In the original publication [...].

Arterial pulse wave velocity (PWV) is recognized as a convenient method to assess peripheral vascular stiffness. This study explored the clinical characteristics of hand PWV (hPWV) and hand pulse transit time (hPTT) in healthy adults (sixty males = 42.4 ± 13.9 yrs; sixty-four females = 42.8 ± 13.9 yrs) voluntarily participated in this study. The arterial pulse waveform and the anatomical distance from the radial styloid process to the tip of the middle finger of both hands were recorded in the sitting position. The hPWV was calculated as the traversed distance divided by hPTT between those two points. Male subjects showed significantly greater hPWV, systolic blood pressure, and pulse pressure than age-matched female subjects, while the hPTT was not significantly different between genders. Multiple linear regression analysis showed that gender is a common determinant of hPWV and hPTT, and that age and heart rate (HR) were negatively correlated with hPWV and hPTT, respectively. We conclude that male subjects have greater hPWV than female subjects. Ageing is associated with decreased hPWV, while increased HR is associated with a smaller hPTT. The hPWV and hPTT might be used as non-invasive indices to characterise the ageing and arterial stiffness of peripheral blood vessels.

This study examined the effect of time of day on immediate recall of motor skills (i.e., tactical behaviors in basketball) from different external visualizations. First-year students from a public university in sports science (novice practitioners, 18.96 ± 0.57 years) were quasi-randomly assigned to three experimental conditions: video modeling by experts, a sequential-with-tracing presentation of pictures, or a sequential-without-tracing presentation of pictures. Morning and late afternoon sessions were conducted involving study phases and immediate-recall tests (i.e., comprehension and game performance tests). Oral temperature and mood states were also measured at both times of day. The results revealed that participants exhibited better recall performances in the morning, irrespective of the visualization format used. At both time of day, tactical behaviors were better recalled from video modeling rather than the two sequential presentations of pictures. In addition, providing the learner with a permanent visual trace of the previous states improves the immediate recall of tactical skills from a sequential presentation of pictures, at both time of day. Furthermore, morning sessions resulted in lower oral temperature, lower negative mood, and higher positive mood, compared with afternoon sessions. Implications for using external visualizations aimed at the acquisition of motor skills, particularly tactical behaviors, are discussed.

This study aims to explore: (1) the validity of post-exercise ultra-short-term heart rate variability (HRVust) after two different bouts of repeated sprint ability test (RSA), and (2) the relationship between HRVust measure and RSA performance. Twenty adolescent male futsal players voluntarily participated in this study (age: 17.65 ± 1.81 years, body height: 170.88 ± 4.98 cm, body weight: 61.78 ± 4.67 kg). The participants performed a standard RSA test (RSAstandard) and an RSA test with a 10% decrement of the best sprint time test (RSA10%decrement) on two separate occasions within a week. On both occasions, a 5-min resting electrocardiography was administered pre- and post-RSA exercise protocols. The first 30-s (HRVust30s), 60-s (HRVust60s), and 60–120-s (HRVust1−2min) were extracted and used to compare with the standard of 5-min HRV recording (HRVcriterion). The natural logarithm (ln) of the standard deviation of normal-to-normal intervals (SDNN) and root mean square of successive normal-to-normal interval differences (RMSSD) HRV indices were utilised to establish intraclass correlation coefficient (ICC2,1), coefficient of variation (%CV), and Pearson product-moment correlation ( r). Results revealed the ICC values of HRVust lnSDNN (RSAstandard = 0.77–0.88; RSA10%decrement = 0.41–0.71) and lnRMSSD (RSAstandard = 0.81–0.86; RSA10%decrement = 0.57–0.82). Furthermore, significantly positive correlations between best sprint time and post-exercise HRVust indices were found in lnSDNN ( r = 0.47–0.62; p < 0.05) and lnRMSSD ( r = 0.45; p < 0.05). Additionally, a large CV of lnSDNN (RSAstandard = 32%–45%; RSA10%decrement = 29%–39%), lnRMSSD (RSAstandard = 50%–66%; RSA10%decrement = 48%–52%), and ratio (RSAstandard = 45%–126%; RSA10%decrement = 27%–45%) was found after the RSA protocols. In conclusion, the number of bouts of RSA exercise potentially influences the agreement of post-exercise time-domain HRVust indices to standard HRV measure.

The present study aimed to elucidate the effects of real-time versus slow-motion videos, as a function of time of day, on the acquisition of basketball plays. Fifty first-year sports science students (Mage = 18.82 y, SD = 0.49) were quasi-randomly allocated to either into 0.5 or 1.0 times normal video speed, attending morning (08:00-09:00 h) and late-afternoon (16:00-17:00 h) sessions. After measuring oral temperature (OT) and mood states (MS), participants observed a basketball system's evolution twice and completed two recall tests [game comprehension (GC) and game performance (GP) tests]. Afternoon sessions exacerbated higher OT, higher negative MS (e.g. anxiety and fatigue), and lower positive MS (i.e. vigor) compared to mornings (regardless of video speed). GC and GP were higher in the morning than in the afternoon, with real-time (p < 0.001, both) and slow-motion videos (p < 0.01 and p < 0.001, respectively). GC and GP were higher with slow-motion videos compared to real-time videos in morning and afternoon sessions (p < 0.01, both). The findings highlight the morning's superiority in the acquisition of motor knowledge from videos, due to mood disturbances and lower arousal levels. Additionally, the findings encourage teachers/coaches to communicate basketball plays through slow-motion videos, particularly in the morning.

The current study was designed to investigate how varied time of day (ToD) could affect the acquisition of basketball game actions from different video formats. First-year physical education students (i.e., novice practitioners) were quasi-randomly assigned to three experimental conditions: continuous video, macro-segmented video, or micro-segmented video. Morning (between 08:00 and 09:00) and late afternoon (between 16:00 and 17:00) sessions were conducted, involving study phases (i.e., observation of the scenes of play) and immediate-recall tests (i.e., game comprehension test and game performance test). Oral temperature and mood states were also collected at the beginning of each session. Compared to the morning, the results revealed that afternoon hours resulted in higher oral temperature, higher negative mood states (e.g., anxiety and fatigue), and lower positive mood (i.e., vigor) in all experimental conditions. For both short-term learning tests, the results showed that: (i) students performed significantly better in the morning rather than in the late afternoon (regardless of video formats), (ii) students exposed to the two segmented videos performed better than those exposed to a continuous video at the two ToD (without any significant difference between macro-segmented and micro-segmented videos). The findings highlight the morning’s superiority in the acquisition of motor knowledge from different video formats, due to mood disturbances and lower arousal levels. The present experiment encourage basketball teachers to use segmented videos, especially in the morning, to explain tactical information for novices.

Microangiopathy should be noted in diabetes with subclinical vascular diseases. Little is known about whether various surrogate markers of systemic arterial trees exacerbate simultaneously in preclinical atherosclerosis. To clarify the association of skin microvascular reactivity with arterial stiffness is essential to elucidating early atherosclerotic changes. The post-occlusive reactive hyperemia of skin microcirculation was evaluated in 27 control and 65 type 2 diabetic subjects, including 31 microalbuminuria (MAU) and 34 normoalbuminuria (NAU) patients. The laser Doppler skin perfusion signals were transformed into three frequency intervals for the investigation of endothelial, neurogenic, and myogenic effects on basal and reactive flow motion changes. The analysis of spectral intensity and distribution provided insight into potential significance of microvascular regulation in subclinical atherosclerotic diseases. Systemic arterial stiffness was studied by the brachial ankle pulse wave velocity (baPWV). Following occlusive ischemia, the percent change of endothelial flow motion was lower in MAU than in NAU and control groups. The MAU group revealed a relative increase in myogenic activity and a decrease in endothelial activity in normalized spectra. The baPWV showed more significant associations with reactive endothelial change (r = − 0.48, P < 0.01) and normalized myogenic value (r = − 0.37, P < 0.05) than diabetes duration and HbA1c. By multivariate regression analysis, only endothelial vasomotor changes independently contributed to the decreased baPWV (OR 3.47, 95

