The impact of physical exercise on the occurence of arrhythmias in athletes – recommendations

The aim of this article is to demonstrate the impact of physical exercise on the development of arrhytmias in athletes. The studies show that this relation exist and concerns endurance sports practiced for a long time. In addition, this article contains review of the most common arrhythmias in athletes and appropriate recommendations. The time of arrhythmias onset depends on the presence of structural heart diseases. If the cardiac disorder is absent the arrhythmias appear at the age 40-50. If the structural heart diseases exist, the arrhythmias occur in young athletes and are more dangerous (can lead to sudden cardiac arrest). The most common arrhythmia in endurance athletes is atrial fibrillation. In order to avoid negative results of endurance sports, such as cardiac arrhythmias, the reliable examinations are necessary, especially to exclude structural cardiac diseases. These examinations should be undertaken before initiation of endurance sport training and routinely later, in course of follow-up.

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The impact of neonatologist performed echocardiography in an Italian neonatal unit

Journal of Neonatal-Perinatal Medicine ◽

10.3233/npm-210811 ◽

2021 ◽

pp. 1-6

Author(s):

A. Casani ◽

N. Tozzi ◽

F. Cocca

Keyword(s):

Heart Diseases ◽

Heart Defects ◽

Neonatal Unit ◽

Hemodynamic Changes ◽

Hemodynamic Assessment ◽

Structural Abnormalities ◽

Structural Heart Diseases ◽

Neonatal Care Unit ◽

The Impact ◽

Additional Role

BACKGROUND: The main goal of neonatologist performed echocardiography is to timely assess hemodynamic changes in order to properly manage unsteady neonates. Detailed structural heart assessment remains the domain of pediatric cardiologists. Nonetheless, many neonatologists take on an additional role in diagnosis of congenital heart defects, mostly compelled by the lack of in-house pediatric cardiology services. The experience of neonatologist performed echocardiography in an Italian neonatal unit was reported and the risk benefit profile of this practice was discussed. MATERIAL AND METHODS: We retrospectively reviewed the echocardiograms undertaken by the neonatologist on infants admitted to the neonatal unit and postnatal ward of the Hospital San Pio in Benevento, over a 2-year period. Details of scans and concordance between neonatologist and cardiologist were analyzed. RESULTS: A total of 160 echocardiographic studies were done by the neonatologist on 136 infants. The ECG was requested in a minority of infants. The most common reason for performing the echocardiogram was admission to the neonatal care unit. Around half of the echocardiograms were normal. The remaining scans resulted in functional and structural abnormalities, transitional changes, and doubtful findings. Cardiac anomalies were significantly more likely found in cases of echocardiograms performed for fetal indications. Only 28 patients were eventually referred to the cardiology services. The inter-rater agreement was satisfactory. CONCLUSIONS: The hemodynamic assessment of sick infants, as well as triaging and referral of neonates with structural heart diseases are valuable advantages of the echocardiography run by neonatologists. Collaboration with pediatric cardiologists and robust training and accreditation programs are essential to ensure safety and quality service.

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Euratom and Brexit: Could the United Kingdom Maintain One Foot in the European Union? Current Scenarios and Future Prospects of British withdrawal from the EAEC

International and Comparative Law Review ◽

10.2478/iclr-2018-0042 ◽

2018 ◽

Vol 18 (2) ◽

pp. 134-151

Author(s):

Andrea Circolo ◽

Ondrej Hamuľák

Keyword(s):

European Union ◽

United Kingdom ◽

Independent Solution ◽

Legal Regulation ◽

The European Union ◽

The United Kingdom ◽

The Status ◽

Long Time ◽

Energy Community ◽

The Impact

Abstract The paper focuses on the very topical issue of conclusion of the membership of the State, namely the United Kingdom, in European integration structures. The question of termination of membership in European Communities and European Union has not been tackled for a long time in the sources of European law. With the adoption of the Treaty of Lisbon (2009), the institute of 'unilateral' withdrawal was introduced. It´s worth to say that exit clause was intended as symbolic in its nature, in fact underlining the status of Member States as sovereign entities. That is why this institute is very general and the legal regulation of the exercise of withdrawal contains many gaps. One of them is a question of absolute or relative nature of exiting from integration structures. Today’s “exit clause” (Art. 50 of Treaty on European Union) regulates only the termination of membership in the European Union and is silent on the impact of such a step on membership in the European Atomic Energy Community. The presented paper offers an analysis of different variations of the interpretation and solution of the problem. It´s based on the independent solution thesis and therefore rejects an automatism approach. The paper and topic is important and original especially because in the multitude of scholarly writings devoted to Brexit questions, vast majority of them deals with institutional questions, the interpretation of Art. 50 of Treaty on European Union; the constitutional matters at national UK level; future relation between EU and UK and political bargaining behind such as all that. The question of impact on withdrawal on Euratom membership is somehow underrepresented. Present paper attempts to fill this gap and accelerate the scholarly debate on this matter globally, because all consequences of Brexit already have and will definitely give rise to more world-wide effects.

