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1.
Mar Pollut Bull ; 202: 116289, 2024 May.
Artigo em Inglês | MEDLINE | ID: mdl-38564822

RESUMO

Seaweeds are ecosystem engineers that can serve as habitat, sequester carbon, buffer ecosystems against acidification, and, in an aquaculture setting, represent an important food source. One health issue regarding the consumption of seaweeds and specifically, kelp, is the accumulation of some trace elements of concern within tissues. As atmospheric CO2 concentrations rise, and global oceans acidify, the concentrations of elements in seawater and kelp may change. Here, we cultivated the sugar kelp, Saccharina latissima under ambient (~400 µatm) and elevated pCO2 (600-2400 µatm) conditions and examined the accumulation of trace elements using x-ray powder diffraction, sub-micron resolution x-ray imaging, and inductively coupled plasma mass spectrometry. Exposure of S. latissima to higher concentrations of pCO2 and lower pH caused a significant increase (p < 0.05) in the iodine and arsenic content of kelp along with increased subcellular heterogeneity of these two elements as well as bromine. The iodine-to­calcium and bromine-to­calcium ratios of kelp also increased significantly under high CO2/low pH (p < 0.05). In contrast, high CO2/low pH significantly reduced levels of copper and cadmium in kelp tissue (p < 0.05) and there were significant inverse correlations between concentrations of pCO2 and concentrations of cadmium and copper in kelp (p < 0.05). Changes in copper and cadmium levels in kelp were counter to expected changes in their free ionic concentrations in seawater, suggesting that the influence of low pH on algal physiology was an important control on the elemental content of kelp. Collectively, these findings reveal the complex effects of ocean acidification on the elemental composition of seaweeds and indicate that the elemental content of seaweeds used as food must be carefully monitored as climate change accelerates this century.


Assuntos
Dióxido de Carbono , Algas Comestíveis , Kelp , Laminaria , Água do Mar , Oligoelementos , Kelp/química , Oligoelementos/análise , Água do Mar/química , Concentração de Íons de Hidrogênio , Dióxido de Carbono/análise , Oceanos e Mares , Poluentes Químicos da Água/análise , Acidificação dos Oceanos
2.
Environ Sci Technol ; 57(48): 19304-19315, 2023 Dec 05.
Artigo em Inglês | MEDLINE | ID: mdl-37963269

RESUMO

Metamorphosis is a critical process in the life cycle of most marine benthic invertebrates, determining their transition from plankton to benthos. It affects dispersal and settlement and therefore decisively influences the dynamics of marine invertebrate populations. An extended period of metamorphic competence is an adaptive feature of numerous invertebrate species that increases the likelihood of finding a habitat suitable for settlement and survival. We found that crude oil and residues of burnt oil rapidly induce metamorphosis in two different marine invertebrate larvae, a previously unknown sublethal effect of oil pollution. When exposed to environmentally realistic oil concentrations, up to 84% of tested echinoderm larvae responded by undergoing metamorphosis. Similarly, up to 87% of gastropod larvae metamorphosed in response to burnt oil residues. This study demonstrates that crude oil and its burned residues can act as metamorphic inducers in marine planktonic larvae, short-circuiting adaptive metamorphic delay. Future studies on molecular pathways and oil-bacteria-metamorphosis interactions are needed to fully understand the direct or indirect mechanisms of oil-induced metamorphosis in marine invertebrates. With 90% of chronic oiling occurring in coastal areas, this previously undescribed impact of crude oil on planktonic larvae may have global implications for marine invertebrate populations and biodiversity.


Assuntos
Petróleo , Animais , Petróleo/toxicidade , Invertebrados/fisiologia , Metamorfose Biológica , Ecossistema , Estágios do Ciclo de Vida , Larva/metabolismo
3.
J Phycol ; 59(4): 658-680, 2023 08.
Artigo em Inglês | MEDLINE | ID: mdl-36964950

