The Use of Patterns to Disguise Environmental Cues During an Anticipatory Judgment Task

A number of novel manipulations to the design of playing uniforms were used to try to disguise the actions of penalty takers in soccer. Skilled and less-skilled soccer goalkeepers were required to anticipate penalty kick outcome while their opponent wore one of three different uniform designs that were intended to disguise the availability of potentially key information from the hip region. Variations of shapes/patterns were designed to conceal the actual alignment of the hips. Three occlusion points were used in the test film: -160 ms, -80 ms before, and at foot-ball contact. Skilled individuals reported higher accuracy scores than their less-skilled counterparts (p .05); however, the skilled group decreased their accuracy on the experimental conditions compared with the control (p < .05). Findings highlight the potential benefits of designing playing uniforms that facilitate disguise in sport

Identifying the causal mechanisms of the quiet eye

Scientists who have examined the gaze strategies employed by athletes have determined that longer quiet eye (QE) durations (QED) are characteristic of skilled compared to less-skilled performers. However, the cognitive mechanisms of the QE and, specifically, how the QED affects performance are not yet fully understood. We review research that has examined the functional mechanism underlying QE and discuss the neural networks that may be involved. We also highlight the limitations surrounding QE measurement and its definition and propose future research directions to address these shortcomings. Investigations into the behavioural and neural mechanisms of QE will aid the understanding of the perceptual and cognitive processes underlying expert performance and the factors that change as expertise develops

Expertise differences in anticipatory judgements during a temporally and spatially occluded dynamic task

There is contradictory evidence surrounding the role of critical cues in the successful anticipation of penalty kick outcome. In the current study, skilled and less-skilled soccer goalkeepers were required to anticipate spatially (full body; hip region) and temporally (–160 ms, –80 ms before, foot–ball contact) occluded penalty kicks. The skilled group outperformed the less-skilled group in all conditions. Both groups performed better in the full body, compared to hip region condition. Later temporal occlusion conditions were associated with increased performance in the correct response and correct side analysis, but not for correct height. These data suggest that there is enough postural information from the hip region for skilled goalkeepers to make highly accurate predictions of penalty kick direction, however, other regions are needed in order to make predictions of height. These data demonstrate the evolution of cues over time and have implications for anticipation training

Performing under pressure: Quiet eye training improves surgical knot-tying performance

Background: We examined the effectiveness of traditional technical training (TT) and quiet eye training (QET) on the performance of one-handed square knot tying in first-year surgery residents under normal and high anxiety conditions. Methods: Twenty surgery residents were assigned randomly to the two groups and completed pretest, training, and simple and complex retention tests under conditions of high and low anxiety. The TT group received traditional instruction on improving hand movements; the QET group received feedback on their gaze behaviors. Participants wore an eye tracker that recorded simultaneously their gaze and hand movements. Dependent variables were: knot tying performance (%), quiet eye duration (%), number of fixations, and total movement time (s). Results: Both groups improved their knot tying performance (p 0.05). The QET group also demonstrated more efficient gaze and hand movements post training. Conclusions: These data demonstrate the effectiveness of training gaze behaviors, not only to improve the effectiveness and efficiency of performance, but also to mediate any negative effects of anxiety on performance. These findings may have important implications for medical educators and practitioners, as well as surgeons who may be (re)training or learning new procedures

Contextual information influences diagnosis accuracy and decision making in simulated emergency medicine emergencies

Background: It is well documented that adaptations in cognitive processes with increasing skill levels support decision making in multiple domains. We examined skill-based differences in cognitive processes in emergency medicine physicians, and whether performance was significantly influenced by the removal of contextual information related to a patient's medical history. Method: Skilled (n=9) and less skilled (n=9) emergency medicine physicians responded to high-fidelity simulated scenarios under high- and low-context information conditions. Results: Skilled physicians demonstrated higher diagnostic accuracy irrespective of condition, and were less affected by the removal of context-specific information compared with less skilled physicians. The skilled physicians generated more options, and selected better quality options during diagnostic reasoning compared with less skilled counterparts. These cognitive processes were active irrespective of the level of context-specific information presented, although high-context information enhanced understanding of the patients' symptoms resulting in higher diagnostic accuracy. Conclusions: Our findings have implications for scenario design and the manipulation of contextual information during simulation training

Quiet eye training improves surgical knot tying more than traditional technical training: A randomized controlled study

Background We examined the effectiveness of technical training (TT) and quiet eye training (QE) on the performance of one-handed square knot tying in surgical residents. Methods Twenty surgical residents were randomly assigned to the 2 groups and completed pretest, training, retention, and transfer tests. Participants wore a mobile eye tracker that simultaneously recorded their gaze and hand movements. Dependent variables were knot tying performance (%), QE duration (%), number of fixations, total movement time (s), and hand movement phase time (s). Results The QE training group had significantly higher performance scores, a longer QE duration, fewer fixations, faster total knot tying times, and faster movement phase times compared with the TT group. The QE group maintained performance in the transfer test, whereas the TT group significantly decreased performance from retention to transfer. Conclusions QE training significantly improved learning, retention, and transfer of surgical knot tying compared with a traditional technical approach. Both performance effectiveness (performance outcome) and movement efficiency (hand movement times) were improved using QE modeling, instruction, and feedback. © 2014 Elsevier Inc. All rights reserved

