Evaluation of 2 Heat-Mitigation Methods in Army Trainees.

CONTEXT: Heat injury is a significant threat to military trainees. Different methods of heat mitigation are in use across military units. Mist fans are 1 of several methods used in the hot and humid climate of Fort Benning, Georgia. OBJECTIVES: To determine if (1) the mist fan or the cooling towel effectively lowered participant core temperature in the humid environment found at Fort Benning and (2) the mist fan or the cooling towel presented additional physiologic or safety benefits or detriments when used in this environment. DESIGN: Randomized controlled clinical trial. SETTING: Laboratory environmental chamber. PATIENTS OR OTHER PARTICIPANTS: Thirty-five physically active men aged 19 to 35 years. INTERVENTION(S): (1) Mist fan, (2) commercial cooling towel, (3) passive-cooling (no intervention) control. All treatments lasted 20 minutes. Participants ran on a treadmill at 60% V̇o2max. MAIN OUTCOME MEASURE(S): Rectal core temperature, heart rate, thermal comfort, perceived temperature, perceived wetness, and blood pressure. RESULTS: Average core temperature increased during 20 minutes of cooling (F1,28 = 64.76, P < .001, ηp2 = 0.70), regardless of group (F1,28 = 3.41, P = .08, ηp2 = 0.11) or condition (F1,28 < 1.0). Core temperature, heart rate, and blood pressure did not differ among the 3 conditions. Perceived temperature during 20 minutes of cooling decreased (F1,30 = 141.19, P < .001, ηp2 = 0.83) regardless of group or condition. Perceived temperature was lower with the mist-fan treatment than with the control treatment (F1,15 = 7.38, P = .02, ηp2 = 0.32). The mist-fan group perceived themselves to be cooler even at elevated core temperatures. CONCLUSIONS: The mist fan and cooling towel were both ineffective at lowering core temperature. Core temperature continued to increase after exercise in all groups. The mist fan produced feelings of coolness while the core temperature remained elevated, possibly increasing the risk of heat illness.

Bidirectional modulation of hippocampal gamma (20-80 Hz) frequency activity in vitro via alpha(α)- and beta(ß)-adrenergic receptors (AR).

Noradrenaline (NA) in the hippocampus plays an important role in memory function and has been shown to modulate different forms of synaptic plasticity. Oscillations in the gamma frequency (20-80 Hz) band in the hippocampus have also been proposed to play an important role in memory functions and, evidence from both in vitro and in vivo studies, has suggested this activity can be modulated by NA. However, the role of different NA receptor subtypes in the modulation of gamma frequency activity has not been fully elucidated. We have found that NA (30 µM) exerts a bidirectional control on the magnitude of kainate-evoked (50-200 nM) gamma frequency oscillations in the cornu Ammonis (CA3) region of the rat hippocampus in vitro via activation of different receptor subtypes. Activation of alpha-adrenergic receptors (α-AR) reduced the power of the gamma frequency oscillation. In contrast, activation of beta-adrenergic receptors (ß-AR) caused an increase in the power of the gamma frequency oscillations. Using specific agonists and antagonists of AR receptor subtypes we demonstrated that these effects are mediated specifically via α1A-AR and ß1-AR subtypes. NA activated both receptor subtypes, but the α1A-AR-mediated effect predominated, resulting in a reversible suppression of gamma frequency activity. These results suggest that NA is able to differentially modulate on-going gamma frequency oscillatory activity that could result in either increased or decreased information flow through the hippocampus.

Microanalysis of action and fear arousal as a function of differential levels of perceived self-efficacy.

Two experiments combining intergroup and intrasubject designs were conducted to test the hypothesis that self-percepts of efficacy operate as cognitive mediators of coping behavior and fear arousal. Differential levels of self-efficacy were induced in phobic subjects through either inactive mastery or modeling. Their coping behavior and accompanying fear arousal were then measured. In the next phase, self-efficacy was successively raised to designated levels within the same subjects, whereupon their behavior and fear arousal were again measured. Coping behavior corresponded closely to instated self-percepts of efficacy, with higher levels of perceived self-efficacy being accompanied by greater performance attainments. The efficacy-action relationship was replicated across different modes of efficacy induction, different types of behavioral dysfunctions, and in both intergroup and intrasubject comparisons. The hypothesis that fear arousal stems largely from perceived coping inefficacy also received support from the findings. As subjects' self-efficacy level was raised, they experienced progressively less anticipatory and performance distress while coping with threats. Results of a third experiment using cardiac acceleration and elevation in blood pressure as indicants of arousal further corroborate the generality of the relationship between perceived coping inefficacy and stress reactions.

Cognitive processes mediating behavioral change.

The present experiment was designed to test the theory that psychological procedures achieve changes in behavior by altering the level and strength of self-efficacy. In this formulation, perceived self-efficacy. In this formulation, perceived self-efficacy influences level of performance by enhancing intensity and persistence of effort. Adult phobics were administered treatments based upon either performance mastery experiences, vicarious experiences., or they received no treatment. Their efficacy expectations and approach behavior toward threats differing on a similarity dimension were measured before and after treatment. In accord with our prediction, the mastery-based treatment produced higher, stronger, and more generalized expectations of personal efficacy than did the treatment relying solely upon vicarious experiences. Results of a microanalysis further confirm the hypothesized relationship between self-efficacy and behavioral change. Self-efficacy was a uniformly accurate predictor of performance on tasks of varying difficulty with different threats regardless of whether the changes in self-efficacy were produced through enactive mastery or by vicarious experience alone.