Harvard Step Test
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Harvard Step Test
The Harvard step test, in scientific literature sometimes referred to as the Brouha Test, is a type of cardiac stress test for detecting and diagnosing cardiovascular disease. It is also a good measurement of fitness and a person's ability to recover after a strenuous exercise by checking the recovery rate. The test was developed by Lucien Brouha and his associates in 1942. Procedure The test subject repeatedly steps onto and off of a platform in a cycle of two seconds. The height of the platform is for men and for women. The rate of 30 steps per minute must be sustained for five minutes or until exhaustion. To ensure the right speed, a metronome is used. Exhaustion is the point at which the subject cannot maintain the stepping rate for 15 seconds. The subject immediately sits down on completion of the test, and the heartbeats are counted for 1 to 1.5, 2 to 2.5, and 3 to 3.5 minutes. The results are written down as ''time until exhaustion in seconds'' (t_e) and ''total heartb ...
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Cardiac Stress Test
A cardiac stress test (also referred to as a cardiac diagnostic test, cardiopulmonary exercise test, or abbreviated CPX test) is a cardiological test that measures the heart's ability to respond to external stress in a controlled clinical environment. The stress response is induced by exercise or by intravenous pharmacological stimulation. Cardiac stress tests compare the coronary circulation while the patient is at rest with the same patient's circulation during maximum cardiac exertion, showing any abnormal blood flow to the myocardium (heart muscle tissue). The results can be interpreted as a reflection on the general physical condition of the test patient. This test can be used to diagnose coronary artery disease (also known as ischemic heart disease) and assess patient prognosis after a myocardial infarction (heart attack). Exercise-induced stressors are most commonly either exercise on a treadmill or pedalling a stationary exercise bicycle ergometer. The level of stress ...
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Cardiovascular Disease
Cardiovascular disease (CVD) is a class of diseases that involve the heart or blood vessels. CVD includes coronary artery diseases (CAD) such as angina and myocardial infarction (commonly known as a heart attack). Other CVDs include stroke, heart failure, hypertensive heart disease, rheumatic heart disease, cardiomyopathy, abnormal heart rhythms, congenital heart disease, valvular heart disease, carditis, aortic aneurysms, peripheral artery disease, thromboembolic disease, and venous thrombosis. The underlying mechanisms vary depending on the disease. It is estimated that dietary risk factors are associated with 53% of CVD deaths. Coronary artery disease, stroke, and peripheral artery disease involve atherosclerosis. This may be caused by high blood pressure, smoking, diabetes mellitus, lack of exercise, obesity, high blood cholesterol, poor diet, excessive alcohol consumption, and poor sleep, among other things. High blood pressure is estimated to account for approximat ...
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Lucien Brouha
Lucien Antoine Maurice Brouha (26 October 1899 – 6 October 1968) was a Belgian rower who later became a notable exercise physiologist in the United States. He won three medals (one silver and two bronze) at European Rowing Championships between 1921 and 1924. He attended the 1924 Paris Olympics but his team was eliminated in the repechage. In his early medical career, he helped develop an early pregnancy test at the University of Liège. From the 1930s, his academic interest shifted towards exercise physiology. Between 1934 and the outbreak of World War II, Brouha travelled on scholarships on several occasions to conduct research at universities in the United States. Having been imprisoned during World War I, he left Belgium for Paris due to increasing tension with Nazi Germany in early 1940. Later in 1940, Brouha relocated to Harvard University, Massachusetts. At Harvard, he focused on military research for the United States Army. He is best known for developing the Harvard ...
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Harvard University
Harvard University is a private Ivy League research university in Cambridge, Massachusetts. Founded in 1636 as Harvard College and named for its first benefactor, the Puritan clergyman John Harvard, it is the oldest institution of higher learning in the United States and one of the most prestigious and highly ranked universities in the world. The university is composed of ten academic faculties plus Harvard Radcliffe Institute. The Faculty of Arts and Sciences offers study in a wide range of undergraduate and graduate academic disciplines, and other faculties offer only graduate degrees, including professional degrees. Harvard has three main campuses: the Cambridge campus centered on Harvard Yard; an adjoining campus immediately across Charles River in the Allston neighborhood of Boston; and the medical campus in Boston's Longwood Medical Area. Harvard's endowment is valued at $50.9 billion, making it the wealthiest academic institution in the world. Endowment inco ...
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Tecumseh Step Test
The Tecumseh step test is an exercise test that researchers use to determine a subject's cardiovascular fitness level. The Tecumseh step test is a modified version of the Harvard Step Test developed by Professor Henry J. Montoye. The main differences from the original protocol were the lower step height (8 inches instead of 20), the more moderate stepping rate (24 steps/min instead of 30) and the shorter duration (3 minutes instead of 5 minutes). These alterations made this test easier to perform and suitable for epidemiological studies. The Tecumseh step test was employed in the Tecumseh Community Health Study run between the 1950s and 60s. During this epidemiological Epidemiology is the study and analysis of the distribution (who, when, and where), patterns and determinants of health and disease conditions in a defined population. It is a cornerstone of public health, and shapes policy decisions and evidenc ... study, around 5,488 people performed the Tecumseh step t ...
