Evaluation of pre-game hydration status, heat stress, and fluid balance during professional soccer competition in the heat

This study evaluated initial hydration status (stadium arrival urine specific gravity), fluid balance (pre- and post-game nude body weight, fluid intake, urine collection), and core temperature changes (pre-game, half-time, post-game) during a professional soccer game. We monitored 17 male players (goalies included) between stadium arrival and game end (3h), playing at 34.9°C and 35.4% relative humidity, for an average Wet Bulb Globe Temperature (WBGT) heat stress index of 31.9°C. Data are mean ± SD (range). Initial urine specific gravity (USG) was 1.018 ± 0.008 (1.003-1.036); seven players showed USG ≥ 1.020. Over the three hours, body mass (BM) loss was 2.58 ± 0.88kg (1.08-4.17kg), a dehydration of 3.38 ± 1.11%BM (1.68-5.34%BM). Sweat loss was 4448 ± 1216mL (2950-6224mL), vs. fluid intake of 1948 ± 954mL (655-4288mL). Despite methodological problems with many players, core temperatures greater than or equal to 39.0°C were registered in four players by halftime, and in nine by game’s end. Many of these players incurred significant dehydration during the game, compounded by initial hypohydration; thermoregulation may have been impaired to an extent we were unable to measure accurately. We suggest some new recommendations for soccer players training and competing in the heat to help them avoid substantial dehydration.Gatorade Sports Science Institute//Universidad de Costa Rica VI-245-A4-303UCR::Vicerrectoría de Investigación::Unidades de Investigación::Ciencias Sociales::Centro de Investigación en Ciencias del Movimiento Humano (CIMOHU

Rates and Predictors of Treatment Failure in Staphylococcus aureus Prosthetic Joint Infections According to Different Management Strategies: A Multinational Cohort Study—The ARTHR-IS Study Group

Introduction: Guidelines have improved the management of prosthetic joint infections (PJI). However, it is necessary to reassess the incidence and risk factors for treatment failure (TF) of Staphylococcus aureus PJI (SA-PJI) including functional loss, which has so far been neglected as an outcome. Methods: A retrospective cohort study of SA-PJI was performed in 19 European hospitals between 2014 and 2016. The outcome variable was TF, including related mortality, clinical failure and functional loss both after the initial surgical procedure and after all procedures at 18 months. Predictors of TF were identified by logistic regression. Landmark analysis was used to avoid immortal time bias with rifampicin when debridement, antibiotics and implant retention (DAIR) was performed. Results: One hundred twenty cases of SA-PJI were included. TF rates after the first and all surgical procedures performed were 32.8% and 24.2%, respectively. After all procedures, functional loss was 6.0% for DAIR and 17.2% for prosthesis removal. Variables independently associated with TF for the first procedure were Charlson >= 2, haemoglobin 30 kg/m(2) and delay of DAIR, while rifampicin use was protective. For all procedures, the variables associated with TF were haemoglobin < 10 g/dL, hip fracture and additional joint surgery not related to persistent infection. Conclusions: TF remains common in SA-PJI. Functional loss accounted for a substantial proportion of treatment failures, particularly after prosthesis removal. Use of rifampicin after DAIR was associated with a protective effect. Among the risk factors identified, anaemia and obesity have not frequently been reported in previous studies. [GRAPHICS]

El proceso creativo en los departamentos de producción y dirección de fotografía del cortometraje “Ad Honorem”

