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1

Karlsson, Elin, Marie Alricsson, and Anna Melin. "Symptoms of eating disorders and low energy availability in recreational active female runners." BMJ Open Sport & Exercise Medicine 9, no. 3 (July 2023): e001623. http://dx.doi.org/10.1136/bmjsem-2023-001623.

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ObjectivesThis retrospective, cross-sectional study aimed to investigate symptoms of eating disorders (EDs) and low energy availability (LEA) among recreational female runners.MethodsFemales (18–39 years) (n=89) participating in running group sessions organised by running clubs and companies were recruited via social media and completed an anonymous online survey compromising the Eating Disorder Examination Questionnaire (EDE-Q) and Low Energy Availability in Females Questionnaire (LEAF-Q). An EDE-Q global score ≥2.3 and a LEAF-Q total score ≥8 (in combination with an injury score≥2 and/or menstruation dysfunction score≥4) were used to categorise subjects as having symptoms of EDs and LEA, respectively.ResultsAmong the subjects fulfilling the age criteria (n=85), 18% (n=15) had symptoms of EDs and 19% (n=16) had symptoms of LEA. Of those with symptoms of EDs, 13% (n=2) had concomitant symptoms of LEA. The higher the EDE-Q dietary restraint score, the higher the gastrointestinal problem score (r=0.23, p=0.04), otherwise no other associations were found between EDE-Q global or subscale scores and LEAF-Q scores.ConclusionOur results indicate that symptoms of EDs and LEA are frequent among adult females at all athletic levels, including the recreational level. Hence, to prevent the negative health consequences of EDs and LEA, preventative initiatives are also needed in recreational running communities.
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Müller, Astrid, Laurence Claes, Dirk Smits, Olaf Gefeller, Anja Hilbert, Antonia Herberg, Verena Müller, Dirk Hofmeister, and Martina de Zwaan. "Validation of the German Version of the Exercise Dependence Scale." European Journal of Psychological Assessment 29, no. 3 (July 1, 2013): 213–19. http://dx.doi.org/10.1027/1015-5759/a000144.

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This study evaluated the psychometric properties of the German version of the 21-item Exercise Dependence Scale (EDS-G), which was administered in a large representative German sample (N = 1,611). In order to examine convergent validity, we also asked participants to answer the Eating Disorder Examination-Questionnaire (EDE-Q). To investigate the discriminant validity, clients of fitness centers (N = 129), sport students (N = 85), and medical students (N = 129) filled out the EDS-G. In this German population-based sample, the seven-factor structure suggested by the original authors as well as a higher-order model (7 + 1 factor model) were supported. The total EDS-G scale showed an excellent internal reliability and was positively related to the EDE-Q total and subscale scores. The EDS-G scores differentiated between samples with varying degrees of exercise. In summary, the results indicate that the EDS-G is a psychometrically sound and potentially valid brief measure for the assessment of exercise dependence symptoms.
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Shih, Ming-Kuei, You-Lin Tain, Chiu-Min Cheng, Chien-Ning Hsu, Yu-Wei Chen, Hung-Tse Huang, Chi-I. Chang, and Chih-Yao Hou. "Separation and Identification of Resveratrol Butyrate Ester Complexes and Their Bioactivity in HepG2 Cell Models." International Journal of Molecular Sciences 22, no. 24 (December 17, 2021): 13539. http://dx.doi.org/10.3390/ijms222413539.

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Resveratrol butyrate ester (RBE) complexes have demonstrated higher antioxidant capacity and anti-fat accumulation activity in previous studies. In this study, silica gel, high-performance liquid chromatography, and 1H nuclear magnetic resonance were used for separation and identification of RBE complex components. With the exception of resveratrol, five different structures of ester derivatives were separated from silica gel: 3,4′-di-O-butanoylresveratrol (ED2, 18.8%), 3-O-butanoylresveratrol (ED4, 35.7%), 4′-O-butanoylresveratrol (ED5, 4.4%), 3,5,4′-tri-O-butanoylresveratrol (ED6, 1.5%), and 3,5-di-O-butanoylresveratrol (ED7, 0.7%). Among the ester derivatives obtained, ED2 and ED4 were the main ester derivatives in the RBE complex. Thus, the cellular antioxidant activities of the RBE mixture, ED2, and ED4 were evaluated. Results showed that the antioxidant capacity of ED2 and ED4 was higher than that of the RBE mixture, demonstrating that the number and position of butyrate esterification sites are related to cell survival rate and antioxidant capacity. This study is the first to report the successful isolation, structural identification, and cellular biological antioxidant activity of RBE complex derivatives, which are key characteristics for the potential practical application of RBE complexes.
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Aldubayan, Khalid, Khloud Ghafouri, Hiba Mutwalli, Hebah A. Kutbi, and Walaa A. Mumena. "Validity and Consistency of the Arabic Version of the Eating Disorder Examination Questionnaire (EDE-Q) among Saudi Adults." Healthcare 11, no. 7 (April 6, 2023): 1052. http://dx.doi.org/10.3390/healthcare11071052.