This study aimed to examine the effect of time of day (TOD) on the acquisition of basketball game actions from dynamic and static visualizations in physical education students (novice practitioners). Participants were quasi-randomly assigned to three treatments (static pictures, enriched static-pictures, or video). Morning and late-afternoon sessions were conducted, involving study phases and immediate-recall tests [game comprehension (GC) test and game performance (GP) test]. Oral temperature (OT) and mood states (MS) were also measured. Compared to the morning, the results revealed that afternoon resulted in higher OT, higher negative MS (e.g., anxiety and fatigue), and lower positive MS (i.e., vigor) in all experimental conditions. Moreover, the results showed that: (a) GC and GP decreased throughout the day (regardless of treatments), (b) GC and GP were better with enriched static-pictures (with arrows) than with static pictures, at both TOD, and (c) the video resulted in better GC and GP than the two static presentations, at both TOD. This study (a) highlights the morning's superiority in the acquisition of motor skills from dynamic and static visualizations, due to mood disturbances and lower arousal levels, and (b) encourages basketball teachers to use video modeling by experts, particularly in the morning, for explaining tactical skills.

This study aimed to explore whether the use of coordinated visual and verbal cues in narrated diagrams would support novices in learning soccer scenes. Eighty female university students (Mage = 20 years, SD = 1.2) in physical education (PE) were randomly exposed to four multimedia material versions: (a) simple without cues, (b) simple with cues, (c) complex without cues, and (d) complex with cues. In the non-cued versions, students learned the evolution of soccer scenes via arrow-based diagrams accompanied by oral explanations. In the cued versions, game actions in narrations were spoken with a louder accent (verbal cueing), while at the same time, the corresponding arrows turned red in diagrams (visual cueing). After studying one of the four versions, participants were asked to complete immediate and delayed recall–reconstruction tests, and to indicate their attitudes towards instructional materials. The results demonstrate the instructional benefits of using coordinated dual-modality cues in the complex multimedia material, in terms of immediate (p = 0.03, d = 0.53) and delayed (p = 0.02, d = 0.85) recall performances. The findings encourage soccer teachers to verbalize game actions with a louder accent, while simultaneously coloring the corresponding arrows in the diagram when explaining complex game situations for novices.

Exercise and sport practitioners frequently utilize rating of perceived exertion (RPE) to evaluate the players’ psychophysiological strains during training sessions. The subjective rating of physical exertion level during sports training has been shown to have a reciprocal relationship with wellness status during periodic training or competitive seasons. However, the relationship between subjective physical exertions and wellness status during short-term overseas training camps (OTCs) has not been extensively investigated. This study aimed to examine the perceived responses of physical exertions [session-RPE (sRPE), training monotony, and training strain] and wellness status (fatigue, sleep, delayed onset muscle soreness, stress, and mood) measures in elite young adult futsal players from four separate OTCs with different training tasks. Twenty-seven U-20 male national team futsal players voluntarily participated in this study. The players recruited for OTCs were based on their performance during domestic training camps and the tactical demand of the team. The task of each OTCs was defined as: 1) 1 st OTC = game-based camp (n = 14); 2) 2 nd and 3 rd OTC = training-based camp (n = 20 and n = 17, respectively); and 3) 4 th OTC = pre-tournament camp (n = 14). The OTCs consisted of 11 training sessions (18.9 hours) and 16 friendly matches (23.8 hours). During daily training sessions and friendly matches, sRPE was used to quantify training load (TL). Additionally, a five-elements general wellness questionnaire was used to evaluate daily wellness status in the morning. The results demonstrated that the mean and sum sRPE in the game-based OTCs were significantly lower compared to the mean sRPE [ p < 0.01, effect size (ES) = -4.8; p < 0.01, ES = -2.9] and sum sRPE in the training-based OTCs ( p < 0.01, ES = -3.6; p < 0.01, ES = -3.1). The mean ( p = 0.01; ES = -2.0) and sum sRPE ( p < 0.01; ES = -3.4) in the game-based OTC were also lower than that in the pre-tournament OTC. Conversely, the wellness scores in the game-based OTC were higher compared to the training-based ( p = 0.01; ES = 1.8) and the pre-tournament OTCs ( p < 0.01; ES = 1.6). There was a negative relationship between mean and sum sRPE and all wellness scores (mean sRPE = r = -0.441 ~ -0.575, p < 0.001; sum sRPE = r = -0.41 ~ -0.559, p < 0.001). Our findings suggested that responses to training sessions, derived from mean and sum sRPE and wellness scores, are dependent upon the task-specific nature of OTCs among elite futsal players. Utilization of mean and sum sRPE and wellness measures to monitor the psychophysiological health during short-term OTCs is recommended.

