3,565 results match your criteria Heatstroke


Analysis of States' Barriers to and Progress Toward Implementation of Health and Safety Policies for Secondary School Athletics.

J Athl Train 2019 Apr 24. Epub 2019 Apr 24.

Korey Stringer Institute, Department of Kinesiology, University of Connecticut, Storrs.

Context: Implementation of health and safety best practices for the leading causes of sudden death and catastrophic injury has been shown to mitigate risk. However, to our knowledge, no authors have examined progress toward health and safety policy implementation at the state level.

Objective: To investigate the progress made by state secondary school leaders in developing and implementing health and safety policies (ie, exertional heat stroke, sudden cardiac arrest, concussion, emergency action plans) and to explore perceived barriers to and strategies for implementation. Read More

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http://dx.doi.org/10.4085/1062-6050-28-18DOI Listing

Performance and emission characteristics of compression-ignition engine handling biodiesel blends with electronic fumigation.

Heliyon 2019 Apr 10;5(4):e01480. Epub 2019 Apr 10.

Faculty of Mechanical Engineering, University College of Engineering, Dindigul, 624622, Tamilnadu, India.

Many research works are being carried out to enhance the performances of internal combustion engines to meet out the current energy demand and to reduce the emission with the alternate fuels. In this experimental investigation, the performances and emission characteristics of compression ignition engine were studied by using electronic fuel fumigation method. The lemongrass biodiesel blended with 20% of biodiesel and 80% of diesel (B20) was used as primary fuel and 1-propanol is used as secondary fuel for fumigation. Read More

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http://dx.doi.org/10.1016/j.heliyon.2019.e01480DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6458470PMC

Successful Management of Severe Exertional Heat Stroke with Endovascular Cooling After Failure of Standard Cooling Measures.

J Emerg Med 2019 Apr 17. Epub 2019 Apr 17.

Department of Emergency Medicine, Martin Army Community Hospital, Fort Benning, Georgia.

Background: Exertional heat stroke (EHS) is a potentially life-threatening emergency requiring rapid reduction in core body temperature. Methods of cooling include cold water immersion, ice packs, cold water lavage, and chilled saline, among others. We report a case of EHS successfully cooled using an endovascular cooling device after traditional cooling methods failed to reduce core body temperature. Read More

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http://dx.doi.org/10.1016/j.jemermed.2019.03.025DOI Listing

The Association between Inflammatory Markers in the Acute Phase of Stroke and Long-Term Stroke Outcomes: Evidence from a Population-Based Study of Stroke.

Neuroepidemiology 2019 Apr 16:1-7. Epub 2019 Apr 16.

Department of Epidemiology and Biostatistics, Western University, London, Ontario, Canada,

Background: Little is known about the association between inflammatory markers in the acute stroke phase and long-term stroke outcomes.

Methods: In a population-based study of stroke with 5 years follow-up, we measured the level of serum heat shock protein 27 immunoglobulin G antibody (anti-HSP27), C-reactive protein (CRP), and pro-oxidant antioxidant balance (PAB) in the acute stroke phase. We analyzed the association between these inflammatory biomarkers and stroke outcomes (recurrence, death and disability/functional dependency) with using multivariable Cox proportional hazard models. Read More

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http://dx.doi.org/10.1159/000494685DOI Listing
April 2019
1 Read

Heat-Related Illnesses.

Am Fam Physician 2019 Apr;99(8):482-489

82nd Airborne Division, Fort Bragg, NC, USA.

Heat-related illnesses comprise a spectrum of syndromes resulting from disruption of thermoregulation in people exposed to high environmental heat. Symptoms range from heat edema and exercise-associated muscle cramps to exercise-associated collapse, heat exhaustion, and life-threatening heat stroke. Athletes, outdoor laborers, and military personnel are at greatest risk. Read More

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April 2019
3 Reads

[Fangji Dihuang Decoction formula syndrome and Fengyin Decoction formula syndrome:application in stroke and mental disorders].

Authors:
Xing-Jiang Xiong

Zhongguo Zhong Yao Za Zhi 2019 Feb;44(3):602-607

Guang'anmen Hospital, China Academy of Chinese Medical Sciences Beijing 100053, China.

Fangji Dihuang Decoction and Fengyin Decoction, which were firstly recorded in Synopsis of the Golden Chamber, could be used to treat stroke. However, both of these two decoctions are used infrequently. There is a clear pathogenesis of modern pathophysiology behind Fangji Dihuang Decoction syndrome and Fengyin Decoction syndrome, which can be interpreted by modern language of science. Read More

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http://dx.doi.org/10.19540/j.cnki.cjcmm.20181128.004DOI Listing
February 2019
1 Read

Exertional Heat Stroke within Secondary School Athletics.

Authors:
William M Adams

Curr Sports Med Rep 2019 Apr;18(4):149-153

Department of Kinesiology, University of North Carolina at Greensboro, Greensboro, NC.

