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Biomedical subjects

Elizabeth A Joy

Publications and source records attributed to Elizabeth A Joy.

7 recordsLinked to original sources
PubMed2005

Stress fractures in the female athlete.

Stress fractures are common among female athletes, especially runners. Although both intrinsic and extrinsic factors can contribute to stress injury etiology, the female athlete triad--negative energy balance leading to menstrual irregularity, and reduced bone mineral mass--is a significant contributor to the incidence of stress fractures in the female athlete. When combined with impact weight-bearing activity, this triad puts these women at increased risk for stress fractures. Treatment must focus on reversing identified risk factors, in addition to relative rest, and maintenance of fitness. Most stress fractures heal without complication. High-risk stress fractures should be evaluated and treated by a practitioner with expertise in the care of these injuries.

Amenorrhea↗
PubMed2004

Optimizing the collegiate preparticipation physical evaluation.

BACKGROUND: Today's collegiate student athlete is a highly diverse individual and as such is at higher risk for many health problems both on and off the field. OBJECTIVE: To determine if a preparticipation evaluation (PPE) can be optimized to help the collegiate team physician and athletic trainer assess both current and past health issues of student athletes. DATA SOURCES: Utilizing MEDLINE and other medical literature database search engines, the authors conducted detailed literature searches on this subject. Key words used in these searches included preparticipation physical evaluation, collegiate, athlete, cardiovascular, preventive healthcare, high risk, alcohol, tobacco, sexually transmitted disease, motor vehicle accident, adolescent, and female. METHODS: Approximately 35 articles were selected for review for this report. Authors reviewed articles within their particular area of content responsibility. Personal communications with several sports medicine experts were also conducted. RESULTS: Twenty-three articles were selected for inclusion, in addition to information obtained from the American College of Sports Medicine and National Collegiate Athletic Association (NCAA) Web sites. Utilizing these sources, as well as guidance and suggestions from other sports medicine physicians, the authors determined that the NCAA-mandated PPE should deliver an overview of the athlete's entire health status. CONCLUSIONS: As detailed in this report, it is recommended that the NCAA PPE serve as a tool in tracking and assessing both current and past health issues of student athletes. These health issues would include (1) on-field health concerns such as cardiac and musculoskeletal conditions, (2) off-field health concerns (that may adversely impact on-field performance) such as sexual activity and substance abuse, and (3) health issues unique to the female student athlete, such as eating habits, nutritional record, and menstrual history. Primary care physicians should be involved in all PPEs as they have the necessary expertise to recognize potential problems in these areas.

Adult↗
PubMed2003

Exercise during pregnancy: a practical approach.

Attitudes toward exercise during pregnancy have changed dramatically over the past 20 years. Recent studies show that, in most cases, exercise is safe for both the mother and fetus during pregnancy, and support the recommendation to initiate or continue exercise in most pregnancies. This report discusses the rationale behind the changes, and offers educational tools that may be employed to initiate behavioral change. We also propose exercise prescriptions for pregnant women who are sedentary, physically active, and competitive athletes. Armed with this information, the practitioner will be better equipped to counsel patients and incorporate a discussion on physical activity into prenatal visits.

Exercise↗
PubMed2003

The multidisciplinary team approach to the outpatient treatment of disordered eating.

The multidisciplinary team approach to the patient with disordered eating is widely recognized as the best practice. Team members include a physician, a nutritionist, and a mental health professional. All should be experienced in the care of individuals with disordered eating. Each member of the treatment team has unique skills and responsibilities with respect to patient care. However, there is considerable overlap in what each member of the treatment team does to promote recovery from disordered eating. It is important to remember that eating problems exist on a spectrum from disordered eating behaviors that do not meet the Diagnostic and Statistical Manual of Mental Disorders criteria, to anorexia nervosa, and bulimia nervosa. Prognosis is directly related to duration of illness, so early intervention, even when symptoms may be minimal, is preferable. Despite multi- disciplinary treatment efforts, overall prognosis is poor, with only 40% to 50% of patients with anorexia nervosa and bulimia nervosa progressing to complete recovery. Continued efforts and early, comprehensive intervention must be undertaken by all practitioners.

Ambulatory Care↗