scholarly journals Effects of body protection vests and experience levels in prevention of equestrian injuries

2018 ◽  
Vol 4 (1) ◽  
pp. e000426 ◽  
Author(s):  
Sarah A Andres ◽  
Adrienne M Bushau-Sprinkle ◽  
Michael E Brier ◽  
Yvette R Seger
Keyword(s):  
The United States ◽  
Safety Equipment ◽  
Contributing Factors ◽  
Experience Levels ◽  
Equestrian Sports ◽  
Risk Of Injury ◽  
Report Data ◽  
Cross Country ◽  
Serious Injuries ◽  
Show Jumping

ObjectivesTo investigate the risk reduction and benefit of wearing body protection/safety vests in equestrian sports.MethodsA comparison of equestrians wearing body protective vests and those not wearing vests was performed using incident report data of 718 participants in the United States Pony Clubs during 2011–2017. Data obtained included age, gender, certification level of member, type of activity, description of incident, description of injuries, what protective equipment was worn and other possible contributing factors.ResultsWhile wearing body protective vests when riding on the flat or for show jumping was not correlated with a decrease in injuries, wearing vests for cross country was correlated with decrease in reported injuries (p=0.036) and showed a trend towards a lower incident severity level (p=0.062). Wearing body protection during cross country reduced the relative risk of injury by 56%. While the volume of incidents varied with a rider’s experience level, the number of serious injuries did not appear to correlate with lesser equestrian experience.ConclusionsWhile equestrian sports are considered to have a certain degree of risk associated with them, there are ways to make them safer. Wearing safety equipment, such as helmets and body protection, and obtaining education and experience can lessen the chance of incurring serious injuries.

A retrospective investigation of the impact of ‘eventing phase (dressage, show-jumping and cross-country)’ on pre-competition anxiety and self-confidence

2019 ◽  
Vol 15 (4) ◽  
pp. 269-281
Author(s):  
S. McGinn ◽  
D. Alcock ◽  
L.J. Cameron
Keyword(s):  
Muscle Tension ◽  
Psychological Skills ◽  
Competitive Anxiety ◽  
Self Confidence ◽  
Equestrian Sports ◽  
Within Subjects ◽  
Equestrian Sport ◽  
Cross Country ◽  
Show Jumping ◽  
The Impact

Working in the discipline of eventing (the triathlon of equestrian sport), the present study aims to extend current literature on the use of psychological skills within equestrian sports, by understanding and identifying differences in levels of self-confidence and competitive anxiety. Each eventing phase (dressage, show-jumping and cross-country) was considered and its impact on anxiety and self-confidence analysed. Level of competition was considered a covariate and its effect on specific eventing phases and any associated influence on anxiety and self-confidence within eventing phase was analysed. An experimental, 3×3 factorial, within-subjects design was used. 57 participants (52 female and 5 male; 18 professional, 36 amateur and 3 undefined) completed the Revised Competitive Sport Anxiety Inventory 2 (CSAI-2R), a 17-item questionnaire measuring anxiety and self-confidence. Descriptive statistics identified the show-jumping phase had the largest impact on rider somatic anxiety (SA) and cognitive anxiety (CA). The cross-country phase had the highest self-confidence mean score. Spearman’s rank correlations showed both SA and CA were debilitative for all competition levels. Both SA and CA were found to be more debilitating in the show-jumping phase when self-confidence was low. MANCOVA analysis showed that eventing phase had significant effect on anxiety and self-confidence when controlling for level of competition. Dependent on the eventing phase riders are competing in, they experience different levels of arousal and self-confidence. When SA and CA are a debilitative source of anxiety, this could result in rider muscle tension which is not conducive to effective horse-rider communication. Coaches or sports psychologists should consider how to help riders manage their anxiety levels in relation to the competition phase, with the intention of enhancing self-confidence and enabling facilitative SA and CA in preparation for eventing performance.

An exploratory study of intangibles risk disclosure in annual reports of banking companies from the UK, US, Germany and Italy - Some descriptive insights

2013 ◽  
pp. 81-120 ◽  
Author(s):  
Susanne Durst
Keyword(s):  
Intellectual Capital ◽  
Exploratory Study ◽  
The United States ◽  
Annual Reports ◽  
Risk Disclosure ◽  
Related Risk ◽  
Potential Benefits ◽  
Report Data ◽  
Key Drivers ◽  
The Uk

Intangibles are viewed as the key drivers in most industries, and current research shows that firms voluntarily disclose information about their investments in intangibles and their potential benefits. Yet little is known of the risks relating to such resources and the disclosures firms make about such risks. In order to obtain a more balanced and complete picture of firms' activities, information about the risky side of their intangibles is also needed. This exploratory study provides some descriptive insights into intangibles-related risk disclosure in a sample of 16 large banks from the United States (US), United Kingdom (UK), Germany and Italy. Annual report data is analyzed using the three Intellectual Capital dimensions. Study findings illustrate the variety of intangibles-related risk disclosure as demonstrated by the banks involved.

