Borderline CD30+ Cutaneous Lymphoproliferative Disorder: Report of a Case with Expression of Cytotoxic Markers and Response to Clarithromycin

CD30+ cutaneous lymphoproliferative disorders (CLPDs) are usually characterized by a benign clinical course. The prognostic value of cytotoxic markers in these lymphomas has not been evaluated in large series. We describe a case of borderline CD30+ CLPD with cytotoxic phenotype, presenting in a 22-year-old male patient as an ulcer on the forearm. He reported having had similar ulcers on the buttock and thigh that spontaneously regressed over the course of 1 year. The lesion resolved with a single course of clarithromycin; a subsequent lesion, too, responded to clarithromycin, and no recurrences or systemic involvement have been documented in the 9-month follow-up. A conservative approach in the management of CD30+ CLPD is recommended. We believe that the anti-inflammatory and apoptotic effects of clarithromycin on T cells may have hastened the remission process

Does Warm-Up Have a Beneficial Effect on 100-m Freestyle?

To investigate the effect of warm-up on 100-m swimming performance. Twenty competitive swimmers (with a training frequency of 8.0 ± 1.0 sessions/wk) performed 2 maximal 100-m freestyle trials on separate days, with and without prior warm-up, in a counterbalanced and randomized design. The warm-up distance totaled 1000 m and replicated the swimmers' usual precompetition warm-up strategy. Performance (time), physiological (capillary blood lactate concentrations), psychophysiological (perceived exertion), and biomechanical variables (distance per stroke, stroke frequency, and stroke index) were assessed on both trials. Performance in the 100-m was fastest in the warm-up condition (67.15 ± 5.60 vs 68.10 ± 5.14 s; P = .01), although 3 swimmers swam faster without warm-up. Critical to this was the 1st 50-m lap (32.10 ± 2.59 vs 32.78 ± 2.33 s; P < .01), where the swimmers presented higher distance per stroke (2.06 ± 0.19 vs. 1.98 ± 0.16 m; P = .04) and swimming efficiency compared with the no-warm-up condition (stroke index 3.46 ± 0.53 vs 3.14 ± 0.44 m2 · c1 · s1; P < .01). Notwithstanding this better stroke-kinematic pattern, blood lactate concentrations and perceived exertion were similar between trials. These results suggest that swimmers' usual warm-up routines lead to faster 100-m freestyle swimming performance, a factor that appears to be related to better swimming efficiency in the 1st lap of the race. This study highlights the importance of performing swimming drills (for higher distance per stroke) before a maximal 100-m freestyle effort in similar groups of swimmers.UBI/FCSH/Santander/2010info:eu-repo/semantics/publishedVersio

Effects of 10min vs. 20min passive rest after warm-up on 100m freestyle time-trial performance: A randomized crossover study

The aim of this study was to compare the effect of 10min vs. 20min passive rest post warm-up on performance in a 100m freestyle time-trial. Randomized crossover. Eleven competitive male swimmers performed two experimental trials on different days, consisting of 100m freestyle time-trials following 10min or 20min passive rest after a standard 1200m warm-up. Performance (time-trial), biomechanical (stroke length, stroke frequency, stroke index, propelling efficiency), physiological (blood lactate concentrations, heart rate, core and tympanic temperature), and psychophysiological (perceived effort) variables were assessed during both trials. Time-trial performance was faster after 10min as opposed to 20min passive rest (58.41±1.99s vs. 59.06±1.86, p<0.01). This was supported by strong effect sizes (d=0.99) and the qualitative indication of "likely" positive effects. Heart rate before the time-trial was also higher after 10min passive rest (89±12bpm vs. 82±13bpm; p<0.01). Furthermore, net core temperature and oxygen uptake values before the time-trial were substantially lower after 20min passive rest. These data suggest that the 10min post warm-up passive rest enhances 100m freestyle performance when compared to a 20min period. An improvement that appears to be mediated by the combined effects of a shorter post warm-up period on core temperature, heart rate and oxygen uptake.info:eu-repo/semantics/publishedVersio

