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Could sport be part of pediatric obesity prevention and treatment? Expert conclusions from the 28th European Childhood Obesity Group Congress

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Journal of Sport and Health Science 2019年第4期8卷 350-352页

作者： Susanne Ring-Dimitriou Peter Krustrup Manuel J Coelho-E-Silva Jorge Mota Andera Seabra Carla Rego Artur Mazur elpis vlachopapadopoulou Margerita Caroli Marie-Laure Frelut Eva Erhardt Anders Forslund Ema Boyland Daniel Weghuber David Thivel Department of Sport Science and Kinesiology Paris Lo dron-UniversitySalzburg 5020Austria Paediatric Practice Albi 81000France Department of Paediatrics University of PecsPecs 7600Hungary Department of Women's and Children's Health Uppsala UniversityUppsala 74192Sweden Appetite&Obesity Research Group Department of Psychological SciencesUniversity of LiverpoolLiverpoolL69 7ZAUK Department of Pediatrics Obesity Research UnitParacelsus Medical UniversitySalzburg 5020Austria Laboratory of the Metabolic Adaptations to Exercise under Physiological and Pathological Conditions Auvergne Regional Center for Human NutritionClermont A uvergne UniversityClermont-Ferrand 63000France European Childhood Obesity Group(ECOG) Brussels 1000Belgium Department of Sports Science and Clinical Biomechanics SDU Sport and Health Sciences Cluster(SHSC)University of Southern DenmarkOdense 5000Denmark Faculty of Sport Sciences and Physical Education University of CoimbraCoimbra 3000Portugal Research Centre in Physical Activity Health and Leisure(CIAFEL)Faculty of SportUniversity of PortoPorto 4000Portugal Hospital Center for Research in Health Technologies and Information Systems(CINTESIS)Faculty of MedicineUniversity of PortoPorto 4000Portugal Pediatric Department Clinical Provincial Hospital No.2 in Rzesz6wFaculty of MedicineUniversity of RzeszowRzeszow 35-301Poland Department of Endocrinology Children's Hosp.P.&A.KyriakouAthens 10431Greece Paediatric Department Brindisi HospitalBrindisi 72100Italy

The prevalence of pediatric obesity continues to increase worldwide,bringing with it various metabolic,functional,social,and psychological complications.1 Both the prevention and treatment of childhood obesity must be based on multidisciplinary approaches combining nutrition,physical activity(PA),and psychological support.2 As an essential element of these multicomponent strategies,regular physical activity has been acknowledged as having beneficial effects on children's and adolescents,body composition,physical fitness,and metabolic profile,as well as on their health-related quality of life,social and psychological health,and academic achievement.3,4 Given that only a relatively small proportion of children and adolescents meet the public health recommendations for PA,5 and given that weight loss exercise-based interventions suffer from a high attrition rate,there is a clear need for appropriate PAs.

关键词： pediatric obesity prevention treatment 28th European Childhood Obesity Group Congress

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Correspondence

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World Journal of Pediatrics 2016年第1期12卷 122-123页

作者： elpis Mantadakis Department of Pediatrics Democritus University of Thrace Faculty of MedicineUniversity General Hospital of EvrosAlexandroupolisThraceGreece

Intravenous(IV)iron is rarely used as a therapeutic alternative to oral iron for the treatment of iron deficiency anemia(IDA)in children outside the context of chronic kidney *** study[1]and the above letter by Roganovic in this issue show that time has come to challenge the widespread belief that parenteral iron be avoided in children unless severe malabsorption or a life-threatening condition is present.

关键词： anemia kidney parenteral

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Role of third molars in orthodontics

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World Journal of Clinical Cases 2015年第2期3卷 132-140页

作者： Konstantinia Almpani Olga-elpis Kolokitha Forsyth Institute Department of Orthodontics Faculty of DentistrySchool of Health SciencesAristotle University

The role of third molars in the oral cavity has been extensively studied over the years. Literature includes numerous diagnostic and treatment alternatives regarding the third molars. However, an issue that has not been discussed at the same level is their involvement in orthodontic therapy. The aim of this study is to present a review of the contemporary literature regarding the most broadly discussed aspects of the multifactorial role of third molars in orthodontics and which are of general dental interest too.

关键词： Crowding Extraction Eruption Third molar Orthodontics Impaction

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Intravenous iron sucrose for children with iron deficiency anemia: a single institution study

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World Journal of Pediatrics 2016年第1期12卷 109-113页

作者： elpis Mantadakis Emmanouela Tsouvala Varvara Xanthopoulou Athanassios Chatzimichael Department of Pediatrics Democritus University of Thrace Faculty of Medicine and University General Hospital of EvrosAlexandroupolisThraceGreece

