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Biomedical subjects

Jonathan T Finnoff

Publications and source records attributed to Jonathan T Finnoff.

5 recordsLinked to original sources

Nordic venue medical services during the 2002 Winter Olympics.

This article represents a retrospective analysis of medical care provided to spectators, athletes, officials, and workforce at the cross country skiing and biathlon venue, Soldier Hollow, during the 2002 Winter Olympic Games. A retrospective chart review was performed of the primary diagnosis category assigned to each patient on medical encounter forms completed at the time medical care was provided in the athlete or spectator medical clinics. Descriptive statistics were used to characterize data from the primary diagnosis categories for groups of patients. There were 590 total medical encounters among athlete and spectator medical services over 19 operational days with 227,847 total visitors (includes spectators, athletes, and workforce). The incidence of medical encounters was 26 per 10,000 visitors. There were 215 medical encounters that were evaluated and treated by a physician in the athlete (69 cases) or spectator (146 cases) medical clinics. The most common diagnoses were related to respiratory infection or respiratory disease. There were 177 patients discharged without follow-up and 26 referred to a medical facility off venue. Six patients were transported to a hospital by ground ambulance. In conclusion, the injuries and illnesses evaluated and treated were consistent with prior studies on medical care at Olympic Games. Although some patients required ground ambulance transport off venue due to injury or illness, there were no critical injuries or illnesses that resulted in death. The level of services available to both athletes and spectators was more than adequate for the injuries and illnesses encountered.

Adolescent↗

Glenohumeral instability and dislocation.

Glenohumeral joint instability and dislocations are common diagnoses seen by physicians. There are many different pathologic etiologies for these conditions. A thorough understanding of the history,physical examination, pathoanatomy, and classification systems is required to make an accurate diagnosis. With the appropriate diagnosis, the clinician can choose the correct treatment and improve the patient's outcome.

Humans↗

Acute hemodynamic effects of abdominal exercise with and without breath holding.

OBJECTIVES: To compare the magnitudes of change in heart rate, systolic blood pressure (SBP), diastolic blood pressure (DBP), mean blood pressure, and rate-pressure product (RPP) during 3 abdominal exercises: straight partial sit-up (SPSU), oblique partial sit-up (OPSU), and the AbSculptor(R) sit-up; and to examine the effect of breath holding on these parameters. DESIGN: Prospective, repeated measures. SETTING: Autonomic research laboratory in a major medical center. PARTICIPANTS: Fourteen normal male and female volunteers (age range, 24-37y; mean, 30.4y). INTERVENTIONS: Hemodynamic parameters were recorded during each abdominal exercise performed with and without breath holding. Mean peak values were calculated for 1 minute before exercise, during exercise, and for 10 minutes after exercise. MAIN OUTCOME MEASURES: Statistical analysis examined for differences in the hemodynamic changes among the 3 exercises under both conditions (with and without breath holding). RESULTS: Heart rate, SBP, DBP, mean blood pressure, and RPP increased during all 3 exercises. The mean peak heart rate and RPP increases were greater for the OPSU than the AbSculptor (heart-rate increase, 21.1+/-6.6bpm vs 17.6+/-5.7bpm, P=.03; RPP increase, 36.9+/-15.5bpm.mmHg vs 29.4+/-10.1bpm.mmHg, P=.05). For all 3 exercises, breath holding significantly increased the hemodynamic parameter elevations during exercise, with the exception of heart rate (SBP, P<.001; DBP, P<.001; mean blood pressure, P<.001; RPP, P=.02). Quantitatively, breath holding during the OPSU resulted in the largest exercise-associated increases in heart rate (21.0+/-8.1bpm), mean blood pressure (22.2+/-16.4mmHg), and RPP (44.9+/-22.3bpm.mmHg). Postexercise, all hemodynamic parameters generally returned to baseline within several minutes. CONCLUSION: When performing the OPSU, SPSU, or the AbSculptor exercises as used in this investigation, normal individuals exercising at low intensities may experience peak heart rate and mean blood pressure increases of 30bpm and 50mmHg, respectively. Voluntary breath holding significantly increased the peak blood pressure elevations and RPP for all 3 exercises, but particularly for the OPSU.

Abdomen↗

Diagnosis and management of thoracic and rib pain in rowers.

Thoracic and lumbar injuries can dramatically affect a rower's performance and lead to time lost from practice and competition. Even though the number of injuries encountered by elite and competitive rowers appears to have increased over the past 20 years, rowing-specific research has been very limited in its scope and ability to guide practitioners caring for these athletes. Specifically, case reports relating to rib stress fractures abound, yet very few controlled studies discuss the mechanisms of injury and appropriate management of thoracic injuries. We believe that the identification and treatment of kinetic chain abnormalities in areas distant to the site of injury, such as the lower extremities, pelvis, and lumbar spine, should be an integral part of thoracic injury evaluation and treatment. Simultaneous evaluation of training regimen and equipment is also crucial to the management of rowers suffering from thoracic injuries.

Athletic Injuries↗