What factors are associated with a better restoration of pelvic version after adult spinal deformity surgery?

INTRODUCTION: Poor restoration of pelvic version after adult spinal deformity (ASD) surgery is associated with an increased risk of mechanical complications and worse quality of life. We studied the factors linked to the improvement of postoperative pelvic version. MATERIALS AND METHODS: This is a retrospective analysis of a prospective multicenter ASD database. Selection criteria were: operated patients having preoperative severe pelvic retroversion as per GAP score (Relative Pelvic Version-RPV < - 15°); panlumbar fusions to the pelvis; 2-year follow-up. Group A comprised patients with any postoperative improvement of RPV score, and group B had no improvement. Groups were compared regarding baseline characteristics, surgical factors, and postoperative sagittal parameters. Parametric and non-parametric analyses were employed. RESULTS: 177 patients were studied, median age 67 years (61; 72.5), 83.6% female. Groups were homogeneous in baseline demographics, comorbidities, and preoperative sagittal parameters (p > 0.05). The difference in RPV improvement was 11.56º. Group A (137 patients) underwent a higher percentage of ALIF procedures (OR = 6.66; p = 0.049), and posterior osteotomies (OR = 4.96; p < 0.001) especially tricolumnar (OR = 2.31; p = 0.041). It also showed a lower percentage of TLIF procedures (OR = 0.45; p = 0.028), and posterior decompression (OR = 0.44; p = 0.024). Group A displayed better postoperative L4-S1 angle and relative lumbar lordosis (RLL), leading to improved sacral slope (and RPV), and global alignment (RSA). Group A patients had longer instrumentations (11.45 vs 10; p = 0.047) and hospitalization time (13 vs 11; p = 0.045). All postoperative sagittal parameters remained significantly better in group A through follow-up. However, differences between the groups narrowed over time. CONCLUSIONS: ALIF procedures and posterior column osteotomies improved pelvic version postoperatively, and associated better L4-S1 and lumbar lordosis restoration, indirectly improving all other sagittal parameters. However, these improvements seemed to fade during the 2-year follow-up.

Predicting future climate change impacts on the potential distribution of the black howler monkey (Alouatta pigra): an endangered arboreal primate.

Climate change is one of the main factors affecting biodiversity worldwide at an alarming rate. In addition to increases in global extreme weather events, melting of polar ice caps, and subsequent sea level rise, climate change might shift the geographic distribution of species. In recent years, interest in understanding the effects of climate change on species distribution has increased, including species which depend greatly on forest cover for survival, such as strictly arboreal primates. Here, we generate a series of species distribution models (SDMs) to evaluate future projections under different climate change scenarios on the distribution of the black howler monkey (Alouatta pigra), an endemic endangered primate species. Using SDMs, we assessed current and future projections of their potential distribution for three Social Economic Paths (SSPs) for the years 2030, 2050, 2070, and 2090. Specifically, we found that precipitation seasonality (BIO15, 30.8%), isothermality (BIO3, 25.4%), and mean diurnal range (BIO2, 19.7.%) are the main factors affecting A. pigra distribution. The future climate change models suggested a decrease in the potential distribution of A. pigra by projected scenarios (from - 1.23 to - 12.66%). The highly suitable area was the most affected above all in the more pessimist scenario most likely related to habitat fragmentation. Our study provides new insights into the potential future distribution and suitable habitats of Alouatta pigra. Such information could be used by local communities, governments, and non-governmental organizations for conservation planning of this primate species.

The complete chloroplast genome sequence of Psittacanthus schiedeanus (Cham. & Schltdl.) G.Don. (Santalales: Loranthaceae), the first plastome of a mistletoe species in the Psittacantheae tribe.