RESUMO

Multiple species of the genus Dinophysis produce diarrhetic shellfish toxins (okadaic acid and Dinophysis toxins, OA/DTXs analogs) and/or pectenotoxins (PTXs). Only since 2008 have DSP events (illnesses and/or shellfish harvesting closures) become recognized as a threat to human health in the United States. This study characterized 20 strains representing five species of Dinophysis spp. isolated from three US coastal regions that have experienced DSP events: the Northeast/Mid-Atlantic, the Gulf of Mexico, and the Pacific Northwest. Using a combination of morphometric and DNA-based evidence, seven Northeast/Mid-Atlantic isolates and four Pacific Northwest isolates were classified as D. acuminata, a total of four isolates from two coasts were classified as D. norvegica, two isolates from the Pacific Northwest coast were identified as D. fortii, and three isolates from the Gulf of Mexico were identified as D. ovum and D. caudata. Toxin profiles of D. acuminata and D. norvegica varied by their geographical origin within the United States. Cross-regional comparison of toxin profiles was not possible with the other three species; however, within each region, distinct species-conserved profiles for isolates of D. fortii, D. ovum, and D. caudata were observed. Historical and recent data from various State and Tribal monitoring programs were compiled and compared, including maximum recorded cell abundances of Dinophysis spp., maximum concentrations of OA/DTXs recorded in commercial shellfish species, and durations of harvesting closures, to provide perspective regarding potential for DSP impacts to regional public health and shellfish industry.


Assuntos
Dinoflagellida , Intoxicação por Frutos do Mar , Estados Unidos , Humanos , Toxinas Marinhas , Ácido Okadáico , Frutos do Mar/análise
4.
Harmful Algae ; 118: 102294, 2022 10.
Artigo em Inglês | MEDLINE | ID: mdl-36195420

RESUMO

In recent decades, the rate of introduction of non-indigenous macroalgae has increased. While invasive seaweeds often outcompete native species for substrata, their direct effects on marine life are rarely described. Here, we describe 'red water' events caused by the decay of blooms of the invasive red seaweed, Dasysiphonia japonica, in Great South Bay, NY, USA, and the ability of water from such events to induce rapid and significant mortality in larval and juvenile fish (Menidia beryllina, Menidia menidia, and Cyprinodon variegatus) and larval bivalves (Mercenaria mercenaria and Crassostrea virginica). All species studied experienced significant (p<0.05) reductions in survival when exposed to macroalgae in a state of decay, seawater in which the alga was previously decayed, or both. Both bivalve species experienced 50-60% increases in mortality when exposed to decaying D. japonica for ∼ one week, despite normoxic conditions. Among fish, significant increases (40-80%) in mortality were observed after 24 h exposure to decayed D. japonica and one-week exposures caused, on average, 90% mortality in larval M. beryllina, 50% mortality in juvenile (∼3 cm) M. menidia, and 50% mortality in larval C. variegatus. All fish and bivalve mortality occurred under normoxic conditions (dissolved oxygen (DO) >7 mg L-1) and low ammonium levels (< 20 µM), with the exception of C. variegatus, which expired under conditions of decayed D. japonica coupled with reduced DO caused by the alga. Screening of water with decayed D. japonica using liquid chromatography-mass spectrometry revealed compounds with mass-to-charge ratios matching caulerpin, a known algal toxin that causes fish and shellfish mortality, and several other putative toxicants at elevated levels. Collectively, the high levels of mortality (50-90%) of larval and juvenile fish and bivalves exposed to decaying D. japonica under normoxic conditions coupled with the observation of 'red water' events in estuaries collectively indicate the red seaweed, D. japonica, can create harmful algal blooms (HABs).


Assuntos
Compostos de Amônio , Mercenaria , Alga Marinha , Animais , Peixes , Proliferação Nociva de Algas , Larva , Toxinas Marinhas , Oxigênio , Água
6.
Appl Environ Microbiol ; 88(15): e0029022, 2022 08 09.
Artigo em Inglês | MEDLINE | ID: mdl-35867581

RESUMO

Sirsoe methanicola, commonly known as the methane ice worm, is the only macrofaunal species known to inhabit the Gulf of Mexico methane hydrates. Little is known about this elusive marine polychaete that can colonize rich carbon and energy reserves. Metagenomic analysis of gut contents and worm fragments predicted diverse metabolic capabilities with the ability to utilize a range of nitrogen, sulfur, and organic carbon compounds through microbial taxa affiliated with Campylobacterales, Desulfobacterales, Enterobacterales, SAR324, Alphaproteobacteria, and Mycoplasmatales. Entomoplasmatales and Chitinivibrionales were additionally identified from extracted full-length 16S rRNA sequences, and read analysis identified 196 bacterial families. Overall, the microbial community appeared dominated by uncultured Sulfurospirillum, a taxon previously considered free-living rather than host-associated. Metagenome-assembled genomes (MAGs) classified as uncultured Sulfurospirillum predicted thiosulfate disproportionation and the reduction of tetrathionate, sulfate, sulfide/polysulfide, and nitrate. Microbial amino acid and vitamin B12 biosynthesis genes were identified in multiple MAGs, suggesting nutritional value to the host. Reads assigned to aerobic or anaerobic methanotrophic taxa were rare. IMPORTANCE Methane hydrates represent vast reserves of natural gas with roles in global carbon cycling and climate change. This study provided the first analysis of metagenomes associated with Sirsoe methanicola, the only polychaete species known to colonize methane hydrates. Previously unrecognized participation of Sulfurospirillum in a gut microbiome is provided, and the role of sulfur compound redox reactions within this community is highlighted. The comparative biology of S. methanicola is of general interest given research into the adverse effects of sulfide production in human gut microbiomes. In addition, taxonomic assignments are provided for nearly 200 bacterial families, expanding our knowledge of microbiomes in the deep sea.