Mass School Shootings in the United States: A Novel Root Cause Analysis Using Lay Press Reports

2019 ◽  
Vol 58 (13) ◽  
pp. 1423-1428 ◽  
Author(s):  
Chris A. Rees ◽  
Lois K. Lee ◽  
Eric W. Fleegler ◽  
Rebekah Mannix
Keyword(s):  
United States ◽  
Environmental Factors ◽  
Root Cause Analysis ◽  
The United States ◽  
School Shootings ◽  
Contributing Factors ◽  
Mass Shootings ◽  
Cause Analysis ◽  
Factors Associated ◽  
Root Cause

School shootings comprise a small proportion of childhood deaths from firearms; however, these shootings receive a disproportionately large share of media attention. We conducted a root cause analysis of 2 recent school shootings in the United States using lay press reports. We reviewed 1760 and analyzed 282 articles from the 10 most trusted news sources. We identified 356 factors associated with the school shootings. Policy-level factors, including a paucity of adequate legislation controlling firearm purchase and ownership, were the most common contributing factors to school shootings. Mental illness was a commonly cited person-level factor, and access to firearms in the home and availability of large-capacity firearms were commonly cited environmental factors. Novel approaches, including root cause analyses using lay media, can identify factors contributing to mass shootings. The policy, person, and environmental factors associated with these school shootings should be addressed as part of a multipronged effort to prevent future mass shootings.

scholarly journals Duodenoscope Medical Device Reports Associated with Patient Infection, Patient Exposure, or Device Contamination

2020 ◽  
Vol 41 (S1) ◽  
pp. s196-s197
Author(s):  
Jian Connell ◽  
Shanil Haugen ◽  
Ann Ferriter
Keyword(s):  
Medical Device ◽  
The United States ◽  
Risk Of Infection ◽  
Patient Exposure ◽  
Safety Issues ◽  
Device User ◽  
Infection Patient ◽  
Device Use ◽  
Serious Injuries ◽  
Patient Infection

Background: Each year, the FDA receives more than a million reports of suspected device-associated deaths, serious injuries, and malfunctions. Medical device reports (MDRs) are submitted to the FDA by mandatory reporters (manufacturers, importers, and device user facilities) and voluntary reporters such as healthcare professionals, patients, and consumers. The FDA uses MDRs to monitor device performance, including monitoring reports of infection or device contamination to detect potential device-related safety issues and to share this information in public communications. In this analysis, the FDA presents MDRs for duodenoscopes, which are a type of flexible endoscope that have been associated with infections in patients. Methods: For this analysis, we searched the MDR database for duodenoscope reports submitted between January 2015 and July 1, 2019. MDRs were classified into clinical risk categories based on the MDR’s text narratives as patient infection (indicated the presence of infection in patients potentially transmitted by the device), patient exposure (indicated a contaminated device has been used in a patient, but the MDR lacks clear mention of patient infection), or device contamination (indicated that the device was contaminated, but no mention of device use in patients or patient infection). Results: Overall, 1,115 duodenoscope reports related to a patient infection, patient exposure, or device contamination for devices marketed inside and outside the United States were received from January 2015 to mid-2019. Among them, 79 MDRs were received for deaths in patient infection, patient exposure, or device contamination reports. The number of reported infections decreased from 247 MDRs in 2015 to 55 MDRs in the first half of 2019. Furthermore, the number of reported deaths decreased from 25 MDRs in 2015 to 2 MDRs reported in the first half of 2019. Conclusions: The MDR data indicate a decrease in the number of reported infections. The decrease in infections suggests that efforts to reduce the risk of infection from duodenoscopes have yielded improvements; however, additional improvements are necessary to further decrease the risk of infection.Funding: NoneDisclosures: None

scholarly journals Increasing Awareness and Knowledge among Adult Latinos regarding Sexually Transmitted Infections

