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Principles of measurement are described in many reference texts (Thomas & Nelson 1990) and the interested reader is advised to make themselves familiar with the key issues prior to developing and implementing a program of athlete assessment. Here we summarize the key aspects. Validity To have any meaning the test must: (i) actually measure what it is purported to measure; and (ii) be reliable. An example is the use of bioimpedence to measure body fat mass in the athlete. The technique, described later, actually estimates total body water based on electrical impedance to current ow and then makes inferences about fat content. While a useful technique in some instances,

Under this system, each share of stock is entitled to a number of votes equal to the number of directors to be elected By using all their votes to support a single candidate, individuals with a significant minority interest can guarantee themselves representation on the board More directly (and in states which do not allow cumulative voting), Michael could insist upon two different classes of voting stock, differing only in voting rights Bruce and Erika would each own 1,000 shares of class A stock and elect two directors Michael, the sole owner of the 1,000 outstanding shares of class B stock, would elect a third director Of course, the board also acts by majority, so Bruce and Erika s directors could dominate board decisions in any case, but at least Michael would have access to the deliberations.

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common, occurring in up to two-thirds of patients (Armstrong et al 1996a) Morbidity and mortality are directly related to the duration of elevated core temperature When left untreated, heat stroke patients can progress rapidly to cardiac and hepatic necrosis, rhabdomyolysis, disseminated intravascular coagulation, adult respiratory distress syndrome, and renal failure All patients suspected with even minor heat illness should therefore be assessed for the possibility of heat stroke and be monitored continuously for development of this It is essential to begin cooling of the athlete as soon as possible The athlete is removed from the hot environment to a cool, shaded area While further assessment of the patient is made all insulating clothing is removed and initial cooling is begun Airway, breathing, and circulation are assessed, and CPR performed as necessary in the non-responsive athlete.

The most effective way of rapidly cooling the body is whole-body ice water immersion (LugoAmador & Moyer 2004) Other methods include wrapping the individual in cool, wet towels, fanning the body, and applying ice packs to the neck, axillae, and groin Evaporative techniques are limited in very humid conditions, but can be achieved in a moving vehicle with open ventilation or placing the patient within a helicopter downdraft (Shapiro & Seidman 1990; Armstrong et al 1996b) Core temperature is checked every 5 min during the cooling process until core temperature reaches 38 C The athlete is then removed from the ice water, or other cooling methods are reduced, to ensure that the patient s temperature does not overshoot into hypothermia Patients should be placed on a cardiac monitor and supplemental oxygen given if this is available.

In the absence of a meeting, stockholders may vote by unanimous written consent, where each stockholder indicates his approval of a written resolution by signing it This eliminates the need for a meeting and is very effective in corporations with only a few stockholders (such as our hotel operation) Unlike the rules governing stockholders meetings, however, in most states unanimity is required to adopt resolutions by written consent This apparently ref lects the belief that a minority stockholder is owed an opportunity to sway the majority with his arguments A few states, notably Delaware, permit written consents of a majority, apparently reacting to the dominance of proxy voting at most meetings of large corporations, where the most eloquent of minority arguments would fall upon deaf ears (and proxy cards)..

Hypotension can be treated with intravenous normal saline but most patients will probably not require more than 1 L of uid Seizures and excessive shivering can be treated with a benzodiazepine Transportation to the nearest hospital is prudent in most severe cases as rebound hyperthermia may occur, and prolonged monitoring and correction of electrolyte abnormalities may be necessary Current heat stroke survival is reported to be 90 100% greatly improved from a rate of about.

26 3 average, 5 maximum. 2.402+(b[i]+k) Mod 79 US/most EU 2.473+[(I-1) k] Mod 23 + 73 Japan 2.447+(b[i]+k) Mod 27 + 47 Spain 2.448+(b[i]+k) Mod 35 + 48 France

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