The effect of strength training at the same time of the day on the diurnal fluctuations of muscular anaerobic performances

The aim of this study was to examine the effects of training at the same time of the day on the diurnal variations of anaerobic performances to provide some recommendations to adjust training hours with the time of the day of competitive events. Thirty participants underwent 8 weeks of lower-extremity progressive resistance training performed 3 times per week designed to promote muscular strength and power. These subjects were randomly assigned to a morning training group (MTG, 07:00-08:00 hours, n = 10), an evening training group (ETG, 17:00-18:00 hours, n = 10), and a control group (CG, completed all tests but did not train, n = 10). Performance in the squat jump, the countermovement jump, the Wingate and 1 repetition maximum (1RM) during leg extension, leg curl, and squat tests was recorded just before and 2 weeks after an 8-week course of regular training. For all the subjects, the morning and evening tests were scheduled at the same time of the day as for the morning and evening training sessions. Before training, the results indicated a significant increase in performance from morning to evening tests (ca. 2.84-17.55% for all tests) for all groups. After training, the diurnal variations in anaerobic performances were blunted in the MTG. In fact, there was no significant difference in muscular power or strength between morning and evening tests. However, these intradaily variations in anaerobic performances persisted in the ETG and CG. From a practical point of view, adaptation to strength training is greater at the time of the day at which training was scheduled than at other times.     

The Pattern and Loci of Training-Induced Brain Changes in Healthy Older Adults Are Predicted by the Nature of the Intervention

There is enormous interest in designing training methods for reducing cognitive decline in healthy older adults. Because it is impaired with aging, multitasking has often been targeted and has been shown to be malleable with appropriate training. Investigating the effects of cognitive training on functional brain activation might provide critical indication regarding the mechanisms that underlie those positive effects, as well as provide models for selecting appropriate training methods. The few studies that have looked at brain correlates of cognitive training indicate a variable pattern and location of brain changes - a result that might relate to differences in training formats. The goal of this study was to measure the neural substrates as a function of whether divided attentional training programs induced the use of alternative processes or whether it relied on repeated practice. Forty-eight older adults were randomly allocated to one of three training programs. In the SINGLE REPEATED training, participants practiced an alphanumeric equation and a visual detection task, each under focused attention. In the DIVIDED FIXED training, participants practiced combining verification and detection by divided attention, with equal attention allocated to both tasks. In the DIVIDED VARIABLE training, participants completed the task by divided attention, but were taught to vary the attentional priority allocated to each task. Brain activation was measured with fMRI pre- and post-training while completing each task individually and the two tasks combined. The three training programs resulted in markedly different brain changes. Practice on individual tasks in the SINGLE REPEATED training resulted in reduced brain activation whereas DIVIDED VARIABLE training resulted in a larger recruitment of the right superior and middle frontal gyrus, a region that has been involved in multitasking. The type of training is a critical factor in determining the pattern of brain activation.     

音乐在黑猩猩采血训练中的应用初探

为探究外源促性腺激素对伊拉兔(Oryctolagus cuniculu)生殖器官中表皮生长因子(EGF)表达水平及其作用特点的影响,本实验以伊拉兔为研究对象,随机选取30只(雄兔6只,雌兔24只),将雌兔随机分为超排处理组(n = 12),即肌肉注射70 U 孕马血清促性腺激素(PMSG)和100 U人绒毛膜促性腺激素(hCG)和对照组(不注射任何激素,n = 12)。并运用实时定量PCR(qRT-PCR)、蛋白免疫印迹(Western-blot)及免疫组化方法,研究经超排处理的伊拉兔卵巢、输卵管和子宫中表皮生长因子的表达与定位情况。结果显示,在超排处理后的伊拉兔卵巢、输卵管和子宫中,表皮生长因子mRNA与蛋白的表达量极显著高于对照组的卵巢、输卵管和子宫(P < 0.01),其阳性信号分别定位于卵巢的初级卵母细胞、颗粒细胞、内膜细胞、间质细胞和血管内皮细胞,输卵管的纤毛细胞、基细胞、黏膜上皮和肌层中,以及子宫的上皮细胞和内膜细胞中。研究表明,超排使用的外源促性腺激素可促进卵巢、输卵管和子宫中表皮生长因子表达量升高,提示其可能参与伊拉兔的生殖过程并调节卵巢、输卵管和子宫的功能。     

