126 results match your criteria: ""Agios Pavlos" General Hospital[Affiliation]"

The intention of this study was to profile the cohort from the Greek Registry for the prevalence of Familial Hypercholesterolemia (GRegistry-FH) by estimating the prevalence of coronary artery disease (CAD), myocardial infarction (MI), stroke, dyslipidemia, arterial hypertension, diabetes mellitus (DM), pre-DM, smoking, abnormal thyroid function (ATF), and lipid values. The GRegistry-FH is a prospective study involving door-to-door interviews conducted by trained interviewers. Overall, 7704 individuals aged ≥18 years, randomly selected from all the regions of Greece, participated.

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Unlabelled: Critical states present scale-free dynamics, optimizing neuronal complexity and serving as a potential biomarker in cognitively impaired patients. We explored electroencephalogram (EEG) criticality in amnesic Mild Cognitive Impairment patients with clinical improvement in working memory, verbal memory, verbal fluency and overall executive functions after the completion of a 6-month prospective memory training. We compared "before" and "after" stationary resting-state EEG records of right-handed MCI patients (n = 17; 11 females), using the method of critical fluctuations and Haar wavelet analysis.

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Background: Loss of dorsolateral nigral hyperintensity (DNH) in iron-sensitive sequences of Magnetic Resonance Imaging (MRI), also described as "swallow tail sign" (STS) loss, has shown promising diagnostic value in Parkinson's Disease (PD) and Atypical Parkinsonian Syndromes (APS).

Objective: To conduct a bibliometric analysis on substantia nigra MRI and a systematic review on the clinical utility of STS visual assessment on Susceptibility-Weighted Imaging in various clinical entities.

Methods: VOSviewer's keyword co-occurrence network was employed using Web of Science (WOS).

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Introduction: Oligoclonal bands (OCBs) in cerebrospinal fluid (CSF) are utilized for diagnosing multiple sclerosis (MS), as they are found in 95% of patients. Additionally, OCBs are linked to disease prognosis. The primary contributors to OCB production are long-lived plasma cells.

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Article Synopsis
  • Clinical studies on repetitive transcranial magnetic stimulation (rTMS) show inconsistent results, possibly due to differences in study methods, prompting a review of preclinical rTMS protocols in mice for epilepsy research.
  • A comprehensive search identified 23 relevant studies that used various epilepsy induction methods and defined motor thresholds, exploring the effects of different rTMS frequencies on seizure activity.
  • Findings indicate that low-frequency rTMS (≤5 Hz) generally suppresses seizures and improves behavioral outcomes, while high-frequency rTMS (≥5 Hz) had mixed effects, highlighting the importance of stimulation frequency in optimizing clinical applications for epilepsy treatment.
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The majority of breast malignancies are either ductal or lobular tumors. A rare benign neoplasm of adnexal origin, cylindroma of the breast, was first described 23 years ago, and 21 cases have been documented in the literature since then. We report a case of a breast cylindroma on a 62-year-old woman who presented with a nodule first detected by a national mammographic screening program.

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  • * This study aimed to determine the benefits of prostate surgery for men with CNS diseases experiencing BPE-related BOO, using a systematic review of relevant literature spanning from 1946 to July 2023.
  • * Out of 1572 abstracts, 13 studies on 1144 patients were included, with the highest success rate for surgery observed in spinal cord injury (81.4%), followed by multiple systemic atrophy (66.7%) and the lowest in Parkinson's disease (27
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  • A 53-year-old male with a history of diabetes and anxiety was admitted with confusion and coordination issues, linked to low sodium levels due to sepsis.
  • Laboratory tests showed high urine osmolarity and imaging revealed cerebral edema, leading to treatment with antibiotics and sodium supplements.
  • The case emphasizes that cerebellar ataxia can be a rare but reversible symptom of hyponatremia, necessitating thorough diagnostic procedures to rule out other conditions.
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Schizophrenia is a chronic psychotic disorder comprising positive symptoms, negative symptoms, and cognitive deficits. Negative symptoms are associated with stigma, worse functional outcomes, and a significant deterioration in quality of life. Clinical diagnosis is challenging despite its significance, and current treatments offer little improvement in the burden of negative symptoms.

