Search Results (630)

With ketamine gaining attention as a therapeutic drug, oral administration offers an effective alternative to traditional parenteral routes. However, a significant gap remains in understanding its use via voluntary ingestion. This preliminary study aimed to explore the feasibility of oral ketamine self-administration in mice (Mus musculus), while investigating the effects of low concentrations on the brain, liver, and kidney. Adult mice were divided into three groups and received ketamine in their drinking water for 16 days at 0 (control), 5 (K5), or 10 mg/L (K10). A transient decrease in water consumption was observed in both sexes in the K10 group; however, only females in this group showed differences in ketamine intake between groups on some days. Oxidative stress markers measured in the brain, liver, and kidney only revealed higher catalase activity in the brains of females. No significant alterations were observed in liver and kidney function in either sex, nor in inflammation, apoptosis, or DNA damage in kidney tissues. Overall, these findings support the viability of voluntary oral ketamine administration and accentuate the need to refine the proposed model, not only to prevent water consumption inhibition but also to extend the exposure period, explore potential sex-related differences in ketamine intake, and further confirm the safety of oral ketamine administration. Full article

People frequently choose not to be in an intimate relationship, but the reasons behind this choice vary. In the current study, we analyzed a dataset pooled from previous studies, consisting of 3226 Greek-speaking participants, 357 of whom were voluntarily single, to estimate the occurrence of different types of voluntary singlehood. We found that the largest subgroup, accounting for more than 60% of cases, consisted of individuals who indicated that they preferred to be single because they had different priorities. This was followed by those who indicated that they had given up on trying to attain an intimate relationship, comprising more than 26% of cases. Furthermore, about 13% of voluntarily single participants indicated that they were in this group for “other” reasons. Additionally, we found that participants in the different priorities group were single significantly longer than participants in the group who had given up on finding an intimate relationship. No significant sex differences were detected in the occurrence rates of the two types of voluntary singlehood. Moreover, younger participants were significantly more likely to indicate that they had different priorities than that they had given up on finding intimate relationships. Full article

Bikeshare systems usually relocate bikes to respond to a mismatch between demand and bike supply, imposing substantial costs to operators despite the effort to encourage users to participate in voluntary rebalancing. This study initiates a search for a new strategy that can involve single station-based (SSB) riders and consider their bikes as the reserve of the current bike balance, resulting in the virtual expansion of station capacity. Thus, the behaviors of bike riders related to SSB trips are compared to investigate the potential applications. The results from analyzing the data of Citi Bike in New York City indicate that 13.4% of total trips were SSB, and the average trips per origin and destination (OD) pair was 2.6 times higher. Also, distinctive characteristics such as mean trip time regarding user groups and bike types were statistically significant within numerous OD pairs, implying the need for separate policies for both groups. Based on the analysis, stations with the highest expected benefit are identified. Full article

Background: Psychological problems post-stroke can negatively impact stroke survivors. Although general psychological services exist (e.g., NHS Talking Therapies), access remains limited, particularly for individuals with post-stroke communication and cognitive impairments. Stroke service staff report low confidence in managing psychological distress. This study is the first to explore the barriers and facilitators to implementing a novel intervention package comprising a cross-service care pathway and staff training to enhance post-stroke psychological provision. Methods: Staff from stroke and mental health services in four UK regions, recruited through purposive sampling to ensure diversity of services and professional roles, participated in semi-structured interviews or focus groups, guided by the Theoretical Domains Framework (TDF), before and after implementation of the intervention package. Pre-implementation interviews/groups identified anticipated barriers and facilitators to implementation and training needs, informing the development of site-specific intervention packages; post-implementation interviews/groups explored experienced barriers, facilitators and perceptions of the intervention. Interviews underwent thematic analysis using the TDF. Results: Fifty-five staff participated pre-implementation and seventeen post-implementation, representing stroke (e.g., nurse, physiotherapist, consultant) and psychology (e.g., counsellor, psychological therapist) roles across acute, rehabilitation, community, and voluntary services. Challenges anticipated pre-implementation included: limited specialist post-stroke psychological support; low staff confidence; and fragmented service pathways. Post-implementation findings indicated increased staff knowledge and confidence, enhanced screening and referral processes, and stronger inter-service collaboration. Implementation success varied across sites (with some sites showing greater ownership and sustainability of the intervention) and across staff roles (with therapy staff more likely than nursing staff to have received training). Conclusions: Effective implementation of an intervention package to increase psychological provision post-stroke requires staff engagement at all levels across all services. Staff investment influenced ownership of the intervention package, beliefs about priorities and overall enhancement of service capability. Full article

