776 results match your criteria: ""Metaxa" Hospital[Affiliation]"

The age-specific incidence of traumatic brain injury in older adults is rising in high-income countries, mainly due to an increase in the incidence of falls. The severity of traumatic brain injury in older adults can be underestimated because of a delay in the development of mass effect and symptoms of intracranial haemorrhage. Management and rehabilitation in older adults must consider comorbidities and frailty, the treatment of pre-existing disorders, the reduced potential for recovery, the likelihood of cognitive decline, and the avoidance of future falls.

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Understanding and addressing a 'difficult' family in ICU.

Crit Care

January 2025

Specialist Psychiatry Services Directorate, Cambridgeshire and Peterborough Foundation Trust, Cambridge, UK.

Conflicts between ICU staff and patient/relatives are common and are a source of additional stress in an already tense environment. These conflicts vary from disagreements to serious controversies, which may lead to legal process or even violence. Unsuccessful communication is recognised as a common denominator for such disagreements.

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The rectovaginal septum is a rare location for gastrointestinal stromal tumors (GIST) to occur. The aim of this study was to present a case of synchronous local recurrence of solitary liver metastasis originating from an extra gastrointestinal tumor (E-GIST) of the rectovaginal space.

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Article Synopsis
  • The review focuses on rare Gram-negative bacteria from the Burkholderiaceae family, often causing infections in immunocompromised patients, exploring their epidemiology, microbiology, and treatment options.
  • Out of 29 studies analyzed, 43 infected patients had a mean age of 42, with cystic fibrosis being the most common risk factor and lower respiratory infections and bacteremia being prevalent.
  • The study emphasizes high mortality rates, particularly in bloodstream infections, and highlights the need for clinicians to consider these bacteria in patients with severe comorbidities due to their unique antimicrobial resistance patterns.
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Annexin A2 (ANXA2) is a protein that is involved in many physiological and pathological cellular processes. There is compelling evidence that its dysregulated expression, be it up- or downregulation, contributes to the oncogenesis of various neoplasms, including those of the digestive system. The present review summarizes the current knowledge on the role of ANXA2 in the main tumors of the digestive system.

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Article Synopsis
  • Gastric adenomas are rare neoplastic lesions in the stomach, less common than other types of polyps, and often linked to mucosal atrophy and intestinal changes, with a risk for cancer development.
  • A case was reported involving a 66-year-old woman who was found to have a gastric adenoma during a routine procedure before surgery for an ovarian tumor.
  • Remarkably, her gastric adenoma showed spontaneous regression after 14 months, making it the first documented instance of this phenomenon without any medical intervention.
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Introduction: Wernicke Encephalopathy (W.E.) is an acute neurological disorder induced by thiamine deficiency.

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Inflammatory myofibroblastic tumor (IMT) is a rare mesenchymal tumor classified as an intermediate malignancy that rarely metastasizes. The most common site for IMTs is the lung, though they can develop in various other anatomical locations. Pulmonary IMTs are more common in children and adolescents and are infrequently diagnosed in adults.

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  • Esophageal cancer has a poor outlook and requires a team-based approach for diagnosis and treatment, utilizing advanced methods like high-definition endoscopy and pathology confirmation for accurate diagnosis.
  • * Recent advancements in artificial intelligence, specifically deep learning, show promise in aiding endoscopists by improving accuracy in detecting pre-cancerous conditions and minimizing unnecessary procedures.
  • * This manuscript reviews recent studies on deep learning in esophageal cancer management and provides guidance for clinicians on its application, evaluation metrics, and limitations in image analysis.
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Recommended guidelines for screening for underlying malignancy in extramammary Paget's disease based on anatomic subtype.

