Vertical jump neuromuscular performance of professional female handball players-starters vs. non-starters comparison.

Given the complex nature of the handball as a game, players are required to possess a distinct set of physical and physiological attributes to attain peak performance. With the countermovement vertical jump (CVJ) being widely implemented as a non-invasive and time-efficient testing modality in sports settings, the purpose of the present study was twofold: (a) to establish a CVJ profile of professional female handball players and (b) to examine differences in force-time metrics between starters and non-starters. Forty-two professional female handball players (e.g., SuperLeague) volunteered to participate in this study. Each athlete performed three maximum-effort CVJs with no arm swing while standing on a uni-axial force plate system sampling at 1,000 Hz. Independent t-tests were used to examine differences in each variable between starters and non-starters. The results revealed that starters attained superior performance within the eccentric phase of the CVJ when compared to non-starters, particularly in terms of eccentric peak velocity (-0.957 ± 0.242 vs. -0.794 ± 0.177 m·s-1), eccentric mean power (320.0 ± 77.7 vs. 267.1 ± 75.2 W), and eccentric peak power (929.0 ± 388.1 vs. 684.4 ± 214.2 W). While not reaching the level of statistical significance, moderate-to-large effect sizes were observed for concentric impulse, peak velocity, and mean and peak force and power, all in favor of players included in the starting lineup (g = 0.439-0.655). Overall, these findings suggest that at the top-tier level of handball competition, the ability to secure a spot in a starting lineup may be possibly influenced by the athlete's eccentric performance capabilities. Thus, the development of lower-body eccentric strength and power may positively impact on-court athlete performance and ultimately help the team secure the desired game outcome.

Persistent pulmonary abnormalities after 18 months of SARS-CoV-2 pneumonia.

OBJECTIVE: To describe persistent pulmonary abnormalities detected on HRCT after 18 months of SARS-CoV-2 pneumonia, and to determine their extension and correlation with pulmonary function. PATIENTS AND METHODS: A prospective cross-sectional study with an initial cohort of 90 patients in follow-up due to persisting lung abnormalities on imaging, functional respiratory impairment and/or respiratory symptoms. Of these, 31 (34%) were selected for analysis due to the persistence of their lung abnormalities on HRCT at 18 months after infection. A double reading was performed for each HRCT (62 observations). RESULTS: Of the 31 patients included: 20 (65%) were men; mean age was 67 years; 17 (55%) were smokers/ex-smokers. The mean hospitalisation time was 38 days. Eighteen (58%) patients were admitted to intensive care units. Five patients (16%) suffered an acute pulmonary thromboembolism and three (9.7%) had a pneumothorax. The mean time between the onset of pneumonia and the follow-up HRCT was 20.34 months. Nineteen percent of patients suffered from total lung function abnormalities; and ground-glass opacities and reticulation were present in 12% and 4.5% respectively. The findings of the 62 readings were: ground-glass opacities (100%), reticulation (83%), subpleural curvilinear lines (62%), parenchymal bands (34%), traction bronchiectasis (69%), displacement of vessels/fissures (46%) and honeycombing (4.9%). Pulmonary function 18 months after the acute episode revealed a mean FVC of 92% of predicted value, with an FVC < 80% of predicted value in 11 patients (35.4%). Mean DLCO was 71% of predicted value, with a DLCO < 80% in 22 patients (70%). We observed a statistically significant relationship between total lung function abnormalities on HRCT and FVC (P < 0.05), and a trend towards statistical significance with DLCO (P = 0.051); there was a statistically significant relationship between the presence of ground-glass opacities and FEV1/FVC (P < 0.01). The relationships between reticulation and FVC, FVC%, FEV1, FEV1% and DLCO% were also considered statistically significant (P < 0.05). CONCLUSION: Persistent interstitial lung abnormalities are seen on HRCT for a subset of patients infected with SARS-CoV-2 pneumonia. Seventy percent of these patients suffered a slight decrease in DLCO.

Galectin-3 as a Prognostic Biomarker in Patients with First Acute Myocardial Infarction without Heart Failure.

