Miracle-dz/UniFAR-FTUs huggingface dataset:
Pitfalls in Interpreting Umbilical Cord Blood Gases and Lactate at Birth

Acid-base status in umbilical cord blood is an objective measure of the fetus’ exposure to and ability to handle hypoxia. The objective of this thesis was to clarify some of the methodological pitfalls in interpreting umbilical cord blood gases and lactate values at birth. Study I pinpoints the methodological confounding in calculating base deficit (BD) with algorithms used in different brands of blood gas analyzers and reports the consequences for diagnosing metabolic acidosis (MA) at birth. Neonatal MA rates cannot be compared between maternity units or between scientific articles where different fetal compartments (blood or extracellular fluid) and different algorithms for calculating BD have been used. Study II addresses the issue of possible diagnostic discrepancies when acid-base parameter value decimals are rounded off. A drift of a dichotomy parameter value cut-off due to decimal rounding will result in a shift in distribution of negative and positive cases in a population sample. The findings warrant a discussion on standardization of round-off rule and the number of decimals for a specific analyte result. Study III demonstrates that delayed cord blood sampling with intact pulsations affects umbilical acid-base values and hematological parameters in both vaginal and cesarean deliveries. The changes were more marked after vaginal delivery. A change towards acidemia and lactemia can be explained by the hidden acidosis phenomenon, i.e. a surge into the central circulation of peripherally trapped acid metabolites when the newborn starts to breathe. Study IV shows that clinical characteristics have a significant influence on the distribution of veno-arterial and arterio-venous gradients (Δ values) in umbilical cord blood. Validation criteria based on fixed ΔpH and ΔpCO2 values may then exclude correct samples of clinical outliers. Lactate cannot be used for validation of umbilical cord blood samples. A negative ΔpO2 value indicates delayed cord blood sampling or mix-up of samples and is the only certain validation criterion.
Contextual influences of parenting behaviors for children with neurodevelopmental disorders: results from a Canadian national survey

Purpose: This population-based study examined correlates of three parenting behaviors (positive interactions, consistency, and ineffective parenting) that have been shown to differ in children with neurodevelopmental disorders (NDDs), with and without externalizing behavior problems (EBPs), as compared to children with neither condition. Method: The sample of children aged 4–11 (N = 14,226) was drawn from the Canadian National Longitudinal Survey of Children and Youth (NLSCY). Analyses examined the associations of child, parental, and social context factors with parenting behaviors, and whether they differed by child health group. Results: Child age, family functioning, and social support variables were significant predictors of all three parenting behaviors. Significant interaction effects highlight the importance of the child’s sex, birth order, and support received from community or social service professionals, and that these factors have differential impacts on parenting behaviors depending on the child’s health group. Conclusions: Other Child, parent, and social context factors are associated with parenting behaviors but these associations vary by the child’s health group. Parenting behaviors differ for children with NDDs with and without EBPs. These findings offer important implications for practice and research and point to the importance of considering multiple contexts of influence, as well as their interactions, in understanding differences in parenting behaviors. Implications for Rehabilitation Our findings have implications for rehabilitation, in particular, for those who provide treatment to children with NDD and behavioral conditions. For practitioners, these findings point towards the importance of an awareness of the impact that a child’s health condition may have on the entire family unit, including parental health, family functioning, and parenting behaviors as well as other child factors. Our results also suggest that support from community professionals can be beneficial for the parenting behaviors of children with health problems, in particular, children with a NDD. Our findings are also relevant to other health care professionals dealing with children with NDD and/or behavior problems and highlight the importance of considering several child characteristics together, not just the child’s health conditions but also child sex and birth order.
Termination of sickness benefits or transition to disability pension after changes in sickness insurance: a Swedish register study

