The application of respiratory muscle training to competitive rowing

This thesis was submitted for the degree of Doctor of Philosophy and awarded by Brunel University.Respiratory muscle training (RMT) has been shown to improve exercise tolerance during a wide range of exercise modalities and durations of activity (McConnell & Romer, 2004b). However, there is a limited amount of research characterising the influence of RMT in specific athletic populations, or examining any sport-specific factors that may influence the benefits of RMT. Hence, the purpose of this dissertation was to evaluate the application of RMT in competitive rowers and to explore methods of optimising this to rowing. Results: Inspiratory muscle training (IMT) increased inspiratory muscle strength (~20-29%; p < 0.05) and attenuated inspiratory muscle fatigue (~8-28%; p < 0.05) during time trial performance in club-level and elite rowers. However, only in the club-level oarsmen was IMT associated with a measurable improvement in rowing performance (2.7% increase in mean power; p < 0.05). Expiratory muscle training (EMT) provided no ergogenic effect, and concurrent EMT and IMT did not enhance performance above that seen with IMT alone. IMT loads performed at 60-70% of maximal inspiratory mouth pressure (PImax) were equivalent to the widely used 30 repetition maximum, which is higher than reported for non-rowers (Caine & McConnell, 1998a); further, a load of 60% PImax was sufficient to activate the inspiratory muscle metaboreflex, as evidenced by a time-dependent rise in heart rate (70.1 ± 13.2 to 98.0 ± 22.8 bpm; p < 0.05) and mean arterial blood pressure (92.4 ± 8.5 to 99.7 ± 10.1 mmHg; p < 0.05). Higher and lower inspiratory loads did not activate the metaboreflex. Assessments of flow, pressure and volume in rowing relevant postures revealed no significant impairments, but optimal function occurred in the most upright postures. Conclusions: These data support the application of IMT, but not EMT, in elite and sub-elite rowers, and suggest that a load of 60-70% of PImax provides metaboreflex activation during loading. Further, the data do not support a requirement to undertake IMT in rowing relevant postures

Evaluating a School Community Linked Physical Activity Intervention Programme: a Multi-level Analysis.

