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Hill, Jennifer L. "Female collegiate windmill pitchers : references to injury incidence". Virtual Press, 2003. http://liblink.bsu.edu/uhtbin/catkey/1260621.
Pełny tekst źródłaSchool of Physical Education
Harringe, Marita L. "Swedish teamgym - injury incidence, mechanism, diagnosis and postural control /". Stockholm : Karolinska institutet, 2007. http://diss.kib.ki.se/2007/978-91-7357-415-0/.
Pełny tekst źródłaKing, Douglas Alistair. "Injuries in rugby league: Incidence, influences, tackles and return to play decisions". AUT University, 2010. http://hdl.handle.net/10292/1007.
Pełny tekst źródłaGustafsson, Timmy. "Injury incidence and injury patterns among male elite football players when playing in the national team". Thesis, Linnéuniversitetet, Institutionen för pedagogik, psykologi och idrottsvetenskap, PPI, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-12569.
Pełny tekst źródłaAllen, Nick. "Injury incidence and severity in professional ballet dancers over three years". Thesis, University of Wolverhampton, 2014. http://hdl.handle.net/2436/324082.
Pełny tekst źródłaSchwab, Laura M. "Incidence, mechanisms and risk factors for shoulder injuries in community Australian football players". Thesis, Griffith University, 2020. http://hdl.handle.net/10072/398438.
Pełny tekst źródłaThesis (PhD Doctorate)
Doctor of Philosophy (PhD)
School Allied Health Sciences
Griffith Health
Full Text
Hordijk, Jeanine. "Studies to reduce the incidence of chilling injury in navel orange fruit". Thesis, Stellenbosch : Stellenbosch University, 2013. http://hdl.handle.net/10019.1/80254.
Pełny tekst źródłaENGLISH ABSTRACT: Citrus fruit exported from South Africa to markets such as the USA and China undergo a mandatory 24 day exposure of -0.6°C during shipment to kill any insect larvae in the fruit, however, this protocol causes chilling injury (CI). The aim of this study was firstly to determine the influence of various preharvest factors on chilling sensitivity. In addition, Near-Infrared (NIR) spectroscopy was tested as a potential management tool to identify variation in CI susceptibility of fruit and lastly the efficacy of thiabendazole (TBZ) applied in the packline to reduce CI was determined. Various factors influence the susceptibility of a navel orange fruit to CI including cultivar, micro-climate, harvest date, fruit size and rind colour. In this study it was found that ‘Washington’ was more susceptible to CI compared to ‘Navelina’ navel orange. Fruit from the coldest part of Citrusdal (Tharakama) had the highest incidence of CI, which concurred with literature. The incidence of CI was overall less when fruit were harvested in the middle of the commercial harvest window; however, the internal maturity at harvest does not appear to be related to the sensitivity of orange fruit to CI. Near infrared (NIR) spectroscopy was tested as a potential tool to predict fruit quality parameters in relation to CI. Analysing the NIR data with principal components analysis (PCA), score plots were obtained that separate fruit in clusters from the inside and outside of the canopy positions as well as different sizes and rind colours (green vs. orange). However, analysing data with partial least square regression (PLS) using fruit quality parameters (firmness, rind colour and mass), the NIR spectra obtained with the integrated sphere did not provide a good prediction model for CI index. Thiabendazole (TBZ) is reported to reduce the incidence of CI of citrus fruit and this fungicide was applied in a semi-commercial packline in the wax as well as the drench. The results of the application of different fungicides from the TBZ chemical group indicated that the TBZ dip treatments had the highest efficacy in reducing both the incidence and severity of CI and in addition were more effective when applied in warm (40°C) than cold water (10°C). Applications at the commercial recommended rate (20mL.L-1 and half of the commercial recommended rate were both effective in reducing the incidence of CI. Wax application was effective in reducing the incidence of CI however, the application of TBZ in the wax reduced the incidence of CI even more. For the successful reduction of CI incidence in commercial shipments of citrus fruit the focus should not be on a single factor but rather a strategy that encompasses pre-harvest factors that would influence rind quality as well as specific postharvest technologies know to decrease the impact of CI.
AFRIKAANSE OPSOMMING: Sitrus vrugte ondergaan 'n verpligte 24 dae blootstelling aan -0,6°C om moontlike insek-larwes te dood gedurende die uitvoer na markte soos die VSA en China, maar hierdie protokol veroorsaak koueskade. Die doel van hierdie studie was eerstens om die invloed van verskillende voor-oes faktore op koueskade-sensitiwiteit van nawel lemoene te bepaal. Daarbenewens is naby-infrarooi (NIR) spektroskopie as 'n potensiële tegniek getoets om variasie in koueskade-sensitiwiteit van nawel lemoene te identifiseer, en laastens is die effektiwiteit van thiabendazole (TBZ) toediening in die verpakkings lyn, om koueskade te verminder, ondersoek. Verskillende faktore soos kultivar, mikroklimaat, oesdatum, vruggrootte en skilkleur beïnvloed die koueskade-sensitiwiteit van sitrus. Hierdie studie het bevind dat die ‘Washington’ meer sensitief is vir koueskade as die ‘Navelina’ nawels. Vrugte afkomstig uit die koudste deel van Citrusdal (Tharakama) het die hoogste voorkoms van koueskade. In die algemeen was vrugte ge-oes in die middel van die kommersiële-venster die minste koueskade-sensitief, maar interne rypheid hou nie verband met koueskadesensitiwiteit nie. Naby-Infrarooi (NIR) spektroskopie is getoets as 'n potensiële instrument om vrugkwaliteit parameters te voorspel met betrekking tot koueskade. Deur ontleding van die NIR data met behulp van ‘Principal Components Analysis’ kon vrugte groepeer word volgens posisie (binne vs. buite blaredak), groottes en skilkleur. Deur ‘Partial Least Square Regression’ verdere data ontleding en met inagneming van vrugkwaliteit parameters (fermheid, skil kleur en massa), kon die NIR spektra wat verkry was egter nie 'n goeie voorspelling model vir koueskade verskaf nie. TBZ verminder die voorkoms van koueskade van sitrusvrugte na dit toegedien was in 'n semi-kommersiële verpakkingslyn in die waks, ‘drench’ of baddens. Die toediening van verskillende swamdoders van die TBZ chemiese groep in baddens, het aangedui dat die TBZ doop behandeling effektief was om die voorkoms van koueskade te verminder. Daarbenewens was TBZ meer effektief in verlaging van koueskade as dit toegedien word in warm (40°C) as koue (10°C) water, asook teen die volle (20mL.L-1) en die helfte van die aanbevole kommersiële dosis. Wakstoediening was effektief in die vermindering van die voorkoms van koueskade en byvoeging van TBZ in die waks het die effektiwiteit verhoog. Die suksesvolle vermindering van koueskade tydens kommersiële verskeping van sitrusvrugte moet egter nie fokus op 'n enkele faktor nie, maar op 'n strategie wat bestaan uit voor-oes faktore wat die vrugskil kwaliteit beïnvloed, sowel as spesifieke na-oes tegnologieë en hanteringsprotokolle wat bekend is vir die vermindering van koueskade.
