Surgical Aspects of Corpus Callosotomy

Corpus callosotomy (CC) is one of the options in epilepsy surgeries to palliate patient seizures, and is typically applied for drop attacks. The mechanisms of seizure palliation involve disrupting the propagation of epileptic activity to the contralateral side of the brain. This review article focuses on the surgical aspects of CC. As a variations of CC, anterior two-thirds, posterior one-third, and total callosotomy are described with intraoperative photographs. As less-invasive surgical variations, recent progress in endoscopic CC, and CC without craniotomy, is described. CC remains acceptable under the low prevalence of complications, and surgeons should make the maximum effort to minimize the complication rate.

Biomechanics Related to Increased Softball Pitcher Shoulder Stress: Implications for Injury Prevention

Background: Softball pitchers exhibit high throwing shoulder distraction force, which is a theorized mechanism of throwing shoulder overuse injury. Windmill pitching involves a variety of highly individualistic pitching styles, and certain kinematics preceding ball release likely influence the amount of shoulder stress that a pitcher accrues. Purpose: To examine the association of trunk and throwing arm kinematics, kinetics, and timing variables with peak throwing shoulder distraction force in high school softball pitchers. Study Design: Descriptive laboratory study. Methods: A total of 37 high school pitchers (mean ± SD; height, 1.71 ± 0.06 m; weight, 75.53 ± 16.12 kg; age, 16 ± 2 years) threw 10 fastball pitches at regulation distance (43 ft [13.1 m]) and with maximum effort. Kinematic data were collected at 240 Hz using an electromagnetic motion capture system synced with motion analysis software. The 3 fastest pitches were averaged and analyzed. Kinematic, kinetic, and timing variables were entered into a stepwise linear regression analysis. Results: Four variables were included in the significant model ( F4,39 = 147.51; P < .001) and explained peak shoulder distraction force ( R2 = 0.944; adjusted R2 = 0.938; SE = 0.036): increased peak elbow distraction force ( t = 19.90; P < .001) and extension moment ( t = 3.63; P = .001), as well as decreased elbow flexion velocity ( t = −2.37; P = .023) and trunk flexion at foot contact of the pitch ( t = −3.00; P = .005). Conclusion: Elbow kinetics and angular velocity, as well as trunk positioning at foot contact, are associated with peak throwing shoulder distraction force in high school softball pitchers. Clinical Relevance: Variables associated with peak throwing shoulder distraction force provide information regarding injury mechanism and coachable cues that might reduce shoulder injury risk among pitchers.

Performance Prediction Equation for 2000 m Youth Indoor Rowing Using a 100 m Maximal Test

Background: The exhaustive series of tests undergone by young athletes of Olympic rowing prior to important competitions imply loads of physical stress that can ultimately impact on mood and motivation, with negative consequences for their training and performance. Thus, it is necessary to develop a tool that uses only the performance of short distances but is highly predictive, offering a time expectancy with high reliability. Such a test must use variables that are easy to collect with high practical applicability in the daily routine of coaches. Objective: The objective of the present study was to develop a mathematical model capable of predicting 2000 m rowing performance from a maximum effort 100 m indoor rowing ergometer (IRE) test in young rowers. Methods: The sample consisted of 12 male rowing athletes in the junior category (15.9 ± 1.0 years). A 100 m time trial was performed on the IRE, followed by a 2000 m time trial 24-h later. Results: The 2000 m mathematical model to predict performance in minutes based on the maximum 100 m test demonstrated a high correlation (r = 0.734; p = 0.006), strong reliability index (ICC: 0.978; IC95%: [0.960; 0.980]; p = 0.001) and was within usable agreement limits (Bland -Altman Agreement: −0.60 to 0.60; 95% CI [−0.65; 0.67]). Conclusion: The mathematical model developed to predict 2000 m performance is effective and has a statistically significant reliability index while being easy to implement with low cost.