Assuntos
Metagenoma , Poliquetos , Animais , Bactérias , Carbono/metabolismo , Humanos , Metano/metabolismo , Filogenia , Poliquetos/metabolismo , RNA Ribossômico 16S/genética , RNA Ribossômico 16S/metabolismo , Sulfetos/metabolismo
7.
Clin J Sport Med ; 32(3): e319-e321, 2022 05 01.
Artigo em Inglês | MEDLINE | ID: mdl-33914493

RESUMO

ABSTRACT: Traumatic and sport-related sternoclavicular (SCJ) injuries in adolescent athletes are more commonly physeal fractures rather than true SCJ dislocations. Although rare, posterior displacement of the medial clavicular metaphysis after a physeal fracture necessitates prompt evaluation and treatment. Despite the inherent healing ability of physeal separations, delayed or failed diagnosis has the capacity to cause serious complications or fatality secondary to injury of retrosternal structures. Even with the potential severity, a lack of consensus exists in the literature regarding the most appropriate treatment modality. We report an adolescent football player with a medial clavicular physeal fracture with posterior metaphyseal displacement abutting the left brachiocephalic vein. After nonsurgical management and progression to play, the patient returned to play football. This case not only highlights the diagnostic principles of medial clavicular physeal fractures with posterior metaphyseal displacement but also discusses how these challenging injuries can be managed successfully with conservative treatment.


Assuntos
Fraturas Ósseas , Luxações Articulares , Articulação Esternoclavicular , Adolescente , Atletas , Clavícula/diagnóstico por imagem , Clavícula/lesões , Fraturas Ósseas/cirurgia , Humanos , Luxações Articulares/diagnóstico por imagem , Luxações Articulares/terapia , Articulação Esternoclavicular/diagnóstico por imagem , Articulação Esternoclavicular/lesões , Articulação Esternoclavicular/cirurgia
8.
Mar Pollut Bull ; 174: 113047, 2022 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-34871899

RESUMO

Anthropogenic debris has been reported in all studied marine environments, including the deepest parts of the sea. Finding areas of accumulation and methods of transport for debris are important to determine potential impacts on marine life. This study analyzed both sediment cores and Remotely Operated Vehicle video to determine the density and distribution of debris, including both micro- and macroplastics, in Norfolk and Baltimore canyons. The average microplastic density in Norfolk Canyon sediment was 37.30 plastic particles m-2 within the canyon and 21.03 particles m-2 on the adjacent slope, suggesting that microplastics could accumulate within submarine canyons. In video transects from both Norfolk and Baltimore canyons, the largest amounts of macroplastic were recorded near the canyon heads. Our findings contribute to a growing evidence base that canyons and their associated benthic invertebrate communities are important repositories and conduits for debris to the deep sea.


Assuntos
Microplásticos , Plásticos , Animais , Baltimore , Ecossistema , Monitoramento Ambiental , Invertebrados
11.
Forensic Sci Int ; 307: 110113, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31927249

