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Linville Falls as Viewed at the Bottom of Linville Gorge – Great Place to Cool Off


Note from James Farley, colleague and photographer extraordinaire: “Difficult day, as it was raining and there was thunder and lightning, while we hiked on the Plunge Basin Trail. Caught a brief moment, when the rain stopped, to get some stillness to the slower-moving water, and get a clear view through the water. Shot on my Canon 5D Mark III and 35mm f1.4 2nd Generation lens. 2 second exposure at f16 and ISO50. Lee Filters 0.6 ND Grad and Landscape Circular Polarizer used.“



Linville Falls as Viewed at the Bottom of Linville Gorge ©JFarley Photography


Advice from the NIH: Summer is here and it’s blazing hot! So Please Stay Cool


It is important to be aware of the health risks that higher temperatures can bring. Older adults and people with chronic medical conditions are particularly susceptible to hyperthermia and other heat-related illnesses. Knowing the signs and recognizing the dangers to avoid problems is essential. The National Institute on Aging (NIA), part of the National Institutes of Health, offers advice to help combat the dangers of hot weather.


Heat fatigue, heat syncope (sudden dizziness after prolonged exposure to the heat), heat cramps, heat exhaustion and heat stroke are forms of hyperthermia, which is caused by a failure of the body’s heat-regulating mechanisms to deal with a hot environment. The combination of individual lifestyle, general health, and high temperatures can increase older adults’ risk for heat-related problems. Lifestyle factors can include not drinking enough fluids, living in housing without air conditioning, lack of mobility and access to transportation, overdressing, visiting overcrowded places and not understanding how to respond to hot weather conditions. On hot and humid days, older people, particularly those with chronic medical conditions like heart disease and diabetes, should stay indoors in cooler spaces, especially during an air pollution alert. People without air conditioners should go to places that do have air conditioning, such as senior centers, shopping malls, movie theaters and libraries. Cooling centers, which may be set up by local public health agencies, religious groups and social service organizations in many communities, are another option.


There are many things that can increase risk for hyperthermia, including:


Dehydration; Age-related changes to the skin such as poor blood circulation and inefficient sweat production; use of multiple medications; reduced sweating caused by medications such as diuretics, sedatives, tranquilizers and certain heart and blood pressure drugs; high blood pressure or other health conditions that require changes in diet; people on salt-restricted diets may be at increased risk, however, salt pills should not be used without first consulting a doctor; heart, lung and kidney diseases, as well as any illness that causes general weakness or fever; being substantially overweight or underweight; and alcohol use.


Heat stroke is a life-threatening form of hyperthermia. It occurs when the body is overwhelmed by heat and unable to control its temperature. Signs and symptoms of heat stroke include a significant increase in body temperature (generally above 104 degrees Fahrenheit), mental status changes (like confusion or combativeness), strong rapid pulse, dry flushed skin, lack of sweating, feeling faint, staggering or coma. It is critical to seek immediate emergency medical attention for a person with heat stroke symptoms, especially an older adult.


For more information about Target Health contact Warren Pearlson (212-681-2100 ext. 165). For additional information about software tools for paperless clinical trials, please also feel free to contact Dr. Jules T. Mitchel or Ms. Joyce Hays. The Target Health software tools are designed to partner with both CROs and Sponsors. Please visit the Target Health Website.


Joyce Hays, Founder and Editor in Chief of On Target

Jules Mitchel, Editor



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