UNASSIGNED: Most of the anxiety disorders, particularly social anxiety, seem to develop either during childhood or adolescence. Adolescent singers who experience physical, mental and emotional changes along with voice change are particularly prone to the development of MPA. However, adolescence also seems to be an opportune time to instil healthy behaviours in singing students as they are more likely to remember these coping strategies, owing to the release of dopamine and the \'reminiscence bump\'. As this period of a singer\'s life is wrought with inevitable anxiety development, the additional aim of the study was to develop a coaching framework which can be used by singing teachers in their practice. Mindset training for adolescents seems crucial to help them continue singing through puberty so they do not drop out of singing lessons or choir during voice change and identity development.
UNASSIGNED: The study aimed to determine if Acceptance and Commitment coaching could be used with adolescent singers with MPA and to record and analyse rich qualitative data in the form of semi-structured participant interviews and questionnaires.
UNASSIGNED: When their perception of MPA symptoms and physiological and psychological arousal before a performance changed, their behaviour and reactions changed accordingly. The change took place over a period of time, which was characterised by discoveries about themselves, confusion in understanding new concepts and letting go of old habits. Interestingly, by the end of the coaching sessions, their preoccupation with pleasing the audience and appearing perfect on stage was replaced by a new-found delight in pursuing values and goals related to their singing. Along with this came the acceptance of themselves and others as individuals with the potential for growth and change and the capacity to learn from mistakes.
UNASSIGNED: This study marks the first investigation into the effectiveness of using of ACC as an intervention for MPA in adolescent singers undergoing puberty by a singing teacher. The results are promising and suggest that ACC is an effective MPA intervention for adolescent singers to cope with inevitable development-related anxieties and keep them engaged in the activity of singing during their pubertal years.

The integration of green construction practices within the built environment has been significantly advanced by biotechnological innovations, among which microbially induced biomineralization (MIB), predominantly facilitated by various strains of spore-forming bacilli, emerges as a pivotal mechanism for the self-healing of concrete. However, the practical deployment of this technology faces challenges, notably the compromised viability of bacterial spores due to germination triggered by severe shear stress during concrete mixing. To address this limitation, a water-insoluble polymer (extracellular polymeric substance) produced by Cellulomonas flavigena was utilized to encapsulate and protect the spores. The encapsulation process was rigorously verified through physicochemical methodologies, including X-ray diffraction (XRD) analysis, which revealed alterations in the interlayer spacings of the extracellular polymeric substance (EPS) structure during the encapsulation process, indicating successful EPS coating of the spores. Furthermore, a proof of concept for the enhanced biomineralization capacity of EPS-coated spores was demonstrated. Standard analytical techniques confirmed the precipitation of calcite and vaterite among other minerals, underscoring the effectiveness of this novel approach. This breakthrough paves the way for the development of innovative, sustainable bioconcrete applications, aligning with broader environmental objectives and advancing the field of green construction technology.IMPORTANCEDevelopment of bioconcrete with self-healing capability through MIB constitutes an important sustainable construction biotechnology approach for restoration and repair of built environment. Like every promising technology, MIB also suffers from certain shortcomings in terms of compromised viability of the microbial cells after premature germination of the spores on exposure to shear stress caused during concrete mixing. In this study, these challenges were adequately addressed by successfully providing a protective coating of indigenously extracted EPS to the bacterial spores and elucidating the interactive mechanisms between them. The results showed stable encapsulation of the spores while providing mechanistic insights of the encapsulation phenomenon. The data also showed enhanced rate of biomineralization by encapsulated microbes when subjected to stress conditions.

This study compared the effects of video feedback (VF) as a stand-alone intervention and video modeling plus video feedback (VMVF) for improving soccer players\' static ball control skills. Research has suggested that VF alone and VMVF produce substantial improvements for young athlete\'s skills, though no studies have compared the two. Therefore, we used a multiple-baseline-across-participants design with embedded alternating treatments to compare VF and VMVF. Two 10-year-old female soccer players and one 9-year-old male soccer player participated. The first author implemented the VF and VMVF training procedures and assessed the same three target behaviors across participants. The results suggested that VF and VMVF produced similar increases in performance for two of three participants and that VMVF produced slightly greater increases for one participant. In addition, both interventions were effective at substantially improving ball control skills from baseline levels and relative to a control skill.

