22 results match your criteria: "General Hospital of Messinia[Affiliation]"

Introduction: The seasonality of human births has been studied globally for over two centuries, revealing diverse patterns across populations shaped by intricate interactions involving both biological and socio-cultural factors. This study offers a thorough examination of national birth data in Greece spanning from 1956 to 2022, aiming to elucidate long-term trends and changes in seasonal birth patterns.

Materials And Methods: Data on live births in Greece were categorized by month based on national registries, and the analysis of birth seasonality was conducted annually.

View Article and Find Full Text PDF
Article Synopsis
  • The study explores the relationship between the rising preterm birth rate (PBR) and the incidence of multiple births in Greece from 1991 to 2022, using official birth data.
  • Results showed a very strong positive correlation (rho = 0.950) between PBR and multiple birth rate (MBR), with MBR explaining 83.8% of the changes in PBR during this period.
  • While a perfect correlation was observed from 1991 to 2011 (rho = 0.987), the correlation weakened from 2011 to 2022 (rho = 0.655), indicating a shift in the dynamics influencing preterm births.
View Article and Find Full Text PDF

Secular Trends in Preterm Birth Rates: Uncovering the Primary Challenge for Perinatal Medicine in Greece.

Cureus

August 2024

Third Department of Obstetrics and Gynecology, Medical School, National and Kapodistrian University of Athens, Attiko Hospital, Athens, GRC.

Introduction: Preterm labour is a serious pregnancy complication that is the primary cause of infant mortality, with detrimental impacts on the offspring and the mother in the short as well as the long term. This study aims to comprehensively present the time trends of national preterm birth rates (PBRs) in Greece.

Methods: Official national data regarding live births in Greece were acquired from the Hellenic Statistical Authority, and the annual total PBR and rates for gestational age groups were computed per 100 total live births spanning from 1980 to 2022.

View Article and Find Full Text PDF

Cardiorenal syndrome refers to the interrelated dysfunction of the heart or kidney resulting in a cascade of feedback mechanisms, hemodynamic, neurohormonal, and immunological and/or biochemical feedback pathways causing damage in the other organ. Cardiorenal syndrome is categorized into five clinical subtypes depending on the perceived primary precipitant of organ injury and is associated with high morbidity and mortality. Therefore, the development of tools for the earliest identification of cardiorenal syndrome in hospitalized patients is of extremely high significance to ameliorate the prognosis and outcome of these patients.

View Article and Find Full Text PDF

Infant, Neonatal, and Post-neonatal Mortality in Greece: A Nationwide Time-Trend Analysis.

Cureus

May 2024

Third Department of Obstetrics and Gynecology, National and Kapodistrian University of Athens, Medical School, Attiko Hospital, Athens, GRC.

Introduction: Infant mortality is a crucial perinatal measure and is also regarded as an important public health indicator. This study aimed to comprehensively present time trends in infant, neonatal, and post-neonatal mortality in Greece.

Methods: The annual infant mortality rate (IMR), the neonatal mortality rate (NMR), and the post-neonatal mortality rate (PNMR) were calculated based on official national data obtained from the Hellenic Statistical Authority, spanning 67 years from 1956 to 2022.

View Article and Find Full Text PDF

Prevalence, awareness, and control of hypertension in Greece before and after the COVID-19 pandemic: May Measurement Month survey 2019-2022.

Hellenic J Cardiol

May 2024

Hypertension Center STRIDE-7, National and Kapodistrian University of Athens, Third Department of Medicine, Sotiria Hospital, 152 Mesogion Avenue, Athens 11527, Greece. Electronic address:

Article Synopsis
  • The study aimed to assess the impact of the COVID-19 pandemic on hypertension awareness and treatment in Greece, analyzing data collected in 2019 and 2022 during the May Measurement Month (MMM) initiative.
  • Data from over 12,000 adults revealed consistent hypertension prevalence rates (around 41-43%) before and after the pandemic, but an increase in undiagnosed cases was observed, rising from 21.3% to 27.5%.
  • The findings suggest that while the overall prevalence of hypertension remained stable, there is a pressing need for improved national strategies to detect and manage hypertension effectively in Greece, especially post-pandemic.
View Article and Find Full Text PDF

The Contribution of Multiple Pregnancies in Stillbirths in Greece: A Time-Trend Analysis.

Cureus

February 2024

Third Department of Obstetrics and Gynecology, National and Kapodistrian University of Athens, Attiko Hospital, Athens, GRC.