Purpose: To assess whether the changes in Swedish sickness insurance in 2008 were associated with termination of benefits (TOB) or transition to disability pension (DP) for individuals in compensated sick leave of varying duration. Changes were (1) introduction of sick-listing guidelines and (2) stricter criteria for eligibility to disability pension and sickness cash benefit and time limits for the latter. Methods: The study population consisted of 2 556 211 cases of compensated sick leave with onset during 2006–2010 from the Swedish national social insurance registers. TOB and DP were analysed with Cox-proportional hazard regression. Results: After the introduction of sick-listing guidelines, TOB increased for both women [hazard ratio (HR) 1.10] and men (HR 1.07). The additional introduction of stricter rules 4 months later were modestly associated with TOB (HR: women 1.01, men 0.99) and transition to DP among men decreased with stronger associations for spells exceeding 180 days (HR 0.86). For women transition to DP surprisingly increased with stricter criteria (HR 1.09), although this pattern was reversed in sick leave spells exceeding 1 year (HR 0.90). Conclusions: Introducing sick-listing guidelines for different illnesses and diseases could have had a considerable impact on TOB. The additional introduction of stricter eligibility rules and time limits seem to have contributed less to TOB but clearly reduced DP in longer sickness spells. Implications for Rehabilitation Sick-listing guidelines could be a supportive tool for doctors and sickness insurance administrators in the sick-listing process and reduce unnecessary prolongation of sick leave. Specific time limits in sickness insurance and stricter eligibility rules for disability pensions have an impact on compensated sick leave and the welfare of individuals. This has to be considered in the vocational rehabilitation process in order to enhance sustainable return to work. Changes in sickness insurance could influence the duration and exit from compensated sick leave and such changes needs to be considered in studies of vocational rehabilitation, return to work and disability pension.
It’s more than just physical therapy: reported utilization of physiotherapy services for adults with neuromuscular disorders attending a specialist centre

Purpose: The purpose of this study is to evaluate service users’ perceptions of their utilization of the physiotherapy service at a specialist Neuromuscular Centre and to identify their reasons for and barriers to attending. Method: A prospective survey design, consisting of a 13-item questionnaire was completed by 104 registered users of a physiotherapy service at a Neuromuscular Centre in northwest England. Descriptive statistics was employed to analyse data from Likert style questions and thematic analysis conducted on responses to open-ended questions. Results: Over 79% of respondents were satisfied with the frequency and duration of their treatment. Respondents attended physiotherapy to obtain physical therapy, for general wellbeing and to access specialized resources. Barriers to attendance included work commitments, travel cost and time, and lack of Centre resources. Clients attending physiotherapy valued the specialist service including advice from therapists, perceived benefit from social interaction with other clients and physical therapy. Conclusion: Adults with neuromuscular disorders identified psychosocial as well as physical benefits from attending physiotherapy at the Neuromuscular Centre. The findings highlight the importance of service users’ views in service provision and suggest that a collaborative commitment to patient management could by advantageous when developing physiotherapy services. Implications for Rehabilitation In this study adults with neuromuscular disorders appeared to value the availability of frequent and ongoing access to specialist physiotherapy. In addition to physical gains, this client group consistently reported benefits in psychosocial wellbeing from attendance at physiotherapy A collaborative commitment to patient management between physiotherapy providers and service users with neuromuscular disorders could lead to optimal utilization of physiotherapy services
Acute Cardiorespiratory and Metabolic Effects of a Sandbag Resistance Exercise Protocol

