Friedman Nonparametric ANOVA Research Articles

Effects of Modified Invasion Games on Motor Competence and Self-Assessed Physical Condition in Elementary School Students in the Physical Education Classroom.

Modified invasion games promote the development of real and perceived motor competence. Children with higher motor competence are more likely to participate in physical activity practice and to remain in it, both in adolescence and adulthood. (1) Background: The purpose of this study is to determine the effect of modified invasion games on the real motor competence and self-assessment of the physical condition fifth-grade students from a private school in Viña del Mar, Chile. (2) Methods: 40 girls and boys with an average age of 11.47 years (SD = 0.554) participated in this study during a 12-week intervention. The MOBAK 5-6 battery was used to assess actual motor competence, the SEMOK questionnaire was used to determine perceived motor competence, the International Fitness Scale (IFIS) self-assessment questionnaire was used to assess perceived physical fitness, and the weight/size ratio was used to determine BMI. A Friedman's nonparametric ANOVA analysis was applied to determine the effect of the intervention, in addition to an analysis of covariance (ANCOVA) to identify the influence of the covariates on motor competence. (3) Results: No statistically significant differences were established between weight, BMI, and waist circumference. There was a statistically significant difference after the intervention in the actual motor competence of object control (p = 0.005) and perceived motor competence of object control (p ≤ 0.001) (4) Conclusions: An intervention based on modified invasion games is effective for the improvement of actual and perceived motor competence of object control. It was not possible to identify a positive effect on the self-assessment of muscle strength after the intervention.

A week long \u201cpep\u201d talk \u2013 initial and 2\u20133-year longitudinal data on the Ottawa Psychiatry Enrichment Program (OPEP)

BackgroundRecruitment to psychiatry as a career has been challenging in Canada and abroad despite the known shortage and increasing burden of psychiatric issues globally. Deterrents to choosing psychiatry as a career include its negative stigma and paucity of knowledge about the field. The study goal was to evaluate the Ottawa Psychiatry Enrichment Program (OPEP), a one-week extracurricular program about psychiatry as a career for 1st and 2nd year medical students. We hypothesized OPEP would improve students’ attitudes towards psychiatry, and positive changes would be sustained 2–3 years later following their residency match. We hypothesized there would be a high recruitment of OPEP attendees to psychiatry programs.Methods1st and 2nd year medical students from Canada applied to OPEP. Attendees completed the Attitudes Towards Psychiatry Questionnaire (ATP-30) at three times: before OPEP (PreOPEP), after OPEP (PostOPEP) and after their Canadian Residency Matching Service (CaRMs) match 2–3 years later. OPEP ATP-30 scores were compared to third-year student ATP-30 scores before and after their psychiatry rotation. Data were analysed using Friedman non-parametric ANOVA and post hoc testing by either Wilcoxon rank sum test, Wilcoxon matched pairs signed rank test, or parametric Welch independent t-test as appropriate. Effect sizes of group mean differences were calculated using Cohen’s “d”.ResultsBetween 2017–2018, 29/53 Canadian applicants were selected for OPEP. 100%, 93.1% and 75.8% of OPEP students completed the PreOPEP, PostOPEP, and CaRMs ATP-30 surveys respectively. 43% of OPEP attendees matched to psychiatry. PostOPEP ATP-30 scores (mean = 133, median = 137, SD = 10.6) were significantly higher than PreOPEP ATP-30 (mean score = 121, median = 122, SD = 9.3, p < 0.001) and CaRMS ATP-30 (mean = 126, median = 127, SD = 12.3, p < 0.02) scores. OPEP effect size on ATP-30 scores was large (d = 1.2) but decreased 2–3 years later (p = 0.078, d = 0.44). 97/202 students completed the ATP-30 before and after their psychiatry rotation (clerkship). Clerkship effect size on improvement in ATP-30 was moderate (d = 0.39). There was a non-significant difference between OPEP CaRMS ATP-30 and post clerkship ATP-30 scores (median 127 vs 121, p = 0.056).ConclusionsOPEP ameliorated attitudes toward Psychiatry, but improvement deteriorated longitudinally. Strategies for program design, and innovations to boost/retain improvements during clerkship years are discussed.