Previous research has highlighted the importance of positive physical activity (PA) behaviors during childhood to promote sustained active lifestyles throughout the lifespan (Telama et al. 2005; 2014). It is in this context that the role of schools and teachers in facilitating PA education is promoted. Research suggests that teachers play an important role in the attitudes of children towards PA (Figley 1985) and schools may be an efficient vehicle for PA provision and promotion (McGinnis, Kanner and DeGraw, 1991; Wechsler, Deveraux, Davis and Collins, 2000). Yet despite consensus that schools represent an ideal setting from which to ‘reach’ young people (Department of Health and Human Services, UK, 2012) there remains conceptual (e.g. multi-component intervention) and methodological (e.g. duration, intensity, family involvement) ambiguity regarding the mechanisms of change claimed by PA intervention programmes. This may, in part, contribute to research findings that suggest that PA interventions have had limited impact on children’s overall activity levels and thereby limited impact in reducing children’s metabolic health (Metcalf, Henley & Wilkin, 2012). A marked criticism of the health promotion field has been the focus on behavioural change while failing to acknowledge the impact of context in influencing health outcomes (Golden & Earp, 2011). For years, the trans-theoretical model of behaviour change has been ‘the dominant model for health behaviour change’ (Armitage, 2009); this model focusses primarily on the individual and the psychology of the change process. Arguably, this model is limited by the individual’s decision-making ability and degree of self-efficacy in order to achieve sustained behavioural change and does not take account of external factors that may hinder their ability to realise change. Similar to the trans-theoretical model, socio-ecological models identify the individual at the focal point of change but also emphasises the importance of connecting multiple impacting variables, in particular, the connections between the social environment, the physical environment and public policy in facilitating behavioural change (REF). In this research, a social-ecological framework was used to connect the ways a PA intervention programme had an impact (or not) on participants, and to make explicit the foundational features of the programme that facilitated positive change. In this study, we examined the evaluation of a multi-agency approach to a PA intervention programme which aimed to increase physical activity, and awareness of the importance of physical activity to key stage 2 (age 7-12) pupils in three UK primary schools. The agencies involved were the local health authority, a community based charitable organisation, a local health administrative agency, and the city school district. In examining the impact of the intervention, we adopted a process evaluation model in order to better understand the mechanisms and context that facilitated change. Therefore, the aim of this evaluation was to describe the provision, process and impact of the intervention by 1) assessing changes in physical activity levels 2) assessing changes in the student’s attitudes towards physical activity, 3) examining student’s perceptions of the child size fitness equipment in school and their likelihood of using the equipment outside of school and 4) exploring staff perceptions, specifically the challenges and benefits, of facilitating equipment based exercise sessions in the school environment. Methodology, Methods, Research Instruments or Sources Used Evaluation of the intervention was designed as a matched-control study and was undertaken over a seven-month period. The school-based intervention involved 3 intervention schools (n =436; 224 boys) and one control school (n=123; 70 boys) in a low socioeconomic and multicultural urban setting. The PA intervention was separated into two phases: a motivation DVD and 10 days of circuit based exercise sessions (Phase 1) followed by a maintenance phase (Phase 2) that incorporated a PA reward program and the use of specialist kid’s gym equipment located at each school for a period of 4 wk. Outcome measures were measured at baseline (January) and endpoint (July; end of academic school year) using reliable and valid self-report measures. The children’s attitudes towards PA were assessed using the Children’s Attitudes towards Physical Activity (CATPA) questionnaire. The Physical Activity Questionnaire for Children (PAQ-C), a 7-day recall questionnaire, was used to assess PA levels over a school week. A standardised test battery (Fitnessgram®) was used to assess cardiovascular fitness, body composition, muscular strength and endurance, and flexibility. After the 4 wk period, similar kid’s equipment was available for general access at local community facilities. The control school did not receive any of the interventions. All physical fitness tests and PA questionnaires were administered and collected prior to the start of the intervention (January) and following the intervention period (July) by an independent evaluation team. Evaluation testing took place at the individual schools over 2-3 consecutive days (depending on the number of children to be tested at the school). Staff (n=19) and student perceptions (n = 436) of the child sized fitness equipment were assessed via questionnaires post-intervention. Students completed a questionnaire to assess enjoyment, usage, ease of use and equipment assess and usage in the community. A questionnaire assessed staff perceptions on the delivery of the exercise sessions, classroom engagement and student perceptions. Conclusions, Expected Outcomes or Findings Findings showed that both the intervention (16.4%) and control groups increased their PAQ-C score by post-intervention (p 0.05). The results of the equipment questionnaire, 96% of the children stated they enjoyed using the equipment and would like to use the equipment again in the future; however at post-intervention only 27% reported using the equipment outside of school in the last 7 days. Students identified the ski walker (34%) and cycle (32%) as their favorite pieces of equipment; with the single joint exercises such as leg extension and bicep/tricep machine (<3%) as their least favorite. Key themes from staff were that the equipment sessions were enjoyable, a novel activity, children felt very grown-up, and the activity was linked to a real fitness experience. They also expressed the need for more support to deliver the sessions and more time required for each session. Findings from this study suggest that a more integrated approach within the various agencies is required, particularly more support to increase teachers pedagogical content knowledge in physical activity instruction which is age appropriate. Future recommendations for successful implementation include sufficient time period for all students to access and engage with the equipment; increased access and marketing of facilities to parents within the local community, and professional teacher support strategies to facilitate the exercise sessions

Embedding employability and encouraging engagement with PDP/careers

Concentrating on the level 5 law programme, this article analyses different methods for embedding both employability and personal development planning within undergraduate degree programmes. Focusing on 2 core modules, it explores how academics and careers advisers have worked together to design specific employability/PDP curricular interventions and evaluates their effectiveness by reference to both student and staff feedback

