Gold Medals, Silver Medals, Bronze Medals, and Total Medals: An Analysis of Summer Paralympic Games from 1992 to 2016

The Paralympic Games (PG) are considered one of the biggest events in the world, with increasing coverage by media and participation. The present study aimed to investigate the variation in the number of gold, silver, bronze, and totals medals in the Summer PG from 1992 to 2016. Data related to the results were extracted from the International Paralympic Committee to an SPSS database. Descriptive statistics and Friedman’s two-way analysis of variance by ranks were used to check the differences across medals in seven editions of the Summer PG, with the correspondent effect sizes. There was a peak in the maximum number of any type of medal between the 1996 and 2000 Summer PG and a decrease until 2008. After that, the number of any kind of medals has been increasing again. There were also significant differences with intermediate to large effect sizes when comparing more distant PG with more recent events. Several external factors can influence performance indicators (e.g., the number of medals) in a negative or positive way. An increase in the number of participants and a greater and better investment by the countries may explain part of our results. The preparation of an athlete must be based on a multidisciplinary team, and future organizing countries must take into account reports of previous events.info:eu-repo/semantics/publishedVersio

Conteúdo dos objetivos para a prática e o seu impacto na atividade física, satisfação com a vida e afeto

As alterações demográficas que se verificam, não só no nosso país, mas à escala global, são caracterizadas pelo envelhecimento da população, levando a que a investigação se centre nos aspetos que podem contribuir para uma melhoria deste processo. Muitos têm sido os dados referentes ao impacto do envelhecimento na saúde dos sujeitos, mas também ao nível económico e social. Desta forma, o objetivo deste trabalho centra-se na compreensão do conteúdo dos objetivos que levam os idosos a praticar atividade física, bem como na análise dos efeitos que podem desempenhar nas variáveis que constituem o bem-estar subjetivo (satisfação com a vida e afeto positivo e negativo), bem como, analisar as diferenças ao nível destas variáveis em função da quantidade de prática de atividade física. Para tal, adotámos as seguintes etapas no nosso trabalho: i) introdução geral; ii) estudos de validação dos instrumentos para uma amostra de idosos portugueses (Goal Content for Exercise Questionnaire – GCEQ; Satisfaction with Life Scale – SWLS; Positive and Negative Affect Schedule - PANAS); iii) análise do conteúdo dos objetivos para a prática de atividade física e do impacto no bem-estar subjetivo. As principais conclusões que resultam deste trabalho são as seguintes: os instrumentos apresentaram boas qualidades psicométricas para avaliar os respetivos construtos na população sénior; a saúde foi o motivo que se revelou mais importante para a prática de atividade física; foram encontrados efeitos positivos e significativos do conteúdo dos objetivos que levam os idosos à prática de atividade física sobre as variáveis do bem-estar; os idosos que praticam maior quantidade de atividade física percecionam níveis mais elevados de satisfação com a vida e afeto positivo, e níveis mais reduzidos de afeto negativo. Estes dados permitem aprofundar o conhecimento dos profissionais que trabalham com idosos no âmbito de programas de atividade física, acerca do conteúdo dos objetivos que os levam à prática, bem como, o impacto ao nível do seu bemestar subjetivo.The demographic changes that occur, not only in our country, but globally are characterized by an aging population, what leads the investigation to focus on the aspects that can improve this process. There’s a lot of data about the impact of aging on health, as well as on financial and social level. Therefore, the goal of this project is to fully understand what motivates older adults to practice physical activity, and how it affects the subject well-being, (satisfaction with life, positive and negative affect), and how the amount of exercise can also affect those variables. Bearing this in mind, we adopted the following steps to conclude our work: i) general introduction; ii) validation studies of the instruments for a sample of older Portuguese people (Goal Content for Exercise Questionnaire – GCEQ; Satisfaction with Life Scale – SWLS; Positive and Negative Affect Schedule - PANAS); iii) analysis of goal content for physical activity and its impact on subjective well-being; The main conclusions that result from this work are: the instruments have good psychometric skills to evaluate the respective constructs in older population; health was the main motive when it comes to physical activity practice; there were found positive and significant effects of the goal content that lead older people to practice physical activity on variables of well-being. Older people who practice more physical activity perceive higher levels of satisfaction with life and positive affect, as well as lower levels of negative affect. This data helps the professionals that work with older people in the context of physical activity programs to understand the goal content that lead them to practice exercise as well as its impact on the subjective well-being.Motivação, atividade física, bem-estar subjetivo, idosos

