Urinary incontinence in competitive women weightlifters

Urinary incontinence has the potential to diminish athletic performance and discourage women from participating in sport and exercise. This study determined the prevalence and possible risk factors for urinary incontinence in competitive women weightlifters. This research was a cross-sectional, survey-based study completed by 191 competitive women weightlifters. The frequency and severity of urinary incontinence was determined using the Incontinence Severity Index. Urinary incontinence was defined as an Incontinence Severity Index score >0. The survey questions focused on risk factors, the context and triggers for urinary incontinence, and self-care strategies. Approximately, 31.9% of subjects experienced urinary incontinence within 3 months of completing the survey. Incontinence Severity Index scores were significantly correlated with parity (r = 0.283, p = 0.01) and age (r = 0.216, p = 0.01). There was no significant correlation between the Incontinence Severity Index score and the number of years participating in any form of resistance training (r = −0.010, p = 0.886) or weightlifting (r = −0.045, p = 0.534), body mass index (r = 0.058, p = 0.422), or competition total (r = −0.114, p = 0.115). The squat was the most likely exercise to provoke urinary incontinence. Although the number of repetitions, weight lifted, body position, and ground impact may increase the likelihood of urinary incontinence occurring during a lift, it is difficult to determine which factor has the greatest influence. Some self-care strategies used by competitive women weightlifters who experience urinary incontinence, such as training while dehydrated, have the potential to diminish athletic performance

Moist Orographic Convection: Physical Mechanisms and Links to Surface-Exchange Processes

This paper reviews the current understanding of moist orographic convection and its regulation by surface-exchange processes. Such convection tends to develop when and where moist instability coincides with sufficient terrain-induced ascent to locally overcome convective inhibition. The terrain-induced ascent can be owing to mechanical (airflow over or around an obstacle) and/or thermal (differential heating over sloping terrain) forcing. For the former, the location of convective initiation depends on the dynamical flow regime. In “unblocked” flows that ascend the barrier, the convection tends to initiate over the windward slopes, while in “blocked” flows that detour around the barrier, the convection tends to initiate upstream and/or downstream of the high terrain where impinging flows split and rejoin, respectively. Processes that destabilize the upstream flow for mechanically forced moist convection include large-scale moistening and ascent, positive surface sensible and latent heat fluxes, and differential advection in baroclinic zones. For thermally forced flows, convective initiation is driven by thermally direct circulations with sharp updrafts over or downwind of the mountain crest (daytime) or foot (nighttime). Along with the larger-scale background flow, local evapotranspiration and transport of moisture, as well as thermodynamic heterogeneities over the complex terrain, regulate moist instability in such events. Longstanding limitations in the quantitative understanding of related processes, including both convective preconditioning and initiation, must be overcome to improve the prediction of this convection, and its collective effects, in weather and climate models. View Full-Tex

Urinary incontinence in competitive women powerlifters: a cross-sectional survey

Background: Urinary incontinence (UI) can negatively affect a woman’s quality of life, participation in sport and athletic performance. The objectives of this study were to determine the prevalence of UI in competitive women powerlifters; identify possible risk factors and activities likely to provoke UI; and establish self-care practices. Methods: This international cross-sectional study was conducted using an online survey completed by 480 competitive women powerlifters aged between 20 and 71 years. The Incontinence Severity Index (ISI) was used to determine the severity of UI. Results: We found that 43.9% of women had experienced UI within the three months prior to this study. The deadlift was the most likely, and the bench-press the least likely exercise to provoke UI. ISI scores were positively correlated with parity (τ = 0.227, p < 0.001), age (τ = 0.179, p < 0.001), competition total (τ = 0.105, p = 0.002) and body mass index score (τ = 0.089, p = 0.009). There was no significant correlation between ISI and years strength training (τ = − 0.052, p = 0.147) or years powerlifting (τ = 0.041, p = 0.275). There was a negative correlation between ISI score with having a pelvic floor assessment (η = 0.197), and the ability to correctly perform pelvic floor exercises (η = 0.172). Conclusion: The prevalence of UI in this cohort was at the upper limit experienced by women in the general population. Women who had undergone a pelvic floor examination or were confident in correctly performing pelvic floor exercises experienced less severe UI

The utility of convection-permitting ensembles for the prediction of stationary convective bands

This study examines convection-permitting numerical simulations of four cases of terrain-locked quasi-stationary convective bands over the UK. For each case, a 2.2-km grid-length 12-member ensemble and 1.5-km grid-length deterministic forecast are analyzed, each with two different initialization times. Object-based verification is applied to determine whether the simulations capture the structure, location, timing, intensity and duration of the observed precipitation. These verification diagnostics reveal that the forecast skill varies greatly between the four cases. Although the deterministic and ensemble simulations captured some aspects of the precipitation correctly in each case, they never simultaneously captured all of them satisfactorily. In general, the models predicted banded precipitation accumulations at approximately the correct time and location, but the precipitating structures were more cellular and less persistent than the coherent quasi-stationary bands that were observed. Ensemble simulations from the two different initialization times were not significantly different, which suggests a potential benefit of time-lagging subsequent ensembles to increase ensemble size. The predictive skill of the upstream larger-scale flow conditions and the simulated precipitation on the convection-permitting grids were strongly correlated, which suggests that more accurate forecasts from the parent ensemble should improve the performance of the convection-permitting ensemble nested within it

