Reliability of a handball specific strength test battery and the association with sprint and throwing performance in young handball players.

BACKGROUND: A greater motivation for coaches to be more involved in assessment could be the development of specific strength tests closer to specific handball tasks. Therefore, the aims were to determine the reliability of a handball specific strength test battery in young handball players using a functional electromechanical dynamometer (FEMD) and to evaluate the association between the strength test battery and performance measurements. METHODS: Thirty-two young handball players (25% males and 75% females) performed a repeated-measurement design over four weeks. The players conducted one session per week, with each measurement consisting of two isometric tests to obtain isometric peak force, and four incremental tests. Moreover, performance handball tests (sprint and throwing velocity [TV]) were recorded. RESULTS: The reliability of the whole handball specific strength tests was very high for the peak and mean strength (ICC=0.70-0.85; CV=8.49-13.99; SEM=0.44-0.67 kg). The step forward had a moderate association with 5 to 10 meters' time. The highest correlation between TVmean was found with the peak strength of standing lift and between TVpeak with peak strength of unilateral throw. The sprint total time could be explained by Body Mass Index and peak strength of the standing lift in the 40% and the TVpeak could be explained by arm span and mean strength of the standing lift in the 68%. CONCLUSIONS: The high reliability for all exercises and the significant correlation with handball performance (sprint time and TV) allow us to include these tests in handball team evaluation and training.

Off-label Prescription in Paediatric Dermatology: A Retrospective Observational Study in a Tertiary Hospital.

Off-label prescription in paediatric patients is common, where some studies indicate that dermatological conditions are more prone to off-label treatment. This is the first study to analyse the prevalence of off-label prescription in paediatric dermatology consultation. This retrospective observational study was performed using the medical records of paediatric patients who were evaluated in a paediatric dermatological consultation in Pontevedra University Hospital, Pontevedra, Spain. Of the 468 patients reviewed, 186 prescriptions were issued and 51.10% were off-label prescription drugs. The dermatological conditions for which off-label prescription was most common were atopic dermatitis (29.0%), followed by warts (12.9%) and infantile haemangiomas (11.8%). With respect to drugs, topical tacrolimus (23.7%) was the most frequently prescribed off-label drug. The main reason for prescribing an off-label drug was for a disease not included on the label (62.4%), followed by issuing it at a lower age than authorized (55.9%). There was a significant association between a higher percentage of off-label prescription and younger age (p < 0.001), and the treatment of vitiligo, infantile haemangiomas and warts (p < 0.001). Likewise, the off-label prescription was significantly more common in the case of topical terbinafine, timolol, desloratadine and topical salicylic acid (p < 0.001). To conclude, off-label prescription is predominant in paediatric dermatology, as observed in 51.1% of our patients.

Topical and Intralesional Immunotherapy for Melanoma In Situ: A Review.

The incidence of in situ melanoma (MIS) has increased over the last decades. The mainstay of treatment for MIS, including lentigo maligna (LM), is complete surgical excision with clear margins (0.5 to 1.0 cm). Nevertheless, MIS lesions often affect elderly patients with comorbidities and involve large lesions in cosmetically sensitive areas, which means surgery is not always appropriate. Non-surgical treatments have a role in these cases, and include radiotherapy, cryosurgery, immunotherapy, laser therapy, and other topical medications. This study aims to review the applications of immunotherapy in MIS, either in monotherapy or in combination with other therapeutic alternatives. The main forms of immunotherapy used are imiquimod and, to a lesser extent, intralesional interferon-α (IL-INF-α) and ingenol mebutate (IM). IL-INF-α and IM have not been studied as extensively as imiquimod, whose results in real-life practice are encouraging. The clearance and recurrence rates reported in MIS treated with imiquimod as monotherapy, or as an adjuvant after surgery with affected or narrow margins, make imiquimod a reliable therapeutic alternative in selected cases. Also, its use as a neoadjuvant therapy before surgery was shown to reduce the final surgical defect size required to confirm negative histologic margins. In conclusion, local immunotherapy is frequently used in clinical practice and experience confirms it to be an excellent option for certain patients.

