Development of Field Tests for Cardiovascular Fitness Assessment in Wheelchair.

It is essential to consider both physique and physical fitness factors to minimize the risk of injuries and optimize athletic performance among elite athletes. Athletes with disabilities face limitations in fitness assessments compared to their healthy counterparts. The aim of this study was to revalidate established cardiovascular fitness assessment methods and develop field tests for wheelchair athletes. As representatives registered at the Korea Paralympic Committee's Athletes Training Center in Icheon, athletes with physical disabilities participating in para ice hockey (n = 14), who were capable of wheelchair control, were volunteered. Prior to cardiovascular fitness assessments using an ergometer and a shuttle run, demographic characteristics were surveyed, and physical measurements and muscle strength (grip strength) were recorded. All the participants performed one ergometer test based on cardiovascular fitness criteria, and for shuttle run validation, two trials were conducted using existing audio cues (National Physical Fitness 100, 20 m shuttle run). For the development of the shuttle run, considering wheelchair turning, signal-to-sound intervals were increased by 1 s and 1.5 s, respectively, in two trials. An analysis of the correlation with the maximal oxygen consumption (VO2max) in comparison to the reference criterion, an ergometer, demonstrated high correlations in the first trial (r = 0.738) and the second trial (r = 0.780). Similarly, significant correlations were observed with the maximum heart rate (HRmax) in the first trial (r = 0.689) and the second trial (r = 0.896). Thus, the 15 m shuttle run is validated as a field test for assessing cardiovascular fitness in athletes with disabilities. Correlation analysis with maximal oxygen uptake (VO2max) compared to the reference criterion, an ergometer, revealed a correlation of 0.815 with a 1 s interval audio cue and 0.355 with a 1.5 s interval audio cue. A high correlation was observed with the 1 s interval audio cue. Regarding the maximum heart rate (HRmax), the correlations were 0.665 with a 1 s interval audio cue. Once again, a high correlation was noted with the 1 s interval audio cue. The field test selected for measuring cardiovascular fitness in wheelchair athletes involved performing a 15 m shuttle run while in the wheelchair. The test utilized an audio cue with a 1 s increased interval between the signal sounds.

A comparative study on the reliability and validity of body composition results by impedance method measurement device.

The purpose of this study was to analyze the reliability and validity of the body composition results for each impedance device and use them as primary data for body composition research. Total of 58 participants, including 24 men and 34 women, were recruited. The correlation was analyzed by measuring two repetitive measurements for each device. Dual energy x-ray absorptiometry (DEXA) equipment was used as reference equipment for body composition research. All data were analyzed as IBM SPSS Statistics ver. 25.0, and the validity and reliability were estimated by calculating the timely correlation coefficient. As a result of the study, repeated measurements of the measuring instrument showed high reliability by gender and age, especially in the child age group, with relatively higher reliability than those in their 50s or older. In the validity analysis between DEXA, in the case of the male group, the validity of the fat mass amount was relatively higher than the body fat amount and body fat rate. In the case of the women's group, the validity of the body fat amount and body fat rate was relatively higher than that of the fat mass amount. The company B had the highest validity for body fat rate and body fat amount in both men and women. However, the validity for men's fat mass amount was the lowest. In subsequent studies, it is believed that studies that have expanded the population further and studies targeting special groups such as athletes should be conducted.

Exploring and Developing a Scale Using Item Response Theory for Sport Psychological Skills in Speed Skaters.

The purpose of this study was to develop a sports psychological skills scale for speed skaters and examine the validity of the scale. In order to accomplish the purpose of this study, skaters from around the world were set as a population, and then data from 456 athletes were collected using convenience sampling from the athletes participating in the 2020-2022 World Championships and the Beijing Winter Olympics. For analysis, V coefficient, Parallel Analysis, Exploratory Structural Equation Modeling, Bayesian Structural Equation Modeling, Maximum Likelihood CFA, and analysis of Multi-Group Confirmatory Factor Analysis were carried out by using WINSTEPS 3.65 and MPLUS 7.04 programs. The level of statistical significance was all set at α = 0.05 and Exploratory Structural Equation Modeling, Bayesian Structural Equation Modeling, Maximum Likelihood CFA, and Multi-Group Confirmatory Factor Analysis fit used TLI, RMSEA, the concept of reliability. The findings of the study were as follows: First, the factorial structure of SPSS was extracted as five factors with 17 items. Second, the analysis of MCFA on the transformative leadership scale, according to gender differences, was carried out, and cross validity was fulfilled.

