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Simplified screening for microalbuminuria

Article Abstract:

Using a combination of Chemstrips and sulfosalicylic acid testing for detecting microalbuminuria may be an excellent screening procedure and cheaper than a third method, Micral-Test strips. Microalbuminuria is the presence of small amounts of protein in the urine that can indicate kidney disease. The predictive value of the three methods to detect urine protein was compared to the standard radioimmunoassay. All were found to predict a negative finding extremely accurately, with a combination of Chemstrips and sulfosalicylic acid costing about one half of the Micral-Test strips. Positive results should be rechecked.

Author: Pegoraro, Alfredo, Singh, Ashok, Bakir, Asad A., Arruda, Jose A.L., Dunea, George
Publisher: American College of Physicians
Publication Name: Annals of Internal Medicine
Subject: Health
ISSN: 0003-4819
Year: 1997
Analysis, Urine, Urinalysis, Albuminuria

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Cardiovascular risks to young persons on the athletic field

Article Abstract:

Current pre-participation health screening for teenaged athletes are likely inadequate at identifying young people at risk for sudden cardiac death, and cannot protect teens from contact-related cardiac injury. Most sudden deaths in young athletes result from undiagnosed cardiac enlargement, congenital cardiovascular defects, or arrhythmias. The lack of standard screening criteria, and screening physicians unfamiliar with cardiovascular assessment, limit the value of prescreening. Strikes by balls and blunt force to the chest can induce fatal arrhythmias in healthy people.

Author: Maron, Barry J.
Publisher: American College of Physicians
Publication Name: Annals of Internal Medicine
Subject: Health
ISSN: 0003-4819
Year: 1998
Health aspects, Cardiovascular diseases, Prevention, Teenagers, Youth, Sudden death, Sports for children, Children's sports

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Physiologic Left Ventricular Cavity Dilatation in Elite Athletes

Article Abstract:

Many highly trained athletes have an enlarged heart but no sign of heart disease. Echocardiographs of 1,309 elite athletes revealed that many had an enlarged heart. In fact, in 14% the heart was large enough to be considered a sign of congestive heart failure. However, none had any symptoms of heart disease and all had normal heart function. Participation in endurance sports such as cycling, cross-country skiing and canoeing was most likely to cause an enlarged heart. Some athletes were followed for up to 12 years with no sign of heart disease during that time.

Author: Maron, Barry J., Pelliccia, Antonio, Di Paolo, Fernando M., Culasso, Franco
Publisher: American College of Physicians
Publication Name: Annals of Internal Medicine
Subject: Health
ISSN: 0003-4819
Year: 1999
Causes of, Physiological aspects, Athletes, Heart enlargement, Heart hypertrophy

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Subjects list: Evaluation, Diagnosis, Medical screening, Health screening
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