{"id":7718,"date":"2018-04-05T07:26:01","date_gmt":"2018-04-05T06:26:01","guid":{"rendered":"https:\/\/blogs.bmj.com\/bjsm\/?p=7718"},"modified":"2018-04-07T04:41:16","modified_gmt":"2018-04-07T03:41:16","slug":"three-blind-mice-2017-sasma-conference-from-the-eyes-of-three-medical-students-part-1","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bjsm\/2018\/04\/05\/three-blind-mice-2017-sasma-conference-from-the-eyes-of-three-medical-students-part-1\/","title":{"rendered":"Three blind mice: 2017 SASMA Conference from the eyes of three medical students (PART 1)"},"content":{"rendered":"<h2><\/h2>\n<h6><em><strong>By Kyle A. Winik, Lisa Erasmus and Robyn Paulse<\/strong><\/em><\/h6>\n<p>The SASMA conference is a biennial event and the latest instalment \u2013 the 17<sup>th<\/sup> of its kind \u2013 was held in Cape Town. This year\u2019s theme was \u201cIntegrate-Accelerate\u00a0Elevate\u201d. As medical students attending our first conference, we were made to feel extremely welcome and we highly recommend all readers look into attending in 2019! Here are our take home messages!<\/p>\n<h5><strong>The Female Athlete: Presenters: Aurelia Natic, Ettie Barsky, Kate Ackerman<\/strong><\/h5>\n<h6><strong>TOP TIP:\u00a0<\/strong><strong>If ever one component of this triad is positive or worrying, the other two components need to be evaluated.<\/strong><\/h6>\n<p>Optimising bone health is essential early on in life as 90% peak bone mass is achieved by 18 years of age. Another important point was that of identifying fracture risks which can be divided into modifiable and non-modifiable. Modifiable factors contribute 20-40% of the risk and include smoking, drugs, alcohol, hormones, physical activity and nutrition. 60-80% of the risk is attributable to genetics.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-7721\" src=\"https:\/\/blogs.bmj.com\/bjsm\/files\/2018\/04\/FemaleAT1.png\" alt=\"\" width=\"456\" height=\"378\" srcset=\"https:\/\/blogs.bmj.com\/bjsm\/files\/2018\/04\/FemaleAT1.png 606w, https:\/\/blogs.bmj.com\/bjsm\/files\/2018\/04\/FemaleAT1-300x249.png 300w\" sizes=\"auto, (max-width: 456px) 100vw, 456px\" \/><\/p>\n<h6>http:\/\/totalformfitness.com\/female-athlete-triad\/<\/h6>\n<p>&nbsp;<\/p>\n<p><span style=\"text-decoration: underline\"><strong>Practical tools for implementing the female athlete guidelines:<\/strong><\/span><\/p>\n<p><strong>Evidence-based independent risk factors associated with poor triad outcomes:<\/strong><\/p>\n<ul>\n<li>Low energy availability with or without disordered eating\/eating disorders<\/li>\n<li>Low BMI<\/li>\n<li>Delayed menarche<\/li>\n<li>Oligo\/amenorrhea<\/li>\n<li>Low BMD<\/li>\n<li>Stress reaction\/fracture history<\/li>\n<\/ul>\n<h6><strong>TOP TIPS for the teenage female athlete.\u00a0<\/strong><strong>Be alert and look for reasons when: <\/strong><\/h6>\n<ul>\n<li>BMI &lt;19.5 look for possible issues<\/li>\n<li>No menarche by 15.5 yo<\/li>\n<li>2 or more stress fractures<\/li>\n<li>Off growth chart<\/li>\n<\/ul>\n<p>Dr Ettie Barsky also spoke about <em>Exercise in Pregnancy<\/em> and highlighted that moderate intensity exercise should be done on most if not all days of the week during pregnancy if no medical or obstetric complications are present.<\/p>\n<p>TOP TIP:\u00a0Target heart rates for age groups 20-29 years and 30-39 years being 145-160bpm and 140-165bpm respectively. A higher fat intake = higher risk of hyperemesis gravidum. Don\u2019t forget danger signs: Ketones, intra-uterine pregnancy, dehydration, over or under weight<\/p>\n<h5><strong>Crossing borders to reach our common goals in Sports Medicine: Presenter: Evert Verhagen<\/strong><\/h5>\n<p>Dr Evert Vergahen introduced us to the concept of \u2018Crossing borders\u2019 to reach our common goal in sports medicine. He spoke about creating connections with colleagues from all over the world in order to help each other achieve these common goals. The goal being the notion that exercise = medicine but also that as everything in medicine there are adverse effects to be noted and explained to patients.