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Despite the importance of doubles tennis, there is little research on this modality of the game, especially in women's tennis. The aim of this study was to analyse the finishing shot, the ending zone and shot by ending zone of women´s doubles matches during three Grand Slams (GS), and to observe the differences among surfaces. Twenty-one women's doubles matches from three GS, each played on a different surface were analysed. 56.4 ± 2.3% of the points were finished from the baseline and mid court zone (BMZ), 36.1 ± 2.3% from the net zone (NZ) and 7.5 ± 4.2% from the service zone (SZ). The shot with which the points ended primarily was the forehand volley (FV) (18.2 ± 3.5%), followed by the forehand (F) (17.4 ± 4.2%), the backhand (B) (15.8 ± 4.8%), the backhand volley (BV) (12.8 ± 3.6%), the forehand return (FRT) (11.7 ± 2.7%), the backhand return (BRT) (11.4 ± 2.6%), the service (S) (7.5 ± 4.2%) and the overhead (O) (5.2 ± 3.0%). The results showed a higher percentage of F played from the BMZ in Roland Garros (RG) than in Wimbledon (W) (p = 0.011). In addition, the results also showed a higher percentage in overall F in RG than in W (p = 0.023). The FRT percentage was higher in the Australian Open (AUS) compared to RG (p = 0.026), and the O shots played from the BMZ were higher in W than RG (p = 0.038). These results suggest that in professional women's doubles tennis the net game is a determinant factor, as well as the volley (V) and F shots. Playing aggressive and close to the net may have a positive effect on the result. [ABSTRACT FROM AUTHOR]

This study aimed to assess the validity of an on-court tennis test (specific endurance tennis test [SET-Test]) and 2 heart rate (HR)-based methods for estimating oxygen uptake (...O2) in competitive tennis players. Thirty-five male players performed a SET-Test to relate test duration (minutes) and ...O2. Two weeks later, 16 players performed a simulated match play set where HR and ...O2 (...O2-PLAY, criterion value) were measured and then compared with ...O2 values predicted from the HR/...O2 linear regression equations derived from the SET-Test (p...O2-TEST) and from the one set match play (p...O2-PLAY). Test duration and ...O2-TEST were strongly correlated (r² = 0.821, p < 0.001, SEE = 5.6 ml•kg-1•min-1), indicating that SET-Test outcome is a somewhat good indicator of aerobic fitness in tennis players, likely to be useful for training purposes. p...O2-PLAY and ...O2-PLAY (criterion value) were strongly correlated (r² = 0.832, p < 0.001) and SEE was moderate (3.5 ml•kg-1•min-1 = 11.5%). p...O2-TEST differed from the criterion (32.4 ± 10.7 vs. 30.8 ± 8.6 ml•kg-1•min-1, p < 0.001) and, although strongly correlated (r² = 0.689, p < 0.001), an overestimation occurred (mean Δ = 1.6 ml•kg-1•min-1 = 4.9%), yielding a high SEE (4.8 ml•kg-1•min-1 = 15.6%). We conclude that (a) SET-Test performance is a valid and moderately accurate predictor of ...O2; and (b) the individual HR-...O2 regression equation generated during tennis match play predicts ...O2 with greater accuracy than the regression derived from the SET-Test. [ABSTRACT FROM AUTHOR]

The aim of this study was to investigate diachronic relationships in successful and unsuccessful behaviors by world fencing champions using three complementary techniques: T-pattern analysis, lag sequential analysis, and polar coordinate analysis. We employed a nomothetic, point, multidimensional observational design in which we analyzed 24 bouts fenced by six world fencing champions in 2014. The actions were recorded and coded using LINCE software. The results revealed a series of behaviors that were significandy associated with successful outcomes, and also identified actions that contributed to poorer performance. One key conclusion to be drawn from the study is that the use of these complementary techniques is perfecdy feasible and holds great potential in the field of sport. Lag sequential analysis of occurrences at lag 0 (co-occurrences) and analysis of basic T-patterns provided tactical insights into the different fencing actions employed. This analysis is focused on the actions and reactions of each fencer and his rival during each exchange. Insights into combat strategy, by contrast, were provided by lag sequential analysis of occurrences at lags -1 to -5 and lags +1 to 4-5, analysis of T-pattern clusters, and polar coordinate analysis. In the last case, we observed how prospective and retrospective behaviors, reflected in the modification or extension of certain behaviors during each bout, improved the efficacy of actions performed throughout the competition. [ABSTRACT FROM AUTHOR]