Exertional heat stroke (EHS) remains one of the leading causes of sudden death in sport despite clear evidence showing 100% survivability with the proper standards of care in place and utilized. Of particular concern are student athletes competing at the secondary school level, where the extent of appropriate health care services remains suboptimal compared with organized athletics at the collegiate level and higher. While rapid recognition and rapid treatment of EHS ensures survival, the adoption and implementation of these lifesaving steps within secondary school athletics warrant further discussion within the sports medicine community. Read More

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http://dx.doi.org/10.1249/JSR.0000000000000585DOI Listing
April 2019
3 Reads

Impact of Maximum Air Temperature on Ambulance Transports Owing to Heat Stroke During Spring and Summer in Tottori Prefecture, Japan: A Time-stratified Case-crossover Analysis.

Yonago Acta Med 2019 Mar 28;62(1):47-52. Epub 2019 Mar 28.

Division of Health Administration and Promotion, Department of Social Medicine, School of Medicine, Tottori University Faculty of Medicine, Yonago 683-8504, Japan.

Background: The frequency and intensity of hot weather have increased. In Japan, there have been many studies of the relationship between ambulance transports owing to heat stroke (ATHS) and high air temperature in the summer season. However, there have been very few reports focusing on ATHS in spring. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6437408PMC
March 2019
2 Reads

Potential benefits of cool roofs in reducing heat-related mortality during heatwaves in a European city.

Environ Int 2019 Apr 5;127:430-441. Epub 2019 Apr 5.

Chemicals and Environmental Effects Department, Centre for Radiation Chemical and Environmental Hazards, Public Health England, Chilton, Oxon OX11 0RQ, UK; School of Geography, Earth and Environmental Sciences, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK; Environmental Change Institute, University of Oxford, OX1 3QY, UK.

Hot weather can exacerbate health conditions such as cardiovascular and respiratory diseases, and lead to heat stroke and death. In built up areas, temperatures are commonly observed to be higher than those in surrounding rural areas, due to the Urban Heat Island (UHI) effect. Climate change and increasing urbanisation mean that future populations are likely to be at increased risk of overheating in cities, although building and city scale interventions have the potential to reduce this risk. Read More

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http://dx.doi.org/10.1016/j.envint.2019.02.065DOI Listing
April 2019
2 Reads

Mortality and functional disability in heat stroke.

Salud Publica Mex 2019 Mar-Apr;61(2):99-100

Internal Medicine Department, Hospital General de Mexicali. Baja California, México.

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http://dx.doi.org/10.21149/9849DOI Listing
April 2019
1 Read

Insular and anterior cingulate cortex deep stimulation for central neuropathic pain: Disassembling the percept of pain.

Neurology 2019 Apr 5. Epub 2019 Apr 5.

From the Pain Center (L.M.B., L.M.B.M., R.D.T.d.S., F.V., J.R., M.J.T., D.C.d.A.), Instituto do Câncer do Estado de São Paulo; Pain Center (R.G.G., V.S., A.L.d.L.R., D.T.R.M.F., P.M.L.S., M.A.M., S.R.D.T.d.S., A.M.B.L.F., M.J.T., D.C.d.A.), LIM62 Neurosurgery LIM, Department of Neurology, Instituto de Ortopedia e Traumatologia (L.T.Y.), Division of Physical Medicine and Rehabilitation, and Laboratory of Psychiatric Neuroimaging (LIM-21) (F.L.d.S.D.), Department and Institute of Psychiatry, School of Medicine, University of São Paulo; Service of Interdisciplinary Neuromodulation (R.G.G., V.S., A.R.B., M.J.T., D.C.d.A.), Laboratory of Neuroscience (LIM27) and National Institute of Biomarkers in Neuropsychiatry, Department and Institute of Psychiatry, Neuroradiology Section (L.T.L., F.E.F.d.S.), Instituto de Radiologia, and Department of Radiology (C.R.O., C.A.B.), University of São Paulo School of Medicine; Center for Mathematics, Computation and Cognition (A.F.B.), Federal University of ABC, São Bernardo do Campo; School of Medicine (R.G.G.), University of City of São Paulo; Department of Anatomy (C.D.), Institute of Biomedical Sciences of University of São Paulo, Brazil; and Central Integration of Pain (NeuroPain) (L.G.-L.), Lyon Centre for Neurosciences, Inserm U1028, University Claude Bernard Lyon 1, and Hospices Civils de Lyon, France.

Objective: To compare the analgesic effects of stimulation of the anterior cingulate cortex (ACC) or the posterior superior insula (PSI) against sham deep (d) repetitive (r) transcranial magnetic stimulation (TMS) in patients with central neuropathic pain (CNP) after stroke or spinal cord injury in a randomized, double-blinded, sham-controlled, 3-arm parallel study.

Methods: Participants were randomly allocated into the active PSI-rTMS, ACC-rTMS, sham-PSI-rTMS, or sham-ACC-rTMS arms. Stimulations were performed for 12 weeks, and a comprehensive clinical and pain assessment, psychophysics, and cortical excitability measurements were performed at baseline and during treatment. Read More

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http://dx.doi.org/10.1212/WNL.0000000000007396DOI Listing
April 2019
1 Read

[Randomized controlled trial of internal heat-type acupuncture needle therapy in the treatment of post-stroke shoulder pain].

