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his study investigates the effects of spectator noise on umpire stress levels during major badmintontournaments. Previous research has shown that spectator noise can affect performance and decision-making insports, including badminton. However, there is limited understanding of how this phenomenon explicitly affectsumpires, who play a crucial role in officiating matches. Nine experienced umpires from the 24th Badminton WorldFederation (BWF) World Championships participated in the study. Heart rate variability (HRV) was used to measurestress levels objectively. In addition, subjective noise sensitivity and general stress levels were assessed usingvalidated questionnaires. Noise levels were recorded on court using stationary sound level meters, and individualnoise exposure was measured using personal carried noise dosimeters. The results showed a statistically significantcorrelation between spectator noise level and stress, mainly when umpires were working as service judge. Umpireswith a higher subjective sensitivity to noise and higher general stress levels showed a stronger correlation betweennoise levels and stress during matches. The findings suggest that spectator noise may be a factor to consider inefforts to support umpire performance and well-being in stressful environments. Further research is needed toinvestigate the potential impact of this association on decision-making processes. 

Objective: To explore the experiences of acculturation into secular Swedish society of former members of cults, with particular focus on mental health, needs and resources.

Design: Qualitative method using the Cultural Formulation Interview (CFI) from the DSM-5 as an interview guide. Analysis of participants’ experiences of acculturation through systematic text condensation.

Participants: Eleven Swedish former members of ideological or religion-based cults.

Setting: Swedish mainstream, secular society.

Results: Former cult members experience an ‘in-between time’ in the period after leaving the cult and find themselves in a confusing, chaotic state. They describe having lived in an honor culture where acts of violence were normalized. In the cult, they felt disconnected from themselves, and post-cult they try to regain access to their own values and feelings as well as create new bonds with family members and friends outside the cult. They find it hard to talk about their cult background and find relief in communicating with other former cult members. In their post-cult life, they eventually start seeing the world in a brighter, more hopeful way than before. However, they are also at risk of re-experiencing cult-related traumatic events and of new traumatic experiences within the post-cult acculturation process, and of persistent psychological distress.

Conclusion: Former cult members face a challenging acculturation process, having lost a functioning worldview upon leaving the cult but not yet gained another to take its place. While the in-between time is often transient, they may need support from the healthcare system, especially regarding mental health concerns, while establishing themselves into mainstream society.

This review aims to enlighten the existing research about Achilles tendon ruptures (ATR) in racket sports. Further, this review will also include the acute management, rehabilitation, treatment and prognosis of an ATR. ATR is a common injury among individuals playing racket sports. However, the literature is limited and not up to date. Previous research claims that up to 70 percent of all ATR is related to sports activities where racket sports dominate. A large number of patients sustaining an ATR return to sport within a year from injury. 

Previous studies involving injury surveillance in badminton players have used nonstandardized injury definitions and data collection methodologies. The purpose of this study was to apply a Delphi method to (1) reach a consensus on an injury definition in badminton and (2) develop a standardized badminton injury report form. An Injury Consensus Group was established under the auspices of the Badminton World Federation, and initial injury definitions and injury report form were developed. An internal panel was formed from the Injury Consensus Group, and an external panel was selected based on a combination of profession, experience in the field, sport-specific knowledge/expertise, and geographical location to obtain a widely representative sample. Through 2 rounds of voting by the external panel, consensus was reached on both the definition of an injury in badminton and a standardized injury report form. The agreed injury definition was “Any physical injury sustained by a player during a match or training regardless if further diagnostic tests were done or if playing time was lost” and the injury report form contained the following 7 sections: Injury record, Diagnosis, Injury mechanism, Regarding pain, Pain and return to play/training after injury, Grade of severity, and Recurrence. We recommend the use of the definitions and methods presented in this consensus statement for the reporting of injury in all international and domestic badminton players. This should make future injury surveillance reports directly comparable and hence more informative in recognizing trends over time and differences between countries.

