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DOAJ Open Access 2025
CLOVES Syndrome: A Review of Clinical, Genetic, and Therapeutic Aspects

Julianna Podolec, Silvia Ciraolo, Joanna Wojda et al.

Purpose of Research: The research aims to provide an in-depth understanding of CLOVES syndrome, detailing its clinical features, epidemiology, etiology, and diagnostic criteria. It focuses on the role of PIK3CA gene mutations, challenges in diagnosis, and treatment options, including PI3K/AKT/mTOR pathway inhibitors. Research Materials and Methods: This article is based on a review of the current literature and clinical reports from various sources. The methodology includes a collection and synthesis of clinical data, imaging findings, and genetic analyses from published case studies and medical literature. The primary materials used in the research include: clinical case reports and studies, imaging studies, genetic analysis, therapeutic interventions, epidemiological data, literature review and data analysis. Basic Results: CLOVES syndrome affects fewer than 200 individuals worldwide, with symptoms appearing at birth or early childhood. It can lead to serious complications such as nerve compression, deep vein thrombosis, and pulmonary embolism. Diagnosis involves genetic testing and imaging, and sirolimus shows potential in managing symptoms. Conclusions: CLOVES syndrome is a rare, non-hereditary overgrowth disorder caused by a PIK3CA gene mutation. Early diagnosis and a multidisciplinary approach are vital for managing this complex condition and improving patient outcomes.

Sports, Sports medicine
DOAJ Open Access 2025
Non-pharmacological treatment methods for irritable bowel syndrome - literature overview

Wojciech Urban, Kornelia Karamus, Rafał Wojciech Rejmak et al.

Introduction   Irritable bowel syndrome (IBS) is a prevalent condition involving the gut–brain interaction where individuals commonly experience recurring abdominal pain, changes in bowel movements, and frequently bloating.   Aim The aim of this study was to review literature studies on IBS and non-pharmacological methods for treating this condition.    Method Data for the article were retrieved by using Pub Med setting the time descriptor to 2019-2024.   Conclusions Treating irritable bowel syndrome (IBS) continues to be challenging, as each patient needs a tailored approach. Once the correct IBS subtype is diagnosed, treatment should target the primary symptoms, such as bloating or diarrhea. Non-pharmacological treatment plays a initial, crucial and  rapidly developing role in IBS therapy.

Education, Sports
DOAJ Open Access 2025
Effect of Midsole Compliance on Oxygen Consumption and Perception of Effort and Comfort during running

Kai Biedermann, Gian-Andri Baumann, Christina M. Spengler et al.

Introduction Advanced Footwear Technology (AFT) enhances running economy, which is partly attributed to midsole foam properties such as high resilience (the ability of a material to absorb and recover energy under elastic deformation) and high compliance (the tolerance of a material to deformation). While compliant midsoles are known to improve running economy over non-compliant ones, the impact of further increasing compliance in already compliant midsoles remains unclear. Also unclear is the effect of increased compliance on the perception of effort and comfort during running, as this might transform a feeling of cushioning into one of instability. This study aimed to address these issues by comparing three current AFT models with similar resilience but varying compliance: Nike AlphaFly 2 (NAF), Nike VaporFly 3 (NVF), and On Cloudboom Echo 3 (CBE), with the NAF being the most compliant shoe, and thus the one with the highest level of energy return (11.1J) compared with both the NVF (6.5 J) CBE (6.0 J). Methods Sixteen well-trained runners (age 31 ± 5 years, height 178 ± 9 cm, body mass 66 ± 10 kg, body fat 14 ± 4%, V̇O2peak 59 ± 4 ml・kg-1・min-1) performed, on different days, sub-maximal running for 6 min at 16 km·h-1 (80 ± 7% V̇O2peak) on a treadmill and a 400-m track. Treadmill tests included two runs each in NAF and NVF, while track tests included three runs each in NAF, NVF and CBE, with shoe order varied systematically. Gas exchange was continuously monitored while perceived exertion and comfort were rated post-run using a 100mm visual analogue scale. Spatiotemporal data, including impact loading, ground contact time, and cadence, were assessed using accelerometry. Results The NVF improved running economy compared with the NAF (-0.8 ± 0.3 ml・kg-1・min-1, P < 0.05) and CBE (-0.7 ± 0.2 ml・kg-1・min-1, P < 0.05). These findings were corroborated by lower heart rate and ventilation with NVF, present during both treadmill and overground running. However, there was no correlation between the shoe differences seen on both surfaces. No significant differences were found between the shoes concerning perceived effort and comfort. Participants experienced lower impact magnitudes in the NVF (5.4 ± 1.5 g) compared with the NAF (5.6 ± 1.5 g, P < 0.05) and CBE (5.5 ± 1.5 g, P < 0.05). No changes in spatiotemporal data were associated with the differences in running economy between the shoes. Discussion/Conclusion These findings indicate that improvements in running economy with AFT are not a matter of endlessly pursuing increased compliance and energy return. Furthermore, perception seems to be unaffected by higher midsole compliance when different shoe models are tested, suggesting that many other factors are at play. As perception of exertion did not differ between shoes despite noticeable differences in physiological variables, it remains to be seen whether such minute differences are relevant for performance, or whether perhaps longer trials are needed to detect differences in exertion.

