Significant care relational experiences arise in the interaction of adolescents with the different people they interact with ending up mediating their own experience of the oncological disease. Thus, the study aimed to: Understand the significant relational experiences of adolescents with hemato-oncological disease, associated with caring, in the diagnostic phase. An empirical investigation of qualitative type, with an interpretative phenomenological nature (Giorgi’s procedural method). Nine Portuguese adolescents undergoing cancer treatment were interviewed. From the essential structure of the experiences, obtained in an inductive way, there are 4 experiential dimensions: Relating to hospital staff; Maintaining relationship with friends; Valuing family support; and Valuing relationships with other people. In the nurse-adolescent care relationships, this values: proximity, nurses’ involvement in the care provided, support, good mood; availability to dialogue; and encouragement to face and overcome the disease. Nurses should encourage adolescents to share emotions and expectations, with a view to progressively and proactively integrate the disease, without neglecting individual specificities in their experiences.

Introduction: The diagnosis of oncological disease in pediatric age imposes challenges on the child/adolescent and family, due to the disease and the entire treatment process, limiting their normal development in different dimensions: physical, motor, cognitive, psychological, emotional, and social. Objective: To analyze the scientific evidence regarding interventions by Nurse to promote child development in children/adolescents with oncological disease.Methodology: Integrative Literature Review; data collection on June 1, 2023, in the MEDLINE® Complete, CINAHL® Complete, Nursing & Allied Health Collection: Comprehensive and Cochrane Central Register of Controlled Trials. Inclusion criteria: articles produced in the last 10 years, in Portuguese, English and Spanish.Results and Discussion: The final sample included five articles, in which it appears that nurses recognize the need to include the assessment and promotion of child development as an integral part of care, in the domains that comprise it: physical, cognitive, social, psychological, and emotional.Conclusion: The awareness of the Nurse in promoting child development in children with oncological disease is fundamental, as it allows them to engage in a humanized way with the child/young person and their family, contributing to adaptation to the treatment/disease process, reducing their impact on the life of the child/adolescent and family.

Objectives: To assess the incidence, type and location of injuries sustained during the Portuguese rugby union sevens circuit. To investigate the influence of players’ training loads on injury risk. Methods: A prospective cohort study recording time-loss injuries was conducted with all teams competing in the Portuguese national rugby sevens circuit (eight from the top-tier and seven from the second-tier). Main outcome measures included: incidence rate, anatomical location, type, injury incident and severity. Data were also collected regarding players’ training loads. Fisher's exact test was used to estimate the relative risk of suffering an injury during the sevens season and training sevens during the fifteens season. Results: A total of 27 injuries were recorded corresponding to an incidence rate of 133.9 injuries per 1000 player match-hours. The average severity was 22.22 days. Contact events preceded 81.5% of injuries. Most injuries occurred in the lower limb (66.7%) and were joint/ligament or muscle/tendon injuries (85.1%). The association between injuries and lower volume of training during the sevens season was identified for the second-tier (p=0.021). For the same level, an inverse relation between training hours and injury severity was also found (p=0.008). Top-tier players training sevens and fifteens simultaneously during the year presented a significant increase of injury risk (relative risk=3.2; p=0.011). Conclusions: Injury incidence in our study is similar to that reported for international sevens, although severity is lower. An association between training loads and the occurrence of injuries was found for both tiers, although with differential results, thus reinforcing the need to customize players’ preparation. Further studies at non-elite competitions are needed to gather significant data to accurately formulate future injury prevention protocols or recommend modifications to game laws or competition formats, aiming at players’ welfare.

This study aimed to identify the effects of different pitch configurations on youth players positional and physical performances. Forty players participated in a Gk + 5vs5 + Gk small-sided game under four conditions: regular condition (regular), pitch with the direction of competitive matches; sided condition (sided), goals were changed to width; different pitch orientation (≠orientation), performed in side-to-side line compared to competitive matches; dynamic pitch (dynamic), boundaries were randomly changed every minute by: regular pitch; decrease 6 m width; diamond shape. The following variables were considered: players' effective playing space, distance between teammates' dyads time spent synchronized, average speed and a ratio between the distance covered at different intensities and distance covered while recovering. Overall, players exhibited better performances in pitches that are more representative of the environmental information seen during competitive matches (regular and ≠orientation). However, coaches may also use different boundary conditions to promote the players' ability to adapt to different context information.

