556 research outputs found

    An Electromyographic Study of the Effects of Plyometric Training Shoes on the Lower Extremity

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    Background and Purpose: P1yometric shoes have recently been introduced as an effective training tool to enhance several aspect of an athlete\u27s ability, including vertical jump. The SkyF1ex@ system utilizes p1yomteric training shoes in conjuction with p1yometric exercises and drills to achieve maximum athletic performance. There is currently limited research to validate the manufacturer\u27s claims of increasing vertical jump. The purpose of this study is twofold: l)To describe muscle activity during walking and jumping while wearing traditional athletic shoes and p1yometric training shoes. 2)To measure the vertical jump of subjects trained with p1yometric training shoes and a control group of subjects trained with traditional athletic shoes. Subjects/Methods: l)Ten male subjects participated in lower extremity EMG analysis while walking and jumping with p1yometric and traditional athletic shoes. The EMG data was analyzed for each muscle tested. 2)Thirty male subjects participated in a four week plyometric training program, one group training with p1yometric and the other with traditional athletic shoes. Their vertical jump height was measured initially and then at the end of each week. A paired samples t-test and ANCOV A was used to analyze the data. Results: l)A significant increase in EMG activity was found in the anterior tibialis and the gastrocnemius during walking when wearing SkyF1ex@ shoes as compared to traditional shoes. No significant increase was noted during vertical jump. 2)The SkyFlex® training group did not demonstrate a more significant increase in vertical jump height as compared to the traditional athletic shoe group (p\u3c.05). Conclusion: The SkyFlex® plyometric shoe is no more effective in increasing vertical jump height than traditional plyometric training programs

    Better Than a Plack

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    Faces of the Teouma Lapita People: Art, Accuracy and Facial Approximation

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    In 2008 we completed facial approximations of four individuals from the early Lapita Culture, a seafaring people who were the first to settle the islands of the Western Pacific circa 3000 years ago. Typically an approximation is performed as a 3D sculpture or using computer graphics. We chose to sketch what we have been able to determine from the remains because the artistic conventions of drawing work with visual perception in ways that are more complementary to the knowledge, theories and methods that make up the facial approximation of human remains

    Service organisation for the secondary prevention of ischaemic heart disease in primary care.

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    BACKGROUND: Ischaemic heart disease (IHD) is a major cause of mortality and morbidity and its prevalence is set to increase. Secondary prevention aims to prevent subsequent acute events in people with established IHD. While the benefits of individual medical and lifestyle interventions is established, the effectiveness of interventions which seek to improve the way secondary preventive care is delivered in primary care or community settings is less so. OBJECTIVES: To assess the effectiveness of service organisation interventions, identifying which types and elements of service change are associated with most improvement in clinician and patient adherence to secondary prevention recommendations relating to risk factor levels and monitoring (blood pressure, cholesterol and lifestyle factors such as diet, exercise, smoking and obesity) and appropriate prophylactic medication. SEARCH STRATEGY: We searched the Cochrane Central Register of Controlled Trials (CENTRAL, The Cochrane Library 2007, Issue 4), MEDLINE (1966 to Feb 2008), EMBASE (1980 to Feb 2008), and CINAHL (1981 to Feb 2008). Bibliographies were checked. No language restrictions were applied. SELECTION CRITERIA: Randomised or quasi-randomised controlled trials of service organisation interventions in primary care or community settings in populations with established IHD. DATA COLLECTION AND ANALYSIS: Analyses were conducted according to Cochrane recommendations and Odds Ratios (with 95% confidence intervals) reported for dichotomous outcomes, mean differences (with 95% CIs) for continuous outcomes. MAIN RESULTS: Eleven studies involving 12,074 people with IHD were included. Increased proportions of patients with total cholesterol levels within recommended levels at 12 months, OR 1.90 (1.04 to 3.48), were associated with interventions that included regular planned appointments, patient education and structured monitoring of medication and risk factors, but significant heterogeneity was apparent. Results relating to blood pressure within target levels bordered on statistical significance. There were no significant effects of interventions on mean blood pressure or cholesterol levels, prescribing, smoking status or body mass index. Few data were available on the effect on diet. There was some suggestion of a \u22ceiling effect\u22 whereby interventions have a diminishing beneficial effect once certain levels of risk factor management are reached. AUTHORS\u27 CONCLUSIONS: There is weak evidence that regular planned recall of patients for appointments, structured monitoring of risk factors and prescribing, and education for patients can be effective in increasing the proportions of patients within target levels for cholesterol control and blood pressure. Further research in this area would benefit from greater standardisation of the outcomes measured

    Occupational therapists\u27 interests and attitudes toward animal assisted therapy as a treatment modality

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    One hundred seventy-nine occupational therapists (OTs) responded to a survey regarding their interests and attitudes toward animal assisted therapy as a treatment modality. It was found that most of the practitioners would be interested in learning more about animal assisted therapy and most felt it is a valid treatment modality to be used by occupational therapists. Furthermore, the most common answer to the question why would you not be interested in participating in an AAT program, was I feel I don\u27t know enough about it . It was also found that therapists\u27 most commonly selected patient goals for AAT were in the realm of mental health, whereas the least mentioned goals were more physically based goals. Further, a recommendation was made to educate OTs regarding the uses and benefits of AAT through more research, continuing education programs on AAT, publications in professional journals, and media awareness

