scholarly journals Current Clinical Concepts: Heat Tolerance Testing

2021 ◽  
Author(s):  
Cody R. Butler ◽  
Erin Dierickx ◽  
Michelle Bruneau ◽  
Rebecca Stearns ◽  
Douglas J. Casa
Keyword(s):  
Heat Tolerance ◽  
Best Practice ◽  
Heat Stroke ◽  
Strength Of Evidence ◽  
Practice Recommendations ◽  
Israeli Defense Force ◽  
Performance Interpretation ◽  
Future Direction ◽  
Tolerance Testing

ABSTRACT Heat tolerance testing (HTT) has been developed to assess readiness for work or exercise in the heat based on thermoregulation during exertion. Although the Israeli Defense Force protocol has been the most widely utilized and referenced, other protocols and variables considered in the interpretation of the test are emerging. Therefore, the purpose of this “Current Clinical Concepts” manuscript is to summarize the role of HTT following an exertional heat stroke (EHS), assess the validity of HTT, and to provide a review of best practice recommendations to guide clinicians, coaches and researchers in the performance, interpretation, and future direction of HTT. Furthermore, we will provide the strength of evidence for these recommendations using the Strength of Recommendation Taxonomy system.

scholarly journals When Should a Heat-Tolerance Test Be Scheduled After Clinical Recovery From an Exertional Heat Illness?

2020 ◽  
Vol 55 (3) ◽  
pp. 289-294 ◽  
Author(s):  
Haggai Schermann ◽  
Shir Hazut-Krauthammer ◽  
Yael Weksler ◽  
Sagi Spitzer ◽  
Yoram Epstein ◽  
...  
Keyword(s):  
Heat Tolerance ◽  
Outcome Measure ◽  
Heat Stroke ◽  
Group Versus ◽  
Tolerance Test ◽  
Heat Illness ◽  
Exertional Heat Illness ◽  
Clinical Recovery ◽  
Laboratory Results ◽  
Tolerance Testing

Objective Researchers have produced a hypothesis of transient heat intolerance (HI) after exertional heat stroke (EHS). Based on this hypothesis, heat-tolerance testing (HTT) has been postponed until weeks 6 to 8 after EHS and other types of exertional heat illness (EHI). We compared the HTT results of participants after either EHS or other EHI who were tested earlier (≤6-week group) versus those who were tested later (>6-week group) to verify the hypothesis. Design Cohort study. Setting Data obtained from records of military athletes who experienced EHS or EHI. Patients or Other Participants All participants who underwent HTT after EHI or EHS experienced between 2014 and 2018 and for whom complete data regarding the severity of the event (rectal temperature, neurologic symptoms, and laboratory results) and HTT results were available were included. Participants with suspected EHS and those with other EHIs were evaluated separately. Main Outcome Measure(s) The percentages of participants with HI and mean probability of heat tolerance were compared between those tested within 6 weeks of the event and those tested later. Results A total of 186 participants were included in this study (EHS: 12 in the <6-week group, 9 in the >6-week group; EHI: 94 in the <6-week group, 71 in the >6-week group). In the EHS group, the percentages with HI (33% versus 44%, P = .67) and mean probability of heat tolerance (0.82 versus 0.82, P = .98) did not differ. In the EHI group, participants who were tested after 6 weeks had a greater chance of being diagnosed with HI (38% versus 21.3%, P < .02) Conclusions The HTT results were similar between participants with EHS who were tested early (<6 weeks) and those tested late (>6 weeks). Further investigation of heat-tolerance changes in larger cohorts of patients after EHS is required to verify the theory of transient HI.

scholarly journals Imaging normal pressure hydrocephalus: theories, techniques, and challenges

2016 ◽  
Vol 41 (3) ◽  
pp. E11 ◽  
Author(s):  
Nicole C. H. Keong ◽  
Alonso Pena ◽  
Stephen J. Price ◽  
Marek Czosnyka ◽  
Zofia Czosnyka ◽  
...  
Keyword(s):  
Normal Pressure Hydrocephalus ◽  
Best Practice ◽  
Clinical Presentation ◽  
Imaging Techniques ◽  
Normal Pressure ◽  
Imaging Findings ◽  
Imaging Studies ◽  
Practice Recommendations ◽  
Csf Shunting

The pathophysiology of NPH continues to provoke debate. Although guidelines and best-practice recommendations are well established, there remains a lack of consensus about the role of individual imaging modalities in characterizing specific features of the condition and predicting the success of CSF shunting. Variability of clinical presentation and imperfect responsiveness to shunting are obstacles to the application of novel imaging techniques. Few studies have sought to interpret imaging findings in the context of theories of NPH pathogenesis. In this paper, the authors discuss the major streams of thought for the evolution of NPH and the relevance of key imaging studies contributing to the understanding of the pathophysiology of this complex condition.

scholarly journals Letter to the Editor in response to the Position statement and best practice recommendations on the imaging use of ultrasound from the European Society of Radiology ultrasound subcommittee

2021 ◽  
Vol 12 (1) ◽  
Author(s):  
Chris Kalinka ◽  
Jeanette Dickson ◽  
Richard Evans ◽  
Edward Morris ◽  
Pamela Parker ◽  
...  
Keyword(s):  
European Society ◽  
Best Practice ◽  
Position Statement ◽  
European Federation ◽  
The European Union ◽  
Practice Recommendations ◽  
Letter To The Editor ◽  
European Society Of Radiology ◽  
The Uk

AbstractThis letter to the editor is in response to the consensus statement from the Ultrasound Subcommittee of the European Society of Radiology, the European Union of Medical Specialists (UEMS) Section of Radiology, and the European Federation of Societies for Ultrasound in Medicine and Biology. It highlights the role of the non-medical sonographer in the UK and the evidence underpinning this safe and effective practice.