Zhen Ci Yan Jiu 2019 Mar;44(3):205-10

Rehabilitation Department, Tongren Hospital of Wuhan University, Wuhan Third Hospital, Wuhan 430060, China.

Objective: To evaluate the effectiveness and safety of internal heat-type acupuncture needle (IHTAN) the-rapy in the treatment of post-stroke shoulder pain in apopletic patients.

Methods: According to the random number table, 96 patients with post-stroke shoulder pain were divided into IHTAN group and warm needle moxibustion group (=48 in each one). Jianyu (LI15), Jianliao (TE14), Jianzhen (SI9), Binao (LI14) and Ashi points (Extra) on the affected side were selected in the two groups. Read More

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http://dx.doi.org/10.13702/j.1000-0607.170743DOI Listing
March 2019
1 Read

Investigating the combined effect of thermal barrier coating and antioxidants on pine oil in DI diesel engine.

Environ Sci Pollut Res Int 2019 Apr 3. Epub 2019 Apr 3.

Department of Automobile Engineering, SRM Institute of Science and Technology (formerly known as SRM University), Kattankulathur, 603203, India.

The present study presented an inclusive analysis of engine exhaust emission characteristics of direct injection diesel engine fuelled with diesel and biofuel. Biofuel used in this investigation was obtained by steam distillation from pine oil. A single-cylinder, four-stroke diesel engine was used for this purpose. Read More

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http://dx.doi.org/10.1007/s11356-019-04649-6DOI Listing
April 2019
4 Reads

Renoprotective effect of oral rehydration solution III in exertional heatstroke rats.

Ren Fail 2019 Nov;41(1):190-196

a Department of Nephrology , General Hospital of Northern Theater Command , Liaoning , China.

Aim: Exertional heastroke (EHS) can lead to acute kidney injury. Oral rehydration solution III (ORS III), recommended by WHO in 2004, is used to rehydrate children with gastroenteritis. This study aimed to characterize the renoprotective effect of ORS III in EHS rats. Read More

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https://www.tandfonline.com/doi/full/10.1080/0886022X.2019.1
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http://dx.doi.org/10.1080/0886022X.2019.1590211DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6450508PMC
November 2019
14 Reads

Effect of prealbumin level on mortality in heatstroke patients.

Exp Ther Med 2019 Apr 22;17(4):3053-3060. Epub 2019 Feb 22.

Department of Critical Care Medicine, The Affiliated Changzhou No. 2 People's Hospital of Nanjing Medical University, Changzhou, Jiangsu 213000, P.R. China.

This study investigated whether serum prealbumin level is associated with mortality in heatstroke patients. A retrospective study of 102 heatstroke patients admitted to the ICU in the Affiliated Changzhou No. 2 People's Hospital of Nanjing Medical University from June 2010 to November 2017 was performed they were divided into normal serum prealbumin group (n=79) and low prealbumin group (n=23) according to the difference in PA expression. Read More

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http://dx.doi.org/10.3892/etm.2019.7298DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6434286PMC
April 2019
1 Read

Heart rate variability dynamics during treatment for exertional heat strain when immediate response is not possible.

Exp Physiol 2019 Apr 1. Epub 2019 Apr 1.

Human Environmental Physiological Research Unit, University of Ottawa, Ottawa, ON, Canada.

New Findings: What is the central question of this study? Does a delay in cold water immersion treatment affect the cardiac autonomic control of exertionally heat-strained individuals? What is the main finding and its importance? Cold water immersion is effective for treating exertionally heat-strained individuals even when treatment is commenced with a significant delay. However, that treatment delay leads to only partial/transient restoration of cardiac autonomic control. Therefore, we recommend that exertional heatstroke patients are continuously monitored for several hours even after core temperature has returned to normal values. Read More

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http://dx.doi.org/10.1113/EP087297DOI Listing
April 2019
2 Reads

The significance of heat shock protein 70 kDa in the development of acute focal myocardial and cerebral ischemia.

Curr Pharm Des 2019 Mar 29. Epub 2019 Mar 29.

M.M. Shemyakin-Yu.A. Ovchinnikov Institute of Bioorganic Chemistry. Russian Federation.

In acute focal ischemia of the heart and brain similar processes are developing despite the obvious differences in the structure, function, and blood supply of these organs. This review presents a contemporary view of involvement of heat shock proteins (HSPs) in the process of ischemic injury of the heart and brain and summarizes new clinical studies related to the role of HSP70 in patients with atherosclerosis. The main types of these proteins, their receptors, mechanisms of their functioning and the sources of circulating HSP70 are described. Read More

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http://dx.doi.org/10.2174/1381612825666190329123924DOI Listing
March 2019
2 Reads

Are Recommended Heat Stroke Treatments Adequate for Australian Workers?

