Prevention of Drowning.

Drowning is a leading cause of injury-related death in children. In 2017, drowning claimed the lives of almost 1000 US children younger than 20 years. A number of strategies are available to prevent these tragedies. As educators and advocates, pediatricians can play an important role in the prevention of drowning.

Investigation of the Anxiolytic and Antidepressant Effects of Curcumin, a Compound From Turmeric (Curcuma longa), in the Adult Male Sprague-Dawley Rat.

As the use of herbal medications continues to increase in America, the potential interaction between herbal and prescription medications necessitates the discovery of their mechanisms of action. The purpose of this study was to investigate the anxiolytic and antidepressant effects of curcumin, a compound from turmeric (Curcuma longa), and its effects on the benzodiazepine site of the γ-aminobutyric acid receptor A (GABAA) receptor. Utilizing a prospective, between-subjects group design, 55 male Sprague-Dawley rats were randomly assigned to 1 of the 5 intraperitoneally injected treatment groups: vehicle, curcumin, curcumin + flumazenil, midazolam, and midazolam + curcumin. Behavioral testing was performed using the elevated plus maze, open field test, and forced swim test. A 2-tailed multivariate analysis of variance and least significant difference post hoc tests were used for data analysis. In our models, curcumin did not demonstrate anxiolytic effects or changes in behavioral despair. An interaction of curcumin at the benzodiazepine site of the GABAA receptor was also not observed. Additional studies are recommended that examine the anxiolytic and antidepressant effects of curcumin through alternate dosing regimens, modulation of other subunits on the GABAA receptor, and interactions with other central nervous system neurotransmitter systems.

Can you really swim? Validation of self and parental reports of swim skill with an inwater swim test among children attending community pools in Washington State.

BACKGROUND: Drowning is the second leading cause of unintentional injury death among US children. Multiple studies describe decreased drowning risk among children possessing some swim skills. Current surveillance for this protective factor is self/proxy-reported swim skill rather than observed inwater performance; however, children's self-report or parents' proxy report of swim skill has not been validated. This is the first US study to evaluate whether children or parents can validly report a child's swim skill. It also explores which swim skill survey measure(s) correlate with children's inwater swim performance. METHODS: For this cross-sectional convenience-based sample, pilot study, child/parent dyads (N=482) were recruited at three outdoor public pools in Washington State. Agreement between measures of self-reports and parental-reports of children's swim skill was assessed via paired analyses, and validated by inwater swim test results. RESULTS: Participants were representative of pool's patrons (ie, non-Hispanic White, highly educated, high income). There was agreement in child/parent dyads' reports of the following child swim skill measures: 'ever taken swim lessons', perceived 'good swim skills' and 'comfort in water over head'. Correlation analyses suggest that reported 'good swim skills' was the best survey measure to assess a child's swim skill-best if the parent was the informant (r=0.25-0.47). History of swim lessons was not significantly correlated with passing the swim test. CONCLUSIONS: Reported 'good swim skills' was most correlated with observed swim skill. Reporting 'yes' to 'ever taken swim lessons' did not correlate with swim skill. While non-generalisable, findings can help inform future studies.

Effects of moderate-intensity aerobic cycling and swim exercise on post-exertional blood pressure in healthy young untrained and triathlon-trained men and women.

Aerobic exercises such as running, walking and cycling are known to elicit a PEH (post-exercise hypotensive) response in both trained and UT (untrained) subjects. However, it is not known whether swim exercise produces a similar effect in normotensive individuals. The complex acute physiological responses to water immersion suggest swimming may affect BP (blood pressure) differently than other forms of aerobic exercises. We tested the hypothesis that an acute bout of swimming would fail to elicit a PEH BP response compared with an equivalent bout of stationary cycling, regardless of training state. We studied 11 UT and ten triathlon-trained young healthy normotensive [SBP/DBP (systolic BP/diastolic BP) <120/80 mmHg)] men and women (age 23±1 years) who underwent 30 min of intensity-matched cycling and swimming sessions to assess changes in BP during a 75-min seated recovery. CO (cardiac output), SV (stroke volume), TPR (total peripheral resistance), HR (heart rate), HRV (HR variability) and core and skin temperature were also assessed. In UT subjects, PEH was similar between cycling (-3.1±1 mmHg) and swimming (-5.8±1 mmHg), with the greater magnitude of PEH following swimming, reflecting a significant fall in SV between modalities (P<0.05). Trained individuals did not exhibit a PEH response following swimming (0.3±1 mmHg), yet had a significant fall in SBP at 50 min post-cycling exercise (-3.7±1 mmHg) (P<0.05). The absence of PEH after swimming in the trained group may reflect a higher cardiac sympathetic outflow [as indicated by the LF (low-frequency) spectral component of HRV) (25 and 50 min) (P<0.05)] and a slower return of vagal tone, consistent with a significant increase in HR between modalities at all time points (P<0.05). These results suggest that training may limit the potential for an effective post-exertional hypotensive response to aerobic swimming.

