116 Canadian Community Paediatricians' Perspectives of Sport Medicine in Residency and in Practice

2021 ◽  
Vol 26 (Supplement_1) ◽  
pp. e84-e84
Author(s):  
Laura Purcell ◽  
Sarah Campos ◽  
Mike Dickinson ◽  
Graham Thompson
Keyword(s):  
Subject Area ◽  
Comfort Level ◽  
Sport Injuries ◽  
Cross Sectional ◽  
Exercise Medicine ◽  
Increased Risk ◽  
Community Paediatrics ◽  
Sporting Activities ◽  
Sport And Exercise ◽  
Almost All

Abstract Primary Subject area Community Paediatrics Background Participation by children and adolescents in organized sports and recreational sporting activities is increasingly popular in Canada. Although the health and psychosocial benefits of sports for children are significant, participation in sports confers an increased risk of injury, resulting in a considerable burden of visits to emergency departments and primary care offices. Despite the frequency of sport-related injuries, there are documented gaps in sport and exercise medicine (SEM) education in paediatric training, leading to many practicing paediatricians feeling uncomfortable in managing these issues. Objectives We sought to describe Canadian community paediatricians’ perspectives about SEM in training and practice. This descriptive, cross-sectional cohort study of practicing Canadian community paediatricians was designed to assess: i) self-reported practice profiles with respect to sport issues; ii) perceptions of SEM training during paediatric residency; and iii) comfort level with management of sport injuries. Design/Methods To address these questions, a cross-sectional electronic survey of Canadian community paediatricians was conducted between February and March 2020. A survey was emailed to full members of the community paediatrics section of the Canadian Paediatric Society (CPS) (n=370) by CPS administrative staff. Participants were asked about musculoskeletal (MSK)/sport issues seen, how they manage these cases, their comfort level with diagnosis and management of sport injuries (on a 5-point Likert scale), and their perceptions of MSK/SEM training during paediatric residency. Results The response rate was 23.0% (85/370). A quarter of respondents (20/85; 23.4%) reported seeing MSK/sport issues very often; a third (27/85; 31.7%) were comfortable managing these patients on their own. Almost all respondents did not feel that they had received adequate SEM training during paediatric residency (81/85; 95.3%). Respondents were most comfortable managing concussion, rating their comfort 4.17/5 on a 5-point scale (95% CI=3.96-4.38), and Osgood-Schlatter’s disease 3.86/5 (95% CI=3.60-4.11). Participants were uncomfortable managing acromioclavicular joint separations 1.81/5 (95% CI=1.58-20.6) and elbow pain 2.65/5 (95% CI=2.40-2.90). Regression analysis indicated that only the frequency of MSK/sport-related visits was associated with provider comfort level (p < 0 .001). Conclusion Most Canadian community paediatricians do not manage many patients with sport-related issues and are not comfortable managing these patients on their own. They feel that SEM training during their paediatric residency inadequately prepared them for practice. Incorporating more SEM training into paediatric residency programs may increase comfort level with MSK/sport issues and change referral patterns and practice patterns amongst community paediatricians.

scholarly journals Knowledge and Awareness about Obesity Complications in Pregnancy among Reproductive Women

2021 ◽  
pp. 310-317
Author(s):  
S. MiSudharshan ◽  
. Annejohncy
Keyword(s):  
Lifestyle Modification ◽  
Cross Sectional Study ◽  
Noncommunicable Diseases ◽  
Premature Delivery ◽  
Cross Sectional ◽  
Long Run ◽  
Increased Risk ◽  
Almost All ◽  
In Pregnancy ◽  
Structured Questionnaire

Background: obesity in general predisposes expected to various noncommunicable diseases but its awareness in regards to the complications posed by it in reproductive women is underseen. Methods: cross sectional study using an structured questionnaire. Goal: To access the knowledge and awareness about complications of obesity in pregnancy among reproductive women Statistical Analysis Used: Data was entered in excel spreadsheet and analysed using SPSS version 16. Results: Majority of the participants [129 (86%)] knew that obesity affects reproductive health causing problem problems like just gestational diabetes mellitus GDM [ 136 (90.6%)], difficulties during labour, higher Chance of Caesarean [91(60.6)] section, Increased risk for hypertension [120 (80%)] infertility [ 53 (35.3%)], during pregnancy. Almost all of them know That obesity can increase problems in pregnancy for both mother and for the baby. Majority of them we are not sure if obesity causes increased chance of Foetal malformations [75 (50.2%)] Increased bleeding after delivery [103 (68.8%)] Most of them don’t know that obesity can cause increased bleeding after delivery, stillbirth [125 (83.3%)], miscarriage [111(74%)], difficulties in Ultrasound examination of the abdomen [81 (54%) ]Most of them thought that obesity does not cause difficulties in measuring BP [79 (52.6)], delivery of big baby [98 (65.3%) ], premature delivery [56 (37.3%)]. Conclusion: Generating Awareness about obesity and its complications in pregnancy is required to prevent those complications in future and bring behavioural and lifestyle modification for sustainability in the long run.

