Alone in the wilderness-Cultural perspectives to the participants' motives and values from participating in a danish reality TV-show.

This paper focus on the participants in the Danish version of the reality TV-show Alone, named Alone in the wilderness (AIW), and seeks to explore What motives and values are important to the participants in the TV-show (AIW) and how can the show be understood as a cultural phenomenon? The study is qualitative with a design based on a triangulation of different methods: single interviews, transcripts of programs and autoethnographic notes. The analysis is inspired by a hermeneutic approach applying a 6-phased thematic analysis. The participants motives and values from their participation in the TV-show reflect ideas that may be related to the solo experience. On one hand the participants are motivated by the challenges of being alone in the wilderness and they value the possibility of personal development. On the other hand, they value nature and simple life in the outdoors, an experience that seems to grow more important to the participants as time goes. AIW is a competition and some of the participants are highly competitive aiming at winning the show, which however becomes less important during their stay in the wilderness. AIW as a cultural phenomenon reflects ideas and values related to an understanding of adventure and the Nordic tradition of friluftsliv (simple life in the outdoors) and can be related to theories on late modernity focusing on reflectivity and self-identity. The study presents new empirically based knowledge on the motives, values and experiences of people participating in AIW and it presents new theoretically based knowledge on how these motives, values and experiences can be understood as part of outdoor education and recreation and as a cultural phenomenon in late modern society.

High-intensity exercise during pregnancy - A position paper by the European Board and College of Obstetrics and Gynaecology (EBCOG).

Most guidelines recommend regular physical exercise to all pregnant women. However, because of the anatomical and physiological changes which occur during pregnancy, high-intensity exercise and forms of extreme sports can place the pregnant woman and her fetus at risk of harm.

BASE Jumping in the Lauterbrunnen Valley: A Retrospective Cohort Study from 2007 to 2016.

BACKGROUND: BASE jumping, and especially BASE jumping with the help of wingsuits, is considered one of the most dangerous airborne sports. The valley of Lauterbrunnen in Switzerland has become infamous for the large number of BASE jumps and the high rate of accidents and fatalities. The aim of this study was to evaluate the morbidity and mortality of BASE jumping, to determine the severity of injuries and injury patterns of BASE jumping accidents and to compare preclinical assessment with clinical diagnoses to detect under- or overtriage. METHODS: This retrospective, descriptive cohort study covers a period of 10 years (2007-2016). The evaluation covered all BASE jumping incidents in the valley of Lauterbrunnen that required either a helicopter mission by the local HEMS (Helicopter Emergency Medical Service) company of Lauterbrunnen, Air Glaciers, or medical care in the regional hospital, the level I trauma centre or the medical practice of the local general practitioner. Besides demographic data, experience in BASE jumping and skydiving as well as BASE jumping technique(s) and details about the rescue missions were collected. The medical data focused on the severity of injuries, as expressed by the National Advisory Committee of Aeronautics (NACA) score in the prehospital assessment as well as the Abbreviated Injury Scale (AIS) and Injury Severity Score (ISS) retrieved from the clinical records in the hospital or medical practice setting. RESULTS: The patients were predominantly young, experienced male BASE jumpers. Morbidity (injury risk) ranged from 0.05% to 0.2%, and fatality risk from 0.02% to 0.08%. Undertriage was low, with only two cases. Overtriage was significant, with 73.2% of all NACA 4-6 cases not qualifying for major trauma. CONCLUSIONS: BASE jumping remains a high-risk sport and is associated with significant rates of injuries and fatalities. Comparison with previous studies indicated that the injury rate may have decreased, but the fatality rate had not. In this known BASE jumping environment, prehospital assessment appears to be good, as we found a low undertriage rate. The high overtriage rate might be an expression of physicians' awareness of high-velocity trauma mechanisms and possible deceleration injuries.

An Acute Kidney Injury Prediction Model for 24-hour Ultramarathon Runners.