Citrus Research International
Barbosa, Ribeiro Henrique. "Incidence, predictors and outcomes of myocardial injury following transcatheter aortic valve replacement". Doctoral thesis, Université Laval, 2016. http://hdl.handle.net/20.500.11794/26635.
Pełny tekst źródłaL’implantation de valve aortique par cathéter (TAVI) a été développée comme une alternative thérapeutique pour les patients avec une sténose aortique sévère et ayant un risque opératoire élevé ou extrême en cas de chirurgie de remplacement valvulaire standard. Par rapport à la chirurgie à cœur ouvert classique, les procédures de TAVI sont moins invasives, parce qu'elles ne sont pas associées au clampage aortique et à la cardioplégie. Toutefois, la procédure implique un certain degré de dommage myocardique dû à la compression du tissu par le ballonnet et la prothèse transcathéter, ainsi que plusieurs courts épisodes d'hypotension extrême et d’ischémie myocardique globale, au cours de la stimulation ventriculaire rapide et du déploiement de la prothèse. De plus, l'approche transapicale, qui est réalisée lorsque l'approche transfémorale n’est pas possible, comprend la ponction de l'apex du ventricule gauche et l'introduction de larges cathéters ce qui augmente vraisemblablement encore les dommages myocardiques. En conséquence, presque tous les patients subissant un TAVI présentent un certain degré de dommage myocardique, défini par une augmentation des enzymes cardiaques, telles que la créatine kinase-MB (CK-MB), la troponine ou le peptide natriurétique de type B (BNP). Néanmoins, les données sur l'incidence exacte des dommages myocardiques, leur étendue, leurs prédicteurs, ainsi que les résultats échocardiographiques et cliniques associés, en fonction des différentes approches et prothèses sont limitées. Les objectifs généraux de mon projet de doctorat sont d'évaluer l'incidence, les facteurs prédictifs et les résultats des dommages myocardiques après TAVI pour le traitement des patients symptomatiques avec sténose aortique sévère ou bioprothèse dysfonctionnelle et à haut risque chirurgical.
Transcatheter aortic valve replacement (TAVR) has emerged as a less invasive therapeutic alternative to surgical aortic valve replacement (SAVR) for patients with severe aortic stenosis at very high-risk or prohibitive perioperative risk. Compared to conventional open-heart surgery, TAVR procedures are less invasive, because they are not associated with aortic cross-clamping and cardioplegia. Even so, the procedure involves some degree of myocardial injury due to tissue compression, caused by the balloon and valve prosthesis, as well as several short episodes of extreme hypotension and global ischemia, during rapid ventricular pacing and valve deployment. Also, the transapical approach, which is an alternative to the transfemoral approach, involves the puncture of the ventricular apex and the introduction of large catheters through it. Accordingly, nearly all patients undergoing TAVR present some degree of myocardial injury, as defined by any increase in cardiac biomarkers, including creatine kinase-MB (CK-MB), troponin or B-type natriuretic peptides (BNP). Nonetheless, data on the exact incidence of myocardial injury, extent, predictors, as well as the associated echocardiographic and clinical outcomes, according to the different type of TAVR procedures and transcatheter valves, have been limited. The general objectives of my PhD project are to evaluate the incidence, predictors and outcomes of myocardial injury following TAVR for the treatment of high-risk patients with severe symptomatic AS or dysfunctional aortic bioprosthesis.
Jenkins, Mark. "Bone fracture incidence, measurement and adaptation: An exploration through the continuum from incidence to measurement and adaptation". Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2018. https://ro.ecu.edu.au/theses/2127.
Pełny tekst źródłaCurtis, Vernon Glen Lagrotteria. "Incidence of football injuries in different age groups at a professional football club". Thesis, University of the Western Cape, 2006. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_7312_1205416141.
Pełny tekst źródłaFootball is the most popular sport in the world, and it continues to have a progressive annual increase in the number of active players and the number of games played per season, which in turn, leads to an increase in the frequency of injuries. Football is extensively researched worldwide, however, some current studies confirm that the results on football injury factors are limited, as well as inconsistent and incomplete. The main aim of this study was to examine interrelating factors of football injuries through the various age groups at a designated football club. The study aimed to expose the injury risk factors and patterns present in the various age groups.
Rossouw, Joanne Courtney. "Incidence of traumatic brain injury, prevalence of dysphagia, and factors predicting health outcomes following traumatic brain injury in adults". Master's thesis, University of Cape Town, 2015. http://hdl.handle.net/11427/16646.
Pełny tekst źródłaSouth Africa has a high incidence of injury-related disorders, such as traumatic brain injury (TBI) as a result of motor vehicle accidents and assault. Dysphagia is a common sequela of TBI, which may result in malnutrition or aspiration pneumonia. There is limited epidemiological data available for TBI and dysphagia in South Africa which is important for health care planning. There is also inadequate literature reporting predictive factors for dysphagia and health outcomes of patients with TBI and swallowing disorders for the South African context, which would provide management guidelines for Speech-Language Pathologists (SLPs) for patients with TBI and dysphagia. This study aims to begin to provide up-to-date information regarding the incidence of TBI and the prevalence of dysphagia in the population with TBI in Bloemfontein, South Africa. Predictive factors for dysphagia and health outcomes were also investigated in order to provide management guidelines for TBI-related dysphagia for SLPs. A prospective cohort study followed 77 participants aged 18 to 68 years (M = 33.1) with mild to severe traumatic brain injury, admitted to 2 state and 2 private hospitals in the Bloemfontein metropole, South Africa, to investigate the incidence of TBI and the prevalence of TBI-related dysphagia in the adult population in 2013. Participants were tracked from admission to hospital to discharge. Demographic and medical data was collected for each participant, including: gender, age, TBI aetiology, means of nutritional intake, respiratory status, length of hospital stay, and number of speech therapy sessions. Glasgow Coma Scale (GCS) scores at time of admission, swallowing evaluation, and discharge were noted as an indicator of TBI severity and each participant was assessed with the Mann Assessment of Swallowing Ability on admission and prior to discharge to assess the presence of dysphagia. The incidence of TBI for the Bloemfontein metropole was 353 per 100,000 people and was greater in the male than in the female population (11.83:1). The main mechanism for TBI in Bloemfontein was interpersonal violence (67.53%), followed by road traffic accidents (motor and pedestrian vehicle accidents; 23.38%). The prevalence rate for dysphagia was 32%. Twenty-eight percent of those who presented with dysphagia also aspirated. Severe TBI (GCS ≤ 8) was identified as a predictive factor for dysphagia. Participants with dysphagia had longer hospital stays (days; M = 22.04, SD = 17.67) than those with normal swallowing (M = 6.23, SD = 4.28), t(75) = 6.13, p < .001, and took significantly more days to achieve oral intake (M = 6.23, SD = 10.32) than those without dysphagia (M = .31, SD = 1.41), t(75) = 4.08, p < .001. Ventilation was associated with longer hospital stays, rs(25) = -.47, p = .02 and longer duration until achievement of oral intake, rs(22) = -.80, p < .001. Tracheotomised participants also had significantly longer hospital stays, rs(25) = -.67, p < .001, and took longer to achieve oral intake, rs(22) = -.52, p = .01. An increased period of time with a tracheostomy was also significantly associated with mortality, χ2(2, n = 11) = 6.52, p = .04. Participants with dysphagia (M = 3.84, SD = 5.44) required significantly more therapy sessions with an SLP than those without dysphagia (M = .15, SD = .64), t(75) = 4.85, p < .001, and those with low GCS scores were significantly less likely to achieve oral intake prior to discharge, rs(25) = -.45, p = .02, and had longer hospital stays than participants with mild head injuries, rs(25) = -.49, p = .01. All participants who received nutrition via nasogastric tubes returned to oral intake; however, individuals who had percutaneous endoscopic gastrostomies did not achieve oral intake prior to discharge. It is recommended that objective swallowing evaluations be conducted for patients admitted with severe TBIs, and patients with mild and moderate TBIs be screened to determine the presence of dysphagia. TBI prevention initiatives should be developed to reduce the incidence of TBI, specifically in the young adult male population.
