All posts by Terrence E. Sweeney Ph.D.

Impressions – Week 1

IMG_1001
Ryan Clarkson
IMG_1005
Virginia Farrell

•  Going into this course I knew it would be a challenge. I’m not in great shape and science was never my strong subject. I wanted both of those aspects to change. I knew it wouldn’t take overnight but this looked like a good way to start. I really appreciate seeing all of places I could go to walk, bike or hike. I really look forward to kayaking. As challenging as some of these activities are, I wouldn’t want anything to change. It has to be a challenge for it to work. I can’t stop recommending this course to my friends and I really do hope it becomes popular.

•  I enjoyed the fitness testing earlier in the week. It was interesting to have my own capabilities quantified, instead of guessing at them subjectively. The hike at the Bear Creek Preserve and the ride on the Lackawanna Heritage Valley Trail were nice, as they were both new territory for me. The only minor issue I had with the activities so far was the street bike ride in Scranton. I’m not quite as confident riding in traffic, and consider trails a more comfortable location. I suspect, however, that this sentiment will not be as prevalent with more experience in that style of biking.

IMG_1127
Gared Zaboski
Version 2
Eva Rine
IMG_1098
Terrence Sweeney
Version 2
Tara Fay

•  My impressions of the course… Well I really didn’t know what to expect. I had a basic understanding of exercise and how to stay healthy but from the first meeting we had before class started, I could tell I was about to get into a whole lot more. After finishing the first week I realized that there is a lot more to exercise than just running and keeping active. Many of the tests we did showed me that the course was really going to be “extreme.” I thought the first week went very well. I learned a lot of new material about what physiology really was and some things I could apply to my daily routine. I can’t really think of anything that I would like to see more or less of. I’m just excited to see what other activities we will get to do during the next few weeks!
•  I didn’t really know what to expect last week, but it turned out to be awesome. The first couple days were painful, but even though I was really sore, I was sorry to miss the first bike ride. The lectures are all really interesting, and the activities are enjoyable. The professors, classmates, and guests are all really friendly.

Day 4 – LHVA Scranton Trail – Bike ride #1

Today began with morning lectures by Michael Landram, Asst. Professor of Exercise Science, who described Principles of Exercise Training, and by Dani Arigo, Asst. Professor of Psychology, who described the Psychology of Exercise.

IMG_0957
Exercise Science Asst. Prof. Michael Landram

LHVA_CNJ_RailroadAfter a quick lunch, we met Owen Worozbyt, Trail and Environmental Projects Manager, at the Lackawanna River Heritage Trail office on Railroad Ave and he led us on a bike ride on the Central New Jersey Railroad portion of the trail, stopping at a few points of interest.
Between Elm Street and the end of the paved portion of the trail in Taylor, there are several wood sculptures, including an American Indian, that Tom Austin from PennDot sculpted (more info here: http://thetimes-tribune.com/news/native-american-carved-out-of-tree-stands-sentry-over-river-trail-1.1413175).

IMG_2002
LHVA’s Owen Worozbyt (right) describes wood sculptures along the trail

There is also a trailside multi-use athletic field, an amphitheater, and a medicinal herb garden on the trailside.  Owen also took us to the section of the trail that is a spur to Providence Rd. near Scranton High School and showed us the recent trail work that widened that section of trail to make it more inviting to pedestrians.

Mural created along the newly improved CNJRR portion of the trail
Mural created along the newly improved CNJRR portion of the trail

Eventually Owen had to return to work, but the Extreme Phizzers continued on a ride through Scranton’s city streets.  Our ambition got the best of us as we were forced to take cover in the vestibule of a local elementary school while a thunderstorm boomed overhead.  Luckily, the storm passed quickly and we were able to resume our ride.  We traveled out to Green Ridge, did a lap around the Plot, huffed and puffed up Electric Street, and cruised back to the University of Scranton through the Hill Section.  Overall, it was an educational and exciting ~ 12-mile ride!

