Performance Test Research Articles

Machine Learning Approach to Injury Monitoring in Children and Adolescents

Abstract Pediatric injuries are common and associated with individual suffering and costs for the healthcare systems and society. The incidence of injuries among children in Switzerland has so far been insufficiently monitored. Emergency department patient records can be a valuable database to assess medically relevant injuries and gain information for monitoring and evidence-based prevention. The talk will outline our stepwise development of a machine-learning program for a pediatric injury monitoring system and lessons learnt. In this feasibility study we draw on electronic case histories of children treated for injuries between 2018 and 2022 at the University Children’s Hospital Zürich emergency department (N= to 30’884). The ML- approach follows different steps: step 1. utility evaluation of electronic pediatric patient records regarding ML and injury monitoring and prevention requirements in a test-sample of 100 electronic pediatric case histories; step 2. choice/adaptation of coding tree; step 3. coder training and inter-coder reliability testing; step 4. manual annotation of a sub-sample (n 1000) of the electronic pediatric patient records, step 5. design and testing of the ML program in an iterative process, and step 6. performance testing in a random sample of pediatric patient records. First lessons learnt indicate that electronic case history data contain relevant data and fulfill requirements for monitoring and prevention purposes. The IDB coding system proved too complex and detailed for the pediatric data base, providing too few examples for the ML-learning process, and needed to be adapted. Initial data analyses indicate the majority of cases are classified as less severe (73%) and only few (<1%) as very severe but the later provide the most detailed data. ML is a promising approach and makes use of hospital data for a national monitoring of pediatric injuries in Switzerland.

Full active counter-roller spinning for thin-walled cylinders: Macroscopic deformation mechanism, mesoscopic texture evolution, and forming performance strengthening

The reliability and lightweight of hydrogen high-pressure storage present pressing global challenges. The forming mechanism of a novel full active counter-roller spinning (FACRS) process for thin-walled cylinders is studied from the perspective of macro‑meso coupling. This innovative process holds promise as a replacement for conventional mandrel spinning, enabling enhanced integration of form and property in manufacturing hydrogen bottle liners. Employing optimal Latin hypercube sampling, a response surface model is constructed for forming consistency (λ) of inner and outer surfaces, yielding an optimal set of process parameters under the Hooke-Jeeves algorithm. The resulting spun parts exhibit a more balanced and superior performance. A macro‑meso gradual cross-scale coupling simulation methodology is proposed, revealing that the process is characterized by the initial aggregation and subsequent reinforcement of texture, culminating in the formation of a "soft" rotated cubic texture, which still faces impediments or diminishes the orientation of texture. It is demonstrated that the evolution of texture is the result of the interactive coordination of various slip systems. Furthermore, the FACRS experiments and performance tests indicate that while enhancing the axial and circumferential mechanical properties of the spun parts, it also reduces material anisotropy. The grain refinement effect of the process has also led to a more uniform distribution of dimples on the fracture surface. The surface performance of the final spun parts improves by 60.11 %. These enhancements can be attributed to the combined effects of improved forming consistency, coordinated action of slip systems, and grain refinement. These results deepen the understanding of the macro‑meso deformation mechanisms underlying the novel process, providing valuable insights for further advancements in counter-roller spinning technology.

