PARAMETERS OF BALL RELEASE IN WHEELCHAIR BASKETBALL FREE THROW SHOOTING

The purpose of this study was to identify the relationship between ball release parameters and player classification in wheelchair basketball free throw shooting. Utilizing three-dimensional (3D) video data collected during international competition, parameters of ball release associated with performance of the dean swish were examined. Significant differences were identified between the four player classes. The upper classes (3 & 4) tended to release the ball from a greater height, with less speed and a smaller angle of projection. The lower classes used a technique that demanded greater accuracy, but still managed to achieve free throw shooting percentages similar to the upper classes (3 & 4) who did not appear to utilize their height advantage

A realistic evaluation : the case of protocol-based care

Background 'Protocol based care' was envisioned by policy makers as a mechanism for delivering on the service improvement agenda in England. Realistic evaluation is an increasingly popular approach, but few published examples exist, particularly in implementation research. To fill this gap, within this paper we describe the application of a realistic evaluation approach to the study of protocol-based care, whilst sharing findings of relevance about standardising care through the use of protocols, guidelines, and pathways. Methods Situated between positivism and relativism, realistic evaluation is concerned with the identification of underlying causal mechanisms, how they work, and under what conditions. Fundamentally it focuses attention on finding out what works, for whom, how, and in what circumstances. Results In this research, we were interested in understanding the relationships between the type and nature of particular approaches to protocol-based care (mechanisms), within different clinical settings (context), and what impacts this resulted in (outcomes). An evidence review using the principles of realist synthesis resulted in a number of propositions, i.e., context, mechanism, and outcome threads (CMOs). These propositions were then 'tested' through multiple case studies, using multiple methods including non-participant observation, interviews, and document analysis through an iterative analysis process. The initial propositions (conjectured CMOs) only partially corresponded to the findings that emerged during analysis. From the iterative analysis process of scrutinising mechanisms, context, and outcomes we were able to draw out some theoretically generalisable features about what works, for whom, how, and what circumstances in relation to the use of standardised care approaches (refined CMOs). Conclusions As one of the first studies to apply realistic evaluation in implementation research, it was a good fit, particularly given the growing emphasis on understanding how context influences evidence-based practice. The strengths and limitations of the approach are considered, including how to operationalise it and some of the challenges. This approach provided a useful interpretive framework with which to make sense of the multiple factors that were simultaneously at play and being observed through various data sources, and for developing explanatory theory about using standardised care approaches in practice

THE EFFECT OF WRIST RESTRAINTS ON WHEELING BIOMECHANICS

High intracarpal pressures created by hyperextension of the wrist during wheelchair propulsion is a suggested cause of median nerve dysfunction at the wrist/hand (Burnham & Steadward, 1994). An injury survey conducted by Burnham, Higgins & Steadward (1994) found that the wrist and hand were the most common sites of injury reported by wheelchair basketball players. The purpose of this study was to assess whether various forms of hand/wrist protection (visco-elastic padded glove, wrist splint, glove and splint) could effectively reduce the hyperextension seen at the wrist during wheelchair propulsion, thus potentially reducing the conditions predisposing to carpal tunnel syndrome. In addition, an evaluation of the various forms of hand/wrist protection and their effects on wheeling mechanics was also undertaken. The wheeling performances of thirteen subjects with prior wheeling experience were recorded using two SVHS videorecorders positioned to obtain a front and side view. Each subject propelled a standard wheelchair basketball chair mounted to a set of wheelchair rollers under four different conditions (no splint, visco-elastic padded glove on the palms, wrist splint, and glove and splint together). Under each of the conditions the subjects wheeled for thirty seconds both at their average speed and at their maximum speed. Reflective markers were placed on the joint centers of the shoulder and elbow, on the styloid processes of the radius and ulna, and on the distal ends of the 2nd and 5th metacarpals of the right limb to facilitate subsequent digitizing. Twelve points surrounding the activity space were filmed prior to testing and later utilized for calibration using the DLT method for three-dimensional coordinate data reconstruction, followed by smoothing of the data using a cubic spline. Three-dimensional joint angular displacement-time histories for the elbow and wrist were determined using the 3D coordinate data and the dot product identity. Data were analyzed using an one way AN OVA followed by Scheffe post hoc comparisons where appropriate. No differences were found to be significant between the conditions for the elbow angle, however significant differences were revealed for the wrist extension and wrist range of motion angles. Both splint conditions (splint, glove &splint) were significantly different from the non-restraint conditions (no splint, glove). The data suggest that the splints significantly reduced the amount of wrist extension as compared to the no restraint conditions. No significant differences were found between the conditions for maximum wheeling speed. Within the limitations of this study, it can be concluded that the wrist restraints significantly reduced wrist extension during wheeling and that the restraints did not significantly affect wheeling mechanics as suggested by the consistent elbow-angle time histories and wheeling speeds. REFERENCES Burnham, R & Steadward, R (1994). Upper extremity peripheral nerve entrapments among wheelchair athletes: prevalence, location, and risk factors. Archives of Physical Medicine and Rehabilitation, 75, 519 524. Burnham, R, Higgins, J. & Steadward, R. (1994). Wheelchair basketball injuries. Palaestra, 10(2), 43-49