Colagiuri, Peter. "Prospective epidemiological study of injuries in the Australian National Soccer Competition". Thesis, The University of Sydney, 2014. http://hdl.handle.net/2123/12680.
Pełny tekst źródłaPérez, Fernández Xose Luis. "Sepsis associated Acute Kidney Injury: incidence, risk factors and continuous renal replacement therapies". Doctoral thesis, Universitat de Barcelona, 2019. http://hdl.handle.net/10803/667120.
Pełny tekst źródłaA pesar de los avances en los campos del fracaso renal agudo (FRA) y la sepsis, la aparición de fracaso renal agudo de origen séptico (FRA-S) en el paciente crítico continúa asociándose a una elevada morbimortalidad. En la actualidad el tratamiento del FRA-S es de soporte y fundamentalmente dirigido al cumplimiento de las recomendaciones internacionales en el manejo del paciente séptico, minimizar la hipervolemia asociada a la disminución de la diuresis, y evitar el uso de nefrotóxicos. En estos pacientes críticos con FRA-S es habitual la necesidad de terapias de reemplazo renal (TRR) como tratamiento de soporte. El momento de inicio de las TRR y la modalidad empleada han generado en los últimos tiempos una importante discusión científica sin que por el momento se haya evidenciado ninguna mejoría pronóstica con el inicio precoz o con el uso de una modalidad determinada. Es por ello que el propósito de este trabajo durante estos años ha sido el de evaluar la incidencia real y mortalidad asociada que el FRA-S tiene en el paciente crítico con sepsis, la identificación de los factores de riesgo asociados a la aparición de FRA-S, el impacto que el cumplimiento de las medidas internacionales en la sepsis tiene sobre la incidencia de FRA-S, la identificación de las variables clínicas asociadas al pronóstico de los pacientes críticos con FRA-S que requieren TRR así como su posible utilidad para definir una estrategia de inicio precoz (con impacto pronóstico), y por último, a través un ensayo clínico piloto, evaluar en el mismo tipo de población (enfermos críticos con FRA-S) los beneficios del uso de una modalidad difusiva como la hemodiálisis venovenosa continua (HDVVC) en comparación con el uso de una modalidad convectiva como la hemofiltración venovenosa continua (HVVC), empleando la misma membrana con capacidad de adsorción en ambos grupos.
Chéron, Charlène. "Blessures de surutilisation des membres : l'exposition sportive a-t-elle une influence?" Thesis, Université Paris-Saclay (ComUE), 2017. http://www.theses.fr/2017SACLS150/document.
Pełny tekst źródłaIn youngsters, physical activity has many direct health benefits but can also cause musculoskeletal injuries. Overuse injuries of the extremities represent an important part of all the musculoskeletal injuries that can occur in childhood.The aim of this thesis is to determine if some sports are more likely to expose children and adolescents to a greater risk of developing overuse injuries of the extremities and to investigate if there is difference regarding the diagnosis and the localisation of these injuries between different types of sports. Another aim was to compare these findings with those relating to adults.To achieve this, two systematic reviews have been done, one for youngsters and one for adults, and data from a large prospective study of schoolchildren were analysed.Paucity of relevant information in the literature made it difficult to obtain clear answers to our questions. However, we noticed that, for both population and all sports, overuse injuries more often affected the lower limb. In youngsters, the sites most often affected are the knee, the lower limb and the foot, and this is almost the same for all sports that were studied. In adults the localisation varies for the different sports and is not the same between youngsters and adults. Also the diagnoses do not vary between sports in youngsters ; whereas it was not possible to study this in adults. The diagnoses were different between the two populations studied. The prospective study of the schoolchildren permitted to determine the incidence of overuse injuries reported in children participating in nine different sports and to relate these results to their exposure to these sports (dose-response). Two sports were identified as risk factors: football and handball
Hägglund, Martin. "Epidemiology and prevention of football injuries". Doctoral thesis, Linköpings universitet, Socialmedicin och folkhälsovetenskap, 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-8500.
Pełny tekst źródłaSerienumret i serien Linköping University medical dissertation är fel. Det korrkta numret är 988. The serial number in the series Linköping University medical dissertation is incorrect. The correct number is 988.
Diacogiorgis, Dimitri. "Incidence and aetiological factors in the development of medial tibial stress syndrome". Thesis, University of Ballarat, 2005. http://researchonline.federation.edu.au/vital/access/HandleResolver/1959.17/62497.
Pełny tekst źródłaMaster of Applied Science
Logsdon, Susannah M. "The Incidence of Stress Fractures Among All Female Division I Athletes at Virginia Polytechnic Institute and State University". Thesis, Virginia Tech, 1999. http://hdl.handle.net/10919/42175.
Pełny tekst źródłaMaster of Science
Luhr, Owe. "Acute lung injury : incidence and predictors of outcome with special reference to inhaled nitric oxide /". Stockholm, 1999. http://diss.kib.ki.se/1999/91-628-3456-8/.
Pełny tekst źródłaHodgson, Phillips Lisa. "The role of ground conditions in the increased incidence of injury in summer rugby league". Thesis, University of Nottingham, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.342499.
