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Background: Deep brain stimulation (DBS) can be an effective therapy to control motor signs in patients with Parkinson's disease (PD). However, subthalamic nucleus (STN) DBS can induce undesirable psychiatric adverse effects, including elevated mood. Case report: We reported a video case of a 73-year-old male implanted with bilateral STN DBS who experienced stimulation-induced elevated mood. A correlation between mood changes and enhanced activation of the ventromedial region in the left STN was observed. Discussion: This video case report illustrates STN DBS-induced elevated mood and enhances early symptom recognition for patients and diagnostic awareness for professionals.
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Estimulación Encefálica Profunda , Enfermedad de Parkinson , Núcleo Subtalámico , Humanos , Estimulación Encefálica Profunda/efectos adversos , Masculino , Núcleo Subtalámico/fisiopatología , Anciano , Enfermedad de Parkinson/terapia , Enfermedad de Parkinson/fisiopatología , Grabación en VideoRESUMEN
This study characterised the sport participation patterns of 546 male youth team sport players. A retrospective questionnaire was used to identify the sport starting age (general sports and main sport) and the quantity and type of sports undertaken during the early years of development. A mixed-ANOVA and Chi-square tests were implemented. All participants started involvement in sports at the same age (~5 years) and participated in the same number of sports during their early years (1 to 2 sports). However, football players started participating mainly in team games (football, futsal) and water polo players in CGS sports (swimming). Participants reported different ages for initial participation in: (i) main sport (football players started participating earlier, around 5-6 years), (ii) onset of specialisation (football players specialised earlier, around 7 or 8 years), (iii) types of sports engaged in (football players were involved in more team games and water polo in more CGS sports), and (iv) variations in weekly training hours (water polo reported more hours of training). This study provided empirical evidence for understanding the effects of different sporting pathways on long-term athlete development. Some key incongruities between contemporary knowledge and practice are acknowledged. Further investigations should be developed by examining the trajectories in different sports, countries, genders, and cultural contexts.
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Purpose: Although emerging research has explored the development of coach education curricula, coach learning and how a deep learning approach can be made accessible to aspiring coaches, the study of coach educators' scaffolding of micro-pedagogies in action remains a missing link in the field. Therefore, the purpose of this study was to explore scaffolding strategies adopted by an experienced coach educator to encourage aspiring coaches to adopt an active approach to learning. Method: A case-study was conducted for a full semester of twelve practical lessons in the unit "Sports Methodology I-Volleyball" of a renowned sport sciences coach education program. Multiple data collection sources included participant observation, video and audio recordings, individual interviews with the coach educator and focus group interviews with the aspiring coaches. A thematic analysis was performed, and trustworthiness criteria included data triangulation, crosschecking, and collaborative interpretational analysis. Results: The strategies adopted by the coach educator progressively unfolded throughout three main stages: (i) laying the foundations of a learner-oriented approach; (ii) enhancing personally meaningful learning experiences; and (iii) mediating peer-coaching activities. An intricate interplay was unraveled between the nature and reduction of the support given and the increased responsibility transferred to the aspiring coaches for their active participation in learning experiences. Conclusions: The learner-oriented scaffolding processes employed by the coach educator sought to promote enhanced understanding of game-play problem-solving and the aspiring coaches' development of a deeper sense of what is required to become a coach through engagement in coaching technical activities and peer-coaching interventions.
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Tutoría , Voleibol , Humanos , Escolaridad , Curriculum , Grupos FocalesRESUMEN
Resumo A relevância do futsal brasileiro no cenário mundial é reconhecida pela sua prática massiva e conquistas internacionais. Neste contexto, compreender aspectos envoltos de uma função relevante, a de treinador, torna-se fundamental. O objetivo deste estudo foi investigar as percepções de treinadores brasileiros de elite sobre os aspectos influenciadores na escolha da profissão e os conhecimentos fundamentais necessários à competência profissional. Realizaram-se entrevistas em profundidade com 10 treinadores de elite. Os resultados sugerem que a influência familiar, a exposição prolongada à prática, à escola e aos seus treinadores enquanto atletas foram fundamentais nas suas trajetórias. O conhecimento específico do futsal, a leitura de jogo e a tomada de decisão parecem ser relevantes para a competência na função. Por fim, a relação aberta, de troca e cobrança com os atletas demonstram ser essenciais no contexto prático e a busca pelo desenvolvimento dos atletas é realizada de maneira global.
