Is Perceived Athlete Leadership Quality Related to Inside Sacrifice and Perceived Performance in Team Sports? The Mediating Role of Team Identification

The study aimed to analyze the relationship between athletes' perceptions of athlete leadership quality, team identification, inside sacrifice, and performance. A total of 299 players of collective sports (soccer, beach soccer, basketball, volleyball; Mage 19.05, SD = 5.10) participated through a cross-sectional design survey. Data were analyzed using structural equation modeling. Results highlight the positive relationships between perceived quality of athlete leaders, inside sacrifice, and perceived performance, and between inside sacrifice and perceived performance. Furthermore, inside sacrifice perceived by the athletes was a positive mediator between perceived athlete leadership quality and perceived performance. Also, team identification was a positive mediator in the association between inside sacrifice and perceived performance. These findings extend knowledge about the athlete leadership quality context. These results can also be useful for further research and implications in team sports' performance, as coaches and sports psychologists would have more information about their teams' perceptions of leadership quality to achieve positive outcomes in players' inside sacrifice and performance. The findings also highlight the importance of developing team identification to improve the relationships between perceived athlete leadership quality, inside sacrifice, and perceived performance

Avaliação e importância do nível de condicionamento físico no risco cardiovascular na adolescencia

Resumen: Introducción: Se define el riesgo cardiovascular (RCV) como la probabilidad que tiene un individuo de sufrir una enfermedad cardiovascular, dentro de un determinado plazo de tiempo. Las muertes por las enfermedades cardiovasculares siguen siendo una de las mayores preocupaciones en los países industrializados y en vías de desarrollo (Lloyd-Jones et al., 2009). Los niveles de riesgo cardiovasculares en niños y adolescentes se han incrementado en los últimos años (Eisenmann, 2003). Objetivos: El propósito principal del presente estudio fue identificar las posibles diferencias entre el riesgo cardiovascular y el nivel de condición física de los adolescentes. Métodos: Se trata de un estudio correlacional-transversal cuantitativo. El total de participantes fue de 2034, pertenecientes al sexo masculino (n = 1116; 54%) y femenino (n = 918; 46%) de edades comprendidas entre 10 y 16 años (M = 13.08 ± 0.88). El riesgo cardiovascular se midió a través de los parámetros registrados del índice cintura/cadera. Para la evaluación de la condición física relacionada con la salud se empleó la versión extensa de la batería ALPHA-Fitness. Resultados y discusión: Los resultados confirmaron la una mejora de la condición física, así como una disminución del porcentaje de grasa corporal y el índice cintura/cadera, disminuyendo el riesgo de sufrir enfermedades cardiovasculares. El sexo femenino, ha demostrado ser un grupo poblacional con mayor riesgo de sufrir este tipo de enfermedades. Conclusiones: Por lo tanto, se concluyó importancia de mejorar el estado condición física de los adolescentes, influyendo positivamente en el riesgo cardiovascular.Abstract: Introduction: The cardiovascular risk (CVR) is defined as the probability that an individual has of suffering a cardiovascular disease, within a certain period of time. Deaths from cardiovascular diseases continue to be a major concern in industrialized and developing countries (Lloyd-Jones et al., 2009). Cardiovascular risk levels in children and adolescents have increased in recent years (Eisenmann, 2003). Aim: The main purpose of the present study was to identify possible differences between cardiovascular risk and the level of physical condition of adolescents. It is a quantitative cross-correlation study. Methods: A total of 2034 participants, belonging to the male sex (n = 1116, 54%) and female (n = 918, 46%) aged between 10 and 16 years (M = 13.08 ± 0.88) were available. Cardiovascular risk was measured through the recorded parameters of the waist / hip index. The extensive version of the ALPHA-Fitness battery was used to evaluate the physical condition related to health. Results & discussion: The results discussed above, confirm that a better physical condition contributes to a lower % GC and ICC contributes to improving the health status of adolescents, decreasing the risk of cardiovascular disease. Thus, the female sex has been shown to be a population group with a higher risk of suffering from this type of disease. Conclusions: Therefore, it was concluded that it is important to improve the physical condition of adolescents, positively influencing cardiovascular risk.Resumo: Introdução: O risco cardiovascular (CVR) é definido como a probabilidade de que tem uma doença cardiovascular individual do sofrimento, Dentro de um período de tempo Certain. Mortes por doenças cardiovasculares continuam a ser uma grande preocupação em países industrializados e em desenvolvimento (Lloyd-Jones et al., 2009). Os níveis de risco cardiovascular em crianças e adolescentes aumentaram nos últimos anos (Eisenmann, 2003). Objetivo: O objetivo principal do presente estudo foi identificar possíveis diferenças entre o risco cardiovascular e o nível de condição física de adolescentes. É um estudo quantitativo de correlação cruzada. Métodos: Um total de 2034 participantes do sexo masculino, Pertencendo ao (n = 1116, 54%) e do sexo feminino (n = 918, 46%) com idades entre os 10 e 16 anos (13,08 ± 0,88 H =) estavam disponíveis. O risco cardiovascular foi medido através dos parâmetros registrados do índice cintura / quadril. A versão extensa da bateria ALPHA-Fitness foi utilizada para avaliar as condições físicas relacionadas à saúde. Resultados e Discussão: Os resultados discutidos acima, confirmam que contribui para uma melhor condição física para a% GC inferior e ICC contribui para melhorar o estado de saúde dos adolescentes, diminuindo o risco de doença cardiovascular. Assim, o sexo feminino tem se mostrado um grupo populacional com maior risco de sofrer desse tipo de doença. Conclusões: Portanto, concluiu-se que é importante melhorar a condição física dos adolescentes, influenciando positivamente no risco cardiovascular

