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Sports Hernia

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81. CRACKCast E011 – Neonatal Resuscitation

, hypovolemia, hyporeflexia in mod-severe hypoxemic encephalopathy: selective cerebral hypothermia in asphyxiated infants may protect against brain injury hypothermia at 33.5-34.5 degrees in the neonatal population leads to lower mortality and less neurologic disability at 18 months of age **controversy whether whole body vs. head alone should be cooled** start cooling within 6 hrs of birth and continue for 72 hrs 3) A quick review of specific neonatal disorders: Diaphragmatic hernia Meningomyelocele (...) Omphalocele Choanal atresia Pierre-Robin sequence Diaphragmatic Hernia: as soon as diagnosed, the child should be intubated! ventilation distends the stomach and worsen respiratory distress because it is in the chest cavity Meningomyelocele/Omphalocele: should not be placed on the their backs: put on their sides / stomachs cover the spinal defect in sterile gauze pads soaked in warm sterile saline infants with gastroschisis or omphalocele should be resuscitated and have the defect covered in plastic

2016 CandiEM

82. American Association of Clinical Endocrinologists and American College of Endocrinology Clinical Practice Guidelines for Comprehensive Medical Care of Patients with Obesity

of Clinical Endocrinologists; ACE = American College of Endocrinology; ACSM = American College of Sports Medicine; ADA = American Diabetes Association; ADAPT = Arthritis, Diet, and Activity Promotion Trial; ADHD = attention-deficit hyperactivity disorder; AHA = American Heart Association; AHEAD = Action for Health in Diabetes; AHI = apnea-hypopnea index; ALT = alanine aminotransferase; AMA = American Medical Association; ARB = angiotensin receptor blocker; ART = assisted reproductive technology; AUC (...) and meta-analyses of these trials [EL 1]), in the interest of conciseness, derivative EL 4 review publica- tions that include many primary evidence citations (EL 1, EL 2, and EL 3) are also included. In addition, rigorously reviewed guidelines by other organizations have been adopted for specific issues, such as physical activity guide- lines by the American Academy of Sports Medicine (28 [EL 4; NE]), physical activity guidelines by the American Heart Association and the American College of Cardiology

2016 American Association of Clinical Endocrinologists

83. Clinical Practice Guidelines on Obesity

Clinical Practice Guidelines on Obesity OBESITY HPB-MOH Clinical Practice Guidelines 1/2016 Ministry of Health, Singapore College of Family Physicians, Singapore Academy of Medicine, Singapore Obstetrical & Gynaecological Society of Singapore Obesity & Metabolic Surgery Society of Singapore Singapore Paediatric Society June 2016 Endocrine and Metabolic Society of Singapore Singapore Association for the Study of Obesity Singapore Nutrition and Dietetics Association Sports Medicine Association (...) , and exercise and behavioural therapists. 1.3 Guideline development The Obesity CPG is developed by a committee appointed by the Health Promotion Board, a statutory board under the Ministry of Health. The committee comprises of specialists from the fields of endocrinology, surgery, paediatrics, family medicine, obstetrics and gynaecology, sports science and physical activity, nutrition and dietetics, behavioural sciences and psychology as well as public health specialists. The guidelines are developed

2016 Ministry of Health, Singapore

84. Gastrointestinal Complications (PDQ®): Health Professional Version

by the following three means: The type of obstruction. The obstructing mechanism. The part of the bowel involved. Structural disorders, such as intraluminal and extraluminal bowel lesions caused by primary or metastatic tumor, postoperative adhesions, volvulus of the bowel, or incarcerated hernia, affect peristalsis and the maintenance of normal bowel function. These disorders can lead to total or partial obstruction of the bowel. Patients who have colostomies are at special risk of developing constipation (...) ) Neurological lesions (cerebral tumors). Spinal cord injury or compression.* Paraplegia. Cerebrovascular accident with paresis. Weak abdominal muscles. Metabolic disorders Hypothyroidism and lead poisoning. Uremia.* Dehydration.* Hypercalcemia.* Hypokalemia. Hyponatremia. Depression Chronic illness. Anorexia. Immobility. Antidepressants. Inability to increase intra-abdominal pressure Emphysema. Any neuromuscular impairment of the diaphragm or abdominal muscles. Massive abdominal hernias. Atony of muscles