Serum metabolomics improve risk stratification for incident heart failure

Abstract Background The prediction and early detection of heart failure (HF) is vital to reduce its substantial impact on quality of life, survival and healthcare expenditure. Current incident HF risk stratification strategies achieve only modest performance. Moreover, state-of-the-art risk scores focus on commonly acknowledged clinical risk factors, thus necessitating the integration of heterogenous data sources and prioritizing individuals with obvious risk constellations. Purpose Here, we explored the predictive value of serum metabolomics (168 metabolites detected by proton nuclear magnetic resonance (1H-NMR) spectroscopy) for incident HF. Methods Leveraging data of n = 68,311 individuals and > 0.8 million person-years of follow-up from the UK Biobank (UKB) cohort, we (I) evaluated the association of individual metabolites with incident HF via fitting of per-metabolite COX proportional hazards models and (II) trained and validated elastic net (EN) models to predict incident HF using the serum metabolome. Discriminative performance was benchmarked against a comprehensive, well-validated clinical risk score (Pooled Cohort Equations to Prevent HF, PCP-HF). External validation was conducted in the independent FINRISK study. Results Several metabolites were independently associated with incident HF (90/168 adjusting for age and sex, 48/168 adjusting for PCP-HF). Performance-optimized risk models effectively retained key predictors representing highly correlated clusters (≈ 80 % feature reduction). The addition of metabolomics to PCP-HF improved predictive performance (Harrel’s C: 0.768 vs. 0.755, ΔC = 0.013 (95% confidence interval (CI) 0.004 – 0.022), continuous net reclassification improvement (NRI) = 0.287 (95% CI 0.200 – 0.367), relative integrated discrimination improvement (IDI): 17.47 % (95% CI 9.463 - 27.825)). Simplified models only including age, sex and metabolomics performed almost as well as the PCP-HF model (Harrel’s C: 0.745 vs. 0.755, ΔC = 0.010 (95% CI -0.004 - 0.027), continuous NRI: 0.097 (95% CI -0.025 - 0.217), relative IDI: 13.445 % (95% CI -10.608 - 41.454)). Risk and survival stratification was improved by integrating metabolomics. External validation within FINRISK revealed similar patterns using the original model coefficients. Conclusions Serum metabolomics improve the prediction of incident HF risk. Scores obtained from the combination of age, sex and metabolomics exhibit similar predictive power as clinical risk models. Offering serum metabolomics to a middle-aged cohort might significantly improve HF risk stratification, thus facilitating preventive efforts. Via a single blood draw, serum metabolomics displays a highly cost- and time-effective, standardizable, and scalable alternative to clinical risk scores involving physical measurements and history taking in addition to clinical chemistry.Relative performance (test split)ROC & DCA plots (test split)

Preparation and NH3 adsorption behavior of porous magnesium oxychloride cement-based SrCl2

In addressing challenges in Selective Catalytic Reduction (SCR) systems in vehicles, the development of novel SrCl2 composite materials with high ammonia adsorption and structural stability is crucial. In this context, we employed the porous magnesium oxychloride cement (PMOC) as a carrier material, successfully fabricating a mesoporous PMOC-SrCl2 material via solution impregnation technology. Simultaneously, we employed various characterization techniques such as XRD, full-pore analysis, TG, SEM, TEM, and EDS to examine the material. We conducted static adsorption assessments on numerous candidate materials at 0.1Mpa and 293.15 K. The synthesized C3 series material (Mass ratio of SrCl2 to PMOC = 10:3), solution impregnated for 1 h, exhibited exceptional ammonia adsorption capacity (up to 38.01 mmol·g−1). Through model fitting of experimental data, we discovered that the adsorption process of this material closely aligns with the pseudo-second-order kinetic model and the Langmuir model. Over an adsorption time span of 180 min, the adsorption rate of the composite material increased by 129 % compared to pure SrCl2. In the cycle performance testing phase, we observed that the material exhibited no significant degradation in performance after undergoing 10 cycles of adsorption/desorption. This structurally stable, cost-effective, and readily accessible high-efficiency ammonia adsorption material undoubtedly possesses immense potential to solve the application challenges of ammonia adsorption materials within automotive selective catalytic reduction systems.

Physical fitness in youth: a systematic review of changes during and after the COVID-19 pandemic

Abstract Background Restrictions during the COVID-19 pandemic induced changes in the fitness behavior of children and adolescents, which may be associated with long-term public health challenges. This systematic review analyses how physical fitness has changed during the pandemic and to what extent the changes remain in the aftermath of the pandemic. Methods We conducted a systematic search in seven databases with a peer-reviewed search string for studies until Dec 2023. Our inclusion criteria encompassed studies with children and adolescents ≤19 years living in the WHO European Region and in which validated measurements were used (single measurements or test batteries). Eligibility screening, data extraction and risk of bias assessment (using ROBINS-E instrument) were all carried out independently by two reviewers. We published an a priori protocol in a peer-review journal and conducted reporting in accordance with the PRISMA 2020 statement. Trial registration: PROSPERO: CRD42023395871. Results Our search retrieved 28 studies from 15 WHO European Region countries with an age range from 5 to 19 years. Physical fitness was reported in 21 validated single measurements (e.g. 20 m shuttle run, handgrip strength, standing long jump) and 9 validated test batteries (e.g. Alpha-Fitness Battery, German Motor Test, International Physical Performance Test Profile). The preliminary analyses pointed to a sharp decline in youth physical fitness during the COVID-19 pandemic. After restrictions were eased, physical fitness improved, but remained under pre-pandemic levels, particularly in boys. Conclusions The findings indicate a potential suboptimal behavioral adaptation of children and adolescents after the COVID-19 pandemic. Medium and long-term programs to change passive behavior and improve physical fitness are urgently needed. In addition to individual prevention programs, stronger consideration should also be given to schools and sport clubs regarding activities promoting physical fitness. Key messages • Physical fitness in children and adolescents remains below pre-pandemic levels after restrictions removal. • Initiating immediate public health action to increase physical fitness is urgently needed.

