scholarly journals Epidemiology of imaging-detected tendon abnormalities in athletes participating in the Rio de Janeiro 2016 Summer Olympics

2017 ◽  
Vol 52 (7) ◽  
pp. 465-469 ◽  
Author(s):  
Mohamed Jarraya ◽  
Michel D Crema ◽  
Lars Engebretsen ◽  
Oleg M Teytelboym ◽  
Daichi Hayashi ◽  
...  
Keyword(s):  
Medical Staff ◽  
Rio De Janeiro ◽  
Sports Injuries ◽  
Image Interpretation ◽  
Supraspinatus Tendon ◽  
Track And Field ◽  
Anatomical Location ◽  
Cross Sectional ◽  
Olympic Village ◽  
Medical Teams

BackgroundTendon abnormalities are prevalent among both elite and non-elite athletes. Cross-sectional imaging modalities are used to confirm and evaluate the severity of such lesions.AimTo describe the demographics, prevalence, anatomical location and characteristics of tendon abnormalities in athletes who participated in the Rio de Janeiro 2016 Summer Olympic Games.MethodsWe recorded all sports injuries reported by the National Olympic Committee (NOC) medical teams and the Organizing Committee medical staff during the Rio 2016 Summer Olympics. Diagnostic imaging was performed through the official IOC clinic within the Olympic Village, using digital ultrasound machines and 3T and 1.5T MR scanners. Image interpretation was performed centrally by board-certified musculoskeletal radiologists with expertise in sports injuries.ResultsIn total, 11 274 athletes (5089 women (45%), 6185 men (55%)) from 207 NOCs were included. NOC and Rio de Janeiro 2016 medical staff reported 1101 injuries. Central review of radiological images revealed 156 tendon abnormalities in 109 athletes (51.2% male, mean age: 26.8, range 18–39). The supraspinatus tendon was the most commonly involved tendon (31 cases, 19.9%), followed by the Achilles tendon (20 cases, 12.8%) and patellar and infraspinatus tendons (12 cases, 7.7%). Tendon abnormalities were most commonly seen in track and field athletes (54 abnormalities, 34.6%).Conclusion156 tendon abnormalities were reported, most commonly in track and field athletes, and involving mainly the shoulder tendons, as well as Achilles and patellar tendons.

scholarly journals Imaging-detected acute muscle injuries in athletes participating in the Rio de Janeiro 2016 Summer Olympic Games

2017 ◽  
Vol 52 (7) ◽  
pp. 460-464 ◽  
Author(s):  
Michel D Crema ◽  
Mohamed Jarraya ◽  
Lars Engebretsen ◽  
Frank W Roemer ◽  
Daichi Hayashi ◽  
...  
Keyword(s):  
Rio De Janeiro ◽  
Sports Injuries ◽  
Track And Field ◽  
Lower Limbs ◽  
Football Players ◽  
Muscle Injuries ◽  
Anatomic Distribution ◽  
3.0 T ◽  
Olympic Village ◽  
Medical Teams

BackgroundAcute muscle injuries in elite athletes are responsible for a large portion of time loss injuries.AimTo describe the frequency, the anatomic distribution, and severity of imaging-detected acute muscle injuries among athletes who competed in the Rio de Janeiro 2016 Summer Olympics.MethodsWe recorded all sports injuries reported by the National Olympic Committee medical teams and the Organising Committee medical staff during the 2016 Summer Olympics. Imaging of acute muscle injuries was performed at the IOC’s polyclinic within the Olympic Village using ultrasound and 3.0 T and 1.5 T MRI scanners. The assessment of images was performed centrally by three musculoskeletal radiologists. The distribution of injuries by anatomic location and sports discipline and the severity of injuries were recorded.ResultsIn total, 11 274 athletes from 207 teams were included. A total of 1101 injuries were reported. Central review of radiological images revealed 81 acute muscle injuries in 77 athletes (66% male, mean age: 25.4 years, range 18–38 years). Athletics (track and field) athletes were the most commonly affected (n=39, 48%), followed by football players (n=9, 11%). The majority of injuries affected muscles from lower limbs (n=68, 84%), with the hamstring being the most commonly involved. Most injuries were grade 2 injuries according to the Peetrons classification (n=44, 54%), and we found 18 injuries exhibiting intramuscular tendon involvement on MRI.ConclusionImaging-detected acute muscle injuries during the 2016 Summer Olympics affected mainly thigh muscles in athletics disciplines.