(The whole EP crew is indebted to the LHVA, who loaned the students beautiful hybrid bikes to use for the duration of the class. Thank you, LHVA!!!)

Tara Fay, for the EP NEPA crew…

Day 3 – Bear Creek Preserve Hike

Version 2
The intrepid Riley

Today, the class took a trip south to visit and hike portions of the vast 3,412 acre Bear Creek Preserve, just off Route 115. We were guided by Joe Vinton, the preserve manager, and his intrepid dog Riley.

The preserve is privately owned by the Natural Lands Trust. This organization  receives its funding from private donors and grants, and directs money toward projects centered on the restoration and preservation of forest lands. The preserve is considered a successional forest, meaning that the canopy has been removed in some segments, allowing lower vegetation to flourish and eventually supplant the taller trees. The forest is only 80 to 90 years of age, relatively young compared to similar ecosystems in the area.

The preserve is home to numerous species of flora and fauna, including bears, coyotes, songbirds, and the rare fly poison plant. The Natural Lands Trust also created vernal pools, or seasonal pools of water too shallow for fish, to help to encourage growth in the amphibian population and provide water sources for native animals.

IMG_0946
Extreme Physiology crew with Bear Creek Preserve Manager Joe Vinton (right)

Our group hiked about 7 miles along several trails, including some distance along  separate propane and natural gas pipelines. Over the course of the trip, we covered a few hundred feet of elevation, ascending hills and descending again to a creek at the base of a valley. The hike lasted roughly 2 and half hours, with occasional stops for snacks or a helpful interjection of information about the area from our guide. The terrain was steep and exposed in sections, but flat and shaded in others.

IMG_0941
A brief respite along the vigorous hike

Tomorrow, the class will spend the morning listening to two guest lectures, and then travel to the Lackawanna Heritage Trail for a bike ride in the afternoon.

Virginia Farrell & Gared, for the EP NEPA crew…

Human Performance Testing – Day 2

Today the class started out by performing the Wingate test, the purpose of which is to show peak anaerobic power. It is performed using a cycle ergometer, which is essentially a stationary bike with a feature to add weights (based on the person’s weight) to apply resistance to the main wheel. The students had to keep up as much speed as possible after the resistance was applied for 30 seconds. The number of revolutions was recorded every 5 seconds.

Wingate 2016-07-12

After the class finished the Wingate test, Assistant Professor Michael Landram talked about anaerobic respiration and showed the graphs of revolutions per 5 seconds and how it decreased significantly throughout the 30 seconds of the test, showing how inefficient anaerobic respiration is.

The class then proceeded to the 8th floor of Leahy Hall for a DEXA test, which is a kind of X-ray test that shows bone density, lean body fat, and muscle related to the skeletal system. It takes about 6 minutes to complete the scan. While waiting for a student to finish, the rest of the class learned about the unearthly Bod Pod and various other body fat measuring devices.

After finishing the DEXA scan, Dr. Sweeney and Professor Fay drove the students over to the Dunmore High track to complete the 1.5 mile run in the blazing sun. Some participants were excited to try to hatch some Pokémon eggs, while others simply dreaded their yearly run. 6 laps around the track proved to be quite difficult especially at the hottest time of the day and after the rigorous tests from earlier in the day and the day before.

Hot and sweaty, the class rode back to campus where Dr. Sweeney snuck us into the 3rd floor of the DeNaples Center to crash orientation lunch. Here the class enjoyed a free lunch and some well deserved ice cream. After lunch, the class went to the physiology lab to discuss an experiment Dr. Sweeney came up with to demonstrate blood delivery to muscles and oxygen consumption using an array of tubes we could open and close to symbolize capillaries and heat to symbolize oxygen. Class ended with a few questions to answer about the experiment and how it correllates to the human body.

The last test of the day was to carry the 5 pound Anatomy and Physiology books home.

Eva Rine and Ryan, for the EP NEPA crew…

Human Performance Testing – Day 1

Today the EP NEPA crew got the first glimpse of what they really signed up for.