Recent warming causes functional borealization and diversity loss in deep fish communities east of Greenland

Aim: We assessed temporal trends in functional diversity of the deep-sea demersal fish communities of East Greenland to characterize ecological responses to rising sea temperatures. Location: The study region encompasses a shelf and slope area located offshore between 63°N and 66°N, east of Greenland. Methods: A unique dataset of demersal fish abundance covering a depth range of 1500 m over 18 years was combined with a fish trait dataset which included a mix of quantitative and categorial traits that characterized species' morphology, feeding strategy, habitat, and life history. We analysed the species by trait matrix using principal component analysis (PCA). To investigate trait patterns across the communities (sites), community weighted mean (CWM) traits were calculated and analysed using PCA. Further, depth specific and temporal trends in functional diversity indices were calculated. Results: We found signs of a taxonomic and functional borealization, associated with a loss in functional diversity, down to 1000 m, characterized by an increase in mobile generalists and a decrease in bottom dwelling benthivores. Main conclusions: The increased dominance of boreal species traits was not sufficient to compensate for the loss of Arctic species traits leading to declining functional diversity. The decrease in functional diversity may negatively affect ecosystem robustness to environmental change. These responses are most likely not unique to this study area and call for more attention to ecosystem considerations in climate change management strategies in the deep-sea

Decline in subarachnoid haemorrhage volumes associated with the first wave of the COVID-19 pandemic

BACKGROUND: During the COVID-19 pandemic, decreased volumes of stroke admissions and mechanical thrombectomy were reported. The study\u27s objective was to examine whether subarachnoid haemorrhage (SAH) hospitalisations and ruptured aneurysm coiling interventions demonstrated similar declines. METHODS: We conducted a cross-sectional, retrospective, observational study across 6 continents, 37 countries and 140 comprehensive stroke centres. Patients with the diagnosis of SAH, aneurysmal SAH, ruptured aneurysm coiling interventions and COVID-19 were identified by prospective aneurysm databases or by International Classification of Diseases, 10th Revision, codes. The 3-month cumulative volume, monthly volumes for SAH hospitalisations and ruptured aneurysm coiling procedures were compared for the period before (1 year and immediately before) and during the pandemic, defined as 1 March-31 May 2020. The prior 1-year control period (1 March-31 May 2019) was obtained to account for seasonal variation. FINDINGS: There was a significant decline in SAH hospitalisations, with 2044 admissions in the 3 months immediately before and 1585 admissions during the pandemic, representing a relative decline of 22.5% (95% CI -24.3% to -20.7%, p \u3c 0.0001). Embolisation of ruptured aneurysms declined with 1170-1035 procedures, respectively, representing an 11.5% (95%CI -13.5% to -9.8%, p=0.002) relative drop. Subgroup analysis was noted for aneurysmal SAH hospitalisation decline from 834 to 626 hospitalisations, a 24.9% relative decline (95% CI -28.0% to -22.1%, p \u3c 0.0001). A relative increase in ruptured aneurysm coiling was noted in low coiling volume hospitals of 41.1% (95% CI 32.3% to 50.6%, p=0.008) despite a decrease in SAH admissions in this tertile. INTERPRETATION: There was a relative decrease in the volume of SAH hospitalisations, aneurysmal SAH hospitalisations and ruptured aneurysm embolisations during the COVID-19 pandemic. These findings in SAH are consistent with a decrease in other emergencies, such as stroke and myocardial infarction

A thromboembolic model for the efficacy and safety evaluation of combined mechanical and pharmacologic revascularization strategies