Psittacanthus schiedeanus (Cham. & Schltdl.) G.Don., 1834, is a mistletoe species in the Loranthaceae, characteristic of the canopy in cloud forest edges and widely distributed in northern Mesoamerica. Here, we report the complete chloroplast genome sequence of P. schiedeanus, the first for a species in the Psittacantheae tribe. The circularized quadripartite structure of the P. schiedeanus chloroplast genome was 122,586 bp in length and included a large single-copy region of 72,507 bp and two inverted repeats of 21,283 bp separated by a small single-copy region of 7,513 bp. The genome contained 112 genes, of which 96 are unique, including 65 protein-coding genes, 27 transfer RNA, and four ribosomal RNA. The overall GC content in the plastome of P. schiedeanus is 36.9%. Based on 43 published complete chloroplast genome sequences for species in the families Loranthaceae and Santalaceae (Santalales), the maximum-likelihood phylogenetic tree with high-support bootstrap values indicated that P. schiedeanus in the Psittacantheae tribe is sister to the tribe Lorantheae. The chloroplast genome provided in this study represents a valuable resource for genetic, phylogenetic and conservation studies of Psittacanthus species, and an important advance for unraveling the evolutionary history of these hemiparasitic plants.

Development and validation of new bioelectrical impedance equations to accurately estimate fat mass percentage in a heterogeneous Caucasian population.

Fat mass percentage (%FM) is frequently determined by nutritionists and personal trainers with bioelectrical impedance analysis (BIA) devices. The aims of the present study were: (1) to develop new regression equations using dual-energy X-ray absorptiometry (DXA) as the reference method for estimating %FM in a heterogeneous Caucasian population with a foot-to-hand device (BIA-101) and a hand-to-hand device (BIA-TELELAB) and (2) to compare the new equations with the manufacturers' equations. We hypothesized that the new equations would lead to more accurate estimations compared with DXA. A total of 218 healthy Caucasian participants aged 18 to 65 years were divided into a development group and a validation group. The accuracy of the different equations was assessed by mean differences, coefficient of determination, standard error of the estimate (SEE), intraclass correlation coefficients (ICC), and Bland-Altman plots. The proposed equation for BIA-101 explained 90.0% of the variance in the DXA-derived %FM, with a low random error (SEE = 2.98%), excellent agreement (ICC = 0.94), no fixed bias, and relatively low individual variability (5.86%). For BIA-TELELAB, the proposed equation explained 88.0% of the variance in the DXA-derived %FM, with a low random error (SEE = 3.27%), excellent agreement (ICC = 0.93), no fixed bias, and relatively low individual variability (6.37%). The results obtained for the manufacturers' equations confirm that these equations are not a good option for %FM assessment. As hypothesized, the new regression equations for BIA-101 and BIA-TELELAB devices can accurately estimate %FM in a heterogeneous Caucasian population with a broad age range.

Maximum stem diameter predicts liana population demography.

Determining population demographic rates is fundamental to understanding differences in species' life-history strategies and their capacity to coexist. Calculating demographic rates, however, is challenging and requires long-term, large-scale censuses. Body size may serve as a simple predictor of demographic rate; can it act as a proxy for demographic rate when those data are unavailable? We tested the hypothesis that maximum body size predicts species' demographic rate using repeated censuses of the 77 most common liana species on the Barro Colorado Island, Panama (BCI) 50-ha plot. We found that maximum stem diameter does predict species' population turnover and demography. We also found that lianas on BCI can grow to the enormous diameter of 635 mm, indicating that they can store large amounts of carbon and compete intensely with tropical canopy trees. This study is the first to show that maximum stem diameter can predict plant species' demographic rates and that lianas can attain extremely large diameters. Understanding liana demography is particularly timely because lianas are increasing rapidly in many tropical forests, yet their species-level population dynamics remain chronically understudied. Determining per-species maximum liana diameters in additional forests will enable systematic comparative analyses of liana demography and potential influence across forest types.

Quercetin supplementation promotes recovery after exercise-induced muscle damage: a systematic review and meta-analysis of randomized controlled trials.

