2,681 results match your criteria: "General Hospital of Athens "LAIKO"[Affiliation]"

Aspirin for the Primary Prevention of Cardiovascular Diseases in Patients with Chronic Kidney Disease: An Updated Meta-analysis.

Am J Cardiovasc Drugs

March 2024

Department of Hygiene, Epidemiology and Medical Statistics, School of Medicine, National and Kapodistrian University of Athens, 75, Mikras Asias str., 115 27, Athens, Greece.

Aim: Chronic kidney disease is associated with increased risk of cardiovascular diseases (CVD). This meta-analysis aims to evaluate the efficacy and safety of aspirin administered for primary prevention of CVD in patients with chronic kidney disease.

Methods: PubMed, Scopus, Web of Science, CENTRAL and Clinicaltrials.

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Diverticulitis in a solitary transverse colon diverticulum is uncommon, with only a handful of cases documented in the literature. There are various clinical manifestations of the disease, which make clinical and radiological diagnosis rather challenging. Herein, we present a case of a premenopausal female patient in her late 40s who presented to the emergency department, complaining of right lower quadrant abdominal pain, nausea, anorexia and fever.

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Article Synopsis
  • Type 2 diabetes and liver cirrhosis often occur together, creating challenges in finding effective glucose-lowering medications for cirrhotic patients.
  • Sodium-glucose linked transporter 2 (SGLT2) inhibitors are a promising option, working independently of insulin to lower blood sugar and showing benefits in liver function, especially in metabolic liver diseases.
  • These inhibitors might offer additional advantages beyond managing diabetes, such as heart protection, potentially aiding patients with decompensated cirrhosis even if they don't have diabetes.
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The objective of this study was to investigate how the availability of food in the household environment is associated with a daily intake of regular and diet soft drinks in European children, considering BMI status. This cross-sectional study utilised baseline data from 12 211 schoolchildren participating in the Feel4Diabetes European lifestyle modification intervention. Sociodemographics, soft drink intake and household food availability data were collected using parent-completed questionnaires.

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Article Synopsis
  • Familial hypercholesterolemia (FH) significantly increases the risk of atherosclerotic cardiovascular disease (ASCVD), with older patients (over 65) experiencing more ASCVD risk factors, such as hypertension and type 2 diabetes, compared to younger patients.
  • In a study of 2,273 adults, elderly FH patients showed a higher prevalence of established ASCVD (38.4%) and coronary artery disease (CAD) compared to their younger counterparts, even when adjusted for other risk factors.
  • Although elderly patients received more intense lipid-lowering treatments with lower post-treatment LDL-C levels, both elderly and younger groups had similarly low rates of achieving LDL-C targets, highlighting the need for improved early
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The coronavirus disease (COVID-19) pandemic has already affected millions of individuals, with increasing numbers of survivors. These data suggest that the pulmonary sequelae of the infection may have an effect on a wide range of individuals. The aim of the present study was to evaluate pulmonary function in patients hospitalized due to COVID-19 three months after hospital discharge.

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Attributable mortality of infections caused by carbapenem-resistant Enterobacterales: results from a prospective, multinational case-control-control matched cohorts study (EURECA).

Clin Microbiol Infect

February 2024

Unidad de Enfermedades Infecciosas y Microbiología, Hospital Universitario Virgen Macarena and Departamento de Medicina, Universidad de Sevilla/Instituto de Biomedicina de Sevilla/CSIC, Seville, Spain; CIBER de Enfermedades Infecciosas (CIBERINFEC). Instituto de Salud Carlos III, Madrid, Spain.

Objectives: To assess the mortality attributable to infections caused by carbapenem-resistant Enterobacterales (CRE) and to investigate the effect of clinical management on differences in observed outcomes in a multinational matched cohort study.

Methods: A prospective matched-cohorts study (NCT02709408) was performed in 50 European hospitals from March 2016 to November 2018. The main outcome was 30-day mortality with an active post-discharge follow-up when applied.

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Background And Aims: Thyroid axis is currently under investigation as a therapeutic target in metabolic dysfunction-associated steatotic liver disease (MASLD). Thyroid function was examined herein in the full spectrum of disease.

Methods: Subjects were recruited and had liver biopsies in two Gastroenterology-Hepatology Clinics (Greece and Australia) and one Bariatric-Metabolic Surgery Clinic (Italy).

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The side effect registry immuno-oncology (SERIO) - A tool for systematic analysis of immunotherapy-induced side effects.

