Direct skeletal attachment prosthesis for the amputee athlete: the unknown potential

Lower limb amputees often experience complications with the use of conventional socket-type prostheses, which further reduce their already compromised ability to perform the activities of daily living, or to participate in sporting activities. During the last two decades, a new technology of direct skeletal attachment (osseointegration) of prosthesis to the femoral residuum has been developed. The aim of this research was to assess the implant design, surgery protocols, and functional testing of this new technology on the first 100 patients using the Integral Leg Prosthesis procedure. This new knowledge can guide future engineering developments of osseointegration within the sporting arena. Between 1999 and 2013, direct skeletal implantation was performed on 112 amputees, from two centres in Germany and Australia. From the experience of the surgical team, modifications were made to the implant design. This re-engineering of the implant has reduced the surgical revisions due to infection from 29 % with the early implant design down to 7 %. The functional testing of the 34 Australian cases were assessed pre- and 12 months post-implant with significant improvements of one complete K-scale; the Q-TFA measures increased (50.9–86.7), whilst the Timed Up and Go decreased significantly (12.43 s ± 3.89 to 8.03 s ± 2.80), and the 6 min walk increased (304.0–383.9 m). From these findings, osseointegration technology is realistically the way of the future for amputee athletes. Further refinement of the implant design and sports-specific functional testing are required to define the potential of this technology.     

Communication Between Early Educators and Parents who Speak English as a Second Language A Semantic and Pragmatic Perspective

In this article, we discuss communication between early educators speaking their native language and parents who speak English as a second language. Parents who may have a limited proficiency in the second language face challenges to understanding semantic and pragmatic aspects of English. Actual early childhood conference talk in which parents were speaking English as a second language will illustrate potential difficulties to listening comprehension and communication. Additionally, semantics and pragmatics will be used as a framework for recommending strategies to facilitate these parents?? ability to comprehend and communicate during discussions with early educators.     

The force-time profile of elite front crawl swimmers

In this study, we used recently developed technology to determine the force-time profile of elite swimmers, which enabled coaches to make informed decisions on technique modifications. Eight elite male swimmers with a FINA (Federation Internationale de Natation) rank of 900+ completed five passive (streamline tow) and five net force (arms and leg swimming) trials. Three 50-Hz cameras were used to video each trial and were synchronized to the kinetic data output from a force-platform, upon which a motorized towing device was mounted. Passive and net force trials were completed at the participant's maximal front crawl swimming velocity. For the constant tow velocity, the net force profile was presented as a force-time graph, and the limitation of a constant velocity assumption was acknowledged. This allowed minimum and maximum net forces and arm symmetry to be identified. At a mean velocity of 1.92+0.06 m s?1, the mean passive drag for the swimmers was 80.3+4.0 N, and the mean net force was 262.4+33.4 N. The mean location in the stroke cycle for minimum and maximum net force production was at 45% (insweep phase) and 75% (upsweep phase) of the stroke, respectively. This force-time profile also identified any stroke asymmetry.     

Optimizing kick rate and amplitude for Paralympic swimmers via net force measures

Kicking is a key component of freestyle swimming yet the optimum combination of kick rate and kick amplitude remains unknown. For Paralympic swimmers, with upper and lower limb disabilities, the influence of the kick plays an important role in net force production. To determine optimum kick characteristics, 12 Paralympic swimmers aged 19.8 ± 2.9 years (mean ± s) were towed at their individual peak freestyle speed. The experimental conditions were (i) a prone streamline glide for passive trials and (ii) maximal freestyle kicking in a prone streamline for active trials at different speeds and kick amplitudes. Kick rate was quantified using inertial sensor technology. Towing speed was assessed using a novel and validated dynamometer, and net force was assessed using a Kistler force-platform system. When peak speed was increased by 5%, the active force increased 24.2 ± 5.3% (90% confidence limits), while kick rate remained at approximately 150 kicks per minute. Larger amplitude kicking increased the net active force by 25.1 ± 10.6%, although kick rate decreased substantially by 13.6 ± 5.1%. Based on the current kick rate and amplitude profile adopted by Paralympic swimmers, these characteristics are appropriate for optimizing net force.     

Consulting Parents to Improve a Child Guidance Service

This paper describes a study undertaken with a group of parents whose children had been referred to the Knowsley Child Guidance Service. A qualitative methodology was used to analyse in-depth interviews with parents. The results led to practical recommendations for the improvement of service delivery. These recommendations had implications for schools and other services involved with parents/carers and children. The survey also provided a base from which to develop a questionnaire for the continuing evaluation of good practice within the child guidance service.     

A journal is a club: a new economic model for scholarly publishing

A new economic model for the analysis of scholarly publishing – journal publishing in particular – is proposed that draws on club theory. The standard approach builds on market failure in the private production (by research scholars) of a public good (new scholarly knowledge). In this model, publishing is communication, as the dissemination of information. But a club model views publishing differently: namely as group formation, where members form groups in order to confer externalities on each other, subject to congestion. A journal is a self-constituted group, endeavouring to create new knowledge. In this sense, a journal is a club. The knowledge club model of a journal seeks to balance the positive externalities of a shared resource (readers, citations, referees) against the negative externalities of crowding (decreased prospect of publishing in that journal). A new economic model of a journal as a knowledge club is elaborated. We suggest some consequences for the management of journals and financial models that might be developed to support them.