Background:Intravenous iron sucrose is not recommended by its manufacturers for use in children despite extensive safety and effi cacy data in ***:We reviewed the experience of our department between January,2011 and February,2014 with the use of intravenous iron sucrose in children≤14 years of age who failed in oral iron therapy for iron defi ciency anemia(IDA).Results:Twelve children(6 females)aged 1.2-14 years(median age 8.9 years)received at least one dose of intravenous iron *** patients had IDA inadequately treated or non-responsive to oral iron *** patient received therapy for blood transfusion avoidance and one for presumed iron refractory iron deficiency anemia(IRIDA).Iron sucrose infusions were given on alternate days up to three times per *** number of infusions per patient ranged from 2 to 6(median,3),the individual doses from 100 mg to 200 mg(median,200 mg),and the total doses from 200 mg to 1200 mg(median,400 mg).Iron sucrose was effective in raising the hemoglobin concentration to normal in all patients with IDA,i.e.,from 7.6±2.38 g/dL to 12.4±0.64 g/dL,within 31-42 days after the fi rst *** single patient with IRIDA demonstrated a 1.8 g/dL *** site disorders in three cases and transient taste perversion in one case were the only side ***:Intravenous iron sucrose appears to be safe and very effective in children with IDA who do not respond or cannot tolerate oral iron therapy.

关键词： adverse effects iron deficiency iron sucrose parenteral iron

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Chronic obstructive pulmonary disease in adults with human immunodeficiency virus infection: a systematic review

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Health 2011年第4期3卷 218-227页

作者： elpis Giantsou Duncan Powrie 不详

Objective: To determine the prevalence of chro- nic obstructive pulmonary disease (COPD) in adults with Human Immunodeficiency virus infection (HIV). Design: Systematic review of Medline, Embase, CINAHL, PsycINFO and references from identified papers. Study selection: Studies determining the prevalence of COPD in adults with HIV infection. Independent duplicate data extraction. Study quality was assessed in terms of whether consecutive patients were en- rolled, recruitment and follow-up periods were defined, 60% males, 60% on antiretroviral therapy. COPD was diagnosed by post-bronchodilator FEV1/FVC < 0.7 in three studies, by International Classification of Diseases (ICD-9) codes in three studies, by FEV1/FVC < 5% of lower adjusted normal in one and by pre- bronchodilator FEV1/FVC < 0.7 in another study. The prevalence was 10% - 35%, except for one study that recorded prevalence of 4% by postbronchodilator FEV1/FVC < 0.7, but <38% of patients with prebronchodilator FEV1/FVC < 0.7 had post-bronchodilator spirometry in that study. Conclusion: COPD is becoming increasingly common in HIV infected as they smoke and live longer due to efficient antiretrovirals. However, definite conclusions cannot be drawn and more longitudinal studies are needed. In the meantime health care providers should be vigilant to screen for undiagnosed COPD and hesitant to attribute respiratory symptoms solely to HIV infection.

关键词： HIV COPD Systematic Review

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Blindly inserted nasogastric feeding tubes and thoracic complications in intensive care

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Health 2010年第10期2卷 1135-1141页

作者： elpis Giantsou Kevin J. Gunning John V. Farman Intensive Care Unit Addenbrooke’s Hospital Cambridge University Hospitals NHS Trust England UK

Purpose of review: This article reviews the thoracic complications from malpositioned blindly inserted nasogastric feeding tubes in mechanically ventilated patients in intensive care and the methods to check the position and promote safe placement of the feeding tubes. Recent findings: Malpositioned feeding tubes are not included in risk management databases. The reported incidence is 1-3% and more than half occur in mechanically ventilated patients. Eighty three mechanically ventilated patients were reported with malpositioned nasogastric tubes and 66% of them developed serious thoracic complications. Pneumothoraces accounted for 80% of thoracic complications that were evenly distributed between tubes with and without stylet. Repeated misplacements appear to increase the risk. Non-radiological confirmation of the position of the tube has suboptimal performance. Protocols to place feeding tubes and new technology are promising candidates. Summary: Malpositioned nasogastric feeding tubes are underreported and associated with serious thoracic complications in mechanically ventilated patients. We need more data to answer whether we can afford to prevent them.

关键词： Malpositioned Nasogastric Feeding Tube Thoracic Complications and Mechanical Ventilation

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Pseudomonas aeruginosa ventilator associated pneumonia: improved outcomes with earlier follow-up

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Health 2010年第2期2卷 82-89页

作者： elpis Giantsou Nikolaos Liratzopoulos Eleni Efraimidou Konstantinos I. Manolas J. Duncan Young 不详

It is not clear what is the appropriate timing to follow-up patients with ventilator-associated pneumonia (VAP) and Clinical Pulmonary Infe- ction Score >6 between days 3-5 of an appro- priate antibiotic treatment. We studied 122 patients with Pseudomonas aeruginosa VAP. A follow-up respiratory sample was collected on days three or five ( “day-three” and “day-five” group ) and treatment was modified 48h later. Molecular typing identified super-infections or persistence. For serial data another respiratory sample was collected, on day three from the “day-five” group and on day five from the “day-three” group. Sixty patients, in the “day- three” group compared to 62 in the “day-five” group, had reduced fourteen-day mortality ( 18.3% and 38.7%;p=0.01 ) and fewer days in intensive care unit (17.2 ± 4.3 compared to 27.3 ± 4.7, p6, improved fourteen-day mortality and shorter duration of stay in health-care facilities were observed with earlier follow-up.

关键词： Ventilator-Associated Pneumonia Clinical Pulmonary Infection Score Pseudomonas Aeruginosa

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