Experimental observation of trajectories beyond the long in high order harmonic generation

We experimentally observe longer than long trajectory influence in high order harmonic generation (HHG) by varying the peak intensity of the driving laser field through either direct attenuation, or by chirping the laser pulse. Using a theoretical Gaussian beam model to simulate spatial interference resulting from quantum path interference we show that the measured interference patterns cannot be solely explained by the well established short and long trajectories. The structure change is most prominent for the more divergent, off-axis components of the lower plateau harmonic region, affecting the direction and amplitude of the extreme ultraviolet light emitted, and is thus of importance for understanding and controlling the fundamentals of the HHG process.Comment: 10 pages and 8 figure

Football-induced fatigue in hypoxia impairs repeated sprint ability and perceptual-cognitive skills

The present study investigated the effects of football-induced fatigue during hypoxia on RS and perceptual-cognitive skills. Ten male semi-professional football players underwent four sessions; a control session (0-m) to quantify RS in a non-fatigued state; and three further sessions at hypoxia (0-m;1500-m;3000-m) examining RS and perceptual-cognitive skill responses for a given physical workload. Anticipation and decision-making accuracy were obtained at the 30-min mark of each half. The mean number of trials (%) in which the player made the correct response was used for analysis. HR, TC, RPE and % saturation of O2 were measured during the warm-up, football-induced fatigue and RS test. It was found that HR, RPE and % saturation of O2 were different between conditions (P<0.05; ES=0.44-6.13). Further, RS were affected by football-induced fatigue for DC (4.8%; P=0.019; ES=0.68) and AV (5.5%; P=0.006; ES=0.79). In hypoxia, it was observed that football-induced fatigue decreased by 6.5% in DC, 6.3% in AV and 3.1% in PV at 1500-m compared to 0-m (P<0.05). Further significant changes were found at 3000-m compared to 0-m decreasing 12.8% in DC, 12.8% in AV and 6.2% in PV (P<0.0005). More pronounced declines in perceptual-cognitive skills were found as altitude increased (5.0-12.5 %; P<0.05; ES=1.17-2.41) and between both halves (5.3-6.7 %; P<0.05). The data demonstrates that the RS test was highly sensitive to fatigue and hypoxia for a given physical load. Simulated matches in hypoxia revealed larger decreases, when compared to normoxia in RS and perceptual-cognitive skills, highlighting the need for optimal acclimatisation strategies, including physical and technical preparation, prior to playing a

Muscular collision chess:A qualitative exploration of the role and development of cognition, understanding and knowledge in elite-level decision making

Decision making (DM) is a crucial part of team invasion games. The role of context and how this drives both the initial DM and primes in-action planning and execution, termed contextual priors, has been investigated. Findings suggest a significant role for cognition, which appears to run contrary to some of the suggestions made by an ecological dynamics approach. Wishing to clarify this situation for coaches and psychologists, this research explores the experience of nine top-tier key decision makers in rugby union, using an interview approach. Results showed a wide range of context-based information considered by players during the DM process. Furthermore, this information acted to prime subsequent attention and in-action thinking. Finally, this research sought to understand if, and therefore how, DM could be taught, developed and primed by players and coaches. Our data are supportive of a more cognitively focused approach to developing DM although our data do not dismiss a role for direct perception in optimising performance. Implications for practice are discussed

Transforming Polypectomy Education: One Step At A Time

Colorectal cancer is the 2nd most common cause of cancer death in the UK. Bowel cancers start as benign polyps that can be detected and removed during colonoscopy; polypectomy is therefore an essential part of NHS strategy for cancer prevention. Simulators available for teaching polypectomy lack fidelity, so most training is undertaken on live patients. NHS service pressures limit opportunities for hands-on training and practising on patients raises ethical issues. Even among independent colonoscopists, there is evidence of a significant skills deficit; polyp assessment is poor and resections too often incomplete. This results in patients undergoing unnecessary surgery. Creating clinically effective colonoscopists who are competent in polypectomy is an obvious area for simulation-based education, however effectiveness of simulation training in polypectomy is currently unknown. Our aim is to establish a more effective training model for polypectomy. A mixed methods approach will be used to evaluate current levels of polypectomy practice. This will determine educational requirements of the existing workforce. In collaboration with Liverpool School of Art & Design, we will create a high-fidelity polypectomy simulator, together with realistic bioplastic models and 3D graphic representations of complex polyps for teaching polyp assessment skills. Endoscopy trainers and sports coaches face similar issues when seeking to improve performance. Collaborating with the School of Sports & Exercise Sciences, we will explore whether sports psychology techniques can be used to enhance polypectomy skill acquisition. Finally, safe polypectomy demands competence in endoscopic non-technical skills. Working with the Simulation Team at LJMU, we will develop polypectomy-related simulation scenarios. Effectiveness will be measured at each step of this comprehensive programme, and upon completion we hope to demonstrate its real-world impact on regional endoscopy practice. Successful transformation of polypectomy education in the region should create a more confident and competent workforce. This will improve efficiency and produce better outcomes for patients. Moving more polypectomy training into the laboratory will reduce its impact on service delivery. Innovations derived from this project will be shared with the wider endoscopy training community and have potential to transform approaches to polypectomy training in the UK