4,512 results match your criteria: "'Attikon' University Hospital[Affiliation]"

Multiple sclerosis (MS) frequently results in both urinary and sexual dysfunction, which significantly impairs quality of life. Conventional treatments for bladder dysfunction often prove insufficient, leading to the exploration of alternative therapies such as percutaneous tibial nerve stimulation (PTNS). This study aimed to assess the impact of PTNS on sexual function and bladder symptoms in female MS patients with neurogenic detrusor overactivity (NDO) and female sexual dysfunction (FSD).

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To Drink or Not to Drink? Investigating Alcohol's Impact on Prostate Cancer Risk.

Cancers (Basel)

October 2024

Department of Urology, Faculty of Medicine, School of Health Sciences, University of Ioannina, 45110 Ioannina, Greece.

Background/objectives: Prostate cancer (PCa) is a significant global health issue. The relationship between alcohol consumption and PCa risk has been the subject of extensive research, yet findings remain inconsistent. This review aims to clarify the association between alcohol intake and PCa risk, its aggressiveness, and the potential metabolic pathways involved in PCa onset.

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H3K27me3 Loss in Central Nervous System Tumors: Diagnostic, Prognostic, and Therapeutic Implications.

Cancers (Basel)

October 2024

Department of Medical and Surgical Sciences and Advanced Technologies "G.F. Ingrassia", Anatomic Pathology, University of Catania, 95123 Catania, Italy.

Central nervous system (CNS) tumors represent a formidable clinical challenge due to their molecular complexity and varied prognostic outcomes. This review delves into the pivotal role of the epigenetic marker H3K27me3 in the development and treatment of CNS tumors. H3K27me3, specifically the trimethylation of lysine 27 on the histone H3 protein, plays a crucial role in regulating gene expression and maintaining chromatin architecture (e.

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Gliomas represent the most common primary Central Nervous System (CNS) tumors, characterized by increased heterogeneity, dysregulated intracellular signaling, extremely invasive properties, and a dismal prognosis. They are generally resistant to existing therapies and only a few molecular targeting options are currently available. In search of signal transduction pathways with a potential impact in glioma growth and immunotherapy, the Slit guidance ligands (Slits) and their Roundabout (Robo) family of receptors have been revealed as key regulators of tumor cells and their microenvironment.

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Introduction: Wearable Activity Trackers (WATs) offer real-time feedback on activity levels. We assessed the impact of WAT usage on physicians' exercise habits.

Methods: Physicians from the Athens Medical Association, Greece (n = 742) responded to a self-administered questionnaire evaluating usage of WAT, demographic characteristics, specialty, and physical exercise habits.

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Article Synopsis
  • A population model was created to analyze the impact of increasing remdesivir use in hospitalized COVID-19 patients, using data from the PINC AI healthcare database collected in 2023.
  • The analysis found that among the 13,233 patients not treated with remdesivir, initiating treatment could have potentially saved 231 lives, with a national estimate of over 800 lives saved.
  • The majority of potential lives saved were elderly patients (89%) and a significant portion were immunocompromised individuals (19%), emphasizing the importance of using remdesivir as a treatment upon hospital admission for COVID-19.
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Article Synopsis
  • The study investigates whether carotid-to-femoral pulse wave velocity (PWV), a measure of arterial stiffness, can predict cardiovascular risks beyond the SCORE2 risk score in individuals without existing atheromatosis.
  • Over a 6-year follow-up of 747 participants, results show that higher PWV is an independent predictor of first cardiovascular events (like strokes and heart attacks) and enhances the predictive power of SCORE2.
  • The findings suggest that including PWV in risk assessments may significantly improve the identification of individuals at risk for major adverse cardiovascular events (MACE), validating its importance in cardiovascular health monitoring.
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Background: Hypertension is the most prevalent cardiovascular risk factor, with several detrimental effects on the cardiovascular system. Contrasting results have been reported so far on its prognostic role in patients admitted for ST-segment elevation myocardial infarction (STEMI). Therefore, we investigated the impact of hypertension on short-term mortality in a large multicenter contemporary registry of STEMI patients, including patients treated during COVID-19 pandemic.