Abstract Ratamess, NA, Kang, J, Kuper, JD, O'Grady, EA, Ellis, NL, Vought, IT, Culleton, E, Bush, JA, and Faigenbaum, AD. Acute cardiorespiratory and metabolic effects of a sandbag resistance exercise protocol. J Strength Cond Res 32(6): 1491–1502, 2018—The purpose of this study was to examine the acute cardiorespiratory and metabolic effects of a sandbag (SB) resistance exercise protocol and compare the responses to time-matched treadmill running protocols. Eight healthy, resistance-trained men (21.1 ± 1.0 years; 86.1 ± 7.8 kg) completed 4 protocols of equal duration in random sequence: (a) SB, (b) treadmill running at 60% of V[Combining Dot Above]O2 reserve (60V[Combining Dot Above]O2R), (c) treadmill running at 80% of V[Combining Dot Above]O2 reserve (80V[Combining Dot Above]O2R), and (d) a control protocol. The SB protocol was 16 minutes in duration and consisted of 3 circuits of 8 multiple-joint exercises (with 11-, 20-, or 48-kg SBs) performed for as many repetitions as possible for 20 seconds followed by a 10-second rest interval before beginning the next exercise. Two minutes of rest was allowed between circuits. Breath-by-breath oxygen consumption (V[Combining Dot Above]O2) and heart rate (HR) were recorded throughout each protocol and for 30 minutes postexercise (PE) and blood lactate was determined before and immediately after each protocol. Blood lactate was significantly higher after SB compared with 60V[Combining Dot Above]O2R and 80V[Combining Dot Above]O2R. Mean and peak HR in SB was significantly higher than 60V[Combining Dot Above]O2R but not different from 80V[Combining Dot Above]O2R. Mean V[Combining Dot Above]O2 and energy expenditure (EE) in SB was significantly lower than 60V[Combining Dot Above]O2R and 80V[Combining Dot Above]O2R during each protocol but significantly higher after SB compared with 60V[Combining Dot Above]O2R and 80V[Combining Dot Above]O2R PE. Compared with 60V[Combining Dot Above]O2R and 80V[Combining Dot Above]O2R, respiratory exchange ratio was significantly higher during SB and through 5 minutes PE, but was significantly lower at 25–30 minutes PE after SB. Sandbag, as performed in this study, provides a superior metabolic stimulus to treadmill running during the PE period; however, the SB results demonstrate inferior EE compared with running at 60V[Combining Dot Above]O2R and 80V[Combining Dot Above]O2R.
The Match Heart Rate and Running Profile of Elite Under-21 Hurlers During Competitive Match-Play

Abstract Young, D, Mourot, L, Beato, M, and Coratella, G. The match heart rate and running profile of elite under-21 hurlers during competitive match-play. J Strength Cond Res 32(10): 2925–2933, 2018—The aims of the current study were to examine the physical and physiological demands of elite under-21 male hurling match-play across halves of play and between positions. Global positioning systems (10 Hz) and heart rate (HR) monitors were used to collect data from 95 players during 10 games. Total distance (TD), relative speed, high-speed running (HSR), sprint distance, total sprints, and mean length of sprint was 6,688 ± 942 m, 112 ± 16 m·min−1, 661 ± 203 m, 274 ± 111 m, 18 ± 8 m, and 16 ± 5 m, respectively. Players' mean HR (HRmean) and peak HR (HRpeak) was 165 ± 9 b·min−1 and 190 ± 7 b·min−1, respectively. Decrements in TD (p < 0.05, effect size [ES] = 0.81), HSR (p < 0.05, ES = 0.69), and HRmean (p < 0.05, ES = 0.80) were found between halves. Full backs covered significantly less TD than half backs (p < 0.05, ES = −1.24), midfielders (p < 0.05, ES = −1.39), and half forwards (p < 0.05, ES = −1.85). Half forwards covered a greater TD than full forwards (p < 0.05, ES = 0.94), greater HSR than full backs (p < 0.05, ES = 1.13), and greater sprint distance than half backs (p < 0.05, ES = 1.41). Between-half decreases were evident in TD, HSR, and HRmean, with no significant positional differences observed in TD, HSR, number of sprints, length of sprint, HRpeak, and HRmean between half backs, midfielders, and half forwards. The current findings provide data that coaches should consider to customize training program design for under-21 hurlers.
Dry-Land Resistance Training Practices of Elite Swimming Strength and Conditioning Coaches