Abstract The growing worldwide significance of Brazilian futsal is recognized due to its extensive practice and international achievements. In this context, it becomes essential to further explore the critical aspects associated with the coaching role. The aim of this study was to investigate elite Brazilian coaches' perceptions regarding the factors influencing their decision to pursue this profession and the fundamental aspects related to coaches' professional competence. In-depth interviews were conducted with 10 elite coaches. The results suggest that family influence, prolonged exposure to practice, the school, and their coaches were fundamental in shaping the coaches' professional trajectories. Specific futsal knowledge, game reading, and decision making seem to be relevant for competence in the role. Finally, an open, reciprocal, and accountable relationship with athletes is considered essential in the practical context, as well as the pursuit of significantly contributing to athlete development as an integral part of the coaching role.
Resumen La importancia del fútbol sala brasileño es mundialmente reconocida por su práctica masiva y logros internacionales. En este contexto, es fundamental profundizar en la comprensión de los aspectos críticos involucrados en el rol del entrenador. El objetivo de este estudio fue investigar las percepciones de entrenadores de élite brasileños sobre los aspectos que influyen en la elección de la profesión y los conocimientos fundamentales necesarios para la competencia profesional. Se realizaron entrevistas en profundidad a 10 entrenadores de élite. Los resultados sugieren que la influencia familiar, la exposición prolongada a la práctica, la escuela y sus entrenadores como atletas fueron fundamentales en sus trayectorias. El conocimiento específico del fútbol sala, la lectura de juegos y la toma de decisiones parecen ser relevantes para la competencia en el rol. Finalmente, la relación abierta, de intercambio y de rendición de cuentas con los atletas resultan esenciales en la práctica y que la búsqueda del desarrollo de los atletas se realice de manera global.
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Quality in education is one of the 17 goals in the United Nations' sustainable agenda for 2030, presupposing careful planning and assessment of learning. Traditional planning in sports education (either in training or school settings) largely adopts pre-determined learning sequences and temporal milestones that, in theory, enhance the learning process. However, learning is a context-dependent, non-linear process with considerable intra- and interindividual variability, whereby planning and assessment should also be non-linear. In this narrative review, the main findings suggest that the specific teaching or training contents and their relative (i.e., ordering or sequencing) and absolute timing (i.e., the specific time point where certain learning or adaptations are expected) should vary depending on the learners and the context. In a process-oriented perspective, this requires flexible planning and the establishment of ongoing bidirectional links between planning and assessment. In this framework, assessment should be a flexible, evolving, and daily pedagogical tool instead of a set of formal checkpoints. We further explored how planning and assessment could be linked to provide an ongoing feedback loop that respects the individuality of each learner and its context, and therefore hope this review helps bring about a change in current planning and assessment paradigms in sports education.
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Aprendizaje , Escolaridad , Retroalimentación , Estudios LongitudinalesRESUMEN
CONTEXT: Aging causes a progressive worsening in postural balance, affecting functional independence and increasing the risk of falls. OBJECTIVE: The aim of the study was to evaluate the effect of aging on the static balance in women from 50-years to 89-years of age. DESIGN: This was a cross-sectional study, with 400 irregularly active women were evaluated and grouped by age: Group 6th decade (age 50 to 59) â 58 participants; Group 7th decade (age 60 to 69) â 214 participants; Group 8th decade (age 70 to 79) â 92 participants; Group 9th decade (age 80 to 89) â 36 participants. Postural balance was evaluated using a portable force platform in a standard standing position, with Eyes Open (EO) and Eyes Closed (EC). RESULTS: In the two measurement conditions, the elderly women in Group 9th decade presented mediolateral displacement and range, and mean velocity greater than the women's values in Groups 6th and 7th decade. In the EO e EC situation, the displacement was higher in the elderly Group 9th decade compared to younger groups. Group 8th has a mean velocity greater than Group 6th decade in the EO situation. CONCLUSIONS: Posturography showed a decline in postural balance with advancing age, suggesting that the 9th decade of life is a borderline age to this detriment due to an increase in postural instability.