Clinicopathologic Correlation of Kaposi Sarcoma Involving the Ocular Adnexa: Immunophenotyping of Diagnostic and Therapeutic Targets.

To describe the clinicopathologic characteristics and the expression of diagnostic/treatment targets in ocular adnexal Kaposi Sarcoma. We conducted a clinical-pathologic retrospective case series. Immunohistochemical staining for cluster of differentiation 31 (CD31), human herpesvirus-8 (HHV8), platelet-derived growth factor receptor alpha (PDGFR-A), vascular endothelial growth factor receptor-1 (VEGF), tyrosine-protein kinase Kit (c-Kit), and programmed cell death protein 1 (PD-1) were performed. Percentage of positive tumor cells was recorded for PD-1; staining intensity and distribution (H-score) were determined for the remaining stains. A Friedman non-parametric ANOVA analysis evaluated the staining. The study cohort included 13 patients (age 25 to 95 years; mean 46): 7 lesions were in the eyelid, 5 in the conjunctiva, and 1 in the cornea. Nine of 11 lesions (82%) were in human immunodeficiency syndrome-positive patients (human immunodeficiency syndrome status was unknown in 2 cases). Staging included 6 plaques and 7 nodules. The mean H-scores of CD31, HHV8, c-Kit, VEGF, and PDGF-A were 8.00, 8.23, 2.77, 11.54, and 10.31, respectively. Mean PD-1 staining was 6.46%. The Friedman non-parametric ANOVA analysis showed VEGF, PDGF-A, CD31, and HHV8 differed significantly, and all differed significantly from c-Kit. Programmed cell death protein 1 staining was not significant with any clinical variable. Cluster of differentiation 31 and HHV8 are helpful diagnostic adjuncts for ocular adnexal Kaposi Sarcoma. Platelet-derived growth factor receptor alpha and VEGF are promising treatment targets. Programmed cell death protein 1/PD-L1 and c-Kit are targets that are useful in several tumors; their roles in ocular adnexal Kaposi Sarcoma warrant further studies.

The Use of Recovery Strategies Among Participants of the BUPA Great North Run: A Cross-Sectional Survey.

To investigate half-marathon runners' frequency of use of recovery strategies, perceptions regarding the most beneficial recovery strategy, and reasons for using recovery strategies. Cross-sectional survey. 186 participants of the 13.1 mile BUPA Great North Run 2013. A questionnaire was developed which required participants to indicate how frequently they used 12 different recovery strategies, identify which recovery strategy they believed to be most beneficial, and rank 6 reasons for using recovery strategies in order of importance. Data were analyzed using a Friedman nonparametric ANOVA and additional nonparametric tests. All participants used recovery strategies. Stretching was the most commonly used recovery strategy (P < .001), whereas the use of nutritional supplements was the most commonly selected most beneficial recovery strategy. More than 50% of respondents indicated that they never used strategies such as kinesio tape (80%), hydrotherapy (78%), or ice baths (71%). A significant difference was observed between reasons for using recovery strategy (χ2 (5) = 292.29, P < .001). Reducing muscle tightness (rank 4.87) and reducing injury (rank 4.35) were the most frequently chosen most important reasons for using recovery strategies. Minor sex and age differences in the responses were identified. Recovery strategy usage appears to be widespread among half-marathon runners; however, disparities exist between the frequency of use and perceived effectiveness of different recovery strategies. Further research in this area is needed to facilitate the development of recovery strategy guidelines which are both evidence-based and practically relevant.