Authors:
Matt B Brearley

Ann Work Expo Health 2019 Mar;63(3):263-266

National Critical Care and Trauma Response Centre, Level 8 Royal Darwin Hospital, Darwin NT, Australia.

Workers that combine physical exertion with exposure to hot conditions are susceptible to heat-related illnesses, including heat stroke. Despite recognition of cold water immersion as the heat stroke treatment of choice in the peer-reviewed literature, it was not included within recommended treatments of leading Australian healthcare training organizations and was omitted from Safe Work Australia's recently updated 'Managing the risks of working in heat' guidance material. On this basis, the guidance material appears an opportunity lost to assist Australian industry transition their heat stroke management to reflect the evidence. Read More

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http://dx.doi.org/10.1093/annweh/wxz001DOI Listing
March 2019
1 Read

Risk perceptions for exertional heat illnesses in junior cricket in Sri Lanka.

BMJ Open Sport Exerc Med 2019 2;5(1):e000508. Epub 2019 Mar 2.

School of Medical and Health Sciences, Edith Cowan University, Joondalup, Western Australia, Australia.

Objectives: Exertional heat illnesses (EHI) can occur when sport is played in hot and humid environments, such as those common across Asia. Measures to reduce the risk of EHI are important; however, causal data on EHI occurrence are limited and challenging to capture. To gain an initial understanding of EHI risks, we aimed to assess the risk perceptions of EHI of youth cricketers. Read More

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http://dx.doi.org/10.1136/bmjsem-2019-000508DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6407666PMC
March 2019
2 Reads

[Value of APACHE.II score and DIC score in predicting the death of patients with heat stroke].

Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi 2019 Jan;37(1):43-45

Department of Emergency Medicine, Harrison International Peace Hospital Affiliated to Hebei Medical University, Hengshui 053000, China.

To investigate the predictive values of the acute physiology and chronic health evaluation II (APACHE.II) score and disseminated intravascular coagulation (DIC) score on death in patients with heat stroke. A total of 76 patients with heat stroke who were treated in Emergency Department of Harrison International Peace Hospital from June 2013 to September 2017 were studied. Read More

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http://dx.doi.org/10.3760/cma.j.issn.1001-9391.2019.01.009DOI Listing
January 2019
1 Read

Heatguard: An ultra-low-cost three-dimensional-printed sensor for skin temperature alert and reporting system.

Proc Inst Mech Eng H 2019 May 18;233(5):525-534. Epub 2019 Mar 18.

4 University of Georgia, Athens, GA, USA.

A heatstroke is one of the most serious forms of heat injury and is classified as a medical emergency. It is characterized by an elevated core body temperature along with the failed body cooling mechanism in response to the sudden heat-up. People vulnerable to a heatstroke are children, elders and sports professionals. Read More

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http://dx.doi.org/10.1177/0954411919837305DOI Listing
May 2019
1 Read

Impact of summer heat on mortality and years of life lost: Application of a novel indicator of daily excess hourly heat.

Environ Res 2019 Feb 1;172:596-603. Epub 2019 Feb 1.

Hubei Province Key Laboratory of Occupational Hazard Identification and Control, School of Public Health, Wuhan University of Science and Technology, Wuhan 430065, China; Department of Preventive Medicine, School of Health Sciences, Wuhan University, Wuhan 430071, China. Electronic address:

Background: Previous studies have widely assessed heat-mortality relationships across global regions, while the epidemiological evidence regarding the heat effect on years of life lost (YLL) is relatively sparse. Current investigations using daily mean data cannot take hourly temperature variation into consideration and may underestimate heat effects. We developed a novel indicator, daily excess hourly heat (DEHH), to precisely evaluate the potential heat effects on mortality and YLL. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00139351193007
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http://dx.doi.org/10.1016/j.envres.2019.01.056DOI Listing
February 2019
10 Reads
4.373 Impact Factor

Haploinsufficiency of the brain-derived neurotrophic factor gene is associated with reduced pain sensitivity.

Pain 2019 05;160(5):1070-1081

Pediatrics and Developmental Neuropsychiatry Branch, National Institute of Mental Health (NIH), Bethesda, MD, United States.

Rare pain-insensitive individuals offer unique insights into how pain circuits function and have led to the development of new strategies for pain control. We investigated pain sensitivity in humans with WAGR (Wilms tumor, aniridia, genitourinary anomaly, and range of intellectual disabilities) syndrome, who have variably sized heterozygous deletion of the 11p13 region. The deletion region can be inclusive or exclusive of the brain-derived neurotrophic factor (BDNF) gene, a crucial trophic factor for nociceptive afferents. Read More

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http://dx.doi.org/10.1097/j.pain.0000000000001485DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6476691PMC
May 2019
1 Read

Quantum Measurement Cooling.

Phys Rev Lett 2019 Feb;122(7):070603

Department of Physics and Astronomy, University of Florence, via G. Sansone 1, I-50019 Sesto Fiorentino (FI), Italy.