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Accidentes por Caídas , Equilibrio Postural , Anciano , Anciano de 80 o más Años , Envejecimiento , Estudios Transversales , Femenino , Humanos , Persona de Mediana EdadRESUMEN
According to the Quality Education and Gender Equality ambitions established at the 2030 Agenda for Sustainable Development Goals, we aimed to test the feasibility of a flexible planning and assessment process, using ongoing, bidirectional feedback between planning and assessment. Eighteen players (11.5 ± 0.5 years of age) from a U13 female volleyball team were randomized into an experimental group (in which the plan could be changed daily) or a contrast group (pre-defined planning, adjusted monthly). The pedagogical intervention lasted three months. Besides ongoing daily assessments from the training practices, the Game Performance Assessment Instrument was adopted as a starting point for the weekly assessments in 4 vs. 4 game-forms (i.e., the instrument was modified monthly based on feedback from the training process). Information from daily and weekly formal assessment was used in the planning of the experimental group, and monthly in the contrast group. Data suggested that pre-established and strict planning (even updated monthly) failed to fit current learner needs. Over 12 weeks, the pre-established planning suffered regular modifications in the experimental group, and the assessment tool changed monthly. In conclusion, both planning and assessment should be open and flexible to exchange information mutually, and support the design of tailor-made learning environments.
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Combining Constraint-led (ecological) and Step-Game (constructivist) approaches through an Action-Research (AR) design conducted throughout a competitive volleyball season, this study aimed to: (i) analyse the impact of increased tactical complexity on lateral and longitudinal collective Synchronisation Tendencies (ST) during defensive and offensive counterattack-subphases, and (ii) examine how opposition attacking contexts (i.e. playing in full-system or in-system) might influence ST throughout each counterattack-subphase. Performance of a youth team, comprised of 15 players, was studied across three AR-cycles. The team's competitive performance was analysed through three competitive matches (one per cycle). Team ST were evaluated using the cluster-phase method and a 3 (matches) × 2 (counterattack-subphases) × 2 (opposition attacking contexts) × 2 (court directions) repeated-measures ANOVA were used to calculate the differences in cluster-amplitude mean values. Results showed that increments in tactical complexity (second AR-cycle) were followed by decreases in collective ST, which were (re)achieved during the third AR-cycle, possibly due to the ecological-constructivist coaching intervention. Our findings imply that coaches could design representative and specific-didactical learning environments, predicated on a team's tactical needs and strategical ideas from a game-plan, framing player intentionality. Results also support the use of questioning strategies to narrow players' attentional focus, stimulating perceptual attunement to relevant constraints emerging in performance. Finally, the insider AR-design provided valuable contextualised insights on coaching interventions for developing collective coordinative structures.
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Rendimiento Atlético , Tutoría , Voleibol , Adolescente , Humanos , Aprendizaje , Estaciones del AñoRESUMEN
Abstract Context Aging causes a progressive worsening in postural balance, affecting functional independence and increasing the risk of falls. Objective The aim of the study was to evaluate the effect of aging on the static balance in women from 50-years to 89-years of age. Design This was a cross-sectional study, with 400 irregularly active women were evaluated and grouped by age: Group 6thdecade (age 50 to 59) ‒ 58 participants; Group 7thdecade (age 60 to 69) ‒ 214 participants; Group 8thdecade (age 70 to 79) ‒ 92 participants; Group 9thdecade (age 80 to 89) ‒ 36 participants. Postural balance was evaluated using a portable force platform in a standard standing position, with Eyes Open (EO) and Eyes Closed (EC). Results In the two measurement conditions, the elderly women in Group 9thdecade presented mediolateral displacement and range, and mean velocity greater than the women's values in Groups 6thand 7thdecade. In the EO e EC situation, the displacement was higher in the elderly Group 9thdecade compared to younger groups. Group 8thhas a mean velocity greater than Group 6thdecade in the EO situation. Conclusions Posturography showed a decline in postural balance with advancing age, suggesting that the 9thdecade of life is a borderline age to this detriment due to an increase in postural instability.