RESUMO

Cannabis light preparations are products derived or containing dried female inflorescences of Cannabis sativa belonging to Chemotype III (THC/CBD ratio <<1); the total THC (THC+THCA) content in the crop must not exceed 0.2 % in accordance with the EU regulation. In Italy the most recent law for industrial hemp (242/2016) states that only for farmers this limit is extended to 0.6 %. On the other hand, the Ministry of the Interior published a note stating that the sale or the presence in the markets of products (inflorescences, concentrates, essences and resins) or plants with concentrations higher than 0.5 % constitutes a crime. In this confusing legislation framework, it is very important to assess the legality of hemp, determining the total amount of THC. To this end a reliable LC-UV analytical method was developed and validated taking into account parameters such as precision, accuracy, linearity, repeatability of peak area and retention time, limit of detection (LOD= 0.002 % for all cannabinoids) and limit of quantification (LOQ= 0.005 % for all cannabinoids). Accuracy was expressed as the relative error (Er%), while precision was measured as the coefficient of variation (CV%). A CV% below 3 % and Er% between ± 6 % were obtained. The linearity was proven in the concentration range 0.005-1 % for THC, THCA and CBN and 0.005 %-50 % for CBD and CBDA. The analytical method was applied to more than nine hundred cannabis light samples. Based on the law 242/2016, only 18 % of the crops are to be considered legal for the market (total THC<0.2 %). If the circular of the Ministry of the Interior should be converted as a proper law, a substantial amount of cannabis light preparations (24 %) would be considered illegal (total THC>0.5 %). On the other hand, the most of the inflorescences (58 %) have a total THC content comprised between 0.2 % and 0.5 %, and it is not clear whether these products could be sold or not. Moreover, Cannabis light products are not authorized for human consumption, even if everybody knows that this is their primary use. In conclusion, the cannabis light panorama in Italy is quite confused and more specific and clear legislation should be proposed.


Assuntos
Agricultura/legislação & jurisprudência , Canabinoides/análise , Cannabis/química , Cromatografia Líquida de Alta Pressão , Análise Espectral , Raios Ultravioleta , Humanos , Itália , Legislação de Medicamentos , Limite de Detecção
13.
Biodivers Data J ; (5): e14598, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28874906

RESUMO

BACKGROUND: There is growing interest in mining polymetallic nodules from the abyssal Clarion-Clipperton Zone (CCZ) in the tropical Pacific Ocean. Despite having been the focus of environmental studies for decades, the benthic megafauna of the CCZ remain poorly known. To predict and manage the environmental impacts of mining in the CCZ, baseline knowledge of the megafauna is essential. The ABYSSLINE Project has conducted benthic biological baseline surveys in the UK Seabed Resources Ltd polymetallic-nodule exploration contract area (UK-1). Prior to ABYSSLINE research cruises in 2013 and 2015, no biological studies had been done in this area of the eastern CCZ. NEW INFORMATION: Using a Remotely Operated Vehicle and Autonomous Underwater Vehicle (as well as several other pieces of equipment), the megafauna within the UK Seabed Resources Ltd exploration contract area (UK-1) and at a site ~250 km east of the UK-1 area were surveyed, allowing us to make the first estimates of megafaunal morphospecies richness from the imagery collected. Here, we present an atlas of the abyssal annelid, arthropod, bryozoan, chordate, ctenophore and molluscan megafauna observed and collected during the ABYSSLINE cruises to the UK-1 polymetallic-nodule exploration contract area in the CCZ. There appear to be at least 55 distinct morphospecies (8 Annelida, 12 Arthropoda, 4 Bryozoa, 22 Chordata, 5 Ctenophora, and 4 Mollusca) identified mostly by morphology but also using molecular barcoding for a limited number of animals that were collected. This atlas will aid the synthesis of megafaunal presence/absence data collected by contractors, scientists and other stakeholders undertaking work in the CCZ, ultimately helping to decipher the biogeography of the megafauna in this threatened habitat.

14.
Sci Rep ; 7(1): 7667, 2017 08 09.
Artigo em Inglês | MEDLINE | ID: mdl-28794479

RESUMO

Fossil fuel combustion, eutrophication, and upwelling introduce excess CO2 into coastal zones. The extent to which marine autotrophs may benefit from elevated CO2 will be a function of their carbon limitation and, among other factors, competition with other primary producers. Here, we report on experiments performed with North Atlantic species of Ulva and Gracilaria grown in situ or exposed to ambient (~400 µatm) and elevated pCO2 (~2500 µatm) and/or subjected to competition with each other and/or with natural plankton assemblages. Elevated pCO2 significantly increased the growth rates of Gracilaria and Ulva and yielded significant declines in tissue δ13C, suggesting that increased growth was associated with increased CO2 use relative to HCO3-. Gracilaria growth was unaffected by competition with plankton or Ulva, while Ulva experienced significantly reduced growth when competing with Gracilaria or plankton. Dinoflagellates experienced significantly increased growth when exposed to elevated pCO2 but significantly slower growth when competing with Gracilaria. Elevated carbon-to-nitrogen ratios among macroalgae suggested that competition for nitrogen also shaped interactions among autotrophs, particularly Ulva. While some estuarine autotrophs benefit from elevated pCO2, the benefit can change when direct competition with other primary producers is considered with Gracilaria outcompeting Ulva and dinoflagellates outcompeting diatoms under elevated pCO2.

