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050-CSEDLPS CSE RSA Data Loss Prevention 6.0

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050-CSEDLPS exam Dumps Source : CSE RSA Data Loss Prevention 6.0

Test Code : 050-CSEDLPS
Test appellation : CSE RSA Data Loss Prevention 6.0
Vendor appellation : RSA
: 106 existent Questions

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RSA CSE RSA Data Loss

RSA records Loss Prevention Suite: Product overview | killexams.com existent Questions and Pass4sure dumps

Storage gigantic EMC is taking a complete approach to records loss prevention (DLP) with its RSA facts Loss Prevention Suite, which consists of RSA DLP Datacenter, RSA DLP network and RSA DLP Endpoint with RSA enterprise manager; additionally, four RSA home paraphernalia are used for the DLP suite.

Editor's note: The RSA records Loss Prevention Suite became currently discontinued, and the product hit discontinue of primary support on Jan. 31. RSA DLP will hit its conclusion of prolonged support date on Dec. 31, 2018.

The appliances used for the RSA statistics Loss Prevention Suite encompass a Sensor appliance, which is employed for passive monitoring; an Interceptor equipment, which analyses and enforces guidelines for outbound e mail; a web content Adaptation Protocol (ICAP) Server equipment, which communicates with ICAP-competent web proxies to monitor and control net and FTP traffic; and a network Controller appliance, which manages the entire appliances and communicates with the home windows-primarily based RSA commercial enterprise supervisor utility.

The RSA enterprise supervisor, for its half, is a vital management console that shows dashboards, creates reports, manages coverage construction and deployment, and controls incident administration workflow and administers the information loss prevention methods. the following is a better seem on the add-ons of the RSA records Loss Prevention Suite.

RSA DLP Datacenter

RSA DLP Datacenter is a data-at-rest scanning DLP tool that performs automatic discovery for delicate records on storage systems comparable to Microsoft windows file servers, Unix file servers, community-connected storage/storage-area community gadgets, Microsoft SharePoint, Lotus Notes, databases and native drives on windows workstations.

The RSA community Sensor paraphernalia is required to set up this tool.

The DLP Datacenter is able to correctly scan colossal storage repositories with out the exigency for dedicated hardware by using brief scanning brokers.

RSA DLP Endpoint

RSA DLP Endpoint displays and controls sensitive statistics on home windows endpoints. The network Sensor paraphernalia is too required to set up this device, and it uses either transient or everlasting endpoint brokers.

RSA DLP Endpoint can computer screen and forestall delicate information exposures by the Use of user movements such as HTTP/HTTPS posts to webmail and social media, transportable media reads and writes, printing, and the saving of sensitive statistics to network file shares. particular devices can too be whitelisted to commission the switch of sensitive records to permitted transportable media.

An optional self-remediation characteristic in RSA DLP Endpoint may too be used to teach users with the aid of presenting actual-time remarks on policy violations.

besides home windows, RSA DLP Endpoint supports virtual desktops similar to Microsoft Hyper-V, VMware View, Citrix XenDesktop and XenApp digital functions.

RSA DLP community

RSA DLP network displays and controls sensitive facts in motion in existent time to avoid unauthorized transmissions. DLP network can handle corporate e-mail on home windows workstations and conveyable endpoints, reminiscent of home windows laptops, smartphones and pills. it's too capable of handle delicate information in universal TCP site visitors, HTTP/HTTPS net and social media site visitors, FTP, immediate messaging and encrypted site visitors.

The network Sensor appliance is required to set up this tool.

abstract

The RSA statistics Loss Prevention Suite is designed to serve medium-sized companies to huge firms. The product suite covers endpoint facts in use, network facts in transit and records at leisure in quite a few info and databases.

RSA DLP software too addresses information on mobile gadgets, in addition to public cloud applications and features. Pricing for the DLP suite depends upon a number of components, together with which appliances may be deployed. agencies attracted to pricing and licensing terms for RSA facts Loss Prevention Suite can contact the dealer or their approved RSA resale partners.


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Reporter's computer: Cloud security a Key heart of attention at RSA | killexams.com existent Questions and Pass4sure dumps

Reporter's pc: Cloud safety a Key focal point at RSA

companies showcase how they're addressing the concern; specialists learn position protection may play as features evolve

  • with the aid of John ok. Waters
  • 04/28/2009
  • issues about the security implications of evolving cloud computing applied sciences dominated ultimate week's annual RSA conference.

    With many viewing safety as an stupendous barrier to adoption of cloud-primarily based features, key providers used closing week's event to expose off how they're addressing the issue while experts explored the position protection might play as these functions evolve.

    Cloud computing might enlarge indifferent computer protection problems, at the least in the short time period, mentioned Adi Shamir, professor of mathematics and laptop science at Israel's Weizmann Institute of Science. Shamir was amongst a group of protection pundits who debated the role of protection in cloud computing vulgar through the highly visible Cryptographer's Panel. Shamir involved that a virus, which would be an annoyance on a laptop computer, as an example, may be catastrophic in hosted computing environments.

    Bruce Schneier, chief safety expertise officer at BT Counterpane, argued there are few simple alterations between cloud computing and the customer-server model. however Ronald Rivest, a professor of laptop science at MIT, talked about that he expects cloud computing to become "a focus in their work in protection." He introduced, "i'm optimistic about cloud computing, but I contemplate lots of us beget difficult work to do."

