Natural Standard--new integrative medicine database

Natural Standard is a new and extremely easy-to-use database consisting of comprehensive evidence-based medicine monographs, and also news brief's on the subject of complementary/alternative medicine therapies. It does not yet contain a huge amount of material, but it is updated frequently, and new information is continuously added. The focus is on the therapeutic "bottom line" of treatment safety and effectiveness. Dosing, Precautions/Adverse Effects, Pregnancy/Lactation Data, and Interactions information is all clearly displayed along with a "Review of the Evidence" table and a discussion summarizing the overall therapeutic value of the treatment modality.     

Linking at the US National Library of Medicine

The development of services provided by the National Library of Medicine (NLM), which dates back to 1836, is described. MEDLINE, a database of 10-plus million references and abstracts to the world's biomedical literature, was put on the World Wide Web for free searching in 1997 as a system called PubMed, whose use has grown to over 250 million searches per year. PubMed features a variety of links between MEDLINE references and related information – full-text journal articles, DNA sequence data, medical knowledge bases, etc. – at websites within and outside NLM. PubMed is a major component of a larger NLM system, Entrez, which integrates access to a number of genome-related databases with linking features similar to those of PubMed. The newest linked service, which became a reality in February 2000, is PubMed Central, the National Institutes of Health's free repository for primary research reports in all the life sciences.     

Do oarsmen have asymmetries in the strength of their back and leg muscles?

The aim of this study was to establish whether asymmetry of the strength of the leg and trunk musculature is more prominent in rowers than in controls. Nineteen oarsmen and 20 male controls matched for age, height and body mass performed a series of isokinetic and isometric strength tests on an isokinetic dynamometer. These strength tests focused on the trunk and leg muscles. Comparisons of strength were made between and within groups for right and left symmetry patterns, hamstring: quadriceps ratios, and trunk flexor and extensor ratios. The results revealed no left and right asymmetries in either the knee extensor or flexor strength parameters (including both isometric and isokinetic measures). Knee extensor strength was significantly greater in the rowing population, but knee flexor strength was similar between the two groups. No difference was seen between the groups for the hamstring: quadriceps strength ratio. In the rowing population, stroke side had no influence on leg strength. No differences were observed in the isometric strength of the trunk flexors and extensors between groups, although EMG activity was significantly higher in the rowing population. Patterns of asymmetry of muscle activity were observed between the left and right erector spinae muscles during extension, which was significantly related to rowing side (P < 0.01). These observations could be related to the high incidence of low back pain in oarsmen.     

Impact forces and neck muscle activity in heading by collegiate female soccer players

Three soccer header types (shooting, clearing and passing) and two heading approaches (standing and jumping) were manipulated to quantify impact forces and neck muscle activity in elite female soccer players. The 15 participants were Division I intercollegiate soccer players. Impact forces were measured by a 15-sensor pressure array secured on the forehead. The electromyographic (EMG) activity of the left and right sternocleidomastoid and trapezius muscles was recorded using surface electrodes. Maximum impact forces and impulses as well as the EMG data were analysed with separate repeated-measures analyses of variance. Impact forces and impulses did not differ among the header types or approaches. Higher values were found for jumping versus standing headers in the mean normalized EMG for the right sternocleidomastoid. In addition, the integrated EMG was greater for the right sternocleidomastoid and right and left trapezius (P < 0.05). The sternocleidomastoid became active earlier than the trapezius and showed greater activity before ball contact. The trapezius became active just before ball contact and showed greater activity after ball contact. The increased muscle activity observed in the neck during the jumping approach appears to stabilize the connection between the head and body, thereby increasing the stability of the head-neck complex.     

Research methods in sport and exercise psychology: quantitative and qualitative issues

Contemporary aspects of research methods in sport and exercise psychology are discussed in this wide-ranging review. After an introduction centred on trends in sport and exercise psychology methods, the review is organized around the major themes of quantitative and qualitative research. Our aim is to highlight areas that may be problematic or controversial (e.g. stepwise statistical procedures), underused (e.g. discriminant analysis), increasingly used (e.g. meta-analysis, structural equation modelling, qualitative content analysis) and emergent (e.g. realist tales of writing). Perspectives range from the technical and speculative to the controversial and critical. While deliberately not providing a 'cookbook' approach to research methods, we hope to provide enough material to help researchers to appreciate the diversity of potential methods and to adopt a more critical perspective in their own research consumption and production.     

Methodological considerations for researchers and practitioners using pedometers to measure physical (ambulatory) activity

Researchers and practitioners require guidelines for using electronic pedometers to objectively quantify physical activity (specifically ambulatory activity) for research and surveillance as well as clinical and program applications. Methodological considerations include choice of metric and length of monitoring frame as well as different data recording and collection procedures. A systematic review of 32 empirical studies suggests we can expect 12,000-16,000 steps/day for 8-10-year-old children (lower for girls than boys); 7,000-13,000 steps/day for relatively healthy, younger adults (lower for women than men); 6,000-8,500 steps/day for healthy older adults; and 3,500-5,500 steps/day for individuals living with disabilities and chronic illnesses. These preliminary recommendations should be modified and refined, as evidence and experience using pedometers accumulates.