This study aimed (a) to evaluate a new training load parameter in tennis based on the ball-hitting frequency (Ballf) at ...O2max occurs (maximal aerobic frequency of ball hitting, MAF) and (b) to assess the accuracy of a specific endurance tennis test (SET-Test) for predicting MAF. Thirty-five male competitive tennis players performed the SET-Test and selected physiological and performance parameters at maximal workload (MAX), and last completed stage (LS) and MAF were compared. Performance parameters (Ballf, time, stage, and hits per test) at LS were higher than at MAF (20.2 ± 1.7 vs. 18.1 ± 1.5 shots⋅min-1, 6.6 ± 0.8 vs. 5.6 ± 0.8 stages, and 189 ± 33 vs. 147 ± 27 hits; p < 0.001), and highly correlated (r= 0.72-0.77; p < 0.001). The mean difference between Ballf and stage at MAF and LS were 2.1 ± 1.1 shots⋅min-1 and 1.1 ±0.6 stages, respectively. The main physiological parameters (heart rate, ...O2, and ...CO2 at LS) were higher than at MAF (191 ±9 vs. 186 ± 8 beats⋅min-1, 55.5 ± 5.9 vs. 55.0 ± 6.0 ml⋅kg-1⋅min-1 and 4,724 ± 880 vs. 4,253 ± 739 ml⋅min-1; p < 0.005), and were very strongly correlated (r= 0.93-0.99; p < 0.001). We conclude that MAF can be used as a practical performance parameter to prescribe tennis-specific training, and that the SET-Test is a valid method for assessing MAF. Gas exchange measurements not being available, as a rule of thumb, most players reach their MAF at ~1 stage (95% confidence interval: 0.9-1.2) and ~2 shots⋅min-1 (95% confidence interval: 1.7-2.5) less than their completed LS. A model for specific on-court training protocols for optimizing aerobic fitness in competitive tennis player is proposed. [ABSTRACT FROM AUTHOR]

To assess the validity of postexercise measurements in estimating peak oxygen uptake ( V̇O2peak) in swimming, we compared oxygen uptake ( V̇O2) measurements during supramaximal exercise with various commonly adopted methods, including a recently developed heart rate - V̇O2 modelling procedure. Thirty-one elite swimmers performed a 200-m maximal swim where V̇O2 was measured breath-by-breath using a portable gas analyzer connected to a respiratory snorkel, 1 min before, during, and 3 min postexercise. V̇O2peak(-20-0) was the average of the last 20 s of effort. The following postexercise measures were compared: ( i) first 20-s average ( V̇O2peak(0-20)); ( ii) linear backward extrapolation (BE) of the first 20 s (BE(20)), 30 s, and 3 × 20-, 4 × 20-, and 3 or 4 × 20-s averages; ( iii) semilogarithmic BE at 20 s (LOG(20)) and at the other same time intervals as in linear BE; and ( iv) predicted V̇O2peak using mathematical modelling ( p V̇O2(0-20)]. Repeated-measures ANOVA and post-hoc Bonferroni tests compared V̇O2peak (criterion) and each estimated value. Pearson's coefficient of determination ( r2) was used to assess correlation. Exercise V̇O2peak(-20-0) (mean ± SD 3531 ± 738 mL·min−1) was not different ( p > 0.30) from p V̇O2(0-20) (3571 ± 735 mL·min−1), BE(20) (3617 ± 708 mL·min−1), or LOG(20) (3627 ± 746 mL·min−1). p V̇O2(0-20) was very strongly correlated with exercise V̇O2peak ( r2 = 0.962; p < 0.001), and showed a low standard error of the estimate (146 mL·min−1, 4.1%) and the lowest mean difference (40 mL·min−1; 1.1%). We confirm that the new modelling procedure based on postexercise V̇O2 and heart rate measurements is a valid and accurate procedure for estimating V̇O2peak in swimmers and avoids the estimation bias produced by other methods. [ABSTRACT FROM AUTHOR]

Introduction: This controlled, nonrandomized, parallel-groups trial investigated the effects on performance, VO2 and hemoglobin mass (tHbmass) of four preparatory in-season training interventions: living and training at moderate altitude for 3 and 4 wk (Hi-Hi3, Hi-Hi), living high and training high and low (Hi-HiLo, 4 wk), and living and training at sea level (SL) (Lo-Lo, 4 wk). Methods: From 61 elite swimmers, 54 met all inclusion criteria and completed time trials over 50- and 400-m crawl (TT50, TT400), and 100 (sprinters) or 200 m (nonsprinters) at best stroke (TT100/TT200). Maximal oxygen uptake (VO2max) and HR were measured with an incremental 4 x 200 m test. Training load was estimated using cumulative training impulse method and session RPE. Initial measures (PRE) were repeated immediately (POST) and once weekly on return to SL (PostWl to PostW4). tHbmass was measured in duplicate at PRE and once weekly during the camp with CO rebreathing. Effects were analyzed using mixed linear modeling. Results: TT100 or TT200 was worse or unchanged immediately at POST, but improved by approximately 3.5% regardless of living or training at SL or altitude after at least 1 wk of SL recovery. Hi-HiLo achieved greater improvement 2 (5.3%) and 4 wk (6.3%) after the camp. Hi-HiLo also improved more in TT400 and TT50 2 (4.2% and 5.2%, respectively) and 4 wk (4.7% and 5.5%) from return. This performance improvement was not linked linearly to changes in VO2max or tHbmass. Conclusions: A well-implemented 3- or 4-wk training camp may impair performance immediately but clearly improves performance even in elite swimmers after a period of SL recovery. Hi-HiLo for 4 wk improves performance in swimming above and beyond altitude and SL controls through complex mechanisms involving altitude living and SL training effects. [ABSTRACT FROM AUTHOR]

There is no published study that analyses the temporal demands of fencing, in its six Olympic modalities in the same high-level competition. The only existing publications date back decades, with already obsolete regulations, or focus on a specific modality. The aim of this study is to carry out a chronometric analysis of elite fencing at the 2014 Fencing World Championships to determine the existence of differences between its weapons (épée, foil and sabre) and between genders. A total of 96 elite fencers (48 women) of 24 different nationalities were analysed in the final rounds (direct elimination). We undertook observational methodology based on an open and systematic process with ideographic, point and multi-dimensional design. We analysed the work time, rest time, total time, number of stops and work-to-rest ratio. The Lince software was used to record and analyse video data. The coding and recording process of the 83 fights analysed generated a matrix of 5900 records. The quality of the data was verified by checking the validity of the observation instrument and the intraobserver reliability. The mean work time (between Allez and Halte) was 17.9 ± 3.1 s for épée, 5.8 ± 2.5 s for foil and 1.7 ± 0.4 s for sabre. The fight work-to-rest ratios recorded were 1:0.9, 1:2.6 and 1:9.2 for épée, foil and sabre respectively. The results showed significant differences (p <.05) in the work and rest times between the three fencing weapons. However, there were no differences between fencers of the same weapon according to gender. [ABSTRACT FROM AUTHOR]

The article reports on research which was conducted to compare the heart rate (HR) and rate of perceived exertion (RPE) responses as internal load indicators while performing duet routines during training and competition in synchronized swimming (SS). Researchers evaluated 10 Olympic swimming medalists. They found that the internal load imposed by SS duets performed during training is virtually identical to that elicited in a real competitive situation and that practicing competitive routines is suitable for developing and maintaining the cardiovascular fitness needed by swimmers.

The aim of this study was to characterize the structure of solo and duet-based synchronized swimming routines. This was done using a specific nomothetic multidimensional observational design. The ad hoc observational instrument was validated by 12 specialists. The data was recorded using LINCE software, and observational reliability was determined by calculating the degree of intra-observer and inter-observer agreement. The participants were 18 female swimmers (including six Olympic medallists), and 39 routines were analysed: technical solos (n = 9), free solos (n = 11), technical duets (n = 10) and free duets (n = 9). The swimmers spent 61.6 ± 6.4 % of the competition time with their faces immersed in the water, with maximum apnea of 21.1 ± 4.0 s. The inverted-vertical position was the most widely taken in routines (43.2 ± 5.3 %), with the phase of deep immersion in that position being the most commonly reproduced (35.3 ± 5.0 %). In conclusion: 1) the observational instrument is a valid tool for analysing the structure of routines in synchronized swimming; and 2) there are significant differences in the structure of routines as regards their total duration, episodes of apnea, and the degree of immersion in different body positions. [ABSTRACT FROM AUTHOR]

Purpose: We aimed to characterize the cardiovascular, lactate and perceived exertion responses in relation to performance during competition in junior and senior elite synchronized swimmers. Methods: 34 high level senior (21.4±3.6 years) and junior (15.9±1.0) synchronized swimmers were monitored while performing a total of 96 routines during an official national championship in the technical and free solo, duet and team competitive programs. Heart rate was continuously monitored. Peak blood lactate was obtained from serial capillary samples during recovery. Post-exercise rate of perceived exertion was assessed using the Borg CR-10 scale. Total competition scores were obtained from official records. Results: Data collection was complete in 54 cases. Pre-exercise mean heart rate (beats⋅min-1) was 129.1±13.1, and quickly increased during the exercise to attain mean peak values of 191.7±8.7, with interspersed bradycardic events down to 88.8±28.5. Mean peak blood lactate (mmol⋅L-1) was highest in the free solo (8.5±1.8) and free duet (7.6±1.8) and lowest at the free team (6.2±1.9). Mean RPE (0-10+) was higher in juniors (7.8±0.9) than in seniors (7.1±1.4). Multivariate analysis revealed that heart rate before and minimum heart rate during the routine predicted 26% of variability in final total score. Conclusions: Cardiovascular responses during competition are characterized by intense anticipatory pre-activation and rapidly developing tachycardia up to maximal levels with interspersed periods of marked bradycardia during the exercise bouts performed in apnea. Moderate blood lactate accumulation suggests an adaptive metabolic response as a result of the specific training adaptations attributed to influence of the diving response in synchronized swimmers. Competitive routines are perceived as very to extremely intense, particularly in the free solo and duets. The magnitude of anticipatory heart rate activation and bradycardic response appear to be related to performance variability. [ABSTRACT FROM AUTHOR]

An observational methodology system has been designed which allows the observation and analysis of the technical-tactical behaviour and interaction of judokas during competition. The observation instrument (JUTACTIC) is composed of 8 fixed criteria that provide information related to the competition and the competitors and 13 variable criteria that, throughout the intrasessional monitoring of each combat, allow the behaviour displayed by both judokas and their interaction to be recorded. From an observational sample consisting of matches from the Rio 2016 Olympic champions and the corresponding samples made using the LINCE PLUS software, evidence of validity, reliability, generalizability and applicability of the observation system is provided. The content validity of the observation instrument has been endorsed by a panel of experts (n = 11). Intra and inter-observer reliability has been guaranteed from the results obtained in the Fleiss Kappa and the Krippendorff Alpha. The generalizability analysis with the design structure [Category] [Participants] / [Matches] has confirmed that around seven matches are needed to accurately analyse the behaviour of the competitor under study. The practical application possibilities of the observation instrument has been shown with an example of the results obtained and the regular behaviour structures detected (T-patterns) using the THEME software. [ABSTRACT FROM AUTHOR]

This paper aims to offer a free software program, LINCE PLUS, suitable for systematic observational studies in sports and health, conducted in natural contexts such as training, education or psychology. Using one or several videos simultaneously, different parameters such as behaviors, decision-making or strategies can be analyzed. The software includes several functionalities for studies that researchers need to utilize throughout the observational study process. Collaborative work can be accomplished by using simultaneous videos and multiple observers. The results of all research conducted by LINCE PLUS are offered inside the application in real time, enabling common calculations or including specific analysis with R language without the need for any other external tool. Moreover, LINCE PLUS shows the results of each study with interactive charts or, if needed, it exports the data to specific data analysis software programs (e.g., SAS, Excel, Theme, GSEQ 5, Hoisan). We include examples of sports and health studies that have been conducted with LINCE PLUS to show the suitability of this software program. [ABSTRACT FROM AUTHOR]