    A slew of carriers beget launched novel applied sciences and functions to address a few of cloud computing's security issues. Cisco rolled out its novel Cisco security Cloud features, a SaaS providing designed to connect services from assorted networks and purposes to integrate safety within the cloud with commerce network safety. fragment of Cisco's "Collaborate with self belief" initiative, the cloud security features consist of a botnet filter and a bunch-based mostly intrusion prevention device (IPS). "The only approach that you may remedy this [security problem] is through an architectural strategy." spoke of Cisco CEO John Chambers in a keynote tackle.

    IBM launched protection offerings for the cloud based on stories from its X-drive security analysis community on world criminal corporations. The company introduced its novel virtual appliance, the Proventia Virtualized community safety Platform, which consolidates an IPS, net app insurance end and network policy enforcement right into a single service. great Blue additionally brought malware scanning capabilities to its Rational AppScan scanning and testing software, which performs web web site scanning and checking out for embedded malware and malicious content.

    lengthy-time safety features issuer Savvis unveiled a novel managed internet application firewall (WAF) carrier that runs on its Cloud Compute offering. The Missouri-primarily based provider of co-place and dedicated hosting functions claims to be some of the first to present WAF technology as a service (WAF has been purchasable for roughly two years in hardware and software). in line with Chris Richter, Savvis' vice president of safety capabilities, about eighty % of his business's shoppers are looking to a WAF because it's now a requirement of the fee Card business's facts safety normal.

    RSA adds novel equipment

    For application builders, the titanic advice at this yr's conference got here from adventure sponsor RSA (a division of EMC), which introduced that it is making entry to paraphernalia for pile security into apps from the outset less difficult. The company launched the RSA Share undertaking, an trouble combining the RSA BSAFE encryption paraphernalia for C++ and Java into a free toolkit. RSA Share additionally includes online assist within the benign of a developer neighborhood, in keeping with RSA President know-how Coviello in his keynote tackle. The RSA Share task invites developers "to participate in an internet group with some of the surest minds in cryptography," he observed.

    in accordance with the business, BSAFE Share toolkits are interoperable with existing items in line with BSAFE encryption. these items attain from standalone software applications to browsers to gaming programs. RSA is providing a $10,000 reward for the developer who devises "probably the most inventive and useful use" of BSAFE encryption in a web-primarily based application. the competition runs until may additionally 20. interested builders can enter on the RSA Share venture group internet web site.

    Microsoft disclosed a partnership with RSA/EMC to combine RSA information Rights administration features (IRM) with facts loss protection technology in Microsoft's SharePoint platform. The RSA solution for SharePoint addresses a variety of safety issues that commonly forward up in huge SharePoint retail outlets, Microsoft talked about.

    "one of the crucial challenges with IRM is that it really works well within a company, but not across organizational boundaries," talked about Scott Charney, vice chairman of Microsoft's devoted Computing neighborhood, in a keynote presentation. "by using doing this partnership with EMC, they seize the capabilities of IRM and fade pass-boundary."

    A key element of the brand novel admit is the RSA at ease View tool for SharePoint, which the commerce pointed out provides a hierarchical view of SharePoint environments, from servers to info, and entry control records. The effect, Microsoft noted, is a less complicated manner for deciding upon the status sensitive records resides in any given SharePoint environment, which will too be used as a device for assessing chance, among different issues. the two companies had banded collectively ultimate 12 months to combine RSA's facts Loss Prevention (DLP) classification with the Microsoft IT platform and "future suggestions-insurance end products."

    Charney additionally talked up a few of Microsoft's key protection initiatives, featuring an supplant on the business's open identification platform task, code-named "Geneva," which the company says should be a key element in enabling its own Azure cloud capabilities. One point of the platform of particular hobby to developers is an protected framework for pile .internet applications designed to evaluate digital token claims and a server-based mostly digital token carrier.

    "the way they execute id these days is completely improper," Charney referred to. "i am going to a web web page, they problem me for some own suggestions -- a Social protection number, date of start, mom's maiden name. They validate that assistance after which they provide me a credential. Of path, these secrets are not stealthy in any respect. Yet it is the way they now beget finished id on the internet."

    He additionally outlined the safety elements coming in windows 7, so that it will encompass assist for relied on Platform Modules (TPMs) that aid hardware-based mostly encryption, such because the home windows BitLocker drive Encryption, AppLocker and DirectAccess. Microsoft endured to interpret novel safety features in windows 7 as pronounced Monday.


    050-CSEDLPS CSE RSA Data Loss Prevention 6.0

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    050-CSEDLPS exam Dumps Source : CSE RSA Data Loss Prevention 6.0

    Test Code : 050-CSEDLPS
    Test appellation : CSE RSA Data Loss Prevention 6.0
    Vendor appellation : RSA
    : 106 existent Questions

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    Microsoft Windows XML flaw exploits test desktop antimalware | killexams.com existent questions and Pass4sure dumps

    Your aplomb may be misplaced if you were counting on your desktop antimalware to protect unpatched systems against the recently discovered XML flaw in Internet Explorer, based on tests by NSS Labs Inc.. 

    The NSS' test results of six business-grade endpoint protection products from AVG, Kaspersky Lab, McAfee Inc., Sophos, Symantec Corp. and Trend Micro Inc. yielded generally impecunious results for stopping known SQL injection exploits of the flaw.

    The attacks were reported in the wild on Dec 11 andMicrosoft issued a patch on Dec. 17. It was the software giant's second release outside of its normal monthly patching cycle in two months. NSS conducted its tests the week of Dec. 15, issuing its findings based on live testing through Dec. 18.

    NSS tested the products ability to stop the exploits at any of three stages: first, detecting and blocking the malicious URL; second, detecting and blocking the exploit; and finally, detecting and blocking the malware when it was inserted in the test clients' memory.

