d treatment anxiety. Given the importance of assessment and monitoring HRQoL in children with ALL, health professionals should be aware of how parents' chronic disease affects HRQoL. Psychosocial support should be provided to children and their parents, especially for those whose parents have a chronic illness.Thrombotic microangiopathies (TMAs) are a group of disorders characterized by microangiopathic hemolytic anemia, thrombocytopenia, and end-organ damage. It can often be challenging to determine the underlying etiology. Our patient presented with acute pancreatitis and later developed thrombocytopenia and hemolytic anemia, along with acute renal failure. A working diagnosis of an atypical hemolytic uremic syndrome was made; however, he improved clinically and eculizumab was not started. Workup for the atypical hemolytic uremic syndrome was unrevealing. The authors propose that the pancreatitis triggered a secondary TMA, which although rare, has previously been described in the literature. This case illustrates the diagnostic and therapeutic challenges associated with TMAs.Ben Brahim, M, Bougatfa, R, Makni, E, Gonzalez, PP, Yasin, H, Tarwneh, R, Moalla, W, and Elloumi, M. Effects of combined strength and resisted sprint training on physical performance in U-19 elite soccer players. J Strength Cond Res XX(X) 000-000, 2020-This study assessed the effects of combined muscular strength and resisted sprint training using both sled and weight vest compared with regular soccer training on physical fitness of lower limbs in U-19 elite soccer players. Thirty-four male soccer players (age 18.8 ± 0.8 years, height 1.81 ± 0.05 m, body mass 76.4 ± 4.9 kg, and body fat mass 11.3 ± 4.2%) were randomly assigned into a resisted sprint training group (RSTG, n = 20), using both weight vest and sled, and a control group (CONTG, n = 14). Sprinting ability (5 m and 20 m), squat jump (SJ) and counter-movement jump (CMJ) tests, 1 repetition maximum of half-back squat (1RM half-back squat), and soccer ball-shooting speed were assessed before and after a 6-week training program. Within-group interactionping abilities as well as ball-shooting speed in soccer.Werin, MB, Maenhout, AG, Icket, J, Jacxsens, N, Kempkes, E, and Cools, AM. Does the activity in scapular muscles during plyometric exercises change when the kinetic chain is challenged?-An EMG study. J Strength Cond Res XX(X) 000-000, 2020-Plyometric exercises for the shoulder are used in rehabilitation and in workout regime when the sport demands high speed power training. The aim of this clinical laboratory electromyography (EMG) study was to determine whether scapular muscle performance differs during plyometric shoulder exercises when changing the demand on the kinetic chain. Thirty healthy overhead athletes, with a mean age of 22.7 years (±2.2), performed 6 exercises, with both a low and a high demand on the kinetic chain, in prone, side and standing in positions. The EMG activity of the upper trapezius (UT), middle trapezius (MT), lower trapezius (LT), and serratus anterior (SA) on the tested side and bilateral of gluteus maximus (GM) and abdominal oblique externus (OE) was registered with wireless surface EMG. Intermuscular muscle ratios UT/SA, UT/MT, and UT/LT were also calculated. The level of significance set for the study was alpha = 0.05. The muscle ratio UT/SA was significantly lower (p less then 0.05) when high demand on the kinetic chain compared with low. SA muscle activity showed significantly ( less then 0.001) higher values in the prone position with high demand on the kinetic chain compared with low. All 3 trapezius muscle parts had significantly higher values (p less then 0.001) in the prone compared with side and standing positions. The GM and OE showed significantly higher (p ≤ 0.01) activity in positions more demanding for the kinetic chain. When composing a strengthening or a rehabilitation program for athletes, the knowledge of how scapular and trunk muscles interact can be used to amplify the strengthening effect.Everett, KLA, Chapman, DW, Mitchell, JA, and Ball, N. Changes in loaded countermovement jumps during precompetition and competition training mesocycles in elite rowers. J Strength Cond Res XX(X) 000-000, 2020-To assess changes in velocity, displacement, and power as an indicator of neuromuscular fatigue (NMF) within and between precompetition and competition mesocycles in elite male rowers using loaded countermovement jumps (CMJs). Twenty highly trained rowers completed regular training (on-water rowing, rowing ergometer, and resistance training sessions) in 2 consecutive mesocycles. Athletes completed a single set of 6 loaded (20 kg) CMJs in the first and final week of each mesocycle. Countermovement jumps were assessed for jump height (JH), eccentric displacement, mean velocity (MV), eccentric MV (EMV), and mean power. Changes between time points were reported as Cohen's d effect sizes (95% confidence interval [CI]). see more The magnitude of the differences was also considered based on their relative strength levels using a linear mixed model. Within the precompetition mesocycle, trivial-to-small reductions for all variables (0.5-4.1%) were observed. During the competition mesocycle, trivial-to-small increases were shown for EMV (1.4%) and eccentric displacement (2.0%) with no change in JH and small reductions in MV (0.5%) and mean power (2.8%). No differences between the precompetition and competition mesocycles were shown. Only mean power showed a significant reduction in weaker athletes (3.2%) compared with stronger athletes (2.3%). Training completed during a precompetition and competitive mesocycle did not result in significant decreases in athlete's loaded CMJ performance, indicating that NMF was minimized. Alternatively, use of a loaded CMJ may not be sensitive enough to observe NMF in elite rowers during the mesocycle immediately leading into and during a competition mesocycle.Halley, SL, Peeling, P, Brown, H, Sim, M, Mallabone, J, Dawson, B, and Binnie, MJ. Repeat application of ischemic preconditioning improves maximal 1,000-m kayak ergometer performance in a simulated competition format. J Strength Cond Res XX(X) 000-000, 2020-This study examined the effects of ischemic preconditioning (IPC) on repeat 1,000-m kayak ergometer time-trial (TT) performance, completed in a simulated competition format. Eight well-trained male kayak athletes performed 3 experimental trials, each consisting of two 1,000-m TTs separated by 80 minutes (TT 1 and TT 2). Trials included; (a) IPC (4 × 5 minutes 220 mm Hg alternating bilateral leg occlusion) 40 minutes before TT 1 only (IPC1); (b) IPC 40 minutes before TT 1 and 20 minutes before TT 2 (IPC2); and (c) no IPC (CON). Time, power, stroke rate, and expired gas variables (V[Combining Dot Above]O2 and accumulated oxygen deficit) were measured throughout each TT; blood gas variables (blood lactate, partial pressure of oxygen and blood pH) and rating of perceived exertion were measured before and after each effort.