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Vólos, Greece

Papandreou D.,Aristotle University of Thessaloniki | Malindretos P.,General Hospital of Volos | Rousso I.,Aristotle University of Thessaloniki
Public Health Nutrition | Year: 2010

Objective Obesity in children is a serious public health issue in Greece. The purpose of the current study was to identify risk factors such as birth weight, breast-feeding, dietary patterns, family history of obesity and sedentary behaviours that are possibly associated with paediatric obesity.Design Two hundred and five overweight and obese children (OW/OB; group 1) aged 7-15 years from eight primary and secondary schools and a control group (group 2) of normal-weight children were matched for age and sex. Overweight and obesity were calculated based on the International Obesity Taskforce criteria. Lifestyle parameters as well as anthropometric data were collected in all children. Conditional logistic regression analysis was used to identify risk factors for obesity.Results Breast-feeding (3 months) and leisure-time physical activity proved to be protector factors against obesity (OR = 021, 95 % CI 011, 079, P < 0001 and OR = 087, 95 % CI 085, 089, P < 0001 respectively). On the other hand, family history of obesity (OR = 379, 95 % CI 261, 418, P < 0001), sugar-sweetened beverage consumption (OR = 177, 95 % CI 103, 276, P < 0001) and watching television (OR = 199, 95 % CI 154, 276, P = 004) were found to be positively associated with a higher obesity risk.Conclusions The current findings support the literature according to which duration of breast-feeding (<3 months), a family history of obesity, watching television, sedentary lifestyle and consumption of sugar-sweetened beverages are important risk factors for childhood obesity. More studies are needed to elucidate the relationship of paediatric obesity and possible predictor factors in order to avoid health consequences in these children later on in life. © 2010 The Authors. Source

Gkouva L.,University of Ioannina | Andrikoula M.,University of Ioannina | Kontogeorgakos V.,General Hospital of Volos | Papachristou D.J.,University of Patras | And 2 more authors.
Clinical Rheumatology | Year: 2011

Paget's disease of bone is a focal skeletal disorder characterized by the formation of structurally abnormal bone, skeletal deformities, and other complications leading to bone pain and significant disability. It can involve one or more areas in a single bone (monostotic) or multiple bones (polyostotic). Most of the time the disease is asymptomatic and the diagnosis is made incidentally by increased levels of bone metabolism markers, especially alkaline phosphatase and is confirmed by specific findings in radiographs and radionuclide bone scan. In this report, we describe the case of a 65-year-old female with clinical and radiological findings of active Paget's disease of bone, but with absence of abnormal biochemical markers. The patient was given a dose of 5 mg zoledronic acid intravenously with significant clinical improvement within the next 6 months. The present case not only shows that Paget's disease of bone can occur in the setting of normal markers of bone metabolism but also that, in such cases, the response to treatment can be monitored by improvement in the clinical picture or by correct evaluation of the imaging findings. © Clinical Rheumatology 2010. Source

Kourbeti I.S.,General Hospital of Chalkida | Vakis A.F.,University Hospital of Heraklion | Ziakas P.,Brown University | Karabetsos D.,University Hospital of Heraklion | And 3 more authors.
Journal of Neurosurgery | Year: 2015

Object The authors performed a prospective study to define the prevalence and microbiological characteristics of infections in patients undergoing craniotomy and to clarify the risk factors for post-craniotomy meningitis. Methods Patients older than 18 years who underwent nonstereotactic craniotomies between January 2006 and December 2008 were included. Demographic, clinical, laboratory, and microbiological data were systemically recorded. Patient characteristics, craniotomy type, and pre- and postoperative variables were evaluated as risk factors for meningitis Results Three hundred thirty-four procedures were analyzed (65.6% involving male patients). Traumatic brain injury was the most common reason for craniotomy. Almost 40% of the patients developed at least 1 infection. Ventilatorassociated pneumonia (VAP) was the most common infection recorded (22.5%) and Acinetobacter spp. were isolated in 44% of the cases. Meningitis was encountered in 16 procedures (4.8%), and CSF cultures were positive for microbial growth in 100% of these cases. Gram-negative pathogens (Acinetobacter spp., Klebsiella spp., Pseudomonas aeruginosa, Enterobacter cloaceae, Proteus mirabilis) represented 88% of the pathogens. Acinetobacter and Klebsiella spp. demonstrated a high percentage of resistance in several antibiotic classes. In multivariate analysis, the risk for meningitis was independently associated with perioperative steroid use (OR 11.55, p = 0.005), CSF leak (OR 48.03, p < 0.001), and ventricular drainage (OR 70.52, p < 0.001). Con clusion s Device-related postoperative communication between the CSF and the environment, CSF leak, and perioperative steroid use were defined as risk factors for meningitis in this study. Ventilator-associated pneumonia was the most common infection overall. The offending pathogens presented a high level of resistance to several antibiotics. © AANS, 2015. Source

Papandreou D.,Zayed University | Causapin M.,Zayed University | Tul-Noor Z.,Zayed University | Malindretos P.,General Hospital of Volos
Current Nutrition and Food Science | Year: 2016

Purpose: The prevalence of obesity in United Arab Emirates (UAE) has reached alarming rates during the last decade. Neck Circumference (NC) is a simple measure that can identify obesity levels. However, no studies in UAE so far have studied the connection of NC with other anthropometric measurements. The aim of this study was to determine the relationship between NC and obesity. Methods: Two hundred and forty-three female students participated in the study. Anthropometric data was also collected from all subjects. The study was approved by the ethical committee of the university and a consent form was signed by all participating subjects. Results: Based on under the area curve (AUC), obesity was defined with NC >31.25cm. Pearson correlation analysis showed a significantly moderate relationship between obesity and BMI (r=0.454, P<0.001), obesity and Body Fat (BF) (r=0.429, P<0.001) and obesity and waist circumference (WC) (r=0.365, P<0.001). In multiple regression analysis, BMI (Beta: 2.348, 95% CI:1.01, 3.512, P<0.011) and TBF% (1.291, 95% CI:1.04,1.381, P<0.030) were found independently associated with NC for obesity. Conclusion: NC is a potential tool for measuring obesity. A value of NC >31 cm may be used as a cut off level for determining obesity in female college students. TBF and BMI were also independently associated with NC. © 2016 Bentham Science Publishers. Source

Kontogeorgakos V.,University Hospital of Thessalia | Koutalos A.,University Hospital of Thessalia | Hantes M.,University Hospital of Thessalia | Manoudis G.,General Hospital of Volos | And 2 more authors.
Knee Surgery, Sports Traumatology, Arthroscopy | Year: 2013

A novel technique for managing ruptured tibialis anterior tendon complicated by infection and tendon substance loss in a young adult is described. A two-stage reconstruction technique with a silicon tube and tendon autograft was performed. At first, after local control of the infection, scar excision and placement of a silicone tube was performed. Ten weeks later, ipsilateral hamstrings tendons were harvested and bridged the 7 cm tendon gap. Eighteen months later, the patient has excellent clinical and functional outcome. © 2013 Springer-Verlag Berlin Heidelberg. Source

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