Invasiveness of quantum measurements is a genuinely quantum mechanical feature that is not necessarily detrimental: Here we show how quantum measurements can be used to fuel a cooling engine. We illustrate quantum measurement cooling (QMC) by means of a prototypical two-stroke two-qubit engine which interacts with a measurement apparatus and two heat reservoirs at different temperatures. We show that feedback control is not necessary for operation while entanglement must be present in the measurement projectors. Read More

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https://link.aps.org/doi/10.1103/PhysRevLett.122.070603
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http://dx.doi.org/10.1103/PhysRevLett.122.070603DOI Listing
February 2019
7 Reads

The mechanism on phosphorylation of Hsp20Ser16 inhibit GA stress and ER stress during OGD/R.

PLoS One 2019 7;14(3):e0213410. Epub 2019 Mar 7.

Department of Neurology, Second Xiangya Hospital, Central South University, Changsha, Hunan, China.

Recent research has demonstrated that small heat shock protein (sHsp) phosphorylation plays a variety of roles in neural cells. While the phosphorylation of serine 16 (Ser16) is blocked, Hsp20 no longer has neuroprotective effects. To further investigate the mechanism underlying this process, oxygen-glucose deprivation and reperfusion (OGD/R) was used with human SH-SY5Y cells and mouse N2a neuroblastoma cells. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0213410PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6405072PMC
March 2019
1 Read

FGF21 Protects Against Hypoxia Injury Through Inducing HSP72 in Cerebral Microvascular Endothelial Cells.

Front Pharmacol 2019 20;10:101. Epub 2019 Feb 20.

Department of Anesthesiology, Changzheng Hospital, Second Military Medical University, Shanghai, China.

Fibroblast growth factor 21 (FGF21), a member of a family of atypical FGFs, functions as cytokine to control endocrinology and metabolism. Recently, the roles of FGF21 in cardio-cerebral-vascular diseases have been gradually uncovered. In the present study, we investigated the effect of FGF21 on bEnd. Read More

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http://dx.doi.org/10.3389/fphar.2019.00101DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6391338PMC
February 2019
1 Read

Injury and Illness Depicted in Running-Related Films.

Clin Pediatr (Phila) 2019 Mar 6:9922819834281. Epub 2019 Mar 6.

2 Penn State Hershey Children's Hospital, Hershey, PA, USA.

The perception that children and adolescents have of injury and illness may be influenced by their depiction in sport-related films. The objective of this study was to determine the depiction of injury and illness in a select number of running-related films. A sample of 31 running-related films were analyzed, with a total of 77 injuries/illnesses depicted. Read More

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http://dx.doi.org/10.1177/0009922819834281DOI Listing
March 2019
4 Reads

Effects of heat on first-ever strokes and the effect modification of atmospheric pressure: A time-series study in Shenzhen, China.

Sci Total Environ 2019 Mar 9;654:1372-1378. Epub 2018 Nov 9.

Department of Health Policy and Management, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China; Guangzhou Key Laboratory of Environmental Pollution and Health Risk Assessment, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China. Electronic address:

Background: Stroke is a leading cause of death globally. Extreme temperatures may induce stroke, but evidence on the effects of heat on first-ever strokes is not clear. Low air pressure can lead to depression and an increase in blood pressure, and it may exacerbate the health impact of heat. Read More

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http://dx.doi.org/10.1016/j.scitotenv.2018.11.101DOI Listing

Impact of next-generation vehicles on tropospheric ozone estimated by chemical transport model in the Kanto region of Japan.

Sci Rep 2019 Mar 5;9(1):3573. Epub 2019 Mar 5.

Graduate School of Frontier Sciences, The University of Tokyo, 5-1-5 Kashiwanoha, Kashiwa, Chiba, 277-8563, Japan.

The plans to introduce next-generation hybrid and zero-emission vehicles in the market are now enacted by governments in many countries to manage both global warming and air pollution problems. There are only a few studies evaluating the effects of the next-generation vehicles on the changes in concentrations of ozone generated by the photochemical reactions between volatile organic compounds and nitrogen oxides (NO). To evaluate these changes, we performed chemical transport modeling in the Kanto region, Japan in the summer of 2013. Read More

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http://dx.doi.org/10.1038/s41598-019-40012-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6400957PMC
March 2019
1 Read

When a child dies of heatstroke after a parent or caretaker unknowingly leaves the child in a car: How does it happen and is it a crime?

Authors:
David M Diamond

Med Sci Law 2019 Apr 5;59(2):115-126. Epub 2019 Mar 5.

Departments of Psychology, Molecular Pharmacology and Physiology, University of South Florida, USA.

It is commonly reported that in the course of a drive, a parent or caretaker loses awareness of the presence of a child in the back seat of the car. Upon arriving at the destination, the driver exits the car and unknowingly leaves the child in the car. This incomprehensible lapse of memory exposes forgotten children to hazards, including death from heatstroke. Read More

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http://dx.doi.org/10.1177/0025802419831529DOI Listing
April 2019
1 Read

Inconsistency in the Standard of Care-Toward Evidence-Based Management of Exertional Heat Stroke.

