Cardiopulmonory Exercise Testing Pre and Post Op

With medical costs rising, and reimbursement falling, the 'sick care' model is broken. Over the next 20 years artificial intelligence, robotics and technological advancement will change our lifestyles dramatically. This will culminate in an increase in recreational time, which in turn will result in a dramatic increase in hypokinetic diseases.

There is a need for a multidisciplinary medical and exercise hub, such as Medicise, that deals primarily with the basic elements of "preventive medicine" (health maintenance) and final phase rehabilitation. The subdivisions of sports medicine must accept the responsibility of providing safe exercise programs for rehabilitation and health maintenance for society as a whole. The final result will be a reduction in health care spending on the major drain, hospitalisation.

Medicise uses principles based on the latest scientific literature and provide up-to-date evidence-based programmes. Across the world, health providers are utilising out-of-hospital providers who incorporate exercise into their prevention and chronic disease treatment plans and acknowledge that exercise best functions within a multidisciplinary team approach (where all the various phases of rehabilitation are compiled). Based on the latter Medicise will follow global trend in providing cutting edge medical exercise programming to South Africa. Each programme section is compiled by a team of global experts in that specific field/health condition. The "whys" as well as the "hows" are presented in all (60 plus) programs (well documented and sustained by research). Placing the emphasis on understanding facilitates the programme(s) becoming part of the individual's lifestyle and value system. For too long people have been exercised, rather than educated in exercise ("why" and "how").

At Medicise, activity becomes a very important part of value-based daily living.

"If we could give every individual the right amount of nourishment and exercise, not too little and not too much, we would have found the safest way to health" - Hippocrates (460 BC)

Professor J.G. Barnard

Non-executive Director

"I find the opportunities present in Medicise exciting. In the last two decades, the field of medicine and health care have undergone significant changes. The opportunities presented in Medicise are exactly in line with the direction comprehensive health care is moving.

As a global leader in the field of exercise physiology, I enthusiastically endorse Medicise, because these principles are based on the latest scientific literature and provide up-to-date evidence-based practice medicine. Global health care providers presently are directing their out-of-hospital providers and facilities to incorporate exercise into their chronic disease management plans and acknowledge that exercise functions best within a multidisciplinary team-approach environment, where all the various phases of rehabilitation are incorporated. Successful chronic disease management teams include biokinetics as important members of the health care team for the implementation of exercise as part of their patients' management plan. I understand that according to the laws and the scope of practice in South Africa, Biokinetics can only function within an out-of-hospital setting. Medicise does focus on out-of-hospital settings and does incorporate exercise administered by Biokinetics who are certified specialists.

Physicians and health care providers world wide now better understand that physical inactivity brought on by modern lifestyles are detrimental to good health and lowers the body's ability to use oxygen and reduces muscle strength, both detrimental health effects result in lowering functional capacity and increased risk for most diseases. Chronic disease management providing exercise administered in a setting where clinical exercise prescription is part of the multidisciplinary intervention strategy, is supported in the scientific literature. A clinical exercise out-of-hospital setting administered by Biokinetics is the primary answer to this problem and is the essence of Medicise.

Though many examples exist where this concept is using exercise for primary prevention and treatment of disease exist, Ken Cooper M.D. developed the Cooper's Aerobics Health and Wellness Center which dates to 1970 and is one of the first and most prominent prevention/ treatment exercise programs. The Center consists of a clinic where patients undergo individualised testing to gain an in-depth evaluation of their health and an action plan to improve their clinical status. Also found is a wellness and fitness center where lifestyle, age, fitness level, and health are important elements that a clinical exercise physiologist (biokineticist) uses to develop a client's individualised prevention exercise/ lifestyle program, or for a chronic disease patient's disease treatment plan. The third branch of this Center is the Cooper Institute. This Institute was established to develop a repository of health-related data. The most notable result of the Institute is The Cooper Center Longitudinal Study. One of the most highly-referenced databases on physical fitness and health in the world. Equipped with this data, The Cooper Institute's primary goal works to make healthy choices easier through credible research, effective learning programs, and an influential network of health care partners.

