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This study was conducted to determine whether the relative age effect (RAE) is present in different age groups, weight categories, sexes, and across different time frames in international-level judo competition. A total of 9451 judo athletes competing at the Olympic Games and/or World Championships in the Cadet, Junior and/or Senior age groups between 1993 and 2020 were considered. Athletesʼ birthdate distributions were grouped in four quartiles (Q1: January-March; Q2: April-June; Q3: July-September; Q4: October-December) and compared to a day-corrected theoretical distribution using Chi-squared analysis. Poisson regression was also used to evaluate the ability to explain weekly birth count. RAE was more prevalent in males than females ( p < .05), and for Cadets and Juniors compared to Seniors ( p < .05). Heavyweight and middleweight categories presented RAEs in Senior and Junior males, while for females it was present in Cadet heavyweights ( p < .05). RAE was more prevalent in recent years (2009–2021) for Senior male judo athletes ( p < .05). Poisson analysis illustrated some nuanced information, including RAE detection during an earlier time frame, not readily apparent with the traditional analysis.

Exogenous ATP has been shown to increase total weight lifted during resistance training interventions and attenuate fatigue during repeated Wingate assessments. However, the influence of exogenous ATP on single bout maximal effort performance has yet to be examined. The purpose of this study was to investigate the effects of PeakATP® supplementation on performance during a 3-min all-out test (3MT). Twenty adults (22.3 ± 4.4 years, 169.9 ± 9.5 cm, 78.7 ± 14.6 kg) completed two identical 3MT protocols in a double-blind, counter-balanced, crossover design. Participants were randomized to either PeakATP® (400 mg·day−1) or placebo (PLA) treatments and consumed their assigned supplement for 14 days and ingested an acute dose 30 min before each 3MT. A 14-day wash-out period was completed between each supplementation period and subsequent 3MT. Peak power, time to peak power, work above end power, end power, and fatigue index were assessed during each 3MT. Dependent t-tests and Hedge’s g effect sizes were used to assess differences between treatments. No significant differences were observed between treatments for 3MT performance (p > 0.05). These findings indicate that 3MT performance was not significantly impacted by PeakATP® supplementation. This may be due in part to the continuous nature of the 3MT as disodium ATP has been shown to be beneficial for repeated bout activities.

On 11 March 2011, a mega-earthquake followed by a huge tsunami hit a large area of the Pacific coast of Tohoku, Japan, and caused widespread disturbances in marine ecosystems; however, the impacts on virus-bacteria systems have not yet been elucidated. To investigate whether virus-bacteria interactions were affected by the earthquake and tsunami, we analyzed time series data of viral and bacterial abundances in Otsuchi Bay. Data were collected every 2 mo, from July 2011 to September 2015. Bacterial abundance exhibited a recurrent seasonal cycle with high abundance during the warm season. The seasonal trend of viruses generally followed that of the bacteria, yielding an average virus to bacteria ratio (VBR) of 10.8 ± 3.6 (mean ± SD; n = 432). A notable exception was found at the first 2 sampling times (July and September 2011) when the VBR was consistently low, with an average value of 5.9 ± 1.2 (n = 32). The average VBR during these time periods was substantially lower than the VBR observed in the same season of subsequent years. An analysis of the subset of data collected in the warm season of 2011 and 2012 revealed that the viral abundance and VBR were negatively correlated with turbidity. These results support the hypothesis that viruses were scavenged by non-host particles from the resuspended sediments and damaged catchment. The earthquake and tsunami thus exerted a prolonged impact, over several months, on the virus-bacteria dynamics in Otsuchi Bay.

To determine the optimal interval between competitions for success in World Para Powerlifting events. A total of 1,034 female (age: 34.4 ± 9.1 years) and 1,697 male (age: 33.7 ± 8.3 years) competition results from international Paralympic powerlifting events conducted between 2014 and 2020 were analyzed. Odds ratios for preparations intervals between competitive events were evaluated considering the dependent variable, earning a medal, and the independent variable, level of competition. There was an increased probability of winning a medal when the preparation interval was in the range of 22-30 weeks (P = 0.004), as compared to11 weeks, while competing at World Cup events, whereas for World Championships and Paralympic Games, there was an increased probability of winning a medal when the interval range was 23-31 weeks (P = 0.002) and ≥ 40 weeks (P = 0.011) compared to23 weeks. However, there was no significant differences between preparation intervals for Regional Games/Championships. The Para Powerlifting athletes participating in the World Cup events, World Championships and Paralympic Games share an optimal interval for success of approximately 21-31 weeks, results from the World Championships and Paralympic Games can also be optimized with interval of ≥40 weeks.

