Background: Research has found that injury rates in football are higher in competition than during practice. However, there is little research on the association between injury rates and type of football practices and how these specific rates compare with those in competitions. Purpose: This study utilized data from the National Collegiate Athletic Association Injury Surveillance System (NCAA ISS) to describe men's collegiate football practice injuries (academic years 2004-2005 to 2008-2009) in 4 event types: competitions, scrimmages, regular practices, and walkthroughs. Study Design: Descriptive epidemiological study. Methods: Football data during the 2004-2005 to 2008-2009 academic years were analyzed. Annually, an average of 60 men's football programs provided data (9.7% of all universities sponsoring football). Injury rates per 1000 athlete-exposures (AEs), injury rate ratios (RRs), 95% CIs, and injury proportions were reported. Results: The NCAA ISS captured 18,075 football injuries. Most injuries were reported in regular practices (55.9%), followed by competitions (38.8%), scrimmages (4.4%), and walkthroughs (0.8%). Most AEs were reported in regular practices (77.6%), followed by walkthroughs (11.5%), competitions (8.6%), and scrimmages (2.3%). The highest injury rate was found in competitions (36.94/1000 AEs), followed by scrimmages (15.7/1000 AEs), regular practices (5.9/1000 AEs), and walkthroughs (0.6/1000 AEs). These rates were all significantly different from one another. Distributions of injury location and diagnoses were similar across all 4 event types, with most injuries occurring at the lower extremity (56.0%) and consisting of sprains and strains (50.6%). However, injury mechanisms varied. The proportion of injuries due to player contact was greatest in scrimmages (66.8%), followed by regular practices (48.5%) and walkthroughs (34.9%); in contrast, the proportion of injuries due to noncontact/overuse was greatest in walkthroughs (41.7%), followed by regular practices (35.6%) and scrimmages (21.9%). Conclusion: Injury rates were the highest in competitions but then varied by the type of practice event, with higher practice injury rates reported in scrimmage. In addition, greater proportions of injuries were reported in regular practices, and greater proportions of exposures were reported in regular practices and walkthroughs. Efforts to minimize injury in all types of practice events are essential to mitigating injury incidence related to both contact and noncontact.

In our society, police officers have been called upon to ensure compliance with the law and preserve social order. To complete this task, there are situations in which officers must use force. Since they must use force in some situations and because not every citizen is cooperative with the police, they are at risk for injury. Multiple studies have shown that tasers are beneficial to police officers in many ways, including a reduction in officer injuries. Most studies, however, observed injuries in only a few departments before and after implementation. This study examines whether or not agencies that authorize the use of tasers have lower injury rates compared to agencies that do not authorize the use of tasers in a large sample. This will be done through a cross-sectional research design using secondary data analysis. The data for this study comes from two sources, the 2008 Uniform Crime Reports and the 2007 Law Enforcement Management Administrative Statistics (LEMAS) survey. Results showed that the authorization of tasers by police departments was not a significant predictor of police injury rates. Although it is not a significant predictor in this study, an argument can still be made that tasers are effective at reducing injuries to police officers.