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The prevalence of eating disorders (EDs) is growing, and early screening is important to prevent related health complications. The Eating Disorder Examination Questionnaire (EDE-Q) has been widely used as a diagnostic tool to identify cases of EDs; however, a validated Arabic version of the tool is needed to help in the screening process of EDs. The aim of this study was to validate the Arabic version of EDE-Q. A cross-sectional study included a sample of 549 adults, who were recruited mainly from the four major provinces in Saudi Arabia. A forward–backward translation method was conducted, and then the tool was validated using the confirmatory factor analysis (CFA). The dataset was split for further convergent analysis using exploratory factor analysis (EFA) and CFA. The results of CFA from the main dataset did not support the four-factor original EDE-Q. The results of EFA from the first data-split suggested a three-factor EDE-Q-14 Arabic version. This was supported by the results of CFA of the second data-split. A total of five items were allocated in each shape and weight concern, and restraint component, with correlations ranging from 0.969 and 0.462 and from 0.847 to 0.437, respectively. A total of four items were allocated in eating concern, with correlations ranging from 0.748 to 0.556. The internal consistency of the global and the three subscales were high, with Cronbach’s α ranging from 0.762 to 0.900. Findings of the current study suggest that the Arabic version of the EDE-Q-14 is a valid and reliable tool to screen for EDs among adults in Saudi Arabia.
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Abdelsamad, Yassin, Muhammad Rushdi, and Bassel Tawfik. "Functional and Spatial Design of Emergency Departments Using Quality Function Deployment." Journal of Healthcare Engineering 2018 (November 14, 2018): 1–7. http://dx.doi.org/10.1155/2018/9281396.

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Inadequate design of emergency departments (EDs) is a major cause of crowding, increased length of stay, and higher mortality. The main reason behind this inadequacy is the lack of stakeholders’ involvement in the design process. This work reports and analyzes the results of a large survey of the requirements of ED stakeholders. It then compares these requirements with existing designs on the one hand and international standards on the other. Further, we propose a new hybrid design which combines the requirements of both the stakeholders and international standards using quality function deployment (QFD), also known as the House of Quality, method. The proposed method was used to assess two existing EDs located in two countries. The analysis of the survey responses showed certain discrepancies between stakeholder requirements and the existing designs such as the absence of an initial admission unit and insufficient space of the treatment unit. The results showed a strong correlation between the QFD-based design and stakeholder requirements (r = 0.92 for ED1 and r = 0.93 for ED2) which is attributed to the incorporation of stakeholders’ opinions into the QFD method. The new design was also positively correlated to the international standards (r = 0.94 for ED1 and r = 0.91 for ED2). Our findings suggest that international design standards should be based on more structured methods for incorporating stakeholders’ views and that a certain degree of difference should be allowed depending on the region in which the hospital is located to reflect both cultural and environmental differences.
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6

Wentz, Elisabet, Anna Björk, and Jovanna Dahlgren. "Is There An Overlap Between Eating Disorders and Neurodevelopmental Disorders in Children with Obesity?" Nutrients 11, no. 10 (October 17, 2019): 2496. http://dx.doi.org/10.3390/nu11102496.

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This study aimed at assessing the prevalence of eating disorders (EDs) and ED symptomatology in children with obesity, and at investigating whether EDs occur more often among individuals with a comorbid attention-deficit/hyperactivity disorder (ADHD) and autism spectrum disorder (ASD). Seventy-six children (37 girls, 39 boys, age 5–16 years) were recruited at an outpatient obesity clinic. The adolescents completed ED instruments including The Eating Disorder Examination Questionnaire (EDE-Q) and The Eating Disorder Inventory for children (EDI-C). The parents of all participants were interviewed regarding the child’s psychiatric morbidity. Diagnoses of ADHD and ASD were collected from medical records. Anthropometric data were compiled. Eight participants (11%) fulfilled the criteria for a probable ED and 16 participants (21%) had ADHD and/or ASD. Two adolescent girls had a probable ED and coexistent ADHD and ASD. No other overlaps between EDs and ADHD/ASD were observed. Loss of control (LOC) eating was present in 26 out of 40 (65%) adolescents, seven of whom had ADHD, ASD or both. LOC eating was not overrepresented among teenagers with ADHD and/or ASD. Weight and shape concerns were on a par with age-matched adolescents with EDs. EDs and ED behavior are more common among children/adolescents with obesity than in the general population. There is no substantial overlap between EDs and ADHD/ASD in adolescents with obesity.
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7

Fleet, Richard, Sandrine Hegg-Deloye, Julie Maltais-Giguère, France Légaré, Mathieu Ouimet, Julien Poitras, Alain Tanguay, et al. "The Quebec emergency department guide: A cross-sectional study to evaluate its use, perceived usefulness, and implementation in rural emergency departments." CJEM 21, no. 1 (December 7, 2017): 103–10. http://dx.doi.org/10.1017/cem.2017.423.

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AbstractObjectivesThe Quebec Emergency Department Management Guide (QEDMG) is a unique document with 78 recommendations designed to improve the organization of emergency departments (EDs) in the province of Quebec. However, no study has examined how this guide is perceived or used by rural health care management.MethodsWe invited all directors of professional services (DPS), directors of nursing services (DNS), head nurses (HN), and emergency department directors (EDD) working in Quebec’s rural hospitals to complete an online survey (144 questions). Simple frequency analyses (percentage [%] and 95% confidence interval) were conducted to establish general familiarity and use of the QEDMG, as well as perceived usefulness and implementation of its recommendations.ResultsSeventy-three percent (19/26) of Quebec’s rural EDs participated in the study. A total of 82% (62/76) of the targeted stakeholders participated. Sixty-one percent of respondents reported being “moderately or a lot” familiar with the QEDMG, whereas 77% reported “almost never or sometimes” refer to this guide. Physician management (DPS, EDD) were more likely than nursing management (DNS and especially HN) to report “not at all” or “little” familiarity on use of the guide. Finally, 98% of the QEDMG recommendations were considered useful.ConclusionsAlthough the QEDMG is considered a useful guide for rural EDs, it is not optimally known or used in rural EDs, especially by physician management. Stakeholders should consider these findings before implementing the revised versions of the QEDMG.
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Phillips, M. R., M. Toth, and B. J. Griffin. "X-Ray Microanalysis of Insulators in the ESEM." Microscopy and Microanalysis 6, S2 (August 2000): 786–87. http://dx.doi.org/10.1017/s1431927600036424.

