Incidence and Mechanisms of Musculoskeletal Injuries in Deployed Navy Active Duty Service Members Aboard Two U.S. Navy Air Craft Carriers

Abstract Introduction This brief report describes the number and nature of cases of musculoskeletal pain and injury among sailors and marines presenting to the ship’s physical therapist during recent, respective deployments of two U.S. Navy aircraft carriers. Materials and Methods The case definition for this study was cases of work-limiting medical complaints involving the musculoskeletal system presenting, or referred, to the ship’s physical therapy services for evaluation and treatment. The population for this study was drawn from ship’s company from two Nimitz class carriers on their respective deployments. Potential subjects were recruited at their index visit for their complaint. Participants completed a survey of their symptoms while at the ship’s medical department. Data for analysis consist of counts of cases, body part affected, self-reported mechanism of injury, age, and gender of the subject. Data were analyzed by generating descriptive tables. Results One hundred ninety-seven cases were captured across the two carriers. Injury to the low back was the most frequent (34%), followed by shoulder (25%) and knee (15%). Twenty one cases (11%) were reported to be exacerbation of previous injuries and the rest new injuries. Of the 176 new injury cases, 93 (53%) were of an insidious onset and the remainder had a specific, identifiable onset. Of the 82 cases with a specific identifiable onset, 38 cases (46%) occurred during participation in sport and exercise activity on board ship, and the remainder of the cases occurred during the performance of duty-related work. None of the cases required evacuation off of the ship. Conclusion Care should be used interpreting the results since participants were volunteers and a small proportion of eligible subjects chose not to participate in the study. Nevertheless, our data are generally consistent with other studies of musculoskeletal injury on board U.S. Navy ships and are useful for health care planning purposes and for planning for future studies that may take place on board U.S. Navy vessels. The novel and important finding of this study suggests that sports and exercise activity on board ship may warrant a new area of attention for safety.

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Participation Motives of Sport and Exercise Maintainers: Influences of Age and Gender

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17217830 ◽

2020 ◽

Vol 17 (21) ◽

pp. 7830

Author(s):

Clemens Ley

Keyword(s):

Measurement Invariance ◽

Cross Sectional Study ◽

Cross Sectional ◽

Global Priority ◽

Confirmatory Factor ◽

Promotion Of Physical Activity ◽

Sports And Exercise ◽

And Gender ◽

Sport And Exercise ◽

Participation Motives

Promotion of physical activity has become a global priority for public health. While many people do not adhere to the recommendations, sport and exercise maintainers have found their right or fitting practice. Thus, assessing and knowing the participation motives across maintainers helps to improve our understanding of the sports and exercise practices and, thus, to recommend and to design physical activities and programmes that fit to individuals’ motives. A modified version of the Bernese Motive and Goal Inventory was used in an Austria-wide cross-sectional study with 10646 sport and exercise maintainers (43% female). The study performed confirmatory factor analysis, examined measurement invariance, and compared participation motives. The results showed a good model fit and measurement invariance, indicating that the inventory can be applied independently of gender, age and years of sport/exercise experiences. Motives differed among gender, age and type of sports/exercise. Therefore, these variables should be considered in tailoring sport recommendations and interventions to promote adherence. Finally, the results are discussed by using the Self-Determination Theory indicating that sport and exercise maintainers pursue predominantly motives with intrinsic goal contents.

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Handbook of Disability Sport and Exercise Psychology

10.1093/oso/9780190638054.001.0001 ◽

2017 ◽

Cited By ~ 9

Author(s):

Jeffrey J. Martin

Keyword(s):

Peer Relationships ◽

Performance Enhancement ◽

Academic Disciplines ◽

Exercise Psychology ◽

Comprehensive Overview ◽

Disability Sport ◽

Sport Retirement ◽

And Performance ◽

And Gender ◽

Sport And Exercise

This book seeks to provide a comprehensive overview of the research done in sport and exercise psychology with individuals with disabilities. Research from diverse academic disciplines such as psychology, medicine, health, recreation, kinesiology, sociology and disability studies is reviewed. In the first part of the book, covering 5 chapters, philosophy of science issues, models of disability, how to conduct quality research, research controversies, and living with a disability are explored. In a second section on sport psychology, covering 19 chapters, diverse topics such as self-efficacy, athletic and superchip identities, motivation, self-esteem, peer relationships, sport retirement, coaching, and performance enhancement are covered. In the last part on exercise psychology, covering 16 chapters, a range of topic such as obesity and fitness, exercise barriers, body image, quality of life, physical education, wounded warriors, intellectual impairments, and gender issues are discussed. All chapters conclude with extensive directions for new avenues of research and exploration.

