If Iid F Surgery: Mr Paul G

If Iid F Surgery: Mr Paul G

A2it/i hJournalOf Editor-in-Chief Dr Peter N. Sperryn MB, FRCP, FACSM, DPhysMed Editors iF iid f Surgery: Mr Paul G. Editorial Board Stableforth Prof. Dieter Bohmer, Prof. Qu Mian-Yu, MB, FRCS (Bristol, UK) MD (Frankfurt, Germany) MD (Beijing, China) Dr K.M. Chan, Dr Allan J. Ryan, Science: Dr Ron Maughan FRCS (Hong Kong) MD (Edina, Minnesota, USA) PhD (Aberdeen, UK) Dr David A. Cowan, Prof. N.C. Craig Sharp, BPharm, PhD, MRPharmS (London, UK) PhD (Limerick, Eire) Physiotherapy: Mr Julius Sim Dr Wendy N. Dodds, Prof. Roy J. Shephard, BA, MSc, MCSP BSc, MRCP (Bradford, UK) MD, PhD (Toronto, Canada) (Coventry, UK) Dr Adrianne Hardman, Prof. Harry Thomason, PhD (Loughborough, UK) MSc, PhD (Loughborough, UK) Mr Basil Helal, Prof. K. Tittel, MCh(Orth), FRCS (London, UK) MD (Leipzig, DDR) Statistical Consultants Dr G.P.H. Hermans, Dr Dan S. Tunstall Pedoe, Mr F.M. Holliday, MA, DLC, FSS MD, PhD, (Hilversum, Netherlands) MA, DPhil, FRCP (London, UK) (Loughborough, UK) Prof. Ludovit Komadel, Prof. Clyde Williams, Mr Simon Day, BSc (London, UK) MD (Bratislava, Czechoslovakia) PhD (Loughborough, UK) Prof. W.P. Morgan, Dr William F. Webb, EdD, (Madison, Wisconsin, USA) MB, BS (Sydney, Australia) Prof. Tim D. Noakes, MD, FACSM (Cape Town, South Africa) Regional Corresponding Editors Belgium: Prof. M. Ostyn, Groupement Latine: New Zealand: Dr Chris Milne, MD (Leuven) Dr Francisque Commandre, MB, ChB, DipSportsMed (Hamilton) Brazil: Prof. Eduardo H. DeRose, MD (Nice) Pakistan: Dr Nishat Mallick, MD (Porto Allegre) Hungary: Dr Robert Frenkl, FPMR, FACSM (Karachi) Bulgaria: Dr Virginia Michaelova, MD (Budapest) Spain: Dr J. J. Gonzalez Iturri, MD (Sofia) India: Dr D.P. Tripathi, MD (Pamplona) Caribbean: Dr Paul Wright, MB, BS, MCCP (Patna) Thailand: Dr Charoentasn Chintanaseri, LMSSA (Kingston, Jamaica) Indonesia: Dr Hario Tilarso, MD (Bangkok) Cote D'Ivoire: Prof. Constant Roux, MD Jakarta) Uganda: Dr James Sekajugo, MD (Abidjan) Malaysia: Dr Ronnie Yeo, MB, Dip.SportsMed. (Kampala) France: Dr Pierre Berteau, MB (Kuala Lumpur) USSR: Dr Sergei Mironov, MD (Rouen) Maroc: Dr Naima Amrani, MD (Moscow) MD (Rabat) The British Journal of Sports Medicine is an US mailing agents: Mercury Airfreight beyond that permitted by Sections 107 or 108 of international journal published quarterly in International Ltd, Inc., 2323 Randolph Avenue, the US Copyright Law. The appropriate fee March, June, September and December by Avenel, NJ 07001, USA. Second class postage should be forwarded, quoting the code number at Butterworth-Heinemann Ltd. paid at Rahway, NJ, USA. the end of this paragraph, to the Copyright Publishing, Editorial Production and Reprint US Postmaster Send address corrections to the Clearance Center, 21 Congress Street, Salem, MA Offices: Butterworth-Heinemann Ltd, Linacre British Journal of Sports Medicine c/o Mercury 01970, USA. This consent does not extend to House, Jordan Hill, Oxford OX2 8DP, UK Airfreight International Ltd., Inc., 2323 Randolph other kinds of copying, such as for general Telephone: +44 (0)865 310366. Facsimile: +44 Avenue, Avenel, NJ 07001, USA. distribution, resale, advertising and promotional (0)865 310898. Telex: 83111 BHPOXF G. Back For current and purposes, or for creating new collective works. issues: the 1992 volumes, Special written permission should be obtained these are Publisher: Charles Fry available from Turpin Distribution from Butterworth-Heinemann for such copying. Managing Editor: Sarah Graham-Campbell Services Ltd, at the address above. Complete For readers in other territories. Permission volumes or issues for years are Assistant Editor: Elizabeth Royall single earlier should be sought directly from Butterworth- Editorial Controller: Heather Walmsley available from Wm Dawson, Cannon House, Heinemann. Editorial Assistant: Alison Cherrie Folkestone CT19 5EE, UK Telephone: +44 (0)303 850101. Facsimile: +44 (0)303 850440. British Journal of Sports Medicine Address for submissions: see Notes for Authors. ISSN 0306-3674/93/$7.50 Subscription enquiries and orders in the UK and Advertising enquiries should be sent to Mark Butler, MTB Advertising, 11 Harts Gardens, Reprints: Readers who require copies of papers overseas should be sent to Turpin Distribution Services Ltd, Blackhorse Road, Letchworth, Herts Guildford GU2 6QA, UK Telephone: +44 (0)483 published in this journal may either purchase SG6 1HN, UK Telephone: +44 (0)462 672555. 578507. Facsimile: +44 (0)483 572678. reprints (minimum order 100) or obtain Facsimile: +44 (0)462 480947. Telex: 825372 Microfilm: A microfilm version of the British permission to copy from the publisher at the TURPIN G. North American orders should be Journal of Sports Medicine is available from following address: Butterworth-Heinemann Ltd, sent to Journals Fulfilment Department, 300 N. Linacre House, Jordan Hill, Oxford OX2 8DP, University Microfilms Inc., Zeeb Road, UK Butterworth-Heinemann, 80 Montvale Avenue, Ann Arbor, Ml 48106-1346, USA. Stoneham, MA 02180, USA. Telephone: + 1 (617) No page charges are levied by this journal. 