Using Media (Video) to Improve Students’ Speaking Skill in Study Case: Junior High School

Learning media in the digital era must be aligned with technological developments. The learning media chosen must be interesting and attached to students. The video is currently popular with many people, including the students of Junior High School, MTsN 1 Kolpajung Pamekasan. Departing from these reasons, the researchers took the initiative to implement the video as a media for interesting and fun learning in delivering material in English for Junior High School. This study aims to find out how effective the video as media is in improving the speaking skills of students majoring at the MTsN 1 Kolpajung Pamekasan. Qualitative method is used for analyzing the data on performance test, observation and discussion on the implementation that were produced by the students as well as processing on student views regarding the use of video media in learning in English subject especially speaking skill. The result indicated that the use of video media is considered quite effective in developing students' speaking skills. From the results of observations, it shows that there has been an increase in student activity, from an average of 74.7% in cycle one and 82.2% in cycle two, to 86.3 in cycle III, as well as teacher activity in the learning process increasing from 85.7 % in cycle I, 90.3% in cycle II increased to 92.03% in cycle III which stated that video media was an innovation in learning English, which made students more relaxed and enjoyed the teaching and learning process and eliminated the mindset that learning English is difficult.

Assessment of the effect of solid herbal extract of primula veris l on the physical performance of rats after chronic alcohol intoxication

The aim of this study was to evaluate the effect of solid herbal extract of Primula Veris L. and comparison drugs phenotropil and mildronate on the physical performance of female rats after chronic alcohol intoxication (CAI). CAI was modeled by replacing drinking water for 6 months with a 10 % solution of ethyl alcohol with sucrose (50 g/l). At the age of 16 months, the “Rotarod performance test”, “The horizontal rope walking test” and “Forced swim test with weight load” were performed. After CAI, rats show a deterioration in coordination and motor activity, a decrease in muscle strength and aerobic-anaerobic endurance. Solid herbal extract of Primula Veris L., phenotropil and mildronate contributed to an increase in the physical performance of animals after CAI.

A New Objective Diagnostic Tool for Attention-Deficit Hyper-Activity Disorder (ADHD): Development of the Distractor-Embedded Auditory Continuous Performance Test

Background/Objectives: Attention-Deficit Hyperactivity Disorder (ADHD) is a prevalent neurodevelopmental disorder characterized by inattention, hyperactivity, and impulsivity. Traditional diagnostic methods, which depend on subjective assessments, often lack precision. This study evaluates the validity and reliability of a newly developed diagnostic tool, the Distractor-Embedded Auditory Continuous Performance Test (da-CPT), which integrates auditory stimuli with distractors to enhance the clinical utility of ADHD diagnosis. Methods: The study included 160 children aged 6–12 years, comprising 80 with a confirmed ADHD diagnosis and 80 controls. All participants completed the da-CPT, a web-based tool designed to assess inattention, hyperactivity, impulsivity, and timing via an auditory-based task. To validate the da-CPT, participants also completed the Conners’ Parent Rating Scale—Revised Short Form (CPRS-R) and either the MOXO or IVA-2 tests. Data were analyzed using ROC curves and statistical correlations to assess sensitivity, specificity, and overall diagnostic accuracy. Results: The da-CPT demonstrated high diagnostic accuracy, with a sensitivity of 91.25% and specificity of 83.75%. ROC analysis indicated that the inattention index had the highest discriminatory power (AUC = 0.881), followed by timing, impulsivity, and hyperactivity (all p < 0.01). Furthermore, the da-CPT scores were strongly correlated with ADHD severity (p < 0.01). Conclusions: This study confirms that the da-CPT is a valid and reliable tool for diagnosing ADHD in children aged 6–12. By incorporating auditory stimuli and distractors, the tool offers a more ecologically valid assessment of ADHD symptoms in clinical settings, improving diagnostic precision and utility.

