SER PARATLETA DE ESPORTES DE AVENTURA EM UM PAÍS EM DESENVOLVIMENTO: MOTIVAÇÕES E DESAFIOS

Adventure sports is more than a sport and is a kind of lifestyle; however, little is known about the practice of athletes with disabilities. This article shows, based on the adventure/extreme sports athlete with a disability's comprehension, and learn about their challenges and motivations. With the qualitative method, 14 athletes answered an open online questionnaire. Quality of life, love by sport and freedom sensation were considered the main motivators for practice; adrenaline and adventure were the main reasons for choosing the modality; and the main inspiration was athletes with a disability. Notwithstanding, they scored many accessibility barriers (physical and nonphysical) that were overcome by willpower. Thus, the practice of adventure sport by such athletes is an achievement. It is the guarantee of citizenship even if based on overcoming and therefore considered a transgressive act.Los deportes de aventura son más que un deporte y son una especie de estilo de vida; sin embargo, poco se sabe sobre la práctica de los atletas con discapacidad. Este artículo muestra, a partir de la comprensión del deportista de aventura/deporte extremo con discapacidad, así como sus motivaciones y desafíos. Con el método cualitativo, 14 atletas respondieron un cuestionario abierto en línea. La calidad de vida, el amor por el deporte y la sensación de libertad fueron considerados los principales motivadores para la práctica; la adrenalina y la aventura fueron los principales motivos para elegir la modalidad; y la principal inspiración fueron los atletas con discapacidad. No obstante, se anotaron muchas barreras de accesibilidad (físicas y no físicas) que fueron superadas con fuerza de voluntad. Así, la práctica del deporte de aventura por parte de estos deportistas es un logro. Es la garantía de la ciudadanía aunque se base en la superación y por lo tanto se considere un acto transgresor.O esporte de aventura é mais que um esporte e é um estilo de vida; no entanto, pouco se sabe sobre a prática de atletas com deficiência. Este artigo mostra, a partir da compreensão do atleta de esportes radicais/aventura com deficiência, assim como suas motivações e desafios. Com o método qualitativo, 14 atletas responderam a um questionário online aberto. Qualidade de vida, amor pelo esporte e sensação de liberdade foram considerados os principais motivadores para a prática; adrenalina e aventura foram os principais motivos para a escolha da modalidade; e a principal inspiração foram os atletas com deficiência. Não obstante, pontuaram muitas barreiras de acessibilidade (físicas e não físicas) que foram superadas pela força de vontade. Assim, a prática do esporte de aventura por tais atletas é uma conquista. É a garantia da cidadania ainda que pautada na superação e, por isso, considerada um ato transgressor

Evolving trends in the management of acute appendicitis during COVID-19 waves. The ACIE appy II study

Background: In 2020, ACIE Appy study showed that COVID-19 pandemic heavily affected the management of patients with acute appendicitis (AA) worldwide, with an increased rate of non-operative management (NOM) strategies and a trend toward open surgery due to concern of virus transmission by laparoscopy and controversial recommendations on this issue. The aim of this study was to survey again the same group of surgeons to assess if any difference in management attitudes of AA had occurred in the later stages of the outbreak. Methods: From August 15 to September 30, 2021, an online questionnaire was sent to all 709 participants of the ACIE Appy study. The questionnaire included questions on personal protective equipment (PPE), local policies and screening for SARS-CoV-2 infection, NOM, surgical approach and disease presentations in 2021. The results were compared with the results from the previous study. Results: A total of 476 answers were collected (response rate 67.1%). Screening policies were significatively improved with most patients screened regardless of symptoms (89.5% vs. 37.4%) with PCR and antigenic test as the preferred test (74.1% vs. 26.3%). More patients tested positive before surgery and commercial systems were the preferred ones to filter smoke plumes during laparoscopy. Laparoscopic appendicectomy was the first option in the treatment of AA, with a declined use of NOM. Conclusion: Management of AA has improved in the last waves of pandemic. Increased evidence regarding SARS-COV-2 infection along with a timely healthcare systems response has been translated into tailored attitudes and a better care for patients with AA worldwide