scholarly journals Insights into the complexity of presentation and management of patients: the Sport and Exercise Physician’s perspective

2021 ◽  
Vol 7 (4) ◽  
pp. e001228
Author(s):  
Prasanna J Gamage ◽  
Saran Seker ◽  
Jessica Orchard ◽  
David Humphries ◽  
Kylie Fitzgerald ◽  
...  
Keyword(s):  
Musculoskeletal Diseases ◽  
Treatment Plan ◽  
Management Strategies ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Exercise Interventions ◽  
Musculoskeletal Conditions ◽  
Exercise Medicine ◽  
Sport And Exercise ◽  
Medical Specialities

ObjectivesSport and Exercise Physicians represent a relatively new specialty focusing on exercise in complex diseases including musculoskeletal diseases. Our objective was to describe the characteristics, type and complexity of patient presentations, their management strategies and referral information in Australian practice.MethodsA cross-sectional study including a cohort of 11 senior Sport and Exercise Physicians in Australia studied all new patient consultations within an 8-week period. Data were analysed relating to presentation, referral source, follow-up referrals, and patient management strategies.ResultsData from 419 patients were recorded. The majority, 97% (n=406), had musculoskeletal conditions, 53% (n=222) had one or more associated comorbidities and 47% (n=195) had ongoing symptoms for >12 months. Most patients, 82% (n=355), were referred by general practitioners. Prior consultations included physiotherapy 72% (n=301) and orthopaedic 20% (n=85). A multidisciplinary network of referrals from Sport and Exercise Physicians was observed, including 210 referrals to 9 allied health specialities and 61 referrals to 17 medical specialities. Over 74% (n=311) of patients received exercise-based intervention as part of the treatment plan, including 57% (n=240) physician managed exercise interventions.ConclusionOur work shines a light on the nature and complexity of the role of Sport and Exercise Physicians in an Australian practice context. Findings will assist in implementing measures to promote patient care at the community level in managing musculoskeletal conditions. Sport and exercise medicine stakeholders and government policy makers can use this information in developing appropriate programmes to support patients and create integrated sport and exercise medicine services for the community.

scholarly journals What do Sport and Exercise Medicine (SEM) doctors look like online? A cross-sectional exploration of the social media presence of SEM doctors in the UK

2018 ◽  
Vol 4 (1) ◽  
pp. bmjsem-2018-000456
Author(s):  
Jonathan Shurlock ◽  
Katherine Marino ◽  
Osman Ahmed
Keyword(s):  
Social Media ◽  
Healthcare Providers ◽  
Cross Sectional ◽  
Exercise Medicine ◽  
Health Promotion And Education ◽  
The Social ◽  
Social Media Platforms ◽  
Social Media Presence ◽  
Sport And Exercise ◽  
The Uk

ObjectivesTo explore the social media presence of Sport and Exercise Medicine (SEM) doctors from the UK. Secondary aims were to identify whether there were any differences in years since qualification or specialisation between those with and without social media profiles and websites.MethodsA cross-sectional design was used to investigate the social media presence of UK-based doctors listed as Fellows of the Faculty of Sport and Exercise Medicine. These SEM doctors were identified via their presence on publicly available member lists. Data collected for each SEM Fellow included the presence of profiles on major social media platforms (Twitter, LinkedIn, YouTube and professional Facebook profiles) demonstrated by active profile use and the number of followers/subscribers per platform. The ownership of professional websites and websites hosted by private healthcare providers was also examined.ResultsA total of 175 SEM Fellows were identified and included for analysis. LinkedIn was the most popular platform for this cohort (n=115), followed by Twitter (n=73), while YouTube had far fewer profiles among the SEM Fellows (n=9). No professional Facebook profiles were identified for the SEM Doctors in this study. Almost a third (n=49) of SEM Fellows did not have a profile on any of the social media platforms examined in this study.ConclusionSocial media is a powerful tool for health promotion and education. The use of these platforms by SEM Doctors and healthcare organisations warrants ongoing guidance and support to enable these practitioners to maximise the utility of these innovative technologies.

