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The following electronic only articles are published in conjunction with this issue of BJSM
Does complete deficiency of muscle α actinin 3 alter functional capacity in elderly women? A preliminary report
A F San Juan, F Gomez-Gallego, S Cañete, C Santiago, M Pérez, A Lucia
The sarcomeric protein α actinin 3 is localised to the Z line of fast fibres, which are responsible for generating forceful muscle contractions at high velocity. However, a substantial proportion of healthy humans are totally deficient in this protein as they are homozygous for a premature stop codon polymorphism (R577X) in the ACTN3 gene. The purpose of this preliminary study was to assess if the presence or absence of α actinin 3 influences the deleterious effects of ageing on muscle output and functional capacity.
Concussion management by primary care providers
M D Pleacher, W W Dexter
Objective: To assess current concussion management practices of primary care providers.
Methods: An 11 item questionnaire was mailed to primary care providers in the state of Maine, with serial mailings to non-respondents.
Results: Over 50% of the questionnaires were completed, with nearly 70% of primary care providers indicating that they routinely use published guidelines as a tool in managing patients with concussion. Nearly two thirds of providers were aware that neuropsychological tests could be used, but only 16% had access to such tests within a week of injury.
Conclusions: Primary care providers are using published concussion management guidelines with high frequency, but many are unable to access neuropsychological testing when it is required.
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