A preliminary investigation into the effect of ad libitum or restricted hay with or without Horslyx on the intake and switching behaviour of normal and crib biting horses

In an attempt to reduce’fibre-belly’ and prevent obesity in horses many owners restrict access to hay in the stable. Such restrictions can lead to digestive disturbances and promote the development of stereotypic behaviours.The objectives of this experiment were to determine if ad libitum or restricted forage with or without the molasses based lick, Horslyx, would alter the behaviour in a group of normal and confirmed stereotypic horses.Two Randomised Block Design trials were conducted simultaneously. Group A consisted of 3 crib-biters and 1 normal horse, while group B contained 4 non-stereotypic (normal) horses. Horses were individually housed in 10×12 foot boxes and bedded on dust-extracted shavings with water available ad libitum. Diets were ad libitum hay, ad libitum hay+Horslyx, restricted hay, and restricted hay+Horslyx. For two days of each collection period every horse was individually observed, and an ethogram completed for ½h 3x/day=6 observation sessions for each horse. Switching behaviour and data for hay and lick intakes were averaged across the 5 days of collection and subjected to Friedman's non-parametric ANOVA with horse, diet and behaviour as fixed factors.Ad libitum or restricted forage or the presence of a Horslyx had no significant impact on horse behaviour. Crib-biting horses tended to consume less hay 8.81 (±3.60)kg/d and more Horslyx 1.10 (±0.38)kg/d compared with normal horses who consumed more hay at 11.72 (±4.59)kg/d and less Horslyx at 1.01 (±0.45)kg/d respectively, but there was no significant differences between the groups. Crib-biting horses switched behaviour (eating, licking, cribbing, drinking, and looking over the door resting) an average of 40 times more during the 30min observation sessions than normal horses. Crib-biting horses also licked the Horslyx 1.5 times more than normal horses.These results confirmed that stereotypic animals are addicted to the reward of the dopamine release, achieved by the action of crib biting, and are thus not influenced by ad libitum forage or access to a stable lick. The 4 fold increase in switching behaviour and additional licking by the crib-biting horses suggests an increased transmission of the neurotransmitter dopamine and in this regard licking may promote coping in certain environmental circumstances.The results of this study suggest that providing a lick in the stable for crib-biting horses gives them another activity to the normal forage consumption and resting actions and may provide another mechanism for dopamine release and thus enhance their ‘coping’ strategy when confined in stables.

Human Perception-Based Data Reduction for Haptic Communication in Six-DoF Telepresence Systems

In this paper, a human perception-based data reduction method is suggested to reduce the number of packets transmitted in 6-degrees-of-freedom (DoF) telehaptic systems; specifically in haptic-enabled telepresence. The algorithm relies on knowledge from human haptic perception in order to reduce the number of packets transmitted without compromising transparency. Several distance metrics are also discussed to best examine the acuity of human perception in detecting haptic distortion when data reduction is performed in 6-DoF settings. A validation of the proposed haptic data reduction technique is performed under normal network conditions as well as in the presence of network-induced time delay and packet loss. Statistical significance tests (using Friedman's nonparametric ANOVA, and Wilcoxon signed-rank tests) were carried out to determine the appropriate multivariate human haptic perceptual thresholds (force, torque, orientation, etc.) required to minimize the number of packets transmitted while preserving the immersiveness of the 6-DoF telehaptic environment. It was observed that the suggested algorithm can significantly reduce haptic data traffic with little or no influence on the quality of haptic-enabled telepresence interaction.

A Role of Corneal Mechanical Adaptation in Contact Lens–Related Dry Eye Symptoms

To compare corneal mechanical adaptation measured psychophysically in contact lens wearers with or without dry eye symptoms. Two groups of contact lens wearers were recruited. One group (symptomatic) consisted of subjects with dry eye symptoms (according to the subjective evaluation of symptom of dryness [SeSoD] questionnaire). The second control group (asymptomatic) consisted of subjects reporting no symptoms. There were 32 (aged 20 to 42 years, 6 males and 26 females) and 29 subjects (aged 21 to 36 years, 9 males and 20 females) in the symptomatic and asymptomatic groups, respectively. Mechanical stimulus thresholds of the cornea were determined using a Belmonte pneumatic esthesiometer and the ascending method of limits. Then three stimulus intensity groups (subthreshold, threshold, and suprathreshold) were applied to the eye in random order, each 20 times. Subjects rated the intensity of the stimuli using a scale of zero to four. The rating data from the two groups were compared by Friedman nonparametric ANOVA. Adaptation was defined as the reduction in subsequent ratings compared with earlier ones. No significant difference was seen in subjects' thresholds in both groups (P = 0.22). The symptomatic group rated their sensations to suprathreshold stimuli higher than the asymptomatic group. More importantly, there was significant adaptation with suprathreshold mechanical stimulation in the asymptomatic group (P = 0.006) but not in the symptomatic group (P = 0.08). There was no adaptation during threshold and subthreshold stimulus sessions in either group. Adaptation was found to suprathreshold mechanical stimuli in the asymptomatic group but not in the symptomatic group.