2018 PDQ - NCI's Comprehensive Cancer Database

88. Editorial Commentary: I Have a Hip Labral Tear? Well, That Makes Sense Because I Had a Labral Tear in My Shoulder Too. (PubMed)

both upstream and downstream on the kinetic chain (lumbosacral spine, periarticular hip musculature [athletic pubalgia, core muscle injury, sports hernia], knee [anterior cruciate ligament], and shoulder and elbow). Thus, it is tempting to believe that the hip issue may cause the shoulder issue or that an innate genetic (or acquired) abnormality may predispose both joints to labral injury. However, the wise clinician will not be lured into this trap-correlation does not equal causation

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2019 Arthroscopy

89. Highlights from the 2017 future of football medicine conference

: an innovative open-suture repair to treat chronic inguinal pain. Hernia; 14(1) 27-33 ***** Dr Chris Garnett is a Sport & Exercise Medicine registrar (ST5) based in Yorkshire. He currently works at the National Centre for Sport and Exercise Medicine in Sheffield and provides medical support for the GB boxing squad at the English Institute of Sport and Huddersfield Giants Rugby League Club. Dr Farrah Jawad is a Sport & Exercise Medicine registrar in London and coordinates the BJSM Trainee Perspective blog (...) renowned speakers from 90 different countries. Over the 3 days, researchers, clinicians and sports scientists delivered talks and workshops on the latest sports medicine research, injury prevention, rehabilitation, and optimisation of player and team performance. A top journalist meets an International Football Manager: Roy Hodgson The footballer’s groin pain was a topic covered particularly well with expert guidance provided by Dr Per Holmich, Dr Ulrike Muschaweck and Andreas Serner. Groin pain

2017 British Journal of Sports Medicine Blog

90. Scarlett McNally: What if the NHS acknowledged that ageism and classism limit the uptake of “Exercise, the miracle cure?”

Scarlett McNally: What if the NHS acknowledged that ageism and classism limit the uptake of “Exercise, the miracle cure?” Scarlett McNally: What if the NHS acknowledged that age and class limit the uptake of exercise? - The BMJ ---> What have we done? We have over-intellectualised health. We—the youthful, affluent, busy, well educated elite—run the NHS as we would want for ourselves. We think of how we would choose to get our hernia “fixed” by the best possible surgeon at a time of convenience (...) , and in Cambridge 58%, whereas in Eastbourne only 15% do and in Rochdale only 10%. Is the Oxbridge effect money, social class, or exercise? Public schools emphasise sports, which establishes lifestyle habits. We select doctors and NHS managers using objective criteria that find the driven, intellectual, alpha individuals. We should work harder at the art of medicine, understanding what might be possible within each patient’s circumstances, and save the science of intervention for last resort. Exercise

2017 The BMJ Blog

91. Pediatric Pulmonary Hypertension

? bronchopulmonary dysplasia ? congenital diaphragmatic hernia ? congenital heart disease ? genetics ? persistent pulmonary hypertension of the newborn ? sickle cell disease © 2015 by the American Heart Association, Inc., and the American Thoracic Society. Circulation is available at http://circ.ahajournals.org DOI: 10.1161/CIR.0000000000000329 †Deceased. The American Heart Association and the American Thoracic Society make every effort to avoid any actual or potential conflicts of interest that may arise (...) IIb; Level of Evidence B). 8. iNO can be beneficial for preterm infants with severe hypoxemia that is due primarily to PPHN physiology rather than parenchymal lung disease, particularly if associated with prolonged rupture of membranes and oligohydramnios (Class IIa; Level of Evidence B). Congenital Diaphragmatic Hernia 1. Minimizing peak inspiratory pressure and avoid- ing large tidal volumes is recommended to reduce ventilator-associated acute lung injury in infants with congenital diaphragmatic

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2015 American Heart Association