Electron-impact excitation of X 1Sigma_g⁺(v[double-prime]=0) to the a[double-prime] 1Sigma_g⁺, b 1Piu, c3 1Piu, o3 1Piu, b[prime] 1Sigma_u⁺, c₄^[prime] 1Sigma_u⁺, G 3Piu, and F 3Piu states of molecular nitrogen

Measurements of differential cross sections (DCSs) for electron-impact excitation of the a[double-prime] 1Sigmag+, b 1Piu, c3 1Piu, o3 1Piu, b[prime] 1Sigmau+, c4[prime] 1Sigmau+, G 3Piu, and F 3Piu states in N2 from the X 1Sigmag+(v[double-prime]=0) ground level are presented. The DCSs were obtained from energy-loss spectra in the region of 12 to 13.82 eV measured at incident energies of 17.5, 20, 30, 50, and 100 eV and for scattering angles ranging from 2° to 130°. The analysis of the spectra follows a different algorithm from that employed in a previous study of N2 for the valence states [Khakoo et al. Phys. Rev. A 71, 062703 (2005)], since the 1Piu and 1Sigmau+ states form strongly interacting Rydberg-valence series. The results are compared with existing data

In vivo substrates of the lens molecular chaperones αA-crystallin and αB-crystallin

αA-crystallin and αB-crystallin are members of the small heat shock protein family and function as molecular chaperones and major lens structural proteins. Although numerous studies have examined their chaperone-like activities in vitro, little is known about the proteins they protect in vivo. To elucidate the relationships between chaperone function, substrate binding, and human cataract formation, we used proteomic and mass spectrometric methods to analyze the effect of mutations associated with hereditary human cataract formation on protein abundance in αA-R49C and αB-R120G knock-in mutant lenses. Compared with age-matched wild type lenses, 2-day-old αA-R49C heterozygous lenses demonstrated the following: increased crosslinking (15-fold) and degradation (2.6-fold) of αA-crystallin; increased association between αA-crystallin and filensin, actin, or creatine kinase B; increased acidification of βB1-crystallin; increased levels of grifin; and an association between βA3/A1-crystallin and αA-crystallin. Homozygous αA-R49C mutant lenses exhibited increased associations between αA-crystallin and βB3-, βA4-, βA2-crystallins, and grifin, whereas levels of βB1-crystallin, gelsolin, and calpain 3 decreased. The amount of degraded glutamate dehydrogenase, α-enolase, and cytochrome c increased more than 50-fold in homozygous αA-R49C mutant lenses. In αB-R120G mouse lenses, our analyses identified decreased abundance of phosphoglycerate mutase, several β- and γ-crystallins, and degradation of αA- and αB-crystallin early in cataract development. Changes in the abundance of hemoglobin and histones with the loss of normal α-crystallin chaperone function suggest that these proteins also play important roles in the biochemical mechanisms of hereditary cataracts. Together, these studies offer a novel insight into the putative in vivo substrates of αA- and αB-crystallin

Endogenous fantasy and learning in digital games.