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Two Cases of Testicular Tuberculosis and Review of the Recent Literature.

Int J Mycobacteriol

July 2024

Pulmonary Department, Respiratory Infections Unit, "G. Papanikolaou" General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.

In this review, two cases of testicular tuberculosis (TB) are presented, and another 58 cases published in PubMed between January 1, 2012, and July 31, 2023, are reviewed. Testicular TB remains a disease mainly of the developing world, with one notable exception - the infections caused as a result of Bacillus Calmette-Guérin infusion immunotherapy for bladder cancer. Its clinical course is subacute; however, it might get disseminated and become life-threatening; therefore, prompt diagnosis is very important.

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A 3.5 cm diameter descending aorta focal aneurysm was incidentally found when a computed tomography (CT) was conducted due to persistent pyrexia in an 85-year-old woman hospitalized for a non-obstructive urinary tract infection. Ten days later, whilst fever subsided and inflammation markers decreased, she became hypoxic.

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Femoral neck fractures are an ever-increasing pathology, and with the elderly population on the rise, cases of cemented bipolar hemiarthroplasties are also on the rise. This is a rare case of intraoperative dissociation and migration of the trial components of bipolar hemiarthroplasty. Considering the current literature, all junior surgeons should be aware of this possible development during trial reduction.

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infection epidemiology during the COVID-19 pandemic in Greece.

Future Microbiol

September 2024

Department of Microbiology, Aristotle University of Thessaloniki, Medical School, 541 24, Thessaloniki, Greece.

The aim was to highlight the incidence and epidemiology of infections (CDI) in a tertiary Greek hospital during the COVID-19 pandemic. A single-center prospective observational cohort study was conducted (October 2021 until April 2022). 125 isolates were cultured from hospitalized patients stool samples and screened by PCR for toxin A (), toxin B (), binary toxin ( and ) genes and the regulating gene of .

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Introduction: Loss of dorsolateral nigral hyperintensity (DNH) on iron-sensitive brain MRI is useful for Parkinson's disease detection. DNH loss could also be of diagnostic value in dementia with Lewy bodies (DLB), an a-synuclein-related pathology. We aim to quantitatively synthesize evidence, investigating the role of MRI, a first-line imaging modality, in early DLB detection and differentiation from other dementias.

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The boundaries between neurodevelopmental disorders are often indistinct, even among specialists. But do these boundaries exist, or do experts struggle to distinguish and categorize symptoms in order to arrive at a dominant diagnosis while comorbidity continually leaves questions about where each disorder ends and begins? What should be reconsidered? The introduction of the term 'spectrum of neurodevelopmental disorders' could pave the way for a re-appraisal of the clinical continuum of neurodevelopmental disorders. This study aims to highlight the problems that emerge in the field of the differential diagnosis of neurodevelopmental disorders and propose a renegotiation of the distinctiveness criteria.

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Pan-Genome Plasticity and Virulence Factors: A Natural Treasure Trove for .

Antibiotics (Basel)

March 2024

Department of Microbiology, Shahr-e-Qods Branch, Islamic Azad University, Tehran 37541-374, Iran.

is a Gram-negative pathogen responsible for a variety of community- and hospital-acquired infections. It is recognized as a life-threatening pathogen among hospitalized individuals and, in particular, immunocompromised patients in many countries. as a member of the ESKAPE group, encompasses high genomic plasticity and simultaneously is predisposed to receive and exchange the mobile genetic elements (MGEs) through horizontal genetic transfer (HGT).

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Introduction: Rheumatoid arthritis (RA) is a systemic, inflammatory disease affecting multiple organs and causing physical disability over time.

Objective: The primary objective was to evaluate treatment persistence to subcutaneous tocilizumab (TCZ-SC). Additionally, treatment effects on persistence and their associations with clinical and patient-reported outcomes were assessed.

