Category Archives: Physiology

R. Barry Dale Named Chair of Physical Therapy for College of Health Professions – UTHSC News

R. Barry Dale, DPT, PhD, MBA, has been named chair of the Department of Physical Therapy for the College of Health Professions at the University of Tennessee Health Science Center. He will begin his role July 30.

Dr. Dale brings significant experience to our college, said Stephen E. Alway, PhD, FACSM, dean of the UTHSC College of Health Professions. He is passionate about students and taking the training of Physical Therapy students to higher levels of excellence at UTHSC. He will provide outstanding energy for reshaping the Department of Physical Therapy and elevate its national visibility, clinical impact, teaching prominence and research productivity. We are delighted to recruit a leader of the caliber of Dr. Dale to our college.

The UTHSC Department of Physical Therapy is a proud and storied program with excellent faculty, students, and staff, Dr. Dale said. It is humbling to be a part of it.I am really looking forward to working with the faculty, students, and staff to continue the quest for programmatic excellence.

A nationally recognized leader in physical therapy, Dr. Dale joins UTHSC from the University of South Alabama, where he served as professor,department chair, and program director of the Department of Physical Therapy with expertise in Orthopedics, Sports, and Kinesiology.

Dr. Dales clinical expertise and research focuses on experimental sports-related and orthopedic areas of tendinopathy,rotator cuff fatigue, kinematics and kinetic analysis pertaining to the lumbar spine and thermoregulation. He has contributed to multiple textbook chapters pertaining to orthopedic and sports rehabilitation, exercise physiology and motor control. An active researcher, Dr. Dale has published 33 peer reviewed publications and has presented his research nationally and internationally.

Dr. Dale is certified as a Myofascial Trigger Point Therapist (CMTPT), Orthopedic Certified Specialist (OCS), and as a Sports Certified Specialist (SCS). In addition, he is Athletic Trainer Certified (ATC) and is a Certified Strength and Conditioning Specialist (CSCS).

Dr. Dale earned his bachelors degree from the University of South Alabama and a masters in Education in Exercise Science from the University of Alabama, Birmingham. He earned his PhD in Kinesiology with a specialization in Exercise Physiology from the University of Alabama, Tuscaloosa; a Doctor of Physical Therapy degree from University of Tennessee, Chattanooga; and his MBA from the University of South Alabama.

One facet of my role will be supporting student and faculty growth so that we may lead PT education in Tennessee, the region, and the nation, Dr. Dale said. Our department has a strong reputation, and we will only be getting better with time.

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R. Barry Dale Named Chair of Physical Therapy for College of Health Professions - UTHSC News

Laurel Hubbard will make Olympic history on Monday before winning a medal despite the naysayers – ABC News

This weekend one Olympic athlete is preparing to make history.

Whether she wins or not is irrelevant, because just by taking part she will become one of those rare few who will be described as "the first ever".

There's no certainty that her history-making effort will be widely celebrated.

Certainly, it is controversial and yet the athlete herself is playing entirely by the rules.

New Zealand weightlifter Laurel Hubbard will become the first openly transgender woman to compete at the Olympics when she joins nine other competitors in the women's 87+ kilogram event at the Tokyo International Forum on Monday evening.

AAP:Dean Lewins

That's about the only simple thing to say about the story because everything else is highly complex and emotive.

Even the science is divided.

In years gone by there used to be rooms full of men making decisions for women, without hearing from the women themselves.

Then it was rooms full of white people making decisions for people of colour, without hearing their voices.

Now there are also rooms full of cisgender people making decisions for transgender people.

Some of those with the loudest voices and most forthright opinions have never actually discussed their views with a transgender athlete.

The most common view against transgender women competing in the women's category is:"Sooner or later there'll be no women left." By that, they mean cisgender women.

That line has been around for the best part of a decade and there is still no evidence of it happening.

One expert who worksin the field described it this week as "vastly overblown".

Australian weightlifter Charisma Amoe-Tarrant voices her support for Laurel Hubbard following her inclusion in New Zealand's squad for the Tokyo Games.

Significant numbers of men are not going to wakeup in the morning and decide, for a laugh, they'll become women so they can win a sporting contest.

Overwhelmingly, transgender women speak of knowing at age three or four that their bodies did notmatch what they knew themselves to be on the inside.

They describe living in a parallel world where the way people saw them was not who they were.

That experience alone can be psychologically traumatic.

When a male transitions to female, under the current International Olympic Committee (IOC) consensus, athletes need to prove they have reduced their testosterone levels to under 10 nanomoles per litre and maintain those levels for a period of 12months prior to their first competition.

