Background: Childhood obesity is the result of a long lasting imbalance between energy intake and energy expenditure. A major contributing factor is physical inactivity which is closely linked to bone health, cardiovascular disease risk, fitness and psychological factors. The school seems to provide an excellent setting to enhance levels of physical activity (PA). However, there is insufficient data from previous school-based intervention trials on how to enhance overall PA. It is also unknown whether an intervention aimed at increasing PA is effective in improving the children's health. The purpose of this paper is to outline the design of a school-based randomized, controlled trial (RCT) aiming to increase overall PA and to improve fitness and health in 6-to 13-year-old children.
SCP rates were high and were associated with higher levels of most fitness components in children. Participation rates were lower for children of migrant families and children from inactive parents. In addition, the association between SCP and fitness components was not found in overweight children and in children from overweight parents and migrant families.
Cerebral sinus thrombosis (CST) can cause cerebral venous infarcts, frequently hemorrhagic. CST has many etiologies including otitis media, trauma, pregnancy, hypercoagulable states, and cancer. Systemic thrombosis is well recognized in cancer patients because of associated hypercoagulability, metastatic spread, and direct tumor infiltration and as a complication of chemotherapy. 1 Tamoxifen, a selective estrogen-receptor modulator, is the most common hormonal therapy in the treatment and prophylaxis of breast cancer. One of its known side effects is systemic thromboembolic events. 2 Recently, two reports have related tamoxifen to CST in absence of other risk factors. 3,4 To confirm this association, we report two patients receiving tamoxifen treatment who developed CST.
Incidence and clinical significance of hemidiaphragmatic paresis in patients undergoing carotid double-blind comparison between 0.75% ropivacaine and 2% mepivacaine for axillary brachial plexus anaesthesia.
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