Heat illness among high school athletes--United States, 2005-2009

Introduction

Heat illness is a leading cause of death and disability among U.S. high school athletes.

Methods

To examine the incidence and characteristics of heat illness among high school athletes, CDC analyzed data from the National High School Sports-Related Injury Surveillance Study for the period 2005–2009.

Results

During 2005–2009, the 100 schools sampled reported a total of 118 heat illnesses among high school athletes resulting in ≥ 1 day of time lost from athletic activity, a rate of 1.6 per 100,000 athlete-exposures, and an average of 29.5 time-loss heat illnesses per school year. The average corresponds to a weighted average annual estimate of 9,237 illnesses nationwide. The highest rate of time-loss heat illness was among football players, 4.5 per 100,000 athlete-exposures, a rate 10 times higher than the average rate (0.4) for the eight other sports. Time-loss heat illnesses occurred most frequently during August (66.3%) and while practicing or playing football (70.7%). No deaths were reported.

Conclusions

Consistent with guidelines from the National Athletic Trainers’ Association, to reduce the risk for heat illness, high school athletic programs should implement heat-acclimatization guidelines (e.g., set limits on summer practice duration and intensity). All athletes, coaches, athletic trainers, and parents/guardians should be aware of the risk factors for heat illness, follow recommended strategies, and be prepared to respond quickly to symptoms of illness. Coaches also should continue to stress to their athletes the importance of maintaining proper hydration before, during, and after sports activities.

Impact of industry

By implementing preventive recommendations and quickly recognizing and responding to heat illness, coaches, athletic trainers, and the sporting community can prevent future deaths.     

Achieving sustainable development goals through participatory forest management: Examples from South-Eastern Bangladesh

Forests managed through peoples' participation can help to achieve a number of sustainable development goals (SDGs). This paper, drawing data from four participatory forest management (PFM) projects in south-eastern Bangladesh, explored: (a) the factors that influenced the outcomes of PFM; and (b) contribution of PFM towards achieving selected SDGs. The research used observation, semi-structured household interviews, group discussions, vegetation survey and Ostromʼs design principles for data collection, Divergent forest conditions and factors in four PFM sites have had differential contribution to SDGs. Heterogeneity of user groups, insufficient coordination, absence of motivation, and land tenure conflicts had affected the attainment of SDGs. The PFM helped to achieve 9–11 SDGs comprising poverty reduction (Goal 1), improving food security (Goal 2), maintaining health and well-being (Goal 3), enhancing childrensʼ education (Goal 4), fair access to jobs and committees (Goals 5 and 10), sources of clean drinking water (Goal 6), affordable energy for cooking (Goal 7), increased household economy (Goal 8), climate change through carbon sequestration (Goal 13), forest conservation (Goal 15), and partnerships with relevant institutions (Goal 16). In order to achieve SDGs, PFM could be viewed as an integral part of government development strategies, which needs sectoral coordination and integration of relevant policies.     

山东省经济结构的失衡水平:测度和比较

山东省是中国经济发展最快的省区之一,但随着经济增长的不断推进所积累的矛盾和失衡水平也逐渐提高,经济发展的可持续性日趋降低。为考察山东省经济发展的现状,明确山东省经济结构中存在的问题,该文拟根据文献[1]的方法,构建省域经济结构失衡程度指标体系。考虑到省域经济的特殊性,确定了包括产业结构、投资消费结构、金融结构、省内经济结构和国际收支结构5大类共17个指标作为基本指标体系,对近10年以来山东省经济结构失衡程度进行了测试,并且利用相同的指标体系对广东、江苏、浙江等东部代表性省区以及全国的整体结构失衡水平进行了测度和比较分析,明确了山东省经济结构失衡的绝对水平和相对水平。结果表明:山东省经济结构失衡现象较为突出,经济发展的可持续性日趋降低。本文建议山东省加快第三产业发展,理顺投资与消费的关系,提高国民经济中消费所占比重,平衡省内各市际间经济发展水平才能真正缓解经济结构失衡状况,增强可持续发展的动力。     

Nitrogen mediates above-ground effects of ozone but not below-ground effects in a rhizomatous sedge

Ozone and atmospheric nitrogen are co-occurring pollutants with adverse effects on natural grassland vegetation. Plants of the rhizomatous sedge Carex arenaria were exposed to four ozone regimes representing increasing background concentrations (background-peak): 10-30, 35-55, 60-80 and 85-105 ppb ozone at two nitrogen levels: 12 and 100 kg N ha⁻¹ yr⁻¹. Ozone increased the number and proportion of senesced leaves, but not overall leaf number. There was a clear nitrogen × ozone interaction with high nitrogen reducing proportional senescence in each treatment and increasing the ozone dose (AOT40) at which enhanced senescence occurred. Ozone reduced total biomass due to significant effects on root biomass. There were no interactive effects on shoot:root ratio. Rhizome tissue N content was increased by both nitrogen and ozone. Results suggest that nitrogen mediates above-ground impacts of ozone but not impacts on below-ground resource translocation. This may lead to complex interactive effects between the two pollutants on natural vegetation.     

The changes of nitric oxide production during the growth of Microcystis aerugrinosa

This study characterized the changes of nitric oxide (NO) production during the growth of Microcystis aerugrinosa, a cyanobacterium which usually cause cyanobacterial blooms. Results showed a drastic NO release accompanying with cell density and Chl-a content sharp rises when M. aerugrinosa grew from fifth day to sixth day. Moreover, high N:P ratio accelerated the cyanobacterial growth and NO burst. Sodium nitroprusside, an exogenous NO donor, promoted M. aerugrinosa growth with the optimal concentration of 0.1 mg/L. Experiments by supplementing with sodium nitrite and l-arginine demonstrated NO production in M. aerugrinosa cells was mainly through nitrate reductase (NR) pathway while minorly through NO synthase pathway. All these data suggested M. aerugrinosa produced increasing NO during its growth mainly by NR pathway, during which NO positively regulated the growth of M. aerugrinosa.     

