3 janv. 2014

Triathlon and ISO – 2014 triathlon



I have been talking with the family about ISO and the need for having the ISO certification.  Everybody is in a hurry getting an ISO certification for their business in Mexico.  A friend mentioned to me that he was going to rent an office in his mother´s house to pass the ISO supervision.  A patient told me that his hospital was going to pass the ISO supervision.  Even the Mexican Federation of Triathlon passed the ISO in management.  Well, I investigated even further what ISO means and how to pass the ISO IN TRIATHLON.
Certification...
to ISO management system standards
Organizations and companies often want to get certified to ISO’s management system standards (for example ISO 9001 or ISO 14001) although certification is not a requirement. The best reason for wanting to implement these standards is to improve the efficiency and effectiveness of company operations.
A company may decide to seek certification for many reasons, as certification may:
  • be a contractual or regulatory requirement
  • be necessary to meet customer preferences
  • fall within the context of a risk management programme, and
  • help motivate staff by setting a clear goal for the development of its management system.
ISO does not perform certification
ISO develops International Standards, including management system standards such as ISO 9001, ISO 14001 and ISO 31000. However, it is not involved in the certification to any of the standards it develops. Certification is performed by external certification bodies, which are largely private. Therefore a company or organization cannot be certified by ISO.
So, in our beautiful Mexico certification becomes another corrupted organized business.  But it does not take away the creation of our quality standards that we use, which are mentioned in several posts in the blog.

Reading the ISO page took me to another article: “the curve of improvement;” a curve of improvement which is easy to make from results taken by our watch at different times in our life.  We have tackled several times this subject in the blog but let´s keep writing, “it is not a dead horse.”  I write because I blog.  I blog because I am part of this world and have been in the position of being ahead of many; I believe in sharing things to improve as humanity.  I was accepted to Harvard to work on Brain Mapping after my specialty in Psychiatry and subspecialty in Sleep Disorders in New York State and decided to come back to my home town to give a try on how to create champions after what I learned.  I come from a small town in Mexico where I live, Oaxaca, and we have had World Champions in our team as juniors and age groupers in triathlon (created by us); or at least a team member on the podium of a Triathlon World Championship.  We have many arguments to speak about the subject of improvement in adolescents and children after twenty years of working forming triathletes since children (not finding already made triathletes) and training in Team Oaxaca.  There are several papers in the web regarding this matter “curve improvement” and I chose the one below as a benchmark.

Improvement's Torturous Path
By Tom Slear
Special Splash Correspondent
Splash Magazine:May
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June 2005
Why do some improve steadily and others plateau? Why isn’t the slope of an improvement curve predictable? Basic logic dictates that as swimmers get older, they should be bigger, stronger, better trained and therefore, faster. Improvement might not have a constant, positive slope –nothing in sport is that assured –but it should be steady over the long-term, with peaks of larger magnitudes than valleys. However, those familiar with swimming know this is simply not the case. Improvement’s path contains detours and even U-turns. Many brilliant young swimmers plateau, and then, says Collins, who has coached three swimmers from age groupers to Olympians, the “window of opportunity closes. They are sure bets for the next year and the next year never comes. Kids expect to improve every year, and in many cases, that simply doesn’t happen.”

“You will find that across sports, there is not much correlation between those who have success when they are 10 and 11 with those having success when they are 19 and 20,” says Dr. Thomas Raedeke of the Department of Exercise and Sport Science at East Carolina University. “It could be for a lot of reasons, not the least of which is that when success comes early on and you are improving by leaps and bounds, you come to expect that. When it stops, and you are improving only fractionally, that can be very frustrating, especially when others you used to beat are improving more. It may cause you to question your commitment to the sport, which affects how hard you work and whether you continue to improve.”

In a study he authored, Sokolovas compared the swimmers in the best all-time, top-100 times for age groups from 10-and-under through 17-18. Among the 17-and 18-year olds, only 10.3 percent of the girls and 13.2 percent of the boys were listed in any event as 10-
and-unders. When compared to the lists of 11-and 12-year-olds, the percentages were 20.3 for the girls and 12.6 for the boys. Not until the 15/16 age group did the percentages become significant –49.7 for the girls and 53.5 for the boys. As Sokolovas concluded, “Most of the future elite swimmers swim slower than age-group champions, especially at
ages until 15-16 years.”