15.
J Man Manip Ther ; 24(4): 210-4, 2016 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-27582620

RESUMO

BACKGROUND: Physical therapy intervention is often sought to treat cervical spine conditions and a comprehensive physical therapy examination has been associated with more favourable outcomes. The cervical relocation test (CRT) is one method used to assess joint position sense (PS) integrity of the cervical spine. Previous research has found significant differences in the CRT between symptomatic and asymptomatic subjects. Impaired kinaesthetic awareness in the cervical spine may be associated with degenerative joint disease, chronicity of the complaint and increased susceptibility to re-injury. PURPOSE: The purpose of this study was to determine the intertester and intratester reliability of cervical relocation using the cervical range of motion instrument (CROM) and an affixed laser (AL) device among subjects with and without a history of neck pain. In addition, it was hypothesised that those individuals with a history of neck pain would have greater difficulty on the CRT. METHODS: A total of 50 asymptomatic subjects (n = 50) were assigned to two researchers. The CRT was performed for each tester by the subject rotating the cervical spine for three trials to the right and left for the CROM and AL. RESULTS: The results indicate a significant intertester reliability of the CROM (interclass correlation coefficient (ICC) = 0.717[0.502-0.839]; 0.773[0.595-0.873]) for the subjects in this sample. CONCLUSION: This study demonstrated that the CROM is a reliable device for measuring cervical relocation between different testers. Future research should investigate if the CRT is predictive of prognosis in patients with cervical pathology.

16.
Forensic Sci Int ; 267: 89-95, 2016 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-27572638

RESUMO

New psychoactive substances (NPS) have been associated with fatalities and severe injuries in a number of cases in the United States and have led investigators to rethink traditional drug monitoring protocols. Of particular interest are the variable phenethylamine chemical structures known as 'NBOMes', which pose an emerging threat to public health with incidence steadily growing over the past decade. In this study, direct sample analysis (DSA)-time of flight mass spectrometry was employed to leverage rapid and sensitive ambient ionization mass spectrometry without chromatographic separation as verified with an authentic case sample. Samples for method development were prepared at Boston University School of Medicine's Biomedical Forensic Sciences program (Boston, MA) and analyzed at the State of Maine Health and Environmental Testing Laboratory's Forensic Chemistry Section (Augusta, ME). Preliminary method development work was performed at the University of Central Florida (Orlando, FL). DSA without any extraction step in addition to the evaluation of methanol, dichloromethane and hexane extractions were conducted. Methanol was found to not be a suitable extraction solvent for DSA analysis of these compounds. For the screening of NBOMe designer drug variables on blotter paper, DSA-TOFMS was successful at reducing analysis time to ∼15s per sample, for qualitative identification for the selected analytes of interest. The analysis of an authentic forensic case sample by DSA-TOFMS using the method development parameters demonstrates its utility in forensic laboratories. 25C-NBOMe was identified with an exact mass accuracy of 0.60ppm.


Assuntos
Drogas Desenhadas/química , Alucinógenos/química , Papel , Fenetilaminas/química , Cromatografia , Tráfico de Drogas , Humanos , Espectrometria de Massas/métodos , Transtornos Relacionados ao Uso de Substâncias
17.
PLoS One ; 11(5): e0155152, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-27176637

RESUMO

While there is growing interest in understanding how marine life will respond to future ocean acidification, many coastal ecosystems currently experience intense acidification in response to upwelling, eutrophication, or riverine discharge. Such acidification can be inhibitory to calcifying animals, but less is known regarding how non-calcifying macroalgae may respond to elevated CO2. Here, we report on experiments performed during summer through fall with North Atlantic populations of Gracilaria and Ulva that were grown in situ within a mesotrophic estuary (Shinnecock Bay, NY, USA) or exposed to normal and elevated, but environmentally realistic, levels of pCO2 and/or nutrients (nitrogen and phosphorus). In nearly all experiments, the growth rates of Gracilaria were significantly increased by an average of 70% beyond in situ and control conditions when exposed to elevated levels of pCO2 (p<0.05), but were unaffected by nutrient enrichment. In contrast, the growth response of Ulva was more complex as this alga experienced significantly (p<0.05) increased growth rates in response to both elevated pCO2 and elevated nutrients and, in two cases, pCO2 and nutrients interacted to provide a synergistically enhanced growth rate for Ulva. Across all experiments, elevated pCO2 significantly increased Ulva growth rates by 30% (p<0.05), while the response to nutrients was smaller (p>0.05). The δ13C content of both Gracilaria and Ulva decreased two-to-three fold when grown under elevated pCO2 (p<0.001) and mixing models demonstrated these macroalgae experienced a physiological shift from near exclusive use of HCO3- to primarily CO2 use when exposed to elevated pCO2. This shift in carbon use coupled with significantly increased growth in response to elevated pCO2 suggests that photosynthesis of these algae was limited by their inorganic carbon supply. Given that eutrophication can yield elevated levels of pCO2, this study suggests that the overgrowth of macroalgae in eutrophic estuaries can be directly promoted by acidification, a process that will intensify in the coming decades.


