The emergence of critical incidents in Rugby Union matches using Markov chain analysis.

During a rugby match, teams are continually trying to cause instabilities of different magnitudes on each other. Once a perturbation occurs, a phase transition emerges. Markov chain analysis has the potential to investigate emerging patterns in rugby union.

Running Performance and Hormonal, Maturity and Physical Variables in Starting and Non-Starting Elite U14 Soccer Players During a Congested Match Schedule.

This study examined changes in match running performance (MRP) in Under-14 soccer players (13.5 ± 0.7 yrs) during a congested match schedule (CMS) (4 matches played within a 5-day period).

MBboard: Validity and Reliability of a New Tool Developed to Evaluate Specific Strength in Rock Climbers.

In the present study, we analysed the validity and reliability of a new tool designed to assist the measurement of maximal upper-limb strength in rock climbers in a specific way, named MBboard. The MBboard consists of an artificial small climbing hold affixed to a wooden board, which is connected to any cable-motion strength equipment to determine the maximum dynamic strength (MBboard-1RM). Ten male rock climbers (Rock Climbing Group, RCG = 10) and ten physically active men (Control Group, CG = 10) performed, on three separate occasions, a familiarization session with procedures adopted during MBboard-1RM testing and two experimental trials (i.

Pseudoaneurysm of the mitral-aortic intervalvular fibrosa with fistulous communication to the left atrium causing congestive heart failure.

Pseudoaneurysms of the mitral-aortic intervalvular fibrosa can rupture and form fistulous communications between the left ventricle and left atrium. Pulmonary venous systolic flow reversal in such cases reflects elevated left atrial pressure due to shunting. This finding, particularly in the setting of endocarditis, is not specific for severe mitral regurgitation.

Falsely elevated troponin: rare occurrence or future problem.

Introduction: Troponins are known to be released in response to cardiac damage and therefore are the biomarkers of choice for the early diagnosis of acute myocardial infarction (AMI), improving outcome in patients presenting with chest pain. However, false results can occur due to interference from other substances in the blood.

Case: A 52-year-old male with a past medical history of alcohol abuse, hypertension, and coronary artery bypass graft at age 34 with normal stress test 2 years before presented to the emergency department (ED) complaining of 1 day of non-exertional chest pain with radiation to the neck and left arm.

Pseudoaneurysm formation in infective endocarditis.

Left ventricular pseudoaneurysms that develop in the setting of infective endocarditis are believed to result from remodeling of extravalvular abscesses. The high pressure generated by the left ventricle is thought to dissect into the abscess causing it to form a characteristic sac-like protuberance readily recognized echocardiographically. Left ventricular pseudoaneurysms most often arise from abscesses in the mitral-aortic intervalvular fibrosa and protrude external to the aorta.

Embryology and disorders of sexual development.

Recent consensus is that individuals with atypical male or female phenotype are to be considered to have a "disorder of sexual development." The goal is to eliminate previous terminology that included the terms intersex, hermaphrodite, or pseudohermaphrodite. However, the teaching of embryology, and particularly teaching about the development of the reproductive system, still has not made the change to the new terminology.

Novel mutation and the first prenatal screening of cathepsin D deficiency (CLN10).

The neuronal ceroid lipofuscinoses (NCLs) are autosomal recessively inherited disorders collectively considered to be one among the most common pediatric neurodegenerative lysosomal storage diseases. Four main clinical subtypes have been described based on the age at presentation: infantile, late infantile, juvenile and adult types. In addition, rare congenital cases of NCL have been reported in the literature.

The role of scientists in the beginning-of-life debate: a 25-year retrospective.

This article examines scientific testimony given during the past 25 years surrounding the issue of when life begins. Although the biological facts were presented clearly, the moral and philosophical issues proved to be problematic. Often those in government tried to use science to substantiate their own philosophical beliefs.