15 days supporting Mark Beaumont – an insight from Physio Claire Guthrie

15 days supporting Mark Beaumont – an insight from Physio Claire Guthrie

1 man

2 wheels 

16 countries

18032 miles 

78 days, 14 hours and 40 minutes. 

The statistics of a brand-new Guinness World Record for the circumnavigation of the world on a bicycle and the incredible achievements of adventure cyclist Mark Beaumont. He did it! In perspective, Mark has taken an astounding 44 days off the previous record of 123 days set in 2015!

For those of you who missed my earlier blog (click here), or failed to notice my absence from clinic over summer (I assume it has been a rather quieter place!), I was fortunate enough to have been part of the incredible team of mechanics, logistics managers, drivers, navigators, chefs and performance staff supporting Mark for the Australian leg of his journey. And boy do I feel lucky. You may however have been forgiven for mistaking my gratitude for teenage mood swings during my stint on the road with Mark – after all 4 hours of sleep per day is enough to make anyone cry, laugh and frown all at once.

So… just in case you may have thought I was simply sunning myself and drinking some lovely Aussie wine for a month, I thought you may appreciate a small insight into the daily routine of an endurance cyclist and their support team during a world record attempt.

Daily routine: 

3.15am. First alarm – the fear kicks in. Goal – get dressed and prepare Mark’s breakfast in the motor home whilst avoiding waking him.

3.30am. Wake Mark.

3.45am. Whilst Mark weighs himself, dresses (his kit has previously been laid out), eats breakfast, takes his supplements, I prepare bottles and first feeds for on the bike.

3.55am. Media crew film Mark’s start of day interview.

4am. Mark gets on his bike and heads off. Cue manic tidy up of breakfast and we quickly get on the road to follow Mark.

4-8am. First 4-hour cycling block. Navigation via Strava route planner and paper maps – with amendments as required to minimise use of rough or horribly busy roads. Driving duties rotated between all team members. Updating of logbooks and washing of lycra – in wet weather Mark could get through 2-3 sets of kit. Small meals/Snacks and Fluids provided every 45-60 mins to ensure Mark maintains his energy levels – an astounding 9000 calories per day were required to do so!

8am. Second breakfast and catnap break. At this break, to prevent large time-zone changes across the country, clocks were advanced by 10 minutes. The new time was entitled ‘Challenge Time’.

8.30-12.30pm. Second 4 hour cycling block. As 4-8am.

12.30pm. Lunch and Physiotherapy. See pics for incredible roadside physiotherapy spots!

1-5pm. Third 4 hour cycling block. As 4-8am.

5pm. Second lunch. Physiotherapy or nap where required.

5.30-9.30pm. Final 4 hour cycling block. As 4-8am.

9.20pm. Team locate appropriate overnight stopping place on the road ahead of Mark.

9.30pm. Mark gets off his bike. Mechanic assesses bike for wear and tear and cleans. Media team film end of day interview with Mark and the team.

9.40pm. Shower in motor home.

9.45pm. Evening meal whilst receiving physiotherapy or compression therapy.

10pm. Bedtime for Mark.

10.30-11pm. Bedtime for team following route review for following day and evening meal.

And repeat…

After only 15 days on the road with the team, I managed a 13 hour sleep – undisturbed.

Perhaps the most incredible thing to consider in Mark’s achievement, is the extent to which my cognitive abilities had been depreciated after 15 days of this (I struggled to order some food in a restaurant following waving them off at the airport!).

Mark repeated this regimen 79 times.

Mark’s record was very much a supported expedition. Without the team closely monitoring his sleep, fatigue and fuelling, I fear that Mark’s safety on the road would have been somewhat compromised with such reduced cognition.

However, in the cycling community, unsupported endurance cycling events are becoming more and more popular. Crazy or heroic? I will let you decide. Regardless, my respect for athletes who can push their mind and bodies to this extent has grown immensely seeing such an extreme example first hand.

Hopefully many of you managed to follow Mark’s journey, or at least caught a glimpse of him on national TV completing his world cycle at the Arc de Triomphe in Paris on Monday evening.

You can see more photos and clips of the entire journey and his recovery as it unfolds at www.artemisworldcycle.com, on facebook @MarkBeaumontAdventures and twitter @MrMarkBeaumont.

Otherwise, I am now very much back in clinic and looking forward to seeing both old and new faces in my clinic room telling tales of their personal goals. Regardless of whether that goal may be to climb the stairs at home, or Mount Kilimanjaro, I will be waiting to map out that journey with you.