Efectos de una intervención escolar en la actividad física, el tiempo de sueño, el tiempo de pantalla y la dieta en niños

La inactividad física, los comportamientos sedentarios y el consumo de alimentos no saludables representan un problema de salud pública entre los adolescentes. El objetivo es examinar los efectos de una intervención escolar en los comportamientos de movimiento que interaccionan durante las 24 horas (actividad física, pantallas y sueño), la dieta mediterránea y el estado de salud. Se ha llevado a cabo un diseño cuasi-experimental, durante dos meses y medio. Han participado 121 niños, entre 8 y 9 años (M = 9.01 ± .09 años; 47.11% niñas), de dos escuelas de Educación Primaria, de los cuales 66 se han asignado al grupo control y 55 al grupo experimental. Se han desarrollado diez sesiones de tutoría, de una hora semanal, sobre hábitos saludables. Se han medido la actividad física, el tiempo de pantallas, la duración de sueño, la dieta mediterránea y el estado de salud, antes y después de la intervención, a través de cuestionarios. Los niños del grupo experimental muestran un incremento significativo en la adherencia a la dieta mediterránea y en los valores de actividad física entre semana en comparación con sus valores iniciales. Además, los mayores valores iniciales en el grupo control en la adherencia a la dieta mediterránea y en la proporción de sujetos activos, han desaparecido entre los dos grupos después de la intervención. Un programa escolar implementado en las tutorías, a través de diez sesiones de una hora de duración, parece eficaz para mejorar la adherencia a la dieta mediterránea y la proporción de niños activos, pero no para otros comportamientos relacionados con la salud. Multiple health-risk behaviors such as physical inactivity, sedentary behaviors or unhealthy diet represent a public health problem among adolescents. The aim of this study is to examine the effects of a school-based intervention on 24-hour movement behaviors (i.e., physical activity, screen-based behaviors, and sleep), Mediterranean diet, and self-rated health status. A quasi-experimental design has been carried out for two months and a half in a sample of 121 children, aged 8-9 years (M = 9.01 ± .09 years old; 47.11% girls), from two elementary schools. Sixty-six students from one of the schools has been assigned to the control group and 55 students from the other school has been included in the experimental group. In the experimental group, ten one-hour weekly sessions about knowledge, awareness, and practices of health-related behaviors have been implemented by a research group member through the tutorial action plan. 24-hour movement behaviors, Mediterranean diet, and self-rated health status has been measured before and after the school-based intervention using self-reported questionnaires. Experimental group children show a significant increase in adherence to the Mediterranean diet and being physically active during the weekdays compared to their baseline values. Moreover, the greater baseline values in the adherence to the Mediterranean diet, as well as being physically active during weekend days in the control group, disappear between both groups after the intervention. Ten one-hour sessions of a school-based intervention conducted through the tutorial action plan seem effective in improving children's adherence to the Mediterranean diet and the proportion of active children, but not other health-related behaviors

