The Impact of Simulated Altitude on Selected Elements of Running Performance

Background: Simulating altitude at sea level is increasingly more popular among recreationally-trained athletes across the sports spectrum. The AltO2Lab is a commercially-available, handheld, rebreathing apparatus purported to simulate altitude. Currently, there is an overall dearth of evidence regarding the efficacy of the device. Purpose: The goal of this study was to add evidence supporting or challenging the effectiveness of the device to improve selected running performance-related variables and to investigate the time-course of changes should benefits be evidenced. Methods: The 37-day protocol included familiarization, baseline, and 2 follow-up visits during which time hematological (hematocrit and lactate), physiological (running economy, maximal VO2, and heart rate), and psychological (Borg RPE) variables were monitored at rest, during relative submaximal, and/or maximal treadmill exercise. Altitude training days (18 days; one hour each day) were fitted within the 37-day time-line to occur after the baseline visit but before the respective follow-up visits. Specifically, the altitude training took place in 3, 6-day blocks of device usage with exposure, monitored by oximetry, intensifying across the days and blocks. Twelve days of altitude training were completed before the first follow-up visit while the final 6 days of altitude training were completed between the first and second follow-up visit. In this manner, the follow-ups could serve to evaluate the potential effectiveness of the device and narrow the time course of changes to a specific usage duration. Results: Six, recreationally-trained athletes (Females = 4; Males = 2; Age = 22.0 ± 2.9 yrs.; Baseline VO2max 52.7 ± 6.7) enrolled in the study. One subject was removed due to noncompliance. Overall, simulated altitude at the prescribed, intensifying dosage, failed to change both hematocrit (p = 0.469) and VO2max (p = 0.184) when analyzed by repeated measures analysis of variance. Additionally, no differences were found for secondary variables including: running economy, heart rate, lactate or RPE (all p \u3e 0.05). Conclusion: Presently, the AltO2Lab failed to improve selected variables related to running performance. This finding is in contrast to previous investigations with the device but it does align with the knowledge that a stronger stimulus might be necessary to induce HIF-mediated erythropoiesis to the extent that the cascade could alter hematological and subsequently performance ability through enhanced oxygen-carrying capacity. These results are preliminary and a final cohort will complete testing before concluding results will be disseminated

The Need for Reporting Metabolic Sampling Interval in Publication: An Example Using Maximal VO2 Values and Running Economy

Background: Knowledge of metabolic outcomes, such as maximal oxygen consumption (VO2) or running economy, has wide-ranging application. Metabolic outcomes are widely reported in literature yet the metabolic sampling interval (example: breath-by-breath, 30-sec average) utilized for collection is rarely ever stated. Purpose: The purposes of the present investigation were to probe the potential discrepancies created when analyzing running economy and VO2max raw metabolic data with four different metabolic sampling intervals. Methods: Five recreationally-active and endurance-trained subjects were included in the present analysis and four metabolic sampling intervals were analyzed: 30-sec average, 20-sec average, 8-breath, and 4-breath. Subjects engaged in 4-min running economy phases at 55 and 65% of their VO2max before entering into a maximal protocol purposed to elicit VO2max in 8-12 minutes. Utilizing the steady state and maximal VO2 data, metabolic sampling intervals were analyzed for their effect on reported VO2 values. Results: For running economy at 55%, there was no differences found (f = 0.207; df = 1.862; p = 0.799) between sampling frequencies when analyzed by repeated measures analysis of variance and corrected with Greenhouse-Geisser for a violation of sphericity. For running economy at 65%, there were also no differences ­found (f = 1.456; df = 3; p = 0.799) between sampling frequencies. For inspection, the relative VO2 values were: 27.2 (±3.1), 27.9 (±4.1), 28.4 (±3.6), and 28.8 (±5.1) for the 30-sec, 20-sec, 8-breath, and 4-breath average, respectively. Maximal VO2 values of 53.0 (±6.6), 55.1 (±7.2), 55.1 (±7.2), and 59.6 (±9.4) for the 30-sec, 20-sec, 8-breath, and 4-breath average, respectively, were found to be significantly different (f = 21.062; df = 1.278; p \u3c 0.001) after adjusting for a violation of sphericity (p \u3c 0.001). Bonferroni analysis indicated differences between the 30-sec average and all other averages and also the 20-sec and 8-breath averages when compared against the 4-breath average. The 4-breath average yielded the highest VO2max value. Coincidentally, the 20-sec and 8-breath averages were identical. Conclusion: In the present investigation of raw metabolic data, sampling interval was found to impact the maximal oxygen consumption (VO2max) values but not running economy values when investigating a small sample of data with four select sampling intervals. The report of maximal VO2 is rather common in the literature and knowing sample interval is vital for between-study comparison, determination of regression-related activities, or for pre-post comparison of data from the same or different labs

