TheElite Training Group track club

Expanding the area of what is possible

In Track & Field Distance Running & Competent Self-Care in medicine and psychology

 

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In all things from applied science to politics and public policy……avoid group think, pursue critical thinking, engage in intellectual honesty.

Put data ahead of dogma as to follow the data -not- the crowd.

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As you continue to acquire and apply more information you continue to expand the area of what is possible.

“I don’t know that there is any magic level of interest in science that people ought to have. But the more they understand, the more they will be able to control their destiny and achieve their other aims.” —[Stephen Hawking]

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The functioning of brain cells, muscle cells, blood cells, -all cells- are governed by the laws of nature. The laws of nature -are- the underlying mechanisms of how everything works. Science identifies and describes the laws of nature. Problems often occur with the interpretation and application of science, rather than with science itself.  The all too typical…”science doesn’t explain everything” argument cannot be inserted each time one’s comfort zone is challenged. The all too typical…”its genetic” argument cannot be inserted each time one cannot explain something. The laws of nature that control human cellular function are -not- governed by your chosen belief system or the dogma you have been indoctrinated into, or the dogma you refuse to set aside. Data-less conclusions founded upon faulty assumptions are the mother of all screw-ups. They lead to human belief systems that quickly get set in stone insuring that new information gets shouted down as pride, ego, and resistance to change supplant data, logic and reason. Put data ahead of dogma. Follow the data -not- the crowd.

“Nature, to be commanded, must be obeyed.” —[Francis Bacon]

“In God we trust…Everyone else must bring data.” —[W.Edwards Deming]

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Critical Thinking……in track & field distance running, in medicine, in psychology, and in parenting. Critical thinking consists of 2 main required actions. [1] Always think and reason in terms of underlying mechanisms of how things work. [2] Respond to any assumption especially your own with the question, why is that. Be willing to give an intellectually honest answer.

“Refrain from illusions, insist on work and not words, patiently seek divine and scientific truth.”—[Maria Mendeleeva]

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To be a good track coach one must -first- be a good physiologist.

To be a good medical doctor one must -first- be a good physiologist..

To be a good physiologist one must -first- be willing to…………

— put data ahead of dogma, follow the data -not- the crowd

— put science ahead of indoctrinated tradition

— put logic and reason ahead of faulty assumptions

— put mechanisms ahead of correlations and “risk factors”

— put critical thinking and clinical reasoning ahead of a memorized set of “if–then” statements

— read and apply large amounts of published research

— accept outcomes as the judge and jury of your work

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TheETG Track & Field Promotions Project —– http://theetgtrackclub.com/documents/TheETGTrackPromotionmasterofsport.pdf

TheETG “This Is Track & Field” document —– http://theetgtrackclub.com/documents/TheETGThisIsTrack&Fieldmasterofsport.pdf

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Professional Track & Field on TV

June 23, Friday —– [NBCSN, 10:30pm] USA Track & Field Championships…..Sacramento, California

June 24, Saturday —– [NBC, 4pm] USA Track & Field Championships…..Sacramento, California

June 25, Sunday —– [NBC, 4pm] USA Track & Field Championships…..Sacramento, California

July 1, Saturday —– [NBCSN 2pm] Diamond League…..Paris, France

July 6, Thursday —– [NBCSN 2pm] Diamond League…..Lausanne, Switzerland

July 6, Thursday —– [ESPN, time details coming] Track Town Summer Series…..New York City, New York

July 8, Saturday —– [NBC 2pm] Diamond League…..Lausanne, Switzerland

July 9, Sunday —– [NBC 1pm] Diamond League…..London, United Kingdom

July 16, Sunday —– [NBCSN 9:30pm] Diamond League…..Rabat, Morocco

July 21, Friday —– [NBCSN 2pm] Diamond League…..Monaco

August 4, Friday —– [NBCSN 7pm] World Track & Field Championships…..London, United Kingdom

August 5, Saturday —– [NBCSN 5am] World Track & Field Championships…..London, United Kingdom

August 5, Saturday —– [NBC 3pm] World Track & Field Championships…..London, United Kingdom

August 6, Sunday —– [NBCSN 5am] World Track & Field Championships…..London, United Kingdom

August 6, Sunday —– [NBC 3:30pm] World Track & Field Championships…..London, United Kingdom

