This study evaluated the reliability of portable Lactate Pro 2 analyzer (LP2), and its validity compared to a laboratory-based analyzer, YSI 1500 Sport (YSI). Blood samples (n = 258) were collected during 44 graded incremental rowing tests, with data from 17 tests used quantify load, heart rate, oxygen consumption at lactate threshold. Inter-LP2 was high coefficient variation 3.3%; Bland Altman 95% limits agreement varied ± 0.3 mmol.L−1 for blood (BLa) ≤4.0 −1.6 +1.4 BLa >8.0 mmol.L−1,...

To determine the impact of a standardized heart failure order set on mortality, readmission, and quality costs care. Observational study. Eight acute care hospitals two specialty hospitals. All adults (>18 years) discharged from one included between December 2007 March 2009 with diagnosis failure, who had not undergone transplant, did have left ventricular assistive device, length stay 120 or less days. A was developed internally, content driven by prevailing American College...

To investigate the effect of a transition program simulated barefoot running (SBR) on kinematics and foot-strike patterns, female recreational athletes (n=9, age 29 ± 3 yrs) without SBR experience gradually increased distance in Vibram FiveFingers footwear over 12 weeks. Matched controls (n=10, 30 4 continued standard footwear. A 3-D motion analysis treadmill at km/h(-1) was performed by both groups, shod, pre- post-intervention. Post-intervention data indicated more-forefoot strike pattern...

The aim of the current study was to assess reliability Functional Threshold Power test (FTP) and corresponding intensity sustainable for 1-hour in a "quasi-steady state". Highly-trained athletes (n = 19) completed four non-randomized tests over successive weeks on Wattbike; 3-min incremental (GxT) exhaustion, two 20-min FTP 60-min at computed (cFTP). cFTP calculated by reducing data 5% compared with power Dmax lactate threshold (TLac). Ventilatory blood (BLa) responses were measured...

BACKGROUND: The Trauma Quality Improvement Program has shown that risk-adjusted mortality rates at some centers are nearly 50% higher than others. This "quality gap" may be due to different clinical practices or processes of care. We have previously adoption called core measures by the Joint Commission and Centers for Medicare Medicaid Services does not improve outcomes trauma patients. hypothesized improved compliance with trauma-specific care (POC) is associated reduced in-hospital...

This study assessed muscle recruitment patterns and stroke kinematics during ergometer on-water rowing to validate the accuracy of ergometry. Male rowers (n = 10; age 21 ± 2 years, height 1.90 0.05 m body mass 83.3 4.8 kg) performed 3 × min exercise bouts, at heart rates equivalent 75, 85 95% V̇O2peak, on both dynamic stationary ergometers, water. During exercise, synchronised data for surface electromyography (EMG) 2D were recorded. Overall activity was quantified by integration rmsEMG...

BACKGROUND: We have preciously demonstrated that trauma patients receive less than two-thirds of the care recommended by evidence-based medicine. The purpose this study was to identify least likely optimal care. METHODS: Records a random sample 774 admitted Level I center (2006–2008) with moderate severe injuries (Abbreviated Injury Scale score ≥3) were reviewed for compliance 25 trauma-specific processes (T-POC) endorsed Advanced Trauma Life Support, Eastern Association Surgery Trauma,...

ABSTRACT Background Diabetes is a leading cause of death and disability, its prevalence increasing. When diet fails, patients with type 2 diabetes mellitus (T2DM) are prescribed oral hypoglycemics for glycemic control. Few studies have explored initial use or change from hypoglycemic therapy in the primary care setting. We aimed to describe utilization among newly diagnosed 1998–2009 changes subsequent older agents using electronic health records. Methods This observational cohort study used...

ABSTRACT Purpose Little is known about the comparative effects of common oral antidiabetic drugs ([OADs] metformin, sulfonylureas, or thiazolidinediones [THZs]) on chronic kidney disease (CKD) outcomes in patients newly diagnosed with type 2 diabetes (T2DM) and followed community primary care practices. Electronic health records (EHRs) were used to evaluate relationships between OAD class use incident proteinuria prevention glomerular filtration rate decline. Methods A retrospective cohort...

Patellofemoral pain and iliotibial band syndromes are common running injuries. Excessive hip adduction (HADD), internal rotation (HIR), contralateral pelvic drop (CLPD) during have been suggested as causes of injury in female runners. This study compared these kinematic variables barefoot shod running.Three-dimensional gait analyses 23 habitually shod, uninjured recreational athletes at 3.33 m·s while were studied. Spatiotemporal data initial contact (IC), 10% stance (corresponding to the...

Background Drinks with higher dissolved oxygen concentrations have in recent times gained popularity as a potential ergogenic aid, despite lack of evidence regarding their efficacy. The aim this study was to assess effects ingestion an supplement (OS) on exercise performance and post-exercise recovery group trained runners.Methods Trained male runners (n = 25, mean ± SD; age 23 6 years, mass 70 9 kg, BMI 21.9 2.7 kg.m−2 VO2max 64 6mL.kg−1.min−1), completed randomised double blinded,...

Study Design Controlled laboratory study. Background Body-weight-support (BWS) running is increasing in popularity, despite limited evidence of its effects on mechanics. Objectives To determine the effect BWS lower-limb biomechanics during lower-body positive-pressure (LBPP) treadmill running. Methods Fourteen male recreational runners completed 15 randomized trials an LBPP at 5 levels and 3 velocities (1-minute with 3-minute recovery). Knee ankle kinematic data were recorded continuously...

The purpose of the present study was to examine relationship between improvements in running performance and some prominent physiological metabolic adaptations endurance exercise training. Twelve male undergraduates agreed participate this (trial group), aged matched physical education students provided a control group. Running performance, assessed as five km time trial, improved from 19.69 +/- 2.24 19.22 2.03 min trial group (P less than 0.01) after Maximal oxygen uptake values increased...

BACKGROUND The Trauma Quality Improvement Program uses inhospital mortality to measure quality of care, which assumes patients who survive injury are not likely suffer higher after discharge. We hypothesized that survival rates in trauma discharge remain stable afterward. METHODS Patients treated at an urban Level I center (2006–2008) were linked with the Social Security Administration Death Master File. Survival measured 30, 90, and 180 days 1 2 years from among two groups survived...

Abstract Introduction and Hypothesis This study was aimed at identifying the prevalence experience of urinary incontinence (UI) among elite female Gaelic sports athletes in Ireland. Methods A cross-sectional comprising an anonymous online survey (Camogie Ladies Football) players. Players were asked about their background information, knowledge pelvic floor practice muscle training (PFMT), as well experiences UI. The severity UI assessed using International Consultation on Incontinence...