Objective: The aim of the study was to assess the effectiveness and safety of long-acting injectable anti-psychotic treatment (LAIA) amongst children and adolescents. Given the difficulty of performing an randomized controlled trial (RCT), we suggested comparing children and adolescents to young adults who were treated with LAIAs, and extrapolating data regarding efficacy and safety. Method: We compared data from medical files of adult inpatients treated with LAIAs to children and adolescent inpatients treated with LAIAs, between January 2014 and April 2021. Results: clinical global impression (CGI) scale score and rate of side effects (79% vs. 92%, p-value = 0.106) were not different between children and adolescents and young adults treated with LAIAs. There were no significant differences found between the groups in most demographic and clinical parameters such as gender distribution, legal status (voluntary or involuntary hospitalization), first hospitalizations and subsequent hospitalizations. Significant differences were found in duration of hospitalizations (144 days vs.50 days, p-value < 0.001), the indication for recommending LAIA treatment, diagnosis, the distribution of specific LAIAs and the rates of patients treated for side effects of anti-psychotic treatment. Conclusions: Results suggest that LAIA treatment may be as effective amongst children and adolescents as it is for adults. More research should be done to assess safety and efficacy of LAIA treatment in children and adolescents in the short and long term. Full article

Background and Objectives: Arthrogenic muscle inhibition (AMI) is a key neurophysiological barrier to effective rehabilitation in individuals with chronic ankle instability (CAI). The primary objective of this narrative review is to explore the role of arthrogenic muscle inhibition (AMI) in chronic ankle instability (CAI) and to critically appraise neurophysiological and rehabilitative strategies targeting its resolution. Although peripheral strengthening remains a cornerstone of treatment, the roles of spinal and cortical modulation are increasingly recognised. Materials and Methods: A narrative review was conducted to examine recent clinical trials targeting AMI in CAI populations. A structured search of MEDLINE, Web of Science, Scopus, Cochrane Central, and PEDro was performed. Five studies were included, encompassing peripheral, spinal, and cortical interventions. The outcomes were grouped and analysed according to neurophysiological and functional domains. Results: Manual therapy combined with exercise improved pain, strength, and functional mobility. Fibular reposition taping transiently enhanced spinal reflex excitability, while transcranial direct current stimulation (tDCS) over the primary motor cortex significantly modulated corticospinal excitability and voluntary muscle activation. Improvements in subjective stability, dynamic balance, and neuromuscular responsiveness were observed in the majority of the five included studies, although methodological heterogeneity and short-term follow-ups limit generalisability. Conclusions: Multimodal interventions targeting different levels of the neuromotor system appear to be more effective than isolated approaches. Integrating manual therapy, sensorimotor training, and neuromodulation may optimise outcomes in CAI rehabilitation. Future trials should focus on standardised outcome measures and long-term efficacy. Full article

