scholarly journals Team Coverage, On-Field Care and Injuries in Karate

2021 ◽  
Keyword(s):  
Prospective Study ◽  
Medical Care ◽  
Martial Arts ◽  
Special Focus ◽  
Severe Injuries ◽  
Karate Athletes

In this article, the most important aspects of team coverage of Karate athletes with special focus on medical care of competitions are highlighted. A proposition of what a doctor’s case for martial arts competition should contain is given. According to the Swiss accident insurances, extremities are most frequently seen. During competitions, in our own series, over 70% of injuries are mild and do not need further treatment. However, the physician in charge of a tournament needs to be prepared also for severe injuries. The authors are currently conducting an ongoing, prospective study on injuries during Swiss national competitions since 2011.

scholarly journals Arrhythmiarizikó és cardialis szövődmények áramütéses balesetet követően

2020 ◽  
Vol 161 (47) ◽  
pp. 1979-1988
Author(s):  
Dávid Pilecky ◽  
Enikő Kovács ◽  
Endre Zima
Keyword(s):  
Emergency Department ◽  
Low Voltage ◽  
Electrical Current ◽  
Developed Countries ◽  
The Body ◽  
Cardiac Complications ◽  
Special Focus ◽  
Severe Injuries ◽  
Multiple Organs ◽  
Severe Burns

Összefoglaló. Az áramütés súlyos esetben hirtelen halállal vagy több szervrendszer kiterjedt károsodásával járhat. A magasfeszültségű áramütés (>1000 V) általában súlyosabb égési sérülésekkel és magasabb kórházi mortalitással jár, mint az alacsonyfeszültségű, de a sérülések súlyosságát a feszültségen kívül a test ellenállása, az áramexpozíció ideje, az áram fajtája, erőssége és útja is befolyásolja. A kritikus állapotú vagy súlyos égési sérüléseket szenvedett betegek sürgősségi ellátása komplex és multidiszciplináris szemléletet igényel. A súlyos szövődményekkel járó áramütéses balesetek ugyanakkor a fejlett országokban ritkák: az áramütés következtében sürgősségi osztályon jelentkező betegek döntő többsége panaszmentesen vagy minor panaszokkal kerül felvételre. A ritmuszavarok az áramütéses balesetek messze leggyakoribb cardialis szövődményei, és rendszerint közvetlenül az áramütés után jelentkeznek. Az elektromos áram kamrafibrillációt vagy asystoliát is kiválthat, mely a baleset helyszínén ellátás nélkül halálhoz vezethet. Bár sok helyen elterjedt gyakorlat az áramütést szenvedett betegek rutinszerű monitorozása, a klinikailag releváns arrhythmiák összességében ritkák, és a felvételi EKG alapján diagnosztizálhatók, ezért EKG-monitorozás csak meghatározott rizikófaktorok esetén szükséges. Jelen munkánk célja összefoglalni az áramütést szenvedett betegek optimális sürgősségi ellátásával kapcsolatos legfontosabb szempontokat, különös tekintettel az áramütéses balesetet követően fellépő cardialis szövődményekre és arrhythmiákra, valamint az EKG-monitorozás indikációira. Orv Hetil. 2020; 161(47): 1979–1988. Summary. Electrical accidents (EA) may cause sudden death or severe injuries of multiple organs. High voltage injuries (>1000 V) are associated with more severe burn injuries and higher in-hospital mortality than low voltage injuries, however, the severity of complications depends on several other factors like resistance of the body, duration of current exposition, intensity, type and pathway of current. Critically ill patients with severe burns and/or other injuries require a multidisciplinary intensive treatment. However, such complications are rare in the developed countries: most patients present in the emergency department with no or minor symptoms and do not require hospital admission. Arrhythmias are the most frequent cardiac complications after EA. Electrical current may cause ventricular fibrillation or asystolia which can lead to death on the scene. In patients presenting in the emergency department, clinically relevant arrhythmias are rare and can be diagnosed by a 12-lead ECG, therefore a systematic monitoring may not be indicated. Aim of our work is to review the most frequent complications after an electrical accident with special focus on cardiac complications and arrhythmias. The other aim of the manuscript is to summarize the most important aspects of emergency treatment and indication for ECG monitoring after electrical accident. Orv Hetil. 2020; 161(47): 1979–1988.

