603 results on '"C Main"'
Search Results
2. Negative Consequences of Pressure on Marksmanship May be Offset by Early Training Exposure to Contextually Relevant Threat Training: A Systematic Review and Meta-Analysis.
- Author
-
Daniel Cooper, Joel Fuller, Mark W. Wiggins, Jodie A. Wills, Luana C. Main, and Tim Doyle
- Published
- 2024
- Full Text
- View/download PDF
3. The clinical effectiveness and cost-effectiveness of rituximab for the first-line treatment of chronic lymphocytic leukaemia: an evidence review of the submission from Roche
- Author
-
C Main, M Pitt, T Moxham, and K Stein
- Subjects
Medical technology ,R855-855.5 - Published
- 2010
- Full Text
- View/download PDF
4. Computerised decision support systems in order communication for diagnostic, screening or monitoring test ordering: systematic reviews of the effects and cost-effectiveness of systems
- Author
-
C Main, T Moxham, JC Wyatt, J Kay, R Anderson, and K Stein
- Subjects
systematic review ,order communication systems ,clinical decisionsupport systems ,cost-effectiveness ,Medical technology ,R855-855.5 - Abstract
Background: Order communication systems (OCS) are computer applications used to enter diagnostic and therapeutic patient care orders and to view test results. Many potential benefits of OCS have been identified including improvements in clinician ordering patterns, optimisation of clinical time, and aiding communication processes between clinicians and different departments. Many OCS now include computerised decision support systems (CDSS), which are information systems designed to improve clinical decision-making. CDSS match individual patient characteristics to a computerised knowledge base, and software algorithms generate patient-specific recommendations. Objectives: To investigate which CDSS in OCS are in use within the UK and the impact of CDSS in OCS for diagnostic, screening or monitoring test ordering compared to OCS without CDSS. To determine what features of CDSS are associated with clinician or patient acceptance of CDSS in OCS and what is known about the cost-effectiveness of CDSS in diagnostic, screening or monitoring test OCS compared to OCS without CDSS. Data sources: A generic search to identify potentially relevant studies for inclusion was conducted using MEDLINE, EMBASE, Cochrane Controlled Trials Register (CCTR), CINAHL (Cumulative Index to Nursing and Allied Health Literature), DARE (Database of Abstracts of Reviews of Effects), Health Technology Assessment (HTA) database, IEEE (Institute of Electrical and Electronic Engineers) Xplore digital library, NHS Economic Evaluation Database (NHS EED) and EconLit, searched between 1974 and 2009 with a total of 22,109 titles and abstracts screened for inclusion. Review methods: CDSS for diagnostic, screening and monitoring test ordering OCS in use in the UK were identified through contact with the 24 manufacturers/suppliers currently contracted by the National Project for Information Technology (NpfIT) to provide either national or specialist decision support. A generic search to identify potentially relevant studies for inclusion in the review was conducted on a range of medical, social science and economic databases. The review was undertaken using standard systematic review methods, with studies being screened for inclusion, data extracted and quality assessed by two reviewers. Results were broadly grouped according to the type of CDSS intervention and study design where possible. These were then combined using a narrative synthesis with relevant quantitative results tabulated. Results: Results of the studies included in review were highly mixed and equivocal, often both within and between studies, but broadly showed a beneficial impact of the use of CDSS in conjunction with OCS over and above OCS alone. Overall, if the findings of both primary and secondary outcomes are taken into account, then CDSS significantly improved practitioner performance in 15 out of 24 studies (62.5%). Only two studies covered the cost-effectiveness of CDSS: a Dutch study reported a mean cost decrease of 3% for blood tests orders (€ 639) in each of the intervention clinics compared with a 2% (€ 208) increase in control clinics in test costs; and a Spanish study reported a significant increase in the cost of laboratory tests from € 41.8 per patient per annum to € 47.2 after implementation of the system. Limitations: The response rate from the survey of manufacturers and suppliers was extremely low at only 17% and much of the feedback was classified as being commercial-in-confidence (CIC). No studies were identified which assessed the features of CDSS that are associated with clinician or patient acceptance of CDSS in OCS in the test ordering process and only limited data was available on the cost-effectiveness of CDSS plus OCS compared with OCS alone and the findings highly specific. Although CDSS appears to have a potentially small positive impact on diagnostic, screening or monitoring test ordering, the majority of studies come from a limited number of institutions in the USA. Conclusions: If the findings of both primary and secondary outcomes are taken into account then CDSS showed a statistically significant benefit on either process or practitioner performance outcomes in nearly two-thirds of the studies. Furthermore, in four studies that assessed adverse effects of either test cancellation or delay, no significant detrimental effects in terms of additional utilisation of health-care resources or adverse events were observed. We believe the key current need is for a well designed and comprehensive survey, and on the basis of the results of this potentially for evaluation studies in the form of cluster randomised controlled trials or randomised controlled trials which incorporate process, and patient outcomes, as well as full economic evaluations alongside the trials to assess the impact of CDSS in conjunction with OCS versus OCS alone for diagnostic, screening or monitoring test ordering in the NHS. The economic evaluation should incorporate the full costs of potentially developing, testing, and installing the system, including staff training costs. Study registration: Study registration 61.
- Published
- 2010
- Full Text
- View/download PDF
5. Surgical procedures and non-surgical devices for the management of non-apnoeic snoring: a systematic review of clinical effects and associated treatment costs
- Author
-
C Main, Z Liu, K Welch, G Weiner, SQ Jones, and K Stein
- Subjects
non-apnoeic-snoring ,uvulopalatopharyngoplasty ,laser-assisted-uvulopalatoplasty ,palatal-stiffening-techniques ,radiofrequency-ablation ,non-surgical-devices ,Medical technology ,R855-855.5 - Abstract
Objectives: To review the evidence on the clinical effects and associated treatment costs of surgical procedures and non-surgical devices for the management of non-apnoeic snoring. Data sources: Major electronic databases were searched for relevant studies published between 1980 and 2007. All treatment costs were estimated based on data from NHS reference costs, device manufacturers and clinical opinion. Review methods: Studies were screened, data extracted and quality assessed according to standard methods. Results were broadly grouped according to the intervention and comparator when applicable, and further subgrouped according to the specific intervention type and study design. Results were combined using a narrative synthesis with relevant quantitative results tabulated. Differences between studies assessing the same intervention were explored narratively by examining differences in the intervention, study duration and study quality. Results: The systematic review included 27 studies (three randomised controlled trials, two controlled clinical trials and 22 pre–post studies) reported in 30 publications assessing uvulopalatopharyngoplasty (UP3) versus laser-assisted uvulopalatoplasty (LAUP), UP3 alone, LAUP alone, palatal stiffening techniques (Pillar implants and injection snoreplasty), radiofrequency ablation (RFA) of the soft palate or tongue base, continuous positive airway pressure (CPAP) devices and mandibular advancement splints (MAS). Studies were generally of a low methodological quality with small sample sizes. A total of 1191 patients was included. Both UP3 and LAUP reduced the number of snores per hour and produced a modest reduction in snoring loudness. UP3 was effective in reducing a number of subjectively reported snoring indices, but results on objective measures were equivocal. Limited evidence indicates that subjectively assessed snoring is improved after LAUP; no objective measures were assessed. RFA was associated with a reduction in partner-assessed snoring intensity, though evidence for an objective reduction in snoring sound levels was mixed. Pillar implants were moderately effective at reducing partner-rated snoring intensity, but had no effect on objective snoring indices. Use of CPAP reduced the number of snores per hour; no subjective measures were evaluated. Use of MAS improved objective snoring outcomes, including the maximal snoring sound volume, the mean snoring sound volume and the percentage of time spent in loud snoring; no subjective measures were evaluated. The cost for UP3 ranges from approximately £1230 to approximately £1550. For LAUP the cost varies from £790 to £2070 depending on the number of stages of the procedure. The treatment costs associated with the use of Pillar implants range from £1110 to £1160. The approximate annual treatment costs associated with the use of a CPAP machine and MAS are £220 and £130 respectively. Conclusions: This study highlighted the paucity and poor quality of the evidence available on the effects of both surgical procedures and non-surgical devices for the management of primary snoring. Any conclusions to be drawn from the results are therefore somewhat tentative. There was no procedure that was clearly the least-cost option. Further research should focus on standardising methods of measuring outcomes and reporting, undertaking active controlled trials, and investigating the longer-term effects of treatments.