IntroductionThis study aimed to investigate the long-term effects of an adapted judo program on the motor skills and psychosocial abilities of children with Autism Spectrum Disorder (ASD).MethodsAll participants had been diagnosed with ASD and were assessed twice, one time at the start of the intervention and again 6 months later, with the Test of Gross Motor Development (TGMD-3) and the Gilliam Autism Rating Scale-Third Edition (GARS-3). A one-way repeated measures MANOVA was carried out in order to evaluate these assessments, and a mediation analysis was done to determine the relationship between them.ResultsThe experimental group significantly improved (p ConclusionThe study shows that participation in an adapted judo program clearly helps to improve the motor skills and psychosocial behaviors of children with ASD.

The demands of typical daily activities require a constant level of alertness and attention. Multi-ingredient, caffeine-containing supplements have been shown to improve measures of cognitive performance. As many of these supplements become readily available, efficacy of each should be evaluated. Therefore, the purpose of this study is to examine the effects of the 4D dietary supplement on cognition, reaction time, and reactive agility.Seventeen healthy males (n = 8) and females (n = 9) between the ages of 18-40 years old (22.8 ± 2.9 years; 167.3 ± 9.6 cm; 65.4 ± 10.9 kg) participated in this double-blind, randomized crossover study. Participants completed three baseline reaction time assessments on the Dynavision and one baseline multiple object tracking assessment on the Neurotracker. Participants then consumed the oral multi-ingredient supplement containing 150 mg of caffeine or non-caffeinated placebo, mixed with 24 ounces of water, and rested for 45 minutes. Following the rest period, participants completed an additional three reaction time assessments and one multiple object tracking (MOT) assessment, as well as 6-12 trials of the Y-reactive agility test. Repeated measures ANOVAs were used to evaluate YRA performance and change values for Dynavision RT, Dynavision score, and MOT speed with either 4D dietary supplement or placebo.A significant time × supplement interaction was shown for MOT speed (p = .040,The 4D dietary supplement appears to improve measures of cognition, specifically attention/spatial awareness, but not reaction time or reactive agility. Future research should examine the effects of this supplement with a larger, less heterogeneous sample and/or in conjunction with an exercise intervention.

Physical fitness is one of the most important physical and mental health aspects for children with Autism Spectrum Disorder (ASD). This study aimed to test the effects of a long-term adapted judo program on the health-related physical fitness of children with ASD. The participants were recruited from various associations of families and schools for children with special needs. Twenty-one children were assigned to an experimental group and nineteen to a control group. The experimental group participated in a six-month adapted judo program consisting of 90 min of practice each week. Health-related physical fitness was measured using the indicators obtained from the ALPHA-fitness battery, the estimated VO2max and the waist/height ratio0.5. Changes within and between groups were analyzed using linear mixed models for repeated measures designs and test-retest reliability of tests requiring a maximum score using the Intraclass Correlation Coefficient (ICC). A judo program tailored for children with ASD can improve the cardio-metabolic health and cardiorespiratory fitness of its participants. The problems involved with administering physical aptitude tests that involve maximum effort or performance in children with ASD cast serious doubts on the reproducibility of their results.