BACKGROUND: Galectin-3 (Gal-3) is a biomarker involved in a wide range of diseases including cardiac remodeling following acute myocardial infarction (AMI). Identification of prognostic markers in patients with AMI can guide strategies towards improved survival and quality of life. METHODS: Our study included 59 patients with AMI and a preserved ejection fraction. We determined the Gal-3 plasma concentration within 24 h of chest pain onset from the aortic root, femoral/radial artery, coronary sinus and cubital vein. Major adverse cardiovascular events (MACEs) were evaluated at six months follow-up. RESULTS: MACE at six months post-AMI was recorded in 20 patients (34%). The Gal-3 plasma concentration from the aortic root and the femoral/radial artery were independent predictors of MACE at six months follow-up after the first AMI (OR 1.228; 95%CI: 1.011-1.491; p = 0.038; OR 3.438; 95%CI: 1.275-9.265; p = 0.015). ROC analysis identifies the Gal-3 plasma concentration from the aortic root as a better predictor of MACE or death (cut-off ≥ 10.86 ng/mL; AUC 0.858; 95%CI: 0.744-0.973; p < 0.001) than Gal-3 plasma concentration from the femoral/radial artery (cut-off ≥ 10.18 ng/mL; AUC 0.742; 95%CI: 0.596-0.888; p = 0.006). CONCLUSION: the Gal-3 plasma concentration in patients with AMI determined during coronary angiography, especially from the aortic root, within 24 h after chest pain onset is a valuable biomarker of prognosis at six months follow-up.

Pre-Post Practice Changes in Countermovement Vertical Jump Force-Time Metrics in Professional Male Basketball Players.

ABSTRACT: Cabarkapa, D, Cabarkapa, DV, Philipp, NM, Knezevic, OM, Mirkov, DM, and Fry, AC. Pre-post practice changes in countermovement vertical jump force-time metrics in professional male basketball players. J Strength Cond Res 37(11): e609-e612, 2023-Despite the countermovement vertical jump (CVJ) being one of the most popular noninvasive and time-efficient methods for monitoring neuromuscular status, there is a lack of scientific literature focused on examining fatigue-induced alterations in performance in elite athletes. Thus, the purpose of this study was to examine changes in force-time metrics pre-post practice in professional male basketball players. Seventeen athletes competing in first-tier and second-tier national basketball leagues in Europe participated in this study. While standing on a uniaxial force plate sampling at 1,000 Hz, each athlete completed 3 CVJs pre-practice and post-practice. The practice consisted of individual and team shooting drills, position-specific player development drills, 5-on-0 offensive actions, and 5-on-5 play, including full-court transition (∼2 hours). The findings reveal that pre-post practice changes in force-time metrics seem to be phase specific. Despite a trivial increase in eccentric mean force (920.4 ± 100.2, 929.4 ± 100.0 N), most changes were observed within the concentric phase of the CVJ. The concentric phase duration increased pre-post practice (0.233 ± 0.027, 0.242 ± 0.033 seconds), whereas concentric impulse (262.9 ± 18.8, 258.6 ± 21.6 N·s), peak velocity (2.93 ± 0.22, 2.86 ± 0.22 m·s-1), mean force (2052.4 ± 179.2, 2002.7 ± 188.2 N), mean power (3,165.5 ± 269.5, 3,030.9 ± 326.8 W), and peak power (5,523.4 ± 607.3, 5,246.6 ± 663.7 W) experienced a significant decrease. Moreover, alongside longer contraction time (0.663 ± 0.065, 0.686 ± 0.074 seconds), lower vertical jump height (41.0 ± 6.8, 38.9 ± 6.6 cm) and reactive strength index-modified (0.634 ± 0.113, 0.579 ± 0.111 m·s-1) values were observed post-practice. Overall, these findings may allow practitioners to detect fatigue-induced changes in CVJ force-time metrics in professional male basketball players that can ultimately improve the acute and longitudinal training-adaptation monitoring process.

Assessment of Countermovement Jump: What Should We Report?

The purpose of the present study was (i) to explore the reliability of the most commonly used countermovement jump (CMJ) metrics, and (ii) to reduce a large pool of metrics with acceptable levels of reliability via principal component analysis to the significant factors capable of providing distinctive aspects of CMJ performance. Seventy-nine physically active participants (thirty-seven females and forty-two males) performed three maximal CMJs while standing on a force platform. Each participant visited the laboratory on two occasions, separated by 24-48 h. The most reliable variables were performance variables (CV = 4.2-11.1%), followed by kinetic variables (CV = 1.6-93.4%), and finally kinematic variables (CV = 1.9-37.4%). From the 45 CMJ computed metrics, only 24 demonstrated acceptable levels of reliability (CV ≤ 10%). These variables were included in the principal component analysis and loaded a total of four factors, explaining 91% of the CMJ variance: performance component (variables responsible for overall jump performance), eccentric component (variables related to the breaking phase), concentric component (variables related to the upward phase), and jump strategy component (variables influencing the jumping style). Overall, the findings revealed important implications for sports scientists and practitioners regarding the CMJ-derived metrics that should be considered to gain a comprehensive insight into the biomechanical parameters related to CMJ performance.