BACKGROUND AND PURPOSE: Recanalization strategies mediated by intra-arterial fibrinolytic therapy in combination with mechanical clot disruption may be a more effective treatment approach than either therapy used alone. There are few preclinical animal models to evaluate these strategies. Here we report on a model to simultaneously evaluate both of these treatment approaches. METHODS: Allogeneic clot was injected through the 6 F guide catheter after creating \u3e50% luminal stenosis of the common carotid arteries of New Zealand White rabbits. The stenosis was released after 1 h, allowing sufficient time for clot-vessel wall interaction. Occlusion was confirmed and each vessel was assigned to receive either balloon angioplasty alone, intra-arterial tissue plasminogen activator (tPA, Alteplase, Genentech, San Francisco, California, USA), tPA delivery through prototype balloon infusion wire (NIT Therapeutics, Pittsburgh, Pennsylvania, USA), partial stent deployment or partial stent deployment with locally delivered tPA. The negative control received no treatment. RESULTS: In vivo revascularization Thrombolysis in Cerebral Infarction (TICI) score revealed that the balloon infusion wire achieved a stable and higher revascularization score of TICI 2B, with a lower dose of tPA in comparison with other treatment strategies. All treatment strategies resulted in endothelial denudation and exposure of the internal elastic lamina. CONCLUSIONS: The proposed animal model permits reliable and consistent thromboembolic occlusion of the target vasculature and allows for an assessment of both pharmacologic and mechanical revascularization strategies for acute ischemic stroke

Exploring the Dynamics of Athletes’ Enjoyment and Self-Determined Motivation, and of the Motivational Climate in Youth Football: A Longitudinal Perspective

We aimed to explore a short period longitudinal interplay between athletes’ enjoyment and their self-determined motivation and motivational climate in youth football. We recruited 109 youth football athletes (79 males, 30 females) through a convenient sampling method. We included individuals within the 12–17-year-old age range, with a mean age of 14.31 (SD = 1.46) years. To examine these proposed associations, we performed hierarchical multiple regression analyses and found that enjoyment at pre-season assessment (T1) and self-determined motivation and a task-involving sport climate at mid-season (T2) were significant predictors of mid-season enjoyment (at T2). However, self-determined motivation and task-involving climate at T1 did not significantly contribute to the model. These findings emphasize the importance of initial enjoyment and an evolved self-determined motivation, and task-involving climate in understanding later enjoyment in sport. Coaches, practitioners, and policymakers should prioritize strategies that enhance intrinsic motivation, provide opportunities for autonomy, and cultivate a supportive and growth-oriented environment.info:eu-repo/semantics/publishedVersio

What Drives Portuguese Women to Be Physically Active? Associations between Motives and Well-Being Indicators

Motives and self-esteem play crucial roles in shaping personal behavior and emotions and have been shown to impact well-being. However, the association between these constructs has been overlooked in women who seem to be more externally driven to engage in exercise. The present study was carried out with the objective of analyzing the associations between motives for physical exercise, positive and negative activations, and self-esteem of Portuguese women exercising at gyms and fitness centers. The sample consists of 206 women aged between 16 and 68 years old (M = 35.77; SD = 11.47). Participants answered a short sociodemographic questionnaire, the Goal Content for Exercise Questionnaire, the Positive and Negative Affect Schedule, and the Rosenberg Self-esteem Scale. The results showed that the health motive had the highest predictive value (β = 0.24; p 0.05) and demonstrated a non-significant correlation with positive activation and self-esteem (p > 0.05). Looking at the coefficients in the hierarchical regression model, it can be seen that the health motive and positive activation were positively and significantly correlated with self-esteem. This study points to the need to raise awareness about the motives of exercise related to the physical and mental health of Portuguese women. Portuguese women that exercise for health motives display greater perceived self-esteem which is an indication of a greater sense of well-being. While the results are limited to Portuguese women, exercise physiologists assessing exercise motives could provide information on how to prescribe exercise as a means to increase self-esteem, considering the positive activation resulting from this behavior.info:eu-repo/semantics/publishedVersio