Effectiveness of an intervention for improving drug prescription in primary care patients with multimorbidity and polypharmacy:Study protocol of a cluster randomized clinical trial (Multi-PAP project)

This study was funded by the Fondo de Investigaciones Sanitarias ISCIII (Grant Numbers PI15/00276, PI15/00572, PI15/00996), REDISSEC (Project Numbers RD12/0001/0012, RD16/0001/0005), and the European Regional Development Fund ("A way to build Europe").Background: Multimorbidity is associated with negative effects both on people's health and on healthcare systems. A key problem linked to multimorbidity is polypharmacy, which in turn is associated with increased risk of partly preventable adverse effects, including mortality. The Ariadne principles describe a model of care based on a thorough assessment of diseases, treatments (and potential interactions), clinical status, context and preferences of patients with multimorbidity, with the aim of prioritizing and sharing realistic treatment goals that guide an individualized management. The aim of this study is to evaluate the effectiveness of a complex intervention that implements the Ariadne principles in a population of young-old patients with multimorbidity and polypharmacy. The intervention seeks to improve the appropriateness of prescribing in primary care (PC), as measured by the medication appropriateness index (MAI) score at 6 and 12months, as compared with usual care. Methods/Design: Design:pragmatic cluster randomized clinical trial. Unit of randomization: family physician (FP). Unit of analysis: patient. Scope: PC health centres in three autonomous communities: Aragon, Madrid, and Andalusia (Spain). Population: patients aged 65-74years with multimorbidity (≥3 chronic diseases) and polypharmacy (≥5 drugs prescribed in ≥3months). Sample size: n=400 (200 per study arm). Intervention: complex intervention based on the implementation of the Ariadne principles with two components: (1) FP training and (2) FP-patient interview. Outcomes: MAI score, health services use, quality of life (Euroqol 5D-5L), pharmacotherapy and adherence to treatment (Morisky-Green, Haynes-Sackett), and clinical and socio-demographic variables. Statistical analysis: primary outcome is the difference in MAI score between T0 and T1 and corresponding 95% confidence interval. Adjustment for confounding factors will be performed by multilevel analysis. All analyses will be carried out in accordance with the intention-to-treat principle. Discussion: It is essential to provide evidence concerning interventions on PC patients with polypharmacy and multimorbidity, conducted in the context of routine clinical practice, and involving young-old patients with significant potential for preventing negative health outcomes. Trial registration: Clinicaltrials.gov, NCT02866799Publisher PDFPeer reviewe

Long-term outcomes of the global tuberculosis and COVID-19 co-infection cohort

Background: Longitudinal cohort data of patients with tuberculosis (TB) and coronavirus disease 2019 (COVID-19) are lacking. In our global study, we describe long-term outcomes of patients affected by TB and COVID-19. Methods: We collected data from 174 centres in 31 countries on all patients affected by COVID-19 and TB between 1 March 2020 and 30 September 2022. Patients were followed-up until cure, death or end of cohort time. All patients had TB and COVID-19; for analysis purposes, deaths were attributed to TB, COVID-19 or both. Survival analysis was performed using Cox proportional risk-regression models, and the log-rank test was used to compare survival and mortality attributed to TB, COVID-19 or both. Results: Overall, 788 patients with COVID-19 and TB (active or sequelae) were recruited from 31 countries, and 10.8% (n=85) died during the observation period. Survival was significantly lower among patients whose death was attributed to TB and COVID-19 versus those dying because of either TB or COVID-19 alone (p<0.001). Significant adjusted risk factors for TB mortality were higher age (hazard ratio (HR) 1.05, 95% CI 1.03-1.07), HIV infection (HR 2.29, 95% CI 1.02-5.16) and invasive ventilation (HR 4.28, 95% CI 2.34-7.83). For COVID-19 mortality, the adjusted risks were higher age (HR 1.03, 95% CI 1.02-1.04), male sex (HR 2.21, 95% CI 1.24-3.91), oxygen requirement (HR 7.93, 95% CI 3.44-18.26) and invasive ventilation (HR 2.19, 95% CI 1.36-3.53). Conclusions: In our global cohort, death was the outcome in >10% of patients with TB and COVID-19. A range of demographic and clinical predictors are associated with adverse outcomes

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

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Correction to: Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

The original version of this article unfortunately contained a mistake

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat