{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T21:38:16Z","timestamp":1792791496433,"version":"4.5.0"},"reference-count":5,"publisher":"MDPI AG","issue":"6","license":[{"start":{"date-parts":[[2019,3,23]],"date-time":"2019-03-23T00:00:00Z","timestamp":1553299200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>This letter to the editor is in response to \u201cDangers of Mixed Martial Arts in the Development of Chronic Traumatic Encephalopathy\u201d by authors Lim, Ho, and Ho, which was published in the International Journal of Environmental Research and Public Health (2019; 16: 254). This communication clarifies some potentially misleading word choices by the authors and addresses the insinuated, but not established, link between repeated transient choking episodes during martial arts training and a gradual decline in neuropsychiatric testing in the patient presented in the report.<\/jats:p>","DOI":"10.3390\/ijerph16061059","type":"journal-article","created":{"date-parts":[[2019,3,25]],"date-time":"2019-03-25T06:56:52Z","timestamp":1553497012000},"page":"1059","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["No Established Link between Repeated Transient Chokes and Chronic Traumatic Encephalopathy Related Effects. Comment on Lim, L.J.H. et al. Dangers of Mixed Martial Arts in the Development of Chronic Traumatic Encephalopathy. Int. J. Environ. Res. Public Health 2019, 16, 254"],"prefix":"10.3390","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2378-5280","authenticated-orcid":false,"given":"Samuel J.","family":"Stellpflug","sequence":"first","affiliation":[{"name":"Regions Hospital Department of Emergency Medicine, 640 Jackson St., Saint Paul, MN 55101, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2019,3,23]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"396","DOI":"10.1152\/japplphysiol.00592.2011","article-title":"Mechanism of LOC during vascular neck restraint","volume":"11","author":"Mitchell","year":"2012","journal-title":"J. Appl. Physiol."},{"key":"ref_2","first-page":"1","article-title":"Physiological Studies on \u201cChoking\u201d in Judo: Part I, Studies in General","volume":"Part 1","author":"Ikai","year":"1958","journal-title":"Bull. Assoc. Sci. Stud. Kodokan Judo"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1097\/00000433-198209000-00002","article-title":"Changes in carotid blood-flow produced by neck compression","volume":"3","author":"Reay","year":"1982","journal-title":"Am. J. Forensic Med. Pathol."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1371\/journal.pone.0048245","article-title":"Influence of Acute Jugular Vein Compression on the Cerebral Blood Flow Velocity, Pial Artery Pulsation and Width of Subarachnoid Space in Humans","volume":"7","author":"Frydrychowski","year":"2012","journal-title":"PLoS ONE"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"510","DOI":"10.1001\/archneurpsyc.1943.02290230022002","article-title":"Acute arrest of cerebral circulation in man","volume":"50","author":"Rossen","year":"1943","journal-title":"Arch. Neurol. Psychiatry"}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/16\/6\/1059\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T12:40:14Z","timestamp":1760186414000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/16\/6\/1059"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,3,23]]},"references-count":5,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2019,3]]}},"alternative-id":["ijerph16061059"],"URL":"https:\/\/doi.org\/10.3390\/ijerph16061059","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,3,23]]}}}