Cognitions That Support Concussion Reporting in Collegiate Athletes: An Analysis of a Worksheet Activity

2021 ◽  
pp. 109019812110465
Author(s):  
Meredith Kneavel ◽  
William Ernst

Background Sports related concussions continue to be a public health concern and improving reporting behavior a focus of educational programs. While educational programs have addressed changes in knowledge of concussion symptoms, it has been challenging to design educational programs which have lasting effects on reporting behavior. Aims The current analysis describes an intervention in which thoughts about reporting behavior are actively written down in a worksheet exercise to “pre-arm” athletes with cognitions designed to enhance reporting behavior prior to the injury event. Method A total of 503 male and female college athletes participating in collision (football, field hockey, ice hockey, lacrosse, and soccer) and contact sports (baseball, basketball, and softball) from 7 colleges/universities competing across all three NCAA divisions provided data collected during a randomized trial of a peer concussion education program. Results Qualitative analysis revealed 10 themes that would improve reporting including short-term benefits, faster recover, safe and healthy return to play, reporting helps the team, reporting protects the brain, risk aversion, long-term benefits, coach will be supportive, teammates will be supportive and understanding, and academic performance will be affected. Discussion Athletes had awareness of key risks involved in concussions and understood both short- and long-term consequences. Conclusion These findings have important implications for understanding how to change athletes’ thoughts about reporting concussions.

Author(s):  
Lindsay Sullivan ◽  
Audrey Alforque Thomas ◽  
Michal Molcho

Abstract Background/Aim: Sports-related concussions are now recognized as a major public health concern. However, despite the association of concussion with short- and long-term health consequences, many young athletes still lack basic knowledge about concussion and seem to believe that concussions may be “toughed out” and do not require medical attention. This study assessed self-reported practice of playing in training or a match while concussed among Gaelic Athletic Association (GAA) athletes in Ireland aged 13–25 years old (M=19.19, SD=3.54). This study also assessed knowledge about and attitudes towards sports-related concussion in GAA players in Ireland. Methods: Using a self-report questionnaire, data were captured electronically on GAA athletes aged 13–25 years old (n=80) regarding knowledge about the detection, assessment and management of sports-related concussion, as well as participant’s attitudes towards concussion and self-reported practice of playing in training or a match while concussed. Data were collected from June to August 2013. Results: This study revealed that approximately one in four athletes reported having played while concussed in practice or during a match. Males were significantly more likely to play while concussed than females (40.9% and 17.2%, respectively). Results from this study indicated participants lack a complete understanding of concussion, as common misconceptions about concussion prevailed. Analyses revealed that participants generally have safe attitudes towards concussion and concussion management. Conclusion: Generating awareness of the potential short- and long-term health consequences of concussion, coupled with the promotion of safer attitudes towards this injury, could minimize the number of players who return-to-play pre-maturely and promote a more safety-conscious sports culture in Ireland.


Author(s):  
O. Vlasova ◽  
Valeriya Konovalova ◽  
M. Fedotova

The article is devoted to the development of the practice of applying the procedures of professional and public accreditation of educational programs in the field of human resource management. An overview of the regulatory and methodological framework for conducting accreditation examinations is presented. The key issues of interaction between the Council for Professional Qualifications, the accrediting and educational organization are identified, their content is disclosed and recommendations for educational organizations on preparing for the accreditation examination are presented. The article presents an analysis of the main advantages that educational organizations receive when conducting professional-public accreditation of educational programs and the reasons for their resistance, among which a low level of awareness of the accreditation procedure, the benefits of its implementation in the short and long term, is highlighted. A number of prospects for the development of professional-public accreditation and the use of its results have been substantiated, which can contribute to an increase in the interest of participants in the educational services market.


2019 ◽  
Vol 8 (1) ◽  
pp. 35
Author(s):  
Achmad Padi

Wise leadership (education) will direct its ranks to wise teaching as well, grow from honing the main vision of teaching, gathering and reflecting various relevant information about the development of the current situation and embodying clarity of vision, and building further steps from the development of the current situation , and hierarchically compiled a team to study and implement all developments by holding on to the main normative keys of the Qur'an and Hadith. The purpose of this study is to describe efforts to support wise educational leadership: imperative leadership and steps to advance learning programs in order to prepare for 21st century education as a century of knowledge in the perspective of the Qur'an. From the discussion it was concluded that: to advance education and learning programs in schools, the school ranks, especially the principal, as the motorbike do the following things: 1) guided by the main key to change, namely the Qur'an and Hadith; 2) linking school elements and stakeholders in adjusting various aspects of the system and educator practices that contribute to learning achievement; 3) explore data updates on externally locally, regionally and nationally in order to identify current problems and plan internal improvements; 4) planning the development of educational programs to improve student achievement (short and long term); 5) consider the benefits of building support for change in improving educational programs from teachers, administrators, students, parents, education boards, and the wider community


2017 ◽  
Author(s):  
André C. Ferreira ◽  
Camila Z. Valle ◽  
Patricia A. Reis ◽  
Giselle Barbosa-Lima ◽  
Yasmine Rangel Vieira ◽  
...  