Frontline experiences of delivering remote mental health supports during the COVID-19 pandemic in Scotland : innovations, insights and lessons learned from mental health workers

COVID-19 restrictions drove rapid adaptations to service delivery and new ways of working within Scotland’s mental health sector. This study explores mental health workers’ (MHWs’) experiences of delivering their services remotely. Twenty participants, who had worked in mental health professions in the National Health Service (NHS) in Scotland throughout the COVID-19 pandemic, took part in online semi-structured interviews. Data was transcribed then analysed using an inductive thematic analysis. Two major themes are reported: (1) ‘Improved Flexibility for both MHWs and Service Users’ and (2) ‘Teletherapies Challenge Therapeutic Boundaries’. In relation to (1) virtual platforms were seen as vital in maintaining patient care throughout the COVID-19 pandemic and a valuable resource for service users (SUs) who had previously struggled with mobility or social anxieties when accessing face-to-face services. Some MHWs’ also noted benefits for their productivity and comfort. Regarding (2) MHWs highlighted that whilst conducting teletherapies from home, work-life boundaries became blurred and, in some instances, typically comforting spaces became associated with the traumatic content discussed by SUs. These stressors seemed to be compounded by MHWs’ isolation, as they were less able to draw upon their colleagues for support. Further, confidentiality could not be assured, as MHWs and SUs alike had to accommodate their family members. These findings highlight important insights from MHWs in adapting to rapid changes in mental health working practices, particularly in relation to the challenges of delivering quality, safe and equitable services and the increased use of teletherapies. Such insights are vital in informing service developments and supporting future pandemic preparedness across a range of healthcare contexts and countries seeking to adopt hybrid models of mental health service delivery

What have we learned about what works in sustaining mental health care and support services during a pandemic? Transferable insights from the COVID-19 response

Efforts have been made to adapt the delivery of mental health care and support services to the demands of COVID-19. Here we detail the perspectives and experiences of mental health workers (MHWs), in relation to what they found helpful when adapting mental health services during the COVID-19 pandemic and responding to its demands. We were interested in exploring what has helped to support MHWs' own health and wellbeing given that staff wellbeing is central to sustaining the delivery of quality mental health services moving forward. Individual interviews were conducted with MHWs (n = 30) during the third COVID-19 lockdown. Interviews were audio-recorded, transcribed and managed using NVIVO. Qualitative data was analyzed using an inductive thematic approach. Three major themes were created, which emphasized the importance of: (1) 'self-care and peer support (checking in with each other)', (2) 'team cohesion and collaboration' and (3) 'visible and supportive management and leadership (new ways of working)'. Our findings emphasize the importance of individual, team and systems-based support in helping MHWs maintain their own wellbeing, whilst adapting and responding to the challenges in providing mental health care and support during this pandemic. Guidance and direction from management, with adaptive leadership in providing sustained, efficient, and equitable delivery of mental healthcare, is essential. Our findings support future policy, research and mental health practice developments through sharing important salutogenic lessons learned and transferable insights which may help with preparedness for future pandemic

Narcissism and the strategic pursuit of short-term mating : universal links across 11 world regions of the International Sexuality Description Project-2.

