scholarly journals Factors Associated With Lower Limb Injuries in Recreational Runners: A Cross-Sectional Survey Including Mental Aspects and Sleep Quality

2021 ◽  
pp. 204-215
Author(s):  
Seyed Hamed Mousavi ◽  
Juha M. Hijmans ◽  
Hooman Minoonejad ◽  
Reza Rajabi ◽  
Johannes Zwerver
Keyword(s):  
Risk Factors ◽  
Sleep Quality ◽  
Potential Risk ◽  
Pain Syndrome ◽  
Perceived Health ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Limb Injuries ◽  
Potential Risk Factors ◽  
Recreational Runners

Knowledge about prevalence and etiology of running-related injuries (RRIs) is important to design effective RRI prevention programs. Mental aspects and sleep quality seem to be important potential risk factors, yet their association with RRIs needs to be elucidated. The aims of this study are to investigate the epidemiology of RRIs in recreational runners and the association of mental aspects, sleep, and other potential factors with RRIs. An internet-based questionnaire was sent to recreational runners recruited through social media, asking for personal and training characteristics, mental aspects (obsessive passion, motivation to exercise), sleep quality, perceived health, quality of life, foot arch type, and RRIs over the past six months. Data were analyzed descriptively and using logistic regression. Self-reported data from 804 questionnaires were analyzed. Twenty-five potential risk factors for RRIs were investigated. 54% of runners reported at least one RRI. The knee was the most-affected location (45%), followed by the lower leg (19%). Patellofemoral pain syndrome was the most-reported injury (20%), followed by medial tibial stress syndrome (17%). Obsessive passionate attitude (odds ratio (OR):1.35; 95% confidence interval (CI):1.18-1.54), motivation to exercise (OR:1.09; CI:1.03-1.15), and sleep quality (OR:1.23; CI:1.15-1.31) were associated with RRIs, as were perceived health (OR:0.96; CI:0.94-0.97), running over 20 km/week (OR:1.58; CI:1.04-2.42), overweight (OR:2.17; CI:1.41-3.34), pes planus (OR:1.80; CI:1.12-2.88), hard-surface running (OR:1.37; CI:1.17-1.59), running company (OR:1.65; CI:1.16-2.35), and following a training program (OR:1.51; CI:1.09-2.10). These factors together explained 30% of the variance in RRIs. A separate regression analysis showed that mental aspects and sleep quality explain 15% of the variance in RRIs. The association of mental aspects and sleep quality with RRIs adds new insights into the multifactorial etiology of RRIs. We therefore recommend that besides common risk factors for RRI, mental aspects and sleep be incorporated into the advice on prevention and management of RRIs.

scholarly journals Epidemiology and etiology of lower limb injuries in Iranian recreational runners

2019 ◽  
Author(s):  
Seyed Hamed Mousavi ◽  
Juha Hijmans ◽  
Hooman Minoonejad ◽  
Reza Rajabi ◽  
Behrooz Alizadeh ◽  
...  
Keyword(s):  
Risk Factors ◽  
Sleep Quality ◽  
Psychological Factors ◽  
Pain Syndrome ◽  
Poor Sleep ◽  
Pes Planus ◽  
Hard Surface ◽  
Limb Injuries ◽  
Recreational Runners ◽  
Reported Data

Abstract Background Knowledge about prevalence and etiology of running-related injuries (RRIs) is important to tailor an effective RRI prevention program. We aimed to investigate the prevalence and etiology of RRIs in Iranian recreational runners.Methods An internet-based self-developed questionnaire was sent to recreational runners recruited through social media. The questionnaire asked about personal and training characteristics, psychological factors (passion, BERQ-2, RAND-36), SQUASH, sleep, foot type and RRIs over the last six months. Data were analyzed descriptively and using logistic regression.Results Self-reported data from 804 questionnaires were analyzed. Twenty-five potential risk factors for RRIs were investigated. The male-to-female proportion was 57.5:42.5. 54% of runners reported at least one RRI. Patellofemoral pain syndrome was the most-reported injury (19.8%), followed by medial tibial stress syndrome (16.9%). Knee was the most-affected location (44.6%), followed by lower leg (19.2%). The variables associated with RRIs were: overweight (odds ratio (OR):1.77), pes planus (OR:1.81), running over 20 km/week (OR:1.62), hard-surface running (OR:1.38), running company (OR:1.74), following a training program (OR:1.50), obsessive passionate attitude (OR:1.05), RAND-36 (OR:0.96), and sleep quality (OR:1.46). Associated factors for all different RRI types were analyzed too.Conclusions Overweight, running over 20 km/week, hard-surface running, having pes planus or cavus, higher obsessive passion, lower RAND-36, and poor sleep quality were the most predictive risk factors for RRIs types. This study highlighted the importance of psychological factors besides abnormal foot arch and some training-related risk factors for RRIs in Iranian runners. These results may be useful for runners and coaches to tailor effective training programs and to design RRI prevention programs that may help clinicians when managing RRIs.