<\/p>\n<h5><strong>Optimising the journey of the amputee from surgery to elite performance. Presenter: Jayson Chin, Phoebe Runciman, Wayne Derman.<\/strong><\/h5>\n<p>Another subject that we all found quite interesting but knew very little about was that of the patient with an amputation. From Dr Jayson Chin we learnt that the aim of prosthesis is no longer to get the patient to walk but to provide a good quality of life. Dr Phoebe Runciman also presented a research project comparing mechanical prosthesis and symbionic prosthesis. It was found that with the symbionic prosthesis there were better subjective ratings, 39% improved walking capacity (distance), decreased fatigue with decreased RPE, the rate of loading was lower and it was found that muscle activation patterns and joint angles were closer to normal. We also were shown that we must be aware of genitourinary, skin and subcutaneous illness in para-athletes.<\/p>\n<h5><strong>Acute illness in the athlete: Presenters: Martin Schwellnus, Wayne Derman, Alan Kourie, Anri van Tonder, Austin Jeans, Leigh Gordon, Christa Janse van Rensburg, Leslie Bonci.<\/strong><\/h5>\n<p>Acute illness was another subject that we realised was quite important in the athlete. We were made aware that severity of illness is monitored by the time lost and that more than 50% of a team physician\u2019s time is taken up by acute illness treatment. The risk of illness also increases when travelling across more than five time zones and thus a home advantage is key. What most people, including us, would want to know is when the athlete will be fit for return to play after an acute illness and this was answered by Dr Leigh Gordon. We learnt about the \u2018neck check\u2019 which states that if the athlete has symptoms above the neck there will be limited return to sport, during this time they will have to do submaximal exercise and should then be re-evaluated. If there are symptoms below the neck or systemic symptoms there should be no sport and should then be re-evaluated at a later stage as complications could arise.<\/p>\n<p>Another component that should be taken into consideration when working with athletes is travel. When travelling to a country the exposures and dangers should be noted by the team physician. Travel in Africa was discussed and three diseases were identified as pertinent: malaria, schistosomiasis and African tick bite fever. Malaria and African tick bite fever can be treated with doxycycline; however, the side effect of photosensitivity should be taken into consideration. Schistosomiasis is treated with praziquantel which is usually safe for athletes.<\/p>\n<h6><strong>TOP TIPS:<\/strong><\/h6>\n<ul>\n<li>Myocarditis is caused by coxsackievirus 50% of the time<\/li>\n<li>Myopericarditis caused by the influenza virus, can cause the player to be out of practice for 6 months.<\/li>\n<li>Myoglobin, is significantly increased in pericarditis and is extremely toxic to renal; tubules which could result in renal failure.<\/li>\n<li>Training with an infection can cause rhabdomyolysis and could result in kidney failure.<\/li>\n<li>Epstein-Barr virus can cause increased splenic size and subsequently splenic rupture. The athlete should be kept away from non-contact sport for 3 weeks and contact sport for 4 weeks and regular scans should be done to ensure the spleen returns to \u2018normal\u2019 size.<\/li>\n<li>Athletes with Glandular fever should not exercise for 4 weeks and the increase in splenic rupture in males should also be noted.<\/li>\n<li>Strep throat infection puts the athlete out of training for 1-10 days.<\/li>\n<\/ul>\n<h5><strong>Injury prevention, how far have we come?