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            "note": "<p><strong><span style=\"font-family: Helvetica;\"><span style=\"font-size: small;\">Lit search terms (informed by editorial):</span></span></strong></p>\n<p><span style=\"font-family: Helvetica;\"><span style=\"font-size: small;\">Sport participation, </span></span><span style=\"line-height: 115%;\"><span style=\"font-family: Helvetica;\"><span style=\"font-size: small;\">behaviour,</span></span></span><span style=\"font-family: Helvetica;\"><span style=\"font-size: small;\"> interventions, health, wellbeing, risk, benefits, barriers, harm, injury, social ecological, evaluation</span></span></p>\n<p>&nbsp;<span style=\"color: #ed1c24;\"><span style=\"font-family: Helvetica;\"><span style=\"font-size: small;\">*Search terms changed:</span></span></span><span style=\"font-family: Helvetica;\"><span style=\"font-size: small;\"> Sport participation health injury children young people</span></span></p>\n<p>&nbsp;</p>\n<p><strong><span style=\"font-family: Helvetica;\"><span style=\"font-size: small;\">Search:</span></span></strong><span style=\"font-family: Helvetica;\"><span style=\"font-size: small;\"> web of science, science direct, pub med</span></span></p>\n<p><span style=\"font-family: Helvetica;\"><span style=\"font-size: small;\">Stage One: Select papers for annotated bibliography</span></span></p>\n<p><span style=\"font-family: Helvetica;\"><span style=\"font-size: small;\">Stage Two: Identify themes from search</span></span></p>\n<p><span style=\"font-family: Helvetica;\"><span style=\"font-size: small;\">Stage Three: Identify key papers</span></span></p>\n<p><span style=\"font-family: Helvetica;\"><span style=\"font-size: small;\">Stage 4: Identify sections for lit review<br /></span></span></p>\n<p><span style=\"font-family: Helvetica;\"><span style=\"font-size: small;\">MC: go through Web of Sci ,Pub Med<br /></span></span></p>\n<p><span style=\"font-family: Helvetica;\"><span style=\"font-size: small;\">DS: go through Sci Diecct</span></span></p>",
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                    "tag": "Physical Examination"
                },
                {
                    "tag": "Physical fitness"
                },
                {
                    "tag": "Safety"
                }
            ],
            "collections": [
                "UEP4VGR6",
                "UHBRNRPH"
            ],
            "relations": {},
            "dateAdded": "2014-07-30T13:10:11Z",
            "dateModified": "2014-07-30T13:10:11Z"
        }
    },
    {
        "key": "FRB5R6EP",
        "version": 12,
        "library": {
            "type": "group",
            "id": 276452,
            "name": "Children and sport",
            "links": {
                "alternate": {
                    "href": "https://www.zotero.org/groups/children_and_sport",
                    "type": "text/html"
                }
            }
        },
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                "type": "text/html"
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        },
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                "name": "",
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                }
            },
            "creatorSummary": "Tharenos and Santorino",
            "parsedDate": "2009",
            "numChildren": 0
        },
        "data": {
            "key": "FRB5R6EP",
            "version": 12,
            "itemType": "journalArticle",
            "title": "Photographing ugandan physical activity: perspectives from Mbararan youth.",
            "creators": [
                {
                    "creatorType": "author",
                    "firstName": "Christy L.",
                    "lastName": "Tharenos"
                },
                {
                    "creatorType": "author",
                    "firstName": "Data",
                    "lastName": "Santorino"
                }
            ],
            "abstractNote": "BACKGROUND: The medical literature supports the benefits of physical activity for youth. In a developing country such as Uganda, there is little information about  physical activity in the lives of youth. OBJECTIVES: This pilot study attempts to characterize physical activity, work, sport, recreation, and play in the lives of Ugandan youth through community-based participatory photography, interviews, and  surveys. METHODS: Youth were given cameras and instruction in photographic principles. Then they were asked to capture what physical activity means to them  and its affect in their lives. Analysis of the photos, survey data, and youth interviews completed the assessment. RESULTS: Results were shared within the community via discussion and exhibits. The 23 participants mean age was 18 years  old (range, 15-20) and 67% had no prior experience with photography. Ninety-four  percent of our participants had participated in sports as children and spend longer than 1 to 2 hours a week in physical activity. Photographic Themes include (1) physical activity related to activities of daily living (ADL), (2) cultural physical activities unique to Southwest Uganda, (3) organized sports, and (4) children's school games and play. CONCLUSIONS: Photography has been a successful  research tool with youth to evaluate concepts of physical activity in a developing country. The majority of physical activity in Ugandan youth lives involves ADLs as well as organized sports. Barriers to participation in physical  activity still need to be addressed. This study has implications for health prevention, injury prevention, and qualitative researchers working with youth populations in developing countries.",
            "publicationTitle": "Progress in community health partnerships : research, education, and action",
            "publisher": "",
            "place": "",
            "date": "2009 Summer",
            "volume": "3",
            "issue": "2",
            "section": "",
            "partNumber": "",
            "partTitle": "",
            "pages": "123-132",
            "series": "",
            "seriesTitle": "",
            "seriesText": "",
            "journalAbbreviation": "Prog Community Health Partnersh",
            "DOI": "10.1353/cpr.0.0069",
            "citationKey": "",
            "url": "",
            "accessDate": "",
            "PMID": "20208259",
            "PMCID": "",
            "ISSN": "",
            "archive": "",
            "archiveLocation": "",
            "shortTitle": "",
            "language": "eng",
            "libraryCatalog": "",
            "callNumber": "",
            "rights": "",
            "extra": "",
            "tags": [
                {
                    "tag": "*Exercise"
                },
                {
                    "tag": "*Health Promotion"
                },
                {
                    "tag": "*Motor Activity"
                },
                {
                    "tag": "*Photography"
                },
                {
                    "tag": "*Program Development"
                },
                {
                    "tag": "Activities of daily living"
                },
                {
                    "tag": "Adolescent"
                },
                {
                    "tag": "Adult"
                },
                {
                    "tag": "Age Factors"
                },
                {
                    "tag": "Community-based participatory research"
                },
                {
                    "tag": "Data Collection"
                },
                {
                    "tag": "Developing Countries"
                },
                {
                    "tag": "Female"
                },
                {
                    "tag": "Health Status"
                },
                {
                    "tag": "Humans"
                },
                {
                    "tag": "Male"
                },
                {
                    "tag": "Medically Underserved Area"
                },
                {
                    "tag": "Pilot Projects"
                },
                {
                    "tag": "Program evaluation"
                },
                {
                    "tag": "Qualitative Research"
                },
                {
                    "tag": "Uganda"
                },
                {
                    "tag": "Young Adult"
                }
            ],
            "collections": [
                "UEP4VGR6",
                "UHBRNRPH"
            ],
            "relations": {},