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United States Forest Service
The United States Forest Service (USFS) is an agency of the U.S. Department of Agriculture that administers the nation's 154 national forests and 20 national grasslands. The Forest Service manages of land. Major divisions of the agency include the Chief's Office, National Forest System, State and Private Forestry, Business Operations, and Research and Development. The agency manages about 25% of federal lands and is the only major national land management agency not part of the U.S. Department of the Interior, which manages the National Park Service, the U.S. Fish and Wildlife Service, and the Bureau of Land Management. History The concept of national forests was born from Theodore Roosevelt's conservation group, Boone and Crockett Club, due to concerns regarding Yellowstone National Park beginning as early as 1875. In 1876, Congress formed the office of Special Agent in the Department of Agriculture to assess the quality and conditions of forests in the United States. ...
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University Of Montana
The University of Montana (UM) is a public research university in Missoula, Montana. UM is a flagship institution of the Montana University System and its second largest campus. UM reported 10,962 undergraduate and graduate students in the fall of 2018. It is classified among "R1: Doctoral Universities – Very high research activity" as of 2022. The University of Montana ranks 17th in the nation and fifth among public universities in producing Rhodes Scholars; it has 11 Truman Scholars, 14 Goldwater Scholars, and 40 Udall Scholars to its name. History An act of Congress of February 18, 1881, dedicated 72 sections () in Montana Territory for the creation of the university. Montana was admitted to the Union on November 8, 1889, and the state legislature soon began to consider where the state's permanent capital and state university would be located. To be sure that the new state university would be located in Missoula, the city's leaders made an agreement with the s ...
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Multi-stage Fitness Test
The multi-stage fitness test (MSFT), also known as the beep test, bleep test, PACER (Progressive Aerobic Cardiovascular Endurance Run), PACER test, FitnessGram PACER test, or the 20 m Shuttle Run Test (20 m SRT), is a running test used to estimate an athlete's aerobic capacity ( VO2 max). The test requires participants to run 20 meters back and forth across a marked track keeping time with beeps. Every minute or so, the next level commences: the time between beeps gets shorter; participants must run faster. If a participant fails to reach the relevant marker in time, they are cautioned. A second caution ends the test for that runner. The number of shuttles completed successfully is recorded as the score of that runner. The score is recorded in Level.Shuttles format (e.g. 9.5). The maximum laps on the PACER test is 247, which former Central Middle School student Dennis Mejia achieved, the only person to ever reach such a level. The test is used by sporting organizations around the ...
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Cardiology
Cardiology () is a branch of medicine that deals with disorders of the heart and the cardiovascular system. The field includes medical diagnosis and treatment of congenital heart defects, coronary artery disease, heart failure, valvular heart disease and electrophysiology. Physicians who specialize in this field of medicine are called cardiologists, a specialty of internal medicine. Pediatric cardiologists are pediatricians who specialize in cardiology. Physicians who specialize in cardiac surgery are called cardiothoracic surgeons or cardiac surgeons, a specialty of general surgery. Specializations All cardiologists study the disorders of the heart, but the study of adult and child heart disorders each require different training pathways. Therefore, an adult cardiologist (often simply called "cardiologist") is inadequately trained to take care of children, and pediatric cardiologists are not trained to treat adult heart disease. Surgical aspects are not included in cardiology ...
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Cardiology Diagnostic Tests And Procedures
The diagnostic tests in cardiology are methods of identifying heart conditions associated with healthy vs. unhealthy, pathologic heart function. Bedside History Obtaining a medical history is always the first "test", part of understanding the likelihood of significant disease, as detectable within the current limitations of clinical medicine. Yet heart problems often produce no symptoms until very advanced, and many symptoms, such as palpitations and sensations of extra or missing heart beats correlate poorly with relative heart health ''vs'' disease. Hence, a history alone is rarely sufficient to diagnose a heart condition. Auscultation '' Auscultation'' employs a stethoscope to more easily hear various normal and abnormal sounds, such as normal heart beat sounds and the usual heart beat sound changes associated with breathing versus heart murmurs. Laboratory Blood tests A variety of '' blood tests'' are available for analyzing cholesterol transport behavior, HDL, LDL, trigl ...
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Physical Fitness
Physical fitness is a state of health and well-being and, more specifically, the ability to perform aspects of Outline of sports, sports, occupations and daily activities. Physical fitness is generally achieved through proper nutrition, moderate-vigorous physical exercise, and sufficient rest along with a formal recovery plan. Before the Industrial Revolution, fitness was defined as the capacity to carry out the day's activities without undue fatigue or lethargy. However, with automation and changes in lifestyles, physical fitness is now considered a measure of the body's ability to function efficiently and effectively in work and leisure activities, to be healthy, to resist hypokinetic diseases, improve immune system and to meet emergency situations. Overview Fitness is defined as the quality or state of being fit and healthy. Around 1950, perhaps consistent with the Industrial Revolution and the treatise of World War II, the term "fitness" increased in western vernacular by ...
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