Front Physiol 2019 18;10:108. Epub 2019 Feb 18.

Immunization Office, Health Service Division, Health Service Bureau, Ministry of Health, Labour and Welfare, Tokyo, Japan.

Tokyo 2020 Summer Olympics are projected to experience environmental heat stress that surpasses the environmental conditions observed in the Atlanta (1996), Athens (2004), Beijing (2008), and Rio (2016) Summer Olympics. This raises particular concerns for athletes who will likely to be exposed to extreme heat during the competitions. Therefore, in mass-participation event during warm season, it is vital for the hosting organization to build preparedness and resilience against heat, including appropriate treatment, and management strategies for exertional heat stroke (EHS). Read More

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http://dx.doi.org/10.3389/fphys.2019.00108DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6387986PMC
February 2019
1 Read

[Effect of curcumin on expressions of CD11b and CD19 in peripheral blood of heat stroke rats in a simulation dry-heat environment].

Zhonghua Wei Zhong Bing Ji Jiu Yi Xue 2019 Feb;31(2):221-224

Key Laboratory of Special Environmental Medicine, General Hospital of Xinjiang Military Command, Urumqi 830000, Xinjiang Uygur Autonomous Region, China. Corresponding author: Liu Jiangwei, Email:

Objective: To investigate the effects of different doses of curcumin on the levels of immune factors CD11b and CD19 in peripheral blood of heat stroke rats in a simulation dry-heat environment.

Methods: 160 SPF healthy male Sprague-Dawley (SD) rats were selected and divided into different groups according to random number table method: normal saline (NS) control group (given NS), solvent control group [given sodium carboxymethylcellulose (CMCNa)], and curcumin low, medium and high dose pretreatment group (given 0.05, 0. Read More

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http://dx.doi.org/10.3760/cma.j.issn.2095-4352.2019.02.019DOI Listing
February 2019
2 Reads

Regulatory T Cells Could Improve Intestinal Barrier Dysfunction in Heatstroke.

Inflammation 2019 Mar 1. Epub 2019 Mar 1.

Critical Care Medicine, Chinese PLA General Hospital, 28th Fuxing Road, Haidian District, Beijing, 100853, China.

Intestinal barrier dysfunction plays a pivotal role in multiorgan dysfunction during heatstroke (HS). Neutrophils are involved in intestinal inflammation and thus dampen the mucosal integrity. Regulatory T cells (Tregs) have been shown to orchestrate neutrophils and thus sustain mucosal integrity in miscellaneous inflammation-related diseases. Read More

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http://dx.doi.org/10.1007/s10753-019-00983-6DOI Listing
March 2019
1 Read

An Incidental Mass on CT in an Otherwise Asymptomatic Patient With Heat Stroke.

Ear Nose Throat J 2019 Feb 28:145561318823977. Epub 2019 Feb 28.

1 Department of Otolaryngology-Head and Neck Surgery, University of Texas Southwestern Medical Center and Children's HealthSM, Dallas, TX, USA.

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http://dx.doi.org/10.1177/0145561318823977DOI Listing
February 2019
1 Read

[Epidemiological investigation on the incidence of heat stroke in Huzhou from 2013 to 2017].

Authors:
T Liu H Li C H Zhang

Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi 2018 Dec;36(12):915-916

Department of occupational health, Huzhou center for disease control and prevention, Huzhou, Zhejiang, 313000, China.

To understand the status of heat stroke in Huzhou and take preventive strategy and measures against the heat stroke. Case reports between 2013 and 2017 were collected. The differents between the population and age data from different types of heat stroke were tested by F test, and the genders tested by χ(2) test. Read More

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http://dx.doi.org/10.3760/cma.j.issn.1001-9391.2018.12.008DOI Listing
December 2018
1 Read

N-Acetylcysteine (NAC) for the Prevention of Liver Failure in Heat Injury-Mediated Ischemic Hepatitis.

Mil Med 2019 Feb 27. Epub 2019 Feb 27.

Carl R Darnell Army Medical Center, 36065 Santa Fe Ave, Fort Hood, TX.

Exertional Heat Illness with associated ischemic hepatitis (IH) is a common occurrence among military trainees; however, few specific therapies exist if unresponsive to appropriate supportive measures. A 27-year-old basic combat trainee presented with altered mental status, renal insufficiency, rhabdomyolysis, and a core temp of 107.9 °F after collapsing during a run, leading to the diagnosis of heat stroke. Read More

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http://dx.doi.org/10.1093/milmed/usz022DOI Listing
February 2019
1 Read

Approaches to Reduce Sports Drink Consumption Among Adolescents.

Authors:
Nicole D White

Am J Lifestyle Med 2019 Mar-Apr;13(2):145-147. Epub 2018 Dec 10.

Department of Pharmacy Practice, Creighton University School of Pharmacy and Health Professions, Omaha, Nebraska.