A Study on the Preliminary Validity Analysis of Korean Firefighter Job-Related Physical Fitness Test.

The purpose of this study is to revise and modify the firefighter job-related performance tests from overseas to implement into the circumstances in Korea, examine its validity by analyzing the level of association between the test employed in the ongoing firefighter selection process, and propose a Korean firefighter job-related physical fitness test. Therefore, a modified version of Candidate Physical Ability Test (CPAT) from the United States firefighter selection process was conducted on 28 male firefighter officer candidates. Recorded results from VO2max, heart rate, blood lactate, anaerobic power test, and the ongoing Korean firefighter physical fitness test were analyzed to assess the validity of the modified test. IBM SPSS Statistics Ver. 27.0 was employed for the data correlation analysis in different fitness factors and the total circuit physical test time. The results revealed the proposed modified firefighter job-related physical fitness test showed significant correlation with VO2max (r = −0.450, p < 0.05), METS (r = −0.735, p < 0.01) recovery lactate over 15 min (r = −0.460, p < 0.05), peak power (r = −0.484, p < 0.05), average power (r = −0.647, p < 0.01), and in the ongoing firefighter physical fitness test, grip strength (r = −0.709, p < 0.01), lower back strength (r = −0.681, p < 0.01), standing long jump (r = −0.618, p < 0.01), sit-ups (r = −0.397, p < 0.05), and shuttle run (r = −0.523, p < 0.01). Fitness factors including VO2max, recovery lactate, anaerobic power, muscular strength, and so forth known to play a crucial role in firefighting operations were also shown to be important in the modified firefighter job-related physical fitness test. However, we suggest that studies with a larger sample size are needed in order to generalize our findings.

Sport Psychological Skill Factors and Scale Development for Taekwondo Athletes.

The purpose of this study was to identify the sport psychological skills of Taekwondo athletes and to develop a scale measuring such skills. We collected preliminary data using an open-ended online survey targeting Taekwondo athletes from nine countries (South Korea, China, Malaysia, United States, Spain, France, Brazil, United Kingdom, and Taiwan) who participated in international competitions between 2019 and 2020. We extracted participants' sport psychological skills from 75 survey responses, guided by expert meetings and a thorough literature review. We verified our Taekwondo psychological skill scale's construct validity using 840 survey responses. We utilized V coefficients, parallel analysis, an exploratory structural equation model, maximum likelihood, confirmatory factor analysis, and multi-group confirmatory factor analysis for data analysis. We identified six core sport psychological skills: "goal setting," "confidence," "imagery," "self-talk," "fighting spirit," and "concentration." Our final measure, which demonstrated evidence of reliability and validity, comprises 18 items spanning 6 factors, with each item rated on a 3-point Likert scale.

Developing a Scale Using Item Response Theory of the Self-Resilience in Taekwondo Players.

The purpose of this study was to identify the ego-resiliency of Taekwondo athletes and to develop a scale measuring such skills. We collected preliminary data using an open-ended online survey targeting Taekwondo athletes from nine countries (South Korea, China, Malaysia, United States, Spain, France, Brazil, United Kingdom, and Taiwan) who participated in international competitions between 2019 and 2020. We extracted participants' ego-resiliency from 48 survey responses, guided by expert meetings and a thorough literature review. We verified our Taekwondo ego-resiliency scale's construct validity using 741 survey responses. We utilized V coefficients, parallel analysis, an exploratory structural equation model, maximum likelihood, confirmatory factor analysis, and multi-group confirmatory factor analysis for data analysis. We identified four core ego-resiliency types: "empathy," "coach support," "care," and "parent support/effort". Our final measure, which demonstrated evidence of reliability and validity, comprises 18 items spanning 4 factors, with each item rated on a 3-point Likert scale.

Examining the Role of Life Skills in Mediating the Relationship between the Basic Psychological Needs and Subjective Well-Being of Taekwondo Student-Athletes.

