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the moral reasoning of student athletes and athletic training students

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various forms <strong>of</strong> heat illness, including heat stroke. The first fatal case <strong>of</strong> heat illness reportedly<br />

caused by <strong>the</strong> stimulant amphetamine use was that <strong>of</strong> British cyclist, Tom Simpson who suffered<br />

a severe case <strong>of</strong> heat stroke during <strong>the</strong> 1967 Tour de France (Noakes, 2004).<br />

Blood Doping<br />

Blood doping refers to <strong>the</strong> illegal practices <strong>of</strong> increasing <strong>the</strong> mass <strong>of</strong> red blood cells in <strong>the</strong><br />

body for <strong>the</strong> purposes <strong>of</strong> enhancing <strong>athletic</strong> performance. red blood cells are responsible for<br />

transporting oxygen from <strong>the</strong> lungs to muscle <strong>and</strong> o<strong>the</strong>r tissues in <strong>the</strong> body, <strong>the</strong>refore, an increase<br />

in red blood cell concentration increases maximal power output <strong>and</strong> average power output over a<br />

duration <strong>and</strong> may delay <strong>the</strong> onset <strong>of</strong> fatigue (Sawka et al., 1996). The potential performance<br />

enhancing effects <strong>of</strong> an increase in concentrations <strong>of</strong> red blood cells make blood doping most<br />

prevalent in long distance events such as cycling, rowing, swimming <strong>and</strong> long distance running<br />

or skiing events. The two most common methods <strong>of</strong> blood doping include direct injection <strong>of</strong> <strong>the</strong><br />

hormone erythropoietin, also known as EPO, <strong>and</strong> a procedure involving <strong>the</strong> infusion <strong>of</strong> red blood<br />

cells. Erythropoietin is a hormone secreted by <strong>the</strong> kidneys that stimulates <strong>the</strong> bone marrow to<br />

produce more red blood cells. This process occurs naturally in response to hypoxia, or a lack <strong>of</strong><br />

oxygen, as is <strong>the</strong> state <strong>of</strong> <strong>the</strong> body during exercise. Since red blood cells are responsible for<br />

delivering oxygen to various tissues, increased levels <strong>of</strong> erythropoietin directly increases <strong>the</strong><br />

amount <strong>of</strong> oxygen that can be delivered to <strong>the</strong> body. Recently, erythropoietin has been used in<br />

<strong>the</strong> sporting world to elevate oxygen carrying potential above <strong>the</strong> body’s natural levels <strong>the</strong>reby<br />

potentially improving performance.<br />

The second method for blood doping is by directly infusing red blood cells into <strong>the</strong> body.<br />

This procedure requires that several blood units are removed from ei<strong>the</strong>r <strong>the</strong> athlete (autologous<br />

infusion) or a separate donor (homologous infusion) <strong>and</strong> <strong>the</strong> red blood cells are harvested <strong>and</strong><br />

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