321 research outputs found

    Basic health care services for children

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    Acute effect of repeated sprints on inter-limb asymmetries during unilateral jumping

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    The aim of the present study was to investigate the effects of multiple repeated sprints on unilateral jump performance and inter-limb asymmetries. Eighteen recreationally active males performed three single leg countermovement jumps (SLCMJ) as baseline data. The repeated sprint protocol was 6 x 40 m with 20 seconds of passive rest between each sprint. This protocol was conducted four times, each set separated by four minutes of rest. Within that rest period, subjects performed one SLCMJ on each limb after two minutes of rest. A one-way ANOVA showed significant reductions (p < 0.05; ES = -0.52 to -0.99) in jump height on both limbs after each set relative to baseline. Inter-limb asymmetries increased at each time point and ranged from 7.62-14.67%, with significant increases in asymmetry seen after sets three (p = 0.046) and four (p = 0.002). Significant increases in sprint time were shown between sprints one and six in each set (p ≀ 0.01). A fatigue index (%) was also calculated and showed an exponential increase from 5.74% (set one) to 13.50% (set four), with significant differences between all sets (p < 0.001) with the exception of sets three and four. Results from this study show that a 6 x 40 m repeated sprint protocol is a sufficient dose for implementing acute fatigue in recreationally active subjects. This was manifested by reductions in jump height at all time points and jump height asymmetries after the third and fourth sets. These findings indicate that jump height from unilateral jump testing may be a useful metric to use during the monitoring process in recreationally trained athletes

    Using Videography to Quantify Landscape-Level Availability of Habitat for Grazers: An Example with Emperor Geese in Western Alaska

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    We present a videography approach to estimating large-scale availability of grazing lawns, an important food resource used by broods of emperor geese (Chen canagica) on the Yukon-Kuskokwim Delta, Alaska. Sampling was conducted in 1999, 2003, and 2004 at six locations that encompassed ~40% of the North American population of breeding emperor geese. We conducted ground truthing in 2003 and 2004 to estimate how accurately grazing lawn was classified. Overall, classification accuracy for grazing lawn and non-grazing lawn habitat was greater than 91%. Availability of grazing lawns was stable among years, but varied both among and within locations. Some locations have up to three times as much available grazing lawn, which in combination with densities of geese, likely represents dramatic variation in per capita food availability. Our results suggest that videography is a useful way to sample quickly across a large region and accurately identify fine-scale habitats. We present its use for estimating the availability of a preferred food resource for emperor geese, but the method could be applied to many other cases.Nous prĂ©sentons une mĂ©thode vidĂ©ographique pour Ă©valuer, Ă  grande Ă©chelle, la disponibilitĂ© des pĂąturages, une importante ressource alimentaire pour les couvĂ©es d’oies empereurs (Chen canagica) du delta Yukon-Kuskokwim, en Alaska. Des Ă©chantillonnages ont Ă©tĂ© effectuĂ©s en 1999, 2003 et 2004 Ă  six emplacements visant environ 40 % de la population nord-amĂ©ricaine d’oies empereurs nicheuses. Nous avons rĂ©alisĂ© des vĂ©rifications au sol en 2003 et en 2004 dans le but d’estimer dans quelle mesure les pĂąturages Ă©taient bien classĂ©s. Dans l’ensemble, l’exactitude du classement des habitats destinĂ©s au pĂąturage et de ceux qui ne sont pas destinĂ©s au pĂąturage dĂ©passait les 91 %. La disponibilitĂ© des pĂąturages Ă©tait stable au fil des ans, mais variait d’un emplacement Ă  l’autre et au sein de ceux-ci. Certains emplacements ont trois fois plus de pĂąturages disponibles que d’autres. Cela, alliĂ© aux densitĂ©s d’oies, reprĂ©sente vraisemblablement des Ă©carts remarquables pour ce qui est de la disponibilitĂ© de nourriture par tĂȘte. Nos rĂ©sultats laissent supposer que la vidĂ©ographie reprĂ©sente une bonne maniĂšre de faire des Ă©chantillonnages rapides dans de grandes rĂ©gions et de repĂ©rer avec prĂ©vision les habitats Ă  petite Ă©chelle. Nous prĂ©sentons l’emploi de cette mĂ©thode pour Ă©valuer la disponibilitĂ© d’une source alimentaire prĂ©fĂ©rĂ©e de l’oie empereur, mĂ©thode qui pourrait ĂȘtre employĂ©e dans bien d’autres cas

    The bilateral deficit during jumping tasks: Relationship with speed and change of direction speed performance