            "dateAdded": "2014-07-30T13:10:11Z",
            "dateModified": "2014-07-30T13:10:11Z"
        }
    },
    {
        "key": "27QNFPKD",
        "version": 12,
        "library": {
            "type": "group",
            "id": 276452,
            "name": "Children and sport",
            "links": {
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                    "href": "https://www.zotero.org/groups/children_and_sport",
                    "type": "text/html"
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        },
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            },
            "creatorSummary": "Smith et al.",
            "parsedDate": "1990-01",
            "numChildren": 0
        },
        "data": {
            "key": "27QNFPKD",
            "version": 12,
            "itemType": "journalArticle",
            "title": "Emotional responses of athletes to injury.",
            "creators": [
                {
                    "creatorType": "author",
                    "firstName": "A. M.",
                    "lastName": "Smith"
                },
                {
                    "creatorType": "author",
                    "firstName": "S. G.",
                    "lastName": "Scott"
                },
                {
                    "creatorType": "author",
                    "firstName": "W. M.",
                    "lastName": "O'Fallon"
                },
                {
                    "creatorType": "author",
                    "firstName": "M. L.",
                    "lastName": "Young"
                }
            ],
            "abstractNote": "Increased participation in sports is associated with increased related injuries.  This study was conducted to identify the emotional responses of athletes to injury and to determine which responses might interfere with rehabilitation and necessitate psychologic or psychiatric intervention. In 72 patients, follow-up surveillance was continued from the time of injury until resumption of sports activity. Patients completed the Emotional Responses of Athletes to Injury Questionnaire and the Profile of Mood States (POMS) test, and significant differences were found when the POMS scales of depression and anger were compared with college norms. Mean POMS scores were compared (by multivariate analysis of variance) by sex, age, and severity of injury. No gender differences were found,  and only for anger were age groups significantly different (younger athletes were most angered). Three severity-of-injury groups (based on the duration of time the athlete was unable to participate in sports) were also compared. The most seriously injured group experienced significantly more tension, depression, and anger and less vigor than college norms, a mood disturbance that lasted 1 month.  Emotional disturbance can occur after a sports-related injury, and its prompt recognition may facilitate the athlete's optimal rehabilitation and a safe return to participation in sports.",
            "publicationTitle": "Mayo Clinic proceedings",
            "publisher": "",
            "place": "",
            "date": "1990 Jan",
            "volume": "65",
            "issue": "1",
            "section": "",
            "partNumber": "",
            "partTitle": "",
            "pages": "",
            "series": "",
            "seriesTitle": "",
            "seriesText": "",
            "journalAbbreviation": "Mayo Clin Proc",
            "DOI": "",
            "citationKey": "",
            "url": "",
            "accessDate": "",
            "PMID": "2296211",
            "PMCID": "",
            "ISSN": "",
            "archive": "",
            "archiveLocation": "",
            "shortTitle": "",
            "language": "eng",
            "libraryCatalog": "",
            "callNumber": "",
            "rights": "",
            "extra": "",
            "tags": [
                {
                    "tag": "*Emotions"
                },
                {
                    "tag": "Adolescent"
                },
                {
                    "tag": "Adult"
                },
                {
                    "tag": "Affect"
                },
                {
                    "tag": "Anger"
                },
                {
                    "tag": "Athletic Injuries/*psychology"
                },
                {
                    "tag": "Attitude to Health"
                },
                {
                    "tag": "Child"
                },
                {
                    "tag": "Depression"
                },
                {
                    "tag": "Female"
                },
                {
                    "tag": "Humans"
                },
                {
                    "tag": "Male"
                },
                {
                    "tag": "Middle Aged"
                }
            ],
            "collections": [
                "UEP4VGR6",
                "UHBRNRPH"
            ],
            "relations": {},
            "dateAdded": "2014-07-30T13:10:11Z",
            "dateModified": "2014-07-30T13:10:11Z"
        }
    },
    {
        "key": "KBK3P2CE",
        "version": 12,
        "library": {
            "type": "group",
            "id": 276452,
            "name": "Children and sport",
            "links": {
                "alternate": {
                    "href": "https://www.zotero.org/groups/children_and_sport",
                    "type": "text/html"
                }
            }
        },
        "links": {
            "self": {
                "href": "https://api.zotero.org/groups/276452/items/KBK3P2CE",
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            },
            "alternate": {
                "href": "https://www.zotero.org/groups/children_and_sport/items/KBK3P2CE",
                "type": "text/html"
            }
        },
        "meta": {
            "createdByUser": {
                "id": 901845,
                "username": "meganclinch",
                "name": "",
                "links": {
                    "alternate": {
                        "href": "https://www.zotero.org/meganclinch",
                        "type": "text/html"
                    }
                }
            },
            "creatorSummary": "Pieter and Zemper",
            "parsedDate": "1999-06",
            "numChildren": 0
        },
        "data": {
            "key": "KBK3P2CE",
            "version": 12,
            "itemType": "journalArticle",
            "title": "Head and neck injuries in young taekwondo athletes.",
            "creators": [
                {
                    "creatorType": "author",
                    "firstName": "W.",
                    "lastName": "Pieter"
                },
                {
                    "creatorType": "author",
                    "firstName": "E. D.",
                    "lastName": "Zemper"
                }
            ],
            "abstractNote": "BACKGROUND: To investigate the location, type, situation and mechanism of head and neck injuries in young taekwondo athletes. METHODS: Experimental design: Prospective. Setting: National and international taekwondo tournaments. Participants: 3,341 boys and 917 girls, aged 6 to 16 years. Measures: Injury rates per 1,000 athlete-exposures (A-E) for total number of head and neck injuries, location, type, situation, and mechanism of injury. RESULTS: There was  a significant difference between young male and female taekwondo athletes in total head and neck injury rate (p < 0.001) with the boys (21.42/1,000 A-E) recording a higher rate than the girls (16.91/1,000 A-E). The head was the most often injured body part (6.10/1,000 A-E and 4.55/1,000 A-E for boys and girls, respectively). The contusion was the most often occurring injury type for both boys (8.41/1,000 A-E) and girls (7.80/1,000 A-E). The cerebral concussion ranked  second in both boys (5.11/1,000 A-E) and girls (4.55/1,000 A-E). The unblocked attack was the major injury situation for both boys (19.78/1,000 A-E) and girls (14.96/1,000 A-E). As a consequence, the major injury mechanism was receiving a blow (20.93/1,000 A-E and 16.25/1,000 A-E for boys and girls, respectively). Only the boys (0.66/1,000 A-E) incurred the most serious head and neck injuries that resulted in > or = 21 days away from participation. CONCLUSIONS: The national and international taekwondo governing bodies should review their current injury prevention measures. Given the potentially debilitating nature of these injuries, implications for any diagnostic capabilities on site should be carefully reviewed.",
            "publicationTitle": "The Journal of sports medicine and physical fitness",