The Crossroads of Posttraumatic Stress Disorder and Physician Burnout: A National Review of United States Trauma and Nontrauma Surgeons

2019 ◽  
Vol 85 (2) ◽  
pp. 127-135 ◽  
Author(s):  
Theresa N. Jackson ◽  
Jake P. Morgan ◽  
Diane L. Jackson ◽  
Taylor R. Cook ◽  
Kevin McLean ◽  
...  
Keyword(s):  
Risk Factors ◽  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Potential Risk ◽  
Stress Disorder ◽  
Physician Burnout ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Significant Difference ◽  
Potential Risk Factors

Posttraumatic stress disorder (PTSD) among trauma surgeons is three times that of the general population, and physician burnout (PBO) among surgeons is rising. Given that PTSD and PBO are both stress-based syndromes, we aim to identify the prevalence and risk factors for PTSD among trauma and nontrauma surgeons, and determine if a relationship exists. A cross-sectional survey of surgeons was conducted between September 2016 and May 2017. Respondents were screened for PTSD and PBO. Traumatic stressors were identified, and 20 potential risk factors were assessed. The respondents (n = 1026) were grouped into trauma (n = 350) and nontrauma (n = 676). Between the cohorts, there was no significant difference in prevalence of screening positive for PTSD (17% vs 15%) or PBO (30% vs 25%). A relationship was found between PTSD and PBO (P < 0.001). The most common traumatic stressor was overwhelming work responsibilities. Potential risk factors for PTSD differed, but overlapping risk factors included hospital culture, hospital support, and salary (P < 0.05). Our findings of an association between PTSD and PBO is concerning. Interventions to reduce rates of PTSD should target changing the existing culture of surgery, improving hospital support, and ensuring equitable pay.

scholarly journals Mental Health of Physicians During COVID-19 Outbreak in Bangladesh: A Web-Based Cross-Sectional Survey

2021 ◽  
Vol 9 ◽  
Author(s):  
Most. Farida Khatun ◽  
Most. Firoza Parvin ◽  
Md. Mamun-ur Rashid ◽  
Md. Shah Alam ◽  
Most. Kamrunnahar ◽  
...  
Keyword(s):  
Mental Health ◽  
Risk Factors ◽  
Marital Status ◽  
Potential Risk ◽  
Anxiety And Depression ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Web Based ◽  
Logistic Regression Models ◽  
Potential Risk Factors

There have been numerous studies about the health implication of COVID-19 on patients, but little attention has been paid to the impacts of the pandemic on physicians. Our paper attends to this gap by exploring the mental health of physicians in Bangladesh during the COVID-19 pandemic. This is particularly important since the mental health of physicians impacts not only on themselves, but also their professional performance and hence the care of patients. This study examined physicians' mental health outcomes by evaluating the prevalence and associated potential risk factors of anxiety and depression. Using a web-based cross-sectional survey, we collected data from 114 physicians. Seven-item Generalized Anxiety Disorder (GAD-7) scale and Nine-item Patient Health Questionnaire (PHQ-9) were used to measure the anxiety and depression, respectively. Multivariate logistic regression models were used to explore the potential risk factors related to anxiety and depression. The prevalence of anxiety and depression were 32.5 and 34.2%, respectively. Findings revealed that marital status, work per day and current job location were the main risk factors for anxiety while sex, age, and marital status were the main risk factors for depression. Our results highlight the need to implement policies and strategies for positively impacting the mental health of physicians during and after the COVID-19 pandemic.

scholarly journals Sero-epidemiological survey of bluetongue disease in one-humped camel (Camelus dromedarius) in Kassala State, Eastern Sudan