Surface modification of high-speed steel (HSS) drills by plasma nitriding and cathodic cage tin deposition

Cutting tools made of high-speed steel have significant economic and technological importance. To enhance their productivity, thermochemical treatments are sought to improve both surface mechanical and tribological properties. Plasma nitriding and thin film deposition are widely employed for this purpose. In this study, modifications were made to M2 high-speed steel drills through plasma nitriding at temperatures of 400°C and 450°C. Cathodic cage TiN plasma deposition was also performed, varying the dwell time at a fixed temperature of 450°C. Characterization techniques included optical microscopy, X-ray diffraction (XRD), Vickers microhardness testing, and scanning electron microscopy (SEM). Performance tests were carried out to evaluate the behavior of the drills in relation to wear when machining AISI 1020 steel. It was observed that longer deposition times promote more uniform and thicker layers, and higher nitriding temperatures result in thicker nitride layers. An increase in hardness was noticeable in all deposition and nitriding treatments, with the nitrided samples exhibiting the highest hardness. During performance tests, the cathodic cage plasma TiN deposition demonstrated greater potential for application in HSS drills, with a treatment lasting 4 h providing the best results.

Validity of specific CPT indices in differentiating school-aged children previously diagnosed with attention deficit/hyperactivity disorder from school-aged children with non-attention deficit/hyperactivity disorder in general education classrooms: a case control study

BackgroundContinuous performance tests (CPTs) are a popular tool for evaluating the symptoms of attention-deficit/hyperactivity disorder (ADHD). Performance measurements are typically linked to the biological features and cognitive functions of individuals. To determine the validity of specific CPT indices in differentiating between school-aged children with ADHD from with non-ADHD, each student’s sex, chronological age, and cognitive abilities should be considered.MethodsIn this prospective case–control study, a total of 30 non-ADHD students and 26 with ADHD who were aged 6 to 12 years were from general education classrooms. All students completed the Continuous Performance Tests (CPTs) and the Peabody Picture Vocabulary Test-revised (Mandarin-Chinese version). Demographic data were collected from the students’ parents.ResultsDetectability, Omissions, Commissions, and Hit Reaction Time Standard Deviation (HRT SD) yielded higher T-scores in children with ADHD than those without. Compared with non-ADHD students, those with ADHD had higher classification scores for Detectability, Omissions, Perseverations, and HRT SD. For each CPT index, after individual factors were controlled for, logistic regression revealed that only students with positive scores for Detectability, Omission, and HRT SD (adjusted odds ratios = 4.627, 9.977, and 3.908, Ps < 0.05) were likely to receive a diagnosis of ADHD. Furthermore, after individual characteristics were controlled for, Logistic regression also revealed that the cumulative positive scores of the Detectability, Omission, or and HRT SD remained associated with an increased risk of ADHD (adjusted odds ratio = 3.116, P < 0.01).ConclusionsCompared with school-aged children with non-ADHD in general education classrooms, those with ADHD exhibited significantly lower performance in inattention-related CPT indices. To reach an accurate diagnosis through CPTs, clinicians should pay attention to Detectability, Omission, and HRT SD. Compared with other CPT indices, Detectability, Omission, and HRT SD may function as more suitable indicators for distinguishing between school-aged children with and non-ADHD in general education classrooms. These indicators are robust and unobscured by individual characteristics.

Improving the Cycle Stability of LiNiO2 through Al3+ Doping and LiAlO2 Coating.