Some experts argue 10nm is still too high, with most cisgender women registering levels between one and five nanomoles per litre.

Some are happy with the ratio but want the time period extended from one to two years or longer before being allowed to compete.

Transgender athletes have spoken of the impact testosterone reduction has.

Explained basically, the skeletal and muscular development of a male body that has gone through puberty requires a certain amount of hormonal "fuel"to sustain the speed and muscular strength to carry that body.

Reducing testosterone impacts the entire endocrine system, with flow-on effects formoods, metabolism and the way thebody's organs function.

Canadian cyclist and transgender woman Kristen Worley described the impact on her body as "spontaneous menopause".

Put another way, there was not enough fuel to continue to drive the vehicle andeverything steadily declined.

One of Australia's first transgender athletes was middle-distance runner Ricki Coughlan.

Speaking at a recent Association of International Sports Press (AIPS) e-College session, Coughlan said her experience was different.

"I experienced very little in the way of a full-blown puberty," she said.

"When I began my transition, the doctors didn't put me on a testosterone blocker because I didn't need one.

"My testosterone levels are lower than the average females.

"This points to the fact that all of our lives are different; where we start from and where we finish and where we go are very different."

Australian rugby player and sprinterCaroline Laytsaidbefore transitioning she was running 100 metres in "very low 11 seconds".

"Six years after surgery I was running 13.5 seconds, so I was about two and a half seconds slower over 100 metres," she said.

As part of a PhD thesis, Loughborough University's Joanna Harper has been collecting data on "changing athletic attributes as trans athletes transition".

Layt said she hadgiven all her statistical information to Harper, including how the amount she could bench press decreased from around 115 kilogramsto about 70kg.

Her data showed as a male athlete she was graded at around 85 per cent whileas a female she was graded at around 80 per cent. In other words, compared to most others in each category, she was more competitive as a manthan as a woman.

"But I'm only one person," Layt said.

"As we know, there are people that don't take hormones, there are people who are non-binary, so I think it's going to be a case-by-case basis.

"There's not one set rule for all."

The IOC will make a significant announcement in the coming months regarding a transgender framework which individual sports can use in devising their own policies.

It is expected to be a major shift, looking at the inclusion of transgender athletes through a multi-dimensional prism including human rights, legal, medical, social and scientific aspects.

The IOC's medical and scientific director, Richard Budgett, saidthere was still more science needed.

"There's quite a large amount of research being done at the moment to ascertain the residual advantage after going through male puberty, but you have to weigh that against all the other disadvantages of going through transition, and it's not something any individual would ever take lightly," he said.

"There are lots of aspects of physiology and anatomy, and the mental side, that can contribute to elite performance and it's very difficult to say, 'Yes, she has an advantage because she went through male puberty,' when there's so many other factors to be taken into account.

"It's not simple.I think each sport has to make their own assessment depending on the physiology of that sport so that they can ensure that there's fair competition but also inclusion of everyone, whether they're male or female able to take part in the sport that they so love."

He paid tribute to Hubbard's courage and tenacity in competing at the Olympic Games.

Hubbard rarely gives interviews but on Friday issued a message.

"I see the Olympic Games as a global celebration of our hopes, ideals and values and I would like to thank the IOC for its commitment to making sport inclusive and accessible," she said.

Come Monday, Hubbard will make history.

By Tuesday we'll know how widely that will be celebrated.

Excerpt from:
Laurel Hubbard will make Olympic history on Monday before winning a medal despite the naysayers - ABC News

Why some Olympians restrict their blood flow to train better – CNN

The origins of this practice go back to 1966, when -- while sitting on his heels during a Japanese temple ceremony -- Yoshiaki Sato noticed his calves felt tingly and pumped up. Sato wondered if his limited blood flow was the key to experiencing that sensation, said Steven Munatones, the CEO of KAATSU, an eponymous blood flow restriction product and education company. Munatones cofounded KAATSU Global -- which translates to "additional pressure" in English -- with Sato in 2014 after being mentored by him about the Kaatsu technique for 13 years in Japan.

Seven years after that initial tingly feeling, Sato "experimented with different kinds of bands placed on different locations on his body -- from his head to his torso to his lower legs," Munatones said via email. "In 1973, he experienced a broken ankle and rehabilitated himself using KAATSU."

This was the first experimentation with KAATSU cycle mode, Munatones added, which is when bands with internal "air bladders" are inflated for 30 seconds as the bands compress around upper limbs, then deflate for five seconds before repeating the cycle. This rhythmic compression slows the blood flow back to the heart and therefore allows the veins and capillaries in the treated areas to engorge with blood -- visible as the skin gradually reddens -- while you're exercising, Munatones said.