August 7, Monday —– [NBCSN 2pm] World Track & Field Championships…..London, United Kingdom

August 8, Tuesday —– [NBCSN 2pm] World Track & Field Championships…..London, United Kingdom

August 9, Wednesday —– [NBCSN 2pm] World Track & Field Championships…..London, United Kingdom

August 10, Thursday —– [NBCSN 2pm] World Track & Field Championships…..London, United Kingdom

August 11, Friday —– [NBCSN 5am] World Track & Field Championships…..London, United Kingdom

August 12, Saturday —– [NBCSN 5am] World Track & Field Championships…..London, United Kingdom

August 12, Saturday —– [NBC 3pm] World Track & Field Championships…..London, United Kingdom

August 13, Sunday —– [NBCSN 5am] World Track & Field Championships…..London, United Kingdom

August 13, Sunday —– [NBC 5pm] World Track & Field Championships…..London, United Kingdom

August 20, Sunday —– [NBCSN 9pm] Diamond League…..Birmingham, United Kingdom

August 24, Thursday —– [NBCSN 2pm] WeltKlasse Diamond League…..Zurich Switzerland

August 27, Sunday —– [NBC 1pm] Diamond League–WeltKlasse…..Zurich Switzerland

Sept 1, Friday —– [NBCSN 8pm] Diamond League–Ivo Van Damme…..Brussels Belgium

Sept 3, Sunday —– [NBC 1pm] Diamond League–Ivo Van Damme…..Brussels Belgium

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next year…..January

—– New Balance Indoor Grand Prix…..Boston, Massachusetts [time & channel details coming]

next year…..February

—– Armory Track Invitational…..New York, New York [time & channel details coming]

—– Milrose Games…..New York, New York [time & channel details coming]

next year…..March

—– indoor USA Track & Field Championships [time & channel details coming]

—– indoor World Track & Field Championships [time & channel details coming]

—– indoor World Track & Field Championships [time & channel details coming]

next year…..April

—–  World Relay Championships…..Nassau Bahamas [time & channel details coming]

—– World Relay Championships……Nassau Bahamas [time & channel details coming]

—– Penn Relays…..Philadelphia Pennsylvania [time & channel details coming]

—– Drake Relays…..Des Moines, Iowa [time & channel details coming]

next year…..May

—– Diamond League…..Doha, Qatar [time & channel details coming]

—– Diamond League…..Shanghai, China [time & channel details coming]

—– Prefontaine Classic…..Eugene Oregon [time & channel details coming]

next year…..June

—– [non-pro meet] NCAA Track & Field Championships…..[time & channel details coming]

—– Diamond League…..Oslo, Norway [time & channel details coming]

—– Diamond League…..Stockholm, Sweden [time & channel details coming]

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The ETG Competent Self-Care Project

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A major part of TheETG mission is to expand the area of what is possible in competent self-care in medicine and psychology. TheETG’s primary method of achieving that is to proliferate applied science based information by way of –free– packets containing plain language info for “the average joe” seeking to move themselves or others forward in these areas.

These packets attempt to address the following problem………….

 

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Competent Self-Care: Medicine…….The best medicine comes with no risk-versus-benefit equations to contemplate, no daily violations of “first, do no harm”, no whac-a-mole medicine being practiced to medicate each health issue as it pops up. To be a good doctor one must -first- be a good physiologist. And in order to have a fully functioning health care system available to all human beings in America its core must be comprised of competent self-care and good physiologists.

Competent Self-Care: Psychology…….So-called “mental health professionals” should practice more mental health and less pharmacology. The goal of applied psychology is to empower people to achieve self-mastery. This should be the goal of competent self-care and all psychologists. Parenting….dysfunction moves from the parents, into the home, into the kids, into the streets, into the norm. Personal growth toward being a fully functional human being can move from the parents, into the home, into the kids, into the streets, into the norm.

see the free pdf packets, Medical Message Of The Day, and Human Psychology Message Of The Day on TheETG Competent Self-Care Packets page of this website.

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To be a good medical patient one must -first- be a good consumer.