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We have investigated the affect of accelerating voltage (E0), pressure (P), GSED bias (VGSED), field line geometry and specimen conductivity on the landing energy of the primary beam in an XL30 ESEM. The landing energy of the primary beam can be measured by using the Duane-Hunt cut-off energy, EDH, in EDS X-ray spectra. We present experimental evidence that the landing energy of the primary beam can be significantly altered when analyzing insulators in an ESEM. Shifts in EDH result from electric fields produced by the presence of positive ions in the ESEM chamber and electrons trapped in the bulk. No shift in EDH was observed with conductive specimens at all E0 and P. Changes in the landing energy of the primary beam can significantly effect the relative intensity of characteristic peaks in EDS spectra measured in the ESEM (Figure 1).The magnitude and sign of the shift in EDH is determined by E0 and P for a specific insulator specimen and stage geometry.
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Lim, Mengyu, Ruoxin Kou, Gianluca Esposito, Aisha Jawed, Dagmara Dimitriou, and Stephen A. Mangar. "Exploring the Relationship between Disordered Sleep and Mood in Male Anorexia Nervosa: An Actigraphy Study." Nutrients 15, no. 9 (May 2, 2023): 2176. http://dx.doi.org/10.3390/nu15092176.

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Eating disorders (EDs), including anorexia nervosa (AN), are severe psychological disorders that affect individuals’ eating behaviours and body perception. Previous research has shown that people with EDs often report poorer sleep. Some literature has suggested that it is mood dysregulation that mediates the link between EDs and sleep. However, the majority of previous studies only focused on females, while male ED patients have been overlooked. Therefore, the present study aimed to investigate the relationships between EDs, mood, and sleep among male ED patients. Using a mixture of actigraphy recordings and self-reported questionnaires, the current study analysed a total 33 adult male participants diagnosed with AN. The participants first wore an actigraphy device for seven continuous days, following which their ED severity and mood were assessed by the Eating Disorder Examination Questionnaire (EDE-Q) and Depression Anxiety Stress Scale (DASS), respectively. The descriptive actigraphy results suggested that, similar to females, males with AN also showed disturbed sleep, including insomnia, sleep fragmentation, low sleep efficiency, and increased napping sessions. However, when ED severity was correlated against actigraphy data and mood, no significant relationships were found between them. Thus, it was suggested that future studies may investigate discrete ED symptoms instead of global ED severity interacting with sleep and mood. Overall, this study represents an initial step in the investigation of EDs and sleep and mood dysregulation among an under-represented sample.
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10

Galandiuk, S. "EDS News." Digestive Surgery 16, no. 3 (1999): 257–58. http://dx.doi.org/10.1159/000018720.

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11

SoRelle, Ruth. "Sentinel EDs." Emergency Medicine News 25, no. 10 (October 2003): 8. http://dx.doi.org/10.1097/00132981-200310000-00010.

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12

Karaa, Amel, and Joan M. Stoler. "Ehlers Danlos Syndrome: An Unusual Presentation You Need to Know about." Case Reports in Pediatrics 2013 (2013): 1–5. http://dx.doi.org/10.1155/2013/764659.

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The Ehlers Danlos syndromes (EDS) comprise a group of connective tissue disorders characterized by tissue fragility of the skin, ligaments, blood vessels and internal organs. Variable degrees of clinical severity and organ involvement are due to the molecular and biochemical heterogeneity of this group of disorders and have led to classification into well-characterized subtypes that are extending with the discovery of new genes and overlapping syndrome. Types include classical EDS (EDS I/II), hypermobility EDS (EDS III), vascular EDS (EDS IV), kyphoscoliosis EDS (EDS VI), arthrochalasia (EDS VIIA, B) and Dermatospraxis (EDS VIIC). Even to the well trained professional, the diagnosis of EDS remains a challenge due to overlapping symptoms and cases can remain without a well-defined classification. Life altering complications of this group of disorders include vascular and hollow organ rupture and ligamentous laxity leading to chronic dislocation with ensuing pain and long term disability. Patients initially present to the general practitioner who is expected to recognize the symptoms of EDS and to proceed with appropriate referral for definitive diagnosis and management to prevent devastating complications. In this paper, we describe a male with classical EDS complicated by devastating vascular and orthopedic events.
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Luo, Ruyan, Rao Fu, Lu Dong, Zheyi Du, Wei Sun, Min Zhao, and Jiang Du. "Knowledge and prevalence of energy drinks consumption in Shanghai, China: a cross-sectional survey of adolescents." General Psychiatry 34, no. 3 (May 2021): e100389. http://dx.doi.org/10.1136/gpsych-2020-100389.

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BackgroundIn recent years, energy drinks (EDs) have been widely used among young people around the world. The extensive use of EDs also affects the sleep and exercise of adolescents.AimsThis study aimed to investigate the consumption of EDs, the knowledge, attitude towards EDs and associated factors of EDs consumption among adolescents in Shanghai, China.MethodsA total of 4608 adolescents completed a self-administered questionnaire assessing EDs use history, knowledge and attitude towards EDs. Adolescent Self-rating Life Events Checklist (ASLEC) was used to assess their life events. All participants were divided into two groups based on whether they used them or not. t-test and χ2 test were used to compare the differences between the two groups, and binary logistic regression analysis was used to investigate the related factors for EDs consumption.Results70.5% of the participants reported having ever used EDs. The main avenues to getting information on EDs were from advertisements. 67.56% of them believed that EDs had adverse effects on health. 22.09% of the participants and 31.55% of their parents took a negative attitude towards EDs. Compared with the non-consumption group, participants in the consumption group were likely to be male, with older age, identified EDs more correctly and did not believe EDs had adverse effects, with more positive attitude and higher ASLEC score. Logistic regression results showed that gender, age, attitude of parents and themselves, knowledge of EDs and ASLEC score significantly predicted EDs consumption.ConclusionEDs consumption was popular among adolescents in Shanghai, and the tailored intervention programmes need to be developed based on the characteristics of adolescents.
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Shao, Chuan, Huan Qi, Ruyi Lang, Biyun Yu, Yaodong Tang, Lina Zhang, Xun Wang, and Ling Wang. "Clinical Features and Contributing Factors of Excessive Daytime Sleepiness in Chinese Obstructive Sleep Apnea Patients: The Role of Comorbid Symptoms and Polysomnographic Variables." Canadian Respiratory Journal 2019 (July 10, 2019): 1–10. http://dx.doi.org/10.1155/2019/5476372.

