Academic literature on the topic 'Hand-to-hand fighting injuries'

Purpose: To survey participants at various experience levels of different martial arts (MA) about upper extremity injuries sustained during training and fighting. Materials: A 21-s question survey was designed and utilised. The survey was divided into four groups (Demographics, Injury Description, Injury Mechanism, and Miscellaneous information) to gain knowledge about upper extremity injuries sustained during martial arts participation. Chi-square testing was utilised to assess for significant associations. Results: Males comprised 81% of respondents. Involvement in multiple forms of MA was the most prevalent (38%). The hand/wrist was the most common area injured (53%), followed by the shoulder/upper arm (27%) and the forearm/elbow (19%). Joint sprains/muscle strains were the most frequent injuries reported overall (47%), followed by abrasions/bruises (26%). Dislocations of the upper extremity were reported by 47% of participants while fractures occurred in 39%. Surgeries were required for 30% of participants. Females were less likely to require surgery and more likely to have shoulder and elbow injuries. Males were more likely to have hand injuries. Participants of Karate and Tae Kwon Do were more likely to have injuries to their hands, while participants of multiple forms were more likely to sustain injuries to their shoulders/upper arms and more likely to develop chronic upper extremity symptoms. With advanced level of training the likelihood of developing chronic upper extremity symptoms increases, and multiple surgeries were required. Hand protection was associated with a lower risk of hand injuries. Conclusion: Martial arts can be associated with substantial upper extremity injuries that may require surgery and extended time away from participation. Injuries may result in chronic upper extremity symptoms. Hand protection is important for reducing injuries to the hand and wrist.

The nature of military medical support necessarily changes in the transition from war fighting to the post-conflict phase. This paper examines the activity in the only British Military Hospital serving a multi-national divisional area in Iraq over 2004 during this post-conflict phase. Hand injuries were common and formed a large proportion of the workload seen at the military field hospital on operations. The overwhelming majority of hand trauma resulted in soft tissue injury. There was a clear predisposition to hand trauma for males, manual workers, combat soldiers and engineers/mechanics. While most hand injuries do not require surgical intervention, they impact on the effectiveness of the military population as a result of the large proportion of patients who are placed on restricted duties following hand trauma, 157 of 241 in this study, and the number of soldiers who require aeromedical evacuation for further treatment, 38 of 360 in this study. These injuries require that military surgeons and emergency physicians should be experienced in the initial management of hand trauma and hand trauma should be a core component of their training. The skills of the specialist hand surgeon may be required for definitive management of these injuries at a later stage.

Background: Multi-fragmental intra-articular middle phalanx base fractures mostly occur in young adults during sports or work-related activities. If left untreated properly proximal interphalangeal joint (PIPJ) instability and pain persists, thus impairing the hand’s function and the patient’s quality of life. Joint surface reconstruction with hamate osteochondral graft can be used for multi-fragmental middle phalanx base reconstruction. Methods: A retrospective study was conducted. The technique was used for 17 patients. Follow-up was performed at least 6 months after the surgery. Patients were asked to fulfil multiple surveys: Disabilities of the Arm, Shoulder and Hand (DASH), Patient-Rated Wrist Evaluation (PRWE) and Modern Activity Subjective Survey 2007 (MASS07). Objective measurements included strength of the power and pinch grip, range of motions (ROM) in both proximal interphalangeal and distal interphalangeal (DIPJ) joints. All measurements were taken on both hands, on operated and contralateral fingers. Results: Out of 17 patients 5 were females and 12 males, mean age 40 (ranged 22-65 years) Eleven patients agreed to participate in the follow-up. All patients were right-handed, 8 patients had injured their right hand. The injuries’ aetiologies were sports (n = 3), fighting (n = 2) and work-related (n = 4). Six patients were treated with immobilisation before the surgery, which was performed on average 45 days after the injury (ranged 1–184 days). Two patients developed arthrosis post-operatively and received synthetic joints. Mean DASH score was 6.9, PRWE score was 5.2 and mean MASS07 score was 6.8. Patients achieved on average 90% of power grip and 100% of pinch grip with their injured hand compared to their healthy hand. Average ROM in PIPJ was 82.2° and in DIPJ 68.9°. No patients experienced joint instability or chronic pain. Conclusions: Hemi-hamate arthroplasty provides satisfactory results in patients with both acute and chronic dislocated intra-articular middle phalanx base fractures.