2021 ◽  
Vol 74 (1) ◽  
Author(s):  
Molhima M. Elmahi ◽  
Mohammed O. Hussien ◽  
Abdel Rahim E. Karrar ◽  
Amira M. Elhassan ◽  
Abdel Rahim M. El Hussein
Keyword(s):  
Risk Factors ◽  
Potential Risk ◽  
Animal Health ◽  
Water Source ◽  
Economic Losses ◽  
Enzyme Linked Immunosorbent Assay ◽  
Serum Samples ◽  
Cross Sectional ◽  
Potential Risk Factors ◽  
Eastern Sudan

Abstract Background Bluetongue (BT) is a vector-borne viral disease of ruminant and camelid species which is transmitted by Culicoides spp. The causative agent of BT is bluetongue virus (BTV) that belongs to genus Orbivirus of the family Reoviridae. The clinical disease is seen mainly in sheep but mostly sub-clinical infections of BT are seen in cattle, goats and camelids. The clinical reaction of camels to infection is usually not apparent. The disease is notifiable to the World Organization for Animal Health (OIE), causing great economic losses due to decreased trade and high mortality and morbidity rates associated with bluetongue outbreaks. The objective of this study was to investigate the seroprevalence of BTV in camels in Kassala State, Eastern Sudan and to identify the potential risk factors associated with the infection. A cross sectional study using a structured questionnaire survey was conducted during 2015–2016. A total of 210 serum samples were collected randomly from camels from 8 localities of Kassala State. The serum samples were screened for the presence of BTV specific immunoglobulin (IgG) antibodies using a competitive enzyme-linked immunosorbent assay (cELISA). Results Seropositivity to BTV IgG was detected in 165 of 210 camels’ sera accounting for a prevalence of 78.6%. Potential risk factors to BTV infection were associated with sex (OR = 0.061, p-value = 0.001) and seasonal river as water source for drinking (OR = 32.257, p-value = 0.0108). Conclusions Sex and seasonal river as water source for drinking were considered as potential risk factors for seropositivity to BTV in camels. The high prevalence of BTV in camels in Kassala State, Eastern Sudan, necessitates further epidemiological studies of BTV infection in camels and other ruminant species to better be able to control BT disease in this region.

scholarly journals Seroprevalence and Associated Risk Factors of Bovine Brucellosis at the Wildlife-Livestock-Human Interface in Rwanda

2020 ◽  
Vol 8 (10) ◽  
pp. 1553
Author(s):  
Jean Bosco Ntivuguruzwa ◽  
Francis Babaman Kolo ◽  
Richard Simba Gashururu ◽  
Lydia Umurerwa ◽  
Charles Byaruhanga ◽  
...  
Keyword(s):  
Risk Factors ◽  
Potential Risk ◽  
Urban Areas ◽  
Small Ruminants ◽  
Raw Milk ◽  
Bovine Brucellosis ◽  
Urban District ◽  
Cross Sectional ◽  
Human Interface ◽  
Potential Risk Factors

Bovine brucellosis is endemic in Rwanda; however, little information is available on seroprevalence and risk factors. Therefore, a cross-sectional study was conducted among cattle farmed at the wildlife-livestock-human interface (n = 1691) in five districts and one peri-urban district (n = 216). Cattle were screened using the Rose Bengal test, then the results were confirmed by indirect enzyme-linked immunesorbent assay. Potential risk factors were determined with a questionnaire and analyzed for their association with seropositivity. In all districts, the animal and herd-level seroprevalence was 7.4% (141/1907) and 28.9% (61/212), respectively, 8.3% (141/1691) and 30.9% (61/198) at the interface, and 0.0% (0/216) in peri-urban areas. Among the potential risk factors, old age (≥5 years), cattle farmed close to wildlife, herds of cattle and small ruminants, history of abortions, and replacement animals were significantly associated with brucellosis (p < 0.05). Low awareness of zoonotic brucellosis, assisting calving without biosafety protection, drinking raw milk, and manual milking were each observed in more than 21.7% of cattle keepers whose herds were seropositive. This study confirmed brucellosis endemicity in cattle farmed close to wildlife in Rwanda, suggesting the need to focus control efforts in these areas. Educated farmers with a high awareness of zoonotic brucellosis had low bovine brucellosis seropositivity, which emphasizes the importance of education.