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Background. The occurrence and severity of excessive daytime sleepiness (EDS) vary considerably among obstructive sleep apnea (OSA) patients. This study was designed to investigate the characteristics of EDS and identify its contributing factors in OSA patients. Methods. This was a cross-sectional study from a tertiary medical center in China. A total of 874 consecutive patients with newly diagnosed OSA were included. Subjective daytime sleepiness was assessed with the Epworth Sleepiness Scale (ESS). The subjects were assigned to the non-EDS group (582 patients), mild to moderate EDS group (227 patients), and severe EDS group (65 patients) according to the ESS scores. The clinical features and polysomnographic parameters were acquired and analyzed to identify the differences between groups and the determinants of EDS. Results. The age of patients with severe EDS (49.5 ± 11.3) was slightly greater than that of patients with mild to moderate EDS (44.5 ± 10.2) (p<0.05) and non-EDS patients (45.2 ± 12.0) (p<0.05). Body mass index (BMI) was highest in the severe EDS group (29.1 ± 3.6 kg/m2) (p<0.0001), intermediate in the mild to moderate EDS group (27.9 ± 3.3 kg/m2), and lower in the non-EDS group (26.8 ± 3.3 kg/m2). Logistic regression analysis showed waist circumference, memory loss, work/commute disturbances, and sleep efficiency were independently associated with mild to moderate EDS, and the microarousal index, apnea-hypopnea index (AHI), and saturation impair time below 90% were independent contributing factors of mild to moderate EDS. Meanwhile, age, neck circumference, gasping/choking, memory loss, work/commute disturbances, and sleep latency were independently associated with severe EDS, and the AHI and mean SpO2 were independent contributing factors of severe EDS. Conclusions. OSA patients with various severities of EDS are more obese and have more comorbid symptoms compared to patients without EDS. Sleep fragmentation, respiratory events, and nocturnal hypoxia may be predictors of EDS. Comprehensive consideration of demographic, clinical, and polysomnographic factors is required when evaluating OSA patients.
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Jaklic, Blanka, Leana S. Wen, Ashley F. Sullivan, and Carlos A. Camargo. "A Profile of Emergency Departments in Slovenia." ISRN Emergency Medicine 2012 (July 19, 2012): 1–6. http://dx.doi.org/10.5402/2012/461274.

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Objectives. Emergency departments (EDs) are the basic unit of emergency medicine (EM), but there is often significant heterogeneity and differences in ED organization. We sought to describe and characterize EDs in Slovenia. Methods. All EDs open 24/7 to the general public were surveyed using the National ED Inventories survey instrument. Staff were asked about ED characteristics with reference to calendar year 2007. Results. Fifty-five EDs participated (81% response). All EDs treated children and adults. Eleven (20%) of the EDs were hospital based and 44 (80%) were non-hospital based. The median number of annual visits for hospital-based EDs was 21,400 (interquartile range, 19,900–34,200) and 5,000 (interquartile range, 1,100–9,300) for non-hospital-based EDs. All hospital-based EDs had triage to service, and only one was an independent department. Most respondents (76%, 95% CI 64–89%) thought their ED was at good balance or capacity. While hospital-based EDs had high availability of technological resources and ability to treat virtually all emergency types 24/7, these characteristics were less frequent in non-hospital-based EDs. Conclusions. The organization of emergency care in Slovenia is complex, with some variation in the layout, characteristics, and capabilities of its EDs. This initial study establishes a benchmark for future investigations into intra-country comparisons of different types of EDs.
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Nowak, Dariusz, and Michał Gośliński. "Assessment of Antioxidant Properties of Classic Energy Drinks in Comparison with Fruit Energy Drinks." Foods 9, no. 1 (January 7, 2020): 56. http://dx.doi.org/10.3390/foods9010056.

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Energy drinks (EDs) contain sugar, caffeine, and other bioactive compounds. Recently, new types of EDs, enriched with fruit juices, natural pigments, and plant extracts, have been launched in the market. The objective of this study was to investigate the composition and antioxidant properties of the most popular classic and fruit EDs. The study was carried out including 24 of the most popular energy drinks (classic and fruit EDs). The composition of EDs, especially caffeine and sugar, and antioxidant properties (antioxidant capacity, total polyphenols, total anthocyanins, vitamin C) were analyzed. Energy drinks with added fruit juice or natural pigments had a significantly higher (p ≤ 0.05) antioxidant capacity compared to classic energy drinks. Fruit EDs had a higher concentration of polyphenols and vitamin C. In some fruit EDs, slight amounts of anthocyanins were found. Generally, EDs are not a rich source of polyphenols and are not distinguished by high antioxidant capacity. However, fruit energy drinks and/or ones with added natural pigments have much better antioxidant properties than classic EDs. Both classic and fruit EDs contain a large amount of caffeine and sugar, therefore, it would be advisable not to drink large amounts of EDs for possible related health issues.
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Ding, Qinglan, Robin Whittemore, and Nancy Redeker. "Excessive Daytime Sleepiness in Stroke Survivors." Biological Research For Nursing 18, no. 4 (January 19, 2016): 420–31. http://dx.doi.org/10.1177/1099800415625285.

