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Recent expertise development studies have used retrospective recall methods to explore developmental biographies and/or practice histories of current or past athletes. This methodological approach limits the generalizability and trustworthiness of findings. As such, a gap exists for research exploring key multidisciplinary features in athlete development using prospective longitudinal research designs. The present research aimed to holistically model the development of talent in Olympic Weightlifting using such a design. We observed the holistic profiles of 29 junior weightlifting athletes longitudinally over a 10-month period, and subsequently classified six of the 23 athletes as high performing based on their performances in competitions up to 12 months following the study. This holistic profile was based on a framework of expertise development themes: (1) demographics and family sport participation, (2) anthropometrics and physiological factors, (3) psychosocial profiling, (4) sport participation history, and (5) weightlifting specific practice activities. A summary model was produced which selected a critical set of nine features that classified group membership with 91% average accuracy. Odds ratio calculations uncovered discriminating features in the holistic profiles of performance groups, from which empirically derived logical statements could inform the description of high-performance attainment.

This paper builds upon my earlier studies in interpreting interculturally how the Kashmiri nondual Śaiva thinkers Upaladeva (c. 900–950 CE) and Abhinavagupta (c. 950–1020 CE) in their Pratyabhijñā philosophical theology respond to and reinterpret the Buddhist semantic theory of reference as the exclusion of the inapplicable (anyāpoha). It engages the issues in the Pratyabhijñā debate with the Buddhists, with the interrelations of Claude Shannon and Warren Weaver’s theory of Information, Saussurean structuralist semiotics, and Peircean pragmatic semiotics.

Research suggests that implicit strategies adopted during learning help prevent breakdown of automatic processes and subsequent performance decrements associated with the presence of pressure. According to the Constrained Action Hypothesis, automaticity of movement is promoted when adopting an external focus of attention. The purpose of the current experiment was to investigate if learning with an external focus of attention can enhance performance under subsequent pressure situations through promoting implicit learning and automaticity. Since previous research has generally used outcome measures of performance, the current study adopted measures of movement production. Specifically, we calculated within subject variability in trajectory velocity and distance travelled every 10% of movement time. This detailed kinematic analysis allowed investigation into some of the previously unexplored mechanisms responsible for the benefits of adopting an external focus of attention. Novice participants performed a 2.5m golf putt. Following a pre-test, participants were randomly assigned to one of three focus groups (internal, external, control). Participants then completed 400 acquisition trials over two consecutive days before being subjected to both a low-anxiety and high-anxiety transfer test. Dependent variables included variability, number of successful putts and mean radial error. Results revealed that variability was greater in the internal compared to the external and control groups. Putting performance revealed that all groups increased performance following acquisition. However, only the control group demonstrated a decrement in performance in the high-anxiety transfer test. These findings suggest that adopting an appropriate focus of attention during learning can prevent choking; with an external focus inhibiting the breakdown of automatic processes and an internal focus acting as a self-focus learning strategy and thus desensitizing individuals to anxiety effects.

Backgrounds/aims: The aim of this study was to describe short- and long-term outcomes of patients who underwent pancreatoduodenectomy (PD) at a typical United Kingdom hepatopancreatobiliary unit., Methods: A retrospective analysis of all PD patients with histologically-confirmed pancreatic ductal adenocarcinoma (PDAC), ampullary adenocarcinoma (AA), or distal cholangiocarcinoma (CC) from September 1st, 2006 to May 31st, 2015 was carried out. The following information was obtained: demographics, comorbidities, preoperative investigations, neoadjuvant treatment, operative details, postoperative management, complications, adjuvant treatment, five-year recurrence, and five-year survival. Effects of selected preoperative variables on short- and long-term outcomes were investigated., Results: Of 271 included patients, 57.9% had PDAC, 25.8% had AA, and 16.2% had CC. In total, 67.9% experienced morbidity and 17.3% developed a Clavien-Dindo grade ≥ III complication. The 90-day mortality was 3.3%. Clinically-relevant postoperative pancreatic fistula, bile leak, gastrojejunal leak, postpancreatectomy haemorrhage and delayed gastric emptying affected 8.1%, 4.1%, 0.0%, 9.2%, and 19.9% of patients, respectively. American Society of Anesthesiologists grade III-VI correlated with overall morbidity ( p = 0.002) and major morbidity ( p = 0.009), but not 90-day mortality or five-year survival. The same pattern was observed in patients with a preoperative serum bilirubin > 29 μmol/L and/or a neutrophil/lymphocyte ratio > 3.1. Five-year cancer recurrence and five-year survival were 68.3% and 22.5%, respectively. PDAC patients had higher five-year recurrence but lower five-year survival rates (both p = 0.001)., Conclusions: In our series, the majority of patients experienced a complication. However, few patients experienced major morbidity. Surgical risk factors did not affect five-year survival.