scholarly journals Progress in Research on the Mechanisms Underlying Chloroplast-Involved Heat Tolerance in Plants

Genes ◽  
2021 ◽  
Vol 12 (9) ◽  
pp. 1343
Author(s):  
Chu Zeng ◽  
Ting Jia ◽  
Tongyu Gu ◽  
Jinling Su ◽  
Xueyun Hu
Keyword(s):  
Global Warming ◽  
Heat Stress ◽  
Heat Tolerance ◽  
Plant Molecular Biology ◽  
Plant Production ◽  
Special Role ◽  
Yield And Quality ◽  
Production Research ◽  
Future Direction

Global warming is a serious challenge plant production has to face. Heat stress not only affects plant growth and development but also reduces crop yield and quality. Studying the response mechanisms of plants to heat stress will help humans use these mechanisms to improve the heat tolerance of plants, thereby reducing the harm of global warming to plant production. Research on plant heat tolerance has gradually become a hotspot in plant molecular biology research in recent years. In view of the special role of chloroplasts in the response to heat stress in plants, this review is focusing on three perspectives related to chloroplasts and their function in the response of heat stress in plants: the role of chloroplasts in sensing high temperatures, the transmission of heat signals, and the improvement of heat tolerance in plants. We also present our views on the future direction of research on chloroplast related heat tolerance in plants.

scholarly journals Clinical–insurer engagement to improve maternity safety in the UK, Ireland, Sweden and Australia

2018 ◽  
Vol 23 (2) ◽  
pp. 79-88
Author(s):  
Christopher W H Yau ◽  
Oliver Quick ◽  
Timothy Draycott
Keyword(s):  
Patient Safety ◽  
System Integration ◽  
Best Practice ◽  
Clinical Staff ◽  
Structured Interviews ◽  
Practice Recommendations ◽  
Professional Network ◽  
Clinical Engagement ◽  
The Uk

Objective To explore different models of clinical–insurer engagement around maternity safety and to understand how state insurers could and should engage with clinical staff to improve outcomes and reduce harm. Design Semi-structured interviews and focus groups were conducted with senior representatives from state insurers. Transcripts were analysed to identify different models of engagement. Themes were also elicited from the transcripts. A further one-day focus group allowed for clarification and elaboration of these themes. Participants Senior representatives from state insurers in England, Scotland, Wales, Republic of Ireland, Sweden and Victoria, Australia. Results A variety of clinical engagement activities were undertaken by the insurers. These included training on claims and risk management, hospital site visits, facilitating multi-professional network meetings and working with clinical experts to develop best practice recommendations. Some insurers engaged with frontline clinical staff through collaborative patient safety programmes. The themes (identity and size, data and research, incentivising improvement and system integration) were important for considering the role of state insurers within health systems and how insurers could engage with clinical teams. Conclusions This study identified different examples of clinical–insurer engagement. Whilst this was encouraging, the relationships between insurers and clinical teams could be developed further. Insurers and clinical staff could still collaborate more closely and work together in improving patient outcomes. Whilst not specifically their domain, insurers do have a role in patient safety. Closer clinical collaboration may strengthen this contribution.

scholarly journals The role of lung ultrasound in COVID-19 disease

2021 ◽  
Vol 12 (1) ◽  
Author(s):  
◽  
Dirk-André Clevert ◽  
Paul S. Sidhu ◽  
Adrian Lim ◽  
Caroline Ewertsen ◽  
...  
Keyword(s):  
European Society ◽  
Best Practice ◽  
Lung Ultrasound ◽  
Education And Training ◽  
Lung Ultrasonography ◽  
Practice Recommendations ◽  
European Society Of Radiology ◽  
Self Protection ◽  
And Training

AbstractThis statement summarises basic settings in lung ultrasonography and best practice recommendations for lung ultrasonography in COVID-19, representing the agreed consensus of experts from the Ultrasound Subcommittee of the European Society of Radiology (ESR). Standard lung settings and artefacts in lung ultrasonography are explained for education and training, equipment settings, documentation and self-protection.

Hearing Vocation Differently

2018 ◽  
Keyword(s):  
Undergraduate Students ◽  
Affective Learning ◽  
College Campuses ◽  
Deep Roots ◽  
Academic Field ◽  
Multiple Voices ◽  
Faith Traditions ◽  
Future Direction ◽  
The Relationship

Colleges and universities have begun using the language of vocation and calling to help undergraduates think about the future direction of their lives. This language has been employed in both secular and religious contexts, but it has deep roots in a specific theological tradition. Given the increasingly multi-faith context of undergraduate life, many have asked whether this originally Christian terminology can truly become a new vocabulary for higher education. This volume’s 13 contributing scholars identify with a wide variety of faith traditions, including Buddhism, Christianity, Hinduism, Islam, Judaism, and Sikhism. Some claim more than one tradition; others would claim none. Rather than seeking to “translate” Christian language into other perspectives, they reflect on various facets of vocation from the standpoint of their own traditions. Both individually and collectively, they seek to expand the range of vocational reflection and discernment well beyond its traditional Christian origins, addressing themes such as religious pluralism and difference, the importance of multiple voices, the role of affective learning, the relationship between process and result, and the development of an integrated life. The authors recognize that all undergraduate students—regardless of their academic field, religious background, or demographic identity—need to make space for reflection, to overcome obstacles to vocational discernment, and to consider the significance of their own narratives, beliefs, and practices. Accomplishing these goals will require college campuses to reimagine their curricular and co-curricular programming in order to support their students’ interfaith reflections on issues of meaning and purpose, as well as personal identity.

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