Sports drinks originally developed to improve performance and prevent or treat dehydration, heat stroke, and muscle cramps in elite athletes are consumed regularly by nearly 60% of the adolescent population. Sports drinks are often perceived as healthy, and marketing campaigns fail to delineate the types and amount of activity that warrant appropriate use. Current trends in adolescent consumption of sports drinks will be reviewed and approaches to reduce consumption, including counseling on the appropriate use of sports drinks, will be discussed. Read More

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http://dx.doi.org/10.1177/1559827618815808DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6378499PMC
December 2018

Medical encounters (including injury and illness) at mass community-based endurance sports events: an international consensus statement on definitions and methods of data recording and reporting.

Br J Sports Med 2019 Feb 22. Epub 2019 Feb 22.

Neuosciences and Physiology, Goteborgs Universitet Sahlgrenska Akademin, Goteborg, Sweden.

Mass participation endurance sports events are popular but a large number of participants are older and may be at risk of medical complications during events. Medical encounters (defined fully in the statement) include those traditionally considered 'musculoskeletal' (eg, strains) and those due to 'illness' (eg, cardiac, respiratory, endocrine). The rate of sudden death during mass endurance events (running, cycling and triathlon) is between 0. Read More

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http://dx.doi.org/10.1136/bjsports-2018-100092DOI Listing
February 2019
3 Reads

Change climate and health.

Rev Clin Esp 2019 Feb 19. Epub 2019 Feb 19.

Servicio de Medicina Interna, Hospital Regional de Málaga, Málaga, España.

Climate change consists mainly of global warming, a result of the so-called greenhouse effect, which is caused by certain gases, including carbon dioxide (CO), produced mainly through the combustion of fossil fuels, such as coal and oil. Global warming is a severe threat for future populations because it can cause a considerable rise in sea levels, a greater frequency and intensity of extreme meteorological phenomena and even the extinction of certain animal and plant species. In the field of health, global warming is predicted to cause a considerable increase in the incidence of diseases such as heat stroke and vector-borne infections, the start of which has already been observed. Read More

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http://dx.doi.org/10.1016/j.rce.2019.01.004DOI Listing
February 2019

It's Getting Hot in Here: A Rare Case of Heat Stroke in a Young Male.

Cureus 2018 Dec 12;10(12):e3724. Epub 2018 Dec 12.

Department of Internal Medicine, Brookdale University Hospital Medical Center, New York, USA.

Heat stroke is a severe acute illness characterized by a core temperature greater than 40°C (104°F) and central nervous system manifestations, such as delirium, convulsions, or coma, resulting from exposure to environmental heat or strenuous physical activity. Early recognition and treatment including aggressive cooling and management of life-threatening systemic complications, such as cardiac arrest, rhabdomyolysis and acute renal failure, are essential to reduce morbidity and mortality. Herein we describe a case of heat stroke in a 23-year-old male who suffered cardiac arrest in which prompt initiation of cooling measures prevented permanent neurological sequelae, provided swift neurological recovery and resolution of impending multi-organ dysfunction syndrome. Read More

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http://dx.doi.org/10.7759/cureus.3724DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6373888PMC
December 2018

Identification of whole blood mRNA and microRNA biomarkers of tissue damage and immune function resulting from amphetamine exposure or heat stroke in adult male rats.

PLoS One 2019 19;14(2):e0210273. Epub 2019 Feb 19.

Division of Neurotoxicology, NCTR/U.S. Food and Drug Administration, Jefferson, Arkansas, United States of America.

This work extends the understanding of how toxic exposures to amphetamine (AMPH) adversely affect the immune system and lead to tissue damage. Importantly, it determines which effects of AMPH are and are not due to pronounced hyperthermia. Whole blood messenger RNA (mRNA) and whole blood and serum microRNA (miRNA) transcripts were identified in adult male Sprague-Dawley rats after exposure to toxic AMPH under normothermic conditions, AMPH when it produces pronounced hyperthermia, or environmentally-induced hyperthermia (EIH). Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0210273PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6380594PMC
February 2019
3 Reads

MicroRNA-155 Promotes Heat Stress-Induced Inflammation via Targeting Liver X Receptor α in Microglia.

Front Cell Neurosci 2019 4;13:12. Epub 2019 Feb 4.

Laboratory of Extreme Environmental Medicine, Department of Tropical Medicine, Army Medical University, Chongqing, China.

The neuroinflammatory responses of microglial cells play an important role in the process of brain dysfunction caused by heat stroke. MicroRNAs are reportedly involved in a complex signaling network and have been identified as neuroinflammatory regulators. In this study, we determined the biological roles of microRNA-155 in the inflammatory responses in heat-stressed microglia and explored the underlying mechanisms. Read More

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http://dx.doi.org/10.3389/fncel.2019.00012DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6369214PMC
February 2019
4 Reads

[Short-term and long-term therapeutic effects of internal heat-type acupuncture needle therapy combined with acupoint injection of O for post-stroke shoulder pain].

Zhen Ci Yan Jiu 2019 Jan;44(1):51-6

Rehabilitation Department, Wuhan Third Hospital, Tongren Hospital of Wuhan University, Wuhan 430060, China.