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The purpose of this study was to understand the perceptions of highly skilled and less skilled volleyball players about the influences that parents, coaches, and peers had on their sport development and performance achievement. Highly skilled (n = 30) and less skilled (n = 30) volleyball players participated in semi-structured retrospective interviews to explain how parents, coaches and peers may have influenced their sport participation. Data was analyzed through a process of content analysis. Results indicated that parents, coaches, and peers had an important influence in player's sport development but differing according to players' expertise level. Concerning to parental influences, tangible support during the early years of development was mentioned by all players. However, parents' level of involvement and parenting styles revealed interesting differences between highly skilled and less skilled players. Highly skilled players perceived a moderate parental involvement and an autonomy-supportive parenting style, while less skilled players referred a excessive parental involvement in players' sport participation. Coaches influences showed to have some similarities in the early years with all players mentioning coaches as caring and recognizing their value as an athlete. However, highly skilled players described a different training environment characterized by a demanding coach, individualized instruction, and specific goal setting. Regarding peers' influence, all players recognized that friends were not only one of the main reasons to start playing volleyball, but also an important source of support to remain engaged and staying motivated to do sport. Highly skilled players, however, mentioned the importance of teammates' positive push and critiques during practice for enhancing their motivation, team cohesion and friendship. They also highlighted the importance of friends outside of sport in the later years of their career by acting as an escape from all the pressure that emerged from volleyball training and competition demands. Overall, these findings highlight different social influences according to the players' expertise level suggesting the need to examine more extensively the nature of significant others' support on athlete and talent development.
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Traditional talent identification and development programs have sought to identify and select the most promising children as athletes of the future, to provide them with specialised training and preparation for expert performance in sport from an early age. Traditional models of talent identification and development tend to be linear, emphasising the numbers of hours spent in specialised training. However, major concerns have been raised by evidence emerging on psycho-emotional and physical issues with early specialisation programmes, and negative associations with wellbeing and mental health. More contemporary models of talent development emphasise a deep integration of specialised training with more general enrichment of athleticism. This integrative process enhances self-regulation processes of perception and action, as well as emotional control and social interactions, all of which underpin sports performance at elite and sub-elite levels. Here, we discuss insights and principles of contemporary models of pedagogy, such as Nonlinear Pedagogy (NLP) and the Athletic Skills Model (ASM), which offer valuable frameworks for talent development. We conclude by considering implications of adopting such principles for developing athlete functionality in specific performance environments.
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Aptitud , Rendimiento Atlético , Atletas , Niño , HumanosRESUMEN
Purpose: Using an action-research design, this study examined the impact of combining concepts from two contemporary pedagogical approaches, the Constraints-led Approach (CLA) and Step-Game Approach (SGA), on the development of youth volleyballers' tactical knowledge, as expressed in performance, throughout a full competitive season. Method: Fifteen players and one coach participated in this study, which involved three action-research cycles, each including the processes of planning, acting and monitoring, reflecting, and fact-finding. The first author, who had the role of coach-researcher, collected data using a reflexive diary and field notes between September 2017 and June 2018, as well as eight semi-structured focus-group interviews. Data were analyzed using thematic analysis, in which inductive procedures deepened understanding of the development of the participants' tactical knowledge. Results: Findings suggested that combining CLA with SGA improved tactical knowledge in specific ways. Players progressed from a starting point where they were only able to describe game scenarios, and act without tactical criteria or considering contextual game constraints, to a point where their intentions during tactical actions were shaped by their ability to think strategically and guide their attention to recognize and interpret different constraints. Conclusions: Results suggested that the development of players' tactical knowledge benefited from a mutual integration of different, yet complementary, pedagogical approaches. By integrating SGA and CLA it was possible to enhance players' adaptable thinking using learning tasks involving the manipulation of meaningful constraints that afforded variable repetition and the resolution of tactical problems.
