Information about Sports Related Concussion and Return to Play Rules in Youth Soccer, Rugby and Handball on Websites of German Sports Clubs (Preprint)

2020 ◽  
Author(s):  
Laura Rihani ◽  
Jennifer Usinger ◽  
Nicola Jungbäck ◽  
Gabriele Stumm ◽  
Thorsten Schulz ◽  
...  
Keyword(s):  
Brain Injuries ◽  
Return To Play ◽  
Online Information ◽  
Lower Saxony ◽  
Systematic Analysis ◽  
Youth Soccer ◽  
Sports Clubs ◽  
Sport Concussion ◽  
The Usa ◽  
Sports Activities

BACKGROUND Sports-related mild traumatic brain injuries (sports related concussion, SRC) have received increasing attention since neurodegenerative processes have been linked to repetitive SRCs. Return-to-Play (RTP) rules have been established for medical advised return into sports activities after concussion, but it is not clear if these rules also reach the sports clubs and its young athletes. OBJECTIVE In youth sports, athletes and their parents search the internet for advice after SRC. We therefore investigated which websites of German sports associations and clubs in football (soccer), handball and rugby offer information on SRC and RTP rules. METHODS The systematic analysis included websites of local football, handball and rugby clubs in two comparable regions in Southern Bavaria and Lower Saxony. The websites of the regional and the German umbrella associations were also included into the study. Eight criteria of the revised Sport Concussion Consensus Statement served as standard for the evaluation according to the protocol published by Swallow et al. (J Neurosurg Pediatr, 2018). RESULTS No information on RTP rules or the topic “sports-related brain injuries” could be found on any of the clubs’ websites. Only the Bavarian Football Association and the Rugby Association sporadically provided information on the topic. The German umbrella associations in football and rugby take up international documents and regulations of the European and the world associations. No information could be found at the German Handball Association. CONCLUSIONS The topics of sports-related brain injuries and RTP rules are mostly neglected on the analysed Websites. This is remarkable, as there are clearly defined consensus guidelines which are widely accepted in international comparison. Especially in the USA, online information on this topic has become standard.

scholarly journals The prevalence, risk factors predicting injury and the severity of injuries sustained during competition in professional mixed martial arts in Africa

2017 ◽  
Vol 29 (1) ◽  
pp. 1-5
Author(s):  
S Venter ◽  
D Van Rensburg ◽  
L Fletcher ◽  
C Grant
Keyword(s):  
Risk Factors ◽  
Logistic Regression ◽  
Martial Arts ◽  
Brain Injuries ◽  
The United States ◽  
Traumatic Brain Injuries ◽  
Return To Play ◽  
Stepwise Logistic Regression ◽  
Mixed Martial Arts ◽  
The Usa

Background: Professional mixed martial arts (MMA) has gained international popularity. No African-based studies have reported the prevalence or severity of injuries, risk factors associated with injuries or return-to-play (RTP) time. Objectives: To determine the prevalence of injuries and associated risk factors, as well as severity of injuries sustained by professional male MMA athletes competing at the Extreme Fighting Championships Africa (EFC Africa) from 2010 to 2014.Methods: Permission to do the study and the medical records of all professional events (2010 – 2014) were obtained from EFC Africa. Data were obtained from 173 male competitors aged 18 to 44 years, who had participated in 300 professional MMA fights. Results from this prospective cohort study were compared to a similar study done in the United States of America (USA). An injury was defined as any damage to an athlete’s body that needed the attention of the ringside physician. Statistical analyses included descriptive statistics and a stepwise logistic regression. Odds of an injury were predicted with six independent variables: fight outcome, age, weight division, number of fights, injuries in the preceding fight and years of fighter experience.Results: Head, face and neck injuries were most common (22%), followed by traumatic brain injuries (knockouts) (6%). Losing a fight was a significant predictor of injury when using the stepwise logistic regression model (p=0.040). The odds ratio indicated that a preceding fight injury almost doubled the risk of injury in the following fight (OR 1.91; p= 0.163). Traumatic brain injuries (TBIs) in this study of African-based competitions (6%) were substantially higher than reported in the American study (1.8%).Conclusion: Head, neck and face injuries are common in African fighters. The high rate of TBIs in African competition compared to the USA study is concerning. This could reflect superior refereeing in the USA group, as fights may be ended sooner by stoppage. Further investigation of injury trends and preventative measures should be studied to reduce the incidence of injuries during African competitions.