The aim of this study was to compare the effects of 2 different warm-up intensities on 100-m swimming performance in a randomized controlled trial. Thirteen competitive swimmers performed two 100-m freestyle time-trials on separate days after either control or experimental warm-up in a randomized design. The control warm-up included a typical race-pace set (4 × 25 m), whereas the experimental warm-up included an aerobic set (8 × 50 m at 98-102% of critical velocity). Cortisol, testosterone, blood lactate ([La]), oxygen uptake (V[Combining Dot Above]O2), heart rate, core (Tcore and Tcorenet) and tympanic temperatures, and rating of perceived exertion (RPE) were monitored. Stroke length (SL), stroke frequency (SF), stroke index (SI), and propelling efficiency (ηp) were assessed for each 50-m lap. We found that V[Combining Dot Above]O2, heart rate, and Tcorenet were higher after experimental warm-up (d > 0.73), but only the positive effect for Tcorenet was maintained until the trial. Performance was not different between conditions (d = 0.07). Experimental warm-up was found to slow SF (mean change ±90% CL = 2.06 ± 1.48%) and increase SL (1.65 ± 1.40%) and ηp (1.87 ± 1.33%) in the first lap. After the time-trials, this warm-up had a positive effect on Tcorenet (d = 0.69) and a negative effect on [La] (d = 0.56). Although the warm-ups had similar outcomes in the 100-m freestyle, performance was achieved through different biomechanical strategies. Stroke length and efficiency were higher in the first lap after the experimental warm-up, whereas SF was higher after control warm-up. Physiological adaptations were observed mainly through an increased Tcore after experimental warm-up. In this condition, the lower [La] after the trial suggests lower dependency on anaerobic metabolism.

To investigate the effect of warm-up on 100-m swimming performance. Twenty competitive swimmers (with a training frequency of 8.0 ± 1.0 sessions/wk) performed 2 maximal 100-m freestyle trials on separate days, with and without prior warm-up, in a counterbalanced and randomized design. The warm-up distance totaled 1000 m and replicated the swimmers' usual precompetition warm-up strategy. Performance (time), physiological (capillary blood lactate concentrations), psychophysiological (perceived exertion), and biomechanical variables (distance per stroke, stroke frequency, and stroke index) were assessed on both trials. Performance in the 100-m was fastest in the warm-up condition (67.15 ± 5.60 vs 68.10 ± 5.14 s; P = .01), although 3 swimmers swam faster without warm-up. Critical to this was the 1st 50-m lap (32.10 ± 2.59 vs 32.78 ± 2.33 s; P < .01), where the swimmers presented higher distance per stroke (2.06 ± 0.19 vs. 1.98 ± 0.16 m; P = .04) and swimming efficiency compared with the no-warm-up condition (stroke index 3.46 ± 0.53 vs 3.14 ± 0.44 m2 · c1 · s1; P < .01). Notwithstanding this better stroke-kinematic pattern, blood lactate concentrations and perceived exertion were similar between trials. These results suggest that swimmers' usual warm-up routines lead to faster 100-m freestyle swimming performance, a factor that appears to be related to better swimming efficiency in the 1st lap of the race. This study highlights the importance of performing swimming drills (for higher distance per stroke) before a maximal 100-m freestyle effort in similar groups of swimmers.

