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Physlets, educational applets developed at Davidson College, are a widely used teaching resource designed to simulate a variety of physical phenomena. Originally, each Physlet was a Java simulation that was embedded in an HTML page as an applet and then customized using JavaScript to simulate a specific physics concept. The use of Java to simulate the physics and HTML+ JavaScript to add narrative and to customize the web page allowed teachers to create thousands of Physlet-based illustrations, explorations, and problems. Unfortunately, changes in technology standards have required a drastic change in how these learning resources can be delivered.

PhysPort (www.physport.org) has become the go-to place for physics educators to learn to apply research-­based teaching and assessment in their classrooms. Usage (defined as the total number of visits) has doubled every two years since the site was released in 2011, and 20% of all U.S. physics faculty and 7% of U.S. high school physics teachers are now verified educators on PhysPort. The lead author conceived of PhysPort in 2007 after meeting many physics instructors interested in incorporating results of physics education research (PER) in their classrooms but with no idea where to start. At the time, most PER results were only available in research journals, which required instructors' time and effort to find articles and read them, and there was no central place to learn about results and implications for classroom practice. Throughout its development, PhysPort has been based on user research: PhysPort staff interview physics instructors about their needs, design the site based on those needs, and conduct usability testing to see how they meet those needs. PhysPort is a joint product of the American Association of Physics Teachers (AAPT) and Kansas State University (K-State), with contributions from many universities, funded by the National Science Foundation (NSF), and a library within the ComPADRE.org digital library. The site (originally called the PER User's Guide) was first funded by an NSF grant in 2009 and released in November 2011. This article presents an overview of resources on PhysPort, discussion of research and development of the site, and data on the continuing growth of site usage.

Free-swimming performance depends strongly on the ability to develop propulsive force and minimise resistive drag. Therefore, estimating resistive drag (passive or active) may be important to understand how free-swimming performance can be improved. The purpose of this narrative overview was to describe and discuss experimental methods of measuring or estimating active and passive drag relevant to competitive swimming. Studies were identified using a mixed-model approach comprising a search of SCOPUS and Web of Science data bases, follow-up of relevant studies cited in manuscripts from the primary search, and additional studies identified by the co-authors based on their specific areas of fluid dynamics expertise. The utility and limitations of active and passive drag methods were critically discussed with reference to primary research domains in this field, 'swimmer morphology' and 'technique analysis'. This overview and the subsequent discussions provide implications for researchers when selecting an appropriate method to measure resistive forces (active or passive) relevant to improving performance in free-swimming. [ABSTRACT FROM AUTHOR]

Swimming analysts aid coaches and athletes in the decision-making by providing evidence-based recommendations. The aim of this narrative review was to report the best practices of swimming analysts that have been supporting high-performance athletes. It also aims to share how swimming analysts can translate applied research into practice. The role of the swimming analyst, as part of a holistic team supporting high-performance athletes, has been expanding and is needed to be distinguished from the job scope of a swimming researcher. As testing can be time-consuming, analysts must decide what to test and when to conduct the evaluation sessions. Swimming analysts engage in the modelling and forecast of the performance, that in short- and mid-term can help set races target-times, and in the long-term provide insights on talent and career development. Races can be analysed by manual, semi-automatic or fully automatic video analysis with single or multi-cameras set-ups. The qualitative and quantitative analyses of the swim strokes, start, turns, and finish are also part of the analyst job scope and associated with race performance goals. Land-based training is another task that can be assigned to analysts and aims to enhance the performance, prevent musculoskeletal injuries and monitor its risk factors. [ABSTRACT FROM AUTHOR]

In drug development, in-use compatibility studies are crucial steps to ensure that the critical quality attributes of the drug product are maintained when in contact with administration components. But once the drug is in clinical trials, unanticipated variations in these components can stretch limited resources and lengthen timelines to market, as these changes must be assessed and approved to ensure continued patient safety. It's desirable to use a science-based risk evaluation to determine the extent of data and testing needed in these situations, but there is no standard for how such evaluations are done. We have developed an Excel™-based semi-quantitative risk assessment tool to determine whether in-use testing is needed when drug delivery sites or components are changed during a clinical trial. We developed the tool based on our multi-company experience with compatibility studies for many types of drug products targeted for various geographic regions. We have employed the tool as a means to expedite decision-making and, if appropriate, reduce testing in low-risk situations. The tool can save significant time and effort (our estimate is approximately at least 6-9 months off the development cycle) and can minimize pitfalls in clinical administration. While we have designed the tool for our drug products and for use with parenteral dosing regimens, the tool can be adapted for other situations as needed. It will be especially useful for companies with more limited resources. [ABSTRACT FROM AUTHOR]