The intent of Medicise is to use principles based on the latest scientific literature and provide up-to-date evidence-based medicine. Because world-wide health care providers are utilising out-of-hospital providers, who incorporate physical activity and exercise into their prevention and disease treatment plans, and acknowledge that best results are achieved when physical activity and exercise are used within a multidisciplinary team-approach environment, where all the various phases of rehabilitation are incorporated, Medicise is proposing to bring scientific based literature to provide up-to-date evidence-based practice medicine, and up-to-date cutting edge medical exercise programming to South Africa.

Sincerely."

J. Larry Durstine, Ph.D.

Distinguished Professor Emeritus

University of South Carolina

Norman J. Arnold School of Public Health

Department of Exercise Science

All the programs implemented by Medicise are underwritten by: American College of Sports Medicine, American Association of Cardiovascular and Pulmonary Rehabilitation, American Thoracic Society and American College of Chest Physicians, American College of Cardiology, European Society of Cardiology & Perioperative Exercise Testing and Training Society

Stakeholders

Johann Els

Position: Executive Director

EDUCATION:

B Sport Sc.Hons (Biokinetics), Stellenbosch University

"Growth creates complexity, and complexity is the silent killer of growth. Most companies that achieve sustainable growth share a common set of motivating attitudes and behaviours that can usually be traced back to a bold, ambitious founder who got it right the first time around" - Zook & Allen, 2016.

As the founder of Medicise, Johann brings a clear sense of vision and focus that everyone in the company can understand. This is called "the founder's mentality, which consists of three main traits: an insurgent's mission, an owner's mindset, and obsession with the front line."

An experienced clinical team with a combination of smart passionate professionals was assembled, which created a formidable team. Johann is also proud to say that he is honoured to have his mentor, J.G Barnard from Stellenbosch University, as well as the President (at the time of his studies), of the American College of Sports Medicine, J.L. Durstine, part of the team in the company. The time has come where the valuable knowledge which was passed on to him from his mentors, needs to become more readily accessible to the wider society in order to afford effective health care treatment.

Prof J.G Barnard

Prof Barnard is well known in South Africa for implementing final phase rehabilitation within the medical field. As a non-executive director of Medicise, he will be actively involved in the ethics and the advisory committees. His role will be pivotal in providing executive leadership in the company in terms of guidance for optimisation and delivery of medical exercise programmes.

EDUCATION:

DPhill. (Exercise Physiology), University of the Free State

Master of Arts (Exercise Physiology), University of the Free State

PROFESSIONAL EXPERIENCE:

Professor and Head of Biokinetics Program, at the University of Stellenbosch (2000 - 2011)
Head of the Department of Paramedical Sciences (Radiography, Medical Technology and Clinical Technology) at the University of Technology, Free State (1990 - 1999)
Study Leader / Associate Study Leader (14 Completed Theses)
Promoter / Co-promoter (5 Completed Dissertations)
External Examination: Act as external examiner for 24 Theses and 14 Dissertations. Act as an external examiner at numerous Biokinetics training institutions in South Africa

PUBLICATIONS:

Published 29 articles in accredited journals

PAPERS READ:

Twelve subject-relevant papers read at International congresses
National Congresses. Thirty subject-relevant papers read

ADDITIONAL INFORMATION:

Council member: Technikon Fee State (1996 - 1999) (Academic representative)

MEMBER OF STATUTORY COUNCIL:

Member of a statutory body (HPCSA) for the evaluation of education and training in Biokinetics (intern-ships) at private practices

J. Larry Durstine, Ph.D

Prof Durstine is an internationally renowned leader in exercise science. He is well known for advocating exercise as a treatment for chronic disease and disabilities. As a non-executive director of Medicise he will be actively involved in the ethics and advisory committees. His role will be pivotal in terms of guidance for optimisation and delivery of medical exercise programmes.

EDUCATION:

Ph.D - Department of Exercise Science and Physical Education, The University of Toledo, Major - Exercise Physiology - 1981
Master of Arts - Department of Physical Education, The University of Denver, Major - Exercise Physiology - 1974
Bachelor of Science - Department of Physical Education, Malone College, 1973

Professor J. Larry Durstine is a highly decorated individual with a proven track record within exercise science. If you would like to have a better understanding how exercise can be used as medicine within chronic disease management, see below. You will be directed to literature that will boggle the mind, and understand why Professor Durstine has stated - "there is no other prescription with such pluripotent potential" such as physical exercise - in one of the books he has written.