Seroprevalence of IgM and IgG anti-SARS-COV-2 and associated factors among agricultural workers in Colombia.

Background: The population of South America has been severely affected by the COVID-19 pandemic. In this region, during the year 2020, high seroprevalence percentages were reported, which have been associated with the socioeconomic characteristics of the population, mainly in urban areas. However, a relative lack of information on the dynamics of the pandemic in rural areas of these countries, where the population is more vulnerable, is still present. This study determined antibody prevalence against SARS-CoV-2 in urban and rural food producing workers in Colombia. Methods: A total of 1242 workers, urban and rural, linked to poultry, dairy, and meat production and supply chains, were analyzed through a sociodemographic survey and two serological tests against S and N proteins of SARS-CoV-2. Results: 78.7% were male. 50.9% of the participants were rural inhabitants, with an average age of 40.9 years old. 39.2% had IgM and IgG against SARS-CoV-2 S protein and 31.3% against N protein for the same virus; 83.6% had not been tested with an RT-PCR test for COVID-19 and 75.7% did not report symptoms related to the disease. The associated risk factors were low education, OR: 1.46, greater number of cohabitants, OR: 1.36, and contact with people infected with COVID-19, OR: 2.03. Conclusions: The seroprevalences found suggest an important interconnectivity between rural and urban areas, where asymptomatic subjects and sociodemographic factors facilitate the virus' spread in the population.

Evaluation of the Limb Symmetry Index: The Side Hop Test.

The main objective of present study was to evaluate inter-rater reliability and concurrent validity of Side Hop Test stopwatch vs. force plates timing, and to determine the number of sessions and trials required to minimize the effects of learning on Side Hop Test total time and limb symmetry index. Fifteen healthy male physical education students (mean ± SD: age, 23 ± 3 years; height, 181 ± 9 cm; and weight 72 ± 6 kg) participated. Side Hop Test total time (stopwatch and force plates) of left and right leg, and limb symmetry index (force plates) were obtained over seven sessions conducted 5-7 days apart. Time recordings of two raters were similar (t = -0.56, p > 0.05) with high reliability (all ICC >0.99 and CV% <0.1) and no systematic bias when compared to force plate data (p > 0.05; for rater 1 and 2, respectively). Total time improved across the Sessions (F = 25.87, p < 0.01, ω 2 = 0.18) and Trials (F = 68.15, p < 0.01, ω 2 = 0.10), with no significant interaction between factors. No between-leg differences were detected (F = 0.52, p > 0.05, ω 2 = 0.001). Limb symmetry index ranged from 0.999 to 1.055 across all sessions and trials (all p > 0.05 and ω 2 < 0.00). Due to low coefficient of correlation, high interclass correlation coefficient, and the lack in heteroscedasticity, stopwatch measurements are valid to measure total time in the Side Hop Test. Moreover, stopwatch measurements could be reliably used to measure total time in the Side Hop Test, while the test could be administrated with only one experienced rater. Unlike total times, findings on limb symmetry index suggest it could be reliably assessed after seven familiarization sessions.

Methodological considerations for assessing whole-body strength capacity through isometric dynamometry.

The present study aimed to explore the possibility of comprehensively assessing whole-body muscle strength by testing as few muscle groups as possible, using a single testing method (isometric or isokinetic dynamometry) and a single variable (maximal force or rate of force development). Knee, hip, shoulder and elbow extensors and flexors were evaluated in males with high (n = 26) and low strength levels (n = 32). The principal component analysis revealed three factors that explained 62.5% of the total variance, while the main factors were loaded by the different testing methods and strength variables for the muscles acting on the knee (first component), hip (second component) and arm joints (third component). These results were confirmed by a three-way ANOVA which revealed a significant factor of group (P < 0.001) and the interaction test type × group (P = 0.002), but not of test type (P = 0.644), muscle group (P = 0.999), or their interactions (P > 0.205). The correlations of strength outcomes across the muscles ranged from trivial to very large (r range = -0.17, 0.84), being generally higher for the antagonistic muscles. Overall, a comprehensive assessment of whole-body muscle strength can be obtained using isometric dynamometry and maximal force, but it should consider at least one muscle group from the antagonistic pair.