The aim of this study was to analyse the relative age effect (RAE) in competitive swimming. The best 50 Portuguese swimmers (12- to 18-year-olds) for the main individual swimming pool events of both genders were considered. Analysis was conducted on 7813 swimming event participants, taking account of respective swimmer birth dates and the Fédération Internationale de Natation points gained. Differences in the distribution of birth dates by quarter year were determined using the Chi-square. A one-way analysis of variance ANOVA was used to test for differences measured in points between individuals by quarterly birth year intervals. A two-way analysis of variance ANOVA was also conducted to test the interaction between gender and seasonal birth date with regard to performance. The results show an inequitable distribution (p<0.01) of birth dates by quarter for almost all age groups and both genders. However, the distribution of birth dates by quarter for each considered swim event shows that RAE seems to exist only for 12-year-old females and 12- to 15-year-old males. Analysing mean swimming performance, post-hoc results (p<0.01) show no consistency in RAE. Higher performance occurs among older swimmers only in 100 m butterfly (female 1998, 1st≠2nd quarter, p=0.003). The results also show no interaction between gender and seasonal birth date (p<0.01). Findings of this study show that a higher number of swimmers, particular males, are born in the first two quarters of the year, although there is mostly no effect of seasonal birth date on performance differences within the top 50 swimmers.

This study aimed to analyse the effect of growth during a summer break on biomechanical profile of talented swimmers. Twenty-five young swimmers (12 boys and 13 girls) undertook several anthropometric and biomechanical tests at the end of the 2011-2012 season (pre-test) and 10 weeks later at the beginning of the 2012-2013 season (post-test). Height, arm span, hand surface area, and foot surface area were collected as anthropometric parameters, while stroke frequency, stroke length, stroke index, propelling efficiency, active drag, and active drag coefficient were considered as biomechanical variables. The mean swimming velocity during an all-out 25 m front crawl effort was used as the performance outcome. After the 10-week break, the swimmers were taller with an increased arm span, hand, and foot areas. Increases in stroke length, stroke index, propelling efficiency, and performance were also observed. Conversely, the stroke frequency, active drag, and drag coefficient remained unchanged. When controlling the effect of growth, no significant variation was determined on the biomechanical variables. The performance presented high associations with biomechanical and anthropometric parameters at pre-test and post-test, respectively. The results show that young talented swimmers still present biomechanical improvements after a 10-week break, which are mainly explained by their normal growth.

Second-hand tobacco smoke (SHS) exposure is a major and entirely avoidable health risk for children's health, well-being and development. The main objective of the current study was to investigate the association between parents' educational level and children's SHS home exposure. A self-administered questionnaire was conducted within a sample of 949 students in 4th grade (mean age 9.56±0.75, 53.4% male). The sample was randomly selected from all schools located at Lisbon District, Portugal. The current study confirmed that Portuguese children are exposed to unacceptable high levels of SHS at home, mainly by their parents' smoke. Prevalence of smokers was higher amongst parents with low educational level. Children of parents with low educational level were more likely to suffer SHS exposure at home. These results confirmed the social inequalities associated with smoking, support the relevance of more research on this subject and stress the need for more interventions to control this problem. Some interventions should be specifically aimed at less educated parents, particularly at less educated mothers.

The present study investigated the Accumulated Oxygen Deficit (AOD) method in front crawl swimming with the aims to assess the robustness of the oxygen uptake/swimming velocity regression line and to quantify the precision of the AOD. Twenty-nine male swimmers performed two swimming tests in different days, with a 24 h recovery between tests: a graded test and an all-out test. The all-out test was performed either in 100 m (n=11), 200 m (n=13) or 400 m (n=5). Through all testing expired gases were collected breath by breath and analysed with a K4b2 Gas Analyser (Cosmed, Rome, Italy) connected to an AquaTrainer Valve (Cosmed, Rome, Italy). The error of oxygen uptake/swimming velocity regression lines was approximately 4-5 ml x kg (-1) x min (-1)) and the regressions allowed an extrapolation of the energy cost to higher intensities with a standard error of prediction of approximately 3-4 ml x kg (-1) x min (-1). However, the data variability was considerable (95% confidence intervals of the linear extrapolation larger than 13 ml x kg (-1) x min (-1)). The AOD imprecision varied among the three distance events from approximately 3-13 ml x kg (-1). These absolute errors are small, considering the time that subjects took to cover the three distances, but relative to the AOD values that were estimated they can be considered high, especially in the 400 m bout.