Éditeur(s) : The College of the Bahamas The College of the Bahamas ( Nassau, Bahamas )
Résumé : (Statement of Responsibility) School of Nursing and Allied Health Professions
Held May 21st, 2009 at Zion Yamacraw Baptist Church, Yamacraw Hill Road, Nassau, The Bahamas.
Bahamas
Bahamas
Bahamas

Droits : All rights reserved by the source institution.
http://ufdc.ufl.edu/AA00021212/00005

Éditeur(s) : Department of Nursing Education, Ministry of Health Department of Nursing Education, Ministry of Health ( Nassau, Bahamas )
Résumé : (Statement of Responsibility) Ministry of Health
Graduation ceremony held Friday, 14 August 1987, The Grand Salon, Wyndham Ambassador Beach Hotel, Cable Beach, Nassau, Bahamas.
Includes names of graduates of the Registered Nurse Programme, Registered Psychiatric Nurses, Trained Clinical Nurses.
Bahamas
Bahamas

Droits : [cc by-nd] This item is licensed with the Creative Commons Attribution No Derivatives License. This license allows for redistribution, commercial and non-commercial, as long as it is passed along unchanged and in whole, with credit to the author.
http://ufdc.ufl.edu/AA00026736/00014

Éditeur(s) : Ministry of Health and Environment Ministry of Health and Environment ( Nassau, Bahamas )
Résumé : (Statement of Responsibility) Ministry of Health
Graduation ceremony held Friday, Thursday, June 17, 1993 at 8:00 p.m. Le Meridien Royal Bahamian Hotel, Cable Beach, Nassau, Bahamas.
Includes names of graduates of the Registered Nurse Programme.
Bahamas
Bahamas

Droits : [cc by-nd] This item is licensed with the Creative Commons Attribution No Derivatives License. This license allows for redistribution, commercial and non-commercial, as long as it is passed along unchanged and in whole, with credit to the author.
http://ufdc.ufl.edu/AA00026736/00021

Éditeur(s) : HAL CCSD Ferrata Storti Foundation
Résumé : International audience
The aim of the study was to determine the factors associated with resting and exercise-induced hemoglobin oxygen desaturation. The well-established six-minute walk test was conducted in 107 sickle cell children (50 with sickle hemoglobin C disease and 57 with sickle cell anemia) at steady state. Hemoglobin oxygen saturation was measured before and immediately after the six-minute walk test. Blood samples were obtained on the same day to measure hematologic and hemorheological parameters. Exercise-induced hemoglobin oxygen desaturation was defined as a drop in hemoglobin oxygen saturation of 3% or more at the end of the six-minute walk test compared to resting levels. No children with sickle hemoglobin C disease, but approximately 50% of children with sickle cell anemia showed mild or moderate oxygen desaturation at rest, which was independently associated with the percentage of reticulocytes. Exercise-induced hemoglobin oxygen desaturation was observed in 18% of children with sickle hemoglobin C disease and 34% of children with sickle cell anemia, and was independently associated with the six-minute walk test, acute chest syndrome rate and the strength of red blood cell aggregates in children with sickle cell anemia. No association was found in children with sickle hemoglobin C disease between exercise-induced hemoglobin oxygen desaturation and the measured parameters. Hemoglobin oxygen desaturation at rest was common in children with sickle cell anemia but not in children with sickle hemoglobin C disease, and was mainly associated with greater hemolysis. Physiological strain during exercise and red blood cell aggregation properties may predict the occurrence of exercise-induced hemoglobin oxygen desaturation in children with sickle cell anemia.
ISSN: 0390-6078

inserm-00838989
http://www.hal.inserm.fr/inserm-00838989
http://www.hal.inserm.fr/inserm-00838989/document
http://www.hal.inserm.fr/inserm-00838989/file/Waltz_et_al._Ferrata_Storti_Foundation.pdf
DOI : 10.3324/haematol.2013.083576