This paper considers some of the methodological implications of undertaking and representing multimedia and digital, ethnographic work. It explores some of the challenges and opportunities of working with and across a range of media, and explores some of the consequences of bringing hypermedia applications to ethnographic work. The paper draws on a project that sought to explore the learning opportunities and experiences of an interactive science discovery centre, and that utilised a multimedia, ethnographic approach. The paper locates this methodological approach alongside recent and ongoing developments within qualitative research, and aims to situate educational research within the context of these developments. The paper particularly addresses issues of integrating different forms of qualitative data, ethnographic "design", the ethics of research practice, communication and capacity building. (Contains 1 figure.)

Background: Advance (anticipatory) care planning (ACP) requires discussions between patients and healthcare professionals about planning for future deterioration in health. ACP improves care coordination but uptake is limited and often deferred.Aim: To assess the feasibility and acceptability to patients, carers, and GPs of a primary care ACP intervention for people with incurable oesophageal, gastric, or pancreatic cancer.Design and Setting: A 12-month feasibility randomised controlled trial (RCT) in a Scottish Cancer Network.Method: Patients aged ≥18 years starting palliative oncology treatment were randomised 1:1 to an ACP intervention or standard care. Patients in the intervention group received an oncologist letter supporting them to request a GP review along with a patient information leaflet about ACP. Pre-specified analyses with masking included trial recruitment and retention, ACP completion, and quality-of-life questionnaires (EuroQol EQ-5D-5L and ICECAP Supportive Care Measure) at baseline, 6, 12, 24, and 48 weeks. Qualitative interviews with purposive sampling explored patient, carer, and GP experiences.Results: Of 99 eligible participants (269 screened), 46% were recruited (n = 46) and randomised; 25 to intervention and 21 to control. By 12 weeks, 45% (n = 9/20) of the individuals in the intervention and 59% (n = 10/17) in the control group had a documented ACP plan. By 24 weeks, 30% (n = 14) had died; in the remaining participants quality of life was maintained at 24 weeks except for physical symptoms. Social norms associating ACP with dying were prevalent among 23 participants interviewed. No psychological or clinical harms were identified.Conclusion: An RCT of ACP for people with incurable cancer in primary care is feasible. Patient, carer, and GP attitudes and behaviours determined acceptability and timing of care planning. [ABSTRACT FROM AUTHOR]

Background: Unscheduled care is used increasingly during the last year of life by people known to have significant palliative care needs. Aim: To document the frequency and patterns of use of unscheduled healthcare by people in their last year of life and understand the experiences and perspectives of patients, families and professionals about accessing unscheduled care out-of-hours. Design: A mixed methods, multi-stage study integrating a retrospective cohort analysis of unscheduled healthcare service use in the last year of life for all people dying in Scotland in 2016 with qualitative data from three regions involving service users, bereaved carers and general practitioners. Setting: Three contrasting Scottish Health Board regions and national datasets for the whole of Scotland. Results: People who died in Scotland in 2016 (n = 56,407) had 472,360 unscheduled contacts with one of five services: telephone advice, primary care, ambulance service, emergency department and emergency hospital admission. These formed 206,841 individual continuous unscheduled care pathways: 65% starting out-of-hours. When accessing healthcare out-of-hours, patients and carers prioritised safety and a timely response. Their choice of which service to contact was informed by perceptions and previous experiences of potential delays and whether the outcome might be hospital admission. Professionals found it difficult to practice palliative care in a crisis unless the patient had previously been identified. Conclusion: Strengthening unscheduled care in the community, together with patient and public information about how to access these services could prevent hospital admissions of low benefit and enhance community support for people living with advanced illness. [ABSTRACT FROM AUTHOR]