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    Research to date has investigated the phenomenon of the bilateral deficit (BLD); however, limited research exists on its association with measures of athletic performance. The purpose of the present study was to investigate the magnitude of the BLD and examine its relationship with linear speed and change of direction speed (CODS) performance. Eighteen physically active and healthy university students performed double and single leg countermovement jumps (CMJ), drop jumps (DJ) and standing broad jumps (SBJ), to calculate the BLD across jump tasks. Subjects also performed 10m and 30m sprints and a 505 CODS test, which were correlated with all BLD metrics. Results showed varying levels of BLD across CMJ metrics (jump height, peak force, eccentric impulse, concentric impulse, peak power), DJ metrics (ground contact time, flight time), and the SBJ (distance). However, a bilateral facilitation (BLF) was shown for jump height and reactive strength index (RSI) during the DJ test. The main findings of the present study were that: 1) a larger BLD in CMJ jump height related to a faster 505 change of direction (COD) (left leg) (r = -0.48; p = 0.04), 505 COD (right leg) (r = -0.53; p = 0.02) and COD deficit (right leg) (r = -0.59; p = 0.01), 2) a larger BLD in CMJ concentric impulse related to faster 505 COD (left leg) (r = -0.51; p = 0.03), 505 COD (right leg) (r = -0.64, p = 0.01) and COD deficit (right leg) (r = -0.60; p = 0.01), 3) a larger BLD in DJ flight time related to a faster 505 COD (left leg) (r = -0.48; p = 0.04). These results suggest that a larger BLD is associated with faster CODS performance, but not linear speed. This highlights the individual nature of the BLD and may support the notion of developing movement competency on one limb for enhanced CODS performance

    The effect of a massive object on an expanding universe

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    A tetrad-based procedure is presented for solving Einstein's field equations for spherically-symmetric systems; this approach was first discussed by Lasenby et al. in the language of geometric algebra. The method is used to derive metrics describing a point mass in a spatially-flat, open and closed expanding universe respectively. In the spatially-flat case, a simple coordinate transformation relates the metric to the corresponding one derived by McVittie. Nonetheless, our use of non-comoving (`physical') coordinates greatly facilitates physical interpretation. For the open and closed universes, our metrics describe different spacetimes to the corresponding McVittie metrics and we believe the latter to be incorrect. In the closed case, our metric possesses an image mass at the antipodal point of the universe. We calculate the geodesic equations for the spatially-flat metric and interpret them. For radial motion in the Newtonian limit, the force acting on a test particle consists of the usual 1/r21/r^2 inwards component due to the central mass and a cosmological component proportional to rr that is directed outwards (inwards) when the expansion of the universe is accelerating (decelerating). For the standard Λ\LambdaCDM concordance cosmology, the cosmological force reverses direction at about z≈0.67z\approx 0.67. We also derive an invariant fully general-relativistic expression, valid for arbitrary spherically-symmetric systems, for the force required to hold a test particle at rest relative to the central point mass.Comment: 14 pages, 2 tables, 5 figures; new version, to match the version published in MNRA

    Integrated Systems Design of a Cargo Aircraft with Environmentally Responsible Goals

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    Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/97068/1/AIAA2012-1759.pd

    Closed-loop insulin delivery in inpatients with type 2 diabetes: a randomised, parallel-group trial.

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    BACKGROUND: We assessed whether fully closed-loop insulin delivery (the so-called artificial pancreas) is safe and effective compared with standard subcutaneous insulin therapy in patients with type 2 diabetes in the general ward. METHODS: For this single-centre, open-label, parallel-group, randomised controlled trial, we enrolled patients aged 18 years or older with type 2 diabetes who were receiving insulin therapy. Patients were recruited from general wards at Addenbrooke's Hospital, Cambridge, UK. Participants were randomly assigned (1:1) by a computer-generated minimisation method to receive closed-loop insulin delivery (using a model-predictive control algorithm to direct subcutaneous delivery of rapid-acting insulin analogue without meal-time insulin boluses) or conventional subcutaneous insulin delivery according to local clinical guidelines. The primary outcome was time spent in the target glucose concentration range of 5·6-10·0 mmol/L during the 72 h study period. Analyses were by intention to treat. This trial is registered with ClinicalTrials.gov, number NCT01774565. FINDINGS: Between Feb 20, 2015, and March 24, 2016, we enrolled 40 participants, of whom 20 were randomly assigned to the closed-loop intervention group and 20 to the control group. The proportion of time spent in the target glucose range was 59·8% (SD 18·7) in the closed-loop group and 38·1% (16·7) in the control group (difference 21·8% [95% CI 10·4-33·1]; p=0·0004). No episodes of severe hypoglycaemia or hyperglycaemia with ketonaemia occurred in either group. One adverse event unrelated to study devices occurred during the study (gastrointestinal bleed). INTERPRETATION: Closed-loop insulin delivery without meal-time boluses is effective and safe in insulin-treated adults with type 2 diabetes in the general ward. FUNDING: Diabetes UK; European Foundation for the Study of Diabetes; JDRF; National Institute for Health Research Cambridge Biomedical Research Centre; Wellcome Trust.This study was supported by Diabetes UK (#14/0004878) and the European Foundation for the Study of Diabetes. Additional support for research on the artificial pancreas was received from the Juvenile Diabetes Research Foundation, National Institute for Health Research Cambridge Biomedical Research Centre, and Wellcome Strategic Award (100574/Z/12/Z).This is the final version of the article. It first appeared from Elsevier via https://doi.org/10.1016/S2213-8587(16)30280-

