The effects of action observation in the lower limb landing biomechanics: a systematic review and meta-analysis

Non-contact ACL injuries usually occur when an athlete lands from a jump. Therefore, landing training is frequently used as an injury-prevention strategy. This systematic review aims to investigate the effects of action observation in the motor learning of the proper landing technique for healthy adults. Randomized controlled trials were deemed eligible if they included athletically active healthy adults without a history of lower limb injuries and if they compared action observation, in the form of direct observation or video feedback, to the control. The outcome measures were lower extremity biomechanical parameters: sagittal plane flexion angles, dynamic knee valgus and vertical ground reaction force. Six trials were included. Two trials were rated at low risk of bias, one trial with some concerns and three trials with a high risk of bias. Pooled data analysis indicated that action observation improves peak knee flexion (MD 15.95, 95% CI 3.53 to 28.38, I2 = 92%) and initial contact knee flexion (MD 4.05, 95% CI 1.62 to 6.48, I2 = 0%). It may also improve peak hip flexion (MD 18.16, 95% CI – 1.71 to 38.03, I2 = 92%) and dynamic knee valgus (SMD 0.52, 95% CI – 0.31 to 1.34, I2 = 75%) and has no effect on vertical ground reaction force (SMD – 0.04, 95% CI – 0.68 to 0.61, I2 = 62%) compared to the control. In conclusion, we can state that action observation is a potential strategy to enhance motor learning of the proper landing technique in healthy individuals

Heat waves and adaptation strategies in a Mediterranean urban context

Heat waves can be considered as an emerging challenge among the potential health risks generated by urbanization and climate changes. Heat waves are becoming more frequent, long and intense, and can be defined as meteorological extreme events consisting in prolonged time of extremely high temperatures in a particular region. The following paper addresses health threats due to heat waves presenting the case study of Lecce, a city located in Southern Italy; the Mediterranean area is already recognized in international literature as a hot-spot for climate changes. This work assesses the potential impact of two different adaptation strategies. Methods: We have tested the effectiveness of cool surfaces and urban forestry as adaptation approaches to cope with heat waves. The microclimate computer-based model “ENVI-met” was adopted to predict thermal scenarios arising from the two proposed interventions. The parameters analysed consisted in temperature and relative humidity. Results: Urban forestry approach seem to lower temperature (that represents the major cause of urban overheating) better than cool surfaces strategy, but relative humidity produced by the evapotranspiration processes of urban forestry has also negative influences on temperature perceived by pedestrians (thermal discomfort). Conclusion: Vegetation represents both an adaptation and a mitigation strategy to climate changes that guarantees an improvement of air quality, with consequent psychological and physical benefits. Wide campaigns aimed at planting trees and increasing the urban green coverage should be systematically planned and fostered by national, regional and local institutions preferably with the involvement of research departments, schools and citizens’ associations

The Left Ventricular Dysfunction Questionnaire: Italian translation and validation.

Patients affected by heart failure have a compromised quality of life (QOL) and in the last few years "health related quality of life" has become an important outcome indicator for the evaluation of heart failure treatment. Methods: Translation into Italian of the Left Ventricular Dysfunction Questionnaire (LVD-36), a new, 36-item, disease-specific health status instrument for patients with congestive heart failure, and its subsequent validation by administration to 50 consecutive patients in our heart failure outpatient clinic. The Italian LVD-36 was compared to the "The Minnesota Living with Heart Failure Questionnaire" (MLHF). Results: The Italian version of the LVD-36 correlates well with MLHF for ejection fraction (EF), NYHA class I and II, etiology and therapy. Since, however, the LVD-36 has only one domain, it may be able to offer more synthetic information than MLHF about patients' status. Conclusions: The Italian version of the LVD-36 appears to be a reliable instrument for assessing patients' QOL and the degree of limitations imposed on them by the disease. It is short, clear and easy to complete. In patients with heart failure the LVD-36 correlates well with the MLHF and may be considered a new disease- specific instrument to estimate changes in health status, and an useful support in optimizing therapeutic options

Clinical and Organizational Factors Related to the Reduction of Mechanical Restraint Application in an Acute Ward: An 8-Year Retrospective Analysis

Background: The purpose of this study was to describe the frequency of mechanical restraint use in an acute psychiatric ward and to analyze which variables may have significantly influenced the use of this procedure. Methods: This retrospective study was conducted in the Servizio Psichiatrico di Diagnosi e Cura (SPDC) of Modena Centro. The following variables of our sample, represented by all restrained patients admitted from 1-1-2005 to 31-12-2012, were analyzed: age, gender, nationality, psychiatric diagnoses, organic comorbidity, state and duration of admission, motivation and duration of restraints, nursing shift and hospitalization day of restraint, number of patients admitted at the time of restraint and institutional changes during the observation period. The above variables were statistically compared with those of all other non-restrained patients admitted to our ward in the same period. Results: Mechanical restraints were primarily used as a safety procedure to manage aggressive behavior of male patients, during the first days of hospitalization and night shifts. Neurocognitive disorders, organic comorbidity, compulsory state and long duration of admission were statistically significantly related to the increase of restraint use (p<.001, multivariate logistic regression). Institutional changes, especially more restricted guidelines concerning restraint application, were statistically significantly related to restraint use reduction (p<.001, chi2 test, multivariate logistic regression). Conclusion: The data obtained highlight that mechanical restraint use was influenced not only by clinical factors, but mainly by staff and policy factors, which have permitted a gradual but significant reduction in the use of this procedure through a multidimensional approach

Autism spectrum disorder and prenatal or early life exposure to pesticides : A short review