Sports, Sports medicine
DOAJ Open Access 2025
Use of multimedia therapeutic tools in the post-stroke rehabilitation proces

Bartosz Jan Barzak

Stroke remains one of the leading causes of disability and death worldwide, resulting in significant social and economic costs. Effective post-stroke rehabilitation, including physiotherapy, occupational therapy, speech therapy and psychological support, is crucial for improving motor and cognitive functions and quality of life in patients. In recent decades, there has been dynamic development of multimedia therapeutic tools, such as virtual reality (VR), robotics, mobile applications and telemedicine. These technologies allow for the personalisation of exercises, greater patient engagement and monitoring of therapy progress. The introduction of VR systems, computer games and motion controllers has revolutionised motor and cognitive rehabilitation, and the use of gamification elements increases motivation and the number of repetitions of exercises performed. A review of studies confirms the effectiveness of VR and other multimedia tools in improving upper limb function, gait, balance and cognitive function and reducing the symptoms of depression after a stroke, as well as strengthening motivation for rehabilitation. Modern technologies also facilitate performing exercises at home, which is particularly important for maintaining long-term therapeutic activity. Multimedia tools are a valuable complement to traditional methods, contributing to the intensity, effectiveness and attractiveness of the post-stroke rehabilitation process.

DOAJ Open Access 2025
Desigualdades en la actividad física de la adolescencia en Cataluña: influencia del nivel socioeconómico, la inmigración y el género

Eric Roig-Hierro, Laia Garcia-Dalmases, Xènia Ríos-Sisó et al.

La práctica de actividad física (AF) durante la adolescencia es esencial para el desarrollo físico, mental y social, pero no todos los colectivos tienen acceso a estos beneficios de manera equitativa. Factores como el nivel socioeconómico y cultural (NSEC), el origen migratorio y el género condicionan la frecuencia con la que las personas adolescentes participan en actividades físicas. En Cataluña, estas desigualdades adquieren relevancia en un contexto de diversidad creciente y desigualdades socioeconómicas persistentes. A partir de los datos del estudio PISA 2022 de 1524 adolescentes catalanes de 15 años, se analizó la influencia de los factores de desigualdad sobre la práctica semanal de AF. Los resultados muestran diferencias significativas en la frecuencia semanal de AF según el NSEC de las personas adolescentes (p < .001). Mientras que un NSEC alto se asocia predominantemente con frecuencias intermedias (2-4 veces/semana), un NSEC bajo muestra una sobrerrepresentación tanto en las categorías de práctica baja (0-1 vez/semana) como en la de práctica muy elevada (≥ 5 veces/semana). Con respecto al origen migratorio, los adolescentes nativos reportan una participación más elevada que aquellos de primera generación, especialmente en grados de frecuencia elevada (≥ 3 veces/semana). Con respecto al género, los chicos superan claramente a las chicas en prácticas frecuentes, con un 58.35% que realiza AF 5 veces o más por semana, frente al 33.37% de las chicas. Estas desigualdades evidencian barreras sociales, económicas y culturales que limitan el acceso de los colectivos vulnerables a la AF. Se destaca la necesidad de generar políticas que promuevan la AF equitativa, subvenciones específicas y programas de integración cultural, esenciales, para fomentar un acceso equitativo y asegurar los beneficios de su impacto en el bienestar de los y las adolescentes.

