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Anthony Rossi, Tina Claiborne and Jamie Fetter

be overlooked. Recent changes in ECG interpretation guidelines, along with the potential for lower cost screening, may create a stronger rationale for routine cardiac screening of athletes beyond the current AHA recommendations. 7 , 9 , 11 The doctors involved in this case believed that this athlete

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Anthony Rossi, Tina Claiborne and Jamie Fetter

preventing SCD. Italian researchers who implemented cardiac screening methods from 1979 to 2002 found a 90% reduction of SCD in athletes between 12–35 years of age. 3 , 11 Bicuspid Aortic Valve Disease The aortic heart valve (AV) is normally a tricuspid valve, meaning it consists of three cuspal

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Jill A. Nolan, Christa L. Lilly, Janie M. Leary, Wesley Meeteer, Hugh D. Campbell, Geri A. Dino and Leslie Cotrell


Parent support for child physical activity is a consistent predictor of increased childhood activity. Little is known about factors that prevent or facilitate support. The purpose of this research was to identify barriers to parent support for child physical activity in Appalachian parents.


A cross-sectional study assessed parents whose children participated in Coronary Artery Risk Detection in Appalachian Communities (CARDIAC) screenings in a rural Appalachian state. Barriers to parental support for physical activity, demographics, geographic location, and parental support for activity were measured.


A total of 475 parents completed surveys. The majority were mothers (86.7%), parents of kindergarteners (49.5%), white (89.3%), and living in a nonrural area (70.5%). Community-level factors were most frequently cited as barriers, particularly those related to the built environment. Rural and low-income parents reported significantly higher barriers. Community, interpersonal, and intrapersonal barriers were negatively correlated with parent support for child physical activity. Parents of girls reported a higher percentage of barriers related to safety.


Reported barriers in this sample differed from those reported elsewhere (Davison, 2009). Specific groups such as low-income and rural parents should be targeted in intervention efforts. Future research should explore gender differences in reported barriers to determine the influence of cultural stereotypes.

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this patient return to unrestricted wrestling activity? a. 5 months b. 7 months c. 9 months d. 11 months 15. The authors of this study stated that cardiac screening, including the use of electrocardiogram and echocardiogram, should become the standard of care for all athletes during the

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resting metabolic rate (RMR). Venous blood sampling for measures of endocrine/lipid profiles in tandem with cardiac screening and psychological assessment via semi structured interviews were all collected at regular intervals. Following a pre competitive BM loss of 9.8 kg (14%), there was a rebound of 8