scholarly journals Online information on face masks in Italian and English websites: deficiencies and responsibilities of search engines

2020 ◽  
Author(s):  
Shaily Meta ◽  
Daria Ghezzi ◽  
Alessia Catalani ◽  
Tania Vanzolini ◽  
Pietro Ghezzi
Keyword(s):  
Public Health ◽  
Mental Health ◽  
Search Engines ◽  
Information Quality ◽  
Quality Criteria ◽  
Face Mask ◽  
Online Information ◽  
Public Health Agencies ◽  
Health Agencies ◽  
The Usa

AbstractCountries have major differences in the acceptance of face mask use for the prevention of COVID-19. We analyzed 450 webpages returned by searching the string “are face masks dangerous” in Italy, the UK and the USA using three search engines (Bing, Duckduckgo and Google). The majority (64-79%) were pages from news outlets, with few (2-6%) pages from government and public health agencies. Webpages with a positive stance on masks were more frequent in English (50%) than in Italian (36%), and those with a negative stance were more frequent in Italian (28% vs. 19% in English). Google returned the highest number of mask-positive pages and Duckduckgo the lowest. Google also returned the lowest number of pages mentioning conspiracy theories and Duckduckgo the highest. Webpages in Italian scored lower than those in English in transparency (reporting authors, their credentials and backing the information with references). When issues about the use of face masks were analyzed, mask effectiveness was the most discussed followed by hypercapnia (accumulation of carbon dioxide), contraindication in respiratory disease, and hypoxia, with issues related to their contraindications in mental health conditions and disability mentioned by very few pages. This study suggests that: 1) public health agencies should increase their web presence in providing correct information on face masks; 2) search engines should improve the information quality criteria in their ranking; 3) the public should be more informed on issues related to the use of masks and disabilities, mental health and stigma arising for those people who cannot wear masks.

Long-Term Anesthetic-Dependent Hypoactivity after Repetitive Mild Traumatic Brain Injuries in Adolescent Mice

2016 ◽  
Vol 38 (3) ◽  
pp. 220-238 ◽  
Author(s):  
Bridgette D. Semple ◽  
Raha Sadjadi ◽  
Jaclyn Carlson ◽  
Yiran Chen ◽  
Duan Xu ◽  
...  
Keyword(s):  
Brain Injuries ◽  
Injury Severity ◽  
Vasogenic Edema ◽  
Head Injuries ◽  
Traumatic Brain Injuries ◽  
Return To Play ◽  
Brain Maturation ◽  
Long Term Outcomes ◽  
Mild Traumatic Brain Injuries

Recent evidence supports the hypothesis that repetitive mild traumatic brain injuries (rmTBIs) culminate in neurological impairments and chronic neurodegeneration, which have wide-ranging implications for patient management and return-to-play decisions for athletes. Adolescents show a high prevalence of sports-related head injuries and may be particularly vulnerable to rmTBIs due to ongoing brain maturation. However, it remains unclear whether rmTBIs, below the threshold for acute neuronal injury or symptomology, influence long-term outcomes. To address this issue, we first defined a very mild injury in adolescent mice (postnatal day 35) as evidenced by an increase in Iba-1- labeled microglia in white matter in the acutely injured brain, in the absence of indices of cell death, axonal injury, and vasogenic edema. Using this level of injury severity and Avertin (2,2,2-tribromoethanol) as the anesthetic, we compared mice subjected to either a single mTBI or 2 rmTBIs, each separated by 48 h. Neurobehavioral assessments were conducted at 1 week and at 1 and 3 months postimpact. Mice subjected to rmTBIs showed transient anxiety and persistent and pronounced hypoactivity compared to sham control mice, alongside normal sensorimotor, cognitive, social, and emotional function. As isoflurane is more commonly used than Avertin in animal models of TBI, we next examined long-term outcomes after rmTBIs in mice that were anesthetized with this agent. However, there was no evidence of abnormal behaviors even with the addition of a third rmTBI. To determine whether isoflurane may be neuroprotective, we compared the acute pathology after a single mTBI in mice anesthetized with either Avertin or isoflurane. Pathological findings were more pronounced in the group exposed to Avertin compared to the isoflurane group. These collective findings reveal distinct behavioral phenotypes (transient anxiety and prolonged hypoactivity) that emerge in response to rmTBIs. Our findings further suggest that selected anesthetics may confer early neuroprotection after rmTBIs, and as such mask long-term abnormal phenotypes that may otherwise emerge as a consequence of acute pathogenesis.

