870 Delineation of Burn Surgery Coaching Trees: Describing Generational Influences of Leadership in Burn Care

2020 ◽  
Vol 41 (Supplement_1) ◽  
pp. S274-S274
Author(s):  
Victor C Joe
Keyword(s):  
National Football League ◽  
Head Coach ◽  
Adaptive Network ◽  
Burn Care ◽  
Complex Adaptive ◽  
Burn Surgery ◽  
Fellowship Programs ◽  
History Of ◽  
Assistant Coach ◽  
Surgical Coaching

Abstract Introduction Genealogies, or family trees, provide graphic representations of family history, tracing lines of decent among its members. Professional sports, most notably the National Football League (NFL), have borrowed this concept in delineating “coaching trees”. Connections among coaches can be described by the head coach-assistant coach relationships and utilized to demonstrate philosophical influences among coaches. This project was an attempt to explore the application of this concept to the profession of burn surgery and see if it could provide insight into the relationships (i.e., mentorship) that have influenced generations of burn surgeons over the past fifty years. Methods The first step in the process was to examine data sources. This consisted of gleaning information from the American Burn Association (ABA) archives (1976–1996) housed at the National Library of Medicine, the digital archives of the ABA, relevant review of the peer-reviewed literature, the public domain (world wide web), and documentation from various burn programs. The next step was to consider varying methodological approaches to the construction of the tree. Results While coaching relationships in the NFL represent a complex adaptive network, the relationships in an burn surgical coaching tree represent an even more complex network and the analogies between the two systems break down. As an exploratory project, the decision was made to construct several different trees with relative simple relational lines, concentrating central nodes on various past association presidents, prominent burn directors, and robust burn fellowship programs. This was done to illustrate proof-of-concept and inform future iterations of the project. Conclusions Creating burn surgery coaching trees can be done demonstrating relatively simple relational lines and provide basic illustrations of the influences of leadership among generations and institutions. More advanced mathematical and social science methodologies can be applied to explore these relationships in greater depth and elucidate a more thorough understanding of successful relationships, mentorship, and leadership dynamics in this complex adaptive network. Applicability of Research to Practice The description of coaching trees provides important insights into the history of burn surgery and the process can be replicated for other professions represented on the burn care team. It validates the importance of maintaining robust archives for our posterity. The information thus organized may inform the approach of the organization and/or inclined individual leaders on how mentorship occurs within our profession.

scholarly journals A Narrative Review of the History of Skin Grafting in Burn Care

Medicina ◽  
2021 ◽  
Vol 57 (4) ◽  
pp. 380
Author(s):  
Deepak K. Ozhathil ◽  
Michael W. Tay ◽  
Steven E. Wolf ◽  
Ludwik K. Branski
Keyword(s):  
Donor Site ◽  
Subsequent Development ◽  
Skin Grafting ◽  
Human Condition ◽  
Surgical Instruments ◽  
Wound Management ◽  
Burn Wound ◽  
Medical Progress ◽  
Burn Care ◽  
History Of

Thermal injuries have been a phenomenon intertwined with the human condition since the dawn of our species. Autologous skin translocation, also known as skin grafting, has played an important role in burn wound management and has a rich history of its own. In fact, some of the oldest known medical texts describe ancient methods of skin translocation. In this article, we examine how skin grafting has evolved from its origins of necessity in the ancient world to the well-calibrated tool utilized in modern medicine. The popularity of skin grafting has ebbed and flowed multiple times throughout history, often suppressed for cultural, religious, pseudo-scientific, or anecdotal reasons. It was not until the 1800s, that skin grafting was widely accepted as a safe and effective treatment for wound management, and shortly thereafter for burn injuries. In the nineteenth and twentieth centuries skin grafting advanced considerably, accelerated by exponential medical progress and the occurrence of man-made disasters and global warfare. The introduction of surgical instruments specifically designed for skin grafting gave surgeons more control over the depth and consistency of harvested tissues, vastly improving outcomes. The invention of powered surgical instruments, such as the electric dermatome, reduced technical barriers for many surgeons, allowing the practice of skin grafting to be extended ubiquitously from a small group of technically gifted reconstructive surgeons to nearly all interested sub-specialists. The subsequent development of biologic and synthetic skin substitutes have been spurred onward by the clinical challenges unique to burn care: recurrent graft failure, microbial wound colonization, and limited donor site availability. These improvements have laid the framework for more advanced forms of tissue engineering including micrografts, cultured skin grafts, aerosolized skin cell application, and stem-cell impregnated dermal matrices. In this article, we will explore the convoluted journey that modern skin grafting has taken and potential future directions the procedure may yet go.

