scholarly journals Athletic Training and Public Health Summit

2016 ◽  
Vol 51 (7) ◽  
pp. 576-580 ◽  
Author(s):  
Mark Hoffman ◽  
Viktor Bovbjerg ◽  
Kim Hannigan ◽  
Jennifer M. Hootman ◽  
Sam T. Johnson ◽  
...  

Objective: To introduce athletic trainers to the benefits of using a population-based approach to injury and illness prevention and to explore opportunities for partnering with public health professionals on these initiatives. Background: Athletic trainers play leading roles in individual injury and illness prevention but are less familiar with policy development, evaluation, and implementation from a population-level standpoint. The Athletic Training and Public Health Summit was convened to understand, explore, and develop the intersection of athletic training and public health. Conclusions: To further the integration of athletic training within the public health arena, athletic trainers must expand their professional focus beyond the individual to the population level.

Author(s):  
Nicole K. Y. Tang ◽  
Esther F. Afolalu ◽  
Fatanah Ramlee

Pain and sleeplessness are two of the commonest reasons for primary care appointments. The prevalence of each problem alone is high, and to add to the complexity, pain and insomnia frequently co-occur, with pain interrupting sleep and pain being further aggravated following a poor night’s sleep. Sleep and pain management are increasingly recognized as important to public health. In particular, insomnia and chronic pain are long-term conditions that actively contribute to morbidity, disability, economic burden to society, and suffering to the individual and immediate family. This chapter examines the interrelationship between the two at the population level. Specifically, evidence from population-based studies regarding the co-occurrence and temporal link of pain and sleep is reviewed, with moderators and mediators of the relationship highlighted. Possible directions for future research and treatment development are also outlined.


2021 ◽  
Vol 23 (Supplement_B) ◽  
pp. B158-B160
Author(s):  
Fastone Goma ◽  
Charity Syatalimi ◽  
Penias Tembo ◽  
Musawa Mukupa ◽  
Theresa Chikopela ◽  
...  

Abstract In Zambia, hypertension accounts for the highest proportion of deaths due to cardiovascular diseases causing 3.3% of all deaths, killing an average of 670 people per year. May Measurement Month (MMM) is an annual global screening campaign aiming to improve awareness of blood pressure (BP) at the individual and population level. Adults (≥18 years) recruited through opportunistic sampling were screened at multiple sites within Lusaka during May and June 2019. Ideally, three BP readings were measured for each participant, and data on lifestyle factors and comorbidities were collected. Data were analysed centrally by the MMM project team and multiple imputations were performed where necessary. Of the total of 9232 enrolled, 8.7% of them had never had their BP measured, 2.5% had diabetes mellitus, 1.9% had had a myocardial infarction, 1.5% had had a stroke, 10.6% were current smokers, and 10.0% consumed alcohol once or more per week. Blood pressure fell from a mean of 128.6/82.9 mmHg for the 1st reading to a mean of 123.2/80.0 mmHg for the 3rd reading. The lowest proportion of participants with hypertension was identified by the 3rd reading alone (30.0%). Of all the participants, 30.7% had hypertension, though only 42.6% of them were aware of their diagnosis. Seven hundred and eighty-three (27.6%) were on antihypertensive medication though only 35.0% of them had controlled BP (systolic BP <140 mmHg and diastolic BP <90 mmHg). Compared with MMM17 data, there is deterioration of the monitored parameters calling for urgent and accelerated public health policy and clinical practice interventions. We think that the MMM campaign should continue annually to raise awareness of this treatable condition.


Author(s):  
Emma Rary ◽  
Sarah M. Anderson ◽  
Brandon D. Philbrick ◽  
Tanvi Suresh ◽  
Jasmine Burton

The health of individuals and communities is more interconnected than ever, and emergent technologies have the potential to improve public health monitoring at both the community and individual level. A systematic literature review of peer-reviewed and gray literature from 2000-present was conducted on the use of biosensors in sanitation infrastructure (such as toilets, sewage pipes and septic tanks) to assess individual and population health. 21 relevant papers were identified using PubMed, Embase, Global Health, CDC Stacks and NexisUni databases and a reflexive thematic analysis was conducted. Biosensors are being developed for a range of uses including monitoring illicit drug usage in communities, screening for viruses and diagnosing conditions such as diabetes. Most studies were nonrandomized, small-scale pilot or lab studies. Of the sanitation-related biosensors found in the literature, 11 gathered population-level data, seven provided real-time continuous data and 14 were noted to be more cost-effective than traditional surveillance methods. The most commonly discussed strength of these technologies was their ability to conduct rapid, on-site analysis. The findings demonstrate the potential of this emerging technology and the concept of Smart Sanitation to enhance health monitoring at the individual level (for diagnostics) as well as at the community level (for disease surveillance).


2019 ◽  
Vol 35 (1) ◽  
pp. 160-170 ◽  
Author(s):  
Kathryn A Pfaff ◽  
Lisa Dolovich ◽  
Michelle Howard ◽  
Deborah Sattler ◽  
Merrick Zwarenstein ◽  
...  

