2,194 results match your criteria: ""Papageorgiou" General Hospital[Affiliation]"

Background: There has been a recent rapid growth in the adoption of robotic systems across Europe. This study aimed to capture the current state of robotic training in gastrointestinal (GI) surgery and to identify potential challenges and barriers to training within Europe.

Methods: A pan-European survey was designed to account for the opinion of the following GI surgery groups: (i) experts/independent practitioners; (ii) trainees with robotic access; (iii) trainees without robotic access; (iv) robotic industry representatives.

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  • The study aimed to evaluate the long-term outcomes, satisfaction, and reasons for disappointment in patients with advanced pelvic organ prolapse who underwent LeFort colpocleisis (LFC).
  • Conducted between 2007 and 2021, the study included 141 patients and used surveys to assess their health and satisfaction 61.65 months after surgery.
  • Results indicated a low rate of prolapse recurrence and no regrets about sexual function loss; however, persistent urinary incontinence correlated with decreased satisfaction and regret.
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  • * Results show that COVID-19 patients had a significantly lower LnRHI two months after discharge compared to matched controls, indicating persistent endothelial dysfunction.
  • * The study found that a high percentage of COVID-19 patients exhibited endothelial dysfunction during hospitalization and at six months later, but there were no significant differences in thrombotic events, cardiovascular complications, or mortality between the two groups.
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: Laparoscopic cholecystectomy constitutes the current "gold standard" treatment of symptomatic gallstone disease. In order to avoid intraoperative vasculobiliary injuries, it is mandatory to establish the "critical view of safety". In cases of poor identification of the cystic duct and artery leading to a missed intraoperative injury, patients present with elevated liver function tests (LFTs) or increased bilirubin postoperatively.

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  • The paper analyzes birth rate statistics in Scotland, focusing on how geopolitical concerns impact individuals' decisions to have children, especially during times of conflict or instability.
  • It employs both machine learning algorithms and classical statistical methods, incorporating the Geopolitical Risk Index to enhance birth rate predictions.
  • The results reveal that machine learning models can effectively forecast births, highlighting the significant role of geopolitical factors on birth and fertility rates in Scotland.
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Caesarean section rates across Europe and its impact on specialist training in Obstetrics: A qualitative review by the Standing Committee of Hospital Visiting Programme for Training Recognition of the European Board and College of the Obstetrics and Gynaecology (EBCOG).

Eur J Obstet Gynecol Reprod Biol

January 2025

Chief Perinatal Centre of the institute for the care of mother and child, 3rd Medical School of Charles, University of Prague, Czech Republic, Chief WHO Collaborating centre in perinatal medicine, Prague, Czech Republic and Chair EBCOG Standing Committee on Training Recognition, Leuven, Belgium.

Article Synopsis
  • * Notable increases in Caesarean section rates were reported in Poland, Turkey, and Greece, while France had a lower rate correlated with higher instrumental vaginal deliveries.
  • * Variability in delivery methods across countries highlights the impact on training quality for medical students, suggesting that low rates of instrumental deliveries may hinder the development of essential skills for future obstetric practices.
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: This paper compares two popular techniques for tear trough correction-fat repositioning and hyaluronic acid (HA) fillers-highlighting their efficacy, safety profiles, patient satisfaction, and associated complications. : A narrative review of 20 studies comparing fat repositioning and HA fillers was conducted, focusing on parameters such as duration of results, volume restoration, complication rates, and patient satisfaction. : Fat repositioning provides long-lasting results but carries higher surgical risks compared with HA fillers.

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Pulmonary Endometriosis: A Systematic Review.

J Pers Med

October 2024

N.S. Christeas Laboratory of Experimental Surgery and Surgical Research, Medical School, National and Kapodistrian University of Athens, 11527 Athens, Greece.