Abstract Crowley, E, Harrison, AJ, and Lyons, M. Dry-land resistance training practices of elite swimming strength and conditioning coaches. J Strength Cond Res 32(9): 2592–2600, 2018—No research to date has investigated dry-land resistance (RT) training practices of elite swimming strength and conditioning coaches. This is the first comprehensive study exploring dry-land RT training practices in swimming. The aims of this study were to examine (a) the dry-land RT training practices and exercises used by elite swimming strength and conditioning coaches and (b) the rationale provided by coaches about their practices and prescription of specific dry-land RT training exercises. Twenty-three (n = 21 males, n = 2 females) elite swimming strength and conditioning coaches, from Ireland (n = 7), Great Britain (n = 5), Australia (n = 6), and the United States of America (n = 5) were recruited through their specific national governing bodies. Coaches completed an online questionnaire consisting of 7 sections; subject information, informed consent, coach's biography, coach education, current training commitments, dry-land RT training practices and exercises, and additional information. The results showed that coaches had varying levels of experience, education and worked with different level swimmers. A total of 95 dry-land RT training exercises were used by the coaches across 4 different dry-land RT training practices (warm-up, circuit training, traditional RT training and plyometrics). Traditional RT training (87%) was the most commonly practiced. The pull-up and squat were the most popular dry-land RT training exercises used by elite swimming strength and conditioning coaches. Future research needs to focus on exploring the specificity and the transfer of RT training exercises to swimming performance.
Over-ground walking on level and sloped surfaces in people with stroke compared to healthy matched adults

Purpose: To investigate the basic spatio-temporal gait characteristics of people with stroke whilst walking on sloped and level terrain, and to compare this performance to healthy matched adults. Method: Fifteen community dwelling people with stroke who walked with a hemiplegic gait and a reference group of 15 adults without impairments matched for sex, age and height participated in this descriptive, observational study. Basic gait spatio-temporal measures were recorded at self-selected speed across a GAITRite mat placed on level, uphill and downhill (ramp gradient 1:14 or 4.1°) surfaces. Measures recorded were gait speed, cadence, step length, support base, single and double limb support duration and step length symmetry. Group and walking condition effects were assessed by two separate 2-way (group × slope) repeated measures multivariate analysis of variance. Results: The stroke group walked slower (p < 0.001) than the reference group for all conditions. Within-group analyses found the stroke group decreased their speed and step length when walking downhill compared to level and uphill walking (p < 0.001). In contrast, the reference group maintained speed across all walking conditions. Conclusions: The findings suggest that walking on slopes affects gait speed in people with stroke and this may have implications when walking in the community. Implications for Rehabilitation Although a high percentage of people achieve walking independence following a stroke, few achieve independent community mobility. Walking on slopes is an important aspect of community mobility. When walking down a standard gradient ramp, people with stroke reduced their speed and step length, relative to level over-ground and uphill walking. It is recommended that attention be directed to assessment and treatment of walking on slopes as part of stroke rehabilitation, as this may have implications when walking in the community.
The Impact of Different Warm-Up Protocols on Vertical Jump Performance in Male Collegiate Athletes

The purpose of this study was to compare the impact of different types of warm-up on countermovement vertical jump (VJ) performance. Sixty-four male Division I collegiate football players completed a pretest for VJ height. The participants were then randomly assigned to a warm-up only condition, a warm-up plus static stretching condition, a warm-up plus dynamic stretching condition, or a warm-up plus dynamic flexibility condition. VJ performance was tested immediately after the completion of the warm-up. The results showed that there was a significant difference (P < .05) in VJ performance between the warm-up groups. Posttest jump performance improved in all groups; however, the mean for the static stretching group was significantly lower than the means for the other 3 groups. The static stretching negated the benefits gained from a general warm-up when performed immediately before a VJ test.
Match Activities of Elite Women Soccer Players at Different Performance Levels