    "The issue here is really the exploit, rather than the malware that is delivered afterwards," said Rick Moy, NSS Labs president. "There are really only two exploits. After that, the attacker can load up a keylogger, Trojan, or anything they want. The trick is to tangle it on [its] way in, before it actually exploits -- and that's what they weren't seeing [it] happen." 

    Only Kaspersky Lab's Total Space Security 6.0 stopped the exploits glacial by blocking URL access. Sophos Endpoint Security and control detected the URL, but only issued a warning without blocking it. However, it did detect and obstruct the exploit.

    Symantec's Endpoint Protection 11.0.2 failed to detect the URL or the exploit, but detected and quarantined the malware payload. Trend Micro's Officescan 8.0 SP1 R3 performed similarly, but failed to quarantine one of the malware's two components, apparently because the beset thwarted its ability to gain the necessary permissions.

    Both McAfee's Total Protection for Endpoint and AVG's Internet Security Network Edition 8.0 failed to detect and stop the beset at any of the three stages.

    NSS turned on the most aggressive detection settings, where possible.

    Given the results, NSS recommended that companies patch immediately, even if they execute not beget time to complete their full testing regime.

    While NSS cautions that this was a very narrow test of the ability to obstruct exploits of a new, captious flaw, enterprises often matter on vendors' assertions that their products can thwart zero-day attacks by using heuristic and anomaly detection techniques and host intrusion prevention systems (HIPS), since traditional signature-based detection is increasingly ineffective against many Web-borne exploits. 

    "The HIPS fragment surprised us," said Vik Phatak, NSS chairman and CEO. "Most of these products were not inserting themselves between Internet Explorer, which is tightly tied to the OS and the TCP stack. You'd anticipate that the HIPS product would tangle the exploit before it actually knocks over the browser."

    Microsoft responded rapidly to issue a patch, but there is always a necessary lag after the discovery of any flaw. And, most companies trust on rigorous patch testing on their system configurations before generic patching. Further, patches sometimes fail, and some systems, typically those of remote users who may not log into the network frequently, remain unpatched for a while.

    The test results, though narrow, tend to underscore recent testing by Secunia, which tested the exploit detection ability of a dozen different consumer endpoint protection products. Secunia turned 144 malicious files and 156 malicious Web pages against XP SP2 with missing patches and a number of vulnerable programs. Symantec was tops with only 64 hits; the other products lagged far behind.

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    Sports injury and illness incidence in the Rio de Janeiro 2016 Olympic Summer Games: A prospective study of 11274 athletes from 207 countries | killexams.com existent questions and Pass4sure dumps

    Introduction

    Routine physical activity elicits a number of health benefits, including a reduction in the risk of numerous confirmed diseases and premature death.1 2 Compared with the generic population, elite athletes seem to gleam additional health benefits in the form of greater life expectancy and lower risk of disease and hospital admission.3–7 However, concomitantly, they eschew a higher risk of musculoskeletal disorders and long-term disability after the discontinue of their careers.4 8–11

    Systematic injury and illness surveillance is a prerequisite to effectual protection of the health of the athletes. Epidemiological data contribute to better planning and provision of athlete healthcare and, importantly, inform the evolution of measures to preclude injury and illness.12 13

    Some International Sports Federations or research institutes beget set up injury and illness surveillance systems either longitudinally, over one or more seasons, or in inevitable main events.14–76 For Beijing 2008, the IOC developed the IOC injury surveillance system77 78 which, to account for vulgar health aspects, was expanded for Vancouver 2010 to too comprise illnesses.79 Since then, the surveillance system has been implemented in London 201280 and Sochi 2014.81 In these Games, the injury and illness incidences beget ranged from 9.6 to 14.0 injuries and from 7.2 to 8.9 illnesses per 100 athletes.

    Our train was to record the incidence and characteristics of the sports injuries and illnesses occurring during the Rio 2016 Olympic Summer Games.

    Methods

    We employed the IOC injury and illness surveillance system for multi-sport events in this prospective cohort study.77 They asked vulgar National Olympic Committee (NOC) medical teams to report the daily circumstance (or non-occurrence) of athlete injuries and illnesses on a standardised medical report form (online appendix 1). Concurrently, they retrieved the very information on vulgar athletes treated for injuries and illnesses in the polyclinic and vulgar other medical venues operated by the Organizing Committee of the Olympic and Paralympic Games Rio 2016 (Rio 2016) medical staff. These data were collected through an electronic medical record system (GE Centricity rehearse Solution), which was used for the first time in the Games.

    Supplementary Material Supplementary Appendix 1

    We used the athlete accreditation number to control for duplicates resulting from athletes being treated for the very condition by both NOC and Rio 2016 medical staff. In such cases, they retained the NOC data.

    Implementation

    Four months in advance, they informed the NOCs about the study by letter. The day before the opening of the Games, they organised an information meeting for vulgar NOC medical staff, where they too distributed the daily injury and illness report forms, as well as an instructional booklet detailing the study protocol (online appendix 2).

    Supplementary Material Supplementary Appendix 2

    Throughout the data collection, they actively followed up the NOCs comprising more than 10 participating athletes with frequent visits to address any questions and encourage continuous reporting during the games. They recorded the response rate of vulgar the 207 NOCs.

    Definition of injury and illness

    We defined injuries and illnesses as novel (ie, pre-existing, not fully rehabilitated conditions were not recorded) or recurring (athletes having returned to full participation after a previous condition) musculoskeletal complaints, concussions or other medical conditions (injuries) or illnesses incurred in competition or training during the Rio Olympic Games (5–21 August 2016) receiving medical attention, regardless of the consequences with respect to absence from competition or training.77 In cases where a single incident caused multiple injury types, they retained only the most severe diagnosis, as determined by their research team based on vulgar available clinical data, for analysis.80 Severe injuries and illnesses were defined as injuries or illnesses estimated to lead to absence from training or competition of more than 1 week.