Pełny tekst źródłaSingh, Nanak. "Incidence and pathogenesis of acute lung injury and the acute respiratory distress syndrome in humans". Thesis, University of East Anglia, 2013. https://ueaeprints.uea.ac.uk/48050/.
Pełny tekst źródłaJones, Lauren Margaret. "Data Analysis Techniques Using National Hospital Datasets To Estimate Incidence Of Traumatic Spinal Cord Injury". Thesis, The University of Sydney, 2014. http://hdl.handle.net/2123/14012.
Pełny tekst źródłaPIGGOTT, Benjamin, i ben_piggott@yahoo com. "The relationship between training load and incidence of injury and illness over a pre-season at an Australian Football League Club". Edith Cowan University. Computing, Health And Science: School Of Exercise, Biomedical & Health Science, 2008. http://adt.ecu.edu.au/adt-public/adt-ECU2008.0018.html.
Pełny tekst źródłaD, Costa Punam. "Incidence, severity and time course of pressure injuries over the first two years following discharge from hospital in people with spinal cord injuries in Bangladesh". Thesis, The University of Sydney, 2022. https://hdl.handle.net/2123/29427.
Pełny tekst źródłaPiggott, Benjamin. "The relationship between training load and incidence of injury and illness over a pre-season at an Australian Football League Club". Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2008. https://ro.ecu.edu.au/theses/25.
Pełny tekst źródłaPaulsen, Carrie. "Incidence and nature of complications post primary repair of Obstetric Anal Sphincter Injury (OASI): Retrospective chart review". Master's thesis, Faculty of Health Sciences, 2019. https://hdl.handle.net/11427/31687.
Pełny tekst źródłaTerblanche, Henri-Charl. "The influence of a intense training program on hypermobility and correlation between hypermobility and incidence of injury". Diss., University of Pretoria, 2015. http://hdl.handle.net/2263/53047.
Pełny tekst źródłaDissertation (MSc)--University of Pretoria, 2015.
Physiology
MSc
Unrestricted
Schweim, Jarrett Joshua. "Do any of a set of Lower Extremity Functional Assessment tests predict in the incidence of injury among a Cohort of collegiate freshmen football players? A Pilot Study". Columbus, Ohio : Ohio State University, 2009. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1243851951.
Pełny tekst źródłaGoldsmith, Helen Anna. "The Incidence, Impact and Experience of Pain in Recently Discharged Adult Trauma Patients: A Convergent Parallel Mixed Methods Study". Thesis, The University of Sydney, 2017. http://hdl.handle.net/2123/17974.
Pełny tekst źródłaO'Loughlin, Jennifer. "The incidence and risk factors for falls and fall-related injury among elderly persons living in the community /". Thesis, McGill University, 1992. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=70260.
Pełny tekst źródłaOpperman, Roedolph A. (Roedolph Adriaan). "Astronaut Extravehicular Activity : safety, injury & countermeasures; &, Orbital collisions & space debris : incidence, impact & international policy". Thesis, Massachusetts Institute of Technology, 2010. http://hdl.handle.net/1721.1/62498.
Pełny tekst źródłaCataloged from PDF version of thesis.
Includes bibliographical references (p. 155-161).
Extravehicular Activity (EVA) spacesuits are a key enabling technology which allow astronauts to survive and work in the harsh environment of space. Of the entire spacesuit, the gloves may perhaps be considered the most difficult engineering design issue. A significant number of astronauts sustain hand and shoulder injuries during extravehicular activity (EVA) training and operations. In extreme cases these injuries lead to fingernail delamination (onycholysis) or rotator cuff tears and require medical or surgical intervention. In an effort to better understand the causal mechanisms of injury, a study consisting of modeling, statistical and experimental analyses was performed in section I of this thesis. A cursory musculoskeletal modeling tool was developed for use in comparing various spacesuit hard upper torso designs. The modeling effort focuses on optimizing comfort and range of motion of the shoulder joint within the suit. The statistical analysis investigated correlations between the anthropometrics of the hand and susceptibility to injury. A database of 192 male crewmembers' injury records and anthropometrics was sourced from NASA's Johnson Space Center. Hand circumference and width of the metacarpophalangeal (MCP) joint were found to be significantly associated with injuries by the Kruskal-Wallis test. Experimental testing was conducted to characterize skin blood flow and contact pressure inside the glove. This was done as part of NASA's effort to evaluate a hypothesis that fingernail delamination is caused by decreasing blood flow in the finger tips due to compression of the skin inside the extravehicular mobility unit (EMU) glove. The initial investigation consisted of a series of skin blood flow and contact pressure tests of the bare finger, and showed that blood flow decreased to approximately 60% of baseline value with increasing force, however, this occurred more rapidly for finger pads (4N) than for finger tips (ION). A gripping test of a pressure bulb using the bare hand was also performed at a moderate pressure of 13.33kPa (100mmHg) and at a high pressure of 26.66kPa (200mmHg), and showed that blood flow decreased 50% and 45%, respectively. Excessive hyperperfusion was observed for all tests following contact force or pressure, which may also contribute to the onset of delamination. Preliminary data from gripping tests inside the EMU glove in a hypobaric chamber at NASA's Johnson Space Center show that skin blood flow decreased by 45% and 40% when gripping at 3 moderate and high pressures, respectively. These tests show that finger skin blood flow is significantly altered by contact force/pressure, and that occlusion is more sensitive when it is applied to the finger pad than the finger tip. Our results indicate that the pressure on the finger pads required to articulate stiff gloves is more likely to impact blood flow than the pressure on the fingertips associated with tight or ill-fitting gloves. Improving the flexibility of the gloves will therefore not only benefit operational performance, but may also be an effective approach in reducing the incidence of finger injury. Space Policy Abstract EVA injury is only one of many dangers astronauts face in the extreme environment of space. Orbital debris presents a significant threat to astronaut safety and is a growing cause of concern. Since the dawn of satellites in the early 1950's, space debris from intentionally exploded spacecraft, dead satellites, and on-orbit collisions has significantly increased and currently outnumbers operational space hardware. Adding to this phenomenon, the advent of commercial spaceflight and the recent space activities in China and India to establish themselves as spacefairing nations are bound to accelerate the rate of space debris accumulating in low Earth orbit, thus, exacerbating the problem. The policies regulating orbital debris were drafted in the 1960s and 1970s and fail to effectively address the dynamic nature of the debris problem. These policies are not legally enforced under international law and implementation is entirely voluntary. Space debris is a relevant issue in international space cooperation. Unless regulated, some projections indicate space debris will reach a point of critical density, after which the debris will grow exponentially, as more fragments are generated by collisions than are removed by atmospheric drag. Space debris proliferation negatively impacts human spaceflight safety, presents a hazard to orbiting space assets, and may lead to portions of near-Earth orbit becoming inaccessible, thus limiting mission operations. The aim of this research effort was to review current international space policy, legislation and mitigation strategies in light of two recent orbital collision episodes. The first is the February 2009 collision between a defunct Russian Cosmos spacecraft and a commercial Iridium satellite. The second is China's display of technological prowess during the January 2007 intentional demolition of its inactive Fengyun-IC weather satellite using a SC-19 antisatellite (ASAT) missile. In each case the stakeholders, politics, policies, and consequences of the collision are analyzed. The results of this analysis as well as recommendations for alternative mitigation and regulatory strategies are presented.
by Roedolph A. Opperman.