BACKGROUND:The rating of perceived exertion (RPE) scales with respiratory and muscular illustrations are recognized as simple and practical methods to understand individual psychometric characteristics in breathing and muscle exertion during exercise. However, the implementation of respiratory and muscular RPE to quantify training load in futsal training camps has not been examined. This study investigates respiratory and muscular RPE relationships during domestic training camps (DTC) and overseas training camps (OTC) in an under 20 futsal national team.METHODS:Data collected from eleven field players were used for comparison in this study (age = 18.7 ± 0.7 years, height = 171.9 ± 6.1 cm, body weight = 64.2 ± 8.4 kg). All players reported Borg CR10 RPE (RPECR10) and 7-scales respiratory RPE (RPErespiration) and muscular RPE (RPEmuscle) (Dalhousie pictorial scales) after training sessions and matches. Additionally, total distance covered (TD) and training impulse (TRIMP) were used to quantify external and internal loads via the Polar Team Pro system. Paired-sample t-tests were used to compare the RPECR10, RPErespiration, RPEmuscle, TD, and TRIMP between DTC and OTC. Furthermore, linear regression was performed to determine the relationships among all RPE scales, TD, and TRIMP.RESULTS:The RPECR10 (p = 0.047), TD (p < 0.001), and TRIMP (p < 0.001) showed significant difference between DTC and OTC. Furthermore, linear regression analyses showed significant correlation between RPErespiration and RPEmuscle (DTC: r = 0.857, p = 0.006; OTC: r = 0.924, p < 0.001), RPECR10 and RPErespiration (DTC: r = 0.857, p = 0.001; OTC: r = 0.863, p = 0.001), and RPECR10 and RPEmuscle (DTC: r = 0.906, p < 0.001; OTC: r = 0.900, p < 0.001).CONCLUSION:Pictorial RPErespiration or RPEmuscle can be used as an alternative to quantify perceived measures of internal loads during DTC and OTC in futsal players. Interpretation of perceived measures of training load and cardiac-related responses in association with external training loads during short-term training camps would be useful in further understanding the demands of futsal players' experience in these circumstances.

Recent studies have shown the superiority of dynamic over static visualisations in learning different motor skills in the physical education (PE) domain, due to the activation of the mirror-neuron system. However, these past investigations were based solely on instructional materials with short durations (few seconds). It is yet unknown whether this superiority remains valid in learning from materials with long durations (e.g., more than 2-minutes). We attempted to fill this knowledge gap with the present experiment by exploring the effects of dynamic and static visual supports in learning a series of Judo refereeing gestures and attitudes in PE students. Sixty-seven novice practitioners (Mage = 20.5 years, SD = 0.6 years, 27 males and 40 females) voluntarily participated in the current project. They were randomly exposed to the dynamic or static visual supports (study phase), and asked to rate their mental effort invested, perform a recall-performance test, and indicate their attitudes (in terms of attention, motivation, enjoyment, interestingness, and self-efficacy), immediately following the study phase. The results showed that a dynamic visual support guaranteed better learning outcomes in the students (as evidenced by the more favourable relationship between mental effort investment and recall performances). However, data analysis demonstrated that participants exposed to both visual supports reported similar attitudes. These findings have implications for the effective design of external visual tools in the PE domain and provide confirmation on the superiority of dynamic over static visualisations for learning motor skills (Judo refereeing gestures), even if through instructional materials with long durations.

The aim of this study was two-fold: (i) analyze the variations in the physical fitness of selected and non-selected under-20 male national futsal players; and (ii) analyze the variations in training intensity monitored during training camps. Thirty-three Taiwan under-20 national futsal players were monitored for training intensity during 18 training camps. They were divided into two groups: selected (n = 14) and non-selected (n = 17) players. The physical assessments included the following measures: body mass, distance covered at Yo-Yo intermittent recovery test Level 1, final velocity at 30-15 Intermittent Fitness Test (30-15 IFT), standing long jump, maximum heart rate (HR), and 1-min sit-up. The training intensity was monitored using the rate of perceived exertion (RPE), HR at different intensity zones, and locomotor demands measured at different speed thresholds. The results revealed that the selected players were significantly faster in the 15-m sprint with ball (p = 0.001) and 30-m sprint (p = 0.001). Additionally, the selected players presented significantly greater HRaverage and time spent above 90% maximum HR during the three-to-six-day training camps (p < 0.05) compared to the non-selected players. Interestingly, the NS demonstrated a greater number of sprints during the training camps (p = 0.001), while the selected players presented greater distance/minute and average speed (p = 0.001). A regression analysis showed that the distance/minute and average speed was a significant predictor of maximum HR in the selected players. As conclusions, the physical fitness outcomes are different between the selected and non-selected national futsal players. The selected players spent more time in high intensity HR demands in training sessions.