Quercetin (Q) is one of the most frequently consumed flavonoids in the human diet. The purpose of this systematic review and meta-analysis was to determine the effects of Q supplementation on muscle damage, muscle soreness and biochemical markers of inflammation, antioxidant capacity and oxidative stress after intense exercise. A literature search of SPORTDiscus, PubMed, Web of Science and Scopus was performed from inception to May 31, 2022. Forest plots were generated with fixed or random-effect models and standardized mean differences (SMD). Data extraction and quality assessment were performed independently by two authors. After application of the inclusion and exclusion criteria, 13 studies with a total of 249 sedentary to well-trained participants were included. For all studies there were some concerns about the risk of bias. All but one study used a supplementation dosage of 1000 mg/day. Q supplementation accelerated recovery of muscle function and significantly decreased muscle soreness 0/24 h after exercise (SMD: -1.33; p = 0.03), creatine kinase levels 24/48 h after exercise (SMD: -1.15; p = 0.02), and post-exercise oxidative stress (SMD: -0.92; p = 0.03). However, Q supplementation had no effect on IL-6 concentration. Q supplementation with a dose of 1000 mg/day for periods of more than seven days and a maximum of 12 weeks appears to be a safe and efficacious strategy to reduce muscle damage and muscle soreness, as well as to enhance recovery after intense exercise in sedentary to well-trained young men. Systematic review registration: PROSPERO CRD42021266801.

Elucidation of Metal-Sugar Complexes: When Tungstate Combines with d-Mannose.

The control of metal-sugar complexes speciation in solution is crucial in an energy transition context. Herein, the formation of tungstate-mannose complexes is unraveled in aqueous solution using a multitechnique experimental and theoretical approach. 13C nuclear magnetic resonance (NMR), as well as 13C-1H and 1H-1H correlation spectra, analyzed in the light of coordination-induced shift method and conformation analysis, were employed to characterize the structure of the sugar involved in the complexes. X-ray absorption near edge structure spectroscopy was performed to provide relevant information about the metal electronic and coordination environment. The calculation of 13C NMR chemical shifts for a series of tungstate-mannose complexes using density functional theory (DFT) is a key to identify the appropriate structure among several candidates. Furthermore, a parametric study based on several relevant parameters, namely, pH and tungstate concentration, was carried out to look over the change of the nature and concentrations of the complexes. Two series of complexes were detected, in which the metallic core is either in a ditungstate or a monotungstate form. With respect to previous proposals, we identify two new species. Dinuclear complexes involve both α- and ß-furanose forms chelating the metallic center in a tetradentate fashion. A hydrate form chelating a ditungstate core is also revealed. One monotungstate complex appears at high pH, in which a tetrahedral tungstate center is bound to α-mannofuranose through a monodentate site at the second deprotonated hydroxyl group. This unequalled level of knowledge opens the door to structure-reactivity relationships.

A High-Efficiency Consultation Improves Urological Diagnosis in Patients with Complex LUTS-A Pilot Study.

(1) Background: The diagnosis of moderate-severe lower urinary tract symptoms (LUTS) is not easy due to the complexity of the micturition act. Sequential diagnostic tests can be time consuming due to waiting lists. Thus, we developed a diagnostic model combining all the tests in a single one-stop consultation. (2) Methods: In a prospective pilot study in patients with complex LUTS, they received all diagnostic tests (ultrasound, uroflowmetry, cystoscopy, pressure-flow study) in a single consultation and by the same doctor. Patients' results were compared with those from a 2021 paired cohort that underwent the classical sequential diagnostic pathway. (3) Results: Per patient, the high-efficiency consultation saved: 175 days of waiting, 60 min doctor time and 120 nursing assistant time and over 300 euros on average. The intervention also saved 120 patient journeys to the hospital, lowering the total carbon footprint by 145.86 kg CO2. In one-third of the patients, performing all the tests within the same consultation contributed to reaching a more appropriate diagnosis and thus more effective treatment. Patients' satisfaction was high, with good tolerability. (4) Conclusions: The high-efficiency urology consultation improves waiting times, therapeutic decisions and the degree of patient satisfaction while optimizing the use of resources and generating savings for the health system.