- Published
- 2009
- Full Text
- View/download PDF
6. Systematic review and economic analysis of the comparative effectiveness of different inhaled corticosteroids and their usage with long-acting beta2 agonists for the treatment of chronic asthma in adults and children aged 12 years and over
- Author
-
J Shepherd, G Rogers, R Anderson, C Main, J Thompson-Coon, D Hartwell, Z Liu, E Loveman, C Green, M Pitt, K Stein, P Harris, G Frampton, M Smith, A Takeda, A Price, K Welch, and M Somerville
- Subjects
Medical technology ,R855-855.5 - Published
- 2008
- Full Text
- View/download PDF
7. Systematic review and economic analysis of the comparative effectiveness of different inhaled corticosteroids and their usage with long-acting beta2 agonists for the treatment of chronic asthma in children under the age of 12 years
- Author
-
C Main, J Shepherd, R Anderson, G Rogers, J Thompson-Coon, Z Liu, D Hartwell, E Loveman, C Green, M Pitt, K Stein, P Harris, G Frampton, M Smith, A Takeda, A Price, K Welch, and M Somerville
- Subjects
Medical technology ,R855-855.5 - Published
- 2008
- Full Text
- View/download PDF
8. Topotecan, pegylated liposomal doxorubicin hydrochloride and paclitaxel for second-line or subsequent treatment of advanced ovarian cancer: a systematic review and economic evaluation
- Author
-
C Main, L Bojke, S Griffin, G Norman, M Barbieri, L Mather, D Stark, S Palmer, and R Riemsma
- Subjects
Medical technology ,R855-855.5 - Published
- 2006
- Full Text
- View/download PDF
9. Clopidogrel used in combination with aspirin compared with aspirin alone in the treatment of non-ST-segment-elevation acute coronary syndromes: a systematic review and economic evaluation
- Author
-
C Main, S Palmer, S Griffin, L Jones, V Orton, M Sculpher, R Henderson, C Sudlow, N Hawkins, and R Riemsma
- Subjects
Medical technology ,R855-855.5 - Published
- 2004
- Full Text
- View/download PDF
10. Clinical effectiveness and cost-effectiveness of clopidogrel and modified-release dipyridamole in the secondary prevention of occlusive vascular events: a systematic review and economic evaluation
- Author
-
L Jones, S Griffin, S Palmer, C Main, V Orton, M Sculpher, C Sudlow, R Henderson, N Hawkins, and R Riemsma
- Subjects
Medical technology ,R855-855.5 - Published
- 2004
- Full Text
- View/download PDF
11. Monitoring cognitive function in the fatigued warfighter: A rapid review of cognitive biomarkers
- Author
-
Luana C. Main, Larisa T. McLoughlin, Shawn D. Flanagan, Maria C. Canino, Siobhan Banks, Main, Luana C, McLoughlin, Larisa T, Flanagan, Shawn D, Canino, Maria C, and Banks, Siobhan
- Subjects
cognition ,memory ,task performance ,soldiers ,Physical Therapy, Sports Therapy and Rehabilitation ,Orthopedics and Sports Medicine ,sleep ,attention - Abstract
Refereed/Peer-reviewed Objectives: Decreases in cognitive function impair occupational performance, reduce occupational safety, and increase musculoskeletal injury risk. The aim of this paper was to identify measures that may be used to monitor cognitive function in the warfighter. Design: A rapid review. Methods: A rapid search of Academic Search Complete, MEDLINE, PsycINFO, and SPORTSDiscus databases was conducted. Eligibility criteria: original peer reviewed research articles, written in English, published between 2002 and 2022, and using human participants with no health issues in military training environments or active service. Results: Of the 248 articles screened, 58 full-text articles were assessed for eligibility and 29 included in the review. Of these, 16 papers presented data from multi-stressor military training environments, or experimental studies where simulated military tasks were being performed. Thirteen papers focused on an aspect of military work and the implications for cognitive function (i.e., physical load, periods of extended wakefulness or fatigue, and hypoxic conditions). The domains of cognitive function that were assessed (i.e. vigilance, reaction time, working memory, situational awareness, and decision-making) were somewhat consistent among studies. Conclusions: Prolonged exposure to high-stress military environments compromises multiple aspects of cognitive function. These findings highlight the need for a suite of biomarkers to monitor cognitive function and assess the ability of military personnel to attend to and process mission-critical information and make appropriate decisions on the battlefield and other high-stress environments. Our findings suggest that a suite of common tests may provide useful information about cognitive function in the warfighter.
- Published
- 2023
- Full Text
- View/download PDF
12. Sex differences among endurance athletes in the pre-race relationships between sleep, and perceived stress and recovery
- Author
-
Spencer S.H. Roberts, Luana C Main, Dominique Condo, Amelia Carr, William Jardine, Charles Urwin, Lilia Convit, Shant S Rahman, and Rhiannon M.J. Snipe
- Subjects
Male ,Sex Characteristics ,Athletes ,Humans ,Female ,Physical Therapy, Sports Therapy and Rehabilitation ,Orthopedics and Sports Medicine ,Sleep ,Actigraphy ,Stress, Psychological - Abstract
This study examined sex differences among endurance athletes in pre-race relationships between sleep, and perceived stress and recovery. Thirty-six athletes completed the Short Recovery and Stress Scale, and had sleep monitored via actigraphy, over four consecutive days prior to an ultra-marathon. Overall, compared with males, females had shorter wake after sleep onset (mean ± SD, 50 ± 23 vs 65 ± 23 min
- Published
- 2022
- Full Text
- View/download PDF
13. Warmer water temperatures exacerbate the negative impacts of inundation on herbaceous riparian plants
- Author
-
Alanna C. Main, Joe Greet, Lyndsey M. Vivian, and Christopher S. Jones
- Subjects
Aquatic Science - Published
- 2022
- Full Text
- View/download PDF
14. Monitoring Responses to Basic Military Training with Heart Rate Variability
- Author
-
SEAN LATIMER CORRIGAN, SEAN BULMER, SPENCER S. H. ROBERTS, STUART WARMINGTON, JACE DRAIN, and LUANA C. MAIN
- Subjects
Military Personnel ,Cardiorespiratory Fitness ,Heart Rate ,Humans ,Physical Therapy, Sports Therapy and Rehabilitation ,Orthopedics and Sports Medicine ,Exercise ,Fatigue - Abstract
Heart rate variability (HRV) has shown sensitivity to the acute stressors experienced by defense personnel. This study examines the suitability of overnight HRV as a repeated measure of allostatic load in defense personnel.Daily measures of sleep, cognitive load, and perceived exertion were reported for the 12-wk duration of basic military training (BMT) in 48 recruits. Physical activity, subjective well-being, and HRV were measured weekly. The natural log of the root mean square of successive differences of interbeat intervals (Ln RMSSD) and the Ln RMSSD to interbeat interval ratio (Ln RMSSD:RRi ratio) during predicted slow wave sleep were used for HRV. Physical performance was assessed via the 20-m shuttle run and maximal push-up test in weeks 2 and 8 of BMT with predicted V̇O 2 peak values calculated.Predicted V̇O 2 peak increased from 42.6 ± 4.5 to 48.0 ± 2.7 mL·kg -1 ·min -1 ( P0.001). Ln RMSSD was elevated in weeks 7 and 10, and the Ln RMSSD:RRi ratio was elevated in week 10 above all other weeks ( P0.05). An increase in perceived exertion ( F = 9.10, P = 0.003) and subjective fatigue ( F = 6.97, P = 0.009), as well as a reduction in V̇O 2 peak ( F = 7.95, P = 0.009), individually predicted an increase in Ln RMSSD. The best predictive model of Ln RMSSD included perceived exertion ( F = 8.16, P = 0.005), subjective fatigue ( F = 8.49, P = 0.004), the number of awakenings during sleep ( F = 7.79, P = 0.006), and the change in V̇O 2 peak ( F = 19.110, P0.001).HRV was predicted by subjective recruit responses to BMT workloads rather than objective measures of physical activity. Improvements in cardiorespiratory fitness depicted recruits who experienced enough stress to facilitate physiological adaptation, which was reflected by a reduction in HRV during BMT. Monitoring HRV and HRV in relation to interbeat interval length may provide a better tool for determining allostatic load than HRV alone.
- Published
- 2022
- Full Text
- View/download PDF
15. Impact of 12 weeks of basic military training on testosterone and cortisol responses
- Author
-
L Tait, Jamie, M Bulmer, S, M Drake, J, R Drain, J, and C Main, L
- Abstract
IntroductionMilitary personnel train and operate in challenging multistressor environments, which can affect hormonal levels, and subsequently compromise performance and recovery. The aims of this project were to evaluate concentrations of cortisol and testosterone and subjective perceptions of stress and recovery across basic military training (BMT).Methods32 male recruits undergoing BMT were tracked over a 12-week course. Saliva samples were collected weekly, on waking, 30 min postwaking and bedtime. Perceptions of stress and recovery were collected weekly. Daily physical activity (steps) were measured via wrist-mounted accelerometers across BMT. Physical fitness was assessed via the multistage fitness test and push-ups in weeks 2 and 8.ResultsConcentrations of testosterone and cortisol, and the testosterone:cortisol ratio changed significantly across BMT, with variations in responses concurrent with programmatic demands. Perceptions of stress and recovery also fluctuated according to training elements. Recruits averaged 17 027 steps per day between weeks 2 and 12, with week-to-week variations. On average, recruits significantly increased predicted VO2max(3.6 (95% CI 1.0 to 6.1) mL/kg/min) and push-ups (5. 5 (95% CI 1.4 to 9.7) repetitions) between weeks 2 and 8.ConclusionsRecruit stress responses oscillated over BMT in line with programmatic demands indicating that BMT was, at a group level, well-tolerated with no signs of enduring physiological strain or overtraining. The sensitivity of cortisol, testosterone and the testosterone:cortisol ratio to the stressors of military training, suggest they may have a role in monitoring physiological strain in military personnel. Subjective measures may also have utility within a monitoring framework to help ensure adaptive, rather than maladaptive (eg, injury, attrition), outcomes in military recruits.