The top-16 rankings portray a significantly different picture. Of the 43 men and women on America’s 2004 Olympic team, 18 (42 percent) had a top-16 national ranking in either short-course yards or long-course meters as a 10-and-under. Among those were Michael Phelps and Aaron Peirsol, who set world records in Athens, and Jenny Thompson, who, at 31, competed in her fourth Olympic Games. Twenty-five of the 2004 Olympians –58 percent –had a top-16 ranking as 11-and 12-year-olds.

Instead of speaking abstractly, we have examples of improvement and U turns.  As Albert Einstein said:  “What limits my learning is my education.”
I have a 24 year-old-old male patient for the last three years who came to me because of excruciating abdominal pain that made him to bend over and ending up in the ER.  He was scheduled to be operated several times for exploratory reasons, but somehow he called me before the procedures and responded well to treatment in a matter of a few hours.  I treated him with IV major tranquilizers twice when these episodes happened.  I told him that his problem was his “breathing pattern.”  I ventured to make this statement instead of using something as “somatization,” “panic attacks,” etc. It takes years to understand that breathing can help us or destroys us depending on how we have learned to breathe.  This patient works as a musician and also his father. I told him since the first interview that he needed to learn how to breathe and insisted that yoga classes could help him.  He went to yoga classes almost three years after our first encounter!  That is how invested our patients are in their problems and how much they believe in advices. 
In his first yoga class, in a matter of a few minutes, he was able to reproduce the pain.  He stopped going to yoga classes because he could not stand breathing in that environment. He changed his singing teacher and started with a better technique practicing breathing; unfortunately or fortunately, he presented panic attacks during rehearsals and understood that he could work on the anxiety bouts.  Three years later, he understood that breathing was his main problem at this point in his life and increased practicing singing (breathing) more frequently to overcome his fears.  He came back happily and told me two things:
1)   “I spoke to my father about music and my problems and he told me that he wanted to teach me music and I just wanted to play the guitar; so he just taught me how to play the guitar.”  My father said to me:  “Now you are ready to learn music.”  For his father music was a way of living that encompasses the way of breathing and some other things for his soul.
2)   “I learned about many things that happened at the time I was born and after being born, I did not want to know about things happening to me.”
The case is related to our athletes that are unable to learn about training and they do not want to see what is happening to them.  It takes years if they are able to tolerate the reflection about what they have done; and years to return to take a different path according to what they learned from what they experienced without lying to themselves.  We have seen many lives passed by without return because of stubbornness.

More specifically, the case is related to our 21-year-old male triathlete who was 30 kilograms overweight at the age of 8 and now is the best U-23 triathlete in Mexico. He (and we) has come a long way and he continues to improve, he has had the need to improve due to his own circumstances and not because he started late.  We are available 24 hours a day to help with his improvement and he has been with us since the age of 8.

I would not create an ISO-triathlon because there is nothing to standardize, not even training as you can read in the blog; we need to start educating athletes at very young age so they can be able to learn.

21 déc. 2013

Triathlon and Culture



We have written several posts regarding this matter, but the problems related to Phil Robertson talking prompted me to write again about the subject.  Some of the remarks of Phil Robertson resonated in me.  Neil Drumming, a very sensitive, cultivated and sharp African American wrote what I would say regarding this matter; it made me think of culture and triathlon.  Can a “Duck Dynasty” member practice triathlon at a high level?  I would say that the writer of the following article, Neil Drumming, could be a good triathlete because of his sensitivity; except that his interests are someplace else except triathlon. We need a sensitive and thoughtful person to get far in triathlon or any real sport but commitment is the key element. 