ABSTRACTZika virus (ZIKV) caused significant public health concern, because of its association with congenital malformations, neurological disorders in adults and, more recently, with deaths. Considering the necessity to mitigate the cases ZIKV-associated diseases, antiviral interventions against this virus are an urgent necessity. Sofosbuvir, a drug in clinical use against Hepatitis C Virus (HCV), is among the FDA-approved substances endowed with anti-ZIKV activity. In this work, we further investigated the in vivo activity of sofosbuvir against ZIKV. Neonatal Swiss mice were infected with ZIKV (2 x 107 PFU) and treated with sofosbuvir at 20 mg/kg/day, a concentration compatible with pre-clinical development of this drug. We found that sofosbuvir reduced acute levels of ZIKV from 60 to 90 % in different anatomical compartments, such as in blood plasma, spleen, kidney and brain. Early treatment with sofosbuvir doubled the percentage and time of survival of ZIKV-infected animals, despite the aggressive virus challenge assayed and also prevented the acute neuromotor impairment triggered by the virus. On the long-term behavior analysis of ZIKV-associated sequelae, sofosbuvir prevented loss of hippocampal- and amygdala-dependent memory. Our results point out that sofosbuvir inhibits ZIKV replication in vivo, which is consistent with the prospective necessity of antiviral drugs to treat ZIKV-infected individuals.


2021 ◽  
Vol 56 (1) ◽  
pp. 92-100
Author(s):  
Michelle L. Weber Rawlins ◽  
Cailee E. Welch Bacon ◽  
Phillip Tomporowski ◽  
Jennifer L. Gay ◽  
Laura Bierema ◽  
...  

Context Many survey-based methods have been used to explore concussion-reporting behavior. However, because the decision to report or conceal a concussion is likely multifactorial, this may narrow the findings, as the surveys were largely designed by the researchers. Objective To explore student-athletes' perspectives regarding factors that may influence the reporting of sport-related concussion. Design Qualitative study. Setting National Collegiate Athletic Association Division I athletics. Patients or Other Participants We conducted 17 semistructured interviews with student-athletes who had sustained 1 or more concussions while attending a large university (men = 4, women = 13, age = 20.9 ± 1.3 years). Data Collection and Analysis After data saturation and member checks, a 5-cycle analytic process was completed: topical review, literature review, data collection and summarizing using a codebook developed by a 3-person research team, linking of findings to current research, and final interpretations. Results We discovered 3 themes. Participants discussed concussion perceptions by describing their understanding of a concussion, their own injury experiences, and their perceptions of symptom severity and duration. Regarding reporting behavior, participants described an order of individuals with whom they would speak, symptoms present in order to report (eg, feeling different from normal), immediate reactions, and influential factors for mitigating short- and long-term consequences. Lastly, participants discussed the value of support systems, such as how coaches can both positively and negatively influence reporting and athletic trainer involvement. Conclusions Participants often drew from their own concussion experiences in naming common concussion signs and symptoms. Additionally, they indicated that both short- and long-term health consequences influenced and deterred their seeking care and that their support systems, including coaches and athletic trainers, played a role in their concussion experience. Research is needed to determine if using student-athletes' own words to describe a concussion and incorporating student-athletes' support systems, especially coaches and athletic trainers, is effective in increasing concussion reporting.


Neurology ◽  
2019 ◽  
Vol 93 (14 Supplement 1) ◽  
pp. S5.1-S5
Author(s):  
Anand Tripathi ◽  
Sundeep Dhanju ◽  
Steve Rowson ◽  
Eric Smith ◽  
Mike Goforth ◽  
...  