    Injury and illness report form

    Our NOC injury and illness report form (online appendix 1) was identical to the one they used in the Vancouver 2010, London 2012 and Sochi 2014 Olympic Games.79–81 With respect to injuries, they recorded the following data: accreditation number, sport and event, whether the injury occurred in competition or training, date and time, carcass part, type, reason and estimated time lost from competition or training. They recorded data on illnesses in a similar fashion: accreditation number, sport and event, date, affected system, main symptom(s), reason and estimated time loss.

    We provided instructions and examples on how to complete the form correctly in the instructional booklet. Furthermore, they distributed the injury and illness report form in English, French, Arabic, Chinese, German, Japanese, Russian and Spanish.

    Confidentiality and ethical approval

    We used the athlete accreditation number to query the IOC athlete database for the age, gender and nationality of the injured or ill athlete. They treated vulgar information confidentially and deidentified their database after the Games.

    The study was reviewed by the Medical Research Ethics Committee of the South-Eastern Norway Regional Health Authority (2011/388).

    Data analysis

    We calculated the summary measures of injury and illness incidences (i) according to the formula i=n/e, where n is the number of injuries or illnesses in competition, training or in total during the study term and e is the respective number of exposed (participating) athletes, with incidence proportions presented as injuries/illnesses per 100 athletes. They too calculated the summary measures of injury and illnesses per 1000 athlete-days, where athlete-days correspond to the total number of athletes multiplied by 17 days. They calculated CIs of the risk ratio (RR) of the number of injuries or illnesses between two groups by a simple Poisson model, assuming constant hazard per group. They present injury and illness incidences as means and RRs with 95% CIs. They regarded two-tailed p values <0.05 as significant.

    Results

    In total, 11 274 athletes took fragment in the Rio Olympic Games. Of these, 5089 were women (45%) and 6185 men (55%). There were eight double-starters, sense athletes who participated in two different sports, giving a total of 11 289 athlete exposures to injury or illness.

    Throughout the 17 days of the Rio Games, the 207 NOCs submitted 1590 of a maximum of 3519 forms (45%; 97 countries did not submit any data) (table 1). The response rate of the 114 NOCs with >10 participating athletes (accounting for 10 772/96% of vulgar the athletes) was 74% (1439 of 1938 forms).

    Table 1

    Response rates, injuries and illnesses in NOCs of different sizes (measured by number of athletes)

    Injuries overall, by sport and gender

    We recorded a total of 1101 injuries, equalling 9.8 injuries (95% CI 9.2 to 10.3) per 100 participating athletes. This corresponds to 5.7 injuries per 1000 athlete-days. On average, 8% (n=931) of the athletes sustained at least one injury. In addition, there were 70 and 10 athletes with two and three injuries each, respectively.

    Figure 1 shows the incidence proportion of injured athletes in each sport (additional details are available in online appendix 3). The incidence of injury was highest in BMX cycling (37.5 injuries (95% CI 20.2 to 54.8) per 100 athletes), boxing (30.1 (23.7–36.4)), mountain bike cycling (23.8 (13.1–34.4)), taekwondo (23.6 (15.2–32.1)), water polo (19.4 (14.0–24.8)) and rugby (18.6 (13.6–23.5)), and lowest in canoe slalom, rowing, shooting, archery, swimming, golf and table tennis (ranging from 0 to 3 injuries per 100 athletes).

    Supplementary Material Supplementary Appendix 3 Figure 1

    Proportions of athletes (%) in each sport with injury, injury with estimated time loss ≥1 day, and injury with estimated time loss >7 days.

    The injury incidences for women (9.3 injuries (95% CI 8.4 to 10.1) per 100 athletes) and men (9.4 (8.6–10.1), RR=0.99 (0.87–1.11)) were nearly identical (online appendix 4). However, women were at significantly higher risk of injury in sailing (RR=5.33 (1.78–15.93)), shooting (RR=5.14 (1.67–15.78)) and mountain bike cycling (RR=3.61 (1.37–9.50)).

    Supplementary Material Supplementary Appendix 4

    There was no statistical contrast in the incidence of injury between the NOCs that did not report any NOC data (ie, Rio 2016 data only) and the NOCs that reported data (7.9 vs 9.8 injuries per 100 athletes; RR=1.24 (0.72–2.14)).

    Severity of injuries

    While almost two thirds of the injuries were estimated to result in no time loss from sport (n=662, 60%), 40% of the injuries (n=438) were expected to preclude the athlete from participating in competition or training (online appendix 3). pattern 1 shows the incidence of injuries estimated to lead to ≥1 day and >7 days of absence in each sport. It was estimated that 14% of the injuries (n=153) would result in an absence from sports from 1 to 3 days, 6% (n=64) in an absence from 4 to 7 days, 10% (n=106) in an absence from 8 to 28 days and 10% (n=115) in an absence for more than 28 days. Information on severity was missing for one injury.

    A total of 221 injuries (20%) were classified as severe, with an estimated absence from training or competition of more than 1 week (box 1, online appendix 3).

