Self-swabbing versus assisted swabbing for viral detection by qRT-PCR: the experience from SARS-CoV-2 based on a meta-analysis of six prospectively designed evaluations conducted in a UK setting.

PURPOSE: In April 2020, the UK Government implemented NHS Test and Trace to provide SARS-CoV-2 quantitative reverse transcription polymerase chain reaction (qRT-PCR) testing for the public, with nose-and-throat swabbing for samples performed by trained staff. Self-swabbing (SS) would allow rapid scale-up of testing capacity and access. Six studies were undertaken to determine whether SS was as effective for detecting SARS-CoV-2 as swabbing performed by trained staff. METHODS: Six prospective studies were conducted between April-October 2020, using six swab/media combinations. Differences between assisted swabbing (AS) and SS were evaluated for concordance, positivity, sensitivity, cycle threshold (Ct) values and void rates. Statistical analysis was performed using 95% confidence intervals (CIs), paired t-tests and model-based methods. RESULTS: Overall, 3,253 individuals were recruited (median age 37 years, 49% female), with 2,933 having valid paired qRT-PCR results. Pooled concordance rate was 98% (95% CI: 96%, 99%). Positivity rate differences for SS (8.1%) and AS (8.4%) and differences in pooled sensitivities between SS (86%; 95% CI: 78%, 92%) and AS (91%; 95% CI: 78%, 96%) were nonsignificant. Both types of swabbing led to pooled void rates below 2% and strongly correlated Ct values. Age, sex and previous swabbing experience did not have a significant impact on concordance or sensitivity. CONCLUSION: The UK adopted a policy to promote self-testing for SARS-CoV-2 based on data demonstrating equivalence of SS versus AS. Positive outcomes with SS are likely generalisable to testing for other respiratory pathogens, and we consider self-sampling and self-testing essential for future pandemic preparedness.

Defining cases of asthma, eczema and allergic rhinitis using electronic health records in the Born in Bradford birth cohort.

Key Messages • In electronic health records, the accuracy of diagnostic codes to define outcomes can be uncertain • The accuracy can vary in different settings, doctors and practices, even with validated codes • We recommend definitions combining codes previously described and other codes available in the records.

Evidence for causal associations between prenatal and postnatal antibiotic exposure and asthma in children, England.

BACKGROUND: Higher risks of asthma have been observed in children with prenatal exposure to antibiotics and during early life compared with those who have not. However, the causality of such associations is unclear. OBJECTIVE: To assess whether exposure to antibiotics in early life had a causal effect in increasing the risk of asthma in children diagnosed at 5-8 years of life, and the impact in the target population. METHODS: Data were from electronic health records and questionnaires for children and their mothers in the Born in Bradford birth cohort. Exposure variables were prescriptions of systemic antibiotics to the mother during pregnancy (prenatal) and to the children at 0-24 months of life (postnatal). We assessed the association in 12,476 children with several approaches to deal with different sources of bias (triangulation): the interactions with mother's ethnicity, mode of delivery, and between prenatal and postnatal exposures; dose-response; and estimated the population attributable risk. RESULTS: There was an association between prenatal exposure at 7-27 days before the child's birth and asthma (adjusted OR = 1.40; 1.05, 1.87), but no association with the negative control exposure (before pregnancy) (adjusted OR = 0.99 (0.88, 1.12)). For postnatal exposure, the adjusted OR was 2.00 (1.71, 2.34), and for sibling analysis, it was 1.99 (1.00, 3.93). For postnatal exposure, the risk of asthma increased with the number of prescriptions. The observed effect of both exposures was lower among children with mothers of Pakistani ethnicity, but inconclusive (p > .25). The interaction between prenatal and postnatal exposures was also inconclusive (p = .287). The population attributable risk of postnatal exposure for asthma was 4.6% (0.1% for prenatal). CONCLUSIONS: We conclude that the associations between both late-pregnancy prenatal exposure to antibiotics and postnatal exposure to antibiotics and an increased risk of asthma are plausible and consistent with a causal effect.

