Risk Factors For Foot Research Articles

Risk factors for foot and mouth disease outbreaks in grazing beef cattle herds

Foot and mouth disease (FMD) is considered one of the most important diseases of cattle. Recurrence of FMD outbreaks in Israel is common, even though routine vaccination of livestock is mandatory and control measures are applied during the outbreaks. Grazing beef herds are occasionally involved in these outbreaks and play an important role in disseminating the disease, due to the large efflux of animals from these herds to feedlots. Nevertheless, the risk factors for the occurrence of FMD among these herds have never been investigated. In 2011, Israel faced a large scale outbreak of serotype O FMD virus, which strongly affected beef cattle. We conducted a case–control study of 44 beef cattle herds grazing in the Golan Heights in order to determine the risk factors for FMDV infection. Data were analyzed using a generalized estimation equation (GEE) with a logit link function. Multivariable analysis was conducted for factors with p-value lower than 0.1 in the univariable analysis. The presence of calves under 6 months of age was found as a significant risk factor for FMDV infection in the univariable analysis (odds ratio (OR)=5.95, confidence intervals of 95% (CI95%)=1.59–22.29, p=0.008). This was also the only variable that remained statistically significant in the multivariable analysis. Herds in which more than 6 months between vaccination of adults and exposure had elapsed were in higher risk, albeit not statistically significant, for the occurrence of FMDV infection (OR=3.29, CI95%=0.83–12.99, p=0.089).The higher probability of infection in herds, which included young calves may be a result of their higher susceptibility due to administration of only one or no vaccine prior to the outbreak. The results of the study thus support increasing the frequency of vaccination of both cows and calves in grazing beef herds. Intensifying surveillance where young calves are abundant may also prove efficient for early detection of infected herds and for mitigating outbreaks of FMDV.

A cross-sectional study on the prevalence and risk factors for foot and limb lesions in piglets on commercial farms in Ireland

A cross-sectional survey of 68 integrated Irish pig farms was conducted to determine the prevalence and risk factors for foot and limb lesions in 2948 piglets from 272 litters. One litter was selected per age category; 3–7 days, 8–14 days, 15–21 days and 22–28 days per farm. All piglets were examined for sole bruising, sole erosion, coronary band injuries, limb abrasions, alopecia, swollen limbs and swollen feet and scored from 0 to 3 based on relative size. Environmental parameters were recorded for each litter examined. A questionnaire was completed on management, health and performance factors for each farm. The overall prevalence of each lesion was calculated and multilevel mixed effect logistic regression models were used to elucidate risk factors. The prevalence (farm range) of lesions were: sole bruising=61.5% (7–100%), sole erosion=34.1% (0–100%), coronary band injuries=11.3% (0–46%), limb abrasions=55.7% (11–98%), alopecia=24.8% (0–83%), swollen limbs=2.4% (0–11%) and swollen feet=4.4% (0–14%). Age was negatively associated with sole bruising (OR 0.42; CI 0.37, 0.50) and coronary band injury (OR 0.69; CI 0.60, 0.81) and positively associated with limb abrasions (OR 1.54; CI 1.12, 2.14). There was a reduced risk of sole bruising in piglets in pens with plastic slats with oval voids in the piglet area of the pen with a plastic solid area for piglets and metal slats under the crate (OR 0.32; CI 0.15, 0.70) compared with plastic stats throughout and a plastic solid area for piglets. There was an increased risk of sole erosion (OR 1.81; CI 1.07, 3.09) and foot and limb swellings (OR 1.90; CI 1.01, 3.57) in pigs in pens with metal slats only and a solid plastic area for piglets compared with plastic stats throughout and a solid plastic area for piglets. There was an increased risk of coronary band injury in pens with metal slats throughout and a metal solid area for piglets (OR 4.25; CI 1.96, 3.57) compared with plastic stats throughout and a plastic solid area for piglets. We conclude no single floor type was ideal for piglet foot and limb health with all floors influencing different lesions in different ways, however, the positive association between sole erosions, coronary band injury and foot and limb swellings and metal slats suggest that this floor type was most detrimental and most likely to be associated with joint infections that lead to severe health and welfare concerns.

Prevalence and risk factors for foot and ankle musculoskeletal disorders experienced by nurses.