Acute kidney injury (AKI) is frequently seen in ultrarunners, and in this study, an AKI prediction model for 24-hour ultrarunners was built based on the runner's prerace blood, urine, and body composition data. Twenty-two ultrarunners participated in the study. The risk of acquiring AKI was evaluated by a support vector machine (SVM) model, which is a statistical model commonly used for classification tasks. The inputs of the SVM model were the data collected 1 hour before the race, and the output of the SVM model was the decision of acquiring AKI. Our best AKI prediction model achieved accuracy of 96% in training and 90% in cross-validation tests. In addition, the sensitivity and specificity of the model were 90% and 100%, respectively. In accordance with the AKI prediction model components, ultra-runners are suggested to have high muscle mass and undergo regular ultra-endurance sports training to reduce the risk of acquiring AKI after participating in a 24-hour ultramarathon.

What Is an Extreme Sports Healthcare Provider: An Auto-Ethnographic Study of the Development of an Extreme Sports Medicine Training Program.

"I remember when sex was safe and skydiving was dangerous" read a popular bumper sticker during the HIV crisis. Popular perceptions of extreme sport (ES) often include the descriptor 'dangerous'. Therefore, why is the popularity of ES increasing exponentially with "dedicated TV channels, internet sites, high-rating competitions, and high-profile sponsors drawing more participants"? More importantly, how should health practitioners respond to the influx of ES athletes with novel injuries, enquiries and attitudes. This paper describes the results of a collaborative auto-ethnographic approach to answering "what is an extreme sports medicine health care provider and what are the components of an effective Extreme Sports Medicine (ESM) training program?" The study was conducted following the first ESM university course offered in Australia with the intention of assessing the learning design and reflecting on the development and practice of ES health practitioners. We explicated three overarching themes common to both the ES health practitioner and for the effective training of healthcare providers in the support of ES endeavors and athletes. These themes were individual, task and environmental factors. The impacts of these findings confirm that ESM courses are vital and should be designed specifically to ensure that practitioners are effectively supported to develop the unique skills necessary for practice in real world extreme sports events.

What Is So Special about Wingsuit BASE Jumpers? A Comparative Study of Their Psychological Characteristics.

For the general public, BASE jumping is considered the ultimate extreme activity. Among BASE jumpers, those using wingsuits are generally perceived as the most experienced but also as the most risk-taking. Starting from this observation, we wanted to know whether wingsuit users differed in their psychological characteristics from other BASE jumpers. More specifically, we hypothesized that wingsuit users would be characterized by higher levels of mental toughness and by lower levels of harm avoidance. We also expected them to use more mental training techniques than the other jumpers. To this end, we conducted a vast survey on a sample of 183 BASE jumpers. Contrary to our hypotheses, the results did not reveal any significant difference in psychological characteristics between wingsuit users and other BASE jumpers. This absence of significant differences is discussed and recommendations for the use of mixed or multi-methods in the study of extreme sports are proposed.

Boredom Proneness Predicts Self-Assessed Decision Errors in Sports but Is Unrelated to Risk Taking in General.

Introduction: Boredom proneness is linked to poor self-regulation, leading to poor decision making and/or increased risk taking. These links have not yet been investigated in the domain of sports and exercise. However, poor decisions or excessive risk behavior would be highly detrimental to sporting performance and, in some cases, even cause physical harm. Here, we address this gap by assessing if boredom proneness is linked to general risk taking, sport-specific risk taking, and to regrets about sports-specific decision errors with respect to acting too risky or too passively. Methods: N = 936 athletes (27.6 ± 9.0 years, 89.6% men): n = 330 Climbers (31.8 ± 10.7 years, 82.4% men), n = 83 Snowboarders (29.9 ± 8.3 years, 79.5% men), and n = 523 Esports athletes (24.6 ± 6.3 years, 95.8% men) completed the Short Boredom Proneness Scale (SBPS), along with measures for objective risk taking (Balloon Analogue Risk Task; BART), subjective risk taking (general willingness to take risks), as well as assessments for sport-specific risk taking and regrets for sports-specific decision errors (taking too many risks, failing to act at all). In the two extreme sports samples (i.e., climbers and snowboarders), we additionally assessed self-selected outcome certainty in a hypothetical sports-specific scenario where an error would result in physical harm. Results: A series of multiple regression analyses revealed that boredom proneness was unrelated to objective and subjective general risk taking, but a significant predictor of sport-specific risk taking and higher risk taking in the sports scenario (climbers and snowboarders only). Most importantly, boredom proneness predicted regrets for taking too many risks and being too passive. Exploratory post-hoc analyses further indicated that boredom proneness in extreme sports athletes was lower than in esports athletes. Higher boredom proneness was significantly related to lower skill levels across all kinds of sport. Discussion: Across three athlete samples, boredom proneness was unrelated to general risk taking but significantly related to poorer decision making, as indicated by regrets about acting too risky and too passively, as well as demanding a significantly lower safety threshold to make a risky sports-specific choice. While at odds with the often-reported link between boredom proneness and risk taking, these results are consistent with the conceptualization of boredom proneness as a maladaptive self-regulatory disposition that leads to noisy decision making in sports. In addition, we provide preliminary evidence that boredom proneness covaries with self-selection into specific types of sports and might also stand in the way of skill acquisition in sports.

