Welcome to 2017 and our first issue of the year; we hope you will find the content timely and educational. It will be interesting to see what is in store for those of us in medicine and for our patients with the newly elected President, Senators, and Representatives beginning their duties this month. While there may be changes in the offering that affect our professional lives, our goal is to continuously improve our journal offerings for you. This issue features two Invited Commentaries that are timely and address issues that concern athletes. "Are There Clinical Cardiac Complications from Too Much Exercise," by Thijs Eijsvogels, PhD, and Paul D. Thompson, MD, FACSM, looks at high volume exercise and addresses the studies that imply damage to the heart. "Transgender Athletes: How Can They Be Accommodated?" by Myron Genel, MD, reviews the ongoing work to integrate transgender athletes safely and fairly into international competition.
The Concussion Consensus Group met for the fifth time in Berlin this past fall and the updated document should be available soon. With that in mind, there are several articles in this issue addressing concussion care, potential long term sequelae, and confounding conditions that interfere with usual recovery. This issue also features a Special Communication entitled, "What Definition is Used to Describe Second Impact Syndrome in Sports? A Systematic and Critical Review," by Steven D. Stovitz, MD, MS, FACSM; Jonathan D. Weseman; Matthew C. Hooks; Robert J. Schmidt; Jonathan B. Koffel; and Jon S. Patricios, MD, FACSM.
Head, Neck, and Spine Section Editor Christopher A. McGrew, MD, FACSM, has assembled a set of articles that will prove useful on a variety of topics. Dig into this section to learn more about Alzheimer's disease and exercise, facial trauma in sports, and find out if a unique neuropsychiatric profile currently exists for chronic traumatic encephalopathy. As my generation moves into retirement years, the number of people with Alzheimer's will likely raise and exercise may prove an important adjunct to management. You will also want to check out the case report in this section: "Acute Migraine or Sports-related Concussion: A Multi-disciplinary Approach to Diagnosis and Management."
When exploring the General Medical Conditions section recruited by Section Editor David Webner, MD, you will find an update on the management of type 1 and 2 diabetes in athletes and learn more about hypertensive medications in competitive athletes. Both articles address topics that many physicians manage on a regular basis in the office. You also will want to read the case report in this section: "Intermittent Muscle Spasms in a Professional Baseball Player."
In Pearls & Pitfalls, E. Randy Eichner, MD, FACSM, explores observations on iron, anemia, and sickle cell trait. New Scanning Sports Medicine Editor Robert B. Kiningham, MD, MA, FACSM, looks at the latest clinical research published by ACSM. The Clinician Profile features Michael J. Joyner, MD, FACSM; a long time ACSM member, running enthusiast, and previous Joseph B. Wolffe Memorial Lecturer (2004). CAQ Review looks at stress fractures to help you prepare for upcoming boards or just to refresh your memory for athlete care.
I hope this is a good start to the year for all of you. If there are topics you would like to see in the future, please feel free to forward your ideas for us to consider for an upcoming issue of the journal.