A prospective study of children with head injuries: II. Cognitive sequelae

1981 ◽  
Vol 11 (1) ◽  
pp. 49-61 ◽  
Author(s):  
Oliver Chadwick ◽  
Michael Rutter ◽  
Gillian Brown ◽  
David Shaffer ◽  
Michael Traub
Keyword(s):  
Head Injury ◽  
Prospective Study ◽  
Reading Ability ◽  
Head Injuries ◽  
Specific Pattern ◽  
Control Group ◽  
Severe Injuries ◽  
Injury Group ◽  
Severity Of Injury ◽  
Cognitive Sequelae

SYNOPSISA 2¼-year prospective study of children suffering head injury is described. Three groups of children were studied: (a) 31 children with ‘severe’ head injuries resulting in a post-traumatic amnesia (PTA) of at least 7 days; (b) an individually matched control group of 28 children with hospital treated orthopaedic injuries; and (c) 29 children with ‘mild’ head injuries resulting in a PTA exceeding 1 hour but less than 1 week. Individual psychological testing was carried out as soon as the child recovered from PTA, and then again 4 months, 1 year, and 2¼ years after the injury. A shortened version of the Wechsler Intelligence Scale for Children (WISC), the Neale Analysis of Reading Ability and a battery of tests of specific cognitive functions were employed. The mild head injury group had a mean level of cognitive functioning below the control group, but the lack of any recovery during the follow-up period indicated that the intellectual impairment was not a consequence of the injury. In the severe head injury group, the presence of cognitive recovery and a ‘dose—response’ relationship with the degree of brain injury showed that the intellectual deficits were caused by brain damage. Some degree of cognitive impairment was common following head injuries giving rise to a PTA of at least 2 weeks. Conversely no cognitive sequelae, transient or persistent, could be detected when the PTA was less than 24 hours. The results were less consistent in the 1-day to 2-week PTA range, but the evidence suggested that a broadly defined threshold for impairment operated at about that level of severity of injury. Timed measures of visuo-spatial and visuo-motor skills tended to show more impairment than verbal skills but otherwise there was no suggestion of a specific pattern of cognitive deficit. Recovery was most rapid in the early months after injury, but substantial recovery continued for 1 year with some improvement continuing in the second year in some children, especially those with the most severe injuries. Age, sex and social class showed no significant effects on the course of recovery.

scholarly journals Can height categories replace weight categories in striking martial arts competitions? A pilot study

2015 ◽  
Vol 47 (1) ◽  
pp. 91-98 ◽  
Author(s):  
Gal Dubnov-Raz ◽  
Yael Mashiach-Arazi ◽  
Ariella Nouriel ◽  
Raanan Raz ◽  
Naama W. Constantini
Keyword(s):  
Disordered Eating ◽  
Martial Arts ◽  
Eating Behaviors ◽  
Rapid Weight Loss ◽  
Combat Sports ◽  
Weight Category ◽  
Disordered Eating Behaviors ◽  
The Mean ◽  
Current Weight ◽  
Karate Athletes

Abstract In most combat sports and martial arts, athletes compete within weight categories. Disordered eating behaviors and intentional pre-competition rapid weight loss are commonly seen in this population, attributed to weight categorization. We examined if height categories can be used as an alternative to weight categories for competition, in order to protect the health of athletes. Height and weight of 169 child and adolescent competitive karate athletes were measured. Participants were divided into eleven hypothetical weight categories of 5 kg increments, and eleven hypothetical height categories of 5 cm increments. We calculated the coefficient of variation of height and weight by each division method. We also calculated how many participants fit into corresponding categories of both height and weight, and how many would shift a category if divided by height. There was a high correlation between height and weight (r = 0.91, p<0.001). The mean range of heights seen within current weight categories was reduced by 83% when participants were divided by height. When allocating athletes by height categories, 74% of athletes would shift up or down one weight category at most, compared with the current categorization method. We conclude that dividing young karate athletes by height categories significantly reduced the range of heights of competitors within the category. Such categorization would not cause athletes to compete against much heavier opponents in most cases. Using height categories as a means to reduce eating disorders in combat sports should be further examined.

