Search

Background: Coaches are pivotal in the management of concussed players. Assessing the knowledge of high school rugby coaches with regard to concussion management will enable relevant future education on this topic to be covered. Objectives: To investigate the knowledge of South African high school rugby coaches on concussion symptom recognition, knowledge and stepwise return-to-play (RTP) protocols. Methods: A cross-sectional descriptive study involving 143 first team, high school rugby coaches was completed via an electronic questionnaire. Independent variables included coach demographics, qualifications, experience, BokSmart accreditation, and school size. Dependent variables included knowledge scores on concussion symptoms, general concussion knowledge, stepwise RTP and Maddocks questions. Relationships between total scores for different demographic groupings were established using non-parametric techniques. Results: The coaches had high general, symptom and overall concussion knowledge scores (77% - 80%) in contrast with low RTP scores (62%) and very low Maddocks questions knowledge scores (26%). The 35-44-year age group received top scores for symptom recognition (p=0.034) and total concussion knowledge (p=0.041). Larger category school coaches (p=0.008) and BokSmart accredited coaches (p=0.041) outperformed all other coaches in general concussion knowledge and total knowledge, respectively. However, respondents were not familiar with emotional symptoms or the importance of cognitive rest after a concussion. Educational programmes were the most popular knowledge source for coaches. Conclusion: In general, coaches presented with good general concussion knowledge but lesser expertise on emotional symptoms, cognitive rest and RTP management. Modifiable predictors of knowledge included the expansion of BokSmart accreditation, focussing information sessions on smaller rugby size schools and the education of coaches younger than 35 years or older than 45 years of age. [ABSTRACT FROM AUTHOR]

We investigated risk factors for severe acute lower respiratory infections (ALRI) among hospitalised children 8 months were at greater risk from influenza-associated ICU admissions and long hospital stay. Children with ADV had increased LOS across all ages. In the first 2 years of life, the effects of different viruses on ALRI severity varies with age. Our findings help to identify specific ages that would most benefit from virus-specific interventions such as vaccines and antivirals. [ABSTRACT FROM AUTHOR]

We report a simultaneous ground- and space-based photometric study of the β Cephei star v Eridani. Half a year of observations have been obtained by four of the five satellites constituting BRITE-Constellation, supplemented with ground-based photoelectric photometry. We show that carefully combining the two data sets virtually eliminates the aliasing problem that often hampers time series analyses. We detect 40 periodic signals intrinsic to the star in the light curves. Despite a lower detection limit, we do not recover all the pressure and mixed modes previously reported in the literature, but we newly detect six additional gravity modes. This behaviour is a consequence of temporal changes in the pulsation amplitudes that we also detected for some of the p modes. We point out that the dependence of theoretically predicted pulsation amplitude on wavelength is steeper in visual passbands than those observationally measured, to the extent that three dominant pulsation modes of v Eridani would be incorrectly identified using data in optical filters only. We discuss possible reasons for this discrepancy. [ABSTRACT FROM AUTHOR]

We report a simultaneous ground-and space-based photometric study of the β Cephei star ν Eridani. Half a year of observations have been obtained by four of the five satellites constituting BRITE-Constellation, supplemented with ground-based photoelectric photometry. We show that carefully combining the two data sets virtually eliminates the aliasing problem that often hampers time series analyses. We detect 40 periodic signals intrinsic to the star in the light curves. Despite a lower detection limit, we do not recover all the pressure and mixed modes previously reported in the literature, but we newly detect six additional gravity modes. This behaviour is a consequence of temporal changes in the pulsation amplitudes that we also detected for some of the p modes. We point out that the dependence of theoretically predicted pulsation amplitude on wavelength is steeper in visual passbands than those observationally measured, to the extent that three dominant pulsation modes of ν Eridani would be incorrectly identified using data in optical filters only. We discuss possible reasons for this discrepancy. [ABSTRACT FROM AUTHOR]

