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Carol Chu, Melanie A Hom, Megan L Rogers, Ian H Stanley, Fallon B Ringer-Moberg, Matthew C Podlogar, Jameson K Hirsch, Thomas E Joiner
BACKGROUND: Insomnia is a robust correlate of suicidal ideation and behavior. Preliminary research has identified thwarted belongingness (c.f. social disconnection) as an explanatory link between insomnia and suicidal ideation. OBJECTIVES: This study replicates and extends previous findings using both cross-sectional and longitudinal designs in four demographically diverse samples. Additionally, the specificity of thwarted belongingness was evaluated by testing anxiety as a rival mediator...
October 11, 2016: Journal of Affective Disorders
Clare A Johnson, Diana S Goodwine, Ingrid Passier
We present a case of a 57-year-old man who fell while climbing a mountain in California and sustained severe facial trauma. Three firefighters and 2 emergency physicians witnessed the fall and resuscitated the patient. The patient ultimately required a surgical cricothyrotomy performed with a pocket knife and Platypus hydration pack. The physicians made a makeshift positive pressure airway device using the Platypus hydration pack. We believe this is the first case report describing an improvised cricothyrotomy performed in the wilderness using only hiking gear...
October 18, 2016: Wilderness & Environmental Medicine
D M Frost, T A C Beach, I Crosby, S M McGill
BACKGROUND: There is limited data available regarding the cost of firefighter injuries. This information is necessary to develop targeted injury prevention strategies. OBJECTIVE: To categorize the cost of injuries filed in 2012 by firefighters from a from a large department by job duty, injury type, body part affected, and the general motion pattern employed at the time of injury. METHODS: Data were taken from reports filed by CFD personnel and claims filed with the Workers' Compensation Board (WCB) of Alberta between January 1, 2012 and December 31, 2012...
October 17, 2016: Work: a Journal of Prevention, Assessment, and Rehabilitation
Efthyvoulos Kyriacou, Iolie Nicolaidou, George Hadjichristofi, Stelios Kyprianou, Synesios Christou, Riana Constantinou
Τhe performance of rescuers and personnel handling major emergencies or crisis events can be significantly improved through continuous training and through technology support. The work done in order to create a system has been discussed which can support both resources and victims during a crisis or major emergency event. More specifically, the system supports real-time management of firefighter teams, rescue teams, health services, and victims during a major disaster. It can be deployed in an ad hoc manner in the disaster area, as a stand-alone infrastructure (using its own telecommunications and power)...
September 2016: Healthcare Technology Letters
M J McAllister, H E Webb, D K Tidwell, J W Smith, B J Fountain, M W Schilling, R D Williams
Combined mental and physical stress is associated with exacerbated cortisol production which may increase risk for the progression of cardiovascular disease in individuals working in high-stress occupations (e.g., firefighters, military personnel, etc.). Carbohydrate (CHO) ingestion prior to physical stress may attenuate cortisol concentrations. This project was the first to investigate the effect of CHO ingestion on cortisol response from combined mental and physical stress. 16 men 21-30 years old were randomly assigned a 6...
October 7, 2016: International Journal of Sports Medicine
Sue Hignett, Alexandra Lang, Laura Pickup, Christine Ives, Mike Fray, Celine McKeown, Sarah Tapley, Matthew Woodward, Paul Bowie
What prevents the delivery of effective, high quality, and safe healthcare in the National Health Service (NHS) in England? This paper presents 760 challenges which 330 NHS staff reported as preventing the delivery of effective, high quality and safe care. Some problems have been known for over 25 years (staff shortages, finance and patient complexity) but other challenges raise questions about the commitment of the NHS to patient and staff safety. For example Organisational Culture leading to 'stifling bureaucracy', 'odds stacked against smooth […] working' and Workload resulting in 'firefighting daily' and 'perpetual crisis mode'...