"Individuals exercise during the application of BFR to improve muscle mass, muscle strength, reduce pain, improve recovery, increase cardiovascular capacity and augment sports performance," said physical therapist Nicholas Rolnick via email.

How it works

When someone exercises while practicing Kaatsu or blood flow restriction, blood and metabolic byproducts are "stuck in the muscle, unable to leave," Rolnick said.

"The metabolites increase muscle fatigue, causing the muscle to work much harder than it normally would to produce a contraction at light loads," he added. "We have to work very hard to keep up with the exercise and that extra effort, paired with the fatigue produced through the BFR, accelerates muscle mass and strength gains."

Muscle fibers required to perform high-intensity actions -- such as jumping, throwing, lifting weights or kicking -- are recruited at lower intensities than usually required, said Stephen Patterson, a professor in applied exercise physiology and performance at St Mary's University, London, via email. That means someone could lift 20% to 30% of their maximum weight instead of the usual 70% or greater, and still experience a response like that of training with heavier loads, he added.

Need-to-knows before attempting BFR

People these experts have sold related products to, treated or studied include athletes of nearly all levels of ability, people who lead sedentary lifestyles, and those recovering from injuries, and range from 18 years old to 104.

The ability to use much lower loads when blood flow restriction training to build muscle and increase strength "is especially beneficial for those who are injured or have other conditions that do not allow them to either lift heavy or perform high intensity aerobic exercise," Patterson said. This includes people who have recently had surgery or are paraplegic or quadriplegic.

"Major problems in the rehabilitation setting are the inability for patients to effectively strength train due to an injury or post-surgical precautions as well as pain," Rolnick said. "The growth of BFR training allows those individuals who would be unable to challenge their bodies under normal circumstances a chance to build more strength and muscle mass during times where it would be near impossible."

If you have just had surgery and have large incisions with stitches and you want to practice Kaatsu immediately, talk to your doctor first, Munatones said. "The reason why is because the incision will dramatically heal much, much faster than normal and their skin can grow very quickly over their stitches - which usually surprises orthopedic surgeons how quickly the body recovers using KAATSU."

Groups for whom blood flow restriction might not be appropriate include people with hypertension, uncontrolled diabetes, obesity, kidney disease, arterial calcification, a history of blood clots and medications or conditions causing higher risk of clotting, venous thromboembolism, vascular diseases, sickle cell anemia, cancer, poor circulatory systems or open fracture, these experts said.

Potential side effects have included lightheadedness, tiny red spots on arms, bruising near the equipment, feelings of pins and needles, and nerve damage, some of which can be avoided by properly practicing blood flow restriction.

Contact your doctor before trying this type of training, or if you experience these or other negative side effects.

How to practice the technique

Regarding equipment, Patterson recommended using medical grade-type products that will give you a reading to ensure the pressures advertised are true. "Exercise bands and other material etc. may be able to restrict blood flow but from a safety perspective there is no idea what level of restriction you are applying," he wrote via email. That could limit adaptations and responses or cause injury.

"There are many cuffs on the market but my line in the sand is a pneumatic cuff that can be inflated either automatically or manually (like a blood pressure cuff)," Rolnick said. "Each of these types of cuffs can carefully measure the amount of blood is restricted to increase safety profile. This is very important because as BFR continues to grow, more cuffs are going to enter the marketplace that may not be adequate or appropriate."

Rolnick and Patterson advised anyone starting out with blood flow restriction to work and train with trusted practitioners to determine what cuffs would be consistent with your goals -- and to understand how and when to use this type of training. Otherwise, Rolnick added, you could be at higher risk of experiencing a negative outcome -- especially since an ordinary exercise band can't measure how much pressure you're applying.

You can expect burning sensations or soreness during or after the first couple of sessions, but these generally subside by the third session, said Hunter Bennett, a lecturer in exercise science at the University of South Australia, via email.

Once you inflate the cuff, you could practice blood flow restriction by alternating repetitions and rest while training your preferred muscle group, Bennett said.

The consensus among these experts is that using blood flow restriction two to four times a week is required for results to occur.

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Why some Olympians restrict their blood flow to train better - CNN

The secrets of the Alps’ strange red snow – BBC News

The secrets of the Alps' strange red snow

(Image credit: Bob Gibbons/Alamy)

Growing patches of coloured snow in the French Alps could be a sign of the impact climate change is having in the mountains.