Empathy in the doctor-patient relationship is of great importance and has long been considered a true professional virtue for doctors. Despite the general agreement concerning the importance of empathy, there is no consensus regarding the definition of empathy in medical research. While several quantitative studies, measuring empathy as an individual trait, show a decline in empathy among medical students, other studies have shown that empathy is influenced by contextual factors as well as the availability of role models. Therefore, further studies about the transition from medical school to clinical work also including the perspective of senior doctors are needed. The study presented in this article aims to better understand the clinical conditions for empathy through interviews with senior doctors about their lived experience of empathy. Twelve senior doctors, from different specialities were interviewed using a semi-structured approach. The data was analysed using content analysis. The analysis resulted in the main theme: Empathy as a silent art–a doctor‘s daily balancing act. This main theme comprised three categories: “A tacit, yet language-dependent process”, “A daily balancing act” and “An unsupported path towards mastery”. Doctors face many challenges in their daily balancing act between individual and structural conditions that may affect empathy. In order to maintain and further develop empathy, doctors need working conditions allowing for collegial reflection and conversations that promote empathy.

Objective: This study explores former cult members’ perceptions of consultations with healthcare professionals for mental illness that they relate to their cult involvement. The study also aims to identify the needs, obstacles, and facilitating factors related to these consultations.

Design: Qualitative methods using semi-structured interviews that were analyzed using systematic text condensation.

Participants: Nineteen former cult members who had been in contact with Swedish healthcare professionals due to mental illness related to their cult involvement.

Results: Former cult members remain affected by cult belief systems, rules, and ideations even after leaving a cult. This leads to ambivalence and inner conflict for the former cult member in a healthcare consultation. Care providers are perceived as ignoring cult experiences and lacking knowledge of a cult’s impact on an individual.

Conclusions: To understand, help, and work with former cult members, healthcare professionals need to know about cults and the possible impacts of cult involvement. Person- and patient-centeredness in the form of non-judgmental attitudes, validation of experiences, and awareness of the psychosocial situation are important in consultations with these patients. More over, healthcare providers need to acknowledge cultural and existential aspects of a former cult member’s life, both in the present and from earlier experiences in the cult.

Background: Pain from the lateral aspect of the elbow is a common symptom in racket sports, both in recreational and competitive players. In Tennis elbow (TE), the pain is elicited from the lateral epicondyle and the common extensor origin just distal of the epicondyle. The symptoms are aggravated by gripping activity and might be related to activity level, in work as well as in recreational or elite racket sports. TE is considered to be an overuse injury of degenerative nature and the diagnose is easily made, based on a typical history and clinical findings.

Objective: To present current knowledge concerning management of TE in racket sports by a review of the literature.

Methods: Narrative literature review.

Results: An overview of TE in racket sports with highlight on the clinical features, alternative diagnoses and suggested treatments in the literature. Since TE is considered to be an overuse injury, the paper also provides advises for training plan besides management until resolution of symptoms.

Conclusions: This painful condition is self-limiting with a good prognosis. No treatment has convincingly evidence, besides methods for reducing pain symptoms. When the pain symptoms are under control, it is important that the return to racket sports is gradual.

Antecedentes: El dolor en la parte lateral del codo es un síntoma común en los deportes de raqueta, tanto en jugadores recreacionales como de competición. En el codo de tenista (CT), el dolor se produce en el epicóndilo lateral y en el origen del extensor común justo distal al epicóndilo. Los síntomas se agravan con actividades de agarre y pueden estar relacionados con el nivel de actividad, ya sea en el trabajo o en los deportes de raqueta recreacionales o de élite. Se considera que el CT es una lesión por sobreuso de naturaleza degenerativa y el diagnóstico se realiza fácilmente basado en la historia y los hallazgos clínicos.

Objetivo: Presentar el conocimiento actual sobre el tratamiento del CT en los deportes de raqueta a través de una revisión de la literatura.