Trend of Galectin-3 Levels in Patients with Non-ST-Elevation and ST-Elevation Myocardial Infarction.

Background and Objectives: Given the fact that galectin-3 has a predictive significance on the development of myocardial dysfunction after acute myocardial infarction, the aim of our study was to examine potential factors that could be important for the dynamics of the concentration of this biomarker in the early postinfarction period. Materials and Methods: This study included 89 patients with a diagnosis of stable angina pectoris (SAP) or the first non-ST elevation (NSTEMI) or ST-elevation (STEMI) myocardial infarction, who underwent percutaneous coronary intervention (PCI). The study group included 23 patients with the first NSTEMI and 42 patients with STEMI, while the control group consisted of 24 patients with SAP hospitalized for elective PCI without a previous MI. All patients had preserved left ventricular ejection fraction. Galectin-3 levels were determined on days 1, 5, and 30 after PCI. The significance of various independent variables as predictors of galectin-3 concentration was analyzed after a series of univariate linear regression modeling in a multivariate linear regression model. Results: The average patients' age was 63.99 ± 9.13 years. Statistically significantly higher values of C-reactive protein were established in STEMI compared to SAP (p < 0.01) or NSTEMI (p < 0.001), whereas WBC count was significantly lower in SAP than in STEMI (p < 0.001) and NSTEMI (p < 0.01) group. Although there were no statistically significant differences in measured galectin-3 concentrations between the examined groups on days 1, 5, and 30 after PCI, HTA, triglyceride level, LA size, treatment with trimetazidine and long-acting nitrates, as well as percentage of LM stenosis and E/A ratio were identified as independent predictors of galectin-3 concentration. Conclusions: In the post-MI period, very early values of galectin-3 correlate mostly with atherosclerosis factors, while on day 30 this biomarker correlates with diastolic dysfunction and "announces" left ventricular remodeling.

Conciliación farmacoterapéutica al ingreso hospitalario en el Servicio de Guardia de Adultos / Medication reconciliation at hospital admission in an Adults Guard Service

Objetivo: Detectar los errores de conciliación terapéutica (EC) en pacientes adultos que asisten al Servicio de Guardia de Adultos (SGA) de una institución privada de tercer nivel de atención, describir su medicación de base y determinar la gravedad potencial de las discrepancias encontradas.Métodos: Se realizó un estudio observacional, descriptivo y prospectivo. Se relevó la medicación de pacientes mayores de 18 años ingresados al SGA, mediante anamnesis directa e indirecta. Posteriormente se comparó con las nuevas prescripciones a fin de detectar las posibles discrepancias. Los tipos de discrepancia y su gravedad potencial fueron clasificadas según la Nacional Coordinating Council for Medication Error Reporting and Prevention (NCCMERP).Resultados: Se conciliaron 100 pacientes, de los cuales el 71% presentó EC, con una media de 1,8 EC/paciente. El número total de medicamentos conciliados fue de 682, detectándose 324 discrepancias totales, 198 justificadas y 126 que requieren aclaración, consideradas EC. La mayoría de los EC fueron por omisión de medicamentos. Se identificaron 21 interacciones farmacológicas, siendo 12 clínicamente relevantes. La aceptación de las intervenciones por los médicos tratantes fue del 62%. La gravedad de los EC encontrados pudo incluirse en las categorías A-D.Conclusiones: La conciliación terapéutica realizada por el farmacéutico en el SGA evitó potenciales errores de medicación clínicamente relevantes y pone en evidencia la falta de exhaustividad en la recopilación de información sobre medicación domiciliaria del paciente. (AU)

Objective: To detect medication reconciliation errors (MRE) in adult patients attending the Adults Guard Service of a private third-level hospital; describe their basic medication and determine the potential severity of the discrepancies found.Methods: An observational, descriptive and prospective study was carried out. The medication of patients older than 18 years admitted in the adults guard service was relieved, through direct and indirect anamnesis. Subsequently, it was compared with the new prescriptions in order to detect possible discrepancies. The types of discrepancies and their potential severity were classified according to the National Coordinating Council for Medication Error Reporting and Prevention (NCCMERP).Results: 100 patients were reconciled, of which 71% presented MRE, with a mean of 1.8 MRE/patient. The total number of reconciled medications was 682, detecting 324 total discrepancies, 198 justified and 126 requiring clarification, which were considered reconciliation errors. Most of the MRE were due to medication omissions. In addition, 21 pharmacological interactions were identified, being 12 clinically relevant. Acceptance of interventions by treating physicians was 62%. The severity of the MRE could be included in categories A-D.Conclusions: The intervention of the pharmacist avoided potential MRE and highlights the lack of exhaustiveness in collecting information of the patient’s home medication. (AU)

The force-velocity relationship obtained during the squat jump exercise is meaningfully influenced by the initial knee angle.