In this study, we addressed the poor cycling and rate performance of LiNiO2, a material with ultrahigh nickel content considered a strong contender for high-energy-density lithium-ion battery cathodes. We introduced nano-Al2O3 during the lithiation process to achieve dual modified material through bulk phase element doping and in situ LiAlO2 coating. Comparison revealed notable improvements in the modified materials. In particular, LiNi0.99Al0.01O2 maintained a capacity retention rate of 73.1% after 300 cycles in a long-cycle test at 0.5C current density, outperforming the undoped material. In rate performance tests, the doped samples consistently exhibited higher discharge-specific capacities than that of the undoped counterpart. Notably, at a high current density of 5C, LiNi0.99Al0.01O2 exhibited a discharge-specific capacity of 101.75 mAh g-1. The results indicate that an appropriate amount of Al doping can effectively stabilize the layered structure of the cathode material and delay the irreversible phase transition from H2 to H3. Further, Al doping facilitates the formation of a LiAlO2 coating on the surface of the particles. This coating acts as a fast-ion conductor, enhancing the transport of lithium ions and reducing the erosion of the active material by the electrolyte.

Characterization of Interface Transition Zone in Asphalt Mixture Using Mechanical and Microscopic Methods

An enormous surge in the pavement sector requires the evaluation of interface bonding in asphalt composite, since the assessment of bonding brings considerable cost savings. Microscopic and mechanical analyses were performed to study the status of the interface transition zone of four groups of asphalt mixtures, using thin-slice preparation to obtain asphalt mixture slices with a flat surface for microscopic analysis. The interface transition zones were characterized using good knowledge of blending or diffusion phenomena by conducting tests both at the micro and macro levels to determine mixture quality. Asphalt mixture components were observed using fluorescence microscopy imaging and evaluated by the gray value change law. Asphalt mixture groups, (virgin, recycled of 30% aged and 70% unaged, 6%, and 4% rejuvenator dosage mixtures) under the same process parameters, which are a mixing time of 270 s and a mixing temperature of 150 °C, been considered optimum for component fusion in a hot asphalt mixture were used. This study relied on the influence of morphology law, assessed through rutting tests for high temperature performance, semi-circular bending tests for low temperature performance, and pull-off tests for interface bonding strength. The relationship between interface transition zones and macro performance was studied. The self-developed pull-off method was a research innovation which can be used as an alternative to study interface transition zones in asphalt mixtures, and provides the necessary data needed with 3D surface failure mode calculations. The device measured the bonding strength of a single aggregate in distinct positions using the bitumen penetration test method. The main goals were to determine a correction factor, identify the appropriate alteration, and compute the actual fracture surface area. Using scanning electron microscopy for interface characterization and micro-morphologies of mortar transition zone, our analysis provides adequate knowledge about interface position and the components present. The applied approaches to characterize asphalt mixture interfaces proved workable and reliable, as all methods have similar trends with useful information to determine asphalt pavement quality.

Experimental investigation on the electrical and hydrogen-production performance of a novel PEM electrolyzer driven by CdTe PV with a tracking system

Addressing the challenges of intermittent and variable energy supply, solar hydrogen production via electrolysis has garnered significant attention due to its unique advantages, emerging as a hot topic in the scientific research domain. However, the application of this technology is currently mainly related to the non-tracking system, which undergoes a rapid change in solar irradiation during the day. To expand the matching relationship of solar irradiation, PV characteristics, and electrolyzer, this paper proposes the development of a Proton Exchange Membrane (PEM) electrolyzer driven by Cadmium Telluride (CdTe) photovoltaic (PV) modules with a tracking system for hydrogen production. An experimental platform was set up in Chengdu and the performance tests were carried out for different operating modes during summer. The experimental results demonstrate that the average electrical and hydrogen production efficiencies of the system are 13.11% and 7.88%, respectively, on a sunny day, with a total of 566.7 L of hydrogen produced within 7 h of operation. Furthermore, the solar irradiation received by the tracking surface of the system is significantly enhanced by 10.29% in comparison to the horizontal surface. On a cloudy day with an electrolyzer inlet water temperature of 45 °C, the system has the potential to achieve a hydrogen production efficiency of 11.15 %. At a constant current density of 1.0 A/cm2, the efficiency of the electrolysis process increased by 2.07% and 1.25% for each 10 °C increase in the temperature of the electrolyzer, having an inlet temperature of 35 °C. This study offers a novel approach for a PV-PEM system with a higher hydrogen production efficiency while also establishing a robust foundation for technology optimization and broader implementation.

