Publications by authors named "George Pyrgos"

Article Synopsis
  • Direct lightning strikes can lead to severe injuries, impacting multiple organ systems, and the prognosis varies based on injury severity.
  • A 35-year-old man suffered a direct lightning strike while in a portable toilet, leading to unresponsiveness and requiring extensive medical intervention, including CPR and vasopressor support.
  • Despite initial recovery, he ultimately succumbed to multi-organ failure due to complications like myocardial damage, lactic acidosis, and extensive burns.
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Article Synopsis
  • Spontaneous splenic rupture is a rare but serious medical condition often linked to various underlying health issues like infections or neoplasms.
  • An unusual case involves a 73-year-old man who developed upper abdominal pain after falling, leading to a diagnosis of splenomegaly and a ruptured spleen via CT angiography.
  • During emergency surgery, doctors found significant bleeding in the abdomen and identified the spleen's damage as part of a rare dendritic cell tumor disorder.
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Background: Deep inspirations (DIs) can prevent (bronchoprotection; BP) and reverse (bronchodilation; BD) methacholine (Mch)-induced bronchoconstriction, but this effect is reduced or absent in people with asthma or airways hyperresponsiveness (AHR). The mechanisms of this defect are unknown.

Objective: To indirectly examine the role of guanosine 3',5'-cyclic monophosphate (cGMP) by testing the hypothesis that the phosphodiesterase (PDE) V inhibitor, sildenafil, would improve DI-induced BP in individuals with AHR.

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In healthy individuals, deep inspirations (DIs) have a potent bronchodilatory ability against methacholine (MCh)-induced bronchoconstriction. This is variably attenuated in asthma. We hypothesized that inability to bronchodilate with DIs is related to reduced airway distensibility.

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We hypothesized that structural airway remodeling contributes to airways hyperresponsiveness (AHR) in asthma. Small, medium, and large airways were analyzed by computed tomography in 21 asthmatic volunteers under baseline conditions (FEV1 = 64% predicted) and after maximum response to albuterol (FEV1 = 76% predicted). The difference in pulmonary function between baseline and albuterol was an estimate of AHR to the baseline smooth muscle tone (BSMT).

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Deep inspiration-induced bronchoprotection appears to be a major mechanism through which airway obstruction by spasmogens is avoided. Loss of bronchoprotection is associated with airway hyper-responsiveness. Individuals with allergic rhinitis and no airway hyperresponsiveness develop obstruction after allergen inhalation.

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