Positive Relationship Between Precompetitive Sympathetic Predominance and Competitive Performance in Elite Extreme Sports Athletes.

Elite athletes achieve superior performance under high pressure in competitive situations. Although it is known that such situations affect the precompetitive activity of their autonomic nervous system (ANS), the relationship between precompetitive ANS activity and performance remains controversial. Especially in extreme sports, it has been shown that cardiac sympathetic tone occurs in athletes before competition attempts. However, the relationship between precompetitive sympathetic tone and performance is unclear. To investigate this relationship in extreme sports, we organized a freestyle snowboard jumping competition and examined competitors' physiological states and performance during this event. The electrocardiograms (ECGs) of 20 elite snowboarders were measured 10 min before each jump in different competitive situations: practice, qualifying, and final sessions. The mean heart rate (HR), the low-frequency to high-frequency component ratio (LF/HF ratio), the logarithm of the HF (lnHF) component of the frequency-domain of the heart rate variability (HRV), the ratio of the standard deviation of all R-R intervals to the root mean square of successive differences of R-R intervals (SDNN/rMSSD ratio), and the rMSSD of the time-domain of the HRV were calculated from the ECG data. The results showed a significant increase in the mean HR as well as significant decreases in the lnHF component and rMSSD of the HRV as the sessions progressed. Interestingly, the mean HR, LF/HF ratio and SDNN/rMSSD ratio of the HRV showed significant positive correlations with competitive scores, and the lnHF component and rMSSD of the HRV showed significant negative correlations with the scores. Our results indicate that precompetitive ANS activity becomes predominantly sympathetic in elite extreme athletes, such as freestyle snowboarders, when the competition intensifies, and that this sympathetic predominance is positively related to competitive performance.

Relationships Among Extreme Sports Participation, Sensation Seeking, and Negative Risky Behaviors of Middle-School Students.

Objective: The aim was to investigate the relationships among extreme sports participation, sensation seeking, and negative risky behaviors (smoking, drinking alcohol, and gambling) for middle-school students. Methods: Using a convenience sampling procedure, all students from a middle school in a district of Chongqing were selected to participate in the survey, which included questions on their extreme sports participation rate, and smoking, drinking alcohol, and gambling behavior. Results: A sample of 2,987 middle-school students participated in this study. The results showed that the proportions of students participating in extreme sports, smoking, drinking alcohol, and gambling were 19.9, 4.8, 18.4, and 3.0%, respectively. There were significant differences between different genders, schools, place of residence, smoking, drinking, gambling, and sensation seeking of the participation rate of students of extreme sports, the rate of boys, junior middle-school students, urban students, smokers, alcohol drinkers, gamblers, and high-sensation-seeking students were relatively higher than that of girls, senior middle-school students, rural students, no-smokers, no-alcohol drinkers, no-gamblers, and low-sensation-seeking students. Alcohol drinking, gambling, and sensation seeking were associated with extreme sports participation, and the students who drank alcohol, who gambled, and who were high sensation seeking were more likely to participate in extreme sports than those who did not drink alcohol, who did not gamble, and who were low sensation seeking. Conclusion: Middle schools should integrate extreme sports education into physical education and risky-behavior education, strengthen relevant knowledge and safety training, and guide students to meet their sensation-seeking needs through participation in extreme sports instead of risky behaviors.

