Mesoamerican ballgame many Caribbean islands including Cuba, Puerto Rico, and the West Indies, has been proposed as a descendent of the Mesoamerican ballgame, perhaps through the Maya. Mesoamerican ballgame The Mesoamerican ballgame was a sport with ritual associations played since 1400 BC by the pre-Columbian people of Ancient Mesoamerica. The sport had different versions in different places during the millennia, and a newer more modern version of the game, "ulama", is still played in a few places by the indigenous population. The rules of the game are not known, but judging from its descendant, ulama, they were probably similar to racquetball, where
Mesoamerican nephropathy the same fashion or quantities as in Mesoamerica. However, heat stress measurements have not been assessed in these countries and cannot be compared, and CKD cases could be underreported, just like in the Mesoamerican region before the first description of the disease back in 2002. In any case, there are important differences between these Caribbean and Atlantic countries and the Mesoamerican Pacific coastlands, differences including A large (nearly 38,000 workers, 5 year follow up) prospective study of occupational heat stress and Kidney Disease from Thailand in 2012 found a 5-fold increased risk (adjusted odds ratio) for CKD in heat stress