            "publisher": "",
            "place": "",
            "date": "1999 Jun",
            "volume": "39",
            "issue": "2",
            "section": "",
            "partNumber": "",
            "partTitle": "",
            "pages": "147-153",
            "series": "",
            "seriesTitle": "",
            "seriesText": "",
            "journalAbbreviation": "J Sports Med Phys Fitness",
            "DOI": "",
            "citationKey": "",
            "url": "",
            "accessDate": "",
            "PMID": "10399424",
            "PMCID": "",
            "ISSN": "",
            "archive": "",
            "archiveLocation": "",
            "shortTitle": "",
            "language": "eng",
            "libraryCatalog": "",
            "callNumber": "",
            "rights": "",
            "extra": "",
            "tags": [
                {
                    "tag": "Adolescent"
                },
                {
                    "tag": "Child"
                },
                {
                    "tag": "Craniocerebral Trauma/*epidemiology"
                },
                {
                    "tag": "Female"
                },
                {
                    "tag": "Humans"
                },
                {
                    "tag": "Male"
                },
                {
                    "tag": "Martial Arts/*injuries"
                },
                {
                    "tag": "Neck Injuries/*epidemiology"
                },
                {
                    "tag": "Prospective Studies"
                },
                {
                    "tag": "Statistics, Nonparametric"
                }
            ],
            "collections": [
                "UEP4VGR6",
                "UHBRNRPH"
            ],
            "relations": {},
            "dateAdded": "2014-07-30T13:10:11Z",
            "dateModified": "2014-07-30T13:10:11Z"
        }
    },
    {
        "key": "XZI5927K",
        "version": 12,
        "library": {
            "type": "group",
            "id": 276452,
            "name": "Children and sport",
            "links": {
                "alternate": {
                    "href": "https://www.zotero.org/groups/children_and_sport",
                    "type": "text/html"
                }
            }
        },
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            }
        },
        "meta": {
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                "username": "meganclinch",
                "name": "",
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                        "type": "text/html"
                    }
                }
            },
            "creatorSummary": "Kyle et al.",
            "parsedDate": "2002-10",
            "numChildren": 0
        },
        "data": {
            "key": "XZI5927K",
            "version": 12,
            "itemType": "journalArticle",
            "title": "Skateboard-associated injuries: participation-based estimates and injury characteristics.",
            "creators": [
                {
                    "creatorType": "author",
                    "firstName": "Susan B.",
                    "lastName": "Kyle"
                },
                {
                    "creatorType": "author",
                    "firstName": "Michael L.",
                    "lastName": "Nance"
                },
                {
                    "creatorType": "author",
                    "firstName": "George W. Jr",
                    "lastName": "Rutherford"
                },
                {
                    "creatorType": "author",
                    "firstName": "Flaura K.",
                    "lastName": "Winston"
                }
            ],
            "abstractNote": "BACKGROUND: Skateboarding is a popular recreational activity but has attendant associated risks. To place this risk in perspective, participation-based rates of injury were determined and compared with those of other selected sports. Skateboard-associated injuries were evaluated over time to determine participation-based trends in injury prevalence. METHODS: Rates of skateboard-associated injury were studied for the 12-year period 1987 to 1998 for participants aged 7 years or older. The National Electronic Injury Surveillance System provided injury estimates for skateboarding and the selected additional sporting activities. The National Sporting Goods Association annual survey of nationally representative households provided participation estimates. A participation-based rate of injury was calculated from these data sets for the selected sports for the year 1998. RESULTS: The 1998 rate of emergency department-treated skateboard-associated injuries-8.9 injuries per 1,000 participants (95% confidence interval [CI], 6.2, 11.6)-was twice as high as in-line skating (3.9 [95% CI, 3.1, 4.8]) and half as high as basketball (21.2 [95% CI, 18.3, 24.1]). The rate of skateboard-associated injuries declined from 1987 to 1993 but is again increasing: the 1998 rate was twice that of 1993 (4.5 [95% CI, 1.6, 7.4] and 8.9 [95% CI, 6.2, 11.6], respectively). Increases occurred primarily among adolescent and young adult skateboarders. The most frequent injuries in 1998 were ankle strain/sprain and wrist fracture: 1.2 (95% CI, 0.8, 1.6) and 0.6 (95% CI, 0.4, 0.8) per 1,000, respectively. Skateboard-associated injuries requiring hospitalization occurred in 2.9% and were 11.4 (95% CI, 7.5, 17.5) times more likely to have occurred as a result of a crash with a motor vehicle than injuries in those patients not hospitalized. CONCLUSION: This study  is the first to relate skateboarding and other sport injuries to participation exposures. We found that skateboarding is a comparatively safe sport; however, increased rates of injury are occurring in adolescent and young adult skateboarders. The most common injuries are musculoskeletal; the more serious injuries resulting in hospitalization typically involve a crash with a motor vehicle. This new methodology that uses participation-based injury rates might contribute to more effective injury control initiatives.",
            "publicationTitle": "The Journal of trauma",
            "publisher": "",
            "place": "",
            "date": "2002 Oct",
            "volume": "53",
            "issue": "4",
            "section": "",
            "partNumber": "",
            "partTitle": "",
            "pages": "686-690",
            "series": "",
            "seriesTitle": "",
            "seriesText": "",
            "journalAbbreviation": "J Trauma",
            "DOI": "10.1097/01.TA.0000023980.00065.55",
            "citationKey": "",
            "url": "",
            "accessDate": "",
            "PMID": "12394867",
            "PMCID": "",
            "ISSN": "",
            "archive": "",
            "archiveLocation": "",
            "shortTitle": "",
            "language": "eng",
            "libraryCatalog": "",
            "callNumber": "",
            "rights": "",
            "extra": "",
            "tags": [
                {
                    "tag": "Adolescent"
                },
                {
                    "tag": "Adult"
                },
                {
                    "tag": "Athletic Injuries/epidemiology/pathology"
                },
                {
                    "tag": "Child"
                },
                {
                    "tag": "Craniocerebral Trauma/epidemiology"
                },
                {
                    "tag": "Extremities/injuries"
                },
                {
                    "tag": "Humans"
                },
                {
                    "tag": "Prevalence"
                },
                {
                    "tag": "Skating/*injuries/statistics & numerical data"
                },
                {
                    "tag": "United States/epidemiology"
                }
            ],
            "collections": [
                "UEP4VGR6",
                "UHBRNRPH"
            ],
            "relations": {},
            "dateAdded": "2014-07-30T13:10:11Z",
            "dateModified": "2014-07-30T13:10:11Z"
        }
    },
    {
        "key": "AQGQ23S7",
        "version": 12,
        "library": {
            "type": "group",
            "id": 276452,
            "name": "Children and sport",
            "links": {
                "alternate": {
                    "href": "https://www.zotero.org/groups/children_and_sport",
                    "type": "text/html"
                }
            }
        },