Treatment of rat prostatic epithelial cells with cholesteryl hemisuccinate (ChH) resulted in a time- and dose-dependent inhibition of the stimulatory effect of the neuropeptide vasoactive intestinal peptide (VIP) on cyclic AMP accumulation, with a 40% decrease in the response to a maximally effective VIP concentration. Cell treatment with ChH led also to a similar blocking of isoproterenol (a beta-adrenergic agonist) action but did not modify forskolin (which is assumed to act directly on the catalytic unit of adenylate cyclase) activity upon cyclic AMP levels. The levels of the transduction protein Gs were similar in membranes from both control and ChH-treated cells as suggested by experiments on cholera toxin-catalyzed ADP-ribosylation. The inhibitory effect of ChH was accompanied by an increase of membrane microviscosity as estimated by measurements of fluorescence polarization. Experiments on VIP binding indicated that increasing cholesterol concentration in the plasma membrane led to a higher VIP binding capacity without changes in the affinity of VIP receptors. These data suggest that membrane cholesterol incorporation diminishes the coupling efficiency between adenylate cyclase and the VIP-receptor complex or other receptor systems (i.e., desensitization) due to an increase of plasma membrane rigidity.

Aims:This study used pretest-posttest randomized group comparison to investigate the acute effects of foot reflexology massage (FRM) intervention on the pulse harmonic and parasympathetic modulation after repeated sprint ability test (RSA) and Yo Yo intermittent recovery test level 1 (YOYO).Background:The arterial pulse wave characteristics (APW) is a physiological indicator of peripheral arterial compliance. Reflexology massage is a non-invasive intervention to improve arterial compliance. However, the acute effect of FRM on APW after intense exercise has not been examined.Objective:The purpose of this study was to investigate the acute effect of FRM after short-term bouts of anaerobic-based and aerobic-based intermittent exercises.Methods:Twenty-six collegiate male football/futsal players voluntarily participated in this study. All participants were randomly assigned to FRM group (n= 14) or control group (n= 12). The participants performed RSA and YOYO exercise protocols at least 3 days apart within a week. The electrocardiography (ECG), and APW of right hand (RH), left hand (LH), and left foot (LF) were recorded for 10 min in supine position before and after interventional/control period. A standard of 30 min FRM was given immediately after exercises, whereas those of control group were requested to rest comfortably on a massage table for 30 min. Non-parametric statistical analyses (The Mann-Whitney rank and Wilcoxon signed rank test) were used to compare the measured variables.Results:The results showed different characteristics of sympathetic nervous system index after RSA and YOYO protocols in the FRM and control groups [FRM: RSA (p= 0.01); Control: YOYO (p< 0.01)]. The results also identified similar exercise-induced modulation of 1stand 2ndpulse harmonics in LF location with or without FRM treatment.Conclusion:The FRM intervention demonstrated minor impact on the recovery of APW and parasympathetic modulation after RSA and YOYO exercises.Clinical Trail Registration Number: NCT03821805

