Sport Concussion Education and Prevention

2012 ◽  
Vol 6 (3) ◽  
pp. 293-301 ◽  
Author(s):  
Charles H. Tator

There has been a remarkable increase in the past 10 years in the awareness of concussion in the sports and recreation communities. Just as sport participants, their families, coaches, trainers, and sports organizations now know more about concussions, health care professionals are also better prepared to diagnose and manage concussions. As has been stated in the formal articles in this special issue on sport-related concussion, education about concussion is one of the most important aspects of concussion prevention, with the others being data collection, program evaluation, improved engineering, and introduction and enforcement of rules. Unfortunately, the incidence of concussion appears to be rising in many sports and thus, additional sports-specific strategies are required to reduce the incidence, short-term effects, and long term consequences of concussion. Enhanced educational strategies are required to ensure that individual participants, sports organizations, and health care professionals recognize concussions and manage them proficiently according to internationally recognized guidelines. Therefore, this paper serves as a “brief report” on a few important aspects of concussion education and prevention.

2018 ◽  
Vol 10 (11) ◽  
pp. 1744 ◽  
Author(s):  
Kristen Splinter ◽  
Mitchell Harley ◽  
Ian Turner

Narrabeen-Collaroy Beach, located on the Northern Beaches of Sydney along the Pacific coast of southeast Australia, is one of the longest continuously monitored beaches in the world. This paper provides an overview of the evolution and international scientific impact of this long-term beach monitoring program, from its humble beginnings over 40 years ago using the rod and tape measure Emery field survey method; to today, where the application of remote sensing data collection including drones, satellites and crowd-sourced smartphone images, are now core aspects of this continuing and much expanded monitoring effort. Commenced in 1976, surveying at this beach for the first 30 years focused on in-situ methods, whereby the growing database of monthly beach profile surveys informed the coastal science community about fundamental processes such as beach state evolution and the role of cross-shore and alongshore sediment transport in embayment morphodynamics. In the mid-2000s, continuous (hourly) video-based monitoring was the first application of routine remote sensing at the site, providing much greater spatial and temporal resolution over the traditional monthly surveys. This implementation of video as the first of a now rapidly expanding range of remote sensing tools and techniques also facilitated much wider access by the international research community to the continuing data collection program at Narrabeen-Collaroy. In the past decade the video-based data streams have formed the basis of deeper understanding into storm to multi-year response of the shoreline to changing wave conditions and also contributed to progress in the understanding of estuary entrance dynamics. More recently, ‘opportunistic’ remote sensing platforms such as surf cameras and smartphones have also been used for image-based shoreline data collection. Commencing in 2011, a significant new focus for the Narrabeen-Collaroy monitoring program shifted to include airborne lidar (and later Unmanned Aerial Vehicles (UAVs)), in an enhanced effort to quantify the morphological impacts of individual storm events, understand key drivers of erosion, and the placing of these observations within their broader regional context. A fixed continuous scanning lidar installed in 2014 again improved the spatial and temporal resolution of the remote-sensed data collection, providing new insight into swash dynamics and the often-overlooked processes of post-storm beach recovery. The use of satellite data that is now readily available to all coastal researchers via Google Earth Engine continues to expand the routine data collection program and provide key insight into multi-decadal shoreline variability. As new and expanding remote sensing technologies continue to emerge, a key lesson from the long-term monitoring at Narrabeen-Collaroy is the importance of a regular re-evaluation of what data is most needed to progress the science.


2021 ◽  
Author(s):  
◽  
Sera Tapu-Ta'ala

<p>Background Pacific people are dying younger compared to other New Zealanders because of complications resulting from uncontrolled type 2 diabetes mellitus. Good diabetes control is achievable with early use of insulin because of its effectiveness, and proven long term benefits to quality of life. An understanding of how Samoan people with type 2 diabetes make their transition to insulin therapy will assist in understanding how insulin is perceived, which will inform health care professionals in their work with those diagnosed with diabetes. Aim of Research The aim of the research is to explore and describe how Samoan people with type 2 diabetes in New Zealand made the transition to insulin therapy for better glycaemic control. Design The Fonofale Model was used as the theoretical framework, from which to understand Samoan peoples' experiences. This research used a qualitative descriptive methodology. In-depth interviews were used to gather the stories of four Samoan participants over the age of 18 years diagnosed with type 2 diabetes. The data was analysed using thematic analysis. Findings Three major themes emerged from the analysis of the participants' stories. These were: living with diabetes, making the transition to insulin therapy and realisation. The findings led to the creation of the Ia Malu model, which describes the experiences of the participants in this study. Conclusion This study confirmed that there are immense challenges and struggles encountered by people with diabetes. Their adjustment to the illness as well as making the transition to using insulin takes time. As a result of this, it is fundamental for nurses/health care professionals to understand that this is the reality for these people, and they must therefore provide time for people to adjust.</p>


Author(s):  
Jan de Jonge ◽  
Akihito Shimazu ◽  
Maureen Dollard

This study examined whether particular recovery activities after work have a positive or negative effect on employee recovery from work (i.e., cognitive, emotional, and physical detachment) and sleep quality. We used a two-wave panel study of 230 health care employees which enabled looking at both short-term and long-term effects (i.e., two-year time interval). Gender, age, marital status, children at home, education level, management position, and working hours were used as control variables. Hierarchical multiple regression analyses showed that work-related off-job activities were negatively associated with cognitive and emotional detachment in both the short and long run, whereas low-effort off-job activities were positively related to cognitive detachment in the short run. Moreover, household/care off-job activities were positively related to sleep quality in the long run, whereas physical off-job activities were negatively associated with sleep quality in the long run. The long-term findings existed beyond the strong effects of baseline detachment and sleep quality. This study highlights the importance of off-job recovery activities for health care employees’ detachment from work and sleep quality. Practical implications and avenues for further research are discussed.


