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exist that topical non-steroidal agents and oral non-steroidal agents such as aspirin, ibuprofen, and indomethacin taken immediately after sun exposure can decrease the erythema and symptoms associated with ultraviolet irradiation Studies have noted, however, that this protective effect dissipates after 36 h and erythema related to sun exposure after this time is not affected by the use of nonsteroidal agents One study found no effect with topical aloe vera use on the erythema of sunburned subjects Emollients may decrease the symptoms related to sunburn but studies investigating this issue are scant Several studies have also noted a lack of ef cacy of antihistamines in the acute management of sunburn Evidence-based recommendations are scant in the acute management of sunburn but a reasonable approach would include cool water soaks and immediately taking a non-steroidal agent after ultraviolet exposure (Han & Maibach 2004).



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Preventative techniques Sunscreen remains the mainstay approach to prevent the untoward side effects of the sun Unfortunately, recent studies note that most outdoor college athletes do not wear sunscreen during practice and competition (Hamant & Adams 2005) Furthermore, this study documented that over 50% of the reasons for lack of sunscreen use related to lack of availability As such, having sunscreen readily available at practice sites and competition venues may be a fairly simple method to overcome the main barrier to sunscreen use among athletes Athletes should wear a sunscreen with an SPF of 30, broadband (UVA, UVB, UVC) blocking, and be sweatproof and waterproof Despite the claims of being able to stand up to sweat and water, sunscreen should be reapplied after intense exposure to water or sweat, hourly or at whatever time intervals are allowed with continued athletic performance.

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or quadriparesis with symptoms including paraesthesiae, pain, and weakness These are more variable than the symptoms of brachial plexus involvement and can refer into the arms and/or the legs Transient spinal cord or nerve injuries are more common in the presence of congenital or acquired cervical stenosis, kyphosis, congenital fusion, cervical instability, or cervical disc protrusion (Cantu et al 1998) The association of transient cervical cord neurapraxia with these physical entities makes imaging essential on rst presentation While plain lms may be useful for assisting with the diagnosis of injury or degenerative change, MRI or CT scan are required to formally assess for stenosis, disc or cord injury Athletes who have had stingers that have been triggered by relatively minor collisions, are recurring despite complete resolution of symptoms and signs, or have symptoms lasting more than a brief period require MRI scanning.

The many varied types of vehicles used to dispense sunscreen allow each athlete to tailor their sunscreen use to their unique needs and skin type In general, athletes prefer sunscreens that are in gel or spray form, although some lotions are quite good (eg, Blue Lizard and Ocean Potion)..

Athletes may only return to contact sport after their rst episode of transient quadriplegia if there is complete resolution of symptoms, full range of motion, and a normal cervical spinal curvature without evidence of spinal stenosis on MRI, CT, or myelography (Vaccaro et al 2002) Athletes with their rst episode of transient brachial neuropraxia may be able to return to sport on the same day provided their nerve sensation and power examine normally and they have a pain-free range of cervical spine motion An extensive list of return-to-play criteria, along with relative and absolute contraindications, is given by Cuculino & DiMarco (2002) Ophthalmologic injury While eye injuries are not usually life-threatening, there are situations in which prompt appropriate management may help preserve vision.

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Examination of the eyes following suspected eye injury should include visual acuity, visual elds, the eyelids and periorbital bony structures, the surface of the globe (conjunctiva, sclera, cornea), the pupils (size, shape, reactivity), occular movements, and fundoscopic examination (Khaw et al 2004) Injuries such as isolated corneal abrasions and corneal foreign bodies are usually not emergencies However, they should be assessed by a doctor with.

A company has selected your organization to be one of a few on a short list to submit a proposal The core requirements of a good proposal are covered in the following section of this chapter, but there are two considerations to heed at this juncture in the sales process: 1 Understand the competition Just as there s such a difference between bad business and good business, there are times to submit proposals and times to abstain If you re one of 10 firms submitting proposals and lack a strong relationship with the buyer, chances are you ve been invited simply for comparative purposes and are wasting your time Knowing the competitive environment will help to differentiate 2 When it makes sense, do your homework.

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