scholarly journals FOREIGN EXPERIENCE OF EMERGENCY MEDICAL SERVICE TO A VICTIM OF A MAJOR TRAUMA IN REGIONAL TRAUMA SYSTEMS

2020 ◽  
Vol 21 (2) ◽  
pp. 40-47
Author(s):  
Yu. G. Shapkin ◽  
P. A. Seliverstov ◽  
N. Yu. Stekolnikov
Keyword(s):  
Medical Care ◽  
Major Trauma ◽  
Medical Service ◽  
Prehospital Care ◽  
Severe Trauma ◽  
Emergency Medical Care ◽  
Trauma Systems ◽  
Severe Injuries ◽  
Foreign Experience ◽  
Emergency Medical

The review discusses the current problems of organizing prehospital care for victims of severe trauma in overseas developed regional trauma systems. The results of studies on the features of pre-hospital triage, the choice of the amount of emergency medical care, the route and type of transportation of victims in the functioning of trauma systems are systematized. Foreign experience in providing emergency medical care for severe injuries can be useful for the creation and implementation of domestic trauma systems.

Predictors of compliance with a home-based exercise program added to usual medical care in preventing postmenopausal osteoporosis: an 18-month prospective study

2004 ◽  
Vol 16 (3) ◽  
pp. 325-331 ◽  
Author(s):  
M. A. Mayoux-Benhamou ◽  
C. Roux ◽  
A. Perraud ◽  
J. Fermanian ◽  
H. Rahali-Kachlouf ◽  
...  
Keyword(s):  
Prospective Study ◽  
Medical Care ◽  
Postmenopausal Osteoporosis ◽  
Exercise Program ◽  
Home Based

scholarly journals Karate: Emotions and Movement Anticipation

2018 ◽  
Vol 79 (1) ◽  
pp. 62-71 ◽  
Author(s):  
Danilo Contiero ◽  
Jerzy Kosiewicz ◽  
Julien S. Baker
Keyword(s):  
Martial Arts ◽  
Mirror Neurons ◽  
Black Belt ◽  
Training Experience ◽  
Karate Athletes

AbstractIntroduction The following paper is a case study developed to investigate the possible relationship between mirror neurons and karate. In karate, athletes are often trained to anticipate the opponent’s movement and to consider their emotions (Dosil 2006). This kind of training and skill may be linked to the concept related to mirror neurons, which are connected to the identification of the intention behind an action and are involved in a sort of automatic empathy of “really feeling what another person is feeling or going to do” (Carey 2006). Methods The research is an introductive literary review about martial arts and the theory of mirror neurons and provides a case study based on interviews. Participants have been asked to answer five questions related to the topic. All of them are expert athletes at the black belt level or with at least 10 years of training experience.

scholarly journals SPECIALIZED MEDICAL CARE IN A ROUND-THE-CLOCK HOSPITAL FOR CITIZENS EXPOSED TO RADIATION AS A RESULT OF THE CHERNOBYL DISASTER

2019 ◽  
pp. 5-11 ◽  
Author(s):  
S. S. Aleksanin ◽  
V. Yu. Rybnikov ◽  
K. K. Rogalev ◽  
V. A. Tarita
Keyword(s):  
Medical Care ◽  
Inpatient Treatment ◽  
Nuclear Power ◽  
Surgical Care ◽  
Medical Rehabilitation ◽  
High Tech ◽  
Severe Injuries ◽  
Chernobyl Disaster ◽  
Treatment Data ◽  
Somatic Diseases