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Clinical Reasoning: Progressive Peripheral Neuropathy in a 66-Year-Old Woman With Sezary Syndrome.

Neurology

November 2024

From the Second Department of Neurology (S.F., A.T., J.S.T., S.G., G.T., P.Z.), Second Department of Radiology (G.V.), Department of Neurosurgery and Neurotraumatology (L.S.), Second Department of Dermatology and Venereology (E.P.), "Attikon" University Hospital; First Department of Pathology (P.K., E.L.), "Laikon" General Hospital, School of Medicine, National and Kapodistrian University of Athens, Greece; and Department of Neurology (G.T.), University of Tennessee Health Science Center, Memphis.

Article Synopsis
  • * A case study of a 66-year-old woman illustrates how subacute motor weakness and numbness followed a respiratory infection, highlighting the importance of her medical history, including diabetes and Sezary syndrome.
  • * The text stresses the need for thorough evaluations and awareness of clinical signs and tests in neuropathy cases, particularly for those with a history of blood-related cancers, as early treatment can significantly impact outcomes.
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Introduction During abdominal trauma or major hepatic surgery, the liver can be subjected to hypoxic conditions due to hemorrhage, leading to various degrees of ischemic injury to hepatocytes. Hemorrhagic shock, a critical and life-threatening condition, often complicates hepatic surgery due to massive blood loss, resulting in inadequate tissue perfusion and oxygenation. The challenge in managing hemorrhagic shock in hepatic surgery is heightened by the liver's unique blood supply and its crucial role in coagulation.

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Purpose: Adrenocortical carcinoma (ACC) poses a significant challenge in healthcare due to its aggressive nature and rarity. Prior reports suggest a poorer prognosis associated with hormone-secreting neoplasms. This study aims to assess the impact of ACC hormonal status on patients' oncologic survival.

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Article Synopsis
  • Older patients with advanced hormone receptor-positive/HER2-negative breast cancer benefit from combining CDK4/6 inhibitors with standard endocrine therapy, according to recent studies.
  • There is a higher risk of side effects from these inhibitors in older patients, leading to a trend of starting them on lower doses, although this practice lacks strong evidence.
  • The IMPORTANT-trial aims
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Article Synopsis
  • Guidelines suggest low-dose colchicine can help prevent secondary cardiovascular issues, but its effectiveness for stroke and safety risks are still uncertain.
  • A meta-analysis of six trials with nearly 15,000 patients showed colchicine reduces the risk of ischaemic stroke and major cardiovascular events by 27% without increasing serious safety concerns.
  • Colchicine's benefits were consistent across different patient groups, and it didn't raise the risk of hospitalization for serious conditions or all-cause mortality.
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A new standard for thrombolysis in acute ischaemic stroke.

Lancet Neurol

November 2024

Second Department of Neurology, National and Kapodistrian University of Athens, School of Medicine, Attikon University Hospital, Athens 12462, Greece.

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Tenecteplase vs Alteplase in Acute Ischemic Stroke Within 4.5 Hours: A Systematic Review and Meta-Analysis of Randomized Trials.

Neurology

November 2024

From the Second Department of Neurology (L.P., A.T., A. Safouris, G. Tsivgoulis), "Attikon" University Hospital, School of Medicine, National and Kapodistrian University of Athens, Greece; Department of Medicine (Neurology) (A.H.K.), McMaster University/Population Health Research Institute, Hamilton, Ontario, Canada; Department of Neurology (Guillaume Turc), GHU Paris Psychiatrie et Neurosciences; Université Paris Cité (G. Turc); INSERM U1266 (G. Turc); FHU NeuroVasc (G. Turc), Paris, France; Department of Primary Education (A.-G.A., D.M.), University of Ioannina, Greece; Department of Neurology and Neurogeriatrics (P.D.S.), Johannes Wesling Klinikum Minden, Ruhr-University Bochum, Germany; Department of Neurology (R.L.), University Hospitals Leuven; Division of Experimental Neurology (R.L.), Department of Neurosciences, KU Leuven-University of Leuven, Belgium; Department of Biotechnological and Applied Clinical Sciences (S.S.), University of L'Aquila, Italy; Stroke Unit (A. Safouris), Metropolitan Hospital, Piraeus, Greece; Department of Neurology (M.K., U.F.), University Hospital Basel, University of Basel, Switzerland; Department of Neurology (A. Sarraj), Case Western Reserve University, University Hospitals Cleveland Medical Center, OH; and Department of Neurology (U.F.), University Hospital Bern, University of Bern, Switzerland.

