonlecture format, expose the students to scientific method in action, and convey the excitement of performing experiments. Our initial small-scale assessments indicate participation in the laboratory component, which featured both hands-on and minds-on components, improved student learning and retention of basic biological concepts. Further investigation will focus on improving the balance between the minds-on concept-based learning and the hands-on experimental component of the laboratory.     

Stressors experienced by injured athletes

The purpose of this study was twofold: (a) to examine the stressors experienced by injured athletes during three phases of their recovery from sport injury, and (b) to explore the differences in the stressors experienced by team as compared to individual-sport athletes. Participants comprised previously injured high-level rugby union players (n = 5) and golfers (n = 5). Semi-structured interviews were used to explore the stressors participants experienced during three phases of injury (onset, rehabilitation and return to competitive sport). Within- and cross-case analyses showed that athletes experienced sport, medical/physical, social and financial stressors. There were a number of differences in the stressors experienced across the three phases and between team and individual-sport athletes. Findings have important implications for the design and implementation of interventions aimed at managing the potentially stressful sport injury experience and facilitating injured athletes' return to competitive sport.     

What Are the Barriers to Mobilizing Intensive Care Patients?

Purpose

Recently there has been increased interest in early mobilization of critically ill patients. Proposed benefits include improvements in respiratory function, muscle wasting, intensive care unit (ICU), and hospital length of stay. We studied the frequency of early mobilization in our intensive care unit in order to identify barriers to early mobilization.

Methods

A 4-week prospective audit of 106 patients admitted to a mixed medical-surgical tertiary ICU (mean age 60 ± 20 years, mean APACHE II score 14.7 ± 7.8) was performed. Outcome measures included number of patient days mobilized, type of mobilization, adverse events, and reasons for inability to mobilize.

Results

Patients were mobilized on 176 (54%) of 327 patient days. Adverse events occurred in 2 of 176 mobilization episodes (1.1%). In 71 (47%) of the 151 patient days where mobilization did not occur, potentially avoidable factors were identified, including vascular access devices sited in the femoral region, timing of procedures and agitation or reduced level of consciousness.

Conclusions

Critically ill patients can be safely mobilized for much of their ICU stay. Interventions that may allow more patients to mobilize include: changing the site of vascular catheters, careful scheduling of procedures, and improved sedation management.Key Words: intensive care units, mobility, physical therapy     

Physiological responses and bowling performance during repeated spells of medium-fast bowling

The aim of the present study was to investigate the relationship between physiological and performance responses during repeated 6-over fast-bowling spells. Six, first-class, medium-fast bowlers performed 2x6-over spells separated by 45 min of light activity. The 6-over spells were based on the Cricket Australia fast bowling skills test that is a set order of deliveries at a grid-based target. Ball speed, accuracy and full and final 5-m run-up speed were measured on each ball. Nude mass, heart rate, core temperature, capillary blood lactate, pH and glucose, perceptual measures of RPE and muscle soreness (MS) and repeated vertical jump efforts were measured prior to, during and following each spell. Results indicated no decrement (P=0.41) and small effect sizes (d<0.2) in bowling speed (125.7+/-5.1 and 125.4+/-4.5 km.h(-1)) or accuracy (40.4+/-16.1 and 41.6+/-18.0 AU) between spells 1 and 2. No differences (P=0.6-0.8) were present between spells for heart rate, core temperature, lactate, pH, glucose, RPE, MS or vertical jump. Only final 5-m run-up speed showed a large correlation with ball speed (r=0.70), while accuracy and speed were not correlated (r=0.05). In conclusion, repeated 6-over spells in well-trained bowlers results in minimal performance decrement in mild conditions (22 degrees C). As faster bowlers had faster final 5-m run-up speeds, the maintenance of high final 5-m run-up speeds might be important to maintaining bowling speed. Future research should also include a third bowling spell and warmer environmental conditions.