To be a good consumer of health care services one must be willing to….

put fixing a problem ahead of medicating one

discern between what is known and what -your- doctor knows

put outcomes ahead of loyalty to your doctor and your doctor’s kind demeanor

put your life ahead of loyalty to your doctor

avoid emtionalizing disease and allowing emotion to make health care choices

avoid seeking a 2nd opinion from practitioners of the same brand name of medicine that produced the first one

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TheETG Medical Message Of The Day

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Buyer beware. The quackery of traditional medicine……
“Inappropriate imaging for low back pain can cause harm in three ways: Misinterpretation of results by clinicians resulting in unhelpful advice, needless subsequent investigations (downstream testing) and invasive interventions, including surgery; Misinterpretation of results by patients resulting in catastrophisation, fear and avoidance of movement and activity, and low expectations of recovery; Side effects such as exposure to radiation.”

Problems associated with excessive imaging for low back pain are well recognised and useful evidence-based guidelines have been developed to help clinicians determine when investigation is appropriate. However, currently, 42% of patients with low back pain receive an X-ray, CT or MRI within 1 year of diagnosis, and of these, 80% receive imaging within 1 month of presentation.”

“The uptake of imaging guidelines is likely to be similarly insufficient among the sports medicine community, where lumbar imaging is frequently used.”

B.Darlow, et al
It is time to stop causing harm with inappropriate imaging for low back pain
British Journal Of Sports Medicine -Volume 57 #5 — March 2017

“These media reports highlight the problem of back pain in sport. From the reports it would appear that athletes’ back symptoms are serious and linked to structural damage. Athletes appear to be managed with rest or limiting training and competition, early referral for advanced imaging that often leads to invasive treatments and a requirement that symptoms settle before full sporting participation can resume. Such an approach to management contradicts current guidelines for back pain.”

B.Darlow, P.B.O’Sullivan
Why are back pain guidelines left on the sidelines? Three myths appear to be guiding management of back pain in sport
British Journal Of Sports Medicine — November 2016 – Volume 50 #21

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TheETG back, neck, & frozen shoulder repair —– http://theetgtrackclub.com/documents/TheETGbackshoulderrepair.pdf

McKenzie Method physical therapy is –the– most effective and researched method of resolving back pain. It also empowers the patient to fix future problems should they arise, and do it on their own.
——- McKenzie Method diplomaed practitioner or McKenzie certified ….
http://www.mckenziemdt.org/method.cfm

“High intensity interval training can produce similar if not greater improvements in cardiorespiratory fitness, an independent protective factor against premature death, and some health-related parameters compared to conventional, moderate intensity continuous training.

“High intensity interval training takes substantially less time to complete and this enhances its potential in public health promotion given that lack of time is one of the barriers to long-term adherence to physical activity and exercise training.”

High intensity interval training describes exercise bouts of 10 seconds to 4 minutes with ‘all-out’ maximal effort or intensities of 85–95% of maximum heart rate interspersed by periods of low activity or rest (30 seconds to 4 minutes).

“Despite the accumulated evidence, very little improvement has been made in terms of high intensity interval training implementation in real life settings…”

G.P. Nassis
High-intensity interval training: how much pain to get a gain?
British Journal Of Sports Medicine — Volume 51 #6 — March 2017

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TheETG exercise program —– http://theetgtrackclub.com/documents/TheETGexerciseprogram.pdf

 

stretching vs heart disease [a.k.a. vascular disease, a.k.a blood vessel issues]……
“Maintenance and enhancement of vascular endothelial function contribute to the prevention of cardiovascular disease and prolong a healthy life expectancy. Given the reversible nature of vascular endothelial function, interventions to improve this function might prevent arteriosclerosis.”
“Accordingly, we studied the effects of a 6-month static stretching intervention on vascular endothelial function and arterial stiffness and investigated the reversibility of these effects after a 6-month detraining period following intervention completion.”

“The study evaluated 22 healthy, non-smoking, premenopausal women aged ≥40 years. Subjects were randomly assigned to the full-intervention (n = 11; mean age: 48.6 ± 2.8 years) or a half-intervention that included a control period (n = 11; mean age: 46.9 ± 3.6 years).”

“Body flexibility and vascular endothelial function improved significantly after 3 months of static stretching.”

“In addition to these improvements, arterial stiffness improved significantly after a 6-month intervention. However, after a 6-month detraining period, vascular endothelial function, flexibility, and arterial stiffness all returned to preintervention conditions, demonstrating the reversibility of the obtained effects.”

“A 3-month static stretching intervention was found to improve vascular endothelial function, and an additional 3-month intervention also improved arterial stiffness. However, these effects were reversed by detraining.”

