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Author Verheyen, K.; Price, J.; Lanyon, L.; Wood, J. doi  openurl
  Title Exercise distance and speed affect the risk of fracture in racehorses Type Journal Article
  Year 2006 Publication Bone Abbreviated Journal Bone  
  Volume 39 Issue 6 Pages 1322-1330  
  Keywords Animals; Case-Control Studies; Cohort Studies; England; Exertion; Female; Fractures, Bone/etiology/*veterinary; Horse Diseases/*etiology; Horses/*injuries; Male; Physical Conditioning, Animal/adverse effects/methods; Poisson Distribution; Prospective Studies; Regression Analysis; Risk Factors; Running/injuries/physiology  
  Abstract In order to gain insight into those training regimens that can minimise the risk of fracture in athletic populations, we conducted a large epidemiological study in racehorses. Thoroughbred racehorses provide a suitable model for studying fracture development and exercise-related risk factors in physically active populations. They represent a homogeneous population, undertaking intensive exercise programmes that are sufficiently heterogeneous to determine those factors that influence injury risk. Daily exercise information was recorded for a cohort of 1178 thoroughbreds that were monitored for up to 2 years. A total of 148 exercise-induced fractures occurred in the study population. Results from a nested case-control study showed a strong interactive effect of exercise distances at different speeds on fracture risk. Horses that exceeded 44 km at canter (< or =14 m/s) and 6 km at gallop (>14 m/s) in a 30-day period were at particularly increased risk of fracture. These distances equate to ca. 7700 bone loading cycles at canter and 880 loading cycles at gallop. Fifty-six fractures occurred in the subset of study horses that were followed since entering training as yearlings, when skeletally immature (n = 335). Cohort analysis of this data set showed that, in previously untrained bones, accumulation of canter exercise increased the risk of fracture (P < or = 0.01), whereas accumulation of high-speed gallop exercise had a protective effect (P < 0.01). However, increasing distances at canter and gallop in short time periods (up to one month) were associated with an increasing fracture risk. All training exercise involves a balance between the risk of fracture inherent in exposure to loading and the beneficial effect that loading has by stimulating bone cells to produce a more robust architecture. Results from our study provide important epidemiological evidence of the effects of physical exercise on bone adaptation and injury risk and can be used to inform the design of safer exercise regimens in physically active populations.  
  Address Epidemiology Unit, Animal Health Trust, Newmarket, United Kingdom. kverheyen@rvc.ac.uk  
  Corporate Author Thesis  
  Publisher Place of Publication Editor  
  Language (up) English Summary Language Original Title  
  Series Editor Series Title Abbreviated Series Title  
  Series Volume Series Issue Edition  
  ISSN 8756-3282 ISBN Medium  
  Area Expedition Conference  
  Notes PMID:16926125 Approved no  
  Call Number Equine Behaviour @ team @ Serial 4030  
Permanent link to this record
 

 
Author Romano, N.; Vitale, F.; Alesi, D.R.; Bonura, F.; La Licata, R.; Intonazzo, V.; Dardanoni, G.; Mammina, C. url  doi
openurl 
  Title The changing pattern of human immunodeficiency virus type 1 infection in intravenous drug users. Results of a six-year seroprevalence study in Palermo, Italy Type Journal Article
  Year 1992 Publication American Journal of Epidemiology Abbreviated Journal Am J Epidemiol  
  Volume 135 Issue 11 Pages 1189-1196  
  Keywords Acquired Immunodeficiency Syndrome/*epidemiology; Adolescent; Adult; Chi-Square Distribution; Cross-Sectional Studies; Female; HIV Antibodies/blood; HIV Infections/*epidemiology; HIV Seroprevalence/*trends; *Hiv-1; Hepatitis B Antibodies/blood; Hepatitis B Surface Antigens/blood; Heroin; Humans; Incidence; Italy/epidemiology; Logistic Models; Male; Multivariate Analysis; Odds Ratio; Prevalence; Risk Factors; Substance Abuse, Intravenous/*epidemiology; Time Factors  
  Abstract A cross-sectional seroepidemiologic study was carried out between 1985 and 1990 in 1,567 heterosexual intravenous drug users who had been seen at the AIDS Regional Reference Center in Palermo, Italy, to evaluate the rate of human immunodeficiency virus type 1 (HIV-1) seroprevalence in this group and its long-term trend. Sixty serum samples collected from drug users in 1980 and 1983, before the founding of the Center (1985), were tested as well. Some demographic and behavioral risk factors were studied in a subgroup of intravenous drug users enrolled in 1985, 1987, and 1990 for their possible association with HIV-1. These factors were also studied in relation to hepatitis B virus infection, since both viruses share the same modes of spread. These drug users had a higher prevalence of markers for hepatitis B virus than of HIV-1 antibodies, and the prevalence rates in sera collected declined over time for both infections. The presence of both antibodies to HIV-1 and markers for hepatitis B virus was independently associated with the age of the drug user, the duration of drug use, and the year of serum collection. Antibodies to HIV-1 were observed more frequently in females than in males. No relation was found between education or employment status and the presence of HIV-1 antibodies or hepatitis B virus markers. Although new HIV-1 infections still occur, the decline in seroprevalence observed at the end of the 1980s might be related to modifications in social behavior among newer drug users, partial exhaustion of the susceptible population, and increasing risk awareness in more experienced users.  
