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.     

Assessment of HEADS UP online training as an educational intervention for sports officials/athletic trainers

Background: Sports- and recreation-related concussions are a common injury among children. Sports officials (SOs) and athletic trainers (ATs) are integral to setting the stage for safe play and managing concussions when they occur, and significant numbers of both groups have completed the Centers for Disease Control and Prevention’s HEADS UP online concussion training course. However, the utility of the course for these audiences has not been assessed. We hypothesized that sports officials’ and athletic trainers’ concussion-related knowledge, attitudes, and behavioral intentions will improve from pre- and post-test after completing CDC’s HEADS UP online concussion training course. Method: Respondents’ concussion-related knowledge, attitudes, and behavioral intentions were assessed both before and after taking the training course. Differences between pre- and post-test scores were calculated based on the Wilcoxon Signed Rank Test Z-score or McNemar’s test. Effect sizes were interpreted. Results: The SOs and ATs who participated in the HEADS UP online training had a high level of concussion knowledge before taking the course: 90% or more of respondents could identify the correct response for at least seven of the 13 knowledge questions in the pre-test. Still, the course was effective at improving the respondents’ knowledge about return-to-play protocols and concussion reporting. Further, SOs and ATs demonstrated improvement in their concussion-related attitudes and behavioral intentions between the pre- and post-test. Conclusion: SOs’ and ATs’ concussion knowledge, attitudes, and behavioral intentions improved immediately following completion of the CDC HEADS UP online training. Future research could also focus on the long-term retention of this type of training. Practical Applications: This study provides insight into how to better focus concussion-related educational programs to fit SOs’ and ATs’ needs.     

四川省宗祠旅游资源分析及其开发利用研究

作为中国传统社会遗留下来的特殊人文景观,宗祠是当今旅游业中的重要支撑资源。四川省宗祠旅游资源类型丰富,拥有以文庙、三国蜀汉文臣武将专祠、文化名人专祠、祭祀同族祖先的祠堂等为代表的资源体系。四川省宗祠旅游资源具有文化内涵深厚、专祠品位高、文物价值大等显著特征,具有良好的开发前景。从规划、宣传、线路开发等多维角度提出了开发利用的建议。     

Numerical Study of the Indoor Environmental Conditions of a Large Athletic Hall Using the CFD Code PHOENICS

This study investigates, experimentally and numerically, the environmental conditions prevailing in a large mechanically ventilated athletic hall, with the aid of the computational fluid dynamics code PHOENICS. The indoor space of the building was simulated in the PHOENICS environment and the model results were validated against experimental data collected during a 10-day campaign in the hall. The measurements included airflow characteristics and pollutants concentrations at different locations of the indoor space, as well as surface temperatures of the indoor materials. Having obtained good agreement between experimental and numerical results, different scenarios were applied in the model to investigate the environmental conditions prevailing in the hall under different ventilation and occupational conditions. These regard air-conditioning, heating, and cooling modes, as well as empty and full hall during an athletic event. The airflow, temperature, and CO₂ concentration fields were studied and results revealed dynamic behavior of the fields, significantly altering with the different considered cases. The airflow patterns were characterized by distinct vortices of various sizes, originating from the ceiling air inlet fans of the heating–ventilating–air conditioning system, while temperature and pollution stratification were evident, indicating ineffective performance of the ventilation system.