Talent Identification in Youth Soccer : Prognosis of U17 Soccer Performance on the Basis of General Athleticism and Talent Promotion Interventions in Second-Grade Children

Several talent identification programs in elementary school have implemented motor diagnostics to introduce children to groups of sports, like game sports, or even to particular sports like soccer. However, as in most other sports, in youth soccer, the predictive value of such early testing is still unclear. This prospective study evaluated the midterm prognostic validity of generic motor performance tests. The sample consisted of male second-grade children, which had received a recommendation to participate in soccer. The talent screening campaign was a basic check comprising two anthropometric parameters, five physical fitness, and three motor competence diagnostics of the German Motor Test 6–18. The test data were collected from the participating elementary school classes of the years 2010 to 2014. The soccer competition performance of those children having completed the age of at least 15 years (n = 502) up to the end of the season 2019/2020 (2020, September 30) was recorded. This group of U17 players was then assigned individually to five different competition levels. The prognostic validity of the physical and physiological tests was determined using ANOVAs, odds ratios, and a regression path analysis. All diagnostic methods exhibited medium-to-high prognostic validity over the 8 year time span from the talent screening to the later soccer competitions in the adolescent age groups. For later success in soccer on the province level, the 6-min run (OR = 4.28), dynamic balance (OR = 4.04), and 20-m sprint (OR = 2.46), as well as the participation in the training center of the German Soccer Federation (OR = 5.67) and the diversity of club sport activities (OR = 3.56), were of particular importance

Ethikexpertise in öffentlichen Entscheidungsprozessen : Funktionaler Dissens in Ethikkommissionen als Qualitätsmerkmal ethischer Politikberatung

In modern democracies political decision makers are supported by professional public policy consultants. Due to complexity, time pressure and claims for academic reasoning ethics councils should give advice based on their ethical expertise. However, moral debates can be characterized by disagreement. Ethics councils should produce a functional dissent in order to fulfill their consulting mission on the one hand without the transgression of competences on the other hand

Prognostic Validity of Statistical Prediction Methods Used for Talent Identification in Youth Tennis Players Based on Motor Abilities

(1) Background: The search for talented young athletes is an important element of top-class sport. While performance profiles and suitable test tasks for talent identification have already been extensively investigated, there are few studies on statistical prediction methods for talent identification. Therefore, this long-term study examined the prognostic validity of four talent prediction methods. (2) Methods: Tennis players (N = 174; n♀ = 62 and n♂ = 112) at the age of eight years (U9) were examined using five physical fitness tests and four motor competence tests. Based on the test results, four predictions regarding the individual future performance were made for each participant using a linear recommendation score, a logistic regression, a discriminant analysis, and a neural network. These forecasts were then compared with the athletes’ achieved performance success at least four years later (U13‒U18). (3) Results: All four prediction methods showed a medium-to-high prognostic validity with respect to their forecasts. Their values of relative improvement over chance ranged from 0.447 (logistic regression) to 0.654 (tennis recommendation score). (4) Conclusions: However, the best results are only obtained by combining the non-linear method (neural network) with one of the linear methods. Nevertheless, 18.75% of later high-performance tennis players could not be predicted using any of the methods

Health-Related Motor Testing of Children in Primary School : A Systematic Review of Criterion-Referenced Standards

Being physically fit in younger years prevents several diseases in the presence as well as in the life course. Therefore, monitoring physical fitness and motor competence through motor testing is essential for determining developmental status and identifying health-related risks. The main objectives of this systematic review were (1) to identify currently available health-related criterion-referenced standards and cut-off points for physical fitness and motor competence test items, (2) to frame the methodological background on setting health-related criterion-referenced standards and (3) to give implications for a health-related evaluation system for physical fitness and motor competence tests. The electronic data base search (PubMed, Web of Science and SURF) yielded 2062 records in total and identified six empirical studies reporting cut-off points of motor test items for children (7–10 years), as well as 30 methodological papers discussing determination approaches to health-related criterion-referenced standards. Data collection, selection and analyses followed the PRISMA guidelines. Health-related motor test standards need to be gender- and age-specific but should refer to an absolute cut-off point rather than to relative performance in the reference group. Due to the lack of data on health-related criterion referenced standards, receiver-operating-characteristic (ROC) curves provide a tool for the determination of cut-off points and criterion referenced standards for physical fitness and motor competence tests. A standardized approach forms the fundamental base for a globally applicable evaluation of health-related fitness tests

Factor Analyses and Validity of the Transplant Evaluation Rating Scale (TERS) in a Large Sample of Lung Transplant Candidates

Objective: It is well known that the occurrence of mental disorders is more common in lung transplant candidates compared to the general population. After transplantation mental disorders may negatively affect quality of life, adherence to immunosuppressive medication, as well as overall survival. Therefore, the identification of patients at risk is of utmost importance and in Germany pre-transplant psychosocial evaluation of the patients is required. To ensure high quality and comparability of these assessments, the use of psychometrically sound instruments is recommended. We applied the Transplant Evaluation Rating Scale (TERS), a broadly used expert interview. Two research groups have detected a two-factor structure of the TERS in different transplant samples; however, with slightly different results. The present study investigated which of the models would fit best in our sample of lung transplant patients. Additionally, we assessed convergent and predictive validity of the best fitting model to evaluate its clinical usefulness. Methods: Between 2016 and 2019, 390 lung transplant candidates were evaluated and included in the study. The median age was 53 years and 54% were male. TERS interviews were conducted by trained medical doctors and psychologists. The participants completed questionnaires assessing quality of life and levels of depression and anxiety. Transplant- and disease-specific variables (lung disease, listing date, oxygen use) were taken from the patient charts. Confirmatory factor analysis was used to test the two proposed TERS-models in the present sample. Results: The two-factor structure of the TERS reported by Hoodin and Kalbfleisch fit our sample best, showing good psychometric properties. The factor “emotional sensitivity” was highly correlated with quality of life and measures of psychosocial health while the factor “defiance” correlated with obstructive lung disease and older age but not with quality of life. The two factors showed differential predictive validity with regard to time until listing and pulmonary-specific quality of life 1 year after transplantation. Conclusions: The two factors showed good psychometric properties, and differential convergent and predictive validity. However, further studies concentrating on the predictive value of the TERS and its factors regarding somatic outcomes (mortality, graft functioning) are required