PROFESSIONAL EXPERIENCE:

Retired - Distinguished Emeritus Professor, Department of Exercise Science at the University of South Carolina. December 2017
Distinguished Professor, Department of Exercise Science at the University of South Carolina. July 2014 - December 2017
Distinguished Professor and Chair, Department of Exercise Science at the University of South Carolina, July 2000 - 2014
Professor and Director of Clinical Exercise Programs at the University of South Carolina. June 1995 - December 2017. The clinical programs at The University of South Carolina exists for several reasons. The most important purpose is to provide practical settings for students to gain experience in exercise testing and prescription. The Department of Exercise Science has specifically tracts for graduate and undergraduate students interested in fitness and cardiac rehabilitation programming. Our students gain initial experience from these settings. However, we have agreements with several settings outside the university and they include Richland Memorial Hospital, Lexington Medical Center, Providence Hospital, Orangeburg Regional Medical Center, Greenville Memorial Hospital System and Kershaw County Memorial Hospital. These programs provide splendid practical experience for our students. In addition, I continue my research interest in the areas of lipoprotein metabolism, adult fitness and the use of physical activity and exercise in the management of chronic disease and disabilities.
Associate Professor and Director of Clinical Exercise Programs, at The University of South Carolina. September 1991 - June 1995. Previous endeavours were concerned with alterations in lipoprotein metabolism as a result of lifestyle alterations. This included changes in diet, smoking behaviour and exercise. Exercise studies using cross sectional and experimental designs with both men and women to evaluate a single exercise session of exercise and regular practiced physical activity. Expansion of this broad base now emphasis the evaluation of relationships between exercise, Lp(a) and the fibrinolytic systems in men as well as women. New areas of interest are oriented around cardiac rehabilitation: this includes rehabilitation of women as well as the medically complex patient.
Visiting Scholar at Stanford Center for Research in Disease Prevention, at Stanford University School of Medicine. August 1990 - July 1991. Problems investigated were women in cardiac rehabilitation, cardiac rehabilitation of the medically complex patient, determinants of coronary artery dilation capacity, determinants of low HDL-C and physical activity and their relationship to blood lipoproteins.
Associate Professor and Director of Cardiac Rehabilitation, at the University of South Carolina. March 1987 - August 1990. The purpose of this program is to provide a comprehensive approach to the rehabilitation of cardiac patients through appropriate intervention programs. This comprehensive approach emphasised exercise, diet, psychological, vocational and education intervention.
Assistant Professor and Director of Cardiac Rehabilitation, at the University of South Carolina. March 1982 - March 1987. Problems investigated were lipoprotein responses in young men to prolonged sub maximal exercise sessions and lipoprotein responses to prolonged high intensity marathon running. Work was pointed toward the acute alterations of lipoproteins in young women during sub maximal work and toward the combined effects of high fat diet and acute exercise on serum lipoproteins.
Director of Cardiac Rehabilitation, at the University of Toledo, September 1979 - February 1982. Offered through the Kinesotherapy Center at the University of Toledo under the direction of Dr. Leonard Greninger. The purpose of this program was to provide an educational and exercise intervention program to persons having had open heart surgery and/or a myocardial infarction.
Director of Animal and Human Research Laboratory, at the University of Toledo. September 1980 - February 1982. Laboratory research completed concerned obesity, lipid metabolsim, hyperlipoproteinemia and hypertension. Specifically, we were engaged in a comprehensive study of obesity in Type IV hyperlipoproteinemic Zucker rats: food intake patterns, lipid and serum lipoprotein metabolism were studied. In addition, the Dahl salt-sensitive rat and how this animal responds to exercise once hypertension develops was studied.
Ph.D Dissertation completed with Dr. Raymond E. Shepherd at the University of Toledo. September 1979 - September 1981. Characterisation of serum lipoproteins of the genetically obese and lean rat after a prolonged endurance running program. Serum lipoproteins were separated into three classes (VLDL, LDL and HDL) by use of the ultracentrifuge. Protein, cholesterol and triglyceride concentrations were determined for each lipoprotein class.