S.M.in Technology and Policy
S.M.
Marsh, Jarred. "Injury incidence and severity at the South African Rugby Union (SARU) Youth Weeks Tournaments: a four year study". Master's thesis, University of Cape Town, 2018. http://hdl.handle.net/11427/29198.
Pełny tekst źródłaMarshall, Charlene. "Minimalist versus conventional running shoes : effects on lower limb injury incidence, pain and muscle function experienced distance runners". Master's thesis, University of Cape Town, 2013. http://hdl.handle.net/11427/3019.
Pełny tekst źródłaIncludes bibliographical references.
The aim of this randomised clinical trial over 12 weeks was to determine if the gradual transition (accompanied by calf muscle training), from conventional to minimalist running shoes 1) increased the risk of lower limb pain or injury and 2) improved lower limb muscle function (endurance, flexibility and power) in experienced distance runners. In addition, the effects of the transition on runner satisfaction were studied. To determine whether there were significant differences in lower limb injury incidence and pain, calf endurance, lower limb muscle flexibility, lower limb muscle power, footposture index, hallux ROM and participants’ satisfaction with the type of running shoes and performance between an experimental group, that ran in minimalist shoes, and a control group that ran in conventional shoes. (b) To determine whether there were significant differences in lower limb injury incidence and pain, calf endurance, lower limb muscle flexibility, lower limb muscle power, foot posture index, hallux ROM and participants’ satisfaction with the type of running shoes and performance between groups over time.
Calligeris, Theodore. "The incidence of injury and exposure times of footballers playing in a professional football club in the PS". Master's thesis, University of Cape Town, 2012. http://hdl.handle.net/11427/10187.
Pełny tekst źródłaSeveral studies on European players at the elite or professional level have shown a high risk of injury. However, the studies used different data collection methods, making it difficult to compare results. This suggested a need to standardise the definition of an injury and method of data collection. There are no data on injuries associated with football in South Africa, which makes it difficult to develop an evidence-based strategy to manage injuries associated with football. Therefore, in an attempt to address the deficiency on soccer related injuries in South Africa, a Professional Soccer League (PSL) team (AJAX CT) was monitored throughout the season by the medical support staff of the team using the F-MARC data collection system devised by FIFA. The main objective of this study was to undertake a retrospective epidemiological study documenting the incidence of injury in this team and the exposure time (practice and match) of the players over a full season.
Newcombe, Virginia Felicity Jane. "Using diffusion tensor imaging to demonstrate the incidence, temporal variations and clinical correlates of brain injury secondary to neurotrauma". Thesis, University of Cambridge, 2009. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.611532.
Pełny tekst źródłaSenzilet, Linda Debra. "The impact of Ontario's child restraint legislation on the incidence, severity and patterns of injury in children under five years". Thesis, University of Ottawa (Canada), 1992. http://hdl.handle.net/10393/7698.
Pełny tekst źródłaKinder, Jessica Marie. "The Relationship of Hip Muscle Activation and the Incidence of Shoulder Injury in Collegiate Women's Volleyball Athletes: A Pilot Study". Thesis, North Dakota State University, 2018. https://hdl.handle.net/10365/28776.
Pełny tekst źródłaWinqvist, S. (Satu). "Alcohol misuse in relation to traumatic brain injury:the Northern Finland 1966 birth cohort study". Doctoral thesis, University of Oulu, 2008. http://urn.fi/urn:isbn:9789514287961.
Pełny tekst źródłaAlves, Ana Sofia Machado. "Estudo epidemiológico das lesões cervicais no futebol americano: revisão bibliográfica". Bachelor's thesis, [s.n.], 2021. http://hdl.handle.net/10284/10619.
Pełny tekst źródłaIntrodução: o futebol americano é um desporto dinâmico e de contacto, constituído por duas equipas, com 11 jogadores cada lado, uma que defende e outra que ataca. Por ser um jogo de grande contacto, ocorrem frequentemente lesões na cervical. Objetivo: verificar o tipo de lesões cervicais mais frequentes no futebol americano, assim como analisar o risco, a incidência e a severidade das mesmas. Metodologia: foi efetuada uma pesquisa nas bases de dados PubMed, PEDro e Web of Science para identificar estudos que abordassem lesões na cervical em atletas masculinos de futebol americano, integrados na National Football League ou National Collegiate Athletic Association ou High School Football, a partir do ano 2009 até 2021. Resultados: as lesões mais frequentemente referidas foram a lesão do plexo braquial e a dor/tensão cervical. Estas lesões ocorrem maioritariamente durante a temporada, e são causadas por contacto com outro jogador. Os jogadores que ocupam as posições line backer, defensive secondary, e running back foram os que sofreram um maior número de lesões. Constatou-se também que a maioria das lesões são primárias, na maioria das lesões necessitam apenas de uma paragem ou alteração do gesto desportivo de um tempo inferior a 24h, ou de 1 a 6 dias. Conclusão: Independentemente da época desportiva e do nível competitivo, parece existir um padrão lesivo no Futebol Americano.
Introduction: American Football is a dynamic and contact sport, made up of two teams, with 11 players on each side, one defending and the other attacking. As it is a great contact game, cervical injuries often occur. Aim: verify the most frequent type of cervical injuries in American football, as well as analyze their risk, incidence and severity. Metodology: a search was carried out in the PubMed, PEDro and Web of Science databases to identify studies that addressed cervical injuries in male American Football athletes, as part of the National Football League or National Collegiate Athletic Association or High School Football, from the year 2009 until 2021. Results: the most frequently reported injuries were brachial plexus injury and cervical pain/tension. These injuries mostly occur during the season, and are caused by contact with another player. The players who occupy the linebacker, defensive secondary and running back positions were the ones who suffered the greatest number of injuries. It was also found that most injuries are primary, in most injuries they only require a stop or change in the sporting gesture for a period of less than 24 hours, or 1 to 6 days. Conclusion: Regardless of the sporting season and competitive level, there seems to be a harmful pattern in American Football.
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Smith, Tanya. "Injury risk assessment and the incidence of musculo-skeletal injuries in recreational long-distance runners over a 3-month training period". Master's thesis, University of Cape Town, 2017. http://hdl.handle.net/11427/27235.