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                "href": "https://api.zotero.org/groups/276452/items/AQGQ23S7",
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            },
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                "href": "https://www.zotero.org/groups/children_and_sport/items/AQGQ23S7",
                "type": "text/html"
            }
        },
        "meta": {
            "createdByUser": {
                "id": 901845,
                "username": "meganclinch",
                "name": "",
                "links": {
                    "alternate": {
                        "href": "https://www.zotero.org/meganclinch",
                        "type": "text/html"
                    }
                }
            },
            "creatorSummary": "Spinks and McClure",
            "parsedDate": "2007-09",
            "numChildren": 0
        },
        "data": {
            "key": "AQGQ23S7",
            "version": 12,
            "itemType": "journalArticle",
            "title": "Quantifying the risk of sports injury: a systematic review of activity-specific rates for children under 16 years of age.",
            "creators": [
                {
                    "creatorType": "author",
                    "firstName": "Anneliese B.",
                    "lastName": "Spinks"
                },
                {
                    "creatorType": "author",
                    "firstName": "Roderick J.",
                    "lastName": "McClure"
                }
            ],
            "abstractNote": "Injuries caused by sports and other forms of physical activity in young children  constitute a significant public health burden. It is important to quantify this risk to ensure that the benefits of sport participation are not outweighed by the potential harms. This review summarises the literature reporting exposure-based injury rates for various forms of physical activity in children aged 15 years and younger. Forty eight studies were found, of which 27 reported injury rates per hourly based exposure measured and 21 reported injury rates according to some other measure. Fourteen different sports and activities were covered, mostly team ball sports, with soccer being the most widely studied. Injury definition and the method of ascertaining and measuring injuries differed between studies, which created a large variation in reported injury rates that did not necessarily represent actual differences in injury risk between activities. The highest hourly based injury rates were reported for ice hockey, and the lowest were for soccer, although the range of injury rates for both of these activities was wide. Very few studies have investigated sports-related injuries in children younger than 8 years or in unorganised sports situations.",
            "publicationTitle": "British journal of sports medicine",
            "publisher": "",
            "place": "",
            "date": "2007 Sep",
            "volume": "41",
            "issue": "9",
            "section": "",
            "partNumber": "",
            "partTitle": "",
            "pages": "548-557; discussion 557",
            "series": "",
            "seriesTitle": "",
            "seriesText": "",
            "journalAbbreviation": "Br J Sports Med",
            "DOI": "10.1136/bjsm.2006.033605",
            "citationKey": "",
            "url": "",
            "accessDate": "",
            "PMID": "17473004",
            "PMCID": "PMC2465389",
            "ISSN": "",
            "archive": "",
            "archiveLocation": "",
            "shortTitle": "",
            "language": "eng",
            "libraryCatalog": "",
            "callNumber": "",
            "rights": "",
            "extra": "",
            "tags": [
                {
                    "tag": "Adolescent"
                },
                {
                    "tag": "Athletic Injuries/*epidemiology/etiology"
                },
                {
                    "tag": "Child"
                },
                {
                    "tag": "Child, Preschool"
                },
                {
                    "tag": "Female"
                },
                {
                    "tag": "Humans"
                },
                {
                    "tag": "Male"
                },
                {
                    "tag": "Risk Assessment/statistics & numerical data"
                },
                {
                    "tag": "Risk Factors"
                }
            ],
            "collections": [
                "UEP4VGR6",
                "UHBRNRPH"
            ],
            "relations": {},
            "dateAdded": "2014-07-30T13:10:11Z",
            "dateModified": "2014-07-30T13:10:11Z"
        }
    },
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            "creatorSummary": "Ross et al.",
            "parsedDate": "2009-11",
            "numChildren": 0
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            "key": "WQK4B8QU",
            "version": 11,
            "itemType": "journalArticle",
            "title": "Athletic participation in severe hemophilia: bleeding and joint outcomes in children on prophylaxis.",
            "creators": [
                {
                    "creatorType": "author",
                    "firstName": "Cassie",
                    "lastName": "Ross"
                },
                {
                    "creatorType": "author",
                    "firstName": "Neil A.",
                    "lastName": "Goldenberg"
                },
                {
                    "creatorType": "author",
                    "firstName": "Dana",
                    "lastName": "Hund"
                },
                {
                    "creatorType": "author",
                    "firstName": "Marilyn J.",
                    "lastName": "Manco-Johnson"
                }
            ],
            "abstractNote": "OBJECTIVES: We sought to determine joint outcomes relative to impact level of athletic participation among school-aged children who had hemophilia and were taking prophylactic factor replacement, as well as to investigate prognostic factors for joint outcomes. METHODS: School-aged boys with severe hemophilia A or B at a single center were included in the study. Clinical data on baseline joint  status, BMI, hemophilia treatment, bleeding episodes, joint assessments, athletic participation, and injuries were retrospectively reviewed. Data on athletic participation were supplemented, when incomplete in the medical record, via structured telephone interview. RESULTS: Among 37 children with severe hemophilia A or B receiving factor prophylaxis, 73% participated in high-impact activities,  whereas 27% participated in exclusively low-impact activities. The frequency of joint hemorrhages and new injuries did not appreciably differ between high- and low-impact athletics. In most instances, children developed <1 bleed or injury per season. A new target joint developed in 1 (3%) child. Sixteen percent of children met established BMI criteria for overweight, and 3% were obese. In logistic regression analyses with adjustment for prophylaxis frequency, level of  athletic participation was not a significant prognostic factor for joint hemorrhage. CONCLUSIONS: In the setting of regular prophylaxis and adult coaching and supervision, significant bleeding complications were uncommon and level of impact of athletic participation was not a prognostic factor for joint outcomes.  Athletic participation with appropriate supervision and precautions should be encouraged in children with hemophilia receiving prophylaxis, given potential health benefits in an increasingly overweight pediatric population.",
            "publicationTitle": "Pediatrics",
            "publisher": "",
            "place": "",
            "date": "2009 Nov",
            "volume": "124",
            "issue": "5",
            "section": "",
            "partNumber": "",
            "partTitle": "",
            "pages": "1267-1272",
            "series": "",
            "seriesTitle": "",
            "seriesText": "",
            "journalAbbreviation": "Pediatrics",
            "DOI": "10.1542/peds.2009-0072",
            "citationKey": "",
            "url": "",
            "accessDate": "",
            "PMID": "19822585",
            "PMCID": "",
            "ISSN": "",
            "archive": "",
            "archiveLocation": "",
            "shortTitle": "",
            "language": "eng",
            "libraryCatalog": "",
            "callNumber": "",
            "rights": "",
            "extra": "",
            "tags": [
                {
                    "tag": "*Sports"
                },
