Intervention Methods Research Articles

Reactive Oxygen Species in Cystic Kidney Disease.

Polycystic kidney disease (PKD) is a rare but significant renal condition with major implications for global acute and chronic patient care. Oxidative stress and reactive oxygen species (ROS) can significantly alter its pathophysiology, clinical outcomes, and treatment, contributing to negative outcomes, including hypertension, chronic kidney disease, and kidney failure. Inflammation from ROS and existing cysts propagate the generation and accumulation of ROS, exacerbating kidney injury, pro-fibrotic signaling cascades, and interstitial fibrosis. Early identification and prevention of oxidative stress and ROS can contribute to reduced cystic kidney disease progression and improved longitudinal patient outcomes. Increased research regarding biomarkers, the pathophysiology of oxidative stress, and novel therapeutic interventions alongside the creation of comprehensive guidelines establishing methods of assessment, monitoring, and intervention for oxidative stress in cystic kidney disease patients is imperative to standardize clinical practice and improve patient outcomes. The integration of artificial intelligence (AI), genetic editing, and genome sequencing could further improve the early detection and management of cystic kidney disease and mitigate adverse patient outcomes. In this review, we aim to comprehensively assess the multifactorial role of ROS in cystic kidney disease, analyzing its pathophysiology, clinical outcomes, treatment interventions, clinical trials, animal models, and future directions for patient care.

음주 문제가 있는 두 청년 내담자의 가족치료 사례연구

Objective: The purpose of this study is to examine factors influencing clients’ drinking problems and changes in clients and their families depending on intervention methods of therapists, focusing on two family therapy cases involving conflicts due to children’s drinking problems. Methods: The study utilized a case study method, allowing for an in-depth examination of the cases. Results: This study found that the factors influencing the children’s drinking problems included personal factors, family factors, and socio-cultural factors. Personal factors were high anxiety and avoidant tendencies. Family factors included issues stemming from the parents’ families of origin, negative parenting styles, dysfunctional communication methods, and a family culture tolerant of drinking. Socio-cultural factors included patriarchal culture and a preference for sons. Conclusions: The findings of this study show a multifaceted analysis of the factors influencing children’s drinking problems and elucidate the cyclic nature of these factors. Additionally, this study is meaningful in providing practical techniques based on family therapeutic interventions for families with children’s drinking problems.

The impact of technology on Brazilian social work: potentials and challenges in ethical and socio-educational intervention

The integration of technology into Brazilian social work has presented both potentials and challenges. Social workers, historically engaged in socio-educational interventions from various perspectives, have experienced changes in their working conditions and tools due to technological innovations, especially following the COVID-19 pandemic. The analysis presented reveals that while technology provides greater access to information and connections, it can also be used to amplify neoliberal influences, prioritising low-cost intervention methods at the expense of service quality and distancing professionals from the population they serve. Social work must adopt a critical and proactive approach, guided by its ethical-political project, to identify the challenges and possibilities of this process. Ignoring technological advances can lead to a detachment from social reality or submission to institutional and neoliberal demands. Methodologically, a systematic literature review and qualitative analysis of secondary data were employed, guided by contemporary critical perspectives within social work.

Virtual Reality (VR) Method to Improve Sense of Place for Interior Design Studio Students

Virtual reality (VR) technology has emerged in response to recent developments in the 3-dimensional (3D) world. VR enables people to engage in various metaverse world experiences in a more immersive way. Immersive learning is a learning method that uses 3D digital technology to facilitate the learning process by visualization in the classroom. This research used a case study of the Interior Design II studio course taken by level-2 students of the Department of Interior Design, School of Creative Industries, Telkom University, Indonesia. The Interior Design II course requires students to design the interior of a residence with a minimum area of 100 m2. The method of paired sample test analysis was used to assess student’s preferences for pre-test and post-test statements from the VR intervention method in assessing student’s sense of place in the final design of the course. The results showed significant differences in student preferences during the pre-test (481.3% and 790.6%), which increased during the post-test (641.7% and 801%). The paired sample t-test analysis results also showed a Sig (2-tailed) number of 0.000 < 0.05, so there is a significant relationship between the pre-test and post-test intervention.

The SIRT5-Mediated Upregulation of C/EBPβ Promotes White Adipose Tissue Browning by Enhancing UCP1 Signaling.

