摘要:

In brief: The treatment of acne is basically the same for athletes and nonathletes. However, certain aspects of sports can affect acne adversely, and in some cases treating athletes may require a cautious approach. The best treatments are topical tretinoin for comedonal acne, benzoyl peroxide or topical antibiotics and tretinoin for comedonal and mild pustular acne, and a combination of oral antibiotics and long-term benzoyl peroxide or topical antibiotics (with the eventual aim of stopping the oral antibiotics in three to five months) for moderate to severe pustular acne. For severe cystic/nodular acne, highdose oral antibiotics and intralesional steroid injections or oral isotretinoin should be considered.

ISSN:0091-3847    

DOI:10.1080/00913847.1988.11709622

出版商:Taylor&Francis    

年代:1988

数据来源: Taylor

摘要:

In brief: Compartment syndrome caused by weight lifting occurs only rarely. In the case presented here, bilateral upper extremity compartment syndrome with rhabdomyolysis developed in a 30-year-old man who was an experienced weight lifter. Compartment pressure of 31 mm Hg in his right and left biceps, combined with other clinical findings, indicated that fasciotomy was necessary. Bilateral fasciotomies were performed from the mid-deltoid muscle to the distal forearm. Six weeks later the patient had good muscle strength and full range of motion in both arms. In addition to the case report, the authors discuss the clinical findings that suggest the presence of compartment syndrome.

ISSN:0091-3847    

DOI:10.1080/00913847.1988.11709623

出版商:Taylor&Francis    

年代:1988

数据来源: Taylor

摘要:

In brief: Hyponatremia is known to occur in athletes competing in endurance running events greater than marathon distances; it has also stricken participants in the Ironman Triathalon. This article describes a case of hyponatremia associated with altered mental status, increased intracranial pressure, and pulmonary edema in a 21-year-old man who had completed his first marathon. Salt loss from sweat and retention of hypotonic fluids are the most likely causes. This is the first reported case of this syndrome occurring at a marathon distance.

ISSN:0091-3847    

DOI:10.1080/00913847.1988.11709624

出版商:Taylor&Francis    

年代:1988

数据来源: Taylor

摘要:

In brief: A review of 92 US medical school bulletins showed that only four schools (4%) offer exercise medicine as part of required undergraduate course work. In 31 schools (34%) exercise information is offered on an elective basis; 57 schools (62%) offer no formal instruction of this type. Despite both the increasing study of the health aspects of cardiorespiratory fitness and the public's growing awareness of these benefits, medical schools continue to place little emphasis on this important component of preventive medicine. The authors recommend that medical students be required to take at least a short course in exercise medicine that emphasizes cardiorespiratory fitness.

ISSN:0091-3847    

DOI:10.1080/00913847.1988.11709625

出版商:Taylor&Francis    

年代:1988

数据来源: Taylor

摘要:

In brief: Cardiac rehabilitation as a distinct c health care service is of fairly recent origin, and existing programs are rather broad and nonstandardized. Consequently, the malpractice crisis that has engulfed the medical profession may well affect professionals who practice cardiac rehabilitation. Various legal issues and concerns face cardiac rehabilitation programs, as they do any other health care provider group. The adoption of written program policies and procedures, set in accordance with national standards of practice, can address the legal and practical problems. Obtaining effective informed consent from patients and using various risk management techniques can also assist in the operation of safe and legally defensible cardiac rehabilitation programs.

ISSN:0091-3847    

DOI:10.1080/00913847.1988.11709626

出版商:Taylor&Francis    

年代:1988

数据来源: Taylor

摘要:

In brief: Football is a collision sport that places tremendous demands on the lumbar spine. With a thorough, rational rehabilitation program, players who sustain injuries to the lumbar spine can return to competition. Part 1 of this article discussed the pain-control phase of the rehabilitation plan for football players with low back pain. In this concluding article, the author discusses the second phase of rehabilitation—the training phase—which emphasizes movement training and exercises for strengthening the abdominal muscles, in order to stabilize the lumbar spine

ISSN:0091-3847    

DOI:10.1080/00913847.1988.11709627

出版商:Taylor&Francis    

年代:1988

数据来源: Taylor

摘要:

In brief: Sudden cardiac death in high school and college athletes is uncommon. When it does occur, its most common causes include hypertrophic cardiomyopathy, aortic rupture associated with Marian's syndrome, congenital coronary artery anomalies, and atherosclerotic coronary artery disease. A screening cardiovascular examination may help identify athletes who are at risk for sudden death. Echocardiography can be a useful tool for identifying previously undetected cardiovascular disease in young athletes, However, including it routinely in preparticipation evaluations is financially, logistically, and legally impractical. A brief but thorough screening history and physical examination should identify individuals who would benefit from a more extensive evaluation, which might include an echocardiogram and other tests. The authors discuss typical findings in individuals who should be evaluated further.

ISSN:0091-3847    

DOI:10.1080/00913847.1988.11709628

出版商:Taylor&Francis    

年代:1988

数据来源: Taylor

ISSN:0091-3847    

DOI:10.1080/00913847.1988.11709629

出版商:Taylor&Francis    

年代:1988

数据来源: Taylor

摘要:

Although many fitness experts and most members of the public believe American children are unfit, the evidence is inconclusive. Only in terms of body composition are children today known to be less fit than children 20 years ago.

ISSN:0091-3847    

DOI:10.1080/00913847.1988.11709630

出版商:Taylor&Francis    

年代:1988

数据来源: Taylor

ISSN:0091-3847    

DOI:10.1080/00913847.1988.11709631

出版商:Taylor&Francis    

年代:1988

数据来源: Taylor