A Recalcitrant Skin Lesion and Subsequent Infection in a Recreational Intramural Male Athlete: A Case Report.

A 35-year-old intramural male athlete presented to the athletic training staff with a 4.5- × 2.2-cm itchy, painful, swollen, and infected insidious skin lesion on his right lateral malleolus due to an underlying dermatologic deficiency.

Celiac Disease Symptoms in Athletes: Prevalence Indicators of Perceived Quality of Life.

Background: Celiac disease (CD) is a common gastrointestinal pathology; however, prevalence and comorbidities are unknown in collegiate athletics.

Hypotheses: (1) Athletes will have similar odds of CD as general population estimates (approximately 1 in 141) based on self-report and signs and symptoms, (2) athletes scoring higher on the Celiac Symptom Index (CSI) will have lower self-reported quality of life (QoL), (3) athletes scoring higher on the CSI will have higher depression scores, and (4) athletes scoring higher on the CSI will have higher perceived stress scores.

Study Design: Epidemiological cross-sectional study.

A Call for Gender-Inclusive Global Health Strategies.

The WHO's "Global Strategy for Women's, Children's, and Adolescents' Health 2016-2030" (GS-WCAH 2016-2030) is a comprehensive plan developed to improve the lives of women, children, and adolescents. Due to the success in the creation, ratification, and advocacy of the GS-WCAH 2016-2030, the clear health outcome disparities between males and females, and the general absence of male health from existing policies and sponsored programs, it is time now to develop a global strategy specifically drafted to improve the lives of men and boys. The following commentary provides three points for why a male-oriented program, like the GS-WCAH 2016-2030, should be created: (a) health outcomes disparities, (b) economic impact of poor male health, and (c) fathers' role in promoting the health of women, children, and adolescents.

Nontraumatic Testicular Pain due to Sacroiliac-Joint Dysfunction: A Case Report.

Objective: To discuss the case of a 49-year-old man who presented to the sports medicine staff with pelvic pain of 10 years' duration consistent with pudendal neuralgia.

Background: Testicular pain in men is often provoked by direct trauma or may indicate an oncologic process.

Differential Diagnosis: Epididymitis, athletic pubalgia, testicular tumor, sacroiliac joint dysfunction, lumbar radiculopathy.

Development and Testing of a Conceptual Model Regarding Men's Access to Health Care.

Epidemiologic data suggest men often experience excessive morbidity and early mortality, possibly compromising family and community health over the lifespan. Moreover, the negative financial/economic consequences affected by poor male health outcomes also has been of great concern in the United States and abroad. Early and consistent access to preventative health care may improve health outcomes; however, men are far less likely to access these services.

From 'D' to 'I': A critique of the current United States preventive services task force recommendation for testicular cancer screening.

In 2004, the United States Preventive Services Task Force (USPSTF) gave testicular cancer (TCa) screening a 'D' recommendation, discouraging the use of this preventive service. The USPSTF suggested that screening, inclusive of testicular self-examination (TSE) and clinician examination, does not reduce TCa mortality rates and that the high risk of false positives could serve as a detriment to patient quality of life. Others suggests that TCa screening is ineffective at detecting early-stage cases of TCa and readily highlights a lack of empirical evidence demonstrating said efficacy.

Recommendations for Treating Males: An Ethical Rationale for the Inclusion of Testicular Self-Examination (TSE) in a Standard of Care.

The phrase "standard of care" is primarily a legal term representing what procedure a reasonable person (i.e., health practitioner) would administer to patients across similar circumstances.

"Off-Label" Usage of Testicular Self-Examination (TSE): Benefits Beyond Cancer Detection.

Testicular cancer (TCa) is the most common cancer among 15- to 34-year-old males. Treatments are highly effective, which help foster approximately 98% 5-year survival rate. There are very few known causal factors of the disease (e.

Interventions Promoting Testicular Self-Examination (TSE) Performance: A Systematic Review.

Testicular cancer is one of the greatest threats to health and wellness among 15- to 40-year old males. A concerted effort in the literature promoting awareness, risk factors, and preventative measures is warranted. There is limited discussion on the validity of interventions aimed at promoting testicular self-examination (TSE) performance; the existing body of evidence offers little discussion on what specific factors motivate performance.

The adolescent body image satisfaction scale for males: exploratory factor analysis and implications for strength and conditioning professionals.

The purpose of this study was to determine whether there is evidence of reliability and validity for the Adolescent Body Image Satisfaction Scale (ABISS), an instrument previously developed to measure adolescent body image. A sample (N = 330) of adolescent males, aged 14-19 years, completed the ABISS to determine current body image satisfaction. Data were analyzed for measures of instrument composite reliability and initial content and construct validity.

"Normative content" and health inequity enculturation: a logic model of men's health advocacy.

Epidemiologic studies and related literature consistently report that males have fewer years of life expectancy than females. Moreover, males experience fewer quality years of life in that they tend to live with greater rates of morbidity such as heart disease, cancer, and diabetes among other conditions. Causal evidence traditionally highlights the role of biology in determining the life course for males.

Older adult perceptions of the physicians' role in promoting physical activity.

Purpose: The purpose of this research was to explore the perceptions of independent living older adults regarding their physicians' role in promoting physical activity (PA).

