Survey of laceration injuries experienced by US adolescent and young adult alpine skier racers during the 2018–2019 ski season

Author(s):  
Christie M Bielmeier ◽  
Jessica Man

Recently during ski racing competitions, a few high-profile accidents resulted in severe life-threatening laceration injuries. Ski-laceration injuries are caused by metal ski edges cutting through skin/muscles/arteries during falls and range in severity. There is a desire by the racing community to better protect skiers. However, current laceration injury research does not provide detailed information about laceration injuries or focus on adolescent and young adult ski racers. Therefore, the Self-Report Slash Injury Survey (Slash Survey) was conducted to (a) measure the frequency, severity, and body location of laceration injuries during skiing and (b) identify the skiing environment and ski maintenance level during laceration injuries. The Slash Survey was an online survey that asked participants ages 10–24, who are enrolled in US ski race programs, to report whether they experienced a laceration injury and what ski maintenance was used during the 2018–2019 ski season. The Slash Survey results suggest that the laceration injury rate during the 2018–2019 ski season was 6.8% and almost half the lacerations reported were considered slight (i.e. <1 day of absence from the sport). For respondents of the survey, no correlation was found between laceration injuries and (a) slope surface conditions, (b) outside temperature, (c) weather, (d) skiing activity, and (e) ski maintenance (tuning). From the survey, the most common ski tuning method was using a file guide by hand (29%), automated ski tune at a ski shop (20%), stone grind (17%), and cup wheel grinder (17%). Furthermore, open-ended responses suggest that a ski community narrative may be amplifying the awareness of laceration injuries. The aim of this survey was to establish detailed information about ski laceration injuries among adolescent and young adult US ski racers for the development of mitigation strategies.

2001 ◽  
Vol 5 (2) ◽  
pp. 115-115
Author(s):  
Ja Kahn ◽  
E Goodman ◽  
Ra Kaplowitz ◽  
Gb Slap ◽  
Sj Emans

2018 ◽  
Vol 21 (1) ◽  
pp. 12-23 ◽  
Author(s):  
Jennifer L. Cecilione ◽  
Lance M. Rappaport ◽  
Shannon E. Hahn ◽  
Audrey E. Anderson ◽  
Laura E. Hazlett ◽  
...  

The genetic and environmental contributions of negative valence systems (NVS) to internalizing pathways study (also referred to as the Adolescent and Young Adult Twin Study) was designed to examine varying constructs of the NVS as they relate to the development of internalizing disorders from a genetically informed perspective. The goal of this study was to evaluate genetic and environmental contributions to potential psychiatric endophenotypes that contribute to internalizing psychopathology by studying adolescent and young adult twins longitudinally over a 2-year period. This report details the sample characteristics, study design, and methodology of this study. The first wave of data collection (i.e., time 1) is complete; the 2-year follow-up (i.e., time 2) is currently underway. A total of 430 twin pairs (N = 860 individual twins; 166 monozygotic pairs; 57.2% female) and 422 parents or legal guardians participated at time 1. Twin participants completed self-report surveys and participated in experimental paradigms to assess processes within the NVS. Additionally, parents completed surveys to report on themselves and their twin children. Findings from this study will help clarify the genetic and environmental influences of the NVS and their association with internalizing risk. The goal of this line of research is to develop methods for early internalizing disorder risk detection.


2021 ◽  
Author(s):  
Diane Uschner ◽  
Matthew Bott ◽  
Michele Santacatterina ◽  
Mihili P Gunaratne ◽  
Lida Fette ◽  
...  

Importance: Real-world data are needed to assess incidence and factors associated with breakthrough SARS-CoV-2 infections following vaccination. Objective: Estimate incidence of breakthrough infections and assess associations with risk factors using self-reported data from a large NC population sample. Design: Prospective observational cohort study utilizing daily online survey data to capture information about COVID-19 symptoms, testing, and vaccination status. Setting: Six health care systems in North Carolina with data collected between January 15, 2021 and September 24, 2021. Participants: Adult study participants who reported full vaccination with a COVID-19 mRNA or J&J non-replicating viral vector vaccine (n = 16,020). Exposures: Potential community exposure to SARS-CoV-2. Main Outcome and Measures: Self-reported breakthrough infection. Results: SARS-CoV-2 infection after vaccination was self-reported in 1.9% of participants, with an incidence rate of 7.3 per 100,000 person-years. Younger age (45-64 vs. 18-44: HR (95% CI) = 0.65 (0.51-0.82); 65+ vs. 18-44: HR (95% CI) = 0.59 (0.39-0.90)), and vaccination with J&J Ad26.COV2.S were associated with a higher risk of breakthrough infection compared to vaccination with Pfizer BNT162b2 (Ad26.COV2.S vs. BNT162b2: HR (95% CI) = 2.23 (1.40-3.56)), while participants vaccinated with mRNA-1273 (mRNA-1273 vs. BNT162b2: HR (95% CI) = 0.69 (0.50-0.96) and those residing in urban counties experienced a lower rate of SARS-CoV-2 breakthrough infection compared with those from suburban (HR (95% CI) = 1.39 (1.01-1.90)) or rural (HR (95% CI) = 1.57 (1.16-2.11)) counties. There was no significant association between breakthrough infection and participant sex, race, healthcare worker status, prior COVID-19 infection, routine mask use, or overall vaccination rate in the county of residence. Conclusions and Relevance: This NC community-based observational study showed that the proportion of the cohort who self-report breakthrough SARS-CoV-2 infections was 7.3 events per 100,000 person-years. Younger adults, those vaccinated with J&J Ad26.COV2.S, and those residing in suburban or rural counties were at higher risk of breakthrough infections and should be targeted for additional risk mitigation strategies to decrease community transmission.