Thursday, Dec 19, 2013 06:00 PM -0600
Phil Robertson’s true colors: The real “Duck Dynasty” story isn’t on TV
Robertson's homophobic comments reveal the gap between the simplified, TV version of his life and the real one
Phil Robertson in "Duck Dynasty" (Credit: A&E/Karolina Wojtasik)
As has been exhaustively reported, “Duck Dynasty” star Phil Robertson was suspended yesterday for anti-gay sentiment he expressed during an interview with GQ. By now, you almost certainly have read the galvanizing remarks in question and may or may not have taken offense. Maybe you’ve already called A&E to chastise the network for not pulling the program altogether. Or maybe you’ve signed the petition to put Robertson back on the air. As for me, I was initially disturbed when I read the old bigot’s words. But, now, I can’t stop thinking that I would love to have watched him say this stuff.
It seems like, to me, a vagina—as a man—would be more desirable than a man’s anus. That’s just me. I’m just thinking: There’s more there! She’s got more to offer. I mean, come on, dudes! You know what I’m saying? But hey, sin: It’s not logical, my man. It’s just not logical.
I’ve never seen an episode of “Duck Dynasty” in my entire life, but I can’t imagine that anything they capture on camera is more real than this. No disrespect to GQ and a long tradition of great print storytelling, but this sounds like it would have made for very engaging TV. Whether or not you cotton to Robertson’s beliefs about gays or blacks, you have to admit he seems at least earnest, if not passionate.
Don’t worry, I’m not going to go all Salon-rogue and evoke Sarah Palin’s uninformed free speech argument. I understand that as a corporate entity with viewership and revenue at stake, A&E has every right to sanction Robertson in whatever manner the network deems fit. I’m only taking a moment to lament the definition of reality as it pertains to the global institution, the reality TV show.
Again, I’ve never seen “Duck Dynasty.” But if it is, as Wikipedia states, about “the lives of the Robertson family,” I would hope to see as complete a representation of that family as A&E is able to provide. That includes Robertson’s beliefs, as he is the patriarch of said family and the reason for its wealth and celebrity. The fact that I don’t share his feelings wouldn’t make him less interesting to me. (Were I interested at all.) In fact, I find his transparency in this article kind of relieving. As a black man living post-civil rights, I’ve always been more afraid of closet racism than the overt kind. With the latter, at least you usually know when it’s happening to you.
Of course, this is not the A&E that made its bones airing “Biography.” The business of reality television is not to accurately portray the people it claims as subjects. Reality TV reduces people to clockwork golems that either please or outrage in small doses. While Robertson’s comments undoubtedly had GQ writer Drew Magary salivating like Daffy over the journalistic treasure trove he’d just stumbled over, such open bigotry is way too polarizing for basic cable. (Kathy Bates calling Angela Bassett a “nigger witch” on “American Horror Story: Coven” doesn’t count, silly. Phil Robertson is a real person.)
So, no, I’m not saying put the man back on. That would trample the superficially sensational but political correct baseline for reality television that has been established over years of trial and fantastic error. I’m just saying that on the perfect-imperfect television of my imagination, there is a place for Phil Robertson to freely spew his Bible-based conservative rhetoric and room for me to scream righteous indignation back at the screen — or simply sit back and be fascinated. The latter is more likely, honestly. GQ made Phil Robertson seem like a pretty intriguing guy.
As it is, however, I have never watched a single episode of “Duck Dynasty.” And, now that I know for sure that I am only getting part of the  story — and that part is just about bearded dudes hunting ducks — I probably never will.
Neil Drumming is Salon's TV critic. Follow him on Twitter @Neil_Salon. 

Let´s see what Phil Robertson says he is:
The 67-year-old "Duck Dynasty" star was suspended by A&E Wednesday for calling homosexuality sinful — and putting gay people in same category as terrorists. While those quotes quickly went viral, it wasn't his only brow-raising statement in the interview; he also implied that African Americans were happier living under Jim Crow laws…"I myself am a product of the '60s; I centered my life around sex, drugs and rock 'n' roll until I hit rock bottom and accepted Jesus as my Savior," the TV star said in a statement. "My mission today is to go forth and tell people about why I follow Christ and also what the Bible teaches, and part of that teaching is that women and men are meant to be together. However, I would never treat anyone with disrespect just because they are different from me. We are all created by the Almighty and like Him, I love all of humanity. We would all be better off if we loved God and loved each other…"
"I never, with my eyes, saw the mistreatment of any black person. Not once," the reality star said of growing up in pre-Civil-Rights-era Louisiana. "Where we lived was all farmers. The blacks worked for the farmers. I hoed cotton with them. I'm with the blacks, because we're white trash. We're going across the field ... They're singing and happy. I never heard one of them, one black person, say, 'I tell you what: These doggone white people' — not a word!"
Robertson continued, "Pre-entitlement, pre-welfare, you say: Were they happy? They were godly; they were happy; no one was singing the blues."