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During wrist arthroscopy, the wrist joint can be visualized from almost every perspective through a combination of standard dorsal and volar arthroscopic portals. This cadaveric study aims to compare all wrist portals described in terms of their safety in order to rank them according to the distance from the nearest structure at risk for arthroscopic wrist procedures. Twenty-nine cadaveric formalin-embellished upper limbs were examined.

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Lateral Ankle Instability after Rotational Injury: A Case Report.

J Orthop Case Rep

August 2023

Department of Orthopedic Surgery and Traumatology - Unit for Sport Injuries, General Hospital of Thessaloniki "Agios Pavlos," Ethnikis Antistaseos, Thessaloniki, Greece.

Introduction: One of the most common orthopedic injury injuries seen in patients at the emergency department is that of the ankle. There are some efficient protocols for their treatment, but more often the clinician is fo-cused in finding and treating possible fractures and disregards ligamentous lesions that lead to instabil-ity, if they become chronic.

Case Report: A patient that suffered an ankle sprain was improperly handled, developed lateral instability of the ankle, and was treated surgically using an autologous semitendinosus graft.

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Article Synopsis
  • FGF23, a member of the endocrine FGF protein family, has potential roles as a biomarker and therapeutic target in various conditions, including COVID-19, though current data is limited.
  • This study examined FGF23 levels in 81 COVID-19 patients and looked for correlations with inflammatory markers and other blood parameters.
  • While FGF23 levels varied across different age groups, no significant correlations with other blood components were found, indicating a need for larger studies to explore these relationships further.
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An expert consensus–based checklist for quality appraisal of educational resources on adult basic life support: a Delphi study.

Clin Exp Emerg Med

December 2023

The full list of the Delphi Study Investigators is listed in the Acknowledgments

Objective: Given the lack of a unified tool for appraising the quality of educational resources for lay-rescuer delivery of adult basic life support (BLS), this study aimed to develop an appropriate evaluation checklist based on a consensus of international experts.

Methods: In a two-round Delphi study, participating experts completed questionnaires to rate each item of a predeveloped 72-item checklist indicating agreement that an item should be utilized to evaluate the conformance of an adult BLS educational resource with resuscitation guidelines. Consensus on item inclusion was defined as a rating of ≥7 points from ≥75% of experts.

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Infection control measures against multidrug-resistant Gram-negative bacteria in children and neonates.

Future Microbiol

July 2023

Infectious Disease Unit, 3rd Department of Pediatrics, School of Health Sciences, Hippokration General Hospital, Thessaloniki, 546 42, Greece.

The increase in infections caused by multidrug-resistant (MDR) Gram-negative bacteria in neonatal and pediatric intensive care units over recent years is alarming. MDR ,  and  have constituted the main causes of the MDR Gram-negative bacteria problem. The implementation of infection control measures such as hand hygiene, cohorting of patients, contact precautions, active surveillance and environmental cleaning could diminish their spread.

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  • Acne diagnosis and treatment assessment primarily involve clinical examinations, but in vivo reflectance confocal microscopy (RCM) offers real-time, detailed images of skin lesions similar to those seen in histopathology.
  • A systematic review of 14 studies revealed that RCM could enhance objectivity in evaluating acne, showcasing specific features like follicular size and inflammation in patients' skin.
  • The review highlights the necessity for standardization and unified reporting in RCM findings to improve its efficacy as a diagnostic tool in clinical practice.
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  • Conservative management for prostate cancer (PCa) aims to delay or avoid curative therapy, with the PIONEER initiative using big data to enhance PCa care in Europe.
  • The study analyzed over 527,000 diagnosed PCa cases, focusing on 123,146 patients who did not receive treatment within six months of diagnosis to assess long-term outcomes.
  • Findings showed common comorbidities like hypertension and diabetes among patients, with notable rates of hospitalization and symptomatic progression, though limitations included insufficient data on treatment intent and patient characteristics.
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