Barriers to implement a smoke free hospital : What action should be taken?

Objective: Tobacco is leading to increased morbidity and mortality. Hospitals have a key role to play in the effective control of tobacco. The aim of this survey was to identify the barriers in implementing a smoke free hospital. Methods: The tool used was a modified Fagerstrom questionnaire. These questionnaires were distributed to all employees at the main state hospital. The data obtained was analysed using SPSS software using frequency tables, univariate and multivariate analysis. Results: The response rate was 55.1%. The findings showed that 27.1% of male staff and 24.8% of female staff are active smokers. 22.2% of smokers refrain from smoking in hospital. The highest percentage of smokers was in the youngest age group (18-25 years). The highest prevalence of smoking was found in nurses (23.6%), followed by doctors (10.4%). A positive finding was that 25.7% of current non-smokers were ex- smokers with the greatest incentive to quit being for health reasons. Most members of staff were aware of the adverse effects of smoking and a number had symptoms suggestive of smoking-related pathology. Conclusion: Hospital staff mirror the general population with respect to smoking prevalence, habits and co morbidities. This indicates that further initiatives are required to decrease the number of health professionals who smoke, as these should ideally be role models for patients, and hence be able to effectively support patients in quitting smoking.peer-reviewe

Construct Validity and Reliability of a New Basketball Multidirectional Reactive Repeated Sprint Test

The objective of this study was to investigate the construct validity and reliability of a new reactive multidirectional repeated sprinting test (RRSA5COD) in basketball players. Forty male basketball players were divided into two groups: Professional (PRO; n = 20) and Semi-professional (SEMI; n = 20). Participants completed the yo-yo intermittent recovery test level 1 (Yo-YoIR1), the squat jump (SJ), the counter movement jump (CMJ), the single leg drop jump (DJ), the 20-m sprint test, the planed multidirectional repeated sprinting test (PRSA5COD), and the RRSA5COD test. Reaction time (RT) and movement time (MT), total time (TT), best time (BT), and fatigue index (FI) were assessed. Heart rate (HR) was continuously recorded, while rating of perceived exertion (RPE) and blood lactate concentration (LA) were measured post-tests. The reliability of the RRSA5COD test was also assessed between two attempts with one week between them. The RRSA5COD results demonstrated to be reliable with most of the variables showing ICC > 0.80. BA Bonferroni post hoc revealed a significant better TT in favor of RRSA5COD (p < 0.001; ES = 0.15; small), and in favor of PRO (p < 0.001; ES = 0.006; small). The result showed a significant better performance in favor of PRO in all physical fitness tests. In conclusion, it was found that the RRSA5COD discriminates between professional and semi-professional male basketball players, and the results were demonstrated to be reliable

A survey to assess smoking awareness and attitudes of staff at a local hospital

Rising smoking-related morbidity and mortality would be expected to lead to increased awareness among hospital staff regarding the harmful effects of cigarettes. The aim is to assess the smoking habits of individuals working within a hospital setting who are directly or indirectly exposed to patients with smoking-related illnesses. The survey addresses health issues and attitudes towards smoking. The timing is opportune in that Mater Dei Hospital Malta is to be declared a totally smoke-free hospital.peer-reviewe

Effects of Probiotic Supplementation on Exercise with Predominance of Aerobic Metabolism in Trained Population: A Systematic Review, Meta-Analysis and Meta-Regression