Freeride Skiing-Risk-Taking, Recognition, and Moral Boundaries.

Freeride skiing is an activity that is, or at least can be, quite dangerous. Risk-taking in high-risk sports has usually been understood within a psychological framework. Building on Pierre Bourdieu's sociology, this article highlights the social dimension of risk-taking in freeride skiing by scrutinizing values within a freeride culture. A central question in this article is: what kind of actions are given recognition and credibility in freeride skiing? The findings show that there is a clear link between risk-taking and credibility and that risk-taking might be seen as a form of capital. However, risk-taking's link to recognition is not straightforward-it is limited by the skiers' skill level. To further develop our understanding of the social dimension of risk-taking we use Michelle Lamont's theory of symbolic boundaries. By expanding the Bourdieusian understanding of social practice with Lamont's work, we gain insight into how risk-taking is socially regulated by social conventions within a subculture. This means that we in this article describe three social dimensions of risk-taking: (1) The link between risk-taking and recognition, (2) The limits of the risk-recognition nexus, and (3) The moral boundaries of risk-taking.

Decision-making by extreme athletes: the influence of their social circle.

We explored the influence of the social circle on decision-making in regard to risk by 13 extreme athletes from different sports (Free solo climbing, Base-jumping, Longboarding, Solo seafaring, Alpinism, Extreme skiing, Extreme kayaking), all considered extreme due to the high risk of injury or death during practice. In-depth qualitative interviews were conducted with each participant individually in order to determine the influence of members of their social circle (parents, children, partner, friends, etc) on their behaviour. Our results show that their influence is insufficient to substantially modify the practice of extreme sport or the exposure to extreme risk or to lead them to give up their sport. Friends linked to extreme sports are the only ones capable of understanding and promoting these practices. The influence of the rest of the agents will go in the direction of reducing risk taking. The passion for thrill-seeking activities is what imbues the lives of extreme athletes with meaning and this passion is broadly immune to influences from their immediate social circle.

Impact of 30 years' high-level rock climbing on the shoulder: an magnetic resonance imaging study of 31 climbers.

BACKGROUND: Rock climbers are particularly susceptible to shoulder injuries due to repetitive upper-limb movements on vertical or overhanging terrain. However, the long-term effects of prolonged climbing on the shoulder joints are still unknown. PURPOSE: The purpose of this study was to analyze the prevalence of pain and degenerative changes in the shoulder joints after high-level rock climbing over at least 25 years. We hypothesized that specific climber-associated patterns of degeneration would be found. METHODS: Thirty-one adult male high-level rock climbers were compared to an age- and sex-matched control group of 31 nonclimbers. All participants underwent a detailed interview, standardized clinical examination, and bilateral (climbers) or unilateral (nonclimbers, dominant side) magnetic resonance imaging (MRI) scans. Clinical and MRI findings of the groups were compared. RESULTS: The lifetime prevalence of shoulder pain in the rock climbers was 77%. The rock climbers had significantly more abnormalities in the labrum (82% vs. 52%; P = .002), long biceps tendon (53% vs. 23%; P = .006), and cartilage (28% vs. 3%; P = .005). These increased changes positively correlated with climbing intensity. There were no differences between the 2 groups with respect to rotator cuff tendon pathology (68% vs. 58%; P = .331) and acromioclavicular joint degeneration (88% vs. 90%; P = .713). Despite the increased degenerative changes in the rock climbers, their Constant score (CS) was still better than that of the nonclimbers (CS 94, interquartile range [IQR] 92-97, vs. CS 93, IQR 91-95; P = .019). CONCLUSIONS: Prolonged high-level rock climbing leads to a high prevalence of shoulder pain and increased degenerative changes to the labrum, long biceps tendon, and cartilage. However, it is not related to any restriction in shoulder function.

Kitesurf injury trauma evaluation study: A prospective cohort study evaluating kitesurf injuries.

