The purpose of this study was to compare the effects derived from different modes of active cooling down procedures post repetitive intermittent high-intensity exercise. Seven Japanese male swimmers underwent repetitive 3 bouts of Wingate anaerobic tests on the 1^st day and another Wingate on the following 2^nd day. In each 3 intervals and post all the Wingate testing on the 2^nd day, the participants performed a cooling down randomly chosen from 3 different intensities of 10-min bike-riding and a 10-min static stretching. As to muscle power outputs and emotional conditions, the optimum cooling down intensities were observed at 80% ventilatoly threshold (VT) after the 1^st set and 60% VT level after the 2^nd set. Effective intensities of blood lactate removal rate were observed at 60% and 80% VT level. Thus, the optimum cooling down post repetitive intermittent high-intensity exercise could be dynamic bike-riding at 60% or 80% VT level.

A 16-year-old boy had a motorcycle accident and was given a diagnosis of blunt aortic injury (BAI) by contrast computed tomography (CT), complicated by diffuse brain injury, lung contusions and blunt liver injury. Despite conservative treatment his anemia worsened and further CT images revealed mediastinal hematoma. It was difficult to perform cardiopulmonary bypass with systemic heparinization because of his multiple injuries and therefore decided to perform endovascular stentgrafting. Aortography revealed that the proximal stent-graft landing zone to be very small, and therefore it was necessary to the cover left common carotid artery. Before stentgrafting, we performed a right subclavian artery-left common carotid artery bypass to attain a sufficient proximal landing zone, and stentgrafting was successful. We concluded that endovascular stentgrafting is an effective initial treatment for BAI complicated with multiple injuries. However, endovascular stentgrafting for BAI has some limitations because of the morphologic and anatomical characteristics of the thoracic aorta in cases of BAI. It is therefore important to perform endovascular stentgrafting for BAI on a case-by-case basis.

This study was designed to investigate the effects of supplementing soy peptide on isometric performances and serum CK and LDH trends after a high intensity eccentric exercise stress. Study subjects consisted of 13 males and were divided into 2 groups. They were instructed to take 4,000 mg of soy peptide or placebo orally before and for 7 days following the initial exercise stress. Soy peptide group revealed significantly faster improvements in knee extension performance at 72 hr-post the eccentric exercise (p<0.05). Comparing with placebo group, soy peptide group showed significantly lower serum LDH activity 168 hr after the exercise (p<0.05), while as to serum CK levels, significant difference was not observed between those 2 groups. These results indicate that oral supplementation of soy peptide could induce not only reduction in serum LDH activity level, but also faster recovering in isometric performance after high intensity repetitive eccentric exercise.

A double-blind placebo-controlled trial was undertaken to evaluate the synergic effects of coenzymeQ10 (CoQ10) and creatine (Cr) through oral supplementation on the intermittent short duration high-intensity exercise on a cycle ergometer. Twenty-eight male athletes were divided into four groups of CoQ10 and Cr (CoQ10+Cr), CoQ10 (CoQ10+Pl), Cr (Pl+Cr) and placebo group (Pl+Pl). Each participant was instructed to have 100 mg of CoQ10 and/or 5 g of Cr per day for 2 weeks. Repetitive 5 bouts of 10-sec high-intensity cycle exercise tests were performed before and after supplementations. After supplementations, subjects in (CoQ10+Cr) revealed most improved performance in mean power outputs at the 2^nd (p<0.05), the 3^rd (p<0.05), the 4^th (p<0.05) and the 5^th set (p=0.06), comparing with the participants in the other 3 groups. These findings suggest that enhanced mean power output on repetitive short duration high-intensity exercise can be acquired after supplementing CoQ10 combined with Cr.