I

It is a shocking, garish sight to come across on a peaceful mountainside. Hike high enough in the French alps during the late spring and early summer, and there is a good chance thatyou will come across some rather strange patches of snow among the grey limestone and stunted clumps of vegetation. This snow isn't white it's blood red.

The peculiar phenomenon sometimes known as blood snow is the result of a defence mechanism produced by microscopic algae that grow in the Alpine snow. Normally these microalgae have a green colour as they contain chlorophyll, the family of pigments produced by most plants to help them absorb energy from sunlight.However, when the snow algae grow prolifically and are exposed to strong solar radiation, they produce red-coloured pigment molecules known as carotenoids, which act as a sunshield to protect their chlorophyll.

While red snow algaehas been known for a long time (it is mentioned in a book published in 1819 as having been discovered during an expedition to the Arctic in 1818) it is still steeped in mysteries that scientists are attempting to unravel.

Just two years ago, botanists at Charles University, Prague, in the Czech Republic, identified an entirely new genus of microalgae that is responsible for causing red and orange snow in different parts of the world, which they named "Sanguina" in reference to the blood-red colour they produce. The researchers found forms of Sanguina algae that cause red snow samples from Europe, North America, South America along with both polar regions. A species of Sanguina that causes an unusual orange snow was also found in Svalbard.

Researchers discovered a new genus of algae called Sanguina that is responsible for the red snow in the French Alps above 2,400 metres (7,874ft) (Credit: ALPALGA)

It isn't the only type of microalgae responsible for red snow though. Several other types, such as Chlamydomonasnivalis and an algae found growing close to Antarctic penguin colonies called Chloromonas polyptera, also produce pigments to create red and pink stained snow.

But understanding more about red snow algae carries a significance far greater than simply explaining the existence of strange-coloured patches in the Alps and near the poles. Its appearance and disappearance are important markers of climate change and how it is affecting the delicate ecosystems where the algae are found.

According to Liane G Benning, professor of interface geochemistry at the German Research Centre for Geosciences in Potsdam, red snow is becoming more common due to global warming. "The rise in the atmospheric carbon dioxide levels increases the temperature, which leads to more snow melting," she says. "The moment there is liquid water on the snow, the algae start growing."

This increasing abundance of red snow algae may also be contributing to climate change too. The red pigment turns the snow surface dark, reducing the amount of light and heat it reflects back into space something known as the albedo effect. By trapping more of the Sun's heat, the snow melts even faster, allowing the algae to proliferate further. "There is a runaway effect in which the algae melt their preferred habitat," says Benning. "Its as if they are destroying their own house."

On a wider scale, the extra heat absorbed by the tinted snow can alter the temperature in the wider environment, speeding up the melting of snow packs and glaciers. One study estimated that over a single melt season, red pigmented algal blooms could reduce the snow albedo by 13%, suggesting it plays an important role in how the effects of climate change can be amplified within mountain environments.

Studies have shown red algal blooms occur on glaciers all over the world, from Antarctica to the Himalayas and in the Arctic. So one question that scientists like Benning and Eric Marchal, director of the Cell and Plant Physiology Laboratory in Grenoble, France, are keen to answer is whether red snow algal blooms are becoming more widespread and occurring more often.

One way of doing this would be to use satellite imagery to study the albedo-reducing effect of the red snow. A study using satellite imagery of snow fields on Fildes Peninsula on King George Island, off the coast of Antarctica, revealed that in January 2017, 26% of the snow was darkened by algae.

Although there is little widespread data to show if red algae are becoming more common globally, both Benning and Marchal believe they will occur more often as our planet warms, and this will need to be taken into account as scientists try to estimate what the impacts will be.

But even laying aside their role in climate change, scientists are unpicking other mysteries surrounding red snow.

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Marchal and his colleagues recently found that red snow algae appear to only grow at elevations above 2,000m (6,562ft) in the French Alps, and particularly flourish at around 2,400m (7,874ft). According to Marchal, the Sanguina algae is found at high elevations because of the quantity, quality and longevity of the snowpacks present at these heights.

Puzzlingly, scientists have so far failed to grow these algae on real snow in a laboratory.

"It is for this reason that researchers need to collect as many samples as possible for a more refined study," Marchal says.

Algae that grow close to penguin colonies near Antartica produce vivid red pigments (Credit: Robert Harding/Alamy)

During a recent two-day expeditionto the Lautaret pass in Hautes-Alpes, southeastern France, in June this year Marchal and his colleagues in the ALPALGA consortium of five French institutes dedicated to the study of mountain algae, collected their first samples of 2021. Unlike previous years, however, the snow didn't have its typical red hue. Instead, it was dominated by ochre yellow.