Pełny tekst źródłaPinto, Samuel Amorim Pereira. "Prevalência lesiva do guarda-redes no futebol: revisão bibliográfica". Bachelor's thesis, [s.n.], 2021. http://hdl.handle.net/10284/10640.
Pełny tekst źródłaObjetivo: obter um maior conhecimento sobre a prevalência de lesões em guarda-redes de futebol. Metodologia: a pesquisa computorizada foi realizada na base de dados PubMed, Web of Science e EBSCOhost. A análise metodológica dos artigos selecionados foi feita com base na Checklist for Prevalence Studies. Resultados: um total de 5 estudos foram incluídos nesta revisão, respeitando os critérios de seleção com um número interveniente de 124 guarda-redes de futebol, do sexo masculino, de diferentes nacionalidades, Turquia, Polónia, Nigéria e Brasil, com idades compreendidas entre 12 e 29 anos. A região anatómica mais comumente atingida foi o joelho (variando de 12% a 45.4%), seguida pelo pé (de 18.2% a 23.9%), enquanto o tipo de lesão mais frequente foram as contusões (63.6%) e fraturas (de 1.2% a 50%). A severidade foi abordada por apenas um estudo em que todas as lesões foram mínimas. Na taxa lesiva em que um artigo abordou a mesma em treinos e jogos (6,48/1000 horas) e outro apenas em jogos (8,33/1000h). Conclusão: o perfil lesivo dos guarda-redes não é consensual, mas o local de lesão mais comum é o joelho e o tipo é a contusão. São necessários mais estudos epidemiológicos para estimar com maior precisão a incidência e taxa lesiva.
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Tibério, Lígia Isabel Moura. "Crianças Seguras, Famílias Felizes!: Lesões não intencionais numa região do Alentejo em crianças até aos 4 anos de idade". Master's thesis, Instituto Politécnico de Setúbal. Escola Superior de Saúde, 2019. http://hdl.handle.net/10400.26/29332.
Pełny tekst źródłaAs lesões não intencionais nas crianças representam um problema de saúde pública, estando entre as principais causas de morte, incapacidade e internamento, sendo essen-cial a implementação e gestão de ambientes seguros. Ao longo do presente relatório explanamos as experiências mobilizadas para a aquisição de Competências de Enfermeiro Especialista em Enfermagem de Saúde Infan-til e Pediátrica e de Mestre através das atividades desenvolvidas nos diferentes contex-tos de estágio e pela realização do Projeto de Intervenção. O Projeto de Intervenção transversal aos diferentes contextos práticos pretendeu ‘Contribuir para a segurança das crianças até aos 4 anos de idade, no que respeita às lesões não intencionais, numa região do Alentejo’. Possibilitou-nos a transmissão dos números associados às lesões não intencionais nas crianças até aos 4 anos de idade, sen-sibilizar os profissionais de enfermagem para a importância dos cuidados antecipatórios e otimizar estratégias para a promoção de ambientes seguros.
Unintentional injuries in children represent a public health problem, being among the main causes of death, disability and hospitalization, and the implementation and management of safe environments is essential. Throughout the present report, we explain the experiences mobilized for the acquisition of Nursing Specialist Skills in Infantile and Pediatric and Master's Health Nursing through the activities developed in the different practical contexts and through the Intervention Project. The Intervention Project transversal to the different practical contexts was intended to 'Contribute to the safety of children up to 4 years of age with regard to unintentional injuries in a region of Alentejo'. It has enabled us to transmit the numbers associated with unintentional injuries in children up to 4 years of age, to sensitize nursing professionals to the importance of anticipatory care and to optimize strategies for the promotion of safe environments.
Cenenkienė, Regina. "Medicinos darbuotojų profesiniai biologiniai rizikos veiksniai". Master's thesis, Lithuanian Academic Libraries Network (LABT), 2007. http://vddb.library.lt/obj/LT-eLABa-0001:E.02~2007~D_20070803.112554-92008.
Pełny tekst źródłaThe health care workers are attributed to the highest biological factors risk group, as they daily come into contact with fluids of human body. Risk of incidents – sharps injuries and blood exposure – is related to the infections, spread by blood (HBV, HCV, HIV). Aim of the study. Determine the professional biological risk factors for health care workers and their incidence in the surgical departments of Kaunas Medical University Hospital. Methods. Retrospective study of 1-6 months of year 2006 was performed; data was collected in the surgical departments of Kaunas Medical University Hospital. Anonymous questionnaire survey was performed. 347 questionnaires were distributed; rate of response was 89.6% (311). SPSS 11.0 software was used for statistical data processing. Results. 64.5% of respondents had experienced sharps injury, 71.1% were exposed to the biological fluids, and 39.6% of workers had experienced the injury and the exposure. The hands were injured during all the sharps injury cases; 63% of respondents were drabbled by blood on the healthy skin and 20 % were drabbled into the eyes during the blood exposure. In most cases worker were drabbled by blood (60%). Physicians mostly experience the sharps injury during the surgery (79.3%), nurses – during the preparation of instruments (35.1%), supporting staff – disposing the waste (75.8%). Commonly physicians were injured by the surgical needle (72.4%), nurses – by needlestick (72.4%), and the supporting staff – by glass... [to full text]
Öberg, Koivumaa Alex, i William Wikström. "Skadeförekomsten på Sveriges alpina skidgymnasium : En enkätstudie om skadeförekomst på svenska idrottsstudenter". Thesis, Umeå universitet, Avdelningen för idrottsmedicin, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-184893.
Pełny tekst źródłaIntroduction Alpine skiing is a popular winter sport that is often associated with injury. It has been part of the winter Olympics since 1936 and is categorized into four different disciplines; Slalom, Giant Slalom, Super G and Downhill. Young athletes in Sweden have the opportunity to specialize in alpine skiing as they start high school, where they can combine studies with sports. Severe injuries can significantly affect individual athletes’ ranking points and careers. The purpose of this study was to investigate which injury is the most common and the difference in injury incidence between the sexes and first to fourth grade at Swedish Alpine High Schools. Method A questionnaire was sent out to students at Sweden's Alpine Ski High School, of which 87 students (40 men and 47 women aged 16–20) chose to participate in the study. Results Of all injuries in the study, 64 % were reported by women and 36 % by men. The study only showed a slight difference in sleeping patterns and training volume between the sexes. Out of 53 reported acute and overuse injuries, 40 % were back injuries. Of all the participants 53 % claimed they had exercised while in pain or need of treatment during the previous year. Second grade had the highest injury incidence, with 81 % during the previous year. Conclusion Based on the injuries reported in the study, men and women would most likely benefit from personalized training programs. A more effective job with injury prevention could be needed considering 61 % of the participants have been injured at least once during the previous year. Better communication between coaches and students about training with pain or in need of treatment might be required. Keywords: Incidence of injury, Sports High School, Training load
Hendricks, Candice. "Factors associated with injuries in road-runners at a local athletic club". Thesis, University of the Western Cape, 2011. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_6762_1361370450.