Preparation of high strength and rigidity carbon layer on SiO material surface by dynamic CVD method using gas carbon source C2H2

The main issue in the application of silicon-based negative electrode materials is the inevitable volume expansion, leading to negative electrode material fracture, which severely impacts the performance of batteries. This study employed Chemical Vapor Deposition (CVD) (C2H2@SiO), solid-phase coating method (Pitch@SiO), and liquid-phase coating method (RGFQ@SiO) to coat the surface of SiO materials with a dense amorphous carbon structure. Material property analysis revealed that C2H2@SiO has a relatively small specific surface area (1.8 m2 g−1) and surface carbon increment (2.4 %). It exhibited high reversible specific capacity (1563.4 mAh g−1), high initial Coulombic efficiency (81.45 %), and low volume expansion rate (9.3 %). Mechanical performance testing indicated that the surface carbon layer Young's modulus of C2H2@SiO was the highest (35 GPa), suggesting that using the CVD method to obtain a dense carbon layer can enhance the structural strength of the material. Based on the electrochemical-mechanical coupling theory simulation analysis of the stress during the charge-discharge process of electrode materials, the evolution of concentration and stress field during lithium insertion process was obtained, showing that the coating can further improve the electrochemical and mechanical performance of the negative electrode materials effectively. Additionally, the negative electrode sheets fabricated using sample C2H2@SiO were assembled into 18650 cylindrical batteries, exhibiting excellent cycling performance in 1000 cycles at 25 °C with a capacity retention rate of 85.7 %, along with good rate capability and high/low-temperature performance. The conclusions of this study provide certain guidance for the design and optimization of negative electrode materials for battery electrodes.

The Effect of Pre-Exercise Caffeine and Glucose Ingestion on Endurance Capacity in Hypoxia: A Double-Blind Crossover Trial

The impact of caffeine and glucose supplementation in a hypoxic environment on endurance exercise performance remains inconclusive. The current study examined the effect of pre-exercise carbohydrate and caffeine supplementation on endurance exercise performance in an acute hypoxic environment. Eight healthy active young males participated in this double-blind, within-subjects crossover study. Participants ingested the test drink 60 min before exercising at 50% Wmax for 90 min on a cycle ergometer (fatiguing preload); there followed an endurance performance test at 85% Wmax until exhaustion in a hypoxic chamber (~15%O2). Participants completed four experimental trials in a randomized order: caffeine (6 mg·kg−1; Caff), glucose (1 g·kg−1; CHO), caffeine (6 mg·kg−1) + glucose (1 g·kg−1; Caff−CHO), and taste- and color-matched placebo with no caffeine or CHO (PLA). Blood samples were collected during fasting, pre-exercise, every 30 min throughout the exercise, and immediately after exhaustion. The caffeine and glucose trials significantly enhanced endurance capacity in hypoxic conditions by Caff, 44% (68.8–31.5%, 95% confidence interval), CHO, 31% (44.7–15.6%), and Caff−CHO, 46% (79.1–13.2%). Plasma-free fatty-acid and glycerol concentrations were higher in Caff and PLA than in CHO and Caff−CHO (p &lt; 0.05). The estimated rate of fat oxidation was higher in Caff and PLA than in CHO and Caff−CHO (p &lt; 0.05). There were no significant differences in ratings of perceived exertion between trials. In conclusion, the ingestion of caffeine, glucose, or caffeine + glucose one hour before exercising in hypoxic conditions significantly improved 85% Wmax endurance performance after prolonged exercise.

