Abnormal ECG Findings in Athletes: Clinical Evaluation and Considerations.

PURPOSE OF REVIEW: Pre-participation cardiovascular evaluation with electrocardiography is normal practice for most sporting bodies. Awareness about sudden cardiac death in athletes and recognizing how screening can help identify vulnerable athletes have empowered different sporting disciplines to invest in the wellbeing of their athletes. RECENT FINDINGS: Discerning physiological electrical alterations due to athletic training from those representing cardiac pathology may be challenging. The mode of investigation of affected athletes is dependent on the electrical anomaly and the disease(s) in question. This review will highlight specific pathological ECG patterns that warrant assessment and surveillance, together with an in-depth review of the recommended algorithm for evaluation

The Challenges of Applying Planetary Boundaries as a Basis for Strategic Decision-Making in Companies with Global Supply Chains

Abstract: The Planetary Boundaries (PB) framework represents a significant advance in specifying the ecological constraints on human development. However, to enable decision-makers in business and public policy to respect these constraints in strategic planning, the PB framework needs to be developed to generate practical tools. With this objective in mind, we analyse the recent literature and highlight three major scientific and technical challenges in operationalizing the PB approach in decision-making: first, identification of thresholds or boundaries with associated metrics for different geographical scales; second, the need to frame approaches to allocate fair shares in the 'safe operating space' bounded by the PBs across the value chain and; third, the need for international bodies to co-ordinate the implementation of the measures needed to respect the Planetary Boundaries. For the first two of these challenges, we consider how they might be addressed for four PBs: climate change, freshwater use, biosphere integrity and chemical pollution and other novel entities. Four key opportunities are identified: (1) development of a common system of metrics that can be applied consistently at and across different scales; (2) setting 'distance from boundary' measures that can be applied at different scales; (3) development of global, preferably open-source, databases and models; and (4) advancing understanding of the interactions between the different PBs. Addressing the scientific and technical challenges in operationalizing the planetary boundaries needs be complemented with progress in addressing the equity and ethical issues in allocating the safe operating space between companies and sectors

Surplus Cost Potential as a Life Cycle Impact Indicator for Metal Extraction

In the evaluation of product life cycles, methods to assess the increase in scarcity of resources are still under development. Indicators that can express the importance of an increase in scarcity of metals extracted include surplus ore produced, surplus energy required, and surplus costs in the mining and the milling stage. Particularly the quantification of surplus costs per unit of metal extracted as an indicator is still in an early stage of development. Here, we developed a method that quantifies the surplus cost potential of mining and milling activities per unit of metal extracted, fully accounting for mine-specific differences in costs. The surplus cost potential indicator is calculated as the average cost increase resulting from all future metal extractions, as quantified via cumulative cost-tonnage relationships. We tested the calculation procedure with 12 metals and platinum-group metals as a separate group. We found that the surplus costs range six orders of magnitude between the metals included, i.e., between $0.01–$0.02 (iron) and $13,533–$17,098 (rhodium) USD (year 2013) per kilogram of metal extracted. The choice of the reserve estimate (reserves vs. ultimate recoverable resource) influenced the surplus costs only to a limited extent, i.e., between a factor of 0.7 and 3.2 for the metals included. Our results provide a good basis to regularly include surplus cost estimates as resource scarcity indicator in life cycle assessment

The influence of value choices in life cycle impact assessment of stressors causing human health damage

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Solar energy demand (sed) of commodity life cycles

Contains fulltext : 92347.pdf (publisher's version ) (Closed access)8 p

Uncertainties in the application of the species area relationship for characterisation factors of land occupation in life cycle assessment

Contains fulltext : 83737.pdf (publisher's version ) (Closed access)10 p