Éditeur(s) : HAL CCSD ACSM
Résumé : International audience
PURPOSE AND METHODS: This study was designed to compare the physiological responses and performance of well trained cyclists riding with two different chainring designs, round or eccentric, during a brief and intense cycling exercise: an "all-out" 1-km laboratory test. The eccentrically designed chainring was made of two crank arms sliding into each other, with the inside arm fixed on the center of the arm of a circular chainring and the outside arm sliding along the inside and revolving around an elliptical cam. This design increases crank arm length at the downstroke and decreases it during the upstroke, thus increasing and decreasing the torque. In terms of the chainring's revolution, the crank arm length at 0 degrees and 180 degrees is similar to the arm length of circular chainrings (175 mm). However, during the downstroke (0-180 degrees ), it increases to its maximum length of 200 mm at 90 degrees and then returns to its original length of 175 mm at 180 degrees. During the upstroke, it decreases to a minimum length of 150 mm at 270 degrees and then increases to 175 mm at 360 degrees. Eleven cyclists performed an all-out 1-km laboratory test using each chainring. The study was conducted over two consecutive weeks with the order of chainring use randomized. During all trials, ventilatory data were collected every minute using an automated breath-by-breath system. Heart rate was measured using a telemetry system. RESULTS: None of the cardiorespiratory variables showed significant differences between chainring trials. Performance, however, was significantly improved using the eccentric design (64.25 +/- 1.05 vs 69.08 +/- 1.38 s, P < 0.004, with the eccentric and the round design, respectively). CONCLUSION: We concluded that the eccentric chainring significantly improved the cycling performance during an all-out 1-km test. Further testing with indoor cycling specialists performing on a velodrome would be helpful to define the maximal possibilities of such a chainring.
Medicine & Science in Sports & exercise

hal-00720551
https://hal.univ-antilles.fr/hal-00720551
https://hal.univ-antilles.fr/hal-00720551/document
https://hal.univ-antilles.fr/hal-00720551/file/Article.pdf

Éditeur(s) : HAL CCSD
Résumé : International audience
To determine whether exercise modality affects arterial hypoxemia (EIAH) during training-intensity exercise, 13 triathletes performed 20 min of cycling (C) followed by 20 min of running (R): C-R, and two weeks later, 20 min of R followed by 20 min of C:R-C. Each trial was performed at an intensity slightly above the ventilatory threshold and close to the daily training intensity (75 % of VO2max). Ventilatory data were collected continuously using an automated breath-by-breath system. Partial pressure of oxygen in arterial blood (PaO2) was measured after each C and R segment and arterial oxyhemoglobin saturation (SpO2) was monitored continuously via pulse oximetry. The metabolic rate was similar across modalities and trials, i.e., C-R (53.8 +/- 3.8 vs. 51.1 +/- 5.3 ml.min(-1).kg(-1)) and R-C (52.2 +/- 4.5 vs. 53.2 +/- 4.6 ml.min(-1).kg (-1)). EIAH showed significantly greater severity for R compared to C irrespective of the order (p < 0.05 for both trials). R values of PaO2 (and SpO2) for C-R and R-C were 88.7 +/- 6.0 mm Hg (93.0 +/- 0.6 % SpO2) and 86.6 +/- 7.3 mm Hg (93.5 +/- 0.6 % SpO2) and C values were 93.7 +/- 8.4 mm Hg (95.4 +/- 0.4 % SpO2) and 91.4 +/- 5.4 mm Hg (94.8 +/- 0.3 % SpO2). R ventilatory data described a significantly different breathing pattern than C, with higher respiratory rate (35.9 b.min(-1) vs. 51.1 b.min(-1) for C-R, p < 0.01; and 50.0 b.min(-1) vs. 41.5 b.min(-1) for R-C, p < 0.01) and lower tidal volume (2636 ml vs. 2282 ml for C-R, p < 0.02 and 2272 ml vs. 2472 ml for R-C, p < 0.05). We concluded that EIAH was greater during running than cycling for a similar metabolic rate corresponding to training intensity and that EIAH could thus be considered dependent on exercise modality.
Internation Journal of Sports Medicine

hal-00720806
https://hal.univ-antilles.fr/hal-00720806
https://hal.univ-antilles.fr/hal-00720806/document
https://hal.univ-antilles.fr/hal-00720806/file/sm290.pdf