Exploring the determinants of success in different clusters of ball possession sequences in soccer.

The purpose of this study was two-step: (1) classify ball possession (BP) according to the duration and number of passes and (2) identify which tactical variables most discriminate the different BP. We obtained 527 BPs from four official matches of the Brazilian Soccer Championship 2016. Forty-one "notational", "space occupation", and "displacement synchronization" predictor variables were used. The BPs were classified into three groups: short (11.07 ± 4.49 s, 1.93 ± 0.99 passes), medium (26.83 ± 7.33 s, 5.41 ± 1.84 passes), long (55.50 ± 14.97 s, 12.11 ± 4.61 passes). Discriminant analysis identified the five most relevant variables to describe each group: coefficient of variation (CV) of the defensive team's synchronization-Y, CV defensive team´s synchronization-X, successful pass last third, CV distance between offensive team's centroid and target, mean of the offensive team's width. The approach highlights important variables and could benefit the description of offensive and defensive game sequences to provide precise knowledge on the process.

Use of ultrasound imaging software to differentiate venous and lymphatic edema in lower limbs.

BACKGROUND: Lower limb edema has both systemic and local causes. Using software to differentiate the origin of edema in ultrasound images is an innovation. OBJECTIVE: To determine the parameters for using software to differentiate edema of venous and/or lymphatic origin in ultrasound images of the lower limbs. METHOD: This is a cross-sectional, quantitative, analytical study with non-probabilistic sampling by convenience. Data were collected by patient interview, physical examination, ultrasound examination, and analysis of software for tissue characterization in ultrasound image by means of quantification of echogenicity and Gray Scale Median (GSM). RESULTS: The sample comprised 42 lower limbs with venous edema, 35 with lymphatic edema, 14 with mixed edema, and 11 control limbs. The distributions of pixels in echogenicity intervals by group was as follows. In the venous edema group, 88.31% were distributed from hypoechogenic interval IV to echogenic interval III; in the lymphatic edema group 71.73% were from hypoechogenic interval II to echogenic interval I; in the mixed edema group 76.17% were from hypoechogenic interval III to echogenic interval II; and in the control group 84.87% were distributed from echogenic interval II to hyperechogenic interval I. Mean and standard deviation of GSM values showed statistical differences between groups. CONCLUSION: The CATUS software enabled differentiation of the type of lower limb edema, facilitating diagnosis of edema type and, consequently, choice of the best therapeutic option.

Dribbling speed along curved paths predicts attacking performance in match-realistic one vs. one soccer games.

This study assessed whether a new, closed-skill dribbling or sprinting task could predict attacking performance in soccer. Twenty-five male players were recruited from the Londrina Junior Team Football Academy in Brazil and asked to either dribble the ball or sprint through five custom circuits that varied in average curvature (0-1.37 radians.m-1). These measures were then validated using a realistic one vs. one competition in which each player acted as attacker or defender in turn (N = 1330 bouts). Sprinting (ICC = 0.96) and dribbling (ICC = 0.97) performances were highly repeatable for individual players. Average dribbling speed decreased non-linearly with increasing circuit curvature (F = 239.5; P < 0.001) from 5.19 ± 0.11 ms-1 on the straightest path to 2.13 ± 0.03 ms-1 on the curviest. Overall, dribbling but not sprinting performance predicted attacking success in the one vs. one competition, explaining more than 50% of the variation in attacking success alone (rp = 0.70; P < 0.001). In conclusion, our new closed-skill dribbling assessment is a valid and reliable protocol to predict a soccer player's success in attacking performance in one vs. one situation, and can be used to identify talented players.

Diet during pregnancy and infancy and risk of allergic or autoimmune disease: A systematic review and meta-analysis.