Sirtuin 5 (SIRT5) plays an important role in the maintenance of lipid metabolism and in white adipose tissue browning. In this study, we established a mouse model for diet-induced obesity and the browning of white fat; combined with gene expression intervention, transcriptome sequencing, and cell molecular biology methods, the regulation and molecular mechanisms of SIRT5 on fat deposition and beige fat formation were studied. The results showed that the loss of SIRT5 in obese mice exacerbated white adipose tissue deposition and metabolic inflexibility. Furthermore, the deletion of SIRT5 in a white-fat-browning mouse increased the succinylation of uncoupling protein 1 (UCP1), resulting in a loss of the beiging capacity of the subcutaneous white adipose tissue and impaired cold tolerance. Mechanistically, the inhibition of SIRT5 results in impaired CCAAT/enhancer binding protein beta (C/EBPβ) expression in brown adipocytes, which in turn reduces the UCP1 transcriptional pathway. Thus, the transcription of UCP1 mediated by the SIRT5-C/EBPβ axis is critical in regulating energy balance and obesity-related metabolism.

Effectiveness of Joint Attention Training on Basic Social Communication, Anxiety and Executive Functions of Children with Autism Spectrum

Introduction: The aim of this study was to investigate the effectiveness of joint attention training on basic social communication, anxiety and executive functions of children with autism. Methods: The research design was quasi-experimental and pre-test and post-test with control group. The statistical populations of children with autism spectrum were referred to the psychiatric and psychological centers in Urmia City during the year 2021-2022. 30 individuals (15 ones from the shared attention group and 15 from the control group) were selected as a statistical sample using the available and targeted method. Data via questionnaires of basic social communication (Zabov, 2010), anxiety (Spence, 1999), executive functions of the parents' brief form (Balster Gerard et al., 2000) were collected during the intervention therapy method of joint attention training (Vakilizad and Abedi, 2015) (12 sessions, 3 days a week, each session was an hour and a half, each session was divided into 3 parts of 25 minutes with a 5 minute break for the child). Then the data were analyzed with Software SPSS V. 16 and multivariate analysis of covariance test. Results: The results showed that joint attention training increased basic social communication and executive functions and reduced anxiety in children with autism spectrum. The differences between the investigated groups and the conducted tests were significant (P≤0.01). Conclusion: Interventional treatment methods such as joint attention training should be developed for the treatment of autistic patients, so that with the help of these methods, the individual and collective life of these patients can be improved.

Research on the comprehensive child life intervention program (CCLIP) for adjusting medical fear in children with central nervous system (CNS) cancers: a randomized controlled trial study protocol

BackgroundMedical fear is a common psychological reaction in hospitalized children, especially during radiotherapy for central nervous system (CNS) cancers. This fear not only causes negative emotions such as anxiety and depression but also affects children’s quality of life and treatment outcomes. It is exacerbated by factors such as unfamiliar environments during radiation therapy and separation from parents. Child Life, as a professional service, offers physical and mental support to children through medical understanding and psychological preparation, addressing their social and psychological needs, among other things. This study aims to construct a comprehensive Child Life intervention program (CCLIP), consisting of four key components: psychological adjustment and preparation, therapeutic play, pain management and coping strategies, and family support. The integration of effective intervention methods aims to reduce medical fear in children undergoing radiotherapy, promote psychological well-being, improve treatment compliance, and enhance quality of life.MethodsThis study is a protocol for a randomized controlled trial. Using a random number table method, we plan to recruit 38 eligible children who meet the inclusion criteria and then randomize them into two distinct groups: the intervention group and the control group. The intervention group will receive the CCLIP, and the control group will receive standardized care. Data will be collected through questionnaires and on-site assessments during the one-month intervention period at four distinct time points: the day of admission (T0), the first radiotherapy positioning (T1), mid-radiotherapy (T2), and postradiotherapy (T3). The primary outcome measure is the effectiveness of the CCLIP in reducing medical fear among children receiving radiation treatment for CNS cancers. Secondary outcomes include anxiety, depression, radiation adherence, quality of life among children, and parental satisfaction.DiscussionThis study aims to alleviate medical fear among children with CNS tumors undergoing radiotherapy through the implementation of the CCLIP while enhancing their mental health and quality of life. The expected outcomes of this research include providing effective intervention strategies for clinical practice, improving the treatment experience and long-term prognosis of children, and having positive impacts on children and their families.Trial registrationThis study is registered at the Chinese Clinical Trial Registry, ChiCTR2400082622. Registered 2 April, 2024.