Dynamic visualizations such as videos or animations have been developed to exchange information that transforms over time across a broad range of professional/academic contexts. However, such visual tools may impose substantial demands on the learner’s cognitive resources that are very limited in current knowledge. Cognitive load theory has been used to improve learning from dynamic visualizations by providing different instructional designs to manage learner cognitive load. This paper reviews a series of experimental studies assessing the effects of certain instructional designs on learning of tactical scenes of play through dynamic visualizations. An electronic database search was performed on the Web of Science and PubMed/Medline databases from inception to July 2020 using a combination of relevant keywords. Manual searches were also made. The search was limited to English language. A total of 515 records were screened by two researchers using the Population/Intervention/Comparison/Outcome(s) (PICO) criteria. The quality and validity of the included studies were assessed using “QualSyst”. Learning indicators in students and/or players (male and female) at any age category and competitive level were considered. Eleven studies met the inclusion criteria for this review, which focused on the effects of four instructional designs (i.e., using static visualizations, employing sequential presentation, applying segmentation, and decreasing presentation speed) on learning various game systems through dynamic visualizations. These studies indicate that (i) the effectiveness of all instructional designs depend upon the level of learners’ expertise when learning soccer/Australian football scenes through animations/videos, (ii) the effectiveness of using static visualizations instead of animations/videos showing soccer/basketball scenes depend upon the type of the depicted knowledge (i.e., motor knowledge or descriptive knowledge) for novice learners, (iii) the effectiveness of employing static visualizations and decreasing presentation speed when learning soccer/basketball scenes from animations/videos depend upon the level of content complexity, for novice learners. The current review demonstrated important practical implications for both coaches and physical education teachers using either animations and/or videos to communicate game systems. Indeed, findings suggested that adapting instructional designs to the level of learners’ expertise, type of depicted knowledge, and level of content complexity is a crucial part of effective tactical learning from dynamic visualizations.

Respiration is known to be a significant modulator of heart rate, and the high-frequency component in the power spectrum of heart rate variability (HRV) is believed to be caused mainly by respiration. To investigate the effect of respiration on heart rate, cross-spectral analysis of electrocardiographic (ECG) and nostril airflow signals was performed in healthy subjects to find the common features of ECG and respiration. Forty-two healthy subjects were included in this study. The autospectra of respective ECG and nostril airflow signals and the cross-spectra of ECG and nostril airflow signals were obtained and compared with the corresponding conventional HRV measures. We found that there were two spectral peaks at around 0.03 Hz and 0.3 Hz in the autospectrum of nostril airflow and the cross-spectrum of ECG and nostril airflow. In addition, the cross-spectral normalized high-frequency power (nHFPcs) was significantly larger than that of conventional HRV, while the cross-spectral normalized very low-frequency power (nVLFPcs), normalized low-frequency power (nLFPcs), and low-/high-frequency power ratio (LHRcs) were significantly lower than those of the conventional HRV. The cross-spectral nLFPcs and LHRcs had positive correlations with their corresponding HRV measures. We conclude that cross-spectral analysis of ECG and nostril airflow signals identifies two respiratory frequencies at around 0.03 Hz and below and around 0.3 Hz and can yield significantly enhanced nHFPcs and significantly suppressed nVLFPcs, as compared to their counterparts in conventional HRV. Both very low-frequency and high-frequency components of HRV are caused in part or mainly by respiration.

This study investigated the usefulness of ventilator parameters in the prediction of development and outcome of acute respiratory distress syndrome (ARDS) in postoperative patients with esophageal or lung cancer on admission to the surgical intensive care unit (SICU). A total of 32 post-operative patients with lung or esophageal cancer from SICU in a tertiary medical center were retrospectively analyzed. The study patients were divided into an ARDS group (n = 21) and a non-ARDS group (n = 11). The ARDS group contained the postoperative patients who developed ARDS after lung or esophageal cancer surgery. The ventilator variables were analyzed in this study. Principal component analysis (PCA) was performed to reduce the correlated ventilator variables to a small set of variables. The top three ventilator variables with large coefficients, as determined by PCA, were considered as sensitive variables and included in the analysis model based on the rule of 10 events per variable. Firth logistic regression with selective stepwise elimination procedure was performed to identify the most important predictors of morbidity and mortality in patients with ARDS. Ventilator parameters, including rapid shallow breath index during mechanical ventilation (RSBIv), rate pressure product of ventilation (RPPv), rate pressure volume index (RPVI), mechanical work (MW), and inspiration to expiration time ratio (IER), were analyzed in this study. It was found that the ARDS patients had significantly greater respiratory rate (RR), airway resistance (Raw), RSBIv, RPPv, RPVI, positive end-expiratory pressure (PEEP), and IER and significantly lower respiratory interval (RI), expiration time (Te), flow rate (V˙), tidal volume (VT), dynamic compliance (Cdyn), mechanical work of ventilation (MW), and MW/IER ratio than the non-ARDS patients. The non-survivors of ARDS had significantly greater peak inspiratory pressure above PEEP (PIP), RSBIv, RPPv, and RPVI than the survivors of ARDS. By using PCA, the MW/IER was found to be the most important predictor of the development of ARDS, and both RPPv and RPVI were significant predictors of mortality in patients with ARDS. In conclusion, some ventilator parameters, such as RPPv, RPVI, and MW/IER defined in this study, can be derived from ventilator readings and used to predict the development and outcome of ARDS in mechanically ventilated patients on admission to the SICU.