: Endometriosis is characterized by the presence of ectopic endometrial-like glands and stroma outside the endometrial cavity, which mainly occurs in the pelvic cavity. Pulmonary endometriosis, or thoracic endometriosis syndrome (TES), describes the rare presence of endometrial-like cells in the thoracic cavity and includes catamenial pneumothorax, catamenial hemothorax, hemoptysis, and lung nodules. Our aim is to summarize the results of all reported cases of TES.

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Herpes zoster (HZ), caused by the reactivation of the varicella-zoster virus (VZV), typically presents as a unilateral vesicular rash in a dermatomal pattern. Its occurrence in the genital area is rare and often misdiagnosed. We report the case of a 51-year-old woman who presented with sudden vulvar pain and burning, without a history of immunodeficiency or sexually transmitted infections.

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D-PRISM: a global survey-based study to assess diagnostic and treatment approaches in pneumonia managed in intensive care.

Crit Care

November 2024

Division of Perioperative, Acute, Critical Care and Emergency Medicine, Department of Medicine, University of Cambridge, Level 4, Addenbrooke's Hospital, Hills Road, Cambridge, UK.

Article Synopsis
  • The D-PRISM study investigated global practices for diagnosing and treating pneumonia in ICU settings, focusing on community-acquired, hospital-acquired, and ventilator-associated pneumonia across different countries.
  • A survey gathered responses from 1,296 ICU clinicians across 72 countries, revealing varied diagnostic processes and a lack of standardized microbiological testing, particularly in lower-income regions.
  • Findings indicated that the typical antibiotic treatment duration was 5-7 days, with shorter durations linked to effective antimicrobial stewardship programs in higher-income countries.
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Purpose: The dual mobility cup (DMC) reduces the dislocation rates in total hip arthroplasty (THA). DMC systems include anatomical (non-modular or monoblock) (ADM) and modular dual mobility (MDM) components (Stryker Orthopaedics, Mahwah, NJ, USA). This review aims to assess differences between these two types of DMC implants concerning dislocation and revision rates, as well as patient-reported outcomes.

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Clinical features, treatment options and outcomes in primary cutaneous B-cell lymphomas: a real-world, multicenter, retrospective study.

Int J Dermatol

November 2024

Department of Hematology and Bone Marrow Transplantation, Laikon General Hospital, National & Kapodistrian University of Athens, Medical School, Athens, Greece.

Background: Primary cutaneous B-cell lymphomas (PCBCLs) are rare cutaneous neoplasms with limited literature regarding treatment options and associated treatment outcomes. This study aimed to investigate and present real-world treatment outcomes in patients with PCBCLs.

Methods: All patients with PCBCL who were treated in five major referral centers for cutaneous lymphoma in Greece over 10 years were retrospectively included with their baseline characteristics and treatment-associated outcomes collected and analyzed.

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  • * A study in Greece involved 184 adults, revealing that many suffer from additional issues like obesity and allergic comorbidities, with the majority receiving specific treatment for their condition.
  • * Key findings included high rates of pain, severe itching, and sleep disturbances, with patients reporting substantial reductions in work productivity and overall well-being.
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Prophylaxis Options in Children With a History of Recurrent Urinary Tract Infections: A Systematic Review.

Pediatrics

December 2024

4th Department of Pediatrics, "G.Papageorgiou" General Hospital School of Medicine, Department of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, Greece.

Article Synopsis
  • A systematic review and meta-analysis of studies was conducted to evaluate the effectiveness of different prophylactic options for preventing urinary tract infections (UTI) in children with recurrent UTI (RUTI).
  • The analysis included 3335 participants from 23 studies, finding that cranberry products and nitrofurantoin significantly reduced the likelihood of symptomatic UTI episodes during treatment compared to other prophylactic methods like trimethoprim-sulfamethoxazole.
  • Despite finding that nitrofurantoin and cranberry products may lower UTI incidence, no prophylactic option was effective in reducing kidney scarring, indicating a need for further research on non-antibiotic alternatives.
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Spinal cord injuries (SCI) refer to lesions in the spinal cord due to direct trauma (traumatic SCI-TSCI), such as vehicle accidents, falls, and violent events, or other pathological conditions (non-traumatic SCI) such as metabolic disorders, inflammation, or degenerative disorders. Depending on the location of the injury, patients may experience movement and/or sense disabilities in their lower limbs, torso, or upper limbs. Even though poorly studied, it has been found that such patients have a higher risk of developing cognitive disorders, such as deficits in concentration, short and long memory, comprehension, and problem-solving, as well as mental deficits in the form of difficulty socializing and expressing emotions.