Auditory Discrimination Training for the Treatment of Tinnitus

This paper presents a series of 12 cases of chronic tinnitus patients who participated in 4 weeks of auditory discrimination training either close to or far removed from the tinnitus frequency. The training was based on the assumption that tinnitus is related to a shift of the representation of the tinnitus frequency in auditory cortex outside of the normal tonotopic map and that training close to but not removed from the tinnitus frequency should result in a reduction in the severity of the tinnitus. Tinnitus severity was measured 4 times per day during the entire treatment and other tinnitus-related variables were assessed 1 week before and 1 month posttreatment. The comparison of the training close to as compared to remote from the tinnitus frequency did not yield a statistically significant difference. However, a post hoc analysis revealed that patients who engaged in regular training as compared to those who practiced irregularly were significantly more successful in reducing tinnitus severity independent of the trained frequencies. Treatment success was best predicted by days of training and general activity levels. The data suggest that auditory discrimination training shows a dose response effect irrespective of training location and that treatment success is also related to psychological variables. For more substantial changes in multiple variables an extended training period with additional consideration of emotional variables would be necessary. In addition, controls for nonspecific training effects need to be implemented.     

研究型医院研究生培养的几点想法

研究型医院是指以完成临床医疗工作为基本任务,以培养优秀人才为突出优势,以创新性科学研究为重要使命,以制定和修定临床医学标准和规范为水平标志的大型综合型医院。其是我国医院管理界的新生事物。要走研究型医院快速、持续发展之路,提高医院的整体诊治水平,就必须大力培育复合型人才。研究生培养作为研究型医院优秀人才培养的重要组成部分,在培养过程中必然需要新的培养方式。建立与研究型医院发展相适应的研究生培养机制,诱导研究生国际视野,培养研究生创新意识,激发研究生求知欲望,训练研究生专项特长,树立研究生转化医学思维,才能培养出适应研究型医院发展需要的研究生。本文就研究型医院研究生培养的几点想法与同行共享。     

Utility of the Conconi's heart rate deflection to monitor the intensity of aerobic training

The Conconi's heart-rate deflection point (HRd) in the heart rate (HR)/speed curve is often used to set aerobic training loads. Training could either be set in percentage running speed or HR at HRd. In order to establish the limits and usefulness of various aerobic-training modalities for intermediate athletic level (physical-education students), acute responses were analyzed while running for a typical 40-minute training session. Speed, HR, lactate, and cortisol were thus recorded during training at 90 and 100% of running speed (RS: n = 14) and HR (HR: n = 16) at HRd (90% running speed [RS90], 100% running speed [RS100], 90% HR [HR90], and 100% HR [HR100]). During constant HR training, RS decreases while HR drifts upward during constant RS training. Half of the subjects can not finish the 40-minute RS100 session. For HR90, RS90, HR100, and RS100, average intensities are 67, 69, 74.9, and 77% maximal aerobic speed (multistage test), respectively. This study indicates that (1) training at HR100 and RS100 is more appropriate to improve high-intensity metabolic capacities (increased cortisol and lactate) while RS100 is too difficult to be maintained for 40 minutes for subjects at that level at least, (2) training at HR90, however, is better to improve endurance and capacity to do a large amount of work considering cortisol and lactate homeostasis, and (3) training at a constant HR using a HR monitor is a good method to control the intensity of the training with subjects not used to pacing themselves with the split-time approach.     

The optimal training load for the development of muscular power

Muscular power is considered one of the main determinants of athletic performance that require the explosive production of force such as throwing and jumping. Various training methods have been suggested to improve muscular power and dynamic athletic performance. Although various acute training valuables (e.g., sets, repetitions, rest intervals) could be manipulated, the training loads used are some of the most important factors that determine the training stimuli and the consequent training adaptations. Many research results showed that the use of different training loads elicits the different training adaptations and further indicated the load- and velocity-specific adaptations in muscular-power development. Using the optimal loads at which mechanical power output occurs has been recommended, especially to enhance maximum muscular power. Additionally, introducing periodization and combined training approach into resistance-training programs may further facilitate muscular-power development and enhance a wide variety of athletic performances.     