Assuntos
Ácidos/química , Eutrofização , Gracilaria/crescimento & desenvolvimento , Oceanos e Mares , Alga Marinha/crescimento & desenvolvimento , Ulva/crescimento & desenvolvimento , Carbono/análise , Dióxido de Carbono/análise , Isótopos de Carbono , Geografia , Gracilaria/metabolismo , Concentração de Íons de Hidrogênio , Modelos Biológicos , New York , Nitrogênio/análise , Fósforo/análise , Salinidade , Alga Marinha/metabolismo , Temperatura , Ulva/metabolismo
18.
Wilderness Environ Med ; 26(4 Suppl): S10-4, 2015 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-26617373

RESUMO

Preparticipation evaluations (PPEs) are common in team, organized, or traditional sports but not common in wilderness sports or adventures. Regarding ethical, legal, and administrative considerations, the same principles can be used as in traditional sports. Clinicians should be trained to perform such a PPE to avoid missing essential components and to maximize the quality of the PPE. In general, participants' privacy should be observed; office-based settings may be best for professional and billing purposes, and adequate documentation of a complete evaluation, including clearance issues, should be essential components. Additional environmental and personal health issues relative to the wilderness activity should be documented, and referral for further screening should be made as deemed necessary, if unable to be performed by the primary clinician. Travel medicine principles should be incorporated, and recommendations for travel or adventure insurance should be made.


Assuntos
Exame Físico/métodos , Medicina Esportiva , Esportes , Meio Selvagem , Atitude do Pessoal de Saúde , Humanos , Pediatria , Exame Físico/ética , Médicos/psicologia , Medição de Risco , Sociedades Médicas , Medicina Esportiva/ética , Medicina Esportiva/legislação & jurisprudência , Medicina Esportiva/métodos , Medicina de Viagem/ética
19.
Wilderness Environ Med ; 26(4 Suppl): S20-9, 2015 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-26617375

RESUMO

Participation in wilderness and adventure sports is on the rise, and as such, practitioners will see more athletes seeking clearance to participate in these events. The purpose of this article is to describe specific medical conditions that may worsen or present challenges to the athlete in a wilderness environment.


Assuntos
Exame Físico/métodos , Medição de Risco , Medicina Esportiva/métodos , Esportes , Meio Selvagem , Atletas , Doença Crônica , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Transtornos Mentais , Relações Médico-Paciente , Fatores de Risco
20.
Wilderness Environ Med ; 26(4 Suppl): S55-62, 2015 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-26617379

RESUMO

A request for a preparticipation medical evaluation for wilderness watersports may be made by guiding agencies, instructional camps, or by patients presenting for an annual visit. Although guidelines have been published regarding preparticipation physical evaluation for traditional competitive high school and collegiate sports, little has been written about medical evaluations for those wishing to engage in wilderness and adventure watersports. in this article, we offer guidance based on literature review and expert opinion. Watersports are among the most common recreational activities in the United states and are generally safe. Drowning, however, is a significant risk, particularly in small, self-propelled craft, and among children. Medical counseling before participation in watersports should include screening for medical conditions which may impair swimming ability, including a history of seizures, heart disease, and lung disease. Physicians should also promote preventive health measures such as use of lifejackets and sun protection, as well as alcohol avoidance. Swim testing tailored to specific activities should be strongly considered for children and those with questionable swimming ability.


Assuntos
Afogamento/prevenção & controle , Anamnese/métodos , Exame Físico/métodos , Medicina Esportiva/métodos , Esportes , Ferimentos e Lesões/prevenção & controle , Praias , Afogamento/fisiopatologia , Humanos , Medição de Risco , Fatores de Risco , Rios , Protetores Solares/uso terapêutico , Natação/fisiologia , Meio Selvagem , Ferimentos e Lesões/epidemiologia
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