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- ItemAcesso aberto (Open Access)Orthopaedics injuries in male professional football players in Brazil: a prospective comparison between two divisions(Cic Edizioni Int, 2017) Arliani, Gustavo Goncalves [UNIFESP]; Schmidt Lara, Paulo Henrique [UNIFESP]; Astur, Diego Costa [UNIFESP]; Pedrinelli, Andre [UNIFESP]; Pagura, Jorge Roberto [UNIFESP]; Cohen, Moises [UNIFESP]Background: Football is a high-speed contact sport and the risk of injury is high. The objective of this study was to compare the two main divisions (A1 and A2) of the Sao Paulo Football Championship and to perform a correlation analysis of the variables studied. Methods: A prospective study was conducted using an electronic questionnaire previously developed by the Medical Committee of the Sao Paulo Football Federation. The questionnaire was sent to the doctors of the teams playing in the A1 and A2 divisions of the Sao Paulo Football Championship after each round. Setting: 2016 Sao Paulo Football Championship. Results: The comparison of divisions A1 and A2 showed few significant differences among the various variables analysed in this study. The only significant differences were for right-side involvement in division A1 (p=0.044) and morning matches in division A2 (p<0.001). The correlation analysis of the variables studied showed expected associations, including sprains with a higher rate of need for surgery, ultrasound with muscle strains and moderate severity (8-28 days lost) with muscle strains. Conclusion: Despite the differences between the two divisions regarding budgets and team characteristics, there was a little difference in the variables analysed and there were associations such as sprains with a higher rate of need for surgery, ultrasound with muscle strains and moderate severity (8-28 days lost) with muscle strains.
- ItemSomente MetadadadosSports Medicine and Ethics(Routledge Journals, Taylor & Francis Ltd, 2013-10-01) Testoni, Daniela [UNIFESP]; Hornik, Christoph P.; Smith, P. Brian; Benjamin, Daniel K.; McKinney, Ross E.; Universidade Federal de São Paulo (UNIFESP); Duke UnivPhysicians working in the world of competitive sports face unique ethical challenges, many of which center around conflicts of interest. Team-employed physicians have obligations to act in the club's best interest while caring for the individual athlete. As such, they must balance issues like protecting versus sharing health information, as well as issues regarding autonomous informed consent versus paternalistic decision making in determining whether an athlete may compete safely. Moreover, the physician has to deal with an athlete's decisions about performance enhancement and return to play, pursuit of which may not be in the athlete's long-term best interests but may benefit the athlete and team in the short term. These difficult tasks are complicated by the lack of evidence-based standards in a field influenced by the lure of financial gains for multiple parties involved. in this article, we review ethical issues in sports medicine with specific attention paid to American professional football.