Determination of the diameter of simulated human capillaries using shifted position‐diffuse reflectance imaging

Abstract Multiple diseases are associated with a wide spectrum of microvascular dysfunctions, microangiopathies and microcirculation disorders. Monitoring the microcirculation could thus be useful to diagnose many local and systemic circulatory disorders and to supervise critically ill patients. Many of the scores currently available to help identify the condition of a microcirculation disorder are invasive or leave scope for interpretation. Thus, the present study aims to investigate with Monte‐Carlo simulations (as numerical solutions of the radiative transfer equation) whether shifted position‐diffuse reflectance imaging (SP‐DRI), a non‐invasive diagnostic technique, reveals information on the capillary diameter to assess the state of the microcirculation. To quantify the SP‐DRI signal, the modulation parameter K is introduced. It proves to correlate almost perfectly with the capillary diameter (R¯2≈1), making it a valid parameter for reliably assessing microcirculation. SP‐DRI is emerging as an important milestone on the way to early and conveniently diagnosing microcirculation associated diseases

Prevalence and Correlates of Cognitive Impairment in Kidney Transplant Patients Using the DemTect—Results of a KTx360 Substudy

Cognitive impairment in kidney transplantation (KTx) patients is associated with allograft survival and mortality. However, the prevalence of cognitive impairment after KTx is still understudied. Thus, we aimed to assess the prevalence of cognitive impairment in KTx patients and to identify sociodemographic, medical, donation-specific, and psychological variables associated with cognitive impairment. In this cross-sectional two-center study, 583 KTx patients participated in a structured post-transplant care program. The DemTect was used to assess cognition, and cognitive impairment was defined as a score of 30 kg/m2). Using logistic regression analysis, all variables except age remained significant. Our results suggest that cognitive impairment affects a significant number of patients after KTx. Transplant centers may consider screening for cognitive impairment using objective tests, especially in patients with a high-risk profile. Furthermore, studies with longitudinal designs are required in order to assess moderators and mediators for cognitive trajectories

The influence of the optical properties on the determination of capillary diameters

Various clinically applicable scores and indices are available to help identify the state of a microcirculatory disorder in a patient. Several of these methods, however, leave room for interpretation and only provide clues for diagnosis. Thus, a measurement method that allows a reliable detection of impending or manifest circulatory malfunctions would be of great value. In this context, the optical and non-invasive method of shifted position-diffuse reflectance imaging (SP-DRI) was developed. It allows to determine the capillary diameter and thus to assess the state of the microcirculation. The aim of the present study is to investigate how the quantification of capillary diameters by SP-DRI behaves in different individuals, i.e. for a wide range of optical properties. For this, within Monte-Carlo simulations all optical properties (seven skin layers, hemoglobin) were randomly varied following a Gaussian distribution. An important finding from the present investigation is that SP-DRI works when the optical properties are chosen randomly. Furthermore, it is shown that appropriate data analysis allows calibration-free absolute quantification of the capillary diameter across individuals using SP-DRI. This underpins the potential of SP-DRI to serve as an early alert system for the onset of microcirculatory associated diseases

Effects of Short Term Bioturbation by Common Voles on Biogeochemical Soil Variables

Bioturbation contributes to soil formation and ecosystem functioning. With respect to the active transport of matter by voles, bioturbation may be considered as a very dynamic process among those shaping soil formation and biogeochemistry. The present study aimed at characterizing and quantifying the effects of bioturbation by voles on soil water relations and carbon and nitrogen stocks. Bioturbation effects were examined based on a field set up in a luvic arenosol comprising of eight 50 × 50 m enclosures with greatly different numbers of common vole (Microtus arvalis L., ca. 35–150 individuals ha–1 mth–1. Eleven key soil variables were analyzed: bulk density, infiltration rate, saturated hydraulic conductivity, water holding capacity, contents of soil organic carbon (SOC) and total nitrogen (N), CO2 emission potential, C/N ratio, the stable isotopic signatures of 13C and 15N, and pH. The highest vole densities were hypothesized to cause significant changes in some variables within 21 months. Results showed that land history had still a major influence, as eight key variables displayed an additional or sole influence of topography. However, the delta15N at depths of 10–20 and 20–30 cm decreased and increased with increasing vole numbers, respectively. Also the CO2 emission potential from soil collected at a depth of 15–30 cm decreased and the C/N ratio at 5–10 cm depth narrowed with increasing vole numbers. These variables indicated the first influence of voles on the respective mineralization processes in some soil layers. Tendencies of vole activity homogenizing SOC and N contents across layers were not significant. The results of the other seven key variables did not confirm significant effects of voles. Thus overall, we found mainly a first response of variables that are indicative for changes in biogeochemical dynamics but not yet of those representing changes in pools