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EXPLORANDO O POTENCIAL DE TAREFAS DE TEMPO DE REAÇÃO SIMPLES VISUAL PARA A EDUCAÇÃO FÍSICA: REVISÃO SISTEMÁTICA

Arquivos de Ciências da Saúde da UNIPAR ◽

10.25110/arqsaude.v18i2.2014.5178 ◽

2015 ◽

Vol 18 (2) ◽

Author(s):

Tânia Brusque Crocetta ◽

Fábio Hech Dominski ◽

Alexandro Andrade

Keyword(s):

Physical Activity ◽

Reaction Time ◽

Neuropsychological Assessment ◽

Simple Reaction Time ◽

Simple Reaction ◽

Thomson Reuters ◽

Automated Neuropsychological Assessment Metrics ◽

Assessment Metrics ◽

Sports And Exercise ◽

Sport And Exercise

Este estudo teve como objetivo rever criticamente a literatura científica publicada na última década (2003 a 2012) sobre o uso de testes de tempo de reação simples com estímulo visual relacionada à Educação Física, mais especificamente objetiva apresentar uma síntese da evidência empírica disponível sobre a eficácia do uso deste tipo de teste no esporte, exercício e atividade física, buscando na base de dados eletrônica Thomson Reuters Web of KnowledgeSM. A partir das combinações de palavras “simple reaction time e athlete”, “simple reaction time e sport”, “simple reaction time e exercise” e “simple reaction time e physical activity”, 36 artigos foram selecionados para o estudo. As categorias investigadas foram: periódico, número de participantes, sexo e idade, população investigada, software utilizado, tema e resultados. As publicações se concentraram nas revistas Medicine and science in sports and exercise e Psychology of sport and exercise, ambas com n=3. Predominaram pesquisas com o uso de testes de tempo de reação simples com estímulo visual (TRSimples) para avaliação do efeito do exercício físico sobre o desempenho no TRSimples (n=13) com uma média de 93 participantes (11 a 551 sujeitos). As populações de atletas investigadas foram variadas, com predominância do futebol e atletismo (ambas com n=5). A maioria dos estudos utilizou o software ANAM (Automated Neuropsychological Assessment Metrics) como instrumento de coleta de dados do TRSimples. Os artigos foram identificados e apresentados quanto ao seu tema de pesquisa: a) Uso do TRSimples para avaliação da concussão cerebral causado por traumatismo na cabeça (n=8); b) Efeito do exercício físico sobre o desempenho no TRSimples (n=13); c) Níveis de prática e comparações do TRSimples de atletas e não atletas (n=8) e d) Fatores que influenciam o TRSimples (n=7). Os resultados dos artigos apontaram associações positivas entre o uso de testes de TRSimples e a concussão cerebral originada pelo esporte além do efeito positivo do exercício físico sobre o desempenho cognitivo. O TRSimples contribuiu para análise dos níveis de prática de atletas de mesma modalidade, de modalidades distintas e de não atletas, além de ser um indicador sensível a diversos fatores que podem influenciar o desempenho cognitivo.

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Prevalence and incidence of diagnosed hypertension in Alberta, Canada

International Journal for Population Data Science ◽

10.23889/ijpds.v3i4.625 ◽

2018 ◽

Vol 3 (4) ◽

Author(s):

Hannah Holitzki ◽

Hude Quan ◽

Fiona Clement ◽

Alex Leung ◽

Zhiyang Liang

Keyword(s):

Health Insurance ◽

Survey Data ◽

Population Level ◽

Case Definition ◽

Fiscal Year ◽

Discharge Abstract Database ◽

And Gender ◽

Abstract Submission ◽

Definition Of ◽

Incident Cases

IntroductionThe prevalence of diagnosed hypertension in Canada is projected to increase despite the incidence rate decreasing. Previous work around the world has utilized survey data to provide estimates of prevalence and incidence. Administrative data is population-level, and may provide more reliable estimates of provincial prevalence and incidence than could be achieved using survey data. Objectives and Approach To produce age and sex-specific prevalence and incidence estimates of diagnosed hypertension in Alberta from 2007 to 2015, To project estimates to the fiscal year of 2019/2020. Data from the Discharge Abstract Database, physician claims database, National Ambulatory Care Reporting System, and provincial health insurance registry will be linked using unique anonymous personal identifier and gender. A validated case definition of diagnosed hypertension for use in administrative datasets will be used to identify annual prevalent and incident cases from claims data. Obstetric cases will be excluded. The provincial health insurance registry will be used to estimate denominator values. ResultsResults of this analysis are not available for the time of abstract submission as the timeline for this analysis projects completion in April 2018. Conclusion/ImplicationsMaintained surveillance of diagnosed hypertension is important to inform health policy and spending decisions, to monitor efficacy of public health interventions, and to inform patient care. Furthermore, diagnosis guidelines have been updated since 2017. Providing estimates for the prevalence of diagnosed hypertension in Alberta five years into the future to compare to actual prevalence estimates may indicate whether changes in prevalence are due to actual changes in health status or to changes in diagnosis guidelines.

