Artificial placenta (AP) technology aims to maintain fetal circulation, while promoting the physiologic development of organs. Recent reports of experiments performed in sheep indicate the intrauterine environment can be recreated through the cannulation of umbilical vessels, replacement of the placenta with a low‐resistance membrane oxygenator, and incubation of the fetus in fluid. However, it remains to be seen whether animal fetuses similar in size to the extremely preterm human infant that have been proposed as a potential target for this technology can be supported in this way. Preterm Yucatan miniature piglets are similar in size to extremely preterm human infants and share similar umbilical cord anatomy, raising the possibility to serve as a good model to investigate the AP. To characterize fetal cardiovascular physiology, the carotid artery (n = 24) was cannulated in utero and umbilical vein (UV) and umbilical artery were sampled. Fetal UV flow was measured by MRI (n = 16). Piglets were delivered at 98 ± 4 days gestation (term = 115 days), cannulated, and supported on the AP (n = 12) for 684 ± 228 min (range 195–3077 min). UV flow was subphysiologic (p = .002), while heart rate was elevated on the AP compared with in utero controls (p = .0007). We observed an inverse relationship between heart rate and UV flow (r2 = .4527; p < .001) with progressive right ventricular enlargement that was associated with reduced contractility and ultimately hydrops and circulatory collapse. We attribute this to excessive afterload imposed by supraphysiologic circuit resistance and augmented sympathetic activity. We conclude that short‐term support of the preterm piglet on the AP is feasible, although we have not been able to attain normal fetal physiology. In the future, we propose to investigate the feasibility of an AP circuit that incorporates a centrifugal pump in our miniature pig model.
The present study aims to assess motor activity of volleyball players using an original video recording method developed by the authors. Twenty-eight volleyball players taking part in 4 matches of the Polish Volleyball League were examined. The recorded data were analyzed in view of the mean total distance covered by volleyball players on different court positions during a match, set, and rally. The results showed that volleyball players cover the mean total distance of 1221 ± 327 m (mean ± SD) in a 3-set match, and 1757 ± 462 m in a 4-set match. A statistically significant difference (p ≤ 0.005) was found between the distance covered by the middle blockers and setters, defenders, spikers, and libero players in a match and in a set. The study revealed a tendency to lengthen the distance by the players in the final sets, which is indicative of the extended time of individual rallies. The mean distance covered in a single rally amounted to 10.92 ± 0.9 m in 4 matches (between 9.12 and 12.56 m). Considering the limited size of the field of play, volleyball players cover relatively long distances during a match and individual sets, with the shortest distance covered by middle blockers, and the longest by setters. From a practical application point of view, detailed topographic analysis of a player's movements on the court as well as precise data on the time of activity and rest breaks provide the coach with valuable information on the ways of development of arrhythmic, changing and dynamic training loads.
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