    Box 1 Information on the 221 severe injuries (estimated absence >7 days), with the sports with the highest numbers in brackets (unadjusted for athlete exposures in each sport).
  • 65 muscle strains (33 in athletics, six in football, six in weightlifting)

  • 57 ligament sprains/ruptures (eight in wrestling, six in athletics, six in judo, five in artistic gymnastics, five in weightlifting)

  • 24 fractures (three in hockey, three in rugby, two in boxing, two in artistic gymnastics, two in mountain bike cycling, two in road cycling, two in water polo)

  • 15 dislocations or subluxations (four in wrestling, three in judo, two in boxing)

  • 12 lesions of meniscus or cartilage

  • nine concussions (out of 12 in total: seven in boxing, two in rugby, one each in BMX cycling, mountain bike cycling, and handball)

  • seven stress fractures (three in athletics, two in tennis, one each in boxing and triathlon)

  • six tendon ruptures

  • five contusions, haematomas or bruises

  • five lacerations, abrasions or other skin lesions (three in boxing, two in triathlon)

  • four nerve or spinal cord injuries

  • four tendinopathies (three in athletics)

  • two arthritis, synovitis or bursitis injuries

  • two impingements

  • two ’other bone injuries

  • Location and type of injuries

    The most commonly injured anatomical locations were the knee (n=130), thigh (n=108), ankle (n=103), visage (n=94) and lower leg (n=90). The most common injury types were sprain/ligament rupture (n=187), contusion/haematoma/bruise (n=178), strain/muscle rupture/tear (n=168), laceration/abrasion/skin lesion (n=152) and tendinosis/tendinopathy (n=112). The distribution of injury locations and injury types per sport are presented in online appendices 5 and 6, respectively.

    Causes, mechanisms and onset of injury

    While 71% (n=781) of the injuries were reported to occur acutely, 27% (n=301) were reported to be caused by overuse (information missing for 19 injuries). The three most commonly reported injury causes/mechanisms were contact with another athlete (28%), non-contact trauma (21%) and overuse with gradual onset (19%). The distribution of injury causes/mechanisms in each sport is detailed in online appendix 7. Of vulgar overuse injuries (gradual and sudden onset) occurring in the Games, 72% were recorded with no estimated absence from competition or training.

    Supplementary Material Supplementary Appendix 7

    In terms of onset, 59% of the injuries were sustained in competition (5.8 (5.3–6.2) injuries per 100 athletes) and 37% during training (3.6 (3.2–3.9) injuries per 100 athletes; RR=1.61 (1.42–1.82)) (information on training/competition was missing for 45 injuries; online appendix 3). However, when analysing only the severe injuries, those estimated to result in at least 7 days of absence, the contrast was greater (RR=2.22 (1.69–2.96)).

    Injuries in training and in competition differed significantly in characteristics (location, type, mechanism and subsequent time loss from sport) and in terms of incidence in different sports (online appendix 3). The injury incidence was higher in competition than in training in boxing (RR=7.50 (3.88–14.51)), tennis (RR=6.00 (1.77–20.37)), hockey (RR=5.71 (2.56–12.76)), rugby (RR=5.38 (2.53–11.43)), handball (RR=3.90 (1.95–7.81)), football (RR=3.63 (2.08–6.31)), water polo (RR=3.56 (1.70–7.45)), BMX cycling (RR=3.50 (1.15–10.63)), basketball (RR=3.40 (1.25–9.22)), fencing (RR=3.25 (1.06–9.97)) and judo (RR=2.91 (1.47–5.77)). Swimming was the only sport in which the incidence of injury was significantly higher in training than in competition (RR=0.29 (0.11–0.80)).

    Illnesses overall, by gender, sport and severity

    Among the 11 289 exposed athletes, a total of 613 illnesses were reported, resulting in 5.4 illnesses (95% CI 5.0 to 5.9) per 100 athletes. This corresponds to 3.2 illnesses per 1000 athlete-days. On average, 5% (n=587) of the athletes incurred an illness, as there were 26 athletes with two illnesses each. Women (5.7 illnesses (5.0–6.3) per 100 athletes) were at significantly higher risk of contracting an illness than men (4.0 (3.5–4.5), RR=1.41 (1.19–1.67)).

    Figure 2 shows the incidence proportion of ill athletes in each sport (additional details are available in online appendix 3). Diving was the sport with the highest illness incidence (11.9 illnesses (95% CI 6.0 to 17.7) per 100 athletes), followed by open-water marathon (11.8 (2.4–21.2)), sailing (11.8 (8.4–15.3)), canoe slalom (10.8 (3.8–17.9)), equestrian (10.5 (6.0–15.0)) and synchronised swimming (9.6 (3.7–15.6)). The illness incidence was low in a number of sports, with the lowest incidences recorded in trampoline and artistic gymnastics, golf and handball (ranging from 0 to 2 illnesses per 100 athletes).

    Figure 2

    Proportions of athletes (%) in each sport with illness, illness with estimated time loss ≥1 day and illness with estimated time loss >7 days.

    One in five illnesses (n=113, 18%) were expected to result in absence from training or competition. Of these, two illnesses (0.3%) were expected to result in an estimated time loss of more than 7 days (chickenpox and conjunctivitis).

    Affected system, main symptoms and causes of illness

    A total of 292 illnesses (47%) affected the respiratory system. The second, third and fourth most frequently affected systems were the digestive system (n=131, 21%, 1% of the athletes affected), skin and subcutaneous tissue (n=53, 9%), nervous system (n=38, 6%) and genitourinary system (n=27, 4%), respectively. Infection was the most common reason of illness (n=346, 56% of the illnesses; 3% of the athletes incurred an infection). Of the 292 respiratory illnesses, 223 (76%) were caused by an infection. The distribution of affected systems, main symptoms and causes of illness per sport are presented in online appendices 8, 9 and 10, respectively.