J Am Acad Dermatol

February 2025

Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois. Electronic address:

Article Synopsis
  • Extramammary Paget's disease (EMPD) can be linked to underlying internal adenocarcinomas, with varying associations based on the EMPD subtype.
  • A systematic literature review identified that perianal EMPD has a higher rate (25%) of associated adenocarcinomas compared to penoscrotal and vulvar types (6% each).
  • The proposed screening algorithms suggest specific tests based on EMPD subtype, emphasizing thorough screening for high-risk perianal cases and more cost-effective approaches for lower-risk penoscrotal and vulvar cases.
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  • * The case discussed involves significant kidney abnormalities: malrotation, dual unusual feeding arteries, and two main renal veins with abnormal drainage patterns.
  • * Understanding these anomalies is crucial for effective treatment planning in procedures such as endovascular surgery for abdominal aneurysm repair, renal tumor management, or kidney transplantation.
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  • A human lectin array has been developed to study how immune receptors interact with various microbes, featuring C-type carbohydrate-recognition domains (CRDs) and other sugar-binding receptors like galectins and siglecs.
  • The array is designed using biotin-tagged CRDs, allowing for easy detection of binding interactions on a streptavidin-coated surface, facilitating comparisons across different types of glycan-binding receptors.
  • Initial tests show unexpected binding patterns, revealing that some galectins interact strongly with bacterial glycans, highlighting the array's potential to provide new insights into innate immune interactions with diverse microorganisms.
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The European Society of Intensive Care Medicine (ESICM) has developed evidence-based recommendations and expert opinions about end-of-life (EoL) and palliative care for critically ill adults to optimize patient-centered care, improving outcomes of relatives, and supporting intensive care unit (ICU) staff in delivering compassionate and effective EoL and palliative care. An international multi-disciplinary panel of clinical experts, a methodologist, and representatives of patients and families examined key domains, including variability across countries, decision-making, palliative-care integration, communication, family-centered care, and conflict management. Eight evidence-based recommendations (6 of low level of evidence and 2 of high level of evidence) and 19 expert opinions were presented.

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Renal Actinomycosis in Humans-A Narrative Review.

Microorganisms

September 2024

Third Department of Urology, Attikon University Hospital, School of Medicine, National and Kapodistrian University of Athens, 124 62 Athens, Greece.

Article Synopsis
  • Actinomycosis of the kidney is a very rare infection, making diagnosis difficult due to its common symptoms and unclear imaging results.
  • Fever occurs in about 56% of cases, and risk factors include previous urogenital surgery, kidney stones, or cancer.
  • Treatment typically involves antibiotics, surgery, or a combination of both, and accurate diagnosis is essential, often confirmed through biopsies or culture tests.
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  • Isolated mediastinal metastases from ovarian cancer are rare and often require systemic therapy, though some studies suggest surgical removal is possible.
  • A review of the literature from 1998 to 2022 identified 15 cases, with most being recurrences of ovarian cancer and various management strategies employed, including surgery and systemic treatments.
  • Close monitoring of thoracic scans in ovarian cancer patients is essential, but due to the limited number of cases, definitive conclusions on treatment efficacy cannot be established.
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Infantile hemangiomas (IHs) are benign vascular neoplasms of childhood (prevalence 5-10%) due to the abnormal proliferation of endothelial cells. IHs are characterized by a peculiar natural life cycle enclosing three phases: proliferative (≤12 months), involuting (≥13 months), and involuted (up to 4-7 years). The mechanisms underlying this neoplastic disease still remain uncovered.

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Background: Restoration of the abdominal wall defects due to herniation or other complications represents a challenging task of the reconstructive surgery. Synthetic grafts or crosslinked animal-derived grafts, are utilized, followed by significant adverse reactions.

Objective: This study aimed to evaluate primarily the production of a decellularized abdominal wall scaffold and secondly its biocompatibility upon transplantation in an animal model.

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Background: Inflammatory bowel disease (IBD) commonly affects patients of reproductive age. The effect of disease activity on the outcome of pregnancy and its impact on neonatal health are areas of intense research.

Methods: Α national retrospective study of pregnancies in women with IBD between 2010 and 2020 was carried out in 22 IBD reference centers in Greece.

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Vaginal surgery for cervical cancer based on the recent results of LACC, SHAPE, SUCCOR and ConCerv trials.

Eur J Surg Oncol

December 2024

Athens Colorectal Laboratory, Athens, Greece; Department of Colorectal Surgery, Royal Devon and Exeter NHS Foundation Trust, Exeter, UK. Electronic address:

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