Global Impact of COVID-19 on Stroke Care

BACKGROUND: The COVID-19 pandemic led to profound changes in the organization of health care systems worldwide. AIMS: We sought to measure the global impact of the COVID-19 pandemic on the volumes for mechanical thrombectomy (MT), stroke, and intracranial hemorrhage (ICH) hospitalizations over a 3-month period at the height of the pandemic (March 1 to May 31, 2020) compared with two control 3-month periods (immediately preceding and one year prior). METHODS: Retrospective, observational, international study, across 6 continents, 40 countries, and 187 comprehensive stroke centers. The diagnoses were identified by their ICD-10 codes and/or classifications in stroke databases at participating centers. RESULTS: The hospitalization volumes for any stroke, ICH, and MT were 26,699, 4,002, and 5,191 in the 3 months immediately before versus 21,576, 3,540, and 4,533 during the first 3 pandemic months, representing declines of 19.2% (95%CI,-19.7 to -18.7), 11.5% (95%CI,-12.6 to -10.6), and 12.7% (95%CI,-13.6 to -11.8), respectively. The decreases were noted across centers with high, mid, and low COVID-19 hospitalization burden, and also across high, mid, and low volume stroke/MT centers. High-volume COVID-19 centers (-20.5%) had greater declines in MT volumes than mid- (-10.1%) and low-volume (-8.7%) centers (p \u3c 0.0001). There was a 1.5% stroke rate across 54,366 COVID-19 hospitalizations. SARS-CoV-2 infection was noted in 3.9% (784/20,250) of all stroke admissions. CONCLUSION: The COVID-19 pandemic was associated with a global decline in the volume of overall stroke hospitalizations, MT procedures, and ICH admission volumes. Despite geographic variations, these volume reductions were observed regardless of COVID-19 hospitalization burden and pre-pandemic stroke/MT volumes

The Effects of Physical Activity, Exercise, and Sports Programs on Depressive Symptoms in Individuals with Disabilities: A Systematic Review with Meta-Analysis

Studies show that physical activity, exercise, or sport reduces depressive symptoms in the general population. However, little is known about its effects on individuals with disabilities. Thus, this systematic review with meta-analysis aims to verify the effects of this practice on depressive symptoms in individuals with disabilities. The Pubmed, Web of Science, Scopus, and SportDiscus databases were used, with several descriptors and Boolean operators. A total of 1509 studies were identified through searching the databases. Studies that met the eligibility criteria were subsequently assessed for their methodological quality (Downs and Black scale), and a meta-analysis was performed. The Z-values that were obtained to test the null hypothesis, which states that there is no difference in means, showed Z = −2.294 and a corresponding p-value = 0.022. We can, therefore, reject the null hypothesis in the sense that exercise seems to reduce depressive symptoms in individuals with disabilities. In sum, participants from the intervention group presented more probability of reducing depressive symptoms when compared to the control group (approximately −1.4 standard differences in means; 95% CI −2.602 to −0.204).info:eu-repo/semantics/publishedVersio

Effects of Physical Exercise Program in Adults with Intellectual and Developmental Disabilities—A Study Protocol

We developed a physical exercise (PE) program for people with Intellectual and Developmental Disabilities (IDD), aiming to determine the effects on physical fitness, health, cognitive ability, and quality of life (QoL). Using experimental methodology, this intervention study recruited 21 adults (18 to 65 years old), institutionalized and with no other associated pathology, who will be allocated to one of the different groups: (i) gym/indoor intervention group (using weight machines), (ii) outdoor intervention group (using low-cost materials), or (iii) control group (without specific intervention, who continue with their normal daily activities). Both intervention groups will engage in 45 min of training per session, twice a week, for 24 weeks. Assessments will be conducted at baseline (initial assessment), 3 months (mid-term assessment), and 6 months (final assessment). Variables assessed include anthropometrics, body composition, functional capacity, muscle strength, general health, cognitive ability, and QoL. The results of this study will assist in the development of more effective strategies, recommendations, and interventions to ensure better and greater adherence to PE by institutionalized individuals with IDD, namely, recommendations for assessment, prescription, and implementation of PE for this population. Additionally, we intend to make available two PE programs, if they are adapted and promote positive effects.info:eu-repo/semantics/publishedVersio