A systematic review of the effects of physical training on load carriage performance

Soldiers are often required to carry heavy loads during military operations. This article reports on a systematic literature review examining the influence of physical training on load carriage performance. Several literature databases, reference lists, and other sources were explored to find studies that quantitatively examined the effects of physical training on the time taken for individuals to complete a set distance carrying an external load, with the majority of the load contained in a backpack. Effect sizes (Cohen's d statistic) were used in meta-analyses to examine the changes in load carriage performance after various modes of physical training. Effect sizes quantified training-related changes in terms of SD units. Ten original research studies met the review criteria. Meta-analysis indicated that large training effects (≥0.8SD units) were apparent when progressive resistance training was combined with aerobic training and when that training was conducted at least 3 times per week, over at least 4 weeks. When progressive load-carriage exercise was part of the training program, much larger training effects were evident (summary effect size [SES] = 1.7SD units). Field-based training that combined a wide variety of training modes and included progressive load-carriage exercise was also very effective in improving load carriage performance (SES = 1.1SD units). Aerobic training alone or resistance training alone had smaller and more variable effects, depending on the study. This review indicates that combinations of specific modes of physical training can substantially improve load carriage performance.     

住院医师/专科医师通科培训必要性的探讨

当前医学生临床实践活动在时间上不能保证,质量上又明显下滑的情况下,增加住院医师/专科医师通科培训是十分必要的。不仅能弥补临床实践的不足,而且也能为医学生向住院医师平稳顺利过度作铺垫。住院医师/专科医师培养是医学生向临床医师角色转换的一个重要的过度阶段,因此,培训时间、学习内容安排的科学、合理与否将直接影响培养效果。住院医师/专科医师通科培训应为培养具有较高临床综合能力的医学人才奠定基础。     

Simple training programme for ambulance personnel in the management of cardiac arrest in the community.

The extended training for ambulance personnel in Nottinghamshire includes a period of training in cardiac resuscitation by defibrillation, and defibrillators are now part of the standard equipment of vehicles used on the accident and emergency service. Comparison of recent results with previous attempts in the City of Nottingham to provide a service for out of hospital cardiac arrest has shown that an elementary training course and the provision of defibrillators on emergency vehicles enables the ambulance service to save the lives of a reasonable proportion of those who suffer sudden death in the community. The extended training programme as a whole has proved acceptable to ambulance personnel and we believe that this programme could be the basis for a more widespread introduction of post basic training.     

Effects of training frequency on the dynamics of performance response to a single training bout.

The aim of this study was to analyze the effect of an increase in training frequency on exercise-induced fatigue by using a systems model with parameters free to vary over time. Six previously untrained subjects undertook a 15-wk training experiment composed of 1) an 8-wk training period with three sessions per week (low-frequency training), 2) 1 wk without training, 3) a 4-wk training period with five sessions per week [high frequency training (HFT)], and 4) 2 wk without training. The systems input ascribed to training loads was computed from interval exercises and expressed in arbitrary units. The systems output ascribed to performance was evaluated three times each week using maximal power sustained over 5 min. The time-varying parameters of the model were estimated by fitting modeled performances to the measured ones using a recursive least squares method. The variations over time in the model parameters showed an increase in magnitude and duration of fatigue induced by a single training bout. The time needed to recover performance after a training session increased from 0.9 +/- 2.1 days at the end of low-frequency training to 3.6 +/- 2.0 days at the end of HFT. The maximal gain in performance for a given training load decreased during HFT. This study showed that shortening recovery time between training sessions progressively yielded a more persistent fatigue induced by each training.     

Are the Effects of Response Inhibition on Gambling Long-Lasting?

A recent study has shown that short-term training in response inhibition can make people more cautious for up to two hours when making decisions. However, the longevity of such training effects is unclear. In this study we tested whether training in the stop-signal paradigm reduces risky gambling when the training and gambling task are separated by 24 hours. Two independent experiments revealed that the aftereffects of stop-signal training are negligible after 24 hours. This was supported by Bayes factors that provided strong support for the null hypothesis. These findings indicate the need to better optimise the parameters of inhibition training to achieve clinical efficacy, potentially by strengthening automatic associations between specific stimuli and stopping.     