2020 ◽  
Vol 15 (2) ◽  
Author(s):  
Ijeoma S. Eze ◽  
Margaret Brady ◽  
Beth Keely
Keyword(s):  
Condom Use ◽  
Sexually Transmitted Infections ◽  
Low Income ◽  
Outpatient Clinic ◽  
The United States ◽  
Consistent Condom ◽  
Contributing Factors ◽  
Consistent Condom Use ◽  
Sexually Transmitted ◽  
Post Test

AbstractLatinos in the United States are disproportionately affected by Human Immunodeficiency Virus and sexually transmitted infections (STIs). They account for about 24 % of newly diagnosed AIDS cases each year and are two to three times more likely to develop STIs when compared with non-Latino whites. Limited knowledge of STIs has remained one of the contributing factors to the disparity. The purpose of this study was to implement an educational bundle and evaluate its effectiveness in increasing STI knowledge and consistent condom use among adult Latinos seen in an outpatient clinic that serves low income patients. A pre- and post-test design was used to evaluate changes in STI knowledge and consistency of condom use. The educational bundle consisted of YouTube STI-related videos, a pre-designed one to one educational session, provision of condoms and STI-related educational materials. Self-administered questionnaires were used to collect data at baseline and one week post implementation of the educational bundle. Forty-six Latinos (18 females and 28 males) ranging in ages 19 to 60 years participated in the project. The total mean STI knowledge and condom use frequency improved from pre-test (M = 1.67, M = 3.09) to post-test (M = 3.80, M = 5.33). Results of paired samples t-tests demonstrated statistically significant differences between total mean STI knowledge (t(45) = –15.48, p < 0.001) and condom use frequency (t(45) = –7.09, p < 0.001) at pre-test and post-testing. The educational bundle was effective in increasing STI knowledge and consistent condom use among adult Latinos in an outpatient clinic. Further study needs to be done to determine the long-term effect of this mode of education for this population.

scholarly journals Adult sports-related traumatic brain injury in United States trauma centers

2016 ◽  
Vol 40 (4) ◽  
pp. E4 ◽  
Author(s):  
Ethan A. Winkler ◽  
John K. Yue ◽  
John F. Burke ◽  
Andrew K. Chan ◽  
Sanjay S. Dhall ◽  
...  
Keyword(s):  
United States ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
The United States ◽  
Mortality Rates ◽  
Hospital Length Of Stay ◽  
Health Concern ◽  
Medical Complications ◽  
Equestrian Sports ◽  
Prolonged Hospital

OBJECTIVE Sports-related traumatic brain injury (TBI) is an important public health concern estimated to affect 300,000 to 3.8 million people annually in the United States. Although injuries to professional athletes dominate the media, this group represents only a small proportion of the overall population. Here, the authors characterize the demographics of sports-related TBI in adults from a community-based trauma population and identify predictors of prolonged hospitalization and increased morbidity and mortality rates. METHODS Utilizing the National Sample Program of the National Trauma Data Bank (NTDB), the authors retrospectively analyzed sports-related TBI data from adults (age ≥ 18 years) across 5 sporting categories—fall or interpersonal contact (FIC), roller sports, skiing/snowboarding, equestrian sports, and aquatic sports. Multivariable regression analysis was used to identify predictors of prolonged hospital length of stay (LOS), medical complications, inpatient mortality rates, and hospital discharge disposition. Statistical significance was assessed at α < 0.05, and the Bonferroni correction for multiple comparisons was applied for each outcome analysis. RESULTS From 2003 to 2012, in total, 4788 adult sports-related TBIs were documented in the NTDB, which represented 18,310 incidents nationally. Equestrian sports were the greatest contributors to sports-related TBI (45.2%). Mild TBI represented nearly 86% of injuries overall. Mean (± SEM) LOSs in the hospital or intensive care unit (ICU) were 4.25 ± 0.09 days and 1.60 ± 0.06 days, respectively. The mortality rate was 3.0% across all patients, but was statistically higher in TBI from roller sports (4.1%) and aquatic sports (7.7%). Age, hypotension on admission to the emergency department (ED), and the severity of head and extracranial injuries were statistically significant predictors of prolonged hospital and ICU LOSs, medical complications, failure to discharge to home, and death. Traumatic brain injury during aquatic sports was similarly associated with prolonged ICU and hospital LOSs, medical complications, and failure to be discharged to home. CONCLUSIONS Age, hypotension on ED admission, severity of head and extracranial injuries, and sports mechanism of injury are important prognostic variables in adult sports-related TBI. Increasing TBI awareness and helmet use—particularly in equestrian and roller sports—are critical elements for decreasing sports-related TBI events in adults.

