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Kadhiresan R. Murugappan, Michael N. Cocchi, Somnath Bose, Sara E. Neves, Charles H. Cook, Todd Sarge, Shahzad Shaefi and Akiva Leibowitz

failure in the setting of hemodynamic instability and multipressor shock. Empiric antibiotics and hydrocortisone were administered. The patient was diagnosed with severe exertional rhabdomyolysis with pigment-induced renal failure likely related to profound volume depletion. Despite the maximal supportive

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Beau Kjerulf Greer, John L. Woodard, Jim P. White, Eric M. Arguello and Emily M. Haymes

The purpose of this study was to determine whether branched-chain amino acid (BCAA) supplementation attenuates indirect indicators of muscle damage during endurance exercise as compared with an isocaloric, carbohydrate (CHO) beverage or a noncaloric placebo (PLAC) beverage. Nine untrained men performed three 90-min cycling bouts at 55% VO2peak. Subjects, blinded to beverage selection, ingested a total of 200 kcal of energy via the CHO or BCAA beverage before and at 60 min of exercise, or they drank the PLAC beverage. Creatine kinase (CK), lactate dehydrogenase (LDH), isokinetic leg-extension and fexion torque, and muscle soreness were assessed before and immediately, 4 h, 24 h, and 48 h post exercise. The trials were separated by 8 wk. CK activities were significantly lower after the BCAA trial than in the PLAC trial at 4, 24, and 48 h post exercise, as well as lower than the CHO beverage at 24 h post exercise. CK was lower in the CHO trial at the 24- and 48-h time points than in the PLAC trial. LDH activities were lower in the BCAA trial at 4 h than in the PLAC trial. As compared with the CHO and PLAC trials, ratings of perceived soreness were lower at 24 h post exercise, and leg-fexion torque was higher at the 48-h time point after the BCAA trial. The present data suggest that BCAA supplementation attenuates muscle damage during prolonged endurance exercise in untrained college-age men. CHO ingestion attenuates CK activities at 24 and 48 h post exercise as compared with a placebo beverage.

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Lori A. Gano-Overway and Kristen Dieffenbach

. International Journal of Coaching Science, 5 , 93 – 123 . Eichner , E.R. ( 2018 ). Football team Rhabdomyolysis: The pain beats the gain and the coach is to blame . Current Sports Medicine Reports, 17 , 142 – 143 . PubMed ID: 29738317 doi:10.1249/JSR.0000000000000484 10.1249/JSR.0000000000000484

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Andy Gillham, Michael Doscher, Jim Krumpos, Michelle Martin Diltz, Nate Moe, Shepard Allen and Reese Bridgeman

is a reaction to new NCAA rules stemming from negative athlete health consequences (e.g., athlete deaths and instances of Rhabdomyolysis). The administration has been supporting the strength and conditioning program and staff more of late. Q: Does the ATC get involved also? If so, why and when and

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Eric S. Rawson, Mary P. Miles and D. Enette Larson-Meyer

might it work? Neurochemistry International, 89 , 249 – 259 . doi:10.1016/j.neuint.2015.08.010 10.1016/j.neuint.2015.08.010 Rawson , E.S. , Clarkson , P.M. , & Tarnopolsky , M.A. ( 2017 ). Perspectives on exertional rhabdomyolysis . Sports Medicine, 47 ( Suppl 1 ), 33 – 49 . PubMed doi

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Ronald J. Maughan, Louise M. Burke, Jiri Dvorak, D. Enette Larson-Meyer, Peter Peeling, Stuart M. Phillips, Eric S. Rawson, Neil P. Walsh, Ina Garthe, Hans Geyer, Romain Meeusen, Luc van Loon, Susan M. Shirreffs, Lawrence L. Spriet, Mark Stuart, Alan Vernec, Kevin Currell, Vidya M. Ali, Richard G.M. Budgett, Arne Ljungqvist, Margo Mountjoy, Yannis Pitsiladis, Torbjørn Soligard, Uğur Erdener and Lars Engebretsen

.08.010 10.1016/j.neuint.2015.08.010 Rawson , E.S. , Clarkson , P.M. , & Tarnopolsky , M.A. ( 2017 ). Perspectives on Exertional Rhabdomyolysis . Sports Medicine, 47 ( Suppl . 1 ), 33 – 49 . doi:10.1007/s40279-017-0689-z 10.1007/s40279-017-0689-z Rawson , E.S. , Miles , M.P. , & Larson