Dynamic confidence during simulated clinical tasks

Objective: Doctors' confidence in their actions is important for clinical performance. While static confidence has been widely studied, no study has examined how confidence changes dynamically during clinical tasks. Method: The confidence of novice (n = 10) and experienced (n = 10) trainee anaesthetists was measured during two simulated anaesthetic crises, bradycardia (easy task) and failure to ventilate (difficult task). Results: As expected, confidence was high in the novice and experienced groups in the easy task. What was surprising, however, was that confidence during the difficult task decreased for both groups, despite appropriate performance. Conclusions: Given that confidence affects performance, it is alarming that doctors who may be acting unsupervised should lose dynamic confidence so quickly. Training is needed to ensure that confidence does not decrease inappropriately during a correctly performed procedure. Whether time on task interacts with incorrect performance to produce further deficits in confidence should now be investigated

Lucid dreaming and personality in children/adolescents and adults: The UK library study

Research that has focused on the relationship between the Big Five personality dimensions and lucid dreaming frequency has been restricted to student samples. The present study included adolescents and adults (N = 1375). i.e., the sample included a large range of ages. Lucid dreaming was more strongly related to openness to experiences compared to previous findings. The small but significant negative correlation between conscientiousness and lucid dreaming should be followed up by studies relating the Big Five personality factors to the contents of lucid dreams

Gender differences in dreaming in childhood and adolescence: the UK Library study

This study evaluates gender differences in dream recall frequency, dream sharing frequency, dream listening frequency and nightmare frequency in childhood and adolescence. The sample included 3534 children for the ages from 6 to 18 who completed a brief questionnaire distributed in libraries. We were able to show that overall girls recalled dreams more often, shared dreams more often, listened more often to dreams and reported higher nightmare frequency than boys. For dream sharing frequency and dream listening frequency gender differences increased significantly with age indicating that gender-specific dream socialization might be probable. As this effect was most prominent for adolescents of 13 years and older, one might speculate that the peer group – especially same-sex friendships play an important role in dream socialization. Dream listening is still a very young field of research and longitudinal studies are necessary to study when gender differences in dreaming emerge and whether this processes effect dream recall frequency and other dream variables in adults

Efficacy of an 8-Week Concurrent Strength and Endurance Training Programme on Hand Cycling Performance

The aim of the present study was to investigate the effects of an 8-week concurrent strength and endurance training programme in comparison to endurance training only on several key determinants of hand cycling performance. Five H4 and five H3 classified hand cyclists with at least one year’s hand cycling training history consented to participate in the study. Subjects underwent a battery of tests to establish body mass, body composition, VO2peak, maximum aerobic power, gross mechanical efficiency, maximal upper body strength, and 30 km time trial performance. Subjects were matched into pairs based upon 30 km time trial performance and randomly allocated to either a concurrent strength and endurance or endurance training only, intervention group. Following an 8-week training programme based upon a conjugated block periodisation model, subjects completed a second battery of tests. A mixed model, 2-way analysis of variance (ANOVA) revealed no significant changes between groups. However, the calculation of effect sizes (ES) revealed that both groups demonstrated a positive improvement in most physiological and performance measures with subjects in the concurrent group demonstrating a greater magnitude of improvement in body composition (ES -0.80 vs. -0.22) maximal aerobic power (ES 0.97 vs. 0.28), gross mechanical efficiency (ES 0.87 vs. 0.63), bench press 1 repetition maximum (ES 0.53 vs. 0.33), seated row 1 repetition maximum (ES 1.42 vs. 0.43), and 30 km time trial performance (ES -0.66 vs. -0.30). In comparison to endurance training only, an 8-week concurrent training intervention based upon a conjugated block periodisation model appears to be a more effective training regime for improving the performance capabilities of hand cyclists

Efficacy of depth jumps to elicit a post-activation performance enhancement in junior endurance runners