Rheumatology ◽  
2019 ◽  
Vol 58 (Supplement_4) ◽  
Author(s):  
Elizabeth Smith ◽  
Emily Willis ◽  
Janet McDonagh

Abstract Background The need for training in adolescent and young adult (AYA) health is highlighted in paediatrics, adult medical trainees and the EULAR transition guidance. We aim to identify the current training needs of healthcare professionals regarding AYA health in a UK region including paediatric and adult rheumatology professionals. Methods An online survey designed using SelectSurvey.NET for healthcare professionals was distributed by email using a snowballing technique after piloting (1 nurse, 3 doctors). A control question was included on safeguarding, which is mandatory training for all healthcare professionals irrespective of setting. Results The overall response rate was 20% (166/820) and included 56% (n = 88/158 doctors -39% of whom were trainees), and 29% (n = 46/158) nurses. 8 identified themselves as rheumatology professionals (8/293, 3% rheumatology-specific response rate). 51% (n = 85/166) of healthcare professionals (including 2 rheumatology professionals) reported having received no formal training in AYA health (43% were doctors, 67% nurses). Of those who had previous training, the main training method was lecture based, with only 7% having accessed the UK Adolescent Health e-learning project. In comparison to 85% and 78% reporting adequate knowledge and skill respectively in safeguarding, less than 40% reported adequate knowledge and/or skills in key areas of AYA health (see Table 1). Respondents who had received training perceived themselves to have better knowledge and skills across many areas of AYA than those who had not received such training. Finally, in some areas of AYA health, there was a large discrepancy between perceived knowledge and skill level. P33 Table 1 Area of AYA Health % of Healthcare Professionals with Adequate Knowledge % of Healthcare Professionals with Adequate Skill Rheumatology (n = 8) Rest (n = 137) Rheumatology (n = 8) Rest (n = 126) Safeguarding 87.5% 85% 75% 78% Confidentiality & consent 75% 75% 75% 70% Home/family 37.5% 61% 50% 48% Health management 37.5% 56% 37.5% 52% Transitional care 62.5% 54% 75% 47% Eating 12.5% 54% 12.5% 40% Exercise 25% 53% 25% 44% Sleep 50% 43% 37.5% 40% Peer relations 25% 43% 25% 34% Safety 37.5% 40% 37.5% 29% Mental health 12.5% 39% 25% 36% Education/vocation 37.5% 34% 37.5% 27% Sexual health 25% 35% 12.5% 28% Social media 12.5% 33% 25% 30% Substance use 0% 31% 0% 20% Conclusion There is still a need to both raise awareness of and improve training opportunities for all healthcare professionals who interact with adolescents and young adults, including rheumatology. This training should be both practical and knowledge based to overcome the discrepancy between knowledge and skill levels. Conflicts of Interest The authors declare no conflicts of interest.


2000 ◽  
Vol 96 (4) ◽  
pp. 625-631
Author(s):  
JESSICA A. KAHN ◽  
ELIZABETH GOODMAN ◽  
REBEKAH A. KAPLOWITZ ◽  
GAIL B. SLAP ◽  
S. JEAN EMANS

2020 ◽  
Author(s):  
Taylor Kohut ◽  
William Fisher

The connection between pornography use and sexual violence remains an ongoing concern within and outside academia. The current research sought to test Confluence Model reasoning that pornography use will be most strongly related to sexual aggression among men who are high in the predisposing risk factors of hostile masculinity and impersonal sexuality. To this end, a sample of young adult (18-24 years of age) males from Mechanical Turk (N = 1,528) and two national samples of young adult Canadian males who were currently enrolled (N = 1,049) or not currently enrolled (N = 905) in post-secondary education completed self-report measures of pornography use, hostile masculinity, impersonal sexuality, and sexual aggression in an online survey. Results supported some aspects of Confluence Model theorizing but challenged others. When pornography use was operationalized with a contemporary approach that assessed use of all forms of pornography, the results did not confirm a positive relationship between pornography use and sexual aggression among men with high levels of hostile masculinity and impersonal sexuality. When operationalized as the use of pornographic magazines, a relatively uncommon contemporary form of pornography consumption, pornography use was found to be correlated with sexual aggression, and the magnitude of this association was larger among men who were high in either hostile masculinity or impersonal sexuality, depending on the sample. These discrepant findings serve as a challenge to causal explanations for previously published correlations of pornography use and sexual aggression and a warning about the non-equivalence of pornography use measures.


2018 ◽  
Vol 8 (12) ◽  
pp. 116 ◽  
Author(s):  
Crystal Park ◽  
Sinead Sinnott

Posttraumatic growth has garnered increasing interest as a potential positive consequence of traumatic events and illnesses. However, scientific investigations have yet to demonstrate the validity of self-reports of posttraumatic growth. The most common measure used to assess this construct is the Post Traumatic Growth Inventory (PTGI); however, the extent to which the PTGI (as well as other self-report measures of perceived posttraumatic growth; PPTG) assess actual positive change remains unknown. The present study aimed to examine the validity of PPTG measures. We assessed 83 adolescent and young adult (AYA) cancer survivors at two time points, one year apart. We measured the stability of PTGI from T1 to T2, correlated three measures of PPTG that used different methods (only positive, positive or negative, positive and negative change) with wellbeing measures, and compared PTGI scores with changes in psychosocial resources. PTGI scores were stable over time. More nuanced measures of PPTG appeared to capture more perceived change, although no measure of PPTG was favorably related to wellbeing. Finally, PTGI did not correlate with change in psychosocial resources, with the exception of spirituality. Overall, our results suggest that measures of PPTG do not capture actual positive changes experienced by AYA cancer survivors.


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