The aim of this study was to determine the physiological demands and motion analysis of a simulated fencing competition. Eighteen fencers each completed 5 'poule' (5 touches) and 'direct elimination (DE)' (15 touches) fights. Expired gases were measured during 1 poule and DE fight. Heart rate (HR), ratings of perceived exertion (RPE) and movement data were recorded throughout all fights. Motion analysis was undertaken using the software LINCE PLUS. Differences between poule and DE fights were determined by either a paired t-test or a one-way repeated measures ANOVA. HR and RPE were significantly greater during DE compared to poule (170 ±10 vs 163 ±13 beats·min-1; P<0.05). A greater distance was covered during a DE fight compared to a poule fight (459.9 ± 117.7 m vs 162.6 ± 74.2 m; P<0.05). The average values of V.O2max were 42.5 ±5.6 ml·kg-1·min-1 in men and 34.4 ±3.2 ml·kg-1·min-1 in women. Work-to-rest ratios reduced during the DE fights along with a lower average speed and increased max speed (11.7 ± 2.8 km∙h-1 vs 9.6 ± 1.6 km∙h-1; P<0.05). In conclusion, there is an increased physiological demand during a DE fight accompanied by a reduction in average speed and decreased work-to-rest ratio. [ABSTRACT FROM AUTHOR]

Recovering the ability to stand and walk independently can have numerous health benefits for people with spinal cord injury (SCI). Wearable exoskeletons are being considered as a promising alternative to conventional knee-ankle-foot orthoses (KAFOs) for gait training and assisting functional mobility. However, comparisons between these two types of devices in terms of gait biomechanics and energetics have been limited. Through a randomized, crossover clinical trial, this study compared the use of a knee-powered lower limb exoskeleton (the ABLE Exoskeleton) against passive orthoses, which are the current standard of care for verticalization and gait ambulation outside the clinical setting in people with SCI. Ten patients with SCI completed a 10-session gait training program with each device followed by user satisfaction questionnaires. Walking with the ABLE Exoskeleton improved gait kinematics compared to the KAFOs, providing a more physiological gait pattern with less compensatory movements (38% reduction of circumduction, 25% increase of step length, 29% improvement in weight shifting). However, participants did not exhibit significantly better results in walking performance for the standard clinical tests (Timed Up and Go, 10-m Walk Test, and 6-min Walk Test), nor significant reductions in energy consumption. These results suggest that providing powered assistance only on the knee joints is not enough to significantly reduce the energy consumption required by people with SCI to walk compared to passive orthoses. Active assistance on the hip or ankle joints seems necessary to achieve this outcome. [ABSTRACT FROM AUTHOR]

The aims of this study were (i) to describe the relative intensity of simulated tennis play based on the cumulative time spent in three metabolic intensity zones, and (ii) to determine the relationships between this play intensity distribution and the aerobic fitness of a group of competitive players. 20 male players of advanced to elite level (ITN) performed an incremental on-court specific endurance tennis test to exhaustion to determine maximal oxygen uptake (VO2max) and the first and second ventilatory thresholds (VT1, VT2). Ventilatory and gas exchange parameters were monitored using a telemetric portable gas analyser (K4 b2, Cosmed, Rome, Italy). Two weeks later the participants played a simulated tennis set against an opponent of similar level. Intensity zones (1: low, 2: moderate, and 3: high) were delimited by the individual VO2 values corresponding to VT1 and VT2, and expressed as percentage of maximum VO2 and heart rate. When expressed relative to VO2max, percentage of playing time in zone 1 (77 ± 25%) was significantly higher (p < 0.001) than in zone 2 (20 ± 21%) and zone 3 (3 ± 5%). Moderate to high positive correlations were found between VT1, VT2 and VO2max, and the percentage of playing time spent in zone 1 (r = 0.68–0.75), as well as low to high inverse correlations between the metabolic variables and the percentage of time spent in zone 2 and 3 (r = -0.49–0.75). Players with better aerobic fitness play at relatively lower intensities. We conclude that players spent more than 75% of the time in their low-intensity zone, with less than 25% of the time spent at moderate to high intensities. Aerobic fitness appears to determine the metabolic intensity that players can sustain throughout the game. [ABSTRACT FROM AUTHOR]

The article discusses research which investigated the correlation between heart rate deflection point (HRDP) and second ventilatory threshold in a specific endurance tennis test. Topics explored include the activity and recovery profiles associated with tennis, brief details about the tennis-specific field testing given to study participants, and the statistical analyses of performance and physiological variables obtained following the tennis test.