- Published
- 2024
- Full Text
- View/download PDF
16. Liquid biopsies to predict CDK4/6 inhibitor efficacy and resistance in breast cancer
- Author
-
Sasha C. Main, David W. Cescon, and Scott V. Bratman
- Subjects
Cancer Research ,Pharmacology (medical) - Abstract
Cyclin-dependent kinase 4 and 6 (CDK4/6) inhibitors combined with endocrine therapy have transformed the treatment of estrogen receptor-positive (ER+) and human epidermal growth factor receptor 2 negative (HER2-) metastatic breast cancer. However, some patients do not respond to this treatment, and patients inevitably develop resistance, such that novel biomarkers are needed to predict primary resistance, monitor treatment response for acquired resistance, and personalize treatment strategies. Circumventing the spatial and temporal limitations of tissue biopsy, newly developed liquid biopsy approaches have the potential to uncover biomarkers that can predict CDK4/6 inhibitor efficacy and resistance in breast cancer patients through a simple blood test. Studies on circulating tumor DNA (ctDNA)-based liquid biopsy biomarkers of CDK4/6 inhibitor resistance have focused primarily on genomic alterations and have failed thus far to identify clear and clinically validated predictive biomarkers, but emerging epigenetic ctDNA methodologies hold promise for further discovery. The present review outlines recent advances and future directions in ctDNA-based biomarkers of CDK4/6 inhibitor treatment response.
- Published
- 2022
- Full Text
- View/download PDF
17. A randomised controlled trial assessing the potential of palmitoylethanolamide (PEA) to act as an adjuvant to resistance training in healthy adults: a study protocol
- Author
-
Zoya Huschtscha, Jackson J. Fyfe, Simon A. Feros, Andrew C. Betik, Christopher S. Shaw, Luana C. Main, Gavin Abbott, Sze-Yen Tan, Martin C. Refalo, Michael Gerhardy, Emma Grunwald, Anthony May, Jessica Silver, Craig M. Smith, Matthew White, and D. Lee Hamilton
- Subjects
Medicine (miscellaneous) ,Pharmacology (medical) - Abstract
Background Non-steroidal anti-inflammatory drugs (NSAIDs) and analgesics are used frequently by athletes either prophylactically for the prevention of pain, or to accelerate recovery following an injury. However, these types of pain management strategies have been shown to inhibit signalling pathways (e.g., cyclooxygenase-2) that may hinder muscular adaptations such as hypertrophy and strength. Nutraceuticals such as palmitoylethanolamide (PEA) have analgesic properties that act via different mechanisms to NSAIDS/analgesics. Furthermore, PEA has been shown to have a positive effect on sleep and may contribute positively to muscle hypertrophy via PKB activation. Although PEA has not been widely studied in the athletic or recreationally active population, it may provide an alternative solution for pain management if it is found not to interfere with, or enhance training adaptations. Therefore, the study aim is to investigate the effects of daily PEA supplementation (Levagen + ®) with resistance training on lean body mass, strength, power and physical performance and outcomes of recovery (e.g., sleep) compared to placebo. Methods This double-blind, randomised controlled study will take place over an 11-week period (including 8-weeks of progressive resistance training). Participants for this study will be 18–35 years old, healthy active adults that are not resistance trained. Participants will attend a familiarisation (week 0), pre-testing (week 1) and final-testing (week 11). At the pre-testing and final-testing weeks, total lean body mass (dual-energy X-ray absorptiometry; DXA), total mid-thigh cross sectional area (pQCT), maximal muscular strength (1 repetition maximum bench press, isometric mid-thigh pull) and power (countermovement jump and bench throw) will be assessed. Additionally, circulating inflammatory cytokines and anabolic hormones, sleep quality and quantity (ActiGraph), pain and subjective wellbeing (questionnaires) will also be examined. Discussion This study is designed to investigate the effects that PEA may have on pre-to post intervention changes in total body and regional lean muscle mass, strength, power, sleep, subjective wellbeing, and pain associated with resistance training and menstruation compared with the placebo condition. Unlike other NSAIDs and analgesics, which may inhibit muscle protein synthesis and training adaptations, PEA which provides analgesia via alternative mechanisms may provide an alternative pain management solution. It is therefore important to determine if this analgesic compound interferes with or enhances training adaptations so that athletes and active individuals can make an informed decision on their pain management strategies. Trial registration Australian New Zealand Clinical Trials Registry (ANZCTR: ACTRN12621001726842p).
- Published
- 2023
- Full Text
- View/download PDF
18. Characterising Psycho-Physiological Responses and Relationships during a Military Field Training Exercise
- Author
-
Sean Bulmer, Sean L. Corrigan, Jace R. Drain, Jamie L. Tait, Brad Aisbett, Spencer Roberts, Paul B. Gastin, and Luana C. Main
- Subjects
Male ,Adult ,army ,self-report ,energy expenditure ,MTDS ,sleep deprivation ,engineers ,Adolescent ,Health, Toxicology and Mutagenesis ,Public Health, Environmental and Occupational Health ,Young Adult ,Military Personnel ,Humans ,Female ,Sleep ,Energy Metabolism ,Exercise ,Fatigue - Abstract
Over a 15-day period, that included an eight-day field trial, the aims of this study were to (1) quantify the physical workload, sleep and subjective well-being of soldiers in training; (2a) Explore relationships between workload and well-being, and (2b) sleep and well-being; (3) Explore relationships between workload, sleep, and well-being. Methods: Sixty-two Combat Engineer trainees (59 male, 3 female; age: 25.2 ± 7.2 years) wore an ActiGraph GT9X to monitor daily energy expenditure, physical activity, and sleep. Rating of perceived exertion (RPE), sleep quality, and fatigue were measured daily, subjective well-being was reported days 1, 5, 9, 13 and 15. Multi-level models were used for the analysis. Results: Well-being was affected by a combination of variables including workload, subjective sleep quality, sleep duration, and sleep efficiency. RPE and subjective sleep quality were consistently significant parameters within the models of best fit. Conclusions: Perceptions of well-being were lower during the field training when physical workload increased, and sleep decreased. Energy expenditure was comparatively low, while daily sleep duration was consistent with field training literature. Subjective assessments of workload and sleep quality were consistently effective in explaining variations in well-being and represent an efficient approach to monitor training status of personnel.
- Published
- 2023
- Full Text
- View/download PDF
19. Thinking differently: evidence on what patients want and need in an explanation about osteoarthritis
- Author
-
C. Jinks, L. Campbell, P.R. Croft, K.S. Dziedzic, H. Grossman, J. Maddison, C. Main, C. McRobert, E. Nicholls, Z. Paskins, G. Peat, J. Protheroe, J. Quicke, N. Shivji, and L. Cottrell
- Subjects
Rheumatology ,Biomedical Engineering ,Orthopedics and Sports Medicine - Published
- 2023
- Full Text
- View/download PDF
20. Impact of 12 weeks of basic military training on testosterone and cortisol responses
- Author
-
L Tait, Jamie, primary, M Bulmer, S, additional, M Drake, J, additional, R Drain, J, additional, and C Main, L, additional
- Published
- 2022
- Full Text
- View/download PDF
21. Cue utilisation is partially related to performance on an urban operations course but not experience
- Author
-
Daniel Cooper, Mark W. Wiggins, Luana C. Main, Jodie A. Wills, and Tim Doyle
- Subjects
Physical Therapy, Sports Therapy and Rehabilitation ,Human Factors and Ergonomics ,Safety, Risk, Reliability and Quality ,Engineering (miscellaneous) - Published
- 2023
- Full Text
- View/download PDF
22. Circulating biomarkers associated with performance and resilience during military operational stress
- Author
-
Luana C. Main, William R. Conkright, Brian J. Martin, Bradley C. Nindl, Jamie L. Tait, and Meaghan E. Beckner
- Subjects
Hypothalamo-Hypophyseal System ,Sympathetic nervous system ,Hydrocortisone ,Anabolism ,media_common.quotation_subject ,Pituitary-Adrenal System ,Physical Therapy, Sports Therapy and Rehabilitation ,medicine ,Humans ,Orthopedics and Sports Medicine ,Interleukin 6 ,media_common ,biology ,Catabolism ,business.industry ,Stressor ,General Medicine ,Military Personnel ,medicine.anatomical_structure ,biology.protein ,Biomarker (medicine) ,Psychological resilience ,business ,Neuroscience ,Biomarkers ,Stress, Psychological ,Homeostasis - Abstract
Adaptation to military operational stress is a complex physiological response that calls upon the sympathetic nervous system (SNS), hypothalamic pituitary adrenal (HPA) axis and immune system, to create a delicate balance between anabolism and catabolism and meet the demands of an ever-changing environment. As such, resilience, the ability to withstand and overcome the negative impact of stress on military performance, is likely grounded in an appropriate biological adaptation to encountered stressors. Neuroendocrine [i.e. cortisol, epinephrine (EPI), norepinephrine (NE), neuropeptide-Y (NPY), and brain derived neurotropic factor (BDNF)], inflammatory [i.e. interleukin 6 (IL-6), IL-1β, IL-4, IL-10 and tumour necrosis factor (TNF)-α], as well as growth and anabolic [i.e. insulin-like growth factor-I (IGF-I), testosterone, and dehydroepiandrosterone (DHEA)] biomarkers independently and interactively function in stress adaptations that are associated with a soldier's physical and psychological performance. In this narrative review, we detail biomarkers across neuroendocrine, inflammatory, and growth stimulating domains to better elucidate the biological basis of a resilient soldier. The findings from the reviewed studies indicate that military readiness and resiliency may be enhanced through better homeostatic control, better regulated inflammatory responses, and balanced anabolic/catabolic processes. It is unlikely that one class of biomarkers is better for assessing physiological resilience. Therefore, a biomarker panel that can account for appropriate balance across these domains may be superior in developing monitoring frameworks. Real-time physiological monitoring to assess biomarkers associated with resilience will be possible pending more sophisticated technologies and provide a field-expedient application for early identification and intervention of at-risk soldiers to improve military resiliency.
