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

Sean M. McConachie  Dena Berri  Jewel Konja  Christopher A. Giuliano 《Journal of the Medical Library Association》2022,110(1):81

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.  相似文献   

The biomechanical characteristics of high-performance endurance running     

Stephen J. Preece  Christopher Bramah  Duncan Mason 《European Journal of Sport Science》2019,19(6):784-792

The biomechanical profile of high-level endurance runners may represent a useful model that could be used for developing training programmes designed to improve running style. This study, therefore, sought to compare the biomechanical characteristics of high-performance and recreational runners. Kinematic and kinetic measurements were taken during overground running from a cohort of 14 high-performance (8 male) and 14 recreational (8 male) runners, at four speeds ranging from 3.3 to 5.6?m?s^?1. Two-way ANOVA analysis was then used to explore group and speed effects and principal component analysis used to explore the interdependence of the tested variables. The data showed the high-performance runners to have a gait style characterised by an increased vertical velocity of the centre of mass and a flight time that was 11% longer than the recreational group. The high-performance group were also observed to adopt a forefoot strike pattern, to contact the ground with their foot closer to their body and to have a larger ankle moment. Importantly, although observed group differences were mostly independent of speed, the tested variables showed a high degree of interdependence suggesting an underlying unitary phenomenon. This is the first study to compare high-performance and recreational runners across a full range of kinematic and kinetic variables. The results suggest that high-performance runners maintain stride length with a prolonged aerial phase, rather than by landing with a more extended knee. These findings motivate future intervention studies that should investigate whether recreational runners could benefit from instruction to decrease shank inclination at foot contact.  相似文献   

The effect of athletic expertise and trait emotional intelligence on decision-making     

Robert Vaughan  Sylvain Laborde  Christopher McConville 《European Journal of Sport Science》2019,19(2):225-233

The quality of decision and assessment of risk are key determinants of successful sport performance. Athletes differ fundamentally in their decision-making ability according to their athletic expertise level. Moreover, given the influence of emotions on decision-making, it is likely that a trait reflecting emotional functioning, trait emotional intelligence, may also influence decision-making. Therefore, the aim of this research was to investigate the respective contribution of athletic expertise and trait emotional intelligence to non-athletic decision-making. In total, 269 participants aged between 18 and 26 years with a range of athletic experience i.e. none (n?=?71), novice (n?=?54), amateur (n?=?55), elite (n?=?45) and super-elite (n?=?44), completed the Emotional Intelligence Scale and the Cambridge Gambling Task. Regression modelling indicated a significant positive relationship of athletic expertise and trait emotional intelligence with the quality of decision-making, and a negative relationship with deliberation time and risk-taking. Cognitive skills transfer may explain the higher decision-making scores associated with higher athletic expertise, while individuals with higher trait emotional intelligence may anticipate better the emotional consequences linked with a gambling task, which may help individuals make better decisions and take less risks.  相似文献   

¡No lucro! … from protest catch cry to presidential policy: is this the beginning of the end of the Chilean neoliberal model of education?     

Christopher Tome 《Journal of educational administration and history》2015,47(2):193-208

This paper surveys the delivery of school education in Chile over the last half-century. It focuses on evidence provided by recent academic studies on the impact of neoliberal education policies introduced by the military regime in the 1980s, and continued by successive democratic governments. It offers insights into recent popular critiques of the neoliberal model, as reported in the Chilean press, and reflected by significant popular support for student protest movements demanding the end of for-profit schools, and the revitalisation of the public school system – encapsulated in the protesters’ catch cry of ¡No lucro! It considers possible consequences of the adoption, as policy, of that catch cry, by the recently elected Bachelet government.  相似文献   

Why young elite athletes fear failure: consequences of failure   总被引：1，自引：0，他引：1  

Sagar SS  Lavallee D  Spray CM 《Journal of sports sciences》2007,25(11):1171-1184

Fear of failure can have negative effects on children in achievement settings, affecting many aspects of their lives. Perceiving the consequences of failure to be aversive provides the basis for fear of failure, and the anticipation of a threatening outcome elicits fear. Problems attributed to fear of failure in achievement settings are prevalent. Sport is a popular and significant achievement domain for children and adolescents and there is a lack of research on fear of failure in sport among this age group. Therefore, the aim of the present study was to investigate fear of failure in the sport domain among young elite athletes, and to explore their perceptions of the consequences of failure. Interviews were conducted individually with nine athletes aged 14 - 17 years (5 males, 4 females). Analysis identified and organized perceived consequences of failure into themes and categories. Results revealed that the most commonly perceived aversive consequences of failure were diminished perception of self, no sense of achievement, and the emotional cost of failure. These findings are consistent with those reported in adult population, suggesting the potential for generalizing existing results to young elite athletes.  相似文献   