Cheese-Associated Outbreaks of Human Illness in the United States, 1973 to 1992: Sanitary Manufacturing Practices Protect Consumers

1998 ◽  
Vol 61 (10) ◽  
pp. 1405-1407 ◽  
Author(s):  
SEAN F. ALTEKRUSE ◽  
BABAGALEH B. TIMBO ◽  
JOHN C. MOWBRAY ◽  
NANCY H. BEAN ◽  
MORRIS E. POTTER
Keyword(s):  
Public Health Problem ◽  
The United States ◽  
Contributing Factors ◽  
E Coli ◽  
Salmonella Infections ◽  
Consumer Safety ◽  
Control And Prevention ◽  
Control Step ◽  
Pathogen Control ◽  
Human Illness

To identify contributing factors for cheese-associated outbreaks, we reviewed all cheese-associated outbreaks of human illness reported to the Centers for Disease Control and Prevention (CDC) with onsets during 1973 to 1992. The infrequency of large, cheese-associated outbreaks was notable because such outbreaks had been a frequent public health problem before the mid-20th century. Of 32 reported cheese-associated outbreaks, 11 attributed to manufacturing errors caused most of the illnesses and hospitalizations and all 58 deaths. Important factors in these 11 outbreaks were manufacturing cheese with raw or improperly pasteurized milk and postpasteurization contamination. If current Food and Drug Administration sanitary requirements for cheesemaking had been met, these outbreaks would have been preventable. In two outbreaks of Salmonella infections, fewer than 10 Salmonella per 100 g of cheese were detected. In two outbreaks of Brucella infections, efforts to recover the pathogen from the implicated cheese were unsuccessful, emphasizing the inadequacy of end product testing for assuring consumer safety. Curing cheeses kills most bacteria present in cheeses; however, evidence from sources other than the CDC Foodborne Disease Outbreak Surveillance System suggests that curing alone may not be a sufficient pathogen control step to eliminate Salmonella, Listeria, and E. coli O157:H7 from cheese.

scholarly journals Biogas Upgrading: A Review of National Biomethane Strategies and Support Policies in Selected Countries

Energies ◽  
2019 ◽  
Vol 12 (19) ◽  
pp. 3803 ◽  
Author(s):  
Schmid ◽  
Horschig ◽  
Pfeiffer ◽  
Szarka ◽  
Thrän
Keyword(s):  
State Level ◽  
The United States ◽  
Renewable Energies ◽  
Country Comparison ◽  
National Differences ◽  
Global Status ◽  
Legislative Framework ◽  
Cross Country ◽  
Framework Conditions

Bioenergy contributes significantly towards the share of renewable energies, in Europe and worldwide. Besides solid and liquid biofuels, gaseous biofuels, such as biogas or upgraded biogas (biomethane), are an established renewable fuel in Europe. Although many studies consider biomethane technologies, feedstock potentials, or sustainability issues, the literature on the required legislative framework for market introduction is limited. Therefore, this research aims at identifying the market and legislative framework conditions in the three leading biomethane markets in Europe and compare them to the framework conditions of the top six non-European biomethane markets. This study shows the global status and national differences in promoting this renewable energy carrier. For the cross-country comparison, a systematic and iterative literature review is conducted. The results show the top three European biomethane markets (Germany, United Kingdom, Sweden) and the six non-European biomethane markets (Brazil, Canada, China, Japan, South Korea, and the United States of America), pursuing different promotion approaches and framework conditions. Noteworthy cross-national findings are the role of state-level incentives, the tendency to utilise biomethane as vehicular fuel and the focus on residues and waste as feedstock for biomethane production. Presenting a cross-country comparison, this study supports cross-country learning for the promotion of renewable energies like biomethane and gives a pertinent overview of the work.

scholarly journals Analysis of horse breeding and equestrian sports in the Republic of Croatia

2011 ◽  
Vol 27 (3) ◽  
pp. 415-429
Author(s):  
M. Baban ◽  
M. Sakac ◽  
N. Korabi ◽  
B. Antunovic ◽  
P. Mijic ◽  
...  
Keyword(s):  
Transitional Period ◽  
Therapeutic Riding ◽  
Breeding Programs ◽  
Long Period ◽  
Horse Breeding ◽  
Equestrian Sports ◽  
Central Register ◽  
Total Proportion ◽  
The Republic ◽  
Show Jumping