Athlete monitoring and proper strength and conditioning should serve not only to manage fatigue and increase athletic performance but decrease injury rates as well. In cooperation with the East Tennessee State University (ETSU) Sport Science Program, the Sports Performance Enhancement Consortium (SPEC) provides athlete monitoring and strength & conditioning services to ETSU Athletics. Since October 2008, the SPEC program has provided evidence based monitoring and strength and conditioning (S&C) services to ETSU baseball. This represents the first investigation of the potential for the SPEC program to influence injury rates among Division I athletes at ETSU. The number of spring season game-time injuries and athletic exposures were determined for ETSU baseball during the 7-year period from 2004-2010. Injuries were classified as Game-Time Injury (GTI) and/or Training Related Game-Time Injury (TRGTI). In order to qualify as a GTI, the injury must have occurred during and as a direct result of playing in a game. GTIs include contact and non-contact injuries. Injuries that may have been influenced by the strength and conditioning program were classified as TRGTI. During spring seasons from 2004-2010, these injuries included strains, sprains, dislocations (non-contact), inflammation, and impingements. Classification as a TRGTI required all of the following criteria to be fulfilled, 1) the injury must have occurred during and as a direct result of playing in a game, 2) the injury must not result from contact, 3) the injury must have been potentially related to and/or prevented through training. For the purposes of this investigation, only injuries sustained during spring season games were considered. A single athletic exposure (A-E) was defined as 1 athlete participating in 1 competition where the potential for injury existed and was not dependent upon the length of time an athlete participated in the competition. For the purposes of this investigation, only A-Es occurring during spring season games were considered. A-Es for practice sessions were not available. Injury rate is defined as the number of injuries divided by the number of A-Es. In this investigation, injury rate is expressed at injuries per 100 A-Es. Since ETSU Baseball injury data is available for the last seven spring seasons, and only two seasons have included SPEC involvement, a description of total injuries and injury rates can be provided. Of the 7 seasons reported, the 2009 and 2010 spring seasons were associated with the lowest GTI, TRGTI and game-time injuries (total injuries and training related injuries) and lowest injury rates (total injury rate and training related injury rate). During the spring 2010 season, not a single TRGTI was reported. If significant injury reductions can be achieved through the SPEC program over a broad range of sports, it may suggest that programs similar to SPEC could be used in sport at a variety of levels to increase performance and reduce injury rates and decrease the costs associated with the treatment of sport related injuries.

No description available.

A Magnet-recognized academic hospital system experienced an increase in patient falls and patient falls with injury after transitioning to a new electronic health record. The purpose of the project was to evaluate the effectiveness of a system-wide quality improvement practice change. The practice-focused question addressed a Magnet model implementation of a standardized, system-wide, evidence-based Hester Davis Scale (HDS) fall risk assessment and intervention tool and the impact on the nursing-sensitive indicators of patient fall rates and fall rates with injury. Successful implementation and sustained, correct use of the HDS fall risk assessment and targeted fall-prevention-intervention tools added to the evidence of multifactorial fall-intervention-prevention strategies designed to reduce patient falls and patient injury associated with falls. Two models were used to inform the project: the American Nurses Credentialing Center next-generation Magnet model and the Institute for Healthcare Improvement framework for spread. The primary source of evidence was the National Database of Nursing Quality Indicators. A run chart approach to process improvement was determined to be the best method to assess the effectiveness of the HDS Falls Prevention Program for 28 months post implementation. The run chart for patient fall rates and fall with injury rates demonstrated a reduction in falls and sustained improvement over 28 months. The decreases in falls and fall with injury rates of this project have implications for positive social change. Magnet recognition supports the implementation of the evidence-based HDS Fall Reduction Program, thereby improving the quality of life for patients and families and reducing the burden and cost of health care associated with falls.

no / Objective To evaluate landing strategies of female football and basketball athletes with relation to possible injury mechanisms and disparity in injury. Design Descriptive laboratory study. Participants 52 female football players and 41 female basketball players. Main outcome measures Frontal plane projection angle (FPPA) was measured during the single leg land (SLL) and drop jump (DJ) screening tasks. Results 2 × 2 × 2 mixed factorial ANOVA showed significant main effects were observed for sport, whilst significant interaction effects were seen between sport and task. Females in both sports exhibited significantly greater FPPA values during the SLL task than the DJ task (p < 0.001). Basketball players demonstrated significantly greater FPPA values during SLL than football players (p < 0.001), whilst no differences were found between sports in the DJ task (p = 0.328). Conclusion Female basketball players display greater FPPA values during unilateral landing tasks than female football players which may reflect the greater ACL injury occurrence in this population. Injury prevention programs in these athletes should incorporate unilateral deceleration and landing tasks and should consider the specific injury mechanisms in each sport.