Various theories in the field of positive youth development (PYD) through sport argue that student athletes' satisfaction with basic psychological needs, life skills development, and well-being are closely related to each other. This study identified the structural relationship among three basic psychological needs, life skills, and subjective well-being. Korean Taekwondo student athletes (N = 302, Mage = 17.67, range = 17-19) completed a survey evaluating basic psychological needs (autonomy, competence, and relatedness), life skills (teamwork, goal setting, social skills, time management, and leadership), and subjective well-being (life satisfaction, positive/negative affect). Data were analyzed by using descriptive statistics, correlation, and the Structural Equation Model (SEM). The model's goodness of fit was Ï°2/df = 2.78, TLI = 0.90, CFI = 0.90, RMSEA = 0.077 (95% CI = 0.70, 0.80), and SRMR = 0.085. The three basic psychological needs were positively related to life skills and subjective well-being. In addition, life skills had a mediation effect between the three basic psychological needs and subjective well-being. The interpretation of the results indicated that life skills development and well-being depend on basic psychological needs. Thus, coaches should encourage a PYD climate to satisfy their athletes' psychological needs.

Relations of Conspicuous Consumption Tendency, Self-Expression Satisfaction, and SNS Use Satisfaction of Gen Z through SNS Activities.

The purpose of this study was to analyze the relations of conspicuous consumption tendency, self-expression satisfaction, and SNS use satisfaction of Gen Z through SNS activities. For a week from 17-23 March 2021, an online survey was conducted targeting the enrolled students of university in Chungcheongnam-do. Out of a total of 398 questionnaires, a total of 394 questionnaires (98.9%) were used for the final analysis after excluding four questionnaires with low reliability. This study was analyzed using SPSS by IBM 23.0(New York, NY, USA) and AMOS 21.0 (New York, NY, USA). In the results of this study, first, the factors such as imported goods/famous brands, high-priced articles, and status symbol except for pursuit of trend of conspicuous consumption tendency had significant effects on the self-expression satisfaction. Second, the factors such as imported goods/famous brands, high-priced articles, and status symbol except for pursuit of trend of conspicuous consumption tendency of Gen Z through SNS activities had significant effects on the SNS use satisfaction. Third, the self-expression satisfaction of Gen Z through SNS had significant effects on the SNS use satisfaction.

Relative Contribution among Physical Fitness Factors Contributing to the Performance of Modern Pentathlon.

This study reveals the relationship between physical fitness factors and performance in modern pentathlon and identifies the contribution of each physical factor to overall performance. The physical fitness assessment data and the competition records collected by the Korean national team pentathletes for the years 2005 to 2019 were tracked. The correlation between the competition records and fitness factors was confirmed by correlation analysis. In addition, the physical factors affecting performance were identified through multiple regression analysis, and the average difference between national and international competitions was verified by t-test. The first result was that fencing, swimming, and horseback riding rankings were more relevant to the overall pentathlon performance score than the combined rankings in national competitions. In the international competitions, performance in the combined running and shooting event was more relevant than fencing, swimming, and horseback riding. Second, the basic fitness factors of grip strength and sergeant jump and the specific fitness factors of leg strength-left and right average flexor were correlated with overall pentathlon performance national competitions. However, in international competitions, sergeant jump, 20 m shuttle run, reaction time, lung capacity, and back strength were correlated (presented in high to low order). In terms of the specific fitness factors, relative (%BW) and absolute (Nm) leg strength-left and right average flexor, lower body anaerobic fatigue rate, half squat, relative (W/kg) and absolute (Watts) maximal lower body anaerobic power were correlated accordingly with overall pentathlon performance. Third, we analyzed the differences between average performance in national and international competitions. Only the combined running and shooting event out of the five modern pentathlon events showed a difference. Grip strength and relative leg strength-average extensor AP (%BW) appeared to be different among the physical fitness factors. Fourth, we examined the level of contribution of each of the fitness factors on overall performance. The model's goodness of fit was confirmed, and grip strength was found to have a significant contribution on overall performance. Furthermore, the level of contribution was higher in the following order: relative leg strength-left and right average flexor (%BW), bench press, half squat, relative leg strength-average extensor AP(%BW), GXT-time to exhaustion, relative lower body anaerobic average power (W/kg), and maximal lactic acid concentration. With the 2020 Tokyo Olympics just around the corner, combined running and shooting performance appeared to be a decisive factor in the final ranking in modern pentathlon according to the analysis of the basic and specific fitness factors of pentathletes. The basic fitness factors are critical in order of sergeant jump, grip strength, reaction time, lung capacity, side-step, back strength, 20m shuttle run, sit-and-reach, sit-ups, and single leg standing. With respect to the specific fitness factors, relative leg strength-left and right average flexor (%BW), bench press, half squat, relative leg strength-average extensor AP (%BW), GXT-time to exhaustion, relative lower body anaerobic average power (W/kg), and maximal lactic acid concentration showed their relevance accordingly.

