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Objectives: Children in rural areas have difficulty accessing the same services as their urban peers, which is a particular challenge in large countries such as the U.S. and Canada. Despite known problems providing services in rural areas, there is limited research investigating services for children with hearing loss living in rural areas. This scoping review examines the accessibility of services for children with hearing loss in rural U.S. and Canada., Methods: The search strategy included four databases and gray literature from 2008-2018. Eight government documents and 16 articles met the inclusion criteria and the main findings in the literature were themed., Results: Children with hearing loss, experienced difficulties accessing specialized services which influenced the timing of diagnosis of hearing loss, receiving hearing technology and accessing ongoing support. Families in rural areas also had access to less information about hearing loss than urban families. Managing funding and health insurance was also a challenge for families in rural areas., Conclusion: The limited research in this area indicates that children with hearing loss in rural areas can experience barriers when accessing the same services as their urban peers. Limited service provision can negatively influence outcomes for children with hearing loss. Alternate service delivery such as teleintervention and visiting specialists can improve service provision in rural areas. Comprehensive research of the experience of children with hearing loss across states, provinces and territories would guide improvements to services for children with hearing loss in rural areas of the U.S. and Canada., (Copyright © 2019 Elsevier B.V. All rights reserved.)

Barr, M, Beaver, T, Turczyn, D, and Cornish, S. Validity and reliability of 15 Hz global positioning system units for assessing the activity profiles of university football players. J Strength Cond Res 33(5): 1371-1379, 2019-Global positioning system (GPS) units have recently become popular for monitoring and assessing the workloads of football players. Currently, there is a lack of studies examining the validity and reliability of these systems for that purpose, so the aim of the current study was to determine whether 15 Hz units (SPI HPU; GPSports, Canberra, Australia) could accurately be used to describe the physical demands of football. A series of cohort studies were conducted with Canadian university football players (n = 28). To assess the accuracy of the units' ability to measure high-velocity sprinting, 12 players performed multiple electronically timed 36.6 m sprints while wearing the units. To assess the interunit reliability, 5 players wore 2 units each during a training session. An analysis of the units' validity for measuring collisions was performed by comparing the correct number of tackles and blocks notated on video by an expert rater in 2 games with the number of collisions recorded by the units. The units were accurate for measuring high-sprinting velocities (coefficient of variation [CV] = 0.9%) and had good interunit reliability for recording distances at velocities between walking and sprinting CV (1.4-7.8%). The collision algorithm filter the accompanying software uses was found to have its best balance between precision and recall using a cut-off of 2.65g for linemen and 2.9g for nonlinemen. The devices used are effective at providing acceptably valid and reliable information to describe the physical demands of football. Position-specific locomotor zones are recommended when using GPS units with football players.