                {
                    "tag": "Adolescent"
                },
                {
                    "tag": "Adult"
                },
                {
                    "tag": "Athletic Injuries/*complications"
                },
                {
                    "tag": "Child"
                },
                {
                    "tag": "Hemarthrosis/etiology/*prevention & control"
                },
                {
                    "tag": "Hemophilia A/complications/*therapy"
                },
                {
                    "tag": "Hemorrhage/etiology/*prevention & control"
                },
                {
                    "tag": "Humans"
                },
                {
                    "tag": "Male"
                },
                {
                    "tag": "Young Adult"
                }
            ],
            "collections": [
                "UEP4VGR6"
            ],
            "relations": {},
            "dateAdded": "2014-07-30T13:10:11Z",
            "dateModified": "2014-07-30T13:10:11Z"
        }
    },
    {
        "key": "C2RZZ3HG",
        "version": 11,
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            "type": "group",
            "id": 276452,
            "name": "Children and sport",
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            },
            "creatorSummary": "Bader et al.",
            "parsedDate": "2004-10",
            "numChildren": 0
        },
        "data": {
            "key": "C2RZZ3HG",
            "version": 11,
            "itemType": "journalArticle",
            "title": "Risk of sudden cardiac death in young athletes: which screening strategies are appropriate?",
            "creators": [
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                    "creatorType": "author",
                    "firstName": "Rima S.",
                    "lastName": "Bader"
                },
                {
                    "creatorType": "author",
                    "firstName": "Linn",
                    "lastName": "Goldberg"
                },
                {
                    "creatorType": "author",
                    "firstName": "David J.",
                    "lastName": "Sahn"
                }
            ],
            "abstractNote": "Resources are not available to comprehensively evaluate all young athletes before participation in competitive sports. Therefore, the cardiovascular evaluation of  young athletes needs to be targeted at high-risk areas and focus on the individuals who are at greatest possible risk: those who have suggestive, even if minor, symptoms, and those who have a family history of sudden death or premature cardiac disease.",
            "publicationTitle": "Pediatric clinics of North America",
            "publisher": "",
            "place": "",
            "date": "2004 Oct",
            "volume": "51",
            "issue": "5",
            "section": "",
            "partNumber": "",
            "partTitle": "",
            "pages": "1421-1441",
            "series": "",
            "seriesTitle": "",
            "seriesText": "",
            "journalAbbreviation": "Pediatr Clin North Am",
            "DOI": "10.1016/j.pcl.2004.04.005",
            "citationKey": "",
            "url": "",
            "accessDate": "",
            "PMID": "15331292",
            "PMCID": "",
            "ISSN": "",
            "archive": "",
            "archiveLocation": "",
            "shortTitle": "",
            "language": "eng",
            "libraryCatalog": "",
            "callNumber": "",
            "rights": "",
            "extra": "",
            "tags": [
                {
                    "tag": "*Sports"
                },
                {
                    "tag": "Adolescent"
                },
                {
                    "tag": "Aneurysm, Ruptured/complications"
                },
                {
                    "tag": "Aortic Aneurysm, Abdominal/complications"
                },
                {
                    "tag": "Arrhythmogenic Right Ventricular Dysplasia/complications/pathology"
                },
                {
                    "tag": "Cardiomyopathy, Hypertrophic/complications/diagnosis"
                },
                {
                    "tag": "Child"
                },
                {
                    "tag": "Coronary Vessel Anomalies/complications/physiopathology"
                },
                {
                    "tag": "Cost-Benefit Analysis"
                },
                {
                    "tag": "Death, Sudden, Cardiac/*epidemiology/etiology/*prevention & control"
                },
                {
                    "tag": "Electrocardiography"
                },
                {
                    "tag": "Ethics, Clinical"
                },
                {
                    "tag": "Humans"
                },
                {
                    "tag": "Myocarditis/complications"
                },
                {
                    "tag": "Physical Examination"
                },
                {
                    "tag": "Prevalence"
                },
                {
                    "tag": "Syndrome"
                },
                {
                    "tag": "athletic injuries"
                }
            ],
            "collections": [
                "UEP4VGR6"
            ],
            "relations": {},
            "dateAdded": "2014-07-30T13:10:11Z",
            "dateModified": "2014-07-30T13:10:11Z"
        }
    },
    {
        "key": "VNT58QNH",
        "version": 11,
        "library": {
            "type": "group",
            "id": 276452,
            "name": "Children and sport",
            "links": {
                "alternate": {
                    "href": "https://www.zotero.org/groups/children_and_sport",
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            },
            "creatorSummary": "Boudier-Reveret et al.",
            "parsedDate": "2011-11",
            "numChildren": 0
        },
        "data": {
            "key": "VNT58QNH",
            "version": 11,
            "itemType": "journalArticle",
            "title": "Practice management of musculoskeletal injuries in active children.",
            "creators": [
                {
                    "creatorType": "author",
                    "firstName": "Mathieu",
                    "lastName": "Boudier-Reveret"
                },
                {
                    "creatorType": "author",
                    "firstName": "Barbara",
                    "lastName": "Mazer"
                },
                {
                    "creatorType": "author",
                    "firstName": "Debbie Ehrmann",
                    "lastName": "Feldman"
                },
                {
                    "creatorType": "author",
                    "firstName": "Ian",
                    "lastName": "Shrier"
                }
            ],
            "abstractNote": "BACKGROUND: Although increasing participation in physical activities has significant health benefits, there are no guidelines to help professionals decide when it is safe to return to activity after injury. OBJECTIVE: To examine the specific criteria (eg, strength, pain) that expert sport medicine clinicians use  for return to activity decisions in children with musculoskeletal injuries. METHODS: The authors conducted an online cross-sectional survey of certified Canadian sport medicine doctors (MDs) and sport rehabilitation specialists (physiotherapists (PTs) or athletic therapists (ATs)). The authors asked how they would measure each of the following signs in the context of a knee injury: sport-specific skills, pain, swelling, strength, range of motion (ROM) and balance. Clinicians also ranked the importance of each sign with respect to influencing their recommendations for each of five clinical vignettes. RESULTS: The overall response rate was 33.6% (464/1380) with similar rates for each profession. For each clinical sign, all three professions preferred the same measure to determine readiness to return to play: standardised testing for sport-specific skills, impact on function for pain, palpation for swelling, manual muscle testing for strength, visual inspection for ROM and standing on one leg with eyes closed for balance. Regarding importance of specific signs for return to activity, all professions had similar responses for one vignette, but MDs differed from PTs and ATs for the remaining four. Finally, pain was ranked as the no 1 or 2 most important sign in all five vignettes by 41.0% of MDs, 18.1% of ATs and 11.3% of PTs, whereas sport-specific skills was chosen by 9.6% MDs, 12.0% ATs and 16.1% PTs. CONCLUSION: Our results provide the foundation for future work leading towards the development of interdisciplinary consensus guidelines.",
