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Objectives: This study aimed to compare the acute responses of the muscular activity of primary movers during bench press execution under asymmetric loads (25%, 50%, and 75%). Methods: The study included 30 resistance-trained males (n = 25, age = 22.73 ± 3.44 years, height= 1.77 ± 0.06 m, body mass= 76.77 ± 9.28 kg) and females (n = 5, age = 22.5 ± 1.19 years, height = 1.63 ± 0.04 m, body mass = 56.78 ± 2.90 kg). We assessed the two portions of the dominant pectoralis major, triceps brachii, anterior deltoid, and both external oblique peak activities (sEMG) during concentric and eccentric phases. We performed a repeated-measures design to establish the differences between muscle activity, barbell center of mass acceleration, and OMNI-Perceived Exertion Scale for Resistance Exercise (OMNI-RES) in a bench press under seven different conditions. Results: The linear mixed model showed a significant fixed effect for exercise condition for muscles (p < 0.001) in the concentric and eccentric phases. We found significantly higher clavicularis (d = 0.54; d = 1.15) and sternalis (d = 0.38; d = 0.86) pectoralis major activation of the dominant side under high (50% and 75%), non-dominant-side, de-loaded conditions in the eccentric phase (p < 0.001), with large effects. Contralateral core muscles (external oblique) of the dominant and non-dominant sides were significantly (p < 0.001) highly activated under all asymmetric conditions in the concentric phase (from d = 0.89 to d = 2.30). Conclusions: The asymmetric load bench press provoked a higher pectoralis major activation on the loaded side when de-loading the other side. The contralateral external oblique doubles the muscle activity in the most asymmetric conditions.

Knowledge of the link between church and public space remains limited. However, there seems to exist a relationship between the church and the city, dating back to the first foundational temples. This relationship is still present in the churches of the most recently created neighborhoods, including those that are now gone and gave way to new squares, as well as those that were repurposed to house new activities. In this study, the relationship between public space and 132 parish churches within the municipal limits of Barcelona (Catalonia, Spain) was analyzed, with the aim to highlighting the most representative examples to understand the role of religious buildings in the urban landscape of the contemporary city. Morphological analyses and comparative views were the methodological research tools used for drawing new maps highlighting how they configure urban axes and homogeneous patterns. Finally, we included a relevant case study of urban regeneration, Mare de Déu dels Àngels church, as an example to demonstrate that a church without a square can have one. In conclusion, churches influenced both the public space adjacent to the parish temples and the urban growth and expansion of the city of Barcelona. Moreover, urban regeneration and new uses of some underutilized churches are a non-negligible future perspective. Churches are relevant for understanding the past of the city of Barcelona, but they are also important for the present and future of the city’s public space.

Background and Clinical Significance: Intracerebral hemorrhage (ICH) is a very rare complication following endovascular closure of direct carotid-cavernous fistulas (CCFs). When reported, ICH typically appears within the first 48 h after CCF closure. We performed an extensive literature review, starting from the case of a 48-year-old patient presenting with an intracerebral hemorrhage after CCF closure. Case Presentation: A 48-year-old woman with arterial hypertension developed an intracerebral hemorrhage in the right frontal lobe 12 days after successful closure of a traumatic CCF. The patient exhibited acute neurological deterioration in a previously hypoperfused territory. A narrative review identifies the classical molecular theory of hemodynamic dysregulation, known as Normal Perfusion Pressure Breakthrough (NPPB), as the principal pathophysiological mechanism. Other mechanisms such as oxidative stress, microglial activation, blood–brain barrier disruption, metalloproteinase expression, and possible genetic alterations such as ICA1L variants are also implicated. Conclusions: This case underscores the importance of considering molecular mechanisms in the pathophysiology of delayed post-endovascular treatment of ICH, as well as the need for hemodynamic monitoring and follow-up in patients with vascular comorbidities.

Background and Objectives: Acute ischemic cardioembolic stroke (CS) is a clinical condition with a high risk of death, and can lead to dependence, recurrence, and dementia. Materials and Methods: In this study, we evaluated gender differences and female-specific clinical data and early outcomes in 602 women diagnosed with CS from a total of 4600 consecutive acute stroke patients in a single-center hospital stroke registry over 24 years. A comparative analysis was performed in women and men in terms of demographics, cerebrovascular risk factors, clinical data, and early outcomes. Results: In a multivariate analysis, age, hypertension, valvular heart disease, obesity, and internal capsule location were independent variables associated with CS in women. The overall in-hospital mortality rate was similar, but the group of women had a greater presence of neurological deficits and a higher percentage of severe limitation at hospital discharge. After the multivariate analysis, age, altered consciousness, limb weakness, and neurological, respiratory, gastrointestinal, renal, cardiac and peripheral vascular complications were independent predictors related to early mortality in women. Conclusions: Women with CS showed a differential demographic and clinical profile and worse early outcomes than men. Advanced age, impaired consciousness, and medical complications were predictors of stroke severity in women with CS.