This study aimed to compare the magnitude of the force-velocity (F-V) relationship parameters (maximum force [F0], maximum velocity [V0], F-V slope, and maximum power [Pmax]) between the squat jumps (SJ) performed from different knee angles. The F-V relationships of 12 men were assessed in 3 sessions during the SJ performed from a knee angle of 80° (SJ80), 90° (SJ90) and 100° (SJ100). The SJ100 provided likely to very likely higher values of F0 and Pmax compared to SJ80 (86% and 98%, respectively) and SJ90 (73% and 94%, respectively), while unclear and trivial differences were observed for the remaining comparisons. The magnitude of the correlations between the 3 SJ types was very large to nearly perfect for Pmax (r range = 0.864 to 0.940), moderate to very large for F0 (r range = 0.438 to 0.778), and small to large for V0 (r range = 0.361 to 0.642) and the F-V slope (r range = 0.178 to 0.645). These results suggest that the F-V relationship assessed during the SJ exercise is affected by the initial knee angle with the increase of the knee angle from 80° to 100° being associated with higher values of F0 and Pmax, while V0 remains unchanged.

Estudio morfométrico y ecuaciones de predicción del peso corporal en llamas (Lama glama) Ch'aku y Q'ara / Morphometric study and body weight prediction equations in llamas (Lama glama) Ch'aku and Q'ara

RESUMEN: En el estudio se utilizó una población de 180 llamas de ambos sexos (machos y hembras) clasificados por edades (dientes de leche; dos dientes y cuatro dientes). Se registraron datos del peso corporal y las siguientes medidas morfométricas: En la cabeza: Longitud de la cabeza (LC); ancho de cabeza (ACa) y longitud de oreja (LO). En el cuello: Longitud del cuello (LCU); Perímetro de cuello anterior (PCuA) y perímetro de cuello posterior (PCuP). En el tronco y extremidades: Altura a la cruz (AC); altura de la grupa (AGRU), diámetro dorso esternal (DDE), perímetro torácico (PT), longitud del cuerpo (LOCU), longitud de la cruz a la grupa (LCG), longitud de grupa (LGRU), perímetro de caña anterior (PCA); perímetro de caña posterior (PCP). Los datos fueron procesados utilizando el software estadístico R. Concluyendo que los rasgos de conformación en llamas (Lama glama) Ch'aku y Q'ara están influenciados por la edad, sexo y raza. Los modelos de regresión simple y múltiple para la predicción del peso corporal fueron significativos.

SUMMARY: The study used a population of 180 llamas of both sexes (males and females) classified by age (milk teeth; two teeth and four teeth). Body weight data and the following morphometric measurements were recorded: Head: Head length (CL); head width (ACa) and ear length (LO). On the neck: Neck length (LCU); anterior neck circumference (PCuA) and posterior neck circumference (PCuP). On the trunk and limbs: Height at withers (AC); height at rump (AGRU), sternal dorsal diameter (DDE), thoracic perimeter (PT), body length (LOCU), length from withers to rump (LCG), rump length (LGRU), anterior canine perimeter (PCA); posterior canine perimeter (PCP). The data were processed using R statistical software. It was concluded that conformation traits in Ch'aku and Q'ara llamas (Lama glama) are influenced by age, sex and breed. Simple and multiple regression models for body weight prediction were significant.

Effects of Resistance Training With Constant, Inertial, and Combined Loads on Muscle Power and Strength Output.