Cyclone preparedness and response: an analysis of lessons identified using an adapted military planning framework

The United Kingdom uses the Defence Lines of Development (DLOD) framework to analyse and understand the key components and costs of a military capability. Rooted in the Resource Based View (RBV) of a firm, an adapted DLOD approach is employed to explore, analyse and discuss the preparedness, planning and response strategies of two markedly different countries (Australia and Bangladesh) when faced with a major cyclone event of a comparable size. Given the numerous similarities in the challenges facing military forces in a complex emergency and humanitarian agencies in a natural disaster, the paper demonstrates the applicability of the DLOD framework as an analysis and planning tool in the cyclone preparedness planning and response phases, and more broadly within the disaster management area. In addition, the paper highlights the benefit to disaster managers, policymakers and researchers of exploiting comparative cross-learning opportunities from disaster events, drawn from different sectors and countries.     

Adapting a holistic approach to flood management in the Hawkesbury–Nepean region: complexities and perceptions of the agencies involved

This paper looks into the complexity of managing flood risks in the Hawkesbury–Nepean catchment, Australia. Several aspects are explored: (1) the complexities created by the way different agencies are involved in assessing flood risks; (2) different perceptions on acceptable flood risk level; (3) community engagement in defining acceptable flood risk level; (4) views on a holistic flood risk management plan; and (5) challenges of a centralised information system. This study concludes that the complexity of managing a large catchment is exacerbated by the difference in the way professionals perceive the problem. This has led to (1) different standards for acceptable risks; (2) inconsistent attempt to set up a regional-scale flood management plan beyond the jurisdictional boundaries; (3) absence of a regional-scale agency with licence to share and update information; and (d) lack of forums for dialogue with insurance companies to ensure an integrated approach to flood management.     

Fluid bed gasification – Plasma converter process generating energy from solid waste: Experimental assessment of sulphur species

Often perceived as a Cinderella material, there is growing appreciation for solid waste as a renewable content thermal process feed. Nonetheless, research on solid waste gasification and sulphur mechanisms in particular is lacking. This paper presents results from two related experiments on a novel two stage gasification process, at demonstration scale, using a sulphur-enriched wood pellet feed.Notable SO₂ and relatively low COS levels (before gas cleaning) were interesting features of the trials, and not normally expected under reducing gasification conditions. Analysis suggests that localised oxygen rich regions within the fluid bed played a role in SO₂’s generation. The response of COS to sulphur in the feed was quite prompt, whereas SO₂ was more delayed. It is proposed that the bed material sequestered sulphur from the feed, later aiding SO₂ generation. The more reducing gas phase regions above the bed would have facilitated COS – hence its faster response. These results provide a useful insight, with further analysis on a suite of performed experiments underway, along with thermodynamic modelling.     

Effects of a gradually increased load of fish waste silage in co-digestion with cow manure on methane production

This study examined the effects of an increased load of nitrogen-rich organic material on anaerobic digestion and methane production. Co-digestion of fish waste silage (FWS) and cow manure (CM) was studied in two parallel laboratory-scale (8 L effective volume) semi-continuous stirred tank reactors (designated R1 and R2). A reactor fed with CM only (R0) was used as control. The reactors were operated in the mesophilic range (37 °C) with a hydraulic retention time of 30 days, and the entire experiment lasted for 450 days. The rate of organic loading was raised by increasing the content of FWS in the feed stock. During the experiment, the amount (volume%) of FWS was increased stepwise in the following order: 3% – 6% – 13% – 16%, and 19%. Measurements of methane production, and analysis of volatile fatty acids, ammonium and pH in the effluents were carried out. The highest methane production from co-digestion of FWS and CM was 0.400 L CH4 gVS^?1, obtained during the period with loading of 16% FWS in R2. Compared to anaerobic digestion of CM only, the methane production was increased by 100% at most, when FWS was added to the feed stock. The biogas processes failed in R1 and R2 during the periods, with loadings of 16% and 19% FWS, respectively. In both reactors, the biogas processes failed due to overloading and accumulation of ammonia and volatile fatty acids.     

Effects of bulking agent addition on odorous compounds emissions during composting of OFMSW

The effects of rice straw addition level on odorous compounds emissions in a pilot-scale organic fraction of municipal solid waste (OFMSW) composting plant were investigated. The cumulative odorous compounds emissions occurred in a descending order of 40.22, 28.71 and 27.83 mg/dry kg of OFMSW for piles with rice straw addition level at ratio of 1:10, 2:10 and 3:10 (mixing ratio of rice straw to OFMSW on a wet basis), respectively. The mixing ratio of rice straw to OFMSW had a statistically significant effect on the reduction of malodorous sulfur compounds emissions, which had no statistically significant effect on the reduction of VFAs, alcohols, aldehydes, ketones, aromatics and ammonia emissions during composting, respectively. The cumulative emissions of malodorous sulfur compounds from piles with the increasing rice straw addition level were 1.17, 1.08 and 0.88 mg/dry kg of OFMSW, respectively. The optimal mixing ratio of rice straw to OFMSW was 1:5. Using this addition level, the cumulative malodorous sulfur compounds emissions based on the organic matter degradation were the lowest during composting of OFMSW.