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At the front lines of counseling services may appear new ethnic groups whose background and view of the world contrast markedly with ours. Where actual disorders or manifestations of maladjustment are evidenced, there probably lies evidence of universal principles, that if recognized by the trans-multicultural counselor, can help the client even in difficult circumstances. In the present case, the dysfunctional behavior pattern that led to referral was understood as a signal of desperation by a confused, frustrated individual with a prior history of social maladjustment. The stress induced by political upheaval, and the uncertainty of Miguel's life situation seem to have triggered the observed maladjustment.Paper presented at the 1985 International Round Table for the Advancement of Counselling, Utrecht, The Netherlands.  相似文献   
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The purpose of this study was to examine the test–retest reliability and construct validity of three age-adapted Yo-Yo intermittent tests in football players aged 9–16 years (n?=?70) and in age-matched non-sports active boys (n?=?72). Within 7 days, each participant performed two repetitions of an age-related intensity-adapted Yo-Yo intermittent test, i.e. the Yo-Yo intermittent recovery level 1 children's test for 9- to 11-year-olds; the Yo-Yo intermittent endurance level 1 for 12- to 13-year-olds and the Yo-Yo intermittent endurance level 2 test for 14- to 16-year-olds. Peak heart rate (HRpeak) was determined for all tests. The distance covered in the tests was 57% (1098?±?680 vs. 700?±?272?m), 119% (2325?±?778 vs. 1062?±?285?m) and 238% (1743?±?460 vs. 515?±?113?m) higher (p?≤?.016), respectively for football-trained than for non-sports active boys aged 9–11, 12–13 and 14–16 years. The typical errors of measurement for Yo-Yo distance, expressed as a percentage of the coefficient of variation (confidence interval), were 11.1% (9.0–14.7%), 10.1% (8.1–13.7%) and 8.5% (6.7–11.7%) for football players aged 9–11, 12–13 and 14–16 years, respectively, with corresponding values of 9.3% (7.4–12.8%), 10.2% (8.1–14.0%) and 8.5% (6.8–11.3%) for non-sports active boys. Intraclass correlation coefficient values for test–retest were excellent in both groups (range: 0.844–0.981). Relative HRpeak did not differ significantly between the groups in test and retest. In conclusion, Yo-Yo intermittent test performances and HRpeak are reliable for 9- to 16-year-old footballers and non-sports active boys. Additionally, performances of the three Yo-Yo tests were seemingly better for football-trained than for non-sports active boys, providing evidence of construct validity.  相似文献   
244.
Runners tend to shift from a rearfoot to a forefoot strike pattern when running barefoot. However, it is unclear how the first attempts at running barefoot affect habitually rearfoot shod runners. Due to the inconsistency of their recently adopted barefoot technique, a number of new barefoot-related running injuries are emerging among novice barefoot runners. The aim of this study was therefore to analyse the influence of three running conditions (natural barefoot [BF], barefoot with a forced rearfoot strike [BRS], and shod [SH]) on muscle activity and impact accelerations in habitually rearfoot shod runners. Twenty-two participants ran at 60% of their maximal aerobic speed while foot strike, tibial and head impact accelerations, and tibialis anterior (TA), peroneus longus (PL), gastrocnemius medialis (GM) and gastrocnemius lateralis (GL) muscle activity were registered. Only 68% of the runners adopted a non-rearfoot strike pattern during BF. Running BF led to a reduction of TA activity as well as to an increase of GL and GM activity compared to BRS and SH. Furthermore, BRS increased tibial peak acceleration, tibial magnitude and tibial acceleration rate compared to SH and BF. In conclusion, 32% of our runners showed a rearfoot strike pattern at the first attempts at running barefoot, which corresponds to a running style (BRS) that led to increased muscle activation and impact accelerations and thereby to a potentially higher risk of injury compared to running shod.  相似文献   
245.