scholarly journals Sport and British Jewish identity

2020 ◽  
pp. 101269022095862
Author(s):  
Jon Dart
Keyword(s):  
South Asian ◽  
Jewish Identity ◽  
Jewish People ◽  
Historical Research ◽  
Minority Communities ◽  
Sports Clubs ◽  
Role Of Religion ◽  
The Relationship ◽  
Sports Activities

This article examines the relationship between sport and Jewish identity. The experiences of Jewish people have rarely been considered in previous sport-related research which has typically focused on ‘Black’ and South Asian individuals, sports clubs, and organisations. Drawing on data generated from interviews ( n = 20) and focus groups ( n = 2) with individuals based in one British city, this article explores how their Jewish identity was informed, and shaped by, different sports activities and spaces. This study’s participants were quick to correct the idea that sport was alien to Jewish culture and did not accept the stereotype that ‘Jews don’t play sport’. The limited historical research on sport and Jewish people and the ongoing debates around Jewish identity are noted before exploring the role of religion and the suggestion that Jewish participation in sport is affected by the Shabbat (sabbath). Participants discussed how sports clubs acted as spaces for the expression and re/affirmation of their Jewish identity, before they reflected on the threats posed to the wider Jewish community by secularism, assimilation, and antisemitism. The article concludes by discussing how the sporting experiences of the study’s British Jewish participants compare with the experiences of individuals from other ethnic minority communities.

“It Wasn’t Like We Expected”: Analyzing (Non-)Participation of Family Caregivers of People With Dementia in Sports Activities From Different Perspectives

2020 ◽  
pp. 073346482091729
Author(s):  
Veronique Wolter ◽  
Sarah Hampel
Keyword(s):  
Health Promotion ◽  
Family Caregivers ◽  
Leisure Activities ◽  
Subjective Health ◽  
Target Group ◽  
Three Dimensions ◽  
Sports Clubs ◽  
Positive Effects ◽  
People With Dementia ◽  
Sports Activities

Family caregivers of people with dementia represent a physically and psychologically burdened target group, which can benefit from offers of health promotion, but rarely use existing services. This article deals with the motives and conditions that induce this target group to be (not) active in sports. For this purpose, the perspectives of family caregivers and local sports clubs in Germany are compared to uncover similarities and discrepancies with the aim of developing target group-specific health promotion services. Results were classified into three dimensions for (non-)participation in sports activities. People who participated in sports club programs generally confirmed its positive effects. Among other things, the sports clubs and family caregivers surveyed emphasized the compatibility of the care situation with possible leisure activities as very important components for (non-)participation. The results show that the subjective health attitudes must be taken into account in the design of health promotion offers.

scholarly journals The Model of Unification and the Model of Diversification of Public School Teachers’ Continuing Professional Development in Great Britain, Canada and the USA

2016 ◽  
Vol 6 (1) ◽  
pp. 7-13 ◽  
Author(s):  
Nataliya Mukan ◽  
Iryna Myskiv ◽  
Svitlana Kravets
Keyword(s):  
Professional Development ◽  
Great Britain ◽  
Public School ◽  
Professional Education ◽  
Continuing Professional Development ◽  
Public School Teachers ◽  
School Teachers ◽  
Systematic Analysis ◽  
Analysis And Synthesis ◽  
The Usa

