Channeling Change
May 7, 2014
In the ubiquitous discourse about global warming and rising seas, one school of thought follows this thread: (1) global warming’s fundamental cause is beyond human behavior; but (2) changing human behaviors could slow the rate of warming; and (3) these changed behaviors would improve the environment and the quality of existence for all the globe’s life forms and therefore should be promoted even if they cannot affect the ultimate warming of the planet.
Among those who admit to the inevitability that the planet will continue to warm regardless of humans’ best efforts are those who believe we should be planning for elevated sea levels now, not by working on ways to keep the rising waters out, but on innovative means of letting the water in.
With the Dutch, for example, among models, it is suggested that coastal communities begin today to build networks of canals that allow water to flow inland along planned routes that people can use and enjoy, and that the seawater be directed to places desperate for hydropower or where this seawater can be made free of unwanted species and fresh for human use and agriculture.
Rather than building walls to keep the water out, build canals to let water in to be cleansed and used for our betterment.
This caused me to wonder if this kind of thinking would help us in school sports to reframe discussion on problems that seem too large for us to solve. Like the negative influence of non-school sports on interscholastic athletics and rules that limit out-of-season coaching of students by school coaches.
Out-of-season coaching is one of the focus topics for the MHSAA during the second half of 2014, and this image in response to global warming is one of several we may use to reframe discussion before we attempt to rewrite the rules. Are there ways to channel negative situations toward positive results . . . without the threat of introducing invasive species?
Cardiac Screening
October 31, 2014
Sudden death among 12 to 25-year-olds is “a low event rate occurrence.”
“There is insufficient information to support the view that ECGs in asymptomatic young people for cardiac disease is appropriate or possible on a national basis for the United States, in competitive athletics or in the general population.”
“At present, there is no mechanism available in the United States to effectively create national programs of such magnitude, whether limited to athletics or including the wider population of all young people.”
“There is insufficient evidence that particularly large-scale/mass screening initiatives are feasible or cost effective within the current US healthcare infrastructure . . .”
“The ECG . . . cannot be regarded as an ideal or effective test when applied to large healthy populations.”
“An additional, but unresolved, ethical issue concerns whether students who voluntarily engage in competitive athletic programs should have advantage of cardiovascular screening, while others who choose not to be involved in such activities (but may be at the same or similar risk) are in effect excluded from the same opportunity.”
The AHA’s Sept. 14 AHA writing group “does not believe the available data support significant public health benefit from using the 12-lead ECG as a universal screening tool. The writing group, however, does endorse the widespread dissemination of automated external defibrillators which are effective in saving young lives on the athletic field and elsewhere.”