TEACHING EXPERIENCE:

Professor at the University of South Carolina, Columbia, South Carolina, June 1995 to present. Research responsibility associated with teaching included lipid and lipoprotein metabolism, black women and cardiovascular disease, and women in cardiac rehabilitation programming. Teaching responsibilities include graduate and undergraduate exercise physiology, and clinical exercise programming.
Associate Professor at the University of South Carolina, Columbia, South Carolina, April 1987 - June 1995. Responsibilities include teaching graduate and undergraduate exercise physiology, cardiac rehabilitation (both clinical and community based), and research responsibility including lipid and lipoprotein metabolism and women in cardiac rehabilitation programming.
Assistant Professor at the University of South Carolina, Columbia, South Carolina, March 1982 - 1987. Responsibilities include teaching graduate exercise physiology, aerobic fitness classes, technician class for fitness instructors and Director of Cardiac Rehabilitation offered by the Physical Education Center.

PUBLICATIONS

BOOKS

1. American College of Sports Medicine. Exercise Management for Persons with Chronic Diseases and Disabilities. (Editors) G.E. Moore, P.L. Painter and J.L. Durstine. Fourth Edition: Human Kinetics, 2016.

2. American College of Sports Medicine. Exercise Management for Persons with Chronic Diseases and Disabilities. (Editors) J.L. Durstine, P.L. Painter, and G.E. Moore. Third Edition: Human Kinetics, 2009

3. Durstine, J.L. Pollock's Textbook of Cardiovascular Disease Rehabilitation. (Editors) J.L. Durstine, G.E. Moore, M.J. LaMonte, B.A. Franklin. First Edition: Human Kinetics, 2008.

4. Durstine, J.L. American College of Sports Medicine Action Plan for High Cholesterol. First Edition. Human Kinetics, 2006.

5. American College of Sports Medicine. Exercise Management for Persons with Chronic Diseases and Disabilities. (Editors) J.L. Durstine and G.E. Moore. Second Edition: Human Kinetics, 2005. (In Greek)

6. American College of Sports Medicine. Exercise Management for Persons with Chronic Diseases and Disabilities. (Editors) J.L Durstine and G.E. Moore. Second Edition: Human Kinetics, 2003.

7. American College of Sports Medicine. Exercise Management for Persons with Chronic Diseases and Disabilities. (Editors) J.L. Durstine, L.E. Bloomquist, S.F. Figoni, G.E. Moore, P.L. Painter, K.H. Pitetti, S. Roberts, and C.J. Pope. Human Kinetics, 1997.

8. American College of Sports Medicine. ACSM's Resource Manual for Guidelines for Exercise Testing and Prescription. (Editors) J.L. Durstine, A.C. King, P.L. Painter, J.L. Roitman, L.D. Zwiren, and W.L. Kenney. Second Edition: Philadelphia, Lea & Febiger, 1993.

9. American College of Sports Medicine. Guidelines for Exercise Testing and Prescription (Editors) R.R. Pate, S.N. Blair, J.L. Durstine, D.O. Eddy, P. Hanson, P.L. Painter, L.K. Smith, and L.A. Wolfe. Fourth Edition: Philadelphia, Lea & Febiger, 1991.

BOOK CHAPTERS

1. Grandjean P, Crouse SF, Durstine JL, Davis PG, Gordon BT. Hyperlipidemia and Dyslipidemia. Clinical Exercise Physiology 4th ed. Human Kinetics. 2018.

2. Ligouri, Johann J, Burns K, Gordon BT, J.L. Durstine. Exercise for Individuals with Controlled Cardiovascular, Pulmonary, and Metabolic Diseases. American College of Sports Medicine Resource Manual for Health Fitness Specialist. Lippincott Williams & Wilkins. Second Edition. 2017.

3. Durstine JL, Thompson RW, Gordon BT, Drawing Inferences - Logical Fallacies. ACSM's Research Methods. 1st Edition, Editors LE Armstrong, and WJ Kraemer. Wolters Kluwer. 2016.

4. Durstine JL, Burns K, Gordon BT, Ligouri G. Exercise for Individuals with Controlled Cardiovascular, Pulmonary, and Metabolic Diseases. American College of Sports Medicine Resource Manual for Health Fitness Specialist. Lippincott Williams & Wilkins. 2013.

5. Grandjean P, Gordon BT, Davis PG, J.L. Durstine. Hyperlipidemia and Dyslipidemia. Clinical Exercise Physiology 3rd ed. Human Kinetics. 2013.

