“Real life use” of troponin in the emergency department: a survey of over 3000 cases     

Matteo Vidali  Enrica Verzotti  Nicole Cabraz  Francesca Santi  Alessia Puma  Giorgio Bellomo  Alessandro Lupi  Giuseppe Lippi  Gian Carlo Avanzi 《Biochemia medica : ?asopis Hrvatskoga dru?tva medicinskih biokemi?ara / HDMB》2015,25(3):421-429

Introduction

The aim of this study was to identify clinical variables which may be independently associated with positivity of a cardiac troponin I (cTnI) assay in a large population of patients admitted to the emergency department (ED).

Materials and methods

3166 subjects, with at least two troponin I tests ordered within 6 hours in the ED, were studied. Patient data were statistically analyzed to identify clinical associations with increased values of Troponin I.

Results

Although patients with diagnosis of acute coronary syndrome displayed troponin I values significantly higher than those of other groups, positivity to troponin I (> 40 ng/L) was also observed in patients with other clinical conditions. In multivariate analysis, age, elevated heart rate and electrocardiographyc changes were independently associated with troponin I positivity at admission. In the whole study population troponin I positivity exhibited high sensitivity and negative predictive value, counterbalanced by low specificity and limited positive predictive value.

Conclusions

Troponin I positivity should be combined with history and clinical evaluation and cautiously interpreted in the ED, especially in patients exhibiting factors associated with higher troponin I levels such as older age, elevated heart rate or ECG changes.Key words: troponin I, acute coronary syndrome, emergency service, hospital, chest pain  相似文献   

Acute effects of two different tennis sessions on dorsal and lumbar spine of adult players     

Maria Chiara Gallotta  Valerio Bonavolontà  Gian Pietro Emerenziani  Emanuele Franciosi  Alessandro Tito  Laura Guidetti 《Journal of sports sciences》2015,33(11):1173-1181

The aim of the study was to evaluate the dorsal and lumbar spine of expert and recreational tennis players before (pre) and after (post) two different training sessions. The sample consisted of 17 male tennis players, nine expert and eight recreational males (age 21.2 ± 1.6 years). We assessed the back surface by rasterstereography pre and post two different training sessions both lasting 1.5 h: a standard training and a specific over-shoulder shots training session, respectively. Lordotic and kyphotic angle, length, imbalance, inclination for trunk, pelvic torsion, left and right lateral deviation and surface rotation were measured. Tennis expertise (expert versus recreational) significantly affected the surface rotation and right lateral deviation (P < 0.05). Trunk length was affected by intervention (pre versus post) (P < 0.05). Left lateral deviation differed both for type of session (session 1 versus session 2) and intervention (P < 0.001, P < 0.05). Expert tennis players had higher values on surface rotation and right lateral deviation, around or just above physiological values (0–5° and 0–5 mm, respectively). Type of session significantly affected left lateral deviation, indicating that over-shoulder shots lead to a higher stress for the spine; the workload produced by both single sessions led to a shortening effect on trunk length. A single training session can induce acute modifications in some parameters of dorsal and lumbar spine of players.  相似文献   

Repeated sprint ability in young basketball players: one vs. two changes of direction (Part 1)     

Johnny Padulo  Guillaume Laffaye  Monoem Haddad  Anis Chaouachi  Giuseppe Attene  Gian Mario Migliaccio 《Journal of sports sciences》2015,33(14):1480-1492

The present study aimed to compare the changes of direction on repeated sprint ability (RSA) vs. intensive repeated sprint ability (IRSA) protocols in basketball. Eighteen young male basketball players performed on RSA [10 × 30-m (15 + 15-m, one change of direction)] and IRSA [10 × 30-m (10 + 10 + 10-m, two changes of direction)]. A correlation matrix between RSA, IRSA, “squat jump (SJ)–countermovement jump (CMJ)”, footstep analysis and total distance in Yo-Yo intermittent recovery level 1 was performed. The best time, worst time, total time and the number of footsteps were significantly smaller in the RSA test compared to IRSA test (P < 0.001), even though they were significantly correlated with each other (r > 0.80, P < 0.05). Blood lactate level and fatigue index did not show any difference between tests. The sensibility of the two tests assessed by the Bland–Altman analysis revealed a small bias (<1.5%) for almost all variables. Moreover, almost all time variables of the two tests were significantly correlated with the SJ (r > 0.478, P < 0.05), CMJ (r > 0.515, P < 0.05) and Yo-Yo (r > 0.489, P < 0.05) performances. The IRSA provided a reliable method for assessing specific sprint ability (with 10-m legs for IRSA ~2.3 s vs. 15 m for RSA ~3 s) with a closer link to basketball game’s actions (~2 s). Besides, IRSA could be an appropriate choice for assessing both RSA and changes of direction capacities in basketball players.  相似文献   

Metabolic optimisation of the basketball free throw     

Johnny Padulo  Giuseppe Attene  Gian Mario Migliaccio  Francesco Cuzzolin  Stefano Vando 《Journal of sports sciences》2015,33(14):1454-1458

