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Biomedical subjects

R L Dempsey

Publications and source records attributed to R L Dempsey.

14 recordsLinked to original sources

Incidence of sports and recreation related injuries resulting in hospitalization in Wisconsin in 2000.

OBJECTIVE: To describe the incidence and patterns of sports and recreation related injuries resulting in inpatient hospitalization in Wisconsin. Although much sports and recreation related injury research has focused on the emergency department setting, little is known about the scope or characteristics of more severe sports injuries resulting in hospitalization. SETTING: The Wisconsin Bureau of Health Information (BHI) maintains hospital inpatient discharge data through a statewide mandatory reporting system. The database contains demographic and health information on all patients hospitalized in acute care non-federal hospitals in Wisconsin. METHODS: The authors developed a classification scheme based on the International Classification of Diseases External cause of injury code (E code) to identify hospitalizations for sports and recreation related injuries from the BHI data files (2000). Due to the uncertainty within E codes in specifying sports and recreation related injuries, the authors used Bayesian analysis to model the incidence of these types of injuries. RESULTS: There were 1714 (95% credible interval 1499 to 2022) sports and recreation-related injury hospitalizations in Wisconsin in 2000 (32.0 per 100,000 population). The most common mechanisms of injury were being struck by/against an object in sports (6.4 per 100,000 population) and pedal cycle riding (6.2 per 100,000). Ten to 19 year olds had the highest rate of sports and recreation related injury hospitalization (65.3 per 100,000 population), and males overall had a rate four times higher than females. CONCLUSIONS: Over 1700 sports and recreation related injuries occurred in Wisconsin in 2000 that were treated during an inpatient hospitalization. Sports and recreation activities result in a substantial number of serious, as well as minor injuries. Prevention efforts aimed at reducing injuries while continuing to promote participation in physical activity for all ages are critical.

Adolescent↗

Stress injury to the bone among women athletes.

Women's participation and recognition in sports have grown dramatically in the last 30 years, and this trend is expected to continue. In the last decade exciting research has centered on the unique medical and musculoskeletal aspects of the female athlete. Scientists have elucidated significant findings in the area of bone health, amenorrhea, disordered eating, osteoporosis, and stress fractures. Stress fractures are a common problem in female athletes and they appear to occur more commonly in the sacrum, pelvis, and femoral neck. Certain risk factors place women at a greater risk for stress injury to the bone, such as amenorrhea, low calcium intake, disordered eating, bone geometry, and leg length discrepancy. The best treatment for a stress fracture is prevention. Moreover, any woman with a stress fracture must be evaluated for the female athlete triad. Most stress fractures can be treated with relative rest and correction of the underlying factors that contributed to the injury. Certain stress fractures occur in areas of relative hypovascularity and are at risk for nonunion or avascular necrosis. In these cases surgery should be considered.

Amenorrhea↗

Carotid endarterectomy: review of 276 cases in a community hospital.

Two hundred seventy-six carotid endarterectomies performed on 232 patients in a community hospital were reviewed. All the surgery was performed in a routine manner utilizing systemic heparinization and an indwelling shunt. There were three deaths in this series, giving a mortality of 1.08%. A transient neurological deficit occurred in seven patients. All of these cleared within a 7-day period; this represents 2.5%. Only one patient had a permanent deficit. Long-term followup from 6 months to 9 years showed that the majority of deaths occurred from myocardial disease and malignancies. Only eight patients later died from stroke.

Adult↗

Intellectual and personality changes associated with carotid endarterectomy.

Eleven patients with at least 40-50% carotid artery stenosis were given intelligence and personality tests just prior to and 6 weeks after carotid endarterectomy, a surgical procedure designed to remove arteriosclerotic blockage. When compared with 8 control patients, endarterectomy patients showed increases in Perceptual-Organization IQ, decreases in time to complete a perceptual motor task, and significant reductions in suspicion, confusion, disorientation, and other personality symptoms generally associated with senility.

Aged↗

The improvement of cognition and personality after carotid endarterectomy.

Seventeen patients with at least 50% carotid artery stenosis were given intelligence and personality tests just prior to and 6 weeks after carotid endarterectomy. When compared with nine control patients, the endarterectomy patients showed increases in verbal-comprehension I.Q., perceptual-organization I.Q., decreases in time to complete perceptual motor tasks, decrease in asphasic signs, and significant reductions in anxiety, suspicion, confusion, disorientation, and other personality symptoms generally associated with senility. Statistical evaluation showed these results to be valid.

Aged↗