Body weight and mood state modifications in mixed martial arts: An exploratory pilot

Brandt, R, Bevilacqua, GG, Coimbra, DR, Pombo, LC, Miarka, B, and Lane, AM. Body weight and mood state modifications in mixed martial arts: An exploratory pilot. J Strength Cond Res 32(9): 2548-2554, 2018-Mixed martial arts (MMA) fighters typically use rapid weight loss (RWL) as a strategy to make competition weight. The aim of the present study was to compare body weight and mood changes in professional male MMA athletes who used strategies to rapidly lose weight (n = 9) and with MMA athletes who did not (n = 3). Body mass and mood states of anger, confusion, depression, fatigue, tension, and vigor and total mood disturbance were assessed (a) 30 days before competition, (b) at the official weigh-in 1 day before competition, (c) 10 minutes before competition, and (d) 10 minutes postcompetition. Results indicated that RWL associated with reporting higher confusion and greater total mood disturbance at each assessment point. Rapid weight loss also associated with high anger at the official weigh-in. However, in performance, RWL did not have deleterious effects on performance. The RWL group also reported greater total mood disturbance at all assessment points with a moderate difference effect size. Research supports the notion that RWL associates with potentially dysfunctional mood states

Behavior of the training load, recovery and well-being in volleyball professional athletes in weeks with and without matches

O objetivo deste estudo foi comparar a carga interna de treinamento, o estado de recuperação e o bem-estar em atletas profissionais de Voleibol de acordo com a frequência semanal de jogos. A recuperação foi quantificada pela Escala de TQR, a carga pela PSE da sessão e o bem-estar pela escala de QBE. Para comparar os valores da Carga de Treinamento Semanal Total, o delta da Qualidade Total de Recuperação (ΔTQR) e o delta da Qualidade de bem-estar (ΔQBE) foi aplicado o teste ANOVA para medidas repetidas. Não foram encontradas diferenças significativas ao comparar a carga de treinamento com a frequência de jogos semanais, porém o tamanho do efeito foi muito elevado quando se comparou a diferença entre um e dois jogos semanais, assim como de nenhum a dois jogos na semana. Houve diferença entre o ΔTQR entre as semanas sem jogos e com dois jogos assim como entre as semanas com um e dois jogos. Já o ΔQBE foi diferente para as semanas que não havia a realização de jogos e aquelas com jogos. Concluise que, mesmo que não haja uma variação das cargas com diferentes frequências semanais de jogos, a recuperação assim como o bem-estar dos atletas foi alterada.The aim of this study was to compare the internal training load, recovery state and the well-being of volleyball professional athletes, according to the number of matches during the week. The recovery was quantified with TQR Scale, the training load with sRPE and the well-being with QBE Scale. The ANOVA was applied for repeated measures in order to compare the values of Total weekly training load, the delta of Total Quality Recovery (ΔTQR) and the delta of the quality of well-being (ΔQBE),. There was no significant difference among the training load and the frequency of weekly games, but the effect size was very high when it was compared to the difference between one and two weekly games, as well as any and two games in a week. There were differences on the ΔTQR between weeks without games and with two games, as well as weeks with one and two matches. The ΔQBE was different for weeks in which there was no game and those with matches, regardless of the frequency. It was concluded that, even if there is no variation of loads in different weekly frequency of matches, the athletes' recovery and well-being change.Facultad de Humanidades y Ciencias de la Educació

Behavior of the training load, recovery and well-being in volleyball professional athletes in weeks with and without matches