The yellow tinge, they believe, was due to the presence of sand on the snow that interfered with the colour imparted by the algae. While not an unusual phenomenon, this year was exceptional as strong winds carried plenty of Saharan sand to the Alpine heights.

"This has provided us a great opportunity to evaluate the relationship between sand and the growth of snow algae," says Marchal. "By analysing these particles, we will try to determine if sand provides nutrients, metals or any specific elements that may interfere, positively or negatively, with the algae growth."

The team hopes to increase the ambit of their understanding to see how iron levels in the snow and acidity levels affect the red algae growth. They are also studying whether other microorganisms and animals living alongside the snow algae may play a role.

Glaciologists fear that if the algae spreads it will decrease the albedo of the snow and drive further melting of snowpacks in mountain ranges around the world (Credit: ALPALGA)

According to Marchal, the first tests on the new samples collected in June have revealed the presence of unicellular animals, called zooplankton, with the algae cells. Although more normally associated with oceans and lakes, where they form a key element of the food chain, zooplankton can also survive in the meltwaters from glaciers and snow packs.

Their research is helping to build a picture that although snow might appear to be inert, it is in fact teeming with life.

"As snow falls, quite often it traps minerals and elements like nitrogen and phosphorus, both anthropogenic and naturally occurring," Benning says. The snow algae can then feed on these while bacteria in the snow also form a trophic relationship with the algae.

"In this ecosystem, the snow algae are primary producers," says Benning. "When they bloom, they photosynthesise, consume nutrients while producing waste products such as sugars and other components, which serve as possible food for bacteria and other microorganisms."

In some places the algae can produce a faint pink colour to the snow while in others it can be blood red (Credit: Ashley Cooper Pics/Alamy)

According to Marchal, the algae, which need just carbon dioxide and light, appear to form the basis of a more complex and mature ecosystem that involves bacteria, fungi and unicellular animal cells such as the zooplankton.

But while these patches of coloured snow flourish with life they are also short lived, appearing only for a few weeks of the year. When the weather turns cold again, the colour disappears and the snow returns to its usual white colour.

It raises an intriguing question what actually happens to the red algae over the winter?

"One theory is that they go dormant and become almost transparent as they freeze in," says Benning. "When it's no longer needed, they lose the pigmentation as it is an energy consuming process."

While the red pigment returns each year with the sunshine and heat of the late spring and early summer, Benning and her fellow scientists will be watching the stains in the snow closely for what else they can teach us.

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The secrets of the Alps' strange red snow - BBC News

Study paves the way for development of new therapeutics for C. difficile infection – News-Medical.Net

A new study paves the way for the development of next generation therapeutics for the prevention and treatment of Clostridioides difficile infection (CDI), the most frequent cause of healthcare-acquired gastrointestinal infections and death in developed countries.

Published today in Nature Communications, the study reveals the first 3D structure of the Clostridioides difficile toxin B (TcdB) in complex with chondroitin sulfate proteoglycan 4 (CSPG4), a human receptor. The study was co-led by senior author Rongsheng Jin, PhD, a professor in the Department of Physiology & Biophysics at the University of California, Irvine, School of Medicine, and Min Dong, PhD, an associate professor at Harvard Medical School.

TcdB is one of two homologous C. difficile exotoxins, which are major virulence factors responsible for the spread of C. difficile infections. TcdB alone is capable of causing the full-spectrum of diseases associated with CDI in humans."

Rongsheng Jin, PhD, Professor, Department of Physiology & Biophysics, University of California, Irvine, School of Medicine

Previous studies had identified CSPG4 as a potential receptor for TcdB, however the pathophysiological relevance and molecular details were unknown. Results from this new study reveal a unique binding site involving TcdB and CSPG4, and also show that CSPG4-binding residues are highly conserved across most TcdB variants known to date.

CDI has become the most common cause of antibiotic-associated diarrhea and gastroenteritis-associated death in developed countries, accounting for approximately 223,900 infections, 12,800 deaths, and $1 billion in healthcare costs in the United States in 2017. It is classified as one of the top five "urgent threats" by CDC. There is also growing global concern surrounding the emergence of rapidly spreading hypervirulent C. difficile strains, reminiscent of the current COVID pandemic.

