This pilot study examined the effects of a 12-week reaction training program on physical and cognitive performance (choice reaction) in U20 Latvian fencers. Five qualified right-handed male fencers (aged 14.8–18.6 years) completed the Vienna Test System choice reaction task at baseline and after 12 weeks while cycling through five heart rate zones (1–5). Reaction speed (RS), motor speed (MS), choice reaction time (CR), and heart rate (HR) were recorded. Paired-sample t-tests indicated no significant group-level changes: RS (t = 1.46, p = 0.21, d = 0.65, 95% CI [−36.92, 118.92]), MS (t = 2.37, p = 0.07, d = 1.06, 95% CI [−3.14, 40.34]), CR (t = 1.70, p = 0.16, d = 0.76, 95% CI [−37.30, 156.26]), and HR (t = −2.69, p = 0.054, d = −1.20, 95% CI [−12.53, 0.17]). Individual responses revealed that three athletes improved CR in low- to moderate-intensity zones (−12.66% to −27.18%), whereas heart rate increased modestly (1.35% to 9.60%). Given the critical age for developing choice reaction, these findings should be considered as preliminary and exploratory, offering initial insights into how training might influence cognitive performance in young fencers and demonstrating that responses can differ across heart rate zones and among individuals.

The prevalence of depression and anxiety among healthcare workers (HCWs) during the COVID-19 pandemic is high. The aim of the study is to identify the importance of self-esteem and occupational factors in association with the incidence of depression and anxiety among HCWs through a longitudinal cohort study during the COVID-19 pandemic in Latvia. Participants received seven questionnaires during the COVID-19 pandemic on demographic parameters, work-related information, and contact with COVID-19 patients, and three standardized questionnaires that evaluated symptoms of anxiety (GAD-7), depression (PHQ-9), and self-esteem (Rosenberg’s self-esteem scale). The Generalized Linear Mixed Model (GLMM) was used to identify factors associated with the incidence of depression and anxiety among HCWs. A total of 322 participants were included in the data analysis for depression and 352 for anxiety. HCWs with low self-esteem were 83% more likely to experience depression and 76% more likely to experience anxiety. Working at a general practitioner practice is associated with twice the risk of developing depression and anxiety. A 31% increase in the odds of depression is observed among HCWs with direct contact with COVID-19 patients. The organizational and government levels must look for opportunities to facilitate the mental health of HCWs to ensure better-quality healthcare.

The prevalence of depression and anxiety among healthcare workers (HCWs) during the Covid-19 pandemics is high. The aim of the study is to identify the importance of self-esteem and occupational factors in association with the incidence of depression and anxiety among HCWs through a longitudinal cohort study during the Covid-19 pandemics in Latvia. Participants were interviewed repeatedly seven times during the Covid-19 pandemics. 322 participants were included in the data analysis for depression and 352 for anxiety. Low self-esteem and working in the general practitioner's office is associated with the incidence of depression and anxiety. Undergraduate education and direct contact with Covid-19 patients are associated with the incidence of depression. The risk of anxiety decreases by 1% each year among HCWs. Our study shows the importance of personality factors of HCWs during the Covid-19 pandemics.