Relevance. The job of Federal Fire-Fighting Service (FFS) officers of the State Fire-Fighting Service of the EMERCOM of Russia is among the global top 10 occupations with evident risk of health functional reserves depletion, prevalence of early occupational diseases, injuries and even death. Traditionally, investigators focus on circulatory diseases and how they affect firefighters’ occupational health.The objective is to provide research-based evidence showing that musculoskeletal and connective tissue parameters provide a reliable estimate of the health status in Russian Federal Fire-Fighting Service officers.Methodology. The authors analyzed the research papers included in the Russian Science Citation Index mostly within the last 10 years and the studies carried out at the Nikiforov Russian Center of Emergency and Radiation Medicine and at the All-Russian Research Institute for Fire Protection of the EMERCOM of Russia. Morbidity was calculated in ppm (‰), industrial injury and primary disability rates were estimated per 10,000 (×104), mortality (deaths) – per 100,000 (×105) people. The indicators dynamics was estimated based on dynamic sets of data applying the 2nd order polynomial trend; the Pearson correlation coefficient was utilized to verify consistency of the trends.Results and analysis. In 2003–2015 the average annual incidence rate of cases with labor losses (across all ICD-10 chapters of diseases) among the EMERCOM Federal Fire Service officers was (407.0 ± 30.4) ‰ which was statistically significantly lower than among the Russian armed forces officers (508.5 ± 35.6) ‰ (p < 0.05); the number of lost workdays was higher, i.e. (5139 ± 402) and (4174 ± 123) ‰ respectively (p < 0.05). Consistency in the dynamics of case number, rate of lost workdays, and day/incident ratio among firefighters and military officers is low and negative, potentially due to the impact of different factors on lost workdays rate. Assuming the macrosocial factors are identical, organisational and/or occupational factors could be the key contributors to labor losses. Rates of injuries, poisoning and other external impacts (chapter XIX in ICD-10), as well as musculoskeletal and connective tissue diseases (chapter XIII) play the leading role in morbidity dynamics among firefighters. The mortality rate among the Russian EMERCOM FFS officers with chapter XIX injuries was 8.5 times lower than that among the Russian male population, although the population cohort was 2.5 times more numerous. Occupational injury rate of (14.66 ± 2.01) • 10–4 of injuries/(firefighter • year) and firefighter fatalities (8.53 ± 0.83) • 10–5 deaths/(firefighter • year) in 2006–2020 were statistically significantly lower than among economically active working male population in Russia: (22.73 ± 2.8) • 10–4 (p < 0.01) and (13.23 ± 1.12) • 10–5 (p < 0.05) respectively. Considering the work schedule of firefighters, the annual amount of work in extreme environments was carried out within 6 months; whereas the level of industrial traumatism due to fire extinguishing and elimination of other emergency situations calculated for 12 months should be doubled, to say the least. The level of primary disability among Russian Federal Fire Service employees was (15.98 ± 0.99) • 10–4, i.e. statistically reliably lower (p < 0.001) than among the working population of Russia aged 18–44 years (25.51 ± 1.19) • 10–4. On the one hand, the data demonstrates efficient labor set-up and labor protection of the EMERCOM FFS employees, whereas disability rate among the adult population of Russia stays at a high level, on the other hand.Conclusion. Although not entirely eliminated, negative occupational impacts (i.e. diseases, injuries) can be reduced to minimal rates. Preventing the early onset of occupational diseases, especially traumas and musculoskeletal diseases, has a huge health sparing potential to ensure professional longevity of the EMERCOM FFS employees.