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Rendimiento Atlético , Adolescente , Grupos Focales , Humanos , Aprendizaje , Estudios LongitudinalesRESUMEN
An Action-Research (AR) design was implemented throughout a competitive season in which Constraint-led and Step-Game approaches were combined. This intervention study investigated the impact of increased performance complexity on emergence of counterattacking synchronisation tendencies in team players (laterally and longitudinally on court) at different set moments. Fifteen youth volleyball team players were studied across three action-research cycles, with performance in one competitive match analysed per cycle. Team synchronisation tendencies were assessed using the cluster phase method, with a 3 (matches) x 2 (set moments) x 2 (court direction) repeated-measures ANOVA statistical procedure to calculate differences in cluster amplitude mean values. Results revealed a reduction in team synchrony levels when tactical complexity of counterattacking play increased (second AR-cycle). Nevertheless, similar levels of team synchrony emerged between the first and third AR-cycles. Results also revealed the final moments of a set as a significant environmental constraint that shaped synchronisation tendencies. Evidence suggested that the (re)achievement of functional synchrony was realised through integration of Constraint-led and Step-Game approaches during practices designed to enhance tactical awareness in players. Finally, an insider action-research design provided relevant contextualised insights on the development of a team's synchronisation tendencies.
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Rendimiento Atlético/fisiología , Conducta Competitiva/fisiología , Voleibol/fisiología , Adolescente , Femenino , Humanos , Análisis y Desempeño de Tareas , Deportes de EquipoRESUMEN
Obesity is associated with changes in the secretome of adipose tissue (AT), which affects the vasculature through endocrine and paracrine mechanisms. Wingless-related integration site 5A (WNT5A) and secreted frizzled-related protein 5 (SFRP5), adipokines that regulate noncanonical Wnt signaling, are dysregulated in obesity. We hypothesized that WNT5A released from AT exerts endocrine and paracrine effects on the arterial wall through noncanonical RAC1-mediated Wnt signaling. In a cohort of 1004 humans with atherosclerosis, obesity was associated with increased WNT5A bioavailability in the circulation and the AT, higher expression of WNT5A receptors Frizzled 2 and Frizzled 5 in the human arterial wall, and increased vascular oxidative stress due to activation of NADPH oxidases. Plasma concentration of WNT5A was elevated in patients with coronary artery disease compared to matched controls and was independently associated with calcified coronary plaque progression. We further demonstrated that WNT5A induces arterial oxidative stress and redox-sensitive migration of vascular smooth muscle cells via Frizzled 2-mediated activation of a previously uncharacterized pathway involving the deubiquitinating enzyme ubiquitin-specific protease 17 (USP17) and the GTPase RAC1. Our study identifies WNT5A and its downstream vascular signaling as a link between obesity and vascular disease pathogenesis, with translational implications in humans.
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Tejido Adiposo/metabolismo , Vasos Sanguíneos/metabolismo , Endopeptidasas/metabolismo , NADPH Oxidasas/metabolismo , Obesidad/metabolismo , Transducción de Señal , Proteína Wnt-5a/metabolismo , Proteína de Unión al GTP rac1/metabolismo , Proteínas Adaptadoras Transductoras de Señales/metabolismo , Tejido Adiposo/efectos de los fármacos , Animales , Arterias/metabolismo , Arterias/patología , Aterosclerosis/sangre , Aterosclerosis/complicaciones , Aterosclerosis/patología , Vasos Sanguíneos/efectos de los fármacos , Movimiento Celular/efectos de los fármacos , Activación Enzimática/efectos de los fármacos , Ligandos , Ratones Endogámicos C57BL , Músculo Liso Vascular/patología , Miocitos del Músculo Liso/efectos de los fármacos , Miocitos del Músculo Liso/metabolismo , Obesidad/complicaciones , Oxidantes/toxicidad , Oxidación-Reducción , Transducción de Señal/efectos de los fármacos , Enfermedades Vasculares/complicaciones , Enfermedades Vasculares/metabolismo , Proteína Wnt-5a/sangreRESUMEN
Contextual influences on talent development (e.g., birthplace effects) have become a topic of interest for sport scientists. Birthplace effects occur when being born in a certain city size leads to participation or performance advantages, typically for those born in smaller or mid-sized cities. The purpose of this study was to investigate birthplace effects in Portuguese volleyball players by analysing city size, as well as population density - an important but infrequently used variable. Participants included 4062 volleyball players (Mage = 33), 53.2% of whom were men. Using Portuguese national census data from 1981, we compared participants (within each sex) across five population categories. In addition, we used ANOVAs to study expertise and population density. Results indicated that men and women athletes born in districts of 200,000-399,999 were 2.4 times more likely to attain elite volleyball status, while all other districts decreased the odds of expert development. For men, being born in high-density areas resulted in less chance of achieving expertise, whereas there were no differences for women. The results suggest that athletes' infrastructure and social structure play an important role in talent development, and that these structures are influenced by total population and population density, respectively.