Previous studies have documented links between sub-clinical narcissism and the active pursuit of short-term mating strategies (e.g., unrestricted sociosexuality, marital infidelity, mate poaching). Nearly all of these investigations have relied solely on samples from Western cultures. In the current study, responses from a cross-cultural survey of 30,470 people across 53 nations spanning 11 world regions (North America, Central/South America, Northern Europe, Western Europe, Eastern Europe, Southern Europe, Middle East, Africa, Oceania, Southeast Asia, and East Asia) were used to evaluate whether narcissism (as measured by the Narcissistic Personality Inventory; NPI) was universally associated with short-term mating. Results revealed narcissism scores (including two broad factors and seven traditional facets as measured by the NPI) were functionally equivalent across cultures, reliably associating with key sexual outcomes (e.g., more active pursuit of short-term mating, intimate partner violence, and sexual aggression) and sex-related personality traits (e.g., higher extraversion and openness to experience). Whereas some features of personality (e.g., subjective well-being) were universally associated with socially adaptive facets of Narcissism (e.g., self-sufficiency), most indicators of short-term mating (e.g., unrestricted sociosexuality and marital infidelity) were universally associated with the socially maladaptive facets of narcissism (e.g., exploitativeness). Discussion addresses limitations of these cross-culturally universal findings and presents suggestions for future research into revealing the precise psychological features of narcissism that facilitate the strategic pursuit of short-term mating

Finishing the euchromatic sequence of the human genome

The sequence of the human genome encodes the genetic instructions for human physiology, as well as rich information about human evolution. In 2001, the International Human Genome Sequencing Consortium reported a draft sequence of the euchromatic portion of the human genome. Since then, the international collaboration has worked to convert this draft into a genome sequence with high accuracy and nearly complete coverage. Here, we report the result of this finishing process. The current genome sequence (Build 35) contains 2.85 billion nucleotides interrupted by only 341 gaps. It covers ∼99% of the euchromatic genome and is accurate to an error rate of ∼1 event per 100,000 bases. Many of the remaining euchromatic gaps are associated with segmental duplications and will require focused work with new methods. The near-complete sequence, the first for a vertebrate, greatly improves the precision of biological analyses of the human genome including studies of gene number, birth and death. Notably, the human enome seems to encode only 20,000-25,000 protein-coding genes. The genome sequence reported here should serve as a firm foundation for biomedical research in the decades ahead

The complete sequence of human chromosome 5

Chromosome 5 is one of the largest human chromosomes yet has one of the lowest gene densities. This is partially explained by numerous gene-poor regions that display a remarkable degree of noncoding and syntenic conservation with non-mammalian vertebrates, suggesting they are functionally constrained. In total, we compiled 177.7 million base pairs of highly accurate finished sequence containing 923 manually curated protein-encoding genes including the protocadherin and interleukin gene families and the first complete versions of each of the large chromosome 5 specific internal duplications. These duplications are very recent evolutionary events and play a likely mechanistic role, since deletions of these regions are the cause of debilitating disorders including spinal muscular atrophy (SMA)

Narcisismo y búsqueda estratégica del emparejamiento a corto plazo a través de las culturas: Enlaces omnipresentes a través de 11 regiones mundiales del Proyecto de la descripción de la sexualidad internacional 2