scholarly journals Epidemiology of imaging-detected bone stress injuries in athletes participating in the Rio de Janeiro 2016 Summer Olympics

2017 ◽  
Vol 52 (7) ◽  
pp. 470-474 ◽  
Author(s):  
Daichi Hayashi ◽  
Mohamed Jarraya ◽  
Lars Engebretsen ◽  
Michel D Crema ◽  
Frank W Roemer ◽  
...  
Keyword(s):  
Rio De Janeiro ◽  
Sports Injuries ◽  
Lower Extremities ◽  
Stress Fractures ◽  
Track And Field ◽  
Anatomical Location ◽  
Stress Reactions ◽  
Bone Stress ◽  
Stress Injuries ◽  
Olympic Village

BackgroundBone stress injuries are common in high-level athletics.AimTo describe the demographics, frequency and anatomical location of stress injuries (ie, stress reaction and stress fractures) in athletes at the Rio de Janeiro 2016 Summer Olympic Games.MethodsWe recorded all sports injuries at the Rio de Janeiro 2016 Summer Olympics reported by the National Olympic Committee (NOC) medical teams and in the polyclinic and medical venues. Imaging was performed through the official IOC clinic within the Olympic Village, using digital X-ray cameras and 3T and 1.5T magnetic resonance (MR) scanners. Images were read centrally and retrospectively by musculoskeletal radiologists with expertise in sports injuries.Results11 274 athletes (5089 women (45%), 6185 men (55%)) from 207 NOCs participated in the study. 1101 injuries were reported. Imaging revealed 9 stress fractures (36%) and 16 stress reactions (64%) in 18 female and 7 male athletes (median age 25 years, age range 18–32). Stress injuries were mostly in the lower extremities (84%), particularly tibia (44%) and metatarsals (12%), with two in the lumbar spine (8%). Stress injuries were most common in track and field athletes (44%) followed by volleyball players (16%), gymnastics (artistic) (12%) and other type of sports.ConclusionsTwenty-five bone stress injuries were reported, more commonly in women, mostly in the lower extremities and most commonly in track and field athletes. Our study demonstrates the importance of early imaging with MRI to detect stress reactions before they can progress to stress fractures.

scholarly journals Sports injuries and illnesses at the Lausanne 2020 Youth Olympic Winter Games: a prospective study of 1783 athletes from 79 countries

2021 ◽  
pp. bjsports-2020-103514
Author(s):  
Debbie Palmer ◽  
Lars Engebretsen ◽  
Justin Carrard ◽  
Natalia Grek ◽  
Karsten Königstein ◽  
...  
Keyword(s):  
Medical Staff ◽  
Sports Injuries ◽  
Positive Impact ◽  
Well Being ◽  
Figure Skating ◽  
Injury Incidence ◽  
Cross Country Skiing ◽  
Medical Teams ◽  
A Prospective Study ◽  
Health And Well Being

ObjectiveTo describe the injury and illness characteristics among participating athletes during the Lausanne 2020 Youth Olympic Winter Games (YOG 2020), 9–22 January 2020.MethodsThe daily number of athlete injuries and illnesses were recorded (1) through the reporting of all National Olympic Committee (NOC) medical teams and (2) in the polyclinic and medical venues by the Lausanne 2020 medical staff.ResultsIn total, 1783 athletes from 79 NOCs were observed. NOC and Lausanne 2020 medical staff reported 228 injuries and 167 illnesses, equating 11.7 injuries and 8.6 illnesses per 100 athletes over the 14-day period. Injury incidence was highest for snowboard slopestyle (39%), bobsleigh (36%), snowboard big air (29%), ski slopestyle (29%), snowboard cross (24%) and ski cross (21%), and lowest for speed skating, snowboard halfpipe and curling (2%–4%). The highest incidence of illness was recorded for curling (21%), ski mountaineering (15%), snowboard halfpipe (13%), bobsleigh (11%), cross-country skiing (10%) and figure skating (10%). Almost one-third of injuries were expected to result in time loss and 17% of illnesses. Most injuries occurred to the knee (12%) and head (11%), and 64% of illnesses affected the respiratory system. Overall, women suffered more injuries and illness than males.ConclusionOverall, injury and illness rates were similar compared with recent YOG. While the rate and characteristics of injury and illness varied between sports, consistent patterns across YOG are emerging. If addressed, changes in highlighted areas of risk could have a positive impact on the health and well-being of these young athletes.