Summary Designing and implementing population-based systems of care that address the social determinants of health, take action on multiple levels, and are guided by evidence-based principles is a pressing priority, and an international challenge. Aging persons are a priority demographic whose health needs span physical, psychosocial and existential care domains, increase in the last year of life, are often poorly coordinated and therefore remain unmet. Compassionate communities (CCs) are an example of a public health approach that fully addresses the holistic healthcare needs of those who are aging and nearing end of life. The sharing of resources, tools, and innovations among implementers of CCs is occurring globally. Although this can increase impact, it also generates complexity that can complicate robust evaluation. When initiating population health level projects, it is important to clearly define and organize concepts and processes that are proposed to influence the health outcomes. The Health Impact Change Model (HICM) was developed to unpack the complexities associated with the implementation and evaluation of a Canadian CC intervention. The HICM offers utility for citizens, leaders and decision-makers who are engaged in the implementation of population health level strategies or other social approaches to care, such as compassionate cities and age or dementia-friendly communities. The HICM’s concepts can be adapted to address a community’s healthcare context, needs, and goals for change. We share examples of how the model’s major concepts have been applied in the development, evaluation and spread of a complex CC approach.


Author(s):  
Venetia A. Saunders ◽  
Richard Gregory ◽  
Jon R. Saunders

Individual-based computational modeling of biological systems is an important complement to experimental research. The individual-based model (IbM) is a bottom-up approach that considers the fate of individuals, their properties and interactions, and the influence of these interactions, holistically, on properties of the system. This contrasts with population- based models dependent on averaged behaviour of the whole system (DeAngelis & Gross, 1992; Huston, DeAngelis, & Post, 1988). IbMs can track individuals in time so that unusual events can be captured. They are particularly suited to biological simulations, where individuals might represent virtual plants, animals, or microorganisms in differing ecosystems. Lower complexity, coupled with the wealth of genetic knowledge about bacteria, allow for more realistic simulations compared with higher organisms. Accordingly, a lineage of IbMs, including Bacteria Simulator (BacSim) (Kreft, Booth, & Wimpenny, 1998; Kreft, Picioreanu, Wimpenny, & van Loosdrecht, 2001), INDividual DIScrete SIMulation (INDISIM) (Ginovart, Lopez, & Gras, 2005; Ginovart, Lopez, & Valls, 2002; Prats, Lopez, Giro, Ferrer, & Valls, 2006), COmputing Systems of Microbial Interactions and Communications (COSMIC) (Gregory, Paton, Saunders, & Wu, 2004; Paton, Gregory, Vlachos, Saunders, & Wu, 2004), RUle-based BActerial Modeling (RUBAM) (Paton, Vlachos, Wu, & Saunders, 2006; Vlachos, Paton, Saunders, & Wu, 2006) and COSMIC-Rules (Gregory, Saunders, & Saunders, 2006, 2008b), based on COSMIC and RUBAM, has been developed for bacterial simulations. Although all these models are individual-based, underlying simulation mechanisms and aims vary. BacSim was the first to use IbM in a recognizable biological context (Kreft et al., 1998, 2001) aiming to model growth and cell division, quantitatively, at the population level, using a pseudocontinuous 2-dimensional world with restricted nutrients. INDISIM is based on stronger mathematical foundations, and is a discrete space and time stochastic simulation of colony growth, largely based on random variables (Ginovart et al., 2002). Each cell is a set of parameters existing at a discrete location. COSMIC uses pseudocontinuous space and discrete time to model evolution of cells (Gregory et al., 2004). Each cell contains a bit string genome that interacts with itself and the environment. This model is largely deterministic, although random events do have a role. It can run in a parallel machine, though any random effects this creates have been removed. RUBAM is a simplification of COSMIC, with pseudocontinuous space, discrete time, and a much more simplified genome. It aims to model adaptation (Vlachos et al., 2006). The simplified genome allows for comparatively rapid simulations that show adaptation and acquired resistance to antibiotics. COSMIC-Rules is a culmination of IbM modeling design, having an effective balance of modeling detail while being computationally tractable (Gregory et al., 2006, 2008b). Like COSMIC, it is a parallel simulation with pseudocontinuous space and discrete time. It uses a genome abstraction to represent the conditions and outputs of complex biochemical pathways, while incorporating an element of specificity and means of simulating evolution. Like the other IbMs considered here, each individual has its own parameters and state. Unlike the other IbMs, the scope of COSMIC-Rules covers vertical and horizontal gene transfer using populations of millions of cells.