            "publicationTitle": "British journal of sports medicine",
            "publisher": "",
            "place": "",
            "date": "2011 Nov",
            "volume": "45",
            "issue": "14",
            "section": "",
            "partNumber": "",
            "partTitle": "",
            "pages": "1137-1143",
            "series": "",
            "seriesTitle": "",
            "seriesText": "",
            "journalAbbreviation": "Br J Sports Med",
            "DOI": "10.1136/bjsm.2009.071233",
            "citationKey": "",
            "url": "",
            "accessDate": "",
            "PMID": "20542978",
            "PMCID": "",
            "ISSN": "",
            "archive": "",
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            "shortTitle": "",
            "language": "eng",
            "libraryCatalog": "",
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            "rights": "",
            "extra": "",
            "tags": [
                {
                    "tag": "*Professional Practice"
                },
                {
                    "tag": "Adolescent"
                },
                {
                    "tag": "Adult"
                },
                {
                    "tag": "Aged"
                },
                {
                    "tag": "Athletic Injuries/*rehabilitation"
                },
                {
                    "tag": "Canada"
                },
                {
                    "tag": "Child"
                },
                {
                    "tag": "Cross-Sectional Studies"
                },
                {
                    "tag": "Edema/etiology"
                },
                {
                    "tag": "Exercise/*physiology"
                },
                {
                    "tag": "Female"
                },
                {
                    "tag": "Humans"
                },
                {
                    "tag": "Male"
                },
                {
                    "tag": "Middle Aged"
                },
                {
                    "tag": "Muscle Strength/physiology"
                },
                {
                    "tag": "Musculoskeletal Pain/etiology"
                },
                {
                    "tag": "Musculoskeletal System/*injuries"
                },
                {
                    "tag": "Postural Balance/physiology"
                },
                {
                    "tag": "Range of Motion, Articular/physiology"
                },
                {
                    "tag": "Recovery of function"
                },
                {
                    "tag": "Sports Medicine/*methods"
                },
                {
                    "tag": "Young Adult"
                }
            ],
            "collections": [
                "UEP4VGR6"
            ],
            "relations": {},
            "dateAdded": "2014-07-30T13:10:11Z",
            "dateModified": "2014-07-30T13:10:11Z"
        }
    },
    {
        "key": "AB9TUK82",
        "version": 11,
        "library": {
            "type": "group",
            "id": 276452,
            "name": "Children and sport",
            "links": {
                "alternate": {
                    "href": "https://www.zotero.org/groups/children_and_sport",
                    "type": "text/html"
                }
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            "creatorSummary": "Khan et al.",
            "parsedDate": "2012-07-07",
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        },
        "data": {
            "key": "AB9TUK82",
            "version": 11,
            "itemType": "journalArticle",
            "title": "Sport and exercise as contributors to the health of nations.",
            "creators": [
                {
                    "creatorType": "author",
                    "firstName": "Karim M.",
                    "lastName": "Khan"
                },
                {
                    "creatorType": "author",
                    "firstName": "Angela M.",
                    "lastName": "Thompson"
                },
                {
                    "creatorType": "author",
                    "firstName": "Steven N.",
                    "lastName": "Blair"
                },
                {
                    "creatorType": "author",
                    "firstName": "James F.",
                    "lastName": "Sallis"
                },
                {
                    "creatorType": "author",
                    "firstName": "Kenneth E.",
                    "lastName": "Powell"
                },
                {
                    "creatorType": "author",
                    "firstName": "Fiona C.",
                    "lastName": "Bull"
                },
                {
                    "creatorType": "author",
                    "firstName": "Adrian E.",
                    "lastName": "Bauman"
                }
            ],
            "abstractNote": "Self-reported rates of participation in sport vary by country. In the UK, about 40% of men and women aged 16 years or older participate in at least one sport every week. Although few data exist to assess trends for participation in sport,  there is little evidence of change in the past decade among adults. Large cohort  studies suggest that such participation in sport is associated with a 20-40% reduction in all-cause mortality compared with non-participation. Randomised trials and crossover clinical studies suggest that playing sport is associated with specific health benefits. Some sports have relatively high injury risk although neuromuscular training programmes can prevent various lower extremity injuries. Clinicians can influence a large number of patients through brief interventions that promote physical activity, and encouragement toward participation in sport for some physically inactive patients qualifies as evidence-based therapy. Exercise might also be considered as a fifth vital sign and should be recorded in patients' electronic medical records and routine histories.",
            "publicationTitle": "Lancet",
            "publisher": "",
            "place": "",
            "date": "2012 Jul 7",
            "volume": "380",
            "issue": "9836",
            "section": "",
            "partNumber": "",
            "partTitle": "",
            "pages": "",
            "series": "",
            "seriesTitle": "",
            "seriesText": "",
            "journalAbbreviation": "Lancet",
            "DOI": "10.1016/S0140-6736(12)60865-4",
            "citationKey": "",
            "url": "",
            "accessDate": "",
            "PMID": "22770457",
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            "ISSN": "",
            "archive": "",
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            "shortTitle": "",
            "language": "eng",
            "libraryCatalog": "",
            "callNumber": "",
            "rights": "Copyright (c) 2012 Elsevier Ltd. All rights reserved.",
            "extra": "",
            "tags": [
                {
                    "tag": "*Health Status"
                },
                {
                    "tag": "Adolescent"
                },
                {
                    "tag": "Adult"
                },
                {
                    "tag": "Aged"
                },
                {
                    "tag": "Athletic Injuries/etiology"
                },
                {
                    "tag": "Child"
                },
                {
                    "tag": "Exercise/*physiology"
                },
                {
                    "tag": "Female"
                },
                {
                    "tag": "Health Promotion/organization & administration"
                },
                {
                    "tag": "Humans"
                },
                {
                    "tag": "Male"
                },
                {
                    "tag": "Middle Aged"
                },
                {
                    "tag": "Physical Fitness/physiology"
                },
                {
                    "tag": "Physician's Role"
                },
                {
                    "tag": "Risk Factors"
                },
                {
                    "tag": "Sports/*physiology/statistics & numerical data"