Body Composition, Somatotype and Raw Bioelectrical Impedance Parameters of Adolescent Elite Tennis Players: Age and Sex Differences.

Studies analyzing tennis players' body composition and morphological and bioelectrical characteristics are scarce, especially among adolescents. This study aimed to explore sex- and age-based differences in body composition, somatotype, and bioelectrical properties among elite young male and female tennis players aged 13-16 years. Twenty-two male (14.45 ± 1.10 years) and 20 female (14.30 ± 1.03 years) elite tennis players participated in this study and were compared according to sex (males vs. females) and, within each sex, according to age (13-14 years vs. 15-16 years). Female adolescent elite tennis players had higher body fat (BF) percentage and higher endomorphy than males. They also had lower skeletal muscle mass and total body water (TBW) percentages. Older boys had lower resistance and a higher TBW and phase angle (PhA) than younger boys, likely due to maturation and performance. No significant differences were found between younger and older girls, except for the PhA, potentially associated with better cell function and performance. This study provides valuable reference data for coaches of elite youth tennis players. Due to the few differences found in body composition and somatotype in the different age groups, the PhA may be used by practitioners as a reference for cell function and performance.

Proposal of Combined Noise and Hand-Arm Vibration Index for Occupational Exposure: Application to a Study Case in the Olive Sector.

In many production and industrial sectors, workers are exposed to noise and hand-arm vibrations (HAV). European directives have established the maximum limit values or exposure action values for noise and vibration independently. However, in many cases, workers who endure hand-arm vibration also receive high noise levels. This research suggests a procedure to aid the establishment of precautionary measures for workers with simultaneous exposure to both physical agents. This procedure defines a combined index based on the energy doses for both noise and HAV. From this combined index, the suggested methodology allows a recommended exposure time for workers with simultaneous noise and HAV exposure to be calculated. This methodology can be adapted to tackle the relative importance assigned to both agents according to the safety manager and new knowledge on combined health effects. To test this method, a measurement campaign under real working conditions was conducted with workers from the olive fruit-harvesting sector, where a variety of hand-held machinery is used. The results of the study case show that the suggested procedure can obtain reliable exposure time recommendations for simultaneous noise and HAV exposures and is therefore a useful tool for establishing prevention measures.

Monitoring and Assessment of Indoor Environmental Conditions in Educational Building Using Building Information Modelling Methodology.

Managing indoor environmental quality (IEQ) is a challenge in educational buildings in the wake of the COVID-19 pandemic. Adequate indoor air quality is essential to ensure that indoor spaces are safe for students and teachers. In fact, poor IEQ can affect academic performance and student comfort. This study proposes a framework for integrating occupants' feedback into the building information modelling (BIM) methodology to assess indoor environmental conditions (thermal, acoustic and lighting) and the individual airborne virus transmission risk during teaching activities. The information contained in the parametric 3D BIM model and the algorithmic environment of Dynamo were used to develop the framework. The IEQ evaluation is based on sensor monitoring and a daily schedule, so the results show real problems of occupants' dissatisfaction. The output of the framework shows in which range the indoor environmental variables were (optimal, acceptable and unacceptable) and the probability of infection during each lecture class (whether or not 1% is exceeded). A case study was proposed to illustrate its application and validate it. The outcomes provide key information to support the decision-making process for managing IEQ and controlling individual airborne virus transmission risks. Long-term application could provide data that support the management of ventilation strategies and protocol redesign.

Modelling and visualization for the analysis and comprehension of the acoustic performance of buildings through the implementation of a building information modelling-based methodology.

