Pacing and Positioning Strategies During an Elite Fixed-Gear Cycling Criterium.

Fixed-gear cycling performance during criteriums predominantly involves the aerobic system. Whether pacing is another important factor for performance is unknown. The purpose of the present study was to explore pacing and/or positioning strategies of fixed-gear riders during criteriums. Race results of an international fixed-gear criterium were analyzed (20 laps for women and 28 laps for men; laps = 1,270 m). Statistics were conducted on individuals lap time and positioning during the finals. Race pattern in women (n = 35) and men (n = 53) revealed that the faster laps (P < 0.05) were in the middle and at the end of the race and the slower laps (P < 0.05) were at the end of the race (laps 17-18 for women and lap 26 for men). The final ranking was significantly correlated with the mean race position (Kendall's tau = 0.664 and 0.689 for women and men, respectively). A coefficient of variation >50% revealed an important positioning variability. The best riders are mostly amongst the first during the race. However, the others exhibited larger mean position variations during the first half of the race. Our results demonstrated variable pacing strategies during fixed-gear criteriums. Although some riders had economical drafting strategies during the first half of the race, riding placed ahead during the whole race seemed to be an essential performance factor.

Photography in Telemedicine: Improving Diagnosis of Chronic Graft-Versus-Host Disease.

BACKGROUND: The long-term follow-up (LTFU) team at the Seattle Cancer Care Alliance uses telemedicine to diagnose and treat post-transplantation complications in hematopoietic cell transplantation (HCT) survivors. Photos are often requested via the telemedicine service to aid in diagnosis, but they are typically of poor quality, making them unusable. OBJECTIVES: This project offered bachelor of science in nursing students, partnered with a comprehensive cancer center, the opportunity to participate in an evidence-based practice project to improve detection and management of chronic graft-versus-host disease (cGVHD) in patients after HCT. METHODS: Students partnered with RNs to develop instructional tools using multiple evidence sources. A brochure and video were developed. FINDINGS: Providing these instructional tools to those in the LTFU program improved patient outcomes for managing cGVHD through telemedicine. This partnership provided an opportunity for mutual learning and improved clinical practice.