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Association and treatment of diabetes in patients affected by Covid-19

International Journal of Research in Pharmaceutical Sciences ◽

10.26452/ijrps.v11ispl1.3591 ◽

2020 ◽

Vol 11 (SPL1) ◽

pp. 1198-1201

Author(s):

Syed Yasir Afaque

Keyword(s):

Diabetes Mellitus ◽

Prognostic Value ◽

Heart Diseases ◽

The Novel ◽

The World ◽

Treatment Of Diabetes ◽

Coronavirus Infection ◽

Composite Outcomes ◽

Novel Coronavirus ◽

The Impact

In December 2019, a unique coronavirus infection, SARS-CoV-2, was first identified in the province of Wuhan in China. Since then, it spread rapidly all over the world and has been responsible for a large number of morbidity and mortality among humans. According to a latest study, Diabetes mellitus, heart diseases, Hypertension etc. are being considered important risk factors for the development of this infection and is also associated with unfavorable outcomes in these patients. There is little evidence concerning the trail back of these patients possibly because of a small number of participants and people who experienced primary composite outcomes (such as admission in the ICU, usage of machine-driven ventilation or even fatality of these patients). Until now, there are no academic findings that have proven independent prognostic value of diabetes on death in the novel Coronavirus patients. However, there are several conjectures linking Diabetes with the impact as well as progression of COVID-19 in these patients. The aim of this review is to acknowledge about the association amongst Diabetes and the novel Coronavirus and the result of the infection in such patients.

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The Impact of Physical Exercise on Sleep in Colorectal Cancer Patients During Prehabilitation Period

Case Medical Research ◽

10.31525/ct1-nct04270500 ◽

2020 ◽

Author(s):

Keyword(s):

Colorectal Cancer ◽

Physical Exercise ◽

Cancer Patients ◽

Colorectal Cancer Patients ◽

The Impact

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„Arvīd, uz kurieni Tu aizgāji?”: Arvīda Griguļa personības loma Rakstnieku savienības vēsturē

Aktuālās problēmas literatūras un kultūras pētniecībā: rakstu krājums ◽

10.37384/aplkp.2020.25.074 ◽

2020 ◽

pp. 74-84

Author(s):

Madara Eversone

Keyword(s):

20Th Century ◽

Communist Party ◽

Central Committee ◽

State Archive ◽

National Archives ◽

Literary Heritage ◽

Literary Process ◽

Long Time ◽

The Impact

The article aims to highlight the role of Arvīds Grigulis’ (1906–1989) personality in the Latvian Soviet literary process in the context of the Latvian Soviet Writers’ Union, attempting to discover the contradictions and significance of Arvīds Grigulis’ personality. Arvīds Grigulis was a long-time member of the Writers’ Union, a member of the Soviet nomenklatura, and an authority of the soviet literary process. His evaluations of pre-soviet literary heritage and writings of his contemporaries were often harsh and ruthless, and also influenced the development of the further literary process. The article is based on the documents of the Central Committee of the Latvian Communist Party, the Latvian Soviet Writers’ Union and the Communist Party local organization of the Latvian Soviet Writers’ Union that are available at the Latvian State Archive of the National Archives of Latvia, as well as memories of Grigulis’ contemporaries. It is concluded that the personality of the writer Arvīds Grigulis, although unfolding less in the context of the Writers’ Union, is essential for the exploration of the soviet literary process and events behind the scenes. The article mainly describes events and episodes taking place until 1965, when Arvīds Grigulis’ influence in the Writers’ Union was more remarkable. Individual and further studies should analyse changes and the impact of his decisions in the cultural process of the 70s and 80s of the 20th century.

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Using Self-report to Study How Application affect Motivation of Behavior Change (Preprint)

10.2196/preprints.21992 ◽

2020 ◽

Author(s):

Yuan Yin ◽

Yurong Yu

Keyword(s):

Behavior Change ◽

Self Report ◽

Group Method ◽

Behavior Changes ◽

Technology Design ◽

Factors Affecting ◽

Negative Results ◽

Long Time ◽

Ecological Momentary ◽

Positive Effect

BACKGROUND Currently, changing behaviors with the assistance of mobile applications has been popularized. However, most of the participants are unable to persist in participating in behavior-changing activities for a long time. Some researchers have studied what factors motivate people to maintain behaviors-changing actions. There has been controversy about whether the commonly used triggers, negative results or competitions, could motivate behavior changes. In the meantime, the main methodology these researchers have been using is to conduct experiments, from which data was collected from subjects’ recalling previous behavior changing. The experiments are time-consuming, and the results can be unreliable. To resolve this problem, the Ecological Momentary Assessment (EMA) was developed to record real-time feedback. However, the EMA unavoidably increases the workload of the subjects. OBJECTIVE This study investigated the factors affecting behavior change, especially from the motivation aspect. Additionally, this paper attempted to identify a way to record human behavior changes without increasing the subjects’ workload. METHODS The methodology of “self-report” was adopted to report how people’s views regarding the behavior-changing intervention. To achieve a balance between workload and being timely, the self-reporting data was recorded once a day. After the 28-day “self-report” experiment, the “focus group” method was used to gather people’s feedback on behavior changing process. RESULTS This paper identified 9 factors: cooperation, competition, award, understandable graphic, reminder and alarm, trust and willing, gender, relation with disease and environmental factors). These factors could affect motivation of behavior changing. Besides, we found that negative results could be a motivation for behavior changing. In the experiment, we also found that a small number of subjects tended to cheat for a more “beautiful” result. The last part of the paper has presented possible implications for technology design to facilitate behavior-changing. CONCLUSIONS In particular, (i) the research promoted the possibility of cheating when recording data which is ignored by existing research and will make the digital applications less useful; (ii) the results show that not all cooperation is needed to lead to a positive effect; (iii) the research identified the negative results caused by over-competition in behavior change. Finally, the paper proposes technology design directions should focus on giving motivation through keeping dairy, negative results feedback and avoid cheating.