H.Shinno, et al
Evaluation of a static stretching intervention on vascular endothelial function and arterial stiffness
European Journal Of Sport Science — Volume 17 #5 — 2017 — page 586

Nutrition Medicine = food and/or supplements as medicine……….
“With the numerous failures of pharmaceuticals to treat traumatic brain injury in humans, more researchers have become interested in combination therapies. This is largely due to the multimodal nature of damage from injury, which causes excitotoxicity, oxidative stress, edema, neuroinflammation and cell death.”
“Over the past 20 years, interest in supplementation and supraphysiologic dosing of nutrients for brain injury has increased and indeed many vitamins and nutrients now have a considerable body of the literature backing their use.”
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“Here, we review several of the prominent therapies in the category of nutraceutical treatment for brain injury in experimental models, including vitamins (B2, B3, B6, B9, C, D, E), herbs and traditional medicines (ginseng, Gingko biloba), flavonoids, and other nutrients (magnesium, zinc, carnitine, omega-3 fatty acids). While there is still much work to be done, several of these have strong potential for clinical therapies….”
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C.V.Haar, et al
Vitamins and nutrients as primary treatments in experimental brain injury: Clinical implications for nutraceutical therapiesReview Article
Brain Research — Volume 1640 — June 2016 — page 114

“In patients with adrenal insufficiency a higher hydrocortisone intake has been associated with more impairment in quality of life.”

“Irrespective of age, sex and severity of adrenal insufficiency the dosage of hydrocortisone is titrated around 20 mg/D in all patients with adrenal insufficiency based on physical and mental signs and symptoms.”

“This study aimed to explore whether quality of life in patients with adrenal insufficiency is associated with hair cortisol and daily hydrocortisone intake. We performed a cross-sectional study in 120 patients with adrenal insufficiency on stable hydrocortisone replacement, in whom hair samples and quality of life data were collected.”

“The present study showed that patients with adrenal insufficiency report several impairments in quality of life which are associated with hydrocortisone intake, and to a lesser extent reflected by chronic systemic cortisol exposure as measured by hair cortisol.”

C.D. Andela, et al
Quality of life in patients with adrenal insufficiency correlates stronger with hydrocortisone dosage, than with long-term systemic cortisol levels
Psychoneuroendocrinology — Volume 72 — October 2016 — page 80

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see the free pdf packets, Medical Message Of The Day, and Human Psychology Message Of The Day on TheETG Competent Self-Care Packets page of this website.

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TheETG Human Psychology Message Of The Day

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[terms…..hippocampus = area of the brain largely responsible for memory]
[terms…..hippocampal volume loss = loss of brain cells in the hippocampus]
[terms…..hippocampal volume loss is also called dementia, Alzheimer’s dementia, etc]

“Low socioeconomic position has been linked to an increased risk of dementia and cognitive decline…..This study examines the relationships between indicators of life-course socioeconomic position with both hippocampal volume and hippocampal volume loss in a population-based cohort of 1,328 older adults aged 65 to 80 years.”

“…..associations of socioeconomic position with baseline hippocampal volume and the annual rate of hippocampal volume atrophy….”
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“Participants with lower midlife socioeconomic position had smaller hippocampal volume and faster hippocampal atrophy than participants with higher midlife socioeconomic position.”

“Childhood and early adulthood socioeconomic positions were not related to hippocampal measures.”

“The accumulation-of-risk and the social mobility models revealed that the accumulation of socioeconomic disadvantage and declining socioeconomic trajectories were related to faster hippocampal atrophy.”

“In this cohort of older adults, lower socioprofessional attainment in midlife and disadvantageous life-course socioeconomic position were associated with faster hippocampal atrophy, a cerebral change linked to cognitive disorders. Results support the hypothesized links between socioenvironmental exposures related to stress and/or cognitive enrichment and brain/cognitive reserve capacities.”

M. Elbejjani, et al
Life-Course Socioeconomic Position and Hippocampal Atrophy in a Prospective Cohort of Older Adults
Psychosomatic Medicine — Volume 79 #1 — January 2017 — page 14

[lesbian, gay, bisexual = 1 of every 15 high school students]
“…health and well being of the estimated 1.3 million lesbian, gay, bisexual high school students in the United States.”
“Stigma and discrimination experienced during adolescence can have lifelong health consequences. In addition, risky health behaviors are often established during adolescence and can be particularly prevalent among those aged 13 to 18 years experiencing stigma. Lesbian, gay, and bisexual adolescents are at higher risk for stigma and discrimination than their heterosexual counterparts.”