438 8464. +1 Copyright: g) 1993 Butterworth-Heinemann Ltd. Facsimile: (617) 438 1479. Telex: All 880052. Please state clearly the title of the journal rights reserved. No part of this publication may be reproduced, stored in a retrieval system C) 1993 British Association of Sport and and the year of subscription. Medicine. or transmitted in any form by any means, Annual subscription (4 issues): UK and Europe electronic, mechanical photocopying, recording Office: Butterworth-Heinemann £88.00; rest of the world £92.00; private or Registered Ltd, otherwise, without the prior written 88 Kingsway, London WC2B 6AB, UK individuals certifying that copies are for their permission of Butterworth-Heinemann Ltd, or a personal use and not for their libraries, and that licence permitting restricted photocopying in the A member ofthe Reed Elsevier group copies are to be sent to their home address £37.00. United Kingdom issued by the Copyright 1E- Single copies: UK and Europe £26.40; rest of the Licensing Agency Ltd, 90 Tottenham Court Road, world £27.60. Prices include cost of postage and London, W1P 9HE, UK For readers in the USA. ISSN 0306-3674 packing. Copies sent to subscribers in This journal has been registered with the Australasia, Bangladesh, Canada, India, Japan, Copyright Clearance Center. Consent is given for Pakistan, Sri Lanka and USA are airspeeded for copying articles for personal or internal use, or for Composition by Genesis Typesetting, faster delivery at no extra cost. Airmail prices are the personal or internal use of specific clients. Laser Quay, Rochester, Kent. available on request. Payment must be made with This consent is given on the condition that the Printed by Cambridge University Press, order. copier pay the per-copy fee of $7.50 for copying Cambridge, UK Br J Sp Med 1993; 27(2) FIMS news International Federation of Sports Medicine The World Federation of Sports medicine at universities, and also ings, the significance of the discipline Medicine - some perspectives on with the legal problems. would be drastically reduced. its activities 6. To publish position statements on In common with other international aspects of sports medicine, e.g. the organizations such as UNO, UNESCO role of physical activity in preven- and WHO, FIMS shares the common Sports medicine as a science emerged tive health care, the benefits of weakness of lack of funding. The fees at the end of the 19th century in exercise, rehabilitation of athletes paid to FIMS by member countries are various European countries. In 1904 in and medical examination of ath- inadequate to meet our current de- Berlin, Mallwitz coined the phrase letes. mands, and as a direct consequence 'Sports Physician'. The International Some examples of the work done by insufficient information is being distri- Hygiene Exposition held in Dresden in the President of FIMS in 1992 include buted to members. However, we are 1911 was the stimulus for the first the following: tackling this problem, and in future official sports physicians congress ever will forward more information bulle- held, and took place in Oberhof, 20 March 1992: Inaugural paper and tins to national organizations. Distri- Germany in September 1912. At the welcome address of FIMS at the First bution will be the task of the national same time the first official federation Scientific Congress of the Asian Feder- institution. Nevertheless despite of sports physicians was founded. ation of Sports Medicine. financial constraints journals such as Finally FIMS was established in 1928 7 April 1992: Discussion with the World of FIMS and FIMS Journal were with 11 founder nations. Today FIMS Austrian Minister for Health in Vienna sent to all member nations in the past has a total of 90 member nations. concerning legislation for preventive few years. The most important tasks of FIMS medicine. Another problem faced by FIMS is are: 18 April 1992: FIMS Greeting at the representation at committee level. The opening ceremony of the First Sports Executive Committee is composed of 1. To uphold the interests of sports Medicine Centre of WHO in Tokyo, 14 nations, with four chairpersons of medicine and to cooperate with and introductory paper on preventive the Standing Commissions. When other similar international organi- medicine and exercise training. making a choice for representation we zations such as the World Health 24 April 1992: Introductory paper at must bear in mind that the whole Organization (WHO), the Inter- meeting of the Belgian Society of world must be represented. It is national Olympic Committee, the Sports Medicine in Brussels. impossible to select only international United Nations Educational, Scien- 5-10 May 1992: Participation in World scientists without due regard for the tific and Cultural Organization Consensus Congress on Physical Acti- necessity of representing the Third (UNESCO), the International Com- vity in Toronto, Canada. World. As far as possible we try to mittee of Sports Sciences and Phy- 14 July 1992: Malaga make a fair choice and combine all sical Education. cultural aspects on our representative 2.

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