October 7, 2016: Ergonomics
Stephanie E Chappel, Brad Aisbett, Grace E Vincent, Nicola D Ridgers
Little is currently known about the physical activity patterns of workers in physically demanding populations. The aims of this study were to (a) quantify firefighters' physical activity and sedentary time within (2-h periods) and across planned burn shifts; and (b) examine whether firefighters' activity levels during one shift or 2-h period was associated with their activity levels in the following shift or 2-h period. Thirty-four salaried firefighters (26 men, 8 women) wore an Actical accelerometer for 28 consecutive days...
September 30, 2016: International Journal of Environmental Research and Public Health
K G Gurevich, W S C Poston, B Anders, M A Ivkina, A Archangelskaya, N Jitnarin, V I Starodubov
BACKGROUND: No data exist on obesity or the accuracy of body mass index (BMI) in Russian Federation firefighters. AIMS: To determine the prevalence of obesity and rates of misclassification of BMI-based obesity status. METHODS: Career firefighters in the Moscow region completed anthropometric assessments including height, weight, BMI, body fat per cent (BF%) and waist circumference (WC). Using these three methods, we defined obesity as BMI ≥30, BF% >25 and WC >102, respectively...
September 30, 2016: Occupational Medicine
David M Frost, Tyson A C Beach, Troy L Campbell, Jack P Callaghan, Stuart M McGill
OBJECTIVE: To examine whether objective measures of spine and frontal plane knee motion exhibited during Functional Movement Screen™ (FMS) task performance changed following a movement-guided fitness (MOV) and conventional fitness (FIT) exercise intervention. DESIGN: Secondary analysis of a randomized controlled experiment. Before and after 12 weeks of exercise, participants' kinematics were quantified while performing the FMS and a series of general whole-body movement tasks...
June 7, 2016: Physical Therapy in Sport
Jason P Sullivan, Conor S O'Brien, Laura K Barger, Shantha M W Rajaratnam, Charles A Czeisler, Steven W Lockley
STUDY OBJECTIVES: Firefighters' schedules include extended shifts and long work weeks which cause sleep deficiency and circadian rhythm disruption. Many firefighters also suffer from undiagnosed sleep disorders, exacerbating fatigue. We tested the hypothesis that a workplace-based Sleep Health Program (SHP) incorporating sleep health education and sleep disorders screening would improve firefighter health and safety compared to standard practice. DESIGN: Prospective station-level randomized, field-based intervention...
September 26, 2016: Sleep
Seung-Ho Jang, Han-Seung Ryu, Suck-Chei Choi, Sang-Yeol Lee
OBJECTIVES: The purpose of this study was to examine psychosocial factors related to gastroesophageal reflux disease (GERD) and their effects on quality of life (QOL) in firefighters. METHODS: Data were collected from 1217 firefighters in a Korean province. We measured psychological symptoms using the scale. In order to observe the influence of the high-risk group on occupational stress, we conduct logistic multiple linear regression. The correlation between psychological factors and QOL was also analyzed and performed a hierarchical regression analysis...
October 3, 2016: International Journal of Occupational and Environmental Health
Maria Korre, Luiz Guilherme G Porto, Andrea Farioli, Justin Yang, David C Christiani, Costas A Christophi, David A Lombardi, Richard J Kovacs, Ronald Mastouri, Siddique Abbasi, Michael Steigner, Steven Moffatt, Denise Smith, Stefanos N Kales
Left ventricular (LV) mass is a strong predictor of cardiovascular disease (CVD) events; increased LV mass is common among US firefighters and plays a major role in firefighter sudden cardiac death. We aim to identify significant predictors of LV mass among firefighters. Cross-sectional study of 400 career male firefighters selected by an enriched randomization strategy. Weighted analyses were performed based on the total number of risk factors per subject with inverse probability weighting. LV mass was assessed by echocardiography (ECHO) and cardiac magnetic resonance, and normalized (indexed) for height...
