Awareness, use and opinions of methodological search filters used for the retrieval of evidence-based medical literature-a questionnaire survey

The aim of this study was to determine the level of awareness of methodological search filters among health and academic librarians in the UK and Ireland, their use of filters and views on the perceived benefits, limitations and ways to increase usage of search filters. A random proportional sample of health and academic librarians were surveyed by telephone and fax. Overall, 88% (196/224) completed the telephone survey to establish awareness and use of filters. Eighty-four per cent (51/61) completed a fax survey focusing in more depth on usability issues surrounding filters. Results indicate a high level of awareness of methodological filters, but low level of usage. Furthermore, a high level of awareness did not necessarily correlate with a high level of knowledge or understanding. Examination of responses revealed limitations and recommendations beyond those reported in the literature and highlights the relationship between understanding and effective use of filters. Improved dissemination and publication of filters is required to better inform librarians on the concept of filters and how to use them effectively.     

Measurement of total energy expenditure by the doubly labelled water method in professional soccer players

To determine the daily energy requirements of professional soccer players during a competitive season, we measured total energy expenditure in seven players (age 22.1+/-1.9 years, height 1.75+/-0.05 m, mass 69.8+/-4.7 kg; mean +/- s) using the doubly labelled water method. Energy intake was simultaneously estimated from 7 day self-report dietary records. Mean total energy expenditure and energy intake were 14.8+/-1.7 MJ x day(-1) (3532+/-408 kcal x day(-1)) and 13.0+/-2.4 MJ x day(-1) (3113+/-581 kcal x day(-1)), respectively. Although there was a significant difference between total energy expenditure and energy intake (P < 0.01), there was a strong relationship between the two (r= 0.893, P< 0.01). Basal metabolic rate and recommended energy allowance calculated from the Recommended Dietary Allowances for the Japanese were 7.0+/-0.3 MJ x day(-1) (1683+/-81 kcal x day(-1)) and 15.6+/-0.8 MJ x day(-1) (3739+/-180 kcal x day(-1)), respectively. A physical activity level (total energy expenditure/ basal metabolic rate) of 2.11+/-0.30 indicated that, during the competitive season, professional soccer players undertake much routine physical activity, similar to that of competitive athletes during moderate training. Energy intake estimated using dietary records was under-reported, suggesting that its calculation from these data does not predict energy expenditure in soccer players.     

Physical activity,physiological, and psychomotor performance: a study of variously active older adult men

This research examined varying levels of physical activity and psychomotor and physiological function in variously active older men. Very active moderately active, and low active participants were tested on simple (SRT) and choice reaction time (CRT), coincidence-anticipation timing (CAT), and VO2max. No significant differences for age or height were found, although percentage of fat, and weight were statistically different. Active groups were leaner and lighter. VO2max was significantly different between groups, as physically active groups yielded geater values. SRT and CAT also yielded significantly different results with more active participants showing better performance. No between-groups significant differences resulted for CRT. Generally, increased levels of physical activity were related to superior physiological outcomes and improved psychomotor peformance.     

Gender typing of sports: an investigation of Metheny's classification

The purpose of this study was to investigate if children perceived certain sports to be masculine, feminine, or neutral. Students attending a University Laboratory school (grades K-12) were asked to fill out a survey about sports during a class period, Children in grades K-6 were given a sport (such as baseball) and asked if a boy named David would play it, if a girl named Jane would play it, or if both David and Jane would play the sport. Students in grades 7-12 were asked to name their favorite athlete or team and sport and indicate what sports they felt was best for a girl and a boy. Then they were given a list of sports and asked to indicate, using a 5-point Likert-type scale, whether they believed the sport was masculine, neutral, or feminine. Results from loglinear analyses indicated that students sex-typed certain sports, such as aerobics and football. Additionally, although some responses from students in grades 7-12 indicated that individuals should be able to play any sport they wanted, there were many gendered rsponses in terms of what sport(s) girls and boys should participate in. The results are discussed with reference to Metheny's categories of permissible sports for girls and in the framework of the gender typing of sport.     

In pursuit of empowerment: Sensei Nellie Kleinsmidt, race and gender challenges in South Africa

This chapter traces the way in which Nellie Kleinsmidt, known as the grandmother of karate in Africa, has negotiated discriminatory practices and overcome race and gender-related struggles, including the struggle to free the female body, in pursuit of empowerment. It explores her expectations and the constraints and frustrations she experienced, as well as the many contributions she has made to women's karate in South Africa. Nellie Kleinsmidt's karate career, which began in 1965, coincided with the early developments of South African karate. As a woman of colour her life and karate career were significantly shaped by apartheid legislation. It divided the country into areas of occupancy and residency according to race and was designed to prevent contact between the people of the government defined race groups. Black karate-kas were prohibited by law from practising karate in white designated areas. Lack of facilities and qualified instructors in areas allocated to Kleinsmidt's race group meant that she received very little formal karate instruction between 1966 and 1973. Soon after, she met Johan Roux, a white male. He was to become her chief karate instructor and life-long companion. They defied the apartheid legislation and in 1978 set up home together. They organized defiance campaigns, resisting the pressures from government to close their dojo because of its non-racial policies. Freeing her body at the broader political level involved the abolition of the race categories and all other apartheid legislation which impacted on her life choices and experiences. Initially this struggle and that of freeing her body occurred simultaneously. In her ongoing struggle against gender discrimination in the sport, it was in karate that Nellie Kleinsmidt could strive for the personal empowerment she sought. She could however not translate this into freedom in South African society itself. The impact of apartheid legislation together with the imposition of a sports moratorium by the South African Council on Sports (SACOS), hindered the growth of Nellie Kleinsmidt's karate career, yet she managed to obtain her sixth Dan Black Belt in 1998. This was a remarkable achievement given the constraints she had to overcome. In karate, Kleinsmidt was often viewed as a female first. The problem of female access is exacerbated by the overwhelming number of male instructors perpetuating the notion that the martial arts are inherently male sports. Accessing the various levels of karate has involved claiming physical and symbolic space on the dojo floor as well as involvement in the decision-making arenas of karate. In 1992 with the unification of karate in South Africa, Sensei Nellie began to extend her involvement with the refereeing arena and jointly established a Women's Karate Forum in her province. She has subsequently become a South African national referee and has earned the status of continental judge with the Union of African Karate Federation (UFAK). Nellie Kleinsmidt is the first and only woman of colour to have been appointed to the Referee's Board of South Africa and the only woman of colour in Africa to have obtained a sixth Dan Black belt.     

Visions of a cure. Visualization, clinical trials, and controversies in cardiac therapeutics, 1968-1998

In the early 1970s physicians engaged in fierce debates over the most appropriate method of evaluating the efficacy of coronary artery bypass grafting (CABG). With millions of patients and billions of dollars at stake, CABG sparked fierce controversy. Skeptics demanded that randomized controlled trials (RCTs) be performed, while enthusiasts argued that they already had visual proof of CABG's efficacy. When RCTs appeared, they did not settle the controversy. Participants simply reasserted their preconceptions, defending a trial's strengths or exploiting its flaws. The debate centered on standards of knowledge for the evaluation of therapeutic efficacy. Specifically, cardiologists and cardiac surgeons struggled to assess the relevance of different measures of therapeutic success: physiological or clinical, visual or statistical. Many factors contributed to participants' decisions, including disciplinary affiliation, traditions of research, personal experience with angiography, and assessments of the history of cardiac therapeutics. Physicians had to decide whether angiography provided a meaningful representation of the disease and its treatment or whether demonstrations of therapeutic success could come only from long-term statistical evaluation of mortality data.