Relevance.Profession of firefighters is considered to refer to extreme activities, which have high risks of health disorders, injuries and even death.Intention– to analyze occupational traumatism and deaths from injuries in Russian State Fire Service (SFS) (1996–2004) and the Federal Fire Service of EMERCOM of Russia (2005–2015) employees for 20 years and to compare these data with the indicators of Russian workers.Methods.Information on occupational traumas and deaths of employees and response personnel of Russian SFS was gathered. The annual number of examined firefighters of special military ranks (officer, warrant officer, sergeant, common soldier) was (108.8 ± 6.2) thousand people, which was not less than 80 % of personnel of Russian SFS. The levels of occupational injuries, deaths from occupational injuries of Russian workers, mortality in the XIX Chapter of the International Statistical Classification of Diseases and Health Problems, 10th edition (ICD-10) of men of working age in Russia were received from the official website of the Federal Agency for Statistics. Database «FDB «Fires» was used for the distribution of fires in Russia over time periods. The dynamics of indicators of health disorders of firefighters and of fire distribution was evaluated by the method of time series analysis, which used a polynomial trend of the 2nd order.Results and Discussion.The average annual level of occupational traumatism in 20 years (1996–2015) in Russian SFS staff amounted to (3.795 ± 0.390)‰, in response staff for 1999–2015 – (5.295 ± 0.644)‰. The level of occupational traumatism among Russian workers during these periods was (3.410 ± 0.351) and (3.000 ± 0.318)‰ respectively, which is significantly less than that of the response personnel (p < 0.05). A positive statistically significant relationship between the number of injuries and combat performances (r = 0.51; p < 0.05), the number of injuries and accident rate in the staff of Russian SFS with the complexity of fire-fighting tasks and number of use of personal respiratory protection (r = 0.53 and r = 0.46, respectively, p < 0.05). The cyclical nature of risks of traumatism in response staff of Russian SFS, depending on hours of the day, days of the week and months of the year, due to the nature of combat performance and other professional factors was found. This phenomenon requires additional research. The mortality rate of SFS staff from occupational injuries in 1996–2015 was (0.125 ± 0.011)‰, response personnel – (0.149 ± 0.014)‰. The mortality rate of Russian workers was statistically significantly less (0.116 ± 0.007)‰ compared to the response personnel (p < 0.05). There are decreases in occupational traumatism and deaths from occupational injuries in SFS staff and Russian workers.Conclusion.In general, level of occupational traumatism and mortality from occupational injuries in employees and response personnel of the Russian SFS can be comparable with level revealed among the Russian workers. It indicates, on the one hand, the effective organizational and technological measures for the prevention of occupational injuries and the death of firefighters, and, on the other hand, high level of occupational traumatism of the Russian workers.

ІIn 2016, the Slobozhanska Early Medieval Archaeological Expedition has excavated the complex 16 — a pit-cellar, quite typical for sites of the forest-steppe variant of the Saltiv culture in the Siverskyi Dinets basin. The small material is also quite typical for the Saltiv population. The pottery is represented by two fragments of pithos and a fragment of an amphora handle with a neck. The kitchenware from the assemblage was a hand-made: touched up on a potter’s wheel and shaped by hand. The handle and walls of the jars of good quality were also found. The compact find of five bones of roosters tarsometatarsus from the filling of the assemblage attracts attention. This paper attempts to analyze this unique find. The role and significance of the bird in the Saltiv culture is also analyzed. The birds were of normal size, the length of the bones differs from the roosters from earlier sites as well as from some modern outbred roosters by less than 1 cm. Signs that they were fighting roosters (as a result of fights, the birds get leg injuries which remain the marks on the bones) are visible. The small number of finds of chickens in general at the sites of the Saltiv culture does not allow us to claim that they were used in the economy. Currently, this is only the second find of tarsometatarsi of roosters at the sites of the Saltiv culture (the first one comes from the so-called ritual assemblage from Mayaki). In the scientific literature, accordingly, there have been no attempts to interpret such cases. Taking into account the historiographic review of the problems of interpretation of roosters in general from archaeological sites, we come to the conclusion that the tarsometatarsus of roosters could be a symbol (amulets) of bravery and militancy, respectively, most likely, of warriors. And the act of burying this symbol (amulets) can be an act of taking away the powers of a warrior.

Driver behavior factors, including road rage factor, are often responsible for increasing traffic accidents that result in deaths, physical injuries, psychological problems, and financial losses. In order to improve traffic safety problems in our country, road rage issues related to anger-provoking situations were explored. To collect data, two questionnaire survey forms related to road rage level, traffic characteristics, and demographics of the drivers were prepared. The road rage questionnaire form included 12 questions related to popular anger-provoking situations. Six Likert scales were scored starting from 0% to 100%. Out of 600 spread forms, 463 valid forms were accepted to be analyzed. Different participants having different gender, age, education level, driving experience, vehicle type, daily travel time, vehicles’ price, traffic accidents, and the road rage history were contributed. A statistical software program (SPSS 26) was utilized to analyze the data. It was obtained that there are significant correlations among road rage-provoking anger questions and the total overall rate of the road rage. On the other hand, the results showed that male drivers are angrier than female drivers during driving. The older the drivers, the less overall road rage values were obtained. The overall road rage value decreased as the education level of the drivers raised to higher level. Driver skills had significant effects on the results of the overall road rage value of the drivers in which the drivers having 4 to 6 years of driving license were angrier than the other drivers, while drivers having driving license more than 6 years had the less feeling of anger during driving. Regarding types of vehicles, the bus, taxi, and then truck drivers had more overall road rage values than PC and SUV drivers. As the drivers traveled more distances, the obtained results of the overall road rage values became greater. The drivers who have high-price vehicles were angrier than those have low-price vehicles. The Drivers’ accident history did not significantly relate to overall road rage values. In addition, the drivers who did not have any road rage history in their real life had the smallest overall road rage values; while those drivers faced physical fighting and engaged police stations due to road rage problems had the greatest overall road rage value.

