Evaluation of adverse drug reaction formatting in drug information mobile phone applications

Objective:To evaluate the differences in presentation (formatting) of adverse drug reaction (ADR) information within drug monographs in commonly used drug information (DI) mobile device applications.Methods:A cross-sectional analysis of ADR formatting of twenty commonly prescribed oral medications within seven DI mobile applications was performed. Databases were assessed for ADR information, including presence of placebo comparisons, severity of ADR, onset of ADR, formatting of ADRs in percentile (quantitative) format or qualitative format, whether references were used to cite information, and whether ADRs are grouped by organ system. Data was collected by two study investigators and discrepancies were resolved via consensus.Results:The seven DI mobile applications varied significantly on every analyzed ADR variable with the exception of ADR onset, which was absent in all databases. Significant differences were found for variables known to impact clinical judgment such as placebo comparisons and qualitative versus quantitative formatting. Placebo comparisons were most common among monographs in Lexicomp (30%) but were absent among monographs within other applications. Quantitative information was commonly used in most databases but was absent in Epocrates. Qualitative formatting was present in all Epocrates and Micromedex applications but absent in the majority of other applications. Substantial variations were also found in severity and grouping information.Conclusion:Substantial variation in ADR formatting exists among the most common DI mobile applications. These differences may translate into alternative interpretations of medical information and thus impact clinical judgment. Health care librarians and clinicians should consider ADR formatting when choosing between DI applications.     

Understanding the track and field sprint start through a functional analysis of the external force features which contribute to higher levels of block phase performance

This study aimed to identify the continuous ground reaction force (GRF) features which contribute to higher levels of block phase performance. Twenty-three sprint-trained athletes completed starts from their preferred settings during which GRFs were recorded separately under each block. Continuous features of the magnitude and direction of the resultant GRF signals which explained 90% of the variation between the sprinters were identified. Each sprinter’s coefficient score for these continuous features was then input to a linear regression model to predict block phase performance (normalised external power). Four significant (p < 0.05) predictor features associated with GRF magnitude were identified; there were none associated with GRF direction. A feature associated with greater rear block GRF magnitudes from the onset of the push was the most important predictor (β = 1.185), followed by greater front block GRF magnitudes for the final three-quarters of the push (β = 0.791). Features which included a later rear block exit (β = 0.254) and greater front leg GRF magnitudes during the mid-push phase (β = 0.224) were also significant predictors. Sprint practitioners are encouraged, where possible, to consider the continuous magnitude of the GRFs produced throughout the block phase in addition to selected discrete values.     

Acute effects of different warm-up protocols on highly skilled golfers’ drive performance

Previous research has highlighted the positive effect that different warm-up protocols have on golf performance (e.g. Sorbie et al., 2016; Tilley & Macfarlane, 2012) with the design of warm-ups and programmes targeting and improving golf performance through the activation and development of specific muscle groups. This study aimed to examine the acute effects of two warm-up protocols on golf drive performance in comparison to a control condition. Using a randomised counterbalanced design over three testing sessions, twenty-three highly skilled golfers completed the control, dynamic and resistance-band warm-up conditions. Following each condition, a GC2 launch monitor was used to record ball velocity and other launch parameters of ten shots hit with the participants’ own driver. A repeated-measures ANOVA found significant increases in ball velocity (η_p² = .217) between the control and both the dynamic and resistance-band warm-up conditions but no difference between these latter two, and a reduction in launch angle between control and dynamic conditions. The use of either a dynamic stretching or resistance-band warm-up can have acute benefits on ball velocity but golfers should liaise with a PGA Professional golf coach to effectively integrate this into their golf driving performance.     