Background Stroke is a significant cause of mortality and a leading cause of disability in elderly patients. Atrial fibrillation (Af) is the most common cardiac disease with assumed embolic stroke. Therefore, patients with Af need anti-coagulant therapy with a Warfarin (vitamin K antagonist) or a DOAC (Direct Oral Anti-Coagulant), also considering the risk and benefit net balance. It has been suggested that significant mitral regurgitation (MR) and its vortex jet in the left atrium might reduce embolic stroke source in patients with Af. However, the effect of MR on the risk of stroke in patients with Af is still controversial. Therefore, we hypothesized whether MR might be associated with a lower risk of thromboembolic events in patients with Af. Purpose This study aims to investigate whether MR was associated with a decreased risk of stroke in patients with Af, especially in the elderly population. Methods We studied 1,714,955 patients in the LIFE Study database, comprising Japanese claims data for public insurance policyholders between 2014 and 2020. We identified 51,939 patients with new-onset Af. Among them, patients with pre-existing stroke patients (N=28,519) were excluded, and new-onset Af patients without stroke (N=23,420) were obtained. Based on the baseline information, the Af patients were stratified into the MR group (N=3,439) and Without-MR group (N=19,981). Propensity score matching (the nearest neighbor method with a caliper of 0.2) was performed to balance baseline features and stroke risk factors between the MR group (N=3439) and the Without-MR group (N=3439). Propensity scores were estimated using logistic regression with age, sex, and all factors in Elixhauser's comorbidity system. The incidence rate of the stroke (events per person-year) was calculated by the event numbers divided by the overall period for the observations months × 12. Kaplan-Meier curves of stroke-free survival were generated, and the two groups' comparisons were performed using the log-rank test. Results As expected, patients' characteristics were comparable between the two groups. The observation period was 3 years for both groups. In the MR group, 136 patients with stroke were detected. On the other hand, 122 patients with stroke were detected in the Without-MR group. The incidence rate of the stroke per person-year was 0.027 and 0.025 events per person-year in patients with the MR and Without-MR groups. In addition, the Kaplan-Meier analysis showed that the incidence rate of stroke was comparable between the two groups (P=0.43). Conclusions The frequency of stroke in patients with atrial fibrillation was similar, despite mitral regurgitation. Therefore, patients with atrial fibrillation should have anti-coagulation therapy, regardless of the presence or absence of mitral regurgitation. Funding Acknowledgement Type of funding sources: Public grant(s) – National budget only. Main funding source(s): This work was supported by grants provided by the Japan Science and Technology Agency (JST) Fusion Oriented Research for disruptive Science and Technology (FOREST) Program (Grant Number: JPMJFR205J) and the Japan Society for the Promotion of Science (JSPS) Grants-in-Aid for Scientific Research (KAKENHI) Program (Grant Numbers: JP20H00563 and JP19K21590).

Context: Each hamstring muscle is subdivided into several regions by multiple motor nerve branches, which implies each region has different muscle activation properties. However, little is known about the muscle activation of each region with a change in the knee joint angle. Understanding of regional activation of the hamstrings could be helpful for designing rehabilitation and training programs targeted at strengthening a specific region. Objective: To investigate the effect of knee joint angle on the activity level of several regions within the individual hamstring muscles during isometric knee-flexion exercise with maximal effort (MVCKF). Design: Within-subjects repeated measures. Setting: University laboratory. Participants: Sixteen young males with previous participation in sports competition and resistance training experience. Intervention: The participants performed 2 MVCKF trials at each knee joint angle of 30°, 60°, and 90°. Outcome Measures: Surface electromyography was used to measure muscle activity in the proximal, middle, and distal regions of the biceps femoris long head (BFlh), semitendinosus, and semimembranosus of hamstrings at 30°, 60°, and 90° of knee flexion during MVCKF. Results: Muscle activity levels in the proximal and middle regions of the BFlh were higher at 30° and 60° of knee flexion than at 90° during MVCKF (all: P P Conclusion: These findings suggest that the effect of knee joint angle on muscle activity level differs between regions of the BFlh, whereas that is similar among regions of semitendinosus and semimembranosus during MVCKF.