Objectives: To determine the effect of performing depth jumps (DJ) pre-exercise on running economy (RE) and time to exhaustion (TTE) at the speed associated with maximal oxygen uptake (sV˙O2max) in a group of high-performing junior middle-distance runners. Design: Randomized crossover study. Methods: Seventeen national- and international-standard male distance runners (17.6 ± 1.2 years, 63.4 ± 6.3 kg, 1.76 ± 0.06 m, 70.7 ± 5.2 mL kg−1 min−1) completed two trials. Following a 5 min warm-up at 60% V˙O2max, participants performed a 5 min run at 20%Δ below oxygen uptake corresponding with lactate turn-point to determine pre-intervention RE. Participants then completed either six DJ from a box equivalent to their best counter-movement jump (CMJ) or a control condition (C) involving body weight quarter squats. After a 10 min passive recovery, another 5 min sub-maximal run was performed followed by a run to exhaustion at sV˙O2max. Results: Compared to the C trial, DJ produced moderate improvements (−3.7%, 95% confidence interval for effect size: 0.25–1.09) in RE, which within the context of minimal detectable change is considered possibly beneficial. Differences in TTE and other physiological variables were most likely trivial (ES: <0.2). Individual responses were small, however a partial correlation revealed a moderate relationship (r = −0.55, p = 0.028) between change in RE and CMJ height. Conclusions: The inclusion of a set of six DJ in the warm-up routine of a well-trained young male middle-distance runner is likely to provide a moderate improvement in RE

Testing the Empathy Theory of Dreaming: The Relationships Between Dream Sharing and Trait and State Empathy

In general, dreams are a novel but realistic simulation of waking social life, with a mixture of characters, motivations, scenarios, and positive and negative emotions. We propose that the sharing of dreams has an empathic effect on the dreamer and on significant others who hear and engage with the telling of the dream. Study 1 tests three correlations that are predicted by the theory of dream sharing and empathy: that trait empathy will be correlated with frequency of telling dreams to others, with frequency of listening to others' dreams, and with trait attitude toward dreams (ATD) (for which higher scores indicate positive attitude). 160 participants completed online the Toronto Empathy Questionnaire and the Mannheim Dream Questionnaire. Pearson partial correlations were conducted, with age and sex paddled out. Trait empathy was found to be significantly associated with the frequency of listening to the dreams of others, frequency of telling one's own dreams to others, and attitude toward dreams. Study 2 tests the effects of discussing dreams on state empathy, using an adapted version of the Shen (2010) state empathy scale, for 27 pairs of dream sharers and discussers. Dream discussion followed the stages of the Ullman (1996) dream appreciation technique. State empathy of the dream discusser toward the dream sharer was found to increase significantly as a result of the dream discussion, with a medium effect size, whereas the dream sharer had a small decrease in empathy toward the discusser. A proposed mechanism for these associations and effects is taken from the robust findings in the literature that engagement with literary fiction can induce empathy toward others. We suggest that the dream acts as a piece of fiction that can be explored by the dreamer together with other people, and can thus induce empathy about the life circumstances of the dreamer. We discuss the speculation that the story-like characteristics of adult human dreams may have been selected for in human evolution, including in sexual selection, as part of the selection for emotional intelligence, empathy, and social bonding

Evaluation of the vector competence of a native UK mosquito Ochlerotatus detritus (Aedes detritus) for dengue, chikungunya and West Nile viruses

BACKGROUND: To date there has been no evidence of mosquito-borne virus transmission of public health concern in the UK, despite the occurrence of more than 30 species of mosquito, including putative vectors of arboviruses. The saltmarsh mosquito Ochlerotatus detritus [syn. Aedes (Ochlerotatus) detritus] is locally common in parts of the UK where it can be a voracious feeder on people. METHODS: Here, we assess the competence of O. detritus for three major arboviruses: dengue virus (DENV), chikungunya virus (CHIKV) and West Nile virus (WNV) using adult mosquitoes reared from wild, field-obtained immatures. RESULTS: We demonstrate laboratory competence for WNV at 21 °C, with viral RNA detected in the mosquito’s saliva 17 days after oral inoculation. By contrast, there was no evidence of laboratory competence of O. detritus for either DENV or CHIKV. CONCLUSIONS: To our knowledge, this is the first study to demonstrate competence of a UK mosquito for WNV and confirms that O. detritus may present a potential risk for arbovirus transmission in the UK and that further investigation of its vector role in the wild is required