Pharmacological Modulation of the Mitochondrial Electron Transport Chain in Paclitaxel-Induced Painful Peripheral Neuropathy

AbstractPaclitaxel is an effective first-line chemotherapeutic with the major dose-limiting side effect of painful neuropathy. Mitochondrial dysfunction and oxidative stress have been implicated in paclitaxel-induced painful neuropathy. Here we show the effects of pharmacological modulation of mitochondrial sites that produce reactive oxygen species using systemic rotenone (complex I inhibitor) or antimycin A (complex III inhibitor) on the maintenance and development of paclitaxel-induced mechanical hypersensitivity in adult male Sprague Dawley rats. The maximally tolerated dose (5 mg/kg) of rotenone inhibited established paclitaxel-induced mechanical hypersensitivity. However, some of these inhibitory effects coincided with decreased motor coordination; 3 mg/kg rotenone also significantly attenuated established paclitaxel-induced mechanical hypersensitivity without any motor impairment. The maximally tolerated dose (.6 mg/kg) of antimycin A reversed established paclitaxel-induced mechanical hypersensitivity without any motor impairment. Seven daily doses of systemic rotenone or antimycin A were given either after paclitaxel administration or before and during paclitaxel administration. Rotenone had no significant effect on the development of paclitaxel-induced mechanical hypersensitivity. However, antimycin A significantly inhibited the development of paclitaxel-induced mechanical hypersensitivity when given before and during paclitaxel administration but had no effect when given after paclitaxel administration. These studies provide further evidence of paclitaxel-evoked mitochondrial dysfunction in vivo, suggesting that complex III activity is instrumental in paclitaxel-induced pain.PerspectiveThis study provides further in vivo evidence that mitochondrial dysfunction is a key contributor to the development and maintenance of chemotherapy-induced painful neuropathy. This work also indicates that selective modulation of the electron transport chain can induce antinociceptive effects in a preclinical model of paclitaxel-induced pain

An Analysis of Evidence-Based Practice Curriculum Integration in Australian Undergraduate Nursing Programs

Evidence-based practice (EBP) remains a relatively new concept to nursing, creating many challenges in relation to curriculum evaluation. Most of the available literature on EBP focuses to a great extent on clinical practice. There is limited literature available addressing the incorporation of EBP into nursing curricula, particularly at the undergraduate level. Existing literature highlights discrepancies in how EBP is implemented into nursing curricula, and reveals ambiguity in defining the concepts of EBP, appropriate place in the course in which to initiate EBP skills training, and in merging EBP with the research process. In the Australian context and internationally, EBP is variably addressed within undergraduate nursing education

Sources of nutrition in intertidal sea anemones from the south-western Cape, South Africa

Respiration rates of seven species of intertidal sea anemones from the south-western Cape, South Africa were measured with and without illumination to determine whether zooxanthellae contributed to their nutritional needs. Light had no significant effect on oxygen exchange in any of the species, suggesting that all are azooxanthellate. Diets of anemones from two sites, Wooley’s Pool in False Bay and Blouberg on the Atlantic coast some 20 km north of Cape Town, were examined by gut content analysis. Seven species occurred at Wooley’s Pool, but only one (Bunodactis reynaudi) at Blouberg. At Wooley’s Pool 39.4% of anemones contained food, while at Blouberg only 7.4% did so. A wide spectrum of prey taxa were consumed by the various anemone species, although considerable dietary overlap occurred. Pelecypods, gastropods and isopods were ingested by all the species examined. Pelecypods dominated the diet of B. reynaudi at Blouberg (91% occurrence), but were recorded in only 42% of the same species at Wooley’s Pool. The frequency of occurrence of pelecypods in the guts of the other species ranged from 9% (Anthothoe stimpsoni) to 28% (Actinia equina). Gastropods were the main prey items eaten by Anthopleura michaelseni (67% occurrence), Pseudactinia flagellifera (43%) and Pseudactinia varia (42%), while isopods were the most frequently occurring constituent in the diets of A. stimpsoni (62%) and Bunodosoma capensis (16%). A. equina was the only species for which insects were a regular part of the diet (26% occurrence). Platyhelminths were found only in the guts of B. capensis (11%); holothurians only in B. reynaudi at Wooley’s Pool (2%), and crinoids only in P. flagellifera (2%). Large quantities of algal material and indigestible debris were also ingested, indicating that sea anemones are non-selective feeders. Cluster analysis and multi-dimensional scaling techniques revealed four distinct feeding groups among the anemone assemblages. These are characterized as microphagous (A. stimpsoni), generalist (S. capensis and A. equina), macrophagous (S. reynaudi at Wooley’s Pool, A. michaelseni, P. flagellifera and P. varia) and specialist bivalve- feeder (B. reynaudi at Blouberg)