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: Acute necrotizing pancreatitis (ANP) is the acute inflammation of pancreatic parenchyma, most commonly due to alcohol abuse or cholelithiasis. The treatment can be either conservative or invasive, including a variety of techniques; however, it has not yet been established if the intervention should be early or if it should be delayed. The aim of this review is to investigate the optimal time for intervention in ANP.

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Article Synopsis
  • - Vulvovaginal candidosis (VVC) is a prevalent condition among women, but existing diagnostic methods are often inefficient and result in delayed treatment due to the need for specialized training and lengthy processes.
  • - A review of 23 studies showed that molecular diagnostic tools, particularly NAAT/PCR assays, have high sensitivity and specificity for VVC compared to traditional methods, while simpler DNA probes have lower sensitivity.
  • - Despite the advancements in molecular diagnostics, traditional methods still play an important role, especially in settings with limited resources, and emerging technologies like AI show potential to further enhance diagnosis and treatment outcomes.
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What Is the Optimal Interval Between Bilateral Total Knee Arthroplasty when Performed Under Separate Anesthesia?

J Arthroplasty

October 2024

Department of Anaesthesiology, Critical Care & Pain Management, Hospital for Special Surgery, New York, New York; Department of Anaesthesiology, Weill Cornell Medical College, New York, New York.

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The effect of lipid-lowering treatment on indices of MASLD in familial hypercholesterolemia patients.

Clin Nutr

December 2024

Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA; Department of Medicine, Boston VA Healthcare System, Boston, MA, USA. Electronic address:

Background & Aims: The effect of lipid-lowering treatment (LLT) on metabolic dysfunction associated steatotic liver disease (MASLD) is unclear. This is relevant for patients with familial hypercholesterolemia (FH) who are on lifelong LLT. We aimed to evaluate the effect of LLT on MASLD indices in this population.

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Instruments Used for the Assessment of SUI Severity in Urogynecologic Surgical Trials: A Scoping Review.

Int Urogynecol J

December 2024

1st Department of Obstetrics and Gynecology, Aristotle University of Thessaloniki, Papageorgiou General Hospital, Periferiaki Odos Thessalonikis, Nea Efkarpia, 56403, Thessaloniki, Greece.

Introduction And Hypothesis: Various instruments are used to evaluate the severity of stress urinary incontinence (SUI) in clinical trials for SUI surgery. We conducted a scoping review with the primary aim of investigating the use of such instruments.

Methods: A comprehensive search in PubMed/MEDLINE, Cochrane Library, ClinicalTrials.

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Article Synopsis
  • This study analyzed long-term outcomes of young patients under 65 with femoral neck fractures (FNFs) treated with closed reduction and internal fixation (CRIF) over the past decade.
  • Involving 52 patients, results showed that no cases of non-union occurred, but 17.3% developed avascular necrosis (AVN) requiring total hip arthroplasty (THA) after about 1.68 years.
  • Factors like age, trauma type, sex, and treatment conditions did not significantly impact patient outcomes, but the time from trauma to surgery was shorter for those who later underwent THA.
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Type IV collagen-related nephropathy as a diagnosis in nephrotic syndrome.

Pediatr Nephrol

October 2024

First Department of Pediatrics, Aristotle University of Thessaloniki, Hippokration General Hospital of Thessaloniki, 49th Konstantinoupoleos Street, Thessaloniki, Greece.

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