The acute effect of maximal voluntary isometric contraction pull on start gate performance of snowboard and ski cross athletes

This study investigated whether adding a maximal voluntary isometric contraction to developing snowboard and ski cross athletes’ warm-up could reduce start time. A secondary aim was to assess the appropriateness of start performance as a talent identification tool for junior athletes by determining whether differences in time could be explained by participant age and anthropometry. Twenty sub-elite athletes (male: n = 11, female: n = 9, age: 15.0 ± 1.4 years) participated. No differences were found for start time (7.5 m) between maximal voluntary isometric contraction and standardised (no-maximal voluntary isometric contraction) warm-up or gender (maximal voluntary isometric contraction; males: 1.36 ± 0.07 s, females: 1.41 ± 0.03 s, no-maximal voluntary isometric contraction; males: 1.35 ± 0.01 s, females: 1.38 ± 0.10 s, P > 0.05). A strong relationship between body mass and start time to 7.5 m (r = −0.78, r2 = 0.61, P < 0.05) was observed. Use of maximal voluntary isometric contraction-based warm-ups with developing snowboard cross and ski cross athletes may not be beneficial to improving performance

Endothelial Cell Contributions to COVID-19

Understanding of the clinical, histological and molecular features of the novel coronavirus 2019 (Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2)) has remained elusive. Coronavirus disease 2019 (COVID-19) caused by this virus has unusual clinical presentation with regard to other related coronaviruses. Recent reports suggest that SARS-CoV-2, unlike other related viruses, infects and replicates within endothelial cells, which may explain a significant portion of the observed clinical pathology. Likewise, mounting evidence associates vascular and endothelial cell dysfunction with increased mortality. This review focuses on understanding how endothelial cell pathology is caused by SARS-CoV-2 at the molecular and cellular levels and how these events relate to COVID-19. A detailed examination of current knowledge regarding canonical inflammatory reaction pathways as well as alteration of endothelial cell-derived exosomes and transdifferentiation by SARS-CoV-2 is included in this assessment. Additionally, given an understanding of endothelial contributions to COVID-19, potential therapeutic aims are discussed, particularly as would affect endothelial function and pathology

This is me: A qualitative investigation of young people’s experience of growing up with visual impairment

Background: Childhood visual impairment (VI) has a profound impact on many aspects of childhood and adolescence. This is well-documented in cross-sectional and/or quantitative studies utilizing self-report instruments which compare children with and without VI. Young people’s views on the experience of growing up with VI as a developmental, change-driven process remain largely unexplored. Methods: As part of our broader research programme on quality of life of visually impaired children and young people in the United Kingdom, in-depth, semi-structured interviews were conducted between March and June 2015, with a stratified sample of 17 young people with VI, aged 16–19 years. An age-sensitive, empirically-based topic guide encouraged retrospective reflections on participants’ experiences of growing up with VI, including age-normative and vision-specific challenges. Results: Descriptions of growing up with VI largely centered on an overarching higher-order theme labelled becoming me. Four themes representing everyday activities, attitudes, preferences and perceptions in relation to i) social relationships, ii) independence and responsibilities, iii) the future, and iv) rising to challenges emerged and were used by participants in their description of three stages in which they developed a sense of self: i) laying the foundations, ii) testing the waters, and iii) this is me. Differences in manifestation of VI influenced how young people made sense of their experiences and their sense of self. Conclusions: Findings are discussed in relation to normative and vision-specific changes in psychosocial development during adolescence, including the development of identity. They highlight the need for ongoing monitoring of subjective well-being in a clinical population with a unique early life course trajectory

Physical and photophysical properties of a linear copper(I) complex of a bulky acenapthene-based NHC ligand

CFRM and EZ-C wish to thank the Engineering and Physical Sciences Research Council (EP/M02105X/1 and EP/R035164/1) for financial support. We would like to thank the Engineering and Physical Sciences Research Council and CRITICAT Centre for Doctoral Training for financial support (Ph.D. studentship to B. H.; EP/L016419/1).We report the first example of a charge-neutral linear 2-coordinate copper(I) complex bearing a sterically demanding acenaphthoimidazolylidene-based N-heterocyclic carbene ligand. The identity and geometry of the complex was confirmed by single-crystal XRD (X-Ray Diffraction) analysis. The complex is poorly emissive at room temperature, showing either ligand-centered (LC) emission at around 340 nm when excited at 300 nm or ligand-to-ligand charge-transfer (LLCT) emission at around 540 nm when excited at 420 nm; in chloroform, dual emission is observed upon photoexcitation at 300 nm. Nanosecond emission lifetimes were recorded for these processes. This is the first example of emissive linear copper(I) complexes containing this bulky NHC ligand.PostprintPeer reviewe

