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Athlete Monitoring
Published in Michael H. Stone, Timothy J. Suchomel, W. Guy Hornsby, John P. Wagle, Aaron J. Cunanan, Strength and Conditioning in Sports, 2023
Michael H. Stone, Timothy J. Suchomel, W. Guy Hornsby, John P. Wagle, Aaron J. Cunanan
In the case of a team sport athlete (or an individual sport athlete that trains with a team) not developing to near the magnitude expected (or worse, performance declined), a helpful exercise can be to compare them to other athletes on the team. This coupled with micro- and meso-level monitoring data can hopefully help the coach better understand what went wrong. Ideally, monitoring can “turn around” a potentially catastrophic situation. There are several good examples for evaluating monitoring based on the training prescription. What to do when things go wrong is less clear and often there likely is not a perfect answer. Generally, three options exist: (i) a substantial deload for a given period of time, (ii) continue as best you can, or (iii) start the macrocycle or mesocycle over. How to handle this unfortunate situation begins by identifying the issue and then attempting to troubleshoot the reason(s) for the problem (12). Of particular importance is whether the athlete is at risk for health, well-being, and/or safety issues due to overreaching complications. In this case, rest (and potentially other recovery related or medical related modalities) is needed. The next determining factor likely deals with the calendar. For example, “starting over” may be ideal; however, this is often difficult to impossible (e.g., if the athlete is in the middle of a competitive season).
Investigations, treatment and management
Published in Janetta Bensouilah, Pregnancy Loss, 2021
Ideally, measurements are taken serially during the second and early third trimesters, although a single measurement in the second trimester is sometimes offered. Cervical cerclage, which involves the insertion of a stitch, or suture, is the mainstay of treatment of cervical incompetence, and is performed either at around 12–14 weeks or later as an emergency measure. Debate over whether prophylactic cervical cerclage has real benefits for the majority of women who undergo the procedure is ongoing. It is known that for every 25 cerclages that are inserted, one woman will benefit. The procedure is not without risk, and is performed either transvaginally or (less commonly) transabdominally. In both cases the patient is required to have complete rest during recovery, which takes several weeks. Undoubtedly some women undergo what is quite a major intervention unnecessarily, but on the other hand the procedure serves a real purpose in reassuring women that their pregnancy will continue successfully, and the psychological benefits of this alone can be immense.
Doing things that boost how you feel
Published in Chris Williams, Roch Cantwell, Karen Robertson, Overcoming Postnatal Depression, 2020
Chris Williams, Roch Cantwell, Karen Robertson
Doing less changes how you feel emotionally and physically: You feel lower in mood as described above.You feel physically worse. When you feel unwell a natural response is to rest. Resting can be helpful, for example to allow a pulled muscle to settle. However, if you rest too much or for too long, your body can show unintended changes, for example your unused muscle will tend to lose muscle bulk and weaken.
Pregnancy in women with congenital heart disease: a focus on management and preventing the risk of complications
Published in Expert Review of Cardiovascular Therapy, 2023
Gurleen Wander, Johanna A. van der Zande, Roshni R Patel, Mark R Johnson, Jolien Roos-Hesselink
Management. Although pregnancy is generally not advised, when it does occur, intensive monitoring is required with serial echocardiograms and frequent MDT review. Bed rest may be advised in severe symptomatic cases. VTE prophylaxis should be prescribed, and HF treated with medications including diuretics. Oral sildenafil is safe in pregnancy. Eisenmenger’s syndrome presents more challenges during pregnancy due to cyanosis and the potential for paradoxical embolism. Women with oxygen saturation of less than 85% have poor fetal outcomes. The cyanosis increases during pregnancy due to decrease in SVR and consequent increased right to left shunt [4,62]. Maternal mortality is estimated to be around 20–50% in these women and termination should be discussed early in the pregnancy. A termination of pregnancy is high risk and should be carried out in specialized centers with dedicated cardiologists, obstetricians, and obstetric anesthetists. Care should be taken in the post-partum period when most complications occur [15].
The Importance of Rest in Trauma Services: Perhaps We Should Consider Naps!
Published in Alcoholism Treatment Quarterly, 2023
Dana C Branson, Elizabeth D. Arlington, Christopher S. Bradley
Rest comes in many forms. Champion (2021) identified the following types of rest that could be beneficial to clients in treatment for co-occurring disorders and trauma: (a) physical rest, involving sleep and restorative activities; (b) mental rest, involving respite from worrisome issues; (c) sensory rest, involving the absence of bright lights, loud noises, conversations, and technology; (d) emotional rest, involving avoidance of negative energy and issues that are psychologically draining; and (e) spiritual rest, involving time for connection to a Higher Power for renewed purpose and acceptance. There are many benefits of rest, including reduced anxiety, lower blood pressure, and easing of chronic pain, as well as an increase in positive mood, mental energy, creativity, motivation, productivity, immunity, self-control, and sense of resilience (Steinborn & Huestegge, 2016). These benefits of rest could also be helpful to clients working through co-occurring disorders and trauma and increase their chances at completing treatment successfully. Unfortunately, there may be logistical barriers in providing times and locations for clients to engage in real-time rest as previously defined in this article, especially in residential treatment programs.
Intersection of COVID-19, HIV and exercise: a commentary with home-based exercise recommendations for practice
Published in AIDS Care, 2022
Nicholas J. SantaBarbara, Sanaz Nosrat, Elizabeth Mayfield Arnold, Dallas Swendeman, Warren Scott Comulada
Initially exercising at light to moderate intensity is recommended, especially for beginners, and can be described as between a 2 and 6 on a 1–10 (lowest–maximum intensity) scale of perceived exertion (Noble, Borg, Jacobs, Ceci, & Kaiser, 1983). A general guideline is to rest more as exercise intensity increases (i.e., session effort, frequency and/or duration) and to rest less when intensity is low. This ensures that muscular soreness from more intense sessions resolves prior to the next session. Rest periods between more intense exercise bouts typically range between 24-48 h (Thompson et al., 2013). We also recommend performing these exercises outdoors if a socially distanced space is available and weather permits, as getting “green” outdoor exercise improves mood and general well-being (Rogerson et al., 2020).