August 31, 2016: American Journal of Cardiology
Laurent Thefenne, Charlotte Gislot, Gratiane De Brier, Arnaud Jouvion, Thomas Trappier
OBJECTIVE: Lumbago/low-back pain is the first cause of morbidity and incapacity work-related in the world. Its social and economical weight is considerable. In the armies, since 2009, lumbago is the object of a prevention plan. Therefore, we sought to determinate knowledge levels of Marseille Marine fire fighters about primary and secondary prevention. MATERIAL/PATIENTS AND METHODS: It's a transverse, descriptive, observational study concerning a representative sample of French military population from Marseille Marine firefighter's battalion, between September 25th 2014 and October 24th 2014...
September 2016: Annals of Physical and Rehabilitation Medicine
Vassilya Uzun, Sami Bilgin
For this study, we designed a QR Code Identity Tag system to integrate into the Turkish healthcare system. This system provides QR code-based medical identification alerts and an in-hospital patient identification system. Every member of the medical system is assigned a unique QR Code Tag; to facilitate medical identification alerts, the QR Code Identity Tag can be worn as a bracelet or necklace or carried as an ID card. Patients must always possess the QR Code Identity bracelets within hospital grounds. These QR code bracelets link to the QR Code Identity website, where detailed information is stored; a smartphone or standalone QR code scanner can be used to scan the code...
2016: SpringerPlus
Stephen J Ives, Wesley K Lefferts, Margret Wharton, Patricia C Fehling, Denise L Smith
: Heat stress increases cardiovascular strain and is of particular concern in occupations, such as firefighters, where individuals are required to perform strenuous work while wearing personal protective equipment (PPE). Sudden cardiac events are associated with strenuous activity and are the leading cause of duty-related death among firefighters, accounting for ∼50% of duty-related fatalities/year. Understanding the acute effects of exercise-induced heat stress (EIHS) on vascular endothelial function may provide insight into mechanisms precipitating acute coronary events in firefighters...
September 20, 2016: Experimental Physiology
Seyed Mohammad Seyedmehdi, Mirsaeed Attarchi, Afsaneh Safar Cherati, Shokoufeh Hajsadeghi, Ramin Tofighi, Hamidreza Jamaati
BACKGROUND: Epidemiological studies on the general population have shown that increased physical activity and aerobic fitness (AF) significantly decrease the risk of coronary artery disease. Finding ways to decrease such risk factors can promote the health of firefighters. METHODS: This study was conducted in a large industrial facility in Tehran. AF assessment and submaximal aerobic fitness testing of participants were performed according to the guidelines of the American College of Sports Medicine (ACSM)...
September 7, 2016: Work: a Journal of Prevention, Assessment, and Rehabilitation
Steven A Kahn, Tina L Palmieri, Soman Sen, Jason Woods, Oliver L Gunter
Firefighting is wrought with risk, as 80-100 firefighters (FFs) died on the job each year in the United States. Many of the fatalities have been analyzed by the National Institute for Occupational Safety and Health (NIOSH) to determine contributing factors. The purpose of this study is to determine variables that put FFs at risk for potentially preventable workplace mortality such as use of personal protective equipment (PPE), seat belts, and appropriate training/fitness/clearance for duty. The NIOSH FF Fatality Database reports from 2009 to 2014 were analyzed...
August 26, 2016: Journal of Burn Care & Research: Official Publication of the American Burn Association
Brenna M Keller, Thomas R Cunningham
BACKGROUND: Small businesses bear a large burden of injury and death, and are difficult to reach with occupational safety and health (OSH) information. The National Institute for Occupational Safety and Health (NIOSH) developed a pilot study testing the feasibility of fire departments disseminating OSH information to small businesses during fire inspections. METHODS: Two sets of postcards were developed with unique, trackable URLs for the NIOSH Small Business Resource Guide...
August 2016: Safety Science
Rosenkranz M Nogueira, Guilherme E Molina, Keila E Fontana, Luiz Fernando Junqueira, Luiz Guilherme G Porto
No abstract text is available yet for this article.
May 2016: Medicine and Science in Sports and Exercise
Luiz Guilherme G Porto, Maria Korre, Steven Moffatt, Stefanos N Kales
No abstract text is available yet for this article.
May 2016: Medicine and Science in Sports and Exercise
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