2020 ◽  
Vol 1 (2) ◽  
pp. 16-24
Author(s):  
Elena S. Akarachkova ◽  
◽  
Anton A. Beliaev ◽  
Dmitrii V. Blinov ◽  
Evgenii V. Bugorskii ◽  
...  

World Health Organization declared COVID-19 outbreak a pandemic on March 11, 2020. Fear of illness, self-isolation/quarantine, and reduced quality of life dramatically increased the prevalence of stress-related disorders in the population. Therefore, it is necessary to implement the preventive health-care measures aimed at short-term and long-term COVID-19 pandemic consequences reduction and promotion of social stability.


2018 ◽  
Vol Volume 12 ◽  
pp. 2233-2241
Author(s):  
Carla Colombo ◽  
Paola Catastini ◽  
Anna Brivio ◽  
Benedetto Acone ◽  
Patricia Dang ◽  
...  

2019 ◽  
Vol 53 ◽  
pp. 43 ◽  
Author(s):  
Esther Pereira da Silva ◽  
Antônio Flaudiano Bem Leite ◽  
Roberto Teixeira Lima ◽  
Mônica Maria Osório

OBJECTIVE: To characterize prenatal care and verify possible factors associated with its adequacy. METHODS: This is a cross-sectional study based on interviews with health care professionals and consultations on official documents of women attending prenatal of the primary health care in the city of João Pessoa, capital of Paraíba, in the Northeast region of Brazil. Prenatal care was evaluated by an index with criteria referring to aspects of structure, process and outcome, denominated IPR/Prenatal. The multivariate logistic regression method revealed that demographic, socioeconomic, reproductive and maternal morbidity variables were possible determinants for prenatal adequacy. RESULTS: The survey involved 130 services and 1,625 primary health care patients. Prenatal care was adequate in approximately 23% of the cases. Low prevalence of referral to maternity, educational strategies and examinations were observed. The analysis showed that nonadolescent women (OR = 1,390), with a longer period of schooling (OR = 1.750), higher per capita income (OR = 1,870) and primiparous women (OR = 1,230) were more likely to have an adequate prenatal. CONCLUSIONS: Prenatal care, when evaluated by broader criteria, showed a low percentage of adequacy. Strategies should be developed to ensure the referral to the maternity where the birth will take place and health education activities and examinations to provide adequate prenatal care in the municipality under study. In addition, factors associated with adequacy must be considered by managers and health professionals.


2015 ◽  
Vol 32 (5) ◽  
pp. 180-185 ◽  
Author(s):  
Kavita Kapur ◽  
Sean McAleer ◽  
Frederik Persson ◽  
Ulla Bjerre-Christensen

Author(s):  
Narjust Duma ◽  
Shail Maingi ◽  
William D. Tap ◽  
Colin D. Weekes ◽  
Charles R. Thomas

Most health care professionals spend a substantial amount of their time at the workplace. Our interactions with team members can define our daily experiences, impact our work performance, and influence our overall job satisfaction. Over the last years, how we interact with colleagues and patients has changed with the introduction of social media, a tenser political climate, and an evolving health care system. In oncology, a team can be composed of medical students, clinicians, and support and administrative staff within a heavy emotional environment where some of our patients are facing the risk of early mortality and most are dealing with the unmeasurable burden of cancer. Many of these factors can increase the risk for professionalism lapses. We discuss common challenges faced in the practice of cancer care, including the generational gap between medical trainees and senior members, gender disparities, and microaggressions. Microaggressions represent verbal, behavioral, and environmental indignities that communicate hostile, derogatory, and negative slights that insult a target person or group. Microaggressions should not be accepted as the norm in the workplace. It is essential to recognize these negative behaviors and manage them effectively to reduce or even prevent the long-term toxicities that these behaviors can bring to the workplace environment. Ultimately, we must acknowledge that these issues exist and remember that education and collaboration are the pillars of an inclusive workplace. We owe such efforts to our patients who deserve good care, to our partners in the care of patients so that they feel supported and included, and to ourselves.


2020 ◽  
Vol 10 ◽  
Author(s):  
Alessandro Gozzetti ◽  
Francesca Bacchiarri ◽  
Vincenzo Sammartano ◽  
Marzia Defina ◽  
Anna Sicuranza ◽  
...  

Multiple myeloma survival has significantly improved in recent years, due to novel agents that are available for treatment. The anti-CD38 monoclonal antibody Daratumumab is particularly efficient for patients with relapse/refractory disease, and many studies have shown its unprecedented efficacy also as a first treatment. However, to avoid the incidence of infusion reactions, long infusion schedules of 8 h at first dose and 4 h in the following doses are required, which can reduce the compliance of patients and health care professionals. A reduced infusion time of 90 min has been reported previously, but data are missing on the prolonged safety of this over time as well as the efficacy of this approach. In this work, we investigate the safety of 484 rapid Daratumumab infusions given early after the second dose over a 22 months period in 39 myeloma patients.


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