    Bilateral vs. unilateral countermovement jumps: comparing the magnitude and direction of asymmetry in elite academy soccer players

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    The aims of the present study were to compare the magnitude and direction of asymmetry in comparable bilateral and unilateral countermovement jumps (CMJ). Forty-five elite academy soccer players from under-23 (n = 15), under-18 (n = 16) and under-16 (n = 14) age groups performed bilateral and unilateral CMJ as part of their routine pre-season fitness testing. For the magnitude of asymmetry, no significant differences were evident for any metric between tests. However, eccentric impulse asymmetry was significantly greater than mean force and concentric impulse in both bilateral and unilateral tests (p < 0.01). For the direction of asymmetry, Kappa coefficients showed poor levels of agreement between test measures for all metrics (mean force = -0.15; concentric impulse = -0.07; eccentric impulse = -0.13). Mean jump data was also presented relative to body mass for each group. For the bilateral CMJ, significant differences were evident between groups, but showed little consistency in the same group performing better or worse across metrics. For the unilateral CMJ, eccentric impulse was the only metric to show meaningful differences between groups, with the under-18 group performing significantly worse than under-23 and under-16 players. This study highlights that despite the magnitude of asymmetry being similar for each metric between comparable bilateral and unilateral CMJ, consistency in the direction of asymmetry was poor. In essence, if the right limb produced the larger force or impulse during a bilateral CMJ, it was rare for the same limb to perform superior during the unilateral task. Thus, practitioners should be aware that bilateral and unilateral CMJ present different limb dominance characteristics and should not use one test to represent the other when measuring between-limb asymmetries

    A practical guide to analyzing the force-time curve of isometric tasks in Excel

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    Understanding force generating capabilities of athletes is an important facet of strength diagnostics. The utilisation of isometric tasks such as the isometric squat and isometric mid-thigh pull are therefore popular methods used to gain a deeper understanding of as to what strength characteristics have changed over a given period. This article aims to provide information on how to understand and analyse the force time curve of isometric tasks in Microsoft Excel, thus providing practitioners an inexpensive and accessible alternative to readily available software on the market

    Drop jump asymmetry is associated with reduced sprint and change-of-direction speed performance in adult female soccer players

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    Studies that examine the effects of inter-limb asymmetry on measures of physical performance are scarce, especially in adult female populations. The aim of the present study was to establish the relationship between inter-limb asymmetry and speed and change-of-direction speed (CODS) in adult female soccer players. Sixteen adult players performed a preseason test battery consisting of unilateral countermovement jump (CMJ), unilateral drop jump (DJ), 10 m, 30 m, and 505 CODS tests. Inter-limb asymmetry was calculated using a standard percentage difference equation for jump and CODS tests, and Pearson's r correlations were used to establish a relationship between asymmetry and physical performance as well as asymmetry scores themselves across tests. Jump-height asymmetry from the CMJ (8.65%) and DJ (9.16%) tests were significantly greater (p < 0.05) than asymmetry during the 505 test (2.39%). CMJ-height asymmetry showed no association with speed or CODS. However, DJ asymmetries were significantly associated with slower 10 m (r = 0.52; p < 0.05), 30 m (r = 0.58; p < 0.05), and 505 (r = 0.52⁻0.66; p < 0.05) performance. No significant relationships were present between asymmetry scores across tests. These findings suggest that the DJ is a useful test for detecting existent between-limb asymmetry that might in turn be detrimental to speed and CODS performance. Furthermore, the lack of relationships present between different asymmetry scores indicates the individual nature of asymmetry and precludes the use of a single test for the assessment of inter-limb differences
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