La experiencia de ser practicante y enfrentarse con el mundo laboral por primera vez, puede ser frustrante al no encontrar lo que esperas luego de haber invertido años de tu vida y el dinero de tus padres en algo que te apasiona. Esta realidad que siempre existió, ahora alcanza nuevos límites dentro de una pandemia global. “Ad Honorem” es un fakedoc que desarrolla y expone con sátira la realidad de muchos jóvenes estudiantes o egresados que buscan prácticas pre profesionales y chocan con los abusos y falta de beneficios por parte de las empresas de este país. Este es un tema que se ha agudizado durante la pandemia: el contexto actual en el que vivimos no es el mismo que hace dos años, y se pueden explorar y proyectar en este cortometraje nuevas experiencias y desgracias que viven los jóvenes practicantes de hoy en día, que no sucedían casi antes de la pandemia ni de la cuarentena. Así como objetivo, podamos empatizar y/o enterarnos de una realidad que afecta a muchos jóvenes en nuestro país, y para que quienes se sientan identificados directamente, se lo tomen con un poco de humor y sepan que este problema es más común de lo que pareciera. Finalmente, mediante el presente trabajo se desarrollará lo que fue el proceso de realización de este proyecto tanto en la idea principal como teoría, como en la parte técnica en las áreas de fotografía y producción.The experience of being an intern and facing the world of work for the first time can be frustrating when not finding what you expect after having invested years of your life and your parents' money in something that you are passionate about. This reality that always existed, now reaches new limits within a global pandemic. "Ad Honorem" is a fakedoc that develops and exposes with satire the reality of many young students or graduates who seek pre-professional internships and come up against abuses and lack of benefits from companies in this country. This is an issue that has become more acute during the pandemic: the current context in which we live is not the same as it was two years ago, and new experiences and misfortunes experienced by today's young practitioners can be explored and projected in this short film , which did not happen almost before the pandemic or the quarantine. As the main objective, we can empathize and/or find out about a reality that affects many young people in our country, and so that those who feel directly identified, take it with a little humor and know that this problem is more common than what it seems. Finally, through this work, what was the process of realization of this project will be developed both in the main idea and theory, as well as in the technical part in the areas of photography and production

Micromirrors in Neurosurgery: Technical Overview and Benefits Assessment

Aim: To weight the benefits and limitations of intraoperative use of micromirrors in neurosurgery. Material and methods: Surgical cases where micromirrors were employed were retrospectively selected from the surgical database of five different surgeons in different hospitals. Complications directly attributable to the micromirrors were assessed intraoperatively and confirmed with postoperative neuroimaging studies. Results: Fourteen patients were selected. The site of the lesion was as follows: posterior fossa (43%), frontal lobe (22%), temporal lobe (14%), parietal lobe (7%), insula (7%), and basal ganglia (7%). Five tumors (35%) were gliomas, 3 (21%) epidermoid, and 3 (21 %) supratentorial metastases. Two patients underwent microvascular decompression for neurovascular conflict, and 1 harbored a brain arteriovenous malformation. A gross total resection was achieved in all the tumors and the AVM, while an effective decompression was successfully performed in both patients with conflict. No complications directly attributable to the use of the micromirror occurred. A relatively easy learning curve was noted. Conclusion: Micromirrors proved to be useful in enhancing the visualization of neurovascular structures and pathology residuals within deep-seated surgical fields without the need for fixed brain retraction. Their cost-effectiveness and easy learning curve constitute solid reasons for advocating a revitalization of this ?old but gold? tool in neurosurgery

Prospective study of the E-liac Stent Graft System in patients with common iliac artery aneurysms: 30-Day results

Objectives To study the safety and feasibility of the E-liac Stent Graft System (R) in patients with aorto/iliac aneurysms. Methods A prospective multicentric European registry of patients receiving the E-liac Stent Graft System (R) was conducted. Endpoints of the study included the technical success as well as periprocedural events and 30-day endoleaks, reinterventions, internal and external iliac artery patency and mortality. Results Between July 2014 and June 2016, a total of 45 patients (93% men, mean age 72 years, range 53-90 years) were enrolled at 11 sites in four European countries. Five patients received an isolated iliac treatment. Thirty-seven patients were treated with a combination of an abdominal stent graft and a unilateral E-liac and three in combination with bilateral E-liac. All E-liac Stent Grafts (48) were implanted in the intended position and the internal iliac arteries were successfully bridged. Two patients did not receive clinical success, due to endoleak type Ia of the aortic stent graft. At 30-day follow-up, clinical success rate was 96%. Three successful endovascular reinterventions were performed within the 30-day follow-up: one due to a type Ia endoleak in the common iliac artery, one due to type Ia endoleak of the aortic stent graft, and one due to bilateral lower limb claudication provoked by stent graft limb stenosis. At 30-day, a 100% survival rate and complete absence of pelvic or buttock ischemia/claudication were reported. Primary patency at 30 days was 100% for the internal iliac artery and 98% for the external iliac artery with an assisted patency of 100% in the latter. Conclusions The high clinical success rate, low rates of device-related reinterventions (2%), and excellent patency rate demonstrate the safety and feasibility of the E-liac Stent Graft System. Long-term results are awaited to state efficacy and durability. Clinical Trials.gov. Identifier no. NCT02209194