The purposes of this study were to quantify inter-limb asymmetries from unilateral jumps, change of direction (COD) speed, and flywheel resistance skill tests and to examine their relationship with physical performance in a sample of elite youth female basketball players. Eleven female basketball players (age = 17.56 ± 0.60 year; body mass = 75.13 ± 12.37 kg; height = 1.83 ± 0.08 m; BMI = 22.42 ± 2.28; sports experience = 6.31 ± 1.73 year; years post-peak height velocity = 4.79 ± 0.68 year) performed a battery of fitness tests in the post-season consisting of the Single Leg Countermovement Jump in vertical (SLCJ-V), horizontal (SLCJ-H), and lateral (SLCJ-L) directions, 135° and 90° COD tests, and four skills (acceleration step, deceleration step, sidestep, and crossover step) with an flywheel resistance device. The results showed significant differences between the higher performing and lower performing limbs across all tasks (p < 0.05). The mean asymmetry index values ranged from 1.26% (COD 135°) to 11.75% (SLC-V). Inter-limb asymmetries were greatest during the flywheel resistance skills. Spearman’s correlations (ρ) for all tests were only significant for inter-limb asymmetries during the sidestep test and reduced performance in SLCJ-L (ρ = −0.61; p = 0.046) and all COD deficits (ρ range = −0.72 to −0.81). The findings of the present study showed that inter-limb asymmetries are task-specific in female youth basketball players and suggest that the use of flywheel devices can be included in the battery of tests to detect inter-limb asymmetry.

According to WHO data, strokes are the second leading cause of death in adult males, the first cause of death of adult women worldwide and one of the most important causes of disability and dementia in adults [...]

We assessed gender differences and women-specific secular trends in stroke. Data from 2318 women and 2274 men with first-ever stroke collected from the Sagrat Cor Hospital Stroke Registry of Barcelona between 1986 and 2009 were analyzed. Patient's age increased significantly from a mean of 74.5 years in 1986–1992 to 81.2 years in 2004–2009 (P<0.001). Patients aged ≥85 years increased from 18.5% to 38.5% (P=0.0001) as were patients with hypertension, atrial fibrillation, and cardioembolic stroke. The in-hospital death decreased from 17.6% to 11% (P=0.02), median length of hospital from 14 to 9 days (P=0.0001) and prolonged hospital stay (>12 days) from 59.7% to 33.7% (P=0.0001). Lacunar infarction was more frequent in men (21.5% vs. 16.2%, P=0.0003) and cardioembolic infarction in women (26% vs. 15.6%, P=0.0001). Acute stroke in women continues to be a severe disease with high risk of death in the immediate post-stroke phase (13.5%) and low probability of early full neurological recovery (13.9% vs. 11.8%, P=0.029). Women differ from men in the distribution of risk factors and stroke subtype, stroke severity, and outcome. An increase in the patient's age, hypertension, atrial fibrillation and cardioembolic infarction, as well as a decrease mortality and length of hospitalization over a 24-year period was recorded.

Acute spontaneous intracerebral hemorrhage (ICH) is the most severe stroke subtype, with a high risk of death, dependence, and dementia. Knowledge about the clinical profile and early outcomes of ICH patients with lobar versus deep subcortical brain topography remains limited. In this study, we investigated the effects of ICH topography on demographics, cerebrovascular risk factors, clinical characteristics, and early outcomes in a sample of 298 consecutive acute ICH patients (165 with lobar and 133 with subcortical hemorrhagic stroke) available in a single-center-based stroke registry over 24 years. The multiple logistic regression analysis shows that variables independently associated with lobar ICH were early seizures (OR 6.81, CI 95% 1.27–5.15), chronic liver disease (OR 4.55, 95% CI 1.03–20.15), hemianopia (OR 2.55, 95% CI 1.26–5.15), headaches (OR 1.90, 95% CI 1.90, 95% IC 1.06–3.41), alcohol abuse (>80 gr/day) (OR 0–10, 95% CI 0.02–0,53), hypertension (OR 0,41, 95% CI 0.23–0–70), sensory deficit (OR 0.43, 95% CI 0.25–0.75), and limb weakness (OR: 0.47, 95% CI 0.24–0.93). The in-hospital mortality was 26.7% for lobar and 16.5% for subcortical ICH. The study confirmed that the clinical spectrum, prognosis, and early mortality of patients with ICH depend on the site of bleeding, with a more severe early prognosis in lobar intracerebral hemorrhage.

The main objective of the present study was to develop a concise predictive model to determine the likelihood of winning in female rink hockey based on various situational variables. Additionally, the study aimed to assess the individual impact of each predictor on match outcomes. The analysis encompassed a dataset of 840 matches during five consecutive seasons (from 2018–2019 to 2022–2023) in the Spanish first division (OkLiga). Employing the comprehensive method of all possible regressions, the most effective predictive logistic model for match outcomes was identified. This entire model featured five categorical predictor variables (match location, team level, opponent level, scoring first, and match status at halftime) and one binary outcome variable (match outcome). Subsequently, the final model, which exhibited a sensitivity and specificity surpassing 80% for a cut-off point of 0.439, emerged. This model was applied to predict winning a match in 18 frequent situations determined from a two-step cluster analysis. Within this predictive framework, match status at halftime emerged as the most influential predictor impacting the match outcome, followed by opponent level, team level, and match location. The implications of our findings extend to rink hockey coaches and practitioners. Recognizing the significant impact of situational variables on match outcomes empowers them to customize game plans and design more specific strategies, thereby enhancing game understanding and elevating the overall performance.