Pełny tekst źródłaAcross the world, physical inactivity was found to be associated with cardiovascular and chronic diseases of lifestyle which often leads to an increased rate of various physical disabilities andpremature death. To combat these high incidences of chronic diseases of lifestyle, WHO strongly encourages people to become physically active on a daily basis to reduce the risk of 
premature death. Running has thus become the preferred choice of physical activity by thousands of people to help improve their overall health and wellbeing. Apart from the health benefits 
that running provides, it can also predispose the runner to potential injury especially when runners follow an inappropriate training programme and have inadequate knowledge about factors causing injury. Therefore, baseline data about the prevalence, incidence of injury and the identification of the aetiological factors associated with running injuries are needed to develop and 
implement preventative programmes to allow runners to optimally perform in training and races without injury. In South Africa, there is limited research available on the incidence of injury in runners yet there is an annual increase in participation in races such as Two Oceans and Comrades marathon which could lead to an increase in the number of running injuries.Thus, the purpose of this study was to determine the incidence of injuries and identify the various risk factors that are associated with injuries in road runners at a local athletic club. Methods: A prospective cohort study design over a 16 week period using quantitative research methods was used. A sample of 50 runners had consented to participate in the study. The participants had to complete a self-administered questionnaire and clinical measurements of BMI, Q-angle, leglength, muscle strength of lower leg and ROM of hip and knee were recorded. The participants had 
to complete an injury report form to record any new injuries sustained over the 16 week period of the study. Statistical Package for Social Sciences (SPSS) version 18 and software SAS v9 (SAS Institute Inc., Cary, NC, USA) was used for data capturing and analysis. Descriptive and inferential statistics were done to summarize the data and was expressed as frequencies, percentages, means and standard deviations. Injury prevalence and cumulative incidence was calculated as a proportion rate along with 95% confidence interval. The Poisson regression model was used to analyse the association between running injury and the independent variables of interest such as demographics, anthropometric measurements, training methods, running experience and 
previous injury. The alpha level was set as p<
0.05. Results: The study found that the majority (92%) of the participants (n=46) sustained running injuries in the past prior to the study. A total of 16 participants sustained a number of 50 new injuries over the 16 week study period. Thus the prevalence rate of injuries was 32%. The incidence rate of injuries for this study was 0.67 per 
1000km run at a 95% confidence interval of 0.41, 1.08. Furthermore, the most common location of new injuries reported were the calf (20%) and the second most common location was the 
knee (18%). PFPS was the most common type of knee injury diagnosed, followed by lumbar joint sprain. The results showed that none of the identified factors (running distance, stretching, age, Q-angle, BMI, running experience, leg-length discrepancy and previous running injuries) were directly associated with running injuries. However, a marginal significance was found for 
running distance (p = 0.08) and leg length discrepancy (p = 0.06). Conclusions: The study found a high prevalence and incidence rate of injury thus the need for preventative programmes have been highlighted. There was no statistical significance found between the identified factors and risk of injury however, there was clinical relevance found between factors identified. One major 
limitation was the small sample of participants and the short duration of study period. Thus, future research is needed to further determine possible factors associated with running injuries over a longer period and including a larger sample. The results of the study will be made available to all the stakeholders (runners, coaches and medical team) to implement in athletic club.
Puljula, J. (Jussi). "Alcohol-related traumatic brain injuries before and after the reduction of alcohol prices:observations from Oulu Province and Northern Ostrobothnia". Doctoral thesis, Oulun yliopisto, 2012. http://urn.fi/urn:isbn:9789514299513.
Pełny tekst źródłaTiivistelmä Traumaattiset aivovammat aiheuttavat mittavia terveydellisiä ja taloudellisia ongelmia. Alkoholin vaikutuksen alaisena on vammautumishetkellä 34–51 % aivovammapotilaista. Akuutti päihtymystila lisää riskiä saada pään alueen vamma verrattuna muihin vartalon osiin. Alkoholi on merkittävä ja estettävissä oleva aivovammojen riskitekijä. Vuonna 2004 toteutettiin merkittävä alkoholin veronalennus sekä poistettiin muista EU-maista tuotavien verottomien juomien rajoitukset. Alkoholin kulutus lisääntyi 10 % vuoden aikana. Alkoholin aiheuttamat maksasairaudet sekä äkkikuolemat lisääntyivät alkoholin veronalennuksen jälkeen. Vaikutuksia traumaattisten aivovammojen ilmaantuvuuteen ja kuolleisuuteen ei ole vielä tutkittu. Tiedot kerättiin Oulun yliopistollisessa sairaalassa hoidetuista aivovammapotilaista (1999 ja 2007) sekä Oulun läänin alueella aivovammoihin kuolleista (1999, 2006 ja 2007) vainajista. Vuonna 1999 pään vamman vuoksi Oulun yliopistollisessa sairaalassa käyneitä potilaita seurattiin vuoden 2009 loppuun saakka. Tiedot alkoholin käytöstä perustuivat positiiviseen mitattuun alkoholipitoisuuteen sekä asiakirjamerkintöihin alkoholin käytöstä. Lievää vaikeampien traumaattisten aivovammojen ilmaantuvuutta, kuolleisuutta sekä alkoholiin liittyvien tapausten osuutta verrattiin tutkimusvuosien välillä. Vuonna 1999 päätään loukanneiden pitkäaikaisseurannassa tutkittiin alkoholin veronalennuksen vaikutusta kuolleisuuteen. Lievää vaikeampien aivovammojen ilmaantuvuus sekä aivovammakuolleisuus pysyivät samansuuruisina ennen ja jälkeen alkoholin veronalennuksen. Veronalennuksen jälkeen alkoholiin liittyvien aivovammojen osuus lisääntyi keski-ikäisillä mutta väheni nuorilla. Keski-ikäisillä havaittu alkoholi liitännäisten aivovammojen lisääntyminen johtui pääasiallisesti siitä että kaatumisvammoja tapahtui enemmän, kun taas nuorten kohdalla havaittu väheneminen johtui itsemurhien vähenemisestä. Alkoholin veronalennuksen jälkeen alkoholia haitallisesti käyttävien kuolleisuus lisääntyi merkittävästi verrattuna niihin, jotka eivät käyttäneet alkoholia haitallisesti. Lievää vaikeampien aivovammojen ilmaantuvuus sekä kuolleisuus eivät lisääntynyt alkoholin veronalennuksen jälkeen, mutta keski-ikäisten alkoholiin liittyvät kaatumistapaukset lisääntyivät. Havainnot osoittavat, että erityisesti haitallisesti alkoholia käyttävillä sekä keski-ikäisillä oli suurempi riski saada aivovammoihin liittyviä ongelmia veronalennuksen jälkeen
Zavareh, Milad [Verfasser], i Tobias [Akademischer Betreuer] Huber. "Impact of interaction of diabetes mellitus and impaired renal function onprognosis and the incidence of acute kidney injury in patients undergoingtranscatheter aortic valve replacement (TAVI) / Milad Zavareh ; Betreuer: Tobias Huber". Hamburg : Staats- und Universitätsbibliothek Hamburg, 2020. http://d-nb.info/1208834010/34.
