Epidemiology and history of knee injury and its impact on activity limitation among football premier league professional referees

Achieving agricultural sustainability through soybean production in Iran: Potential and challenges

The utilization of soybean as a key oil crop to enhance sustainable agriculture has garnered significant attention from researchers. Its lower water requirements compared to rice, along with its reduced environmental impact, including greenhouse gas emissions, improved water quality, enhanced biodiversity, and efficient resource utilization, make it an attractive option. Unfortunately, Iran, like many other developing countries, heavily relies on soybean imports (over 90%) to meet the demand for oil and protein in human and livestock food rations. The decline in soybean production, coupled with diminishing cultivation areas, yield rates, and increasing import needs, underscores the urgent need to address the challenges faced in Iran. The decline in soybean production in the country can be attributed to various factors, including environmental stresses (both biotic and abiotic), limited variation in soybean cultivars, inadequate mechanization for cultivation, and economic policies. Hence, this review provides a comprehensive overview of the current status of soybean production in Iran and highlights its potential to enhance sustainable agriculture. Additionally, it examines the challenges and constraints associated with soybean cultivation, such as environmental changes and unbalanced marketing, and explores potential solutions and management strategies to bridge the gap between small-scale and large-scale production. Given the increasing global demand for plant-based protein and the significance of the feed industry, studying the limitations faced by countries with slower soybean production growth can shed light on the issues and present opportunities to capitalize on novel soybean advancements in the future. By addressing these challenges and unlocking the potential of soybean cultivation, Iran can contribute to sustainable agricultural practices and attain a more resilient food system.

Injuries to Ice Hockey Referees and Linesmen: A Survey of International Ice Hockey Federation Officials

Background

Ice hockey referees and linesmen are at risk for musculoskeletal injuries because of the lack of protective equipment and contact with players, sticks, pucks, the ice surface and boards.

Purpose

To quantify and analyze injuries reported by officials of the International Ice Hockey Federation (IIHF).

Study Design

Descriptive epidemiology study.

Methods

A 61-question survey tool was designed by an interdisciplinary team to evaluate musculoskeletal injuries experienced by ice hockey officials. This survey was administered to 600 active IIHF referees and linesmen. Only completed survey responses were included in the statistical analysis. Continuous variables were analyzed using unpaired t-tests, while categorical data were assessed utilizing chi-square tests.

Results

Of the 600 surveys administered, 264 surveys were completed by officials from 45 countries (44% response rate). Of the respondents, 72% were male, and 28% were female, with a mean age of 31.1 ± 5.8 years. Officiating experience averaged 11.4 ± 6.0 years (6.3 ± 4.5 years with the IIHF). A total of 295 injuries were reported by 55% of the officials. Injuries occurred more frequently during games compared with training, and officials who worked year-round had more total injuries than those who took time off (P = .03). The most common injuries involved the wrist and hand (n = 64 [22%]), head and face (n = 58 [20%]), and the knee (n = 47 [16%]). Wrist and hand trauma included 23 fractures. Knee and shoulder injuries were most likely to require surgery compared with other body areas (P < .001); 30 officials underwent surgery because of an acute knee injury (10%). Injury prevention activities were effective at reducing injuries (P = .04).

Conclusion

Most ice hockey officials experienced musculoskeletal injuries during their career. The risk of trauma to the wrist and hand can possibly be reduced via equipment modifications including protective gloves. A greater emphasis should be placed on injury prevention programs and time away from officiating competitions.

Incidence of injury and pain in referees in German national handball leagues: a cohort study

Background

Handball referees play an important role during a handball match. Surprisingly, not much is known about their sports-related injuries and resulting pain, therefore the purpose of our study was to focus on injuries and sports-related pain in referees in German handball leagues.

Methods

During the 2018/19 national German handball season, referees of the German Federation of Handball (DHB) were contacted and asked to complete an injury and pain questionnaire on the penultimate matchday of the first and the second round of the season.

Results

Seventy referees participated in the study. One in three referees reported an injury during the last year and perceived some form of pain. Of those suffering from pain, 16.7% referees reported chronic pain disorders. During the season, 31.4% of referees incurred an injury and the majority of the 70 referees officiated despite pain (n = 43). Prospectively-enrolled data suggested an incidence of 11.6 (95% CI: 10.3 to 13.0) injuries per 1000 match hours, and 19.0 (95% CI: 16.8 to 21.3) sports-related pain events per 1000 match hours. The most common injuries were foot and knee injuries and a substantial number of the referees (n = 25) reported taking analgesics for the pain.

Conclusion

German handball referees are at risk of sports-related injuries with subsequent pain. Considering the injury profile, the incidence of sports-related pain events, and the high physiological demands of refereeing, it appears that prevention programs should be developed and integrated into the routine of the referee.

Supplementary Information

The online version contains supplementary material available at 10.1186/s13102-021-00320-1.