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Modeling Uncertainty in Fracture Age Estimation from Pediatric Wrist Radiographs

Mathematics ◽

10.3390/math9243227 ◽

2021 ◽

Vol 9 (24) ◽

pp. 3227

Author(s):

Franko Hržić ◽

Michael Janisch ◽

Ivan Štajduhar ◽

Jonatan Lerga ◽

Erich Sorantin ◽

...

Keyword(s):

Neural Network ◽

Age Estimation ◽

Feature Fusion ◽

Body Part ◽

Uncertainty Estimation ◽

Wrist Fracture ◽

Skewed Distribution ◽

Age Related ◽

And Gender ◽

First Time

In clinical practice, fracture age estimation is commonly required, particularly in children with suspected non-accidental injuries. It is usually done by radiologically examining the injured body part and analyzing several indicators of fracture healing such as osteopenia, periosteal reaction, and fracture gap width. However, age-related changes in healing timeframes, inter-individual variabilities in bone density, and significant intra- and inter-operator subjectivity all limit the validity of these radiological clues. To address these issues, for the first time, we suggest an automated neural network-based system for determining the age of a pediatric wrist fracture. In this study, we propose and evaluate a deep learning approach for automatically estimating fracture age. Our dataset included 3570 medical cases with a skewed distribution toward initial consultations. Each medical case includes a lateral and anteroposterior projection of a wrist fracture, as well as patients’ age, and gender. We propose a neural network-based system with Monte-Carlo dropout-based uncertainty estimation to address dataset skewness. Furthermore, this research examines how each component of the system contributes to the final forecast and provides an interpretation of different scenarios in system predictions in terms of their uncertainty. The examination of the proposed systems’ components showed that the feature-fusion of all available data is necessary to obtain good results. Also, proposing uncertainty estimation in the system increased accuracy and F1-score to a final 0.906±0.011 on a given task.

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Epidemiology of psoriatic arthritis

10.1093/med/9780198737582.003.0003 ◽

2018 ◽

Author(s):

Elaine Husni ◽

Madonna Michael

Keyword(s):

Psoriatic Arthritis ◽

Primary Care Physicians ◽

Small Sample Size ◽

Epidemiological Studies ◽

Case Definition ◽

Small Sample ◽

Contributing Factors ◽

Wide Range ◽

And Gender ◽

High Level

The epidemiological studies of psoriatic arthritis (PsA) is quite challenging as our understanding of the disease is evolving. A wide range of incidence and prevalence is reported among different countries suggesting genetic and environmental factors influencing the epidemiology of PsA. Other contributing factors accounting for the wide range and variation of PsA epidemiology include age and gender variations, ethnicity, lack of precise case definition, and small sample size. A high level of suspicion in patients with pre-existing psoriasis, and collaborative efforts shared between primary care physicians (PCP), dermatologist, and rheumatologist, will enhance early detection and management of PsA, subsequently improving overall patient outcomes, and quality of life.

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Faktor-faktor yang Mempengaruhi Kesiapan Perawat Anestesi Melakukan Tindakan General Anestesi di RSUP Mataram Nusa Tenggara Barat

Journal of Health ◽

10.30590/vol3-no1-p1-7 ◽

2016 ◽

Vol 3 (1) ◽

pp. 1 ◽

Cited By ~ 2

Author(s):

Titiek Suharti ◽

Yustiana Olfah ◽

Abdul Majid

Keyword(s):

Data Collection ◽

General Anesthesia ◽

Regional Anesthesia ◽

Work Experience ◽

Sampling Technique ◽

Body Part ◽

Primary Data ◽

Nurse Anesthetist ◽

General Anesthetic ◽

And Gender

Background : The provision of the type of anesthesia in patients undergoing surgery can be performed under general anesthesia, and with the anesthetic to a specific body part (regional anesthesia). The type of anesthesia used in surgery, either by using general anesthesia or regional anesthesia with each having its own complications. Readiness of each participant looks diverse, there is no action in the first prepare medications and tools so often happens unpreparedness in implementing the action. Readiness of nurses in providing anesthesia is influenced by various factors such as age, education, work experience, knowledge and gender. Methods : The aim of research to explore preparedness for nurse anesthetists in general anesthetic action. This study used a naturalistic qualitative research. Participants in this study is a nurse anesthetist who is still on active duty in the department of West Nusa Tenggara Province. Intake of total participants performed the sampling technique. Data collection was conducted in natural conditions, the primary data sources and data collection techniques through observation, in-depth interviews to the participants to explore the role of a nurse anesthetist does and documentation. Data obtained through the data collection process immediately processed and analyzed by the researchers. Results of the study : The study states that the age of anesthesia nurses between 21 to 59 years, that the longer the period of employment will be more and more experience and better prepared for the patient, not the readiness of gender and all have the same roles and functions. Suggestion : Readiness nurse anesthesia before and during work is crucial to achieve satisfactory results in implementing the anesthesia.