- Published
- 2021
- Full Text
- View/download PDF
23. Metabolomic Profiles in Starved Light Breed Horses during the Refeeding Process
- Author
-
Sawyer C. Main, Lindsay P. Brown, Kelly R. Melvin, Shawn R. Campagna, Brynn H. Voy, Hector F. Castro, Lewrell G. Strickland, Melissa T. Hines, Robert D. Jacobs, Mary E. Gordon, and Jennie L. Z. Ivey
- Subjects
General Veterinary ,equine ,malnourished ,emaciation ,body condition score ,metabolomics ,refeeding ,rehabilitation ,high resolution mass spectrometry ,Animal Science and Zoology - Abstract
The large population of emaciated horses continues to be an issue troubling the equine industry. However, little is known regarding the collection of equine metabolites (metabolome) during a malnourished state and the changes that occur throughout nutritional rehabilitation. In this study, ten emaciated horses underwent a refeeding process, during which blood samples were collected for a blood chemistry panel and metabolomics analysis via ultrahigh performance liquid chromatography–high resolution mass spectrometry (UHPLC-HRMS). Significant differences among blood chemistry analytes and metabolite abundance during the critical care period (CCP; Days 1–10 of rehabilitation) and the recovery period (RP; the remainder of the rehabilitation process) were observed. Potentially toxic compounds, analytes related to liver, kidney, and muscle function, as well as energy-related metabolites were altered during the refeeding process. The combination of blood chemistry and metabolomics analyses on starved equine during rehabilitation provide vital biological insight and evidence that the refeeding process has a significant impact on the equine metabolome.
- Published
- 2022
- Full Text
- View/download PDF
24. Mitogenome selection in the evolution of key ecological strategies in the ancient hexapod class Collembola
- Author
-
Daniela M. Monsanto, Devon C. Main, Charlene Janion-Scheepers, Arsalan Emami-Khoyi, Louis Deharveng, Anne Bedos, Mikhail Potapov, Shilpa P. Parbhu, Johannes J. Le Roux, Peter R. Teske, and Bettine Jansen van Vuuren
- Subjects
Evolution, Molecular ,Genes, Mitochondrial ,Insecta ,Multidisciplinary ,Fossils ,Genome, Mitochondrial ,Animals ,Arthropods ,Phylogeny - Abstract
A longstanding question in evolutionary biology is how natural selection and environmental pressures shape the mitochondrial genomic architectures of organisms. Mitochondria play a pivotal role in cellular respiration and aerobic metabolism, making their genomes functionally highly constrained. Evaluating selective pressures on mitochondrial genes can provide functional and ecological insights into the evolution of organisms. Collembola (springtails) are an ancient hexapod group that includes the oldest terrestrial arthropods in the fossil record, and that are closely associated with soil environments. Of interest is the diversity of habitat stratification preferences (life forms) exhibited by different species within the group. To understand whether signals of positive selection are linked to the evolution of life forms, we analysed 32 published Collembola mitogenomes in a phylomitogenomic framework. We found no evidence that signatures of selection are correlated with the evolution of novel life forms, but rather that mutations have accumulated as a function of time. Our results highlight the importance of nuclear-mitochondrial interactions in the evolution of collembolan life forms and that mitochondrial genomic data should be interpreted with caution, as complex selection signals may complicate evolutionary inferences.
- Published
- 2022
- Full Text
- View/download PDF
25. The Use of the Internet by Hotels in Wales. A Longitudinal Study from 1994 to 2000 of Small and Medium Enterprises in a Peripheral Location with a Focus on Net Technology.
- Author
-
Hilary C. Main
- Published
- 2001
- Full Text
- View/download PDF
26. Impact of 12 weeks of basic military training on testosterone and cortisol responses
- Author
-
Jamie L Tait, S M Bulmer, J M Drake, J R Drain, and L C Main
- Subjects
General Medicine - Abstract
IntroductionMilitary personnel train and operate in challenging multistressor environments, which can affect hormonal levels, and subsequently compromise performance and recovery. The aims of this project were to evaluate concentrations of cortisol and testosterone and subjective perceptions of stress and recovery across basic military training (BMT).Methods32 male recruits undergoing BMT were tracked over a 12-week course. Saliva samples were collected weekly, on waking, 30 min postwaking and bedtime. Perceptions of stress and recovery were collected weekly. Daily physical activity (steps) were measured via wrist-mounted accelerometers across BMT. Physical fitness was assessed via the multistage fitness test and push-ups in weeks 2 and 8.ResultsConcentrations of testosterone and cortisol, and the testosterone:cortisol ratio changed significantly across BMT, with variations in responses concurrent with programmatic demands. Perceptions of stress and recovery also fluctuated according to training elements. Recruits averaged 17 027 steps per day between weeks 2 and 12, with week-to-week variations. On average, recruits significantly increased predicted VO2max(3.6 (95% CI 1.0 to 6.1) mL/kg/min) and push-ups (5. 5 (95% CI 1.4 to 9.7) repetitions) between weeks 2 and 8.ConclusionsRecruit stress responses oscillated over BMT in line with programmatic demands indicating that BMT was, at a group level, well-tolerated with no signs of enduring physiological strain or overtraining. The sensitivity of cortisol, testosterone and the testosterone:cortisol ratio to the stressors of military training, suggest they may have a role in monitoring physiological strain in military personnel. Subjective measures may also have utility within a monitoring framework to help ensure adaptive, rather than maladaptive (eg, injury, attrition), outcomes in military recruits.
- Published
- 2022
27. Recovery of Cognitive Performance Following Multi-Stressor Military Training
- Author
-
Jamie L. Tait, Brad Aisbett, Sean L. Corrigan, Jace R. Drain, and Luana C. Main
- Subjects
Behavioral Neuroscience ,Human Factors and Ergonomics ,Applied Psychology - Abstract
Objective This project aimed to assess the impact of an 8-day military training exercise on cognitive performance, and track its recovery in periods of reduced training load and partially restored sleep. Background Military personnel often work in challenging multi-stressor environments, where sleep loss is inevitable. Sleep loss can impair multiple cognitive domains, which can have disastrous consequences in military contexts. Method A total of 57 male and female soldiers undergoing the Australian Army combat engineer Initial Employment Training course were recruited and tracked over a 16-day study period which included an 8-day field-based military training exercise. Cognitive performance was assessed via a computerised battery at seven time points across four sequential study periods; 1) baseline (PRE), 2) military field training exercise which included total sleep deprivation (EX-FIELD), 3) training exercise at simulated base with restricted sleep opportunities (EX-BASE), and 4) a 3-day recovery period (REC). Subjective load, fatigue, and sleep were evaluated continuously via questionnaire and actigraphy. Results Psychomotor speed, reaction time, visual tracking and vigilance were impaired following the EX-FIELD period ( p < 0.05). The majority of affected measures recovered 2 days following EX-FIELD, being no different in EX-BASE compared to PRE. Conclusion The sensitivity of the cognitive tests to sleep restriction, and recovery, indicates they can help assess operational readiness in military personnel. Future studies should explore other indicators of, and strategies to preserve, operational readiness in military personnel. Application This study highlights the impact of work-induced fatigue on cognitive performance, and would interest authorities seeking to preserve operational readiness.
- Published
- 2022
28. Negative Consequences of Pressure on Marksmanship May be Offset by Early Training Exposure to Contextually Relevant Threat Training: A Systematic Review and Meta-Analysis
- Author
-
Daniel Cooper, Joel Fuller, Mark W. Wiggins, Jodie A. Wills, Luana C. Main, and Tim Doyle
- Subjects
Behavioral Neuroscience ,Human Factors and Ergonomics ,Applied Psychology - Abstract
Objective The purpose of this meta-analytic review is to examine the relationship between increased psychological pressure and Use of Force (UOF) behaviours, identifying current training methodologies and effectiveness of transfer of training interventions in high threat-simulated scenarios. Background Data from UOF performance within Law Enforcement indicates a low transfer of marksmanship training into real-world UOF, resulting in unnecessary damage to property, personal injury and increased risk to loss of life. This meta-analysis examines both the impact of increased pressure and current training interventions. Method A meta-analysis was conducted across a wide range of published research to answer the primary research questions. Results Increased levels of perceived pressure demonstrated an average decrease in marksmanship accuracy of 14.8%, together with a small increase in incorrect Decision Making (DM) and faster reaction Times (RT). Experience demonstrated a mitigating effect for pressure for marksmanship with a 1.1% increase for every one year of service but no effect on DM or RT. Training interventions utilizing a variety of early contextually relevant exposures to increased pressure improved performance over traditional training on average by 10.6%. Conclusion The outcomes illustrate the negative effect of pressure on marksmanship and UOF behaviours, and that early exposure to contextually relevant pressure may increase the transfer of training to real-world performance. Application Occupational experience is an important component in reducing the impact of pressure on UOF performance, and transfer of training may be enhanced through training methodologies that combine early exposure to contextually relevant pressure, that may replicate the benefits of experience.
