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Drue Stapleton

, and/or bodily reaction lead to the development of WMSD; injuries caused by traumatic events (i.e., slips, trips, falls, burns, etc.,) are excluded when establishing WMSD epidemiological measures. 1 Emergency service personnel (ESP), such as law enforcement officers and firefighters, have a high level

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Disa J. Smee, Anthony Walker, Ben Rattray, Julie A. Cooke, Ben G. Serpell and Kate L. Pumpa

Given the importance of body composition in maintaining optimal physical and functional capacities, the use of appropriate, field-based assessment tools should be a priority to assist in maintaining the occupational safety of firefighters and the community. For ease, body mass index has often been used to assess these changes. However, it is limited in its accuracy. The purposes of this study were twofold: (a) to compare the validity of different measures of body composition against dual-energy X-ray absorptiometry (DXA) in urban firefighters and (b) to assess these measures in their ability to provide meaningful interpretation of criteria-driven categories of adiposity. A total of 64 male firefighters (age = 44.0 ± 9.5 years) underwent full anthropometric profiling (predictor equations used to determine body fat percentage [BF%]), bioelectrical impedance analysis (BIA), and DXA assessments. Participants’ body mass index was calculated, and BF% and lean mass were determined along with criteria-driven categorizations of adiposity. Anthropometric (skinfolds) predictor equations (e.g., mean bias = −4.4% for BF%) were typically closer to DXA measures, compared with BIA (9.4% for BF%). However, when determining categories of criteria-driven adiposity, BIA (42.9% overweight or obese) provided closer estimates to the DXA-determined distribution (44.6%) than anthropometric-based measures (up to 40%). Body mass index appears an inappropriate measure for accurately determining categories of adiposity with 64.1% classified as overweight or obese. Given the logistical constraints of anthropometric profiling, and the closeness of BIA to DXA in adiposity categories, BIA may be a suitable alternative to DXA for assessing body composition in professional urban firefighters.

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Viviane Ribeiro de Ávila, Teresa Bento, Wellington Gomes, José Leitão and Nelson Fortuna de Sousa

Context Ankle fractures (AFs) are the most common injuries among the fractures of the lower limbs found in urgency and emergency services. 1 , 2 These fractures are a significant source of morbidity for both the young and elderly population. 3 , 4 At a young age, the incidence is higher in men

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Sinéad O’Keeffe, Niamh Ní Chéilleachair and Siobhán O’Connor

Context: Participating in Gaelic football provides a wealth of benefits, but a risk of musculoskeletal injury also exists. Injury is associated with physical consequences, including pain, discomfort, loss of function, time absent from school/sport, and considerable medical expenses, along with placing undue pressure on emergency services and hospital staff. Concurrent psychological consequences, such as fear avoidance, can also occur, causing psychological distress. There is a current dearth of available research examining the psychology of injury in male adolescent Gaelic footballers. Objective : To examine fear avoidance postinjury in male adolescent Gaelic footballers, the effect of pain, time loss, injury severity, and previous injury on the extent of fear avoidance, and the usefulness of a modified Athlete Fear Avoidance Questionnaire (AFAQ) as a screening tool for predicting injury. Design: Prospective cohort study. Setting: Recreational clubs. Participants: A total of 97 male adolescent club Gaelic footballers (13.4 [1.1] y). Interventions: Musculoskeletal injuries sustained during participation in Gaelic football, defined as any injury sustained during training or competition causing restricted performance or time lost from play, were assessed and recorded weekly by a certified athletic and rehabilitation therapist. Injuries requiring time loss from participation were classed as time-loss injuries. Injury characteristics that included type, nature, location, severity, and pain were recorded. Main Outcome Measures: Injured players completed the AFAQ, a measure of injury-related fear avoidance following injury assessment (AFAQ1). With time-loss injuries, the AFAQ was completed again (AFAQ2) prior to return to play. Modified AFAQ was completed at baseline. Results: Twenty-two injuries were recorded during the season with fear avoidance evident postinjury that significantly decreased before returning to play. Fear avoidance postinjury was higher in those with greater pain but time loss, injury severity, and previous injury did not significantly affect the extent of fear avoidance. Baseline fear avoidance did not predict injury. Conclusions: Psychological rehabilitation is recommended for managing postinjury psychological distress in male adolescent Gaelic footballers.

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. 21 d. 25 20. The use of composite FMS score as a predictor of injury in emergency service personnel should be done with caution. a. True b. False Attention CEU Quiz Participants CEU tests are available online only at http

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Thomas M. Newman, Giampietro L. Vairo and William E. Buckley

et al 3 presented data that those wearing ankle braces had an increased 40-yd dash time between 0.11 and 0.12 seconds. During competition, this difference in time may be the reason for winning or losing an event. For those individuals serving in various emergency services and military positions, any

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Simon Rice, Matt Butterworth, Matti Clements, Daniel Josifovski, Sharyn Arnold, Cecily Schwab, Kerryn Pennell and Rosemary Purcell

health. Among the groups where new approaches and mental health models have evolved are young people ( McGorry, Purcell, Hickie, & Jorm, 2007 ), older-age individuals ( Hinrichsen, Emery‐Tiburcio, Gooblar, & Molinari, 2018 ), higher-risk groups including those engaged in the emergency services and

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Eric MacIntosh, Keita Kinoshita and Popi Sotiriadou

detectors and screening upon entry into the village and the sport venue, security officers stationed within the village and at the sport venues, fire and emergency services, control point officers, and other staff who would assist with athlete travel and logistics to and from the village ( State of

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Bryan C. Clift

, 1998 ). This sort of “outsourcing” of welfare for the homeless population to non-State actors generated a kind of “shadow-state” network that began to oversee essential forms of welfare provision ( Wolch, 1990 ). This was evident in Baltimore in the homeless provision and emergency services. A 1983

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Recep Gorgulu, Andrew Cooke and Tim Woodman

performance domain, especially during tasks that require rapid decisions and responses to ever-changing environmental stimuli (e.g., competitive sport, emergency services, and armed forces) can be severe. Indeed, we are aware of no study applying ironic processes theory to the anxiety and performance