Relationshp Between Sleep Quality, Mood State, and Performance of Elite Air-Rifle Shooters

Background To evaluate the impact of pre-competition sleep quality on the mood and performance of elite air-rifle shooters. Methods This study included 23 elite air-rifle shooters who participated in an air-rifle shooting-competition from April 2019 to October 2019. Sleep time, sleep efficiency, sleep latency, and wake-up time after sleep onset were monitored using actigraphy. The Pittsburgh sleep quality index and Profile of Mood State were used to assess sleep quality. Competitive State Anxiety Inventory-2 was used to evaluate mood state. Results The average time to fall asleep, sleep time, sleep efficiency, and subjective sleep quality were 20.6 ± 14.9 min, 7.0 ± 0.8 h, 85.9 ± 5.3%, and 5.2 ± 2.2, respectively. Sleep quality decreased as the competition progressed. Pre-competition sleep time in female athletes was significantly higher than that on the competition day (P = 0.05). Pre-competition sleep latency was significantly longer in women than in men (P = 0.021). During training and pre-competition, the tension, fatigue, depression, and emotional disturbance were significantly lower in athletes with good sleep quality than in athletes with poor sleep quality. Athletes with good sleep quality had significantly more energy. The PSQI total score was positively correlated with positive emotion, TMD, cognitive anxiety, and somatic anxiety POMS scores, and negatively correlated with energy and self-confidence scores. Race scores and depression and somatic anxiety scores were negatively correlated. Conclusion Poor sleep quality negatively impacted the mood of athletes; however, sleep indices and competition performance of athletes during competitions were not significantly correlated.

Modeling of mechanical eye injury. Relevance. Background

The share of eye injuries in Russia is from 3 to 8% of the total number of injuries in peacetime. Eye trauma is one of the three main causes of vision disability and accounts for 22.8%. In wartime, the mass admission of wounded with damage to the organ of vision requires prompt decisions on their sorting, treatment, rehabilitation, dismissal, or return to duty. In peacetime, mechanical trauma to the eye is associated with the disability of the working population and large material costs. Considering the relevance of mechanical trauma to the eye, ophthalmologists around the world are constantly investigating the features of the pathogenetic mechanism, diagnosis, and treatment. Retrospective studies are based on the analysis of clinical cases, which are not always homogeneous. Experimental damage modeling has a long history. Attempts to simulate mechanical eye trauma have been made since the 40s of the XX century. Mathematical models are calculated based on known data: thickness, density, the elasticity of tissues, this makes it possible to predict the result of exposure to a wounding agent. Unfortunately, in these models, it is difficult to reproduce the entire complex of pathomorphological changes. The created models fulfilled the assigned tasks but had certain drawbacks. In each subsequent experiment, the reproducibility improved and the model approached the desired one as accurately as possible. Specialists of the Professor V.V. Volkov Ophthalmology Department S.M. Kirov Military Medical Academy since the 40s. are engaged in solving this problem. For the first time in an experiment, B.L. Pole proved that closure of eyeball wounds with corneal and scleral sutures has an advantage over conjunctival covering. B.V. Monakhov et al. created an installation for inflicting mine-explosive injury to the eye. In the experiment, M.M. Shishkin inflicted a combined eye injury by striking the sclera with a knife with a rectangular blade and firing an air rifle at the knife handle. B.A. Kanevsky et al. reproduced a D-type gunshot open eye injury shot from an air rifle with a multi-compression piston pump. The creation of models that reproduce the mechanical trauma of the eye made it possible to study it in an experiment, which improved the quality of diagnostics and reduced the proportion of disability in this pathology (bibliography: 24 refs).

