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maximal
Explore "maximal" with insightful episodes like "Seibertron.com Twincast / Podcast #327 "Review of the Beasts"", "Wie alt können Menschen maximal werden?", "Maximal spridning för minimal rysk propaganda, KD hotar SR med bojkott efter flera översättningsfel, pressfrihetsindex prövat i praktiken", "Seibertron.com Twincast / Podcast #278 "The Return of Rodimus Prime"" and "Snicksnack? Ja, tack!, Maximal harmoni - Galet!! & Mycel-mys med Spanarna" from podcasts like ""Seibertron.com Transformers Twincast/Podcast", "CheckGPT", "Medierna", "Seibertron.com Transformers Twincast/Podcast" and "Spanarna"" and more!
Episodes (46)
Wie alt können Menschen maximal werden?
Maximal spridning för minimal rysk propaganda, KD hotar SR med bojkott efter flera översättningsfel, pressfrihetsindex prövat i praktiken
Kreml annonserar, Twitter exploderar, svenska medier rapporterar. Totalt okritisk SVT-dokumentär om Christer Björkmans dröm att ta Melodifestivalen till USA. KD hotar SR med bojkott efter flera översättningsfel. Vi testar Reportrar utan gränsers pressfrihetsindex i praktiken.
Seibertron.com Twincast / Podcast #278 "The Return of Rodimus Prime"
Snicksnack? Ja, tack!, Maximal harmoni - Galet!! & Mycel-mys med Spanarna
Helena von Zweigbergk: Snicksnack? Ja, tack! Göran Everdahl: Maximal harmoni - Galet!! Katarina Barrling: Mycel-mys.
Lyssna på alla avsnitt i Sveriges Radio Play.
Spanarna Helena von Zweigbergk, Göran Everdahl & Katarina Barrling bjuder på framtidsvisioner med humor
Helena von Zweigbergk: Snicksnack? Ja, tack!
Göran Everdahl: Maximal harmoni - Galet!!
Katarina Barrling: Mycel-mys.
Spanarna är ett program och en podd för dig som gillar samhällsspaning med humor. Tre skarpsynta personligheter försöker avläsa trender i vår vardag och ge oss sina framtidsvisioner.
Programledare Ingvar Storm.
Seibertron.com Twincast / Podcast #270 "An Ox, a Seagull and a Monster"
Episode 093 - Bobby Maximus: Maximum Motivation for Maximal Results
During his career Bobby Maximus has been featured in numerous workout publications, conducted many seminars and worked with numerous Tier One Assets and Special Forces groups within the United Stated military. Bobby is also a regular contributor to Menâs Health Magazine and is the Keeper Of Authenticity at Lalo Tactical. In the past, Bobby was a police officer in serving as a member of the Peel Regional Police Force as well as The Toronto Police Service. He spent time on the road, as part of the Toronto Anti-Violence Intervention Strategy Team, and also as a Defensive Tactics Instructor. He has also competed in numerous fight competitions across North America. In 2006 he fought in UFC 58, UFC 62 and Ultimate Fight Night 5, where he won Submission of the Night. Robert also starred on Spike TV's The Ultimate Fighter series, was the Ring of Fire light-heavyweight champion and fought for an amateur world kickboxing championship. In addition to his policing, training and fighting career, Bobby earned a Bachelor of Arts degree from the University of Western Ontario with a double major in Psychology and English. He also earned a Bachelor of Education graduate degree from Lakehead University.
You can find out more information on Bobby Maximus via the following links:
Website: https://www.bobbymaximus.com/
Instagram: https://www.instagram.com/bobbymaximus/
Twitter:https://twitter.com/bobbymaximus
The D&D Fitness Radio podcast is available at the following locations for downloadable audio, including:
iTunes â https://itunes.apple.com/us/podcast/d-d-fitness-radio-podcast/id1331724217
iHeart Radio â https://www.iheart.com/podcast/dd-fitness-radio-28797988/
Spreaker.com â https://www.spreaker.com/show/d-and-d-fitness-radios-show
Spotify â https://open.spotify.com/show/5Py2SSPA4mntNwYRm0Opri
You can reach both Don and Derek at the following locations:
Don Saladino:
http://www.DonSaladino.com
Twitter and Instagram - @DonSaladino
YouTube - http://www.youtube.com/donsaladino
Derek M. Hansen:
http://www.SprintCoach.com
Twitter and Instagram - @DerekMHansen
YouTube - http://youtube.com/derekmhansen
The High Prevalence of Exercise Intolerance in Adult Survivors of Childhood Cancer Is Predictive of All-Cause Mortality
This podcast describes a study examining aerobic capacity in a cohort of over 1200 adult survivors of childhood cancer and related impairments of cardiac, pulmonary and neuromuscular body systems, to understand how aerobic capacity influences all-cause mortality.
TRANSCRIPT
This JCO Podcast provides observations and commentary on the JCO article 'Exercise Intolerance, Mortality, and Organ System Impairment in Adult Survivors of Childhood Cancer' by Ness et al. My name is Kristin Campbell, and I am a licenced physical therapist and associate professor in the Faculty of Medicine at the University of British Columbia in Vancouver, Canada. My oncologic specialty is in rehabilitation, primarily related to breast cancer.
Exercise intolerance is a global measure of functional capacity that reflects the complex integration of body systems. It is well established in the general population that exercise intolerance is predictive of future cardiovascular health and mortality. Whether this relationship also existed for adult survivors of childhood cancer was examined by Ness and colleagues in the article that accompanies this podcast. . In the largest study to date of its kind, this manuscript reports on a comprehensive and methodologically rigorous examination of exercise intolerance measured by a gold standard maximal cardiopulmonary exercise test in over 1200 adult survivors of childhood cancer who are part of the St. Jude’s Lifetime Cohort Study.