Éditeur(s) : HAL CCSD Public Library of Science
Résumé : International audience
A decreased global autonomic nervous system (ANS) activity and increased sympathetic activation in patients with sickle cell anemia (SCA) seem to worsen the clinical severity and could play a role in the pathophysiology of the disease, notably by triggering vaso-occlusive crises. Because exercise challenges the ANS activity in the general population, we sought to determine whether a short (,15 min) and progressive moderate exercise session conducted until the first ventilatory threshold had an effect on the ANS activity of a group of SCA patients and a group of healthy individuals (CONT group). Temporal and spectral analyses of the nocturnal heart rate variability were performed before and on the 3 nights following the exercise session. Standard deviation of all normal RR intervals (SDNN), total power, low frequencies (LF) and high frequencies powers (HF) were lower but LF/HF was higher in SCA patients than in the CONT group. Moderate exercise did not modify ANS activity in both groups. In addition, no adverse clinical events occurred during the entire protocol. These results imply that this kind of short and moderate exercise is not detrimental for SCA patients.
ISSN: 1932-6203

hal-01136725
https://hal.univ-antilles.fr/hal-01136725
https://hal.univ-antilles.fr/hal-01136725/document
https://hal.univ-antilles.fr/hal-01136725/file/Hedreville%20et%20al.%20-%202014%20-%20Acute%20moderate%20exercise%20does%20not%20further%20alter%20the%20autonomic%20nervous%20system%20activity%20in%20patients%20with%20sick%282%29.pdf
DOI : 10.1371/journal.pone.0095563

Éditeur(s) : The College of the Bahamas The College of the Bahamas ( Nassau, Bahamas )
Résumé : (Statement of Responsibility) School of Nursing and Allied Health Professions
Held Wednesday, 23rd May 2007 at the Bahamas Communications & Public Officers Union Hall, Farrington Road, Nassau, Bahamas.
Bahamas
Bahamas
Bahamas

Droits : All rights reserved by the source institution.
http://ufdc.ufl.edu/AA00021212/00003

Éditeur(s) : HAL CCSD
Résumé : International audience
Previous studies have reported respiratory, cardiac and muscle changes at rest in triathletes 24 h after completion of the event. To examine the effects of these changes on metabolic and cardioventilatory variables during exercise, eight male triathletes of mean age 21.1 (SD 2.5) years (range 17-26 years) performed an incremental cycle exercise test (IET) before (pre) and the day after (post) an official classic triathlon (1.5-km swimming, 40-km cycling and 10-km running). The IET was performed using an electromagnetic cycle ergometer. Ventilatory data were collected every minute using a breath-by-breath automated system and included minute ventilation (V(E)), oxygen uptake (VO2), carbon dioxide production (VCO2), respiratory exchange ratio, ventilatory equivalent for oxygen (V(E)/VO2) and for carbon dioxide (V(E)/VCO2), breathing frequency and tidal volume. Heart rate (HR) was monitored using an electrocardiogram. The oxygen pulse was calculated as VO2/HR. Arterialized blood was collected every 2 min throughout IET and the recovery period, and lactate concentration was measured using an enzymatic method. Maximal oxygen uptake (VO2max) was determined using conventional criteria. Ventilatory threshold (VT) was determined using the V-slope method formulated earlier. Cardioventilatory variables were studied during the test, at the point when the subject felt exhausted and during recovery. Results indicated no significant differences (P > 0.05) in VO2max [62.6 (SD 5.9) vs 64.6 (SD 4.8) ml x kg(-1) x min(-1)], VT [2368 (SD 258) vs 2477 (SD 352) ml x min(-1)] and time courses of VO2 between the pre- versus post-triathlon sessions. In contrast, the time courses of HR and blood lactate concentration reached significantly higher values (P < 0.05) in the pre-triathlon session. We concluded that these triathletes when tested 24 h after a classic triathlon displayed their pre-event aerobic exercise capacity, bud did not recover pretriathlon time courses in HR or blood lactate concentration.
EUROPEAN JOURNAL OF APPLIED PHYSIOLOGY

hal-00720432
https://hal.univ-antilles.fr/hal-00720432
https://hal.univ-antilles.fr/hal-00720432/document
https://hal.univ-antilles.fr/hal-00720432/file/Article_2.pdf