The scientific literature about probiotic intake and its effect on sports performance is growing. Therefore, the main aim of this systematic review, meta-analysis and meta-regression was to review all information about the effects of probiotic supplementation on performance tests with predominance of aerobic metabolism in trained populations (athletes and/or Division I players and/or trained population: ≥8 h/week and/or ≥5 workouts/week). A structured search was performed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA®) statement and PICOS guidelines in PubMed/MEDLINE, Web of Science (WOS), and Scopus international databases from inception to 1 November 2021. Studies involving probiotic supplementation in trained population and execution of performance test with aerobic metabolism predominance (test lasted more than 5 min) were considered for inclusion. Fifteen articles were included in the final systematic review (in total, 388 participants were included). After 3 studies were removed due to a lack of data for the meta-analysis and meta-regression, 12 studies with 232 participants were involved. With the objective of assessing the risk of bias of included studies, Cochrane Collaboration Guidelines and the Physiotherapy Evidence Database (PEDro) scale were performed. For all included studies the following data was extracted: authors, year of publication, study design, the size of the sample, probiotic administration (dose and time), and characteristics of participants. The random effects model and pooled standardized mean differences (SMDs) were used according to Hedges’ g for the meta-analysis. In order to determine if dose and duration covariates could predict probiotic effects, a meta-regression was also conducted. Results showed a small positive and significant effect on the performance test with aerobic metabolic predominance (SMD = 0.29; CI = 0.08–0.50; p < 0.05). Moreover, the subgroup analysis displayed significant greater benefits when the dose was ≥30 × 109 colony forming units (CFU) (SMD, 0.47; CI, 0.05 to 0.89; p < 0.05), when supplementation duration was ≤4 weeks (SMD, 0.44; CI, 0.05 to 0.84; p < 0.05), when single strain probiotics were used (SMD, 0.33; CI, 0.06 to 0.60; p < 0.05), when participants were males (SMD, 0.30; CI, 0.04 to 0.56; p < 0.05), and when the test was performed to exhaustion (SMD, 0.45; CI, 0.05 to 0.48; p < 0.05). However, with references to the findings of the meta-regression, selected covariates did not predict probiotic effects in highly trained population. In summary, the current systematic review and meta-analysis supported the potential effects of probiotics supplementation to improve performance in a test in which aerobic metabolism is predominant in trained population. However, more research is needed to fully understand the mechanisms of action of this supplement

EFFECTS OF SUPPLEMENTATION WITH CREATINE MONOHYDRATE AND BETA-ALANINE, ALONE OR COMBINED, ON REPEATED SPRINT PERFORMANCE AND PHYSIOLOGICAL PARAMETERS IN AMATEUR TEAM AND RACKET SPORT PLAYERS

The purpose of this study was to compare the combined effects of creatine monohydrate (Cr) and beta- alanine (BA) with their isolated use on performance and physiological parameters during repeated sprint sequences (RSS). Forty-four male (n=34) and female (n=10) amateur team- and racket sport players (25.1±3.1 years; 175.2±9.8 cm; 76.0±10.3 kg; 15.2±6.8% body fat) performed ten repetitions of 6-s sprints with departure every 30 s, before and after a 28-day supplementation period with either Cr (n=11, 5 g‧day-1), BA (n=10, 6 g‧day-1), combined Cr and BA (n=12, 5 g‧day-1 of Cr plus 6g‧day-1 of BA) or placebo (11 g‧day-1 of rice flour). Peak (PP) and mean power (MP), performance decrement (%Dec), heart rate (HR), blood lactate concentration (LA) and perceived exertion (RPE) were measured. Analyses of variance (ANOVA) were used to determine the effects of groups (Cr, BA, CrBA, P), sprint number (1 to 10), and time (pre- vs. post-supplementation) on all variables. A significant increase in PP was shown in the post- compared to the pre-supplementation in Cr (+5.2%) and BA (+5.2%) groups only (p<.05), and significant decreases in MP in all groups (3.7% to 6.4%, p<.05), except BA. %Dec was significantly decreased post-supplementation in the Cr group only (17.4%, p<.05). No effects were shown on HR, RPE and LA (p<.05). These results show no additional benefits of the combination of Cr and BA on RSS performance and suggest that longer sprint or total exercise duration might be necessary to observe the benefits of the combined supplementation

Two Distinct Phases of Bilayer Graphene Films on Ru(0001)