Special aspects of education, Sports
DOAJ Open Access 2024
Survey of Students' Interest in Participating in Swimming Extracurricular Activities

Moch. Irfan Rifa’i, Wasis Himawanto, Ruruh Andayani Bekti et al.

This research aims to see how interested students are in taking part in extracurricular swimming activities. The method used by researchers is a survey method using a questionnaire. By using the survey method, data can be obtained which will be analyzed using descriptive and percentage statistical techniques. Based on the results of the research and discussion, the following conclusions can be drawn from this research: Students' interest in participating in extracurricular swimming activities in elementary schools from the overall data tends to be in the High category. Students' interest in participating in extracurricular swimming activities in elementary schools from the overall data tends to be in the High category. In this category, student interest was very high, accounting for 12 students (26.67%), in the high category, accounting for 13 students (28.89%), in the sufficient category, accounting for 9 students (20%), and in the low category. a total of 11 students (24.44%). The results of the implications used in this research provide input for schools to create better extracurricular swimming programs.

DOAJ Open Access 2021
Differences between learning model of inquiry and direct instruction toward learning outcomes on discus throw

Andrew Sinulingga, Deny Pradana Saputro, Andi Nova

Determining the learning model in teaching and learning activities will help students succeed, especially in physical education lessons. A Teacher is demanded to choose the right learning model according to the needs field need suitable for a pupil's characteristic. This research aims to find out determine differences between the learning model of inquiry and direct instruction on learning outcomes of discus throw. The subject of the study is students of grade ninth in State Junior High School three Pekanbaru. The research method is an experiment in which each group is fifteen students in inquiry learning models and indirect instruction models. The in research was t, the instrument discus throw, which consists of holding the discus, approaching, throwing, and following through. The T-test is an analysis technique of the data in this study by presenting two different learning groups. The result of the use of products learning outcomes of discus throwing on students of grade ninth at state junior high school three Pekanbaru by implementing inquiry learning models and direct instruction in learning of discus throw. The inquiry learning model in this study showed better results than direct instruction. The gain of students' average value contributed 13.5, whereas the average value of students in direct instruction was 12.0. Therefore, it can be concluded that the inquiry learning model is better to be implemented for the learning of physical education, especially on discus throw lesson than the implementation of direct instruction in State Junior High School three Pekanbaru.

DOAJ Open Access 2021
TOURISTS’ PERCEPTION OF ECOTOURISM DEVELOPMENT IN LAGOS NIGERIA: THE CASE OF LEKKI CONSERVATION CENTRE

Nwokorie Edwin Chigozie, Adeniyi Enekole Esther

This study examined tourists’ perception of ecotourism services in Lagos, Nigeria, with the specificity of the Lekki Conservation Centre. Specific objectives were to identify the elements of tourists’ demand concerning destination loyalty in the study area. A total of 300 domestic and inbound tourists were sampled, over ten months, using a structured questionnaire. Descriptive statistics were used for data analysis. The findings revealed the availability of vital tourism-related products to meet tourist demand, a conducive tourism atmosphere, and a dispersed location of the species in the conservation center with the availability of quality tourism facilities. However, tourists’ perception and experience were poor compared to available infrastructural components. The study concludes that managers of the centre have not employed quality destination management and marketing techniques to improve their image and enhance inbound tourism. Recommendations included the need for the provision of more facilities and species, and an improved means of transportation to enhance tourist accessibility to the centre.