Until next time,

Claire

 

Claire Guthrie

Chartered Physio

Ocean Physio & Rehab

 

1-claire-and-mark2-claire-and-mark05-04_morning-take-off_mark-beaumont

6-claire-and-mark5-claire-and-mark4-claire-and-mark

 

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    بررسی رفتارهای مرتبط با سلامت افراد، نقش
    مهمی در برنامه ریزی برای
    سلامت جمعیت دارد. به عنوان مثال، اگر یک مشکل سلامتی در یک منطقه جغرافیایی
    یا گروه جمعیتی خاص در حال افزایش است، این
    دانش می تواند به مداخلات بهداشتی هدفمند کمک کند که می تواند این افزایش را مهار کند.

    اخیراً، توجه به مشکلات سلامتی که
    توسط جامعه لزبین، همجنس گرا، دوجنس گرا
    و ترنسجندر (LGBT) تجربه می شود، افزایش یافته
    است. برای کمک به درک بزرگی و علل این مسائل،
    دولت های مختلف فرآیند جمع آوری اطلاعات در مورد مشکلات بهداشتی LGBT را آغاز کرده
    است. اما این مسائل را چطور می توان اندازه گیری کرد؟

    ممکن است بدیهی به نظر برسد که اگر می خواهید گرایش
    جنسی کسی را بدانید، می توانید به سادگی از او بپرسید
    “آیا شما همجنسگرا هستید؟” اما در واقع، موضوع پیچیده تر
    از این است. اخیراً، مرکز ملی آمار
    سلامت گزارشی درباره نحوه پرسیدن این سؤالات برای نظرسنجی مصاحبه ملی سلامت منتشر کرده است.

    استریت چیست
    استریت چیست
    برای این مصاحبه سلامتی، جنبه اصلی گرایش جنسی
    که آنها علاقه مند به مطالعه آن هستند، هویت جنسی است.
    طراحی کنندگان گزارش این کلمه را به عنوان
    “مفهومی از خود تعریف می کنند که در یک
    زمینه اجتماعی شکل می گیرد و
    رابطه آنها را با افراد، گروه ها و نهادهای
    اجتماعی سیاسی در آن زمینه تعریف می کند.” منظور آنها از این نظرسنجی
    و مصاحبه این است که به جای تمرکز بر اینکه افراد از نظر جنسی به چه کسانی جذب می شوند یا با چه کسانی رابطه
    جنسی دارند، علاقه اصلی آنها به
    جنبه های هویتی را با سؤالات
    و گزینه های جواب تعیین کنید
    (مثلاً با این سؤال “آیا لزبین هستید؟”).

    منطق آنها این است که “در زمینه سلامت، هویت جنسی برای
    درک دسترسی پاسخ دهندگان به مراقبت های
    بهداشتی و متعاقباً کیفیت مراقبتی که ارائه می شود، مفید است.

    همچنین در درک عوامل خطر مانند
    رژیم غذایی، ورزش، الگوهای استرس و سیگار کشیدن به عنوان این عوامل ارتباط تنگاتنگی
    با اجتماع و همچنین تصور از
    خود دارند. توجه به این نکته مهم است که اگرچه افراد ممکن است هویت خود را در چارچوبی
    از اینکه با چه کسی رابطه جنسی دارند یا به چه
    کسی جذب می‌شوند، تصور کنند، رفتار و جاذبه
    به خودی خود هویت را تشکیل نمی‌دهند، این معناست (به‌ویژه تعابیری که افراد آن رفتارها و تجربیات را نسبت می‌دهند) که مشخص
    می‌کند در نهایت چگونه هویت خود را مفهوم‌سازی
    می‌کنند.

    دیدگاه آنها این است که هویت مهمترین بُعد برای مطالعه نابرابری های سلامت است، اگرچه آنها اذعان دارند که ابعاد دیگری مانند رفتار جنسی ممکن است
    برای مسائل خاص سلامتی (به عنوان مثال عفونت های
    مقاربتی) مهم تر باشد.

    استریت چیست
    استریت چیست
    این گزارش اذعان می‌کند که سنجش هویت جنسی چالش‌هایی را به همراه دارد، چون مفهومی پیچیده است که در زمینه‌های اجتماعی و سیاسی ریشه دارد و می‌تواند در طول زندگی تغییر کند.

