Abstract. Rip currents are the greatest hazard to swimmers on surf beaches, but due to a lack of consistent incident reporting in many countries, it is often difficult to quantify the number of rip-current-related rescues and drowning deaths occurring along surf beaches. This study examines this problem using rescue data reported to the United States Lifesaving Association (USLA) by surf beach rescuers from 1997 through 2016. These data were checked, corrected, and culled so that only data from surf beach rescue agencies that reported the primary cause of rescue were included. Results show that rip currents are the primary cause of 81.9 % of rescues on surf beaches, with regional variation from 75.3 % (East Coast) to 84.7 % (West Coast). These values are significantly higher than those previously reported in the scientific literature (e.g., 36.5 %, 53.7 %). Using this value as a proxy when examining overall surf beach drowning fatalities, it is suggested that more than 100 fatal drownings per year occur due to rip currents in the United States. However, it is clear that the United States data would benefit by an increase in the number of lifeguard agencies which report surf-related rescues by primary cause.

Aromatase inhibitors are consistently showing improved efficacy and tolerability to tamoxifen for both early and advanced breast cancer. Optimal therapy for postmenopausal women should include an aromatase inhibitor. The optimal sequence of aromatase inhibitors and tamoxifen for adjuvant therapy is still, however, under investigation.

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