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Self-perceptions about aging have implications for health and well-being; however, less is known about how these perceptions influence adaptation to major life transitions. selleck chemical The goal of this study was to examine how high-performance athletes' perceptions about aging influenced their adaptation to athletic retirement. In-depth interviews conducted with 24 retired Olympic athletes using thematic analysis yielded three key themes (a) perceptions about aging influenced participants' postretirement exercise habits, (b) perceptions about aging motivated participants to engage in civic activities, and (c) participants who lacked formative perceptions about aging associated their athletic retirement with their own lost sense of purpose. These findings provide evidence that perceptions about aging influence athletes' adaptation to retirement by directing their subsequent engagement in postretirement activities. Furthermore, this research highlights theoretical implications for the literature regarding embodied processes, retirement transitions, role models, and adaptation to new physical states.
To examine the validity and reliability of a battery of 10 measures designed to assess the key physiological parameters for successful rock climbing performance.
In phase 1 of the research, an expert panel, using the Delphi method, established a 10-item test battery based on the key determinants of climbing performance. In phase 2, the tests were assessed for validity and reliability to examine their suitability as sport-specific measures of rock climbing performance. A total of 132 rock climbers, from 7 countries, volunteered to take part in the study. Each climber visited their nearest laboratory on 3 separate occasions in order to enable the required tests and retests to be completed. A minimum of 7 days was allowed between visits.
The 10 tests established for phase 2 were designed as sport-specific measures of flexibility, strength, power, and endurance. Results indicated that, while reliable, the flexibility and strength tests were only partially successful in differentiating across climber abilities. The power and endurance tests, however, performed well with regard to validity and reliability, with the finger hang and powerslap tests being most strongly correlated with performance ability (P < .0005 to P < .002).
The authors' data suggest that climbing may require a threshold level of flexibility and strength for successful performance, beyond which further improvements may not be required. In contrast, the finger hang and powerslap tests were not only reliable measures but also differentiated between climber abilities from lower grade to elite levels.
The authors' data suggest that climbing may require a threshold level of flexibility and strength for successful performance, beyond which further improvements may not be required. In contrast, the finger hang and powerslap tests were not only reliable measures but also differentiated between climber abilities from lower grade to elite levels.
To confirm whether peak aerobic capacity determined during laboratory testing could be replicated during an on-court field-based test in wheelchair rugby players.
Sixteen wheelchair rugby players performed an incremental speed-based peak oxygen uptake (V˙O2peak) test on a motorized treadmill (TM) and completed a multistage fitness test (MFT) on a basketball court in a counterbalanced order, while spirometric data were recorded. A paired t test was performed to check for systematic error between tests. link2 A Bland-Altman plot for V˙O2peak illustrated the agreement between the TM and MFT results and how this related to the boundaries of practical equivalence.
No significant differences between mean V˙O2peak were reported (TM 1.85 [0.63] vs MFT 1.81 [0.63]L·min-1; P = .33). Bland-Altman plot for V˙O2peak suggests that the mean values are in good agreement at the group level; that is, the exact 95% confidence limits for the ratio systematic error (0.95-1.02) are within the boundaries of practical equivalence (0.88-1.13) showing that the group average TM and MFT values are interchangeable. However, consideration of the data at the level of the individual athlete suggests that the TM and MFT results were not interchangeable because the 95% ratio limits of agreement either coincide with the boundaries of practical equivalence (upper limit) or fall outside (lower limit).
Results suggest that the MFT provides a suitable test at a group level with this cohort of wheelchair rugby players for the assessment of V˙O2peak (range 0.97-3.64L·min-1), yet caution is noted for interchangeable use of values between tests for individual players.
