The information needs of perioperative staff: a preparatory study for a proposed specialist library for theatres (NeLH)

AIMS/OBJECTIVES: To undertake an information-needs analysis of operating theatre staff in order to inform the development of a specialist library of the National Electronic Library of Health (NeLH). SETTING: Three hospitals in an NHS Trust in a rural county in the north of England. METHODS: In-depth interviews, during which staff were questioned in regard to their job roles and information needs, information-seeking behaviour, access to computers, use and perceptions of the NeLH, and what they would like from a specialist library. RESULTS: Information needs were found to concern direct care, professional and academic development, medical devices knowledge and administration. Currency and speed of delivery were the key information requirements. Poor communication appeared to be a major problem for many staff and inhibited efficient information exchange. When using the Web, both clinical and non-clinical staff searched in a similar fashion to health consumers generally, despite their need for highly specialist information. Most respondents reacted warmly to the idea of the proposed National Electronic Library for Theatre Staff (NeLTS) and made several practical suggestions for suitable material. However, access was problematic for nurses and might prove to be an obstacle to take-up of the Specialist Library. CONCLUSIONS: Communication difficulties, the fragmentation of data in the field and the consequent difficulties of finding information point to the need for an NeLTS. However, for this library to embrace and succeed with all the various groups that constitute the operating theatre staff, issues of access and digital literacy need to be addressed.     

Evaluating the sustainability of SPARK physical education: a case study of translating research into practice

Dissemination and sustainability of evidence-based physical education programs (PE) has been studied rarely. The sustainability of a health-related PE program (SPARK) was independently evaluated in 111 elementary schools in 7 states. Surveys were mailed to schools that had received SPARK curriculum books, training and follow-up (response rate = 47%). Up to 80% of schools that adopted SPARK PE reported sustained use up to 4 years later. Schools using SPARK had more frequent PE classes. Sustained use was related to support from the principal, not previously having a standard PE program, having adequate equipment, and teachers being physically active. Program sustainability was similar in advantaged and disadvantaged schools. Evidence-based PE programs can be sustained up to 4 years.     

Physiological correlates to off-road cycling performance

The aim of this study was to examine the relationships between maximal and submaximal tests for aerobic fitness and performance in an off-road cross-country circuit race. Thirteen competitive off-road male cyclists participated in the study. Peak oxygen uptake (VO2peak), peak power output, and lactate thresholds corresponding to 1 mmol x l(-1) above baseline (lactate threshold) and to 4 mmol x l(-1) (onset of blood lactate accumulation) were measured during an incremental cycling test. Race time and final ranking within the same group of cyclists were determined during a cross-country off-road competition. All correlations between the measured parameters of aerobic fitness and off-road cycling performance were significant, particularly between race time and physiological parameters scaled to body mass0.79 (r = -0.68 to -0.94; P < 0.05) and between final ranking and physiological parameters expressed relative to body mass0.79 (r = -0.81 to - 0.96; P < 0.001). Moreover, there was a large difference (effect sizes = 1.12-1.70) in all measured parameters of aerobic fitness between the group of six cyclists with a race time above the median and the group of six cyclists with a race time below the median (P < 0.05). In conclusion, the results of this study provide empirical support to the widespread use of these maximal (VO2peak, peak power output) and submaximal (lactate thresholds) parameters of aerobic fitness in the physiological assessments of off-road cyclists. Furthermore, our results suggest body size should be taken into account when evaluating such athletes.     

Competitive State Anxiety Inventory-2 (CSAI-2): evaluating the Swedish version by confirmatory factor analyses

The Competitive State Anxiety Inventory-2 (CSAI-2) is one of the most frequently used instruments when assessing competitive state anxiety in sport psychology research. However, doubts have been expressed about the factorial validity of both the English and the Greek versions of the scale. Hence, a revised version of the inventory (CSAI-2R) has recently been suggested to be more psychometrically sound (Cox et al., 2003). In the present study, the aim was to evaluate the psychometric properties of the Swedish version of the CSAI-2 using confirmatory factor analyses. A total of 969 athletes (571 men and 398 women) competing in 26 different sports completed the Swedish version of the CSAI-2. Three different factor structures were evaluated: the original three-factor model (with cognitive anxiety, somatic anxiety and self-confidence), a two-factor model in which self-confidence was excluded, and a three-factor model containing 17 items (CSAI-2R). The results revealed that only the 17-item model displayed an acceptable fit to the data. Although some doubts remain about the amount of variance that can be attributed to error variance in the subscales, the results suggest that it is better to use the CSAI-2R rather than the original CSAI-2.     