The article discusses a study of competitive male tennis players which focuses on performance testing and on-court endurance while suggesting that field tests that consider technical effectiveness can be predictors of tennis performance. Topics include variability in competitive performance and the measurement of physiological and performance elements in tennis players.

The article offers information on the study conducted by researchers including Raul Bescos, Ferran A. Rodriguez, and Xavier Iglesias on the measurement of energy consumption during incremental exercise. In their analysis, researchers found that humanbeings can reduce inorganic nitrate to nitrite, nitric oxide, and other bioactive nitrogen oxides during physical exercise. The study also analyzed the impact of a single dose of inorganic nitrate on the tolerance level of endurance athletes. For this experiment scientists provided diet cotaining nitrates to some cyclists before incremental exercise, and found that plasma nitrate and nitrite were higher among them after exercise.

: BackgroundPrimary carcinomas of the fallopian tube are rare and their preoperative diagnosis is difficult due to the lack of specific symptoms.: CasesWe present two tumors diagnosed in women 74 and 77 years old. On examination both patients presented as acute pelvic peritonitis with abdominal pain and tenderness with guarding and rebound, as well as fever and leukocytosis. At surgery, a left tubal carcinoma was found in each patient. Marked inflammatory and purulent reaction involving the uterus, the adnexa, and the pelvic peritoneum, and no abnormalities in the digestive tract were identified. A total hysterectomy with bilateral salpingo-oophorectomy was performed in both patients.: ConclusionCarcinoma of the fallopian tube should be considered in the differential diagnosis of pelvic peritonitis, a previously poorly reported clinical presentation. [Copyright &y& Elsevier]

This study aimed to provide the first description of the wholebody bioimpedance vector of nine non-professional triathletes, and to assess body mass (BM) and vector variations evoked by an ultra-endurance triathlon event. Anthropometric and bioelectrical assessments were performed before (PRE), after (POST), and 48 hours following the race (POST48h). Bioimpedance vector analysis (BIVA) showed triathletes' vectors placed to the left of the major axis and mostly outside the 50% tolerance ellipse of the reference population. Vector migration in POST indicated dehydration, paralleled by a decrease in BM (p = 0.0001). Increased hydration status from POST to POST48h was suggested by a reversed vector migration and increased BM (p = 0.0001). Compared to PRE, POST48h values reflected fluid retention by changes in BIVA, while BM was still lower (p = 0.0001). Racing time was positively related to basal resistance -R/h- (r = 0.68; p = 0.04) and bioimpedance -Z/h- (r = 0.68; p = 0.045). Besides, basal R/h and Z/h were positively related to PRE-to-POST changes of R/h and Z/h (r = 0.80; p = 0.009). PRE-to-POST changes of R/h and Z/h were positively related to racing time (r = 0.80, p = 0.01) and internal workload (r = 0.80, p ≤ 0.02). Notwithstanding the lack of significant correlation between BM and bioelectrical parameters, the vector's behavior was explained from a multifactorial perspective (including BM variations) by using multiple regression analysis. On the other hand, BM changes were not related to racing time, internal workload or energy deficit (ranges: r = - 0.46 to 0.65; p = 0.06 to 0.98). In conclusion, these triathletes exhibit a specific bioelectrical distribution. Furthermore, vector migration was consistent with fluid loss induced by the event. Finally, vector analysis seems to provide additional information about hydration changes 48h after the event in comparison with BM alone. [ABSTRACT FROM AUTHOR]

Using a controlled parallel group longitudinal trial design, we investigated the effects of different training interventions on the prooxidant/antioxidant status of elite athletes: living and training at moderate altitude for 3 (Hi-Hi3) and 4 weeks (Hi-Hi), and for 4 weeks too, living high and training high and low (Hi-HiLo) and living and training at sea level (Lo-Lo). From 61 swimmers, 54 completed the study. Nitrites, carbonyls, and lipid peroxidation (LPO) levels were assessed in plasma. Enzymatic antioxidants glutathione peroxidase (GPx) and glutathione reductase (GRd), and non-enzymatic antioxidants total glutathione (GST), reduced glutathione (GSH) and oxidized glutathione (GSSG) were analysed in the erythrocyte fraction. At the end of the intervention, nitrites levels were similar in all altitude groups but higher than in the Lo-Lo controls (P = .02). Hi-HiLo had greater GPx activity than Hi-Hi and Hi-Hi3 during most of the intervention (P ≤ .001). GRd activity was higher in Lo-Lo than in Hi-Hi at the end of the training camp (P ≤ .001). All groups showed increased levels of LPO, except Lo-Lo, and carbonyls at the end of the study (P ≤ .001). Training at altitude for 3 or 4 weeks drives oxidative stress leading to cellular damage mainly by worsening the antioxidant capacities. The GSSG/GSH ratio appears to be related to perceived exertion and fatigue. The stronger antioxidant defence showed by the Hi-HiLo group suggests an inverse relationship between redox alterations and performance. Further studies are required to investigate the role of oxidative stress in acclimatization, performance, and health. [ABSTRACT FROM AUTHOR]

