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Road race medicine

Yuri Hosokawa, William M Adams, Luke N Belval, Robert J Davis, Robert A Huggins, John F Jardine, Rachel K Katch, Rebecca L Stearns, Douglas J Casa
To investigate the influence of estimated wet bulb globe temperature (WBGT) and the International Institute of Race Medicine (IIRM) activity modification guidelines on the incidence of exertional heat stroke (EHS) and heat exhaustion (HEx) and the ability of an on-site medical team to treat those afflicted. Medical records of EHS and HEx patients over a 17-year period from the New Balance Falmouth Road Race were examined. Climatologic data from nearby weather stations were obtained to calculate WBGT with the Australian Bureau of Meteorology (WBGTA ) and Liljegren (WBGTL ) models...
March 29, 2018: International Journal of Biometeorology
Katy B Kozhimannil, Michelle M Casey, Peiyin Hung, Shailendra Prasad, Ira S Moscovice
BACKGROUND: A recent American Congress of Obstetricians and Gynecologists and Society for Maternal-Fetal Medicine (MFM) consensus statement on levels of maternity care lays out designations that correspond to specific capacities available in facilities that provide obstetric care. Pregnant women in rural and remote areas receive particular attention in discussions of regionalization and levels of care, owing to the challenges in assuring local access to high-acuity services when necessary...
May 2016: American Journal of Obstetrics and Gynecology
Ernesto Maddaloni, Luca D'Onofrio, Paolo Pozzilli
On the road towards personalized treatments for type 2 diabetes, we suggest here that two parameters could be added to the ABCDE algorithm, 'F' for frailty and 'G' for geography. Indeed, the progressive ageing of population is causing a simultaneous increase of frailty worldwide. The identification of the optimal therapeutic approach is often difficult in frail subjects because of the complexity of 'frailty syndrome'. Nevertheless, given the relevance of diabetes in the development and progression of frailty, a safe and effective cure of diabetes is extremely important to guarantee a good medical outcome...
February 2016: Diabetes/metabolism Research and Reviews
Sheila A Turris, Adam Lund, Justin Mui, Peter Wang, Kerrie Lewis, Samuel J Gutman
OBJECTIVE: We described an organized, on-site medical response for a large-scale urban marathon event and documented illness/injury rates as well as ambulance transfer rates at the Vancouver International Marathon (VIM). METHODS: Case-series report of medical encounters was documented prospectively over a 6-yr period at the VIM. The planning and organization of the on-site medical response is the main focus of this report. RESULTS: A total of 67,402 runners participated in the VIM from 2006 to 2011...
May 2014: Current Sports Medicine Reports
Karen Schwabe, Martin P Schwellnus, Wayne Derman, Sonja Swanevelder, Esme Jordaan
BACKGROUND: The half-marathon (21 km) race is a very popular mass community-based distance running event. It is important to determine risk factors for medical complications during these events, so that prevention programmes can be developed. OBJECTIVE: To determine risk factors associated with medical complications during 21 km road running events. DESIGN: Prospective study. SETTING: Two Oceans half-marathon (21 km) races...
June 2014: British Journal of Sports Medicine
Karen Schwabe, Martin Schwellnus, Wayne Derman, Sonja Swanevelder, Esme Jordaan
BACKGROUND: Cardiac arrest and sudden death during distance-running events have been reported but other medical complications, including serious life-threatening complications have not been well described. OBJECTIVE: To document the incidence and nature of medical complications during 21 and 56 km running races. DESIGN: Prospective study. SETTING: Two Oceans Marathon races (21 and 56 km races). PARTICIPANTS: 65 865 race starters (39 511-21 km runners, 26 354-56 km runners)...
June 2014: British Journal of Sports Medicine
Abena Appiah-Kubi, Jeffrey M Lipton
No abstract text is available yet for this article.
April 2012: Pediatric Blood & Cancer
Chris Pinderski, Sue F Dunham
Delivering emergency medical services at sporting events requires unique planning, equipment, personnel, and training. The Champ Car World Series is a top-level, open wheel racing series that uses both street and open terrain road courses for events held in several different countries. Medical services are available to both drivers and support staff through the use of on site medical personnel, specialized rescue vehicles, and a traveling medical center. This article describes the process of delivering high-quality, consistent medical care in a difficult racing environment...
May 2008: Current Sports Medicine Reports
Susan Bachrach
This article discusses the methods the United States Holocaust Memorial Museum used to make an exhibition on the complex history of Nazi eugenics accessible to the museum's mass public and at the same time, provocative for special audiences consisting of professionals and students from the biomedical fields. Deadly Medicine: Creating the Master Race showed how both eugenics and related "euthanasia" programs in Nazi Germany helped pave the road to the Holocaust. The exhibition implicitly evoked the present-day appeal of biological explanations for human behavior and of new visions of human perfection...
2007: Public Historian
Douglas J Casa, Shannon M Becker, Matthew S Ganio, Christopher M Brown, Susan W Yeargin, Melissa W Roti, Jason Siegler, Julie A Blowers, Neal R Glaviano, Robert A Huggins, Lawrence E Armstrong, Carl M Maresh
CONTEXT: Rectal temperature is recommended by the National Athletic Trainers' Association as the criterion standard for recognizing exertional heat stroke, but other body sites commonly are used to measure temperature. Few authors have assessed the validity of the thermometers that measure body temperature at these sites in athletic settings. OBJECTIVE: To assess the validity of commonly used temperature devices at various body sites during outdoor exercise in the heat...