    Data sources, and injuries and illnesses per NOC size

    Only 6% of the injuries and 2% of the illnesses were captured by both the NOCs and the Rio 2016 staff. While 59% of the injuries and 70% of the illnesses were recorded solely by the NOCs, 27% and 15% of the injuries and illnesses, respectively, were recorded only by the Rio 2016 staff.

    Whereas the majority of injured and ill athletes from the larger NOCs were seen internally by the NOC medical staff, athletes from small NOCs were to a greater extent relying on diagnosis and treatment from the Rio 2016 medical staff (table 1).

    There was too an inverse relationship between NOC size (measured in number of participating athletes) and the risk injuries, with athletes from smaller NOCs suffering more injuries (NOCs with <10 athletes: 12.2 (9.1–15.2) injuries per 100 athletes versus NOCs with >99 athletes: 8.7 (8.1–9.4) injuries per 100 athletes, injury RR=1.40 (1.07–1.81)).

    Discussion

    The train of the present paper was to record and analyse the incidence and characteristics of the sports injuries and illnesses in the Rio 2016 Olympic Games. The main findings of this 17-day-long prospective cohort study were that 8% and 5% of vulgar the 11 274 athletes suffered from at least one injury or illness, with overall incidences of 9.8 injuries and 5.4 illnesses per 100 athletes, respectively.

    Injury incidences varied from tall to low across sports, with the highest incidences found in BMX cycling, boxing, mountain bike cycling, taekwondo, water polo and rugby. Illness incidences were generally lower, with the highest incidences seen in diving, open-water marathon, sailing, canoe slalom, equestrian and synchronised swimming.

    Injuries in the Olympic sports

    The incidence of injury in the Rio Games (8%) was lower than those in Beijing 2008 (10%),78 Vancouver 2010 (11%),79 London 2012 (11%)80 and Sochi 2014 (12%).81 It was too lower than the injury incidences reported from recent Paralympic Games.33–36 38

    When comparing each sport in Rio 2016 with Beijing 2008, higher injury incidences were organize in diving (9% vs 2% of the athletes injured), water polo (19% vs 10%), boxing (30% vs 15%), fencing (8% vs 2%) and sailing (6% vs 1%), while the injury incidences were lower in basketball (8% vs 13%), football (15% vs 32%) and hockey (12% vs 20%).

    Likewise, when doing a similar comparison with London 2012, the injury incidences in Rio were higher in boxing (30% vs 9%) but lower in athletics (11% vs 18%), football (15% vs 35%), handball (15% vs 22%), sailing (6% vs 15%), swimming (3% vs 5%) and taekwondo (24% vs 39%).

    Some sports beget collected and published data on injury incidences in their world championships or other main events. The incidence of football injury in Rio 2016 was similar to those in the 2014 World Cup,20 200429 and 200831 European championships, but half of that in the 2010 World Cup.19 In athletics, as well as in diving, swimming and synchronised swimming, the injury incidences in Rio were similar to those reported from recent world championships.40–47 In contrast, the Rio injury incidences in open-water marathon and water polo were lower and higher, respectively, than previously reported from the aquatics world championships.46 47 In rugby sevens, the injury incidence in Rio was less than half than previously organize in the Rugby Sevens World Cup and World Series.23 Similarly, the proportions of injured athletes in the beach volleyball tournaments in the three latest summer Olympic Games constitute about one third of that reported earlier in the beach volleyball world championships.14 In handball, the incidence of injuries in Rio was about half of that organize in the men’s world championship in 2015.64 Interestingly, and in contrast, the BMX cycling injury incidence in Rio was about six times higher than that documented in the 1989 BMX European championships.70

    A change in injury incidence can be the result of changes in the composition of the Olympic Games programme (eg, two novel sports in Rio), environmental factors, venue or track design, competition rules or changes in equipment. Recorded injury frequencies are too likely to be influenced by the response rate and reporting accuracy by the NOC and organising committee medical staff. However, their analysis comparing the injury incidences of the NOCs that reported data and those that did not (other than the data recorded by the Rio 2016 staff) indicated no significant contrast between the two. In addition, in Rio 2016, a novel electronic medical record was used for the first time by the organising committee medical staff. Also, incidence differences (lower or higher) may simply be the result of a natural variability of athletes’ exposure to risk, an observation that emphasises the value of ongoing surveillance to monitor trends over time, for example, the outcome of venue design, rule or paraphernalia changes in the term between major sports events.

    Severity of injuries

    In major sports events, dote the Olympic Games, injuries or illnesses of even minor severity with or without time loss beget the potential to be both participation limiting and performance inhibiting, and thus preclude athletes from possibly fulfilling their potential and reaching their life-time achievement. In the Rio Games, 40% of the injuries were estimated to result in time loss from competition or training of at least 1 day. This places Rio 2016 between London 2012 and Beijing 2008, in which the equivalent numbers were 35% and 50%, respectively. In contrast, athletes in Rio incurred more injuries of higher severity (20% of the injuries estimated to result in absence greater than 7 days) than the athletes in London 2012 and Beijing 2008 (both 13%).

    The sports with the highest incidences of injuries entailing a prolonged absence from training or competition (>7 days) were BMX cycling (10% of the athletes), wrestling (5%), weightlifting (5%) and triathlon (5%), which is similar to the data from the London Games.

