Multidimensional and dynamic talent models represent the current state of the art, but these demands have hardly ever been implemented so far. One reason for this could be the methodological problems associated with these requirements. This paper will present a proposal for dealing with this, namely for examining the development of young soccer players holistically. The patterns formed by the constructs net hope, motor abilities, technical skills and biological maturity were examined, as well as the way in which these holistic patterns are related to subsequent sporting success. 119 young elite soccer players were questioned and tested three times at intervals of 1 year, beginning at the age of 12. At the age of 15, the level of performance reached by the players was determined. At all three measuring points, four patterns were identified, which displayed partial structural and high individual stability. The highly skilled players, scoring above average on all factors – but not necessarily those having the highest overall scores – were significantly more likely to advance to the highest level of performance. Failure-fearing fit players, i.e., physically strong, early developed players but with some technical weaknesses, have good chances of reaching the middle performance level. In contrast, none of the achievement-oriented, highly skilled, late-matured or late-matured, low skilled players reached the highest performance level. The results indicate the importance of holistic approaches for predicting performance among promising soccer talents in the medium-term and thus provide valuable clues for their selection and promotion.

20Psychological characteristics are crucial to identifying talents, which is why these are being 21 incorporated in today's multidimensional talent models. In addition to multidimensionality,

Characteristics of learning activities in early sport participation play a key role in the development of the sporting talent. Therefore, pathways of specialisation or diversification/sampling are as well debated as the implementation of practice- or play-oriented activities. The related issues are currently perceived as a two-dimensional construct of domain specificity and performance orientation. In this context, it has been shown that early specialisation, with experiences in practice and play, has led to Swiss junior national team football players reaching higher success levels as adults. This study aimed to examine whether a similar approach improves chances of even being selected for junior national teams from a broader sample. Hence, 294 youth players answered retrospective questionnaires on their early sport participation when entering the Swiss football talent development programme. Using the person-oriented Linking of Clusters after removal of a Residue (LICUR) method, volumes of in-club practice, free play and activities besides football until 12 years of age were analysed along with age at initial club participation. According to the results, clusters of Football enthusiasts (p = 0.01) with the most free play and above average in-club practice and Club players (p = 0.02) with the most in-club practice and average free play had a greater chance of reaching junior national team level. Thus, high levels of domain-specific activities seem to increase the chances of junior national team participation. Furthermore, the most successful constellation (Football enthusiasts) may illustrate the relevance of domain-specific diversity, induced by several types of practice and play. In line with previous studies, specialising in football and sampling different experiences within this specific domain seems to be the most promising pathway. Therefore, we argue that the optimal model for the development of football talents is a specialised sampling model.

Consecutive patients ≥70 years with symptomatic severe aortic stenosis and referred for TAVI evaluation to Bern University Hospital, Background-This study aimed to assess the evolution of cognitive function after transcatheter aortic valve implantation (TAVI). Previous smaller studies reported conflicting results on the evolution of cognitive function after TAVI. Methods and Results-In this prospective cohort, cognitive function was measured in 229 patients ≥70 years using the Mini Mental State Examination before and 6 months after TAVI. Cognitive deterioration or improvement was defined as change of ≥3 points decrease or increase in the Mini Mental State Examination score between baseline and follow-up. Cognitive deterioration was found in 29 patients (12.7%). Predictive analysis using logistic regression did not identify any statistically significant predictor of cognitive deterioration. A review of individual medical records in 8 patients with a major Mini Mental State Examination score decrease of ≥5 points revealed specific causes in 6 cases (postinterventional delirium in 2; postinterventional stroke, progressive renal failure, progressive heart failure, or combination of preexisting cerebrovascular disease and mild cognitive impairment in 1 each). Among 48 patients with impaired baseline cognition (Mini Mental State Examination score <26 points), 18 patients (37.5%) cognitively improved. The preinterventional aortic valve area was lower in patients who cognitively improved (median aortic valve area 0.60 cm 2 ) as compared with patients who did not improve (median aortic valve area 0.70 cm 2 ; P=0.01). Conclusions-This is the first study providing evidence that TAVI results in cognitive improvement among patients who had impaired preprocedural cognitive function, possibly related to hemodynamic improvement in patients with severe aortic stenosis. Our results confirm that some patients experience cognitive deterioration after TAVI. (Circ Cardiovasc Interv. 2016;9:e003590.