Sports injuries at the Rio de Janeiro 2016 Summer Paralympic Games: use of diagnostic imaging services

2021 ◽  
Author(s):  
Mohamed Jarraya ◽  
Cheri A. Blauwet ◽  
Michel D. Crema ◽  
Rafael Heiss ◽  
Frank W. Roemer ◽  
...  
Keyword(s):  
Diagnostic Imaging ◽  
Rio De Janeiro ◽  
Sports Injuries ◽  
Paralympic Games

Perceived Experiences of Community Violence Among Adolescents: A School Survey From Rio de Janeiro, Brazil

2021 ◽  
pp. 088626052110051
Author(s):  
Claudia L. de Moraes ◽  
Érika B. dos Santos ◽  
Michael E. Reichenheim ◽  
Stella R. Taquette ◽  
Luciane Stochero ◽  
...  
Keyword(s):  
Public Schools ◽  
Community Violence ◽  
Rio De Janeiro ◽  
Public Health Problem ◽  
Cross Sectional Study ◽  
Global Public Health ◽  
Cross Sectional ◽  
Interpersonal Aggression ◽  
Adolescent Students ◽  
Management Actions

Community violence (CV) is a global public health problem due to its high frequency and severe consequences. Although CV is one of the leading causes of death among adolescents, little is known about the everyday CV situations that do not lead to death. This study aimed to estimate the frequency of exposure to and involvement in CV situations among adolescent students from public and private schools in the city of Rio de Janeiro, Brazil. This was a cross-sectional study of 693 individuals in their second year of high school selected through stratified multistage random sampling. Information about their exposure to and involvement in CV was collected through a self-completed multidimensional questionnaire in the classrooms. For approximately 30% of the adolescents, someone close to them had been murdered, and 40% had already seen the corpse of a victim of homicide. Seventeen percent reported having been directly involved in CV situations. Approximately 38%, 13%, and 25% had been victims of robberies, interpersonal aggression, and death threats to either themselves or their relatives, respectively. Many of these situations occurred more than once. In general, CV was more frequently reported by boys and by those who did not live with both parents. Adolescents from higher economic classes experienced more interpersonal aggression and felt a greater need to carry a gun. Those who belonged to the lower economic classes and studied in public schools were more exposed to lethal violence than other students. The results call attention to the very high percentage of adolescent students that are involved in CV situations as well as to the differences in violence rates among population subgroups. Such findings should be considered when planning CV prevention and management actions in schools and other socialization spaces for adolescents.

scholarly journals Características sociodemográficas e clínicas de pacientes portadoras de cardiomiopatia periparto: contribuições para a enfermagem [Sociodemographic and clinical characteristics of peripartum cardiomyopathy patients: contributions to nursing] [Características sociodemográficas y clínicas de pacientes portadoras de cardiomiopatía periparto: contribuciones a la enfermería]

2018 ◽  
Vol 26 ◽  
pp. e32033
Author(s):  
Tamires Grama dos Santos ◽  
Karla Biancha Silva de Andrade ◽  
Flávia Giron Camerini ◽  
Andrezza Serpa Franco ◽  
Ana Lúcia Cascardo Marins ◽  
...  
Keyword(s):  
Skin Color ◽  
Rio De Janeiro ◽  
Clinical Characteristics ◽  
Peripartum Cardiomyopathy ◽  
University Hospital ◽  
Respiratory Pattern ◽  
Cross Sectional ◽  
Documentary Analysis ◽  
Cardiac Intensive Care ◽  
Janeiro State