Background: Athletes need to recover fully to maximise performance in competitive sport. Athletes who replenish more quickly and more efficiently are able to train harder and more intensely. Elite athletes subjectively report positive results using lower body negative pressure (LBNP) treatment as an alternate method for rapid recovery, restoring and improving their impaired physical state. Objective data on the efficacy are lacking. Objectives: To investigate the effect of intermittent vacuum therapy on accelerating acute recovery following an athlete's normal daily training schedule of strenuous exercise. Objective measurements of biological markers of muscular fatigue were used to assess recovery. Methods: Twenty-two male cricket players in a randomised cross-over study were divided into a treatment and control group respectively. Following a one-hour high-intensity gym session, the treatment group received three 30-minute LBNP exposure sessions over three consecutive days (0, 24 and 48 hours). Blood lactate and creatine kinase biomarkers were collected to measure the recovery process. After 14 days groups were crossed over and the trial repeated. Results: Heart rate and blood pressure decreased noticeably during treatment, reverting to baseline levels after treatment. Lactate concentrations decreased in both groups after exercise termination; significantly more in the treatment (0.57±0.23 mmol/l) than control group (0.78±0.22 mmol/l), p<0.001). Creatine kinase (CK) was similar in both groups. Athletes' subjective assessments of recovery rated moderately high. Conclusion: LBNP therapy applied as treatment during routine schedule may have a systemic effect in lowering serum lactate levels, but not CK levels. Enhanced recovery of athletes is still unconfirmed. [ABSTRACT FROM AUTHOR]

Background: Professional mixed martial arts (MMA) has gained international popularity. No African-based studies have reported the prevalence or severity of injuries, risk factors associated with injuries or return-to-play (RTP) time. Objectives: To determine the prevalence of injuries and associated risk factors, as well as severity of injuries sustained by professional male MMA athletes competing at the Extreme Fighting Championships Africa (EFC Africa) from 2010 to 2014. Methods: Permission to do the study and the medical records of all professional events (2010 - 2014) were obtained from EFC Africa. Data were obtained from 173 male competitors aged 18 to 44 years, who had participated in 300 professional MMA fights. Results from this prospective cohort study were compared to a similar study done in the United States of America (USA). An injury was defined as any damage to an athlete's body that needed the attention of the ringside physician. Statistical analyses included descriptive statistics and a stepwise logistic regression. Odds of an injury were predicted with six independent variables: fight outcome, age, weight division, number of fights, injuries in the preceding fight and years of fighter experience. Results: Head, face and neck injuries were most common (22%), followed by traumatic brain injuries (knockouts) (6%). Losing a fight was a significant predictor of injury when using the stepwise logistic regression model (p=0.040). The odds ratio indicated that a preceding fight injury almost doubled the risk of injury in the following fight (OR 1.91; p= 0.163). Traumatic brain injuries (TBIs) in this study of African-based competitions (6%) were substantially higher than reported in the American study (1.8%). Conclusion: Head, neck and face injuries are common in African fighters. The high rate of TBIs in African competition compared to the USA study is concerning. This could reflect superior refereeing in the USA group, as fights may be ended sooner by stoppage. Further investigation of injury trends and preventative measures should be studied to reduce the incidence of injuries during African competitions. [ABSTRACT FROM AUTHOR]

Background. Acute mountain sickness (AMS) is an ever-increasing burden on the health sector. With reported incidences of greater than 50%, coupled with the fact that recreational activities at high altitude are gaining increasing popularity, more persons are developing AMS. Physicians are therefore increasingly faced with the task of managing and preventing AMS. Objectives. The pathophysiology of AMS is poorly understood, with little understanding of risk factors for the development of AMS. This research aimed to identify epidemiological and physiological risk factors for development of AMS. Methods. This study is a questionnaire-based study conducted in London and at Everest Base Camp, in which 116 lowlanders were invited to participate and fill in a questionnaire to identify potential risk factors in their history that may have contributed to development of or protection against AMS. Results. A total of 89 lowlanders enrolled in the study. Thirty-seven of the participants had AMS at Everest Base Camp, giving a prevalence of 42%. Of the demographic variables, only weight and body mass index (BMI) were statistically significantly associated with AMS, with those who weighed less or had a lower BMI more likely to get AMS. Previous high-altitude experience was also associated with AMS, with those who had such experience less likely to get AMS. Conclusion. Predicting AMS and furthering our understanding of the pathophysiology of AMS will be of tremendous benefit. Further research is needed in this regard. [ABSTRACT FROM AUTHOR]