Results suggest that the MFT provides a suitable test at a group level with this cohort of wheelchair rugby players for the assessment of V˙O2peak (range 0.97-3.64 L·min-1), yet caution is noted for interchangeable use of values between tests for individual players.The right to health, as a right to healthcare, represents the most expensive social right in Europe, significantly affecting the total budget of the Member States, both in universal and insurance healthcare systems. No healthcare system provides unlimited healthcare resources to all its users. The resources available for healthcare are limited compared with demand, and all healthcare systems, regardless of their financing and organisation, employ mechanisms to prioritise finite healthcare resources. The progressive increase in healthcare costs in a context of scarce resources, worsened by the fiscal crisis of the 1990s and economic crises spreading in Europe since 2007, has highlighted the ever more urgent need to address the fundamental issues of resource allocation and priority-setting at both European and national levels. Hence, priority-setting is arguably one of the most important health policy issues of our time at global, European and national levels.For decades, the European Court of Human Rights (ECtHR) has applied a restrictive interpretation on the Article 3 threshold in extradition cases. The removal of aliens from the contracting state is lawful unless the applicant faces an imminent risk of death (D v. the United Kingdom (St Kitts)). However, with the Paposhvili ruling the Court has lowered the deathbed requirement to a more favourable standard as confirmed in the latest Savran case. But will those facing medical expulsion really benefit from this new standard at national level?Termination of pregnancy when the foetus is considered viable remains a legal and ethical challenge for lawmakers and society. In Belgium, the lawfulness of late termination of pregnancy is contested by legal scholars up until today. Through statutory interpretation, this analysis demonstrates that this controversy is unwarranted and that termination of pregnancy for particularly severe and incurable foetal abnormality or for serious threats to the health of the pregnant person is also permitted after foetal viability. Nonetheless, by using open terms the Belgian Act on the Voluntary Termination of Pregnancy creates considerable legal uncertainty. Drawing on a comparison with the regulatory frameworks of the Netherlands and the United Kingdom, this article underlines the need for increased multidisciplinary debate, medical guidance, and scientific research on late termination of pregnancy in Belgium.The European General Data Protection Regulation (GDPR) has dotted the i's and crossed the t's in the context of academic medical research. One year into GDPR, it is clear that a change of mind and the uptake of new procedures is required. Research organisations have been looking at the possibility to establish a code-of-conduct, good practices and/or guidelines for researchers that translate GDPR's abstract principles to concrete measures suitable for implementation. We introduce a proposal for the implementation of GDPR in the context of academic research which involves the processing of health related data, as developed by a multidisciplinary team at the University Hospitals Leuven. The proposal is based on three elements, three stages and six specific safeguards. Transparency and pseudonymisation are considered key to find a balance between the need for researchers to collect and analyse personal data and the increasing wish of data subjects for informational control.This contribution examines deprivation of liberty in Belgian healthcare within the frameworks of the ECHR and CRPD. link3 We develop and apply an ECHR-based framework to demonstrate that it is not the admissions to care facilities based on Belgium's involuntary commitment law that give rise to the unjustified deprivation of liberty, but those based on representation regimes. This can be remedied by broadening Belgium's involuntary commitment law. However, doing so would go against a CRPD-based framework, which is incompatible with the ECHR; the former opposes disability-based laws. Building on the right to legal capacity and to liberty, the scope of the CRPD's approach is uncovered. It is suggested that to reconcile the two frameworks, Belgium's involuntary commitment law should be abolished, and representation regimes should be changed to avoid (rather than to justify) deprivation of liberty. Although its desirability is open for discussion, this could solve a problem that occurs worldwide.Convergence of emerging technologies (e.g. biotechnologies, information and cognitive technologies) has opened new perspectives for progress with regard to human health. However, these technologies also open new possibilities for interventions on human beings, which may be more invasive, and possibly affect and modify individuals. Established practices in the field of biomedicine are also evolving in a way that exerts pressure on existing protective mechanisms. Thus, consideration is required as to whether existing human rights provisions are still fit for purpose or whether there is a need to re-examine, clarify or re-enforce them or even a need to identify new human rights and protective measures. This article gives an overview of the main issues considered by the Committee on Bioethics of the Council of Europe to develop a Strategic Action Plan aimed at ensuring appropriate protection of human rights in the developments in biomedicine, promoting thereby progress for human health.Although several European law instruments specifically promote the development of orphan medicines, rare disease patients still suffer from an excessive lack of access to orphan drugs. In order to base a claim for equity of access to research benefits, health vulnerability is introduced as a human rights-based public health concept. It represents a potentially valuable and powerful means in European law for rare disease patients to claim for an improved public action to develop innovative orphan drugs, including through the use of novel data-driven technologies such as computer modelling and simulation, as they have the potential to palliate some of the obstacles in the current development process of orphan medicines. The human rights-based approach would be all the more valuable, as it would simultaneously draw attention on privacy aspects of vulnerability for orphan disease patients, especially regarding increased risks stemming from the processing of highly sensitive health data.
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