    Causes, mechanisms and onset of injury

    The causes, mechanisms and circumstances of injuries in competition and training differed significantly between the different sports. Overall, the distribution of injuries in competition and training (59% vs 37%) was similar to that of London 2012,80 the 2009 and 2013 Aquatics World Championships,46 47 the 2010 men’s Football World Cup,19 and the 2011 Athletics World Championships,42 but not Beijing 2008,78 the 2007 or 2009 Athletics World Championships,40 41 or the 2015 men’s Handball World Championships,64 where the incidence of competition injuries was higher. In Rio 2016, the majority of injuries were reported to be acute, whereas overuse injuries with either a gradual or sudden onset accounted for a quarter of the injuries. Although similar distributions were reported from London 2012 and Beijing 2008, these numbers should be interpreted with caution, due to the limitations in the recording of overuse injuries in the current methodology.82–86

    Illness risk during the Olympics

    In the lead up to the Rio Games, there were concerns about the risk of gastroenteritis and other infections from various water-borne viruses and bacteria, as well as the mosquito-borne Zika virus, with some calling for the Games to be cancelled.87 However, the overall harmony of athletes with illness in the Rio Games (5%) was actually lower than those reported from London 2012 (7%),80 Vancouver 2010 (7%)79 and Sochi 2014 (8%).81 While the majority of illnesses in Rio (56%) were caused by an infection, the harmony of athletes contracting an infection (3%) was identical to London 2012 (3%) and lower than Sochi 2014 (5%). Similarly, the incidence of digestive system illness (1%) was identical to London 2012 (also 1%). In terms of the Zika virus, no cases were reported among either athletes or the generic population during the Olympic Games in Rio.88

    As in previous Olympic Games,79–81 female athletes contracted more illnesses than manful athletes. The very disproportion has previously been reported in the 2009 Athletics41 and Aquatics46 World Championships, but not in the 2011 Athletics42 or 2013 Aquatics47 World Championships, in the 1994–2009 US Open Tennis Championships,89 or in the Winter or Summer Paralympic Games.37 39

    Methodological considerations

    In studies on sports injury, it is usually recommended to express incidences using a measure of time exposed to risk as the denominator.35–37 90 91 However, considering the inherent complexity and size of the Olympic Games, this was not feasible in the present study. Instead, they expressed the injuries or illnesses by means of absolute risk: the number of novel cases per 100 registered athletes (incidence proportion). This approach erroneously assumes that the frequencies and lengths of exposure are identical in vulgar sports and that the number of athletes at risk in each NOC is constant throughout the Games. Interpretation of differences in injury incidences or patterns should therefore be made with caution.

    In the current study, they defined injuries and illnesses as novel or recurring injuries or illnesses receiving medical attention, regardless of the consequences with respect to absence from competition or training. By using such a definition, less serious injuries may be overlooked, since such injuries execute not always require medical attention.92 93 Nonetheless, their results expose that the majority of reported injuries were not estimated to involve any absence from the sport. Also, in the Olympic Games, vulgar athletes can gather healthcare through the athletes’ village polyclinic and the venue medical clinics. However, the availability, size and attribute of the NOCs’ own medical teams vary among countries, sense that not vulgar athletes capitalize from identical healthcare, which may prejudice the injury and illness recording.

    Throughout the 17 days of data collection in the Olympic Games, they collected 45% of vulgar the NOC injury and illness report forms. If including only the NOCs which they actively followed up (those with more than 10 athletes), as done in previous Olympic Games, the response rate was 74%, which is lower than in previous Games (99.7% in Sochi; 96% in London). It is difficult to speculate as to what the potential causes are. In the future, transitioning to an electronic data collection system, similar to that used in the Paralympics,35 may support to help the response rate among the NOCs, as well as the accuracy of the data.

    A mere 6% of the injuries and 2% of the illnesses were captured by both the NOC and the Rio 2016 medical personnel, underlining the consequence of both recorder groups. Their study too shows that in particular athletes from smaller NOCs capitalize from diagnosis and treatment from the local organising committee’s medical staff, whereas the majority of athletes from larger NOCs are seen by their own NOC medical staff. More importantly, they once again identified an inverse relationship between NOC size and the risk of health problems, with athletes from the smallest NOCs experiencing significantly more injuries compared with the largest NOCs. It is difficult not to discern this finding in light of distinct differences in resources available to the NOC. great delegations usually forward from countries with well-developed exercise physiology and sports medicine communities and are generally able to present their athletes more comprehensive healthcare and closer medical follow-up both in the lead up to and during the Games, potentially giving them a competitive advantage.

    Practical implications

    The continuously accumulating evidence that injuries and illnesses vary substantially between sports demonstrates the exigency for tailoring preventive measures to the specific context of each sport. Sport bodies such as the IOC, International Paralympic Committee, International Sports Federations (IFs) and NOCs beget the responsibility to protect the health of their athletes. The Olympic Movement Medical Code encourages vulgar stakeholders to seize measures to ensure that sport is practised with minimal risks of physical injury and illness or psychological harm.94 For IFs, a captious component of this responsibility is the implementation of a scientifically sound injury and illness surveillance system in vulgar major events. Some sports federations beget Put increasing trouble into working systematically and scientifically to protect their athletes’ health.15–20 22–47 49–61 68 They encourage other IFs and sports organisations to result their example.