The Relationship between Changes in GRIT, Taekwondo Ability, and Academic Achievement of University Students Majoring in Science and Engineering and Participating in Taekwondo Class.

GRIT, which was conceptualized by the American psychologist Duckworth, was designed by grouping growth (G), resilience (R), intrinsic motivation (I), and tenacity (T), which means continuing to be patient and put in effort to achieve goals without being frustrated by adversity or failures experienced in the process of striving toward one's goals. The purpose of this study was to determine GRIT changes caused by participation of students majoring in science and engineering in taekwondo class. Effects of taekwondo ability on GRIT and academic achievement were also examined to determine structural relationships among taekwondo ability, GRIT, and academic achievement. We selected a total of 305 students (204 participants and 101 non-participants) as research subjects and conducted a GRIT (preliminary) measurement. After one-year of taekwondo class, we collected and statistically processed the data of GRIT (post) measurement, taekwondo ability, and academic achievement of the participants. Reliability analysis, technical statistics, paired sample t-test, correlation analysis, and path analysis were performed. Changes in the GRIT values of the participants were found to be greater than those of non-participants. It was also found that taekwondo ability, GRIT, and academic achievement had significant correlations with each other. Finally, it was found that the higher the taekwondo ability, the higher the academic achievement and the higher the GRIT. Moreover, the higher the GRIT, the higher the academic achievement. Taekwondo training increased the GRIT values of participants. In addition, the taekwondo ability had positive effects on GRIT and academic achievement. GRIT also had a positive effect on academic achievement. Thus, there were structural relationships among taekwondo ability, GRIT, and academic achievement.

Angulation of the inner nuclear layer as an indicator of the severity of macular pseudohole.

PURPOSE: To investigate foveal morphologic parameters related to visual acuity and the stages classified in this study reflect the severity of the macular pseudohole (MPH). METHODS: Seventy-eight eyes of 78 consecutive patients diagnosed with MPH were studied. Quantitative optical coherence tomography (OCT) parameters including central foveal thickness, parafoveal thickness, parafoveal inner and outer retinal thickness (PIRT and PORT), pseudohole depth, pseudohole diameter, and inner nuclear layer (INL) angulation were measured and the morphologic features of the inner retina (disorganization of retinal inner layers (DRIL)) and the photoreceptor layer (external limiting membrane (ELM), ellipsoid zone (EZ), interdigitation zone (IZ), and cotton ball sign) were determined. Associations between OCT parameters and best-corrected visual acuity (BCVA) were analyzed. Based on the location of the inner margin of INL, all patients were divided into three stages and the mean comparison between the three stages was analyzed. RESULTS: PIRT (r = 0.6489; p < 0.0001) and pseudohole depth (r = 0.5266; p < 0.0001) had a statistically significant correlation with BCVA. Statistically significant visual acuity differences were found in eyes with DRIL (p < 0.001) and IZ disruption (p = 0.018), but not in ELM disruption (p = 0.916), EZ disruption (p = 0.581), and cotton ball sign (p = 0.075). According to the univariate and multivariate regression analyses, PIRT was associated with BCVA in both univariate (p < 0.001) and multivariate (p = 0.002) regression analyses. Defect diameters of both ELM (p = 0.025) and IZ (p = 0.006) were associated with BCVA in univariate regression analysis, but not in multivariate regression analysis. INL angulation and the ratio of the IZ disruption was significantly different in the three groups. Stage 3 (95.8%) had significantly higher disrupted IZ ratio than stage 1 (40%) and stage 2 (65.5%). The BCVA of stages 1, 2, and 3 were identified as 0.06 ± 0.07 (20/23 Snellen equivalent), 0.23 ± 0.17 (20/34 Snellen equivalent), and 0.48 ± 0.23 (20/60 Snellen equivalent), respectively, and the differences in BCVA between the three groups were significant (p < 0.0001). CONCLUSION: The parameters related to visual acuity were PIRT, pseudohole depth, DRIL, and IZ. The stage classification proposed in this study included morphologic changes of the inner retina and photoreceptor layer and is likely to be clinically useful for showing the severity of the MPH.