Abstract In the article the theoretical framework of public school teachers’ continuing professional development (CPD) in Great Britain, Canada and the USA has been presented. The main objectives have been defined as theoretical analysis of scientific and pedagogical literature, which highlights different aspects of the problem under research; presentation and characteristic of two models: the model of unification and the model of diversification of teachers’ professional development in the systems of continuing pedagogical education of Great Britain, Canada and the USA by the dominant traits. Their major components have been defined and specified. Public school teachers’ CPD has been studied by foreign and domestic scientists: content of public school teachers’ CPD (N. Dana Fichtman, M. Rees, A. Ross, S. Zepeda); CPD programs (C. Pratt); public school teachers’ CPD models, methods and forms (K. Duinlan, P. Grimmet, G. Troia, P. Wong); continuous professional education (Ya. Belmaz, А. Kuzminskyy, O. Kuznyetsova). The research methodology comprises theoretical (logical, induction and deduction, comparison and compatibility, structural and systematic, analysis and synthesis) and applied (observations, questioning and interviewing) methods. The research results have been presented.

scholarly journals Symptoms and Vestibular Screening in Pediatric Concussion

2019 ◽  
Vol 34 (5) ◽  
pp. 763-763
Author(s):  
V Fazio Sumrok ◽  
N Kegel ◽  
N Blaney ◽  
A Colorito ◽  
K Viggiano ◽  
...  
Keyword(s):  
Symptom Severity ◽  
Assessment Tool ◽  
Descriptive Statistics ◽  
Population Characteristics ◽  
Return To Play ◽  
Ocular Motor ◽  
Clinical Assessments ◽  
Pediatric Concussion ◽  
Sport Concussion ◽  
Symptom Ratings

Abstract Purpose Purpose: Children under age 11 participate in sports with a risk of concussion. Tools are limited for assessment. Clinicians rely on exam for management and return to play. Researchers have started assessment adaptation: Sport Concussion Assessment Tool-5 Child (SCAT-5 Child) (Davis et al., 2017) and Vestibular/Ocular Motor Screening (VOMS) (Mucha et al., 2014). The purpose of this study was to compare scores on components of the SCAT-5 Child, Pediatric VOMS, and SCAT-5 Parent. Methods Method: Participants included 59 children (M-33/26-F) aged 5-10 (7.50±1.17) within 30 days from concussion. Participants completed the SCAT-5 Child, SCAT-5 parent, and Pediatric VOMS at all visits. Descriptive statistics were used to calculate population characteristics. Paired t-tests were used to compare measures. Results Results: 42.6% (n=25) reported symptoms on VOMS at first visit. Only 10.0% reported symptom on VOMS (p=.003) at second visit. VOMS scores were improved across visits (p=.003). Participants reported decreases in symptom severity (p<.001) and number (p<.001) on the SCAT-5 Child across visits. Parents reported decreases in symptom severity (p=.009) and number (p=.005). Both children (p=.001) and parents (p=.001) reported significant increases in BTN% across visits. Participants and parent reported similar scores in number of symptoms, severity, and BTN% on the SCAT-5 at both visits. Conclusion Conclusions: Results demonstrate the Pediatric VOMS assessment is useful to evaluate vestibular/ocular impairment. The SCAT-5 Child and Parent do not evaluate these areas. Symptom ratings decrease and are similar between parent and child, indicating this measure remains consistent across reporters. Findings highlight needed expansion of clinical assessments and research in pediatrics.

scholarly journals Average lost work productivity due to non-fatal injuries by type in the USA

2020 ◽  
pp. injuryprev-2019-043607
Author(s):  
Cora Peterson ◽  
Likang Xu ◽  
Sarah Beth L Barnett
Keyword(s):  
Health Insurance ◽  
Brain Injuries ◽  
Work Productivity ◽  
Cost Effective ◽  
Injury Mechanism ◽  
Body Region ◽  
Lost Work ◽  
The Usa ◽  
Bites And Stings ◽  
Fatal Injuries