HEMOTHORAX FOLLOWING PENETRATING THORACIC INJURY (GUNSHOT WOUND) IN GERIATRIC PATIENT: A CASE REPORT AND EMERGENCY MANAGEMENT

Introduction: Penetrating chest trauma is highly lethal. Studies have reported up to 60% mortality depending on the mechanism of injury. While penetrating chest trauma is less common than blunt trauma, it can be more deadly. High-velocity gunshot injury resulting in penetrating thoracic trauma in geriatric patients poses a significant challenge for the traumatic surgeon. Hemothorax is usually a consequence of penetrating chest trauma. It can be caused by intercostal arterial bleeding, especially the posterior part. Initial treatment, including chest tube drainage insertion, is needed to avoid lung compression and to assess future treatment needed. Purpose: To report the patient survival from massive hemothorax caused by penetrating Thoracic injury caused by an air rifle, treated by chest tube insertion and posterolateral thoracotomy to take out the bullet several days after. Case Report: 70-year male patient came to the Emergency Room (ER) Adihusada Hospital Surabaya with a penetrating chest injury caused by an air rifle on the right side of the chest. The patient had chest pain, shortness of breath, and hypoxia. By inserting a chest tube, emergency management was done by a general surgeon due to the massive right hemothorax. An immediate chest tube insertion was needed to overcome the patient’s breathing problem to assess the future treatment needed. Chest X-ray and CT-Scan was done immediately after the patient’s hemodynamic were stable. Three days after hospitalizing, the Cardiothoracic and vascular surgeon performed posterolateral thoracotomy to take the bullet out of the chest. Conclusion: Seven days postoperatively, the patient was discharged from the hospital without any complications and stable hemodynamic. The patient went to the outpatient department for follow-up one week after.

Drag coefficients of air rifle pellets with wide range of geometries

Air rifle and air pistol target shooting are included in major intentional and national sports competitions and are also highly popular sport pastimes. Published scientific studies of pellet drag are very rare, in contrast to a large number of scientific studies published on aerodynamic drag of sports balls and other sports projectiles. Measurements are presented of the drag coefficients for 31 air rifle pellets of mainly 4.5 mm (0.177 in) calibre having a wide range of geometries. The drag coefficient measurements were made with a low-turbulence open wind tunnel at flow velocity of 200 m/s (Mach and Reynolds numbers 0.57 and 56,000 for 4.5 mm pellets). The detailed geometry of some pellets was altered systematically in order to improve understanding of how pellet geometry affects drag coefficient. The drag coefficient for the 31 pellets varied widely from 0.36 to 0.78, and it was influenced substantially by the curvature of the flow separating from the pellet head rim. Large curvatures delayed flow re-attachment onto the pellet tail, thereby lowering pellet base pressure and increasing the value of drag coefficient. Pellets with hemi-spherical or ogive-shaped noses generally had lower values of drag coefficient than pellets with other nose shapes. The presence of the pellet tail was beneficial by providing a surface onto which the flow detaching from the pellet rim could re-attach. However, for minimisation of drag coefficient, the pellet tail had to be of a certain optimum length which depended on the shape of the pellet nose. Small differences in pellet geometry had significant influence on the value of drag coefficient. Increase in air velocity from 120 to 200 m/s had small influence on the value of drag coefficient for three common sports pellets having flat, conical and dome-shaped noses.

Factors that influence performance in Olympic air-rifle and small-bore shooting: A systematic review

