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prevention

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During Lausanne 2020 Youth Olympic Games (YOG), an activity to prevent and raise awareness of abuse in sport was offered to young athletes in the Olympic villages of Lausanne and St-Moritz. The activity, called And You...?, was not only educational, but also research-oriented. The data collected enabled a better understanding of how young athletes recognize and evaluate the different types of violence they may encounter in their sporting environment.
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n order to possibly better match the needs of youth athletes, the SEMS pre-participation questionnaire has undergone some significant adaptations for this group of patients. One of the changes is the usage of the more personal first-name address in either of the Swiss national languages (German, French, Italian).
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Increased sports participation has resulted in an increased incidence of sports-related injuries. It has become increasingly clear that different sexes present with different injury profiles [1]. For instance, female athletes are more likely to sustain lower extremity injuries than males [2]. The underlying static factors include a wider pelvis, increased hip varus, femoral anteversion, as well as increased knee and external tibial torsion in the female body [2], and dynamic factors include dynamic valgus during landing [2].
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A few months ago, a high school graduate contacted me with a request for an interview for her “Matura thesis”. The topic of her thesis was the (possible) ban on headers in children and adolescents in soccer. Shortly afterwards, the same question came up at the general assembly of the Society for Paediatric Sports Medicine (GPS): why are headers banned in youth soccer in England/US, but not in Germany and Switzerland? Reason enough to take a closer look at this topic and try to find evidence-based answers to this question.
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Children and young people should be physically active as much and as often as possible. This applies always and especially during the COVID-19 pandemic, which led to massive restrictions in the everyday lives of children and young people. Following hygiene and distance rules, vaccination and staying away from sports with typical SARS-CoV-2 symptoms can minimize the occurrence of infection foci and the transmission of SARS-CoV-2. However, if an infection does occur, there is only a low risk of serious secondary/accompanying diseases, in particular the occurrence of myocarditis with a possible fatal course.
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Fatigue is a frequent complaint, felt by the adolescent athlete or expressed by his or her sporting, family or school environment. The factors of this fatigue are multiple and require a holistic analysis of the situation. On the basis of the described psychological and situational factors, we will provide practical recommendations to support the adolescent athlete. We will discuss recovery, organisation and prevention strategies. These recommendations can provide the foundation for treatment in a multidisciplinary way.
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This interview was conducted by Dr Boris Gojanovic after the Lausanne 2020 Youth Olympic Games. Richard, can you please introduce yourself, as a medical doctor and an athlete. I am the medical and scientific director for the IOC and I started off in life as a rower. As an athlete, I had the privilege to compete in the 1984 Olympic Games in Los Angeles, and I won a gold medal there.
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The Youth Olympic Games were introduced in 2010 with the aim to bring young athletes not only an experience of competition on the world stage, but also to help them learn about the Olympic values, explore other cultures and develop the skills to become true ambassadors. The Lausanne 2020 Games provided an excellent opportunity to develop innovative concepts for health promotion and sports-related prevention. The enthusiasm across various sectors of society (political, academic and economy) empowered us to bring together multiple skills to materialize the IOC’s pledge.
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Physical inactivity is a known risk factor for stroke. The interaction between exercise and risk of stroke is complex. Physical activity has a beneficial effect on most risk factors for stroke, which may show reciprocal potentiation (e.g. obesity, sleep apnea, atrial fibrillation). Advice on physical activity is of importance in primary prevention of stroke. Hereby, type, amount and intensity of physical activity may be distinguished and adjusted according to comorbidities (e.g. in case of heart failure).
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After having a stroke the main challenges are reducing the risk of recurrent stroke, improving impaired brain function, quality of life, independence in activities of daily living and reintegration into the community. [1] Lesion-induced impairment of brain function also has, besides its effects on e.g. motor, sensory, visual and speech function, an influence on e.g. cognition and mood, all of which are determinants of post-stroke physical activity. The evidence for a benefit of physical activity in secondary stroke prevention is increasing and treatment strategies aimed at factors which are limiting physical activity are more and more recognized.
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