The purpose of this study was to determine the pitching effects of buoyancy during all competitive swimming strokes—freestyle, backstroke, butterfly, and breaststroke. Laser body scans of national-level athletes and synchronized multiangle swimming footage were used in a novel markerless motion capture process to produce three-dimensional biomechanical models of the swimming athletes. The deforming surface meshes were then used to calculate swimmer center-of-mass (CoM) positions, center-of-buoyancy (CoB) positions, pitch buoyancy torques, and sagittal plane moments of inertia (Mol) throughout each stroke cycle. In all cases the mean buoyancy torque tended to raise the legs and lower the head; however, during part of the butterfly stroke the instantaneous buoyancy torque had the opposite effect. The swimming strokes that use opposing ami and leg strokes (freestyle and backstroke) had smaller variations in CoM positions, CoB positions, and buoyancy torques. Strokes with synchronized left-right arm and leg movement (butterfly and breaststroke) had larger variations in buoyancy torques, which impacts the swimmer’s ability to maintain a horizontal body pitch for these strokes. The methodology outlined in this paper enables the rotational effects of buoyancy to be better understood by swimmers, allowing better control of streamlined horizontal body positioning during swimming to improve performance. [ABSTRACT FROM AUTHOR]

Resistive or drag forces encountered during free swimming greatly influence the swim performance of elite competitive swimmers. The benefits in understanding the factors which affect the drag encountered will enhance performance within the sport. However, the current techniques used to experimentally measure or estimate drag values are questioned for their consistency, therefore limiting investigations in these factors. This paper aims to further understand how the resistive forces in swimming are measured and calculated. All techniques outlined demonstrate both strengths and weaknesses in the overall assessment of free swimming. By reviewing all techniques in this area, the reader should be able to select which one is best depending on what researchers want to gain from the testing. [ABSTRACT FROM AUTHOR]

The use of asymmetrical strokes is common in freestyle swimming because of breathing and strength laterality. In this study, the asymmetrical freestyle swimming performance of a male elite level swimmer who breathed every second arm stroke (unilaterally) was investigated. A laser body scan and multi-angle video footage of the athlete were used to generate a swimming biomechanical model. This model was then used in a Smoothed Particle Hydrodynamics (SPH) fluid simulation of swimming through a virtual pool. The results from this study enabled the kinematic asymmetry to be related to the consequential fluid dynamic asymmetry. The intra-cyclic fluctuations in the streamwise forces and speed were also examined. Hand angles of attack were compared along with the lift and drag contributions of the hands to generating the streamwise thrust. From this study, connections between asymmetry and the resultant swimming performance were identified. [ABSTRACT FROM AUTHOR]

The measurement of active drag in swimming is a biomechanical challenge. This research compared two systems: (i) measuring active drag (MAD) and (ii) assisted towing method (ATM). Nine intermediate-level swimmers (19.7 ± 4.4 years) completed front crawl trials with both systems during one session. The mean (95% confidence interval) active drag for the two systems, at the same maximum speed of 1.68 m/s (1.40-1.87 m/s), was significantly different (p = .002) with a 55% variation in magnitude. The mean active drag was 82.3 N (74.0-90.6 N) for the MAD system and 148.3 N (127.5-169.1 N) for the ATM system. These differences were attributed to variations in swimming style within each measurement system. The inability to measure the early catch phase and kick, along with the fixed length and depth hand place requirement within the MAD system generated a different swimming technique, when compared with the more natural free swimming ATM protocol. A benefit of the MAD system was the measurement of active drag at various speeds. Conversely, the fixed towing speed of the ATM system allowed a natural self-selected arm stroke (plus kick) and the generation of an instantaneous force-time profile. [ABSTRACT FROM AUTHOR]

This study compared the components of the 15-m swimming start for 20 international male Olympic and Paralympic swimmers. The time, distance, and velocity components for freestyle swimming were measured. There were significantly (p < .05) different absolute and relative swim start measures among the swimming groups. Using stepwise regression three variables significantly influenced the start to 15-m time: (i) underwater velocity, (ii) free swim velocity, and (iii) whether the swimmer had cerebral palsy. This new knowledge provides useful information for swimmers and coaches on which components to prioritize, along with the practical applications of improving the streamline position to increase underwater velocity and to ensure that the transition from underwater to surface breakout occurs at the optimal time for maximum free swim velocity. [ABSTRACT FROM AUTHOR]