To start the day, the class met at Dr. Sweeney’s office and after some brief introductions, proceeded down to the new Leahy Hall to conduct the first bout of fitness tests. Assistant Professor Michael Landram introduced the group to the Bruce protocol treadmill stress test and the various diagnostic tools that would measure heart rate, oxygen consumption (VO2), blood lactate levels, arterial oxygen saturation and perceived exertion during the exam.

Combo_Image_1
The test itself required participants to run on the treadmill through 3 minute stages, each with progressively increasing speeds and inclines.
Most members of the class reached a point of exhaustion at or around the 5th stage, peaking at a speed of 5.0 miles per hour up an 18% incline.

Combo_Image_2This enabled the determination of each subject’s VO2max, or maximum oxygen consumption.

Combo_Image_3
After the Bruce test, the class had lunch on the campus green and returned to the Loyola Science Center. There, Dr. Sweeney and Professor Fay gave a summary of the requirements for the course, and outlined the day’s remaining tests. The Harvard Step test was next on the docket. This required the class to step up and down from a block for 5 minutes. The size of these blocks varied a few inches based on each participant’s respective height. Immediately after the five minutes of exercise, heart rate measurements were taken for alternating 30 second intervals over the course of several minutes to determine the post-exercise decrease in heart rate. The faster the decline in heart rate, the fitter the subject was, and the less “oxygen debt” from exercise there was to make up. These heartbeat numbers were inserted into an equation, along with other variables, to produce a result that could be evaluated relative to a fitness index.

Lastly, the group performed the muscular strength section of the President’s adult fitness challenge. For this, we had to complete as many half sit-ups as possible in one minute, and separately, as many pushups as possible.

Tomorrow, the class will conclude fitness testing with the Wingate Anaerobic Test and a timed 1.5 mile run.

At the end of the course, the human performance tests will be repeated to determine the effect of the training done during the 3 1/2 weeks of the course.

Ryan Clarkson & Gared Zaboski, for the EP NEPA crew…

Penne with Vodka Sauce

Penne with Vodka Sauce

  • 1 lb. penne
  • 1/4 cup extra-virgin olive oil
  • 4-6 large cloves of garlic, minced
  • 1 tsp.  crushed red pepper flakes, more to taste
  • 1/4 lb. prosciutto, thin slices cut into ~1″ square pieces
  • 28 oz. can crushed tomatoes, including the puree
  • 16 oz can petite chopped tomatoes
  • sea salt, to taste (start with 1/2 tsp.)
  • 1/4 cup fresh parsley, chopped, or equiv. amount of dried parsley
  • 2 oz. vodka
  • 1 cup heavy cream

Bring a large pot of water for the pasta to a high boil; add salt (~ tsp) and veg. oil (~tblsp) .

Use a skillet or stir-fry pan large enough to hold all the pasta and sauce later on. Heat the skillet over high heat. Add the olive oil, then the garlic and red pepper flakes. After 30-60 seconds, add the prosciutto. After another minute, add the crushed and chopped tomatoes and sea salt. Simmer, uncovered, until the sauce thickens some; about 15 minutes total. Start the pasta after the sauce has been simmering 5 minutes (see below); add the parsley after sauce has been simmering 10 minutes.

About five minutes after the sauce begins to simmer, add the penne to the boiling water and cook on a high boil, uncovered, stirring often. Follow the box directions for the number of minutes to cook the pasta al dente.

Drain the pasta once it is cooked al dente. Add the drained pasta to the sauce, lowering the heat to the lowest possible setting. Toss the pasta with the sauce. Add the vodka and toss again. Add the heavy cream and toss once more. Cover the pasta and leave over the low heat, allowing 1-2 minutes for the pasta to absorb the sauce.

Toss one final time. Transfer to individual pasta bowls and serve immediately, with warm bread. Serves 6.

If you’ve got a bunch of damn vegetarians around, leave out the prosciutto. (Or better yet, invite them on another night.)

