An observational objective job analysis of role related tasks undertaken by Royal Navy sailors.

BACKGROUND: The current in-service Royal Naval Fitness Test has two elements to test the aerobic endurance and muscular strength of Service Personnel through generic field-based tests and a short job task simulation. However, in 2017 the Royal Navy (RN) identified a requirement to update their in-service fitness test to align with international best practice. OBJECTIVE: The purpose of this study was to conduct an Objective Job Task Analysis on critical, physically demanding tasks that could be undertaken by RN sailors during sea deployments. METHODS: Twenty-one training exercises were observed across a range of contexts; Type 23 Frigates, Type 45 Destroyers and at shore-based training facilities. A total of 203 RN personnel (age 27.8±7.1 years) were observed undertaking 36 job related tasks (e.g., 'firefighting', 'damage control', 'abandon ship' and 'casualty handling'). Tasks were evaluated by cardiovascular response, primary functional movements and contextual factors to aid a Military Judgement Panel in task list down-selection. RESULTS: 14 Criterion Tasks (e.g., 'firefighting', 'two-person magazine stowage' and 'casualty handling') were selected to progress to the next stage of the process. Five tasks were selected based on cardiovascular responses and a further nine tasks selected based on task ergonomics and other factors. CONCLUSION: This research has identified and quantified the most physically demanding, critical roles undertaken by RN sailors on sea deployments and will inform the development of the RN Physical Employment Standard.

Needle-use declarations at the Olympic Games Rio 2016.

AIM: We report on the results of the 'IOC Needle Policy' applied during the course of the Games of the XXXI Summer Olympiad in Rio de Janeiro, Brazil. The policy was intended to empower physicians to ensure appropriate clinical use of needles within team medical environments, enhance the safety of those responsible for housekeeping services and others in the Olympic environment, and permit documentation of such procedures as an adjunct to the doping control programme. Any needle use required the submission of an 'Injection Declaration Form' to IOC medical officials. METHOD: All 'Injection Declaration Forms' were reviewed and archived. The declarations provided basic information regarding the nature of the needle use and the product(s) involved, the physician, athlete and respective National Olympic Committee (NOC). The details of the declarations were subsequently categorised. RESULTS: A total of 367 declarations were received from physicians representing 49 NOCs. Needle-use declarations were more common in athletics, gymnastics, football and aquatics. A single product was administered in 60% of the cases, and more than one product was administered in 40%. The majority of declarations indicated the use of local anaesthetics, glucocorticoids, non-steroidal anti-inflammatory drugs and analgesics. CONCLUSION: The introduction of a 'Needle Policy' in the Olympic Games setting was intended to minimise the use of needles by non-physicians, promote evidence-based practice and to deter needle-based doping practices. Declarations were received from 49 of 209 NOCs suggesting either that needle use is minimal among certain teams or opportunities remain to enhance compliance with such policies at future games.

Impact of Muscle Glycogen Availability on the Capacity for Repeated Exercise in Man.

PURPOSE: This study aims to examine whether muscle glycogen availability is associated with fatigue in a repeated exercise bout following short-term recovery. METHODS: Ten endurance-trained individuals underwent two trials in a repeated-measures experimental design, each involving an initial run to exhaustion at 70% of VO2max (Run 1) followed by a 4-h recovery and a subsequent run to exhaustion at 70% of VO2max (Run 2). A low-carbohydrate (L-CHO; 0.3 g · kg body mass(-1) · h(-1)) or high-carbohydrate (H-CHO; 1.2 g · kg body mass(-1) · h(-1)) beverage was ingested at 30-min intervals during recovery. Muscle biopsies were taken upon cessation of Run 1, after recovery, and at exhaustion during Run 2 in L-CHO (F2). In H-CHO, muscle biopsies were obtained after recovery, at the time point coincident with fatigue in L-CHO (F2), and at the point of fatigue during the subsequent exercise bout (F3). RESULTS: Run 2 was more prolonged for participants on H-CHO (80 ± 16 min) than for participants on L-CHO (48 ± 11 min; P < 0.001). Muscle glycogen concentrations were higher at the end of recovery for participants on H-CHO (269 ± 84 mmol · kg dry mass(-1)) than for participants on L-CHO (157 ± 37 mmol · kg dry mass(-1); P = 0.001). The rate of muscle glycogen degradation during Run 2 was higher with H-CHO (3.1 ± 1.5 mmol · kg dry mass(-1) · min(-1)) than with L-CHO (1.6 ± 1.3 mmol · kg dry mass(-1) · min(-1); P = 0.05). The concentration of muscle glycogen was higher with H-CHO than with L-CHO at F2 (123 ± 28 mmol · kg dry mass(-1); P < 0.01), but no differences were observed between treatments at the respective points of exhaustion (78 ± 22 mmol · kg dry mass(-1) · min(-1 )for H-CHO vs 72 ± 21 mmol · kg dry mass(-1) · min(-1) for L-CHO). CONCLUSION: Increasing carbohydrate intake during short-term recovery accelerates glycogen repletion in previously exercised muscles and thus improves the capacity for repeated exercise. The availability of skeletal muscle glycogen is therefore an important factor in the restoration of endurance capacity because fatigue during repeated exercise is associated with a critically low absolute muscle glycogen concentration.