Background: Though the majority of people could benefit from palliative care before they die, most do not receive this approach, especially those with multimorbidity and frailty. GPs find it difficult to identify such patients.Aim: To refine and evaluate the utility of a computer application (AnticiPal) to help primary care teams screen their registered patients for people who could benefit from palliative care.Design and Setting: A mixed-methods study of eight GP practices in Scotland, conducted in 2016-2017.Method: After a search development cycle the authors adopted a mixed-methods approach, combining analysis of the number of people identified by the search with qualitative observations of the computer search as used by primary care teams, and interviews with professionals and patients.Results: The search identified 0.8% of 62 708 registered patients. A total of 27 multidisciplinary meetings were observed, and eight GPs and 10 patients were interviewed. GPs thought the search identified many unrecognised patients with advanced multimorbidity and frailty, but were concerned about workload implications of assessment and care planning. Patients and carers endorsed the value of proactive identification of people with advanced illness.Conclusion: GP practices can use computer searching to generate lists of patients for review and care planning. The challenges of starting a conversation about the future remain. However, most patients regard key components of palliative care (proactive planning, including sharing information with urgent care services) as important. Screening for people with deteriorating health at risk from unplanned care is a current focus for quality improvement and should not be limited by labelling it solely as 'palliative care'. [ABSTRACT FROM AUTHOR]

Active drag force in swimming can be calculated from a function of five different variables: swim velocity, tow velocity, belt force, power output and exponent of velocity. The accuracy of the drag force value is dependent on the accuracy of each variable, and on the contribution of each variable to drag estimation. To calculate uncertainty in drag value, first the derivatives of the active drag equation with respect to each variable were obtained. Second, these were multiplied by the uncertainty of that variable. Twelve national age and open level swimmers were recruited to complete four free swimming and five active drag trials. The uncertainties for the free and the tow swim velocities, and for the belt force, contributed approximately 5–6% and 2–3% error, respectively, in calculation of drag. The result of the uncertainty of the velocity exponent (1.8–2.6) indicated a contribution of about 6% error in active drag. The contribution of unequal power output showed that if a power changed 7.5% between conditions, it would lead to about 30% error in calculated drag. Consequently, if a swimmer did not maintain constant power output between conditions, there would be substantial errors in the calculation of active drag. [ABSTRACT FROM AUTHOR]

The reliability of active drag values was examined using a method that compared free swim speed with measurements taken by towing swimmers slightly faster than their maximum swim speed, while allowing their intra-stroke speed fluctuations. Twelve national age and open level swimmers were tested on two alternate days (Day 1 and Day 2). All participants completed four maximum swim speed, three passive drag and five active drag trials on each of the days. The reliability was determined using within-participant intra-class correlation coefficients (ICC) within each day and between the days. The ICCs for Day 1 and Day 2 were 0.82 and 0.85, respectively, while the comparison of the mean active drag values between days was 0.93. The data showed that the assisted towing method (ATM) with fluctuating speed was only moderately reliable within a single test. However, this method was more reliable when using the average value of active drag from both days (ICC = 0.93). This study identified that the ATM method with fluctuating speed had moderate reliability within-participant trials on values in a single day but high reliability for the average active drag values across different days. [ABSTRACT FROM AUTHOR]