On-the-Job Evidence-Based Medicine Training for Clinician-Scientists of the Next Generation

Clinical scientists are at the unique interface between laboratory science and frontline clinical practice for supporting clinical partnerships for evidence-based practice. In an era of molecular diagnostics and personalised medicine, evidence-based laboratory practice (EBLP) is also crucial in aiding clinical scientists to keep up-to-date with this expanding knowledge base. However, there are recognised barriers to the implementation of EBLP and its training. The aim of this review is to provide a practical summary of potential strategies for training clinician-scientists of the next generation.Current evidence suggests that clinically integrated evidence-based medicine (EBM) training is effective. Tailored e-learning EBM packages and evidence-based journal clubs have been shown to improve knowledge and skills of EBM. Moreover, e-learning is no longer restricted to computer-assisted learning packages. For example, social media platforms such as Twitter have been used to complement existing journal clubs and provide additional post-publication appraisal information for journals.In addition, the delivery of an EBLP curriculum has influence on its success. Although e-learning of EBM skills is effective, having EBM trained teachers available locally promotes the implementation of EBM training. Training courses, such as Training the Trainers, are now available to help trainers identify and make use of EBM training opportunities in clinical practice. On the other hand, peer-assisted learning and trainee-led support networks can strengthen self-directed learning of EBM and research participation among clinical scientists in training. Finally, we emphasise the need to evaluate any EBLP training programme using validated assessment tools to help identify the most crucial ingredients of effective EBLP training.In summary, we recommend on-the-job training of EBM with additional focus on overcoming barriers to its implementation. In addition, future studies evaluating the effectiveness of EBM training should use validated outcome tools, endeavour to achieve adequate power and consider the effects of EBM training on learning environment and patient outcomes.     

Effect of training on the rating of perceived exertion at the ventilatory threshold

The purpose of this study was to determine the effect of training on the rating of perceived exertion (RPE) at the ventilatory threshold. College students were assigned to either training (n = 17) or control (n = 10) groups. Trainers completed 18 interval training sessions (five X 5 min cycling at 90-100% VO2max) and 8 continuous training sessions (40 min running or cycling) in 6 weeks. Pre- and post-training, cardiorespiratory, metabolic, and perceptual variables were measured at the ventilatory threshold during graded exercise tests on a cycle ergometer. Ventilatory threshold was that point above which VE X VO2-1 increased abruptly relative to work rate. Post-training means of trained and control subjects were compared using analysis of covariance, with pre-training values as covariates. Following training, the adjusted means for the trained subjects were significantly greater (p less than 0.05) than for controls for VO2max (6%), and for work rate (20%), VO2 (23%), and %VO2max (13%) at the ventilatory threshold. However, adjusted means for RPE at the ventilatory threshold were not significantly different (2%). Both before and after training, exercise at the ventilatory threshold was perceived as 'somewhat hard' to 'hard' (RPE = 13-15) by both groups. The relationship between RPE and %VO2max was altered by training, with trained subjects having a lower RPE at a given %VO2max. It is concluded that RPE at the ventilatory threshold is not affected by training, despite that after training the ventilatory threshold occurs at a higher work rate and is associated with higher absolute and relative metabolic and cardiorespiratory demands.     

Strength training for the warfighter

Optimizing strength training for the warfighter is challenged by past training philosophies that no longer serve the modern warfighter facing the "anaerobic battlefield." Training approaches for integration of strength with other needed physical capabilities have been shown to require a periodization model that has the flexibility for changes and is able to adapt to ever-changing circumstances affecting the quality of workouts. Additionally, sequencing of workouts to limit over-reaching and development of overtraining syndromes that end in loss of duty time and injury are paramount to long-term success. Allowing adequate time for rest and recovery and recognizing the negative influences of extreme exercise programs and excessive endurance training will be vital in moving physical training programs into a more modern perspective as used by elite strength-power anaerobic athletes in sports today. Because the warfighter is an elite athlete, it is time that training approaches that are scientifically based are updated within the military to match the functional demands of modern warfare and are given greater credence and value at the command levels. A needs analysis, development of periodized training modules, and individualization of programs are needed to optimize the strength of the modern warfighter. We now have the knowledge, professional coaches and nonprofit organization certifications with continuing education units, and modern training technology to allow this to happen. Ultimately, it only takes command decisions and implementation to make this possible.     