- Published
- 2022
29. Impact of the talent development environment on the wellbeing and burnout of Caribbean youth track and field athletes
- Author
-
Paul B. Gastin, Luana C. Main, Candice E. Thomas, and Gavin Abbott
- Subjects
Male ,Time Factors ,Adolescent ,Health Status ,West Indies ,Applied psychology ,Aptitude ,Physical Therapy, Sports Therapy and Rehabilitation ,Burnout, Psychological ,Burnout ,Social Environment ,Young Adult ,Sex Factors ,Caribbean region ,Surveys and Questionnaires ,Humans ,Orthopedics and Sports Medicine ,Track and field athletics ,biology ,Athletes ,Track and Field ,Age Factors ,General Medicine ,biology.organism_classification ,Talent development ,Cross-Sectional Studies ,Mental Health ,Caribbean Region ,Female ,Psychology ,Physical Conditioning, Human - Abstract
This study examined the perceived talent development environment (TDE) of youth track and field athletes within the Caribbean region and explores the relationship with their subjective wellbeing and burnout levels. A sample of 400 Caribbean youth track and field athletes (male = 198, and female = 202; age 13-20 years) participated in this cross-sectional study. Athletes responded to a survey which included the Talent Development Environment Questionnaire (TDEQ-5), the World Health Organization Wellbeing Index (WHO-5) and the Athlete Burnout Questionnaire (ABQ). Structural equation modelling showed that a positive and supportive TDE was associated with better athlete wellbeing and lower athlete burnout. Moreover, gender and hours of training moderated relationships of athletes' perceptions of their development environment with wellbeing and burnout levels respectively. Furthermore, there was a positive association between the support network and athlete wellbeing, while holistic quality preparation was negatively associated with athlete burnout. Development environments perceived as supportive and geared towards a holistic athlete-centred approach were associated with better athlete wellbeing and lower burnout.
- Published
- 2020
- Full Text
- View/download PDF
30. Fibrocartilaginous metaplasia and neovascularization of the anterior cruciate ligament in patients with osteoarthritis
- Author
-
Michael Cramberg, Jack Komro, Peter Kondrashov, Kevin Marberry, Joshua Gonzales, and Donet C. Main
- Subjects
Male ,medicine.medical_specialty ,Histology ,Anterior cruciate ligament ,Connective tissue ,03 medical and health sciences ,0302 clinical medicine ,Cadaver ,medicine ,Humans ,Femur ,Tibia ,Anterior Cruciate Ligament ,Aged ,Loose connective tissue ,Metaplasia ,0303 health sciences ,Neovascularization, Pathologic ,business.industry ,Fibrocartilage ,030206 dentistry ,General Medicine ,Middle Aged ,Osteoarthritis, Knee ,musculoskeletal system ,medicine.disease ,Surgery ,medicine.anatomical_structure ,030301 anatomy & morphology ,Ligament ,Female ,Anatomy ,business ,human activities ,Calcification - Abstract
INTRODUCTION The anterior cruciate ligament (ACL) prevents the anterior translocation and medial rotation of the tibia against the femur. It is typically composed of dense regular connective tissue (DRCT), small amount of loose connective tissue, little vasculature, and few nerve endings. The objective of the current study was to evaluate the details of histological changes in ACLs of patients with clinically diagnosed osteoarthritis (OA). MATERIALS AND METHODS The ACLs of six patients undergoing total knee replacement because of OA (OA group) were compared with 16 normal ACLs from cadavers (control). The ACLs were analyzed for tissue composition and number of blood vessels across the full length and thickness of the ligament. Percentages for areas of DRCT, fibrocartilage, degenerative tissue, and vasculature were calculated. Tissue composition and relative number of blood vessels were compared between groups. RESULTS The proportion of DRCT to non-DRCT was significantly smaller in the OA group than the control group (p
- Published
- 2020
- Full Text
- View/download PDF
31. Firefighter's Acute Inflammatory Response to Wildfire Suppression
- Author
-
Luana C. Main, Rodney J. Snow, Jenni Raines, Alexander Wolkow, Brad Aisbett, Paul A. Della Gatta, and Jamie L. Tait
- Subjects
Smoke inhalation ,Interleukin-1beta ,Poison control ,Inflammation ,Wildfires ,Interferon-gamma ,03 medical and health sciences ,0302 clinical medicine ,Occupational Exposure ,medicine ,Humans ,Exertion ,Interleukin 6 ,Volunteer ,biology ,Tumor Necrosis Factor-alpha ,business.industry ,Public Health, Environmental and Occupational Health ,Granulocyte-Macrophage Colony-Stimulating Factor ,Interleukin ,medicine.disease ,030210 environmental & occupational health ,Interleukin-10 ,Firefighters ,Immunology ,biology.protein ,Cytokines ,Tumor necrosis factor alpha ,medicine.symptom ,business - Abstract
Objectives The purpose of this study was to determine the inflammatory response to a 12-hour wildfire suppression shift, in firefighters attending the "Black Saturday" natural disaster. Methods Thirty-eight male volunteer firefighters provided venous blood samples before and after a 12-hour firefighting shift. Pre- to post-shift changes in pro-inflammatory (Interleukin [IL]-1β, IL-2, IL-6, IL-8, IL-12P70, granulocyte macrophage-colony stimulating factor [GM-CSF], tumor necrosis factor-alpha [TNF-α], interferon-gamma [IFNγ]), and anti-inflammatory (IL-4, IL-5, IL-7, IL-10, IL-13) cytokines were measured with paired sample t tests, or Wilcoxon t tests for non-parametric data. Results Interleukin (IL)-6 (P = 0.003) and IL-8 (P = 0.017) were significantly increased following 12-hours of wildfire suppression. There was also a significant decrease in IL-10 (P = 0.021). Conclusions The observed acute inflammatory response may have resulted from multiple stressors including physical exertion, thermal strain, or smoke inhalation experienced during the shift, and may be a necessary response for the body to adapt to stressor exposure.
- Published
- 2020
- Full Text
- View/download PDF
32. Protection motivation theory screening tool for predicting chronic low back pain rehabilitation adherence: analysis of a randomised controlled trial
- Author
-
Patrick J Owen, Luana C Main, Clint T Miller, Jon J Ford, Andrew J Hahne, and Daniel L Belavy
- Subjects
Physical Therapists ,Motivation ,Humans ,Patient Compliance ,Medicine ,General Medicine ,Chronic Pain ,Low Back Pain ,Musculoskeletal Manipulations ,Exercise Therapy ,Uncategorized - Abstract
ObjectiveTo explore a protection motivation theory screening tool for predicting rehabilitation adherence.DesignAnalysis of a randomised controlled trial.SettingAn exercise physiology and physiotherapist clinic.ParticipantsPatients with chronic low back pain (n=40).InterventionsGeneral strength and conditioning (GSC) compared with motor control and manual therapy. Primary and secondary outcome measures: predicting patient adherence to supervised sessions and dropout using the Sports Injury Rehabilitation Beliefs Scale, seven-item barriers checklist and Positive and Negative Affect Schedule and Sports Injury Rehabilitation Adherence Scale.ResultsAverage attendance was 77% (motor control and manual therapy) and 60% (GSC) with eight dropouts. No Sports Injury Rehabilitation Adherence Scale values other than 5 across all three components were recorded. Treatment efficacy (p=0.019), self-efficacy (p=0.001), rehabilitation value (p=0.028) and injury severity (p=0.002) positively correlated with susceptibility (the extent of vulnerability to having health problems from not taking action). Rehabilitation value positively correlated with self-efficacy (p=0.005). Injury severity positively correlated with rehabilitation value (p=0.011). The final model for number of cancellations included rehabilitation value only and accounted for approximately 12% of variance (p=0.033).ConclusionsPerceived value of rehabilitation should be considered by clinicians in the rehabilitation setting to improve treatment adherence in patients with chronic low back pain.Trial registration numberACTRN12615001270505.
- Published
- 2022
33. Quantification of Recruit Training Demands and Subjective Wellbeing during Basic Military Training
- Author
-
Sean Bulmer, Jace R. Drain, Jamie L. Tait, Sean L. Corrigan, Paul B. Gastin, Brad Aisbett, Timo Rantalainen, and Luana C. Main
- Subjects
Health, Toxicology and Mutagenesis ,Public Health, Environmental and Occupational Health ,Australia ,monitorointi ,sotilaskoulutus ,self-report ,fyysinen kuormittavuus ,recruit ,soldier ,monitoring ,fyysinen kunto ,Military Personnel ,Physical Fitness ,Humans ,army ,allostatic load ,koettu hyvinvointi ,alokkaat ,Uncategorized - Abstract
Purpose: Assess and describe the physical demands and changes in subjective wellbeing of recruits completing the 12 week Australian Army Basic Military Training (BMT) course. Methods: Thirty-five recruits (24.8 ± 6.8 y; 177.4 ± 10.1 cm, 75.6 ± 14.7 kg) consented to daily activity monitoring and weekly measures of subjective wellbeing (Multi-component Training Distress Scale, MTDS). The physical demands of training were assessed via wrist worn activity monitors (Actigraph GT9X accelerometer). Physical fitness changes were assessed by push-ups, sit-ups and multi-stage shuttle run in weeks 2 and 8. Results: All objective and subjective measures significantly changed (p < 0.05) across the 12 week BMT course. In parallel, there was a significant improvement in measures of physical fitness from weeks 2 to 8 (p < 0.001). The greatest disturbance to subjective wellbeing occurred during week 10, which was a period of field training. Weeks 6 and 12 provided opportunities for recovery as reflected by improved wellbeing. Conclusions: The physical demands of training varied across the Australian Army 12 week BMT course and reflected the intended periodization of workload and recovery. Physical fitness improved from week 2 to 8, indicating a positive training response to BMT. Consistent with findings in sport, wellbeing measures were sensitive to fluctuations in training stress and appear to have utility for individual management of personnel in the military training environment.
