Root causes of errant ordered radiology exams: Results of a needs assessment

A comprehensive needs assessment was conducted at ATA hospital to determine the root causes of a high number of errant radiology orders from requesting physicians. The Human Performance Technology Model, Gilbert's Behavior Engineering Model, and Rummler and Brache's Nine Performance Variables Model guided the needs assessment process. Three solutions were proposed. The development of the long‐term solution, a software utility, has been initiated. The Behavior Engineering Model was used to identify possible solutions to post‐training performance gaps identified during the evaluation.     

Gravity-oriented microfluidic device for uniform and massive cell spheroid formation

We propose a simple method for forming massive and uniform three-dimensional (3-D) cell spheroids in a multi-level structured microfluidic device by gravitational force. The concept of orienting the device vertically has allowed spheroid formation, long-term perfusion, and retrieval of the cultured spheroids by user-friendly standard pipetting. We have successfully formed, perfused, and retrieved uniform, size-controllable, well-conditioned spheroids of human embryonic kidney 293 cells (HEK 293) in the gravity-oriented microfluidic device. We expect the proposed method will be a useful tool to study in-vitro 3-D cell models for the proliferation, differentiation, and metabolism of embryoid bodies or tumours.     

Development of the Nine-Ball Skills Test to discriminate elite and high-level amateur golfers

Currently, there is a lack of appropriate skill assessments available for use in golf. The aim of this study was to examine the discriminative validity and the test-retest reliability of the newly developed "Nine-Ball Skills Test". Participants of two ability levels (elite, n = 14; high-level amateur, n = 16) each hit nine golf shots of differing combinations of trajectory (straight, fade, draw) and height (normal, high, low) at an individually determined target area. Each shot was scored on its percent error index from the target and whether it achieved the maximum height as required. Participants completed the test twice using a 5-iron club. The elite group scored significantly higher (P < 0.05) than the amateur group for both the first and second rounds of the test as well as the combined scores. The between-round test-retest reliability was deemed to be not acceptable, thus we propose that the test's protocol should include use of the two rounds as standard. Due to the importance of ball striking and flight control to performance in golf, the Nine-Ball Skills Test is appropriate for providing a measure of this skill component in elite and high-level amateur golfers.     

Does extensive on-water rowing increase muscular strength and endurance?

The purpose of this study was to compare changes in aerobic condition, strength, and muscular endurance following 8 weeks of endurance rowing alone or in combination with weight-training. Twenty-two elite rowers were assigned to (1) rowing (n = 10, 250-270 km · week?1) or (2) rowing (n = 12, 190-210 km · week?1) plus four weight-training sessions each week. Pre and post mean and standardized effect-size (ES) differences in aerobic condition (watts at 4 mmol · L?1) and strength (isometric pull, N), prone bench-pull (6-repetition maximum, 6-RM), 5- and 30-repetition leg-press and 60-repetition seated-arm-pull (J, performed on a dynamometer) normalized by body mass and log-transformed were analysed, after adjusting for gender. The standardized differences between groups were trivial for aerobic condition (ES [±90% CI] = 0.15; ±0.28, P = 0.37) and prone bench-pull (ES = 0.27; ±0.33, P = 0.18), although a moderate positive benefit in favour of rowing only was observed for the seated-arm-pull (ES = 0.42; ±0.4, P = 0.08). Only the weight-training group improved isometric pull (12.4 ± 8.9%, P < 0.01), 5-repetition (4.0 ± 5.7%, P < 0.01) and 30-repetition (2.4 ± 5.4%, P < 0.01) leg-press. In conclusion, while gains in aerobic condition and upper-body strength were comparable to extensive endurance rowing, weight-training led to moderately greater lower-body muscular-endurance and strength gains.     

Anthropometry, strength and benchmarks for development: a basis for junior rowers' selection?

The aims of this study were to establish whether anthropometry, muscle strength and endurance accounted for differences between junior and senior elite rowing ergometer performance, and to determine annual development rates for juniors associated with training. Twenty-six junior (8 females, age 18.0 ± 0.3 years and 18 males, age 17.9 ± 0.2 years) and 30 senior (12 females, 23.7 ± 3.0 years and 18 males, 24.0 ± 3.9 years) heavyweight rowers, were assessed anthropometrically, performed a 2000-m ergometer time-trial, and completed various muscular strength and endurance tests. There were no anthropometrical differences between males; however after controlling for body-fat and standing-height, senior females were of greater body-mass (70.5 ± 4.6 kg and 77.2 ± 5.9 kg, P = 0.01) and sitting-height (89.8 ± 2.2 cm and 92.2 ± 6.1 cm, P = 0.04) than juniors. Moderate to very large standardised differences in all strength and endurance tests were observed between juniors and seniors (effect size (ES) range 0.9-1.9). Greater development rates (5.0% to 6.0%) and adjusted 2000-m performance was associated with upper-body strength (males) and endurance (females). In conclusion, after identification of desirable anthropometry, the 2000-m ergometer potential of juniors may be accounted for by upper-body strength and endurance.