The effectiveness of orally applied L-menthol on exercise performance in the heat

During exercise in the heat, increasing thermal load leads to thermo-behavioural adjustments in exercise performance, due to greater perceptual and physiological strain. Behavioural reductions in exercise intensity in the heat are initially mediated via rises in skin temperature, which alter thermal perception (comfort and sensation) and later by rises in core temperature, which increase cardiovascular strain and perceived exertion. Therefore, thermoregulation may be ordered and dependant on the magnitude, timing and/or prioritisation of afferent signals. Non-thermal cooling via L-menthol has been shown to enhance exercise performance in the early and latter stages when delivered orally at a concentration of 0.01%. Indeed, during periods of progressive thermal stress, imposed by the combination of maximal exercise and environmental heat and humidity, L-menthol has been shown to offer an immediate cooling stimulus thus extending exercise capacity. However, repeated administration of L-menthol during exercise in the heat, as thermal load increases, is unable to recover a decline in work rate. Therefore, it is unclear whether the potency of L-menthol is sustained upon frequent application and what strategies are needed in both sporting and occupational settings to optimise its effectiveness. In this part of the symposium we will consider oral delivery of L-menthol and its potential for reducing an individual’s perception of heat stress with associated effects on exercise tolerance in the heat. We will also examine the frequency of use, optimal concentration, timing and novelty of L-menthol in a sporting and occupational context

Oral application of L-menthol in the heat: From pleasure to performance

When menthol is applied to the oral cavity it presents with a familiar refreshing sensation and cooling mint flavour. This may be deemed hedonic in some individuals, but may cause irritation in others. This variation in response is likely dependent upon trigeminal sensitivity toward cold stimuli, suggesting a need for a menthol solution that can be easily personalised. Menthol’s characteristics can also be enhanced by matching colour to qualitative outcomes; a factor which can easily be manipulated by practitioners working in athletic or occupational settings to potentially enhance intervention efficacy. This presentation will outline the efficacy of oral menthol application for improving time trial performance to date, either via swilling or via co-ingestion with other cooling strategies, with an emphasis upon how menthol can be applied in ecologically valid scenarios. Situations in which performance is not expected to be enhanced will also be discussed. An updated model by which menthol may prove hedonic, satiate thirst and affect ventilation will also be presented, with the potential performance implications of these findings discussed and modelled. Qualitative reflections from athletes that have implemented menthol mouth swilling in competition, training and maximal exercise will also be included

Paediatric drowning: a standard operating procedure to aid the prehospital management of paediatric cardiac arrest resulting from submersion

Objectives: Drowning is one of the leading causes of death in children. Resuscitating a child following submersion is a highpressure situation, and standard operating procedures can reduce error. Currently, the Resuscitation Council UK guidance does not include a standard operating procedure on paediatric drowning. The objective of this project was to design a standard operating procedure to improve outcomes of drowned children. Methods: A literature review on the management of paediatric drowning was conducted. Relevant publications were used to develop a standard operating procedure for management of paediatric drowning. Results: A concise standard operating procedure was developed for resuscitation following paediatric submersion. Specific recommendations include: the Heimlich manoeuvre should not be used in this context; however, prolonged resuscitation and therapeutic hypothermia are recommended. Conclusions: This standard operating procedure is a potentially useful adjunct to the Resuscitation Council UK guidance and should be considered for incorporation into its next iteration

Resilience of English vowel perception across regional accent variation

In two categorization experiments using phonotactically legal nonce words, we tested Australian English listeners’ perception of all vowels in their own accent as well as in four less familiar regional varieties of English which differ in how their vowel realizations diverge from Australian English: London, Yorkshire, Newcastle (UK), and New Zealand. Results of Experiment 1 indicated that amongst the vowel differences described in sociophonetic studies and attested in our stimulus materials, only a small subset caused greater perceptual difficulty for Australian listeners than for the corresponding Australian English vowels. We discuss this perceptual tolerance for vowel variation in terms of how perceptual assimilation of phonetic details into abstract vowel categories may contribute to recognizing words across variable pronunciations. Experiment 2 determined whether short-term multi-talker exposure would facilitate accent adaptation, particularly for those vowels that proved more difficult to categorize in Experiment 1. For each accent separately, participants listened to a pre-test passage in the nonce word accent but told by novel talkers before completing the same task as in Experiment 1. In contrast to previous studies showing rapid adaptation to talker-specific variation, our listeners’ subsequent vowel assimilations were largely unaffected by exposure to other talkers’ accent-specific variation