Objective: To observe the short-term and long-term therapeutic effects of internal heat-type acupuncture needle (IHTAN) therapy combined with acupoint injection of Ofor post-stroke shoulder pain in apopletic patients.

Methods: Patients with post-stroke shoulder pain were divided into warm needle moxibustion + acupoint injection group (29 cases), acupoint injection group (30 cases) and IHTAN+acupoint injection group (29 cases) according to the random number table. For acupoint injection, O solution (3 mL, 30 µg/mL) was injected into Jianyu (LI15), Jianliao (SJ14), Jianzhen (LI9), Binao (LI14) and Ashi points (4-6 acupoints every time) on the affected side, once every other day for 4 weeks. Read More

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http://dx.doi.org/10.13702/j.1000-0607.170453DOI Listing
January 2019
2 Reads

Heat stress combined with lipopolysaccharide alter the activity and superficial molecules of peripheral monocytes.

Int J Immunopathol Pharmacol 2019 Jan-Dec;33:2058738419828891

1 Department of Critical Care Medicine, The Fifth Peoples' Hospital of Dongguan, Dongguan Hospital Affiliated to Jinan University, Dongguan, China.

The purpose of this study was to focus on the underlying relationship between the hyperactivity for the peripheral monocytes and heat stroke by investigating the inflammatory oxidative activity of and the expression of superficial molecules. Peripheral blood samples were collected from 10 healthy adult volunteers. Human blood monocytes were isolated by density gradient centrifugation and sequent adherent culture. Read More

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http://dx.doi.org/10.1177/2058738419828891DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6378461PMC
March 2019
2 Reads

The association between heat stroke and subsequent cardiovascular diseases.

PLoS One 2019 13;14(2):e0211386. Epub 2019 Feb 13.

Department of Emergency Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.

Background: Recent studies have indicated that several critical illnesses are associated with an increased risk of cardiovascular diseases (CVDs). Nonetheless, studies of the association between heat-related illnesses (HRIs) and subsequent CVDs are still limited. We sought to evaluate whether heat stroke (HS) was associated with an increased CVD incidence. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0211386PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6373898PMC
February 2019
8 Reads

The Epidemiology and Management of Exertional Heat Illnesses in High School Sports During the 2012/13-2016/17 Academic Years.

J Sport Rehabil 2019 Feb 12:1-24. Epub 2019 Feb 12.

5 Korey Stringer Institute, Department of Kinesiology, University of Connecticut, Storrs, CT.

Context:: Recent data on exertional heat illness (EHI) in high school sports is limited, yet warranted to identify specific settings with the highest risk of EHI.

Objective:: To describe the epidemiology of EHI in high school sports during the 2012/13-2016/17 academic years.

Setting:: Aggregate injury and exposure data collected from athletic trainers working in high school sports in the United States (US). Read More

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https://journals.humankinetics.com/doi/10.1123/jsr.2018-0364
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http://dx.doi.org/10.1123/jsr.2018-0364DOI Listing
February 2019
11 Reads

Is Heat Intolerance State or Trait?

Sports Med 2019 Mar;49(3):365-370

Korey Stringer Institute, Department of Kinesiology, University of Connecticut, Storrs, CT, USA.

The existing literature suggests two standpoints in defining heat intolerance, which are heat tolerance as state or trait. The former bases its case in the plasticity of human physiology, where one may gain or lose the adaptations associated with heat acclimatization and the ability to tolerate heat is considered transient. This phenomenon is exemplified in the recovery process of exertional heat stroke (EHS) patients in that victims of EHS are able to eventually regain heat tolerance and return to activity without recurrent episodes of EHS. Read More

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http://dx.doi.org/10.1007/s40279-019-01067-zDOI Listing
March 2019
2 Reads

Massive intestinal liquid retention in a case of severe heat stroke.

J Paediatr Child Health 2019 Feb;55(2):248-249

Department of Pediatrics, School of Medicine Institute of Medical, Pharmaceuticaland Health Sciences Kanazawa University, Kanazawa Japan.

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http://doi.wiley.com/10.1111/jpc.14343
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http://dx.doi.org/10.1111/jpc.14343DOI Listing
February 2019
6 Reads

Differences of hemorrhagic and ischemic strokes in age spectra and responses to climatic thermal conditions.

Sci Total Environ 2018 Dec 23;644:1573-1579. Epub 2018 Jul 23.

Zunyi Meteorological Bureau, Zunyi 563000, Guizhou Province, China.

The risks of emergency room (ER) visits for cerebral infarction (CI) and intracerebral hemorrhage (ICH) is found to differ in different age groups under different climatic thermal environments. Based on CI and ICH related ER-visit records from three major hospitals in Beijing, China, from 2008 to 2012, the advanced Universal Thermal Climate Index (UTCI), was adopted in this study to assess the climatic thermal environment. Particularly, daily mean UTCI was used as a predictor for the risk of ER visits for CI and ICH. Read More

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http://dx.doi.org/10.1016/j.scitotenv.2018.07.080DOI Listing
December 2018
2 Reads