

A Delphi survey was conducted for those recommendations with an evidence level of IV or V. This survey was sent to all members of the SERPE. All recommendations that had a level of agreement higher or equal to 70% were included. Resultsįifty-one recommendations, categorized into eight sections, were obtained. Twenty-four of them presented an evidence level 4 or 5, and therefore a Delphi survey was conducted. This was submitted electronically and received a response rate of 40%. All recommendations submitted to the Delphi round obtained a level of agreement of 70% or higher and were therefore accepted. In summary, we present herein guidelines for the prevention, diagnosis and treatment of secondary childhood osteoporosis based on the available evidence and expert clinical experience. We believe it can serve as a useful tool that will contribute to the standardization of clinical practice for this pathology. Prophylactic measures, early diagnosis and a proper therapeutic approach are essential to improving bone health, not only in children and adolescents, but also in the adults they will become in the future. Osteoporosis is a disorder characterized by bone mass reduction and alterations in the micro-architecture of the bone tissue resulting in bone fragility and, consequently, an elevated risk of fractures. At present, osteoporosis is a public health problem in industrialized countries affecting about 30% of women and 8% of men older than 50 in Europe. Although it has typically been considered an adult disorder, it is becoming increasingly clear that osteoporosis might be rooted in childhood and adolescence. Bone matrix mineralization takes place during these stages of life, and therefore subjects reach peak bone mass at the end of this growth phase. This project is released under the GNU General Public License v3.If this peak is not optimal, it will facilitate the development of osteoporosis in adulthood. I can accept no responsibility for any damage you cause to your system by using this tool.


Please open an issue so we can discuss things before going further, maybe we can work on this together! Credits / Libraries You're also welcome to submit any pull requests with fixes and suggestions, like additional features for making this project even more great. Complete with info, creator, version, etc.ĭownload and run the latest version of the Windows installer, "" from the releases page.Supports Multiplayer & Zombies.Ĭomments, ideas, suggestions? Join the Discord Server to get in contact with our team. A basic server-driven Call of Duty: Black Ops II GSC injector.