BACKGROUND: There is uncertainty about the influence of diet during pregnancy and infancy on a child's immune development. We assessed whether variations in maternal or infant diet can influence risk of allergic or autoimmune disease. METHODS AND FINDINGS: Two authors selected studies, extracted data, and assessed risk of bias. Grading of Recommendations Assessment, Development and Evaluation (GRADE) was used to assess certainty of findings. We searched Medical Literature Analysis and Retrieval System Online (MEDLINE), Excerpta Medica dataBASE (EMBASE), Web of Science, Central Register of Controlled Trials (CENTRAL), and Literatura Latino Americana em Ciências da Saúde (LILACS) between January 1946 and July 2013 for observational studies and until December 2017 for intervention studies that evaluated the relationship between diet during pregnancy, lactation, or the first year of life and future risk of allergic or autoimmune disease. We identified 260 original studies (964,143 participants) of milk feeding, including 1 intervention trial of breastfeeding promotion, and 173 original studies (542,672 participants) of other maternal or infant dietary exposures, including 80 trials of maternal (n = 26), infant (n = 32), or combined (n = 22) interventions. Risk of bias was high in 125 (48%) milk feeding studies and 44 (25%) studies of other dietary exposures. Evidence from 19 intervention trials suggests that oral supplementation with nonpathogenic micro-organisms (probiotics) during late pregnancy and lactation may reduce risk of eczema (Risk Ratio [RR] 0.78; 95% CI 0.68-0.90; I2 = 61%; Absolute Risk Reduction 44 cases per 1,000; 95% CI 20-64), and 6 trials suggest that fish oil supplementation during pregnancy and lactation may reduce risk of allergic sensitisation to egg (RR 0.69, 95% CI 0.53-0.90; I2 = 15%; Absolute Risk Reduction 31 cases per 1,000; 95% CI 10-47). GRADE certainty of these findings was moderate. We found weaker support for the hypotheses that breastfeeding promotion reduces risk of eczema during infancy (1 intervention trial), that longer exclusive breastfeeding is associated with reduced type 1 diabetes mellitus (28 observational studies), and that probiotics reduce risk of allergic sensitisation to cow's milk (9 intervention trials), where GRADE certainty of findings was low. We did not find that other dietary exposures-including prebiotic supplements, maternal allergenic food avoidance, and vitamin, mineral, fruit, and vegetable intake-influence risk of allergic or autoimmune disease. For many dietary exposures, data were inconclusive or inconsistent, such that we were unable to exclude the possibility of important beneficial or harmful effects. In this comprehensive systematic review, we were not able to include more recent observational studies or verify data via direct contact with authors, and we did not evaluate measures of food diversity during infancy. CONCLUSIONS: Our findings support a relationship between maternal diet and risk of immune-mediated diseases in the child. Maternal probiotic and fish oil supplementation may reduce risk of eczema and allergic sensitisation to food, respectively.

Clinical Role of the "Venous" Ultrasound to Identify Lower Extremity Pathology.

BACKGROUND: Accreditation in peripheral venous testing can be obtained based on femoropopliteal (FP) duplex ultrasound evaluation, and many laboratories limit their examination to this segment only. This simplified protocol detects acute FP deep venous thrombosis (DVT) but misses calf vein DVT, superficial venous thrombosis, chronic DVT, venous reflux, and other nonvenous findings potentially responsible for the patients' presenting conditions. A protocol limited to the FP segment results in additional unnecessary testing and can create patient dissatisfaction. We evaluated the differences in the diagnosis between a limited FP versus a complete approach to the venous ultrasound evaluation of the lower extremities in patients examined in an outpatient vascular laboratory. METHODS: A database with the complete ultrasound examinations of the lower extremity including the common femoral, deep femoral, popliteal, tibial, and peroneal veins; calf muscular veins; great and lesser saphenous veins performed in 812 consecutive patients over an 8 month period was queried. RESULTS: Acute FP DVT was found in (32 of 812) 3.94% of the patients. Chronic FP DVT was found in 6.65% (54 of 812). Acute infrapopliteal DVT was found in 4.06% (33 of 812). Chronic infrapopliteal DVT was found in 5.04% (41 of 812). Superficial venous thrombosis of lower extremities was found in 15.27% (124 of 812). In addition, deep venous insufficiency (>500 msec) was found in 49.75% (404 of 812) and superficial venous insufficiency in 31.28% (254 of 812; >500 msec). A mass (cyst, hematoma, solid mass, or aneurysm) was found in (23 cysts, 2 hematomas, 23 solid mass, 4 aneurysms) 6.4% (52 of 812). CONCLUSIONS: Limited FP ultrasound examination for acute DVT would have only detected a small percentage of the positive findings. These data suggest that a complete duplex examination can be used to further delineate the cause of outpatients' symptoms compared to the limited protocol.