Eur J Cancer

March 2024

Department of Dermatology and Allergy, LMU University Hospital, LMU Munich, Munich, Germany; SERIO Registry (www.serio-registry.org); Department of Dermatology, Friedrich-Alexander University Erlangen-Nürnberg (FAU) and University Hospital Erlangen (UKER), Deutsches Zentrum Immuntherapie (DZI) and Comprehensive Cancer Center Erlangen-European Metropolitan Area of Nürnberg (CCC-ER-EMN), Erlangen, Germany. Electronic address:

Article Synopsis
  • Immunotherapies, especially immune checkpoint inhibitors, are effective against various tumors but often lead to serious side effects that need thorough analysis to improve patient outcomes.
  • The international Side-Effect Registry Immuno-Oncology (SERIO) collects detailed data on side effects from immunotherapy across different tumor types, focusing on immune-related adverse events (irAE) and integrating new modules for specific syndromes.
  • With 1398 documented irAE cases from 58 centers in 13 countries, SERIO has provided valuable insights into the prevalence and severity of these side effects, contributing to numerous publications aimed at improving management strategies for patients experiencing these adverse events.
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Modifications of the hemoglobin (Hb) structure in regions involving the regulation of oxygen transport may lead to an increased oxygen affinity for the hemoglobin molecule and impaired oxygen delivery to the tissues. Herein, we present six patients with high-oxygen-affinity Hb variants, either in heterozygous form or in compound heterozygosity (such as heterozygosity for Hb Hiroshima, Köln, Crete, and compound heterozygosity Hb Crete with β or δβ thalassemia), in order to demonstrate the need for prompt and accurate diagnosis and enrich the limited literature due to the rarity of such cases. Hb Crete, Hb Hiroshima, and Hb Köln have distinct pathophysiologies and may result in different clinical phenotypes.

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Immune checkpoints (ICs) are molecules implicated in the fine-tuning of immune response via co-inhibitory or co-stimulatory signals, and serve to secure minimized host damage. Targeting ICs with various therapeutic modalities, including checkpoint inhibitors/monoclonal antibodies (mAbs), antibody-drug conjugates (ADCs), and CAR-T cells has produced remarkable results, especially in immunogenic tumors, setting a paradigm shift in cancer therapeutics through the incorporation of these IC-targeted treatments. However, the large proportion of subjects who experience primary or secondary resistance to available IC-targeted options necessitates further advancements that render immunotherapy beneficial for a larger patient pool with longer duration of response.

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This meta-analysis aims to assess current evidence regarding sociodemographic disparities among adults with kidney failure. Medline, Scopus, Web of Science, CENTRAL, and Google Scholar were systematically searched from inception to 20 February 2022. Overall, 165 cohort studies were included.

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Folic Acid and Diabetic Foot Ulcers.

Int J Low Extrem Wounds

January 2024

Diabetes Centre-Diabetic Foot Clinic, Second Department of Internal Medicine, Democritus University of Thrace, Alexandroupolis, Greece.

Diabetic foot ulcers (DFUs) remain a major cause of morbidity. This narrative mini-review aimed to investigate the potential role of folic acid (FA) in DFUs. Individuals with DFUs exhibit lower levels of FA and lower daily intake, compared to those without DFUs.

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Serial rotational thromboelastometry measurements show worsening hypocoagulability in acute-on-chronic liver failure and are associated with the severity of liver disease.

Ann Gastroenterol

December 2023

2 Department of Internal Medicine and Research Laboratory, Medical School, National and Kapodistrian University of Athens, Hippokration General Hospital (George Kampelos, Iliana Mani, Emilia Hadziyannis, Stavroula Giannouli, Alexandra Alexopoulou).

Background: Viscoelastic tests are used to better understand the complex picture of hemostasis in cirrhosis. Limited data exist regarding the clinical relevance of rotational thromboelastometry (ROTEM) in acute-on-chronic liver failure (ACLF) or acute decompensation (AD). We examined the pattern and role of sequential observations of 9 ROTEM components in both ACLF and AD groups.