92. Pediatric Pulmonary Hypertension: ATS/AHA Clinical Practice Guidelines

.) Key Words: AHA Scientific Statements ? bronchopulmonary dysplasia ? congenital diaphragmatic hernia ? congenital heart disease ? genetics ? persistent pulmonary hypertension of the newborn ? sickle cell disease © 2015 by the American Heart Association, Inc., and the American Thoracic Society. Circulation is available at http://circ.ahajournals.org DOI: 10.1161/CIR.0000000000000329 †Deceased. The American Heart Association and the American Thoracic Society make every effort to avoid any actual (...) parenchymal lung disease, particularly if associated with prolonged rupture of membranes and oligohydramnios (Class IIa; Level of Evidence B). Congenital Diaphragmatic Hernia 1. Minimizing peak inspiratory pressure and avoid- ing large tidal volumes is recommended to reduce ventilator-associated acute lung injury in infants with congenital diaphragmatic hernia (CDH) (Class I; Level of Evidence B). 2. High-frequency oscillatory ventilation is a reason- able alternative mode of ventilation for subjects

2015 American Thoracic Society

96. Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 8: Lumbar fusion for disc herniation and radiculopathy

of Houston, Houston, Texas; 7 Department of Neurosurgery, Brigham and Women’ s Hospital, Boston, Massachusetts; 8 Department of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, New York; 9 Center for Sports Medicine and Orthopaedics, Chattanooga, Tennessee; 10 Department of Orthopaedic Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York; and 11 Department of Neurosurgery, Columbia University, New York, New York Patients suffering from a lumbar (...) 2003 to December 2011 was conducted using the search terms (((“Lumbo- sacral Region”[MeSH] OR “Lumbar Vertebrae”[MeSH]) AND “Spinal Fusion”[MeSH]) OR “lumbar fusion”[All Fields] OR (“lumbar”[title] AND “fusion”[title])) AND (“Radiculopathy”[MeSH] OR radiculopathy[title] OR “in- tervertebral disk displacement”[title] OR “herniated”[title] OR “intervertebral disc displacement”[title] OR “hernia- tion”[title]) AND ((“2003”[PDAT]: “3000”[PDAT]) AND “humans”[MeSH] AND English[lang]). The search

2014 Congress of Neurological Surgeons

99. 2014 ACC/AHA Guideline on Perioperative Cardiovascular Evaluation and Management of Patients Undergoing Noncardiac Surgery

://www.surgicalriskcalculator.com/miorcardiacarrest). This tool includes adjusted ORs for different surgical sites, with inguinal hernia as the reference group. Target complications were defined as cardiac arrest (defined as “chaotic cardiac rhythm requiring initiation of basic or advanced life support”) or MI (defined as =1 of the following: documented electrocardiographic findings of MI, ST elevation of =1 mm in >1 contiguous leads, new left bundle-branch block, new Q-wave in =2 contiguous leads, or troponin >3 times normal

2014 Society for Cardiovascular Angiography and Interventions

100. Evaluation and Treatment of Cryptorchidism

inguinal hernia. [pdf] [pdf] [pdf] Panel Members Thomas F. Kolon, C. D. Anthony Herndon, Linda A. Baker, Laurence S. Baskin, Cheryl G. Baxter, Earl Y. Cheng, Mireya Diaz, Peter A. Lee, Carl J. Seashore, Gregory E. Tasian, Julia S. Barthold Executive Summary Purpose Cryptorchidism or undescended testis (UDT) is one of the most common pediatric disorders of the male endocrine glands and the most common genital disorder identified at birth. The main reasons for treatment of cryptorchidism include (...) increased risks of impairment of fertility potential, testicular malignancy, torsion and/or associated inguinal hernia. Cryptorchidism has evolved significantly over the past half century, with respect to both diagnosis and treatment. The current standard of therapy in the United States is orchidopexy (also referred to as orchiopexy in the literature), or surgical repositioning of the testis within the scrotal sac, while hormonal therapy has fewer advocates. Successful scrotal relocation of the testis

2014 American Urological Association

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