Relevance. About 800 thousand citizens of the Russian Federation were affected as a result of the Chernobyl disaster, almost a quarter of them were liquidators of the consequences of the disaster at the Chernobyl nuclear power plant (LCDs). LCDs are among the most affected categories of Russian citizens. They usually have up to 12-15 somatic diseases and receive specialized inpatient treatment. Data on their morbidity structure and characteristics need to be generalized and are the basis for improving the organization of specialized medical care.Intention. To identify the characteristics of morbidity and the main classes of diseases in those suffered from the Chernobyl disaster in the remote period when providing specialized medical care in a round-the-clock hospital, from 2016 to 2018. Methodology. There were analyzed 4195 medical records of the LCDs who underwent inpatient treatment in multidisciplinary clinics of the Nikiforov Russian Center of Emergency and Radiation Medicine, EMERCOM of Russia, in the framework of the activities of the Union State in 2016–2018.Results and Discussion. The features of the morbidity of those affected by the Chernobyl disaster (LCDs and residents of radiation-contaminated territories) are shown. The main classes of diseases are presented in the distant period when providing specialized medical care in the round-the-clock hospital. The features of the organization of specialized medical care have been identified, in particular, the need has been substantiated for the provision of not only specialized therapeutic, but also specialized, including high-tech, surgical care, as well as medical rehabilitation in the preoperative and postoperative periods, after severe injuries and somatic diseases. The need for the creation and use of unified standards for the provision of special- ized therapeutic treatment to those affected by the Chernobyl disaster was confirmed. The necessity of providing specialized medical assistance to those affected by the Chernobyl disaster as part of the Union State target programs (Russia - Belarus) in addition to the State Guarantees Program for providing Russian citizens with free medical care using targeted methods of prevention, diagnosis, treatment and rehabilitation is substantiated. The implementation of the proposals presented in this article will undoubtedly improve the availability and quality of specialized medical care for this cohort.Conclusion. The features of the morbidity rates and the main classes of diseases revealed and presented in the article for those affected by the Chernobyl disaster in the long-term period when providing specialized medical care in a round-the- clock hospital are the basis for planning the types of specialized medical care for this cohort within the framework of targeted programs and activities of the Union State.

scholarly journals Risk factors deciding the prevention and healing of diabetic foot ulcer: a prospective study in Chennai Medical College Hospital and Research Center Irungalur, Trichy, Tamil Nadu, India; a rural based tertiary medical care centre

2018 ◽  
Vol 5 (5) ◽  
pp. 1770
Author(s):  
R. Murugan ◽  
S. Padma ◽  
M. Senthilkumaran
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Prospective Study ◽  
Medical Care ◽  
Diabetic Foot ◽  
Tamil Nadu ◽  
Foot Ulcer ◽  
Diabetic Foot Ulcer ◽  
Diabetic Patients ◽  
Care Centre

Background: Diabetic foot ulcer is the one among and the most common complication of diabetes mellitus patients. Various studies from over the world for the past 2 decades discuss the important risk factors that decide the prevention and outcome of diabetic foot ulcer. In our prospective study we have discussed the risk factors focused on prevention and treatment of diabetic foot ulcer in a rural tertiary medical care centre.Methods: Totally 940 patients with the clinical diagnosis of diabetic foot ulcer admitted in our hospital surgical department were studied prospectively with their clinical symptoms and signs of diabetic foot ulcer and various evaluations done for the comorbid conditions with the help of other specialty departments. All these risk factors studied in our rural based tertiary medical centre were collected in a designed format were studied and discussed in comparison to the chosen data available in various studies done at various countries.Results: All the 940 patients admitted for diabetic foot ulcer who underwent a methodical evaluation for risk factor showed an elevated HbA1c more than 8 in 720 (77.5%) patients, bony involvement like osteomyelitis in 274 patients (29%) , peripheral vascular disease in 421 (44.9%), neuropathy in 533 patients (56.7%), nephropathy 163 (17.34%), retinopathy in 102 (10.85%) and heart disease in 375 (39.89%).Conclusions: Proper protocols to the prevention and management of foot ulcer in diabetic patients have not reached many health care centres and it is imperative to stress on the related comorbid risk factors which influence the prevention and healing of diabetic foot ulcer. Present study done at a rural tertiary health care centre is mainly focused on the incidence of risk factors which modulates and modify the diabetic foot ulcer prevention and management. This study aims to support the health professionals to identify the risk factors apart from the clinical picture of diabetic foot ulcer that may enhance the efficient management and avoid the unnecessary morbidity and mortality. 

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