- Published
- 2022
- Full Text
- View/download PDF
34. Book Review: The Spirit of Mathematics
- Author
-
Peter C Main
- Subjects
General Physics and Astronomy ,Education - Published
- 2023
- Full Text
- View/download PDF
35. Assessing safety and treatment efficacy of running on intervertebral discs (ASTEROID) in adults with chronic low back pain: protocol for a randomised controlled trial
- Author
-
Scott D Tagliaferri, Daniel L Belavy, Steven J Bowe, Matthew J Clarkson, David Connell, Emma A Craige, Romina Gollan, Luana C Main, Clint T Miller, Ulrike H Mitchell, Niamh L Mundell, Christopher Neason, Claire L Samanna, David Scott, Jamie L Tait, Grace E Vincent, and Patrick J Owen
- Subjects
Physical Therapy, Sports Therapy and Rehabilitation ,Orthopedics and Sports Medicine - Abstract
Poor intervertebral disc (IVD) health is associated with low back pain (LBP). This 12-week parallel randomised controlled trial will evaluate the efficacy of a progressive interval running programme on IVD health and other clinical outcomes in adults with chronic LBP. Participants will be randomised to either a digitally delivered progressive interval running programme or waitlist control. Participants randomised to the running programme will receive three individually tailored 30 min community-based sessions per week over 12 weeks. The waitlist control will undergo no formal intervention. All participants will be assessed at baseline, 6 and 12 weeks. Primary outcomes are IVD health (lumbar IVD T2 via MRI), average LBP intensity over the prior week (100-point visual analogue scale) and disability (Oswestry Disability Index). Secondary outcomes include a range of clinical measures. All outcomes will be analysed using linear mixed models. This study has received ethical approval from the Deakin University Human Research Ethics Committee (ID: 2022-162). All participants will provide informed written consent before participation. Regardless of the results, the findings of this study will be disseminated, and anonymised data will be shared via an online repository. This will be the first study to evaluate whether a progressive interval running programme can improve IVD health in adults with chronic LBP. Identifying conservative options to improve IVD health in this susceptible population group has the potential to markedly reduce the burden of disease. This study was registered via the Australian New Zealand Clinical Trials Registry on 29 September 2022 (ACTRN12622001276741).
- Published
- 2023
- Full Text
- View/download PDF
36. Carcinogenicity of occupational exposure as a firefighter
- Author
-
Paul A Demers, David M DeMarini, Kenneth W Fent, Deborah C Glass, Johnni Hansen, Olorunfemi Adetona, Maria HG Andersen, Laura E Beane Freeman, Alberto J Caban-Martinez, Robert D Daniels, Timothy R Driscoll, Jaclyn M Goodrich, Judith M Graber, Tracy L Kirkham, Kristina Kjaerheim, David Kriebel, Alexandra S Long, Luana C Main, Marta Oliveira, Susan Peters, Lauren R Teras, Emily R Watkins, Jefferey L Burgess, Anna A Stec, Paul A White, Nathan L DeBono, Lamia Benbrahim-Tallaa, Aline de Conti, Fatiha El Ghissassi, Yann Grosse, Leslie T Stayner, Eero Suonio, Susana Viegas, Roland Wedekind, Pauline Boucheron, Bayan Hosseini, Joanne Kim, Hana Zahed, Heidi Mattock, Federica Madia, and Mary K Schubauer-Berigan
- Subjects
Oncology - Published
- 2022
- Full Text
- View/download PDF
37. HTA23 Value from a Multi-Stakeholder Perspective: A Framework to Assess Digital Health Solutions for Improving Chronic Disease Management
- Author
-
M Haig, C Main, D Chavez Montoya, and P Kanavos
- Subjects
Health Policy ,Public Health, Environmental and Occupational Health - Published
- 2022
- Full Text
- View/download PDF
38. The Relationship Between Psychological Stress and Anxiety with Gastrointestinal Symptoms Before and During a 56 km Ultramarathon Running Race
- Author
-
Charles S. Urwin, Luana C. Main, Antonina Mikocka-Walus, David R. Skvarc, Spencer S. H. Roberts, Dominique Condo, Amelia J. Carr, Lilia Convit, William Jardine, Shant S. Rahman, and Rhiannon M. J. Snipe
- Subjects
Gastrointestinal discomfort ,Competitive anxiety ,Physical Therapy, Sports Therapy and Rehabilitation ,Orthopedics and Sports Medicine ,Original Research Article ,Competitive stress ,Endurance exercise - Abstract
BackgroundThis study assessed relationships and sex differences between psychological state (recovery, stress, anxiety, and self-confidence) and gastrointestinal symptoms (GIS) prior to and during a 56 km ultramarathon running race and identified predictive factors of race GIS. Forty-four (26 males, 18 females) ultramarathon competitors completed anxiety, recovery, stress and GIS questionnaires for three days prior to the race and immediately pre-race. Race GIS were assessed immediately post-race. Spearman’s rank order, Mann–WhitneyUtests and regression analyses were used to determine correlations and identify sex differences between psychological state and GIS and determine predictors of race GIS.ResultsRace GIS were significantly correlated with recovery (rs = − 0.381,p = 0.011), stress (rs = 0.500,p = 0.001) and anxiety (rs = 0.408,p = 0.006), calculated as the mean of the three days preceding the race and on race morning. The correlation between anxiety and GIS was strongest in the 24 h immediately prior to the race (allrs > 0.400, and allp p p > 0.05), however, females reported greater state anxiety (p = 0.018) and lower self-confidence than males (p = 0.006) over the three days preceding the race and on race morning.ConclusionEndurance athletes that experience GIS during competition should investigate elevated stress and/or anxiety as a potential contributor and identify if management strategies can reduce the occurrence and severity of GIS.
- Published
- 2021
39. Out of southern Africa: Origins and cryptic speciation in Chamaeleo, the most widespread chameleon genus
- Author
-
Devon C. Main, Bettine Jansen van Vuuren, Colin R. Tilbury, and Krystal A. Tolley
- Subjects
Phylogeography ,Genetics ,Bayes Theorem ,Forests ,Molecular Biology ,Ecology, Evolution, Behavior and Systematics ,Africa, Southern ,Phylogeny - Abstract
Molecular phylogenetics and the application of species delimitation methods have proven useful in addressing limitations associated with morphology based taxonomy and have highlighted the inconsistencies in the current taxonomy for many groups. For example, the genus Chamaeleo, which comprises 14 species with large distributions across mainland Africa and parts of Eurasia, exhibits relatively minor phenotypic differentiation between species, leading to speculation regarding the presence of cryptic diversity in the genus. Therefore, the aims of the present study were to construct a robust and comprehensive phylogeny of the genus and highlight potential species-level cryptic diversity. Additionally, we sought to ascertain the most likely biogeographic origin of the genus and understand its spatio-temporal diversification. Accordingly, we made use of species delimitation methods (Bayesian and divergence based) to investigate the extent of cryptic diversity in Chamaeleo, and applied an ancestral area reconstruction to examine the biogeographic origin of the group. Our phylogenetic analyses suggested the presence of at least 18 taxa within Chamaeleo. Notably, three taxa could be recognised within C. dilepis, none of which are equivalent in context with any of the currently described subspecies. There were also three taxa within C. gracilis and two within C. anchietae. The single available tissue specimen identified as C. necasi was embedded within the C. gracilis clade. Our ancestral area reconstruction points to a southern African/Zambezian origin for Chamaeleo, with diversification beginning during the cooling and aridification of Africa that characterised the Oligocene Epoch, ca. 34-23 Mya (Million years ago). Species-level diversification began in the Miocene Epoch (ca. 23-5 Mya), possibly tracking the aridification that triggered the shift from forest to more open, mesic savanna for most clades, but with tectonic events influencing speciation in a Palearctic clade. These findings lay the foundation for a future integrative taxonomic re-evaluation of Chamaeleo, which will be supported with additional lines of evidence before implementing any taxonomic changes.