BackgroundNurses are at high risk of musculoskeletal disorders (MSDs). Although the prevalence of MSDs of the lower back, upper limbs, neck and shoulders have been reported previously in nursing, few studies have evaluated MSDs of the foot and ankle. This study evaluated the prevalence of foot and ankle MSDs in nurses and their relation to individual and workplace risk factors.MethodsA self-administered survey incorporating the Nordic Musculoskeletal Questionnaire (NMQ) was distributed, over a nine-week period, to all eligible nurses (n = 416) working in a paediatric hospital in Brisbane, Australia. The prevalence of MSDs for each of the NMQ body regions was determined. Bivariate and multivariable logistic regression analyses were conducted to examine the relationships between activity-limiting foot/ankle MSDs and risk factors related to the individual (age, body mass index, number of existing foot conditions, smoking history, general physical health [SF36 Physical Component Scale], footwear features) or the workplace (level of nursing position, work location, average hours worked, hours worked in previous week, time since last break from work).ResultsA 73% response rate was achieved with 304 nurses completing surveys, of whom 276 were females (91%). Mean age of the nurses was 37 years (±10), younger than the state average of 43 years. Foot/ankle MSDs were the most prevalent conditions experienced by nurses during the preceding seven days (43.8%, 95% CI 38.2-49.4%), the second most prevalent MSDs to impair physical activity (16.7%, 95% CI 13.0-21.3%), and the third most prevalent MSD, after lower-back and neck problems, during the preceding 12 months (55.3%, 95% CI 49.6-60.7%). Of the nurse and work characteristics investigated, obesity, poor general physical health, existing foot conditions and working in the intensive care unit emerged as statistically significant (p < 0.05) independent risk factors for activity-limiting foot/ankle MSDs.ConclusionsFoot/ankle MSDs are common in paediatric hospital nurses and resulted in physical activity limitations in one out of every six nurses. We recommend targeted education programs regarding the prevention, self-management and treatment strategies for foot/ankle MSDs. Further research is needed into the impact of work location and extended shift durations on foot/ankle MSDs.

Foot and Ankle Injuries in Professional Soccer Players

Soccer is a physically demanding and highly competitive sport with a high rate of injuries. The foot and the ankle joint are especially at danger. Risk factors of foot and ankle injuries in soccer players are: lack of structured warm up training, neuromuscular deficits, inadequate training, chronic fatigue, previous injuries, foul play, artificial turf, and others. While the most common injury is the ankle sprain, complex injuries like fractures, ligament tears, and cartilage damage can occur. Such injuries have a high impact on the player's career. Professional soccer players are pressured to meet the expectations of the clubs, and the public. While most injuries to the foot and ankle joint can be treated conservatively, complex injuries require anatomic reconstruction to allow for quick rehabilitation and return to play earliest possible.

Study on the Risk Factors of Foot and Mouth Disease in Selected Districts of Afar Pastoral Area, Northeast Ethiopia

Study on the Risk Factors of Foot and Mouth Disease in Selected Districts of Afar Pastoral Area, Northeast Ethiopia

Risk factors for foot and ankle disorders among assembly plant workers

Jobs that necessitate prolonged standing and walking activities are commonly associated with worker's complaints of foot and ankle pain. The objective of this study was to determine the relative contributions of work activity (time spent standing, walking, or sitting), floor surface characteristics, weight, BMI, age, foot biomechanics, and other demographic and medical history factors to the prevalence of foot and ankle disorders. A cross-sectional observational study design was used to evaluate employees of an engine manufacturing plant. The main outcome variable was foot or ankle disorders defined by pain and a positive physical examination. The independent variables included baseline demographics, medical history, ergonomic exposures, psychosocial factors, shoe characteristics and foot biomechanics. Twenty-four percent of the cohort met the case definition of foot/ankle disorder with 10% defined as new cases. Fifty-two percent had symptoms of foot/ankle. An increased risk of presenting with foot/ankle disorders was associated with high metatarsal pressure on gait assessment, increased time spent walking, female gender, reported high job dissatisfaction, a history of rheumatoid arthritis, osteoporosis or vascular disorder. For the truck/forklift drivers, an increased number of times getting in and out of the vehicle was associated with a higher prevalence of ankle/foot problems. An increased risk is associated with higher metatarsal pressure and increased time spent walking. These findings suggest several options for primary and secondary prevention strategies. The use of shoe orthoses with a medial longitudinal arch and metatarsal pad as well as including optional sit/stand workstations may be helpful.