The aim of this study was to investigate the resistance-specific gains in muscle power and strength (1RM) following the training of maximum bench-press throws (BPT) against constant, inertial, and combined resistance. Forty-eight male participants (age 20.5 ± 2.0 years) were randomly assigned to the constant, inertial, combined resistance, or control group. Participants underwent 8 weeks of training of BPT against the loads that corresponded to the different effects of mass of 40 kg (∼50% of 1RM). The gains in average and maximum power, and 1RM were significant in all experimental groups (P < 0.01), but not in the control group (P > 0.1). Relative gains in the average (26.3 ± 9.8%) and maximum power (25.2 ± 9.8%) were larger than that in the 1RM (mean 7.2 ± 6.9%; both P < 0.001). The gains in the average (F 4, 66 = 6.0; P < 0.01) and maximum power (F 4, 66 = 4.7; P < 0.01) were higher when tested against the training-specific resistance than when tested against the remaining two resistance types. Differences in 1RM among experimental groups were not significant (P = 0.092). The most important and rather novel finding of the study is that the training against the weight and inertial resistance, and their combination results in resistance-specific gains in muscle power, although the overall gains muscle strength and power remain comparable across the training protocols.

Force-Velocity Profile of Competitive Kayakers: Evaluation of a Novel Single Kayak Stroke Test.

The assessment of the force-velocity (F-V) profile in athletes may have important applications for training prescription, injury management, and fatigue monitoring. This study aimed to assess whether a novel single kayak stroke test (SKST) is able to provide the F-V relationship variables (maximum force, maximum velocity and maximum power) of competitive kayakers with acceptable reliability and external validity. Six female (age: 20.3 ± 3.7 years) and eight male (age: 20.8 ± 2.4 years) elite kayakers performed the SKST, bench press, bench pull, and short Wingate kayak test. The individual F-V relationships were highly linear [median r (range): left stroke = 0.986 (0.897 - 0.998); right stroke = 0.987 (0.971 - 0.999)]. The reliability of the F-V relationship parameters obtained during the SKST was high (within-session: CV ≤ 4.48% and ICC ≥ 0.93; between-session: CV ≤ 8.06% and ICC ≥ 0.65). The validity of the F-V relationship parameters obtained during the SKST was generally very high for maximum power (r range = 0.825 - 0.975), high for maximum force during both the bench press and the bench pull (r range = 0.751 - 0.831), and high or moderate for maximal velocity during the bench pull (r = 0.770 - 0.829) and the bench press (r = 0.355 - 0.471), respectively. The SKST can be considered a feasible procedure for testing the maximal upper-body muscle mechanical capacities of kayakers.

Monitorización de concentraciones plasmáticas de vancomicina en pacientes críticos de un hospital público de Córdoba, Argentina / Monitoring of plasma vancomycin concentrations in critically ill patients in a public hospital of Córdoba, Argentina

Introducción: La monitorización de las concentraciones plasmáticas de antimicrobianos utilizados para tratar infecciones en pacientes críticos es una de las estrategias propuestas para mejorar los resultados clínicos. La monitorización de vancomicina reduce el riesgo de resistencia bacteriana y de nefrotoxicidad relacionada con altas concentraciones plasmáticas. El estudio fue realizado en un hospital público de la provincia de Córdoba, Argentina, que contiene 43 unidades críticas de atención al paciente. Aunque la indicación de vancomicina es frecuente, la solicitud de niveles plasmáticos de fármacos es inusualMétodo: El Servicio de Farmacia realizó un estudio piloto prospectivo durante 14 semanas, implementando el monitoreo de las concentraciones plasmáticas de vancomicina y el cálculo del índice ABC24/CIM (área bajo la curva de concentración-tiempo durante un período de 24 horas/concentración inhibitoria mínima).Objetivos: Determinar el porcentaje de pacientes con concentraciones plasmáticas valle fuera del rango terapéutico descrito en la literatura y la dosis que sería necesaria para obtener un ABC24/CIM ≥400.Resultados: Se realizaron 36 solicitudes de monitorización de vancomicina en 31 pacientes. El 78% de las concentraciones plasmáticas determinadas estaban fuera del rango terapéutico y sólo en 8 pacientes se obtuvo un ABC24/CIM ≥400.Conclusiones: Este estudio fue el primer paso para implementar la farmacocinética clínica en la institución y evidenció la importancia de la monitorización terapéutica y la individualización de la dosis. En pacientes críticos y con un aclaramiento de creatinina elevado se necesitarían dosis mayores a las utilizadas en este estudio. (AU)