Recreation. Leisure
DOAJ Open Access 2021
Core Temperature during Cold-Water Triathlon Swimming

Lars Øivind Høiseth, Jørgen Melau, Martin Bonnevie-Svendsen et al.

Triathlon and other endurance races have grown in popularity. Although participants are generally fit and presumably healthy, there is measurable morbidity and mortality associated with participation. In triathlon, most deaths occur during the swim leg, and more insight into risk factors, such as hypothermia, is warranted. In this study, we measured the core temperature of 51 participants who ingested temperature sensor capsules before the swim leg of a full-distance triathlon. The water temperature was 14.4–16.4 °C, and the subjects wore wetsuits. One subject with a low body mass index and a long swim time experienced hypothermia (<35 °C). Among the remaining subjects, we found no association between core temperature and swim time, body mass index, or sex. To conclude, the present study indicates that during the swim leg of a full-distance triathlon in water temperatures ≈ 15–16 °C, subjects with a low body mass index and long swim times may be at risk of hypothermia even when wearing wetsuits.

DOAJ Open Access 2020
Comunicación Educativa y Educación para el Ocio en Educación Física Escolar

Cinthia Lopes da Silva, Joan Ferrés i Prats

Este trabajo tiene como objetivo discutir y analizar las aproximaciones teóricas de la Comunicación educativa y de la educación para el ocio en Educación Física escolar. En la Educación Primaria, en Brasil, es donde existen las tasas más altas de abandono de alumnos. En las clases de Educación Física muchos alumnos no tienen una participación efectiva, debido a factores didáctico-metodológicos y de construcción curricular. Los estudios de la Comunicación educativa, con fundamentos en neurociencia, podrán ser útiles en la búsqueda de soluciones para este problema. Esta es una investigación bibliográfica y cualitativa. Tomando como base las discusiones de la Comunicación educativa y los estudios del ocio, las clases de Educación Física pueden ser más interesantes e incentivar a los alumnos para la construcción y la producción de conocimiento en torno al cuerpo, a las prácticas corporales y a los medios.

Recreation. Leisure
DOAJ Open Access 2019
تأثیر تمرین تناوبی پرشدت در موش صحرایی مادة چاق قبل از بارداری بر زمان خستگی، متیلاسیون ژن‌های PGC-1α و سارکولیپین در عضلة دوقلوی زاده‌های موش

سمانه کنشلو, مریم نورشاهی, مهدی هدایتی et al.

<strong>چاقی و نیاز به کنترل انرژی، درسراسر جهان به‌عنوان یکی از بزرگ‌ترین عوامل در بروز بیماری‌های مزمن محسوب می‌شوند و به‌دلیل انتقال مضرات آن از مادر به فرزند بسیار اهمیت دارند؛ بنابراین، هدف از انجام پژوهش حاضر، بررسی تأثیر تمرین تناوبی پرشدت در موش صحرایی مادة چاق قبل از بارداری بر زمان خستگی، متیلاسیون ژن‌های</strong><strong>Peroxisome proliferator-activated receptor gamma coactivator 1-alpha</strong><strong> (</strong><strong>PGC-1α</strong><strong>) و سارکولیپین در عضلة دوقلوزاده‌های موش بود؛ براین‌اساس، 40 موش صحرایی سه‌ماهة مادة نژاد ویستار خریداری شدند و به چهار گروه مساوی تغذیة پرچرب، (گرم 22</strong><strong> ± </strong><strong>250) کنترل (گرم 30</strong><strong> ± </strong><strong>170)، تمرین + تغذیة پرچرب (گرم 30</strong><strong> ± </strong><strong>240) و تمرین (گرم 33</strong><strong> ± </strong><strong>190) تقسیم شدند. بعد از انجام شش هفته پروتکل تمرین تناوبی شدید، موش‌های ماده باردار شدند و پس از تولد نوزادان، آن‌ها به دو گروه تقسیم شدند. گروه اول برای بررسی متیلاسیون </strong><strong>PGC-1α</strong><strong> و سارکولیپین، به روش</strong><strong>واکنش زنجیره‌ای پلی‌مراز اختصاصی</strong><strong>تشریح شدند و گروه دوم بعد از دوماه، پروتکل شنا برای سنجش خستگی را انجام دادند. نتایج آزمون آنوای یک‌طرفه نشان داد که کاهش معناداری (</strong><strong>P = 0.001</strong><strong>) در مقادیر متیلاسیون ژن </strong><strong>PGC-1α</strong><strong> و افزایش معناداری (</strong><strong>P = 0.001</strong><strong>) در آزمون سنجش مقاومت به خستگی، بین گروه تمرین با گروه‌های دیگر و گروه تمرین + تغذیة پرچرب با گروه تغذیة پرچرب وجود داشتند؛ بنابراین، انجام تمرین‌های تناوبی شدید قبل از بارداری بر متیلاسیون ژن </strong><strong> PGC-1α</strong><strong>و عملکرد ورزشی نوزادان موش صحرایی در مقاومت به خستگی نقش دارد. همچنین، تمرین تناوبی شدید می‌تواند تأثیر ناشی از مصرف غذای پرچرب را کاهش دهد.</strong>