Climatology of banded precipitation over the contiguous United States

A climatology of banded-precipitation features over the contiguous United States from 2003–2014 is constructed. A band is defined as a precipitation feature with a major axis of 100 km or greater and a ratio of major axis length to minor axis length (hereafter, aspect ratio) of 3:1 or greater. By applying an automated feature-based detection algorithm to composite radar imagery, a database of 48,916,844 precipitation features is created, of which 7,213,505 (14.8%) are bands. This algorithm produces the first climatology of precipitation bands over the contiguous United States. Banded precipitation occurrence is broadly similar to total precipitation occurrence, with a maximum of 175 hours of banded precipitation annually over the Ohio River Valley. In the warm season, there is a strong diurnal signature associated with convective storm development for both precipitation feature area and total area covered by precipitation, but little diurnal signature in aspect ratio. A strong west-east gradient in both precipitation occurrence and banded precipitation occurrence exist, as areas west of the Rockies receive less frequent precipitation, which is much less likely to be banded. East of the Rockies, precipitation features are banded 30% of the time, versus 10–15% west of the Rockies. Areas downwind of the Great Lakes show prominent late autumn and winter maxima in banded precipitation associated with lake-effect snowbands. Local maxima of banded precipitation percentage occur in the Dakotas and east of the Colorado Rockies during winter. Although banded-precipitation features comprise only 14.8% of all precipitation features, they contribute 21.9% of the annual precipitation occurrence over the contiguous United States

Climatology of size, shape and intensity of precipitation features over Great Britain and Ireland

A climatology of precipitation features (or objects) from the Great Britain and Ireland radar-derived precipitation mosaic from 2006–2015 is constructed, with features defined as contiguous areas of nonzero precipitation rates. Over the ten years, there are 54,811,747 non-unique precipitating features over 100 km2 in area, with a median precipitation-feature area of 249 km2, median major axis length of 29.2 km, median aspect ratio of 2.0, median feature mean precipitation rate of 0.49 mm h-1, and median feature maximum precipitation rate of 2.4 mm h-1. Small-scale precipitating systems are most common, but larger systems exceeding 10,000 km2 contribute close to 70% of the annual precipitation across the study region. Precipitation feature characteristics are sensitive to changes in annual and diurnal environment, with feature intensities peaking during the afternoon in summer and the largest precipitation features occurring during winter. Precipitation intensities less than 5 mm h-1 comprise 97.3% of all precipitation occurrence and contribute 83.6% of the total precipitation over land. Banded-precipitation features (defined as precipitation features with aspect ratio at least 3:1 and major axis length at least 100 km) comprise 3% of all precipitation features by occurrence, but contribute 23.7% of the total precipitation. Mesoscale banded features (defined as banded-precipitation features with major axis length at least 100 km and total area not exceeding 10,000 km2) and mesoscale convective banded features (defined as banded-precipitation features with at least 100 km2 of precipitation rates exceeding 10 mm h-1) are most prevalent in southwestern England with mesoscale convective banded features contributing up to 2% of precipitation

Multi-scale transport and exchange processes in the atmosphere over mountains. Programme and experiment

TEAMx is an international research programme that aims at improving the understanding of exchange processes in the atmosphere over mountains at multiple scales and at advancing the parameterizations of these processes in numerical models for weather and climate prediction–hence its acronyms stands for Multi-scale transport and exchange processes in the atmosphere over mountains – Programme and experiment. TEAMx is a bottom-up initiative promoted by a number of universities, research institutions and operational centres, internationally integrated through a Memorandum of Understanding between inter- ested parties. It is carried out by means of coordinated national, bi-national and multi-national research projects and supported by a Programme Coordination Office at the Department of Atmospheric and Cryospheric Sciences of the University of Innsbruck, Austria. The present document, compiled by the TEAMx Programme Coordination Office, provides a concise overview of the scientific scope of TEAMx. In the interest of accessibility and readability, the document aims at being self-contained and uses only a minimum of references to scientific literature. Greyboxes at the beginning of chapters list the literature sources that provide the scientific basis of the document. This largely builds on review articles published by the journal Atmosphere between 2018 and 2019, in a special issue on Atmospheric Processes over Complex Terrain. A few other important literature pieces have been referenced where appropriate. Interested readers are encouraged to examine the large body of literature summarized and referenced in these articles. Blue boxes have been added to most sub-chapters. Their purpose is to highlight key ideas and proposals for future collaborative research

Exchange Processes in the Atmospheric Boundary Layer Over Mountainous Terrain

The exchange of heat, momentum, and mass in the atmosphere over mountainous terrain is controlled by synoptic-scale dynamics, thermally driven mesoscale circulations, and turbulence. This article reviews the key challenges relevant to the understanding of exchange processes in the mountain boundary layer and outlines possible research priorities for the future. The review describes the limitations of the experimental study of turbulent exchange over complex terrain, the impact of slope and valley breezes on the structure of the convective boundary layer, and the role of intermittent mixing and wave–turbulence interaction in the stable boundary layer. The interplay between exchange processes at different spatial scales is discussed in depth, emphasizing the role of elevated and ground-based stable layers in controlling multi-scale interactions in the atmosphere over and near mountains. Implications of the current understanding of exchange processes over mountains towards the improvement of numerical weather prediction and climate models are discussed, considering in particular the representation of surface boundary conditions, the parameterization of sub-grid-scal