Notational analysis of elite and sub-elite water polo matches.

This study aimed at comparing elite (i.e., Euro League and Italian "Serie A1") and sub-elite (Italian "Serie B") matches. A notational analysis was performed on 17 men's water polo matches during the 2005-2006 season to evaluate the following technical and tactical parameters of the offensive play: frequency of occurrence of the actions; mean clock-time duration; mean number of players involved and passes; frequency of occurrence of the turnovers; and frequency of occurrence of the number, outcome, position, and type of the shots. All the indicators were analyzed in relation to even (i.e., equal number of offensive and defensive players), counterattack (i.e., higher number of offensive players than that of the defense), and power play (i.e., a team defending for 20 seconds without a player because of an exclusion foul) situations. A multivariate approach (multivariate analysis of variance) was applied to the playing situations (even, counterattack, and power play) as dependent variables and competition levels (Final Four of Euro League Championship, Serie A1 Championship, and Serie B Championship) as between factor (p < 0.05). Significant differences among competition levels emerged in (a) the frequency of occurrence of counterattack and power play actions, (b) the duration of even situations, (c) the mean number of players directly involved during power play actions, (d) the mean number of the passes during even and power play actions, (e) the frequency of occurrence of the shots during counterattack and power play actions, (f) the frequency of occurrence of goals during even actions, (g) the frequency of occurrence of shots originating from different zones of the court, and (h) the type of shots performed. The present results showed that the competition level has a relevant impact on the occurrence of technical and tactical indicators especially in relation to even, counterattack, and power play situations. Thus, notational analysis proved to be a valuable tool for better coaching through the interpretation of technical and tactical aspects of water polo in relation to its competition level.

Urban minority youth swimming (in)ability in the United States and associated demographic characteristics: toward a drowning prevention plan.

OBJECTIVE: To examine swimming ability and variables associated with swimming for US inner-city, minority children. Empirical research on minority children's swimming ability is non-existent, and drowning rates for this population are high. DESIGN: Cross-sectional survey research. Descriptive statistics were produced. Multiple regression was applied using significant demographic variables by swimming ability. SETTING: Six US cities were chosen (Chicago, Illinois; Houston, Texas; Memphis, Tennessee; Miami, Florida; Oakland, California; Philadelphia, Pennsylvania). Young Men's Christian Association (YMCA) facilities were used to solicit subjects. SUBJECTS: A large sample (n = 1680) was gathered, which targeted poor, minority children. Parents of children aged 4-11 years and adolescents (12-17 years) completed surveys that research team members or trained YMCA staff supervised during non-swimming YMCA programmes. RESULTS: African-American respondents reported a 57.5% "at risk" (unable to swim or uncomfortable in deep end of pool) swimming ability. Hispanic/Latino children confirmed a 56.2% "at risk" level as compared with 30.9% for white subjects. Age, sex, child's lunch programme, parental education and race variables were all significantly (p<0.05) related to swimming ability. Regression analysis revealed that all demographic variables fell into a significant model (p<0.001) as predictor variables. CONCLUSIONS: Poor minority children, specifically African-American and Hispanic/Latino, are at a significant disadvantage concerning swimming ability. Female subjects were notably more "at risk" regarding their swimming ability than male subjects. Age, race and socioeconomic factors (lunch programme and parental education) were significantly associated with children who have low swimming ability.

A sea change ahead for recreational water quality criteria.

The United States Environmental Protection Agency is committed to developing new recreational water quality criteria for coastal waters by 2012 to provide increased protection to swimmers. We review the uncertainties and shortcomings of the current recreational water quality criteria, describe critical research needs for the development of new criteria, as well as recommend a path forward for new criteria development. We believe that among the most needed research needs are the completion of epidemiology studies in tropical waters and in waters adversely impacted by urban runoff and animal feces, as well as studies aimed to validate the use of models for indicator and pathogen concentration and health risk predictions.

Scaling laws and forecasting in athletic world records.

In this study, we analysed running world records and found that the mean speed of the race, mu, as a function of the record time, tau, can be described asymptotically by two well-defined scaling laws of the form mu approximately tau(-beta). There is a break in the scaling laws (approximately 1000 m) between the shorter and the longer races at a characteristic time of around 150-170 s, after which a new scaling regime emerges. This is the first occasion that this characteristic time has been clearly found in physical terms; we interpreted it as the transition time between the anaerobic and the aerobic energy expenditure of athletes. This phenomenon is independent of the athletes' sex and is also found in swimming races with similar values of the characteristic time. We also investigated the forecasting of world records using historical data. Using an approach based on the identification of non-Poissonian events for a sequence of temporal point processes, we found that the sequence of improvements in all athletic records from 1900 to the present day cannot be considered as a sequence of completely random events.