The investigation of the neuromuscular components of fatigue in team sports, especially in developmental ages, is limited. This study aimed to examine the neuromuscular fatigue and recovery patterns in prepubertal and adult female handball players, focusing on the soleus (SOL) and tibialis anterior (TA) muscles. Fifteen prepubertal (11.1 ± 0.9 years) and fourteen adult (22.0 ± 3.4 years) females performed a sustained isometric plantar flexion at 25% of maximal voluntary contraction (MVC) until exhaustion. The electromyographic (EMG) activity of the SOL and TA, torque, and central activation ratio (CAR) were recorded throughout the experiment. Endurance time was similar between groups (girls: 104 ± 93.5 s; women: 94.4 ± 30.2 s, p > 0.05), and both demonstrated progressive increases in muscle activation, without significant group differences for SOL and TA EMG (p > 0.05). Following fatigue, the torque and soleus (SOL) EMG activity decreased significantly compared to the pre-fatigue values in both groups (p < 0.001) and recovered (p > 0.05) in prepubertal and adult females within the first 3 and 6 min, respectively. The CAR remained unchanged over time, without significant differences observed between age groups (p > 0.05). These findings suggest that neuromuscular responses to fatigue are comparable between prepubertal and adult females, but recovery is significantly faster in prepubertal girls. Consequently, these findings underscore the need for age-specific recovery strategies in training programs, with tailored exercise-to-rest ratios to enhance performance and reduce fatigue during handball-specific activities. Full article

Lavender essential oil (LEO) was analyzed using gas chromatography coupled with a mass selective detector (GC-MS), detecting linalool and linalyl acetate as its major constituents. The biological activity of the LEO was evaluated in vitro using a normal mouse fibroblast cell line (L929), where it showed no cytotoxic effects. To assess its therapeutic effect in vivo, a broiler chicken model (Ross 308) was employed. Birds were divided into three groups: the control group (C) without any hydrogel supplementation; the H group, supplemented with alginate hydrogel capsules without LEO; and the HE groups, which received hydrogel capsules containing immobilized LEO. Capsules were provided on chick paper for voluntary intake from day 1 to day 10. At the end of the production cycle, the cecum was dissected and preserved for subsequent molecular analyses. Results demonstrated that dietary supplementation with alginate hydrogel containing immobilized LEO (HE group) positively influenced the production parameters and intestinal health in broiler chickens. Dietary supplementation with alginate hydrogel-encapsulated LEO exerts therapeutic effects in broilers. Full article

Background and Objective: This study aimed to examine the possibility of using surface electromyography (sEMG) to aid in assessing the correctness of overhead deep squat performance. Electromyography signals were recorded for 20 athletes from the lower (rectus femoris (RF), vastus medialis (VM), biceps femoris (BF), and gluteus (GM)) and upper (deltoid (D), latissimus dorsi (L)) muscles. The sEMG signals were categorized into three groups based on physiotherapists’ evaluations of deep squat correctness. Methods: The raw sEMG signals were filtering at 10–250 Hz, and then the mean frequency, median frequency, and kurtosis were calculated. Next, the maximum excitation of the muscles expressed in percentage of maximum voluntary contraction (%MVC) and co-activation index (CAI) were estimated. To determine the muscle excitation level, the pulse interference filter and variance analysis of the sEMG signal derivative were applied. Next, analysis of variance (ANOVA) tests, that is, nonparametric Kruskal–Wallis and post hoc tests, were performed. Results: The parameter that most clearly differentiated the groups considered turned out to be %MVC. The statistically significant difference with a large effect size in the excitation of RF & GM (p = 0.0011) and VM & GM (p = 0.0002) in group 3, where the correctness of deep squat execution was the highest and ranged from 85% to 92%, was pointed out. With the decrease in the correctness of deep squat performance, an additional statistically significant difference appeared in the excitation of RF & BF and VM & BF for both groups 2 and 1, which was not present in group 3. However, in group 2, with the correctness of the deep squat execution at 62–77%, the statistically significant differences in muscle excitation found in group 3 were preserved, in contrast to group 1, with the lowest 23–54% correctness of the deep squat execution, where the statistical significance of these differences was not confirmed. Conclusions: The results indicate that sEMG can differentiate muscle activity and provide additional information for physiotherapists when assessing the correctness of deep squat performance. The proposed analysis can be used to evaluate the correctness of physical exercises when physiotherapist access is limited. Full article