Fighting the threat of possible assimilation of the Ukrainian ethnic group combined with the necessity for successful socio-economic integration into the multiethnic Canadian society, on the one hand, and the need for Uk-rainian women to protect their rights on the other hand, prompted Ukrainian Canadian women to establish the UCC (– UCC – Ukrainian Canadian Congress) (Ukrainian Women’s Association of Canada) in 1926. Founded as a voluntary association to overcome illiteracy and to provide mutual assi¬stance in the adaptation of emigrant women and their families, the UCC has over time developed into a full-fledged public organization with a wide range of activity. This became possible due to the well-organized work of the leadership of the Ukrainian Women’s Association of Canada and the change of attitude towards gender equality. One of the important tasks of the Associa¬tion was the fostering of an educated nationally conscious mother and public person, educator of the younger generation, guardian of her religion and traditional customs. In addition to education and art events, the Ukrainian Women’s Association of Canada also organized assistance to the Ukrainian liberation movement by collecting donations to help political prisoners and injured soldiers of the Ukrainian army and shaping the public position and national consciousness of Ukrainian women. Publications in calendars and almanacs of the 1920’s–1930’s clearly testify to the great work done by the Ukrainian Women’s Association of Canada. It was a self-sufficient multi-level organization that effectively encouraged Ukrainian women to work sys¬tematically in the community and their family. Keywords: Ukrainian diaspora of Canada, women’s movement, Ukrainian Women’s Association of Canada, liberals, calendars, “Ukrainian Voice”.

In Indonesia, da’wah activities have been implemented in various ways, including mountaineering. However, data showed that many mountain hikers in Indonesia had been seriously injured (even died) due to a lack of knowledge and preparation for hiking. This article aimed to analyze the goals of mountain hiking and fulfilling the reproductive health conducted by Pendaki Hijabers community members. The authors used a phenomenological approach with a descriptive-analytical type of qualitative research. The research was conducted at Mount Merapi and Prau Dieng, Indonesia, from 2019 until 2020 with 25 informants. The data were analyzed using Convention on the Elimination of All Forms of Discrimination against Women (CEDAW) and Maqāşid al-Syarī'ah theory. The results showed that the goals of Pendaki Hijabers community activities varied, such as meditation on nature, exploration of nature verses ‘āyāt kauniyah’, da’wah through mountaineering, deepening mountaineering skills, eliminating negative stereotypes of hijab, ideological deconstruction of society through the hijab, and fighting developmentalism through social service, sport, education, and religious activities. Based on the CEDAW review, mountaineering for women, on the one hand, had a positive impact on psychology because it can eliminate double burden concepts and negative stereotypes for women. On the other hand, mountain hiking has a potential negative impact on women's reproductive health because luggage is too heavy, hiking during menstruation, and consumption of food and drinks that are not ideal. Based on the Maqāşid al-Syarī'ah review, mountaineering activities supported ḥifẓ dīn ‘safeguarding the religion’ because they are oriented towards the da’wah of Islam. But, mountaineering that does not pay attention to aspects of reproductive health potentially harms the goals of sharia in the form of ḥifẓ nafs ‘safeguarding the soul’ and ḥifẓ nasal ‘safeguarding offspring’.

