Explore the vast range of titles available.

Introduction Cold water swimming has increased in popularity and women wish to swim throughout pregnancy. There is a lack of evidenced‐based guidance to make decisions about the safety of immersion in cold water during pregnancy. Methods Closed social media groups were asked for specific questions in relation to cold water swimming and pregnancy. This highlighted concerns including water temperature, risks to the mother and fetus, and water quality. To find evidence‐based answers, a series of meetings brought together clinicians and researchers with expertise in cold water physiology, exercise physiology, fertility, obstetrics, neonatology, midwifery, water epidemiology, public health and representatives from the Open Water Swimming Society and an Open Water swimming social enterprise. Results Published data were examined via a scoping review process and four studies and eight reports were identified. Recommendations were made with evidence graded (mostly grade 4 expert opinion). Conclusion Research gaps highlight the need for research to enable accurate advice to determine whether it is safe for pregnant women to swim outdoors in cold water.

The associations with weather and bathing water quality on infectious intestinal disease (IID) were investigated using data from two Scottish NHS Board areas. Monthly counts of viral and non-viral gastrointestinal infections were modelled as a smooth function of temperature, relative humidity and average monthly counts of faecal indicator organisms, respectively, adjusting for season and long-term trend effects. Strong seasonal patterns were observed for each group of pathogens. Peak viral gastrointestinal infection was in May while that of non-viral gastrointestinal infections was in July. A statistically significant negative association existed between weather (temperature and humidity) and viral infection. Average levels of non-viral gastrointestinal infections increased as temperature and relative humidity increased. Increasing levels of faecal indicator organisms in bathing waters were also associated with an increase in the average number of viral and non-viral gastrointestinal infections at the ecological level. Future climate change and prolonged precipitation events may result in increasing levels of faecal indicator organisms in bathing waters leading to likely increases in IIDs.

Laboratory studies were conducted to investigate the rates ofrelease of Na, Mg, Al, Si, K, Ca and Fe from 10 samples of metamorphosed igneous rock of the Borrowdale Volcanic Group (BVG), consisting mainly of plagioclase feldspars, chlorite andquartz, with minor amounts of hornblende, epidote and carbonates.Experiments were performed using freshly-prepared rock pieces (ca. 12 mm cubes), in batch mode, but with frequent changes of the solution phase so that accumulation of dissolved solutes wasminimised. The initial element release rates were relatively high, but declined with time to reach approximate (pseudo-) steady state conditions. Element release rates declined withpH in the pH range 2-7, the dependence upon pH decreasing in the order Al Fe > Si > Mg Ca > K Na. Thepseudo-steady state rates for Si were comparable to steady state values for single minerals. Calcium showed the greatestsample-to-sample variation (more than 100-fold). Rock dissolutionwas far from stoichiometric, with Ca and Mg being present in thesolution phase in proportions greater than in the rock, and Al and Si in lower proportions. In some samples the release rates ofMg and Ca were equal, while in others the Ca rate was up to 100times that of Mg. The rate of release of Ca is correlated with the carbonate content of the rocks. The results indicate that the main source of Ca in the faster-dissolving samples is calcite, while the highest release rates of Mg are consistent with dissolution of dolomite. Aluminium, Si and Fe are probablyreleased predominantly from chlorite. The results are discussed in terms of the supply of base cations to stream waters drainingcatchments underlain by rocks of the BVG.[PUBLICATION ABSTRACT]