Background/Objectives: In recent years, scientific literature has illustrated the growing interest in telerehabilitation after ACL reconstruction. The aim of this study is to compare the effectiveness of remotely supervised rehabilitation with traditional supervised rehabilitation after ACLR, focusing on objective postoperative functional assessment outcomes. Methods: A retrospective analysis of prospectively collected data was carried out, selecting patients that underwent arthroscopic ACLR by a single surgeon. Functional assessments of the patients were carried out at 1 and 2 weeks and 1, 2 and 3 months after surgery, including range of motion (ROM), maximal voluntary isometric contractions (MVICs) of extensor and flexor muscles, the sit-to-stand test and the countermovement jump. Intergroup statistics were carried out using a non-inferiority hypothesis. Results: A total of 251 patients were included in this study (supervised rehabilitation n = 165; remotely supervised rehabilitation n = 86). Functional assessment improved over time in both groups. The extension ROM deficit decreased to 0 difference 30 days after surgery. The median flexion ROM ILD at 60 days was significantly different among the groups, with a residual 10° ILD in the Group R compared with 0° ILD in group S (p = 0.01). All other assessments did not achieve statistical significance. Conclusions: The results support the integration of a digital rehabilitation tool in post-ACLR recovery programs. The results suggest that remotely supervised rehabilitation can be a viable alternative to traditional supervised rehabilitation for early-stage recovery. However, more research is needed to optimize protocols and to identify patients who may benefit most from this approach. Full article

Background: Sarcopenia (loss of muscle mass) and dynapenia (loss of strength) are prevalent in older adults aged 70 years and over. Both have an impact on their functional ability and quality of life, with type II muscle fibres being particularly affected. Although traditional resistance training (TRT) is effective, it presents technical difficulties and an increased risk of injury among this vulnerable population. Isometric strength training (IST) is a potentially safer, more accessible and more effective alternative. Objective: To describe the protocol of a single-arm, pre-post intervention trial designed to evaluate the efficacy and applicability of a 16-week IST programme on muscle strength, skeletal muscle mass, quality of life and applicability (safety, acceptability, perceived difficulty) in 18 older adults aged 70 years and above with a diagnosis of sarcopenia and dynapenia. The influence of genetic and environmental factors on the variability of response to IST will also be explored. Methodology: The participants, who have all been diagnosed with sarcopenia according to EWGSOP2 (European Working Group on Sarcopenia in Older People 2) criteria, will perform two IST sessions per week for 16 weeks. Each 30-min session will consist of one progressive set (total duration 45 s to 90 s) for each of the eight major muscle groups. This series will include phases at 20% and 40% of individual Maximal Voluntary Isometric Contraction (MVIC), culminating in 100% Maximal Effort (ME), using the CIEX SYSTEM machine with visual feedback. The primary outcome variables will be: change in knee extensor MVIC and change in Appendicular Skeletal Muscle Mass Index (ASMMI). Secondary variables will be measured (other components of sarcopenia, quality of life by EQ-5D-5L, use of Likert scales, posture and physiological variables), and saliva samples will be collected for exploratory genetic analyses. The main statistical analyses will be performed with t-tests for related samples or their non-parametric analogues. Discussion: This protocol details a specific IST intervention and a comprehensive evaluation plan. The results are expected to provide evidence on the feasibility and effects of IST among older adults with sarcopenia and dynapenia. Understanding individual variability in response, including genetic influence, could inform the design of more personalised and effective exercise strategies for this population in the future. Full article

Static stretching (SS) is widely used in clinical and sports settings. However, the acute effects on neuromuscular control during dynamic tasks remain unclear. This study aimed to examine the immediate effects of SS on force control using a randomized crossover design. Seventeen healthy young males performed low-range (10–30% of maximal voluntary isometric contraction: MVIC) and high-range (40–60% MVIC) isometric force tracking tasks. In the SS condition, the ankle plantar flexors were stretched for 60 s; in the control condition, the participants remained at rest. The primary outcomes included ankle dorsiflexion range of motion (ROM), musculotendinous stiffness, and the root mean square error (RMSE) of force tracking. Compared to the control group, SS significantly increased dorsiflexion ROM and reduced musculotendinous stiffness. A significant reduction in the RMSE was observed during the force release phase when participants smoothly decreased force output in the high-range task following SS (p = 0.030, d = 0.79), but no significant changes were found during the force generation phase in the high-range task or during either phase (generation or release) in the low-range task. These findings suggest that a brief SS intervention may acutely refine the dynamic force control under high neuromuscular demands. Therefore, SS may enhance motor control in tasks that involve submaximal force modulation. Full article