Effects of a motivational climate inntervention for coaches on young athletes' sport performance anxiety

The mastery approach to coaching is a cognitive-behavioral intervention designed to promote a mastery-involving motivational climate, shown in previous research to be related to lower anxiety in athletes. We tested the effects of this intervention on motivational climate and on changes in male and female athletes'cognitive and somatic performance anxiety over the course of a basketball season. Hierarchical linear modeling analyses revealed that the athletes in the intervention condition perceived their coaches as being more mastery-involving on the Motivational Climate Scale for Youth Sports when compared to athletes in an untreated control condition. Relative to athletes who played for untrained coaches, those who played for the trained coaches exhibited decreases on all subscales of the Sport Anxiety Scale-2 and on total anxiety score from preseason to late season. Control group athletes reported increases in anxiety over the season. The intervention had equally positive effects on boys and girls teams.     

Effect of the look-up line on the gaze and head orientation of elite ice hockey players

Abstract

A “look-up line” (LUL) has been proposed for ice hockey, which is an orange 1?m (40′) warning line (WL) painted on the ice at the base of the boards. The LUL purports to provide an early warning to players to keep their head up prior to and as they are being checked. We determined if players looked up more on a rink with the LUL compared to a traditional Control rink. Elite offensive (O) and defensive (D) players competed 1 vs. 1, while wearing an eye tracker that recorded their quiet eye (QE) and fixation and tracking (F-T) and an electrogoniometer that measured head angle. External cameras recorded skate duration during four skate phases: P1 preparation, P2 decision-making, P3 cut to boards, P4 contact. The QE was the final fixation prior to contact between O and D as they skated towards and across the WL during P3 and P4. Skate phase durations (%) did not differ by rink or rink by position. More QE and F-T occurred on the WL on the LUL rink than on the Control. The expected increase in head angle on the LUL rink did not occur during P3 or P4. Post-hoc results also showed O and D skated further from the boards on the LUL rink, suggesting the players preferred to control the puck on white ice, rather than the orange colour of the LUL rink. More research is needed to determine if these results apply to the competitive setting.     

A moral basis for prohibiting performance enhancing drug use in competitive sport

A strong moral reason for prohibiting doping in sport is to be found in the bad choices that would be faced by clean athletes in a sporting world that tolerated doping. The case against doping is not, however, to be grounded in the concept of coercion. Instead, it is grounded in a general duty of sport to afford fair opportunity to the goods that are distinctively within sport's sphere of control. The moral reason to prohibit doping need not be balanced against any autonomy claim of athletes who would prefer to dope because, upon closer examination, such claims have no force. The moral reason to prohibit doping does, however, need to be balanced against the enforcement costs imposed on all athletes by effective prohibition.     

Perceptions of change and certainty regarding the self-as-exerciser: a multistudy report

The purpose of these studies was to examine the relationship between perceptions of exercise-related changes (i.e., perceived mastery and physical change) and certainty with regard to the self-as-exerciser. It was hypothesized that seeing "change" would be associated with more favorable levels of exercise self-certainty and behavior relative to "no change." Online surveys were repeatedly administered across 4 months (Study 1) and 4 weeks (Study 2) to 196 university students (M(age) = 20.17), and 250 community dwellers (M(age) = 38.44), respectively. Data were analyzed via latent variable modeling procedures. Consistent with hypotheses, latent classes (i.e., subgroups) reflecting interindividual differences in levels and trajectories of perceived change were associated with distinct patterns of self-certainty and exercise behavior. The findings suggest that adults who experience mastery of skills and physiological changes also have greater self-certainty and exercise more regularly than those who do not see progress or feel as certain of their exercise identity.     

Effect of Mastering Swim Skills on Older Adults' Self-Efficacy

Abstract

Two groups of 23 junior high school boys were tested before and after an eight weeks' progressive resistance training program. The experimental group participated in this program, but the control group took part only in regularly scheduled physical education classes. At the end of the eight weeks, it was found that the experimental group increased their ability to do pull-ups, push-ups, the Harvard Step Test, Dodge run, the Burpee test, and trunk extension and flexion. The control group improved in the Dodge run, the Burpee test, push-ups, and trunk extension. In no case did the improvement of the control group exceed the improvement of the experimental group. The experimental group also increased in anthropometric measurements. Medical examinations indicated that no harmful effects were experienced by either group.