Effect of Turf Toe on Foot Contact Pressures in Professional American Football Players

2009 ◽  
Vol 30 (5) ◽  
pp. 405-409 ◽  
Author(s):  
Robert H. Brophy ◽  
Seth C. Gamradt ◽  
Scott J. Ellis ◽  
Ronnie P. Barnes ◽  
Scott A. Rodeo ◽  
...  
Keyword(s):  
Body Mass Index ◽  
National Football League ◽  
Peak Pressure ◽  
American Football ◽  
Football Players ◽  
Plantar Pressures ◽  
History Of ◽  
Turf Toe ◽  
The Relationship ◽  
Contact Pressures

Background: The relationship between turf toe and plantar foot pressures has not been extensively studied. Two hypotheses were tested in a cohort of professional American football players: first, that a history of turf toe is associated with increased peak hallucal and first metatarsophalangeal (MTP) plantar pressures; second, that decreased range of motion (ROM) of the first MTP correlates with increased peak hallucal and first MTP plantar pressures. Materials and Methods: Forty-four athletes from one National Football League (NFL) team were screened for a history of turf toe during preseason training. Dorsal passive MTP ROM and dynamic plantar pressures were measured in both feet of each player. Anatomical masking was used to assess peak pressure at the first MTP and hallux. Results: First MTP dorsiflexion was significantly lower in halluces with a history of turf toe (40.6 ± 15.1 degrees versus 48.4 ± 12.8 degrees, p = 0.04). Peak hallucal pressures were higher in athletes with turf toe (535 ± 288 kPa versus 414 ± 202 kPa, p = 0.05) even after normalizing for athlete body mass index ( p = 0.0003). Peak MTP pressure was not significantly different between the two groups tested. First MTP dorsiflexion did not correlate with peak hallucal or first MTP pressures. Conclusion: This study showed that turf toe is associated with decreased MTP motion. In addition, increased peak hallucal pressures were found. Further study is warranted to determine whether these pressures correlate with the severity of symptoms or progression of turf toe to first MTP arthritis.

scholarly journals A Case Study of Excellence in Elite Sport: Motivational Climate in a World Champion Team

2014 ◽  
Vol 28 (1) ◽  
pp. 60-74 ◽  
Author(s):  
Ken Hodge ◽  
Graham Henry ◽  
Wayne Smith
Keyword(s):  
Motivational Climate ◽  
Head Coach ◽  
World Cup ◽  
Sports Teams ◽  
Dual Management ◽  
Assistant Coach ◽  
World Champion ◽  
Emotionally Intelligent ◽  
Depth Interviews

This case study focused on the New Zealand All Blacks rugby team during the period from 2004 to 2011, when Graham Henry (head coach) and Wayne Smith (assistant coach) coached and managed the team. More specifically, this case study examined the motivational climate created by this coaching group that culminated in winning the Rugby World Cup in 2011. In-depth interviews were completed with Henry and Smith in March 2012. A collaborative thematic content analysis revealed eight themes, regarding motivational issues and the motivational climate for the 2004–2011 All Blacks team: (i) critical turning point, (ii) flexible and evolving, (iii) dual-management model, (iv) “Better People Make Better All Blacks,” (v) responsibility, (vi) leadership, (vii) expectation of excellence, and (viii) team cohesion. These findings are discussed in light of autonomy-supportive coaching, emotionally intelligent coaching, and transformational leadership. Finally, practical recommendations are offered for coaches of elite sports teams.

NFL Football

2020 ◽  
Author(s):  
Richard C. Crepeau
Keyword(s):  
Early Retirement ◽  
National Football League ◽  
First Century ◽  
Collective Bargaining Agreement ◽  
Success Story ◽  
New Era ◽  
Drug Policies ◽  
History Of ◽  
American Society

A multibillion-dollar entertainment empire, the National Football League is a coast-to-coast obsession that borders on religion and dominates our sports-mad culture. But today's NFL also provides a stage for playing out important issues roiling American society. This updated and expanded edition of NFL Football observes the league's centennial by following the NFL into the twenty-first century, where off-the-field concerns compete with touchdowns and goal line stands for headlines. Richard C. Crepeau delves into the history of the league and breaks down the new era with an in-depth look at the controversies and dramas swirling around pro football today:  Tensions between players and Commissioner Roger Goodell over collusion, drug policies, and revenue, including analysis of the 2020 collective bargaining agreement  The firestorm surrounding Colin Kaepernick and protests of police violence and inequality  Andrew Luck and others choosing early retirement over the threat to their long-term health  Paul Tagliabue's role in covering up information on concussions  The Super Bowl's evolution into a national holiday Authoritative and up to the minute, NFL Football continues the epic American success story.

