Let the Games Begin

Artiklen har fokus på lovgningsprocesserne af den tidligere og nuværende eliteidrætslov, i perioderne 1979-1984 og 2002-2004. Evald Iversen and Lasse Taagaard Jensen: Let the Games Begin – the elite sports laws of 1984 and 2002This article tries to develop an understanding of the interplay between the Danish Government (i.e. the Ministry of Culture) and the interest organisations within the area of elite sports. The central argument is that close cooperation exists between the actors in the field. The Government as well as the interest organisations possess resources that are interesting seen from their counterparts perspective. On the basis of the first elite sports law the elite sports organisation »Team Danmark« was created in 1984. Its success and the contentment from athletes at the elite level meant that Team Danmark was difficult to ignore when a second elite sport law was in the making in 2004. The organisation had marked itself as a new player in field of elite sports. The Minister of Culture and the Chairman of the National Olympic Committee and Sports Confederation of Denmark (Danmarks Idræts Forbund) had a firm association during the process which led to the newest legislation in 2004 – but eventually they could not control the legislation process. This was partly due to the other players involved and partly to these partners cooperation with the media. In the end this meant that the 2004 process became fragmented with several actors involved – even though the interplay between the state and the sports organisations continued to be intertwined with relatively few actors involved

Let the Games Begin

Artiklen har fokus på lovgningsprocesserne af den tidligere og nuværende eliteidrætslov, i perioderne 1979-1984 og 2002-2004.    Evald Iversen and Lasse Taagaard Jensen: Let the Games Begin – the elite sports laws of 1984 and 2002 This article tries to develop an understanding of the interplay between the Danish Government (i.e. the Ministry of Culture) and the interest organisations within the area of elite sports. The central argument is that close cooperation exists between the actors in the field. The Government as well as the interest organisations possess resources that are interesting seen from their counterparts perspective. On the basis of the first elite sports law the elite sports organisation »Team Danmark« was created in 1984. Its success and the contentment from athletes at the elite level meant that Team Danmark was difficult to ignore when a second elite sport law was in the making in 2004. The organisation had marked itself as a new player in field of elite sports. The Minister of Culture and the Chairman of the National Olympic Committee and Sports Confederation of Denmark (Danmarks Idræts Forbund) had a firm association during the process which led to the newest legislation in 2004 – but eventually they could not control the legislation process. This was partly due to the other players involved and partly to these partners cooperation with the media. In the end this meant that the 2004 process became fragmented with several actors involved – even though the interplay between the state and the sports organisations continued to be intertwined with relatively few actors involved

Diagnostic performance of an acoustic-based system for coronary artery disease risk stratification

ObjectiveDiagnosing coronary artery disease (CAD) continues to require substantial healthcare resources. Acoustic analysis of transcutaneous heart sounds of cardiac movement and intracoronary turbulence due to obstructive coronary disease could potentially change this. The aim of this study was thus to test the diagnostic accuracy of a new portable acoustic device for detection of CAD.MethodsWe included 1675 patients consecutively with low to intermediate likelihood of CAD who had been referred for cardiac CT angiography. If significant obstruction was suspected in any coronary segment, patients were referred to invasive angiography and fractional flow reserve (FFR) assessment. Heart sound analysis was performed in all patients. A predefined acoustic CAD-score algorithm was evaluated; subsequently, we developed and validated an updated CAD-score algorithm that included both acoustic features and clinical risk factors. Low risk is indicated by a CAD-score value ≤20.ResultsHaemodynamically significant CAD assessed from FFR was present in 145 (10.0%) patients. In the entire cohort, the predefined CAD-score had a sensitivity of 63% and a specificity of 44%. In total, 50% had an updated CAD-score value ≤20. At this cut-off, sensitivity was 81% (95% CI 73% to 87%), specificity 53% (95% CI 50% to 56%), positive predictive value 16% (95% CI 13% to 18%) and negative predictive value 96% (95% CI 95% to 98%) for diagnosing haemodynamically significant CAD.ConclusionSound-based detection of CAD enables risk stratification superior to clinical risk scores. With a negative predictive value of 96%, this new acoustic rule-out system could potentially supplement clinical assessment to guide decisions on the need for further diagnostic investigation.Trial registration numberClinicalTrials.gov identifier NCT02264717; Results.</jats:sec