"What these new findings tell us is that a rationally designed CSPG4-mimicking decoy could neutralize major TcdB variants, providing a unique therapeutic avenue for combating some of the hypervirulent C. difficile strains," said Jin. In contrast, researchers also revealed that the therapeutic mechanism for bezlotoxumab, the only FDA approved anti-TcdB antibody, is sensitive to escaping mutations in some bacterial strains.

The current standard of care for CDI involves treatments using broad spectrum antibiotics, which often lead to frequent disease recurrence. While bezlotoxumab could reduce the recurrence rate of CDI in some patients, results from this and some earlier studies indicate it has weaker potency against some TcdB variants.

"We have designed a CSPG4-mimicking decoy based on the 3D structure we observed, which could neutralize major TcdB variants and is superior to bezlotoxumab on a major TcdB variant from a hypervirulent strain (TcdB2) in our studies. As a highly conserved cellular receptor of TcdB, a CSPG4 decoy molecule would be difficult for TcdB to escape, since any mutations that disrupt toxin binding to the decoy would also disrupt binding to its native receptors," said Jin.

The team of researchers has also developed a family of recombinant protein therapeutics based on these new findings, as well as on an earlier discovery on how TcdB recognizes another human receptor Frizzled (FZD).

"We are now examining the therapeutic features of these novel antitoxin molecules, and we believe they could provide broad-spectrum protection and neutralization against most known TcdB variants, thus improving existing antibody therapeutics for CDI," said Jin, whose team has filed a patent on these neutralizing molecules.

Source:

Journal reference:

Chen, P., et al. (2021) Structural basis for CSPG4 as a receptor for TcdB and a therapeutic target in Clostridioides difficile infection. Nature Communications. doi.org/10.1038/s41467-021-23878-3.

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Study paves the way for development of new therapeutics for C. difficile infection - News-Medical.Net

Switching from face-to-face to an online teaching strategy: how anatomy and physiology teaching transformed post-COVID-19 for a university…

This article was originally published here

Adv Physiol Educ. 2021 Sep 1;45(3):481-485. doi: 10.1152/advan.00233.2020.

ABSTRACT

The College of Science and Health Professions offers a university preprofessional program. Like most medical schools in Saudi Arabia, the teaching delivery strategy in the university preprofessional program is on campus and face-to-face. During the month of March 2020, teaching activities of the spring semester were proceeding as normal; however, the sudden emergence of COVID-19 disturbed routine activities and compelled authorities to switch all teaching activities from face-to-face to online. Training sessions and workshops for all stakeholders on online delivery methods were arranged. Blackboard and other online facilities were utilized. All teaching materials, including newly made video clips for anatomy and physiology practicals, were uploaded on Blackboard and discussed online with students. Students anxiety related to the exam was reassured by giving them the option of open book quizzes during summative continuous assessment. All scheduled teaching sessions, lectures, and practicals were conducted proficiently. Revision sessions and assessment quizzes were conducted with students satisfaction. At the end of the semester, a final exam was conducted online as an open book exam. Students with technical issues while attempting the exam were given an opportunity to make up for it. After a successful final exam, the cumulative block grades showed students secured higher grades in the open book exam. Following that, the King Saud bin Abdulaziz University for Health Sciences has managed to conduct on-campus close book exams that abide by self-distancing and standard operating procedure policies.

PMID:34142877 | DOI:10.1152/advan.00233.2020

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Switching from face-to-face to an online teaching strategy: how anatomy and physiology teaching transformed post-COVID-19 for a university...

Plans revealed to build world’s deepest pool, Blue Abyss, in the UK | spabusiness.com news – Spa Business

The 150m project would see an aquatic centre housing a 164ft (50m) deep pool

Primarily designed for sea and space research, the project is led by a privately-funded company, Blue Abyss

The pool will hold more than 42,000 cubic metres of water

Blue Abyss has been designed by British architect Robin Partington

The 150m project would see an aquatic centre, housing a 164ft (50m) deep pool built at the Aerohub Enterprise Zone at Cornwall Airport.

The project is led by a privately-funded company, Blue Abyss, which is now in the process of applying for planning permission.

The centrepiece of Blue Abyss will be an aquatic centre featuring a 50m by 40m stepped pool with a 50m deep shaft. The pool will hold more than 42,000 cubic metres of water the equivalent of 17 Olympic size swimming pools making it the largest and deepest indoor pool in the world.

A sliding roof and 30-tonne crane will allow large objects to be lowered into the pool, from simulated sections of the International Space Station to underwater film sets and even cave systems to test remote operated vehicles or train deep-sea divers.

With the facility, Blue Abyss wants to "revolutionise extreme environment research and training in Europe".

