Incidence, prevalence and consequences of illness in academy rugby league players.

OBJECTIVES: To assess the incidence, prevalence and consequences of illness in one professional academy rugby league club during an in-season period. DESIGN: Observational prospective cohort study. METHOD: Seventeen male rugby league players (age 17.7±0.7 years, stature 178.8±5.1cm, body mass 87.2±9.6kg) completed a weekly self-report illness questionnaire using an amended version of the Oslo Sports Trauma Research Centre (OSTRC) questionnaire on health problems. RESULTS: A total of 24 new illnesses were reported over the 25-week study period. 65% of players experienced at least one illness during the study. The incidence of illness in this cohort was 14.3 per 1000-player days, with the respiratory system being most commonly affected (n=15; 62.5%). The average weekly illness prevalence was 10.3%. Time-loss illness incidence was 1.4 per 1000-player days. Loss of body mass and sleep disruptions were the most commonly reported consequences of illness episodes. Mean body mass loss during a period of illness was 2.2±0.6kg. CONCLUSIONS: Academy rugby league players are most commonly affected by respiratory illness with a total of nineteen training and competition days lost to illness. Associated consequences of illness, such as loss of body mass and sleep disruptions may present a challenge and negatively impact a rugby league player's development. Appropriate medical provisions should be provided for Academy rugby league players to support them during periods of illness to limit the impact of these consequences.

Stable isotope analysis of modern human hair collected from Asia (China, India, Mongolia, and Pakistan).

We report isotopic data (delta(2)H, delta(18)O n = 196; delta(13)C, delta(15)N n = 142; delta(34)S n = 85) from human hair and drinking water (delta(2)H, delta(18)O n = 67) collected across China, India, Mongolia, and Pakistan. Hair isotope ratios reflected the large environmental isotopic gradients and dietary differences. Geographic information was recorded in H and O and to a lesser extent, S isotopes. H and O data were entered into a recently developed model describing the relationship between the H and O isotope composition of human hair and drinking water in modern USA and pre-globalized populations. This has anthropological and forensic applications including reconstructing environment and diet in modern and ancient human hair. However, it has not been applied to a modern population outside of the USA, where we expect different diet. Relationships between H and O isotope ratios in drinking water and hair of modern human populations in Asia were different to both modern USA and pre-globalized populations. However, the Asian dataset was closer to the modern USA than to pre-globalized populations. Model parameters suggested slightly higher consumption of locally produced foods in our sampled population than modern USA residents, but lower than pre-globalized populations. The degree of in vivo amino acid synthesis was comparable to both the modern USA and pre-globalized populations. C isotope ratios reflected the predominantly C(3)-based regional agriculture and C(4) consumption in northern China. C, N, and S isotope ratios supported marine food consumption in some coastal locales. N isotope ratios suggested a relatively low consumption of animal-derived products compared to western populations.

Comparing the effectiveness of video and written material for improving knowledge among sleep disorders clinic patients with limited literacy skills.

BACKGROUND: Health care professionals often use written material or video recordings to teach their patients without knowing which is more effective for comprehension of the information. METHODS: Patients watched either an instructional videotape about sleep apnea or read a newly designed brochure, then responded to a structured questionnaire containing 11 knowledge-based questions and 1 open-ended question (requesting suggestions for improvement of the brochure or videotape). RESULTS: Mean reported educational level was grade 12, and mean reading level was between grade 7 and 8. Using video significantly improved only two areas of knowledge for low-level (below grade 8) readers: defining sleep apnea (66% vs 43%) and identifying what continuous positive airway pressure (CPAP) does for the patient (94% vs 78%). Patients requested material with more diverse cultural representation, more information on treatment and outcomes, and fewer polysyllabic words. CONCLUSIONS: Emphasis on diagnosis and treatment, explained using simple words, should be reflected in the content of patient education brochures or videos. Providing information by video alone may have limited benefits.