  Address Giuseppe D'Alessandro Department of Hygiene and Microbiology, School of Medicine, University of Palermo, Italy  
  Corporate Author Thesis  
  Publisher Place of Publication Editor  
  Language (up) English Summary Language Original Title  
  Series Editor Series Title Abbreviated Series Title  
  Series Volume Series Issue Edition  
  ISSN 0002-9262 ISBN Medium  
  Area Expedition Conference  
  Notes PMID:1626537 Approved no  
  Call Number Equine Behaviour @ team @ Serial 5258  
Permanent link to this record
 

 
Author Kraft, C.N.; Urban, N.; Ilg, A.; Wallny, T.; Scharfstadt, A.; Jager, M.; Pennekamp, P.H. doi  openurl
  Title [Influence of the riding discipline and riding intensity on the incidence of back pain in competitive horseback riders] Type Journal Article
  Year 2007 Publication Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin Abbreviated Journal Sportverletz Sportschaden  
  Volume 21 Issue 1 Pages 29-33  
  Keywords Adolescent; Adult; Aged; Animals; Child; Female; Horses; Humans; Incidence; Low Back Pain/diagnosis/*epidemiology/etiology; Male; Middle Aged; Pain Measurement; Questionnaires; Risk Factors; *Sports/physiology  
  Abstract INTRODUCTION: The connection between morphologic changes of the spine and the intensity of training has been assessed for a number of sport activities. The influence of horseback riding on the spine has only rarely been evaluated. The aim of our study was to evaluate to what degree horseback riders suffer from back pain and whether there is an association between this parameter and the category i. e. the intensity of horseback riding. Furthermore we wanted to judge whether riding may have a positive effect on pre-existent back pain. METHODS: 508 horseback riders (63.2 % females; 36.8 % males) competing in either dressage, showjumping or vaulting were interviewed using a questionnaire. Apart from biometric data, the intensity with which riding was performed and the localisation and intensity (VAS) of back pain was assessed. Furthermore, in the case of existing back pain, riders were asked whether different riding disciplines and paces changed the intensity of pain. RESULTS: 300 dressage riders (59.1 %), 188 showjumpers (37.0 %) and 20 vaulters (3.9 %) with an average age of 33.5 Jahre (12 – 77 years) were questioned. The incidence of back pain was 72.5 %. A significant correlation between back pain and riding discipline respectively gender or riding level could not be found. Discrepancies in VAS-score for dressage riders (3.95 +/- 0.13), show jumpers (4.10 +/- 0.16) and vaulters (3.76 +/- 0.5) were marginal and not significant (p > 0.05). Overall 58.7 % resp. 15.2 % reported to have pain in the lumbar i.e cervical spine. Despite the fact that a large fraction of dressage riders claimed to have problems in these spine areas with 57.7 % resp. 68.8 %, this finding was not significant compared to the other riding disciplines. While 61.6 % of dressage riders reported an improvement of their back pain when riding, this was only the case in 40.9 % of show jumpers. CONCLUSION: Compared to the general population, a high incidence of back pain is found among riders. A significant correlation between the intensity of riding or the riding discipline and frequency or severity of back pain could not be found. For riders with pre-existent back pain the pace “walk” seems to have a positive influence on pain intensity.  