Background. Non-traumatic bicycle injuries are common. However, research available on non-traumatic injuries in amateur cyclists is more than a decade old, and most of the research on this topic has been done in Europe and America on professional cyclists in multi-day cycling events. An understanding of the common injuries may lead to appropriate prevention intervention. Objective. To determine the incidence of overuse injuries in amateur cyclists preparing for participation in a 1-day cycle challenge. Methods. A questionnaire was emailed to participants of the 2012 Momentum 94.7 Cycle Challenge, which amateur participants ⩾18 years old were invited to complete. Data on demographics, training habits and the participants' injury profile in the preceding year were collected. Results. Of the 3 300 respondents, 75% were male and 59% were between 30 and 50 years old. Non-traumatic injury, pain or neurological symptoms were reported by 88% of the respondents. The percentages of all respondents who experienced problems in the following anatomical areas were as follows: neck 34%, back 41%, hand/wrist 41%, buttock/perineum 41%, hip 7%, knee 33% and foot/ankle 24%. Knee pain was responsible for the need to stop training for the largest percentage of respondents. Neurological complaints were common in respondents who experienced neck, back, hand/wrist, buttock/perineum and foot/ankle problems. Conclusion. Non-traumatic injuries in amateur cyclists are common, with back, hand/wrist and buttock/perineal symptoms the most frequent problems. Knee problems caused the greatest need to stop training and seek medical help. [ABSTRACT FROM AUTHOR]

Objective. To determine whether a relationship exists between the functional movement analysis (FMA) score and lower-body injury rates in high-performance adolescent female football players. Method. Observations included a baseline FMA score and medical injury reports. Data were collected from 24 players' injury and illness records over a 38-week training period. All football injuries requiring medical attention (including stiffness, strains, contusions and sprains) and/or the removal from a session, leading to training restriction, were included in the study. Off-season weeks were excluded. Pearson's product-moment correlation coefficient was calculated to assess the strength of the linear relationship between the FMA score and the number of medical visits, and between the number of medical visits and the number of training-restriction days. Results. There was no evidence of a relationship between the FMA score and injury risk in teenage female football players (r=0.016; p=0.940). A strong indication of a cyclical season in the training schedule was noticed over the 38-week study period. A substantive negative correlation (r=-0.911; p=0.032) was seen in the number of medical visits compared with the training-restriction days. Injuries during two peak periods could have resulted from overuse, increased training load, stress and overtraining. Conclusion. It could not be shown that a high FMA score was associated with a lower risk of injury. The ultimate goal is thus to reduce recurrent injury in players with a high FMA count. The regular medical visits observed suggest that player condition is maintained by means of reducing injury and managing training-restriction days. Our findings are in accordance with previous studies in terms of the lower limb being the most frequent region of injury, specifically the knee. This study supports previous suggestions that it is essential to develop a prevention strategy to measure trauma and recovery. [ABSTRACT FROM AUTHOR]

A mobilizable plasmid which carries the promoter for the exotoxin A (ETA) structural gene fused to lacZ was integrated into the chromosome of wild-type and mutant strains of Pseudomonas aeruginosa at the toxA locus by homologous recombination, β-galactosidase synthesis in the strains (cointegrates) carrying the toxA-lacZ fusions was regulated like ETA synthesis is in P. aeruginosa. Two multicopy plasmids carrying a positive regulatory gene designated toxR were constructed which are identical except with respect to the orientation of toxR to the lacZ promoter on the plasmid. These plasmids were then introduced into P. aeruginosa cointegrate strains. When toxR was using its own promoter, synthesis of β-galactosidase in the cointegrate strains was increased but the pattern of iron regulation was not altered. In contrast, when the lacZ promoter was directing synthesis of the toxR product in the cointegrate strains, iron regulation of p-galactosidase and ETA synthesis were abolished. [ABSTRACT FROM AUTHOR]