Pełny tekst źródłaSantos, Reginaldo Passoni dos. "Injúria renal aguda em unidade de terapia intensiva: um estudo longitudinal". Universidade Estadual do Oeste do Paraná, 2018. http://tede.unioeste.br/handle/tede/3682.
Pełny tekst źródłaMade available in DSpace on 2018-05-23T11:59:41Z (GMT). No. of bitstreams: 2 Reginaldo Passoni dos Santos.pdf: 1982415 bytes, checksum: dba95e2f026db2d51f04730b324c98ae (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Previous issue date: 2018-04-04
Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES
The objective of this study was to identify the occurrence and risk factors for Acute Kidney Injury (AKI) in critically ill Brazilian patients. Study retrospective, documentary and with quantitative approach. The AKI identification was performed using the criteria proposed by the acronym KDIGO (Kidney Disease Improving Global Outcomes). Data were collected, between October 2016 and January 2018, from patients admitted to the Intensive Care Unit (ICU) between January 2011 and December 2016 Was used a form constructed and validated specifically for use in the study, which extracted patients' information registered at admission to the ICU, which refer to the clinical- epidemiology patients profile, as well as laboratory and hemodynamic parameters and the need for dialysis. The data collected evaluated the AKI incidence, its risk factors and the overall mortality rate, as well as among AKI patients and among patients with dialysis. Descriptive and inferential statistical analyzes were performed, using logistic regression tests and the receiver operating characteristic (ROC) curve. In all analyzes p-value <0.05 was considered statistically significant and all data were analyzed in software R. The study included 1,500 patients, AKI incidence was 40.5% (n = 608) and need of dialysis was 13% (n = 79). The risk factors at ICU admission to AKI occurrence were: hypertension (odds ratio (OR) = 1.44, 95% confidence interval (CI) = 1.07-1.94, p = 0.017), serum creatinine concentration (OR = 3.54; 95% CI = 2.65-4.73; cutoff: >1.16 mg/dL; p <0.001), serum albumin concentration (OR = 1.42, 95% CI = 1.07-1.89, cutoff: 0.35, p 0.015), APACHE II score (OR = 2.10, 95% CI = 1.56-2.81, cutoff: >24 points, p <0.001) and SAPS 3 score (OR = 1.75, 95% CI = 1.31-2.33, cutoff: >68 points, p <0.001). The overall mortality rate was 18.5%, at AKI patients 39.1%, and at patients with AKI dialytic 62%. The AKI incidence was high and the data are consonant with the literature. We identified the AKI predictors among critically ill Brazilian patients, and the results of this study may contribute to the implementation of targeted care therapies, as well as to establish strategies that can promote patient safety.
Objetivou-se identificar, nesta pesquisa, a ocorrência e os fatores de risco para Injúria Renal Aguda (IRA) em pacientes brasileiros em estado crítico por meio de um estudo retrospectivo, documental e com abordagem quantitativa. A identificação de IRA foi realizada com a aplicação dos critérios propostos pelo acrônimo KDIGO (Kidney Disease Improving Global Outcomes). Coletou-se, entre outubro de 2016 e janeiro de 2018, dados de pacientes que foram admitidos em Unidade de Terapia Intensiva (UTI) entre janeiro de 2011 e dezembro de 2016. Utilizando-se um formulário construído e validado especificamente para uso neste estudo, extraiu-se dos prontuários informações registradas na admissão à UTI, as quais referiam-se ao perfil clínico-epidemiológico dos pacientes, bem como aos parâmetros laboratoriais e hemodinâmicos e à necessidade de diálise. Por meio dos dados coletados, avaliou-se a incidência de IRA, os fatores de risco e a taxa de mortalidade global entre pacientes com IRA e entre aqueles com IRA dialítica. Foram realizadas análises estatísticas descritivas e inferenciais, com aplicação de testes de regressão logística e da curva ROC (receiver operating characteristic). Em todas as análises, considerou-se p-valor < 0,05 como estatisticamente significativo e todos os dados foram analisados no software R. Incluíram-se no estudo 1.500 pacientes, sendo que a incidência de IRA foi de 40,5% (n= 608) e de IRA dialítica de 13% (n= 79). Os fatores de risco na admissão à UTI para ocorrência de IRA foram: hipertensão (odds ratio (OR) = 1.44, intervalo de confiança (IC) 95% = 1.07-1.94; p-valor = 0.017), concentração sérica de creatinina (OR = 3.54; IC 95% = 2.65-4.73; cut-off: >1.16 mg/dL; p-valor <0.001), concentração sérica de albumina (OR = 1.42; IC 95% = 1.07-1.89; cut-off: ≤ 2.81; p-valor 0.015), escore do APACHE II (OR = 2.10; IC 95% = 1.56-2.81; cut-off: >24 pontos; p-valor <0.001) e escore do SAPS 3 (OR = 1.75; IC 95% = 1.31-2.33; cut-off: > 68 pontos; p-valor <0.001). A taxa de mortalidade global foi de 18,5%, nos pacientes com IRA 39,1%, e nos pacientes com IRA dialítica de 62%. A incidência de IRA foi alta e os dados estão em consonância com a literatura especializada. Identificamos os preditores para IRA entre pacientes brasileiros criticamente enfermos, assim sendo, os resultados deste estudo podem contribuir para implementação de terapias de cuidado direcionadas, bem como para estabelecer estratégias que possam promover a segurança do paciente.
Brindle, Christopher T. "Incidence and Predictor Variables of Pressure Injuries in Patients Undergoing Ventricular Assist Device and Total Artificial Heart Surgeries: An Eight-Year Retrospective Review". VCU Scholars Compass, 2019. https://scholarscompass.vcu.edu/etd/6038.
Pełny tekst źródłaÅman, Malin. "Acute sports injuries in Sweden and their possible prevention : an epidemiological study using insurance data". Doctoral thesis, Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:gih:diva-5128.
Pełny tekst źródłaAlbertsson, Pontus. "Occupant casualties in bus and coach traffic : injury and crash mechanisms". Doctoral thesis, Umeå : Deptartment of Surgical and Perioperative Sciences, Division of surgery, Umeå university, 2005. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-482.
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