Technical and technological advances have revolutionised the architecture, engineering, and construction industries in recent decades. Building information modelling (BIM) methodology has become essential in the process of information management and the development of building projects. This study aims to analyse the potential advantages of the implementation of BIM-based models for the acquisition of theoretical and procedural knowledge about building acoustics. This procedure was implemented as part of a problem-solving exercise in Science, Technology, Engineering, and Mathematics (STEM) university degrees. For this purpose, three-dimensional (3D) BIM models were generated to assess the contribution of their implementation in the process of visualization, comprehension, and analysis of the acoustic behaviour of buildings. The participants' experiences and satisfaction with the BIM models were measured through a questionnaire. The results showed a high level of satisfaction among the participants and good potential for the application of 3D models based on BIM methodology for the acquisition of knowledge and practical skills in building acoustics. These results highlight the potential of BIM models to provide information for understanding the procedure followed during data collection in the experimental analysis and to facilitate the understanding of system behavior.

Transcriptional Basis for Haustorium Formation and Host Establishment in Hemiparasitic Psittacanthus schiedeanus Mistletoes.

The mistletoe Psittacanthus schiedeanus, a keystone species in interaction networks between plants, pollinators, and seed dispersers, infects a wide range of native and non-native tree species of commercial interest. Here, using RNA-seq methodology we assembled the whole circularized quadripartite structure of P. schiedeanus chloroplast genome and described changes in the gene expression of the nuclear genomes across time of experimentally inoculated seeds. Of the 140,467 assembled and annotated uniGenes, 2,000 were identified as differentially expressed (DEGs) and were classified in six distinct clusters according to their expression profiles. DEGs were also classified in enriched functional categories related to synthesis, signaling, homoeostasis, and response to auxin and jasmonic acid. Since many orthologs are involved in lateral or adventitious root formation in other plant species, we propose that in P. schiedeanus (and perhaps in other rootless mistletoe species), these genes participate in haustorium formation by complex regulatory networks here described. Lastly, and according to the structural similarities of P. schiedeanus enzymes with those that are involved in host cell wall degradation in fungi, we suggest that a similar enzymatic arsenal is secreted extracellularly and used by mistletoes species to easily parasitize and break through tissues of the host.

Reopening higher education buildings in post-epidemic COVID-19 scenario: monitoring and assessment of indoor environmental quality after implementing ventilation protocols in Spain and Portugal.

Post-epidemic protocols have been implemented in public buildings to keep indoor environments safe. However, indoor environmental conditions are affected by this decision, which also affect the occupants of buildings. This fact has major implications in educational buildings, where the satisfaction and learning performance of students may also be affected. This study investigates the impact of post-epidemic protocols on indoor environmental conditions in higher education buildings of one Portuguese and one Spanish university. A sensor monitoring campaign combined with a simultaneous questionnaire was conducted during the reopening of the educational buildings. Results showed that although renewal air protocols were effective and the mean CO2 concentration levels remained low (742 ppm and 519 ppm in Portugal and Spain universities, respectively), students were dissatisfied with the current indoor environmental conditions. Significant differences were also found between the responses of Portuguese and Spanish students. Indeed, Spanish students showed warmer preferences (thermal neutrality = 23.3℃) than Portuguese students (thermal neutrality = 20.7℃). In terms of involved indoor factors, the obtained data showed significant correlations (p < 0.001) between acoustic factors and overall satisfaction in the Portuguese students (ρ = 0.540) and between thermal factors and overall satisfaction in the Spanish students (ρ = 0.522). Therefore, indoor environmental conditions should be improved by keeping spaces safe while minimizing the impact of post-epidemic protocols on student learning performance.

Whole Body Vibration Exposure Transmitted to Drivers of Heavy Equipment Vehicles: A Comparative Case According to the Short- and Long-Term Exposure Assessment Methodologies Defined in ISO 2631-1 and ISO 2631-5.