Prospective Study of the Iliac Branch Device E-liac in Patients with Common Iliac Artery Aneurysms: 12 Month Results

Objectives: At 12 months follow up of the PLIANT study, clinical success and efficacy of the E-liac Stent Graft System (JOTEC GmbH, Hechingen, Germany) were evaluated. Clinical success was defined as aneurysm exclusion (no type I, III, IV endoleak) with primary patency of the internal iliac artery (IIA) and external iliac artery (EIA) on the E-liac implantation side. Methods: In this prospective multicentre European observational study, clinical and morphological data of 45 patients (93% male, mean age 72 y) were prospectively collected in 11 European centres between July 2014 and June 2016. Forty patients underwent an aorto-iliac (three patients bilaterally) treatment and five an isolated iliac treatment. Results: At 12 months follow up, data were available for 42 patients. Overall clinical success at 12 months was 90%, with a survival rate of 100%. Four patients (10%) did not achieve clinical success, one with an internal iliac artery (IIA) occlusion on the E-liac implantation side, one with an infrarenal type Ia endoleak, and two with type Ib endoleaks in IIA. At 12 months the primary patency rate in the internal iliac artery on the iliac side branch implantation side was 98%. Two patients (5%) received E-liac related re-interventions: one caused by an edge stenosis at the distal end of the graft limb in the external iliac artery (EIA) and one caused by thromboembolism in the external iliac artery. Thus, for the EIA, primary and secondary patency rates were 98% and 100%, respectively. Conclusions: The low device related re-intervention rate of 5%, the high survival rate of 100%, and the high primary patency rates of 98% for the IIA and EIA at 12 month follow up demonstrate the safety and efficacy of the E-liac Stent Graft System. Long term 36 month results are awaited to confirm the efficacy and durability

Internado en Psicología Clínica 2 - PS334 - 202101

El curso Internado en Psicología Clínica 2, de carácter práctico, está dirigido a los estudiantes del décimo segundo ciclo. Una vez concluidos los 11 semestres de estudios, el estudiante está en condiciones de demostrar 1las competencias del perfil profesional. El curso busca consolidar el desarrollo de las competencias generales y específicas aplicadas al campo de la Psicología Clínica. Para ello el estudiante participa de la experiencia de aplicar conocimientos a situaciones simuladas o reales en su centro de rotación. Con esta fase de aprendizaje concluye su formación universitaria poniendo en práctica sus roles pre profesionales. El espacio de internado en Psicología Clínica 2 ofrece al estudiante de la especialidad el acompañamiento académico a través de la asesoría y supervisión de los docentes del curso quienes harán seguimiento de las diferentes actividades que desempeñará en el mundo pre profesional. Es requisito cumplir horas semanales de prácticas distribuidas de la siguiente manera: horas de actividades en aula, trabajo individual, prácticas con simulación y prácticas externas; para estas últimas se considera las horas establecidas y las acordadas con el centro de rotación, aunque estas excedan el requerimiento de la Universidad. Es importante respetar las condiciones establecidas en el reglamento de Internado y las del centro de prácticas, aceptando que son ineludibles y configuran parte de los objetivos de este curso, es por ello que hay que cumplir a cabalidad con las funciones o tareas que le sean asignadas en este espacio pre profesional, así como con las actividades de asesoría correspondientes en la Universidad, asistiendo a las sesiones semanales con la supervisión del psicólogo de la especialidad. Propósito: El curso Internado en Psicología Clínica 2 tiene el propósito de facilitar al futuro psicólogo, experiencias de aprendizaje que le permitan demostrar el nivel de logro más alto en las diferentes competencias del perfil profesional que ha venido desarrollando a través de los años de su formación académica; se hará énfasis en las Competencias generales de Pensamiento Crítico y Ciudadanía y en las competencias específicas siguientes: Desarrollo Personal y Autoconocimiento, Fundamento Teórico-conceptual, Análisis Social y Sistémico, Diagnóstico y Diseño e Intervención y Evaluación de la especialidad de psicología clínica, teniendo como curso requisito Internado en Psicología Clínica 1