BACKGROUND: Kitesurfing is an increasingly popular and potentially dangerous extreme water sport. We hypothesized that kitesurfing has a higher injury rate than other (contact) sports and that the minority of injuries are severe. AIM: To investigate the incidence and epidemiology of kitesurfing injuries in a Dutch cohort during a complete kitesurfing season. METHODS: Injury data of 194 kitesurfers of various skill levels, riding styles and age were surveyed prospectively during a full kitesurf season. The participants were recruited through the Dutch national kitesurf association, social media, local websites and kitesurf schools. Participants completed digital questionnaires monthly. The amount of time kitesurfing was registered along with all sustained injuries. If an injury was reported, an additional questionnaire explored the type of injury, injury location, severity and the circumstances under which the injury occurred. RESULTS: The mean age of participants was 31 years (range, 13-59) and the majority of the study population was male (74.2%). A total of 177 injuries were sustained during 16816 kitesurf hours. The calculated injury rate was 10.5 injuries per 1000 h of kitesurfing. The most common injuries were cuts and abrasions (25.4%), followed by contusions (19.8%), joint sprains (17.5%) and muscle sprains (10.2%). The foot and ankle were the most common site of injury (31.8%), followed by the knee (14.1%) and hand and wrist (10.2%). Most injuries were reported to occur during a trick or jump. Although the majority of injuries were mild, severe injuries like an anterior cruciate ligament tear, a lumbar spine fracture, a bimalleolar ankle fracture and an eardrum rupture were reported. CONCLUSION: The injury rate of kitesurfing is in the range of other popular (contact) sports. Most injuries are relatively mild, although kitesurfing has the potential to cause serious injuries.

Skateboarding Injuries in Spain: A Web-Based Survey Approach.

BACKGROUND: The inclusion of skateboarding in the Tokyo 2020 Olympic Games reinforces this activity as a sport. As the number of skateboarders around the world and the difficulty of skateboarding maneuvers continue to increase, the number of skateboarding injuries may also rise. Thus, there is a need for more comprehensive investigations into the practice habits and injuries of skateboarders. PURPOSE: To describe the sports habits and skateboarding injuries of a sample of skateboarders in Spain. STUDY DESIGN: Descriptive epidemiology study. METHODS: A web-based survey was shared among skateboarders in Spain. The survey collected data related to sports habits, skateboarding practice habits, and injury history. Comparisons between subgroups of sex, age, and experience were also conducted. RESULTS: The survey was completed by 197 participants (89.3% male) with a mean age of 24.4 ± 7.1 years and a mean experience of 9.7 ± 7.2 years. Most respondents (87.8%) reported not participating in any type of skateboarding-specific physical training program. Only 27.4% took part in skateboarding competitions, with a larger number of respondents younger than 18 years participating in competitive events. The mean number of sessions per week was 3.3 ± 1.7, and the mean length of sessions was 3.3 ± 1.5 hours. The majority of participants (87.8%) reported having suffered injuries (n = 323) as a result of skateboarding, mainly affecting the lower limbs (69.7%). The most common injury type was a ligament sprain (39.6%), especially of the ankle (39.3%). This injury was also reported as the most likely to recur (70.1%). A large number of injuries (54.2%) were considered severe (ie, >21 days to recover). Most injuries occurred while skateboarding gaps or stairs, including any type of a jump that involved a difference in height between the take-off and landing surfaces (25.7%). Female participants accounted for a larger number of ligament sprains than expected, and experienced skateboarders were more likely to suffer more severe injuries and head/trunk injuries. CONCLUSION: Respondents to this survey were mainly young male adults who practiced skateboarding recreationally. Respondents of different sexes, ages, and experiences demonstrated different habits and injury patterns. The greater number of severe injuries highlights the need for injury surveillance in skateboarding to inform better prevention and rehabilitation practices.

Does Age Matter? A Qualitative Comparison of Motives and Aspects of Risk in Adolescent and Adult Freeriders.