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Aptitud , Densidad de Población , Características de la Residencia , Voleibol , Adulto , Rendimiento Atlético , Ciudades , Femenino , Humanos , Masculino , Persona de Mediana Edad , Portugal , Adulto JovenRESUMEN
O propósito do presente artigo consistiu na revisão sistemática da literatura existente sobre a infuência parental no desporto. Para a recolha da literatura, foram utilizadas as seguintes bases de dados: Academic Search Complete, SPORTDiscus, PsychInfo, Education Research Complete, ISI Web of Knowledge, PubMed, EBSCO, e SCOPUS. Após a seleção cuidada dos documentos e a sua análise rigorosa, obtiveram-se 52 artigos empíricos sobre a temática elegíveis para análise. Os resultados apontam para a existência de duas perspetivas de análise distintas: uma visão mais descritiva e orientada para a caracterização da infuência parental e respetivos comportamentos adotados pelos pais no desporto, e uma outra centrada na relação existente entre a infuência parental e as respostas comportamentais do atleta. A análise crítica dos resultados permitiu, ainda, identi.car potenciais obstáculos metodológicas a ultrapassar, bem como sugerir linhas orientadoras para futuros estudos nesta área de investigação
El propósito de este artículo ha sido la revisión sistemática de la literatura sobre el influencia de los padres en el deporte. Para la recogida de la literatura, se utilizaron las siguientes bases de datos: Academic Search Complete, SPORTDiscus, PsychInfo, Investigación Educación completa, ISI Web of Knowledge, PubMed, EBSCO y SCOPUS. Después de una meticulosa selección y de un análisis exhaustivo de los documentos se obtuvieron 52 trabajos empíricos sobre el tema elegibles para el análisis. Los resultados apuntan a la existencia de dos perspectivas de análisis distintas: una visión más descriptiva y focalizada para la caracterización del influencia parental y respectivas conductas adoptadas en el deporte, y una otra concentrada en la relación entre el influencia de los padres y las comportamentales de los deportistas. El análisis crítico de los resultados permitió identificar posibles obstáculos metodológicos a superar, bien cómo sugerir líneas orientadoras para futuros estudios en esta área de investigación
The purpose of this article was to review the existing literature on parental influence in sport. The following databases were used to collect the articles: Academic Search Complete, SPORTDiscus, PsychInfo, Education Research Complete, ISI Web of Knowledge, PubMed, EBSCO, and SCOPUS. After a careful selection of the articles and a rigorous analysis of them, we obtained 52 empirical articles on the subject matter eligible for analysis. There results highlight the existence of two distinct perspectives of analysis: a descriptive vision which focus on the characterization of parental influence and the respective behaviours adopted by parents in sport, and another perspective focused on the relationship between parental influence and the athlete's behavioural responses. The critical analysis of the articles allowed the identification of potential methodological obstacles that is necessary to overcome in future studies, as well as possible guidelines to explore in further research in this field
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Humanos , Relaciones Padres-Hijo , Padres , Atletas , Deportes , MotivaciónRESUMEN
Variability analysis has been used to understand how competitive constraints shape different behaviours in team sports. In this study, we analysed and compared variability of tactical performance indices in players within complex I at two different competitive levels in volleyball. We also examined whether variability was influenced by set type and period. Eight matches from the 2012 Olympics competition and from the Portuguese national league in the 2014-2015 season were analysed (1496 rallies). Variability of setting conditions, attack zone, attack tempo and block opposition was assessed using Shannon entropy measures. Magnitude-based inferences were used to analyse the practical significance of compared values of selected variables. Results showed differences between elite and national teams for all variables, which were co-adapted to the competitive constraints of set type and set periods. Elite teams exploited system stability in setting conditions and block opposition, but greater unpredictability in zone and tempo of attack. These findings suggest that uncertainty in attacking actions was a key factor that could only be achieved with greater performance stability in other game actions. Data suggested how coaches could help setters develop the capacity to play at faster tempos, diversifying attack zones, especially at critical moments in competition.