Made available in DSpace on 2022-04-28T19:41:56Z (GMT). No. of bitstreams: 0 Previous issue date: 2021-01-01 Objective: The purpose of the present study was to examine the effect of capsiate supplementation on energy intake, self-reported appetite-related sensations, energy expenditure, fat oxidation, and autonomic parameters with and without an exercise intervention. Methods: Thirteen healthy men completed four randomized trials: two trials for the control condition (without exercise), one with capsiate supplementation (CTRLcap) and one with a placebo (CTRLpla), and two trials for the exercise condition, one with capsiate supplementation (EXcap) and one with placebo (EXpla). Exercise sessions were performed 150 min after the consumption of a standardized breakfast, and supplementation 115 min after consumption of breakfast. An ad libitum buffet was offered 200 min following the completion of the standardized breakfast, and energy intake (EI) and relative energy intake (REI) (relative energy intake = energy intake - energy expenditure related to exercise) were evaluated. Results: There were no significant effects on EI, self-reported appetite sensations, fat oxidation, and energy expenditure. REI was reduced in conditions involving EX when compared to CTRL. A low-frequency to high-frequency ratio for heart rate variability was higher in CTRLcap (1.6 ± 1.1) vs. CTRLpla (1.2 ± 0.9) (p = 0.025; d = 0.39). Conclusion: Acute capsiate supplementation combined with aerobic exercise has limited effects on the examined variables (EI, REI, fat oxidation, energy expenditure, and autonomic parameters), while changes in the autonomic nervous system function in the absence of exercise may have occurred without influencing other variables. Clinical trial registration: ensaiosclinicos.gov.br number, RBR-5pckyr https://ensaiosclinicos.gov.br/rg/RBR-5pckyr. Exercise and Immunometabolism Research Group Department of Physical Education São Paulo State University Institute of Exercise Physiology and Rehabilitation Science School of Kinesiology and Physical Therapy University of Central Florida Department of Sport School of Physical Education and Sport University of São Paulo Exercise and Immunometabolism Research Group Department of Physical Education São Paulo State University

Background: The present study aimed to determine whether energy drink (ED) formulas containing 140 and 100 mg of caffeine have the potential to alter excess postexercise oxygen consumption (EPOC) r...

This study examined the feasibility of a 15-week family-based judo program for youth with Autism Spectrum Disorder. Nine children and their parents participated in the family class, and eight children participated in the child-only class. Judo sessions were held once a week for 45 minutes. Feasibility measures included attendance records, retention rates, program implementation fidelity, and participant acceptability. The family class had a significantly higher attendance rate (13.22 ± .44 classes) compared to the child-only class (9.9 ± 2.5 classes, p = 0.007), with 100% of the family class attending at least 80% of the sessions, compared to 38% of the child-only class (p = 0.005). Parents from both classes felt the program was a positive experience, however, parents in the family class emphasized social benefits while parents from the child-only class highlighted physical benefits. Future studies should examine the benefits of a family judo program on children and participating family members.

Jordan Algebras are an important tool for dealing with semidefinite programming and optimization over symmetric cones in general. In this paper, a judicious use of Jordan Algebras in the context of sequential optimality conditions is done in order to generalize the global convergence theory of an Augmented Lagrangian method for nonlinear semidefinite programming. An approximate complementarity measure in this context is typically defined in terms of the eigenvalues of the constraint matrix and the eigenvalues of an approximate Lagrange multiplier. By exploiting the Jordan Algebra structure of the problem, we show that a simpler complementarity measure, defined in terms of the Jordan product, is stronger than the one defined in terms of eigenvalues. Thus, besides avoiding a tricky analysis of eigenvalues, a stronger necessary optimality condition is presented. We then prove the global convergence of an Augmented Lagrangian algorithm to this improved necessary optimality condition. The results are also extended to an interior point method. The optimality conditions we present are sequential ones, and no constraint qualification is employed; in particular, a global convergence result is available even when Lagrange multipliers are unbounded.

We propose an extension of the real-valued conjugate directions method for unconstrained quadratic multiobjective problems. As in the single-valued counterpart, the procedure requires a set of dire...