Background: Autism spectrum disorder (ASD) diagnoses have rapidly increased globally. Both environmental and genetic factors appear to contribute to the development of ASD. Several studies have shown a potential association between prenatal or postnatal pesticide exposure and the risk of developing ASD. Methods: We reviewed the available literature concerning the relationship between early life exposure to pesticides used in agriculture, such as organochlorines, organophosphates and pyrethroids, and ASD onset in childhood. We searched on Medline and Scopus for cohort or case–control studies published in English from 1977 to 2020. Results: A total of seven articles were selected for the review. We found a remarkable association between the maternal exposure to pyrethroid, as well as the exposure to organophosphate during pregnancy or in the first years of childhood, and the risk of ASD onset. This association was found to be less evident with organochlorine pesticides. Pregnancy seems to be the time when pesticide exposure appears to have the greatest impact on the onset of ASD in children. Conclusions: Among the different environmental pollutants, pesticides should be considered as emerging risk factors for ASD. The potential association identified between the exposure to pesticides and ASD needs to be implemented and confirmed by further epidemiological studies based on individual assessment both in outdoor and indoor conditions, including multiple confounding factors, and using statistical models that take into account single and multiple pesticide residues

Envisioning Resilient Cities for a Post-Pandemic One Health Future

The book explores and discusses the Urban Resilience and Planetary Health concepts to activate synergic dialogues among disciplinary research fields and action domains towards urban vision challenges rooted in resilience and adaptive experiences promoted by academia, experts, the third sector, and communities. Rooted in the outcomes from the Urban Resilience and One Health" international conference, the book editorial process enlarged his perspectives to transfer innovations and advancements in urban systems' transformation processes, fostering a radical shift in the decision-making phase, design solutions and tools, and implementation processes. This collective manuscript, enriched by multidisciplinary contributions from academic and civil organization perspectives from all the continents, integrates research advancements and experiences discussing and contributing to envision a post-pandemic future for our cities

Heat stroke in the workplace: description of a case with fatal outcome

BACKGROUND: Heat exposure represents an occupational risk factor in various work settings. Adverse effects may range from mild symptoms, like muscular cramps, to life threatening conditions, like heat stroke. Data on the occurrence of work-related adverse effects of heat exposure in Italy are lacking.OBJECTIVES:To highlight the risk of heat stroke in a common working activity.METHODS:The case of a fatal heat stroke in a 19-year-old worker, in apparently good health, employed in maintenance of open park spaces is presented. After working 7 hours outdoors on a sunny day he was found unconscious. He was immediately taken to the local Emergency Department, where he arrived in hyperthermic and comatose conditions, and died due to multiple organ failure after 36 hours. After excluding other main causes of hyperthermia, heatstroke was identified as the initial cause of death.RESULTS:The case presented describes the possible extreme consequences of an underestimation of the risk related to occupational heat exposure, even in young and apparently healthy workers. Heat-related adverse effects may occur in a number of common activities, not necessarily involving heavy workload or extreme temperatures. Different methods, including simplified methods, are available for heat stress risk evaluation. The main preventive measures include adequate acclimatization, periodic interruption of exposure, sufficient fluid intake, adequate clothing and appropriate Personal Protective Equipment. Adequate training and workers' health surveillance are also essential.CONCLUSIONS:Heat exposure may be a significant occupational risk, potentially inducing life-threatening conditions, in a number of common activities but is frequently underestimated. An example of undervaluation of the risk and of the possible consequences, are presented and discussed in this case report

Minimally-modeled search of higher multipole gravitational-wave radiation in compact binary coalescences

As the Advanced LIGO and Advanced Virgo interferometers, soon to be joined by the KAGRA interferometer, increase their sensitivity, they detect an ever-larger number of gravitational waves with a significant presence of higher multipoles (HMs) in addition to the dominant (2, 2) multipole. These HMs can be detected with different approaches, such as the minimally-modeled burst search methods, and here we discuss one such approach based on the coherent WaveBurst (cWB) pipeline. During the inspiral phase the HMs produce chirps whose instantaneous frequency is a multiple of the dominant (2, 2) multipole, and here we describe how cWB can be used to detect these spectral features. The search is performed within suitable regions of the time-frequency representation; their shape is determined by optimizing the receiver operating characteristics. This novel method has already been used in the GW190814 discovery paper (Abbott et al 2020 Astrophys. J. Lett. 896 L44) and is very fast and flexible. Here we describe in full detail the procedure used to detect the (3, 3) multipole in GW190814 as well as searches for other HMs during the inspiral phase, and apply it to another event that displays HMs, GW190412, replicating the results obtained with different methods. The procedure described here can be used for the fast analysis of HMs and to support the findings obtained with the model-based Bayesian parameter estimates

The Long March of Chinese Co-operatives: Towards Market Economy, Participation, and Sustainable Development

This is an Author Final Copy of a paper accepted for publication in Asia Pacific Business Review published by and copyright Taylor & Francis

The search of higher multipole radiation in gravitational waves from compact binary coalescences by a minimally-modelled pipeline

The coherent WaveBurst (cWB) pipeline implements a minimally-modelled search to find a coherent response in the network of gravitational wave detectors of the LIGO-Virgo Col-laboration in the time-frequency domain. In this manuscript, we provide a timely introduction to an extension of the cWB analysis to detect spectral features beyond the main quadrupolar emission of gravitational waves during the inspiral phase of compact binary coalescences; more detailed discussion will be provided in a forthcoming paper [1]. The search is performed by defining specific regions in the time-frequency map to extract the energy of harmonics of main quadrupole mode in the inspiral phase. This method has already been used in the GW190814 discovery paper (Astrophys. J. Lett. 896 L44). Here we show the procedure to detect the (3, 3) multipole in GW190814 within the cWB framework