The first main finding is the low levels of exercise capacity in this sample of childhood cancer survivors despite a relatively young mean age of 35 years. The observed maximal aerobic capacity, or VO2peak, ranged on average between 25-27 ml/kg/min, which fall into the “poor” or “very poor” categories of age and sex matched normative values. Compared to 285 community controls who were friends or family members of the cohort patients, the observed maximal aerobic capacity values for childhood cancer survivors were on average 22% lower. In fact, these values are actually more consistent with values seen in healthy adults in their seventies or eighties. Furthermore, the low value of maximal aerobic capacity may also be an underestimate. Thirteen percent of individuals in the St. Jude’s cohort who agreed to participate in the study were not cleared to undertake the maximal cardiopulmonary exercise test due to recent diagnosis of cardiac or pulmonary disease, or lab values and symptoms indicating cardiac or pulmonary issues. This suggests that the prevalence of exercise intolerance may be even greater in a real-world clinical setting than that observed in this cohort.
To examine the association between exercise intolerance and mortality, the authors defined exercise intolerance as a maximal aerobic capacity of < 85% of predicted VO2peak. Using this approach. 56% of childhood cancer survivors were categorized with exercise intolerance compared to only 26% in controls. In addition to the high prevalence, exercise intolerance in childhood cancer survivors increased hazard of death nearly four-fold compared to those without exercise intolerance. Of the 24 deaths observed, 21 were seen in those categorized as having exercise intolerance compared to only 3 in those categorized without exercise intolerance. This highlights the potential importance of developing and implementing effective interventions that aim to increase physical activity levels and exercise tolerance in childhood cancer survivors with the goal of improving long-term health and survival.
A unique feature of this study is that the authors also undertook comprehensive measures of host, treatment, and lifestyle factors to better understand how these factors influence exercise intolerance. These additional measures included cardiac imaging at rest, autonomic response, measured by blood pressure response to the maximal graded exercise test, standard pulmonary function testing, quadriceps strength testing, and peripheral sensorimotor function using the modified total neuropathy scale. This data provides a rare look into the acute and chronic responses to exercise of the cardiovascular, pulmonary, autonomic and neuromuscular systems in those exposed or not exposed to cardiotoxic agents and will appeal to those an interest in exercise physiology. Odds of exercise intolerance were highest with reporting <150 minutes per week of moderate to vigorous physical activity, lower quadriceps strength, chronotropic incompetence, FEV1 <80% of predicted, non-white race, and poorer diet quality. These findings provide guidance around key factors that could be used to design effective interventions and monitor response to interventions, with a goal to improve exercise tolerance in childhood cancer survivors.
Of note, the type of treatment received impacted the presentation of exercise intolerance. Lower exercise tolerance was observed in individuals who received >350 mg/m2 of anthracyclines, >30 Gy of chest radiation, >20 Gy of cranial radiation and receipt of carboplatin. As a result, the authors suggest that even asymptomatic childhood cancer survivors who have received these treatments be screened by medical providers for any required medical management prior to recommending or implementing an exercise program. Furthermore, while ejection fraction of <53% was not associated with exercise intolerance, global longitudinal strain > 1.5 SD above age- and sex-predicted increased the odds of exercise intolerance with an odds ratio of 1.71 in those exposed to cardiotoxic agents and an odds ratio of 1.29 in those not exposed to cardiotoxic agents. The authors suggest that the use of echocardiology derived strain be expanded from current published guidelines from the American Society of Clinical Oncology on Prevention and Monitoring of Cardiac Dysfunction to identify early cardiac dysfunction in childhood cancer survivors with exercise intolerance and normal ejection fraction.
The study does have some key limitations. It is cross-sectional in design, making it difficult to assign temporal relationships between impairments in body systems and exercise tolerance. For example, is it the treatment that causes impairments in body systems that then limit exercise tolerance, or does situational inactivity due to side-effects of cancer treatment drive exercise intolerance and this in turn negatively impacts the exercise response of body systems? Furthermore, while there was a high participation rate and participants did not differ from non-participants by age, race or sex, not all eligible survivors enrolled. This may over or underestimate the prevalence of exercise intolerance or impact on mortality.
In considering the implications of these findings to clinical oncology, the authors acknowledge that adult survivors of childhood cancer face unique challenges in engaging in physical activity. In light of the high prevalence of exercise intolerance in childhood cancer survivors and the association to all cause mortality, the authors suggest that survivors may require referral to trained exercise specialists to learn how to accommodate specific impairments and deficits in order to reap the benefits of engaging in exercise. In the United States, the appropriate exercise specialists could include physical therapists, occupational specialists, certified exercise physiologists or physical medicine and rehabilitation specialists. Oncology providers are encouraged to include these individuals on their care teams and establish a connection to available programming in their healthcare facility or community to provide adult survivors of childhood cancer with greater access to appropriate exercise programming aimed at improving exercise tolerance.
This concludes this JCO podcast. Thank you for listening.
Was ist ein Dachfonds? | Erklärung
Du hörst wahrscheinlich oft Leute von ETFs, Index-Fonds und Investment-Fonds reden. Doch über Dachfonds wird eher wenig gesprochen. Diese sind eher Thema unter Insidern. Damit Du nicht länger im Dunkeln über diese Anlageklasse bleibst, gibt es diese Podcast-Folge. In ihr erfährst Du, was genau ein Dachfonds ist und was die Vor- und Nachteile dieser Anlageklasse sind.
När Steven Bradbury hade maximal tur
Australien hade aldrig vunnit ett OS-guld i ett vinterspel, men short-track-veteranen Steven Bradbury gjorde det osannolika 2002. Programledare: Alexander Lundholm. Gäst: Martin Johansson.