The centre will offer state-of-the-art whole system human physiology and human-robotic interface R&D capabilities, serving the human spaceflight, sports science and terrestrial healthcare communities.

The on-site Kuehnegger Human Performance Centre will look to cater particularly for the professional sports sector as well as healthcare with an emphasis on rehabilitation from physical deconditioning.

Blue Abyss will look to form academic partnership with national and international universities, drawing on its resources to execute R&D projects, providing a mix of expertise and facilities.

In all, the 10-acre site is set to house the pool, an astronaut training centre, the Kuehnegger Human Performance Centre, hypobaric and hyperbaric chambers, microgravity suite, training centre with six classrooms, workshops, onsite catering and accommodation facilities.

There will also be a visitor and educational centre.

Blue Abyss has been designed by British architect Robin Partington, who led the design team for The Gherkin in London.

Once open, the facility is expected to generate 8m annually for the local economy.

Blue Abyss CEO, for British Army diving instructor, John Vickers, said: "We're planning a globally unique facility with a wide range of potential uses that tap into so many of the industries that Cornwall and the South West are known for.

"Blue Abyss will be a huge research asset for aerospace, offshore energy, underwater robotics, human physiology, defence, leisure and marine industries and a fantastic education centre for children."

Other deep pools in the world include Y-40, The Deep Joy a thermal pool in Italy.

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Plans revealed to build world's deepest pool, Blue Abyss, in the UK | spabusiness.com news - Spa Business

Bring the ‘dad jokes,’ we need ’em. (Warning: This story contains actual dad jokes) – KSL.com

Dad jokes are known to reduce tension and strengthen connections as a meta-analysis from 2017 in the journal Advances in Physiology Education examined the health benefits of humor and backs those findings. (CNN)

ATLANTA (CNN) In September 2019, just ahead of the COVID-19 pandemic so roughly before-anyone-can-remember ago Merriam-Webster added the term "dad joke" to the dictionary, to little fanfare.

As it turns out, the official addition to our vocabulary was just in time to remind us of the value of instantly available humor, especially among freaked-out family members enduring lockdowns together.

If you tell dad jokes, you already know their usefulness in reducing tension and strengthening connections. A meta-analysis from 2017 in the journal Advances in Physiology Education examined the health benefits of humor and backs those findings. Humor, the analysis found, also promotes increased learning and stress reduction. That's no joke.

"We value humor because it teaches communication, humility and happiness," articulated my brother, Matthew Henneberger, an aficionado of the dad joke. What he loves about the genre is that dad jokes introduce these great lessons to kids at a very young age.

One of my favorites I got from him: "Where does George Washington keep his armies? In his sleevies."

Dad jokes are also easy to come by, one of the low-hanging fruits of comedy. They require no setup, context or segue. They are prt--porter. You can just drop a bad pun, say something goofy or blurt out the question and punchline answer together and immediately cash in on those eyerolls and smiles.

Try this one to anyone within earshot right now: "I was going to tell a time-traveling joke, but you didn't like it."

It's that combination of groan and chuckle that defines a dad joke and also explains their appeal.

They are not all "dumb" though, even if that label is the response you get. Or maybe they are a little dumb. Smart-dumb. More Marx Brothers than Three Stooges. They are populated by puns ("Clones are people two"), one-liners ("It takes guts to be an organ donor") and malapropisms ("What does a baby computer call his father? Data.")

They are often simple and easy to grasp, but the best ones are clever, too. "What rhymes with orange? No, it doesn't."

But do you know when a joke really becomes a dad joke? When it's apparent.

And they don't have to be just for kids, despite the name. But they must be G-rated. Dad jokes don't do blue or offensive. You can always safely tell a dad joke in front of kids, but depending on their age, you may need to explain why it's funny (in a very dadlike fashion).

Take this Zen koanlike gem: "What did Buddha say to the hot dog vendor? Make me one with everything." A worldly 10-year-old may get that one along with most adults, less so little kids.

And given their liberal use of homonyms, these jokes are often better delivered in person, like this one: "Did you hear about the circus fire? It was intense (in tents)."

My CNN colleague Alberto Mier likes to misuse his kids' slang or purposely bungle the names of things they like ("The Tickity Tock," for example).

"My 16-year-old, in particular hates it, so I do it even more," he added. "Stupid, but it drives her nuts, and that's what it's all about."

Basically, dad jokes are just fun. And we need more fun. It's also why we invited the mushroom to the party because they are the fungi!

