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)

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…

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)

Reviews the prevalence, natural history, causes, impact on performance, diagnosis, and treatment of iron deficiency in adolescent and young adult athletes. All athletes should be screened and treated. The best diagnosis involves determining serum ferritin and hemoglobin levels. Treatment requires therapeutic doses of oral ferrous iron for several…

The presence of older Olympians suggests aging itself may not be the primary obstacle to long-term athletic performance. For older athletes, scheduling sufficient training and recovery time becomes increasingly difficult, but physical and financial rewards entice them to try. No studies have directly addressed the true potential of aging athletes.…

Though the risk of HIV transmission in sports is slight, physicians who treat active patients can encounter weighty legal issues. Mandatory testing, exclusion of HIV-positive athletes, and breaching of patient confidentiality can lead to lawsuits. Knowing the possible consequences can help physicians in setting effective, legal prevention…

Though leanness in athletes is often a natural state, it can pose long-term liability to some athletes' performance and/or health. The physician must determine when leanness is reason for clinical concern. Athletes who do not eat enough to sustain training must either reduce the exercise load or increase nutritional intake. (Author/SM)

Heat-related injuries in aquatics classes are possible, though 100 percent preventable. The article discusses heat-related syndromes; how bodies generate and dissipate heat; how elevated heart rates that burn calories differ from those that dissipate heat; and modification of exercise intensity to provide calorie-burning workouts without…

Efficiently and inexpensively identifying athletes at risk for exercise-related sudden death is difficult. The article discusses types of cardiac disorders and outlines a practical screening method that features a cardiac history questionnaire designed to identify symptomatic athletes and those with a family history of congenital heart disease.…

Since sports can sometimes lend themselves to eating disorders, coaches and sports administrators must get involved in the detection and treatment of this problem. While no reliable studies or statistics exist on the incidence of anorexia nervosa and/or bulimia among athletes, some research suggests that such disorders occur frequently among…

These guidelines cover athletic trainers and blood-borne pathogens at athletic events, student athletic trainer education, universal precautions and Occupational Safety and Health Administration regulations, medical records and confidentiality, infected athletic trainers, human immunodeficiency virus (HIV) and Hepatitis B Virus (HBV) testing, HBV…

Because some high school student athletes use steroids, educational intervention should occur in middle and high school. The health and physical educator is important in prevention or early intervention. Community/school-based intervention is recommended. The article discusses psychological and physical addiction and presents guidelines and…

This book covers the developmental benefits of athletics. It provides a step-by-step model for setting up a comprehensive high school program, a guide for college-bound athletes, seven case studies, and an outline of counselors' responsibilities. The book is divided into three major parts: the athletic environment and the athlete's participation…

This report presents texts adopted in the field of sport by the Council of Europe, focusing on legal and political texts. There are four parts: (1) "Texts Adopted by the Committee of Ministers" (Second Summit Final Declaration, Conventions, Resolutions, and Recommendations); (2) "Texts Adopted at Conferences, Working Parties, and…

This document summarizes seminars and papers of the Council of Europe's Committee for the Development of Sport. Section 1, "Sport and Physical Education for Children and Young People," discusses such topics as training physical educators, introduction to sport at school, sport for children, testing physical fitness, education against…