Learning how to explore spiritual aspects in encounters with patients with chronic pain: a pre-test post-test trial on the effectiveness of a web-based learning intervention

BackgroundIntegrating spiritual aspects into treatment plans can release essential resources for coping with chronic pain. However, some spiritual aspects may also induce distress and hinder the coping process. There is a lack of evidence regarding how to perform the clinical tasks of exploring spiritual aspects and of instruments assessing related competencies. Therefore, we developed a web-based learning module to provide education on the subject alongside corresponding assessment instruments. The module presents the InSpiRe (Integration of Spirituality and/or Religion in patient encounters) protocol. The instruments encompass cognitive, affective, and behavioral dimensions.MethodsThis paper aims to determine (i) the learning effects associated with completing the web-based spiritual-care learning module and (ii) the reliability and validity of the instruments employed. To address these aims, we conducted a pre-test/post-test trial with N = 32 randomly selected fourth-year medical students. During the pre-test, we assessed the students’ knowledge, attitudes, and self-efficacy regarding exploring spiritual aspects. For this purpose, we developed a short-answer knowledge test, an attitude questionnaire, and a self-efficacy scale. Additionally, the students explored spiritual aspects with a simulated patient portraying a person with chronic pain. Three trained raters evaluated the students’ performances using a self-developed scale. In the intervention phase, the students completed the 45-minute learning module on a personal computer. The module presented InSpiRe-related content as text and step-by-step video demonstrations, including hints that denote critical actions. The subsequent post-test was identical to the pre-test.ResultsThe internal consistency was suitable for all respective instruments, and there was an indication of solid validity of the performance test. After completing the spiritual care learning module, the students showed statistically significant increases in knowledge scores and significant positive shifts in their attitudes and levels of self-efficacy regarding exploring spiritual aspects. They also attained significantly higher performance scores in the same regard.ConclusionsCompleting the spiritual-care module is associated with meaningful learning effects on cognitive, affective, and behavioral dimensions related to exploring spiritual aspects, as demonstrated in the post-test conducted shortly after the intervention. Due to good reliability and validity scores, the self-developed instruments can be applied appropriately.

Test-retest reliability and construct validity of Inosen’s Silat Momentum Test

Problem Statements: The kick in Pencak Silat has a magnitude called momentum, which requires a tool capable of measuring several variables based on the International System of Units (SI) in real-time. Nowadays, there are affordable and reliable sensor technologies to meet these needs. Purpose: The research aimed to design a test instrument that utilizes sensor technology to measure kick momentum in the sparring category of Pencak Silat following the applicable SI, and to test its reliability and validity. The resulting instrument is named Inosen’s Silat Momentum Test. Approach: This study followed Johnson and Nelson’s seven-test construction process. Twenty-four Pencak Silat athletes, consisting of 12 elite and 12 non-elite participants, were involved in the evaluation process. The test’s reliability was assessed by examining the correlation between the test and retest results. The construct validity test was conducted by comparing the results of the front kick tests of elite and non-elite Pencak Silat athletes. Data analysis was performed using Pearson correlation and independent t-tests using Minitab 21.4.1 software. Results: The results of the test and retest indicate a very high correlation (r = 0.923), demonstrating the consistent ability of Inosen’s Silat Momentum Test to measure kick momentum. The study found a statistically significant difference in the Inosen’s Silat Momentum Test scores (p &lt; 0.05) between the elite fighter group (average score of 463.3 kg.m/s) and the non-elite fighter group (average score of 375 kg.m/s). The results indicate that Inosen’s Silat Momentum Test is an effective instrument for differentiating kick momentum based on fighter performance. Conclusions: Based on the findings, it is inferred that Inosen’s Silat Momentum Test is a reliable and valid instrument for measuring Pencak Silat kick momentum according to SI standards. Keywords: biomechanics, kick momentum, pencak silat, performance test, sensor technology.

A functional exercise program improves pain and health related quality of life in patients with fibromyalgia: a randomized controlled trial

Background/objectiveFibromyalgia is a non-inflammatory syndrome characterized by generalized muscle pain, with other symptoms. Numerous forms of physical training for this population have been studied through high-quality randomized clinical trials involving strength, flexibility, aerobic conditioning and multicomponent exercise interventions. This research evaluated the effectiveness of a functional exercise program at reducing pain, improving functional capacity, increasing muscle strength as well as improving flexibility, balance and quality of life in individuals with fibromyalgia.MethodsEighty-two women with fibromyalgia were randomized into two groups. The functional exercise group performed functional exercises in 45-minute sessions twice per week for 14 weeks. The stretching exercise group performed flexibility exercises with the same duration and frequency. Outcome measures were: visual analog scale for widespread pain; Fibromyalgia Impact Questionnaire for health-related quality of life; Timed Up and Go test for functional performance; one-repetition maximum for muscle strength, Sit and Reach test on Wells bench for flexibility; Berg Balance Scale for balance; SF-36 for general quality of life.ResultsAfter the intervention, the functional exercise group had a statistically significant reduction in pain (interaction p = 0.002), and improvement in health-related quality of life measured by the Fibromyalgia Impact Questionnaire (interaction p < 0.001) and in general health state domain of SF-36 (interaction p = 0.043) compared to the stretching exercise group. No significant differences between groups were found regarding improvements in functional capacity, muscle strength, flexibility or balance.ConclusionFunctional exercise training was effective at reducing pain and improving quality of life in patients with fibromyalgia compared to stretching exercises.Trial registrationClinicalTrials.gov Identifier: NCT03682588 First prospectively registered in March 2018.