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Article Synopsis
  • * The researchers analyzed RNA from 89 PCa and 53 benign prostate tissue samples, finding lower levels of 28S rRNA fragments in PCa compared to benign cases and linking higher levels to more aggressive cancer features.
  • * Elevated 28S rRNA fragment levels were independently associated with a higher risk of disease relapse after treatment, suggesting these fragments could serve as a new biomarker for predicting prostate cancer outcomes.
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The relationship between diet, sleep duration and cardiovascular disease (CVD) has not been well understood. The aim of the present study was to test the potential modifying role of sleep duration in the association between adherence to the Mediterranean-type diet (MD) and CVD risk. The study consisted of = 313 initially free-of-CVD adults, from the ATTICA cohort study (2002-2022), with available information on sleep habits.

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Evaluation of the Histone Deacetylase 2 (HDAC-2) Expression in Human Breast Cancer.

Cancers (Basel)

January 2024

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

Article Synopsis
  • Triple negative breast cancer is one of the most aggressive types, and HDAC-2 enzymes play a significant role in its development and progression.
  • A study examined 138 breast cancer samples to analyze the relationship between HDAC-2 levels and patient survival and disease features.
  • Findings indicated that high HDAC-2 expression in triple negative cases is linked to better overall and disease-free survival compared to non-triple negative cases.
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The study aimed to assess the image quality and diagnostic performance of low-dose Chest Computed Tomography (LDCCT) in detecting pulmonary infections in patients with hematologic malignancies. A total of 164 neutropenic patients underwent 256 consecutive CT examinations, comparing 149 LDCCT and 107 Standard-Dose Chest CT (SDCCT) between May 2015 and June 2019. LDCCT demonstrated a 47% reduction in radiation dose while maintaining acceptable image noise and quality compared to SDCCT.

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Hepatocellular carcinoma (HCC) represents an entity of poor prognosis, especially in cases of delayed diagnosis. According to the Barcelona Clinic Liver Cancer (BCLC) staging system, patients in BCLC-A are the most suitable for potentially curative treatments (surgery or radiofrequency ablation), whereas those in BCLC-C should be treated only with systemic treatment, as locoregional interventions are ineffective due to the tumor's extensiveness. For patients in the BCLC-B stage, trans-arterial chemoembolization (TACE) is the reference treatment, but the role of systemic treatment has been constantly increasing.

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Pituitary tumours (PTs) are the second most common intracranial tumour. Although the majority show benign behaviour, they may exert aggressive behaviour and can be resistant to treatment. The aim of this review is to report the recently identified biomarkers that might have possible prognostic value.

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Background: Bariatric surgery has long-term beneficial effects on body weight and metabolic status, but there is an apparent lack of comprehensive cardiometabolic, renal, liver, and metabolomic/lipidomic panels, whereas the underlying mechanisms driving the observed postoperative ameliorations are still poorly investigated. We aimed to study the long-term effects of bariatric surgery on metabolic profile, cardiorenal and liver outcomes in association with underlying postoperative gut hormone adaptations.

Methods: 28 individuals who underwent bariatric surgery [17 sleeve gastrectomy (SG), 11 Roux-en-Y gastric bypass (RYGB)] were followed up 3, 6 and 12 and at 10 years following surgery.

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Article Synopsis
  • Dose-dense sequential (dds) chemotherapy has positively impacted long-term survival rates in early breast cancer patients, as shown in the observational trial HE 10/10.
  • The study analyzed the role of tumor infiltrating lymphocytes (TILs) and CD8 lymphocytes in predicting outcomes, finding that higher levels are linked to better survival.
  • With a median follow-up of over 10 years, the study reported disease-free survival (DFS) at 78.4% and overall survival (OS) at 81.7%, highlighting the regimen's efficacy and safety.
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Article Synopsis
  • A systematic review and meta-analysis were conducted to examine the effect of RAS mutation status on prognosis linked to surgical techniques (anatomic vs. nonanatomic resection) for colorectal liver metastases (CRLM).
  • The study analyzed data from 2018 patients and found that anatomic resections led to significant improvements in liver-specific and overall disease-free survival for patients with mutRAS tumors, while showing no such benefits for patients with wtRAS tumors.
  • The findings suggest that anatomic resections might be more beneficial for patients with mutRAS tumors and encourage a more tailored approach to surgery, rather than a one-size-fits-all strategy.
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Objective: Late rupture after endovascular aortic aneurysm repair (EVAR) for an abdominal aortic aneurysm (AAA) is an increasing complication associated with a high mortality rate. This study aimed to analyse the causes and outcomes in patients with AAA rupture after EVAR.

Methods: A multi-institutional Greek study of late ruptures after EVAR between 2008 - 2022 was performed.

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