Full-body kinematic characteristics of the maximal instep soccer kick by male soccer players and parameters related to kick quality

Many studies try to understand fundamental soccer skills, most focusing on kicking. However, a full picture of an efficient kick remains incomplete owing to constraints of test designs and difficulties that arise in synchronizing and analyzing information generated by multiple assessment techniques. Previous scientific studies may be generally categorized as: two-dimensional kinematic analysis using high-speed cameras, muscle activity studies using electromyography, three-dimensional analysis of the kicking-leg using a partial-body model, and kinetic studies using force measurements and modelling. No existing inquiries have used full-body three-dimensional motion capture and modelling to examine kicking. The current study remedies this deficiency and defines a full-body model capable of revealing more detailed characteristics of kicking. Additionally, it reveals effects of long-term training by comparing novices with skilled athletes and explores new parameters that have potential to aid quantitative evaluations of skill. Results show effective upper-body movement to be a key factor in creating better initial conditions for a more explosive muscle contraction during kicking. It permits a more powerful quasi whip-like movement of the kicking leg. Finally, the timely change of distance between the kick-side hip and the non-kick-side shoulder provides a quantitative means of measuring kick quality.     

性别在体育运动上的差异

有人通过访问和观察,对男女身体和运动上的差异进行了新的研究,并报导说,有些方面妇女要强健得多.随着越来越多的妇女参加超长运动项目如马拉松、多项超级马拉松等,越来越证明妇女的耐力和男人相同,甚至在一些方面超过男人.他们的身体能     

有潜力的投掷运动员的模式指标

<正> 在利用本文介绍的模式指标之前,有必要考虑到两个重要因素,即运动员开始专项训练的年龄和达到最佳成绩所需要的理想训练时间。统计资料证明,铅球项目达到其最好成绩之前的开始训练年龄是:男子10.3到11.6岁,女子12.1到13.6岁;相应地,铁饼运动年龄为:男子13.6到14.5岁,女子11岁;标枪项目为:男子10.5到11.8岁,女子12岁。在选拔有潜力的投掷运动员时,人体形态测量也是重要的。体重和身高指标必须异常出     

如何对付运动损伤引起的疼痛

了解损伤引起的心理因素和尽可能帮助运动员对付由疼痛带来的不舒服感觉是十分必要的。探讨影响疼痛或和忍耐力的手段可以分为物质的、行为的和认识的三种。假如读者对大多数物质手段已经具有足够的知识和经验,只是缺乏有关行为和认知手段的详细材料,因而,在这里只简单地介绍一些物     

Dielectrophoretic differentiation of mouse ovarian surface epithelial cells, macrophages, and fibroblasts using contactless dielectrophoresis

Ovarian cancer is the leading cause of death from gynecological malignancies in women. The primary challenge is the detection of the cancer at an early stage, since this drastically increases the survival rate. In this study we investigated the dielectrophoretic responses of progressive stages of mouse ovarian surface epithelial (MOSE) cells, as well as mouse fibroblast and macrophage cell lines, utilizing contactless dielectrophoresis (cDEP). cDEP is a relatively new cell manipulation technique that has addressed some of the challenges of conventional dielectrophoretic methods. To evaluate our microfluidic device performance, we computationally studied the effects of altering various geometrical parameters, such as the size and arrangement of insulating structures, on dielectrophoretic and drag forces. We found that the trapping voltage of MOSE cells increases as the cells progress from a non-tumorigenic, benign cell to a tumorigenic, malignant phenotype. Additionally, all MOSE cells display unique behavior compared to fibroblasts and macrophages, representing normal and inflammatory cells found in the peritoneal fluid. Based on these findings, we predict that cDEP can be utilized for isolation of ovarian cancer cells from peritoneal fluid as an early cancer detection tool.