                },
                {
                    "tag": "Young Adult"
                }
            ],
            "collections": [
                "UEP4VGR6"
            ],
            "relations": {},
            "dateAdded": "2014-07-30T13:10:11Z",
            "dateModified": "2014-07-30T13:10:11Z"
        }
    },
    {
        "key": "BEARTZ92",
        "version": 11,
        "library": {
            "type": "group",
            "id": 276452,
            "name": "Children and sport",
            "links": {
                "alternate": {
                    "href": "https://www.zotero.org/groups/children_and_sport",
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                }
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        },
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        "meta": {
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                "name": "",
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            },
            "creatorSummary": "Bratton",
            "parsedDate": "1997-11",
            "numChildren": 0
        },
        "data": {
            "key": "BEARTZ92",
            "version": 11,
            "itemType": "journalArticle",
            "title": "Preparticipation screening of children for sports. Current recommendations.",
            "creators": [
                {
                    "creatorType": "author",
                    "firstName": "R. L.",
                    "lastName": "Bratton"
                }
            ],
            "abstractNote": "Every year physicians all over the world are asked to perform preparticipation physical evaluations (PPE) for children involved in sports. The PPE should be brief yet comprehensive enough to determine which athletes are at risk. In addition, the examination may help determine the athlete's general health and maturity level, uncover any disqualifying conditions and may also help establish  a doctor-patient relationship. PPEs should be performed 4 to 6 weeks prior to initiation of the sport and be repeated every 1 to 3 years. A station-based exam  may help evaluate large numbers of athletes within a limited time period. The history is the most important aspect of the PPE and should focus on prior cardiovascular complications, a family history of cardiovascular death before 50  years of age and any other limiting medical problems. A general physical examination should be performed to focus on areas involved in sports participation. Laboratory tests are not usually necessary. Disqualifying conditions may be determined based on the physical abnormality present and the amount of contact or energy involved in the sport to be played. Throughout the world, sports participation is growing rapidly. Although these guidelines have been drafted by a consortium of sports-related and general practice groups in the US, they can easily be applied worldwide. Unfortunately the health of young adults in developing countries may not be as good as that of those residing in more industrialised countries, therefore each athlete must be considered individually. With this type of individualised approach the examining physician can make informed and intelligent decisions concerning the athlete's participation.",
            "publicationTitle": "Sports medicine (Auckland, N.Z.)",
            "publisher": "",
            "place": "",
            "date": "1997 Nov",
            "volume": "24",
            "issue": "5",
            "section": "",
            "partNumber": "",
            "partTitle": "",
            "pages": "300-307",
            "series": "",
            "seriesTitle": "",
            "seriesText": "",
            "journalAbbreviation": "Sports Med",
            "DOI": "",
            "citationKey": "",
            "url": "",
            "accessDate": "",
            "PMID": "9368276",
            "PMCID": "",
            "ISSN": "",
            "archive": "",
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            "shortTitle": "",
            "language": "eng",
            "libraryCatalog": "",
            "callNumber": "",
            "rights": "",
            "extra": "",
            "tags": [
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                    "tag": "*Sports"
                },
                {
                    "tag": "Adolescent"
                },
                {
                    "tag": "Adult"
                },
                {
                    "tag": "Athletic Injuries/*prevention & control"
                },
                {
                    "tag": "Child"
                },
                {
                    "tag": "Female"
                },
                {
                    "tag": "Guidelines as Topic"
                },
                {
                    "tag": "Humans"
                },
                {
                    "tag": "Male"
                },
                {
                    "tag": "Mass Screening/*methods"
                },
                {
                    "tag": "Physical Examination/*standards"
                },
                {
                    "tag": "Physician's Role"
                },
                {
                    "tag": "united states"
                }
            ],
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            ],
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            "dateAdded": "2014-07-30T13:10:11Z",
            "dateModified": "2014-07-30T13:10:11Z"
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    {
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            "creatorSummary": "Psooy",
            "parsedDate": "2006-06",
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        "data": {
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            "version": 11,
            "itemType": "journalArticle",
            "title": "Sports and the solitary kidney: how to counsel parents.",
            "creators": [
                {
                    "creatorType": "author",
                    "firstName": "Karen",
                    "lastName": "Psooy"
                }
            ],
            "abstractNote": "OBJECTIVE: To determine how to counsel parents of young children with a solitary  kidney in a manner compliant with the recommendations of the American Academy of  Pediatrics (AAP). METHODS: As per the AAP recommendations, the relevant information required to provide a Qualified Yes to involvement in contact/collision sports was obtained through a PubMed search and local inquiries. Questions specifically addressed were: . Available published information on risks of participation . Availability of effective protective equipment that is acceptable to the athlete . Whether the sport can be modified to allow safer participation. RESULTS: Pediatric renal trauma can result from sporting injuries, however more renal injuries are caused by motor vehicle accidents. Those sports associated with a higher risk of significant renal injury carry a five-fold higher risk of head injury. Tolerable protective equipment is available, but whether it decreases risk of renal trauma is unknown. Participation in high-risk sports can be modified to allow safer participation. CONCLUSIONS: Parents need to be counseled on the consequences of an injury to the solitary kidney, and potential ways to decrease such risks without being unnecessarily restrictive with respect to sports participation. Specific information to convey to parents in a concise manner is provided.",
            "publicationTitle": "The Canadian journal of urology",
            "publisher": "",
            "place": "",
            "date": "2006 Jun",
            "volume": "13",
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            "partNumber": "",
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            "pages": "3120-3126",
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            "seriesTitle": "",
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            "journalAbbreviation": "Can J Urol",
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            "shortTitle": "",
            "language": "eng",
            "libraryCatalog": "",
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            "extra": "",
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                    "tag": "Athletic Injuries/epidemiology/*prevention & control"
                },
                {
                    "tag": "Attitude of Health Personnel"
                },
                {
                    "tag": "Child"
                },
                {
                    "tag": "Guidelines as Topic"