Slot Canyons – Beauty and the Beast…

Slot Canyons I: Buckskin Gulch
Our first experience with slot canyons started like most other days, except we were more sleepy and disgruntled than usual. The day before had been a nine-mile hike out of the Grand Canyon, and we were still feeling it. We hopped out of the van into a cold, blustery day. Everyone bundled up for the trip, wishing we were still in bed.

1817    There was no blazed trail to the slot canyon, so we followed a narrow footpath along a riverbed. They trail eventually faded away, and we had to make our own trail (something Sweeney was more than comfortable with).

1866    We soon arrived at the slot canyons, and even though we had been a tough crowd in the morning (and because we didn’t know what was to come in the afternoon), we forgot how tired we were.
The entire scene seemed otherworldly.
1958     We were fifty feet deep in a crack in the earth that was basically invisible to someone standing at normal ground level. Naturally, we climbed some walls,
1979took some pictures
1969and painted some faces.
1991   Unfortunately, the excursion through the slot canyons ended far too soon. Our attempts at crossing the small sea proved futile, and we were forced to turn back.
Slot Canyon-Crossing the PuddleHowever, to make the return trip more interesting, we decided to take a different route to the van.
*         *           *
IMG_9627Two hours later, clapping, whistles, and yelling filled the air as the sun began to set. Tara led the noise-making in hopes of deterring any potential predators. Everyone had become a little nervous after we found a pile of bones.
2072Attempting to shortcut our way back to the van had failed, and we had to retrace our steps through what we feared to be dangerous territory.
Mtn_Lion_crossingStill, we  had no doubts about our fearless leader’s navigational ability, so we confidently followed Dr. Sweeney.

Although we had a couple of tense moments, we arrived at the van safely, without any wild animal attacks or serious injuries, ready for another day on (or preferably off) the trail.

Slot Canyons II: Lower Antelope Canyon

On the way from Page to Flagstaff, we made two stops: The Glen Canyon Dam and Lower Antelope Canyon.
For our first stop, we had a good dam guide, Duane, to give us a good dam tour. Duane had worked as an electrical engineer at the dam for almost forty years. He first took us over the top of the dam and explained the construction process, which was completed in 1963. Over 700 million tons of concrete were required to create the massive dam, which controlled the flow of the Colorado River. He told us that if the dam collapsed, the water pressure would lead to a 100 foot wall of water rushing at 400 miles per hour. The water would reach the Grand Canyon (which is 80 miles away) in fifteen minutes.
Duane then took us to the turbines, which were 512 feet below the top of the dam. He explained that the eight huge turbines provide electricity to a range of over 200 square miles, and Glen Canyon can make electricity cheaper than any other hydroelectric source in the area. Besides giving us quite a bit of interesting information, he told us a few good dam jokes. He even let us take a selfie with him.
2339

After Glen Canyon, we stopped at the Lower Antelope Canyon. The Navajo tribe owns Lower Antelope Canyon and does not allow tourists to explore it without a native guide. Instead of Dr. Sweeney, Shushi, a young Navajo man, would lead us through the canyon.
From the earth’s surface, Antelope Canyon was not very impressive. Standing right next to it, a person might not even notice it existed.
2347But we could tell it was going to be a special place when Shushi pointed out fossilized dinosaur tracks on a several hundred million year-old rock. We took dozens of pictures before we even made it to the canyon.
photo 1     Shushi led us down five flights of metal stairs bolted into the canyon wall. In less than a minute, we were 105 feet below the surface of the Earth.
2356     Antelope Canyon was even more incredible than the slot canyons we had seen two days before. Shushi told us the Navajo folklore about the sandstone formations, pointing out the “Lady of the Wind,” an eagle, and a Native chief, to name a few.
IMG_9730IMG_9669IMG_9734IMG_9747    He took some pictures of us in cool places.
photo-2   Shushi even played us a song on the Native American flute.

