SOME RECENT ORNITHOLOGICAL PUBLICATIONS

2010, Lynx Edicions, Barcelona, Spain

880 pages, 60 colour plates, hardcover

ISBN-13: 978–84-96553–68-2. Price €212     

Achilles Tendon Reflex in Accidental Hypothermia and Hypothermic Myxoedema

The photomotogram (P.M.G.) of the Achilles tendon reflex was studied in 26 patients with hypothermia (rectal temperature 33·3°C or less), 10 of whom also had myxoedema (serum protein bound iodine 2·8 μg/100 ml or less). No reflex could be elicited in eight (31%) of these patients, including three of those with myxoedema. Hypothermia increases both the contraction and the relaxation times of the reflex, the relaxation phase being particularly prolonged in those with myxoedema. In those patients from whom the reflex was elicited the ratio of the contraction time to the “half-relaxation time” in the P.M.G. was less than unity in six of the seven with myxoedema, and considerably greater than unity in eight of the 11 (73%) who were euthyroid. Thus, analysis of the Achilles tendon reflex P.M.G. correctly predicted the thyroid status in 14 of the 18 hypothermic patients in whom the Achilles tendon reflex was present (78%). The wider use of this rapid test of thyroid function would allow a more rational use of thyroid hormones in hypothermic patients and so lead to a better assessment of their value.     

A comparison of response and production protocols for assessing perceived exertion

Two cycle ergometer protocols for assessing perceived exertion were compared before and after a fatiguing run. In the response (R) protocol, the subject rated the perceived exertion (RPE) of a series of power outputs assigned by the investigator. In the production (P) protocol, the investigator selected the RPE values and the subject adjusted his power output using a hand-held control. The relationship between RPE and power output (the regression coefficient and the slope and intercept of the regression line) was the same for both protocols. Fatigue due to the run caused a small increase in RPE (average 1.5 units) at a given exercise intensity and a commensurate decrease in power output (average 19 W) for a given RPE. The P protocol is safer than the R protocol because it makes no assumptions with regard to the physical condition of the subject. It is superior to the R protocol because it is an interval scale. These advantages suggest that the P protocol should be used instead of, or at least in addition to, the more traditional R protocol.