2,134 results match your criteria: "'Metropolitan Hospital'[Affiliation]"

Physical signs and atherosclerotic cardiovascular disease in familial hypercholesterolemia: the HELLAS-FH Registry.

J Cardiovasc Med (Hagerstown)

May 2024

1 Propaedeutic Department of Medicine, School of Medicine, National and Kapodistrian University of Athens, Laiko Hospital, Athens, Greece.

Aims: Three physical signs, namely tendon xanthomas, corneal arcus and xanthelasma, have been associated with heterozygous familial hypercholesterolemia (heFH). The prevalence and clinical significance of these signs are not well established among contemporary heFH individuals. This study explored the frequency as well as the association of these physical signs with prevalent atherosclerotic cardiovascular disease (ASCVD) in heFH individuals.

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Objective The objective of this study is to compare the outcomes of hospital mortality, the requirement of invasive ventilation, vasopressor requirement, duration of vasopressor requirement, and duration of intensive care unit (ICU) stay among the different causes of sepsis and to determine which cause of sepsis had the most severe outcomes. Methods A retrospective chart review was done in critically ill adult patients who were admitted with sepsis to the ICU from July 2017 until July 2019. Acute Physiology and Chronic Health Evaluation (APACHE) IV scores were calculated on patients admitted to ICU on day one of ICU admission.

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Structural rearrangements as a recurrent pathogenic mechanism for SETBP1 haploinsufficiency.

Hum Genomics

March 2024

Laboratory of Medical Genetics, Translational Cytogenomics Research Unit, Bambino Gesù Children Hospital, IRCCS, 00146, Rome, Italy.

Chromosomal structural rearrangements consist of anomalies in genomic architecture that may or may not be associated with genetic material gain and loss. Evaluating the precise breakpoint is crucial from a diagnostic point of view, highlighting possible gene disruption and addressing to appropriate genotype-phenotype association. Structural rearrangements can either occur randomly within the genome or present with a recurrence, mainly due to peculiar genomic features of the surrounding regions.

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Causal association between years of schooling and the risk of traumatic brain injury: A two-sample mendelian randomization analysis.

J Affect Disord

June 2024

Department of Neurosurgery, the Second Affiliated Hospital, Fujian Medical University, Quanzhou 362000, Fujian Province, China. Electronic address:

Objective: To investigate whether the number of years of schooling are causally associated traumatic brain injury (TBI). We aimed to investigate whether the number of years of schooling are causally associated TBI.

Methods: We investigate the prospective causal effect of years of schooling on TBI using summary statistical data.

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Article Synopsis
  • * Stem cell therapy, particularly using adipose tissue-derived mesenchymal stem cells (AD-MSCs), has been identified as a promising way to enhance healing in chronic wounds due to their availability and beneficial properties.
  • * Research shows that integrating stem cell treatments with local wound care can lead to improved healing outcomes, including reduced pain and faster recovery times, making it a strong candidate for treating chronic and difficult wounds.
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Investigating the Role of Brain Natriuretic Peptide (BNP) and N-Terminal-proBNP in Thrombosis and Acute Ischemic Stroke Etiology.

Int J Mol Sci

March 2024

Department of Physiology and Galway Neuroscience Centre, School of Medicine, University of Galway, University Road, H91 TK33 Galway, Ireland.

The need for biomarkers for acute ischemic stroke (AIS) to understand the mechanisms implicated in pathological clot formation is critical. The levels of the brain natriuretic peptides known as brain natriuretic peptide (BNP) and NT-proBNP have been shown to be increased in patients suffering from heart failure and other heart conditions. We measured their expression in AIS clots of cardioembolic (CE) and large artery atherosclerosis (LAA) etiology, evaluating their location inside the clots, aiming to uncover their possible role in thrombosis.

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  • - The study investigated Campylobacter infections in Italy from 2017 to 2021, analyzing data from 19 hospitals across 13 regions to understand the epidemiology and antibiotic resistance patterns.
  • - A total of 5,419 Campylobacter isolates were analyzed, with C. jejuni being the most prevalent species, and the majority of infections were found in males and outpatients; resistance to common antibiotics like ciprofloxacin and tetracyclines was notably high but showed a decrease over the study period.
  • - The findings indicate that while resistance to fluoroquinolones and tetracyclines is decreasing, it remains significant, whereas macrolides show consistent effectiveness against Campylobacter in Italy.
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  • Maternal COVID-19 is linked to worse outcomes for mothers, but its effects on pregnant women with multiple sclerosis (MS) had not been thoroughly examined prior to this study.
  • This multicenter study focused on pregnant women with MS who contracted COVID-19, assessing their maternal and fetal health outcomes compared to a control group.
  • Findings revealed that while COVID-19 increased the risk of maternal complications, it did not significantly affect rates of spontaneous abortion or fetal malformations.
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  • * Helicobacter pylori, primarily linked to stomach issues, is also raising concerns for its potential impact on heart health and other bodily systems.
  • * The bacteria's harmful genes can trigger chronic inflammation, altering traditional risk factors and contributing to heart problems like coronary artery disease.
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Music therapy (MT) is a music intervention involving a credentialed professional and a client, which has gained increasing recognition in current practices as an adjunct therapy for various conditions, including cardiovascular diseases (CVDs). MT demonstrates notable physiological as well as psychological effects leading to lowered anxiety, depression, and systolic blood pressure in patients with CVDs as well as having effects on heart rate and heart rate variability in healthy subjects. MT emerges as a promising adjunct in the prevention and rehabilitation of CVDs and its holistic impact on physiological and psychological parameters underscores its potential as a noninvasive, cost-effective intervention.