Purpose: The assessment of body hydration is a complex process, and no measurement is valid for all situations. Bioelectrical impedance vector analysis (BIVA) has emerged as a relatively novel technique for assessing hydration status in sports. We applied BIVA a) to determine hydration changes evoked by an intense synchronized swimming (SS) training session; b) to characterize the sample of young elite swimmers in relation with a nonathletic reference population; and c) to generate its 50%, 75% and 95% percentiles of the bioelectrical variables. Methods: Forty-nine elite SS female swimmers of two age categories, comen (Co: 13.9 ± 0.9 years, n = 34) and junior (Jr: 16.3 ± 0.6 years, n = 15), performed a long, high intensity training session. Body mass (BM) and bioelectrical variables (R, resistance; Xc, reactance; PA, phase angle; and Z, impedance module) were assessed pre- and post-training. BIVA was used to characterize 1) the distribution pattern of the bioelectrical vector (BIA vector) for both age groups, and 2) pre- to post-training BIA vector migration. Bioelectrical variables were also correlated with BM change values. Results: Most swimmers were mostly located outside the 75% and some beyond the 95% percentile of the bioelectrical tolerance ellipses of the general population. The BIA vector showed statistically significant differences in both Co (T2 = 134.7, p = 0.0001) and Jr (T2 = 126.2, p < 0.001). Both groups were also bioelectrically different (T2 = 17.6, p < 0.001). After the training session, a decrease in BM (p = 0.0001) and an increase in BIA variables (p = 0.01) was observed. BIVA also showed a significant pre-post vector migration both in Co (T2 = 82.1; p < 0.001) and Jr (T2 = 41.8; p < 0.001). No correlations were observed between BM changes and bioelectrical variables. Conclusions: BIVA showed specific bioelectrical characteristics in young elite SS athletes. Considering the decrease in BM and the migration of the BIA vector, we conclude that the homeostatic hydration status of these young elite female swimmers was affected by the execution of intense training sessions. From a methodological perspective, BIVA appears to be sensitive enough to detect subtle hydration changes, but further research is needed to ensure its validity and reliability. Moreover, these findings highlight the importance of ensuring adequate fluid intake during training in young SS athletes. [ABSTRACT FROM AUTHOR]

Prior reports have described the limitations of quantifying internal training loads using hear rate (HR)-based objective methods such as the training impulse (TRIMP) method, especially when high-intensity interval exercises are performed. A weakness of the TRIMP method is that it does not discriminate between exercise and rest periods, expressing both states into a single mean intensity value that could lead to an underestimate of training loads. This study was designed to compare Banister's original TRIMP method (1991) and a modified calculation procedure (TRIMPc) based on the cumulative sum of partial TRIMP, and to determine how each model relates to the session rating of perceived exertion (s-RPE), a HR-independent training load indicator. Over four weeks, 17 elite swimmers completed 328 pool training sessions. Mean HR for the full duration of a session and partial values for each 50 m of swimming distance and rest period were recorded to calculate the classic TRIMP and the proposed variant (TRIMPc). The s-RPE questionnaire was self-administered 30 minutes after each training session. Both TRIMPc and TRIMP measures strongly correlated with s-RPE scores (r = 0.724 and 0.702, respectively; P < 0.001). However, TRIMPc was ∼9% higher on average than TRIMP (117 ± 53 vs. 107 ± 47; P < 0.001), with proportionally greater inter-method difference with increasing workload intensity. Therefore, TRIMPc appears to be a more accurate and appropriate procedure for quantifying training load, particularly when monitoring interval training sessions, since it allows weighting both exercise and recovery intervals separately for the corresponding HR-derived intensity. [ABSTRACT FROM AUTHOR]