scholarly journals Impact of COVID-19 on rehabilitation experiences of physiotherapists

Work ◽  
2021 ◽  
pp. 1-9
Author(s):  
Pínar Kaya Ciddi ◽  
Gülay Aras Bayram
Keyword(s):  
Online Survey ◽  
Cross Sectional Study ◽  
Remote Communication ◽  
Cross Sectional ◽  
Face To Face ◽  
Increased Risk ◽  
The Status ◽  
Physical Intimacy ◽  
Treat All ◽  
Almost All

BACKGROUND: As the COVID-19 pandemic progressed, pressures on almost all health sectors in many countries increased, and physiotherapy interventions were canceled for various reasons. OBJECTIVES: The aim of this study was to determine the status of physiotherapists who interrupted their services due to the pandemic and investigate procedures adopted by physiotherapists during face-to-face practice. METHOD: The measuring tool was an online survey administered via Google Forms between January 27 and February 27, 2021. In this descriptive cross-sectional study, the sample consisted of 558 physiotherapists, questions about their clinical experience during the pandemic were answered, and descriptive statistics were examined. RESULTS: Of the physiotherapists, 351 (62.9%) suspended their services due to pandemic, while 207 (37%) of all participants worked without suspending their services since the beginning of the process. Among participants, 303 (54.3%) needed education to use telerehabilitation methods, and 315 (56.5%) monitored their patients with remote communication methods. Hand washing (86.6%), disinfectant (85.3%), gloves (76.5%) and masks (86.6%) were the most common protective measures. CONCLUSIONS: Most physiotherapists had their face-to-face practice interrupted for a short time due to the COVID-19 outbreak, but they continue to treat all disease conditions in spite of inherent physical intimacy and increased risk of infection.

scholarly journals Worry and Perceived Risk of COVID-19 Among Government Employees in Ethiopia

2021 ◽  
Author(s):  
Wakgari Deressa ◽  
Alemayehu Worku ◽  
Sefonias Getachew ◽  
Wondwossen Amogne ◽  
Workeabeba Abebe
Keyword(s):  
Perceived Risk ◽  
Risk Perceptions ◽  
Addis Ababa ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Bachelor's Degree ◽  
Government Employees ◽  
Cross Sectional ◽  
Increased Risk ◽  
Almost All

Abstract Background Worry and perceived risk have been identified as important factors that affect people’s attitude to adopt preventive behaviors against infectious diseases outbreaks and pandemics. However, very few recent studies investigated the worry and perceived risk aspects of the COVID-19 pandemic. This study aimed to assess the level of worry and perceived risk of COVID-19 among government employees working in 46 public institutions in Addis Ababa, Ethiopia. Methods This cross-sectional study used a sample of 1,573 respondents selected by systematic random sampling technique. Data on socio-demographics, worry and perceived risks of COVID-19 were collected using a self-administered questionnaire between 8th and 19th June 2020. Summary statistics were used to summarize the data. Mixed-effects linear regression analyses were performed to identify predictors of COVID-19 worry and perceived risk. Results The mean (± SD) age was 35 (± 8.5) years, with 58.3% aged between 30 to 49 years. About 63% were male and 87% had bachelor’s degree or above. Almost all (98%) respondents were worried about the economic crisis due to COVID-19, followed by worries related to limited access to food supplies (97%), and losing loved one’s (95%). Majority (81%) reported they were being susceptible to coronavirus, and 79% indicated they had a chance of acquiring the virus. About 61% reported their personal health’s increased risk of COVID-19 due to their work characteristics. Predictors of COVID-19 worry were increased year of service (β = 0.09, p = 0.001), being from Oromia (β = 3.93, p < 0.001), younger age (β = -0.07, p < 0.001), having bachelor’s degree (β = -1.58, p = 0.001), and master’s degree or above β = -1.84, p < 0.001). COVID-19 level of worry (β = 0.07, p < 0.001), being men (β = 0.34, p = 0.010) and self-reported chronic illness (β = 0.45, p = 0.047) were significant predictors of perceived risk. Conclusions This study demonstrated higher level of COVID-19 related worry and perceived risk. COVID-19 worry correlated significantly with perceived risk. The findings highlight the importance of considering public reactions such as worry and risk perceptions towards COVID-19 to inform the ongoing public health interventions and health promotion programs.