Передумови становлення радянської номенклатури в УСРР в 1919-1924 рр.: історичний контекст

The aim of the article is to clarify the historical context and reasons for the formation of the Soviet nomenclature in the Ukrainian SSR in 1919 – 1924. The research methodology is based on a combination of general scientific (analysis, synthesis, deduction) and special-historical (historiographical scientific analysis, structural-systemic) methods with the principles of historicism, objectivity, scientificity, and evidence. The scientific novelty of the work lies in the fact that using the above-mentioned methods in combination with scientific principles, the authors analyze the process of formation of the Ukrainian nomenclature as a systemic whole, consisting of elements (each element corresponds to a corresponding field of activity), on top of which a super-system is built as a peculiar basis, namely: the form of formation of the Russian nomenclature in the RSFSR (according to which nomenclature is formed in the Ukrainian SSR). Conclusions. Formation of the nomenclature in the Ukrainian SSR occurred as a result of the direct intervention of the Bolsheviks. To form the Ukrainian nomenclature, the Bolsheviks used methods of physical intervention and influence, which was accompanied by the expulsion of Ukrainian communists outside the republic and the appointment of communists from the center (RSFSR) to leadership and vacant positions in the government and communist party in the Ukrainian SSR.

A Mobile Gaming App to Train Teenage Mothers on Appropriate Child Feeding Practices: Development and Validation Study.

Undernutrition is an underlying factor in nearly 50% of 1 million estimated annual deaths among Nigerian children aged <5 years. Inappropriate maternal infant and young child feeding (IYCF) practices are basic contributors to child undernutrition. Teenage motherhood exacerbates the problem of inadequate child feeding. One possible intervention method to improve IYCF knowledge and practices of teenage mothers is the use of mobile gaming technologies. Despite extreme poverty in low- and middle-income countries, a ubiquity of mobile phone networks exists. This study aims to develop and validate a mobile gaming app, called BabyThrive, to train Nigerian teenage mothers on appropriate IYCF practices. To identify gaps in current IYCF practices in northern Nigeria, we conducted an extensive search of the literature and held 2 focus group interviews with 16 teenage mothers with low-income status. An initial app content design was then created, and content validity was established by 10 nutrition experts. Next, we developed an app prototype, which was assessed for quality by 7 nutrition and mobile gaming experts and evaluated for usability by 90 teenage mothers from rural areas in Abuja, the country's capital. The final app, BabyThrive, is a 2D mobile game that is fully functional offline and available in English as well as Hausa, which is commonly spoken in northern Nigeria. The efficacy of the BabyThrive app was assessed using IYCF knowledge scores obtained from the administration of the validated Teen Moms Child Feeding Questionnaire for Sub-Saharan Africa. Construct validity was established via crossover design by comparing the total IYCF knowledge scores of the teenage mothers obtained after a verbal training program and BabyThrive app use. Large proportions of the study participants were married (53/90, 59%) and had no personal income (63/90, 70%). The mean quality rating for the BabyThrive app was 4.3 (SD 0.39) out of 5.0. High levels (>80%) of usability and user satisfaction were documented. Knowledge of exclusive breastfeeding (P<.001) and total knowledge scores (P=.002) were significantly higher in the BabyThrive group than in the verbal training group. The IYCF knowledge scores obtained from both groups showed coherence, with a statistically significant Spearman correlation coefficient of 0.50 (P<.001). This research developed and validated a novel, offline mobile gaming app. It will be an easy, effective, and acceptable method to disseminate critical knowledge on IYCF practices to teenage mothers in rural Nigeria.

Managing Postembolization Syndrome Through a Machine Learning-Based Clinical Decision Support System: A Randomized Controlled Trial.