Background: Monitoring the daily change in resting heart rate variability (HRV) can provide information regarding training adaptation and recovery status of the autonomic nervous system (ANS) during training camps. However, it remains unclear whether postural stabilization is essential for valid and reliable ultra-short-term (HRVUST) recordings in short-term overseas training camps.Design: Observational and longitudinal study.Purpose: This study aimed to investigate ultra-short-term heart rate variability recordings under stabilization or post-stabilization periods in four overseas training camps.Participant: Twenty-seven U-20 male national team futsal players voluntarily participated in this study.Method: Resting HRV was evaluated for 10 min during the early morning of each training camp. The natural logarithm of the root mean square of successive normal-to-normal interval differences (LnRMSSD) was used for comparisons. Time segments of HRV were divided into two periods with three measures within each: (1) the first 30-s (1st_30 s LnRMSSD), the first 60-s (1st_60 s LnRMSSD), and the 5-min standard (1st_5 min LnRMSSD) during stabilization; (2) the first 30-s (2nd_30 s LnRMSSD), the first 60-s (2nd_60 s LnRMSSD), and the 5-min standard (2nd_5 min LnRMSSD) after stabilization.Result: The results demonstrated trivial to small ES (−0.03; 0.46), very large to nearly perfect ICC (0.76; 0.98), and narrow range of SEM (0.06; 0.31) when all time segments of HRVUST were compared to the 1st_5 min and 2nd_5 min HRV. Furthermore, the magnitude of the correlation coefficients ranged from very high to nearly perfect for all the time segments (r = 0.83; 0.97). The HRVUST posted excellent agreement in all time segments (bias = −0.05; 0.12) with/without postural stabilization. Trivial to small levels of effect size in all time segments of LnRMSSDmean (0.02; 0.41 ES) and LnRMSSDcv (−0.49; −0.02 ES) across overseas training camps was identified.Conclusion: The first 30 or 60-s LnRMSSD recordings can be used to evaluate daily cardiac-autonomic function during overseas training camps in futsal players. The process for stabilization seems to be unnecessary for measuring the morning resting LnRMSSD in overseas training camps among young adult futsal players.

Background: To investigate the usefulness of ventilator parameters in the prediction of development and outcome of acute respiratory distress syndrome (ARDS) in postoperative patients with esophageal or lung cancer on admission to the surgical intensive care unit (SICU). Methods: A total of 32 post-operative patients with lung or esophageal cancer from SICU in a tertiary medical center were retrospectively analyzed. The study patients was divided into ARDS group (n = 21) and non-ARDS group (n = 11). ARDS group were the post-operative patients who developed ARDS after lung or esophageal cancer surgery. The ventilator variables were analyzed in this study. Principal component analysis (PCA) was performed to reduce the correlated ventilator variables to a small set of variables. By using the PCA selection method, top three ventilator variables with large coefficients can be considered as sensitive variables and were included in the analysis model based on the rule of 10 events per variable. Firth logistic regression with selective stepwise elimination procedure was performed to identify the most important predictors of morbidity and mortality in patients with ARDS. The ventilator parameters including rapid shallow breath index during mechanical ventilation (RSBIv), rate pressure product of ventilation (RPPv), rate pressure volume index (RPVI), mechanical work (MW), and inspiration to expiration time ratio (IER) were analyzed in this studyResults: The newly defined parameter MW/IER was the most important predictors for the development of ARDS, and both RPPv and RPVI were the significant predictors of mortality in patients with ARDS.Conclusion: Some ventilator parameters can be derived from ventilator readings and be used to predict the development and outcome of ARDS in mechanically ventilated patients on admission to the SICU, such as RPPv, RPVI and MW/IER defined in this study.