We sought to study the physical demands and match performance of women soccer players. Nineteen top-class and 15 high-level players were individually videotaped in competitive matches, and time-motion analysis were performed. The players changed locomotor activity >1,300 times in a game corresponding to every ~4 seconds and covered 9-11 km in total. The top-class players ran 28% longer (P < 0.05) at high intensities than high-level players (1.68 ± 0.09 and 1.33 ± 0.10 km, respectively) and sprinted 24% longer (P < 0.05). The top-class group had a decrease (P < 0.05) of 25-57% in high intensity running in the final 15 minutes compared with the first four 15-minutes intervals, whereas the high-level group performed less (P < 0.05) high-intensity running in the last 15 minutes of each half in comparison with the 2 previous 15-minute periods in the respective half. Peak distance covered by high intensity running in a 5-minute interval was 33% longer (P < 0.05) for the top-class players than the high-level players. In the following 5 minutes immediately after the peak interval top-class players covered 17% less (P < 0.05) high-intensity running than the game average. Defenders performed fewer (P < 0.05) intervals of high-intensity running than midfielders and attackers, as well as fewer (P < 0.05) sprints than the attackers. In conclusion, for women soccer players (1) top-class international players perform more intervals of high-intensity running than elite players at a lower level, (2) fatigue develops temporarily during and towards the end of a game, and (3) defenders have lower work rates than midfielders and attackers. The difference in high-intensity running between the 2 levels demonstrates the importance of intense intermittent exercise for match performance in women soccer. Thus, these aspects should be trained intensively in women soccer.
Effect of Recovery Mode on Repeated Sprint Ability in Young Basketball Players

The aim of this study was to examine the effect of recovery mode on repeated sprint ability in young basketball players. Sixteen basketball players (age, 16.8 ± 1.2 years; height, 181.3 ± 5.7 cm; body mass, 73 ± 10 kg; VO2max, 59.5 ± 7.9 mL·kg−1·min−1) performed in random order over 2 separate occasions 2 repeated sprint ability protocols consisting of 10 × 30-m shuttle run sprints with 30 seconds of passive or active (running at 50% of maximal aerobic speed) recovery. Results showed that fatigue index (FI) during the active protocol was significantly greater than in the passive condition (5.05 ± 2.4, and 3.39 ± 2.3, respectively, p < 0.001). No significant association was found between VO2peak and FI and sprint total time (TT) in either repeated sprint protocols. Blood lactate concentration at 3 minutes post exercise was not significantly different between the 2 recovery conditions. The results of this study show that during repeated sprinting, passive recovery enabled better performance, reducing fatigue. Consequently, the use of passive recovery is advisable during competition in order to limit fatigue as a consequence of repeated high intensity exercise.
Effect of a Learning Trial on Self-Selected Resistance Training Load

Previous research has shown that individuals self-select loads for resistance training that falls below the accepted threshold for overload and do not lift to volitional fatigue. The purpose of this study was to determine the effects of a resistance training learning trial on self-selected resistance training load. A control group (5 women, 3 men) and a learning group of (4 women, 4 men) novice lifters were recruited. The control group (CG) received an orientation to selected strength machines (seated bench, leg extension, back row, biceps curl, triceps extension, shoulder press). On a subsequent training day, CG self-selected a training load, while blinded to the actual loads. The learning group (LG) received an initial orientation and also was tested for estimated 1 repetition maximum (1RM) for the seated bench press. On a subsequent day, the LG completed 2 sets of the seated bench press at 75% of estimated 1RM and were encouraged to lift until failure. On a third day, LG subjects completed a self-selected trial identical to that of the CG. Both groups were assessed for estimated 1RM for each exercise on a separate day following all trials. Comparisons between CG and LG were made using independent-means t tests and adjusted using Bonferroni's equation (p < 0.01). While subjects selected a bench press load that was 21% greater for LG (63.4 ± 6.4% 1RM) compared to the CG (50.3 ± 12.0%), there was no statistical significance. There were no significant differences in self-selected load for any of the other exercises. There were also no significant differences for number of repetitions or rate of perceived exertion between groups. We conclude that a learning trial of the bench press exercise to increase self-selected workload is not enough to change load self-selection.