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Excessive daytime sleepiness (EDS) is a prevalent symptom among stroke survivors. This symptom is an independent risk factor for stroke and may reduce stroke survivors’ quality of life, cognitive functioning, and daytime functional performance. The lack of a universally accepted definition of EDS makes it difficult to measure EDS and synthesize research. The purpose of this integrative review is to describe poststroke EDS, ascertain conceptual and operational definitions of EDS, identify factors that contribute to EDS in stroke survivors, and explore outcomes associated with EDS in stroke survivors. We searched the following databases: PubMed and MEDLINE (OvidSP 1946—April; Week 2, 2015), Embase (OvidSP 1974—March; Week 1, 2015), and PsycINFO (OvidSP 1967—April; Week 2, 2015). Our search yielded 340 articles, 27 of which met inclusion criteria. The literature reveals EDS to be a multidimensional construct that is operationalized with both subjective and objective measures. Choosing measures that can quantify both the objective and subjective components is useful for gaining a comprehensive understanding of EDS. The antecedents of EDS are stroke, sleep-disordered breathing, reversed Robin Hood syndrome, and depression. The outcomes associated with EDS in stroke patients are serious and negative. Via synthesis of this research, we propose a possible framework for poststroke EDS, which may be of use in clinical practice and in research to identify valid quantifying methods for EDS as well as to prevent harmful outcomes in stroke survivors.
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Almulla, Aisha A., Hadia Radwan, and Nada Al Adeeb. "Knowledge Towards Energy Drinks Consumption and Related Factors Among Young Male Athletes in the United Arab Emirates." Global Journal of Health Science 11, no. 5 (March 20, 2019): 1. http://dx.doi.org/10.5539/gjhs.v11n5p1.

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OBJECTIVES: We aim to investigate the knowledge towards Energy Drinks (EDs) consumption and related factors among young male athletes in the United Arab Emirates (UAE). SUBJECTS &amp; METHODS: A cross-sectional study included 688 young male athletes from Al Ain sports club aged between 7 to 18 years. Data were collected using a modified version of a validated questionnaire from the European Food Safety Authority. RESULTS: Overall EDs consumption was 24%. About 44% of the athletes consumed EDs one to two times per month. Athletes who were training between 5-7 days per week consumed significantly more EDs compared to those who were training 3-4 days per week (81% vs. 15 %, P&lt;0.001). Athletes aged 7-12 years were 2.4 times more likely to consume EDs than athletes aged 13-18 years (P&lt;0.001). Moreover, athletes living with both parents were significantly less likely to consume EDs compared to those living with a single parent (P=0.01). Knowledge score about EDs consumption was significantly higher for non EDs consumers compared to EDs consumers (P&lt;0.001). CONCLUSIONS: EDs consumption among young male athletes was moderate. Educational programs are needed to increase the awareness regarding EDs consumption and its potential adverse effects among the young athletes. A regulation policy for EDs consumption should be addressed and consideration of labels with EDs contents and age identification is highly recommended.
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Andriani, Jessica Clara, and Jimmy Fransisco Abadinta Barus. "The Relationship between Excessive Daytime Sleepiness and Cumulative Achievement Index of Medical Student in Atma Jaya Faculty of Medicine Batch 2018." Journal of Urban Health Research 1, no. 1 (November 1, 2022): 56–66. http://dx.doi.org/10.25170/juhr.v1i1.3857.

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Introduction: Excessive Daytime Sleepiness (EDS) is the inability to maintain wakefulness and alertness during the major waking episodes of the day, with sleep occurring unintentionally or at inappropriate times almost daily for at least three months. Poor concentration is commonly reported as a symptom of EDS and frequently disrupt academic performance in the learning activity. This study aims to determine the relationship between EDS and cumulative achievement index (GPA) among medical undergraduates at Atma Jaya Catholic University of Indonesia. Methods: This research is an analytic observation research with cross-sectional data collection on 180 respondents out of the 2018 class of preclinical students at the Faculty of Medicine of the Atma Jaya Catholic University of Indonesia. The data collection methods used were the ESS (Epworth Sleepiness Scale) and cumulative achievement index (IPK) questionnaires. Demographic variables were also measured. Data were analyzed using the statistic software SPSS with a chi-square test (α ≥0,05). Results: From 180 respondents, 52,8% had EDS, 25% of the total had mild EDS, 16,1% had moderate EDS, and 11,7% with severe EDS. The cumulative achievement index found in respondents mostly ranged from moderate (43,3%) to high (42,3%). The rest had low scores. Furthermore, 25% of respondents had a high IPK score with EDS, 22% had a moderate IPK score with EDS, 5,4% had a low IPK score with EDS, 18,5% had a high IPK score without EDS, 22% had a moderate IPK score without EDS, and the rest 7,1% had low IPK score without EDS. Analysis with chi-square showed no significant relationship between EDS and IPK (P=0,425). Conclusions: There was no relationship between excessive daytime sleepiness and cumulative achievement index of medical students in Atma Jaya Faculty of Medicine and Health Batch 2018.
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Hamel, Ben C. J. "Classification, nosology and diagnostics of Ehlers-Danlos syndrome." Journal of Biomedicine and Translational Research 5, no. 2 (October 10, 2019): 34–46. http://dx.doi.org/10.14710/jbtr.v5i2.4531.