a systematic review of observational studies

Funding: Research Center in Sports Sciences, Health Sciences and Human Development, CIDESD, is supported by the Portuguese Foundation of Science and Technology (UID/04045/2020)Background: End-stage Kidney Disease patients have a high mortality and hospitalization risk. The association of these outcomes with physical activity is described in the general population and in other chronic diseases. However, few studies examining this association have been completed in end-stage Kidney Disease patients, raising the need to systematically review the evidence on the association of physical activity with mortality and hospitalization in this population. Methods: Electronic databases (EBSCO, Scopus and Web of Science) and hand search were performed until March 2020 for observational studies reporting the association of physical activity with mortality or hospitalization in adult end-stage Kidney Disease patients on renal replacement therapy (hemodialysis, peritoneal dialysis and kidney transplant). Methodological quality of the included studies was assessed using the Quality in Prognosis Studies tool. The review protocol was registered in PROSPERO (CRD42020155591). Results: Eleven studies were included: six in hemodialysis, three in kidney transplant, and two in hemodialysis and peritoneal dialysis patients. Physical activity was self-reported, except in one study that used accelerometers. All-cause mortality was addressed in all studies and cardiovascular mortality in three studies. Nine studies reported a significant reduction in all-cause mortality with increased levels of physical activity. Evidence of a dose-response relationship was found. For cardiovascular mortality, a significant reduction was observed in two of the three studies. Only one study investigated the association of physical activity with hospitalization. Conclusions: Higher physical activity was associated with reduced mortality in end-stage Kidney Disease patients. Future studies using objective physical activity measures could strengthen these findings. The association of physical activity with hospitalization should be explored in future investigations.publishersversionpublishe

The Potential Modulatory Effects of Exercise on Skeletal Muscle Redox Status in Chronic Kidney Disease

Funding Information: SM is supported by a Portuguese Foundation of Science and Technology (FCT) doctoral grant (SFRH/BD/07740/2020). The Research Center in Sports Sciences, Health Sciences and Human Development is funded by FCT (UID/04045/2020). Publisher Copyright: © 2023 by the authors.Chronic Kidney Disease (CKD) is a global health burden with high mortality and health costs. CKD patients exhibit lower cardiorespiratory and muscular fitness, strongly associated with morbidity/mortality, which is exacerbated when they reach the need for renal replacement therapies (RRT). Muscle wasting in CKD has been associated with an inflammatory/oxidative status affecting the resident cells’ microenvironment, decreasing repair capacity and leading to atrophy. Exercise may help counteracting such effects; however, the molecular mechanisms remain uncertain. Thus, trying to pinpoint and understand these mechanisms is of particular interest. This review will start with a general background about myogenesis, followed by an overview of the impact of redox imbalance as a mechanism of muscle wasting in CKD, with focus on the modulatory effect of exercise on the skeletal muscle microenvironment.publishersversionpublishe

Warm-up for Sprint Swimming: Race-Pace or Aerobic Stimulation? A Randomized Study

The aim of this study was to compare the effects of 2 different warm-up intensities on 100-m swimming performance in a randomized controlled trial. Thirteen competitive swimmers performed two 100-m freestyle time-trials on separate days after either control or experimental warm-up in a randomized design. The control warm-up included a typical race-pace set (4 × 25 m), whereas the experimental warm-up included an aerobic set (8 × 50 m at 98-102% of critical velocity). Cortisol, testosterone, blood lactate ([La]), oxygen uptake (V[Combining Dot Above]O2), heart rate, core (Tcore and Tcorenet) and tympanic temperatures, and rating of perceived exertion (RPE) were monitored. Stroke length (SL), stroke frequency (SF), stroke index (SI), and propelling efficiency (ηp) were assessed for each 50-m lap. We found that V[Combining Dot Above]O2, heart rate, and Tcorenet were higher after experimental warm-up (d > 0.73), but only the positive effect for Tcorenet was maintained until the trial. Performance was not different between conditions (d = 0.07). Experimental warm-up was found to slow SF (mean change ±90% CL = 2.06 ± 1.48%) and increase SL (1.65 ± 1.40%) and ηp (1.87 ± 1.33%) in the first lap. After the time-trials, this warm-up had a positive effect on Tcorenet (d = 0.69) and a negative effect on [La] (d = 0.56). Although the warm-ups had similar outcomes in the 100-m freestyle, performance was achieved through different biomechanical strategies. Stroke length and efficiency were higher in the first lap after the experimental warm-up, whereas SF was higher after control warm-up. Physiological adaptations were observed mainly through an increased Tcore after experimental warm-up. In this condition, the lower [La] after the trial suggests lower dependency on anaerobic metabolism.UBI/FCSH/Santander/2010info:eu-repo/semantics/publishedVersio

