Effect of expertise on diagnosis accuracy, non-technical skills and thought processes during simulated high-fidelity anaesthetist scenarios

Background The expert performance approach can be used to examine expertise during representative field-based tasks, while collecting process-tracing measures such as think-aloud verbal reports. Collecting think-aloud verbal reports provides an insight into the cognitive mechanisms that support performance during tasks. Method We examined the thought processes and performance of anaesthetists during simulated environments. Verbal reports of thinking and the anaesthetists’ non-technical skills (ANTS) were recorded to examine cognitive processes, non-technical behaviours and diagnosis accuracy during fully immersive, high-fidelity medical scenarios. Skilled (n=6) and less skilled (n=9) anaesthetists were instructed to respond to medical scenarios experienced in theatre. Results Skilled participants demonstrated higher diagnosis accuracy and ANTS scores compared to less skilled participants. Furthermore, skilled participants engaged in deeper thinking and verbalised more evaluation, prediction and deep planning statements. Conclusions The ability to employ an effective cognitive processing strategy, more efficient non-technical behaviours and superior diagnosis is associated with superior performance in skilled participants

The Work-Rate of Elite Hurling Match-Play

This study describes the global work-rate of elite hurling match-play and the influence which positional difference has on workrate is considered. The movement of ninety-four players was recorded using global positioning system, sampling at 4 Hz in a total of 12 games. Data were classified according to the positional line on the field and period of the match. The total and high-speed distance of match-play was 7,617 6 1,219 m (95% confidence interval [CI], 7,367–7,866) and 1,134 6 358 m (95% CI, 1,060–1,206), respectively. The maximum speed attained was 29.8 6 2.3 km.h-1 with a mean speed of 6.1 6 1 kmh 21. The second {271 6 107 m (p = 0.001; effect size [ES] = 0.25)}, third (278 6 118 m [p = 0.001; ES = 0.21]), and fourth quarter (255 6 108 m [p = 0.001; ES = 0.31]) high-speed running distance differed significantly from that of the first quarter (330 6 120 m). There was a significant difference in total (p = 0.001; ES = 0.01–0.85), high-speed running (p = 0.001; ES = 0.21–0.76), and sprint (p = 0.013; ES = 0.01–0.39) distance across the positions, with midfielders undertaking the highest volume of work, followed by the half-forward and half-back lines and finally the full-forward and full-back lines. A decrease in high-speed running distance seems to occur through out the game and in particular at the latter stages of each half. Distinct positional work profiles are evident. The present finding provide a context on which training which replicates the work-rate of match-play may be formulated, thus helping to improve the physical preparation of elite players

Inside pass predicts ball possession effectiveness in NBA basketball

The aims of this study were to analyse the effects of using inside pass on ball possession effectiveness and to identify game performance indicators to predict inside pass success in the National Basketball Association (NBA), considering situational variables. A total of 4207 closed ball possessions (± 10 points difference) where recorded from 25 matches of the 2010 NBA Playoffs series. Ball possessions were classified whether including inside pass (n=808) or not (n=3399). Predictive analysis of use and effectiveness was made through a series of binomial logistic regressions and Classification tree analysis (CHAID). Results indicate that ball possessions including inside pass were more effective and longer in duration, finding a greater use in top-4 NBA teams regardless the game period. Additionally, inside pass effectiveness was influenced by: the receiver attitude, reception distance, and defensive help. Particularly, the analysis of combined performance indicators disclosed relevant information on attack effectiveness, suggesting players to adopt a dynamic attitude in the weak side before getting the ball, while their teammates are developing individual and collective actions to create free space and enhance inside game options and effectiveness. Current findings shed some light on specific knowledge concerning tactical behaviours in NBA basketball, contributing in the design of specific programmes to increase inside game options and players’ decision- making according to specific game constraints

Quantifying the Training and Match-Play External and Internal Load of Elite Gaelic Football Players