Although transarterial chemoembolization has improved as an interventional method for hepatocellular carcinoma, subsequent postembolization syndrome is a threat to the patients' quality of life. This study aimed to evaluate the effectiveness of a clinical decision support system in postembolization syndrome management across nurses and patient outcomes. This study is a randomized controlled trial. We included 40 RNs and 51 hospitalized patients in the study. For nurses in the experimental group, a clinical decision support system and a handbook were provided for 6 weeks, and for nurses in the control group, only a handbook was provided. Notably, the experimental group exhibited statistically significant improvements in patient-centered caring attitude, pain management barrier identification, and comfort care competence after clinical decision support system implementation. Moreover, patients' symptom interference during the experimental period significantly decreased compared with before the intervention. This study offers insights into the potential of clinical decision support system in refining nursing practices and nurturing patient well-being, presenting prospects for advancing patient-centered care and nursing competence. The clinical decision support system contents, encompassing postembolization syndrome risk prediction and care recommendations, should underscore its role in fostering a patient-centered care attitude and bolster nurses' comfort care competence.

New media's influence on college students' sports injury prevention and treatment skills

Based on the survey of the basic situation and causes of sports injuries among college students, a prevention and treatment plan for sports injuries was formulated in conjunction with new media intervention methods. The study found that: after three months of intervention experiments conducted through three terminals of the internet platform and two concentrated online classes, there was a certain degree of improvement in college students' ability to prevent and treat sports injuries.

Abstract B021: Quitxt research study: A mobile messaging intervention to promote smoking cessation among young adult smokers in South Texas

Abstract Background: Despite major advances in tobacco control and treatment, tobacco use remains the single largest preventable cause of morbidity and mortality in the US. Smoking prevalence is highest among Texas young adults (ages 18-29), especially those with lower education and income and those living in rural areas, like Latinos. About 19.2% of Latinos ages 18-29 in the study areas are current smokers, putting them at higher risk of cancer and other tobacco-related morbidity and mortality. Young adults are heavy users of smartphones, text messaging, social media chats, and other mobile social media, providing a remarkable opportunity for innovation in the delivery of health promotion interventions to reduce health disparities in this large and rapidly growing racial/ethnic population. This research study aims to assess the effectiveness of Quitxt, our culturally appropriate mobile smoking cessation program. Quitxt – launched by our interdisciplinary research team using proven social cognitive, motivational interviewing, and brief intervention methods for promoting behavior change – blends bilingual text and social media messaging for smoking cessation tailored to the language and culture of young adult smokers in our vulnerable region of South Texas. The team also adapted the program to the Primary Care and Mays Cancer Center patient population, and it is currently being implemented. Quitxt has not been tested in a research study, as its creation as an evidence-based cancer prevention service for young adult smokers was supported by the Cancer Prevention and Research Institute of Texas. Methods: The proposed 5-year study involves a 2-group parallel randomized controlled trial with 4 assessments (baseline, 1, 3, and 6 months) and will recruit 1,200 young adult Latino smokers: 1)The intervention group will receive Quitxt (text messaging or chat); and 2) the usual care group will receive abbreviated text messaging with health promotion-related content, including smoking cessation and referral to the Texas DSHS cessation program YesQuit. Smoking cessation will be validated via biological tests for those who report smoking cessation at the study follow-ups. We hypothesize that the group receiving the Quitxt intervention will achieve significantly higher smoking cessation rates than the group receiving usual care. Results: The proposed intervention will mark the first significant study to assess the effectiveness of an innovative, bilingual, culturally, and linguistically appropriate mobile cessation intervention tailored to young adult Latinos living in South Texas by enhancing their skills development, competence, and self-efficacy to initiate and maintain cessation. Conclusion: This study will advance public health by testing the effectiveness of a scalable, evidence-based, easily disseminated, and adaptable intervention with potentially broad national reach to help young adults stop smoking and reduce smoking-related cancer and chronic disease morbidity and mortality and their associated healthcare costs. Citation Format: Patricia Chalela, Vivian Cortez, Sandra Sivak, Armida Flores, Martha De La Mora, Zully Garcia, Byeongyeob Choi, Edgar Muñoz, Cliff Despres, Alfred L. McAlister, Qurathul Ahmed, Audrey Cordova, Maria I. Sung-Cuadrado, Luis F. Velez, Sahak Kaghyan, Rahul Mundlamuri, David Akopian, Amelie G. Ramirez. Quitxt research study: A mobile messaging intervention to promote smoking cessation among young adult smokers in South Texas [abstract]. In: Proceedings of the 17th AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2024 Sep 21-24; Los Angeles, CA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2024;33(9 Suppl):Abstract nr B021.