- Published
- 2021
40. Sleep of recruits throughout basic military training and its relationships with stress, recovery, and fatigue
- Author
-
Sean Bulmer, Brad Aisbett, Jace R. Drain, Spencer Roberts, Paul B. Gastin, Jamie Tait, and Luana C. Main
- Subjects
Adult ,Male ,Sleep Wake Disorders ,Young Adult ,Cross-Sectional Studies ,Military Personnel ,Adolescent ,Public Health, Environmental and Occupational Health ,Humans ,Female ,Sleep ,Fatigue ,Uncategorized - Abstract
Objective Studies in basic military training (BMT) examining sleep are largely cross-sectional, and do not investigate relationships between sleep, stress, recovery and fatigue. The aims of this study were to (1a) quantify changes in recruits’ sleep quantity and quality over 12 weeks of BMT; (1b) quantify changes in recruits’ perceptions of stress, fatigue and recovery over BMT; and (2) explore relationships between sleep, and perceptions of stress, fatigue and recovery. Methods 45 recruits (37 male; 8 female, age: 25.2 ± 7.2 years, height: 176.2 ± 10.0 cm, mass: 76.8 ± 15.0 kg) wore ActiGraph GT9X’s for 12 weeks of BMT, collecting sleep duration, efficiency and awakenings. Subjective sleep quality, fatigue were measured daily, with stress and recovery measured weekly. Multi-level models assessed relationships between sleep, and stress, recovery, and fatigue. Results Objective daily means for sleep duration were 6.3 h (± 1.2 h) and 85.6% (± 5.5%) for sleep efficiency. Main effects were detected for all mean weekly values (p 0.05). Sleep quality showed the strongest relationships with stress, recovery and fatigue. The best model to explain relationships between, stress, recovery and fatigue, included sleep quality, sleep duration, sleep efficiency and awakenings. Conclusions The reported mean sleep duration of 6.3 h per night may negatively impact training outcomes across BMT. Combining both subjective and objective measures of sleep best explained relationships between sleep metrics stress, fatigue and recovery. Perceived sleep quality was most strongly related to change in stress, recovery, or post-sleep fatigue.
- Published
- 2021
41. The Expansion of Technology in Small and Medium Hospitality Enterprises With a Focus on Net Technology.
- Author
-
Hillary C. Main
- Published
- 2001
- Full Text
- View/download PDF
42. Numerical Studies of Miniband Conduction in Quasi-One-Dimensional Superlattices.
- Author
-
N. Mori, C. Hamaguchi, Laurence Eaves, and P. C. Main
- Published
- 2001
- Full Text
- View/download PDF
43. Monitoring stress and allostatic load in first responders and tactical operators using heart rate variability: a systematic review
- Author
-
Spencer Roberts, Luana C. Main, Jace Drain, Stuart A. Warmington, and Sean L. Corrigan
- Subjects
medicine.medical_specialty ,Autonomic regulation ,PsycINFO ,First responder ,Physical medicine and rehabilitation ,Recovery ,Heart Rate ,medicine ,Heart rate variability ,Humans ,Soldiers ,Monitoring, Physiologic ,business.industry ,Stressor ,Public Health, Environmental and Occupational Health ,Emergency Responders ,Cognition ,Allostatic load ,Police ,Allostasis ,Biostatistics ,Public aspects of medicine ,RA1-1270 ,business ,Research Article ,Decision-making - Abstract
BackgroundAwareness of the cumulative stress placed on first responders and tactical operators is required to manage acute fatigue, which can impair occupational performance, and may precipitate negative chronic health outcomes. The aim of this review was to investigate the utility of heart rate variability (HRV) to monitor stress and allostatic load among these populations.MethodsA systematic search of Academic Search Complete, MEDLINE complete, PsycINFO, SPORTDiscus and Scopus databases was conducted. Eligibility criteria: original peer reviewed research articles, written in English, published between 1985 and 2020, using human participants employed as a first responder or tactical operator, free from any psychological disorder.ResultsOf the 360 articles screened, 60 met the inclusion criteria and were included for full text assessment. Articles were classified based on single or repeated stressor exposure and the time of HRV assessment (baseline, during stressor, post stressor). Singular stressful events elicited a reduction in HRV from baseline to during the event. Stressors of greater magnitude reduced HRV for extended durations post stressor. Lower resting HRV was associated with lower situational awareness and impaired decision-making performance in marksmanship and navigation tasks. There were insufficient studies to evaluate the utility of HRV to assess allostatic load in repeated stressor contexts.ConclusionA reduction in HRV occurred in response to acute physical and cognitive occupational stressors. A slower rate of recovery of HRV after the completion of acute occupational stressors appears to occur in response to stressors of greater magnitude. The association between lower HRV and lower decision-making performance poses as a useful tool but further investigations on within subject changes between these factors and their relationship is required. More research is required to investigate the suitability of HRV as a measure of allostatic load in repeated stress exposures for fatigue management in first responder and tactical operators.
- Published
- 2021
44. A New Non-invasive Method for Collecting DNA From Small Mammals in the Field, and Its Application in Simultaneous Vector and Disease Monitoring in Brushtail Possums
- Author
-
Arsalan Emami-Khoyi, Thomas W. Agnew, Matthew G. Adair, Elaine C. Murphy, Isma Benmazouz, Daniela M. Monsanto, Shilpa P. Parbhu, Devon C. Main, Rynhardt Le Roux, Tirupathi Rao Golla, Claudia Schnelle, Hossein Alizadeh, Sándor Csányi, Miklòs Heltai, Bettine Jansen van Vuuren, Adrian M. Paterson, Peter R. Teske, and James G. Ross
- Subjects
non-invasive DNA ,Mycobacterium bovis ,biology ,disease monitoring ,DNA degradation ,Zoonosis ,Zoology ,zoonosis ,biology.organism_classification ,medicine.disease ,Population density ,Environmental sciences ,Australian brushtail possum ,Vector (epidemiology) ,medicine ,Microsatellite ,GE1-350 ,PEST analysis ,Microbiome ,population density ,General Environmental Science ,Mycobacterium - Abstract
Large-scale monitoring of wild populations in remote areas using traditional live-capturing methods is logistically and financially challenging. Devices that can be used to obtain biological material remotely and store it for an extended period have considerable potential to monitor population densities and health status, but their applicability remains largely unexplored. The present study describes a device that collects trace amounts of DNA from the saliva of small mammals that is deposited on the surface of a collection medium (WaxTags®). The device’s performance was evaluated on Australian brushtail possums (Trichosurus vulpecula), an invasive pest species and the most significant vector of bovine tuberculosis infective agent (Mycobacterium bovis), under field conditions in Canterbury, New Zealand. The retrieved DNA was used to amplify eight possum-specific microsatellite markers and bacterial 16S rRNA. The design is mechanically robust, and the quality of the recovered DNA was adequate for microsatellite-based identification of individual possums, estimation of population density, and partial reconstruction of their oral microbiomes as a potential indicator of health. Several medically important bacteria, including strains of environmental Mycobacterium sp., were detected. The design can be refined to monitor other animals’ populations proactively and provide different levels of information necessary to manage wild populations.
- Published
- 2021
- Full Text
- View/download PDF
45. Motives for Dropout Among Former Junior Elite Caribbean Track and Field Athletes: A Qualitative Investigation
- Author
-
Luana C. Main, Paul B. Gastin, Timothy P. Chambers, and Candice E. Thomas
- Subjects
Battle ,junior-elite ,Physiology ,media_common.quotation_subject ,Fraternity ,Physical Therapy, Sports Therapy and Rehabilitation ,Burnout ,03 medical and health sciences ,0302 clinical medicine ,talent development ,Orthopedics and Sports Medicine ,030212 general & internal medicine ,Track and field athletics ,Dropout (neural networks) ,media_common ,Original Research ,Uncategorized ,biology ,Athletes ,Public Health, Environmental and Occupational Health ,psychosocial influences ,030229 sport sciences ,biology.organism_classification ,motivational atmosphere ,Sports and Active Living ,Tourism, Leisure and Hospitality Management ,Anthropology ,Elite ,GV557-1198.995 ,Thematic analysis ,Psychology ,Social psychology ,athlete burnout ,Sports - Abstract
Anecdotal reports within the Caribbean track and field fraternity have revealed that there is a high level of athlete dropout from competitive sport at the junior-elite level, and a poor transition to senior-elite status. Consequently, this qualitative investigation explored the key motives that may have contributed toward the unsuccessful transitions and ensuing dropout of Caribbean track and field athletes during the junior to senior transition period. Eleven former junior-elite track and field athletes (four males, seven females; Mage= 29, SD ± 4.2 years) from four English-speaking Caribbean islands participated in semi-structured interviews. Following an inductive and deductive thematic analysis, four higher order themes were identified: (1) “there's not enough support”; (2) “felt pressure to make sure I committed”; (3) “it's always competitive here”; and (4) “battle with the injuries.” For these former junior-elite Caribbean athletes, the decision on whether to continue within the sport was influenced by a combination of factors, although inadequate financial and organizational support had the most bearing on athletes' decision to drop out during the crucial transition years. Implications for consideration by key stakeholders and policymakers within the region are discussed.