Tethered Swimming for the Evaluation and Prescription of Resistance Training in Young Swimmers.

The aims of the present study were 1) to evaluate the effects of 11 weeks of a typical free-swimming training program on aerobic and stroke parameters determined in tethered swimming (Study 1; n=13) and 2) to investigate the responses of tethered swimming efforts, in addition to free-swimming sessions, through 7 weeks of training (Study 2; n=21). In both studies, subjects performed a graded exercise test in tethered swimming (GET) to determine anaerobic threshold (AnT), stroke rate at AnT (SRAnT), peak force at GET (PFGET) and peak blood lactate ([La-]GET). Participants also swam 100-, 200- and 400-m lengths to evaluate performance. In Study 2, swimmers were divided into control (i. e., only free-swimming; GC [n=11]) and tethered swimming group (i. e., 50% of the main session; GTS [n=10]). The results of Study 1 demonstrate that AnT, PFGET, [La-]GET and 200-m performance were improved with free-swimming training. The SRAnT decreased with training. In Study 2, free-swimming performance and most of the graded exercise test parameters were not altered in either group. However, [La-]GET improved only for GTS. These results demonstrate that aerobic parameters obtained in tethered swimming can be used to evaluate free-swimming training responses, and the addition of tethered efforts during training routine improves the lactate production capacity of swimmers.

Coordination analysis of players' distribution in football using cross-correlation and vector coding techniques.

The purpose of this study was to investigate the coordination between teams spread during football matches using cross-correlation and vector coding techniques. Using a video-based tracking system, we obtained the trajectories of 257 players during 10 matches. Team spread was calculated as functions of time. For a general coordination description, we calculated the cross-correlation between the signals. Vector coding was used to identify the coordination patterns between teams during offensive sequences that ended in shots on goal or defensive tackles. Cross-correlation showed that opponent teams have a tendency to present in-phase coordination, with a short time lag. During offensive sequences, vector coding results showed that, although in-phase coordination dominated, other patterns were observed. We verified that during the early stages, offensive sequences ending in shots on goal present greater anti-phase and attacking team phase periods, compared to sequences ending in tackles. Results suggest that the attacking team may seek to present a contrary behaviour of its opponent (or may lead the adversary behaviour) in the beginning of the attacking play, regarding to the distribution strategy, to increase the chances of a shot on goal. The techniques allowed detecting the coordination patterns between teams, providing additional information about football dynamics and players' interaction.

Timing of Allergenic Food Introduction to the Infant Diet and Risk of Allergic or Autoimmune Disease: A Systematic Review and Meta-analysis.