Éditeur(s) : Ministry of Health Ministry of Health ( Nassau, Bahamas )
Résumé : Graduation ceremony held Friday, August 8th, 1986, Palm Pavilion Bahamas Princess Resort & Casino, Freeport, Grand Bahama
Includes names of graduates of the Enrolled Clinical Nurses (Rand Project).
(Statement of Responsibility) Ministry of Health
Bahamas
Bahamas

Droits : [cc by-nd] This item is licensed with the Creative Commons Attribution No Derivatives License. This license allows for redistribution, commercial and non-commercial, as long as it is passed along unchanged and in whole, with credit to the author.
http://ufdc.ufl.edu/AA00026736/00016

Éditeur(s) : Ministry of Health Ministry of Health ( Nassau, Bahamas )
Résumé : (Statement of Responsibility) Ministry of Health
Graduation ceremony held Friday, July 13, 1990 at 8:00 p.m. Le Meridien Royal Bahamian Hotel, Cable Beach, Nassau, Bahamas
Includes names of graduates of the Registered Nurse Programme, Trained Clinical Nurses, and Psychiatric Enrolled Nurses.
Bahamas
Bahamas

Droits : [cc by-nd] This item is licensed with the Creative Commons Attribution No Derivatives License. This license allows for redistribution, commercial and non-commercial, as long as it is passed along unchanged and in whole, with credit to the author.
http://ufdc.ufl.edu/AA00026736/00018

Éditeur(s) : Ministry of Health Ministry of Health ( Nassau, Bahamas )
Résumé : (Statement of Responsibility) Ministry of Health
Graduation ceremony held Friday, 15 July 1988, Grand Ballroom, Sheraton Grand Hotel, Paradise Island.
Includes names of graduates of the Registered Nurse Programme, Registered Midwives, Community Health Nurses.
Bahamas
Bahamas

Droits : [cc by-nd] This item is licensed with the Creative Commons Attribution No Derivatives License. This license allows for redistribution, commercial and non-commercial, as long as it is passed along unchanged and in whole, with credit to the author.
http://ufdc.ufl.edu/AA00026736/00015

Éditeur(s) : The College of the Bahamas The College of the Bahamas ( Nassau, Bahamas )
Résumé : (Statement of Responsibility) School of Nursing and Allied Health Professions
First annual pinning ceremony held in the Forecourt, Portia M. Smith Student Services Centre, Sunday May 22, 2005 at the College of The Bahamas, Oakes Field Campus.
Bahamas
Bahamas
Bahamas

Droits : All rights reserved by the source institution.
http://ufdc.ufl.edu/AA00021212/00001

Éditeur(s) : HAL CCSD IOS Press
Résumé : International audience
Sickle cell anemia (SCA or SS homozygous sickle cell disease) is an inherited blood disorder caused by single 12 nucleotide substitution in the ␤-globin gene that renders their hemoglobin (HbS) much less soluble than normal hemoglobin 13 (HbA) when deoxygenated. The polymerization of HbS upon deoxygenation is the basic pathophysiologic event leading to 14 RBC sickling, hemolysis, vasoocclusion and ultimately to chronic organ damage. The metabolic changes imposed by exercise 15 may initiate sickling and vaso-occlusive episodes. Further, in patients with SCA, exercise limitation may be related to anemia 16 or chronic complications such as pulmonary vascular disease, congestive heart failure and chronic parenchymal lung disease. 17 Few studies have investigated the cardiorespiratory responses of patients with SCA during either symptom-limited maximal 18 exercise test on cyclo-ergometer or during a six minute walk test. Therefore, patients are advised to start exercise slowly and 19 progressively, to maintain adequate hydration during and after exercise, to avoid cold exposure or sudden change in temperature, 20 and to avoid sports associated with mechanical trauma. There are, however, lack of evidence to allow practitioners to prescribe 21 an exercise program for patients with SCA, and individuals are usually encouraged to exercise on a symptom-limited basis. 22 Finally, this review will also highlight the basic principles that are often used for exercise practice and could be used for exercise 23 prescription and rehabilitation in patients with sickle cell anemia.
ISSN: 1386-0291

hal-01163966
https://hal.univ-antilles.fr/hal-01163966
DOI : 10.3233/CH-2011-1465