The recovery movement and its implications for policy, commissioning and practice

While a recovery approach is widespread and relatively unquestioned in the USA, its implementation in the UK and to a lesser extent in Australia has provoked a number of questions about what this means in practice and what some of the implications are for treatment. This is particularly important as there is growing interest in recovery in Western Europe with policy recognition in Belgium and the Netherlands, and increased interest in research issues around recovery. What this article sets out to do is to discuss the implications of a recovery model for commissioning and treatment systems, with a focus on where recovery approaches sit and what they can offer in terms of added value to treatment approaches

Exploring mortality among drug treatment clients: The relationship between treatment type and mortality

Aims: Studies consistently identify substance treatment populations as more likely to die prematurely compared with age-matched general population, with mortality risk higher out-of-treatment than in-treatment. While opioid-using pharmacotherapy cohorts have been studied extensively, less evidence exists regarding effects of other treatment types, and clients in treatment for other drugs. This paper examines mortality during and following treatment across treatment modalities. Methods: A retrospective seven-year cohort was utilised to examine mortality during and in the two years following treatment among clients from Victoria, Australia, recorded on the Alcohol and Drug Information Service database by linking with National Death Index. 18,686 clients over a 12-month period were included. Crude (CMRs) and standardised mortality rates (SMRs) were analysed in terms of treatment modality, and time in or out of treatment. Results: Higher risk of premature death was associated with residential withdrawal as the last type of treatment engagement, while mortality following counselling was significantly lower than all other treatment types in the year post-treatment. Both CMRs and SMRs were significantly higher in-treatment than post-treatment. Conclusion: Better understanding of factors contributing to elevated mortality risk for clients engaged in, and following treatment, is needed to ensure that treatment systems provide optimal outcomes during and after treatment

Next-Generation Field Guides

To conserve species, we must first identify them. Field researchers, land managers, educators, and citizen scientists need up-to-date and accessible tools to identify organisms, organize data, and share observations. Emerging technologies complement traditional, book-form field guides by providing users with a wealth of multimedia data. We review technical innovations of next-generation field guides, including Web-based and stand-alone applications, interactive multiple-access keys, visual-recognition software adapted to identify organisms, species checklists that can be customized to particular sites, online communities in which people share species observations, and the use of crowdsourced data to refine machine-based identification algorithms. Next-generation field guides are user friendly; permit quality control and the revision of data; are scalable to accommodate burgeoning data; protect content and privacy while allowing broad public access; and are adaptable to ever-changing platforms and browsers. These tools have great potential to engage new audiences while fostering rigorous science and an appreciation for nature.Organismic and Evolutionary Biolog

Markers of Inflammation, Metabolic Risk Factors, and Incident Heart Failure in American Indians: The Strong Heart Study

Inflammation may play a role in increased risk of heart failure (HF) that is associated with obesity, metabolic syndrome (MS), and diabetes. This study investigated associations between inflammatory markers, MS, and incident HF in a population with high prevalence of diabetes, obesity, and MS. The cohort consisted of 3098 American Indians, without prevalent cardiovascular disease who had C-reactive protein (CRP) and fibrinogen measured at the SHS Phase II exam. Independent associations between inflammatory markers, MS, and HF were analyzed by Cox hazard models. During mean follow-up of 11 years, 218 participants developed HF. After the adjustment for cardiovascular risk factors, fibrinogen, (HR 1.36, 95% C.I.:1.15–1.59) but not CRP, (HR 1.25, 95% C.I.:0.97–1.32) remained significant HF predictor. In individuals without diabetes, concomitant presence of MS and elevated CRP or fibrinogen increased HF risk (for MS and CRP: HR 2.02, 95% C.I.: 0.95–4.31; for CRP and fibrinogen: HR 1.75, 95% C.I.:0.83–3.72). In a population with high prevalence of obesity, MS, and diabetes, elevated CRP and fibrinogen predict increased HF risk. These associations are attenuated by the adjustments for conventional risk factors suggesting that inflammation acts in concert with metabolic and clinical risk factors in increasing HF risk