IMPORTANCE: Timing of introduction of allergenic foods to the infant diet may influence the risk of allergic or autoimmune disease, but the evidence for this has not been comprehensively synthesized. OBJECTIVE: To systematically review and meta-analyze evidence that timing of allergenic food introduction during infancy influences risk of allergic or autoimmune disease. DATA SOURCES: MEDLINE, EMBASE, Web of Science, CENTRAL, and LILACS databases were searched between January 1946 and March 2016. STUDY SELECTION: Intervention trials and observational studies that evaluated timing of allergenic food introduction during the first year of life and reported allergic or autoimmune disease or allergic sensitization were included. DATA EXTRACTION AND SYNTHESIS: Data were extracted in duplicate and synthesized for meta-analysis using generic inverse variance or Mantel-Haenszel methods with a random-effects model. GRADE was used to assess the certainty of evidence. MAIN OUTCOMES AND MEASURES: Wheeze, eczema, allergic rhinitis, food allergy, allergic sensitization, type 1 diabetes mellitus, celiac disease, inflammatory bowel disease, autoimmune thyroid disease, and juvenile rheumatoid arthritis. RESULTS: Of 16 289 original titles screened, data were extracted from 204 titles reporting 146 studies. There was moderate-certainty evidence from 5 trials (1915 participants) that early egg introduction at 4 to 6 months was associated with reduced egg allergy (risk ratio [RR], 0.56; 95% CI, 0.36-0.87; I2 = 36%; P = .009). Absolute risk reduction for a population with 5.4% incidence of egg allergy was 24 cases (95% CI, 7-35 cases) per 1000 population. There was moderate-certainty evidence from 2 trials (1550 participants) that early peanut introduction at 4 to 11 months was associated with reduced peanut allergy (RR, 0.29; 95% CI, 0.11-0.74; I2 = 66%; P = .009). Absolute risk reduction for a population with 2.5% incidence of peanut allergy was 18 cases (95% CI, 6-22 cases) per 1000 population. Certainty of evidence was downgraded because of imprecision of effect estimates and indirectness of the populations and interventions studied. Timing of egg or peanut introduction was not associated with risk of allergy to other foods. There was low- to very low-certainty evidence that early fish introduction was associated with reduced allergic sensitization and rhinitis. There was high-certainty evidence that timing of gluten introduction was not associated with celiac disease risk, and timing of allergenic food introduction was not associated with other outcomes. CONCLUSIONS AND RELEVANCE: In this systematic review, early egg or peanut introduction to the infant diet was associated with lower risk of developing egg or peanut allergy. These findings must be considered in the context of limitations in the primary studies.

Erratum for the article by Caetano et al. JAB 31(6).

In the article by Caetano FG, et al, "Characterization of the Sprint and Repeated-Sprint Sequences Performed by Professional Futsal Players, According to Playing Position, During Official Matches," in the J Appl Biomech, 31(6), pp. 423-429, http://dx.doi.org/10.1123/jab.2014-0159, the second author's name was incorrectly listed as Murilo José de Oliveira. The second author's name should have been listed as Murilo José de Oliveira Bueno.

Dominant-non-dominant asymmetry of kicking a stationary and rolling ball in a futsal context.

The aim of this study was to analyse the characteristics of the asymmetries in the dominant and non-dominant limbs when kicking stationary and rolling balls. Ten experienced Brazilian amateur futsal players participated in this study. Each participant performed kicks under two conditions (stationary ball vs. rolling ball) with the dominant and non-dominant limbs (five kicks per condition per limb). We analysed the kicking accuracy, ball and foot velocities, angular joint displacement and velocity. The asymmetry between the dominant and non-dominant limbs was analysed by symmetry index and two-way repeated measures ANOVA. The results did not reveal any interaction between the condition and limb for ball velocity, foot velocity and accuracy. However, kicking with the dominant limb in both kicks showed higher ball velocity (stationary ball: dominant - 24.27 ± 2.21 m · s(-1) and non-dominant - 21.62 ± 2.26 m · s(-1); rolling ball: dominant - 23.88 ± 2.71 m · s(-1) and non-dominant - 21.42 ± 2.25 m · s(-1)), foot velocity (stationary ball: dominant - 17.61 ± 1.87 m · s(-1) and non-dominant - 15.58 ± 2.69 m · s(-1); rolling ball: dominant - 17.25 ± 2.26 m · s(-1) and non-dominant - 14.77 ± 2.35 m · s(-1)) and accuracy (stationary ball: dominant - 1.17 ± 0.84 m and non-dominant - 1.56 ± 1.30 m; rolling ball: dominant - 1.31 ± 0.91 m and non-dominant - 1.97 ± 1.44 m). In addition, the angular joint adjustments were dependent on the limb in both kicks (the kicks with non-dominant limb showed lower hip external rotation than the kicks with the dominant limb), indicating that the hip joint is important in kick performance. In conclusion, the kicks with the non-dominant limb showed different angular adjustments in comparison to kicks with the dominant limb. In addition, kicking a rolling ball with the non-dominant limb showed higher asymmetry for accuracy, indicating that complex kicks are more asymmetric.