Harnessing the Heart's Magnetic Field for Advanced Diagnostic Techniques.

Heart diseases remain one of the leading causes of morbidity and mortality worldwide, necessitating innovative diagnostic methods for early detection and intervention. An electrocardiogram (ECG) is a well-known technique for the preliminary diagnosis of heart conditions. However, it can not be used for continuous monitoring due to skin irritation. It is well known that every body organ generates a magnetic field, and the heart generates peak amplitudes of about 10 to 100 pT (measured at a distance of about 3 cm above the chest). This poses challenges to capturing such signals. This paper reviews the different techniques used to capture the heart's magnetic signals along with their limitations. In addition, this paper provides a comprehensive review of the different approaches that use the heart-generated magnetic field to diagnose several heart diseases. This research reveals two aspects. First, as a noninvasive tool, the use of the heart's magnetic field signal can lead to more sensitive advanced heart disease diagnosis tools, especially when continuous monitoring is possible and affordable. Second, its current use is limited due to the lack of accurate, affordable, and portable sensing technology.

Profiles of bullying, cyberbullying, and disinterest in reading among primary school learners in Spain

The most prominent roles played by schoolchildren in bullying and cyberbullying situations are those of aggressors, victims, and bystanders. These roles are characterised by differences in the school environment and their achievements. This study aimed to analyse the differences between the roles of those directly involved in bullying and cyberbullying (aggressors, victims, and bystanders) by examining their attitudes and interest in reading. Participants were 326 primary schoolchildren in Murcia, Spain (M = 8.98, SD = 0.84), of whom 53.1% were girls. A multimodal questionnaire on school interaction was used with an instrument on attitudes and reading interests. A latent profile analysis (LPA) was conducted and showed three profiles: a) low levels of aggressiveness and victimisation, b) high indices of aggressiveness, and c) high indices of victimisation. The results revealed differences in attitudes toward and interest in reading among the various profiles. The findings of the study can help customise educational programs by providing bullying and cyberbullying intervention and prevention methods based on the roles of victims, aggressors, and bystanders and their attitudes toward and interests in reading.

Artistic interventions: Art, community, and media in China and beyond

Artistic interventions in communities have become increasingly prevalent in the context of quality-led urbanization and rural revitalization in China over the past decade. These art practices reflect a narrative of resistance toward the institutionalization, professionalization, and marketization of contemporary art through direct interventions in social reality. Community is the most common site from which public aesthetic action and social activism emerge to increase public awareness and promote community engagement. With the rise of new media technologies, multi-media have gradually been combined in socially engaged art projects, which has blurred the boundaries between concrete materials and virtual media as well as that between physical places and the online community. This article first outlines a literature review on the changing avant-garde spirit in both global and Chinese art history to better understand the concepts of artistic interventions. Second, as a major intervention in this field, the focus on community reflects the interflow of the theoretical search for communicative ethics and community reconstruction movements worldwide. Third, the role of the media in socially engaged art and its future implications are discussed. In the conclusion section, a variety of specific contexts in China and beyond and the various intervention aims and methods of five selected articles are introduced.

The Essence of Marxism and Anarchism from the Labour Theory of Value to the Critique of Political Economy

ABSTRACT The ills of global capitalism, the critical issues of climate change, global warming, and environmental justice, have all collectively continued to generate concerns, with the world itching for alternate ideological solutions. This article aims to provide a comprehensive critique of the amalgamation of Anarchism and Marxism as a theoretical framework for addressing contemporary world development challenges. While both ideologies share common ground in their critique of capitalism, this paper argues that their synthesis even though may fall short in adequately addressing the complexities of today's globalised and interconnected world might offer a realistic pathway to the contradictions of capitalism. To this end, this study interrogates the Marx-Proudhon debate on three major areas of differences or similarities, namely, (1) The Tyranny of Exchange Value; (2) Crisis in the Evolution of Capitalism and (3) Method of intervention; and their response to contemporary challenges. The method of analysis is essentially historical, providing an in-depth critique of the theoretical standpoint of both ideologies. We conclude that scholarly solutions to current global challenges should be approached with a view to adequately situate them within the ideological context. Thus a return to the Marx-Proudhon debate provides a path forward in our search for alternatives to capital.