Sports, Sports medicine
DOAJ Open Access 2019
Nursing care for a patient diagnosed with eating disorders in the form of anorexia

Weronika Nawłatyna, Paulina Myszka, Piotr Pawłowski et al.

Introduction: Nowadays, the problem of eating disorders is becoming more and more common in the society. It affects not only the youth but also adults. The canons of beauty presented by tabloids or advertisements become a benchmark of value for many people who, in pursuit of a perfect figure, are willing to make many sacrifices even at the expense of their own health and life. It is estimated that about 8 – 9% of the population is affected by eating disorders in the form of anorexia or bulimia. Mortality constitutes about 20% of diagnosed cases. A timely diagnosed disorder can be treated mainly with the help of appropriate therapeutic techniques, which allows symptoms to resolve in a significant number of patients. Aim: The aim of the study is to present the tasks of a nurse in care for a patient with diagnosed eating disorders in the form of anorexia. Methods and materials: The study was based on the individual case study method. The adopted research techniques were as follows: the interview, nursing observation, measurements and the analysis of the patient’s medical record documentation. The following research tools were used for the study: the Individual Nursing Care Card, the NRS for pain assessment, the MNA for nutrition status and the Beck Depression Inventory. Findings: During the research process, eight nursing diagnoses based on the patient's health issues were made. Conclusions: Nursing problems in the care of a patient diagnosed with eating disorders in the form of anorexia arise from the disease and the accompanying complications.

Education, Sports
DOAJ Open Access 2018
La práctica del Pentatlón Militar en la formación inicial del profesional de la Academia Militar del Ejército Bolivariano

Johnder Gerardo Gutiérrez-Zambrano, Sergio Raúl Carrillo-Cabiedes, Santiago León-Martínez

La incorporación de deportes aplicados en la formación inicial del profesional en las academias militares del continente y el mundo, es cada vez más frecuente y obliga a novedosas modificaciones en su maya curricular. La investigación se desarrolló con el objetivo de determinar el efecto de la aplicación de una estrategia metodológica para la implementación de la práctica sistemática del Pentatlón Militar en el proceso de formación inicial del profesional militar en las Academias Militares del Ejército Bolivariano (AMEB). A partir de insuficiencias detectadas en la formación del profesional y las alternativas para su superación, se realiza un estudio de campo, exploratorio, descriptivo y transversal. Se determinan las dimensiones, indicadores y componentes que integran la estrategia. La validación de especialistas y usuarios confirma su validez y posibilidades de replicar en otros centros homólogos del país o en contextos similares.

