The American journal of medicine
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In the academic professions, publications are essential for high-stakes decisions about employment, recognition, and promotion. Therefore, impartial frameworks are needed for evaluating the rigor of scholarly physicians' bibliographies. ⋯ Key threats to the fair assessment of physicians' bibliographies include disparities regarding underrepresentation and professional opportunities, not recognizing the successes of disadvantaged authors, and exploiting publications to gain favor and abuse positions of power. Unbiased criteria for evaluating bibliographies mitigate these threats to fair assessment.
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Sudden deaths (SDs) in young people, including competitive athletes, albeit uncommon, are usually attributable to genetic, congenital or acquired cardiovascular conditions. However, it is under-appreciated that mitral valve prolapse (MVP), a relatively common valvular heart disease, is associated with SD in this youthful population. ⋯ Arrhythmogenic myxomatous degeneration (MVP) is an under-recognized cause of SD in young people, including competitive athletes, disproportionally affecting females and requires a high index of clinical suspicion. Frequency of left ventricular fibrosis in these young people with MVP suggests a mechanism for ventricular tachyarrhythmias and SD, relevant to future risk stratification.