The construction and transport sectors are the industries with the highest proportions of workers exposed to vibrations in the European Union. Heavy equipment vehicle (HEV) drivers often perform operations on different uneven surfaces and are exposed to whole body vibration (WBV) on a daily basis. Recently, a new version of ISO 2631-5 was published. However, since this new method required as input the individual exposure profile and the acceleration signals recorded on more surfaces, limited studies have been carried out to evaluate HEV operations according to this standard. The objectives of this study were to assess the WBV exposure using the methods defined in ISO 2631-1:1997 and ISO 2631-5:2018 and to compare the obtained health risk assessments between drivers with different anthropometric characteristics. For this purpose, two drivers were selected and a field measurement campaign was conducted. Regarding short-term assessment, results showed that VDV was the most restrictive method with exposure levels above the exposure action limit value, while SdA indicated that the same exposures were safe for the worker. With respect to long-term assessment, Risk Factor RA showed that the driver with the highest body mass index was the only one who exceeded the low probability limit of adverse health effects.

Efectividad de las vacunas contra SARS-CoV-2 en hospitalizados con fallas vacunales en 10 hospitales de la CCINSHAE / Effectiveness of SARS-CoV-2 vaccines in hospitalized patients with vaccine failures in 10 CCINSHAE hospitals

Resumen: Objetivo: Evaluar la efectividad de las vacunas contra SARS-CoV-2 para evitar muerte e intubación en pacientes hospitalizados con Covid-19. Material y métodos: Se presentó un análisis de 3 565 hospitalizaciones por SARS-CoV-2 de personas mayores de 20 años de edad, reportadas con fines de salud pública por 10 hospitales de especialidad. Se comparó a los egresados por mejoría (2 094) con los fallecidos (1 471) en modelos mixtos de regresión logística ajustados por edad, sexo, número de comorbilidades y el hospital como variable aleatoria. Resultados: Un esquema completo de vacunación, con cinco tipos de vacunas disponibles, tuvo un efecto protector para muerte o intubación (RM: 0.67, IC95%: 0.54,0.83, 33% de protección); y para muerte (RM: 0.80, IC95%: 0.64,0.99, 20% de protección) estos datos se compararon con los que no habían sido vacunados. Todas las vacunas aplicadas mostraron un efecto protector con un RM<0.8, con intervalos de confianza variables. Conclusiones: El antecedente de vacunación reduce los riesgos de ser intubado y morir, aun en pacientes previamente vacunados y hospitalizados con Covid-19 grave.

Abstract: Objective: To evaluate the effectiveness of SARS-CoV-2 vaccines to avoid death and intubation in hospitalized patients with Covid-19. Materials and methods: We present an analysis of 3 565 hospitalizations for SARS-CoV-2 in people over 20 years of age, reported for public health purposes by 10 specialty hospitals, comparing those discharged for improvement (2 094) with those who died (1 471) in mixed models of logistic regression adjusted for age, sex, number of comorbidities and the reporting hospital as a random variable. Results: A complete vaccination schedule, with five types of vaccine available, had a protective effect for death or intubation (OR: 0.67, CI95%: 0.54,0.83, 33% protection) and for death (OR: 0.80, CI95%: 0.64,0.99, 20% protection) compared to those who had not been vaccinated. All the applied vaccines in the Mexican program showed a protective effect with an OR<0.8, with variable confidence intervals. Conclusions: Even in patients previously vaccinated and hospitalized with severe Covid-19, a history of vaccination reduces the risks of being intubated and dying.

Risk Factors Associated with Mortality in Severe Chest Trauma Patients Admitted to the ICU.