The purposes of this study were to determine if there are sex-based differences in muscular contractile properties as measured by tensiomyography (TMG) and to determine if plyometrics or the isometric midthigh pull are effective methods of eliciting postactivation potentiation (PAP). Thirty strong, resistance-trained men (n = 15) and women (n = 15) underwent 3 testing days consisting of a PAP or control protocol, and pre-TMG and post-TMG and performance testing. Contractile properties from TMG were assessed in the gastrocnemius medial head (GMH), gluteus maximus (GM), rectus femoris (RF), and biceps femoris (BF). Performance testing included countermovement jumps (CMJs) and 30-m sprints. A time x sex interaction was found for GM delay time with women primarily influencing changes (mean difference = 2.74 ms) rather than men (mean difference = 1.32 ms). Main effects for time revealed an increase in GMH velocity of contraction (+0.004 mm[middle dot]ms-1) and reductions in GM contraction time (-2.85 ms), GM delay time (-2.03 ms), RF delay time (-0.65 ms), CMJs (-2.74 cm), and 30-m time (0.05 seconds). Main effects for sex revealed greater values in women for GM contraction time (+15.50 ms), GM delay time (+6.65 ms), RF delay time (+2.26 ms), BF contraction time (+8.44 ms), BF delay time (+4.07 ms), BF maximal displacement (+2.27 mm), and 30-m time (+0.67 seconds), and lower values in women for GM velocity of contraction (-0.039 mm[middle dot]ms-1) and CMJs (-13.46 cm).These findings may help practitioners optimize performance through enhanced assessments for injury risk, targeting specific muscles for training, and by selecting proper CAs and rest periods when using PAP.

In this note we show with a counter-example that all conditions proposed in Zhang and Zhang (Set-Valued Var. Anal 27:693–712 2019) are not constraint qualifications for second-order cone programming.

Objectives To examine the feasibility of a remote judo program for high school students with autism spectrum disorder (ASD) during the COVID-19 pandemic. Methods Nine high school students with ASD had been participating in an in-person judo program that transitioned to a livestream format once the stay-at-home orders were mandated. The students completed surveys regarding their experience with the remote sessions. Their classroom teacher completed a semi-structured interview regarding the advantages and disadvantages of the remote format. Results Eight out of the nine students attended 92% of the remote classes. All nine students reported feeling satisfied with the remote judo sessions. Reported benefits of the remote format included the structured routine during the pandemic and the opportunity for physical activity. Disadvantages included a lack of space and lack of one-on-one instruction. Conclusions The remote judo program appeared to be both feasible and acceptable for youth with ASD.

(1) Background: There is a lack of literature that examines the impact of early vs. late sport specialization on quality of life after retirement from tennis. Thus, the purpose of this study was to examine the relationship between early specialization in the sport of tennis and health outcomes after retirement from collegiate/professional sport; (2) Methods: Participants were recruited through social media posts, newsletters, and contacts with tennis organizations. Basic demographic and injury information was collected from 157 former tennis players, along with the age of tennis specialization and two questionnaires: the Oslo Sports Trauma Research Center Questionnaire on Health Problems (OSTRC), and the CDC HRQOL-14 “Healthy Days Measure” Questionnaire (HRQOL); (3) Results: Significant differences (F1,117 = 5.160, p < 0.025) in the specialization age between the low (11.9 ± 4.5 y) and high (9.8 ± 4.1 y) OSTRC groups were found after covarying for the current age. No difference (F1,72 = 0.676, p < 0.414) was shown among the high (10.9 ± 4.4 y) and low (11.28 ± 4.6 y) HRQOL groups for the specialization age after covarying for the current age. A weak negative correlation was identified between the OSTRC score and specialization age (r = −0.233, p = 0.008), while no significant changes were shown between the specialization age and HRQOL score (r = −0.021, p = 0.857), or between the OSTRC and HRQOL scores (r = 0.146, p = 0.208); (4) Conclusions: Retired tennis players with low injury/illness severity scores specialized in tennis later than those with high injury/illness severity scores, while no differences in the specialization age were noted when the sample was separated into HRQOL groups.