- Published
- 2021
- Full Text
- View/download PDF
46. Factors Influencing the Early Development of World-Class Caribbean Track and Field Athletes: A Qualitative Investigation
- Author
-
Candice E. Thomas, Timothy P. Chambers, Luana C. Main, Paul B. Gastin
- Subjects
lcsh:Sports ,lcsh:GV557-1198.995 ,motivational atmosphere ,talent development ,elite athletes ,psychosocial influences ,lcsh:Sports medicine ,lcsh:RC1200-1245 ,high performance - Abstract
This qualitative investigation sought to explore through a socio-cultural lens the perceived early training and competition environment, and support network of world-class Caribbean track and field athletes and the influence on their sport engagement and progression during early childhood and adolescence. Sixteen world-class track and field athletes (8 males and 8 females; M age = 29, SD = 5 years) from 6 English-speaking Caribbean islands took part in semi-structured interviews. A thematic analysis was performed on the transcribed data. Three superordinate themes were identified as key factors that influenced the early sporting development of world-class Caribbean athletes: (1) conducive sporting environment, (2) functional social support network, and (3) key organizational input. Findings revealed that perceived high levels of deliberate play activity in childhood (6 – 12 years) and an intense track and field competition culture in adolescence (13 – 20 years) were conducive to the continued engagement and progression of world-class Caribbean track and field athletes at the junior level. Furthermore, world-class athletes perceived themselves to be positively influenced by the support received from their immediate social support network and key organizations during this period. This study showed that a conducive sporting environment coupled with optimal social and organizational support may have encouraged world-class Caribbean athletes to remain engaged in track and field and to successfully progress within the sport at the junior level. Findings shed light on the sporting culture at the junior level within the Caribbean region and provide insight into key environmental factors that can influence and foster the development of future World Champions and Olympians.
- Published
- 2019
47. Unravelling the taxonomy and distribution of two problematic small mammal genera in the Karoo biome
- Author
-
Michelle Blanckenberg, Laura Tensen, Bettine Jansen van Vuuren, Gary N. Bronner, Devon C. Main, Nadine Aboul-Hassan, and Katharina Gihring
- Subjects
0106 biological sciences ,biology ,Ecology ,Biome ,010607 zoology ,Biodiversity ,Small mammal ,biology.organism_classification ,010603 evolutionary biology ,01 natural sciences ,Phylogeography ,Geography ,Elephant shrew ,Animal Science and Zoology ,Taxonomy (biology) ,elephant shrew, Nama Karoo, rock mouse, spatial genetic structure, phylogeography, South Africa ,Global biodiversity - Abstract
South Africa harbours remarkable biological diversity with three of the 34 recognised global biodiversity hotspots placed within its borders. One of these is the Succulent Karoo, which together with the Nama-Karoo, forms the Greater Karoo region. Notwithstanding a paucity of studies from this region, it would appear that, although mammal diversity is low, endemism is high. Here, as part of the Karoo BioGaps project, we use a molecular approach to assess small mammal diversity and endemism in the Karoo. We focus on rock rats (Micaelamys) and elephant shrews (Elephantulus and Macroscelides). Using a DNA-informed identification approach, we reveal two, well supported, monophyletic clades of Micaelamys; one that corresponds to M. granti. Our study is the first to publish sequence data for this species. Furthermore, when unverified records are excluded, the range of M. granti is far smaller (~99 000 km2) than that given by the IUCN red list assessments (236 027 km2), which lends support to the species being a Karoo endemic. Our macrosceledid samples grouped into four well supported clades of the genera Elephantulus and Macroscelides. Very high intraspecific diversity was present within E. pilicaudus compared with other species in our study and this newly described species may harbour cryptic diversity. Our geographic analyses confirm that the range of this species, previously considered to be a Nama-Karoo endemic, extends beyond this region. This study adds more information to the nominal data currently available for the species, Elephantulus pilicaudus.Keywords: elephant shrew, Nama Karoo, rock mouse, spatial genetic structure, phylogeography, South Africa
- Published
- 2019
- Full Text
- View/download PDF
48. Resistance Training and Skeletal Muscle Protein Metabolism in Eumenorrheic Females: Implications for Researchers and Practitioners
- Author
-
Brad Aisbett, Séverine Lamon, Eric J. Drinkwater, Luana C. Main, Liliana Orellana, and Olivia Knowles
- Subjects
Gerontology ,medicine.medical_specialty ,Sports medicine ,media_common.quotation_subject ,Physical fitness ,Skeletal muscle adaptation ,Muscle Proteins ,Physical Therapy, Sports Therapy and Rehabilitation ,Contraceptives, Oral, Hormonal ,03 medical and health sciences ,Sex Factors ,0302 clinical medicine ,Promotion (rank) ,medicine ,Humans ,Orthopedics and Sports Medicine ,Muscle Strength ,030212 general & internal medicine ,Gonadal Steroid Hormones ,Muscle, Skeletal ,Menstrual Cycle ,media_common ,biology ,Athletes ,business.industry ,Skeletal muscle ,Resistance Training ,030229 sport sciences ,biology.organism_classification ,Adaptation, Physiological ,Menstrual cycle phase ,medicine.anatomical_structure ,Female ,business ,Exercise prescription - Abstract
Resistance training is essential for health and performance and confers many benefits such as increasing skeletal muscle mass, increasing strength and power output, and improving metabolic health. Resistance training is a major component of the physical activity guidelines, yet research in female populations is limited. Recent increases in the promotion of, and the participation by, females in sport and exercise, highlight the need for an increase in understanding of evidence-based best practice exercise prescription for females. The aim of this review is to provide an overview of the current research regarding resistance training performance and skeletal muscle adaptation in females, with a focus on the hormonal variables that may influence resistance training outcomes. Findings suggest that the menstrual cycle phase may impact strength, but not skeletal muscle protein metabolism. In comparison, oral contraception use in females may reduce skeletal muscle protein synthesis, but not strength outcomes, when compared to non-users. Future research should investigate the role of resistance training in the maintenance of skeletal muscle protein metabolism during pregnancy, menopause and in athletes experiencing relative energy deficiency in sport. The review concludes with recommendations for researchers to assist them in the inclusion of female participants in resistance training research specifically, with commentary on the most appropriate methods of controlling for, or understanding the implications of, hormonal fluctuations. For practitioners, the current evidence suggests possible resistance training practices that could optimise performance outcomes in females, although further research is warranted.
- Published
- 2019
- Full Text
- View/download PDF
49. Transcriptomic Diversity in the Livers of South African Sardines Participating in the Annual Sardine Run
- Author
-
Shilpa Pradeep Parbhu, Carl D. van der Lingen, Daniela M. Monsanto, Devon C. Main, Rynhardt Le Roux, Matthew G. Adair, Claudia M. Schnelle, Arsalan Emami-Khoyi, Peter R. Teske, and Bettine Jansen van Vuuren
- Subjects
0106 biological sciences ,0301 basic medicine ,Fish Proteins ,lcsh:QH426-470 ,Zoology ,RNA-Seq ,Subtropics ,Biology ,migration ,010603 evolutionary biology ,01 natural sciences ,Transcriptome ,03 medical and health sciences ,South Africa ,Genetics ,Temperate climate ,Animals ,sardine run ,Genetics (clinical) ,Massive parallel sequencing ,Sardinops sagax ,Sequence Analysis, RNA ,Communication ,Gene Expression Profiling ,Sardine ,Secretory Processes ,Fishes ,High-Throughput Nucleotide Sequencing ,Molecular Sequence Annotation ,Indian ocean ,lcsh:Genetics ,030104 developmental biology ,climate change ,Gene Expression Regulation ,Liver ,Animal Migration ,liver transcriptome ,RNA-seq - Abstract
During austral winter, the southern and eastern coastlines of South Africa witness one of the largest animal migrations on the planet, the KwaZulu-Natal sardine run. Hundreds of millions of temperate sardines, Sardinops sagax, form large shoals that migrate north-east towards the subtropical Indian Ocean. Recent studies have highlighted the role that genetic and environmental factors play in sardine run formation. In the present study, we used massively parallel sequencing to assemble and annotate the first reference transcriptome from the liver cells of South African sardines, and to investigate the functional content and transcriptomic diversity. A total of 1,310,530 transcripts with an N50 of 1578 bp were assembled de novo. Several genes and core biochemical pathways that modulate energy production, energy storage, digestion, secretory processes, immune responses, signaling, regulatory processes, and detoxification were identified. The functional content of the liver transcriptome from six individuals that participated in the 2019 sardine run demonstrated heterogeneous levels of variation. Data presented in the current study provide new insights into the complex function of the liver transcriptome in South African sardines.
- Published
- 2021
50. Impact of shift work on sleep and fatigue in Maritime pilots
- Author
-
Jamie L. Tait, Timothy P. Chambers, Regan S Tait, and Luana C. Main
- Subjects
Sleep quality ,Applied psychology ,Australia ,Personnel Staffing and Scheduling ,Human factors and ergonomics ,Shift Work Schedule ,Physical Therapy, Sports Therapy and Rehabilitation ,Human Factors and Ergonomics ,Actigraphy ,Sleep in non-human animals ,Shift work ,Pilots ,Work Schedule Tolerance ,Humans ,sense organs ,Psychology ,Sleep ,Fatigue - Abstract
This study examined how objective measures of sleep change across shift-cycles, and the impact of this on sleep quality and fatigue. Forty maritime pilots were recruited from Australian ports. Sleep wake-behaviour (timing and length), and self-reported sleep quality and fatigue, were assessed to determine any impact of roster status and 'on-call' status. On-roster pilots experienced reduced night time sleep duration compared to those off-roster (57 ± 8.8 min), while working on-call also diminished night time sleep duration (126 ± 11.3 min) and quality, compared to workers not on-call. Fatigue scores indicated that participants were not fully recovered prior to commencing rostered night shift, while sleep quality was significantly worse following sleep that occurred after a night shift, compared to after a day shift. These findings potentially support workplace negotiations to change future shift cycles, and to adopt monitoring systems that may mitigate the risk of fatigue-related accidents and chronic health outcomes.
- Published
- 2021
Catalog
Discovery Service for Jio Institute Digital Library
For full access to our library's resources, please sign in.