So, collect them, memorize them, and start dropping them on others. I have a Google doc of favorites I've stumbled across or were told to me by fellow dads (and moms), like this winner from fellow dad and friend Sam Younis: "Why did the old man fall in the well? He couldn't see that well."

During the pandemic, Younis bought a book of dad jokes ("The Little Book of Dad Jokes: So Bad They're Good"). He keeps it handy in the kitchen just to lighten the mood.

"Now my kids read the jokes to me and shake their heads when they see me laugh," he said.

When you hear or read them, curate your favorites. I picked up this science dad joke from a CNN interview with Neil deGrasse Tyson: "Why can't you trust an atom? Because they make up everything."

So, curate your list (in a "dad-a-base!") and start busting them out. Fill the awkward wait at the start of a meeting, make your kid and their friends crack up (or enjoy their bonding over shared eye-rolling), and do it maybe the chief reason to delight yourself.

All right, ready for more jokes? CNN's Dad Joke Generator has your fix.

Time for me to make like a tree and leaf.

The-CNN-Wire & 2021 Cable News Network, Inc., a Time Warner Company. All rights reserved.

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Bring the 'dad jokes,' we need 'em. (Warning: This story contains actual dad jokes) - KSL.com

Ohio University announces spring 2021 graduates – The Times

From Staff Reports| Beaver County Times

ATHENS, OH More than 4,800 students graduated with bachelor's, master's or doctorate degrees from Ohio University for spring semester 2021.

* Michelle Behana, of Freedom, PA, graduated with a Bachelor of Science in Nursing (Baccalaureate Nursing) from the College of Health Sciences and Professions;

* Patrick Boff, of Freedom, PA, graduated with a Master of Engineering Management from the Russ College of Engineering and Technology;

* Madeline Brown of Beaver, PA, graduated with a Bachelor of Arts majoring in anthropology and linguistics from the College of Arts and Sciences;

* Chad Cable of Aliquippa, PA, graduated with a Bachelor of Science majoring in psychology from the College of Arts and Sciences;

* Meredith Camp, of Beaver Falls, PA, graduated with a Bachelor of Science in Physiology of Exercise majoring in exercise physiology - pre-physical therapy from the College of Health Sciences and Professions;

* Devin Daley, of Conway, PA, graduated with a Bachelor of Business Administration majoring in business analytics, management information systems, and marketing from the College of Business;

* Christian Petti, of Beaver Falls, PA, graduated with a Bachelor of Business Administration majoring in marketing from the College of Business;

* Derek Weber, of Georgetown, PA, graduated with a Bachelor of Science in Engineering Technology and Management from the Russ College of Engineering and Technology.

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Ohio University announces spring 2021 graduates - The Times

PET/CT Effective Measures NSCLC Biomarker, Predicts Therapy Response – Diagnostic Imaging

PET/CT images can non-invasively measure levels of a non-small cell lung cancer (NSCLC) biomarker, eliminating the need for biopsy and predicting the patients response to therapy.

Checkpoint inhibitors that target the PD1/PD-L1 signaling pathway are an effective treatment for NSCLC, but it only works in roughly half of patients. Investigators from Moffitt Cancer Center demonstrated, in a study published this week in the Journal for ImmunoTherapy of Cancer, that PET/CT can effectively assess the patients PD-L1 level, helping patients and providers to side-step the risks that come with invasive biopsy.

This study is important, as it is the single largest multi-institutional radiomic study population of NSCLC patients to date treated with immunotherapy to predict PD-L1 status and subsequent treatment response using PET/CT scans, said Robert Gillies, Ph.D., chair of Moffitts cancer physiology department. Because images are routinely obtained and are not subject to sampling bias per se, we propose that the individualized risk assessment information provided by these analyses may be useful as a future clinical decision support tool pending larger prospective trials.

For their study, the team examined PET/CT scans for nearly 700 patients who had NSCLC who were treated in three institutions. They assessed shape, size, pixel intensity, and textures to train a deep learning tool to accurately measure PD-L1 expression. Using the data, they developed a deep learning score that could predict PD-L1 expression which, after validation, could predict checkpoint inhibitor outcomes in these patients.

Their results point to the usefulness of using images as a replacement for biopsy, said Matthew Schabath, Ph.D., associate member of the cancer epidemiology department.

These data demonstrate the feasibility of using an alternative non-invasive approach to predict expression of PD-L1, he said. This approach could help physicians determine optimum treatment strategies for their patients, especially when tissue samples are not available or when common testing approaches for PD-L1 fail.

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PET/CT Effective Measures NSCLC Biomarker, Predicts Therapy Response - Diagnostic Imaging