Objetivo: identificar as características clínicas e sociodemográficas das pacientes portadoras de cardiomiopatia periparto em unidade cardiointensiva de um hospital universitário no Estado do Rio de Janeiro. Método: estudo quantitativo, transversal, de análise documental em cinco prontuários, entre janeiro de 2014 a dezembro de 2016, obedecendo aos critérios preestabelecidos de inclusão e exclusão e iniciado após aprovação do Comitê de Ética e Pesquisa. Os dados foram coletados mediante um formulário próprio, tabulados em planilhas eletrônicas e analisados através de estatística descritiva simples. Resultados: houve predominância de idade entre 26-35 anos – 4 (80%), multíparas, etnia parda, internação para pós-operatório de parto cesárea – 4 (80%), internação inferior a 2 semanas 4 (80%). Dentre os problemas de enfermagem encontrados, estão o débito cardíaco diminuído e padrão respiratório ineficaz. Conclusão: divulgar as características sociodemográficas e clínicas dessa clientela pode ajudar a delimitar alguns problemas de enfermagem representativos nessa população.ABSTRACTObjective: to identify the clinical and sociodemographic characteristics of patients with peripartum cardiomyopathy in a cardiac intensive care unit of a university hospital in Rio de Janeiro State. Method: this quantitative, cross-sectional, documentary analysis studied five medical records, between January 2014 and December 2016, according to pre-established inclusion and exclusion criteria, after approval by the research ethics committee. Data were collected using a specific form, tabulated in electronic spreadsheets, and analyzed by simple descriptive statistics. Results: subjects were aged predominantly 26-35 years (4; 80%), multiparous, skin color brown, admitted for caesarean section postoperative care (4; 80%), and for less than 2 weeks (4; 80%). The nursing problems encountered included decreased cardiac output and ineffective respiratory pattern. Conclusion: disclosure of this clientele’s sociodemographic and clinical characteristics can help to delimit some representative nursing problems in this population.RESUMENObjetivo: identificar las características clínicas y sociodemográficas de las pacientes portadoras cardiomiopatía periparto en una unidad de cuidados intensivos coronarios de un hospital universitario en el Estado de Río de Janeiro. Método: estudio cuantitativo, transversal, de análisis documental en cinco historias clínicas, entre enero de 2014 y diciembre de 2016, obedeciendo a los criterios preestablecidos de inclusión y exclusión e iniciado tras la aprobación del Comité de Ética en Investigación. Los datos fueron recolectados a través de un formulario propio, tabulados en planillas electrónicas y analizados a través de estadística descriptiva simple Resultados: hubo predominancia de edad entre 26 y 35 años – 4 (80%), multíparas, etnia parda, internación para postoperatorio de parto cesárea - 4 (80%), internación inferior a 2 semanas – 4 (80%). Entre los problemas de enfermería encontrados, están el débito cardíaco disminuido y el patrón respiratorio ineficaz. Conclusión: divulgar las características sociodemográficas y clínicas de esa clientela puede ayudar a delimitar algunos problemas de enfermería representativos en esa población.

scholarly journals Biological Determinants of Track and Field Throwing Performance

2021 ◽  
Vol 6 (2) ◽  
pp. 40
Author(s):  
Nikolaos Zaras ◽  
Angeliki-Nikoletta Stasinaki ◽  
Gerasimos Terzis
Keyword(s):  
Fiber Type ◽  
Small Body ◽  
The Body ◽  
Track And Field ◽  
Neural Activation ◽  
Biological Factors ◽  
Cross Sectional ◽  
Type Composition ◽  
Biological Determinants

Track and field throwing performance is determined by a number of biomechanical and biological factors which are affected by long-term training. Although much of the research has focused on the role of biomechanical factors on track and field throwing performance, only a small body of scientific literature has focused on the connection of biological factors with competitive track and field throwing performance. The aim of this review was to accumulate and present the current literature connecting the performance in track and field throwing events with specific biological factors, including the anthropometric characteristics, the body composition, the neural activation, the fiber type composition and the muscle architecture characteristics. While there is little published information to develop statistical results, the results from the current review suggest that major biological determinants of track and field throwing performance are the size of lean body mass, the neural activation of the protagonist muscles during the throw and the percentage of type II muscle fiber cross-sectional area. Long-term training may enhance these biological factors and possibly lead to a higher track and field throwing performance. Consequently, coaches and athletes should aim at monitoring and enhancing these parameters in order to increase track and field throwing performance.