Our objective was to determine outcomes of severe chest trauma admitted to the ICU and the risk factors associated with mortality. An observational, prospective, and multicenter registry of trauma patients admitted to the participating ICUs (March 2015-December 2019) was utilized to collect the patient data that were analyzed. Severe chest trauma was defined as an Abbreviated Injury Scale (AIS) value of ≥3 in the thoracic area. Logistic regression analysis was used to evaluate the contribution of severe chest trauma to crude and adjusted ORs for mortality and to analyze the risk factors associated with mortality. Overall, 3821 patients (39%) presented severe chest trauma. The sample's characteristics were as follows: a mean age of 49.88 (19.21) years, male (77.6%), blunt trauma (93.9%), a mean ISS of 19.9 (11.6). Crude and adjusted (for age and ISS) ORs for mortality in severe chest trauma were 0.78 (0.68-0.89) and 0.43 (0.37-0.50) (p < 0.001), respectively. In-hospital mortality in the severe chest trauma patients without significant traumatic brain injury (TBI) was 5.63% and was 25.71% with associated significant TBI (p < 0.001). Age, the severity of injury (NISS and AIS-head), hemodynamic instability, prehospital intubation, acute kidney injury, and multiorgan failure were risk factors associated with mortality. The contribution of severe chest injury to the mortality of trauma patients admitted to the ICU was very low. Risk factors associated with mortality were identified.

Effects of Beetroot Supplementation on Recovery After Exercise-Induced Muscle Damage: A Systematic Review.

CONTEXT: Beetroots have antioxidant and anti-inflammatory properties, which may help attenuate inflammation and oxidative stress, enhancing recovery from exercise-induced muscle damage (EIMD). OBJECTIVE: To evaluate the effects of beetroot supplementation on oxidative stress, inflammation, and recovery after EIMD. DATA SOURCES: SPORTDiscus, PubMed, Web of Science, and Scopus databases were searched, and hand-searching was performed by looking to relevant studies that were cited in other studies. STUDY SELECTION: For a study to be included in this review, the following inclusion criteria had to be met: (1) research conducted with human participants, (2) original articles in peer-reviewed publications, (3) original studies that had investigated beetroot supplementation intervention on muscle damage and recovery, (4) research conducted with 1 control/placebo group, and (5) articles published from inception to October 2020. STUDY DESIGN: Systematic review using the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) statement. LEVEL OF EVIDENCE: Level 3. DATA EXTRACTION: Two of the 4 authors independently extracted data and assessed the methodological quality of the articles with the PEDro scale. All discrepancies were resolved through a consensus meeting. RESULTS: A total of 9 studies were included in this review. The methodological quality of the included studies ranged from moderate to high. Most of the studies found a better recovery of functional variables and muscle soreness, but improvements in markers of muscle damage, inflammation, and oxidative stress were not reported. CONCLUSION: The existing evidence suggests that a short-term beetroot supplementation has the potential to accelerate recovery of functional measures and muscle soreness, but further research is needed to clarify if a longer supplementation period (with some days before exercise and some days after) could also promote recovery of markers of muscle damage, inflammation, and oxidative stress.

Kinetics and Vertical Stiffness of Female Volleyball Players: Effect of Low-Intensity Plyometric Training.

Purpose: The purpose of this study was threefold: 1) to assess kinematic/kinetic variables and vertical stiffness of recreational young female volleyball players during a vertical jump, 2) to identify the changes in those variables that occurred after low-intensity plyometric training, 3) to determine the relationship between stiffness and performance. Method: Twenty-eight female volleyball players aged 14-18 years were randomly allocated to plyometric group and control group. All participants performed a countermovement jump (CMJ) 3 days prior to and 3 days after the 7-week plyometric training and kinematic and kinetic variables, along with vertical stiffness, were measured. Results: Jump height, average force, average power, peak power and absolute vertical stiffness significantly increased in plyometric group (p < .01). Propulsion impulse and normalized vertical stiffness also increased (p < .05). Maximum displacement of the center of mass significantly decreased in plyometric group (p < .01). Changes in vertical stiffness after the plyometric training showed very strong significant correlations with changes in average force (r = 0.818, p < .01), average power (r = 0.784, p < .01), maximum displacement of the center of mass (r = -0.850, p < .01) and propulsion duration (r = -0.781, p < .01). Conclusion: The 7-week low-intensity plyometric training produced changes in most kinematic and kinetic variables improving CMJ performance. The increase in vertical stiffness after plyometric training may not directly enhance jump performance but it makes the jump quicker increasing the probability of success in volleyball games.