O objetivo deste estudo foi comparar a carga interna de treinamento, o estado de recuperação e o bem-estar em atletas profissionais de Voleibol de acordo com a frequência semanal de jogos. A recuperação foi quantificada pela Escala de TQR, a carga pela PSE da sessão e o bem-estar pela escala de QBE. Para comparar os valores da Carga de Treinamento Semanal Total, o delta da Qualidade Total de Recuperação (ΔTQR) e o delta da Qualidade de bem-estar (ΔQBE) foi aplicado o teste ANOVA para medidas repetidas. Não foram encontradas diferenças significativas ao comparar a carga de treinamento com a frequência de jogos semanais, porém o tamanho do efeito foi muito elevado quando se comparou a diferença entre um e dois jogos semanais, assim como de nenhum a dois jogos na semana. Houve diferença entre o ΔTQR entre as semanas sem jogos e com dois jogos assim como entre as semanas com um e dois jogos. Já o ΔQBE foi diferente para as semanas que não havia a realização de jogos e aquelas com jogos. Concluise que, mesmo que não haja uma variação das cargas com diferentes frequências semanais de jogos, a recuperação assim como o bem-estar dos atletas foi alterada.The aim of this study was to compare the internal training load, recovery state and the well-being of volleyball professional athletes, according to the number of matches during the week. The recovery was quantified with TQR Scale, the training load with sRPE and the well-being with QBE Scale. The ANOVA was applied for repeated measures in order to compare the values of Total weekly training load, the delta of Total Quality Recovery (ΔTQR) and the delta of the quality of well-being (ΔQBE),. There was no significant difference among the training load and the frequency of weekly games, but the effect size was very high when it was compared to the difference between one and two weekly games, as well as any and two games in a week. There were differences on the ΔTQR between weeks without games and with two games, as well as weeks with one and two matches. The ΔQBE was different for weeks in which there was no game and those with matches, regardless of the frequency. It was concluded that, even if there is no variation of loads in different weekly frequency of matches, the athletes' recovery and well-being change.Facultad de Humanidades y Ciencias de la Educació

Behavior of the training load, recovery and well-being in volleyball professional athletes in weeks with and without matches

O objetivo deste estudo foi comparar a carga interna de treinamento, o estado de recuperação e o bem-estar em atletas profissionais de Voleibol de acordo com a frequência semanal de jogos. A recuperação foi quantificada pela Escala de TQR, a carga pela PSE da sessão e o bem-estar pela escala de QBE. Para comparar os valores da Carga de Treinamento Semanal Total, o delta da Qualidade Total de Recuperação (ΔTQR) e o delta da Qualidade de bem-estar (ΔQBE) foi aplicado o teste ANOVA para medidas repetidas. Não foram encontradas diferenças significativas ao comparar a carga de treinamento com a frequência de jogos semanais, porém o tamanho do efeito foi muito elevado quando se comparou a diferença entre um e dois jogos semanais, assim como de nenhum a dois jogos na semana. Houve diferença entre o ΔTQR entre as semanas sem jogos e com dois jogos assim como entre as semanas com um e dois jogos. Já o ΔQBE foi diferente para as semanas que não havia a realização de jogos e aquelas com jogos. Concluise que, mesmo que não haja uma variação das cargas com diferentes frequências semanais de jogos, a recuperação assim como o bem-estar dos atletas foi alterada.The aim of this study was to compare the internal training load, recovery state and the well-being of volleyball professional athletes, according to the number of matches during the week. The recovery was quantified with TQR Scale, the training load with sRPE and the well-being with QBE Scale. The ANOVA was applied for repeated measures in order to compare the values of Total weekly training load, the delta of Total Quality Recovery (ΔTQR) and the delta of the quality of well-being (ΔQBE),. There was no significant difference among the training load and the frequency of weekly games, but the effect size was very high when it was compared to the difference between one and two weekly games, as well as any and two games in a week. There were differences on the ΔTQR between weeks without games and with two games, as well as weeks with one and two matches. The ΔQBE was different for weeks in which there was no game and those with matches, regardless of the frequency. It was concluded that, even if there is no variation of loads in different weekly frequency of matches, the athletes' recovery and well-being change.Facultad de Humanidades y Ciencias de la Educació

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Mesenchymal Stromal Cell-Derived Microvesicles Regulate an Internal Pro-Inflammatory Program in Activated Macrophages