ESPORTE PARALÍMPICO: AVALIAÇÃO BIBLIOMÉTRICA DAS PUBLICAÇÕES

Paralympic sport has been expanding, both in number of participants and the variety of sport modalities included, thus increasing scientific research with different objectives has increased. This bibliographic review used the keyword “Paralympic Sport” to assess the evolution of publications over the years. We created 12 categories: Paralympic Movement; Performance and Periodization; Nutrition; Rehabilitation; Review Studies; Psychobiological Aspects; Physiology; Biomechanics; Functional Classification; Instrument Validation; Anti-doping and COVID-19. The results showed that the number of publications had an exponential increase after the 2008 Paralympic Games, demonstrating that the Paralympic movement has been growing both in public knowledge and in the content of the scientific literature. Received: 2023/02/17 Reformulated: 2023/04/18 Accepted: 2023/04/18O esporte paralímpico vem se expandindo, tanto em número de participantes quanto na variedade de modalidades esportivas, com isso, as pesquisas científicas em diferentes áreas cresceram. Essa revisão bibliográfica usou a palavra-chave “Esporte Paralímpico” para avaliar a evolução das publicações ao longo dos anos. Criamos 12 categorias: Movimento Paralímpico; Desempenho e Periodização; Nutrição; Reabilitação; Estudos de revisão; Aspectos psicobiológicos; Fisiologia; Biomecânica; Classificação funcional; Instrumento de Validação, Antidopagem e COVID-19. Os resultados demonstraram que o número de publicações teve um aumento exponencial após os Jogos Paralímpicos de 2008, demonstrando que o movimento paralímpico vem crescendo tanto no conhecimento público quanto em conteúdo da literatura científica. Recebido em: 17/02/2023 Reformulado em: 18/04/2023 Aceito em: 18/04/202

Sleep-wake cycle analysis of wheelchair rugby athletes during two phases of the season

Sleep is directly responsible for the recovery of energy spent during wake period, besides being fundamental in the development and maintenance of metabolic activities of the organism. The objective of the study was to evaluate the wake-sleep cycle of wheelchair rugby athletes during two stages of the regular season of the sport. Six professional wheelchair rugby athletes of the Minas Quad Rugby team of Belo Horizonte (MG/BR), this team has national relevance being two times national champions and having players that are frequently called to represent the Brazilian national team during official competitions. The athlete used the actigraph, a watch like equipment responsible for measuring the wake-sleep cycle utilizing an accelerometer and noninvasive procedure. It is considered to be gold standard to this kind of measure. The equipment was used for 10 consecutive days in two moments: 1) pre-season; 2) competitive period with the actigraph the athletes also received the sleep diary, it is a registration of any occurrences while using the equipment. The actigraph provided the following measurements: time he laid down, time he slept, time he woke up, time he got up, also sleep latency, sleep efficiency, total sleep time and wake after sleep onset. In addition, the players still responded to an anamnesis, and the questionnaires of daytime sleepiness (Epworth), subjective quality of sleep (Pittsburgh) and chronotype. Results showed that wheelchair rugby athletes had poor sleep quality in both stages. The athletes also demonstrated oscillations in the sleep-wake cycle depending on their routines, that is during the rest days the players presented different sleep measurements when compared with training session days and with competition days, at this time of the study there were significant results found analyzing the following variables: total sleep time (p=0.04), sleep efficiency (p<0.01) and wake after sleep onset (p=0.01), GLM-ANOVA. With the current study it can be concluded that professional wheelchair rugby players have poor sleep quality and their sleep oscillates during the regular season of the sport, even more, the athletes have sleep oscillations depending on the characteristics of their routine51752752Annual Meeting of the American-College-of-Sports-Medicine (ACSM

Evolving trends in the management of acute appendicitis during COVID-19 waves. The ACIE appy II study (vol 46, pg 2021, 2022)

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