Dreaming and insight

This paper addresses claims that dreams can be a source of personal insight. Whereas there has been anecdotal backing for such claims, there is now tangential support from findings of the facilitative effect of sleep on cognitive insight, and of REM sleep in particular on emotional memory consolidation. Furthermore, the presence in dreams of metaphorical representations of waking life indicates the possibility of novel insight as an emergent feature of such metaphorical mappings. In order to assess whether personal insight can occur as a result of the consideration of dream content, 11 dream group discussion sessions were conducted which followed the Ullman Dream Appreciation technique, one session for each of 11 participants (10 females, 1 male; mean age = 19.2 years). Self-ratings of deepened self-perception and personal gains from participation in the group sessions showed that the Ullman technique is an effective procedure for establishing connections between dream content and recent waking life experiences, although wake life sources were found for only 14% of dream report text. The mean Exploration-Insight score on the Gains from Dream Interpretation questionnaire was very high and comparable to outcomes from the well-established Hill (1996) therapist-led dream interpretation method. This score was associated between-subjects with pre-group positive Attitude Toward Dreams (ATD). The need to distinguish “aha” experiences as a result of discovering a waking life source for part of a dream, from “aha” experiences of personal insight as a result of considering dream content, is discussed. Difficulties are described in designing a control condition to which the dream report condition can be compared

Talent Identification and Development in Male Rugby Union: A Systematic Review

The pathway towards expertise in sport has been studied within different contexts. Various methodological approaches have been used in research to explore the processes of talent identification (TID) and talent development (TD) in rugby union (RU). The aim of this study was to critically review the existing literature on TID and TD in RU in order to outline where the existing research lies, identify the most researched topics, and provide updated guidance for coaches, practitioners, and future research. Searches were conducted in the electronic databases PubMed, Web of Science, Scopus, SPORTDiscus, and Google Scholar. The following Boolean combination key words were applied: rugby union, AND, talent identification, talent development, early selection, youth selection, talent transfer, and youth development. This process was carried out in accordance with PRISMA guidelines. Databases provided 382 studies, with a total of 253 articles fully assessed (IRR = 98.6%, k = 0.94), of which a further 234 were excluded (IRR = 97.7%, k = 0.85). Following this screening, 15 articles were added from studies and review citations, resulting in a total of 34 articles included in the review. The ecological dynamics framework was applied to collate factors from the one- and multi-dimensional findings (Sarmento et al., 2018). The most investigated topics were as follows: (1) task constraints: (a) participation history; (2) performer constraints: (a) psychological factors; (b) technical and tactical skills; (c) anthropometric factors; (d) physiological factors; (3) environmental constraints: (a) relative age effects; (b) socio-cultural factors. Practitioners need to consider the players’ anthropometric, physiological, psychological, technical, and tactical profile, when selecting and developing young rugby union players. Further longitudinal mixed-method research is required to provide indications of the success of talent identification and development processes, to gain a better understanding on how these factors can affect selection and long-term progress

The anthropometric, physical, and relative age characteristics of an English Premiership rugby union academy

Long-term athlete development is a primary focus for the England Rugby Football Union (RFU). The purpose of this study was to explore the anthropometric, physical, and relative age characteristics of rugby union academy players based on age group and playing position. Seventy-eight participants were measured for height, body mass, 10 and 20 m sprint, countermovement jump, peak and relative power, sprint momentum for 10 and 20 m, reactive strength index, aerobic capacity, isometric hip extension, dominant handgrip strength, and birth quartile (BQ) across three age categories (i.e., under-16, under-18, and under-21) and two positions (i.e., forwards and backs). ANOVA and Kruskall–Wallis analysis were used to examine differences across each age category and position. TukeyHSD and Dunn’s test with Bonferroni correction was used for further post-hoc analysis. BQ distributions were compared against national norms using chi-square analysis. Results revealed that both older forwards (P=0.005) and backs (P=0.002) had significantly greater body mass, momentum, power, and maximal aerobic capacity compared to younger players. However, older forwards had slower 10 m sprint times compared to younger forwards. Moreover, relatively older players were significantly overrepresented across all age groups when compared to relatively younger players. Findings suggest that: (a) players should aim to develop greater parameters of body mass, momentum, power, and aerobic capacity; (b) forwards should aim to develop acceleration, strength, momentum, and power; (c) backs should aim to develop momentum, power, and quickness; and, (d) coaches should consider relative age when recruiting and developing young players