The Relationship between Flourishing and Depression in Children in the U.S. Using a Socioecological Perspective.

Children's flourishing is likely to be associated with achieving a positive mental and physical quality of life, which is considered as an important factor for helping children to overcome psychological adversity during the critical stage of emotional development. This study examined the relationships between children's flourishing and childhood depression. This was a cross-sectional study using the 2011-2012 National Children's Health Survey in the U.S. The conceptual framework that guided this study was a modified ecological system theory model. Multiple regressions were performed to investigate the associations between flourishing and pediatric depression, controlling for demographics, physical activity-related behaviors, family and environmental conditions. A total of 45,309 children (representing 33,293,823 children at the population level) were identified in this study (mean age: 13.63 years; female: 48.7%). Children's childhood depression was highly related to direct parenting functions, individual needs and environmental availabilities and accessibilities from a socioecological perspective. This study revealed multiple dimensions of how sociological factors influence children's flourishing and mental health. Parents' involvement in children's physical activities and family and social support are crucial for children's flourishing and mental health status. More attention needs to be paid to provide children with family and social support to help them to overcome and reduce childhood depression.

Comparison of Patterns of Skill Actions between Analog and Electronic Protectors in Taekwondo: A Log-Linear Analysis.

The purpose of this study was to compare the patterns of skill actions executed during Taekwondo competitions when wearing and not wearing an electronic protector. To achieve this purpose, 110 matches from two university-level Taekwondo championships were taped and analyzed. The performance skills were composed of 18 detailed skills and grouped into five categories by considering kicks to the target area (chest or head/face). The data were organized in the form of a contingency table that demonstrated the relationship between grouping factors (skills, protectors, win-lose, and weight division). A log-linear analysis was carried out to investigate the effect of the grouping factors (IVs) on the skills (DV) using SPSS Statistics. The results obtained in the present study can be summarized as follows. First, the overall proportion of "points" called by the judge for the general protector (32.3%) was approximately 3.4 times that for the electronic protector (9.5%). Second, for the electronic protector, the proportions of kicks to the chest area were in the following order: Roundhouse kick (R-Kick) (44.7%), Pushing kick (P-kick) (19.3%), Turn kick (T-kick) (8.7%), and Double roundhouse kick (DR-kick) (7.6%). For the general protector, the order differed slightly, with T-kick and P-kick switched around with different proportions. Third, the proportion of kicks to the head/face was higher for the electronic protector (19.8%) than for the general protector (10.4%), and this difference was even more distinct when the light (-68kg) (33.5% (electronic) vs. 6.5% (general)) and heavy (+85kg) (1.4% (electronic) vs. 13.3% (general)) weight divisions were compared. Finally, the match status (win/lose) had no significant effect on the pattern of playing actions for both the protectors. The result from this study suggests that skill frequency of linear simple movement for activating electrical protector's sensor is increased, while the one of rotational complex movement is decreased gradually. Additionally, headgear without sensors, such as for a hit movement to the face/head part, represent characteristics of increased attack skills to the facial area; these scores are provided through subjective judgement, and consequently changes in performance skills can occur.

The Psychometric Characteristic of the Taekwondo Electronic Protector Cognition Scale: The Application of the Rasch Model.

This research was to investigate the psychometric characteristics of the electronic protector cognition scale by the infit and outfit of taekwondo athletes. Methods: The research tools utilized the existing research of Jeon Ik-ki (2008), which conducted a survey of male and female athletes of 19 participating countries at the 19th Taekwondo World Championships. The electronic protector cognition scale used a five-point Likert grading with 1 (not at all) to 5 (very likely). Analysis using IBM SPSS STATISTICS version 23 (IBM SPSS, Inc., Chicago, IL, USA) was conducted for the 226 data sets collected. WINSTEPS 3.74 (Linacre, 2015) was used for calculating subject reliability, item goodness-of-fit, scale propriety, and item level of difficulty, in order to apply the item response theory to the psychometric characteristics of electronic protectors. The research results showed that it was suitable for subject infit/outfit in taekwondo electronic protector cognition scale as 1.00~1.01 and the input/output of taekwondo electronic protector cognition scale as 1.00~1.01. Secondly, five-point scales were reviewed to be suitable for scale propriety, resulting from stage index judgment. Thirdly, 8 items showed problems in item goodness-of-fit. Finally, scale propriety was reported to be suitable considering the ability distribution of taekwondo players and the level of scale difficulty.

