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From the AOASM President
I had the opportunity to attend the graduation of the Uniformed Services University of the Health Sciences, Class of 2014 in late May. They requested that all physicians in Constitution Hall stand and repeat the Hippocratic Oath, with the new military officer physicians. It was quite déjà vu moment. I highly recommend all of our physicians revisit the pledge.

LECOM Fellows had the opportunity to present at the American College of Sports Medicine Conference in Orlando, Florida, May 27-31. This is a terrific opportunity for them, since the meeting is a virtual cornucopia of sports medicine didactics and case presentations. The following week I have the great honor of attending the LECOM Bradenton graduation and hooding my son Joseph Mans Leary. I take great pride in having two generations of osteopathic physicians in the Leary family. I hope he has a long and satisfying career fueled by the holistic principles he has learned from his DO mentors.

Speaking of DO mentors, I will be attending the House of Delegates meeting in Chicago in July as an alternate delegate. I have attended numerous times before as the AOASM Delegate and learned a great deal about our AOA leadership and how they relate to our specialty college. OMED is fast approaching and I will be lecturing and mentoring at the OMED Seattle Convocation Oct. 27. I look forward to listening to the fine speakers that Jeff Bytomski DO has assembled, including Kim Harmon M.D., University of Washington Head Team Physician and past AMSSM President.

Rob Franks DO is putting together a great AOASM Annual Clinical Conference in his hometown of Philadelphia, Pennsylvania, April 22-25 2015. Hopefully all three of our fellows Brett Degooyer DO, Joshua Smith DO and Darin Gwartny DO will attend and present cases of interest. And a belated congratulations to Jessica Huerta DO for her poster award received at the 2014 AOASM Annual Clinical Conference in Tampa.

Hopefully these travels, meetings and ceremonies will help shed greater light on the issues that face us in the future. I admit that, like all of us, personally and professionally value my osteopathic roots and hope that the proposed future changes do not minimize our contribution to the medical work place and care of our loyal patient following.

Happy Summer!

Pat Leary D.O., FAOASM
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White House Healthy Kids and Safe Sports Concussion Summit
On May 29, AOASM was represented at the White House Healthy Kids and Safe Sports Concussion Summit held in Washington, D.C., by AOASM Vice President, Dr. Rob Franks. Dr. Franks joined an impressive group of leaders in healthcare, research, professional athletes, business leaders, broadcasters, athletes and parents to discuss with President Obama the growing national concern over concussion in youth sport.
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OMED registration now open!
Online registration is now open for OMED 2014. The AOA's 119th Annual Osteopathic Medical Conference and Exposition will be held Oct. 25-29, at the Washington State Convention & Trade Center in Seattle. Don’t forget to register as Sports Medicine in order to receive credit for any sports medicine sessions you attend. AOASM also benefits financially from every individual who registers under sports medicine. You can support the Academy simply by checking the sports medicine box on your registration form.

AOASM educational sessions have been coordinate by Dr. Jeff Bytomski, and will begin on Sunday, Oct. 26, through Tuesday, Oct. 28. A complete program will be carried in a future edition of Sidelines.

The hotel reservation system is also now available. Deadline for hotel reservations is Oct. 1 – but don’t delay. Hotels sell out quickly!

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June is Men's Health Month!
As primary care physicians we should be encouraging all of our patients to get routine health screenings and annual physical exams. In a 2001 the CDC reported that women were 33 percent more likely to seek out medical advice than their male counterparts. As sports medicine doctors we should be aware that 5 of the top 10 causes of death in men as reported by the CDC in 2010 can be helped or prevented by regular exercise and proper diet. Use the following link to find out more about Men’s Health Month and how you can help your patients better help themselves.
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Musculoskeletal Ultrasound Biologics update — new date coming soon!
Because of a schedule conflict, the June 11, MSK workshop will be delayed until July. Please watch the website and your email for information on the rescheduled webinar, and information on how to register.

Objectives on this final webinar to include:
    1. To learn the basics of the use of injectable Biologics.
    2. To understand standard preparation for Platelet Rich Plasma and common uses as well as outcomes.
    3. To learn how cutting edge techniques of BMAC, Fat Grafting and Testosterone.

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Circadian variation of growth factor levels in platelet-rich plasma
Clinical Journal of Sports Medicine (subscription required)
The influence of circadian rhythms has recently been considered in advanced studies of chronopharmacology and chronotherapeutics. Although emerging studies have reported the usefulness of platelet-rich plasma (PRP), no reports have described the diurnal variations in PRP growth factor levels. In the present study, we hypothesized that growth factor levels in PRP show a significant diurnal variation.
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Exercise regulation of intestinal tight junction proteins
British Journal of Sports Medicine
Gastrointestinal distress, such as diarrhea, cramping, vomiting, nausea and gastric pain are common among athletes during training and competition. The mechanisms that cause these symptoms are not fully understood. The purpose of this review is to 1) explain the function and physiology of tight junction regulation, 2) discuss the effects of prolonged and high-intensity exercise on tight junction permeability leading to gastrointestinal distress and 3) review agents that may increase or decrease tight junction integrity during exercise.
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Osteoarthritis more likely following ACL reconstruction
The American Journal of Sports Medicine via Healio
Osteoarthritis was approximately three times more likely to occur in the knee of a patient who underwent ACL reconstruction compared with the contralateral knee, according to a study. Researchers conducted a regression analysis in 135 patients following ACL reconstruction. Patients were randomized to receive a semitendinosus tendon or bone-patellar tendon-bone graft at a mean of 14 years postoperatively. At this time, factors such as radiologic results, Tegner activity levels, and KOOS values were analyzed.
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Concussion healing and recovery
Guardian Liberty Voice
Research indicates that healing and recovery from a concussion injury can take four months or longer. This is much longer than the previous recommendations to simply take it easy and avoid more possibly damaging activity for a week. These new findings challenge conventions long assumed, as well as introduce the significant impact stress-reduction and diet can make on healing.
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Study: King-Devick test effective in detecting concussions for adolescents
The King-Devick test, which measures saccadic eye movements to detect concussions, has been validated by the Mayo Clinic, according to a release from the Mayo Clinic News Network. The study, published in Neurology, found that the King-Devick sideline test accurately determined real-time, symptomatic concussions as well as asymptomatic concussions in adolescent hockey players.
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UCLA's BrainSPORT Program earns $10 million to research, treat sport concussions in youth
Philanthropist Steve Tisch, co-owner of the New York Giants and an Academy Award-winning film producer, has pledged $10 million to the department of neurosurgery at the David Geffen School of Medicine at UCLA for the BrainSPORT Program, which has been renamed the UCLA Steve Tisch BrainSPORT Program. Announced by President Obama during a White House summit on youth and sports concussions, the new funding — the single largest gift from an individual to a medical center for a concussion-related initiative — will enable UCLA to create the first U.S. fellowship program to train pediatric neurologists who specialize in sports concussions, and establish the world's most sophisticated research, prevention, diagnosis and treatment program for concussions and brain injuries, with a particular emphasis on young athletes.
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