In a large, unselected population of young athletes undergoing pre-participation screening, the prevalence of markedly abnormal ECG patterns, suggestive for structural cardiac disease, is low (<5% of the overall population) and should not represent obstacle for implementation of 12-lead ECG in the pre-participation screening program.

The flight time was the parameter more sensitive to detect differences in the jump performance related to training and age. Adopting a normalization procedure it was possible to highlight that only the flight time and the peak power are sensitive to training effects on young adult male soccer players.

No abstract

In blu la sigla o la definizione ricorrente nel testo, in grigio l'esplicitazione inglese della sigla, in nero la corrispondente spiegazione in italiano AIEOP Associazione Italiana di Ematologia ed Oncologia Pediatrica AIHA Auto-Immune Hemolytic Anemia, anemia emolitica autoimmune ALPS Autoimmune LymphoProliferative Syndrome, Sindrome Linfoproliferativa Autoimmune ANA Anti-nuclear antibody, anticorpi anti nucleo Anti-D Immunoglobuline anti-D ASH American Society of Hematology CFS chronic fatigue syndrome, sindrome da affaticamento cronico DAT direct antiglobulin test, test di Coombs diretto DTP difterite tetano pertosse e.v. endo-vena Fab Fragment Antigen Binding, frammento legante l'antigene FDA Food and Drug Administration, Agenzia per gli Alimenti e i Medicinali GdL Gruppo di Lavoro "Difetti della Coagulazione" HD DXM desametazone ad alte dosi Hp Helicobacter pylori ICIS Intercontinental Cooperative ITP Study Group ITP Immune ThrombocytoPenia , TrombocitoPenia Immune IVIG Immunoglobuline endo-vena IWG International Working Group LES lupus eritematoso sistemico MMF micofenolato mofetile MMR measles mumps rubella, morbillo, parotite, rosolia m-PDN metil-prednisolone mTOR mammalian target of rapamicin MYH9 Myosin heavy chain 9, NTDT Non-transfusion-dependent thalassaemia, talassemia non trasfusione dipendente OPSI overwhelming post splenectomy infection, infezioni gravi post-splenectomia OR Odds Ratio PCR Polymerase Chain Reaction, Reazione a Catena della Polimerasi QoL Quality of life, qualità di vita RC risposta completa RP risposta parziale TCR T-cell receptor, recettore delle cellule T TPO trombopoietina T-reg regulatory T cells, cellule T regolatorie la gestione sarà presa dal curante alla luce dei dati personali del paziente e degli strumenti diagnostici e terapeutici disponibili.

Historically, people with hemophilia have been warned to avoid physical activities as a possible cause of bleeding; however, currently, sport is considered necessary, especially in the developmental age, for providing a good quality of life. A survey was proposed to a group of hematologists and sports physicians working in Puglia, Italy, to explore their approach to physical activities for their patients with hemophilia and to obtain suggestions about possible interventions to promote the access of patients to sports. The survey was answered by 6 hematologists and 15 sports physicians. In total, 71% (about six patients/year/physician) of patients with hemophilia seen by sports physicians asked for counseling about sports, and 67% (about five patients/year/physician) actually practiced sports. On the other hand, only 31% (about 16 patients/year/hematologist) of patients asked hematologists questions on sports, and only 16% (about seven patients/year/hematologist) of patients with hemophilia and that were followed-up by hematologists practiced sports. The sports most often recommended to patients with hemophilia by physicians included swimming, athletics, tennis, running and gymnastics. According to hematologists, physical activity was very efficient in improving the quality of life of patients; stability of joints; their psychological, social and musculoskeletal wellbeing; and in reducing the risk of bleedings. On the other hand, physical activity was considered less important in all these areas by sport physicians. In conclusion, answers to this survey suggested that sports could be promoted among hemophilic patients by increasing the sports physicians’ knowledge about hemophilia and their special role in this area. In addition, interviewed clinicians were of the opinion that increased awareness of specific guidelines and clinical practice protocols among both hematologists and sports physicians could be beneficial. Finally, answers suggested that access to fitness certification should be facilitated.