Previous studies have documented links between sub-clinical narcissism and the active pursuit of short-term mating strategies (e.g., unrestricted sociosexuality, marital infidelity, mate poaching). Nearly all of these investigations have relied solely on samples from Western cultures. In the current study, responses from a cross-cultural survey of 30,470 people across 53 nations spanning 11 world regions (North America, Central/South America, Northern Europe, Western Europe, Eastern Europe, Southern Europe, Middle East, Africa, Oceania, Southeast Asia, and East Asia) were used to evaluate whether narcissism (as measured by the Narcissistic Personality Inventory; NPI) was universally associated with short-term mating. Results revealed narcissism scores (including two broad factors and seven traditional facets as measured by the NPI) were functionally equivalent across cultures, reliably associating with key sexual outcomes (e.g., more active pursuit of short-term mating, intimate partner violence, and sexual aggression) and sex-related personality traits (e.g., higher extraversion and openness to experience). Whereas some features of personality (e.g., subjective well-being) were universally associated with socially adaptive facets of Narcissism (e.g., self-sufficiency), most indicators of short-term mating (e.g., unrestricted sociosexuality and marital infidelity) were universally associated with the socially maladaptive facets of narcissism (e.g., exploitativeness). Discussion addresses limitations of these cross-culturally universal findings and presents suggestions for future research into revealing the precise psychological features of narcissism that facilitate the strategic pursuit of short-term mating.Estudios previos, en primer lugar a través de las muestras de culturas occidentales, han documentado asociaciones sistemáticas del narcisismo subclínico con múltiples indicadores de estrategias del emparejamiento a corto plazo (p. ej. sociosexualidad ilimitada, infidelidad, caza de pareja). En este estudio se han usado respuestas de la encuesta transcultural de 30.470 personas de 53 naciones de 11 regiones mundiales (América del Norte, América del Sur/América Central, Europa del Norte, Europa del Oeste, Europa del Este, Europa del Sur, Oriente Próximo, África, Asia del Sur/Sudoeste de Asia, Asia del Este y Oceanía) para evaluar si el narcisismo (medido por el Inventario de Personalidad Narcisista; NPI) se asocia panuniversalmente con los indicadores del emparejamiento a corto plazo, tanto en la dirección, como en la intensidad. Los resultados sugieren que el narcisismo (incluidos muchos aspectos suyos medidos por el NPI) tiene las mismas asociaciones básicas con los rasgos de personalidad relacionados con el sexo (p. ej. extraversión alta) y con los resultados sexuales claves (p. ej. búsqueda más activa de las estrategias del emparejamiento a corto plazo) a través de las 11 mayores regiones mundiales del PDSI 2. La discusión se enfoca en las implicaciones y limitaciones del estudio actual

The Incidence, Co-occurrence, and Predictors of Dysphagia, Dysarthria, and Aphasia after Acute Ischemic Stroke

Background- Dysphagia, dysarthria and aphasia are frequent sequelae of stroke. We sought to identify their frequency, co-occurrence, and predictors of them after acute ischemic stroke. Methods- First, we used the Registry of the Canadian Stroke Network’s (RCSN) database (2003–2008) from one stroke centre to identify a random sample of 250 patients with acute ischemic stroke confirmed by magnetic resonance imaging (MRI). We conducted a medical chart review to derive frequency estimates for the presence of dysphagia, dysarthria and aphasia and identified clinical predictors of them from the RCSN database. Second, we conducted a systematic review to identify neuroanatomical predictors of dysphagia after acute ischemic stroke. We searched 14 databases, 17 journals, three conference proceedings and the grey literature using the Cochrance Stroke Group search strategy. We pooled individual level data for the dysphagia outcome, calculating relative risks according to neuroanatomical lesion sites. Finally, from the medical chart review, we evaluated MRI scans for patients with acute lesions within 14 days of stroke onset, deriving clinical and neuroanatomical predictors of the three impairments, using logistic regression. Results – First, incidence estimates for dysphagia, dysarthria, and aphasia were 44% (95% CI, 38-51), 42% (95% CI, 35-48) and 30% (95% CI, 25-37), respectively. The highest clinical predictors were non-alert level of consciousness for dysphagia (OR 2.6, CI 1.03-6.5), symptoms of weakness for dysarthria (OR 5.3, CI 2.4-12.0), and right-sided symptoms for aphasia (OR 7.1, CI 3.1-16.6). Second, for our systematic review, we reviewed 964 abstracts, accepting 84 for full review. Seventeen met our inclusion criteria, providing individual results for 656 patients. Predictors of dysphagia included pontine (RR 3.7, 95% CI 1.5-7.7), medial medullary (RR 6.9, 95% CI 3.4-10.9) and lateral medullary (RR 9.6, 95% CI 5.9-12.8) lesions. Finally, 160 patients met our eligibility criteria for MRI analysis. Strongest predictors included medullary lesions (OR 6.2, 95% CI 1.5 – 25.8) for dysphagia, pontine lesions (OR 7.8, 95% CI 2.7 – 22.9) for dysarthria, and insular lesions (OR 34.4, 95% CI 4.2 – 283.4) for aphasia. Conclusions- We computed the frequency of dysphagia, dysarthria, and aphasia, identifying clinical and whole brain neuroanatomical predictors of their presence.Ph