Muscle loss unresponsive to nutritional supplementation affects up to 80% of cancer patients and severely reduces survival and treatment response. Exercise may help preserve muscle mass and function, yet the translatability of preclinical methods remains questionable. This study aimed to assess how voluntary wheel running, a clinically relevant physical activity, protects skeletal and cardiac muscle against cancer-mediated dysfunction and identify underlying molecular mechanisms. Methods: BALB/c mice were assigned to sedentary nontumor-bearing (SED+NT), sedentary tumor-bearing (SED+T), wheel run nontumor-bearing (WR+NT), and wheel run tumor-bearing (WR+T). Tumor-bearing groups received 5 × 10⁵ C26 cells; WR mice had wheel access for 4 weeks. Muscle function and tissue were analyzed for protective mechanisms. Results: SED+T mice exhibited significant fat and lean mass loss, indicating cachexia, which was prevented in WR+T mice. SED+T also showed 15% reduced grip strength and cardiac dysfunction, while WR+T preserved function. WR+T mice had lower expression of muscle wasting markers (Atrogin1, MuRF1, GDF15, GDF8/11). Physical activity also reduced tumor mass by 57% and volume by 37%. Conclusion: Voluntary wheel running confers tumor-suppressive, myoprotective, and cardioprotective effects. These findings support physical activity as a non-pharmacological strategy to combat cancer-related muscle wasting and dysfunction. Full article

Exploring the cognitive and affective image dimensions involved in the formation of attractive sports destinations is essential to understand how sports activities influence participants’ experiences. This study explores how municipal sports programs and small-scale events shape both the cognitive and affective image of a destination. The research was conducted among 456 adult participants engaged in public sports events and recreation programs in various municipalities across Attica, Greece. Participation was voluntary and based on an open public call. The questionnaire was adapted from (a) scale, which examines the influence of a sports event image on a destination image—it included 17 items measuring the cognitive image destination grouped into four factors: (1) environment, (2) experiences, (3) attractions, and (4) entertainment–infrastructure, as well as 5 items assessing one factor of affective image destination—and (b) a scale for the intention to participate in sports events and exercise programs. The findings provide insights into how community-level sports initiatives contribute to form a favorable destination image, not only through tangible elements like facilities and environment but also through emotional engagement and social connectivity. These results can inform the development of more targeted and impactful local sports programs that enhance participant’s satisfaction and foster long-term community involvement. Full article

Background/Objectives: The COVID-19 pandemic has highlighted the importance of identifying factors influencing disease susceptibility and severity. This study investigates the association of ABO blood groups, the D antigen, and comorbidities such as hypertension and diabetes with COVID-19 severity among hospitalized patients in one Croatian center. Methods: A retrospective observational study was performed on 1687 moderately and severely ill COVID-19 patients and 7086 voluntary blood donors. We used medical records from PCR-confirmed COVID-19 patients hospitalized at University Hospital Center Osijek in Osijek, Croatia, and compared their ABO, RhD, and comorbidity profiles with those of voluntary blood donors. Key clinical data and outcomes, such as mortality and comorbidities, were assessed. Results: Our findings reveal a statistically significant association between blood group A and severe COVID-19 outcome and mortality. Conversely, D antigen status showed no significant impact. The combined presence of hypertension and diabetes emerged as a significant predictor of mortality. Conclusions: These results suggest that blood group A and specific comorbidities may be associated with worse outcomes, but age remained the strongest independent predictor of mortality. Blood group typing could still support risk stratification when interpreted alongside other clinical factors. Full article