Drug-induced renal Fanconi syndrome: A case report

The renal Fanconi syndrome which results from renal tubular dysfunction can be either associated with various inbom errors of metabolism or acquired from various etiology. We report a case of gentamycin-induced Fanconi syndrome in a 4-month old infant who presented with aminoaciduria, glucosuria, phosphaturia and compensated metabolic acidosis.     

Boundary-Work in the Health Research Field: Biomedical and Clinician Scientists’ Perceptions of Social Science Research

Funding agencies in Canada are attempting to break down the organizational boundaries between disciplines to promote interdisciplinary research and foster the integration of the social sciences into the health research field. This paper explores the extent to which biomedical and clinician scientists’ perceptions of social science research operate as a cultural boundary to the inclusion of social scientists into this field. Results indicated that cultural boundaries may impede social scientists’ entry into the health research field through three modalities: (1) biomedical and clinician scientists’ unfavourable and ambivalent posture towards social science research; (2) their opposition to a resource increase for the social sciences; and (3) clinician scientists procedural assessment criteria for social science. The paper also discusses the merits and limitations of Tom Gieryn’s concept of boundary-work for studying social dynamics within the field of science.

The relationship between peak height velocity and physical performance in youth soccer players

Longitudinal changes in height, weight and physical performance were studied in 33 Flemish male youth soccer players from the Ghent Youth Soccer Project. The players' ages at the start of the study ranged from 10.4 to 13.7 years, with a mean age of 12.2 +/- 0.7 years. Longitudinal changes were studied over a 5 year period. Peak height velocity and peak weight velocity were determined using non-smoothed polynomials. The estimations of peak height velocity, peak weight velocity and age at peak height velocity were 9.7 +/- 1.5 cm x year-1, 8.4 +/- 3.0 kg x year-1 and 13.8 +/- 0.8 years, respectively. Peak weight velocity occurred, on average, at the same age as peak height velocity. Balance, speed of limb movement, trunk strength, upper-body muscular endurance, explosive strength, running speed and agility, cardiorespiratory endurance and anaerobic capacity showed peak development at peak height velocity. A plateau in the velocity curves was observed after peak height velocity for upper-body muscular endurance, explosive strength and running speed. Flexibility exhibited peak development during the tear after peak height velocity. Trainers and coaches should be aware of the individual characteristics of the adolescent growth spurt and the training load should also be individualized at this time.     

Teachers' perspectives on the challenges of teaching physical education in urban schools: the student emotional filter

The purpose of this study was to analyze how the challenges of urban schools influence physical education teachers' emotional understanding and connections with their students and the implications on their teaching. Sixty-one elementary physical educators from an urban school district in the midwestern U.S. were interviewed multiple times (N = 136) over 3 years using interpretive methodology. Teachers reported five unique challenges that significantly shaped their thinking about students and their careers, along with strategies they used to overcome or manage those challenges. The challenges were: (a) insufficient instructional resources, (b) implementing culturally relevant pedagogy, (c) dealing with community violence, (d) integrating more games in curricula, and (e) teaching in a culture of basketball. Implications centered on the guilt-inducing nature of urban teaching, developing an informed and realistic vision of urban physical education, and the role of teacher preparation and professional development.     

Anorexia and bulimia—the maladjusting coping strategies of the 80s

The purpose of this article is to highlight the complexities of treating eating disorders. It provides a theoretical framework for identification, diagnosis, and treatment of anorexia and bulimia.     

A protocol for measuring the direct effect of cycling on neuromuscular control of running in triathletes

Abstract

The direct effects of cycling on movement and muscle recruitment patterns (neuromuscular control) during running are unknown but critical to success in triathlon. We outline and test a new protocol for investigating the direct influence of cycling on neuromuscular control during running. Leg movement (three-dimensional kinematics) and muscle recruitment (surface electromyography, EMG) were compared between a control run (no prior exercise) and a 30-min transition run that was preceded by 20 min of cycling. We conducted three experiments investigating: (a) the repeatability (between-day reliability) of the protocol; (b) the ability of the protocol to investigate, in highly trained national or international triathletes, the direct influence of cycling on neuromuscular control during running independent of neuromuscular fatigue; and (c) the ability of the protocol to provide a control, or baseline, measure of neuromuscular control (determined using a measure of stability) without causing fatigue. Kinematic and EMG measures of neuromuscular control during running showed moderate to high repeatability: mean coefficients of multiple correlation for repeatability of EMG and kinematics were 0.816 ± 0.014 and 0.911 ± 0.031, respectively. The protocol provided a robust baseline measure of neuromuscular control during running without causing neuromuscular fatigue (coefficients of multiple correlation for stability of EMG and kinematics were 0.827 ± 0.023 and 0.862 ± 0.054), while EMG and force data provided no evidence of fatigue. The protocol outlined here is repeatable and can be used to measure any direct influence of cycling on neuromuscular control during running.     

NERMLS and the community hospital: service, education, and advice

Figures relating to the document delivery service of NERMLS are given. NERMLS has collaborated with the Postgraduate. Medical Institute in Boston to improve standards in community hospital libraries by creating a core library of books and journals and training library supervisors to work in these libraries. Institutes have taken place in the Countway Library, and guidelines for library development in community hospitals have been drawn up. Activities of Regional Medical Programs in New England are discussed, and further plans of NERMLS described.