Risk for exertional heat illness among US army enlistees: climate indexes, intrinsic factors and their interactions.

Objectives: To characterise intrinsic and extrinsic (climatic) risks for mild and severe exertional heat illness (EHI) among first-year army enlistees.

Methods: We examined 337 786 soldiers who enlisted between 2012 and 2019. Survival models were used to predict incident EHI from intrinsic factors (demographics, healthcare utilisation, chronic conditions, body mass index (BMI), Army Physical Fitness Test (APFT), upper/lower respiratory tract infections (URTI and LRTI), skin and soft-tissue infections (SSTI), extrinsic factors (geographical region, daily mean Universal Thermal Climate Index (UTCI), wet bulb globe temperature (WBGT)) and interactions.

A Content Analysis of Web-Based Heat Stress Materials Published by Occupational Health and Safety Ministries, Associations, and Agencies in Canada.

An ever-increasing number of workplaces are becoming heat-exposed due to rising temperature extremes. However, a comprehensive review of Canadian safety materials available to support workplaces in managing this critical hazard has not previously been conducted. We undertook a review and a content analysis of heat stress materials on safety-based ministry, association, and agency websites in Canada (n = 155) to identify content related to heat stress (n = 595).

Foot immersion with and without neck cooling reduces self-reported environmental symptoms in older adults exposed to simulated indoor overheating.

While foot immersion and neck cooling have been recommended for protecting heat-vulnerable groups, recent evidence does not support their efficacy for mitigating increases in physiological heat strain in older adults. However, their influence on self-reported environmental symptoms and mood-state remains unclear. Seventeen older adults (nine females, median [interquartile range] age: 72 [69-74]) completed three randomized heat exposures (6-h; 38°C, 35% relative humidity) with no cooling (control), foot immersion to mid-calf in 20°C water for the final 40-min of each hour (foot immersion), or foot immersion with a wet towel (20°C) around the neck (foot immersion with neck cooling).

Outpatient parenteral antimicrobial therapy (OPAT) for the management of periprosthetic joint infections in the Republic of Ireland (ROI) from 2013 to 2021.

Objectives: Periprosthetic joint infection (PJI) is a complication of joint arthroplasty and is seen in 1-2% of cases. Since its initiation in 2013, the national outpatient parenteral antimicrobial therapy (OPAT) program has facilitated the outpatient management of intravenous antimicrobials for PJI. This study aims to describe the clinical epidemiology of patients on OPAT with PJI between 2013 and 2021.

Practical Considerations for Using Personal Cooling Garments for Heat Stress Management in Physically Demanding Occupations: A Systematic Review and Meta-Analysis Using Realist Evaluation.

Introduction: Due to rising temperature extremes, workplaces are seeking new solutions, such as using personal cooling garments (PCG) to mitigate and manage workplace heat exposure. This systematic review sought to assess the physiological and perceptual effects of PCGs on workers in standard work clothing performing moderate-to-heavy intensity tasks in hot environments.

Methods: A peer-reviewed search strategy was conducted in MEDLINE, Embase, CINAHL, Scopus, Global Health, and Business Source Complete with no language or time limits.