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Background: Brainstem mapping with electrical stimulation allows functional identification of neural structures during resection of deep lesions. Single pulses or train of pulses are delivered to map cranial nerves and corticospinal tracts, respectively.

New Method: We introduce a hybrid stimulation technique for mapping the brainstem.

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Executive summary of the Hellenic Atherosclerosis Society guidelines for the diagnosis and treatment of dyslipidemias - 2023.

Atheroscler Plus

March 2024

1st Department of Propedeutic Medicine, School of Medicine, National and Kapodistrian University of Athens, Laiko General Hospital, Athens, Greece.

Atherosclerotic cardiovascular disease (ASCVD) remains the main cause of death worldwide, and thus its prevention, early diagnosis and treatment is of paramount importance. Dyslipidemia represents a major ASCVD risk factor that should be adequately managed at different clinical settings. 2023 guidelines of the Hellenic Atherosclerosis Society focus on the assessment of ASCVD risk, laboratory evaluation of dyslipidemias, new and emerging lipid-lowering drugs, as well as diagnosis and treatment of lipid disorders in women, the elderly and in patients with familial hypercholesterolemia, acute coronary syndromes, heart failure, stroke, chronic kidney disease, diabetes, autoimmune diseases, and non-alcoholic fatty liver disease.

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  • This case report discusses a rare occurrence of deceleration-dependent aberrancy (DDA) in a 46-year-old man undergoing surgery after general anesthesia was induced, highlighting the importance of monitoring heart function during such procedures.
  • The patient, who had no prior heart issues, developed a temporary left bundle branch block (LBBB) that was linked to slower heart rates but resolved at higher rates, managed effectively with medication.
  • The findings stress the need for careful cardiac monitoring and individualized anesthetic strategies, given the potential for heart rhythm issues even in patients without a history of cardiac problems.
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SUMMARY infection (CDI) is one of the major issues in nosocomial infections. This bacterium is constantly evolving and poses complex challenges for clinicians, often encountered in real-life scenarios. In the face of CDI, we are increasingly equipped with new therapeutic strategies, such as monoclonal antibodies and live biotherapeutic products, which need to be thoroughly understood to fully harness their benefits.

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Association Between Clinical Trial Participation Status and Outcomes With Mitral Transcatheter Edge-to-Edge Repair.

JACC Cardiovasc Interv

February 2024

Division of Cardiovascular Medicine, Gill Heart Institute, University of Kentucky, Lexington, Kentucky, USA. Electronic address:

Article Synopsis
  • Mitral transcatheter edge-to-edge repair (M-TEER) shows promise for treating severe mitral regurgitation, but it's unclear how well clinical trial results translate to everyday patients.
  • In a study analyzing 38,770 M-TEER admissions, most participants had similar characteristics and outcomes compared to those in clinical trials, although non-eligible patients faced significantly higher risks of complications and mortality.
  • The findings suggest that most actual M-TEER patients could have participated in trials, indicating the potential for broader real-world application of these trial results.
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  • The REDISCOVER consensus conference focused on creating guidelines for the perioperative care of patients with borderline-resectable and locally advanced pancreatic ductal adenocarcinoma (PDAC).
  • Using a structured methodology and expert consensus, the conference developed 34 recommendations on various aspects of surgical care, patient selection, and management of pancreatic cancer.
  • Despite the low evidence quality for most recommendations, participants highlighted the importance of establishing an international registry to enhance understanding and care for this patient group.
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The development of antimicrobial resistance (AMR), along with the relative reduction in the production of new antimicrobials, significantly limits the therapeutic options in infectious diseases. Thus, novel treatments, especially in the current era, where AMR is increasing, are urgently needed. There are several ongoing studies on non-classical therapies for infectious diseases, such as bacteriophages, antimicrobial peptides, and nanotechnology, among others.

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Immunophenotypic analysis of breast cancer microenvironment is gaining attraction as a clinical tool improving breast cancer patient stratification. The aim of this study is to evaluate proliferating CD8 + including CD8 + TCF1 + Τ cells along with PD-L1 expressing tissue-associated macrophages among different breast cancer subtypes. A well-characterized cohort of 791 treatment-naïve breast cancer patients was included.

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