  Address Klinik und Poliklinik fur Orthopadie, Heinrich-Heine-Universitat, Dusseldorf. clayton.kraft@med.uni-duesseldorf.de  
  Corporate Author Thesis  
  Publisher Place of Publication Editor  
  Language (up) German Summary Language Original Title Einfluss der Reitdisziplin und -intensitat auf die Inzidenz von Ruckenschmerzen bei Reitsportlern  
  Series Editor Series Title Abbreviated Series Title  
  Series Volume Series Issue Edition  
  ISSN 0932-0555 ISBN Medium  
  Area Expedition Conference  
  Notes PMID:17385102 Approved no  
  Call Number Equine Behaviour @ team @ Serial 3706  
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Author Heitkamp, H.C.; Horstmann, T.; Hillgeris, D. openurl 
  Title [Riding injuries and injuries due to handling horses in experienced riders] Type Journal Article
  Year 1998 Publication Der Unfallchirurg Abbreviated Journal Unfallchirurg  
  Volume 101 Issue 2 Pages 122-128  
  Keywords Adult; Animals; Athletic Injuries/*epidemiology/etiology/surgery; Cross-Sectional Studies; Female; Fractures, Bone/epidemiology/etiology/surgery; Germany/epidemiology; *Horses; Humans; Incidence; Male; Multiple Trauma/epidemiology/etiology/surgery; Risk Factors  
  Abstract A group of experienced riders who qualified for the German riding badge 9.5 years ago answered a questionnaire pertaining to injuries during jumping, dressage and cross-country riding, as well as handling the horse. During riding 69% of the persons had had 187 injuries and while handling the horse 52% had had 124 injuries. Fractures and contusions were the most-frequent injuries; most riding injuries were located in the upper extremities and shoulder while handling mainly in the hands and feet. The number of injuries was comparable in jumping, dressage or cross-country riding. The time engaged in jumping was about one-third of the other types of riding, but the injuries were more severe. While handling the horse the number of injuries relative to the time spent during the activity were higher but less complicated. No change in safety precautions had been implemented by 67% of the persons injured. The injury rate for equestrians is relatively low both in handling the horse and during riding. The frequent fractures and contusions may be reduced by following the required safety regulations.  
  Address Abteilung Sportmedizin, Universitat Tubingen  
  Corporate Author Thesis  
  Publisher Place of Publication Editor  
  Language (up) German Summary Language Original Title Reitverletzungen und Verletzungen beim Umgang mit Pferden bei erfahrenen Reitern  
  Series Editor Series Title Abbreviated Series Title  
  Series Volume Series Issue Edition  
  ISSN 0177-5537 ISBN Medium  
  Area Expedition Conference  
  Notes PMID:9553480 Approved no  
  Call Number Equine Behaviour @ team @ Serial 3735  
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Author Candura, S.M.; Verni, P.; Minelli, C.M.; Rosso, G.L.; Cappelli, M.I.; Strambi, S.; Martellosio, V. openurl 
  Title [Occupational risks among public safety and security forces] Type Journal Article
  Year 2006 Publication Giornale Italiano di Medicina del Lavoro ed Ergonomia Abbreviated Journal G Ital Med Lav Ergon  
  Volume 28 Issue 1 Pages 53-62  
  Keywords Burnout, Professional/etiology; Climate; Health Education; Humans; *Law Enforcement; Noise/adverse effects; *Occupational Diseases/chemically induced/etiology/prevention & control; *Occupational Health; *Police; Risk Assessment; Risk Factors; Stress Disorders, Post-Traumatic/etiology; Stress, Psychological/etiology; Vibration/adverse effects  
  Abstract The present paper tries to identify the occupational risk factors (physical, chemical, biological, psychological), variable depending on jobs and tasks, to which the heterogeneous public safety/security workers are exposed. The fight against criminality and public order maintenance imply (sometimes fatal) traumatic risks, and expose to psychophysical and sensorial tiring, unfavourable macro- and microclimatic conditions, the risk of baropathy (air navigation, underwater activities), noise (generated by firearms and several other sources), vibrations and shakings (automatic weapons, transport vehicles), the risk of electric injury, ionizing (X and gamma rays) and non-inonizing (ultraviolet rays, microwaves and radiofrequencies, electromagnetic fields) radiations. Chemical hazards include carbon monoxide and other combustion products (fires, urban traffic), substances released in chemical accidents, tear gases, lead (firing grounds, metal works, environmental pollution), solvents, lubrificants and cutting oils (mechanic repair and maintenance), laboratory materials and reagents, irritant and/or sensitizing agents contained in gloves. The main biological risks are tetanus, blood-borne diseases (viral hepatitis, AIDS), aerogenous diseases (e.g., tuberculosis, Legionnaire's disease, epidemic cerebrospinal meningitis), dog- or horse-transmitted zoonosis. Finally, emotional, psychosomatic and behavioural stress-related disorders (e.g., burn-out syndrome, post-traumatic stress disorder) are typically frequent. The presence of numerous and diversified hazards among public safety/security forces imposes the adoption of occupational medicine measures, including risk assessment, health education, technical and environmental prevention, personal protective devices, sanitary surveillance and biological monitoring, clinical interventions (diagnosis, therapy and rehabilitation of occupational accidents and illnesses), prompt medico-legal evaluation of occupational-related compensation claims.  
  Address Scuola di Specializzazione in Medicina del Lavoro, Universita degli Studi di Pavia, Italy  
  Corporate Author Thesis  
  Publisher Place of Publication Editor  
  Language (up) Italian Summary Language Original Title Rischi professionali nelle Forze dell'Ordine  
  Series Editor Series Title Abbreviated Series Title  
  Series Volume Series Issue Edition  
  ISSN 1592-7830 ISBN Medium  
  Area Expedition Conference  
  Notes PMID:16705889 Approved no  
  Call Number Serial 1871  
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