I had an old supervisor whom I loved, Professor Emeritus of Psychiatry at SUNY Syracuse, Richard Phillips, MD, who was my mentor for four years and taught me American HistoryHe said to me once: “I was born in the South but I came to the North in a hurry.”  “The white man used to call the black men 'boys,' because the way they behaved; our 'white boys' used to behave the same way.”  “During the Civil War, white people destroyed the bridges to avoid black people to move North.” Richard Philips was very conscious about the problem of difference and slavery, very sensitive.  I held myself in training with my Jewish branch as support (my last name means “wise” in Hebrew).  Richard wanted me not to be a boy to be successful as a psychiatrist because I was in training; he wanted me to be committed fully to my training.  The same thing in triathlon, we need committed athletes in order to learn; men sensitive to understand the difference to be successful according to planned goals.

Can “Duck Dynasty” have a succesfull person in triathlon if she/he wants to?  I will let you with the following video.

19 déc. 2013

TRIATHLON AND BIOLOGICAL PASSPORT III



Here we go again.  I thought this was over, but let´s go back to the subject now that Jonathan Tiernan-Locke was “caught” with the “Biological Passport violation.”  He was stopped from racing when he was losing; he was not finishing the races.  We are going to give you history regarding this cyclist and regarding what happened when you do not train well.  First we have what happened as incident:
In September, Tiernan-Locke had been asked by the sport's governing body to provide an explanation for irregularities in his biological passport, which are believed to date from late 2012 when he was racing for Endura, having agreed to join Team Sky for the following year.
A statement from the UCI read: "The analysis of the biological passport of Mr Jonathan Tiernan-Locke by the Experts Panel has demonstrated an anti-doping rule violation (use of prohibited substances and/or methods).
"Consequently and in compliance with the UCI anti-doping rules, the UCI has requested his National Federation to initiate disciplinary proceedings."
Andrew McQuaid, Tiernan-Locke's manager, released a statement on behalf of his rider, which read: "Jonathan Tiernan Locke was notified that the UCI wish to instruct British Cycling to instigate proceedings against him regarding an abnormality in his biological passport.
"Mr Tiernan Locke vehemently denies the charges brought against him and has informed the UCI that he fully intends to contest them. [He] is looking forward to a speedy and just resolution of these unfortunate charges."
In a separate statement, Team Sky confirmed that Tiernan-Locke would not ride or be involved in any team activities until a decision is made by doping authorities, and acknowledged that the abnormal readings pre-date his involvement with the team.
"We have been informed that he intends to defend himself against that charge," read the statement.
"There are no doubts about his approach or performance in Team Sky. This is a team that trains, races and wins clean."

I know what kind of EXPERT PANEL these International Unions have; panel made of friends except real experts.  It is dangerous to take decisions based on what they say.  We are falling into the Inquisition times if we continue this way.  I do not defend anyone regarding doping even less now that we know about doping in cycling, chances are that the 100% doping that it said that existed in the late 90´s is decreased; but not to zero, now it is closed to the latest percentage.

On our previous writings (posts), we said:
27 oct. 2013
I tackled a theme not too long ago: The Biological Passport.  It is necessary to speak clearly about it because bureaucrats want to be important like some of the referees in a Football game.  The biological passport is just a parameter to consider when evaluating doping in somebody.  Please see our post when the case of Mark Fretta came to light:
As we can see in the Hematopathology / Automated Blood Cell Counts Am J Clin Pathol 2008;130:104-116
It is also desirable that, as with the high standardization for basic CBC parameters, a continued effort be made for the parameters (ie, RDW, IRF, MCVr, and MPV) for which results provided are still too different when produced by different analyzers. To reach these goals, cooperation between long-standing (ie, International Council for Standardization in   Haematology and the National Committee for Clinical Laboratory Standards, now the Clinical and Laboratory Standards Institute) and recent (International Society of Laboratory Hematology) organizations interested in hematologic standardization and the manufacturers is fundamental. It should be remembered that despite the essential role of automation in the modern hematology laboratory, microscopic control of pathologic samples remains indispensable, so much so that in certain cases, it alone is diagnostic.134 Moreover, knowledge of the limits of the specific analyzer in use is of paramount importance for the correct interpretation of results. These considerations require that clinical laboratories performing hematologic diagnostics have personnel with specific training and profound knowledge in laboratory hematology.

