Understanding the mechanisms of oxygen supply regulation, which involves the respiratory and cardiovascular systems, during human adaptation to intense physical activity, accompanied by hypoxemia, is important for the management of a training process. The objectives of this study were to investigate the cardiorespiratory coherence (CRC) changes in the low-frequency band in response to hypoxic exposure and to verify a dependence of these changes upon sports qualification level in athletes. Twenty male runners aged 17-25 years were exposed to acute normobaric hypoxia (10% O) for 10 min. Respiration, gas exchange, and heart rate were measured at baseline, during hypoxia, and after the exposure. To evaluate cardiorespiratory coupling, squared coherence was calculated based on 5-s averaged time series of heart and respiratory rhythms. Based on sports qualification level achieved over 4 years after the experimental testing, athletes were retrospectively divided into two groups, one high level (HLG, = 10) and the other middle level (MLG, = 10). No differences in anthropometric traits were observed between the groups. In the pooled group, acute hypoxia significantly increased CRC at frequencies 0.030-0.045 Hz and 0.075 Hz. In response to hypoxia, oxygen consumption decreased in HLG, and carbon dioxide production and ventilation increased in MLG. At 0.070-0.080 Hz frequencies in hypoxia, the CRC in HLG was higher than in MLG. Thus, highly qualified athletes enhance intersystem integration in response to hypoxia. This finding can be a physiological sign for the prognosis of qualification level in runners.
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http://dx.doi.org/10.3389/fphys.2020.00630 | DOI Listing |
Swiss Med Wkly
December 2024
Clinical Trials Center Zurich, University Hospital Zurich, Zurich, Switzerland.
Background: While patient and public involvement (PPI) in clinical research contributes substantially to research ethics, feasibility and quality, the uptake and implementation of PPI-based approaches in Switzerland remain unknown. This study aimed to evaluate the current state and acceptance of PPI in academic clinical research in Switzerland, with the goal of developing recommendations for its future implementation and development.
Methods: A sequential explanatory mixed-methods study was conducted to assess the current landscape and acceptance of PPI in academic clinical research across different stakeholder groups in Switzerland.
J Eval Clin Pract
February 2025
Department of Nursing, Trakya University Faculty of Health Sciences, Edirne, Turkey.
Objective: This study aims to assess the performance of machine learning (ML) techniques in optimising nurse staffing and evaluating the appropriateness of nursing care delivery models in hospital wards. The primary outcome measures include the adequacy of nurse staffing and the appropriateness of the nursing care delivery system.
Background: Historical and current healthcare challenges, such as nurse shortages and increasing patient acuity, necessitate innovative approaches to nursing care delivery.
Photodermatol Photoimmunol Photomed
January 2025
Center for Preventive Medicine and Digital Health, CPD, Division of Public Health, Social and Preventive Medicine, Medical Faculty Mannheim, Heidelberg University, Heidelberg, Germany.
Background: Due to the global rise in UV radiation, the prevalence of skin cancer is increasing significantly, with outdoor athletes being identified as a particularly vulnerable population group.
Methods: This nationwide, cross-sectional study was conducted among adult coaches from the 10 largest outdoor sports associations in Germany. Their applied prevention measures and the potential for further improvement in prevention were evaluated by guideline based scores (range [0-100]).
Neuropsychiatr Dis Treat
January 2025
Department of Psychiatry and Behavioural Neurosciences, McMaster University, Ontario, ON, Canada.
Background: Despite growing evidence showing ECT's efficacy and efficiency in the management of severe mental health conditions, the knowledge, attitude, and perceptions (KAP) towards ECT vary around the globe. However, KAP guarantees the extent to which ECT is accepted and administered efficiently. This review sheds light on the KAP toward ECT in Africa.
View Article and Find Full Text PDFStrahlenther Onkol
January 2025
Department of Radiation Oncology, Klinikum rechts der Isar, School of Medicine and Health, Technical, University of Munich (TUM), Ismaninger Str. 22, 81675, Munich, Germany.
Purpose: General practitioners (GPs) play a crucial role in providing interdisciplinary care for radiation oncology patients. This study aims to understand the specific needs and challenges faced by general practitioners in Germany when treating oncology patients.
Methods: A comprehensive web-based questionnaire with 24 items was disseminated to GPs in Germany via email using survio.
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