5 research outputs found

    Examining the accumulated oxygen deficit method in front crawl swimming

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    The present study investigated the Accumulated Oxygen Deficit (AOD) method in front crawl swimming with the aims to assess the robustness of the oxygen uptake/swimming velocity regression line and to quantify the precision of the AOD. Twenty-nine male swimmers performed two swimming tests in different days, with a 24h recovery between tests: a graded test and an all-out test. The all-out test was performed either in 100m (n=11), 200m (n=13) or 400m (n=5). Through all testing expired gases were collected breath by breath and analysed with a K4b2 Gas Analyser (Cosmed, Rome, Italy) connected to an AquaTrainer Valve (Cosmed, Rome, Italy). The error of oxygen uptake/swimming velocity regression lines was 45ml•kg1•min1) and the regressions allowed an extrapolation of the energy cost to higher intensities with a standard error of prediction of 34ml•kg1•min1. However, the data variability was considerable (95% confidence intervals of the linear extrapolation larger than 13ml•kg1•min1). The AOD imprecision varied among the three distance events from 313ml•kg1. These absolute errors are small, considering the time that subjects took to cover the three distances, but relative to the AOD values that were estimated they can be considered high, especially in the 400m bout

    Elective Cancer Surgery in COVID-19–Free Surgical Pathways During the SARS-CoV-2 Pandemic: An International, Multicenter, Comparative Cohort Study

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    Preoperative nasopharyngeal swab testing and postoperative pulmonary complications in patients undergoing elective surgery during the SARS-CoV-2 pandemic.

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    BACKGROUND: Surgical services are preparing to scale up in areas affected by COVID-19. This study aimed to evaluate the association between preoperative SARS-CoV-2 testing and postoperative pulmonary complications in patients undergoing elective cancer surgery. METHODS: This international cohort study included adult patients undergoing elective surgery for cancer in areas affected by SARS-CoV-2 up to 19 April 2020. Patients suspected of SARS-CoV-2 infection before operation were excluded. The primary outcome measure was postoperative pulmonary complications at 30 days after surgery. Preoperative testing strategies were adjusted for confounding using mixed-effects models. RESULTS: Of 8784 patients (432 hospitals, 53 countries), 2303 patients (26.2 per cent) underwent preoperative testing: 1458 (16.6 per cent) had a swab test, 521 (5.9 per cent) CT only, and 324 (3.7 per cent) swab and CT. Pulmonary complications occurred in 3.9 per cent, whereas SARS-CoV-2 infection was confirmed in 2.6 per cent. After risk adjustment, having at least one negative preoperative nasopharyngeal swab test (adjusted odds ratio 0.68, 95 per cent confidence interval 0.68 to 0.98; P = 0.040) was associated with a lower rate of pulmonary complications. Swab testing was beneficial before major surgery and in areas with a high 14-day SARS-CoV-2 case notification rate, but not before minor surgery or in low-risk areas. To prevent one pulmonary complication, the number needed to swab test before major or minor surgery was 18 and 48 respectively in high-risk areas, and 73 and 387 in low-risk areas. CONCLUSION: Preoperative nasopharyngeal swab testing was beneficial before major surgery and in high SARS-CoV-2 risk areas. There was no proven benefit of swab testing before minor surgery in low-risk areas
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