scholarly journals Perspective on Contemporary Burn Surgery and Burn Care in Sweden

2003 ◽  
Vol 92 (4) ◽  
pp. 281-286 ◽  
Author(s):  
D. Jergovic ◽  
P.A. Danielsson
Keyword(s):  
Burn Care ◽  
Burn Surgery

Return to Play Following Achilles Tendon Rupture in NFL Players Based on Position

2021 ◽  
pp. 193864002110403
Author(s):  
Dane Barton ◽  
Aditya Manoharan ◽  
Ansab Khwaja ◽  
Jacob Sorenson ◽  
Michel Taylor
Keyword(s):  
Achilles Tendon ◽  
Tendon Rupture ◽  
National Football League ◽  
Achilles Tendon Rupture ◽  
Epidemiologic Study ◽  
Return To Play ◽  
Control Group ◽  
Study Cohort ◽  
History Of ◽  
Level 3

Background: The purpose of this study was to determine the return-to-play (RTP) rate and postinjury performance after Achilles tendon (AT) ruptures in National Football League (NFL) skill position players. Methods: The study included NFL skill positions with an AT rupture between the 2009-2010 and 2015-2016 seasons. Performance data were collected and compared against a matched control group. RTP was defined as playing in at least 1 game after repair. Results: RTP rate was 57% for the study cohort. The tight ends (TEs) had the highest RTP rate at 71% while the wide receivers (WRs) had the lowest RTP rate at 38%. Compared with the control group, WRs with successful RTP had significantly less receptions per game ( P = .01). For defensive players with RTP there were significant decreases in postrepair performance in tackles, passes defended, and fumbles forced/recovered compared with the control group. Conclusion: A total of 57% of players achieved RTP with WRs and running backs (RBs) having the lowest RTP rates and TEs and linebackers (LBs) having the highest RTP rates. RBs, defensive backs (DBs), and LBs with successful RTP had decreased performance in all categories. This updated information may be helpful for athletes, physicians, scouts, and coaches in evaluating players with a history of AT rupture. Levels of Evidence: Analytic, level 3, retrospective cohort study, Epidemiologic study

scholarly journals Osteoarthritis Prevalence in Retired National Football League Players With a History of Ankle Injuries and Surgery

2019 ◽  
Vol 54 (11) ◽  
pp. 1165-1170
Author(s):  
Kyeongtak Song ◽  
Erik A. Wikstrom ◽  
Joshua N. Tennant ◽  
Kevin M. Guskiewicz ◽  
Stephen W. Marshall ◽  
...  
Keyword(s):  
National Football League ◽  
Surgical Intervention ◽  
Ankle Injury ◽  
American Football ◽  
Ankle Injuries ◽  
Daily Activities ◽  
Surgical Interventions ◽  
Exposure Variable ◽  
History Of ◽  
Estimate Prevalence

Context Ankle injuries are common at all levels of American football, and retired National Football League (NFL) players have a high prevalence of osteoarthritis (OA), but little is known about how ankle injuries influence OA prevalence and daily activities in this population or how surgical interventions for such injuries alter the risk of OA. Objective To examine (1) the association of ankle-injury history with OA prevalence, (2) the association of surgical intervention after ankle injury with OA prevalence, and (3) the relationships among ankle injuries, reported OA, and daily activities in retired NFL players. Design Case-control study. Setting Survey. Patients or Other Participants Data from the Retired NFL Players General Health Survey. Main Outcome Measure(s) We created a 7-category main exposure variable that differentiated respondents by football-related ankle injury and surgical intervention. Multivariable binomial regression models were used to estimate prevalence ratios and 95% confidence intervals. Among those reporting OA, we examined the distribution of responses regarding whether OA affected daily activities. Results Among the 2446 respondents, 920 participants experienced OA in any joint during their lifetime. Compared with those reporting no ankle injuries, the prevalence of OA was higher among those with a history of ankle injury. Also, the prevalence of OA was higher among those who had undergone surgery versus those who had not. The number of retired NFL players who reported that OA often affected their daily activities increased with the number of ankle injuries. Conclusions Among former NFL players, a history of ankle injury increased the prevalence of OA. More ankle injuries increased the probability that OA negatively affected daily activities. Future prospective research is needed to better determine the influence of surgical intervention at the ankle or foot on OA.

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