ObjectiveTo estimate the average lost work productivity due to non-fatal injuries in the USA comprehensively by injury type.MethodsThe attributable average number and value of lost work days in the year following non-fatal emergency department (ED)–treated injuries were estimated by injury mechanism (eg, fall) and body region (eg, head and neck) among individuals age 18–64 with employer health insurance injured 1 October 2014 through 30 September 2015 as reported in MarketScan medical claims and Health and Productivity Management databases. Workplace, short-term disability and workers’ compensation absences were assessed. Multivariable regression models compared lost work days among injury patients and matched controls during the year following injured patients’ ED visit, controlling for demographic, clinical and health insurance factors. Lost work days were valued using an average US daily market production estimate. Costs are 2015 USD.ResultsThe 1-year per-person average number and value of lost work days due to all types of non-fatal injuries combined were approximately 11 days and US$1590. The range by injury mechanism was 1.5 days (US$210) for bites and stings to 44.1 days (US$6196) for motorcycle injuries. The range by body region was 4.0 days (US$567) for other head, face and neck injuries to 19.8 days (US$2787) for traumatic brain injuries.Conclusions and relevanceInjuries are costly and preventable. Accurate estimates of attributable lost work productivity are important to monitor the economic burden of injuries and help to prioritise cost-effective public health prevention activities.

scholarly journals Sports-related concussion (SRC) assessment in road cycling: a systematic review and call to action

2019 ◽  
Vol 5 (1) ◽  
pp. e000525 ◽  
Author(s):  
Jonathan Elliott ◽  
Richard Anderson ◽  
Stephen Collins ◽  
Neil Heron
Keyword(s):  
Systematic Review ◽  
Brain Injuries ◽  
Assessment Tool ◽  
Single Case ◽  
Effective Means ◽  
Return To Play ◽  
Call To Action ◽  
Assessment Protocol ◽  
Published Evidence ◽  
Road Cycling

BackgroundSports-related concussion (SRC) is a recognised risk in road cycling and can have serious health consequences. Recent high-profile cases of professional road cyclists continuing to participate in races despite suffering obvious SRC have highlighted the difficulties in assessing SRC within road cycling.PurposeTo undertake a systematic review of the literature on SRC assessment in road cycling.Study designSystematic review.MethodsLiterature describing SRC assessment in road cycling was identified by searching MEDLINE, EMBASE, PsycINFO and Web of Science. Two reviewers independently screened titles and abstracts for eligibility and a qualitative analysis was undertaken of included studies.ResultsFrom 94 studies identified, two were included for review. Gordonet aldescribe the presentation of a single case of paediatric concussion following a cycling crash. They highlight the utility of SRC evaluation using the Sport Concussion Assessment Tool (SCAT) as well as the importance of a stepwise return-to-play protocol. Greve and Modabber discuss a number of traumatic brain injuries that occurred during the 2011 road cycling season and, as a minimum, call for riders to be withdrawn from competition following loss of consciousness or amnesia. Both studies are at high risk of bias and of low quality.ConclusionRoad cycling poses unique challenges for the assessment of SRC. This review illustrates the lack of published evidence to advise effective means of SRC assessment within road cycling. The Union Cycliste Internationale (UCI) regulations advise the use of SCAT-5 for concussion assessment but this tool is impractical, requiring modification for use in road cycling. We would like to call on the UCI to hold a consensus meeting to establish an evidence-based SRC assessment protocol and return-to-riding protocol for road cycling.

scholarly journals Profesionalni sportski klub

2017 ◽  
Vol 54 (2) ◽  
pp. 361-372
Author(s):  
Miodrag Mićović
Keyword(s):  
Organizational Form ◽  
State Aid ◽  
Sports Clubs ◽  
Commercial Company ◽  
Net Profit ◽  
Sports Activities

With regard to the organization of professional clubs, two models can be applied. According to the first model, clubs have the freedom to choose the organizational form (association or commercial company) in which sports activities will be carried out. Second model imposes the requirement for the clubs to be organized in the form of commercial company, in one of the corporation forms, provided that it can be also specialized sports form. To the establishment and operation of sports associations, as sui generis commercial companies, apply more specific rules concerning: the conditions for the establishment of clubs; conditions for participation in professional and management bodies; prohibiting multiple ownership of sports clubs, i.e., prohibition of membership; allocation of net profit; control over the work of clubs; state aid (subsidies) for the clubs.

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