Androgens, formerly known as anabolic-androgenic steroids, mimic the effects of testosterone and are being increasingly abused for nonmedical purposes such as body and performance enhancement. Androgen abuse is associated with increased mortality, and multisystem adverse effects have been reported, including cardiovascular toxicity, infertility, hypogonadism, hepatotoxicity, and mental health disorders. Men may present with the negative health consequences of androgen abuse even despite cessation for a number of years. There is frequently a reluctance to disclose androgen abuse, and substances are often sourced from the black market, which is not regulated and where the products sold may be counterfeit. All men should be encouraged to stop androgen abuse. Managing associated adverse effects will be organ-specific and is complex due to physical and neuropsychiatric symptoms, substance dependence, and high rates of relapse. Given the broad reach and prolonged adverse effects of androgen abuse, clinicians across medical specialties should have an awareness of androgen abuse, its increasing prevalence, and the harms it poses to men and their families. This narrative review aims to summarize the adverse effects and risks associated with androgen abuse.

Athletes are increasingly relying on natural supplements to improve athletic performance. Echinacea, a common herbal supplement, has been studied for its potential erythropoietin-enhancing effects, with mixed results in the literature. The purpose of this meta-analysis is to determine whether echinacea supplementation has erythropoietic or ergogenic effects in athletes. A search strategy was developed to identify trials studying the impact of echinacea supplementation on erythropoiesis and maximal oxygen uptake. The database search yielded 502 studies, 496 of which were excluded in the two-reviewer screening process. Six studies with a total of 107 athletes were included in the analysis. For hemoglobin and hematocrit levels, there were small, positive effect sizes when comparing the difference in pre- and post-intervention levels between the echinacea and placebo groups, at 0.38 (p = 0.02, 95% CI -0.04-0.80, I2 = 70%) and 0.34 (p < 0.01, 95% CI -0.10-0.78, I2 = 86%), respectively, though they did not reach statistical significance. There was also no statistically significant change in erythropoietin (effect size -0.29, p = 0.05, 95% CI -0.75-0.17, I2 = 67%) or maximal oxygen uptake (effect size -0.20, p = 0.95, 95% CI -0.60-0.21, I2 = 0%). Echinacea supplementation did not influence erythropoietin, hemoglobin, hematocrit, or maximal oxygen uptake in athletes; however, the evidence base is limited.

Constructed wetland (CW), a promising, environmentally responsible, and effective green ecological treatment technology, is actively involved in the treatment of various forms of wastewater. Low temperatures will, however, lead to issues including plant dormancy, decreased microbial activity, and ice formation in CWs, which will influence how well CWs process wastewater. Applying CWs successfully and continuously in cold areas is extremely difficult. Therefore, it is crucial to find solutions for the pressing issue of increasing the CWs\' ability to process wastewater at low temperatures. This review focuses on the effect of cold climate on CWs (plants, substrates, microorganisms, removal effect of pollutants). It meticulously outlines current strategies to enhance CWs\' performance under low-temperature conditions, including modifications for the improvement and optimization of the internal components (i.e., plant and substrate selection, bio-augmentation) and enhancement of the external operation conditions of CWs (such as process combination, effluent recirculation, aeration, heat preservation, and operation parameter optimization). Finally, future perspectives on potential research directions and technological innovations that could strengthen CWs\' performance in cold climates are prospected. This review aims to contribute valuable insights into the operation strategies, widespread implementation, and subsequent study of CWs in colder climate regions.

Machine learning and deep learning technologies are rapidly advancing the capabilities of sensing technologies, bringing about significant improvements in accuracy, sensitivity, and adaptability. These advancements are making a notable impact across a broad spectrum of fields, including industrial automation, robotics, biomedical engineering, and civil infrastructure monitoring. The core of this transformative shift lies in the integration of artificial intelligence (AI) with sensor technology, focusing on the development of efficient algorithms that drive both device performance enhancements and novel applications in various biomedical and engineering fields. This review delves into the fusion of ML/DL algorithms with sensor technologies, shedding light on their profound impact on sensor design, calibration and compensation, object recognition, and behavior prediction. Through a series of exemplary applications, the review showcases the potential of AI algorithms to significantly upgrade sensor functionalities and widen their application range. Moreover, it addresses the challenges encountered in exploiting these technologies for sensing applications and offers insights into future trends and potential advancements.