The effect on critical velocity of runnings with change of direction in soccer

Introduction: The aim of this study was to examine relationships between Yo-Yo intermittent recovery level 1 test (YYIR1T) performance and critical velocity determined by test protocols consisting of runs with a change of direction and straight runs. Material and Methods: Twelve young soccer players voluntarily participated in study (age: 17.07±0.24 years, training experience: 8.42±2.50 years, height: 178.58±5.76 cm, weight: 70.67±6.14 kg, body mass index: 22.16±1.59). To determine critical velocity, 6-, 9- and 12-minute runs were performed with maximum effort on a straight-line running track and a running track with a change of direction. The critical velocity was determined by two linear regression models. YYIR1T was performed to determine players’ aerobic endurance. The critical velocity value of the two test tracks was compared by the paired samples T-test. The correlation between test parameters was determined by Spearman’s correlation coefficient. Results: A significant difference between anaerobic distance capacity and the mean running speed of the two test tracks (p<0.05) was found. There was a significant correlation between critical velocity in the straight-line test track and the YYIR1T performance (p<0.05). Conclusions: Consequently, it might be said that runs with a change of direction might increase energy expenditure and anaerobic distance capacity was highly affected by those compared to critical velocity.

Combined Algorithm-Based Adaptations of Insulin Dose and Carbohydrate Intake During Exercise in Children With Type 1 Diabetes: Results From the CAR2DIAB Study

ObjectivesTo evaluate the evolution of subcutaneous glucose during two sessions of monitored aerobic exercise in children or adolescents with type 1 diabetes after adaptation of insulin doses and carbohydrate intake according to a combined algorithm.MethodsTwelve patients with type 1 diabetes (15.1 ± 2 years; diabetes duration: 9.5 ± 3.1 years) performed two series of exercise sessions after cardiac evaluation. The first series (TE#1) consisted in a monitored exercise of moderate to vigorous intensity coupled with a bout of maximum effort. The second series of exercises (TE#2) was carried out in real life during exercises categorized and monitored by connected watches. TE#2 sessions were performed after adaptation of insulin doses and fast-acting carbohydrates according to decision algorithms.ResultsPatients did not experience episodes of severe hypoglycemia, symptomatic hyperglycemia, or hyperglycemia associated with ketosis. Analysis of CGM data (15 h) during TE#2 sessions revealed an overall improvement in glycemic average [± standard deviation] (104 ± 14 mg/dl vs. 122 ± 17 mg/dl during TE#1; p &lt; 0.001), associated with a decrease in proportion of hyperglycemia in periods ranging from 4 h to 15 h after performing the exercises. The proportion of hypoglycemia was not changed, except during the TE#2 +4–8 h period, where a significant increase in hypoglycemia &lt;60 mg/dl was observed (25% vs. 6.2%; p = 0.04), yet without concurrent complications.ConclusionIn our pediatric series, the application of algorithmic adaptations of insulin doses and carbohydrate intake has globally improved glycemic control during 15 h after real-time exercises performed by children and adolescents with type 1 diabetes.

The COVID-19 Vaccination Strategy in Brazil—A Case Study

Brazil is among the countries which have faced two devastating infection waves of COVID-19 in the past year. Despite the fact the country has one of the world’s leading immunization programs, Brazil only slowly established a national COVID-19 vaccination strategy and campaign. This case study is based on an integrative review of primary and secondary literature sources. Different search strategies on Medline and Google Scholar were performed for the case presentation, for the management and outcome of the COVID-19 outbreak and for the state of the COVID-19 vaccination program. Official documents from the Brazilian Ministry of Health, the website of the World Health Organization and pharmaceutical companies were also reviewed. Searches were limited to English, French, German, Portuguese and Spanish. This article describes the Brazilian COVID-19 vaccination campaign and the drivers and barriers to its implementation; and evaluates further investigations needed to have a conclusive overview over the constantly evolving situation. Healthcare inequalities, which were widened during the pandemic, a lack of coordination at the federal level, the absence of federal government support for scientific research and the lack of endorsement and commitment to the mitigation of the COVID-19 pandemic set the country’s COVID-19 vaccination campaign off to a challenging start. However, Brazil had a well-developed primary care system and national vaccination program prior to the pandemic, which are both important facilitators. At the time of writing, six vaccines are currently available in the country, and the program is advancing. The scientific community needs to continue to investigate the country’s vaccination strategy and its implementation to make sure that maximum effort is undertaken for the health of the Brazilian population.