Objectives: Loss of self and the transition to patient-hood have been widely discussed in relation to the experience of advanced illness. Individuals however often maintain identities or selves beyond those demanded by the circumstances of being a patient. This study explores the presentation of this personal identity and interactions between intrinsic and extrinsic elements that support or threaten its maintenance. In particular, this study examined the impact of uncertainty on the representations of self and the part played by the patient's health care professionals and the systems in which they are embedded, in limiting or reinforcing its effects.Methods: Complementary methods of ethnographic observation and serial narrative interviews were adopted to explore both the lo"cal social and health care context and the changing presentation of self by patients with advanced multimorbidity, chronic illness, and cancer. In total, 36 interviews were undertaken with 16 patients. Analysis was guided by concepts of time and place, combining contextual data with the unfolding patient narrative.Results: Good pain and symptom control was a necessary, but not sufficient, condition for the maintenance of a personal identity. Essential agentic elements included knowledge of appropriate and immediate sources of help. Also important were a sense of control achieved through a shared understanding with health care professionals of the condition and active management of uncertainty. In addition, the maintenance of self depended on keeping a connection with aspects of life associated with a pre-illness identity. Critically, this self was contingent on external recognition, acknowledgement, and validation.Conclusion: Professional relationships that focus solely on the 'person as patient' may be insufficient for patients' needs. Health care professionals should seek to recognize and acknowledge the personal identity that may be critical to their sense of self-worth. Through an ongoing relationship guiding the patient through the uncertainties they face, health care professionals may play an essential role in sustaining the 'patient as person'.Statement Of Contribution: What is already known on this subject? Loss of self or personal identity occurs in a range of serious conditions. The sick self is incorporated in a process of identity reconstruction. Uncertainty is an inherent aspect of serious and advanced illness. Unmanaged uncertainty results in a range of negative psychological consequences that contribute to the loss of personal identity. Information and communication with health care professionals help patients manage uncertainty. What does this study add? Sufferers may retain a personal identity continuous with a pre-illness self using internal and external resources. The pre-illness self may be subsumed by the patient self especially at times of transition and maximum uncertainty. Acknowledgement and facilitation by health care professionals can enable the preservation of the pre-illness self. [ABSTRACT FROM AUTHOR]

Background: Since 2012, all GP practices across Scotland have been supported to take a systematic approach to end-of-life care, by helping them to identify more patients for palliative care through a Palliative Care Directed Enhanced Service (DES). We aimed to understand the impact of this initiative. Methods: Routine quantitative data from the 2012/13, and 2013/14 DES were collected from regional health boards, analysed and discussed. Qualitative data were collected from a sample of 2012/13 DES returns and analysed using Thematic Analysis. Results: Data were received from 512 practices in nine Scottish Health boards for the 2012-13 DES and 638 practices in 11 Health boards for 2013-14. A sample of 90 of the returns for 2012-13 was selected for qualitative analysis. In 2012-13, 72 % of patients who died of cancer were listed on the palliative care register (PCR) before death while 27 % of patients who died as a result of non-malignant conditions were listed on the PCR. In 2013-14, cancer identification remained the same but identification of people dying with other long-term conditions had improved to 32.5 %. We identified several key issues needed to improve palliative care in the community. The need for training to identify patients with palliative care needs (particularly non-cancer); communication skills training; improvements in sharing information across the NHS; under-resource of and lack of coordination with district nurses; improvements in information technology; and tools for working with enlarged palliative care registers. Conclusions: The DES helped more patients with long-term conditions (LTC) receive generalist palliative care. Approaching generalist palliative care as anticipatory care could facilitate communication between GPs and patients/ families and remove some barriers to early identification of palliative care needs. Improvement of information technology and use of identification tools like the SPICT™ may improve professionals' communication with each other and help may make identification and management of patients easier. [ABSTRACT FROM AUTHOR]

An introduction is presented in which the editor discusses various reports within the issue on topics including interactive web pages on American Association of Physics Teachers (AAPT), teaching of introductory physics, Open Source Physics (OSP) Project.

Background: Approximately 600,000 people die in the UK annually, usually after months or years of increasing debility. Many patients with advanced conditions are not identified for appropriate support before they die because they are not seen as having "palliative" care needs. General practice information technology systems can improve care by identifying patients with deteriorating health so that their healthcare needs can be reviewed more systematically and effectively. The aim was to develop and test a computerised search of primary care records in routine clinical practice as a tool to improve patient identification for a palliative care approach. Methods: An iterative process of search design and testing followed by implementation and extended testing of the search output in clinical practice. A three-phase feasibility study: developing a computerised search, determining its ability to identify patients with deteriorating health from any advanced condition, and assessing how primary care clinicians use the results to improve patient care. The setting was twelve primary care teams in two Health Boards in Scotland. Results: The search identified 0.6-1.7 % of patients in each practice who were not already on the palliative care register. Primary care clinicians judged that 30-60 % of these patients were at risk of dying or deterioration over the next 6-12 months. The most common action taken by GPs was to start an electronic anticipatory care plan. Conclusions: It is possible to significantly improve the identification of patients for palliative care needs assessment using a computerised search however barriers remain to GPs' finding it acceptable. Time-efficient systems were important as was a generic tool for anticipatory care planning not linked to 'palliative' care. [ABSTRACT FROM AUTHOR]