By combining angle-resolved photoemission spectroscopy and scanning tunneling microscopy we reveal the structural and electronic properties of multilayer graphene on Ru(0001). We prove that large ethylene exposure allows to synthesize two distinct phases of bilayer graphene with different properties. The first phase has Bernal AB stacking with respect to the first graphene layer, displays weak vertical interaction and electron doping. The long-range ordered moir\'e pattern modulates the crystal potential and induces replicas of the Dirac cone and minigaps. The second phase has AA stacking sequence with respect to the first layer, displays weak structural and electronic modulation and p-doping. The linearly dispersing Dirac state reveals the nearly-freestanding character of this novel second layer phase

Vertical Jump and Relative Strength are Strongly Associated with Change of Direction in Professional Male Basketball Players

Purpose: The aim of this study was to examine the predictors of change of direction (COD) in highly trained/national level male basketball players using field assessments. Methods: Eight professional male basketball players (age: 24.0 ± 5.5 years; body mass index (BMI): 24.1 ± 1.6 kg m-2) volunteered for participation in this study. All the evaluations were carried out during 2 sessions as follows: First day_1) body composition, 2) unilateral and bilateral squat jump (SJ) and countermovement (CMJ), and 3) Yo-Yo intermittent recovery test level 1 (Yo-Yo IR1); Second day_1) COD performance, and 2) one repetition maximum (1RM) hang clean (HC) and bench press (BP). A linear regression was performed to evaluate the determinants of COD amongst all other measured variables. Furthermore, we applied Pearson correlation coefficient and in the case of non-normally distributed variables, Spearman’s correlation coefficient for the selected variables. Results: The linear regression indicated that only SJ height was a significant determinant of COD (R2 = 58.8%, p = 0.016). Significant correlations were identified between COD test and SJ (r = -0.75, p = 0.034; very large), and relative HC 1 RM (r = -0.74, p = 0.038; very large). Conclusions: The associations found between COD performance and physical parameters should be considered when developing athletic conditioning programs. Especially, the vertical jump heigh could explain the greatest variability in COD performance.

Effects of three-day serial sodium bicarbonate loading on performance and physiological parameters during a simulated basketball test in female university players

The aim of this study was to investigate the effect of 3-day serial sodium bicarbonate ingestion on repeated sprint and jump performance. Fifteen female university basketball players (23.3 ± 3.4 years; 173.1 ± 5.8 cm; 65.8 ± 6.3 kg; 23.6 ± 4.9% body fat) ingested 0.4 g/kg body mass of sodium bicarbonate or placebo for 3 days (split in three equal daily doses), before completing a simulated basketball exercise. Sprint and circuit times, jump heights, performance decrements, and gastrointestinal side effects were recorded during the test, and blood lactate concentration wasmeasured pre- and posttest. Sodiumbicarbonate supplementation led to significant decreases in mean sprint times (1.34 ± 0.23 vs. 1.70 ± 0.41 s, p = .008, 95% confidence intervals [−0.54, −0.10 s]) and mean circuit times (30.6 ± 2.0 vs. 31.3 ± 2.0 s, p = .044) and significantly greater mean jump height (26.8 [range 25.2–34.2] vs. 26.0 [range 25.6–33.6] cm, p = .013) compared with placebo. Performance decrement was significantly less for sprints with sodium bicarbonate compared with placebo (9.9 [range 3.4–37.0]% vs. 24.7 [range 4.1–61.3]%, p = .013), but not different for jumps (13.1 ± 4.5% vs. 12.5 ± 3.1%, p = .321) between conditions. No differences in gastrointestinal side effects were noted between conditions. Significantly greater postexercise blood lactate concentrations were measured in the sodium bicarbonate condition compared with the placebo condition (8.2 ± 2.8 vs. 6.6 ± 2.4 mmol/L, p = .010). This study is the first to show that serial loading of sodium bicarbonate is effective for basketball players to improve repeated sprint and jump performance during competition, or withstand greater training load during practice sessions without any gastrointestinal side effects