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Ehlers-Danlos syndrome (EDS) comprises a group of heritable connective tissue disorders which has as cardinal features varying degrees of skin hyperextensibility, joint hypermobility, easy bruising and skin fragility. The 2017 New York nosology distinguishes 13 types of EDS, which all, except hypermobile EDS, have a known molecular basis. Hypermobile EDS is recognized as a common and often disabling disorder, incorporating benign joint hypermobility syndrome. EDS needs to be differentiated from other connective tissue disorders, in particular Marfan syndrome, Loeys-Dietz syndrome and cutis laxa. The frequent types of EDS can be diagnosed after careful history taking and clinical examination, but for definite diagnosis molecular confirmation is needed in all types. Management for EDS patients preferably is provided by multidisciplinary teams in expertise centres. After diagnosing EDS genetic counselling is an essential part of the management of patients and their family.
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Carsi Kuhangana, Trésor, Taty Muta Musambo, Joseph Pyana Kitenge, Tony Kayembe-Kitenge, Arlène Kazadi Ngoy, Paul Musa Obadia, Célestin Banza Lubaba Nkulu, et al. "Energy Drink Consumption among Adolescents Attending Schools in Lubumbashi, Democratic Republic of Congo." International Journal of Environmental Research and Public Health 18, no. 14 (July 17, 2021): 7617. http://dx.doi.org/10.3390/ijerph18147617.

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Background: The consumption of energy drinks (EDs) is increasing in the general population, but little is known about the consumption of EDs among pupils in Africa. This study was designed to assess the consumption of EDs among pupils between 10 and 17 years of age and to assess average caffeine concentrations contained in EDs sold in Lubumbashi. Methods: We conducted a cross-sectional survey in five schools using a standardised questionnaire taken face-to-face. Samples of locally purchased EDs were analysed by High Performance Liquid Chromatography with Ultra-Violet spectrometry (HPLC-UV). Results: Of 338 pupils (54% girls), 63% reported having consumed at least one ED in the last week and 34% drank at least one ED a day. The cheapest ED was the most widely consumed. Among pupils having consumed at least one ED in the last week, 79% reported consuming it for refreshment and 15% to get energy. For those who reported not consuming EDs, 40% reported that their parents or teachers forbade them to drink EDs. Some (14%) teenagers, mainly boys, mixed ED with alcohol. The concentrations of caffeine measured in twelve brands of EDs ranged from 7.6 to 29.4 mg/100 mL (median 23.3), giving caffeine contents of 37.5 to 160 mg (median 90 mg) per can or bottle. The estimated daily intake of caffeine through EDs was between 51.3 mg and 441.3 mg among those consuming EDs regularly. Conclusion: Our study convincingly demonstrates that caffeine-containing EDs are not only consumed by youngsters living in affluent societies. We documented widespread regular consumption of EDs among (pre-)adolescent schoolchildren living in Lubumbashi, a large city of the Democratic Republic of Congo (DRC). In view of the global market expansion of caffeinated EDs, it is reasonable to suspect that similar surveys in other urban areas of sub-Saharan Africa would yield similar findings. Pricing and advertising regulations and education on EDs are necessary to limit the regular consumption of EDs among adolescents.
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Dhiman, Sandeep Kumar, and Harish Dureja. "Significance of and Challenges in Regulating Endocrine Disruptors – How Regulators and Industry Can Conquer?" Endocrine, Metabolic & Immune Disorders - Drug Targets 20, no. 10 (December 2, 2020): 1664–81. http://dx.doi.org/10.2174/1871530320666200606225104.

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Endocrine disruptors (EDs) disrupt the standard operation of the endocrine systems, resulting in untoward effects. EDs have gained extensive consideration due to their severe adverse impacts on public and wildlife health. A variety of compounds from both natural and synthetic origin may cause endocrine disruptions. These may be found in industrial chemicals, persistent organic pollutants, and products of regular use including pharmaceuticals, medical equipment, implants, medical/surgical and dental devices, cosmetics, food products, other consumer goods, their packaging and processing materials. Apart from direct consumption or use, these chemicals may impact by entering our food chain or ecosystem. These chemicals act by mimicking the hormones or blocking their receptors or interfering in their normal production, absorption, distribution, metabolism and excretion. The implementation of a regulatory framework on the complex multidisciplinary field of EDs brings enormous challenges, which pose barriers to the regulatory process. This study aims to focus on the key public and ecological health concerns presented by EDs, challenges faced by regulators to achieve successful regulatory proposition and the importance of collaboration endeavours to potentially conquer such challenges. Endocrine-disrupting chemicals (EDCs) or EDs can impact at low exposure levels, bringing about a broad range of health issues including disorders related to reproductive, fetal development, neurological, immunological, metabolic and cancer, etc. They may cause health effects across generations. The regulatory frameworks available across major regulators are tackling the identification of EDs and their mechanisms to provide necessary guidance on the safety and disposal of such substances. However, the challenges faced outweigh the regulatory mechanisms in place. The major challenges are related to structural ranges at times leading to no representative structures, active metabolites, substantiate quantum, delayed effects, epigenetic changes, widespread existence, concentration correlation for different biological species, availability of appropriate methods, exposure to a mixture of chemicals, complex endocrinology principles, unknown sources, routes and mechanisms, impacts at early stages of life, geographical movement of EDs, hazard-based vs. risk-based approaches. Regulators of healthcare and environmentalists needs to collaborate amongst them and with wider stakeholders including industry sponsors to find ways of dealing with such challenges and capitalize on the research-based knowledge grid available across institutions. Existence of EDs, their impact on living beings and mechanism of influence are like a tangled web, which induces difficulties in regulating them with conventional mindset. Conquering these challenges necessitates that regulators should join forces amongst themselves, with other institutions operating for environment, with industry sponsors and researchers to achieve success in public health safety.
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"Executive Eds,Associates Eds,Founding Eds." Precambrian Research 132, no. 4 (July 2004): IFC. http://dx.doi.org/10.1016/s0301-9268(04)00138-x.