Characterization of the Sprint and Repeated-Sprint Sequences Performed by Professional Futsal Players, According to Playing Position, During Official Matches.

The purposes of this study were to investigate sprints and to characterize repeated-sprint sequences (RS) performed by athletes during professional futsal matches. We analyzed 97 players during 5 official matches using the DVideo automatic tracking system. The sprints were analyzed during the first and second halves according to playing position, and RS were categorized according to the number of sprints and the time between them. The results showed an increase (F[1, 2520] = 3.96; P = .046) in the sprint duration from the first (mean = 3.1 ± 1.3) to the second half (mean = 3.2 ± 1.2). However, no differences were found for other variables (distance covered, peak velocity, initial velocity, recovery time between sprints, and sprints performed per minute) or among playing positions. In addition, when considering RS, the results showed that RS comprising two sprints interspersed with a maximum of 15 seconds of recovery were significantly more frequent than other RS. The findings of this study characterizing the sprinting features of futsal players can help coaches to plan physical training and assessments according to the requirements of the sport.

Analysis of football game-related statistics using multivariate techniques.

Abstract The purpose of this study was to explore football game-related statistics during a competition, using principal component and cluster analyses to determine if it is possible to distinguish the winning teams from the drawing and losing ones. We collected the game-related statistics of the group phase matches of the 2006 World Cup and organised them into a matrix. The principal components of the covariance matrix were calculated. The scores of the first and second components were used to represent the new data, and cluster analysis was applied to separate the elements in two groups (G1 and G2). To analyse the degree of separation between the groups, we calculated the Silhouette Coefficient for each group. Finally, we checked if the winning teams were classified into the same group. The Silhouette Coefficients found for G1 and G2 were 0.54 and 0.55, respectively. Results showed that 70.3% of the winning teams were classified into the same group (G1). Similarly, 67.8% of the drawing and losing teams were classified in G2. This study presented a different way to analyse game-related statistics that allowed the multivariate differences to be shown between successful and unsuccessful teams.

Analysis of the distance covered by Brazilian professional futsal players during official matches.

The purpose of this study was to measure and characterise the distances covered by Brazilian professional futsal players. The trajectories of 93 players during five matches were obtained using an automatic tracking method. The distances covered were analysed for different game conditions: over the entire game and during the times when the ball was out of play and in play separately. When the entire game was considered, the results showed that there was a reduction in the total distance covered per minute from the first [median ± IQR (interquartile range): 97.9 ± 16.2 m/min] to the second half (median = 90.3 m/min; IQR = 12.0), and when only the in-play time was considered (first half: 136.6 ± 17.2 m/min; second half: 129.2 ± 16.7 m/min). The percentage of distance covered in the standing and walking velocity range was higher in the second half than in the first when considering the entire game (30.8% and 28.0%, respectively) and during the in-play time (19.3% and 16.2%, respectively). In conclusion, this study verified that futsal players reduced the physical performance during the second half.

Who are the best passing players in professional soccer? A machine learning approach for classifying passes with different levels of difficulty and discriminating the best passing players.

The present study aimed to assess the use of technical-tactical variables and machine learning (ML) classifiers in the automatic classification of the passing difficulty (DP) level in soccer matches and to illustrate the use of the model with the best performance to distinguish the best passing players. We compared eight ML classifiers according to their accuracy performance in classifying passing events using 35 technical-tactical variables based on spatiotemporal data. The Support Vector Machine (SVM) algorithm achieved a balanced accuracy of 0.70 ± 0.04%, considering a multi-class classification. Next, we illustrate the use of the best-performing classifier in the assessment of players. In our study, 2,522 pass actions were classified by the SVM algorithm as low (53.9%), medium (23.6%), and high difficulty passes (22.5%). Furthermore, we used successful rates in low-DP, medium-DP, and high-DP as inputs for principal component analysis (PCA). The first principal component (PC1) showed a higher correlation with high-DP (0.80), followed by medium-DP (0.73), and low-DP accuracy (0.24). The PC1 scores were used to rank the best passing players. This information can be a very rich performance indication by ranking the best passing players and teams and can be applied in offensive sequences analysis and talent identification.

