The Delphine Hanna lecture is a memorial to the contributions and vision of a great leader. It is a tribute time-out, a moment in time when we stop what we are doing to look back thankfully and to commemorate her life. It is also an opportune moment to consider what we have made of her legacy today and to look forward to the world that awaits…

This study was designed to investigate the validity of the professional competencies developed by the Association of Worksite Health Promotion (AWHP) Professional Standards Task Force. The Task Force identified a competency framework that included business skills, program coordination skills, and human resource skills with corresponding…

This article discusses the dramatic injury incidence in high school athletics, the lack of medical support for these injuries, and coaches' lack of knowledge and preparation regarding these injuries. It then considers implications of this situation for the coaching profession and for physical education programs that prepare coaches. (IAH)

Acceptance of adult roles by children increases "adult injuries," notably broken bones from sports. Suggests camp administrators be familiar with clientele, particular sports, and the kinds of injuries that generally result in each. Discusses children's age, types of sports, and other factors that come into play when anticipating and treating…

Discusses recent guidelines on hypertension from the National Heart, Lung, and Blood Institute and details the latest management protocols for patients with high blood pressure. The article helps physicians interpret the guidelines for treating active patients, highlighting diagnosis, step care revision, pharmacology, and sports participation…

The American Academy of Pediatrics policy statement on participation of athletes with human immunodeficiency virus suggests they be allowed to participate in competitive sports until disease transmission is found to occur in sport settings. The article discusses physician and coach roles and recommends precautions regarding body fluids and…

Essential hypertension is diagnosed with increasing frequency in children and adolescents. Studies indicate exercise can be a clinically useful treatment, though strenuous exercise may be contraindicated for some. The article discusses the physician's role in diagnosis, nonpharmacologic interventions, exercise safety and effectiveness, and…

Examined supplement use among 742 athletes. Thirty-eight percent used supplements with usage not differing by gender or grade in school. Those wishing to participate in college sports more often consumed supplements. Healthy growth, illness, and sports performance given as reasons for use. Parents, doctors, and coaches influenced usage. (RJM)

Athletes with heart symptoms require, in addition to the regular evaluations everyone receives, testing during exercise. History taking should be carefully conducted to properly determine adverse heart conditions. Recommendations are provided for proper diagnosis and handling of athletes with heart symptoms. (GLR)

Surveys of 830 National Athletic Trainers' Association members examined academic degree, practice setting, years experience, state of employment, salary, and full- or part-time status. The article provides the resulting information on the trainers. (SM)

Because team physicians generally establish athletes' medical eligibility requirements, they must understand the legal implications of recommending against sports participation. The paper presents recent court cases reflecting a split decision regarding the legality of excluding athletes whose conditions, in the physicians' opinions, expose them…

Annotated bibliography of 220 books, monographs, and journal articles on orienteering published 1984-94, from SPOLIT database of the Federal Institute of Sport Science (Cologne, Germany). Annotations in English or German. Ten sections including psychological, physiological, health, sociological, and environmental aspects; training and coaching;…

The papers presented at the 2004 Academy meetings can be thought of as pieces from jigsaw puzzles. While the employment of this metaphor over the years has been useful, we may be ready for a new image, one that is both more accurate and inspiring. We can picture ourselves working at different locations along a river bank. Some of us work upstream,…

With appropriate techniques, physicians interested in sports medicine can use their brief contacts with adolescents to address issues of violent behavior. Seizing the moment to gauge involvement and counsel appropriately can be done on any brief visit. The paper presents specific strategies for such teen violence prevention. (SM)

Discusses four chronic diseases (cystic fibrosis, congenital heart disease, rheumatoid arthritis, and asthma) that affect American children. Many have their physical activities unnecessarily restricted, though sports and exercise can actually alleviate symptoms and improve their psychosocial development. Physicians are encouraged to prescribe…