6. Durstine, J.L., Burns, K.J. and Cheek T. Physical Activity in the Treatment of Chronic Conditions. Physical Activity and Public Health Practice. Edited by BE Ainsworth and CA Macera. CRC Press, 2011.

7. Durstine, J.L. and Burns K.J. High Cholesterol. ACSM's Complete Guide to Fitness and Health. Edited by B Bushman. Human Kinetics. 2011.

8. Moore, G.E., G.W. Lyerly, and J.L. Durstine. Exercise prescription for the patient with multiple conditions. ACSM's Resource Manual for Guidelines for Exercise Testing and Prescription (6th edition); edited by J.L. Roitman et al. 2009

9. Durstine, J.L., G.E. Moore, and P.D. Thompson, Hyperlipidemia. ACSM's Exercise Management for Persons with Chronic Diseases and Disabilities (3rd Edition), edited by J.L Durstine, P.L. Painter and G.E. Moore. Human Kinetics, 2009.

10. Moore, G.E., Roberts, S.O., and Durstine, J.L. Introduction, ACSM's Exercise Management for Persons with Chronic Diseases and Disabilities (3rd edtiion), edited by J.L. Durstine, P.L. Painter and G.E. Moore. Human Kinetics, 2009.

11. Moore, G.E., Marsh, A.P., and Durstine, J.L. Approach to Exercise and Disease Management, ACSM's Exercise Management for Persons with Chronic Diseases and Disabilities (3rd Edition), edited by J.L Durstine, P.L. Painter and G.E. Moore. Human Kinetics. 2009.

12. Durstine, J.L., Peel, J.B., LaMonte, M.J., Keteyain, S.J., Fletcher, E., and Moore, G.E., Exercise is Medicine, ACSM's Exercise Management for Persons with Chronic Diseases and Disabilities (3rd Edition), edited by J.L. Durstine, P.L. Painter and G.E. Moore. Human Kinetics. 2009.

13. Moore, G.E., Painter, P.L., Lyerly, G.W., and Durstine, J.L. Managing Exercise in Persons with Multiple Chronic Conditions, ACSM's Exercise Management for Persons with Chronic Diseases and Disabilities (3rd Edition), edited by J.L. Durstine, P.L. Painter and G.E. Moore. Human Kinetics. 2009.

14. Durstine, J.L. and B.J. Peele. Dyslipidemia. Pollock's Textbook of Cardiovascular Disease Rehabilitation. First Edition. Edited by J. Larry Durstine, Geoffrey E. Moore, Michael J. LaMonte, and Barry A. Franklin. Human Kinetics (in preparation for 2009 release).

15. Serge P. von Duvillard, S.P., J. Hamra, G.W. Lyerly, J.A. Moore, J.L. Durstine. Utilization of Fats in Energy Production. Sports Nutrition: Energy Metabolism and Exercise. I. Wolinsky and J.A. Driskell, Editors. CRC Press. pp 47-62. 2008.

16. Durstine, J.L. and A.C. Summer. Physical activity, exercise, blood lipids and lipoproteins. Lipid Metabolism and Health. (Editors) Robert J. Moffat and Bryant Stamford. Boca Raton, CRC Press, pp. 265-282, 2006..

17. Durstine, J.L. Advice on Graduate Student Mentoring. In Hall S.J. (Senior Editor), ACSM Offers Advice for Graduate Students. Indianapolis; ACSM, pp 63-73, 2005.

18. Haskell, W.L. and J.L. Durstine. Coronary heart disease. Exercise Testing and Exercise Prescription for Special Cases: Theoretical Basis and Clinical Application. (Editor) Hames S. Skinner. (3rd Edition) pp. 285-304, 2005.

19. Durstine, J.L. and G.E. Moore. Introduction, ACSM's Exercise Management for Persons with Chronic Diseases and Disabilities (2nd Edition), pp. 2-4; edited by J.L. Durstine and G.E. Moore. Human Kinetics. 2003.

20. Moore, G.E., and Durstine, J.L. Framework, ACSM's Exercise Management for Persons with Chronic Diseases and Disabilities (2nd Edition), pp. 5-15; edited by J.L. Durstine and G.E. Moore. Human Kinetics. 2003.