Finally, Shushi described how many of the rock structures in the area had formed. First, he poured water into a small heap of sand to show how sand dunes became saturated with water and dried in the sun. After his sand pile had dried, he scraped the sand away from the base, showing that wind blew the surrounding sand away from the solid structure. Finally, more wind and water shaped the exposed sandstone into the formations that we see today.
Glen Canyon and Lower Antelope Canyon were truly incredible, especially with Duane and Shushi as our guides. We got to see two marvels, one man-made and the other natural. It really gave us a better appreciation for both the power of nature and the impact that humanity can have upon it.

Norm, for The X-Treme Dream Team

We are the One Percent

grand canyonThe Extreme Dream Team went on an overnight trip to the Grand Canyon. We were excited to see some amazing views, put our physical fitness to the test, and experience some of the physiological phenomena we’d been studying throughout the course. The Grand Canyon is located at the northern edge of Arizona. Carved by the Colorado River and other geological forces, it is 277 miles long, up to 18 miles wide, and a mile deep. Nearly five million people visit the canyon annually, but as we later learned, only about one percent of them hike all the way to the bottom, as we planned to do.

grand canyon 2Our chosen route was the South Kaibab trail. Created in the 1920s, the trail winds down 7.1 miles to our destination – Phantom Ranch – at the bottom. Looking down from the trailhead, the vastness of the canyon was awe-inspiring. The bottom couldn’t be seen from up there, just the canyon stretching out for miles. My first glimpse left me speechless, and as we began to hike down I was completely mesmerized by it. I was brought back to the real world by the smell of mule droppings that happen to line the trail and the sensation of the eccentric contractions in my leg muscles from walking only downward for miles. We saw many other adventurers hiking in either direction along the trail and we were sometimes passed by mules carrying passengers or cargo. The views were incredible, and we stopped to take countless photographs that could never live up to seeing the real thing in person. As we trekked downward, we noticed the types of rocks changing and the differences in vegetation and temperature. The world at the top was completely different from what we found as we descended. And talk about feeling small? The dots in the lower part of the picture below: that’s us!

IMG_9550We crossed the Colorado River and reached Phantom Ranch after nearly five hours of hiking. Phantom Ranch is the only lodging located in the bottom of the canyon. There is limited space, so reservations have to be made more than a year ahead of time. IMG_9570The ranch has cabins for people to sleep in and a main building that’s a cafeteria, gift shop, hangout spot – and probably other functions – rolled into one. We were happy to have a hearty meal prepared by someone other than ourselves after a long day of hiking. We had beef stew, vegetarian chili, salad and cornbread; and some of us tried the Grand Canyon Sunset Amber Ale—because what’s cooler than having a beer at the bottom of the Grand Canyon?

After dinner, we played games in the main building, bought souvenirs, and wrote postcards for our loved ones which would be carried out by mules and mailed the next day.

After eating breakfast and grabbing our pre-made sack lunches, we started our way up the canyon. We used the Bright Angel Trail to come up. The trail follows Bright Angel Creek and offers views that are completely different than those we encountered descending the South Kaibab trail.

grand canyon 3As we hiked up, our group of twelve settled into smaller subsets: the trailblazers led the way, the photographers took their time in back, and the rest of the crew fell somewhere in between.

I soon found myself in a situation rarely experienced during a travel course with twelve people – solitude. I hiked the beginning part of the trail just out of sight of the group ahead of me and just out of earshot of the group behind. This let the experience sink in and allowed me to reflect on how incredible this whole trip has been.

grand canyon 5As the hike continued, we found ourselves traversing many steep switchbacks that tired us out. We reached the top in under five hours and celebrated the completion of such an awesome journey.

IMG_9577Liz, for the Extreme Dream Team

King of the Mountains – Part I

The following is a summary, presented by Gabby and Courtney, of the first half of “King of the Mountains: Tibetan and Sherpa Physiological Adaptations for Life at High Altitude Edward T. Gilbert-Kawai, James S. Milledge, Michael P.W. Grocott and Daniel S. Martin” (Physiology 29:388-402, 2014)

Tibetans and Sherpas have lived at over 13,000 feet of elevation for over 500 generations, thus giving them plenty of time to develop an evolutionary advantage to the hypoxic environment in which they live. The purpose of this review was to identify the physiological differences between Sherpa/Tibetan populations living at high altitude, compared to lowlanders who ascend to and acclimate to high altitude. For the purpose of the review, Tibetans and Sherpas were considered as a single population and will be referred to as Sherpas for the rest of this summary.

