Dietary Intakes and Nutritional Status of a Greek Team of Female Volleyball Players

Aim: The purpose of this study was to assess the dietary intakes and nutritional status of a nationally ranked team of female volleyball players. Methods: The subjects completed a general history questionnaire and 7-day food and physical activity records. Anthropometric measurements included height, weight, triceps and subscapular skinfolds and mid-upper-arm circumference. Biochemical assessment included parameters for protein, lipid, and iron status. Results: All subjects had normal menstrual cycles and body fat values (27 %) at levels higher than for optimum performance. Most were in negative energy balance and had low energy (30 kcal/kg/d), carbohydrate (3.8 g/kg/d) and protein (1.0 g/kg/d) intakes. Fat intakes were high (39 %) and micronutrient intakes were below recommended levels, except for vitamin C, vitamin B12 and niacin. Biochemical indices were normal except for iron and lipid status of some players. Conclusion: These results indicate that the players of this team have dietary intakes that place them at risk for nutritional shortages and compromised performance; they need professional counseling regarding nutrition practices for optimum health and performance

Real-time monitoring shows substantial excess all-cause mortality during second wave of COVID-19 in Europe, October to December 2020.

The European monitoring of excess mortality for public health action (EuroMOMO) network monitors weekly excess all-cause mortality in 27 European countries or subnational areas. During the first wave of the coronavirus disease (COVID-19) pandemic in Europe in spring 2020, several countries experienced extraordinarily high levels of excess mortality. Europe is currently seeing another upsurge in COVID-19 cases, and EuroMOMO is again witnessing a substantial excess all-cause mortality attributable to COVID-19.Funding statement: The EuroMOMO network hub at Statens Serum Institut receives funding from European Centre for Disease Prevention and Control, Solna, Sweden, through a framework contract 2017-2020.S

Παθήσεις Χοληφόρων και Εγκυμοσύνη

Παθογένεση, παθοφυσιολογία, παρουσίαση, διάγνωση και θεραπεία των κυριότερων παθήσεων των χοληφόρων στην κύηση.Pathogenesis, pathophysiology, presentation, diagnosis and treatment of gallbladder disease in pregnancy

Mixed Large Cell Neuroendocrine Carcinoma of the Ovary: Report of a Rare Case

LCNC (large cell neuroendocrine carcinomas) of the ovary is a rare aggressive tumor entity of the genital tract. Its pathogenesis, origin, and prognosis have not been fully elucidated, since there are a limited number of cases reported in literature. We report a case of an 80-year-old patient, who presented with a growing abdominal mass, which turned out to be a mixed LCNC/epithelial neoplasm. Although this type of tumor is rare, the continuous development of pathologoanatomy and immunohistochemistry contributes to our better knowledge and comprehension of these neoplasms

Validation of the new Swedish vaccination register – Accuracy and completeness of register data

Objective: The aims of this study are to validate infant vaccination data in the Swedish Vaccination Register (SVR) to the Swedish administrative coverage reports, and to assess differences in register-based vaccination coverage estimates between providers using different data reporting methods. Methods: The study population included all infants born in Sweden with a Swedish Personal Identity Number during 2014 and 2015 (n = 230,220). Data on all National Immunisation Programme vaccinations administered before 24 months of age were collected from the SVR and from administrative coverage reports. Information regarding data registration methods in the SVR were collected from national and regional authorities. Coverage from health care providers using single registration methods, where vaccination data were transferred automatically from the electronic health care record to the SVR, was compared to that from providers using double registration methods where data had to be added into the SVR in a separate process. Results: For 98,4% of the study population at least one vaccination was recorded in the SVR. The coverage of 3-dose DTP-containing (87,1%) and 1 dose MMR (91,1%) in the register did not reach administrative data coverage (97,4% for 3-dose DTP-containing and 97,0% for MMR). Single registration procedures yielded significantly higher coverage than double registration procedures (92,24% vs 87,10%, p < 0,0001). A regional switch from double to single registration increased coverage from 80,0 to 95,2%. Conclusions: The SVR is a valuable data source for vaccination coverage monitoring. For research purposes, the SVR provides valuable data, since every health care provider is obliged to register all vaccine doses given within the national immunisation program. The SVR shows a high completeness validated by comparison to a very well-functioning administrative data system. Single-registration procedures give more complete data and should be supported by health systems while creating health care registers