    Potential use of the black soldier fly larvae in faecal sludge management: a study in Durban, South Africa

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    This study was performed to determine the bioconversion and waste reduction capabilities using the Black Soldier Fly larvae (BSFL) on treating Urine Diversion Toilet (UDT) sludge on a full-scale plant. A bioconversion of 10 % wet basis and a mean relative waste reduction of 41 % wet basis was achieved over a period of 13 days using 6-day-old larvae. The study is a preliminary study to identify and quantify useful design parameters and material flows, which would assist in improving the system by increasing the bioconversion and waste reduction of UDT sludge

    The HUL and the Australian Burra Charter - some implications for local heritage practices

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    This paper considers the experiences of engagement with the UNESCO Recommendation on the Historic Urban Landscape (HUL) in the City of Ballarat in relation to the practices established by the Australia ICOMOS Charter for Places of Cultural Significance (The Burra Charter). Examining the ways in which Australian local heritage practices have been shaped by the Burra Charter allows some of the complementarities and differences of HUL to be explored—for cities, for the ways in which current and future communities respond to change, and for localising heritage practices

    Using the historic urban landscape to reimagine Ballarat : the local context

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    The adoption by UNESCO of the Recommendation on the Historic Urban Landscape (2011) aimed to re-position issues of development and urban heritage conservation, and outlined a way forward based on community-centred processes and the recognition of the dynamic character of urban settlements. Achieving these goals will depend on the development of new methods and processes, and implementation to specific urban contexts. This paper highlights the importance of local government as a location where this international dialogue can be operationalized and further advanced. Reflecting on the theoretical and practical dimensions of adopting a landscape approach to urban planning and conservation by the City of Ballarat (Australia) has allowed some significant potential shifts in heritage practice to be anticipated

    The limited utility of electrocardiography variables used to predict arrhythmia in psychotropic drug overdose

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    OBJECTIVE: The aim of the present study was to examine the relationship between serious arrhythmias in patients with psychotropic drug overdose and electrocardiography (ECG) findings that have been suggested previously to predict this complication. METHODS: Thirty-nine patients with serious arrhythmias (ventricular tachycardia, supraventricular tachycardia or cardiac arrest) after tricyclic antidepressant overdose or thioridazine overdose were compared with 117 controls with clinically significant overdose matched to each case for the drug ingested. These patients with psychotropic drug overdose had presented for treatment to the Department of Clinical Toxicology, Newcastle and to the Princess Alexandra Hospital, Brisbane. The heart rate, the QRS width, the QTc and QT intervals, the QT dispersion, and the R wave and R/S ratios in aVR on the initial ECGs were compared in cases and controls. RESULTS: The cases had taken dothiepin (16 patients), doxepin (six patients), thioridazine (five patients), amitriptyline (five patients), nortriptyline (three patients), imipramine (one patient) and a combination of dothiepin and thioridazine (three patients). In 20 of the 39 patients with arrhythmias, the arrhythmia had been a presumed ventricular tachycardia. Of the other 19 patients, 15 patients had a supraventricular tachycardia, two patients had cardiac arrests (one asystole, one without ECG monitoring) and two patients had insufficient data recorded to make classification of the arrhythmias possible. The QRS was ≥ 100 ms in 82% of cases but also in 76% of controls. QRS ≥ 160 ms had a sensitivity of only 13% and occurred in 2% of controls. QRS > 120 ms, QTc > 500 and the R/S ratio in aVR appeared to have a stronger association with the occurrence of arrhythmia: QRS > 120 ms (odds ratio [OR], 3.56; 95% confidence interval [CI], 1.46–8.68), QTc > 500 (OR, 3.07; 95% CI, 1.33–7.07), and R/S ratio in aVR > 0.7 (OR, 16; 95% CI, 3.47–74). Excluding thioridazine overdoses and performing the analysis for tricyclic antidepressant overdoses alone gave increased odds ratios for QRS > 120 ms (OR, 4.83; 95% CI, 1.73–13.5) and QTc > 500 (OR, 4.5; 95% CI, 1.56–13) but had little effect on that for the R/S ratio in aVR > 0.7 (OR, 14.5; 95% CI, 3.10–68). CONCLUSION: ECG measurements were generally weakly related to the occurrence of arrhythmia and should not be used as the sole criteria for risk assessment in tricyclic antidepressant overdose. The frequently recommended practice of using either QRS ≥ 100 ms or QRS ≥ 160 ms to predict arrhythmias is not supported by our study. R/S ratio in aVR > 0.7 was most strongly related to arrhythmia but had estimated positive and negative predictive values of only 41% and 95%, respectively. The use of these specific predictors in other drug overdoses is not recommended without specific studies
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