The typical primary response to ascent to high altitude – in order to compensate for the lower oxygen content of the high altitude air – is to hemoconcentrate; that is, to increase red blood cell production and thus increase the number of red cells per ml of blood, thereby raising oxygen carrying capacity. Because hemoconcentration also increases blood viscosity, this compensatory response would, on a chronic basis, represent a cardiovascular risk factor by increasing cardiac workload.

Through evolutionary pressures, Sherpas have developed alternative adaptations to high altitude. Sherpas are found not to hemoconcentrate at altitude. Instead, they increase their blood flow rate; they develop larger chest circumference and lung volumes to increase surface area for diffusional exchange; and they have a lower ventilatory recruitment threshold during exercise (since they work on an oxygen sensing mechanism rather than the CO2 dependent sensing mechanism of lowlanders). Sherpas also do not show hypoxic pulmonary vasoconstriction, which is common in lowlanders who ascend. This prevents in Sherpas the increased cardiac afterload that is typical in chronically adapted lowlanders; consequently, Sherpas are less likely to develop myocardial hypertrophy, a risk factor for cardiovascular dysfunction. Sherpas also show an increased ability to metabolize glucose as a substrate in place of fatty acids (glucose yields more ATP per molecule of oxygen than do fatty acids).

Pregnant Sherpa women also show the ability to divert a larger amount of blood flow and blood volume to the uterine artery, lessening premature births and miscarriages compared to chronically adapted lowlanders. On the other hand, the review found that there was no difference between Sherpas and lowlanders in the hypoxic ventilatory response to ascent and no differences in arterial oxygen saturation. With continued human hypoxic research, it is hoped that advances in the prevention and care of hypoxemic critically ill patients can be achieved.

Snowbowl Day – Fresh Snow and Beautiful Weather

We started the day with such promise- it was the first day we actually made it out of the house on time for the day’s adventures. Those who could ski a black diamond trail ascended to the 11,510 feet summit of Arizona Snowbowl to measure spirometry. However, our great feeling of being on time quickly subsided as we realized we had forgotten the laptop for the measurements. Fortunately, we were still able to measure our breathing rate, pulse, and arterial O2 saturation at the mountain peak before hitting the slopes.

Snowbowl_Peak

With the measurements done, we were free for the real fun: skiing and boarding. Those who did not ascend to the summit began polishing their skiing and snowboarding on the bunny slopes, while those at the top put their skills to the test. We tackled ungroomed black diamonds.

DCIM100GOPRO

Facing moguls and steep slopes, we descended to the lesser intermediate trails. Here we split. Those fearless enough to stay on the black diamonds trekked back up the mountain while the others cruised around the blues. DCIM100GOPRO

After a few tough hours on the slopes we were glad to break for lunch. Despite forgetting my sandwich in the frantic scramble out of the house, I was excited for the change of pace from cold turkey and cheese. The hot chicken tenders and fries from the lodge were just what I needed to warm me from all the snow that found its way into my jacket.

DCIM100GOPRO

With our stomach’s full, we went back out. We met up on the bunny hill and were surprised to see how far the new skiers and boarders had come. After learning for only a few hours, they were making ’S’s like pros. Gabby even ditched the bunny trail to go on a intermediate slopes with Marissa and me. However, for some unknown reason, the trails were cut in half, so people could practice moguls. Despite this horrific setback, with some coaching from Marissa and me, Gabby fearlessly skied/slid her way down the trail.

Check out The GoPro ViewDCIM100GOPRO

With fresh snow and beautiful weather we were sad to call it a day.

Until next time

-Doug & the rest of the Extreme Dream Team