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"IFC(Executive Eds, Associate Eds, Founding Eds...)." Precambrian Research 121, no. 3-4 (March 2003): IFC. http://dx.doi.org/10.1016/s0301-9268(03)00033-0.

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"IFC (Executive Eds, Associate Eds, founding Eds...)." Precambrian Research 123, no. 2-4 (June 2003): IFC. http://dx.doi.org/10.1016/s0301-9268(03)00131-1.

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"IFC(Executive Eds,Associate Eds,Founding Eds...)." Precambrian Research 124, no. 2-4 (July 2003): IFC. http://dx.doi.org/10.1016/s0301-9268(03)00153-0.

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"IFC(Executive Eds,Associate Eds,Founding Eds...)." Precambrian Research 125, no. 3-4 (August 25, 2003): CO2. http://dx.doi.org/10.1016/s0301-9268(03)00201-8.

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"IFC(Executive Eds,Associate Eds,Founding Eds...)." Precambrian Research 126, no. 3-4 (October 2003): IFC. http://dx.doi.org/10.1016/s0301-9268(03)00225-0.

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"IFC(Executive Eds,Associate Eds,Founding Eds..." Precambrian Research 127, no. 4 (December 2003): IFC. http://dx.doi.org/10.1016/s0301-9268(03)00294-8.

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"IFC(Executive Eds,Associate Eds,Founding Eds..)." Precambrian Research 128, no. 3-4 (January 2004): IFC. http://dx.doi.org/10.1016/s0301-9268(03)00332-2.

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"IFC(Executive Eds,Associate Eds,Founding Eds...)." Precambrian Research 129, no. 3-4 (March 10, 2004): CO2. http://dx.doi.org/10.1016/s0301-9268(04)00029-4.

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"IFC(Executive Eds,Associates Eds,Founding Eds." Precambrian Research 132, no. 3 (July 2004): IFC. http://dx.doi.org/10.1016/s0301-9268(04)00128-7.

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"IFC (Executive Eds, Associate Eds, Founding Eds...)." Precambrian Research 134, no. 1-2 (September 2004): CO3. http://dx.doi.org/10.1016/s0301-9268(04)00189-5.

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"IFC (Executive Eds, Associate Eds, Founding Eds...)." Precambrian Research 134, no. 3-4 (October 2004): IBC. http://dx.doi.org/10.1016/s0301-9268(04)00213-x.

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"IFC (Executive Eds, Associate Eds, Founding Eds...)." Precambrian Research 135, no. 1-2 (November 2004): IBC. http://dx.doi.org/10.1016/s0301-9268(04)00233-5.

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"IFC (Executive Eds, Associate Eds, Founding Eds...)." Precambrian Research 135, no. 3 (November 2004): IFC. http://dx.doi.org/10.1016/s0301-9268(04)00251-7.

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37

"IFC (Executive Eds, Associate Eds, Founding Eds...)." Precambrian Research 135, no. 4 (December 2004): IBC. http://dx.doi.org/10.1016/s0301-9268(04)00268-2.

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"IFC (Executive Eds, Associate Eds, Founding Eds...)." Precambrian Research 136, no. 1 (January 10, 2005): CO3. http://dx.doi.org/10.1016/s0301-9268(04)00282-7.

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"IFC (Executive Eds, Associate Eds, Founding Eds...)." Precambrian Research 136, no. 2 (January 2005): IFC. http://dx.doi.org/10.1016/s0301-9268(04)00296-7.

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"IFC (Executive Eds, Associate Eds, Founding Eds...)." Precambrian Research 136, no. 3-4 (February 2005): IFC. http://dx.doi.org/10.1016/s0301-9268(05)00006-9.

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"IFC (Executive Eds, Associate Eds, Founding Eds...)." Precambrian Research 137, no. 1-2 (April 2005): CO3. http://dx.doi.org/10.1016/s0301-9268(05)00023-9.

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"IFC (Executive Eds, Associate Eds, Founding Eds...)." Precambrian Research 137, no. 3-4 (June 30, 2005): CO3. http://dx.doi.org/10.1016/s0301-9268(05)00053-7.

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"IFC (Executive Eds, Associate Eds, Founding Eds...)." Precambrian Research 138, no. 1-2 (July 2005): CO2. http://dx.doi.org/10.1016/s0301-9268(05)00069-0.

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44

Dahlgren, Camilla Lindvall, Anne Reneflot, Cathrine Brunborg, Anne‐Louise Wennersberg, and Line Wisting. "Estimated prevalence of DSM‐5 eating disorders in Norwegian adolescents: A community based two‐phase study." International Journal of Eating Disorders, August 2, 2023. http://dx.doi.org/10.1002/eat.24032.

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AbstractObjectiveLittle is known about the prevalence of DSM‐5 eating disorders (EDs) in adolescents. In Norway, the most recent community‐based prevalence study in adolescents was published more than 20 years ago. The aim of this study was to assess the prevalence of DSM‐5 EDs in Norwegian adolescents using a two‐phase design.MethodA total of 1558 upper secondary school students (827 girls and 730 boys) (ages 16–19) were screened for at‐risk ED pathology using the Eating Disorder Examination–Questionnaire short version (EDE‐QS). A sub‐sample of 99 adolescents (87 girls and 12 boys) subsequently participated in a clinical interview using the Eating Disorder Assessment for DSM‐5 (EDA‐5).ResultsEating pathology was common, with 19.9% of participants scoring at or above the applied EDE‐QS cut‐off. The estimated prevalence of any ED was 9.4% in the total sample, and 16.4% in girls. The number of boys who took part in the diagnostic interview was low, thus, diagnostic data from boys were not analyzed separately. Prevalence estimates of AN, BN, BED, and OSFED in girls were 2.7%, 1.1%, 1.9%, and 10.7%. Atypical AN was the most frequently assigned diagnosis in girls.DiscussionSampling biases limit generalizability of results. Additional population‐based studies are warranted to assess the prevalence of EDs in Norwegian youth.Public Significance StatementIn this study, 1558 adolescents, aged 16–19, were screened for ED pathology. A subsample completed a diagnostic interview using DSM‐5 criteria. Results showed that one in five adolescents displayed problematic eating behaviors and cognitions. The estimated prevalence rate of any ED was 9.4%. Sampling biases limit generalizability of results. Additional population‐based studies are warranted to assess the prevalence of EDs in Norwegian youth.
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45

"EDS News EDS News." Digestive Surgery 14, no. 2 (1997): 129–32. http://dx.doi.org/10.1159/000172528.