Attitudes, experiences, and preferences of ophthalmicprofessionals regarding routine use of patient-reported outcome measures in clinical practice

Background/Objectives: Routine use of patient-reported outcome measures (PROMs) to assess quality of health care systems is mandated in many countries and has been implemented successfully in many specialities. Ophthalmology currently lags behind. To support and inform future implementation, we investigated paediatric ophthalmic clinicians’ experience of, and future training needs for, using child-appropriate vision PROMs and their views about the barriers and enablers to future routine implementation in clinical practice. Methods: We conducted a pilot study, using an online survey to elicit the experience, attitudes, training needs and perceptions of barriers and enablers to routine PROMs use of ophthalmic health professionals in the Paediatric Ophthalmology Department at Great Ormond Street Hospital, London. A focus-group was undertaken to discuss survey results and preferences regarding presentation of PROM data. Analysis comprised descriptive statistics, presented alongside complementary qualitative data. Results: Eighteen clinicians in the department completed the survey. Twenty-seven took part in the focus group. Clinicians had limited experience of using PROMs but high confidence in the potential positive impact on communication with patients, monitoring chronic conditions and clinical decision-making. Clinicians identified operational issues (collection and analysis of data) and impact (interpretation and application of data) as the two key areas for consideration. Training and information requirements before implementation were clearly articulated, alongside the benefits of using digital/electronic data capture ahead of consultations to allow efficiency and automated analysis, and presentation in an appropriate visual format alongside clinical data to ensure meaningful use. Conclusion: The findings of this pilot study of ophthalmic clinicians working in a specialist paediatric ophthalmology department, suggest that ophthalmic clinicians recognise the potential benefits of routine PROMs use in clinical practice. Together with existing literature outside ophthalmology relating to overcoming barriers and exploiting enablers to routine implementation, findings may be applicable in planning routine PROM implementation in paediatric ophthalmology

Bis(μ-disulfur dinitrido)bis­[diphenyl­tin(IV)]

The title compound, [Sn2(C6H5)4(N2S2)2], exists as a centrosymmetric binuclear dimer with the SnIV centres in distorted trigonal bipyramidal geometry and a central Sn2N2 core

Influence of ethnicity on outcomes of diabetes inpatient hypoglycemia: an Australian perspective

Aims: To evaluate outcomes of diabetic inpatient hypoglycemia among Aboriginal and Torres Strait Islander (ATSI) compared with Australian Caucasian patients. Methods: A retrospective audit of diabetic patients aged > 18 years admitted at a regional hospital general ward between April 1, 2015, and March 31, 2016, was analyzed. The database contains clinical information at the time of admission and initial discharge and readmission within 4 weeks thereafter. Results: A total of 1618 (of 6027) patients were admitted with diabetes representing 23.7% of the total ward admissions, of which 484 (29.9%) had inpatient hypoglycemia. Of the 91 patients with available data analyzed, ATSI origin with inpatient hypoglycemia was associated with longer length of stay (LOS) (hazard ratio [HR], 2.1, 95% confidence interval [CI], 1.2-3.5), whereas severe hypoglycemia (≤ 2.2 mmol/L) in both ATSI and non-ATSI was significantly associated with longer LOS (HR, 2.3; 95% CI, 1.2-4.2). No significant differences in LOS were found for gender, age, and Carlson comorbidity index (CCI). The adjusted model for likelihood of readmission, gender, indigenous status, and CCI were not significant risk factors for readmission to the hospital. Readmitted patients were older (50-59 years vs < 50 years, P = 0.001; 60-69 years vs < 50 years, P = 0.032; 70+ years vs < 50 years, P = 0.031). Conclusion: We reported high rate of inpatient hypoglycemia in our study population. Indigenous Australian diabetic patients with inpatient hypoglycemia had significantly longer LOS compared with non-Indigenous Caucasian counterparts. Further prospective studies on a larger population are needed to confirm our findings