Existential Struggling throughout Modern Care A great Existential Positive Psychology Viewpoint

Arthrogenic muscle inhibition (AMI) is a common impairment in individuals who sustain an anterior cruciate ligament (ACL) injury. The AMI causes decreased muscle activation, which impairs muscle strength, leading to aberrant movement biomechanics. The AMI is often resistant to traditional rehabilitation techniques, which leads to persistent neuromuscular deficits following ACL reconstruction. To better treat AMI following ACL injury and ACL reconstruction, it is important to understand the specific neural pathways involved in AMI pathogenesis, as well as the changes in muscle function that may impact movement biomechanics and long-term structural alterations to joint tissue. Overall, AMI is a critical factor that limits optimal rehabilitation outcomes following ACL injury and ACL reconstruction. This review discusses the current understanding of the (1) neural pathways involved in the AMI pathogenesis following ACL injury; (2) consequence of AMI on muscle function, joint biomechanics, and patient function; and (3) development of posttraumatic osteoarthritis. Finally, the authors review the evidence for interventions specifically used to target AMI following ACL injury.Female-specific research on sports science and sports medicine (SSSM) fails to mirror the increase in participation and popularity of women's sport. Females have historically been excluded from SSSM research, particularly because their physiological intricacy necessitates more complex study designs, longer research times, and additional costs. Consequently, most SSSM practices are based on research with men, despite potential problems in translation to females due to sexual dimorphism in biological and phenotypical parameters as well as differences in event characteristics (e.g., race distances/durations). Recognition that erroneous extrapolations may hamper the efforts of females to maximize their athletic potential has created an impetus to acknowledge and readdress the sex disparity in SSSM research. To direct the priorities for future research, it is prudent to first develop a comprehensive understanding of the gaps in current knowledge by systematically "auditing" the literature. By conducting audits of the literature to highlight underdeveloped topics or identify potential problems with the quality of research, this information can then be used to expediently direct new research activities. This paper therefore presents a standardized audit methodology to establish the representation of female athletes in subdisciplines of existing SSSM research, including a template for reporting the results of key metrics. This standardized audit process will enable comparisons over time and between research subdisciplines. This working guide provides an important step toward achieving sex equity across SSSM research, with the eventual goal of providing evidence-based recommendations specific to the female athlete.
To assess the relationship between external and internal load during official women's rugby seven matches.
Six backs (age = 24.2 [3.2]y; height = 161.5 [7.3]cm; body mass = 59.5 [5.0]kg; playing experience = 5.3 [1.5]y) and 8 forwards (age = 22.4 [2.7]y; height = 167.0 [4.8]cm; body mass = 70.6 [5.6]kg; playing experience = 5.0 [1.5]y) belonging to the women's rugby seven Brazilian national team were monitored across 3 international tournaments during the 2019-20 season, with 2 players excluded from the analysis sincethey did not participate in any investigated match. Total distance (TD), distance during high-intensity running 18.1 to 20.0km·h-1 and >20km·h-1 (sprinting), number of accelerations >1.8m·s-2 (ACC), and of decelerations <1.8m·s-2 were used as match load volume measures, while their relative values (TD per minute, high-intensity running per minute, sprinting per minute, ACC per minute, and decelerations per minute) were used as external load match intensity measures. Internal load intload responses measured via sRPE-ML in elite women's rugby sevens.
The aim of this study was to identify the relationships between continuously measured internal and external load variables during volleyball competition.
A total of 8 male elite volleyball athletes (Belgian Liga A and Liga B) were monitored during official competition matches. In total, 63 individual measurements are included in this study. The authors used heart-rate (HR) data as internal load and accelerometer-based activity as external load. Data were recorded at a sampling frequency of 1Hz using wearable technology during official competition. Workload during continuous game play and individual jumps performed while serving and spiking (selected by means of video analysis) were studied using correlation analysis and dynamic time-series modeling.
Significant linear correlations were observed between peak acceleration and maximal HR of individual serves (ρ = .62; P = 1.6e-5) and spikes (ρ = .49; P = 1.2e-3) that were performed during the warm-up. These same actions performed during the match did not s Time-series analysis of continuously measured workload is proposed for use in practice.
To describe the record power profile of professional female cyclists and to assess potential differences based on the type of rider.
Power output data (32,028 files containing both training and competition sessions recorded) in 44 female professional cyclists during 1-6 years were analyzed. Cyclists were categorized as all-rounders, time trialists, climbers, or sprinters. The record power profile was calculated using the mean maximal power output (MMP) values attained by each cyclist for different-effort durations (5s to 60min) expressed in relative (W·kg-1), as well as absolute, power output (W).