The present study aimed to compare muscle coordination strategies of the upper and lower limb muscles between beginners and elite breaststroke swimmers. Surface electromyography (EMG) of eight muscles was recorded in 16 swimmers (8 elite, 8 beginners) during a 25 m swimming breaststroke at 100% of maximal effort. A decomposition algorithm was used to identify the muscle synergies that represent the temporal and spatial organisation of muscle coordination. Between-groups indices of similarity and lag times were calculated. Individual muscle patterns were moderately to highly similar between groups (between-group indices range: 0.61 to 0.84). Significant differences were found in terms of lag time for pectoralis major (< 0.05), biceps brachii, rectus femoris and tibialis anterior (< 0.01), indicating an earlier activation for these muscles in beginners compared to elites (range: ?13.2 to ?3.8% of the swimming cycle). Three muscle synergies were identified for both beginners and elites. Although their composition was similar between populations, the third synergy exhibited a high within-group variability. Moderate to high indices of similarity were found for the shape of synergy activation coefficients (range: 0.63 to 0.88) but there was a significant backward shift (?8.4% of the swimming cycle) in synergy #2 for beginners compared to elites. This time shift suggested differences in the global arm-to-leg coordination. These results indicate that the synergistic organisation of muscle coordination during breaststroke swimming is not profoundly affected by expertise. However, specific timing adjustments were observed between lower and upper limbs.  相似文献   
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E-learning is an educational method that improves knowledge innovation by sharing relevant images for advanced learning, especially in a pandemic state. Furthermore, cone-beam computed tomography (CBCT) is a method that gathers medical or dental diagnostic images. This study aimed to analyze the effectiveness of dental anatomy education through a CBCT technology tool, through teachers' and students' perspectives, adjusted according to the disruptions caused by the Covid-19 pandemic. A cohort study and longitudinal exploratory analysis were performed. Forty undergraduate first-year dental students, from the University of Coimbra in Portugal, were selected as per the inclusion and exclusion criteria. Two different teaching methods were applied during an identical time-period: face-to-face lectures complemented by physical models (T1 cohort) and webinar lectures complemented by CBCT images (T2 cohort). Learning outcomes were then studied according to theoretical and spatial orientation contexts. A self-reported survey that focused on students' satisfaction, stress, and support was studied. Both teaching methods were analyzed with paired sample student's t-test and Pearson Correlation Confidence intervals 95% with P < 0.05. Furthermore, exploratory factor analysis (EFA) was used for self-reported satisfaction survey validity and reliability analysis. The learning outcomes between T1 and T2 cohorts were statistically significant, (P < 0.001) corresponding to differences with a large effect degree (r > 0.60). Students' satisfaction, as measured on a six-point Likert scale, was positively influenced by the webinar lectures supplemented with CBCT images (T2 cohort) in a learning context (4.95 ± 0.5) and future applications (5.92 ± 0.27). In conclusion, the webinar approach with CBCT images was more effective and better learning method for teaching dental anatomy.  相似文献   
249.
This study aimed to determine which contractile properties measured by tensiomyography (TMG) could better differentiate athletes with high- and low-power values, as well as to analyse the relationship between contractile properties and power production capacity. The contractile properties of the vastus medialis (VM), rectus femoris (RF) and vastus lateralis (VL) of an Olympic women’s Rugby Sevens team (n?=?14) were analysed before a Wingate test in which their peak power output (PPO) was determined. Athletes were then divided into a high-power (HP) and a low-power (LP) group. HP presented an almost certainly higher PPO (9.8?±?0.3 vs. 8.9?±?0.4 W kg?1, ES?=?3.00) than LP, as well as a very likely lower radial displacement (3.39?±?1.16 vs. 5.65?±?1.50?mm, ES?=?1.68) and velocity of deformation (0.08?±?0.02 vs. 0.13?±?0.03 mm ms?1, ES?=?1.87) of the VL. A likely lower time of delay was observed in HP for all analysed muscles (ES?>?0.60). PPO was very largely related to the radial displacement (r?=??0.75, 90% CI?=??0.90 to ?0.44) and velocity of deformation (r?=??0.70, 90% CI?=??0.87 to ?0.34) of the VL. A large correlation was found between PPO and the time of delay of the VL (r?=??0.61, 90% CI?=??0.84 to ?0.22). No correlations were found for the contractile properties of RF or VM. These results highlight the importance of VL contractile properties (but not so much those of RF and VM) for maximal power production and suggest TMG as a practical technique for its evaluation.  相似文献   
250.
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