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"EDS News EDS News." Digestive Surgery 14, no. 3 (1997): 213–15. http://dx.doi.org/10.1159/000172546.

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"EDS News EDS News." Digestive Surgery 14, no. 5 (1997): 466–67. http://dx.doi.org/10.1159/000172594.

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48

Choi, Suyong, Minki Cho, and Jungyoul Lim. "Electromagnetic drag forces between HTS magnet and tube infrastructure for hyperloop." Scientific Reports 13, no. 1 (August 3, 2023). http://dx.doi.org/10.1038/s41598-023-39916-7.

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AbstractMaglevs are typically accelerated using electromagnetic propulsion and levitation. High-temperature superconducting (HTS) magnets along with electrodynamic suspension (EDS) and linear synchronous motors are one of the best options for Hyperloop. However, the strong magnetic fields generated by HTS magnets on the pods inevitably interact with the magnetic and conductive structures in the vacuum tubes, along with the tube itself, while the pods move through the tubes. This interaction is observed as a drag force on the pods, significantly reducing the propulsion efficiency. This study comprehensively analyzes the electromagnetic drag force (EDF) generated by HTS magnets on pods, which accounts for most of the drag forces faced by Hyperloop. Theoretical analysis and 3D FEA simulations are performed to analyze the propulsion forces with HTS magnets and all the drag forces on the pods. The EDF generated by AISI 1010 steel rebars in concrete guideways is even greater than the designed propulsion forces of 40 kN. Consequently, high-manganese (Hi-Mn) steel and insulated steel rebars are adopted and analyzed using 3D FEA simulations. The EDFs generated by the AISI 1010 steel and Hi-Mn steel vacuum tubes are determined by varying the distance between the HTS magnets and tubes at 50 and 1200 km/h, respectively; a minimum distance of 0.75 m is determined by a drag force below 8 kN within their operating velocities. Lastly, the total EDFs of the AISI 1010 steel and Hi-Mn steel tubes with EDS rails are obtained through the optimal design of rebars and tubes. The simulation results show that the total EDFs can be significantly reduced to below 10 kN (approximately 25% of the designed propulsion force after the levitation of pods).
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Marucci, Simonetta, Giulia De Iaco, Giuseppe Lisco, Francesco Mariano, Vito Angelo Giagulli, Edoardo Guastamacchia, Giovanni De Pergola, and Vincenzo Triggiani. "Eating Disorders and Type 1 Diabetes: a perspective." Endocrine, Metabolic & Immune Disorders - Drug Targets 21 (November 9, 2021). http://dx.doi.org/10.2174/1871530321666211109152353.

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: Patients with type 1 diabetes (T1D) are at risk of clinical eating disorders (EDs) and disordered eating behaviors (DEBs) than the general population. This burden is related mainly to diabetes-related physical and psychosocial issues especially beginning during childhood. DEBs must be investigated carefully and promptly managed in case of suspicion, as they can evolve into severe clinical EDs over time and are strictly related to poor outcomes. The significant number of scientific articles dealing with the relationship between T1D and DEBs or EDs confirms the complexity of these problems and the difficulties in diagnosis and treatment. This paper examined current scientific literature related to this topic, emphasizing the epidemiological and clinical complexity of the phenomenon and briefly summarizing EDBs management strategy in T1D patients.
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Elhabashy, Safinaz Adel, Mariam William Abd ElMalak, Hanan Hany Elrassas, and Rasha Adel Thabet. "Disordered eating and behaviors among young Egyptians with type 1 diabetes: risk factors and comorbidities." Journal of Pediatric Endocrinology and Metabolism, September 21, 2022. http://dx.doi.org/10.1515/jpem-2022-0336.

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Abstract Objectives The study aimed to assess occurrence of eating disorders and its nature, associated risk factors, and comorbidities in a cohort of adolescents with type 1 diabetes (T1D). Methods In this cross-sectional study, 138 patients were recruited to complete three questionnaires for assessment of eating disorder (ED); Eating Attitude Test (EAT-26) and Eat Behavior questionnaire (ORTO-15) and Eating Disorder Examination Questionnaire version 6 (EDE-Q6) to assess diabetes-related medical outcomes. Results Patients were categorized as having an ED according to predetermined cutoff value for each questionnaire. Of the 138 patients, 24 (17.4%) had risk for EDs by EAT-26 score, 53 (38.4%) have got orthorexia nervosa by ORTO-15 and 45 (32.6%) were having a disordered eating behavior by EDE-Q6. Patients with risk of EDs had lower mean ORTO-15 score (p=0.01), and higher mean Global EDE-Q6 (p<0.001). A positive correlation was found between EAT-26 scores and both age (p<0.0001) and body mass index (p<0.0001). ORTO-15 score was correlated with duration of diabetes (p=0.0418). Diabetic ketoacidosis, peripheral neuropathy, and microalbuminuria occurred frequently in patients with ED high score. Hypoglycemic episodes were reported more in those with high EAT-26 or Global EDE-Q6 scores. Conclusions Subclinical EDs and abnormal eating behaviors are common in Egyptian adolescents with T1D.
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