Objective. The aim was to determine the feasibility of surgical identification and pathological ultrastaging of sentinel nodes (SNs) in vulvar carcinoma and to evaluate whether SN negativity rules out the possibility of metastasis in other nodes and can therefore avoid conventional lymphadenectomy.Material and methods. In 26 patients with vulvar squamous cell carcinoma the SNs were detected using both peritumoral injection of 99mTc and blue dye (isosulfan or methylene) before the surgical procedure. Dissection of the SNs was followed by standard lymphadenectomy and vulvar exeresis. For pathological ultrastaging at least eight histological sections of every node separated 400 μm were evaluated using hematoxylin & eosin and immunostaining against cytokeratin.Results. We identified the SNs in 25/26 patients (96%). In 19 patients (76%) the SN was unilateral and in 6 (24%) it was bilateral. A total of 46 SNs were isolated. Metastatic carcinoma was identified in 9 SNs from 8 patients (30.8%). Thirty-eight percent (3 of 8) patients with metastatic SNs presented micrometastasis detected only in ultrastaging. Seven (3.3%) of 239 nonsentinel nodes (non-SNs) showed metastasis. No metastatic implant was detected in non-SNs when SNs were negative in patients without clinical suspicious adenopathy (100% negative predictive value).Conclusion. Inguinofemoral lymph nodes can be confidently avoided when sentinel node metastases are excluded by histological ultrastaging. This may reduce the surgical morbidity of conventional inguinofemoral lymphadenectomy, without worsening vulvar cancer prognosis. [Copyright &y& Elsevier]

Background: Sarcomatous neoplasms of the uterine corpus are still a challenge in terms of obtaining prognostic factors and the most optimum complementary treatment to surgery. The most important prognostic factor is stage; relapses usually appear during the first 2 years, and most patients die within the first 3 years. We have performed a multivariate study of prognostic factors, stratifying patients by stage, to determine their impact on overall survival, disease-free survival, local relapse-free survival, and distant metastasis-free survival. Special emphasis has been given to vascular and lymphatic space invasion (VLSI).Methods: Sixty patients diagnosed with uterine neoplasms with a main sarcomatous component were treated at Hospital Clı´nic i Universitari of Barcelona between January 1975 and June 1999. Pathologic type: 32 carcinosarcomas, 14 leiomyosarcomas, 9 adenosarcomas, and 5 endometrial stromal sarcomas. Treatment: 58/60 surgery, 35/60 postoperative radiotherapy, 2/60 exclusive chemotherapy, and 3/60 complementary chemotherapy. FIGO stages: 43 Stage I, 4 Stage II, 11 Stage III, and 2 Stage IV. Variables analyzed: age, stage, vascular and lymphatic space invasion, myometrial invasion, mitotic index, tumor size, unicentricity/multicentricity, necrosis, and radiotherapy. Statistics: the S and Cox proportional risk models. The partial effect of each risk factor was calculated by hazard ratio (HR) with a confidence interval of 95%.Results: Early stages: Multivariate analysis showed that tumor size larger than 8 cm and VLSI had an impact on overall survival (HR = 4.01 and HR = 24.45, respectively). VLSI was present in 23% of the cases. Myometrial invasion greater than 50% had an impact on disease-free survival and local relapse-free survival (HR was 9.75 and 3.20, respectively). VLSI had an impact on distant metastasis-free survival (HR = 2.92). Advanced stages: VLSI was present in 89% of the cases. Only leiomyosarcoma type made the overall survival worse (HR = 10.54).Conclusions: Vascular and lymphatic space invasion was a relevant prognostic factor in our series, with an impact on overall survival and distant metastasis-free survival in early stages. In advanced stages, VLSI had no impact on survival, but was present in 89% of cases. Myometrial invasion >50% had an impact on local relapse. Advanced stages had a more aggressive behavior, and there was a higher incidence of poor prognostic factors in these stages. Nevertheless, prospective studies are still needed on prognostic factors and on the best treatment option. [Copyright &y& Elsevier]

Presents information on a study which assessed the applicability of posterior vaginal wall repair with a synthetic absorbable mesh. Purpose of classic posterior repair; Disadvantages of synthetic nonreabsorbable materials; Benefits of polyglycolic acid mesh.