Boffey, D, Clark, NW, and Fukuda, DH. Efficacy of rest redistribution during squats: Considerations for strength and sex. J Strength Cond Res 35(3): 586-595, 2021-This study examined the kinematic, perceptual, and heart rate responses to rest redistribution (RR) and traditional sets (TS) during the barbell back squat for men and women possessing a wide range of strength levels. Forty-five resistance-trained subjects (30 men and 15 women) performed 40 repetitions of the barbell squat with 65% 1RM load with TS (4 × 10 repetitions, 3-minute rest) or RR (10 × 4 repetitions, 1-minute rest), in a randomized order on days separated by ≥72 hours. The significance was set at p ≤ 0.05 for all statistical analyses. The mean velocity (MV) maintenance was significantly higher for RR compared with TS (87.70 ± 4.50% vs. 84.07 ± 4.48%, respectively; p 0.05) were found for any dependent variables. Rest redistribution produced significantly higher mean HR (143.25 ± 21.11 vs. 135.05 ± 20.74, p < 0.01) and minimum HR (102.77 ± 19.58 vs. 95.97 ± 22.17, p < 0.01). Subjects were better able to maintain velocity with RR compared with TS, while experiencing less perceived effort. Rest redistribution can be recommended for both men and women, but very strong individuals may not improve their velocity maintenance with RR to the same extent as less strong individuals.

Herring, CH, Beyer, KS, and Fukuda, DH. Relative age effects as evidence of selection bias in major league baseball draftees (2013-2018). J Strength Cond Res 35(3): 644-651, 2021-The purpose of this study was to examine if relative age effects (RAEs) or the unequal birth-date distribution among a cohort group of individuals exist in Major League Baseball (MLB) draftees. This study comprised 7,078 men drafted in the MLB first-year player draft from 2013 to 2018. Data collected for each draftee included birth date, year drafted, academic-level classification, position, round drafted, batting side, and throwing arm. Draftee's birth dates were categorized into quarters based on the calendar year for baseball in the United States (Q1: August-October; Q2: November-January; Q3: February-April; Q4: May-July). Player birth-date distributions were compared with average expected birth-date distributions and evaluated with the χ2 goodness of fit statistic. Significant χ2 tests were followed up by calculating the standardized residual for each quarter. Differences from the expected frequencies were found for the overall group (p < 0.001) with standardized residuals for baseball athletes born in Q1 (z = +4.45) and Q3 (z = -4.15) exceeding ±2.0. Similar patterns were noted for high schoolers (Q1: z = +3.30; Q3: z = -3.28), pitchers (Q1: z = +2.78; Q3: z = -3.12), early middle rounders (Q1: z = +3.08; Q3: z = -2.67), late rounders (Q1: z = +2.70; Q3: z = -2.61), right-side hitters (Q1: z = +3.23; Q3: z = -2.26), left-handed pitchers (Q1: z = + 2.12; Q3: z = -2.59), and right-handed positional players (Q1: z = +3.12; Q3: z = -2.12). Consistent with the majority of previous research, RAEs are apparent in MLB draftees, with specific patterns of unequal distribution among subsets of athletes.

The long-term impact of weight cycling on health status, eating habits, physical activity and the lifestyle of former combat sports athletes is still insufficiently explored. Therefore, a novel questionnaire in English, Portuguese, Spanish and Croatian language was constructed. To determine the reliability and the content/face validity, a total of 110 participants filled the questionnaire on two occasions. With the majority of intra-class correlation coefficient values above 0·75, the questionnaire items were shown to be very stable. Additionally, according to κ values, the questionnaire has fair test–retest reliability, with only one coefficient being labelled as poor (Q40 in ESP). All questionnaire sub-scales showed moderate to very good internal consistency when the overall sample was observed (α ranging from 0·605 to 0·802). Poor α values were found only in Godin-Shephard Leisure-Time Physical Activity Questionnaire for CRO and ESP samples. Wilcoxon’s signed rank test showed significant differences only in the Mindful Eating Questionnaire sub-scale scores (overall: P = 0·002, effect size = −0·208 [moderate]; CRO: P = 0·005, effect size = 0·303 [moderate]). It can be concluded that the newly developed questionnaire had strong test–retest reliability. Further validity research in a larger sample of former combat sports athletes should be considered.