Éditeur(s) : HAL CCSD IOS Press
Résumé : International audience
Because of the metabolic changes induced by a physical activity, the hemorheological properties of patients with sickle cell anemia could be further impaired and increase the risks for vaso-occlusive complications. However, few studies suggest that moderate physical activity could be beneficial rather than harmful in patients with sickle cell anemia (SCA). However, the definition of what can be considered as a moderate physical activity in SCA patients is imprecise. The present study tested the effects of a short incremental cycling exercise test conducted until the first ventilatory threshold on different biomarkers. Hematological and hemorheological parameters were compared between 8 patients with SCA and 13 healthy subjects (CONT) before, immediately after the end of the exercise and at 12, 36 and 60 hours after the exercise. We observed no significant hematological or hemorheological alteration induced by the exercise in the two groups. However, the exercise resulted in a delayed improvement of the red blood cell disaggregation threshold at 36 and 60 hrs after exercise in the SCA group which was paralleled to the decrease in the platelet count in this group. The present study suggests that such an exercise might be beneficial for microcirculatory blood flow.
ISSN: 1386-0291

hal-01137567
https://hal.univ-antilles.fr/hal-01137567

Éditeur(s) : HAL CCSD Elsevier
Résumé : International audience
The Tropical climate imposes a high level of physiological stress, which could modify the target heart rate in training load prescription, as the recommendations are often determined by maximal oxygen uptake testing in temperature-neutral laboratories. To test this hypothesis, 7 highlevel cyclists performed two randomised maximal tests in neutral (19.2±0.9 ◦C; 51.7±1.3% RH) and Tropical environment (25.8±1.1 ◦C; 63.7±2.3% RH). Neither maximal oxygen uptake nor ventilatory threshold was influenced by the environmental conditions. However, ventilation (p < 0.005) and the respiratory equivalent in O2 (p < 0.05) were significantly higher in the Tropical environment, whereas maximal power output and the time to attain maximal oxygen uptake were significantly lower (p < 0.05 for both). Moreover, the ventilatory cost of cycling (expressed in LW−1) was significantly greater in the Tropical condition (0.40±0.03 LW−1 vs. 0.32±0.05 LW−1, in Tropical vs. Neutral; condition effect: p < 0.005; condition×time: p < 0.001). Rectal temperature was influenced by neither the environmental conditions nor exercise (36.7±0.1 and 37.0±0.1 ◦Cvs. 36.8±0.1 and 37.1±0.2 ◦C, in Tropical vs. Neutral, before and after exercise) but was influenced by condition×time (p < 0.05). The heart rate (HR) values usually used for training prescription were not significantly different (154±5 bpm vs. 156±4 bpm and 172±4 bpm vs. 167±4 bpm in Tropical vs. Neutral climate, for the first and second thresholds, respectively). We concluded that the usual parameters measured during maximal exercise to establish training programs are not impaired in moderate Tropical environment. Nevertheless, the thermal stress attested by the increased ventilatory cost of cycling could have prevented the cyclists from performing a true maximal test in Tropical conditions.
ISSN: 1440-2440

hal-00703461
https://hal.univ-antilles.fr/hal-00703461
DOI : 10.1016/j.jsams.2009.11.004

Éditeur(s) : Fairleigh Dickinson University Fairleigh Dickinson University ( Christiansted, St. Croix, USVI )
Résumé : Figures 2-5 will be uploaded at a later date along with vocabulary exercises and study guides.