Digestion rates of prey eaten by intertidal sea anemones from the south-western Cape, South Africa

Digestion rates were determined for natural prey items offered to each of seven species of sea anemones found at Wooley's Pool in False Say and to the single species (Bunodactis reynaudl) recorded at Siouberg on the Atlantic coast of the south-western Cape, South Africa.This was done by examining prey items removed from the coelenterons at regular intervals after feeding and assessing their degree of digestion according to a predetermined scale. There was considerable variation in the gut retention times between different anemone species offered the same prey types, with Actinia equina consistently showing the shortest gut retention times (12 h for amphipods, 15 h for pelecypods and 23 h for isopods). Of the various prey categories tested, amphipods tended to be the most rapidly digested group, while molluscs and echinoderms usually remained in the coelenteron the longest. Mean gut retention times in B. reynaudi, the only species found both in False Bay (1 TC) and on the cold west coast (12'C) were markedly longer (72 vs 60 hand 43 vs 30 h for pelecypods and gastropods respectively) at the lower temperature.S. Afr. J. Zool. 1997,32(4

Prevalence of Cardiometabolic Risk Factors in First Episode Psychosis Patients

INTRODUCTION Previous research in patients with schizophrenia have shown a high prevalence of metabolic syndrome and disease progression (~30-40%) which presents an increased risk for cardiovascular disease and long-term mortality (Correll et al. 2014; Mitchell et al. 2013). To date, little is known about the prevalence of existing cardiometabolic risk factors at time of diagnosis. This study presents a clinical overview of the cardiometabolic risk profile in young people presenting with early psychosis from a UK early intervention in psychosis service. METHODS: Participants (n=45; age 24.4 ± 4.5 yrs, 71% male, 88.9% White British) clinically diagnosed with a first episode psychosis with <3 months (n=39) or< 6 months (n=6) Duration of Untreated Psychosis (DUP) were assessed for anthropometric, lifestyle behaviours and clinical measurements including resting heart rate, blood pressure, blood lipids, HbA1c, and prolactin. The majority (n=38, 84.4%) were in receipt of antipsychotic medication (8.9% Aripiprazole, 28.9% Olanzepine, 31.1% Quetiapine, 4.4% Risperidone, 2.2% Paliperidone, 6.7% Clozapine). Seven participants (15.6%) were not on any antipsychotic medication. RESULTS Table 1 presents the cardiometabolic risk status and self reported lifestyle behaviours at baseline by sex of this first episode psychosis patient sample (n=45). • Participants had high prevalence of cardiometabolic risk factors due to elevated values for BMI (38.1%), abdominal adiposity (57.5%), high blood pressure (30.8% prehypertensive; 20.5% hypertensive), elevated resting heart rate (44.7%), hypercholesterolemia (27.9%), suboptimal HDL levels (25.6%), and hypertriglyceridemia (42.1%). • Participants also self-reported poor lifestyle habits including: smoking (55.8%), alcohol use (37.2%), substance use (16.3%), poor diet (53.5%), and a sedentary lifestyle (39.5%). CONCLUSION • Young people with psychosis are at increased risk for cardiometabolic disorders due to elevated clinical markers and unhealthy lifestyle behaviours. • Physical health interventions are needed early in the treatment process to address the increased risk for cardiometabolic disorders in individuals recently diagnose