Negative Physical Self-Concept Is Associated to Low Cardiorespiratory Fitness, Negative Lifestyle and Poor Mental Health in Chilean Schoolchildren.

Background: Evidence suggests that physical self-concept (PSC) is linked to well-being in children and adolescents. Objective: The objective was to investigate the association of PSC with mental health (i.e., depression and body image), physical status (i.e., fitness and weight status) and lifestyle (physical activity (PA) patterns and nutritional level) in Chilean schoolchildren. Methods: A total of 617 schoolchildren (n = 271 girls and n = 346 boys) aged 10−14 years participated in this study. Self-concept, depression and body image dissatisfaction were determined by questionnaires. Physical fitness, PA, screen time (ST), Mediterranean diet (MD) adherence and anthropometric parameters were also included. Results: Poor PSC was linked to bad cardiorespiratory fitness (CRF) (<42 VO2max) (OR 1.64; 95%CI 1.12−2.34; p = 0.01), severe body image dissatisfaction (OR 2.51, 95%CI 0.99−6.35; p = 0.05), ST of more than two hours a day (OR 2.1; 95%CI 1.41−3.12; p < 0.001), PA after school of no more than two hours per week (OR 1.52; 95%CI 1.08−2.13; p = 0.015) and depression (OR 1.80; 95%CI 1.1−2.92; p = 0.017). High nutritional level showed an association with general PSC and general self-concept (p < 0.05). Absence of body image dissatisfaction was related to general self-concept (p < 0.01) and physical condition dimensions (p < 0.05). Conclusions: PSC is associated with CRF, PA after school, ST and nutritional level. According to mental health variables, poor PSC is related to depression in Chilean schoolchildren. Therefore, promoting a healthy lifestyle among children should be a target of community- and school-based interventions to promote PSC.

Analysis of the Relationship between Satisfaction with the Coach and the Effect of Comparative Social Feedback in Elite Female Handball Players.

This research aims at studying the effect of comparative feedback on psychological variables (competence valuation, perceived competence, autonomous motivation, amotivation, subjective well-being) and performance (throwing speed and accuracy). A total of 73 handball players from the highest Spanish handball (Iberdrola League) category participated in this study. After previously rating satisfaction with their head coach, they were indiscriminately assigned to one of three different experimental conditions measuring feedback, positive, negative, and none. There were significant differences in competence valuation, perceived competence, autonomous motivation, and throwing speed in the three feedback groups, more concretely, low satisfaction with the head coach. Positive effects were found when there was low satisfaction with the coach and positive feedback on the competence valuation, autonomous motivation, and throwing speed compared to negative or no feedback. These results have important implications for optimizing coaches' behaviors in relation to athlete well-being and performance.

The Impact of an Authentic Sports Leadership Program for Coach.

Purpose: This paper studies the effects of authentic sports leadership training on coaches' self-perception of their own authentic leadership, perceived justice, competence, overall self-efficacy, and collective efficacy. Additionally, players' perceptions of their coaches with respect to their authentic leadership, perceived justice, competence, collective efficacy, satisfaction with the coach, and support for basic psychological needs were analyzed. Design: Twenty-five football and handball coaches were randomly assigned to two groups. Fifteen coaches made up the experimental group that carried out the training leadership program, while 10 coaches made up the control group, carrying out no training whatsoever. A total of 248 football and handball players participated in this study; 136 were led by coaches who participated in the training program, and 112 by coaches who did not participate in the program. Results: The results of this study indicate that coaches' self-perception is positively influenced after having received training in the variables of authentic leadership, perceived justice, competence, overall self-efficacy, and collective efficacy. Players whose coaches were part of the program perceive them as being more competent as coaches. Conclusions: The effects of an authentic sports leadership training program are effective for coaches and players alike.