21. Durstine, J.L., G.E. Moore, and P.D. Thompson. Hyperlipidemia. ACSM's Exercise Management for Persons with Chronic Diseases and Disabilities (2nd Edition), pp. 142-148; edited by J.L. Durstine and G.E. Moore. Human Kinetics. 2003.

22. Durstine, J.L. and P.G. Davis. Specificity of Exercise Training and Testing, ACSM's Resource Manual for Guidelines for Exercise Testing and Prescription. (4th edition); edited by J.L. Roitman, M. Herridge, M. Kelsey, T.P. LaFontaine, L. Miller, M. Wegner, M.A. Williams and T. York. Philadelphia, Lippincott Williams & Wilkins. 484-491, 2001.

23. Durstine, J.L. and S.P. Brown. Future of Exercise Science. Introduction to Exercise Science. (Editor) Stanley P. Brown, published by Lippincott Williams & Wilkins, NY, pp. 409-438, 2001.

24. Durstine, J.L. Exercise and Lipid Disorders, Exercise & Sports Science; edited by P.D. Thompson, published by McGraw-hill, New York, pp. 452-479, 2001.

25. Durstine, J.L., S.F. Crouse, and R.J. Moffat. Lipids in Exercise and Sports. Macronutrients, Electrolytes and Macroelements in Sports Nutrition (Editors) J.A. Driskell and I. Wolinsky. Boca Raton, CRC Publisher, INC., pp 87-118, 2000.

26. Pitetti, K.H. and J.L. Durstine. Endurance training for Persons with Disabilities, Endurance in Sports (2nd edition); edited by R. Shepherd and P.O. Astrand, published by Blackwell Science, Inc., Oxford, Great Britain, pp. 565-587, 2000.

27. Durstine, J.L. and P.G. Davis. Specificity and Exercise. ACSM's Resource Manual for Guidelines for Exercise Testing and Prescription. 3rd Edition. (Editors) J.L. Roitman, M. Kelsey, T.P. LaFontaine, D.R. Southard, M.A. Williams, T. York. Baltimore, Williams & Wilkins. 472-479, 1998.

28. Durstine, J.L. and G.E. Moore. Hyperlipidemia. Exercise Management for Persons with Chronic Diseases and Disabilities. (Editors) J.L. Durstine, L.E. Bloomquist, S.F. Figoni, G. Moore, P.L. Painter, K.H. Pitetti, S. Roberts, and C. Pope, Human Kinetics, 1997.

29. Moore, G.E. and J.L. Durstine. Framework. Exercise Management for Persons with Chronic Diseases and Disabilities. (Editors) J.L. Durstine, L.E. Bloomquist, S.F. Figoni, G. Moore, P.L. Painter, K.H. Pitetti, S. Roberts, and C. Pope. Human Kinetics. 1997.

30. Durstine, J.L. Exercise and optimization of the lipid profile. Current Therapy in Sports Medicine. 3rd Edition (Edition) J.S. Torg and R.J. Shephard. St Louis, Mosby. pp. 668-676, 1995.

31. Durstine, J.L. and W.L. Haskell. Effects of exercise-training on plasma lipids and lipoproteins. Exercise and Sports Science Reviews. (Editor) J.O. Holloszy. Baltimore, Williams & Wilkins. Vol. 22:477-521, 1994.

32. Durstine, J.L. R.R. Pate and J.D. Branch. Cardiorespiratory responses to acute exercise. ACSM's Resource Manual for Guidelines for Exercise Testing and Prescription. (Editors) J.L. Durstine et al. Second Edition: Philadelphia, Lea & Febiger. pp. 67-74, 1993.

33. Haskell, W.L. and J.L. Durstine. Coronary heart disease. Exercise Testing and Exercise Prescription for Special Cases: Theoretical Basis and Clinical Application. (Editor) James S. Skinner. Second Edition. Philadelphia, Lea & Febiger. pp.251-274, 1993.

34. Haskell, W.L. and J.L. Durstine. Impact of exercise training on lipoprotein metabolism. Diabetes Mellitus and Exercise. (Editors) J. Devlin, E.S. Horton, and M. Vranic. Great Britain: Smith-Gordon. pp. 205-217, 1992.