                },
                {
                    "tag": "Humans"
                },
                {
                    "tag": "Kidney/*abnormalities/injuries"
                },
                {
                    "tag": "Nephrectomy"
                },
                {
                    "tag": "Parents"
                },
                {
                    "tag": "Protective Devices"
                },
                {
                    "tag": "Risk Assessment"
                }
            ],
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            "dateAdded": "2014-07-30T13:10:11Z",
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            "itemType": "journalArticle",
            "title": "The preparticipation athletic evaluation.",
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                    "lastName": "Kurowski"
                },
                {
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                    "lastName": "Chandran"
                }
            ],
            "abstractNote": "A comprehensive medical history that includes questions about a personal and family history of cardiovascular disease is the most important initial component  of the preparticipation athletic evaluation. Additional questions should focus on any history of neurologic or musculoskeletal problems. A limited physical examination should emphasize cardiac auscultation with provocative maneuvers to screen for hypertrophic cardiomyopathy. This condition is the most common cause of sudden death in young male athletes. Other components of the physical examination include an evaluation of the spine and extremities. Screening tests such as electrocardiography, treadmill stress testing and urinalysis are not indicated in the absence of symptoms or a significant history of risk factors. Specific conditions that would exclude or limit athletic participation include hypertrophic cardiomyopathy, long QT interval syndrome, concussion, significant knee injury, sickle cell disease and uncontrolled seizures. Overall, about 1 percent of athletes who are screened are completely disqualified from sports participation.",
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            "date": "2000 May 1",
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            "pages": "2683-90, 2696-2698",
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            "journalAbbreviation": "Am Fam Physician",
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                },
                {
                    "tag": "*Sports"
                },
                {
                    "tag": "Adolescent"
                },
                {
                    "tag": "Child"
                },
                {
                    "tag": "Exercise Test"
                },
                {
                    "tag": "Female"
                },
                {
                    "tag": "Humans"
                },
                {
                    "tag": "Male"
                },
                {
                    "tag": "Medical History Taking"
                }
            ],
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                "UHBRNRPH"
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            "version": 11,
            "itemType": "journalArticle",
            "title": "Expectations of pediatric sport participation among pediatricians, patients, and  parents.",
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                    "firstName": "Jordan D.",
                    "lastName": "Metzl"
                }
            ],
            "abstractNote": "As the number of pediatric and adolescent athletes involved in competitive sports continues to grow, and as the competitors in youth sports trend toward a \"win at  all costs\" mentality, pediatricians are increasingly being asked to provide sports medicine treatment and counseling for athletic children. This article outlines the demographic changes in the pediatric and adolescent athlete population in the United States and explains how the pediatrician can become a more effective caregiver to the athletic patient.",
            "publicationTitle": "Pediatric clinics of North America",
            "publisher": "",
            "place": "",
            "date": "2002 Jun",
            "volume": "49",
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            "journalAbbreviation": "Pediatr Clin North Am",
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                {
                    "tag": "*Health Knowledge, Attitudes, Practice"
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                    "tag": "Adolescent"
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                    "tag": "Athletic Injuries/therapy"
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                    "tag": "Child"
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                {
                    "tag": "Male"
                },
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                    "tag": "Parenting/*psychology"
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                {
                    "tag": "Pediatrics/*methods"
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                {
                    "tag": "Physician-Patient Relations"
                },
                {
                    "tag": "Referral and Consultation"
                },
                {
                    "tag": "Sports/*psychology/trends"
                },
                {
                    "tag": "united states"
                }
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                "UHBRNRPH"
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            "abstractNote": "It has been estimated that one-third of all children between 6 and 14 years old are involved in some type of organized sports activity. These facts and figures serve to demonstrate that many children seen by the nurse practitioner will be participating in sports. This article describes important issues in counseling and educating parents, children, schools and coaches; screening examinations for  participation; common injuries to the young athlete and treatment of injuries. By intervening in these aspects of sports participation, nurse practitioners may be  able to protect young patients both psychologically and physically from the hazards of inappropriate athletic programs.",
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            "abstractNote": "Excessive efforts to groom competitive and elite athletes from a very young age may expose children to significant external pressure to perform inappropriate training regimes, sometimes at the expense of their health and psychological well-being. It is essential for the physician to recognize the special physiologic, anatomic, and psychological issues of the child and adolescent athlete and to balance the benefits of appropriate participation in sports and exercise with the risks of physical and psychological injury.",
            "publicationTitle": "Rheumatic diseases clinics of North America",
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            "abstractNote": "Footnotes Competing interests: None declared. Provenance and peer review: Not commissioned; externally peer reviewed.",
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            "place": "",
            "date": "06/21/2008",
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    {
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        "data": {
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            "version": 10,
            "itemType": "journalArticle",
            "title": "Concepts of neurodevelopment in sports activity for adolescents.",
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                    "firstName": "Donald E.",
                    "lastName": "Greydanus"
                },
                {
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                    "firstName": "Helen D.",
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            "place": "",
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                },
                {
                    "tag": "Central Nervous System/*growth & development/physiology"
                },
                {
                    "tag": "Female"
                },
                {
                    "tag": "Humans"
                },
                {
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                },
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