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Publications (7)6.17 Total impact

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    ABSTRACT: To evaluate the consistency of the Hammersmith Infant Neurological Examination scores of very-low-birth-weight infants at 6 and 12 months of age and its correlation to cranial ultrasonography findings, we designed a prospective study between January 2005 and January 2008, in the tertiary Neonatal Unit of Aristotle University of Thessaloniki, Greece. All infants enrolled had a cranial ultrasonography performed at term. Preterm infants born at <32 weeks gestation with a birth weight <1500 g were eligible for the study. One hundred seventy-four infants were finally enrolled; out of those, 46 (26%) had an optimal score at 6 and 76 (44%) at 12 months of age. Mean global scores were 61 and 69 at 6 and 12 months, respectively. The Hammersmith Infant Neurological Examination score significantly increased between 6 and 12 months, equally in all ultrasonography groups. The presence of cystic periventricular leukomalacia was associated to lower scores and neurologic impairment.
    Journal of child neurology 03/2013; · 1.59 Impact Factor
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    ABSTRACT: We examine the neuromotor outcomes of preterm infants with bronchopulmonary dysplasia. Two hundred and nineteen infants (gestational age, ≤ 32 weeks; birth weight, ≤ 1500 g) were studied. Neuromotor development was assessed using the Hammersmith Infant Neurological Examination. All potential risk factors associated with neuromotor scores (P < 0.015) were included in the generalized linear model (multiple linear regression) to determine if bronchopulmonary dysplasia had an independent relationship with neuromotor scores. Infants with severe bronchopulmonary dysplasia had lower global scores at ages 6 and 12 months. After adjustment for confounding factors, scores of infants with severe bronchopulmonary dysplasia were reduced by 13.2 units, whereas scores for those with periventricular leukomalacia were reduced by 11.1 units, at age 6 months. At age 12 months, scores for those with periventricular leukomalacia were reduced by 11.9 units. Duration of hospital stay reduced scores by 0.1 for each additional day increase in hospital. Bronchopulmonary dysplasia constitutes a major cause of poor neuromotor outcomes at age 6 months, but improvements in motor outcomes occur over time.
    Pediatric Neurology 01/2011; 44(1):40-6. · 1.42 Impact Factor
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    ABSTRACT: We studied the effect of early (< or = 5 days) versus delayed (> or = 6 days) initiation of minimal enteral feeding (MEF) on the incidence of necrotizing enterocolitis (NEC) and feeding intolerance in preterm infants with intrauterine growth restriction (IUGR) and abnormal antenatal Doppler results. We performed a randomized, nonblinded pilot trial of infants receiving early or delayed MEF in addition to parenteral feeding within 48 hours of life. Demographic data, maternal preeclampsia, antenatal steroid exposure, Doppler studies, as well as cases of NEC and feeding intolerance were all recorded. Of the 84 infants enrolled, 81 completed the study: 40 received early (median age: 2 days, range: 1 to 5 days) and 41 delayed (median age: 7 days, range: 6 to 14 days) MEF. The incidence of NEC and feeding intolerance was not significantly different between groups (p = 0.353 and p = 0.533, respectively). Birth weight was an independent risk factor for NEC in both groups. Early MEF of preterm infants with IUGR and abnormal antenatal Doppler results may not have a significant effect on the incidence of NEC or feeding intolerance. Furthermore, birth weight seems to be an independent risk factor for the development of NEC, irrespectively of the timing of MEF introduction.
    American Journal of Perinatology 12/2009; 27(5):367-73. · 1.57 Impact Factor
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    ABSTRACT: The aim of this study was to investigate the neurological outcome of premature small for gestational age infants at the corrected age of 18 months by the Hammersmith Infant Neurological Examination. A prospective trial was conducted comparing 41 preterm infants being small for gestational age with 41 appropriate for gestational age infants. Birth weight was significantly lower in small for gestational age infants compared with appropriate for gestational age infants (1724.6 +/- 433 versus 1221 +/- 328 g). There were no significant differences regarding the median gestational age and Apgar scores. Median global scores differ significantly between both groups: 75 (47-78) versus 76 (72-78) for the small for gestational age and appropriate for gestational age infants, respectively. Both groups had optimal scores. In conclusion, although the small for gestational age group scored lower in the Hammersmith Infant Neurological Examination, median global score in both groups was within optimal range.
    Journal of child neurology 05/2009; 25(2):165-70. · 1.59 Impact Factor
  • Maria Kyriakidou
    Communications. 01/2008; 33(3):273-291.
  • Maria Kyriakidou
    European History Quarterly - EUR HIST Q. 01/2002; 32(4):489-513.
  • Maria Kyriakidou
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    ABSTRACT: An overview of primers and history textbooks used in the Greek educational system reveals some general trends. After the establishment of the Greek state and until the last quarter of the 19th century, history textbooks were translations of foreign originals. After the 1880s, an increasing hellenocentrism led school authorities to abandon foreign textbooks and use history books written by Greeks, albeit through a west European filter. At the turn of the century, a dominant tendency was to compare individuals and relate events of the Greek War of Independence with those of ancient history (and, after 1894, with those of the Byzantine period as well). 2 Such a version was based on a concept of historical continuity, since the events of 1821 were viewed as a resurrection of the ancient Greek world. This world was presented as ahistorical, atemporal and antecedent to the European one. Such a practice allowed contradictory interpretations. Ancient Greece acquired a supernatural character and was extrapolated as a universal value producing a series of models of patriotism (Miltiadis, Leonidas, etc.). 3 Two primers, The primer with the sun and High mountains, products of the educational reform of 1917, emerged as child-centred and progressive in language and method. 4 Nevertheless, in the inter-war period (1922-1936), the majority of primers, despite an objective description of reality, contained mythical interpretations as well. Such interpretations intended to resolve social contradictions transforming social problems into moral ones. 5