Methods: A qualitative inductive analysis was undertaken using focus group discussions of independent living adults over age 60. Thirty-one participants were placed into focus groups based on their current level of PA (three focus groups of physically active persons, and three focus groups of physically inactive persons).

National Athletic Trainers' Association position statement: anabolic-androgenic steroids.

Objective: This manuscript summarizes the best available scholarly evidence related to anabolic-androgenic steroids (AAS) as a reference for health care professionals, including athletic trainers, educators, and interested others.

Background: Health care professionals associated with sports or exercise should understand and be prepared to educate others about AAS. These synthetic, testosterone-based derivatives are widely abused by athletes and nonathletes to gain athletic performance advantages, develop their physiques, and improve their body image.

Autoimmune dysfunction and subsequent renal insufficiency in a collegiate female athlete: a case report.

Objective: To present the case of a female collegiate basketball player who was diagnosed with Wegener granulomatosis of the eyes and immunoglobulin A (IgA) nephropathy.

Background: A 19-year-old female collegiate basketball player presented to a rheumatologist, urologist, and nephrologist with severe eye pain and was diagnosed with Wegener granulomatosis and IgA nephropathy. At age 20, during routine follow-up testing, urine protein levels were found to be 3 times normal values (0-8 mg/dL), prompting the need for a kidney biopsy, which showed IgA nephropathy, another autoimmune disorder.

The effects of multiaxial and uniaxial unstable surface balance training in college athletes.

The purpose of this study was to compare the effects of 2 different types of unstable surface balance training (uniaxial on a rocker board [RB] and multiaxial on a dynadisc [DD]) on balance in division 1 collegiate athletes in sports that are at high risk for ankle sprains. Subjects (n = 36) consisted of male soccer players and female volleyball and soccer players who were equally and randomly assigned to 1 of 3 groups (CON, DD, and RB). Balance training consisting of balancing on 1 leg on either the RB or DD, while repeatedly catching a 1-kg ball was performed 3 times per week for 4 weeks.

Muscle dysmorphia symptomatology and extreme drive for muscularity in a 23-year-old woman: a case study.

We describe a 23-year-old woman with muscle dysmorphia symptomatology and extreme drive for muscularity. In addition to structured case study interviews, 3 questionnaires and a series of semistructured interview questions were administered for elaboration on key issues. The case studies allowed for triangulation of data garnered from the questionnaires.

Perceptions and attitudes toward androgenic-anabolic steroid use among two age categories: a qualitative inquiry.

We attempted to qualitatively investigate why men of 2 age categories have chosen not to use androgenic-anabolic steroids (AASs). Twelve men (22.28 +/- 1.

Biaxial flexural modulus of antibiotic-impregnated orthopedic bone cement.

Previously reported antibiotic-impregnated cement strengths have been based on uniaxial and fatigue testing methodologies. These methods may not provide an accurate characterization of bone cement's true load-bearing capacity in total joint replacement (TJR). The present study utilized biaxial testing to report on the properties of antibiotic-impregnated cement.

Management of infection at the site of a total knee arthroplasty.

Infection following total knee arthroplasty remains a major complication in joint reconstruction, resulting in significant morbidity to the patient and increased hospital costs. The diagnosis of infection is often made based on clinical criteria, although adjunctive measures including blood work, plain radiographs, and arthrocentesis are often helpful in confirming the diagnosis and planning subsequent treatment. For patients in whom the diagnosis of infection cannot be immediately confirmed, an acute intraoperative tissue analysis by a skilled pathologist and experienced surgeon is required.

Predictive risk factors for stiff knees in total knee arthroplasty.

Retrospective review of 1216 primary total knee arthroplasties (TKAs) to evaluate incidence and predictors of arthrofibrosis, defined as flexion less than 90 degrees 1 year post-TKA. Incidence of stiffness post-TKA was 3.7% (45/1216).

Celiac disease symptoms in a female collegiate tennis player: a case report.

Objective: To present the case of a collegiate tennis player with celiac disease symptoms.

Background: Celiac disease is a common intestinal disorder that is often confused with other conditions. It causes severe intestinal damage manifested by several uncomfortable signs and symptoms.

Recognition and treatment of muscle dysmorphia and related body image disorders.

Objective: To present the reader with various psychobehavioral characteristics of muscle dysmorphia, discuss recognition of the disorder, and describe treatment and referral options.

Data Sources: We conducted a comprehensive review of the relevant literature in CINAHL, MEDLINE, SPORT Discus, EBSCO, PsycINFO, and PubMed. All years from 1985 to the present were searched for the terms muscle dysmorphia, bigorexia, and reverse anorexia.

Two-incision THA had modest outcomes and some substantial complications.

Unlabelled: Proponents of two-incision total hip arthroplasty suggest the technique is minimally invasive and promotes rapid rehabilitation with a low prevalence of complications. We applied the two-incision total hip arthroplasty technique to a consecutive group of unselected patients with primary degenerative arthritis to determine the technical difficulty of the operation as measured by the operative time compared with a standard posterior approach, the safety of the operation as measured by the prevalence of complications compared with a standard posterior approach, and the early functional outcome measured by the time to return to activities of daily living as compared with a previous study of the two-incision technique in selected younger patients. The 80 patients included 45 women and 35 men with a mean age of 70.