scholarly journals Risk factors and regional variations of malnutrition among children under 5 in Myanmar: cross-sectional analyses at national and subnational levels

BMJ Open ◽  
2019 ◽  
Vol 9 (9) ◽  
pp. e030894 ◽  
Author(s):  
Hnin Thiri Khaing ◽  
Shuhei Nomura ◽  
Daisuke Yoneoka ◽  
Peter Ueda ◽  
Kenji Shibuya
Keyword(s):  
Risk Factors ◽  
Nutritional Status ◽  
Potential Risk ◽  
Regression Models ◽  
Cross Sectional ◽  
Regional Variations ◽  
Targeted Interventions ◽  
Maternal Nutritional Status ◽  
Potential Risk Factors ◽  
Children Under 5

ObjectiveThe levels, distributions of child malnutrition and its potential risk factors are not very well known in Myanmar. The objectives included in this study were: to estimate the current national and subnational prevalence of four types of malnutrition (stunting, wasting, underweight and overweight) among children under 5 in Myanmar; to identify potential risk factors associated with each type of malnutrition and to investigate how the identified risk factors’ distributions explained the regional disparities in malnutrition prevalence.Design/methodsData from the Myanmar Demographic and Health Survey 2015–2016 were used to estimate the prevalence of four types of malnutrition at both national and subnational levels (15 regions). Logistic regression models were applied to examine the association between each type of malnutrition and its risk factors, including child’s factors, parental social status and household conditions. The risk factor-adjusted prevalence of the malnutrition was estimated at the subnational level based on the estimated parameters from the regression models.ResultsThe national prevalence of stunting, wasting, underweight and overweight in children under 5 was estimated to be 29.1% (95% CI 27.7% to 30.6%), 6.8% (6.0% to 7.6%), 18.3% (17.0% to 19.5%) and 1.5% (1.1% to 1.9%), respectively. Substantial regional variations in the prevalence of each type of malnutrition were observed. Several risk factors of each type of malnutrition were identified, including low birth weight (LBW) and inadequate maternal nutritional status. Except for overweight, regional variations largely persisted even after adjustment for the risk factors investigated.ConclusionThe prevalence of malnutrition among children under 5 is still high in Myanmar, most commonly stunting. Targeted interventions aimed at prevention of LBW, improving the maternal nutritional status, in addition to other sociodemographic conditions should be encouraged urgently. Further research is necessary to investigate the potential sources of regional variation in prevalence of malnutrition among children under 5 in the country.

scholarly journals Pressure Ulcers Prevalence and Potential Risk Factors Among Intensive Care Unit Patients in Governmental Hospitals in Palestine: A Cross-sectional Study

2019 ◽  
Vol 12 (1) ◽  
pp. 121-126 ◽  
Author(s):  
Jamal A.S. Qaddumi ◽  
Omar Almahmoud
Keyword(s):  
Risk Factors ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Potential Risk ◽  
Pressure Ulcers ◽  
Advisory Panel ◽  
Cross Sectional ◽  
Data Set ◽  
Potential Risk Factors ◽  
The Government

Aim: To determine the prevalence rate and the potential risk factors of pressure ulcers (PUs) among patients in the intensive care unit (ICU) departments of the government hospitals in Palestine. Methods: A quantitative, cross-sectional, descriptive analytical study was carried out in five government hospital intensive care units in four different Palestinian cities between September 27, 2017, and October 27, 2017. The data of 109 out of 115 (94.78%) inpatients were analyzed. The Minimum Data Set (MDS) recommended by the European Pressure Ulcer Advisory Panel (EPUAP) was used to collect inpatients’ information. Results: The result of the analysis showed that the prevalence of pressure ulcers in the ICU departments was 33%, and the prevalence of PUs when excluding stage one was 7.3%. The common stage for pressure ulcers was stage one. It was also determined that the most common risk factors for the development of pressure ulcers were the number of days in the hospital, moisture, and friction. Conclusion: According to the recent studies in the Asian States, the prevalence of pressure ulcers in Palestine is considerably higher than in China and Jordan. However, it is still lower than the prevalence reported in comparable published studies in Western Europe. Increasing the staff’s knowledge about PUs screening and preventive measures is highly recommended in order to decrease the burden of PUs.

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