Métodos: Revisión de la literatura narrativa.

Resultados: Un resumen del CT en los deportes de raqueta con énfasis en las características clínicas, los diagnósticos alternativos y los tratamientos sugeridos en la literatura. Dado que el CT se considera una lesión por sobreuso, el artículo también hace sugerencias para un plan de entrenamiento adicional al tratamiento hasta que se resuelvan los síntomas.

Conclusiones: Esta condición dolorosa es autolimitada y tiene un buen pronóstico. No hay tratamiento con evidencia determinante, además de los métodos para reducir los síntomas de dolor. Cuando los síntomas de dolor están bajo control, es importante que el regreso a los deportes de raqueta sea gradual

Objectives: We aimed to explore learning experiences among medical students learning to perform pelvic examinations and to identify factors that facilitate their training.

Methods: A mixed-methods study including a web-based survey and focus group discussions (FGDs) was conducted among medical students who had completed their obstetrics and gynaecology (ObGyn) clerkship. The FGDs were recorded, transcribed and analysed using qualitative content analysis with systematic text condensation. Survey factors were compared using the χ2 test or Fisher's exact test.

Results: 160 students (97 female, 61 male, two other) at six universities in Sweden responded to the survey. Two mixed FGDs were conducted. The majority (87%) of the students experienced confidence in performing pelvic examinations, stating that sufficient, repeated training opportunities and support from a clinical tutor were crucial components of the learning experience. Prior to the ObGyn clerkship, negative expectations were more common among male students. The male participants experienced having a disadvantage because of their gender, while female students considered their gender an advantage (p<0.001, N=121, Fisher's Exact Test). The clinical tutor and the use of professional patients (PPs) had a fundamental role in providing learning opportunities by including the student in patient care activities.

Conclusions: The importance of the clinical tutor, as well as the use of PPs, are important factors when planning education in pelvic examinations, and this knowledge could be used when educating other intimate examinations during medical school. In addition, similar investigations on students' experience in training other intimate examinations could be considered.

Background: Empathy has long been recognized as a fundamental part of the professionalism of doctors and is considered to be both necessary and beneficial to doctor-patient relationships, although empathy is notoriously difficult to define and measure. Previous research on empathy has mostly consisted of quantitative studies measuring and evaluating empathy levels in students or medical residents. The aim of our qualitative study was to explore the lived experience of empathy among medical interns in Sweden.

Method: We interviewed 16 medical interns, using semi-structured interviews. Content analysis was used to analyse the interviews.

Results: The analysis led to the emergence of a main theme of empathy as being multifaceted and conflictual, consisting of descriptions (subthemes) of “being” and “doing”; of being uncontrollable and contextual; biased and situated and essential and conflictual. Since the components of empathy were also found to be interwoven, to provide a more holistic presentation of the results, we applied a socio-ecological model to the results inspired by Bronfenbrenner.

Conclusions: We concluded that empathy is situated and contextual. By using the socioecological model empathy can be described as a systemic interaction between doctor and patient. Based on this we propose a more holistic approach to empathy in medical education to better prepare students for clinical practice.

Objective: The aim of the study was to investigate the noise exposure for different technical officials during a major badminton tournament.

Methods: Individual noise exposure for technical officials was measured during the 23rd BWF World Championship, 2017 in Glasgow, Scotland during all days of the tournament.

Results: Umpires and on-court-doctors had equivalent noise exposure, when working longer shifts, that exceeded the exposure limit according to the EU 2003/10/EC noise directive. Exposure limits regarding impulse sound was also exceeded during several work shifts during the tournament.

Conclusions: Technical officials are exposed to noise levels that exceed current occupational health leg-islation within the EU, and may therefore be at risk of developing hearing related disorders. It is of high importance for the organizers of sports events to reduce the noise exposure for the technical officials by scheduling shorter work periods, but also by providing individual hearing protectors.