35. Durstine, J.L. Exercise prescription for cardiac patients. In Guidelines for Exercise Testing and Prescription. (Editors) R.R. Pate, S.N. Blair, J.L. Durstine, D.O. Eddy, P. Hanson, P, Painter, L.K. Smith, and L.A. Wolfe. Fourth Edition: Philadelphia, Lea & Febiger, pp. 121-159, 1991.

36. Durstine, J.L. and R.R. Pate. Cardiorespiratory responses to acute exercise. In Resource Manual for Guidelines for Exercise Testing and Prescription. Eds. Steve Blair et al. First Edition: Philadelphia & Febiger. pp. 48-54, 1988.

37. Pate, R.R. and J.L. Durstine. Cardiovascular adaptations to chronic endurance exercise. In: Physical Activity and Human Well Being. Ed. Vern Seefeldt, pp. 275-302, 1986.

Other Publications produced by Professor J. Larry Durstine consist of the following; 88 referenced publications, 8 unreferenced publications, 101 published abstracts, 56 conference abstracts, 155 papers presented at professional meetings.

Symposia / Seminars / Workshops presented by Professor J. Larry Durstine consist of the following; 96 Symposia, 32 Seminars, 32 Workshops.

Service Activities and Honours / Awards

SERVICE ACTIVITIES
Date	Duties/Services
INTERNATIONAL ORGANISATIONS
1992	WHO European Committee on Cardiac Rehabilitation, Tours France
NATIONAL ASSOCIATIONS
2008 - 2014	American College of Sports Medicine Treasurer
2007 - 2008	American College of Sports Medicine Past President
2006 - 2007	American College of Sports Medicine President
2005 - 2006	American College of Sports Medicine President Elect
2003 - 2005	American College of Sports Medicine Vice President
2003 - present	American College of Sports Medicine Annual Meeting Program Committee
1999 - 2001	American Association of Cardiovascular Pulmonary Rehabilitation Director's Board
1999 - 2001	American Association of Cardiovascular Pulmonary Rehabilitation Awards and Tributes Committee
1998 - 2002	Associated Editor, Clinical Exercise Physiology
1995 - 1998	American College of Sports Medicine Board of Trustees
1996 - 1999	American Association of Cardiovascular Pulmonary Rehabilitation Chair of the Research Committee
1995 - present	Editorial Board of Journal Cardiopulmonary Rehabilitation
1995 - 1998	Editorial Board for Medicine Science Sport and Medicine
1992 - 1995	American College of Sports Medicine Certification Committee
1986 - 1994	American College of Sports Medicine Educational Materials Sub-Committee
1987 - 1993	American College of Sports Medicine Publications Committee
1986 - 1992	American College of Sports Medicine Preventive and Rehabilitation Committee
1992 - 1994	American College of Sports Medicine Governmental Relations Committee
1987 - 1994	American Association of Cardiovascular and Pulmonary Rehabilitation Research Committee
1986, 1988, 1990, 1992, 1993	Session Moderator at National American College of Sports Medicine Meeting
1989, 1990, 1991, 1994	Session Moderator at National American Association for Cardiovascular Pulmonary Programs

Dr Jonathan Bloom

Dr Jonathan Bloom holds a PhD in Corporate Finance from Stellenbosch University and until 2013, was Professor of Corporate Finance specialising in Real Estate Investment and Financing at the same institution.

EDUCATION:

Ph.D (Corporate Finance), Stellenbosch University
M.Com (cum laude), Stellenbosch University
Hons.B.Com (cum laude), Stellenbosch University

He has been involved in the private sector for 22 years, and has consulted as a business advisor to various JSE-listed companies, for various clients and real estate developers in Southern Africa, Middle East and the Asia-Pacific. Dr Bloom is part of the GTAC team at National Treasury and has assisted various provincial departments with real estate projects, as well as district and local municipalities with the establishment of public-private partnerships and preparation of real estate development and spatial planning strategies. The United States Agency for International Development (USAID) used his services in Namibia for development projects. Jonathan has undertaken various assignments in diverse sectors and industries such as Transport, Infrastructure, Tourism and Hospitality, Financial Services, Healthcare, Retail and Entertainment. Jonathan is also a non-executive director of companies.

Email	info @medicisesa.co.za
Tel	+27 87 822 1149
Fax	+27 86 476 7880
Address	49 Hennie Winterbach Street Panorama Cape Town 7500

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