Special aspects of education, Sports
DOAJ Open Access 2017
مقایسة پارامترهای کینتیکی بین فوتبالیست‌های‌ دارای کف پای صاف منعطف و طبیعی در تکلیف افت- فرود تک‌پا

هاشم پیری, رضا رجبی, هومن مینونژاد et al.

هدف این پژوهش، مقایسة حداکثر نیروهای عمودی و خلفی عکس‌العمل زمین و نرخ بارگذاری، بین فوتبالیست‌های دارای کف پای صاف منعطف و طبیعی در تکلیف افت-فرود تک‌پا از ارتفاع 30 سانتی‌متری بود. 10 فوتبالیست با کف پای صاف منعطف و 11 فوتبالیست با کف پای طبیعی در این پژوهش شرکت کردند. پس از گرم‌کردن و آشنایی با تکلیف افت- فرود تک‌پا، هر کدام از شرکت‌کنندگان پنج تلاش موفق انجام دادند. نتایج نشان داد که در حداکثر نیروی عمودی عکس‌العمل زمین، حداکثر نیروی خلفی عکس‌العمل زمین و نرخ بارگذاری، تفاوت معناداری بین فوتبالیست‌های با کف پای صاف منعطف و فوتبالیست‌های با کف پای طبیعی وجود ندارد. پارامترهای کینتیکی در فوتبالیست‌های با کف پای صاف منعطف احتمالاً نمی‌توانند به بروز آسیب در این افراد منجر شوند.

Sports, Sports medicine
DOAJ Open Access 2017
Automated Feedback Selection for Robot-Assisted Training

Gerig N., Wolf P., Sigrist R. et al.

Robot-assisted training can be enhanced by using augmented feedback to support trainees during learning. Efficacy of augmented feedback is assumed to be dependent on the trainee's skill level and task characteristics. Thus, selecting the most efficient augmented feedback for individual subjects over the course of training is challenging.

Sports, Electronic computers. Computer science
DOAJ Open Access 2014
شناسایی و اولویت‌بندی شاخص‌های ارزیابی عملکرد فدراسیون‌های ورزشی ایران با استفاده از مدل AHP

سید احمد نژاد سجادی, جهانگیر سلیمانی دامنه

هدف از پژوهش حاضر شناسایی و اولویت‌بندی شاخص‌های ارزیابی عملکرد فدراسیون‌های ورزشی ایران از دیدگاه صاحب‌نظران و با استفاده از مدل AHPاست. روش تحقیق از نوع توصیفی -  تحلیلی و جامعۀ آماری شامل کلیۀ مدیران و کارشناسان فدراسیون‌های ورزشی و همچنین استادان مدیریت ورزشی دانشگاه‌های دولتی شهر تهران بود (167 نفر) که با در نظر گرفتن تعداد نمونۀ مورد نیاز برای تصمیم­گیری در مدل AHP، 60 نفر به­عنوان نمونۀ آماری انتخاب شدند. در مرحلۀ اول تحقیق، برای شناسایی شاخص‌های ارزیابی عملکرد،با مرور پیشینۀ تحقیق فهرستی از شاخص­ها­ تدوین و در اختیار صاحب‌نظران قرار داده شد. پس از دریافت و جمع‌بندی نظرات، چارچوب نهایی شاخص‌های ارزیابی عملکرد فدراسیون‌های ورزشی ایران در چهار معیار کلی و با 43 زیرمعیار تدوین شد. در مرحلۀ بعد، به­منظور اولویت­بندی این شاخص‌ها و تعیین میزان اهمیت هر یک از معیارها و زیرمعیارهای تدوین­شده از مدل AHP استفاده شد. بر اساس این اولویت‌بندی در میان چهار معیار کلی ارزیابی عملکرد فدراسیون‌ها امور پشتیبانی و برنامه‌ریزی، توسعۀ زیرساخت‌های ورزش، امور فنی و ورزشی و توسعۀ منابع کالبدی و تجهیزاتی به ترتیب در اولویت‌های اول تا چهارم قرار گرفته‌اند.

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