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Periodontal Disease and Grip Strength among Older Adults

Geriatrics ◽

10.3390/geriatrics5030046 ◽

2020 ◽

Vol 5 (3) ◽

pp. 46

Author(s):

Vinish Aravindakshan ◽

Faisal F. Hakeem ◽

Wael Sabbah

Keyword(s):

Grip Strength ◽

Handgrip Strength ◽

Oral Health Status ◽

Case Definition ◽

Linear Regression Models ◽

The Mean ◽

Maximum Grip Strength ◽

And Gender ◽

Definition Of ◽

Maximum Grip

Objective: The aim of this research was to assess the association between periodontitis and grip strength among older American adults. Methods: Data from the National Health and Nutrition Examination Survey 2011/2012 and 2013/2014 were used. Oral health status and hand grip strength were clinically assessed. Three outcome variables were used: (1) handgrip strength <30 kg for men, <20 kg for women; (2) handgrip strength <26 kg for men, <16 kg for women; and (3) mean maximum grip strength. The main exposure was the case definition of periodontitis. Logistic and linear regression models were constructed for grip strength definitions and the mean grip strength, respectively, adjusting for covariates. Results: The study included 1953 participants. The mean age was 68.5 years, and 47.2% were males. The prevalence of low grip strength (<30 kg for men, <20 kg for women) was 7.4% in men and 13.6% in women. Periodontitis was significantly associated with grip strength (OR 1.53, 95% CI: 1.03, 2.27) in the unadjusted model. Periodontitis was also significantly associated with maximum grip strength (Coefficient 1.05, 95% CI −1.99, −0.09) in a model adjusted for age and gender. However, in all the fully adjusted models there was no statistically significant association between periodontitis and grip strength. Conclusion: Low grip strength appeared to be more common among persons with moderate/severe periodontitis. The observed association is probably attributed to older age and common risk factors for periodontitis and frailty.

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Screens

Abundance ◽

10.1093/oso/9780197565742.003.0002 ◽

2021 ◽

pp. 27-56

Author(s):

Pablo J. Boczkowski

Keyword(s):

Socioeconomic Status ◽

Mobile Phone ◽

Mobile Phones ◽

Structural Factor ◽

Body Part ◽

Personal Computers ◽

Difficult Time ◽

And Gender

Chapter 2 focuses on the experience of using three types of personal screens: mobile phones, personal computers, and television sets. The survey shows that age trumps socioeconomic status and gender as the main structural factor in who accesses which devices and how frequently they are used. The interviews reveal the centrality of the meanings interviewees attribute to their different devices, and that orient their experiences of them. Thus, to many interviewees the mobile phone has become a prosthetic, an artificial body part with which they have a difficult time parting; the computer a tool they use primarily for work or study or both; and, the television set a companion, often turned on but in the background. The phone’s prosthetic quality is tied to the significant level of attachment people feel to the device. The chapter ends with a discussion about how the uptake of mobile phones is tied to a reconstitution of sociality.

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Efficacy of Study for Correlation of TTH vs Age and Gender Factors Using EMG Biofeedback Technique

International Journal of Applied Research on Public Health Management ◽

10.4018/ijarphm.2020010104 ◽

2020 ◽

Vol 5 (1) ◽

pp. 49-66

Author(s):

Rohit Rastogi ◽

Devendra K Chaturvedi ◽

Mayank Gupta

Keyword(s):

Mathematical Expression ◽

Body Part ◽

Tension Type Headache ◽

Emg Biofeedback ◽

The Body ◽

Electric Signal ◽

Age And Gender ◽

Long Time ◽

And Gender ◽

Two Parameters

In this study, the authors have tried their best to check the effect of tension type headache (TTH) over age and gender. TTH is produced by stress, and it may start at any stage of life. Subjects usually suffer from two types of TTHm i.e. for short time and for long time. When subjects suffer for a long time, it affects both mind and body. So, checking at which age it started and how the gender is affected by this problem is useful. For this study, we have used use EMG biofeedback therapy. Biofeedback is the process which examines the body part by sending the wave to ear drum, by electric signal, etc. Here, we took two parameters, age and gender, to analyze the effect of TTH. To check this, we have tested the subjects by using different modes, i.e. audio mode, video mode, and audio-visual mode. Trend models have different types of outcomes by mathematical expression i.e. linear, cubic, exponential, etc. So, the comparisons of outcome are in different modes, it showed that the TTH problem affects females at an early age compared to males.

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