Muhammadiyah Education in Gempol Village during the Covid 19 Pandemic

This research is to discuss the learning strategies that teachers do to students in imparting online or online learning at SMP Muhamadiyah 4 Gempol. Because the learning strategy is one aspect of successful learning for teachers. The learning strategy is a whole series of teaching material presentations which includes all aspects before and after learning by the teacher as well as all related facilities used directly or indirectly in the teaching and learning process. The purpose of this scientific article is to train students' abilities in environmental education, therefore we as students make observations of the SMP Muhamadiyah 4 Gempol school. The conclusion that I can take is that in the implementation of teaching and learning activities it is not always done face-to-face but can be done online as it is today due to conditions that do not allow face-to-face learning, but still it is the maximum effort for the teacher not to decide learning in school so that students continue to receive learning material

Muhammadiyah Education at Gempol Village during the Covid 19 Pandemic

The purpose of holding scientific articles is to train students' abilities to be more sensitive to the world of education in their surroundings, and also to complete assignments that have been given by lecturers to students. For the research method using descriptive qualitative methods or easier, namely using interviews, with this interview method, the information we need is easier to obtain and also obtained easily. Because the information we get comes directly from the source, so there is no misinformation in it. The results that I have obtained from the interviews and articles that I have made have had a significant impact on me regarding education in my own village and have also given me more insight into education. The conclusion that I can take is that in the implementation of teaching and learning activities it is not always done face to face but can be done online as it is today due to conditions that do not allow face to face learning, but still it is a maximum effort to connect the education chain without break the education chain.

Are Wearable Sensors Valid and Reliable for Studying the Baseball Pitching Motion? An Independent Comparison With Marker-Based Motion Capture

Background: In recent years, the prevalence of medial ulnar collateral ligament injuries has increased in throwers of all ages and skill levels. The motusBASEBALL sensor possesses an inertial measurement unit (IMU) that has been developed and applied to the throwing arm to allow for measurements of several objective parameters, which may prove beneficial for monitoring, rehabilitation, and injury prevention in the throwing athlete. However, the reliability, consistency, and validity of the IMU have not been independently assessed. Purpose: To evaluate the reliability, consistency, and validity of the motusBASEBALL sensor compared with the historic gold standard of marker-based motion capture. Study Design: Controlled laboratory study. Methods: A total of 10 healthy male baseball athletes with varsity-level high school experience volunteered to participate in this study. Participants were fitted with 37 retroreflective markers for motion capture and the motusBASEBALL IMU sensor. Participants threw 5 fastballs at maximum effort, with measurements recorded simultaneously by motion capture and the IMU. Arm slot, arm speed, arm stress, and shoulder rotation were measured and compared. Results: Of the 4 metrics generated by the IMU, significant differences were found for 3 of the throwing metrics compared with motion capture including arm slot (5.0°± 6.1°; P = .037), elbow varus torque (9.4 ± 12.0 N·m; P = .037), and shoulder rotation (6.3°± 6.1°; P = .014). Arm speed did not demonstrate a statistically significant difference (29.2 ± 96.8 rpm; P = .375). The IMU consistently underreported pitching performance values. Shoulder rotation exhibited excellent reliability with <5° of error, and arm slot demonstrated good reliability with <10° of error. Arm stress and arm speed were less reliable. Conclusion: The IMU was not accurate or valid for arm slot, arm stress, and shoulder rotation compared with marker-based motion capture. It was relatively accurate for arm speed. Despite its lack of validity, it was consistent and reliable for arm speed and shoulder rotation and relatively reliable for arm slot and arm stress. Caution should be used when comparing values provided by this IMU to the gold standard of marker-based motion capture. Clinical Relevance: IMU technology has potential to be used in monitoring, rehabilitation, and injury prevention in throwing athletes if valid. This study demonstrates that the values provided by the IMU should not be considered equivalent to those generated by the gold standard of marker-based motion capture; however, there may still be a role for this technology when relying on its internal consistency for intrathrower comparisons and tracking.