A deep brain stimulation-conditioned RF coil for 3T MRI.

To develop and test an MRI coil assembly for imaging deep brain stimulation (DBS) at 3 T with a reduced level of local specific absorption rate of RF fields near the implant. A mechanical rotatable linearly polarized birdcage transmitter outfitted with a 32-channel receive array was constructed. The coil performance and image quality were systematically evaluated using bench-level measurements and imaging performance tests, including SNR maps, array element noise correlation, and acceleration capabilities. Electromagnetic simulations and phantom experiments were performed with clinically relevant DBS device configurations to evaluate the reduction of specific absorption rate and temperature near the implant compared with a circular polarized body coil setup. The linearly polarized birdcage coil features a block-shaped low electric field region to be co-aligned with the implanted DBS lead trajectory, while the close-fit receive array enables imaging with high SNR and enhanced encoding capabilities. The 3T coil assembly, consisting of a rotating linear birdcage and a 32-channel close-fit receive array, showed DBS-conditioned imaging technology with substantially reduced heat generation at the DBS implants.

Effects of 2 Combined Training Protocols on the Aerobic and Anaerobic Fitness, Technical Skills, and Psychophysiological Responses in Young Soccer Players.

Kilit, B, Chmura, P, Arslan, E, Soylu, Y, and Radziminski, Ł. Effects of 2 combined training protocols on the aerobic and anaerobic fitness, technical skills, and psychophysiological responses in young soccer players. J Strength Cond Res XX(X): 000-000, 2024-The study compared the effects of combining small-sided soccer games (SSGs) with high-intensity interval training (HIIT) and repeated sprint training (RST) on aerobic and anaerobic fitness, technical skills, and psychophysiological responses in young soccer players. Thirty-two male, adolescent, soccer players (aged 13.5 ± 0.3 years) were randomly divided into either the SSGs + HIIT group ( n = 16) or the SSGs + RST group ( n = 16) for combined training 3 times per week for 6 weeks. The players in the SSGs + HIIT group performed 12-18 minutes of runs at intensities (90-95%), whereas the players in the SSGs + RST group consisted of 3-4 sets of 5-7 times 15-m shuttle sprints (all-out efforts). Both training groups played 4 bouts of 2-a-side or 4-a-side SSGs with various game formats at 2-day intervals. Psychophysiological responses were determined during and after all training sessions. Before and after training interventions, the following physical performance tests were used: 5- to 30-m sprint time, countermovement jump, triple-hop distance, zigzag agility with the ball and without the ball, repeated sprint ability (RSA), 30-15 Intermittent Fitness Test, 3 corner run test, speed dribbling ability (SDA), Yo-Yo Intermittent Recovery Test Level 1, and Y-balance test. Our main findings were that the SSGs + RST group demonstrated greater improvement in 5-m sprint time, SDA time, and RSA in the meantime compared with the SSGs + HIIT ( p ≤ 0.05, d values ranging from 1.50 to 2.25). Moreover, the SSGs + RST group showed greater improvement in agility test responses ( p ≤ 0.05, d values ranging from 2.13 to 2.34) than the SSGs + HIIT group. However, the SSGs + HIIT induced higher perceived exertion, mental effort, and lower greater physical enjoyment meaningfully compared with the SSGs + RST ( p ≤ 0.05, d values ranging from 6.04 to 6.67). In conclusion, these results demonstrate that the SSGs + RST is an effective training program to improve young soccer players' speed and agility-based performance responses.