We have to find the substance to make a case; otherwise, we are not beyond a reasonable doubt.  There is a criterion in the law that says: Beyond a Reasonable Doubt.
The standard that must be met by the prosecution's evidence in a criminal prosecution: that no other logical explanation can be derived from the facts except that the defendant committed the crime, thereby overcoming the presumption that a person is innocent until proven guilty.

Errors of measurement for blood volume parameters: a meta-analysis
Christopher J. Gore, Will G. Hopkins, Caroline M. Burger

Continuing with Jonathan, before the doping scandal, when he was not finishing the races:
After a long break from racing, Jonathan Tiernan Locke returned to competition on Sunday in the Vattenfalls Cyclassics, the first step in what he hopes will be a successful attempt to turn around a difficult season… “It has been a bit more complicated, in terms of stepping up to the WorldTour. It’s been an issue with handling the training load, more than anything," he told VeloNation recently.

“Last year I had pretty much only myself to worry about and when we got to races, if it was a hilly race, I would get a free rein. This year I have been riding for guys of the calibre of Richie Porte and Chris Froome. So it has also been about learning, but also about trying to adapt to the different training and having a programme set out for me. In the past, I always just looked after my own training and came up my own plan.”  Essentially, he’s gone from riding on feel to this year training to a structured programme. It’s something that hasn’t worked out as hoped. “Before, if I was tired, I would just take the day off. So that has been different.”

The team’s training works well for other riders and so it’s relevant to determine why Tiernan Locke is different. Does he believe his physiology needs an alternative approach to some of the other riders, or is it the case that the step up to the WorldTour is what has posed the problem?

“I believe it is the former, to be honest,” he answered. “I got to mid-July and I was just knackered. I saw my performances going down and down…I was getting progressively more fatigued… Whereas myself, I find if I train too much it comes back at me. I have done it in the past, training myself and looking for a bit more…you always think, ‘I am going well now, so if I keep pushing and pushing I should build up,’ but I don’t respond well to that. Past a certain point, I seem to just go downhill and need to rest to come out of it.”
It is obvious that he was not made yet for this kind of training regime:
After a desperate month he returned to the UK, giving up the sport entirely. He became a rider lost: dropped from the sphere of competitive racing, an athlete unable to cut it at the top, and who despite all their promise, one who failed to make it in the big leagues.

“I turned my back on the sport. I went to university and thought about another career. I put on two stone, drank, partied and didn’t touch my bike. Keeping active for me was walking home from the pub totally pissed.”
For three years Locke didn’t even look at a bike. Then, in 2008, towards the end of his studies a friend offered him a part time position in a local bike shop. The majority of his university funds had financed his rampant partying, and so the proposition of cash and paying back student fees was too much to turn down.
His stint at the bike shop coincided with the Tour de France and each day the shop would show the day’s action on television. Both colleagues and customers would stand around and watch as the action played out each day and cries of ‘great stage’, ‘what an attack’ would flow as they dissipated from the television screen and back to their regular business.

Training changes the biology of our body if we are not used to hard work, huge training volumes, and order in our routines for recovery and nutrition as pointed out in the following article.  Real anemia and other hematological changes are seen rapidly in these subjects.  He was winning in 2012 and things changed drastically in 2013 when training with Team Sky.  We have seen it in some of our athletes:
Oxidative stress during rehabilitation from protein malnutrition associated with aerobic exercise in rats

It has also been suggested that kwashiorkor, a severe form of protein malnutrition, may itself be a product of the radical initiated tissue damage in the malnourished child (Golden and Ramdath, 1987; Manary et al., 2000). The present study was designed to evaluate biomarkers of oxidative stress, nutritional status and muscle metabolism in rats submitted or not to exercise during a month recovery from protein malnutrition.