Introduction: Monitoring plasma concentrations of antimicrobials used to treat infections in critically ill patients is one of the strategies proposed to improve clinical results. Vancomycin monitoring reduces the risk of bacterial resistance and nephrotoxicity related to high plasma concentrations. The study was carried out in a public hospital in the province of Córdoba, Argentina, which contains 43 critical patient care units. Although the indication for vancomycin is frequent, the request for plasma levels of drugs is unusual.Method: The Pharmacy Service carried out a prospective pilot study for 14 weeks, implementing the monitoring of plasma vancomycin concentrations and the calculation of the ABC24/MIC index (area under the concentration-time curve over a 24-hour period/inhibitory concentration minimum).Objectives: To determine the percentage of patients with trough plasma concentrations outside the therapeutic range described in the literature and the dose that would be necessary to obtain an ABC24/CIM ≥400.Results: 36 requests for vancomycin monitoring were made in 31 patients. 78% of the determined plasma concentrations were outside the therapeutic range and only in 8 patients was an ABC24/CIM ≥400 obtained.Conclusions: This study was the first step to implement clinical pharmacokinetics in the institution and showed the importance of therapeutic monitoring and dose individualization. In critically ill patients with high creatinine clearance, higher doses than those used in this study would be required. (AU)

Reliability of Sprint Force-Velocity-Power Profiles Obtained with KiSprint System.

This study aimed to assess the within- and between-session reliability of the KiSprint system for determining force-velocity-power (FVP) profiling during sprint running. Thirty (23 males, 7 females; 18.7 ± 2.6 years;) young high-level sprinters performed maximal effort sprints in two sessions separated by one week. Split times (5, 10, 20 and 30 m), which were recorded with a laser distance meter (a component of the KiSprint system), were used to determine the horizontal FVP profile using the Samozino's field-based method. This method assesses the FVP relationships through estimates of the step-averaged ground reaction forces in sagittal plane during sprint acceleration using only anthropometric and spatiotemporal (split times) data. We also calculated the maximal theoretical power, force and velocity capabilities and the slope of the FV relationship, the maximal ratio of horizontal-to-resultant force (RF), and the decrease in the RF (DRF). Overall, the results showed moderate or good to excellent within- and between-session reliability for all variables (ICC > 0.75; CV < 10 %), with the exception of FV slope and DRF that showed low relative reliability (ICC = 0.47-0.48 within session, 0.31-0.33 between-session) and unacceptable between-session absolute reliability values (CV = 10.9-11.1 %). Future studies are needed to optimize the protocol in order to maximize the reliability of the FVP variables, especially when practitioners are interested in the FV slope and DRF. In summary, our results question the utility of the sprint-based FVP profiling for individualized training prescription, since the reliability of the FV slope and D RF variables is highly questionable.

Effect of Different Types of Loads on the Force-Velocity Relationship Obtained During the Bench Press Throw Exercise.

ABSTRACT: Cosic, M, Knezevic, OM, Nedeljkovic, A, Djuric, S, Zivkovic, MZ, and Garcia-Ramos, A. Effect of different types of loads on the force-velocity relationship obtained during the bench press throw exercise. J Strength Cond Res 35(9): 2401-2406, 2021-This study aimed (a) to evaluate the degree of linearity of the force-velocity (F-V) relationship across different types of loads, (b) to compare the magnitude of the F-V relationship parameters (maximum values of force [F0], velocity [V0], and power [Pmax]) between the different types of loads, and (c) to explore the concurrent validity of F0 with traditional measures of maximal strength. The F-V relationships of 15 physically active men (age: 20.9 ± 2.0 years, bench press 1 repetition maximum relative to body mass: 1.20 ± 0.10 kg·kg-1) were determined during the bench press throw exercise using predominantly gravitational (W), inertial (I), and combined (W + I) loads. The bench press maximal isometric force (Fiso) and the 1RM were also assessed. The individual F-V relationships were highly linear regardless of the type of load considered (median r [range] = 0.98 [0.94, 1.00]). The W + I load provided the largest value of F0 (972 ± 45 N; 6.0 and 14.6% higher than W and I, respectively), the I load the largest value of V0 (2.99 ± 0.34 m·s-1; 40.4 and 20.1% higher than W and W + I, respectively), and the W load the lowest value of Pmax (501 ± 46 W; -22.7 and -17.1% lower than I and W + I, respectively). The F0 obtained from the W load presented the highest association with Fiso and 1RM values (r > 0.90). The W + I load and the I load should be recommended to work closer to the F0 and V0 capacities, respectively. However, the W load should be recommended to assess maximal strength capacity through the value of F0.

Magnitude and reliability of mechanical outputs obtained during loaded squat jumps performed from different knee angles.