scholarly journals Gender-Based Violence Risk Mitigation by Non-GBV Specialists Prior to and during COVID-19: A Global Survey of Knowledge, Attitudes and Practices of Humanitarian Practitioners

2021 ◽  
Vol 18 (24) ◽  
pp. 13387
Author(s):  
Vandana Sharma ◽  
Annika Gompers ◽  
Jocelyn T. D. Kelly ◽  
Erin Patrick ◽  
Christine Heckman ◽  
...  
Keyword(s):  
Risk Mitigation ◽  
Gender Based Violence ◽  
Cross Sectional Survey ◽  
Chi Square ◽  
Cross Sectional ◽  
Attitudes And Practices ◽  
Increased Risk ◽  
Gender Based ◽  
Almost All ◽  
Knowledge Attitudes And Practices

Available evidence indicates that the COVID-19 pandemic and response measures may lead to increased risk of gender-based violence (GBV), including in humanitarian contexts. This study examined the knowledge, attitudes, and practices of humanitarian practitioners related to GBV risk mitigation approaches during COVID-19 in order to refine current guidance and inform future materials. A global, online cross-sectional survey of humanitarian practitioners was conducted between November 2020 and April 2021. We calculated descriptive statistics and used Chi-square or Fisher’s exact tests to compare knowledge, attitudes, and practices among GBV specialists and non-specialists. Of 170 respondents, 58% were female and 44% were GBV specialists. Almost all (95%) of the respondents agreed or strongly agreed that they have a role to play in GBV risk mitigation. Compared to GBV specialists, a higher proportion of non-specialists reported little to no knowledge on GBV risk mitigation global guidance (38% vs. 7%, p < 0.001) and on how to respond to a disclosure of GBV (18% vs. 3%, p < 0.001). Respondents reported several barriers to integrating GBV risk mitigation into their work during COVID-19, including insufficient funding, capacity, knowledge, and guidance. Efforts to mainstream GBV risk mitigation actions should continue and intensify, leveraging the lessons and experiences generated thus far.

scholarly journals Educating the Next Generation in Sport and Exercise Medicine: A Cross-Sectional Survey

2021 ◽  
Author(s):  
Katherine Rose Marino ◽  
Daniel Fitzpatrick ◽  
Dane Vishnubala
Keyword(s):  
Medical Education ◽  
Medical Students ◽  
Undergraduate Medical Education ◽  
Delphi Study ◽  
Online Survey ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Exercise Medicine ◽  
Sport And Exercise ◽  
The Uk

Abstract Background Sport and exercise medicine (SEM) is a relatively new specialty, and it is not well incorporated into undergraduate medical education. Previous studies have highlighted that medical students would benefit from increased teaching on SEM, and that students would like more SEM teaching. The aim of this project is to establish which SEM-related topics are deemed to be most important to incorporate into undergraduate medical education and confirm whether medical students would benefit from increased SEM exposure. Methods An online survey was distributed to all members of the British Association of Sport and Exercise Medicine (BASEM) via email, and it was shared on Twitter via BASEM and the research team. Results A total of 126 responses were analysed. The majority of respondents work in SEM, or were interested in pursuing a career in SEM. Musculoskeletal (MSK) examination skills, exercise to prevent and manage disease, and MSK injuries and conditions were deemed to be the most important SEM-related topics to teach medical students. Use of social media and pitchside case were deemed the least important. Respondents thought medical students do not receive enough SEM teaching at medical school and could benefit from increased SEM exposure. Conclusions This study supports the opinion that medical students would benefit from increased SEM exposure. This survey is the first to determine how important it is that specific SEM-related topics are taught to medical students. In response to this survey a Delphi study is being conducted in the UK to establish a consensus undergraduate SEM curriculum for medical students.

A Silenced Population

Crisis ◽  
2017 ◽  
Vol 38 (6) ◽  
pp. 433-442 ◽  
Author(s):  
Kim Gryglewicz ◽  
Melanie Bozzay ◽  
Brittany Arthur-Jordon ◽  
Gabriela D. Romero ◽  
Melissa Witmeier ◽  
...  
Keyword(s):  
At Risk ◽  
Depressive Symptomatology ◽  
The United States ◽  
Future Research ◽  
At Risk Youth ◽  
Peer Relationship ◽  
Student Records ◽  
Cross Sectional ◽  
Increased Risk ◽  
Method Student

