Effects of Simple Carbohydrate vs. Carbohydrate-Protein Intake on Glucose Homeostasis Following Intense Exercise

Kluka, J., Baskerville, J., Clifton, K., Fisher, K., Marks, D., Weidner, C., Veerabhadrappa, P. and Braun, W.A. (FACSM), Shippensburg University, Shippensburg, PA. Purpose: To test the effects of simple carbohydrate (CHO) and the combination of CHO and protein on blood glucose (BG) clearance following intense anaerobic exercise. Methods: Eight members (age = 18.8 ± 1.4 years) of the Shippensburg University Football team participated in the study. On separate test days, subjects were given either a placebo (PL) drink, a CHO drink (74 g CHO in 473 ml), or a carbohydrate-protein (C-PRO) drink (58 g CHO and 16 g PRO in 473 ml), upon completing the exercise bout. Before exercise, baseline measurements were taken for BG and heart rate. The subject then completed a 90-sec modified Wingate protocol (resistance set at 70% of the individual’s Wingate protocol resistance). BG was tested post-exercise, and every ten minutes after ingestion of the solution for 60 min. Results: Neither total revolutions completed (PL = 123.0±5.0; CHO = 126.9±3.9; C-PRO = 125.4±2.8) nor post-exercise BG (mg.dl-1) differed across treatments (PL = 88.6±6.5; CHO = 93.1±4.0; C-PRO = 101.1±4.7). However, CHO elicited the highest (p\u3c0.05) mean BG during recovery and the lowest BG was found in the PL. Conclusion: While matching post-exercise energy intake, C-PRO elicited a smaller BG area than CHO but tended to be larger than that of PL (p=0.052). C-PRO may be a better choice for post-exercise intake if aiming to maintain glucose homeostasis during recovery

Development and testing of the ostomy concerns scale: measuring ostomy-related concerns of cancer patients and their partners

This article reports the third phase of a project undertaken to develop and test the Ostomy Concerns Scale. The Ostomy Concerns Scale measures concerns of cancer patients with ostomies and of their partners. The tool was pilot tested for clarity, apparent internal consistency (nonquantitative assessment of homogeneity of content), and content validity by a panel of experts. The scale met or exceeded the preset criteria specified in this phase of testing. Subsequent testing included estimates of the scale's reliability and validity with a sample of 40 patients and their partners. Internal consistency estimates, as measured by Cronbach's α coefficient, were 0.92 at two test times. A test-retest reliability estimate of 0.73, as measured by Spearman's correlation coefficient, was obtained. The results are promising and suggest that the Ostomy Concerns Scale provides a clinically useful evaluation of concerns of patients with ostomies and their partners

Volleyball /

Includes bibliographical references (p. 109) and index

Mastoiditis in children

Fifty-seven children were seen over a 10-year period, 1984-1994, at two large pediatric referral centers with a diagnosis of mastoiditis. Twelve had acute infection and 45 had chronic manifestations. Clinical presentations and recovered bacterial pathogens were identical to those reported in earlier literature although the incidence of both acute and chronic mastoiditis has decreased markedly since 1950. The availability of computed tomographic (CT) scans during this decade has improved the management of chronic disease by defining the location of cholesteatomas and the extent of disease as well as possible anatomic variations and potential complications encountered during surgery. CT scanning is indicated in acute disease when there is suspicion of chronic suppuration or destruction of the mastoid