Current role of interventional radiology in thyroid nodules.

Thyroid nodules are a prevalent health issue in society. Interventional radiological methods are successfully applied for both the diagnosis and treatment of nodules. Diagnostically, a fine-needle aspiration biopsy and a core needle biopsy can be performed to ascertain the benign or malignant nature of a lesion. In recent years, imaging-guided percutaneous treatment methods have become popular in the treatment of thyroid nodules. Aspiration, ablation, and embolization are techniques employed in the treatment process. In this study, we aimed to discuss the current role of interventional radiology in the diagnosis and treatment of thyroid nodules, which occupy an important place in clinical practice.

Development of tools for the genetic manipulation of Campylobacter and their application to the N-glycosylation system of Campylobacter hepaticus, an emerging pathogen of poultry.

Spotty liver disease (SLD) of layer chickens, caused by infection with Campylobacter hepaticus, is a significant economic and animal welfare burden on an important food production industry. Currently, SLD is controlled using antibiotics; however, alternative intervention methods are needed due to increased concerns associated with environmental contamination with antibiotics, and the development of antimicrobial resistance in many bacterial pathogens of humans and animals. This study has developed methods that have enabled the genetic manipulation of C. hepaticus. To validate the methods, the pglB gene was inactivated by allelic exchange to produce a C. hepaticus strain that could no longer N-glycosylate proteins. Subsequently, the mutation was complemented by reintroduction of the gene in trans, on a plasmid vector, to demonstrate that the phenotypic changes noted were caused by the mutation of the targeted gene. The tools developed enable ongoing studies to understand other virulence mechanisms of this important emerging pathogen.

Ideal body image and socioeconomic factors: exploring the perceptions of Kenyan women

BackgroundNon-communicable diseases are an increasing threat in sub-Saharan Africa (SSA), and overweight and obesity are affecting people across all socioeconomic groups. Some studies suggest that big body sizes may be perceived as desirable among women in SSA and that high prevalence of obesity and overweight are especially present in low socioeconomic societies. This study explores the role of socioeconomic factors in the perception of the ideal body among Kenyan women and whether perceptions and beliefs about the ideal body should be considered relevant when targeting the prevention of obesity and overweight.MethodIn-depth interviews were conducted with 8 Kenyan women with varying educational backgrounds, aged between 21 and 48, using a qualitative study design. The interviews were conducted in December 2022 and January 2023 in Nairobi, audio-recorded, transcribed and analysed through qualitative content analysis and a coding system using deductive and inductive codes.ResultsThe participants reported that conclusions about a person’s health and wealth status are drawn based on different body sizes. Furthermore, traditional views about the ideal body size, societal pressure, as well as the women’s own experience with their body size play a role in the perception of an ideal body.ConclusionSmall-sized women desire to gain weight as society may view them as weak and sick. Big-sized women aim to reduce weight primarily due to health complications. Nevertheless, traditionally, a big-sized woman is considered strong and wealthy, creating external pressure on women to fulfil this body image—these findings emphasise traditional aspects in designing culturally sensitive prevention and intervention methods to address overweight and obesity.

Protein nutrition metabolism monitoring of basketball players based on intelligent biosensor

With the continuous development of biological detection technology and semiconductors, human health monitoring and intervention methods will advance rapidly at the molecular level. As the lowest level hardware technology, biosensors are developing towards micro precision, adaptation, and self-calibration in terms of technological development trends. In order to achieve good sports performance, athletes must have sufficient physical fitness as the basis for creating high-level sports performance. Protein nutrition is indispensable for athletes, so it is necessary to monitor its nutrition and supplement it in time. This paper proposed a monitoring method based on digital broadcasting system to monitor protein nutrition metabolism, so as to understand the protein metabolism of basketball players in real time, which was very meaningful to improve the physical function of athletes. The experimental results in this paper showed that the muscle mass, contraction speed, training effect and immunity of group A were 30, 37, 33 and 42 points, respectively. The muscle mass, contraction speed, training effect and immunity of group B were 65, 57, 62 and 55 points, respectively. It can be found that the muscle mass, contraction speed, training effect and immunity of group A are not as good as those of group B, indicating that protein can improve the physiological needs of athletes and improve the efficiency of training.