Abstract. Background: Given challenges that exceed the normal developmental requirements of adolescence, deaf and hard-of-hearing (DHH) youth are believed to be at elevated risk for engaging in suicide-related behavior (SRB). Unfortunately, little is known about the mechanisms that put these youth potentially at risk. Aims: To determine whether peer relationship difficulties are related to increased risk of SRB in DHH youth. Method: Student records (n = 74) were retrieved from an accredited educational center for deaf and blind students in the United States. Results: Peer relationship difficulties were found to be significantly associated with engagement in SRB but not when accounting for depressive symptomatology. Limitations: The restricted sample limits generalizability. Conclusions regarding risk causation cannot be made due to the cross-sectional nature of the study. Conclusion: These results suggest the need for future research that examines the mechanisms of the relationship between peer relationship difficulties, depression, and suicide risk in DHH youth and potential preventive interventions to ameliorate the risks for these at-risk youth.

Family Type Predicts Mental Health Problems in Young Adults: A Survey of Students at a University in Botswana

2020 ◽  
Vol 32 (2) ◽  
Author(s):  
Kennedy Amone-P'Olak ◽  
Boniface Kealeboga Ramotuana
Keyword(s):  
Mental Health ◽  
Young Adults ◽  
Mental Health Problems ◽  
Single Mother ◽  
Health Problems ◽  
Family Type ◽  
Cross Sectional ◽  
Intact Family ◽  
Increased Risk ◽  
Family Types

In Africa, the structure of the family is changing rapidly. The effects of this change on mental health remain unknown. This study investigated the extent to which different family types (intact, single-mother, and multiple) predict mental health problems in young adults in Botswana (N = 264, mean age = 21.31, SD = 2.40). In a cross-sectional design, the study sampled students registered at various faculties at the University of Botswana. The revised symptoms checklist (SCL-90-R) was used to assess symptoms of mental health problems (depression, anxiety and hostility). Binary logistic regression analyses were performed to obtain odds ratios (ORs) and 95 per cent confidence intervals (CIs) of mental health problems for mother-only and multiple family types relative to the intact family type. Compared to the intact family type, single-mother (OR = 2.34; 95% CI: 1.21, 4.51) and multiple family types (OR = 1.56; CI: 0.88, 2.78) were associated with an increased risk of depression. For anxiety, the ORs were 2.27 (CI: 1.18, 4.38) and 1.10 (CI: 0.56, 1.82) for single-mother and multiple family types respectively. For hostility, the ORs were 2.60 (CI: 1.34, 5.04), and 0.79 (CI: 0.44, 1.42) for single-mother and multiple family types, respectively. Family types predict mental health problems in young adults and therefore the interventions to mitigate the effects should consider family backgrounds and the ramifications of family types for treatment and care.

Association of Circulating Cholesterol Level with Cognitive Function and Mild Cognitive Impairment in the Elderly: A Community-based Population Study

2020 ◽  
Vol 17 (6) ◽  
pp. 556-565
Author(s):  
Yujie Guo ◽  
Pengfei Li ◽  
Xiaojun Ma ◽  
Xiaochen Huang ◽  
Zhuoheng Liu ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Mild Cognitive Impairment ◽  
Cognitive Function ◽  
Cholesterol Level ◽  
Density Lipoprotein ◽  
Lipoprotein Cholesterol ◽  
Cross Sectional ◽  
Increased Risk ◽  
Aging Adults ◽  
Female Subjects

Background: The present study was designed to examine the association of circulating cholesterol with cognitive function in non-demented community aging adults. Methods: This was a cross-sectional study including 1754 Chinese adults aged 55-80 years. The association between serum cholesterol levels and cognitive function was examined. Participants were categorized into four groups according to the quartile of circulating TC (total cholesterol), High Density Lipoprotein Cholesterol (HDL-c), Low Density Lipoprotein Cholesterol (LDL-c) levels and HDLc/ LDL-c ratio. The difference in cognitive performance among the groups was compared. Logistic regression model was used to determine the association of circulating cholesterol level with the risk of Mild Cognitive Impairment (MCI). Results: Mild increase of serum LDL-c level correlated with better visual and executive, language, memory and delayed recall abilities. Higher circulating TC and HDL-c levels were found to be associated with poorer cognitive function, especially in aging female subjects. Higher circulating TC, HDL-c and HDL/LDL ratio indicated an increased risk of MCI, especially in female subjects. Conclusion: Slight increase in circulating LDL-c level might benefit cognitive function in aging adults. However, higher circulating TC and HDL-c levels might indicate a decline of cognitive function, especially in aging female subjects.

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