Children's heart rate reactivity responses to three school tasks     

Christopher F. Sharpley  Geraldine M. Parsons  Helen Tillinh 《Psychology in the schools》1989,26(4):411-414

The effects of three routine classroom tasks upon heart rate reactivity were investigated with a sample of 30 typical fifth-grade children. Instructions for a mental arithmetic task, the mental arithmetic task itself, and silent reading were administered under standardized conditions, with a reward being offered for performance on the mental arithmetic task to enhance competition. Heart rate was individually monitored each second during these tasks, and data were collected on mental arithmetic performance and reading ability. Results indicated that some children showed large increases in their heart rates during the three tasks, and that these children should be considered as at-risk in terms of their cardiac health.  相似文献   

Goods From The East, 1600-1800: Trading Eurasia     

Christopher French 《Cultural and Social History》2018,15(1):141-142

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Exploring athletes’ perceptions of coach stress in elite sport environments     

Richard C. Thelwell  Christopher R. D. Wagstaff  Adam Rayner  Michael Chapman  Jamie Barker 《Journal of sports sciences》2017,35(1):44-55

The present study aimed to extend research that has focused on the identification of stressors associated with coaching practice by systematically evaluating how such stressors effect athletes, and more broadly, the coach–athlete relationship. A total of 13 professional- and national-level athletes were interviewed to address the three study aims: how they detect when a coach is encountering stressors, how coach experiences of stress effects them as an athlete, and how effective the coach is when experiencing stress. Following content analysis, the data suggested athletes were able to detect when a coach was experiencing stress and this was typically via a variety of verbal and behavioural cues. Despite some positive effects of the coach experiencing stress, the majority were negative and varied across a range of personal influences on the athlete, and effects on the general coaching environment. It was also the broad view of the athletes that coaches were less effective when stressed, and this was reflected in performance expectations, perceptions of competence, and lack of awareness. The findings are discussed in relation to the existing theory and with reference to their implications for applied practice, future research, and development of the coach–athlete relationship.  相似文献   

Increasing hip and knee flexion during a drop-jump task reduces tibiofemoral shear and compressive forces: implications for ACL injury prevention training     

Liang-Ching Tsai  Yi-An Ko  Kyle E. Hammond  John W. Xerogeanes  Gordon L. Warren  Christopher M. Powers 《Journal of sports sciences》2017,35(24):2405-2411

Although most ACL injury prevention programmes encourage greater hip and knee flexion during landing, it remains unknown how this technique influences tibiofemoral joint forces. We examined whether a landing strategy utilising greater hip and knee flexion decreases tibiofemoral anterior shear and compression. Twelve healthy women (25.9 ± 3.5 years) performed a drop-jump task before and after a training session (10–15 min) that emphasised greater hip and knee flexion. Peak tibiofemoral anterior shear and compressive forces were calculated using an electromyography (EMG)-driven knee model that incorporated joint kinematics, EMG and participant-specific muscle volumes and patella tendon orientation measured using magnetic resonance imaging (MRI). Participants demonstrated a decrease in peak anterior tibial shear forces (11.1 ± 3.3 vs. 9.6 ± 2.7 N · kg^?1; P = 0.008) and peak tibiofemoral compressive forces (68.4 ± 7.6 vs. 62.0 ± 5.5 N · kg^?1; P = 0.015) post-training. The decreased peak anterior tibial shear was accompanied by a decrease in the quadriceps anterior shear force, while the decreased peak compressive force was accompanied by decreased ground reaction force and hamstring forces. Our data provide justification for injury prevention programmes that encourage greater hip and knee flexion during landing to reduce tibiofemoral joint loading.  相似文献   

Examining coaches’ perceptions of how their stress influences the coach–athlete relationship     

Richard C. Thelwell  Christopher R. D. Wagstaff  Michael T. Chapman  Göran Kenttä 《Journal of sports sciences》2017,35(19):1928-1939

This study extends recent coach stress research by evaluating how coaches perceive their stress experiences to affect athletes, and the broader coach–athlete relationship. A total of 12 coaches working across a range of team sports at the elite level took part in semi-structured interviews to investigate the 3 study aims: how they perceive athletes to detect signals of coach stress; how they perceive their stress experiences to affect athletes; and, how effective they perceive themselves to be when experiencing stress. Following content analysis, data suggested that coaches perceived athletes able to detect when they were experiencing stress typically via communication, behavioural, and stylistic cues. Although coaches perceived their stress to have some positive effects on athletes, the overwhelming effects were negative and affected “performance and development”, “psychological and emotional”, and “behavioural and interaction” factors. Coaches also perceived themselves to be less effective when stressed, and this was reflected in their perceptions of competence, self-awareness, and coaching quality. An impactful finding is that coaches are aware of how a range of stress responses are expressed by themselves, and to how they affect athletes, and their coaching quality. Altogether, findings support the emerging view that coach stress affects their own, and athlete performance.  相似文献