The contribution of structured activity and deliberate play to the development of expert perceptual and decision-making skill

The developmental histories of 32 players in the Australian Football League (AFL), independently classified as either expert or less skilled in their perceptual and decision-making skills, were collected through a structured interview process and their year-on-year involvement in structured and deliberate play activities retrospectively determined. Despite being drawn from the same elite level of competition, the expert decision-makers differed from the less skilled in having accrued, during their developing years, more hours of experience in structured activities of all types, in structured activities in invasion-type sports, in invasion-type deliberate play, and in invasion activities from sports other than Australian football. Accumulated hours invested in invasion-type activities differentiated between the groups, suggesting that it is the amount of invasion-type activity that is experienced and not necessarily intent (skill development or fun) or specificity that facilitates the development of perceptual and decision-making expertise in this team sport. © 2008 Human Kinetics, Inc.published_or_final_versio

Clinically important differences in the intensity of chronic refractory breathlessness

Context: Clinically important differences in chronic refractory breathlessness are ill defined but important in clinical practice and trial design. Objectives: To estimate the clinical relevance of differences in breathlessness intensity using distribution and patient anchor methods. Methods: This was a retrospective data analysis from 213 datasets from four clinical trials for refractory breathlessness. Linear regression was used to explore the relationship between study effect size and change in breathlessness score (0-100 mm visual analogue scale) and to estimate the change in score equivalent to small, moderate, and large effect sizes. Pooled individual blinded patient preference data from three randomized controlled trials were analyzed. The difference between the mean change in Day 4 minus baseline scores between preferred and non-preferred arms was calculated. Results: There was a strong relationship between change in score and effect size (P = 0.001; R 2 = 0.98). Values for small, moderate, and large effects were -5.5, -11.3, and -18.2 mm. The participant preference change in score was -9 mm (95% CI, -15.8, -2.1) (P = 0.008). Conclusion: This larger dataset supports a clinically important difference of 10 mm. Studies should be powered to detect this difference

Effects of low dose morphine on perceived sleep quality in patients with refractory breathlessness : a hypothesis generating study

© 2015 Asian Pacific Society of Respirology. Background and objective The management of chronic refractory breathlessness is one of the indications for regular low-dose (≤30 mg/24 h) oral sustained release morphine. Morphine may disrupt sleep in some conditions and improve sleep quality in others. This study aimed to determine any signal of regular, low-dose morphine on perceived sleep disruption due to breathlessness and perceived sleep quality. Methods This is a secondary analysis of data from 38 participants with refractory breathlessness (30 male; 33 with COPD) aged 76 ± 0.9 years who completed a double-blind, randomized, placebo-controlled, cross-over study in which they received 20 mg oral sustained release morphine daily and placebo for 4 days each. Participant ratings of sleep disruption due to breathlessness and perceived sleep quality were obtained daily throughout the 8-day trial. Results Perceived sleep disruption due to breathlessness over the 4-day period ranged between 13% and 32% of participants for placebo and 13% and 26% for morphine, decreasing by each day of the study during the morphine arm. Most participants reported 'very good' or 'quite good' sleep throughout the trial and were less likely to perceive poor sleep quality during the morphine arm (odds ratio = 0.55, 95% confidence interval: 0.34-0.88, P = 0.01). Participants who reported decreased breathlessness during the 4 days on morphine were also likely to report improved sleep quality with morphine (P = 0.039). Conclusion Four days of low-dose morphine improved perceived sleep quality in elderly participants with refractory breathlessness. Regular low-dose morphine targeted to reduce refractory breathlessness may yield associated benefits by reducing sleep disruption and improving sleep quality

The Myriad Reasons to Hit Reset on Patent-Eligibility Jurisprudence

This Article explores the Supreme Court’s recent decision in Association for Molecular Pathology v. Myriad Genetics, Inc. in the historical context of the Court’s jurisprudence regarding the scope of patent-eligible subject matter under 35 U.S.C. § 101, including the broad, judicially created “exceptions” to the statute which exclude “laws of nature, physical phenomena, and abstract ideas” from patent eligibility. The authors posit that the Myriad decision was a significant departure from the Court’s prior jurisprudence regarding patent-eligible subject matter. The authors welcome this departure and contend that Myriad more accurately adhered to the letter and the spirit of § 101 than did many of the Court’s prior rulings. The authors further propose that Myriad’s bright-line test for patent eligibility can provide a foundation for a clear and workable framework, grounded firmly in statute, that would at last bring order and consistency to an area of patent law that has long been riddled with confusion and uncertainty

Deceptive body movements reverse spatial cueing in soccer

This article has been made available through the Brunel Open Access Publishing Fund.The purpose of the experiments was to analyse the spatial cueing effects of the movements of soccer players executing normal and deceptive (step-over) turns with the ball. Stimuli comprised normal resolution or point-light video clips of soccer players dribbling a football towards the observer then turning right or left with the ball. Clips were curtailed before or on the turn (-160, -80, 0 or +80 ms) to examine the time course of direction prediction and spatial cueing effects. Participants were divided into higher-skilled (HS) and lower-skilled (LS) groups according to soccer experience. In experiment 1, accuracy on full video clips was higher than on point-light but results followed the same overall pattern. Both HS and LS groups correctly identified direction on normal moves at all occlusion levels. For deceptive moves, LS participants were significantly worse than chance and HS participants were somewhat more accurate but nevertheless substantially impaired. In experiment 2, point-light clips were used to cue a lateral target. HS and LS groups showed faster reaction times to targets that were congruent with the direction of normal turns, and to targets incongruent with the direction of deceptive turns. The reversed cueing by deceptive moves coincided with earlier kinematic events than cueing by normal moves. It is concluded that the body kinematics of soccer players generate spatial cueing effects when viewed from an opponent's perspective. This could create a reaction time advantage when anticipating the direction of a normal move. A deceptive move is designed to turn this cueing advantage into a disadvantage. Acting on the basis of advance information, the presence of deceptive moves primes responses in the wrong direction, which may be only partly mitigated by delaying a response until veridical cues emerge

Brain regions concerned with perceptual skills in tennis: An fMRI study

Sporting performance makes special demands on perceptual skills, but the neural mechanisms underlying such performance are little understood. We address this issue, making use of fMRI to identify the brain areas activated in viewing and responding to video sequences of tennis players, filmed from the opponent’s perspective. In a block-design, fMRI study, 9 novice tennis players watched video clips of tennis play. The main stimulus conditions were (1) serve sequences, (2) non-serve behaviour (ball bouncing) and (3) static control sequences. A button response was required indicating the direction of serve (left or right for serve sequences, middle button for non-serve and static sequences). By comparing responses to the three stimulus conditions, it was possible to identify two groups of brain regions responsive to different components of the task. Areas MT/MST and STS in the posterior part of the temporal lobe responded either to serve and to non-serve stimuli, relative to static controls. Serve sequences produced additional regions of activation in parietal lobe (bilateral IPL, right SPL) and in right frontal cortex (IFGd, IFGv), and these areas were not activated by non-serve sequences. These regions of parietal and frontal cortex have been implicated in a “mirror neuron” network in the human brain. It is concluded that the task of judgement of serve direction produces two different patterns of response: activations in MT/MST and STS concerned with primarily with the analysis of motion and body actions, and activations in parietal and frontal cortex associated specifically with the task of identification of direction of serve