In this study the author indicates the main problems that appeared in Poland as a result of the opening of borders after the transition to a new economic and political system launched in 1989. The list is headed by offenses committed by foreign nationals, smuggling activities, illegal crossing of frontiers, and population movements, especially from very low-income countries. Border crime is defined here as both illegal border crossing, customs and currency offenses, forgery of documents and crime againts institutions. Border crime can be examined in a large numer of aspects as offenses which ere a threat to fundamental public policy interests. The crux of the matter lies in the motives and aims of the perpetrator. When we refer to border crime we have in mind the kind of offenses that are associated with cross-border movement of persons and objects involved in an illegal activity The commission of offenses falling into this category is not confined solely to border regions. The area of operations of criminals of this kind may be the whole of a country. Border crime is crime of a special kind. Its effects and in particular its further consequences are not always visible. Nor in all such cases is there an injured party, though it should be noted that serious harm may be suffered by people smuggled across borders and that injury is caused to victims of smuggling-related car theft. It is worth drawing attention to the etiology of this kind of crime. Among the internal influences contributing to its growth should be included the closure or collapse of workplaces, state farms and industrial enterprises, especially along Poland’s eastern border, and the consequent rise in unemployment. In recent years there has been a notable decline in the public’s standard of living, which has prompted some of them to seek alternative or additional sources of income.With increasing frequency people set their sights on swift multiplication of wealth and see in smuggling, for instance, a relatively simple and low-risk way of making money. It is worth noting a judicial tendency towards unduly lenient treatment of perperators of border crime and to hand down light sentences (most glaringly, for organizacion of illegal border crossing). Another development has been a steep rise in the incidence of pathological phenomena among officials, such as forgery or falsification of documents, bribery or entry into the structures of criminal groups. Much more dangerous are the external factors driving border crime, such as steadily worsening economic decline in parts o fthe Middle East, Asia and the former Soviet Union and rising unemployment and inflation in the countries concerned. Other causes are wars, national, ethnic and religious conflicts and the inadequacy of the technical protection of frontiers. Not without significance is the continuing demand in the East for cars of Western make and the possibility of legalizing their acquisition if they have been stolen. There has also been an intensification of corrupt practices among public officials with an influence on the state of national security and inviolability of frontiers (especially among the border guard forces in Belarus and Ukraine). Also conducive to the growth of crime is the further organization and specialization of criminal groups pursuing activities on both sides of the frontier. The author also offers a detailed picture of selected types of border crime. Her study centers on the legal and criminological aspects of the crime of illegal entry. She indicates the methods of committing this crime employed by its perpetrators at both border crossings and along smuggling routes. She depicts the mechanisms involved in the smuggling of persons with particular emphasis on the role played in such trafficking by organized criminal groups. Another criminal activity worth attention is smuggling, chiefly of liquor, cigarettes, cars, drugs, animals, guns, etc. This crime is a threat to the economic interests of the state which incurs significant losses of revenue in this respect. The author brings out the complex, underground modus operandi of the criminals involved and stresses the prominence in this illicit activity of organized criminal groups. The data illustrating border crime points to the continued persistence of threats from illegal immigration into Poland, including in many cases in organized forms, and its transformation from a transit to a destination country. Because of the unabating demand in the former Soviet republics for Western cars rhe organizers of smuggling rings will probably develop more sophisticated methods of falsifying the documents of cars (mostly luxury models) stolen in West-European countries. As at present there will be continued smuggling, both by individuals and in organized forms (of considerable value per consignment), of liquor into Poland and of cigarettes bound for Poland and Germany. Intensification of attempts to corrupt the personnel (including senior officers) of watchtowers and border crossings. The most important role in prevention and suppression of border crime is played by Border Guard personnel. More and more often they are equipped with modern equipment for X-raying baggage and carry out passport checks by means of readers connected to a computer database. Border Guard personel also engage in operations outside the border zone and conduct searches of dwellings and premises belonging to the organizers of illegal cross-border traffic. Not infrequently they face an increased element of risk. Criminals often possess firearms, gas and other dangerous implements. Hence the importance of specialist training, physical fitness, unarmed combat skills and the ability to handle weapons. An important erement in fighting border crime is cooperation with other public institutions. Preventive action and operational, surveillance and investigative measures aimed at improving the state of security and public order and detection and expulsion of foreign nationals who have entered Poland illegally are carried out in the border zone in collaboration with the police. Because of the nature or its responsibilities and the international connections of criminal groups the Border Guard maintains day-to-day liaison with its counterparts in other countries. Among the most important areas of cooperation between the border authorities of European Union members, Central and East European countries, the United States and Canada are interchange of information about tasks, structures, jurisdictions, powers and problems relating to cross-border traffic and border crime and interaction in operational and investigative activities. There is a particularly successful record of cooperarion with the German authorities (specifically the BGS). It is worth stressing that amendmends to the Border Guard Act adopted in 2001 provide for its equipment with additional powers for combating corruption, including operational oversight, „sting” operations, the offering or acceptance of bribes, and imposes on Border Guard personnel and employees the requirement to file declarations of assets. The powers in question could be a significant boost to the prevention and suppression of border crime.

Abstract Iliad 14 opens with the Achaeans pushed back to their ships by the Trojan advance, their leaders injured and dispirited, and debating the best course of action. By the end of the book, however, the Achaeans have gained the upper hand, Hector is out of the fighting, and the Trojans have been put to flight. The tide of the battle is turned by divine intervention, as Hera distracts Zeus and Poseidon leads the Achaean advance. The central episode of the book is the deception of Zeus, known as the Dios apatē, in which Hera uses her wiles, Athena’s dress, Aphrodite’s belt, and Sleep’s sphere of influence to seduce Zeus and keep his attention away from the battle.