\u00a0 \u00a0Presenter:\u00a0 Willem van Mechelen<\/strong><\/h5>\n<p>&nbsp;<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-7722\" src=\"https:\/\/blogs.bmj.com\/bjsm\/files\/2018\/04\/Picture1-2.png\" alt=\"\" width=\"515\" height=\"362\" srcset=\"https:\/\/blogs.bmj.com\/bjsm\/files\/2018\/04\/Picture1-2.png 899w, https:\/\/blogs.bmj.com\/bjsm\/files\/2018\/04\/Picture1-2-300x211.png 300w, https:\/\/blogs.bmj.com\/bjsm\/files\/2018\/04\/Picture1-2-768x539.png 768w\" sizes=\"auto, (max-width: 515px) 100vw, 515px\" \/><\/p>\n<p>http:\/\/bjsm.bmj.com\/content\/bjsports\/42\/8\/648\/F1.large.jpg?width=800&#038;height=600&#038;carousel=1<\/p>\n<h6><strong>TOP TIPS:<\/strong><\/h6>\n<ul>\n<li>We need to increase the amount of RCTs to assess and evaluate an intervention and its success<\/li>\n<li>Less than 20% of RCTS in sports injury interventions take compliance into account when measuring outcomes.<\/li>\n<\/ul>\n<p>Keep your eyes pealed &#8211; <strong>PART 2<\/strong> coming soon!<\/p>\n<h6><\/h6>\n<p><em><strong>Kyle A. Winik<\/strong> <\/em>is a 4th year medical student from the University of Pretoria, South Africa.\u00a0Kyle is extremely passionate about developing his skills in Sport and Exercise Medicine and looks forward to a future profession in the field.<\/p>\n<div><em><strong>Lisa Erasmus<\/strong><\/em> is a 5th year medical student from Stellenbosch University, South Africa. She has a passion for sport as well as medicine, with an interest in exploring the field of Sports and Exercise Medicine as a possible profession.<\/div>\n<div><\/div>\n<div>\n<div><em><strong>Robyn Paulse<\/strong> <\/em>is a 5th year medical student at the University of Stellenbosch, South Africa. She has had a life-long interest in sport, with a new found interest in Sports and Exercise Medicine and hopes to continue to explore this exciting field.<\/div>\n<\/div>\n<p>&nbsp;<\/p>\n<h6><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-7731\" src=\"https:\/\/blogs.bmj.com\/bjsm\/files\/2018\/04\/542142727_1280x720.jpg\" alt=\"\" width=\"395\" height=\"222\" srcset=\"https:\/\/blogs.bmj.com\/bjsm\/files\/2018\/04\/542142727_1280x720.jpg 1280w, https:\/\/blogs.bmj.com\/bjsm\/files\/2018\/04\/542142727_1280x720-300x169.jpg 300w, https:\/\/blogs.bmj.com\/bjsm\/files\/2018\/04\/542142727_1280x720-768x432.jpg 768w\" sizes=\"auto, (max-width: 395px) 100vw, 395px\" \/><\/h6>\n<h6><\/h6>\n<p><!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>By Kyle A. Winik, Lisa Erasmus and Robyn Paulse The SASMA conference is a biennial event and the latest instalment \u2013 the 17th of its kind \u2013 was held in Cape Town. This year\u2019s theme was \u201cIntegrate-Accelerate\u00a0Elevate\u201d. As medical students attending our first conference, we were made to feel extremely welcome and we highly recommend [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bjsm\/2018\/04\/05\/three-blind-mice-2017-sasma-conference-from-the-eyes-of-three-medical-students-part-1\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":7721,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[235,16068,721,1858],"class_list":["post-7718","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized","tag-conference","tag-featured","tag-medical","tag-sports-and-exercise-medicine"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Three blind mice: 2017 SASMA Conference from the eyes of three medical students (PART 1) - BJSM blog - social media&#039;s leading SEM voice<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bjsm\/2018\/04\/05\/three-blind-mice-2017-sasma-conference-from-the-eyes-of-three-medical-students-part-1\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Three blind mice: 2017 SASMA Conference from the eyes of three medical students (PART 1) - BJSM blog - social media&#039;s leading SEM voice\" \/>\n<meta property=\"og:description\" content=\"By Kyle A. Winik, Lisa Erasmus and Robyn Paulse The SASMA conference is a biennial event and the latest instalment \u2013 the 17th of its kind \u2013 was held in Cape Town. This year\u2019s theme was \u201cIntegrate-Accelerate\u00a0Elevate\u201d. 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Winik, Lisa Erasmus and Robyn Paulse The SASMA conference is a biennial event and the latest instalment \u2013 the 17th of its kind \u2013 was held in Cape Town. This year\u2019s theme was \u201cIntegrate-Accelerate\u00a0Elevate\u201d. 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