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Rendimiento Atlético/fisiología , Rendimiento Atlético/estadística & datos numéricos , Conducta Competitiva/fisiología , Voleibol/fisiología , Voleibol/estadística & datos numéricos , Femenino , Humanos , Grabación en VideoRESUMEN
OBJECTIVE: To create a model of atherosclerosis using green fluorescent protein (GFP)-targeted monocytes/macrophages, allowing analysis of both endogenous GFP+ and adoptively transferred GFP+ myeloid cells in arterial inflammation. APPROACH AND RESULTS: hCD68GFP reporter mice were crossed with ApoE-/- mice. Expression of GFP was localized to macrophages in atherosclerotic plaques and in angiotensin II-induced aortic aneurysms and correlated with galectin 3 and mCD68 expression. Flow cytometry confirmed GFP+ expression in CD11b+/CD64+, CD11c+/MHC-IIHI, and CD11b+/F4/80+ myeloid cells. Adoptive transfer of GFP+ monocytes demonstrated monocyte recruitment to both adventitia and atherosclerotic plaque, throughout the aortic root, within 72 hours. We demonstrated the biological utility of hCD68GFP monocytes by comparing the recruitment of wild-type and CCR2-/- monocytes to sites of inflammation. CONCLUSIONS: hCD68GFP/ApoE-/- mice provide a new approach to study macrophage accumulation in atherosclerotic plaque progression and to identify cells recruited from adoptively transferred monocytes.
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Antígenos CD/metabolismo , Antígenos de Diferenciación Mielomonocítica/metabolismo , Aorta/metabolismo , Enfermedades de la Aorta/metabolismo , Apolipoproteínas E/deficiencia , Aterosclerosis/metabolismo , Proteínas Fluorescentes Verdes/metabolismo , Macrófagos/metabolismo , Monocitos/metabolismo , Placa Aterosclerótica , Traslado Adoptivo , Angiotensina II , Animales , Antígenos CD/genética , Antígenos de Diferenciación/metabolismo , Antígenos de Diferenciación Mielomonocítica/genética , Aorta/patología , Aneurisma de la Aorta/inducido químicamente , Aneurisma de la Aorta/genética , Aneurisma de la Aorta/metabolismo , Aneurisma de la Aorta/patología , Enfermedades de la Aorta/genética , Enfermedades de la Aorta/patología , Apolipoproteínas E/genética , Aterosclerosis/genética , Aterosclerosis/patología , Antígeno CD11b/metabolismo , Antígeno CD11c/metabolismo , Rastreo Celular/métodos , Células Cultivadas , Modelos Animales de Enfermedad , Progresión de la Enfermedad , Galectina 3/metabolismo , Predisposición Genética a la Enfermedad , Proteínas Fluorescentes Verdes/genética , Macrófagos/patología , Macrófagos/trasplante , Masculino , Ratones Endogámicos C57BL , Ratones Transgénicos , Monocitos/patología , Monocitos/trasplante , Fenotipo , Receptores de IgG/metabolismo , Proteínas Recombinantes de Fusión/metabolismo , Transducción de SeñalRESUMEN
RATIONALE: Adiponectin has anti-inflammatory effects in experimental models, but its role in the regulation of myocardial redox state in humans is unknown. Although adiponectin is released from epicardial adipose tissue (EpAT), it is unclear whether it exerts any paracrine effects on the human myocardium. OBJECTIVE: To explore the cross talk between EpAT-derived adiponectin and myocardial redox state in the human heart. METHODS AND RESULTS: EpAT and atrial myocardium were obtained from 306 patients undergoing coronary artery bypass grafting. Functional genetic polymorphisms that increase ADIPOQ expression (encoding adiponectin) led to reduced myocardial nicotinamide adenine dinucleotide phosphate oxidase-derived O2 (-), whereas circulating adiponectin and ADIPOQ expression in EpAT were associated with elevated myocardial O2 (-). In human atrial tissue, we demonstrated that adiponectin suppresses myocardial nicotinamide adenine dinucleotide phosphate oxidase