Risk factors for foot and mouth disease seroprevalence in indigenous cattle in Southern Ethiopia: the effect of production system

A serological survey to investigate risk factors for Foot and Mouth Disease (FMD) occurrence was conducted between October 2007 and March 2008 in Southern Ethiopia. Antibodies against non-structural protein of FMD virus (using 3abc ELISA) were measured as indicator of exposure to the virus. The seroprevalence of FMD was 9.5% (95%CI = 7.7 - 11.3, n = 1020) and 48.1% (95% CI = 36.8 - 59.4%, n = 79), respectively at animal and herd levels. Within herd seropositivity was ranged from 6.7 to 46.7% with 18.6% (95%CI = 14.6 - 22.5%) risk of being seropositive for an animal in positive herds. The most important herd level risk factors identified were pastoral system (OR = 16.3, 95% CI = 2.0 -133.7) compared to sedentary, low altitude (OR = 7.5, 95% CI 1.4 -40.7) compared to high altitude, keeping cattle with small ruminants (OR = 5.1, 95% CI 1.0 -25.2) when compared to one species or alone. Seroprevalence was significantly higher (P <0.05) in South Omo than Sidama and Gamo Gofa areas. The odds of seropositivity were 2.8 and 2.3 times higher in the adult (>4 years) and maturing animals (3-4 years) compared to young age category (<3 years). Both multivariable logistic and negative binomial regressions depicted that production system was the major risk factor for FMD seropositivity. Consequently, higher prevalence of FMD in pastoral system where animals are an integral part of life has substantial livelihood and economic implications, which signifies the need for devising control measures.

A Study of the Prevalence and Risk Factors of Foot Problems in a Population of Diabetic Patients in Cameroon

Foot problems are common in diabetic patients and are one of the most expensive chronic complications to treat. The authors sought to determine the prevalence and risk factors of the diabetic foot in a clinic population. In this cross-sectional study of 300 diabetic patients, the authors reviewed records, carried out an interview, and performed a meticulous foot examination with assessment of neuropathy (monofilaments and tuning fork) and ischemia (pulses). Foot lesions were classified according to Wagner grades. The prevalence of foot lesions was 13.0% (inpatients 25.6% and outpatients 11.1%). Diabetic neuropathy assessed using monofilaments was found in 81 patients (27.3%) (monofilaments). The prevalence of ischemia was 21.3% and deformity was 17.3%, whereas 37 patients (12.3%) had a previous history of foot lesions. Foot examination was done in 14.3% of patients, and 47% had a risky nail-trimming habit, whereas 22% wore ill-fitting shoes. The prevalence of diabetic foot lesions is high, and known risk factors are significantly present, especially poor foot care.

Foot and ankle fractures in elderly white women. Incidence and risk factors.

Although foot and ankle fractures are among the most common nonspinal fractures occurring in older women, little is known about their epidemiology. This study was designed to determine the incidence of and risk factors for foot and ankle fractures in a cohort of 9704 elderly, nonblack women enrolled in the multicenter Study of Osteoporotic Fractures. At their first clinic visit, between 1986 and 1988, the women provided information regarding lifestyle, subjective health, and function. Bone mineral density was measured in the proximal and distal parts of the radius and in the calcaneus. The women were followed for a mean of 10.2 years, during which time 301 of them had a foot fracture and 291 had an ankle fracture. The fractures were classified with use of a modification of the Orthopaedic Trauma Association's guidelines. The incidence of foot fractures was 3.1 per 1000 woman-years, and the incidence of ankle fractures was 3.0 per 1000 woman-years. The most common ankle fracture was an isolated fibular fracture (prevalence, 57.6%), and the most common foot fracture was a fracture of the fifth metatarsal (56.9%). Women who sustained an ankle fracture had been slightly younger at the time of study enrollment than the women who did not sustain such a fracture (71.0 compared with 71.7 years), they had a higher body mass index (27.6 compared with 26.5), and they were more likely to have fallen within the twelve months prior to filling out the original questionnaire (38.1% compared with 29.7%). The appendicular bone mineral density was not significantly different between these two groups of subjects. Women who sustained a foot fracture had a lower bone mineral density in the distal part of the radius (0.345 g/cm (2) compared with 0.363 g/cm (2) ) and a lower calcaneal bone mineral density (0.394 g/cm (2) compared with 0.404 g/cm (2) ) than the women without a foot fracture, they were less likely to be physically active (62.3% compared with 67.8%), and they were more likely to have had a previous fracture after the age of fifty (45.5% compared with 36.8%) and to be using either long or short-acting benzodiazepines. Overall, foot fractures appeared to be typical osteoporotic fractures, whereas ankle fractures occurred in younger women with a relatively high body mass index.