THE EFFECT OF PERIODIZED RESISTANCE TRAINING ON SPRINTING SPEED, AGILITY AND POWER OF DOMESTIC FEMALE CRICKET PLAYERS

Introduction: It has been well documented that there is great difference between male and female according to body shape and other characteristics like ability to perform work, muscular power and strength. There is almost no study conducted on female cricket participants under the age of twenty. This study was designed to determine effects of periodized resistance training on sprinting speed, agility, power in domestic young female cricketers. Material & Methods: This was a parallel group randomized control trail that utilized purposive sampling to recruit 46 participants. Data was collected from Abdul-Qadeer cricket academy, Kinnaird College for women.46 young female cricketers completed the study, of which 23 were in experimental group and 23 were in control group. In experimental group, 8 week of resistance training program had been introduced in addition to their regular training sessions, while control group only followed their regular training sessions. To evaluate the speed, agility and power tests such as (run a three test, Illinois agility test, sergeant jump test and seated medicine ball throw) were performed before and after the experimental or control training. Results: Periodized resistance training significantly increase (p = 0.01) sprinting speed measured by run a three test. Post intervention mean±SD of Illinois agility test was 19.817±1.579 that shows significant effect of periodized resistance training on agility (p=0.001). Post intervention mean±SD of sergeant jump test was 7.782±2.448 which shows significant effect of periodized resistance training on power of lower limb (p=0.001). Post intervention mean±SD of seated medicine ball throw was 28.194±3.878 that shows that there is no significant effect of periodized resistance training on power of upper limb (p=0.89). Conclusion: This study concluded that sprinting speed, agility and power of lower limb is improved by periodized resistance training

EFFECTS OF HOLMICH PROTOCOL AND MYOFASCIAL RELEASE TECHNIQUE ON GROIN PAIN IN TENNIS PLAYERS

Introduction: Tennis with a normal 17.9 million players is one of the most renowned games with a colossal addition in young tennis players as of late. The prevalence of groin injury increases rapidly in tennis players due to demand of rapid change in direction. Material & Methods: Once ethical approval was taken from Institutional review Board (REC/Letter-00722), a Randomized Clinical Trial (RCT) was conducted on 22 players through nonprobability purposive sampling in Pakistan Tennis Federation, Islamabad. Players were randomly divided into two groups by sealed and envelop method. Group A received Holmich protocol while group B received myofascial release technique. Other than demographics, functional tests like hip range of motion, visual analogue scale, t-test, Edgren sidestep test and triple hop test were conducted to assess the techniques given to groups. Data was analysed using SPSS 21. Trial is registered in US clinical trial registry (NCT04642300). Results: The results of the study show that there was no significant difference between Myofascial release technique and holmich protocol in athletes with groin pain (P value˃0.05). Mean age of the tennis players was 23.14±4.5 in years. Pre and post comparison of both interventions shows significant effect in Range of motion, Pain, Agility and hop test. (P value˂0.01). Conclusion: From the results it can be seen that there was no significance between the two techniques. So in conclusion both techniques can be used to treat groin pain and get successful results

Erythrocyte sedimentation rate in diabetic and non-diabetic patients of cardiovascular disease

The pervasiveness of global endemic of type II diabetes, driven by population development, increasing obesity, urbanization, and other additional unidentified factors may be crumpled in the next 20yrs. The purpose of this study was to determine the correlation of ESR in diabetic and non-diabetic patients of cardiovascular diseases. It is a co-relational study conducted at KRL hospital Islamabad from February 2018 to September 2018. The study population compromised a total of 180 cases aged 45 to 50 years were taken, in which 60 cases of CVD with DM, 60 cases of CVD without DM and 60 normal healthy population were taken. All patients and controls gave written informed consent. All subjects went through a general physical examination, and a questionnaire was used to collect the records about demographics and past medical history and existing use of medications. In the presented study, Pearson's Correlation between ESR of healthy and ESR of CVD without DM shows a weak correlation between these two variables i.e., 0.127 with a p-value of 0.503. We also establish that there is a direct intermediate relationship between ESR of healthy and ESR of CVD with DM. High level of ESR in CVD patients might indicate the prognosis of DM. To confirm this further researches and studies must be conducted in this are

Impact of the COVID-19 pandemic on patients with paediatric cancer in low-income, middle-income and high-income countries: a multicentre, international, observational cohort study