The pandemic caused by SARS-CoV-2 has led to the successful development of effective vaccines however the prospect of variants of SARS-CoV-2 and future coronavirus outbreaks necessitates the investigation of other vaccine strategies capable of broadening vaccine mediated T-cell responses and potentially providing cross-immunity. In this study the SARS-CoV-2 proteome was assessed for clusters of immunogenic epitopes restricted to diverse human leucocyte antigen. These regions were then assessed for their conservation amongst other coronaviruses representative of different alpha and beta coronavirus genera. Sixteen highly conserved peptides containing numerous HLA class I and II restricted epitopes were synthesized from these regions and assessed in vitro for their antigenicity against T-cells from individuals with previous SARS-CoV-2 infection. Monocyte derived dendritic cells were generated from these peripheral blood mononuclear cells (PBMC), loaded with SARS-CoV-2 peptides, and used to induce autologous CD4+ and CD8+ T cell activation. The SARS-CoV-2 peptides demonstrated antigenicity against the T-cells from individuals with previous SARS-CoV-2 infection indicating that this approach holds promise as a method to activate anti-SAR-CoV-2 T-cell responses from conserved regions of the virus which are not included in vaccines utilising the Spike protein.

Antibodies to the carboxy-terminal constant (C5) region 5 of the HIV-1 envelope glycoprotein gp120 have previously been associated with slow disease progression. This is one of the regions on gp120 that interact with the transmembrane glycoprotein, gp41, anchoring it to the viral and infected cell membrane. This study analyzed humoral responses to a novel heterodimeric peptide construct comprising the C5 501-512 region and a compatible region on gp41 732-744 . Antibody levels to C5 501-512 /gp41 732-744 were associated with slow disease progression in a treatment naive historical longitudinal cohort from Norway (n = 32; p = .00001). Elevated anti-C5 501-512 /gp41 732-744 antibody levels correlated with moderate viral load (VL) (50-10,000 copies/ml) in a cohort, including natural viral suppressors (NVS) in the Unites States (n = 58; p = .002). Analysis of HIV-positive sera from treatment naive patients in Estonia (n = 300) showed an inverse correlation between anti-C5 501-512 /gp41 732-744 antibodies and VL when comparing VL 2,000-10,000 copies/ml with VL >10,000 (p = .050). Further mapping using peptide inhibition of antibody binding revealed that responses to the C5 501-506 subdomain correlated with preserved CD4 counts (n = 55; p = .0012) irrespective of VL in this cohort. The C5 region encompassing C5 501-506 shows sequence similarity to the shared epitope (SE) of certain HLA-DR associated with immune dysfunction. Partial antigenic cross-reactivity between SE and C5 is indicated by partial inhibition of NVS antibody binding using SE 15-mer peptide (median 65% inhibition), the C5 501-506 6-mer peptide (79% inhibition), and binding of rheumatoid arthritis patient sera to both SE and C5 peptide sequences. The potential influence of these observations on HIV-1 pathogenesis remains to be determined.

Background: Differentiating hepatic mucinous cystic neoplasms (MCNs) from simple hepatic cysts (SCs) preoperatively is a challenging task. Our aim was to determine whether radiological features on ultrasound scan (USS), CT or MRI, cyst fluid tumour markers, or multidisciplinary team (MDT) outcomes could differentiate MCN from SC., Methods: A retrospective review of radiological features, cyst fluid tumour marker levels and MDT outcomes in 52 patients was performed., Results: There were 13 patients with MCN, 38 with SC and one ciliated foregut cyst. MCNs were more often solitary (p = 0.006). Although no other individual radiological characteristic on USS, CT or MRI was predictive of MCN, MDT outcomes stating that a cyst was complex in nature were highly predictive (p = 0.0007). Cyst fluid carbohydrate antigen 19-9, carcino-embryonic antigen and cancer antigen 125 were unable to differentiate MCN from SC (p = 0.45, p = 0.49, and p = 0.73, respectively)., Conclusions: MDT outcomes are of greatest value when trying to differentiate MCN from SC, as well as having a solitary cyst on imaging. Conventional cyst fluid tumour markers are unhelpful. All suspicious cystic liver lesions should be discussed pre-operatively by a hepatobiliary MDT to determine the most appropriate surgical approach., (© 2016 S. Karger AG, Basel.)