Non-combative taekwondo evokes highly anaerobic physiological responses in elite-level athletes: potential evidence for a new training modality.

BACKGROUND: Despite the increasing international popularity of taekwondo (TKD) poomsae, there is a lack of physiological characterizations of elite-level competitors in the sport. Thus, the aim of the present study was to investigate the physiological demands associated with various types of TKD poomsae. METHODS: Eight male international TKD poomsae competitors carried out tae-geuk (TG) and professional (PF) poomsaes (in accordance with international competition standards), and consecutive TG (CTG) poomsae (a previously identified poomsae-specific training method). During each poomsae performance, oxygen uptake, heart rate, respiratory exchange ratio, and blood lactate were measured. The physiological responses were normalized and compared to maximal aerobic exercise tests such as a graded treadmill exercise (GXT) and maximal graded arm-crank ergometer exercise (ACE) to analyze the relative exercise intensity of each TKD poomsae. RESULTS: The results showed the relative exercise intensity of TG and PF poomsaes elicit moderate to high intensity physiological proportions of the maximal responses found during the GXT and ACE tests. Interestingly, CTG poomsae responses resulted in similar exercise intensities as those reported during high intensity interval training, indicating that CTG may be an effective training modality to improve aerobic and anaerobic exercise capacity while also utilizing and developing sport specific techniques and skills. CONCLUSIONS: This indicates the need for poomsae athletes to develop and maintain both aerobic and anaerobic capacity to enhance performance. Therefore, these physiological findings will help elite poomsae competitors and coaches to develop exercise programs of substantial duration and intensity to elicit beneficial performance adaptations.

Choroidal Thickness Indicates Subclinical Ocular and Systemic Inflammation in Eyes with Behçet Disease without Active Inflammation.

PURPOSE: To investigate whether subfoveal choroidal thickness, measured using enhanced depth imaging optical coherence tomography (EDI-OCT), is an indicator of subclinical ocular or systemic inflammation in eyes with Behçet disease (BD) without active ocular inflammation. METHODS: A retrospective analysis was used to examine clinical features of non-uveitic patients with BD (NUBD group), patients with a previous history of Behçet uveitis in an inactive state (IUBD group), and healthy controls were evaluated from October 2014 to September 2015. Subfoveal choroidal thickness was measured using EDI-OCT. RESULTS: The NUBD group included 46 eyes in 24 patients; the IUBD group included 16 eyes in 11 patients; and the control group included 35 eyes in 23 individuals. The mean subfoveal choroidal thicknesses differed significantly among these groups. Choroidal thickness was significantly greater in the NUBD (310.5 ± 81.0 µm) than in the IUBD (263.1 ± 56.6 µm, p = 0.013) and control (256.9 ± 67.9 µm, p = 0.002) groups. The disease activity score was significantly higher in the NUBD than in the IUBD group (p < 0.001), while the use of cyclosporine was significantly associated with choroidal thickness in eyes with NUBD (p = 0.039). CONCLUSIONS: Subfoveal choroidal thickness, as measured by EDI-OCT, may be a clinical indicator of subclinical ocular inflammation and systemic inflammation in BD patients without active ocular inflammation.

Potent Oral Hypoglycemic Agents for Microvascular Complication: Sodium-Glucose Cotransporter 2 Inhibitors for Diabetic Retinopathy.

The purpose of this study was to investigate the effects of sodium-glucose cotransporter 2 inhibitors (SGLT2i) on the progression of diabetic retinopathy (DR) in patients with type 2 diabetes. The medical records of 21 type 2 diabetic patients who used a SGLT2i and 71 patients with sulfonylurea (control) were reviewed retrospectively. The severity of DR was assessed using the Early Treatment Diabetic Retinopathy Study (ETDRS) scale. Fewer patients who used a SGLT2i than control patients with sulfonylurea showed progression of DR based on ETDRS scale (44% versus 14%, P = 0.014). Moreover, treatment with a SGLT2i was associated with a significantly lower risk of DR progression (P = 0.021), and this effect remained significant after adjusting for the age, duration of diabetes, initial DR grade, and HbA1c level by propensity score matching (P = 0.013). Treatment of type 2 diabetic patients with a SGLT2i slowed the progression of DR compared to sulfonylurea, which is independent of its effect on glycemic control. This study provides a foundation for further evaluation of the effect of SGLT2i on the progression of DR.