Horse breeding in the Republic of Croatia, before its entrance into European Union, is in the transitional period. In the breeding sense, Croatian horse breeding is set according to the model of European countries and is trying to counteract with ?modern horse breeding countries?. Croatian Center for Horse Breeding - Djakovo and Lipik State Stud Farms (CCHB), with the Central register of equidae is, as the head national institution, responsible for running and maintaining national central equidae database (49 registers of horses and 27 registers of breeding types). Croatia has registered total of 21.796 equidae, from which 19.306 animals are horses. Registered horses according to groups make the total proportion of 37% warmblood horses, 59% coldblood horses and 4% ponies. Horse breeders are organized in breeders associations, which form federations of associations referring to separate horse breeds. Currently in Croatia there are four federations of breeders associations (with 43 associations and 11 private stud farms). Those verified breeding organizations are conducting independently breeding programs and fully maintain breeding and selection obligations for horse breeds for which they have approval of the Croatian Ministry. Native breeds in Croatia are Croatian Coldblood, Croatian Posavac and Medjimurje horse (Murinsulaner), while Lipizzan horse is considered as protected breed. Development of horse breeding is considerably supported with national subsidies. Internationally verified breeds which are bred in Croatia are Lipizzan horse, Pure Arabian horses, Thoroughbred, Haflinger and Gidran horses. The horse breeding in Croatia is developing in four different directions. Ecological breeding implies native horse breeds and is spread on the areas of protected nature resorts in Croatia. Croatians are through their history connected to horse breeding, which is even today irreplaceable in traditional cultural manifestations (Djakovacki vezovi, Vinkovacke jeseni, Sinjska alka, etc.), various horse shows and fairs and also in more ?modern? ways through recreation and entertainment. The third direction of development of horse breeding in Croatia is therapeutic riding, which includes 26 associations, over one hundred horses and over one thousand users organized under the Therapeutic Riding Association of Croatia. Sports horse breeding represents fourth direction in Croatian horse breeding. It is formed by four federations: Croatian Trotting Federation (trotting), Croatian Gallop Federation (gallop sport) and Croatian Equestrian Federation (endurance, dressage, military, show jumping, driving). Croatian Equestrian Federation includes 49 equestrian clubs. In the last four years between 455 and 582 competitors and between 495 and 581 horses (for show jumping 45%, dressage 31%, endurance 19%, driving 5% and military) were licensed annually. Croatia achieved noticeable results on the international scene in driving sports and in Paralympics. In all mentioned directions of Croatian horse breeding, the tendency should be directed to achieving higher breeding standards (nutrition, stabling, transport, training) and more rational using of horses. Such breeding and using of horses will lead to top bred horses and successful sport horses. This implies synchronized work through long period of time, respecting institutional and breeding rules.

scholarly journals Projected resurgence of COVID-19 in the United States in July-December 2021 resulting from the increased transmissibility of the Delta variant and faltering vaccination

2021 ◽  
Author(s):  
Shaun Truelove ◽  
Claire P. Smith ◽  
Michelle Qin ◽  
Luke C. Mullany ◽  
Rebecca K. Borchering ◽  
...  
Keyword(s):  
United States ◽  
Vaccination Coverage ◽  
Vaccine Coverage ◽  
Public Health Practice ◽  
The United States ◽  
Social Contacts ◽  
Vaccination Uptake ◽  
The Us ◽  
Novel Variant ◽  
Report Data

What is already known about this topic? The highly transmissible SARS-CoV-2 Delta variant has begun to cause increases in cases, hospitalizations, and deaths in parts of the United States. With slowed vaccination uptake, this novel variant is expected to increase the risk of pandemic resurgence in the US in July-December 2021. What is added by this report? Data from nine mechanistic models project substantial resurgences of COVID-19 across the US resulting from the more transmissible Delta variant. These resurgences, which have now been observed in most states, were projected to occur across most of the US, coinciding with school and business reopening. Reaching higher vaccine coverage in July-December 2021 reduces the size and duration of the projected resurgence substantially. The expected impact of the outbreak is largely concentrated in a subset of states with lower vaccination coverage. What are the implications for public health practice? Renewed efforts to increase vaccination uptake are critical to limiting transmission and disease, particularly in states with lower current vaccination coverage. Reaching higher vaccination goals in the coming months can potentially avert 1.5 million cases and 21,000 deaths and improve the ability to safely resume social contacts, and educational and business activities. Continued or renewed non-pharmaceutical interventions, including masking, can also help limit transmission, particularly as schools and businesses reopen.

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