Leadership effectiveness and organizational transformation through mindfulness, intention and possibility

Thesis (M.B.A.)--Massachusetts Institute of Technology, Sloan School of Management, 2009.Includes bibliographical references (p. 68).This thesis is an examination of the convergence of ideas in science, psychology, organizational theory and leadership development around ideas of interconnectedness, mindfulness, intention and transformation. First, I explore how the fields of quantum physics and natural sciences are shedding new light on the power of our thoughts, feelings, and intentions to create our world. In this way, these non-tangible things have impact on the tangible world, both our own experience of it and the experience of the whole. Further, when we begin to see the study of management and organization as the study of human communities, rather than as transactional machines, we realize the interconnections and the possibility for change by focusing on communications and relationships. Delving into organizational leadership, I regard a leader as a potential change agent, but not the sole actor of change. Key to this idea is the assertion that change happens in relation to the world and people around oneself - fundamentally, in relation. While individual reflection and spiritual work are important to setting a course for change, it is in relation to others that we act. In these actions and conversations we create and are created. Therefore when we engage in work of change management, seeking to change individual behaviors or organizational outcomes, we must address the whole. Change targeted at the individual alone is insufficient.(cont.) Finally, I suggest that this new way of regarding organizational leadership and management has the potential to radically transform business education and leadership theory for the 21 st century. Previous organizational environments dominated by competition and scarcity are being replaced by environments of collaboration, abundance and possibility.by Lisa Griffiths.M.B.A

Global Inhibition of Reactive Oxygen Species (ROS) Inhibits Paclitaxel-Induced Painful Peripheral Neuropathy

Paclitaxel (Taxol®) is a widely used chemotherapeutic agent that has a major dose limiting side-effect of painful peripheral neuropathy. Currently there is no effective therapy for the prevention or treatment of chemotherapy-induced painful peripheral neuropathies. Evidence for mitochondrial dysfunction during paclitaxel-induced pain was previously indicated with the presence of swollen and vacuolated neuronal mitochondria. As mitochondria are a major source of reactive oxygen species (ROS), the aim of this study was to examine whether pharmacological inhibition of ROS could reverse established paclitaxel-induced pain or prevent the development of paclitaxel-induced pain. Using a rat model of paclitaxel-induced pain (intraperitoneal 2 mg/kg paclitaxel on days 0, 2, 4 & 6), the effects of a non-specific ROS scavenger, N-tert-Butyl-α-phenylnitrone (PBN) and a superoxide selective scavenger, 4-hydroxy-2,2,6,6-tetramethylpiperidine-1-oxyl (TEMPOL) were compared. Systemic 100 mg/kg PBN administration markedly inhibited established paclitaxel-induced mechanical hypersensitivity to von Frey 8 g and 15 g stimulation and cold hypersensitivity to plantar acetone application. Daily systemic administration of 50 mg/kg PBN (days −1 to 13) completely prevented mechanical hypersensitivity to von Frey 4 g and 8 g stimulation and significantly attenuated mechanical hypersensitivity to von Frey 15 g. Systemic 100 mg/kg TEMPOL had no effect on established paclitaxel-induced mechanical or cold hypersensitivity. High dose (250 mg/kg) systemic TEMPOL significantly inhibited mechanical hypersensitivity to von Frey 8 g & 15 g, but to a lesser extent than PBN. Daily systemic administration of 100 mg/kg TEMPOL (day −1 to 12) did not affect the development of paclitaxel-induced mechanical hypersensitivity. These data suggest that ROS play a causal role in the development and maintenance of paclitaxel-induced pain, but such effects cannot be attributed to superoxide radicals alone