Exploring the recurrent states of football teams' tactical organization on the pitch during Brazilian official matches.

Football teams' tactical organization on the pitch is usually represented by the surface area. Considering the different shapes adopted by the teams during the match, the role of the tactical variability for success is lacking. The aim of this study was to explore and to evaluate the association between recurrent states of tactical organization and technical performance during football matches. A total of 28 teams of Brazilian First Division Championships were analysed. Teams' surface area shapes were represented by the maximum value of the Multiscale Fractal Dimension in each timestamp, producing a time series. Recurrences of states of tactical organization were determined via recurrence plots and recurrence quantitative analysis during attacking and defending phases, and considering the whole match. The outcomes were correlated with nine traditional technical performance indicators. The main results showed that structural recurrence or variability on tactical organization is associated with performance success during the defending and attacking actions. Recurrence plot and measures based on the recurrence density proved to be valuable tools to represent teams' dynamics.

Acute responses of biomechanical parameters to different sizes of hand paddles in front-crawl stroke.

This study investigated the acute effects of different sizes of paddles on the force-time curve during tethered swimming and swimming velocity in front-crawl stroke. Fourteen male swimmers (20.0 ± 3.7 years; 100-m best time: 53.70 ± 0.87 s) performed two 10-s maximal efforts in tethered swimming to obtain peak force, average force, impulse, rate of force development, stroke duration and time to peak force. Swimming velocity, stroke rate and stroke length were obtained from two 25-m maximal swims. Both tests were repeated in five conditions: free swimming, wearing small (280 cm (2) ), medium (352 cm (2) ), large (462 cm (2) ) and extra-large (552 cm (2) ) hand paddles. Compared to free swimming, paddles provided significant increases of peak force (medium: 11.5%, large: 16.7%, extra-large: 21.7%), impulse (medium: 15.2%, large: 22.4%, extra-large: 30.9%), average force (medium: 5.1%, large: 7.5%), rate of force development (extra-large: 11.3%), stroke duration (medium: 9.3%, large: 11.8%, extra-large: 18.5%), time to peak force (medium: 11.1%, large: 15.9%, extra-large: 22.1%), swimming velocity (medium: 2.2%, large: 3.2%, extra-large: 3.7%) and stroke length (medium: 9.0%, large: 9.0%, extra-large: 14.8%), while stroke rate decreased (medium: -6.2%, large: -5.5%, extra-large: -9.5%). It is concluded that medium, large and extra-large paddles influence the force-time curve and change swimming velocity, suggesting these sizes may be useful for force development in water.

A spectral analysis of team dynamics and tactics in Brazilian football.

The purposes of this study were to characterise the total space covered and the distances between players within teams over ten Brazilian First Division Championship matches. Filmed recordings, combined with a tracking system, were used to obtain the trajectories of the players (n = 277), before and after half-time. The team surface area (the area of the convex hull formed by the positions of the players) and spread (the Frobenius norm of the distance-between-player matrix) were calculated as functions of time. A Fast Fourier Transform (FFT) was applied to each time series. The median frequency was then calculated. The results of the surface area time series median frequencies for the first half (0.63 ± 0.10 cycles · min⁻¹) were significantly greater (P < 0.01) than the second-half values (0.47 ± 0.14 cycles · min⁻¹). Similarly, the spread variable median frequencies for the first half (0.60 ± 0.14 cycles · min⁻¹) were significantly greater (P < 0.01) than the second-half values (0.46 ± 0.16 cycles · min⁻¹). The median frequencies allowed the characterisation of the time series oscillations that represent the speed at which players distribute and then compact their team formation during a match. This analysis can provide insights that allow coaches to better control the team organisation on the pitch.