Many people believe that educational games are effective because they motivate children to actively engage in a learning activity as part of playing the game. However, seminal work by Malone (1981), exploring the motivational aspects of digital games, concluded that the educational effectiveness of a digital game depends on the way in which learning content is integrated into the fantasy context of the game. In particular, he claimed that content which is intrinsically related to the fantasy will produce better learning than that which is merely extrinsically related. However, this distinction between intrinsic and extrinsic (or endogenous and exogenous) fantasy is a concept that has developed a confused standing over the following years. This paper will address this confusion by providing a review and critique of the empirical and theoretical foundations of endogenous fantasy, and its relevance to creating educational digital games. Substantial concerns are raised about the empirical basis of this work and a theoretical critique of endogenous fantasy is offered, concluding that endogenous fantasy is a misnomer, in so far as the "integral and continuing relationship" of fantasy cannot be justified as a critical means of improving the effectiveness of educational digital games. An alternative perspective on the intrinsic integration of learning content is described, incorporating game mechanics, flow and representations

A case study evaluation of implementation of a care pathway to support normal birth in one English birth centre: anticipated benefits and unintended consequences

Background: The policy drive for the UK National Health Service (NHS) has focused on the need for high quality services informed by evidence of best practice. The introduction of care pathways and protocols to standardise care and support implementation of evidence into practice has taken place across the NHS with limited evaluation of their impact. A multi-site case study evaluation was undertaken to assess the impact of use of care pathways and protocols on clinicians, service users and service delivery. One of the five sites was a midwifery-led Birth Centre, where an adapted version of the All Wales Clinical Pathway for Normal Birth had been implemented. Methods: The overarching framework was realistic evaluation. A case study design enabled the capture of data on use of the pathway in the clinical setting, use of multiple methods of data collection and opportunity to study and understand the experiences of clinicians and service users whose care was informed by the pathway. Women attending the Birth Centre were recruited at their 36 week antenatal visit. Episodes of care during labour were observed, following which the woman and the midwife who cared for her were interviewed about use of the pathway. Interviews were also held with other key stakeholders from the study site. Qualitative data were content analysed. Results: Observations were undertaken of four women during labour. Eighteen interviews were conducted with clinicians and women, including the women whose care was observed and the midwives who cared for them, senior midwifery managers and obstetricians. The implementation of the pathway resulted in a number of anticipated benefits, including increased midwifery confidence in skills to support normal birth and promotion of team working. There were also unintended consequences, including concerns about a lack of documentation of labour care and negative impact on working relationships with obstetric and other midwifery colleagues. Women were unaware their care was informed by a care pathway. Conclusion: Care pathways are complex interventions which generate a number of consequences for practice. Those considering introduction of pathways need to ensure all relevant stakeholders are engaged with this and develop robust evaluation strategies to accompany implementation

Use of Otolith Strontium:Calcium Ratios for Hindcasting Larval Cod Gadus Morhua Distributions Relative to Water Masses on Georges Bank

The concentration ratios of strontium to calcium in laboratory-reared larval cod otoliths are shown to be related to the water temperature (T) at the time of otolith precipitation. This relationship is curvilinear, and is best described by a simple exponential equation of the form (Sr/Ca x 1000 = a exp(-T/b). We show that when Sr/Ca elemental analyses are related to the daily growth increments in the larval otoliths, relative temperature histories of individual field-caught larvae can be reconstructed from the egg stage to the time of capture. We present preliminary examples of how such reconstructed temperature histories of Atlantic cod Gadus morhua larvae, collected on Georges Bank during April and May 1993, may be interpreted in relation to the broad-scale larval distributions and the hydrography of the Bank

Space Station Facilities and Operations at the Kennedy Space Center

The Spaca Station Program potentially will a significant Impact on the Kennedy Space Canter Current and past programs have had their major Impact on KSC In the prelaunch and launch operations area with program support, subsequent to liftoff, generally performed at other locations. The Space Station Program also will Impact pre- launch and launch operations at KSC but, due to Its proposed 10-year operational lifetime, KSC also could have a significant role in support of the operational program. Support operations of the Space Station Program may be performed elsewhere; however, centralizing them at KSC has a number of attractive features which warrant study