Article Synopsis
  • The European Stroke Organisation recommends using tenecteplase (TNK) as an alternative to alteplase (TPA) for treating acute ischemic stroke within 4.5 hours, based on previous studies establishing its noninferiority.
  • An updated systematic review and meta-analysis assessed the efficacy and safety of TNK compared to TPA, using data from 11 randomized controlled trials involving nearly 7,600 patients.
  • Results showed that TNK was linked to better chances of achieving excellent functional outcomes and reduced disability at 3 months, while maintaining similar safety profiles for symptomatic intracranial hemorrhage when compared to TPA.
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Article Synopsis
  • Non-alcoholic fatty liver disease (NAFLD) is the leading cause of chronic liver disease linked to metabolic syndrome and conditions like insulin resistance, obesity, and diabetes, which increase cardiovascular risks.
  • Endothelial dysfunction is a key factor in the progression of heart diseases such as atherosclerosis and coronary artery disease in individuals with NAFLD.
  • The review aims to explore the connections between NAFLD and coronary artery disease, including the underlying mechanisms, genetic factors, and effective management strategies for patients.
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Infective endocarditis (IE) is a disease associated with significant morbidity and mortality. It is more commonly caused by Gram-positive cocci, but Gram-positive bacilli may seldom cause the disease. is an aerobic Gram-positive coccobacillus and a foodborne and opportunistic pathogen most commonly causing gastrointestinal infections, even though bacteremia, sepsis, meningitis, and fetal infections may also occur.

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: Sensitization to specific IgE enterotoxins (SEs) is associated with an increased risk for severe asthma development. Limited data exist regarding the association of seropositivity for specific IgE SEs and the different aspects of severe asthma. We aimed to determine whether the presence of SEs is associated with asthma-related parameters such as inflammatory cells in the airways, features of airway remodeling, and other variables relating to asthma assessment and severity.

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Article Synopsis
  • Hidradenitis suppurativa (HS) is a long-term skin condition that greatly affects patients' lives, and this study explored the link between inflammation markers in the blood and various measures of quality of life, emotional health, and loneliness.
  • The research involved 37 HS patients, tracking inflammatory markers like C-reactive protein and Erythrocyte Sedimentation Rate at multiple times, alongside assessments using tools like the Dermatology Life Quality Index.
  • Findings showed that higher levels of inflammation (ESR and CRP) were linked to worse quality of life and greater psychological distress, highlighting the need for more investigation into these connections.
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Antidiabetic Treatment and Prevention of Ischemic Stroke: A Systematic Review.

J Clin Med

September 2024

Research Unit and Diabetes Center, 2nd Department of Internal Medicine, Attikon University Hospital, Medical School, National and Kapodistrian University of Athens, 12462 Athens, Greece.

Diabetes mellitus (DM) is a prevalent disease in the general population and also a well-established risk factor for the development of ischemic stroke. Patients who have been diagnosed with diabetes have a 20% higher risk for developing ischemic stroke in comparison to non-diabetic individuals. The aim of the current systematic review is to provide the latest evidence regarding the association between antidiabetic treatment and the prevention of ischemic stroke.

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Objectives: Current variations in asthma prevalence and clinical characteristics suggest that lifestyle choices including dietary habits, may affect the pathogenesis and/or clinical expression of the disease. The purpose of this study is to evaluate the association between adherence to Mediterranean diet (MD) and asthma control, considering disease severity.

Methods: Adherence to MD was assessed through a questionnaire, the MD Adherence Screener (MEDAS), previously validated in Mediterranean populations.

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