Participants' MMP averaged 15.3 (1.8)W·kg-1 for 5 seconds, 8.4 (0.8)W·kg-1 for 1 minute, 5.2 (0.5)W·kg-1 for 10 minutes, and 4.2 (0.4)W·kg-1 for 60 minutes. For short-duration efforts (5-30s), sprinters attained the highest MMP results, with significantly higher relative (Hedges g = 1.40-2.31) or absolute (g = 4.48-8.06) values than the remainder of categories or climbers only, respectively. Time trialists attained the highest MMP for longer efforts, with higher relative values than both all-rounders and climbers when comparing efforts lasting 10 to 60 minutes (P < .05, g = 1.21-1.54).
In professional female cyclists, the record power profile substantially differs based on the specific category of the rider. These findings provide unique insights into the physical capacities of female professional cyclists, as well as a benchmark for coaches and scientists aiming to identify talent in female cycling.
In professional female cyclists, the record power profile substantially differs based on the specific category of the rider. These findings provide unique insights into the physical capacities of female professional cyclists, as well as a benchmark for coaches and scientists aiming to identify talent in female cycling.
The aim of this study was to investigate the effect of exercise during pregnancy on early childhood neurodevelopment (cognitive, motor, and language domains).
A randomized controlled trial nested into the 2015 Pelotas (Brazil) Birth Cohort was conducted. Healthy pregnant women were enrolled between 16 and 20 weeks of gestation; 424 women and their children (intervention [n = 141]; control [n = 283]) were analyzed. An exercise-based intervention 3 times per week was delivered over 16 weeks. Child neurodevelopment and its domains were assessed at 1, 2, and 4 years. Standardized mean differences and 95% confidence intervals are presented.
No effects of exercise during pregnancy on child neurodevelopment and its domains at age 1 year were observed. Compared with the control group, children from women in the exercise group had higher language score at age 2 years (standardized mean differences = 0.23; 95% confidence intervals, 0.02 to 0.44) and higher cognitive score (standardized mean differences = 0.22; 95% confidence intervals, 0.03 to 0.41) at age 4 years. No effects of exercise during pregnancy were observed in the motor domain at 1, 2, and 4 years.
No detrimental effects of exercise during pregnancy on child neurodevelopment were observed. In addition, these findings suggest that exercise during pregnancy can result in small benefits for language and cognitive development.
No detrimental effects of exercise during pregnancy on child neurodevelopment were observed. In addition, these findings suggest that exercise during pregnancy can result in small benefits for language and cognitive development.A case of severe COVID-19 with late-onset sepsis-like illness is presented in a neonate. A male infant was born to a mother with mild COVID-19 symptoms and positive IgG anti-severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) through spontaneous vaginal delivery. He and his mother were then confirmed to have SARS-CoV-2 infection. His condition was stable and discharge from the hospital was planned. However, on day 6 of care, his condition deteriorated, and after treatment with the COVID-19 protocol and antibiotic administration (because neonatal sepsis had not been ruled out), his condition gradually improved and he was discharged in good clinical condition without any sequelae. The pitfalls of this case are the presence of late-onset severe COVID-19, and the difficulty in monitoring patients in isolation rooms, which makes it challenging to differentiate and manage therapy between severe COVID-19 and neonatal sepsis. The similarities between the presentation of sepsis and severe COVID-19 require a thorough anamnesis, careful observation, and a thorough workup for alternative causes of sepsis to be able to make wise antibiotics treatment decisions, to prevent mismanagement, and to reduce morbidity and mortality, especially in developing countries such as Indonesia.There is a scarcity of population-level data of pediatric COVID-19 infection from Southeast Asia. This study aims to describe and compare epidemiological, clinical, laboratory and outcome data among pediatric COVID-19 cases versus controls in two neighboring countries, Singapore and Malaysia. We used a test-negative case-control study design recruiting all suspected COVID-19 cases (defined by either clinical or epidemiological criteria) from January 2020 to March 2021 admitted to two main pediatric centers in Singapore and Malaysia. Data were collected using a standardized registry (Pediatric Acute and Critical Care COVID-19 Registry of Asia). The primary outcome was laboratory-confirmed COVID-19. Marimastat Univariate and multivariable logistic regression analysis was used to determine factors associated with COVID-19. This study included 923 children with median age of 4 (interquartile range 2-9) years. Of these, 35.3% were COVID-19 cases. Children with COVID-19 were more likely to be asymptomatic compared with controls (49.4 versus 18.6%; P less then 0.0001). They were also less likely to develop respiratory complications, such as bronchitis or pneumonia, or organ dysfunction. Four (1.2%) of our COVID-19 patients required respiratory support compared with 14.2% of controls needing respiratory support. COVID-19 cases tended to have lower neutrophil count but higher hemoglobin compared with controls. There were no reported deaths of COVID-19 infection; in contrast, 0.7% of the control group died. In the multivariable analysis, older age, travel history, and close contact with an infected household member were associated with COVID-19 infection. This study shows that the majority of pediatric COVID-19 cases were of lesser severity compared with other community acquired respiratory infections.