ObjectiveThe primary aim is to document the cumulative neuropathologic burden of sport-related concussion via brain biomarkers (e.g., S100B and GFAP) in collegiate athletes at baseline, during the acute phase of a concussive injury, at return to play, and upon completion of collegiate athletic participation.BackgroundSport-related concussion is a major public health concern currently. Yet, the diagnosis is all done clinically, without a standardized objective measurement that could definitively implicate the presence of a concussion. Previous studies have shown blood brain biomarkers to be useful in determining the diagnosis of traumatic brain injury. Indeed, few studies have shown biomarkers that are highly sensitive and specific for detecting concussion in the general population and the FDA has approved such a biokit for public use. This biokit is used to determine if a brain CT scan is needed for an alert patient that presents to the emergency department following head trauma. However, much more work is needed to for concussion diagnosis in collegiate athletes.Design/MethodsA retrospective study is being conducted to analyze the blood biomarkers and head acceleration data collected from a pilot project. Four different groups are being used in this study: (1) nonimpact, (2) vigorous athletic controls (swimming, running, and baseball), (3) non- concussed football player (active controls), and (4) concussed football players.ResultsPreliminary results indicate significant differences in the means for the aforementioned groups (F = 3.85, df = 5.69 p = 0.0070, n = 74). Serum S100B levels are also significantly different for pre- and post-concussion groups (F = 4.51, p = 0.0405, df = 37).ConclusionsThere is a statistical difference in the blood biomarker levels in concussed versus non-concussed players. Current work is being undertaken to correlate head acceleration data to serum biomarker findings of concussion at baseline, post injury and completion of collegiate athletic participation to further study biomarker as a diagnostic tool in athletes.


2020 ◽  
pp. 088626052094852 ◽  
Author(s):  
Francieli Sufredini ◽  
Carmen Leontina Ojeda Ocampo Moré ◽  
Scheila Krenkel ◽  
Maria Aparecida Crepaldi

Child and adolescent sexual abuse is considered to be a serious public health concern and a devastating form of violence with serious physical, mental, and behavioral consequences in the short and long term. This qualitative study aimed to identify maternal reactions to the disclosure of sexual violence and explore the comprehension regarding child and adolescent sexual abuse held by the mothers of child victims. Twelve mothers were interviewed, whose children had experienced a situation of sexual abuse and were receiving psychosocial care in a municipality in southern region of Brazil. The collected data were organized and analyzed using the principles of Grounded Theory with the Atlas.ti 7.5.7 software. From the analysis of the narratives, three main categories emerged: mothers with positive reactions, mothers with ambivalent reactions, and mothers with negative reactions. Mothers that presented positive reactions believed the report and supported their children, showing a comprehension that sexual abuse can occur in different ways and not only when there is penetration. The participants that had ambivalent reactions oscillated between maintaining or breaking off the relationship with the perpetrator of the violence, expressed initial disbelief regarding the report of the abused child, and had a comprehension that sexual abuse could be a form of affection. Mothers that had a negative reaction to the disclosure of abuse presented a contradictory narrative, minimizing the effects of the violence and placing the victims at fault regarding the abuse suffered. The importance of considering the possible relationships between the maternal comprehensions regarding child and adolescent sexual abuse and the reactions of these mothers during the professional intervention was demonstrated.


2021 ◽  
Vol 3 ◽  
Author(s):  
Georgie Bruinvels ◽  
Nathan A. Lewis ◽  
Richard C. Blagrove ◽  
Dawn Scott ◽  
Richard J. Simpson ◽  
...  

The SARS CoV-2 virus (COVID-19) caused the whole sporting calendar to be paused. As we embark on the challenge of navigating through the return to play (RTP) process, there is a necessity to consider the needs of all athletes. This commentary specifically considers recommendations and requirements for the female athlete with a physiological emphasis during and following the COVID-19 pandemic, however, it will be relevant for any similar future scenarios that may present. It is important to acknowledge that there remain many unknowns surrounding COVID-19 and the female athlete both in the short- and long-term.


Author(s):  
Nicholas D Buchanan ◽  
Jacob A Grimmer ◽  
Vineeta Tanwar ◽  
Neill Schwieterman ◽  
Peter J Mohler ◽  
...  

Abstract Cigarette smoking is the most preventable risk factor related to cardiovascular morbidity and mortality. Tobacco usage has declined in recent years; however, the use of alternative nicotine delivery methods, particularly e-cigarettes, has increased exponentially despite limited data on their short- and long-term safety and efficacy. Due to their unique properties, the impact of e-cigarettes on cardiovascular physiology is not fully known. Here, we summarize both preclinical and clinical data extracted from short- and long-term studies on the cardiovascular effects of e-cigarette use. Current findings support that e-cigarettes are not a harm-free alternative to tobacco smoke. However, the data are primarily derived from acute studies. The impact of chronic e-cigarette exposure is essentially unstudied. To explore the uniqueness of e-cigarettes, we contemplate the cardiovascular effects of individual e-cigarette constituents. Overall, data suggest that exposure to e-cigarettes could be a potential cardiovascular health concern. Further preclinical research and randomized trials are needed to expand basic and clinical investigations before considering e-cigarettes safe alternatives to conventional cigarettes.


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