Notes

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ence within 3 months of completing the survey. Incontinence Severity Index scores were significantly correlated with parity (r = 0.283, p = 0.01) and age (r = 0.216, p = 0.01). There was no significant correlation between the Incontinence Severity Index score and the number of years participating in any form of resistance training (r = -0.010, p = 0.886) or weightlifting (r = -0.045, p = 0.534), body mass index (r = 0.058, p = 0.422), or competition total (r = -0.114, p = 0.115). The squat was the most likely exercise to provoke urinary incontinence. Although the number of repetitions, weight lifted, body position, and ground impact may increase the likelihood of urinary incontinence occurring during a lift, it is difficult to determine which factor has the greatest influence. 5Azacytidine Some self-care strategies used by competitive women weightlifters who experience urinary incontinence, such as training while dehydrated, have the potential to diminish athletic performance.
McFadden, BA, Walker, AJ, Bozzini, BN, Hofacker, M, Russell, M, and Arent, SM. Psychological and physiological changes in response to the cumulative demands of a women's division I collegiate soccer season. J Strength Cond Res XX(X) 000-000, 2021-This study sought to determine the effects of a women's collegiate soccer season on psychological markers, biomarkers, sleep, and performance. Athletes participated in maximal countermovement vertical jump height (CMJ) assessments and biomarker monitoring in conjunction with subjective measures of psychological wellness and sleep questionnaires before preseason (S1) and every 4 weeks following (S2, S3, and S4). Training was monitored during practices and games using global positioning satellite systems and heart rate technology. Total training load was highest from S1 to S2, decreased from S2 to S3 (effect size [ES] = -2.5; p < 0.001), and remained stable from S3 to S4. CMJ declined at S2 (ES1-2 = -0.51; p = 0.001) and returned to baseline at S3. Increases from dicating an accumulation of fatigue as the season progressed.
0.05). Biomarkers showed notable changes after the highest workload period (S1-S2), which coincided with CMJ decrements. Biomarker perturbations preceded declines in subjective psychological wellness (S4) which occurred in the latter half of the season, indicating an accumulation of fatigue as the season progressed.
Spyrou, K, Alcaraz, PE, Marín-Cascales, E, Herrero-Carrasco, R, Cohen, DD, Calleja-Gonzalez, J, Pereira, LA, Loturco, I, and Freitas, TT. Effects of the COVID-19 lockdown on neuromuscular performance and body composition in elite futsal players. J Strength Cond Res XX(X) 000-000, 2021-Recent world events (i.e., COVID-19 pandemic) led to an unparalleled situation in sports. Players were forced to stay at home for a prolonged period and not allowed to use their team's training facilities or even exercise outdoors. The main aim of this study was to examine the effects of the COVID-19 lockdown on neuromuscular performance and body composition in futsal players. Ten elite male players performed a 10-m sprint, horizontal and vertical jump, and body composition measurements before and after the quarantine (i.e., 70 days). Pre-post confinement differences in horizontal jump distance, countermovement jump variables, sprinting time, and body composition were analyzed by a paired sample t-test and effect sizes (ESs). int ability (p = 0.004; ES = 1.31). Small and nonsignificant differences were found in horizontal jump performance (p = 0.243; ES = -0.39). Nonsignificant differences were observed in countermovement jump (CMJ) height (p = 0.076; ES = -0.63) but moderate-to-large significant declines were found in CMJ eccentric deceleration impulse, rate of force development, peak power, velocity, and landing peak force (p ≤ 0.05; ES = -0.52 - 1.23). Finally, trivial and nonsignificant differences were obtained on body composition parameters. In summary, sprint performance and specific CMJ kinetic variables were significantly affected by long-term reduced training, whereas vertical jump height and horizontal jump distance and body composition were not. Practitioners are advised to implement efficient sprint-oriented and eccentric-oriented training strategies to optimize return to competition after prolonged detraining periods.
Huang, J-H, Chiu, Y-C, and Chang, C-K. The influence of hot environment on pitching and hitting performance in professional baseball. J Strength Cond Res XX(X) 000-000, 2021-Baseball is usually played outdoors during the warmest months of the year. The long exposure to a hot environment may lead to hyperthermia and subsequent impaired cognitive function, which is crucial for hitting and pitching performance in baseball. The purpose of this study was to investigate the effect of apparent temperature on pitching and hitting performance in Chinese Professional Baseball League games in Taiwan. Each pitched and batted ball from a total of 480 regular season games in 2018 and 2019 was analyzed. Each game was categorized into one of the 4 groups on the basis of the average apparent temperature at which it was played cold (below 21° C), warm (21-28° C), hot (28-34° C), or extremely hot (above 34° C). Differences in pitching and hitting variables were compared across the 4 groups. In the extremely hot environment, sinese Professional Baseball League games in Taiwan. Each pitched and batted ball from a total of 480 regular season games in 2018 and 2019 was analyzed. Each game was categorized into one of the 4 groups on the basis of the average apparent temperature at which it was played cold (below 21° C), warm (21-28° C), hot (28-34° C), or extremely hot (above 34° C). Differences in pitching and hitting variables were compared across the 4 groups. In the extremely hot environment, slugging percentage, isolated power, base on balls per 9 innings, home runs per 9 innings, and walks plus hits per inning were all significantly higher than those in the other 3 environments. The results suggest that offensive production was significantly increased in extremely hot environments in the Chinese Professional Baseball League. It is recommended that pitchers could adopt cooling interventions to alleviate the decline in performance in an extremely hot environment.
Mangine, GT, Eggerth, A, Gough, J, Stratton, MT, Feito, Y, and VanDusseldorp, TA. Endocrine and body composition changes across a competitive season in collegiate speed-power track and field athletes. J Strength Cond Res XX(X) 000-000, 2021-Maintaining lean mass is important for track and field (TF) athletes who compete in speed-power events, but little is known about how lean mass and related hormones might change over an 8- to 10-month collegiate season. Therefore, to monitor changes in free testosterone (T), cortisol (C), and body composition in TF athletes across their entire competitive season, 9 female (20.3 ± 1.2 years, 169 ± 5 cm, and 67.6 ± 8.5 kg) and 7 male (21.1 ± 2.0 years, 181 ± 9 cm, and 77.3 ± 5.9 kg) Division I TF athletes provided resting and fasted blood samples at the onset of their indoor season (baseline), before and on returning from the indoor conference championships (ICCs), at the beginning and end of a heavy midseason training week (HVY), and before leaving for the National Colleg the onset of HVY in men only, linear mixed models with repeated measures did not reveal any changes in hormone concentrations. Compared with baseline, an overall increase in fat-free mass was observed at HVY (∼2.74%, p = 0.023) before it reduced by 3.81% before the NCAA Championships (p = 0.022). Despite variations in training and competition, resting concentrations of hormones indicative of anabolic status remained relatively consistent over the course of an entire season in speed-power TF athletes. Coaches and athletes may consider monitoring these variables to assess the athlete's response to the changing demands of a competitive season.
Angle closure disease was present in 59.3% of eyes with long anterior zonules. The cause is multifactorial including a thick anteriorly positioned crystalline lens, shorter axial length and increased lens thickness to axial length factor.