The current investigation quantified the training and match-play load of elite Gaelic football players across a two-season period using global positioning system technology (GPS), rating of perceived exertion (RPE) and sessional rating of perceived exertion (sRPE). Total weekly workload variables were collected across GPS, RPE, and sRPE across thirty-six elite Gaelic footballers (mean ± SD, age: 26 ± 5 years; height: 177 ± 8 cm; mass: 81 ± 7 kg) from one elite squad during a two-season observational period. External training load variables included: Total distance (m), High speed running (m; ≥ 17.1 km·h−1), Sprint distance (m; 22 km·h−1), Accelerations (n), Average metabolic power (W·kg−1), High-power distance (m; ≥ 25 W·kg−1). Internal load variables included: sRPE and RPE. Repeated measures ANOVA were used to understand the differences in loading patterns across phases, position, and week types when significant main effects were observed a Tukey’s post hoc test was applied and standardized effect sizes were calculated to understand the practical meaning of these differences. When total weekly loading across phases was considered total load was significantly greater in club 1 and provincial 1 with these phases showing the highest loading for players when compared to all other phases (p ≤ 0.001; ES: 2.95–7.22; very large). Furthermore, in-season 1 was greater for total loading when compared to in-season 2 and both championship phases (p ≤ 0.05; ES: 0.47–0.54; small). Total distance in training was greater during preseason 1 when compared to all other phases of the season (p ≤ 0.001; ES: 2.95–7.22; very large). During the in-season period, training based total distance was higher during provincial 1 when compared to other phases with similar trends across all measures (p ≤ 0.005). Finally, a positional profile for load measures was observed, with weekly context (match or non-match) having an impact on the internal and external loading players experienced across phases. The current data provide useful information for practitioners on the training periodization currently present within the elite Gaelic football training process. Specifically, the data provide positional profiles of loading across weekly and segmented phased of an elite Gaelic football season. These data can increase understanding as to the periods of increased and decreased loading across different phases of an elite Gaelic football season, while providing a framework for future analysis concerning Gaelic football periodization

Gametogenesis in Malaria Parasites Is Mediated by the cGMP-Dependent Protein Kinase

Malaria parasite transmission requires differentiation of male and female gametocytes into gametes within a mosquito following a blood meal. A mosquito-derived molecule, xanthurenic acid (XA), can trigger gametogenesis, but the signalling events controlling this process in the human malaria parasite Plasmodium falciparum remain unknown. A role for cGMP was revealed by our observation that zaprinast (an inhibitor of phosphodiesterases that hydrolyse cGMP) stimulates gametogenesis in the absence of XA. Using cGMP-dependent protein kinase (PKG) inhibitors in conjunction with transgenic parasites expressing an inhibitor-insensitive mutant PKG enzyme, we demonstrate that PKG is essential for XA- and zaprinast-induced gametogenesis. Furthermore, we show that intracellular calcium (Ca2+) is required for differentiation and acts downstream of or in parallel with PKG activation. This work defines a key role for PKG in gametogenesis, elucidates the hierarchy of signalling events governing this process in P. falciparum, and demonstrates the feasibility of selective inhibition of a crucial regulator of the malaria parasite life cycle

Facilitators and barriers associated with youth player transition to professional first-team football: A key stakeholder perspective

The transition of elite youth footballers through academy systems towards the first team is highly complex, competitive, and often unsuccessful. A myriad of factors including technical competence, physical prowess, and the development environment combine to determine youth player progression. Current research has focused on broad investigations of multiple clubs and stakeholders, providing a valuable overview of the key aspects associated with elite youth player transition. This study aimed to provide an in-depth, context-specific investigation of key stakeholders within an elite level club in the United Kingdom (UK). Seven key stakeholders including the head of the academy (n = 1), the head of sports science (n = 1), coaches (n = 3), and lead sports scientists (n = 2) were recruited. Framework analysis led to the development of a practical framework outlining the key facilitators and barriers of youth-to-first-team transition. Facilitators of transition included overcoming adversity, high-level physical prowess, exceptional technical competence, and possessing at least one elite-level attribute. Barriers to transition included a lack of opportunity, lucrative youth player contracts and a lack of development-specific coaching. In addition, the developmental environment and developing individuals within a team environment were key influences on youth-to-first-team transition. This study complements recent broad investigations of the UK and global stakeholders by corroborating many of their findings while providing transferable, context-specific accounts of applied issues related to successful transition to first-team football

Inside Game Effectiveness in Nba Basketball: Analysis of Collective Interactions

The inside game constitutes an essential aspect of modern basketball, particularly in the National Basketball Association (NBA), in where the best players of the world compete. The purpose of this study was to identify players’ dynamics that increase game performance when using inside pass in the NBA, considering game contextual effects. The sample included 808 inside passes from 25 randomly selected matches of the 2011 NBA Playoffs series. A series of logistic regression analyses were used to analyse passers and receivers’ actions and their effectiveness during inside passes, both isolated and combined. Main results revealed that the interactions combining passer’s previous actions (dribbling or faking) with receiver’s cuts towards the basket achieved the highest offensive effectiveness. Performing screens in favour to the receiver was an effective alternative to increase inside passing options since it reduces the defensive pressure. Furthermore, player’s actions prior to passing the ball were even more successful if combined and synchronized with the receivers’ displacements, especially cutting to the basket. This information allows a better understanding of basketball collective strategies, contributing to the design of precise practice tasks and so improving the training process