Mesenchymal stromal cells (MSCs) are multipotent cells with abilities to exert immunosuppressive response promoting tissue repair. Studies have shown that MSCs can secrete extracellular vesicles (MVs-MSCs) with similar regulatory functions to the parental cells. Furthermore, strong evidence suggesting that MVs-MSCs can modulate several immune cells (i.e., Th1, Th17, and Foxp3+ T cells). However, their precise effect on macrophages (Mϕs) remains unexplored. We investigated the immunoregulatory effect of MVs-MSCs on activated M1-Mϕs in vitro and in vivo using differentiated bone marrow Mϕs and an acute experimental model of thioglycollate-induced peritonitis, respectively. We observed that MVs-MSCs shared surface molecules with MSCs (CD44, CD105, CD90, CD73) and expressed classical microvesicle markers (Annexin V and CD9). The in vitro treatment with MVs-MSCs exerted a regulatory-like phenotype in M1-Mϕs, which showed higher CD206 level and reduced CCR7 expression. This was associated with decreased levels of inflammatory molecules (IL-1β, IL-6, nitric oxide) and increased immunoregulatory markers (IL-10 and Arginase) in M1-Mϕs. In addition, we detected that MVs-MSCs promoted the downregulation of inflammatory miRNAs (miR-155 and miR-21), as well as, upregulated its predicted target gene SOCS3 in activated M1-Mϕs. In vivo MVs-MSCs treatment reduced the Mϕs infiltrate in the peritoneal cavity inducing a M2-like regulatory phenotype in peritoneal Mϕs (higher arginase activity and reduced expression of CD86, iNOS, IFN-γ, IL-1β, TNF-α, IL-1α, and IL-6 molecules). This in vivo immunomodulatory effect of MVs-MSCs on M1-Mϕs was partially associated with the upregulation of CX3CR1 in F4/80+/Ly6C+/CCR2+ Mϕs subsets. In summary, our findings indicate that MVs-MSCs can modulate an internal program in activated Mϕs establishing an alternative regulatory-like phenotype

HIV AND HCV COINFECTION: PREVALENCE, ASSOCIATED FACTORS AND GENOTYPE CHARACTERIZATION IN THE MIDWEST REGION OF BRAZIL

Estudo transversal sobre a prevalência, fatores associados e distribuição dos genótipos do HCV foi realizado em 848 pacientes infectados pelo HIV, recrutados em centros de referência na Região Centro-Oeste do Brasil. A taxa de prevalência de coinfecção HIV-HCV foi de 6,9% (IC 95%: 5,2-8,6). Na análise multivariada, o aumento da idade, o uso de drogas ilícitas (injetáveis e não injetáveis), história de transfusão de sangue antes de 1994, e ausência de companheiro constante foram fatores associados independentes e significativos para a coinfecção HIV-HCV. A análise filogenética baseada na região NS5B revelou a presença de dois principais genótipos do HCV em circulação: genótipos 1 (58,3%) e 3 (41,7%). A prevalência da coinfecção HIV-HCV foi menor do que as relatadas em estudos realizados com pacientes infectados pelo HIV em diferentes regiões do Brasil, devido ao fato de que o uso de drogas ilícitas não é modo frequente de transmissão do HIV neste Estado do Brasil. Triagem sorológica de pacientes HIV-positivos para HCV antes de iniciar o tratamento antirretroviral, identificação completa dos fatores associados e a implementação de programas eficazes de redução de danos são altamente recomendados para fornecer informações úteis, para o tratamento e para evitar a coinfecção com HCV nestes pacientes.A cross-sectional study on prevalence, associated factors and genotype distribution of HCV infection was conducted among 848 HIV-infected patients recruited at reference centers in the Midwest Region of Brazil. The prevalence rate of HIV-HCV coinfection was 6.9% (95% CI: 5.2 to 8.6). In multivariable analysis, increasing age, use of illicit drugs (injection and non-injection), a history of blood transfusion before 1994, and the absence of a steady partnership were significant independent associated factors for HIV-HCV coinfection. The phylogenetic analysis based on the NS5B region revealed the presence of two major circulating genotypes of HCV: genotypes 1 (58.3%) and 3 (41.7%). The prevalence of HIV-HCV coinfection was lower than those reported in studies conducted with HIV-infected patients in different regions of Brazil, due to the fact that illicit drug use is not a frequent mode of HIV transmission in this region of Brazil. Serologic screening of HIV-patients for HCV before initiating antiretroviral treatment, a comprehensive identification of associated factors, and the implementation of effective harm reduction programs are highly recommended to provide useful information for treatment and to prevent HCV coinfection in these patients