Background and study aims: This study evaluated the long- term outcomes of mainly endoscopic hemostatic therapy for gastrointestinal variceal bleeding and of the transition of hemostatic therapy. Patients and methods: Among 1,163 patients treated for gastrointestinal varices between April 2006 and June 2020, a total of 125 patients who underwent emergency hemostatic therapy were enrolled. Survival rates and secondary evaluation points were analyzed. Additionally, patients were classified into two groups: the previous and latter term. Patients’ background, therapeutic method, and treatment results were compared between the groups. Results: 94.4% had cirrhosis. The average Child-Pugh score was 8.90. Successful primary hemostasis rate was 98.4%, and 5.6% died within 2 weeks, all with a Child-Pugh score ≥9. The respective 1- and 5-year survival rates for Child-Pugh grade A/B were 81.3% and 55.4%, while those for Child-Pugh grade C were 58.1% and 17.8%. Child-Pugh grade C or hepatocellular carcinoma was significantly associated with poor prognosis. In total, 21.6% experienced variceal re-bleeding; 62.9% of these cases were triggered by continued alcohol consumption. There was no significant difference in survival between patients with and without variceal re-bleeding and in post-treatment survival between the previous and latter terms. In the latter term, the number of cases caused by continued alcohol consumption significantly increased. Conclusions: Multidisciplinary treatment and continuation of proper management after hemostatic therapy for variceal bleeding are crucial. Continued alcohol consumption leads to variceal bleeding and re-bleeding; its proper management, including alcohol abstinence, is one of the major challenges left in the post-direct- acting antivirals era.

Background: Sex-based differences in metabolism and morphological characteristics may result in unique exercise responses during periods of limited oxygen availability. Purpose: To evaluate the eff...

Over the past 70 years, the search for small molecules from nature has transformed biomedical research: natural products are the basis for half of all pharmaceuticals; the quest for total synthesis of natural products fueled development of methodologies for organic synthesis; and their biosynthesis presented unprecedented biochemical transformations, expanding our chemo-enzymatic toolkit. Initially, the discovery of small molecules was driven by bioactivity-guided fractionation. However, this approach yielded the frequent rediscovery of already known metabolites. As a result, focus shifted to identifying novel scaffolds through either structure-first methods or genome mining, relegating function as a secondary concern. Over the past two decades, the laboratory of Jon Clardy has taken an alternative route and focused on an ecology-driven, function-first approach in pursuit of uncovering bacterial small molecules with biological activity. In this review, we highlight several examples that showcase this ecology-first approach. Though the highlighted systems are diverse, unifying themes are (1) to understand how microbes interact with their host or environment, (2) to gain insights into the environmental roles of microbial metabolites, and (3) to explore pharmaceutical potential from these ecologically relevant metabolites.

Purpose: To determine the individual contributions of chronological age, somatic maturation, body size and composition, and training experience as indicators of performance in neuromuscular and jud...

Although current physical activity (PA) guidelines regarding aerobic and anaerobic training are helpful for the population at large, many individuals prefer to engage in alternative forms of PA such as combat sports. As both a martial art and sport, judo is a physically demanding form of PA that potentially offers a novel experience, consequently leading to greater PA adherence. This study aimed to thoroughly search the existing literature to determine the health benefits of judo-specific training. PubMed and Web of Science were searched for original research studies. Only peer-reviewed studies that examined the effects of judo training in males and females aged 18–35 were included in the study. Out of 507 potentially relevant studies, 84 studies met our inclusion criteria and were further analyzed. Data showed that judo athletes and recreational judo practitioners show above-average VO2max, improved body composition, increased bone mineral density, and bone mineral content. Judo is associated with a sequence of adaptations in cardiac structure, function, and blood pressure changes. More research is needed to discover if these changes are maladaptive.