OBJECTIVES: Paediatric cancer is a leading cause of death for children. Children in low-income and middle-income countries (LMICs) were four times more likely to die than children in high-income countries (HICs). This study aimed to test the hypothesis that the COVID-19 pandemic had affected the delivery of healthcare services worldwide, and exacerbated the disparity in paediatric cancer outcomes between LMICs and HICs. DESIGN: A multicentre, international, collaborative cohort study. SETTING: 91 hospitals and cancer centres in 39 countries providing cancer treatment to paediatric patients between March and December 2020. PARTICIPANTS: Patients were included if they were under the age of 18 years, and newly diagnosed with or undergoing active cancer treatment for Acute lymphoblastic leukaemia, non-Hodgkin's lymphoma, Hodgkin lymphoma, Wilms' tumour, sarcoma, retinoblastoma, gliomas, medulloblastomas or neuroblastomas, in keeping with the WHO Global Initiative for Childhood Cancer. MAIN OUTCOME MEASURE: All-cause mortality at 30 days and 90 days. RESULTS: 1660 patients were recruited. 219 children had changes to their treatment due to the pandemic. Patients in LMICs were primarily affected (n=182/219, 83.1%). Relative to patients with paediatric cancer in HICs, patients with paediatric cancer in LMICs had 12.1 (95% CI 2.93 to 50.3) and 7.9 (95% CI 3.2 to 19.7) times the odds of death at 30 days and 90 days, respectively, after presentation during the COVID-19 pandemic (p<0.001). After adjusting for confounders, patients with paediatric cancer in LMICs had 15.6 (95% CI 3.7 to 65.8) times the odds of death at 30 days (p<0.001). CONCLUSIONS: The COVID-19 pandemic has affected paediatric oncology service provision. It has disproportionately affected patients in LMICs, highlighting and compounding existing disparities in healthcare systems globally that need addressing urgently. However, many patients with paediatric cancer continued to receive their normal standard of care. This speaks to the adaptability and resilience of healthcare systems and healthcare workers globally

Twelve-month observational study of children with cancer in 41 countries during the COVID-19 pandemic

Childhood cancer is a leading cause of death. It is unclear whether the COVID-19 pandemic has impacted childhood cancer mortality. In this study, we aimed to establish all-cause mortality rates for childhood cancers during the COVID-19 pandemic and determine the factors associated with mortality

Safety and efficacy of non-steroidal anti-inflammatory drugs to reduce ileus after colorectal surgery

Background: Ileus is common after elective colorectal surgery, and is associated with increased adverse events and prolonged hospital stay. The aim was to assess the role of non-steroidal anti-inflammatory drugs (NSAIDs) for reducing ileus after surgery. Methods: A prospective multicentre cohort study was delivered by an international, student- and trainee-led collaborative group. Adult patients undergoing elective colorectal resection between January and April 2018 were included. The primary outcome was time to gastrointestinal recovery, measured using a composite measure of bowel function and tolerance to oral intake. The impact of NSAIDs was explored using Cox regression analyses, including the results of a centre-specific survey of compliance to enhanced recovery principles. Secondary safety outcomes included anastomotic leak rate and acute kidney injury. Results: A total of 4164 patients were included, with a median age of 68 (i.q.r. 57\u201375) years (54\ub79 per cent men). Some 1153 (27\ub77 per cent) received NSAIDs on postoperative days 1\u20133, of whom 1061 (92\ub70 per cent) received non-selective cyclo-oxygenase inhibitors. After adjustment for baseline differences, the mean time to gastrointestinal recovery did not differ significantly between patients who received NSAIDs and those who did not (4\ub76 versus 4\ub78 days; hazard ratio 1\ub704, 95 per cent c.i. 0\ub796 to 1\ub712; P = 0\ub7360). There were no significant differences in anastomotic leak rate (5\ub74 versus 4\ub76 per cent; P = 0\ub7349) or acute kidney injury (14\ub73 versus 13\ub78 per cent; P = 0\ub7666) between the groups. Significantly fewer patients receiving NSAIDs required strong opioid analgesia (35\ub73 versus 56\ub77 per cent; P &lt; 0\ub7001). Conclusion: NSAIDs did not reduce the time for gastrointestinal recovery after colorectal surgery, but they were safe and associated with reduced postoperative opioid requirement