The Effects of Different Warm-up Volumes on the 100-m Swimming Performance: A Randomized Crossover Study

The aim of this study was to compare the effect of 3 different warm-up (WU) volumes on 100-m swimming performance. Eleven male swimmers at the national level completed 3 time trials of 100-m freestyle on separate days and after a standard WU, a short WU (SWU), or a long WU (LWU) in a randomized sequence. All of them replicated some usual sets and drills, and the WU totaled 1,200 m, the SWU totaled 600 m, and the LWU totaled 1,800 m. The swimmers were faster after the WU (59.29 seconds; confidence interval [CI] 95%, 57.98-60.61) and after the SWU (59.38 seconds; CI 95%, 57.92-60.84) compared with the LWU (60.18 seconds; CI 95%, 58.53-61.83). The second 50-m lap after the WU was performed with a higher stroke length (effect size [ES] = 0.77), stroke index (ES = 1.26), and propelling efficiency (ES = 0.78) than that after the SWU. Both WU and SWU resulted in higher pretrial values of blood lactate concentrations [La] compared with LWU (ES = 1.58 and 0.74, respectively), and the testosterone:cortisol levels were increased in WU compared with LWU (ES = 0.86). In addition, the trial after WU caused higher [La] (ES ≥ 0.68) and testosterone:cortisol values compared with the LWU (ES = 0.93). These results suggest that an LWU could impair 100-m freestyle performance. The swimmers showed higher efficiency during the race after a 1200-m WU, suggesting a favorable situation. It highlighted the importance of the [La] and hormonal responses to each particular WU, possibly influencing performance and biomechanical responses during a 100-m race.Santander Totta bank (UBI/FCSH/Santander/2010). COP/Millenium BCPSport Sciences 2014info:eu-repo/semantics/publishedVersio

Twelve weeks of supervised exercise improves self-reported symptom burden and fatigue in chronic kidney disease : a secondary analysis of the ‘ExTra CKD’ trial

Background Chronic kidney disease (CKD) patients experience a high symptom burden including fatigue, sleep difficulties, muscle weakness and pain. These symptoms reduce levels of physical function (PF) and activity, and contribute to poor health-related quality of life (HRQoL). Despite the gathering evidence of positive physiological changes following exercise in CKD, there is limited evidence on its effect on self-reported symptom burden, fatigue, HRQoL and physical activity. Methods Thirty-six patients [mean ± SD 61.6 ± 11.8 years, 22 (61%) females, estimated glomerular filtration rate: 25.5 ± 7.8 mL/min/1.73 m2] not requiring renal replacement therapy underwent 12 weeks (3 times/week) of supervised aerobic exercise (AE), or a combination (CE) of AE plus resistance training. Outcomes included self-reported symptom burden, fatigue, HRQoL and physical activity. Results Exercise reduced the total number of symptoms reported by 17% and had favourable effects on fatigue in both groups. AE reduced the frequency of ‘itching’, ‘impotence’ and ‘shortness of breath’ symptoms, and the intrusiveness for symptoms of ‘sleep disturbance’, ‘loss of muscular strength/power’, ‘muscle spasm/stiffness’ and ‘restless legs’. The addition of resistance exercise in the CE group saw a reduction in ‘loss of muscular strength/power’. No changes were seen in subjective PF or physical activity levels. AE increased self-efficacy for physical activity. Conclusions Supervised exercise had favourable effects on symptom frequency and intrusiveness, including substantial improvements in fatigue. Although the intervention did not improve self-reported physical activity levels, AE increased patients’ self-efficacy for physical activity. These favourable changes in self-reported outcomes support the important role of exercise in CKD