To study the profile of eyes with long anterior zonules (LAZ) presenting in a glaucoma clinic in a tertiary eye care centre and understand the pathogenesis of angle closure disease in these eyes.

Retrospective cross sectional study.All patients with LAZ seen from January 2014-December 2018 were included. Demographic and clinical characteristics were noted. LAZ eyes (177 eyes of 177 patients) were compared with an equal number of age and gender matched controls. LAZ was defined as radially oriented zonular fibres (both pigmented and non pigmented), extending central to the normal zonular termination zone on the anterior lens surface more than 1▒mm beyond their usual insertion of 1.42±0.24▒mm from the lens equator onto the mid peripheral zone or central to it, as seen on25 P<0.0001).

Angle closure was present in more than half the eyes with LAZ. Majority of these eyes were primary angle closure suspects or had primary angle closure. LAZ eyes had a thicker lens, shallow AC, a shorter axial length and an increased LAF as compared to age and gender matched normal controls. The presence of LAZ may be an indicator of increased risk for angle closure.
Angle closure was present in more than half the eyes with LAZ. Majority of these eyes were primary angle closure suspects or had primary angle closure. LAZ eyes had a thicker lens, shallow AC, a shorter axial length and an increased LAF as compared to age and gender matched normal controls. The presence of LAZ may be an indicator of increased risk for angle closure.Preclinical and clinical studies have sought to better understand the effect of anesthetic agents, both volatile and intravenous, and perioperative adjuvant medications on immune function. The immune system has evolved to incorporate both innate and adaptive components, which are delicately interwoven and essential for host defense from pathogens and malignancy. This review summarizes the complex and nuanced relationship that exists between each anesthetic agent or perioperative adjuvant medication studied and innate and adaptive immune function with resultant clinical implications. The most commonly used anesthetic agents were chosen for review including volatile agents (sevoflurane, isoflurane, desflurane, and halothane), intravenous agents (propofol, ketamine, etomidate, and dexmedetomidine), and perioperative adjuvant medications (benzodiazepines, opioids, nonsteroidal anti-inflammatory drugs [NSAIDs], and local anesthetic agents). Patients who undergo surgery experience varying combinations of the aforementioned anesthetic agents and adjuncts, depending on the type of surgery and their comorbidities. Each has unique effects on immunity, which may be more or less ideal depending on the clinical situation. Further study is needed to better understand the clinical effects of these relationships so that patient-specific strategies can be developed to improve surgical outcomes.Efficient pain management is essential for postoperative rehabilitation in patients undergoing a tumor resection with an immediate reconstructive surgery. Ultrasound-guided quadratus lumborum block has been described for abdominal or hip surgery, but not for concomitant surgery in the abdomen and the thigh. The paraspinous transmuscular approach has easy landmarks to perform this block. We present a case of a patient undergoing a resection of a sarcoma in the lower limb with an immediate reconstruction with a pedicled vertical designed deep inferior epigastric perforator flap, in whom a successful paraspinous transmuscular quadratus lumborum block for postoperative analgesia was performed.
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