Recent research has shown multiple motives for high-risk sport participation derived from research on adult participants. The aim of this study was to provide insights into motives and risk-related aspects in adolescent high-risk sport participants and to compare those findings with adults performing the same activity. Semi-structured interviews were conducted with 24 adolescent (14-20 years) freeriders (skiers/snowboarders who ski outside the protected areas of a ski resort) and 24 adult freeriders (26-41 years). A content analyses was done using MAXQDA software. Both cohorts reported the motives Challenge (adolescents: 92%, adults: 88%), Freedom/Pleasure (adolescents: 88%, adults: 75%), Friends (adolescents: 88%, adults: 79%) and Balance (adolescents: 63%, adults: 63%). However, the description of friends differed between adults and adolescents. Whereas adolescents mostly referred to a community and shared interests, adults described the importance of trust and the development of deep friendships through the activity more often. Nature was a major motive in adults (83%) but not in adolescents (29%). Most of the adults have already experienced a major accident or close call (n = 19; 79%), contrary to adolescents (n = 7; 29%). Adolescents learned about the risks in freeriding primarily through their families (n = 10) and the ski club (n = 9). Some adults reported to have realized the risks involved in freeriding after starting with the activity due to experienced negative outcomes. Both cohorts were largely motivated by the same motives. As the new generation of freeriders seems to receive more instructions about risk reduction, it might be interesting to see if this educational approach results into less accidents or close calls in this group.

Development of the Compulsive Exercising Scale for Extreme Sports Participants.

The purpose of this study was to develop a scale to measure extreme sports participants' levels of compulsive exercising. There are a number of compulsive exercising scales; however, none of them is targeted for extreme sports participants, whose emotional responses differ from those of non-extreme sports participants. Five hundred extreme sports participants were involved in this study, which included literature analysis, expert review, and exploratory and confirmatory factor analysis. Firstly, 95 items were selected from previous studies related to extreme sports and compulsive exercising. Secondly, nine experts scrutinized the content validity of the 95 items, and 82 items were found to be valid. Thirdly, the 82-item survey was initially administered to 253 participants for the purposes of exploratory factor analysis. Lastly, the 20-item survey that came out as a result of the 82 items being put through the exploratory factor analysis was distributed to the other 247 participants in the confirmatory factor analysis. In the final results, 16 items regarding the four factors of the "withdrawal symptom", "attachment", "struggle", and "obsession" were confirmed. The factors used to measure extreme sports participants' compulsiveness in this study reflect somewhat different dimensions from those developed in previous studies for non-extreme sports participants or exercisers. Only factors in the affective and behavioral dimensions are included in the present study's scale, while factors in the cognitive or the combined cognitive, affective, and behavioral dimensions were investigated in previous studies. This explains the need for the present study.

Peripheral Blood and Salivary Biomarkers of Blood-Brain Barrier Permeability and Neuronal Damage: Clinical and Applied Concepts.

Within the neurovascular unit (NVU), the blood-brain barrier (BBB) operates as a key cerebrovascular interface, dynamically insulating the brain parenchyma from peripheral blood and compartments. Increased BBB permeability is clinically relevant for at least two reasons: it actively participates to the etiology of central nervous system (CNS) diseases, and it enables the diagnosis of neurological disorders based on the detection of CNS molecules in peripheral body fluids. In pathological conditions, a suite of glial, neuronal, and pericyte biomarkers can exit the brain reaching the peripheral blood and, after a process of filtration, may also appear in saliva or urine according to varying temporal trajectories. Here, we specifically examine the evidence in favor of or against the use of protein biomarkers of NVU damage and BBB permeability in traumatic head injury, including sport (sub)concussive impacts, seizure disorders, and neurodegenerative processes such as Alzheimer's disease. We further extend this analysis by focusing on the correlates of human extreme physiology applied to the NVU and its biomarkers. To this end, we report NVU changes after prolonged exercise, freediving, and gravitational stress, focusing on the presence of peripheral biomarkers in these conditions. The development of a biomarker toolkit will enable minimally invasive routines for the assessment of brain health in a broad spectrum of clinical, emergency, and sport settings.

Extreme traveler.