July 2007: Journal of Athletic Training
N Tonelli, R Marcolongo
AIMS OF THE STUDY: To study the images which depict the damned's sufferings in Dante's Inferno, in their expression of the several meanings of "pain", the semantics of "pain" in the poem has been analyzed, eventually trying to determine whether the organization of punishments of Inferno may somehow mirror a disability scale. METHODS: A detailed analysis of the text was carried out, which proved a valuable tool for interpreting the organization of punishments as a possible disability scale...
April 2007: Reumatismo
Russell L Gruen, Eric G Campbell, David Blumenthal
CONTEXT: Whether physicians have a professional responsibility to address health-related issues beyond providing care to individual patients has been vigorously debated. Yet little is known about practicing physicians' attitudes about or the extent to which they participate in public roles, which we defined as community participation, political involvement, and collective advocacy. OBJECTIVES: To determine the importance physicians assign to public roles, their participation in related activities, and sociodemographic and practice factors related to physicians' rated levels of importance and activity...
November 22, 2006: JAMA: the Journal of the American Medical Association
Peter M Nilsson
Sweden and Germany have developed extensive scientific, economical and cultural contacts since many centuries. During the nazi period in Germany 1933-1945 several Swedish physicians, although still a minority, were influences by the ideology of nazi medicine, often following an outspoken admiration for German science and culture in the first place. THe most prominent representative of Swedish nazi-oriented physicians was Ake Berglund (1898-1976), Alsten, Stockholm. He was working as a general practitioner and became the writer of several papers and pamphlets on questions related to the development in Germany and issues of public health...
2004: Svensk Medicinhistorisk Tidskrift
Philip Kennicott
The author reflects on the lessons of the Holocaust Memorial Museum's exhibition "Deadly Medicine: Creating the Master Race." The exhibition is about problems universal to science and medicine. Eugenics was not a crazed Hitlerian fantasy, and eugenicists were within the scientific mainstream. To the extent that American science pursues an openness and transparency that was absent from Nazi science, it may insulate itself from ethical dangers. But "Deadly Medicine" diagnoses patterns of thought that persist in science and social thinking...
2005: International Journal of Health Services: Planning, Administration, Evaluation
Yorck Olaf Schumacher, Peter Mueller
Due to constant competition conditions, track cycling can be accurately modeled through physiological and biomechanical means. Mathematical modeling predicts an average workload of 520 W for every team member for a new team pursuit world record. Performance in team pursuit racing is highly dependent on aerobic capacity, anaerobic skills, and aerodynamic factors. The training concept of the 2000 record-breaking team pursuit team was based on unspecific training of these qualities and periodical, short-term recall of previously acquired track specific skills...
June 2002: Medicine and Science in Sports and Exercise
L William Luria
Our specialty has been a creative wonder and an outright blessing to mankind. We have honed the arts of soft-tissue reconstruction to a level never thought possible just 100 years ago. We have found solutions to wound problems long after others have given up. We have restored the destroyed features of people ravaged by disease, life circumstances, and the acts of war. We have treated the deformed child, the patient with cancer, and reversed the signs of age. But as Thomas Sowell states in his article in 1994 in Forbes Magazine on the 100th anniversary of the birth of Fredrich Hayek, the author of The Road to Serfdom, the rule of law, which Hayek saw as crucial to the economy and to the survival of freedom, is nowhere in greater danger than in the supreme court of the United States...
January 2002: Clinics in Plastic Surgery
H Schneppen
On 1 October 1997 Ocean Road Hospital in Daressalam commemorated one hundred years of its existence. As early as 1888 a provisional hospital had been set up in Zanzibar by the German Lutheran Church to serve the needs of the Germans living and working on the East African coast. But when the British established their protectorate over Zanzibar in 1890, the hospital was moved to Dar es Salaam. As cooperation between Mission hospital and Government authorities proved difficult, the German colonial administration was determined to build an hospital of its own...
2000: Sudhoffs Archiv
K Markiewicz, M Cholewa, W Lutz
Thirty-seven cyclists participating in long-distance road races were exposed to maximal exercise closely before the onset of racing season. Forty young males (medical students) of average physical fitness had similar exposure. In both groups determinations of the concentrations of free acids, glucose, amino acid nitrogen and lactate in the plasma of venous blood were done before the exercise, immediately after it, and in the 15th and 30th minutes of restitution. The differences between both groups were compared using the t test of Student...
May 1980: Acta Physiologica Polonica
R H Dressendorfer, C E Wade, E A Amsterdam
We measured RBC count, blood hemoglobin concentration, and related hematologic factors in 12 male marathon runners during a 20-day, 312-mile road race. The RBC and hemoglobin levels decreased significantly, from 5.17 million per cubic millimeter and 16.0 g/dL, respectively, to 4.36 million per cubic millimeter and 13.4 g/dL. Although the runners became marginally anemic during the race, their running speeds were not significantly changed. There were no abnormal clinical signs other than rare instances of hematuria...
September 11, 1981: JAMA: the Journal of the American Medical Association
J M Hagberg, J P Mullin, M D Giese, E Spitznagel
This investigation was undertaken to determine the effect of pedal frequency on submaximal exercise responses. Seven well-trained competitive cyclists were studied riding their road-racing bicycles on a motor-driven treadmill at 80% of maximum O2 consumption (VO2 max) using different gear ratios. Cyclists were also studied during a series of unloaded trials to assess the effects of varying rates of limb movements independent of external work load. Heart rate (HR) increased, whereas net HR (after subtracting the HR during unloaded cycling) decreased with increasing pedal frequency during loaded cycling...
August 1981: Journal of Applied Physiology: Respiratory, Environmental and Exercise Physiology
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