    این گزارش تاکید می کند که در حالی که هویت جنسی یک ساختار مهم برای افراد برای افرادی با گرایش های جنسی
    متفاوت (که گاهأ دگرباش جنسی نامیده می شوند) است ،
    بسیاری از افراد غیر اقلیت هویت برجسته ای ندارند.
    بر اساس این گزارش، ” این پاسخ دهندگان (که برای همه مقاصد به عنوان دگرجنس گرا دسته بندی می شوند)، اغلب افراد
    همجنس گرایان را از خود دور
    می کنند.” به عبارت دیگر، آنها بیشتر به عنوان «همجنس‌باز» شناخته می‌شوند تا
    «دگرجنس‌گرا». مطالعات قبلی مصاحبه شناختی نشان
    داد که به دلیل توجه محدود به گرایش جنسی در
    میان اکثریت، پاسخ دهندگان می توانند کلمات “همجنس
    گرا” و “دگرجنس گرا” را اشتباه بگیرند و معتقدند که “دگرجنس گرا”
    به معنای همجنس گرا بودن و “همجنس گرا” به معنای استریت بودن است.

    در واقع محققان دریافتند که کلمه
    “استریت” در بین انگلیسی
    زبانان به خوبی درک نمی شود و در عوض اغلب به معنای
    “مستقیم” تفسیر می شود.

    پس از در نظر گرفتن این مسائل، گزارش مجموعه‌ای از
    اصول طراحی را برای اطلاع از انتخاب سؤالات توصیه‌شده برای نظرسنجی مصاحبه ملی سلامت بعدی تشریح می‌کند.
    اینها شامل استفاده از برچسب‌های معمول و روزمره است که مردم برای اشاره به خود استفاده می‌کنند (یعنی «گی» به جای «همجنس‌گرا»)، اجتناب
    از برچسب‌هایی که مردم نمی‌فهمند (مثلاً «لزبین)» و استفاده از
    سؤالات بعدی برای تجزیه پاسخ‌های مبهم.

    تست گرایش استریت
    بنابراین محققان برای سنجش هویت جنسی خود به
    چه چیزی اکتفا کردند؟

    نمونه سؤالی که پرسیده می‌شود در ادامه آورده
    شده است.

    هویت جنسی خود را چگونه تصور می کنید:

    الف) [برای زنان] لزبین

    ب) [برای زنان] استریت، یعنی نه لزبین یا
    همجنس گرا

    ج) [برای مردان] همجنس گرا یا گی

    د) [برای مردان] استریت، یعنی همجنس
    گرا نیست

    ه) دوجنسه

    و) چیز دیگری (به الف بروید)

    ی) نمی دانم (به ب بروید)

    اگر پاسخ دهنده و را انتخاب کند، از او سؤالات
    زیر می شود:

    منظور شما از چیز دیگری این است که …
    شما رک نیستید، اما با برچسب دیگری مانند
    دگرباش، سه‌جنس‌گرا، همه‌جنس‌گرا یا پان‌جنس‌گرا هویت می‌گیرید.

    شما تراجنسیتی، ترنس سکشوال یا جنسیتی هستید
    شما جنسیت خود را کشف نکرده اید یا در حال کشف آن
    هستید
    شما خودتان را دارای تمایلات جنسی نمی دانید
    شما از برچسب برای شناسایی خود استفاده نمی
    کنید
    شما اشتباه کردید و قصد انتخاب این پاسخ را نداشتید
    منظور شما چیز دیگری است (به C بروید)
    اگر پاسخ دهنده “نمی دانم” را انتخاب کند، از
    او خواسته می شود که به شرح زیر عمل کند:

    پاسخی برای سوال وارد نکردید.
    به این دلیل است که شما:
    شما معنی کلمات را نمی فهمید
    شما کلمات را درک می کنید، اما جنسیت خود را کشف نکرده اید یا
    در حال کشف آن هستید
    منظور شما چیز دیگری است (به C بروید)
    پاسخی برای سوال وارد نکردید. به این
    دلیل است که شما:
    شما معنی کلمات را نمی فهمید
    شما کلمات را درک می کنید، اما
    جنسیت خود را کشف نکرده اید یا در حال کشف آن هستید
    منظور شما چیز دیگری است
    به خاطر داشته باشید که این
    معیار برای نظرسنجی‌های عمومی از جمعیت آمریکا طراحی شده است و ممکن است برای نظرسنجی‌های
    هدفمندتر از جمعیت LGBT ایده‌آل
    نباشد.

