Alimentary tract duplications are rare congenital lesions normally diagnosed in newborns and children that can occur anywhere from the mouth to the anus and have a reported incidence of approximately 1 in 4500 life births. Symptoms and clinical presentation vary greatly. The presentation varies according to age and location. The treatment finally is surgical; total resection when possible should be the aim of the intervention. In pediatric surgery minimally invasive surgical procedures became more and more important over the last decades. In consequence the operative procedure on alimentary tract duplications changed in this manner. We review on case reports and clinical reports on minimally invasive surgery in the treatment of alimentary tract duplications, determine the importance of minimally invasive techniques in the treatment of this rare entity and rule out that further studies in the field should be performed.
Introduction: Assessments of executive functions (EFs) with varying levels of perceptual information or action fidelity are common talent-diagnostic tools in soccer, yet their validity still has to be established. Therefore, a longitudinal development of EFs in high-level players to understand their relationship with increased exposure to training is required. Methods: A total of 304 high-performing male youth soccer players (10–21 years old) in Germany were assessed across three seasons on various sport-specific and non-sport-specific cognitive functioning assessments. Results: The posterior means (90% highest posterior density) of random slopes indicated that both abilities predominantly developed between 10 and 15 years of age. A plateau was apparent for domain-specific abilities during adolescence, whereas domain-generic abilities improved into young adulthood. Conclusion: The developmental trajectories of soccer players’ EFs follow the general populations’ despite long-term exposure to soccer-specific training and game play. This brings into question the relationship between high-level experience and EFs and renders including EFs in talent identification questionable.
Treatment is indicated if the diagnosis is in question, the cyst persists, in the case of ovarian torsion,or if the patient is symptomatic. Laparoscopy is becoming the favored approach by most pediatric surgeons for the treatment of ovarian cysts. All surgical procedures for ovarian cysts should spare functional ovary as much as is technically possible. Simple cysts can be fenestrated, but complex or functional cysts should be excised, with the preservation of the remaining ovary by careful dissection. The laparoscopic approach for adnexal masses can be performed in an acceptable manner, with comparable results to an open approach, plus the cosmetic advantages of minimally invasive surgery, which is an important aspect for the treated patients.
Despite the study limitations, these results suggest that mental practice may be useful in preventing loss of hand function associated with mid-term immobilization. Because of the expected clinical benefits, the low cost and simple application of the intervention, the effects of mental practice in orthopedic rehabilitation of the upper extremity warrant further study.
Background: When measuring executive functions (EF), it is common for athletes to be assessed on their ability to detect and process explicit sources of information. Yet not all of the information is perceived explicitly in an environment. Aim: This study aimed to include a new assessment that measures the impact of implicitly perceived congruent and incongruent visual precues on response times. Method: Seventy-four male soccer players: U12 (n=15), U13 (n=17), U17 (n=21) and U19 (n=21) representing a German 1st league club were assessed on four cognitive tasks. Results: The MANOVAs revealed a multivariate effect of age group on a reactive stress tolerance task (F(6,140)=11.670, p<0.001, ES=0.38) and a Stop Signal Reaction Time task (F(6,144)=6.142, p<0.001, ES=0.20). A one-way ANOVA revealed an age group effect for response accuracy in a multiple-object-tracking task (F(3,74)=4.05, p=0.01, ES=0.14). Lastly, a within-subjects effect of congruency on the implicit precued task (F(1,74)=51.32, p<0.001, ES=0.41) and a between-subjects effect of age group (F(3,74)=4.30, p=0.008, ES=0.15) was observed. Interpretation: The results provided support for including an implicit precueing task, while the overall testing demonstrated that the magnitude of the increase in EF performance between ages was greater across the younger age groups compared to the older age groups.
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