Although they may pose a serious health risk or may even turn out to be life-threatening, extreme sports, i.e. high-risk physical activities of varied difficulty, are growing in popularity among international travelers in recent years. Extreme sports encompass a wide range of activities such as scuba diving, rafting, surfing, bungee jumping and mountaineering. It is not unusual for travelers to engage in extreme sports far off the beaten path, in destinations where environmental conditions are difficult and specialist healthcare is not easily available. Therefore, before taking the decision to engage in any form of adventurous activity, travelers should be encouraged to take certain precautionary measures. The most important are: identification of potential health risk factors related to travel or the activity itself, physical conditioning and fitness training prior to travel (depending on the type of activity) and prophylaxis (a travel health kit, mandatory and recommended vaccinations, a pre-travel consultation to assess a person's fitness to travel and identify any potential contraindications for certain types of adventure sports, a comprehensive travel insurance policy). The article focuses on popular extreme sports, common risk factors associated with extreme activities as well as the recommended prophylaxis and precautionary measures.

Demonstration by Infra-Red Imaging of a Temperature Control Defect in a Decompression Sickness Model Testing Minocycline.

The prevention, prognosis and resolution of decompression sickness (DCS) are not satisfactory. The etiology of DCS has highlighted thrombotic and inflammatory phenomena that could cause severe neurological disorders or even death. Given the immunomodulatory effects described for minocycline, an antibiotic in widespread use, we have decided to explore its effects in an experimental model for decompression sickness. 40 control mice (Ctrl) and 40 mice treated orally with 90 mg/kg of minocycline (MINO) were subjected to a protocol in a hyperbaric chamber, compressed with air. The purpose was to mimic a scuba dive to a depth of 90 msw and its pathogenic decompression phase. Clinical examinations and blood counts were conducted after the return to the surface. For the first time they were completed by a simple infrared (IR) imaging technique in order to assess feasibility and its clinical advantage in differentiating the sick mice (DCS) from the healthy mice (NoDCS). In this tudy, exposure to the hyperbaric protocol provoked a reduction in the number of circulating leukocytes. DCS in mice, manifesting itself by paralysis or convulsion for example, is also associated with a fall in platelets count. Cold areas ( < 25°C) were detected by IR in the hind paws and tail with significant differences (p < 0.05) between DCS and NoDCS. Severe hypothermia was also shown in the DCS mice. The ROC analysis of the thermograms has made it possible to determine that an average tail temperature below 27.5°C allows us to consider the animals to be suffering from DCS (OR = 8; AUC = 0.754, p = 0.0018). Minocycline modulates blood analysis and it seems to limit the mobilization of monocytes and granulocytes after the provocative dive. While a higher proportion of mice treated with minocycline experienced DCS symptoms, there is no significant difference. The infrared imaging has made it possible to show severe hypothermia. It suggests an modification of thermregulation in DCS animals. Surveillance by infrared camera is fast and it can aid the prognosis in the case of decompression sickness in mice.

Identification of Parameters That Predict Sport Climbing Performance.

In recent years, extreme sport-related pursuits including climbing have emerged not only as recreational activities but as competitive sports. Today, sport climbing is a rapidly developing, competitive sport included in the 2020 Olympic Games official program. Given recent developments, the understanding of which factors may influence actual climbing performance becomes critical. The present study aimed at identifying key performance parameters as perceived by experts in predicting actual lead sport climbing performance. Ten male (M age = 28, SD = 6.6 years) expert climbers (7a+ to 8b on-sight French Rating Scale of Difficulty), who were also registered as climbing coaches, participated in semi-structured interviews. Participants' responses were subjected to inductive-deductive content analysis. Several performance parameters were identified: passing cruxes, strength and conditioning aspects, interaction with the environment, possessing a good climbing movement repertoire, risk management, route management, mental balance, peer communication, and route preview. Route previewing emerged as critical when it comes to preparing and planning ascents, both cognitively and physically. That is, when optimizing decision making in relation to progressing on the route (ascent strategy forecasting) and when enhancing strategic management in relation to the effort exerted on the route (ascent effort forecasting). Participants described how such planning for the ascent allows them to: select an accurate and comprehensive movement repertoire relative to the specific demands of the route and reject ineffective movements; optimize effective movements; and link different movements upward. As the sport of climbing continues to develop, our findings provide a basis for further research that shall examine further how, each of these performance parameters identified, can most effectively be enhanced and optimized to influence performance positively. In addition, the present study provides a comprehensive view of parameters to consider when planning, designing and delivering holistic and coherent training programs aimed at enhancing climbing performance.