    تلفظ استریت
    اِس تِ رِیت

    استریت چیست
    استریت چیست
    دگرجنس گرا در مقابل استریت
    جنسیت یک انسان توانایی او در تجربه احساسات اروتیک نسبت به انسان های دیگر است.

    گرایش جنسی یک فرد اساساً بر سه نوع دگرجنس گرا،
    همجنس گرا یا دوجنس گرا تقسیم می شود.
    اکثر مردم در سراسر جهان دگرجنس گرا هستند، به این
    معنی که آنها احساسات عاشقانه نسبت
    به جنس مخالف دارند و همچنین با افراد جنس مخالف رابطه جنسی دارند.
    کلمه دیگری به نام استریت (Straight) برای اشاره به افراد دگرجنسگرا در جامعه ما
    به کار می رود. خیلی از افراد بین معنی کلمات دگرجنس گرا و استریت سردرگم می شوند.
    این مقاله در مورد این موضوع که آیا تفاوت‌های بین استریت و
    دگرجنس‌گرا وجود دارد یا نه بحث می‌کند.

    دگرجنس گرا
    دگرجنس گرا واژه ای است که برای توصیف گرایش جنسی یک مرد یا یک زن به کار می
    رود. داشتن احساسات عاشقانه یا تمایلات جنسی به یک مرد یا زن برای
    سایر اعضای جنس مخالف طبیعی تلقی می شود.
    زمانی که فردی با جنس مخالف رابطه فیزیکی داشته باشد، دگرجنس‌گرا نامیده می‌شود.
    کشش جنسی یا احساسات شهوانی نسبت به اعضای جنس مخالف نیز یک
    فرد را به عنوان دگرجنس گرا معرفی می کند.

    یک فرد دگرجنسگرا با افرادی که همجنسگرا هستند
    در تضاد است، چون یک مرد دگرجنس گرا احساسات عاشقانه نسبت
    به زنان دیگر دارد در حالی که یک زن
    دگرجنسگرا فقط با مردان دیگر رابطه جنسی خواهد داشت.

    استریت چیست
    استریت چیست
    استریت
    استریت یا سر راست به چیزهایی می‌گویند که کج و فریبنده نباشند.
    برای درک بهتر معنی کلمه استریت یک خط مستقیم می‌کشیم و به مردی می‌رسیم که تحت تأثیر مواد
    مخدر نیست با جنس مخالف رابطه جنسی
    دارد .در واقع، این کلمه امروزه به نمایندگی از افرادی در جامعه ما آمده
    است که دگرجنس گرا هستند، هرچند که در اوایل قرن بیستم به عنوان زبان
    عامیانه LGBT سرچشمه گرفته است. استریت به عنوان یک کلمه در مکالمات غیر رسمی برای اشاره به گرایش جنسی فرد رایج شد.
    عبارت to go straight به معنای داشتن
    رابطه جنسی با جنس مخالف، برخلاف همجنس گرایان و لزبین ها بود.

    دی استریت باشد، در این صورت رابطه جنسی با افراد همجنس خود را غیرنرمال و خارج از روتین های اخلاقی می داند

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    این اسیدآمینه یکی از آمینواسید­های ضروری بوده و کاهش
    سطح سرمی آن منجر به بروز ناهنجاری در جنین می­شود .
    همچنین از تعداد کل 111 جنین مربوط به گروه تجربی I در 5 جنین (5/4 درصد)، از تعداد کل 100
    جنین مربوط به گروه تجربی II در 5 جنین (5 درصد) و از تعداد کل 99 جنین مربوط به گروه تجربیIII در 6 جنین (06/6 درصد) تیروئید فولیکولار مشاهده گردید (شکل 2).

    معمولا پزشکی گاباپنتین را با دوز کم تجویز کرده و سپس دوز آن را به
    تدریج افزایش می‌دهد و به سطحی
    می‌رساند که بهترین عملکرد را برای شما داشته باشد.
    در این مطالعه تجربی، از 40 سر موش ماده
    نژاد NMRI با سن 5/2 ماهه و دارای وزن تقریبی 2 30 گرم استفاده
    شد. حیوانات در شرایط آزمایشگاهی کنترل
    شده و در اتاق حیوانات در دمای ٢٣ تا ٢٥ درجه سانتی‏گراد، رطوبت ۵۰ تا 55 درصد و تناوب روشنایی و تاریکی ١٢ ساعته نگهداری شدند.
    در مدت نگهداری، حیوانات از غذای
    خشک استاندارد و آب شرب شهری استفاده نمودند.

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