RESIDUAL VITREOUS CORTEX AT THE FOVEA DURING VITRECTOMY FOR PRIMARY RHEGMATOGENOUS RETINAL DETACHMENT REPAIR.

PURPOSE: To investigate the frequency of residual cortex and the effectiveness of removal of residual cortex in the fovea during vitrectomy for primary rhegmatogenous retinal detachment repair. METHODS: We retrospectively reviewed the charts and the operative videos of the 80 patients (80 eyes) who underwent vitrectomy for repair and who were observed for more than 6 months. After triamcinolone acetonide injection, we observed residual cortex on the surface of the retina. Residual cortex was removed with a diamond-dusted scraper. After surgery, we watched for the occurrence of epiretinal membrane (ERM) for at least 6 months. We graded ERM according to the postoperative visual acuity (thin membranes that did not affect vision vs. thick membranes that reduced vision). RESULTS: Of the 80 eyes, 60 eyes (75%) showed macular residual cortex, which we removed with a scraper, and 20 eyes (25%) did not have visible cortical remnants. Postoperative ERM occurred in 30% of eyes (24/80). The rate of postoperative ERM was 35% (21/60) in eyes with residual cortex and 15% (3/20) in eyes without residual cortex (P = 0.091). In the 60 eyes with residual cortex during vitrectomy, a thin membrane occurred in 18 eyes (30%) and a thick membrane occurred in 3 eyes (5%). In the 20 eyes without residual cortex, however, a thin membrane occurred in 3 eyes (15%) and no thick membrane was found. CONCLUSION: Eyes with residual cortex have a higher rate of ERM than eyes with no residual cortex after vitrectomy for primary repair. It is uncertain whether removing the cortex reduces the rate of postoperative ERM. The residual cortex may have already started the pathogenesis of ERM, or surgical trauma may have played a role.

Quarter-Shifted Microincisional Sutureless Vitrectomy in Patients with a Glaucoma Drainage Implant or Filtering Bleb.

When vitrectomy is performed in eyes that have undergone glaucoma surgery, the site of sclerotomy often overlaps with the previous glaucoma operation site. It can lead to serious complications such as postoperative hypotony, leakage, and/or infection. Our technique involves modification of surgeon's position and two sclerotomy sites 45° away from the original position, with an infusion cannula inserted infranasally to avoid damage to the glaucoma drainage implant or filtering bleb. The modified approach was applied to seven eyes with various indications. Vitrectomy was successfully completed, and there were no sclerotomy site complications, leakage, or hypotony in any case. Good intraocular pressure control was maintained throughout the postoperative course in all cases.

Relationship between ocular pulse amplitude and glaucomatous central visual field defect in normal-tension glaucoma.

PURPOSE: To investigate the relationship between central visual field (VF) defects and ocular pulse amplitude (OPA) in early normal-tension glaucoma (NTG). PATIENTS AND METHODS: This retrospective study included 100 eyes of 100 subjects: 54 NTG patients whose mean deviations were better than -7.00 dB and 46 normal subjects. OPA was measured by dynamic contour tonometry. NTG patients were divided into 2 subgroups according to VF tests: the central VF-invading and the central VF-sparing groups. Ocular parameters including OPA, intraocular pressure (IOP), and indices of VF tests were analyzed in glaucoma patients and normal subjects. RESULTS: There was no difference in the OPA between the NTG and normal groups. However, IOP and OPA of the central VF-invading group (14.4 ± 2.87 and 2.9 ± 0.78 mm Hg) were higher than those of the central VF-sparing group (12.7 ± 2.52 and 2.0 ± 0.80 mm Hg; P = 0.025 and P < 0.001, respectively). OPA, but not IOP, showed a positive correlation with the VF test indices that represented central field defects (r = 0.494, P < 0.001). CONCLUSIONS: Increased OPA was related to more centrally located VF defects in NTG patients with mild VF defects.