Biomechanical aspects of gravitational training of the astronauts before the flight

Researchers tested a hypothesis that astronauts can become more proficient in training for tasks during space flight by training in a high gravity suit. Computer image analysis of movements, tensodynamography, and myotonometry were used to analyze movement in the hypergravity suit, muscle response, and other biomechanical factors. Results showed that training in the hypergravity suit improved the biomechanics of motor performance.     

Part-time medical training: 15 years' experience in the Oxford region.

Part-time training of doctors with domestic commitments has taken place successfully in the Oxford region since 1966; 249 doctors have now passed through such training schemes and a further 120 are currently training part-time. Two training schemes are now offered for doctors at senior house officer and registrar level: one of six to eight sessions a week for those undertaking recognised training aiming for consultant or principal in general practice posts, the other of one to two sessions a week providing ad hoc training for those unable for personal reasons to follow a recognised training programme. For doctors at senior registrar level, part-time training entails five to eight sessions a week. Of the 115 doctors who have left the schemes and are now in career posts in the United Kingdom, 19% are now consultants, 30% in other hospital posts, 27% in general practice, and 18% are clinical medical officers; overall, 71% of those in career posts are working part-time. This experience shows that part-time training can be successful and that there is a continuing need for part-time career posts.     

The effect of attempted ballistic training on the force and speed of movements

Athletes in sports requiring explosive movements might benefit from a unique form of training in which a limb is restrained while the athlete attempts ballistic (explosive) movements. We investigated the effects of such ballistic training and conventional resistance training on force and speed of front kicks, side kicks, and palm strikes of martial artists. We assigned subjects randomly to an experimental group (n = 13) or a control (normal martial art training) group (n = 9). Conventional resistance training produced a gain of 12% (95% likely limits +/- 13%) in front kick force relative to the control group. Overall ballistic training and conventional resistance training decreased side kick force by 15% (+/-14%), but movement speeds increased by 11-21% (+/-13-17%). Responses to ballistic training were generally more marked in more highly skilled athletes. Attempted ballistic training may be a beneficial adjunct to resistance training for skilled athletes in sports where speed rather than force is critical.     

The effectiveness of resisted jump training on the VertiMax in high school athletes

Resisted jumping devices and resisted plyometric training have become more common in recent years. The effectiveness of such training has yet to be determined among high school athletes. Sixty-four high school athletes (50 boys and 14 girls) from a variety of sports were divided into 2 groups and participated in a training intervention that differed only by the use of the VertiMax jump trainer in 1 group. Lower-body power was tested before and after the intervention and compared statistically for differences between the groups. Athletes from both groups followed a periodized training program with resistance exercises performed 2 or 3 days per week, and sprint and plyometric training (i.e., training control group) or sprint, plyometric, and VertiMax training (i.e., VertiMax group) 1 or 2 days per week, for 12 total weeks. In addition to the traditional compound lower-body lifts and equated sprint work, the VertiMax group performed supplementary exercises on the VertiMax training apparatus. The average improvement in power observed in the training control group was 49.50 +/- 97.83 W, and the increase in power in the VertiMax group was 217.14 +/- 99.21 W. The differences in power after the test and improvements in power with training were found to differ between the groups (P < 0.05) and favored the VertiMax training group. Combined with previous research with college athletes, these data show the added effectiveness of resisted jump training on the VertiMax among athletes for the development of lower-body power.     

The durations of the phases and periods of the cardiac cycle in athletes as dependent on the specific type of training

Polycardiography was used to analyze cardiac cycle phases in young track athletes during a two-year training cycle. The subjects were examined in the state of relative muscular rest and during moderate bicycle ergometer exercise. It was found that track training leads to a decrease in the heart rate and regulatory myocardial hypodynamic syndrome. Adaptive rearrangements in myocardial contractility were observed; they depended on the age of athletes and the type of training during the training macrocycle. The performance of the test with a moderate intensity was accompanied by a hyperdynamic syndrome, the degree of its manifestation depending on the age of the subject and the exercise intensity.