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Skeletal maturity in adolescence: evaluating bone development and age metrics

Pinheiro, João; Ribeiro, Luís; Teixeira, Diana; Magalhães Ribeiro, Anabela de; Coelho-e-Silva, Manuel João

Background/Objectives: Bone maturation and development are crucial for growth and development, especially in children and adolescents; however, some qualitative methods, such as Greulich & Pyle, do not provide accurate data. Our aim is to verify whether skeletal age (SA) can predict and correlate with bone mineral content (BMC), bone mineral density (BMD), and body composition (BC). Methods: A cross-sectional s...


Interpretation of many-valuedness in quality-of-life instruments

Ribeiro, Luís Pedro; Eklund, Patrik; Gomes Alves Ferreira, Maria Augusta; Magalhães Ribeiro, Anabela de; Farinha, Maria Conceição; Paiva, Maria Adelaide

Assessment instruments for functioning in general and quality of life in particular often involve discrete scales with three, four, or five values, or Visual Analogue Scales (VAS) with a range 0–100. VAS scales often need to be downsized and discretized using intervals or clusters. Cutoff points for these intervals/clusters need to be carefully selected and justified. Our objective was to underline the importan...


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