    Acknowledgments

    The authors would dote to admit the contribution and support of the Rio 2016 staff throughout the different stages of this study. The authors too sincerely thank vulgar the NOC medical staff contributing to the data collection: Dr Loughraieb Mok Amine (ALG), Dr Maria Stella Cristiano (ANG), Dr Hugo Rodriques Papini (ARG), Dr Davit Mosinyan (ARM), Dr Carolyn Broderick (AUS), Dr Alfred Engel (AUT), Dr Guliyeva Ludmila (AZE), Dr Virgil Rene Best (BAR), Dr Johan Bellemans (BEL), Dr Henadzi Zaharodny (BLR), Dr Roberto Nahon (BRA), Dr André Pedrinelli (BRA), Dr Stefan Strugarov (BUL), Dr Bob McCormack (CAN), Dr Joshua Ferguson (CAN), Dr Jaques Ngouonimba Goulou (CGO), Dr Alejandro Orizola (CHI), Dr Minhao Xie (CHN), Dr Ngiebe Mubiala (COD), Dr Juan Carlos Quiceno (COL), Dr Karen Nuit Cifuentes Rodríguez (COL), Dr Humberto Evora (CPV), Dr Max Moreira (CRC), Dr Damir Jemmendzic (CRO), Dr Dinko Pivvalica (CRO), Dr Miroslav Smerdej (CRO), Dr Pablo Castillo Diaz (CUB), Dr Constantinos Schizas (CYP), Dr Petr Sikora (CZE), Dr Lars Juel Andersen (DEN), Dr Francis Sanchez (DOM), Dr Pablo Sarmiento Panchana (ECU), Dr Haile Ghirmasion (ERI), Dr Rosario Urena Duran (ESP), Dr Mihkel Mardua (EST), Dr Ayalew Tilahun Beshahe (ETH), Dr Maarit Valtonen (FIN), Dr Philippe Le Van (FRA), Dr Fabrice Bryand (FRA), Dr Niall Elliott (GBR), Dr Mike Rossiter (GBR), Dr Zurab Kakhabrishvili (GEO), Dr Bernd Wolfarth (GER), Dr Odysseas Paxinos (GRE), Dr Georgios Marinos (GRE), Dr Greg Varigos (GRN), Dr Luis Cruz (GUM), Dr Mukkuaka Oda (HAI), Dr Julian Wai Chang (HKG), Dr Eva Vinalti (HON), Dr Peter Barlogh (HUN), Dr Antonius Andi Kurniawan (INA), Dr Leane Suniar Manuruna (INA), Dr Pawanddeep Singh Kohli (IND), Dr Gholamreza Norouzi (IRI), Dr Rod McLoughlin (IRL), Dr Ghaleb Abbas Salih (IRQ), Dr Örnolfur Valoimarsson (ISL), Dr Lubov Galitskaya (ISR), Dr Antonio Spataro (ITA), Dr Derrick McDowell (JAM), Dr Kohei Nakajima (JPN), Dr Tomohiro Manabe (JPN), Dr Shuichi Nakayama (JPN), Dr Hiroshi Takagi (JPN), Dr Serikkazy Mazenhov (KAZ), Dr Natalia Kudashova (KAZ), Dr Elena Galtis (KAZ), Dr Daniel Langat (KEN), Dr Baktygul Alisheva (KGZ), Dr Jungjoong Yoon (KOR), Dr Liga Circule (LAT), Dr Axel Urhausen (LIE), Dr Dalius Barkauskas (LTU), Dr Axel Urhausen (LUX), Dr Christian Nührenbörger (LUX), Dr Semmar Sahar (MAR), Dr Arshad Bin Puji (MAS), Dr Balmus Dorin (MDA), Dr Viridiana Silva Quiroz (MEX), Dr Chuluun Nasanbat (MGL), Dr Bayartuya Bayarsaikhan (MGL), Dr Licienne Attard (MLT), Dr Predrag Dabovic (MNE), Dr Flezer Tomadote (MOZ), Dr Jürgen Hofmann (NAM), Dr Aniya-Mart Kruger (NAM), Dr Cees-Rein van den Hoogenband (NED), Dr Sarub Shrestha (NEP), Dr Abdulkadir Mu’azu (NGR), Dr Thomas Torgalsen (NOR), Dr Lars Haugvad (NOR), Dr Anne Froholdt (NOR), Dr Bruce Hamilton (NZL), Dr charge Fulcher (NZL), Dr Victor Carpio Quintana (PER), Dr Bernie Amof (PNG), Dr Hubert Krysztofiak (POL), Dr Maria Joao Cascascais (POR), Dr Kim Yumi (PRK), Dr Rebecca Rodriquez (PUR), Dr Juan Manuel Alonso (QAT), Dr Carlo Bagutti (ROT), Dr Tanase Dan (ROU), Dr Kevin Subban (RSA), Dr Andrej Sereda (RUS), Dr Seydina Omar Diagne (SEN), Dr Darren Leong (SIN), Dr Matjaz Vogrin (SLO), Dr Martin Zorko (SLO), Dr Katja Azman Juvan (SLO), Dr Dragan Radovanovic (SRB), Dr Goran Vasic (SRB), Dr Patrick Noack (SUI), Dr Branislav Delej (SVK), Dr Per Andersson (SWE), Dr Fredrik Bergström (SWE), Dr Mats Börjesson (SWE), Dr Nassoro Matuzya (TAN), Dr Hilary Meechai Inwood (THA), Dr Lin Yzn Chou (TPE), Dr Tonya Welch (TTO), Dr Ayachi Saida (TUN), Dr Tugba Kocahan (TUR), Dr Hassan Kamal (TUR), Dr Abdulhameed Alattar (UAE), Dr Robert Zavuga (UGA), Dr Oleksandr Varvinskyi (UKR), Dr Daniel Zarrillo (URU), Dr Bill Moreau (USA), Dr Svetlana Suyatskaya (UZB), Dr Joze German Medina (VEN), Dr Phu Nguyen Van (VIE), Dr Mulenga Davie (ZAM), Dr Austin Jeans (ZIM), Dr Dorothy Masawi (ZIM) and Dr Nicholas Munyonga (ZIM).



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