OBJECTIVE: To assess the feasibility of performance enhancement coaching (PEC) for newly appointed Urology registrars (ST3s), specifically: whether the concept appealed, and which areas beyond technical skills acquisition were felt to be most relevant or useful.
METHODS: All delegates on the Urology Bootcamp 2023 were invited to take part in an online survey before and after a 2-hour PEC workshop, collecting: basic demographic data, performance challenges, and the important aspects to include in, and consider with, a coaching programme. The workshop was delivered by a surgeon with a professional coaching qualification, to groups of four delegates at a time over 4 days. Ten pre-defined areas were offered during the session.
RESULTS: On a scale of 1 (poor) to 10 (excellent), the 62 participants\' overall health was reported as a median of 8/10 (physical) and 7/10 (mental). Anxiety during performance was the most common concern (63%) and was accompanied by a tremor in 55%. The next most popular concerns, with 19% of responses each, were: sleep, insufficient operative skill or expertise, and worry about relationships with trainers. The commonest topics discussed were \'the inner critic\' (100%), \'autonomic modulation\' (69%), \'not working, well\' (13%) and \'optimising study\' (6%). Seventy-seven per cent were unaware of PEC for practising surgeons. All respondents felt that they would benefit from PEC to some extent (80% ≥8/10 where 10/10 was \'very useful\'), ideally at the ST3 level. Sixty-two percent of respondents said there should be a fee for trainees, whereas 38% thought it should be free and paid for by their training authorities.
CONCLUSIONS: The concept of PEC is acceptable to ST3 Urology trainees, with particular interest in techniques to mitigate negative self-talk and autonomic modulation techniques. Existing barriers to coaching for the surgical community would need to be addressed in designing an acceptable coaching programme.

Introduction Heart rate variability (HRV) indexes the autonomic nervous system, and HRV values are found to be higher in elite badminton players. Since an athlete\'s agility has a direct influence on badminton sporting performance, this study will analyze the correlation between HRV and agility. Aim The study\'s primary aim is to analyze the correlation between HRV and agility scores of elite badminton players. Methodology Ten elite badminton players who are currently participating at the state and national levels were recruited for the study. The study\'s participants were aged between 18 and 21 years, had a body mass index (BMI) of less than 22.9 kg/m2, were currently training 10-12 sessions of badminton per week (120-180 minutes per session), and had no comorbidities, injuries, or illnesses. For a duration of 14 days, a cross-sectional study design was utilized to evaluate the badminton players. Participants were tested in two blocks; each block consisted of five days of HRV and agility testing (Southeast Missouri [SEMO] agility test) followed by a break for two days. Higher agility performance was reflected by a lower SEMO agility test score. Results Data were analyzed using IBM SPSS Statistics for Windows, Version 27.0 (IBM Corp., Armonk, NY). HRV and agility scores had a negative correlation, as indicated by the two-tailed Spearman correlation analysis (rs(8) = -0.82, P < 0.01). Conclusions The results showed that HRV and agility scores are highly correlated in elite badminton players. The results indicate that higher HRV values lead to better agility performance. Future studies need to be conducted on a large scale to evaluate the correlation in a diverse population.

Background: Despite the acknowledged importance of resistance training (RT) in enhancing physical performance in futsal players., the comparative effectiveness of RT and complex training (CT) on both physical and technical performance in futsal players remains underexplored. This study aimed to compare the effects of RT vs. CT on physical and technical performance in amateur futsal players. Method: Players from two amateur futsal teams were assigned to RT (one team of 16 players; 18 years) and CT (one team of 16 players; 18 years) to perform an 8-week intervention with two weekly sessions. The RT performed the squat and deadlift (6 sets of 6-10 repetitions at 75%-85% one-repetition maximum (1RM), while the CT performed the squat + squat jump and deadlift + high pull (3 sets of 4-6 + 10-12 repetitions at 75%-85% 1RM). Pre- and post-intervention assessments included the Futsal Special Performance Test (FSPT), repeated sprint ability (RSA), sprint decrement (Sdec), sprint times at 10-m (T10), 10-20-m (T10-20), and 20-m (T20), 1RM back squat (1RM BS), isometric mid-thigh pull (IMTP), and countermovement jump (CMJ). Results: At baseline, no significant differences between groups were observed for any variable analyzed (p > 0.05). After 8 weeks, there were significant differences between CT vs. RT on FSPT (-10.8% vs. -3.4%; p < 0.05), T10 (-5.2% vs. -0.1%; p < 0.05), IMTP (7.8% vs. 5.1%; p < 0.05), and CMJ (10.2% vs. 4.5%; p < 0.05). On the other hand, no significant differences between CT vs. RT were observed for RSA (-2.0% vs. -1.2%; p > 0.05), Sdec (-7.6% vs. -3.5%; p > 0.05), T10-20 (-0.9% vs. -0.9%; p > 0.05), T20 (-1.8% vs. -1.7%; p > 0.05), and 1RM BS (5.7% vs. 4.5%; p > 0.05) after the training program. Both groups significantly improved FSPT, T20, 1RM BS, and IMTP, while only CT significantly improved RSA, Sdec, T10, and CMJ. Conclusion: The results suggest that CT may be valuable for improving specific performance parameters in amateur futsal players, with some advantages over RT in enhancing strength and power. These findings support tailored training protocols for futsal players to optimize performance.