The free throw (FT) is a fundamental basketball skill used frequently during a match. Most of actual play occurs at about 85% of maximum heart rate (HR). Metabolic intensity, through fatigue, may influence a technically skilled move as the FT is. Twenty-eight under 17 basketball players were studied while shooting FTs on a regular indoor basketball court. We investigated FT accuracy in young male basketball players shooting at three different HRs: at rest, at 50% and at 80% of maximum experimentally obtained HR value. We found no significant FT percentage difference between rest and 50% of the maximum HR (FT percentage about 80%; P > 0.05). Differently, at 80% of the maximum HR the FT percentage decreased significantly by more than 20% (P < 0.001) down to about 60%. No preliminary warm-up is needed before entering game for the FT accuracy. Furthermore, we speculate that time-consuming, cooling-off routines usually performed by shooters before each FT may be functional to improve its accuracy.  相似文献   

Development of a cultural self-efficacy scale for adolescents (CSES-A)     

Elena Briones  Carmen Tabernero  Carlo Tramontano  Gian Vittorio Caprara  Alicia Arenas 《Int J Intercult Relat》2009,33(4):301-312

We developed a cultural self-efficacy scale for adolescents (CSES-A) and tested its psychometric properties using both exploratory and confirmatory factor analyses. Cultural self-efficacy (CSE) was defined as person's perception of his/her own capability to function effectively in situations characterized by cultural diversity. On the basis of Bandura's guideline for the development of a domain-specific self-efficacy measure, we tailored 50 items after reviewing literature about cultural competence, adolescents’ school-problems and social self-efficacy scales developed in previous studies in intercultural contexts. After pre-testing and analyzing psychometric properties of the scale, we selected 33 items. Eight hundred sixty-eight adolescents with five different cultural origins completed a set of questionnaires, including the CSES-A, internal control expectancies, general self-efficacy, academic expectancies, number of people from diverse cultures they keep in touch with, acculturation attitudes, perceived enrichment of other cultures, acculturation stress and demographic data. An EFA with MPLUS 2.14 highlighted a five-factor solution with 25 items that was supported by a subsequent CFA. The five factors were: self-efficacy in mixing satisfactorily with other cultures, in understanding different ways of life, in processing information from other cultures, in coping with loneliness and in learning and understanding other languages. The pattern of correlation with internal control expectancies, general self-efficacy and cultural variables supported the validity of the scale. CSES-A may be useful for future research on multicultural contexts, in which self-efficacy in cultural adaptation could be a fundamental variable.  相似文献   

The scientific approach to the restoration and monitoring of mural paintings at S. Girolamo Chapel – SS. Annunziata Church in Florence     

Sara Bianchin  Monica Favaro  Pietro Alessandro Vigato  Guido Botticelli  Gioia Germani  Silvia Botticelli 《Journal of Cultural Heritage》2009,10(3):379-387

The scientific approach to the restoration and monitoring of mural paintings, at S. Girolamo Chapel – SS. Annunziata Church in Florence, is reported as a fruitful example of the synergic collaboration between restorers and scientists in the planning and development of conservative interventions. Before restoration, the painting technique and the state of preservation of the pictorial cycle have been investigated firstly by close examination of the painted surfaces and then by optical and/or SEM-EDS microscopy and μFT-IR spectroscopy on appropriately selected samples. In particular, the original constituent materials and those belonging to subsequent restorations were characterized together with those originating from decay processes. In this mural painting cycle, a peculiar “fresco” technique has been used although an auxiliary binder for pigment distemper has been also employed. The use of this technique, sometimes in an improper way together with uncorrected restoration interventions, are the main responsible of the unsatisfactory state of conservation of many painted areas. Preliminary conservation trials and scientific studies were carried out to design the most convenient restoration intervention and to verify the correctness and non-invasive of the necessary operations. Special attention was devoted to cleaning procedures, continuously monitored by a physico-chemical methodology, mainly based on microinvasive, microscopic and spectroscopic investigations, to evaluate the efficiency, advantages and drawbacks of the proposed cleaning procedures and define the most appropriate ones. Finally, specific decay markers have been recognized, by a comparison of the results obtained from the detached samples with those deriving from artificially aged models, to be used for a correct future monitoring and maintenance of the wall paintings.  相似文献   

The growing trend of scientific interest in sports science research     

Lippi G  Guidi GC  Nevill A  Boreham C 《Journal of sports sciences》2008,26(1):1-2

  相似文献   

Prevention of child abuse and neglect through early diagnosis of serious disturbances in the mother-child relationship in Italy     

Ernesto Caffo  Gian Paolo Guaraldi  Giorgio Magnani  Rita Tassi 《Child abuse & neglect》1982,6(4):453-463

At the obstetrical clinic of Modena University and a family center of the same municipality during the first six months of 1980 a questionnaire based on "Risks of Child Abuse" by Kempe, Gray and others was administered to 33 expectant mothers during the third trimester of pregnancy, a few days after delivery, and a month and one-half after childbirth, for the purpose of examining the mother-child relationship. Two principal groups of "risk factors" which may lead to child abuse and neglect appeared: mothers with preceding personal and social experiences, and cases of medical intervention (e.g., prematurity, caesarean). Use of a questionnaire that permitted early diagnosis made possible help in establishing a good mother-child relationship in the first months of life. Such help can be given by the hospital and public centers both before and after birth.  相似文献