Dynamic inertial analysis of the technical boxing gesture of Jab

The purpose of this study is to analyze the inertial dynamics of the Jab technical gesture in boxing. The target is to test and establish with the precision of the latest generation inertial technology the real physical parameters of the mechanical components of the technical gesture subjected to analysis to use, in the event of an expected congruence, the parameters obtained as key elements in the project of sports training investigated for performative purposes, given that the literature on this subject is scarce and sometimes with data obtained using non-state-of-the-art equipment and therefore not reliable. Five boxers (n = 5) took part in this research, considered sufficient for an exploratory study, respectively two female (n = 2), (18.5 ± 6.4 years, weight 63.7 ± 0.4 kg, height 169 ± 1.4 cm; arm length 69.5 ± 2.1 cm) and three male (n = 3), (23.0 ± 3.5 years, weight 80.0 ± 7.0 kg, height 184.3 ± 7.1 cm; arm length 79.7 ± 2.5 cm). These athletes were from different levels of experience, also to obtain specific threshold data in the various stadiums, however, all participating in national level competitions (elitè level). From the dataset, it’s possible to appreciate a different average acceleration value in the Jab execution phase between 8.65 m/s² (woman) and 13.85 m/s² (man) of the stroke, statistically significant (p <0.05), even in the small sample. The same situation is true for the torsion phase of the trunk between the best performing male boxer (boxer 1) and the best female boxer (boxer 5) respectively 0.733 vs 0.338 g² (p <0.05). This allows us to understand how gender and category differences are a key element in relation to the training planning of the discipline and that often turn out to be quite generic and that doesn’t take into account accurately and weighed the differences and what are the values to be respected in the specific training workload and also in the performance level of the exercises necessary to achieve those physiological conditions and techniques useful for performance improvement. The differences in this sample were also evident between individuals of the same gender and level

The Effect of coronavirus (COVID-19) on breast cancer teamwork: A multicentric survey

Background/Aim: Despite the large amount of clinical data available of Coronavirus-19 (COVID-19), not many studies have been conducted about the psychological toll on Health Care Workers (HCWs). Patients and Methods: In this multicentric descriptive study, surveys were distributed among 4 different Breast Cancer Centers (BCC). BCCs were distinguished according to COVID-19 tertiary care hospital (COVID/No-COVID) and district prevalence (DP) (High vs. Low). DASS-21 score, PSS score and demographic data (age, sex, work) were evaluated. Results: A total of 51 HCWs were analyzed in the study. Age, work and sex did not demonstrate statistically significant values. Statistically significant distribution was found between DASS-21-stress score and COVID/No-COVID (p=0.043). No difference was found in the remaining DASS-21 and PSS scores, dividing the HCWs according to COVID-19-hospital and DP. Conclusion: Working in a COVID-19-hospital represents a factor that negatively affects psychosocial wellbeing. However, DP seems not to affect the psychosocial well-being of BCC HCWs. During the outbreak, psychological support for low risk HCWs should be provided regardless DP

Fine Particulate air Pollution is Associated with Higher Vulnerability to Atrial Fibrillation—The APACR Study

The acute effects and the time course of fine particulate pollution (PM2.5) on atrial fibrillation/flutter (AF) predictors, including P-wave duration, PR interval duration, and P-wave complexity, were investigated in a community-dwelling sample of 106 nonsmokers. Individual-level 24-h beat-to-beat electrocardiogram (ECG) data were visually examined. After identifying and removing artifacts and arrhythmic beats, the 30-min averages of the AF predictors were calculated. A personal PM2.5 monitor was used to measure individual-level, real-time PM2.5 exposures during the same 24-h period, and corresponding 30-min average PM2.5 concentration were calculated. Under a linear mixed-effects modeling framework, distributed lag models were used to estimate regression coefficients (βs) associating PM2.5 with AF predictors. Most of the adverse effects on AF predictors occurred within 1.5–2 h after PM2.5 exposure. The multivariable adjusted βs per 10-µg/m3 rise in PM2.5 at lag 1 and lag 2 were significantly associated with P-wave complexity. PM2.5 exposure was also significantly associated with prolonged PR duration at lag 3 and lag 4. Higher PM2.5 was found to be associated with increases in P-wave complexity and PR duration. Maximal effects were observed within 2 h. These findings suggest that PM2.5 adversely affects AF predictors; thus, PM2.5 may be indicative of greater susceptibility to AF

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

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

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

Studio randomizzato controllato sul confronto tra due morcellatori tissutali: Gynecare Morcellex® versus Rotocut G1®

Obiettivo dello studio è quello di comparare la sicurezza e l’efficienza di due morcellatori tissutali, Gynecare Morcellex® e Rotocut G1®, per l’esecuzione di interventi di isterectomia sopracervicale e miomectomia per via laparoscopica. Si tratta di uno studio randomizzato controllato, svolto presso la Cattedra di Ginecologia e Ostetricia dell’Università “Magna Graecia” di Catanzaro. Sono state reclutate 74 donne con fibromi sintomatici e candidate per interventi di isterectomia sopracervicale o miomectomia per via laparoscopica, seguiti da morcellamento tissutale effettuato con Gynecare Morcellex® (gruppo sperimentale) o Rotocut G1® (gruppo controllo). Sono stati registrati per ogni paziente i parametri clinici, biochimici e chirurgici. Non sono state evidenziate differenze statisticamente significative tra i due gruppi di pazienti nel tempo operatorio totale (91.9±30.9 vs. 84.3±27.3, rispettivamente; P=0.264) e nel tempo di morcellamento (5.8±2.9 vs. 5.0±3.0 rispettivamente; P=0.281), mentre una differenza statisticamente significativa (P<0.05) è stata riscontrata nel grado di maneggevolezza del Morcellex® rispetto al Rotocut G1®. Tra i due gruppi non sono state registrate differenze in alcun altro parametro valutato. Concludendo, il Gynecare Morcellex® è uno strumento sicuro ed efficiente che potrebbe essere preferito da chirurghi con un minore grado di esperienza nel morcellamento elettronico di tessuti in corso di interventi laparoscopici