Colouterine and Jejunouterine Fistula Secondary to Chronic Diverticulitis

Fistulae between the colon or the small intestine and the uterus are extremely rare as the uterus is a thick, muscular organ. Here, we present the case of a 74-year-old female presenting to our surgical department because of fecal vaginal discharge for the past few months, which proved to be caused by a combined colouterine and jejunouterine fistula due to chronic diverticulitis. Total abdominal hysterectomy with bilateral oophorectomy with en bloc resection of part of the jejunum and the sigmoid colon and primary anastomoses were performed. This case represents an unusual type of diverticulitis complication and aims to point out the diagnostic and therapeutic issues of such a rare medical condition

Evaluation of an Internet-Based Monitoring System for Influenza-Like Illness in Sweden

<div><p>To complement traditional influenza surveillance with data on disease occurrence not only among care-seeking individuals, the Swedish Institute for Communicable Disease Control (SMI) has tested an Internet-based monitoring system (IMS) with self-recruited volunteers submitting weekly on-line reports about their health in the preceding week, upon weekly reminders. We evaluated IMS acceptability and to which extent participants represented the Swedish population. We also studied the agreement of data on influenza-like illness (ILI) occurrence from IMS with data from a previously evaluated population-based system (PBS) with an actively recruited random sample of the population who spontaneously report disease onsets in real-time via telephone/Internet, and with traditional general practitioner based sentinel and virological influenza surveillance, in the 2011–2012 and 2012–2013 influenza seasons. We assessed acceptability by calculating the participation proportion in an invited IMS-sample and the weekly reporting proportion of enrolled self-recruited IMS participants. We compared distributions of socio-demographic indicators of self-recruited IMS participants to the general Swedish population using chi-square tests. Finally, we assessed the agreement of weekly incidence proportions (%) of ILI in IMS and PBS with cross-correlation analyses. Among 2,511 invited persons, 166 (6.6%) agreed to participate in the IMS. In each season, 2,552 and 2,486 self-recruited persons participated in the IMS respectively. The weekly reporting proportion among self-recruited participants decreased from 87% to 23% (2011–2012) and 82% to 45% (2012–2013). Women, highly educated, and middle-aged persons were overrepresented among self-recruited IMS participants (p<0.01). IMS (invited and self-recruited) and PBS weekly incidence proportions correlated strongest when no lags were applied (r = 0.71 and r = 0.69, p<0.05). This evaluation revealed socio-demographic misrepresentation and limited compliance among the self-recruited IMS participants. Yet, IMS offered a reasonable representation of the temporal ILI pattern in the community overall during the 2011–2012 and 2012–2013 influenza seasons and could be a simple tool for collecting community-based ILI data.</p></div

Distribution of socio-demographic characteristics among self-recruited and invited IMS participants during the 2011–2012 and 2012–2013 influenza seasons and the corresponding distribution of the general Swedish population 2011 and 2012.

<p>*Chi square goodness of fit test participants vs. Swedish population.</p><p>**Participants who contributed with at least one <i>active</i> report. For definition of active reports, see Methods section.</p><p>***Among participants 16–95+ year old.</p><p>****Including children in age group 0–15 yrs.</p

Epidemic curves 2011–2012 and 2012–2013.

<p>The upper graph shows the smoothed weekly ILI incidence proportions generated by IMS and PBS (corrected for estimated demographic misrepresentation <a href="http://www.plosone.org/article/info:doi/10.1371/journal.pone.0096740#pone.0096740-Bexelius1" target="_blank">[4]</a> and underreporting <a href="http://www.plosone.org/article/info:doi/10.1371/journal.pone.0096740#pone.0096740-Merk1" target="_blank">[5]</a>) and number of laboratory confirmed influenza cases, Stockholm 2011–2012. The lower graph shows the smoothed weekly ILI incidence proportions generated by IMS (based on self-recruited and invited participants) and PBS (corrected for estimated demographic misrepresentation <a href="http://www.plosone.org/article/info:doi/10.1371/journal.pone.0096740#pone.0096740-Bexelius1" target="_blank">[4]</a> and underreporting <a href="http://www.plosone.org/article/info:doi/10.1371/journal.pone.0096740#pone.0096740-Merk1" target="_blank">[5]</a>), number of laboratory confirmed influenza cases, and ILI per 1,000,000 listed patients in GP-sentinel reports, Sweden 2012–2013.</p