Droits : All rights reserved by the source institution.
http://ufdc.ufl.edu/AA00014198/00001

Éditeur(s) : HAL CCSD ACSM
Résumé : International audience
PURPOSE AND METHODS: This study was designed to determine whether the physiological responses elicited during the run part of repeated bouts of cycle-run exercise are similar to those required during the run segment of a cycle-run succession. Thirteen male triathletes underwent four successive laboratory trials: 1) an incremental treadmill test, 2) an incremental cycle test, 3) 30 min of cycling followed by 20 min of running (C-R), and 4) five repeated bouts of 6 min of cycling and 4 min of running (X-CR). During the C-R and X-CR trials, venous blood samples were obtained to measure lactate, epinephrine and norepinephrine concentrations. During all trials, ventilatory data were collected every min using an automated breath-by-breath system. RESULTS: The results showed that 1) the cardiorespiratory responses observed during running were similar in the X-CR and C-R trials, 2) the lactate concentration was similar in both trials, 3) the epinephrine concentration was greater (277.9 +/- 11.9 vs 169.8 +/- 86.7 pg x mL(-1), P < 0.025) in X-CR than in C-R, and 4) the norepinephrine concentration was similar in both trials, except at the first cycle-run succession (T1) of X-CR. CONCLUSION: We concluded that 1) multi-block training is a good method to stimulate the specific adaptations required for the cycle-run succession, and particularly for the cycle-run transition, and 2) multi-block training seems to induce a greater catecholaminergic response, which may be due to a combination of an inherent effect of this type of training and the triathletes' relative lack of experience with it. In any case, the efficacy of the multi-block model needs to be more thoroughly evaluated over the course of a longer-term training program.
Medicine & Science in Sports & exercise

hal-00720475
https://hal.univ-antilles.fr/hal-00720475
https://hal.univ-antilles.fr/hal-00720475/document
https://hal.univ-antilles.fr/hal-00720475/file/Article_2_.pdf

Éditeur(s) : The College of the Bahamas The College of the Bahamas ( Nassau, Bahamas )
Résumé : (Statement of Responsibility) School of Nursing and Allied Health Professions
Ceremony held Tuesday, 23rd May, 2006 at 7:00 p.m. at the Band Shell Grounds, Oakes Field Campus, Poinciana Drive, Nassau, Bahamas
Bahamas
Bahamas
Bahamas

Droits : All rights reserved by the source institution.
http://ufdc.ufl.edu/AA00021212/00002

Éditeur(s) : HAL CCSD Public Library of Science
Résumé : International audience
Purpose: This study compares the effects of neutral temperature, cold and ice-slush beverages, with and without 0.5% menthol on cycling performance, core temperature (T co) and stress responses in a tropical climate (hot and humid conditions). Methods: Twelve trained male cyclists/triathletes completed six 20-km exercise trials against the clock in 30.7uC60.8uC and 78%60.03% relative humidity. Before and after warm-up, and before exercise and every 5 km during exercise, athletes drank 190 mL of either aromatized (i.e., with 0.5 mL of menthol (5 gr/L)) or a non-aromatized beverage (neutral temperature: 23uC60.1uC, cold: 3uC60.1uC, or ice-slush: 21uC60.7uC). During the trials, heart rate (HR) was continuously monitored, whereas core temperature (T co), thermal comfort (TC), thermal sensation (TS) and rate of perceived exertion (RPE) were measured before and after warm-up, every 5 km of exercise, and at the end of exercise and after recovery. Results: Both the beverage aroma (P,0.02) and beverage temperature (P,0.02) had significant and positive effects on performance, which was considerably better with ice-slush than with a neutral temperature beverage, whatever the aroma (P,0.002), and with menthol vs non-menthol (P,0.02). The best performances were obtained with ice-slush/menthol and cold/menthol, as opposed to neutral/menthol. No differences were noted in HR and T co between trials. Conclusion: Cold water or ice-slush with menthol aroma seems to be the most effective beverage for endurance exercise in a tropical climate. Further studies are needed to explore its effects in field competition.
ISSN: 1932-6203

hal-01135125
https://hal.univ-antilles.fr/hal-01135125
https://hal.univ-antilles.fr/hal-01135125/document
https://hal.univ-antilles.fr/hal-01135125/file/Riera%20et%20al.%20-%202014%20-%20Physical%20and%20perceptual%20cooling%20with%20beverages%20to%20increase%20cycle%20performance%20in%20a%20tropical%20climate%284%29.pdf
DOI : 10.1371/journal.pone.0103718