activity, by preventing AMP kinase-mediated translocation of Rac1 and p47(phox) from the cytosol to the membranes. Induction of O2 (-) production in H9C2 cardiac myocytes led to the release of a transferable factor able to induce peroxisome proliferator-activated receptor-γ-mediated upregulation of ADIPOQ expression in cocultured EpAT. Using a NOX2 transgenic mouse and a pig model of rapid atrial pacing, we found that oxidation products (such as 4-hydroxynonenal) released from the heart trigger peroxisome proliferator-activated receptor-γ-mediated upregulation of ADIPOQ in EpAT. CONCLUSIONS: We demonstrate for the first time in humans that adiponectin directly decreases myocardial nicotinamide adenine dinucleotide phosphate oxidase activity via endocrine or paracrine effects. Adiponectin expression in EpAT is controlled by paracrine effects of oxidation products released from the heart. These effects constitute a novel defense mechanism of the heart against myocardial oxidative stress.
Asunto(s)
Adiponectina/biosíntesis , Tejido Adiposo/metabolismo , Miocardio/metabolismo , PPAR gamma/biosíntesis , Pericardio/metabolismo , Tejido Adiposo/citología , Animales , Línea Celular , Femenino , Humanos , Masculino , Ratones , Ratones Endogámicos C57BL , Ratones Transgénicos , Miocardio/citología , Técnicas de Cultivo de Órganos , Oxidación-Reducción , Pericardio/citología , Ratas , PorcinosRESUMEN
This study aimed to examine the indirect teaching strategies adopted by a coach educator in terms of promoting student-coaches' engagement in a positive and active learning environment. The participants were an expert coach educator and seven student-coaches from an academic coaching setting. A mix method approach was used to collect data. Whilst video-recording and participant observations were used to collect data from the lessons, focus groups were adopted to recall the perceptions of student-coaches. The results showed that indirect teaching strategies (i.e., asking questions, showing signs of autonomy by monitoring the pace at which they completed tasks and actively engaging in the search for solutions to tasks) implemented by the coach educator promoted a supportive and challenging learning environment which, in turn, encouraged student-coaches to be more actively involved in the lessons. Additionally, the affective aspects of the relationship established with student-coaches (tone of voice, gestures, facial expressions, eye contact, physical contact and humor) led them to feel confident in exposing their doubts and opinions, and in learning in a more autonomous manner. Moreover, the practical lessons proved to be crucial in helping student-coaches to reach broader and deeper forms of understanding by allowing the application of theory to coaching practice. In conclusion, this study reinforces the value of indirect teaching strategies to stimulate an active learning environment. It further highlights the value of practical learning environments to better prepare neophyte coaches for dealing with the complex and dynamic nature of their professional reality. Key pointsBoth instructional and affective teaching indirect strategies used by the coach educator promoted a positive and challenging learning environment to student-coaches.The directness profile used by this coach educator (questioning, giving autonomy for problem solving and responsibility to regulate the learning tasks development) promoted the awareness and the ability of student-coaches to explore alternative solutions and self-regulate their own learning.Using humor, touch, gestures and tone of voice, the coach educator showed great care for student-coaches, which impacted positively on their enthusiasm, confidence and desire to be actively engaged in their own learning.