Human Corneal Adaptation to Mechanical, Cooling, and Chemical Stimuli

To psychophysically investigate adaptation in human corneas using the Belmonte pneumatic esthesiometer. Twenty, 8, and 20 healthy subjects were enrolled in the mechanical, cool, and chemical experiments, respectively. Thresholds were estimated using an ascending method of limits and three intensities (subthreshold, threshold, and suprathreshold, in random order) were each presented 10 or 20 times, and subjects scaled the intensity of the stimuli (0-4 [no stimulus to very intense stimulus]). Friedman nonparametric ANOVA was used to analyze the rating data. There was measurable adaptation with both mechanical and cool stimuli. For both suprathreshold mechanical and cool stimuli, the earlier stimuli were rated more intensely than subsequent stimuli (both P < 0.05). However, this was not the case for subthreshold and threshold mechanical and cool stimuli (all P > 0.05). Paradoxically, for the chemical stimuli, there was adaptation to threshold stimuli (P = 0.03) but no adaptation for subthreshold and suprathreshold stimuli (P = 0.19 and 0.11, respectively). Both mechanical (mechanosensory or polymodal) and cold receptors on human corneas show adaptation to repeated suprathreshold stimuli with a reduction in perceived intensity after multiple exposures to the same physical stimulus intensity. This is in accord with the results found in electrophysiological and psychophysical experiments of somatosensation elsewhere in the body (and in other animals). The response to chemical stimuli was different, and this might reflect proximal and distal neural or stimulus-specific effects.

Time trends of chest pain symptoms and health related quality of life in coronary artery disease

BackgroundThere is at present a lack of knowledge of time trends in health related quality of life (HRQL) in common patients with coronary artery disease (CAD) treated in ordinary care. The objective of this study is to assess and compare time trends of health related quality of life (HRQL) and chest pain in patients with coronary artery disease.Methods253 consecutive CAD patients in Stockholm County, Sweden – 197 males/56 females; 60 ± 8 years – were followed during two years. Perceived chest pain symptoms and three global assessments of HRQL were assessed at baseline, after one and after two years. EuroQol-5 dimension (EQ-5D) with a predefined focus on function and symptoms; the broader tapping global estimates of HRQL; EuroQol VAS (EQ-VAS) and Cardiac Health Profile (CHP) were used. Chest pain was ranked according to Canadian Cardiovascular Society (CCS). Change in HRQL was analysed by a repeated measurements ANOVA and chest pain symptoms were analysed by Friedman non-parametric ANOVA.ResultsPerceived chest pain decreased during the two years (p < 0.00022); CCS 0: 41–51%; CCS 1: 19–15%; CCS 2: 31–27%; CCS 3: 5–4% and CCS 4: 4–2%. By contrast, HRQL did not change: EQ-5D: 0.76 (CI 0.73–0.79) -0.78 (CI 0.75–0.81), EQ-VAS: 0.68 (CI 0.66–0.71)-0.68 (CI 0.65–0.71) and CHP: 0.66 (CI 0.64–0.69) -0.66 (CI 0.64–0.69).ConclusionHRQL did not increase despite a reduction in the severity of chest pain during two years. This implies that the major part of HRQL in these consecutive ordinary patients with CAD is unresponsive to change in chest pain symptoms.