Author(s):  
Robert Lipton ◽  
D. M. Gorman ◽  
William F. Wieczorek ◽  
Aniruddha Banerjee ◽  
Paul Gruenewald

From John Snow’s pioneering work on cholera in the 19th century until the present day, placing illness and disease within the context of a geographic framework has been an integral, if understated, part of the practice of public health. Indeed, geographical/spatial methods are an increasingly important tool in understanding public health issues. Spatial analysis addresses a seemingly obvious yet relatively misunderstood aspect of public health, namely, studying the dynamics of people in places. As advances in computer technology increase almost exponentially, computer intensive spatial methods (including mapping) have become an appealing way to understand the manner in which the individual relates to larger frameworks that compose the human community and the physical nature of human environments (streets with intersections, dense vs. sparse neighborhoods, high or low densities of liquor stores or restaurants, etc.). Spatial methods are extremely data intensive, often pulling together information from disparate sources that have been collected for other purposes such as research, business practice, governmental policy, and law enforcement. Although initially more demanding in regard to data manipulation compared to typical population level methods, the ability to compile and compare data in a spatial framework provides information about human populations that lies beyond typical survey or census research. We will discuss general methods of spatial analysis and mapping that will help to elucidate when and how spatial analysis might be used in a public health setting. This discussion will include a method for transforming arbitrary administrative units, such as zip codes, into a more useable uniform grid structure. In addition, a practical research example will be discussed focusing on the relationship between alcohol and violence. A relatively new Bayesian spatial method will be part of this example.


2019 ◽  
Vol 12 (3) ◽  
pp. 213-224 ◽  
Author(s):  
Jessica Nihlén Fahlquist

Abstract In contrast to medical care, which is focused on the individual patient, public health is focused on collective health. This article argues that, in order to better protect the individual, discussions of public health would benefit from incorporating the insights of virtue ethics. There are three reasons to for this. First, the collective focus may cause neglect of the effects of public health policy on the interests and rights of individuals and minorities. Second, whereas the one-on-one encounters in medical care facilitate a compassionate and caring attitude, public health involves a distance between professionals and the public. Therefore, public health professionals must use imagination and care to evaluate the effects of policies on individuals. Third, the relationship between public health professionals and the people who are affected by the policies they design is characterized by power asymmetry, demanding a high level of responsibility from those who wield them. Against this background, it is argued that public health professionals should develop the virtues of responsibility, compassion and humility. The examples provided, i.e. breastfeeding information and vaccination policy, illustrate the importance of these virtues, which needed for normative as well as instrumental reasons, i.e. as a way to restore trust.


2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Jennie Davis ◽  
Brietta Oaks ◽  
Reina Engle-Stone

Abstract Objectives The double burden of malnutrition (DBM) has received increased attention in research and policy arenas, with wide variation in how DBM is defined. We aimed to systematically identify current operational definitions for DBM (e.g., the coexistence of overnutrition and undernutrition) used in research and evaluate their frequency of use and implications for nutrition surveillance and programs. Methods We conducted a structured search for peer-reviewed articles published up to July 2017, using terms describing overnutrition (e.g., overweight, obesity) and undernutrition (e.g., stunting, anemia) in PubMed and Scopus. Additional references were added through snowball searches and online searches for gray literature. We included studies that reported DBM prevalence, including those with primary or secondary data analyses (see Figure 1). Screening of abstracts and full texts for inclusion was conducted in duplicate, with discrepancies resolved by discussion and consensus. Information extracted included the level of DBM assessment (population, household, or individual), measures of overnutrition and undernutrition (BMI, waist circumference, micronutrient status, etc.), and stated definitions of DBM. Results We identified 1920 titles and abstracts for screening through the structured search, and added an additional 66 papers and reports. Of these, 500 full-texts were reviewed and 239 were eligible for data extraction. Frequently-occurring DBM definitions included the coexistence of: 1) overweight/obesity and underweight within a population (e.g., entire country or region); 2) adult overweight/obesity and child stunting within a population or household; and 3) overweight/obesity and anemia or iron deficiency within an individual. DBM was most frequently measured at the population level, followed by the individual and household levels. Conclusions The most common operational definitions of DBM relied on population-level analyses of anthropometric indicators, with many studies leveraging existing data, such as national health surveys. Further research exploring DBM definitions in relation to key health outcomes and country priorities may help select indicators that best inform public health program and policy development. Funding Sources This work was supported by the USDA National Institute of Food and Agriculture Hatch Project. Supporting Tables, Images and/or Graphs


2019 ◽  
Vol 24 (5) ◽  
pp. 202-206
Author(s):  
Rebecca M. Hirschhorn ◽  
Cassidy Holland ◽  
Amy F. Hand ◽  
James M. Mensch

The relationship between athletic trainers (ATs) and physicians is crucial for the continuity of care for patients and can impact the advancement of the athletic training profession. This descriptive study utilized a questionnaire to examine the level of competence physicians believe ATs possess to perform tasks within their scope of practice, as outlined in theRole Delineation Study, 6th ed. Overall, physicians had favorable perceptions of ATs’ competence, with the most favorable perceptions relating to injury/illness prevention and immediate and emergency care. Opportunities should be sought out by ATs to educate physicians on all domains of athletic training practice. Future research should examine how these perceptions may change as athletic training education requirements change.


2016 ◽  
Vol 22 (3) ◽  
pp. 147-150
Author(s):  
David Foreman

SummaryRates of detected autism spectrum disorder (ASD) are currently rising, and there is a need for effective treatments to manage the symptoms. In this commentary I outline the challenges that autism presents to service delivery and consider a Cochrane review that evaluates one of the best-known classes of treatment for ASD, parent-mediated early intervention. I discuss effect size and bias in the interpretation of the review's results, and consider also the rationale for low- and high-intensity intervention at both the individual level and, from a public health perspective, at population level.


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