Background Air-rifle and small-bore shooting are fascinating Olympic sports due to their unique performance requirements for accuracy and precision. Objective The purpose of our study was to systematically research the literature to determine and summarize performance determinants in both air-rifle and small-bore shooting. Since some athletes participate internationally in both disciplines in competition, the disciplines must have some similarity in the performance structure. Therefore, we further investigated whether performance in air-rifle and small-bore shooting can be explained by the same performance determinants. Methods We systematically searched in four databases using combined keywords relevant to performance in air-rifle and small-bore shooting. The articles included had undergone peer-review and had a) a direct relation to shooting performance, b) an indirect relation by comparing the performance of shooters of different skill levels, and c) a practical relevance (directly controllable through training). After the quality of each article was assessed, the key data were extracted and summarized. Results The fourteen articles included achieved an average of 60 ± 14% (range 30–80%) in quality assessment. Altogether, articles covered 268 subjects (32% female), of which 19% were elite- and 28% were national-level athletes. Sixteen performance determinants were investigated, which were divided into anthropometric, technical-coordinative, physiological and psychological categories. Both in air-rifle and small-bore shooting, rifle stability and body sway were found to differ between elite- and national-level athletes. In both disciplines, body sway seemed to have no influence on shot score in elite- and national-level athletes. Similarly, heart rate did not correlate with shot score at nearly all performance levels in both disciplines. In national-level air-rifle athletes, horizontal rifle stability, aiming accuracy and aiming time were found to affect shot score. Conclusions To be competitive at a national-level in air-rifle shooting, a highly developed aiming process is needed to achieve a high shot score. Lack of data prevented us from drawing evidence-based conclusions in elite-level air-rifle athletes and in small-bore shooting. Future research should investigate possible performance determinants both in air-rifle and in small-bore shooting, especially with elite-level athletes, to confirm or disprove existing findings. Further research should use more complex analyses to investigate the multifaceted processes associated with different performance determinants.

Morphological features of the simulated gunshot wounds of rabbits’ soft tissues at different temperatures of injuring object

The article presents the results of experimental modeling of super­ficial fragment gunshot wounds of soft tissues, obtained in low-energy gunshot wounds. The pathomorphosis of gunshot wounds was studied, and the features and timing of their healing were compared depending on the temperature of the damaging fragments. The aim of the work was to study the effect of the temperature of the injuring shrapnel on the healing processes of the soft tissues of experimental animals with superficial low-energy fragment gunshot wounds. Using the random number method, laboratory animals (rabbits) were divided into 3 experimental groups (15 animals each). In each group, wounding was with fragments with different temperatures − 18°С, 50°С and 100°С. The control group consisted of 10 intact animals. On day 14th, 30th and 60th, 5 animals from each group were withdrawn from the experiment. Microscopic examination of soft tissues was performed using a PRIMO STAR light microscope (Carl Zeiss, Germany) at magnification by 56 and 400 times. When assessing the state of tissues in the area of wound damage, it was established that as the temperature of the injuring fragment increases, a slower filling of the defect formed by the necrotic detritus in the process of utilization of necrotic detritus is observed. The high temperature of the injuring fragment along with the mechanical rupture of tissues causes thermal coagulation necrosis. Dense coagulated necrotic masses covering the wound canal from the inside, not only increase the volume of necrotic masses, but also complicate the process of wound healing. At a temperature of wounding fragments 100°C, the formation of a necrotic crust on the surface of the wound occurred on average 3±1.2 days later than at temperatures of 18°C and 50°C, the least pronounced healing took place at the bottom of the wound and in the muscle tissue. Microscopically necrotic, not dystrophic changes were observed in myocytes. Thus, a comparative analysis of the pathomorphosis of soft tissues in a wound when injured from an air rifle MP-532 with different temperature of the fragments showed differences from both the alteration of the tissues and the regenerative potential.

Managing the penetrated traumatic spinal injury by an airgun shot: A case report from Dr. Soetomo Hospital, Surabaya, Indonesia

Penetrated Traumatic Spinal Injury by Airgun Shot are rare events. As a result, handling this case is both, thrilling and challenging. We present a case of a penetrated traumatic spinal injury from an airgun, as well as a summary of the literature on how to treat them. A 9-year-old boy was taken to hospital after being shot in the right side of his front neck with an air rifle. The patient had been shot from a distance with an upfront direction. The patient had no breathing problem but complained of pain during swallowing. The patient was conscious, alert, and oriented. There was no breathing distress. The head and neck Computed Tomography Scan displayed a foreign body with metal-density at the vertebral body of the first thoracal and discontinuity of the esophageal wall. Debridement and exploration surgery have successfully released the bullet. Repair trachea had been performed. Postoperatively, the patient had no complications. We can conclude that a foreign body at the spine, especially in the vertebral body of the cervical, can be effectively and safely released by exploration surgery.