Background Vascular endothelial growth factor Signaling Pathway (VSP) inhibitor suppresses tumor growth in solid cancers with disorganized tumor vasculature.1 However, VSP inhibitor often provokes hypertension as an adverse effect.2 The VSP inhibitor-induced hypertension may lead to a dose reduction or discontinuation of the treatment, which cause to poor prognosis. Therefore, it is important to investigate the appropriate anti-hypertensive treatment during cancer therapy. Although renin-angiotensin system (RAS) inhibitor or calcium channel blocker (CCB) is recommended to first-line anti-hypertensive drugs for cancer patients,3 it has not been well-elucidated whether RAS inhibitor or CCB is a beneficial impact for clinical outcome. Purpose The aim of this study is to clarify whether RAS inhibitor or CCB would be an effective drug as the first antihypertensive drug during VSP inhibitor therapy. Method From the LIFE Study database which consisted of 14 municipality-level information from claims data between 2016 and 2020, 1,263 cancer patients treated with VSP inhibitors were retrospectively reviewed. All patients were stratified into two groups according to hypertensive drugs: (1) RAS inhibitors alone (n=512) and (2) CCBs alone (n=751) (Figure 1). The time to treatment failure (TTF) was substituted as an alternative clinical indicator of overall survival. The Kaplan-Meier survival method with the log-rank test was conducted to compare the TTF between the two groups. In addition, Cox proportional hazard model adjusted with baseline clinical characteristics was performed to analyze determinant factors for TTF. Results There were no difference in baseline characteristics including age, sex, primary cancer site, the type of VSP inhibitors, and past medical histories between the two groups, excepted for renal failure. The rate of renal failure was significantly higher in the RAS inhibitor group than in the CCB group (p=0.013). TTF in the patients treated with RAS inhibitors were significantly longer than that with CCB (median TTF [25th–75th percentile]: 183 [61–455] vs. 153 [61–351] days, p=0.020) (Figure 2). In Cox proportional hazard analysis adjusted with age, sex, past medical history, primary cancer lesion, and type of VSP inhibitors, RAS inhibitor was a significantly independent favorable factor to TTF, compared to CCB (Hazard ratio 0.86, 95% confidence interval [0.77–0.97], p=0.011). Conclusion RAS inhibitor is associated with a favorable clinical outcome than CCB, and can be a first choice for treating hypertension during cancer therapy with VSP inhibitors. Funding Acknowledgement Type of funding sources: Public grant(s) – National budget only. Main funding source(s): Japan Society for the Promotion of Science (JSPS) Grants-in-Aid for Scientific Research (KAKENHI) Figure 1. Patient screening and enrollmentFigure 2. Antihypertensive drugs & TTF

Background Vascular endothelial growth factor (VEGF) family is overexpressed in the tumor microenvironment and induces tumor angiogenesis.1 VEGF signaling pathway (VSP) inhibitors are essential therapeutic drugs for solid cancer patients.2 However, VSP inhibitors often provoke drug-specific anti-angiogenesis in normal tissues, which was referred to as on-target toxicity.2 Hypertension (HTN) is one of the most frequent adverse events caused by VSP inhibitors. A previous report demonstrated that VSP inhibitor-induced hypertension is a favorable prognostic factor, contrarily.3However, multiple VSP inhibitors are administered in various cancer types, and then the relation between VSP inhibitor-associated hypertension and clinical outcome is still controversial. Purpose The aim of this study is to elucidate the impacts of HTN and the timing of onset on clinical outcome during cancer therapy with VSP inhibitors. Method We reviewed 2,348 patients who were treated with VSP inhibitors from the LIFE Study database, consisting of 14 municipality-level information from claims data between 2016 and 2020. According to the timing of HTN onset mode, the patients were stratified into 3 groups; (1) new-onset HTN group (n=334): de novo development after VSP inhibitor administration, (2) pre-existing HTN group (n=1,363): existing HTN at baseline, including aggravation after VSP inhibitor initiation, and (3) no HTN group (n=651) (Figure 1). The time to treatment failure (TTF) was applied as a surrogate clinical indicator of overall survival. Event-free survival analysis with the log-rank test was conducted for time to first treatment failure amongst the 3 groups. In addition, Cox proportional hazard models adjusted with clinical characteristics were performed to investigate independent factors for TTF. Results In the event-free survival analysis, both the new-onset HTN and the pre-existing HTN were associated with prolongation of TTF, compared to the non-HTN (p Conclusion In patients treated with VSP inhibitors, both new-onset and pre-existing HTN are independent factors for a favorable clinical outcome, especially new-onset HTN after VSP inhibitors administration. Funding Acknowledgement Type of funding sources: Public grant(s) – National budget only. Main funding source(s): Japan Society for the Promotion of Science (JSPS) Grants-in-Aid for Scientific Research (KAKENHI) Figure 1. Patient screening and enrollmentFigure 2. HTN & TTF