scholarly journals Adherence of Healthcare Workers to Saudi Management Guidelines of Heat-Related Illnesses during Hajj Pilgrimage

2021 ◽  
Vol 18 (3) ◽  
pp. 1156
Author(s):  
Yasir Almuzaini ◽  
Nour Abdulmalek ◽  
Sujoud Ghallab ◽  
Abdulaziz Mushi ◽  
Yara Yassin ◽  
...  
Keyword(s):  
Medical Staff ◽  
Healthcare Workers ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
National Guidelines ◽  
Cross Sectional ◽  
Management Guidelines ◽  
Survey Results ◽  
Case Assessment ◽  
Hajj Season

Heat-related illnesses (HRIs), such as heatstroke (HS) and heat exhaustion (HE), are common complications during Hajj pilgrims. The Saudi Ministry of Health (MoH) developed guidelines on the management of HRIs to ensure the safety of all pilgrims. This study aimed to assess healthcare workers’ (HCWs) adherence to the updated national guidelines regarding pre-hospital and in-hospital management of HRIs. This was a cross-sectional study using a questionnaire based on the updated HRI management interim guidelines for the Hajj season. Overall, compliance with HE guidelines scored 5.5 out of 10 for basic management and 4.7 out of 10 for advanced management. Medical staff showed an average to above average adherence to pre-hospital HS management, including pre-hospital considerations (7.2), recognition of HS (8.1), case assessment (7.7), stabilizing airway, breathing, and circulation (8.7), and cooling (5). The overall compliance to in-hospital guidelines for HS management were all above average, except for special conditions (4.3). In conclusion, this survey may facilitate the evaluation of the adherence to Saudi HRIs guidelines by comparing annual levels of compliance. These survey results may serve as a tool for the Saudi MoH to develop further recommendations and actions.

scholarly journals Two-stage mental health survey of first-line medical staff after ending COVID-19 epidemic assistance and isolation

2021 ◽  
Author(s):  
Li Xu ◽  
Dingyun You ◽  
Chengyu Li ◽  
Xiyu Zhang ◽  
Runxu Yang ◽  
...  
Keyword(s):  
Mental Health ◽  
Sleep Quality ◽  
Medical Staff ◽  
Psychological Intervention ◽  
Psychological Status ◽  
Vulnerable Groups ◽  
Cluster Sampling ◽  
Cross Sectional Survey ◽  
Two Stage ◽  
Cross Sectional

AbstractFacing with COVID-19 epidemic such a catastrophic health emergency, the mental health status of medical staff deserves attention. We conducted a two-stage of psychological status monitoring after the end of the assistance and 14 days of isolation, further targeted the vulnerable groups in need of intervention. The study is a cross-sectional survey on 1156 Yunnan medical staff aid to Hubei. Used Cluster sampling method to collect data at 2 time points (at the end of returning from Wuhan and the 14th day of isolation), from March 18, 2020 to April 6, 2020. Female and nurse had higher rates of depressive symptoms than male and doctors and other occupations. The proportion of female with mild and above moderate anxiety levels (22.91%, 2.61%) was higher than male (17.35%, 1.03%) (p < 0.05). Female had a better impaired sleep quality (45.06%, 17.49%) more than male (28.57%, 7.94%). Medical staff supported in Wuhan and with junior professional titles reported a higher proportion of sleep quality impairment. At the 14th isolation day stage, the proportion of nurses changed from depression to health (9.15%) and from health to depression (6.1%) better than doctors. The front-line medical staffs had suffered greater psychological pressure in the treatment process of major public health emergency. Researches on the dynamic monitor for the change of psychological status after aiding epidemic areas were still in relatively blank stage. Targeting the vulnerable characteristics of aiding medical staff is significant for effective psychological intervention and sustainable operation of health system.

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