This study aimed to explore the effect of the knee angle and loading condition on the magnitude and reliability of squat jump (SJ) performance variables. Thirteen male sport sciences students performed in a random order 4 SJ types (knee angle of 80º [SJ80], 90º [SJ90], 100º [SJ100], and self-preferred [SJpref]) against 3 external loads. The push-off distance (HpO), jump height (Hmax), maximum force (Fmax) and maximum power (Pmax) were obtained from force platform recordings. The HpO during the SJpref (43.4 ± 6.4 cm) was always between SJ90 (44.3 ± 4.8 cm) and SJ100 (40.5 ± 4.2 cm). The magnitudes of Hmax, Fmax and Pmax were comparable or higher during the SJpref. The increase of the knee angle was associated with larger values of Fmax and Pmax, but no significant differences were observed for Hmax. An acceptable reliability was observed for HpO (coefficient of variation [CV]≤5.09% and intraclass correlation coefficient [ICC]≥0.78), Hmax (CV≤6.06% and ICC≥0.84), Fmax (CV≤3.25% and ICC≥0.96) and Pmax (CV≤2.93% and ICC≥0.96). Reliability did not systematically differ between the 4 SJ types. In conclusion, the higher magnitudes and comparable reliability of the performance variables obtained during the SJpref support its use for testing lower-body ballistic performance against different loads.

The Novel Single-Stroke Kayak Test: Can It Discriminate Between 200-m and Longer-Distance (500- and 1000-m) Specialists in Canoe Sprint?

PURPOSE: To test whether the force-velocity (F-V) relationship obtained during a specific single-stroke kayak test (SSKT) and during nonspecific traditional resistance-training exercises (bench press and prone bench pull) could discriminate between 200-m specialists and longer-distance (500- and 1000-m) specialists in canoe sprint. METHODS: A total of 21 experienced male kayakers (seven 200-m specialists and 14 longer-distance specialists) participated in this study. After a familiarization session, kayakers came to the laboratory on 2 occasions separated by 48 to 96 hours. In a randomized order, kayakers performed the SSKT in one session and the bench press and bench pull tests in another session. Force and velocity outputs were recorded against 5 loads in each exercise to determine the F-V relationship and related parameters (maximum force, maximum velocity, F-V slope, and maximum power). RESULTS: The individual F-V relationships were highly linear for the SSKT (r = .990 [.908, .998]), bench press (r = .993 [.974, .999]), and prone bench pull (r = .998 [.992, 1.000]). The F-V relationship parameters (maximum force, maximum velocity, and maximum power) were significantly higher for 200-m specialists compared with longer-distance specialists (all Ps ≤ .047) with large effect sizes (≥0.94) revealing important practical differences. However, no significant differences were observed between 200-m specialists and longer-distance specialists in the F-V slope (P ≥ .477). CONCLUSIONS: The F-V relationship assessed during both specific (SSKT) and nonspecific upper-body tasks (bench press and bench pull) may distinguish between kayakers specialized in different distances.

Isokinetic Testing: Sensitivity of the Force-Velocity Relationship Assessed through the Two-Point Method to Discriminate between Muscle Groups and Participants' Physical Activity Levels.

BACKGROUND: Isokinetic testing has been routinely used to assess the capacities of individual muscle groups. In this study we aimed to evaluate the sensitivity of the force-point (F-v) relationship assessed through the two-point method to discriminate between antagonist muscle groups and males with different physical activity levels. METHODS: The concentric force output of the knee, hip, elbow, and shoulder flexors and extensors of 27 active and 13 non-active men was recorded at 60 and 180°/s to determine the F-v relationship parameters (maximum force [F0], maximum velocity [v0], and maximum power [Pmax]). RESULTS: F0 and Pmax were higher for knee extensors (effect size [ES] = 1.97 and 0.57, respectively), hip extensors (ES = 2.52 and 0.77, respectively), and shoulder flexors (ES = 1.67 and 0.83, respectively) compared to their antagonist muscles, while v0 was higher for knee flexors compared to knee extensors (ES = 0.59). Active males revealed higher F0 for knee extensors (ES = 0.72) and knee flexors (ES = 0.83) and higher Pmax for knee flexors (ES = 0.70), elbow extensors (ES = 0.83) and shoulder extensors (ES = 0.36). CONCLUSIONS: The sensitivity of the two-point method for testing the maximal mechanical capacities was high for the knee, moderate for the hip and shoulder, and low for the elbow joint.