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Effect of Adherence to Physical Exercise on Cardiometabolic Profile in Postmenopausal Women

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18020656 ◽

2021 ◽

Vol 18 (2) ◽

pp. 656

Author(s):

Valentina Bucciarelli ◽

Francesco Bianco ◽

Francesco Mucedola ◽

Andrea Di Blasio ◽

Pascal Izzicupo ◽

...

Keyword(s):

Physical Exercise ◽

Diastolic Function ◽

Postmenopausal Women ◽

Serum Glucose ◽

Moderate Intensity ◽

Adherence Rate ◽

Before And After ◽

Estrogen Depletion ◽

The Impact ◽

Cardiometabolic Profile

Background: Menopause is associated with negative cardiovascular adaptations related to estrogen depletion, which could be counteracted by physical exercise (PhE). However, the impact of total adherence-rate (TA) to PhE and sedentary time (SedT) on cardiometabolic profile in this population has not been elucidated. Methods: For 13-weeks, 43 women (57.1 ± 4.7 years) participated in a 4-days-a-week moderate-intensity walking training. They underwent laboratory, anthropometric and echocardiographic assessment, before and after training (T0–T1). Spontaneous physical activity (PhA) was assessed with a portable multisensory device. The sample was divided according to TA to PhE program: <70% (n = 17) and ≥70% (n = 26). Results: TA ≥ 70% group experienced a significant T1 improvement of relative wall thickness (RWT), diastolic function, VO2max, cortisol, cortisol/dehydroandrostenedione-sulphate ratio and serum glucose. After adjusting for SedT and 10-min bouts of spontaneous moderate-to-vigorous PhA, TA ≥ 70% showed the most significant absolute change of RWT and diastolic function, body mass index, weight and cortisol. TA ≥ 70% was major predictor of RWT and cortisol improvement. Conclusions: In a group of untrained, postmenopausal women, a high TA to a 13-weeks aerobic PhE program confers a better improvement in cardiometabolic profile, regardless of SedT and PhA levels.

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Consumption of dairy products and cardiovascular disease risk: results from the French prospective cohort NutriNet-Santé

British Journal Of Nutrition ◽

10.1017/s0007114521001422 ◽

2021 ◽

pp. 1-37

Author(s):

Laury Sellem ◽

Bernard Srour ◽

Kim G. Jackson ◽

Serge Hercberg ◽

Pilar Galan ◽

...

Keyword(s):

Cardiovascular Disease ◽

Dairy Products ◽

Disease Risk ◽

Heart Diseases ◽

Cardiovascular Disease Risk ◽

Dietary Intakes ◽

Cvd Risk ◽

Dairy Consumption ◽

Fermented Dairy ◽

The Impact

Abstract In France, dairy products contribute to dietary saturated fat intake, of which reduced consumption is often recommended for cardiovascular disease (CVD) prevention. Epidemiological evidence on the association between dairy consumption and CVD risk remains unclear, suggesting either null or inverse associations. This study aimed to investigate the associations between dairy consumption (overall and specific foods) and CVD risk in a large cohort of French adults. This prospective analysis included participants aged ≥ 18 years from the NutriNet-Santé cohort (2009–2019). Daily dietary intakes were collected using 24h-dietary records. Total dairy, milk, cheese, yogurts, fermented and reduced-fat dairy intakes were investigated. CVD cases (n=1,952) included cerebrovascular (n=878 cases) and coronary heart diseases (CHD, n=1,219 cases). Multivariable Cox models were performed to investigate associations. This analysis included n=104,805 French adults (mean age at baseline 42.8 years (SD 14.6)), mean follow-up 5.5 years (SD 3.0, i.e. 579,155 persons years). There were no significant associations between dairy intakes and total CVD or CHD risks. However, the consumption of at least 160 g/d of fermented dairy (e.g. cheese and yogurts) was associated with a reduced risk of cerebrovascular diseases compared to intakes below 57 g/d (HR=0.81 [0.66-0.98], p-trend=0.01). Despite being a major dietary source of saturated fats, dairy consumption was not associated with CVD or CHD risks in this study. However, fermented dairy was associated with a lower cerebrovascular disease risk. Robust randomized controlled trials are needed to further assess the impact of consuming different dairy foods on CVD risk and potential underlying mechanisms.

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