Stephanie Zaza, MD, MPH, Laura Kann, PhD, Lisa C. Barrios, DrPH
Lesbian, Gay, and Bisexual AdolescentsPopulation Estimate and Prevalence of Health Behaviors
Journal Of The American Medical Association — Volume 316 #22 — December 13, 2016 — page 2355

http://jamanetwork.com/journals/jama/article-abstract/2544466

Mind-body medicine……
“Major depressive disorder is a stress-related psychiatric disorder. A subgroup of major depressive disorder patients is characterized by increased inflammatory activation. We aimed to investigate whether increased inflammation particularly occurs in major depressive disorder patients with a history of stressful early or later life experiences.”
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“….in the subgroup of traumatized major depressive disorder patients, higher severity of childhood sexual abuse was associated with higher levels of both IL-6 and TNF-α in a linear fashion.”
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“Our data suggest a linear relationship between childhood sexual abuse and increased pro-inflammatory cytokine levels in major depressive disorder patients, while more recent stressful life events were not related to these inflammatory markers.
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L.Grosse, et al
Cytokine levels in major depression are related to childhood trauma but not to recent stressors
Psychoneuroendocrinology — Volume 73 — November 2016 — page 24

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TheETG mind-body medicine —– http://theetgtrackclub.com/documents/TheETGmindbodymed.pdf

 

rat study on probiotics -vs- major depression……
“The gut microbiota has recently emerged as an important regulator of brain physiology and behaviour in animals, and ingestion of certain bacteria (probiotics) therefore appear to be a potential treatment for major depressive disorder.”
“We therefore aimed at investigating whether the habitual diet may interact with the effect of probiotics on depression-related behaviour and further examined some potentially involved mechanisms underlying the microbe-mediated behavioural effects.”

“Independently of diet, probiotic treatment markedly reduced depressive-like behaviour….”

“…..probiotic treatment skewed the cytokine production by stimulated blood mononuclear cells towards IFNγ, IL2 and IL4 at the expense of TNFα and IL6. In addition, probiotics lowered hippocampal transcript levels of factors involved in HPA axis regulation….”

“…..probiotics raised the level of indole-3-propionic acid, a potential neuroprotective agent.”

“Our findings clearly support probiotics as a potential treatment strategy in Major Depressive Disorder. Importantly, the efficacy was not attenuated by intake of a “Western pattern” diet associated with Major Depressive Disorder. Mechanistically, the HPA axis, immune system and microbial tryptophan metabolism could be important in this context. Importantly, our study lend inspiration to clinical trials on probiotics in depressed patients.”

A.Abildgaard, et al
Probiotic treatment reduces depressive-like behaviour in rats independently of diet
Psychoneuroendocrinology — Volume 79 — May 2017 — page 40

“…..reduced gray matter volume in several cerebral areas and with cognitive performance decline in different cognitive domains.”
“Older adults showed less gray matter volume than younger adults within frontal, striatal, and cerebellar brain regions. In the group of older adults, significant correlations were found between striatal gray matter volume and memory performance and between prefrontal/temporal gray matter volume and executive functioning. The only direct overlap between brain regions associated with regional atrophy and cognitive performance in older adults was found for the right caudate: older adults showed reduced caudate volume relative to younger adults.”

“Moreover, caudate volume was positively correlated with associative memory accuracy in older adults and older adults showed poorer performances than younger adults in the respective associative memory task. Taken together, the current findings indicate the relevance of the caudate for associative memory decline…..”

E.Bauer, et al
The significance of caudate volume for age-related associative memory decline
Brain Research — Volume 1622 — October 5, 2015 — page 137

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see the free pdf packets, Medical Message Of The Day, and Human Psychology Message Of The Day on TheETG Competent Self-Care Packets page of this website.

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Mind-body medicine is founded on the basic principle that the brain controls or influences the function of all cells in the body by direct connection to them via the nervous system, or via chemical interaction via release of hormones or substances called neuro-peptides.

Hence the importance of and awareness of the existence of mind-body medicine. And the importance of utilizing mind-body medicine and integrating into the practice of medicine in the United States.