Introduction Multiple pregnancy is an established risk factor for fetal death. This study aimed to examine the impact of multifetal pregnancies on stillbirth rates (SBRs) in the Greek population. Methods Data on live births and stillbirths by multiplicity were derived from the Hellenic Statistical Authority, covering a 65-year period from 1957 to 2021.

View Article and Find Full Text PDF

Background: Current guidelines recommend a rhythm control strategy in patients with symptomatic atrial fibrillation (AF) while catheter ablation has been shown to be a safer and more efficacious approach than antiarrhythmic medications.

Methods: HECMOS was a nationwide snapshot survey of cardiorenal morbidity in hospitalized cardiology patients. In this sub-study, we included 276 cases who had a history of AF, particularly on the rhythm strategy, and catheter ablation procedures had been performed before the index admission.

View Article and Find Full Text PDF

Purpose Of Review: The risk of cardiovascular complications due to SARS-CoV-2 are significantly increased within the first 6 months of the infection. Patients with COVID-19 have an increased risk of death, and there is evidence that many may experience a wide range of post-acute cardiovascular complications. Our work aims to provide an update on current clinical aspects of diagnosis and treatment of cardiovascular manifestations during acute and long-term COVID-19.

View Article and Find Full Text PDF

Temporal Trends in Multiple Births in Greece: The Evolution of an Epidemic.

Cureus

February 2023

Third Department of Obstetrics and Gynecology, National and Kapodistrian University of Athens, Attiko Hospital, Athens, GRC.

Introduction Multiple births constitute the dominant adverse effect of fertility treatments and are associated with increased perinatal risks. The aim of this study was to comprehensively examine and present time trends in multiple births in Greece. Methods Data on live births by multiplicity were derived from the Hellenic Statistical Authority, covering a 65-year period from 1957 to 2021.

View Article and Find Full Text PDF

Human Leukocyte Antigen Alleles Compatibility and Immunophenotypic Profile Associations in Infertile Couples.

Cureus

March 2023

Clinical Laboratory for Therapeutic Individualization, National and Kapodistrian University of Athens Medical School, Aretaieio University Hospital, Athens, GRC.

Article Synopsis
  • The study explores the role of the maternal immune system in embryo implantation and pregnancy maintenance, focusing on factors like Natural Killer (NK) cells and HLA-DQA1 alleles in women facing infertility challenges.
  • It involved 188 women, including those with recurrent miscarriages and failed IVF attempts, measuring NK cell percentages and CD4/CD8 ratios through blood tests.
  • Results showed increased NK cell levels and similar CD4/CD8 ratios in both groups, with a notable prevalence of certain HLA-DQA1 alleles but no significant differences between the two infertility issues examined.
View Article and Find Full Text PDF

Purpose Of Review: The risks of cerebrovascular manifestations due to SARS-CoV-2 infection are significantly increased within the first 6 months of the infection. Our work aims to give an update on current clinical aspects of diagnosis and treatment of cerebrovascular manifestations during acute and long-term SARS-CoV-2 infection.

Recent Findings: The incidence of acute ischemic stroke and haemorrhagic stroke during acute SARS-CoV-2 patients is estimated at 0.

View Article and Find Full Text PDF

Tracing Time Trends of Births in Greece.

Cureus

January 2023

Department of Obstetrics and Gynecology, National and Kapodistrian University of Athens, Attiko University Hospital, Athens, GRC.

Introduction The aim of this study was to comprehensively investigate and present time trends in births in Greece over the last seven decades. Methods Data on live births were derived from the Hellenic Statistical Authority, covering a 72-year period from 1950 to 2021. Trends in the number of births were assessed using joinpoint regression analysis.

View Article and Find Full Text PDF

Laron syndrome is a rare, genetic, growth hormone insensitivity disorder caused by mutations in the growth hormone receptor gene. Affected patients have severe postnatal growth failure, characteristic facial features, and metabolic abnormalities, including severe obesity and metabolic syndrome. Women with Laron syndrome are usually subfertile, mainly due to obesity and metabolic dysregulation, and require treatment for their chronic reproductive dysfunction.

View Article and Find Full Text PDF

Introduction: This case report describes a fetus with compound heterozygosity for Hb G-Hsi-Tsou and beta thalassemia, diagnosed in a healthy pregnancy. To the best of our knowledge, this is the first documented case of compound heterozygosity and the woman is the second known case of heterozygosity for Hb G-Hsi-Tsou.

Case Presentation: A 34-year-old woman during her first pregnancy underwent hemoglobin electrophoresis which revealed heterozygosity for Hb G-Hsi-Tsou.

View Article and Find Full Text PDF

A 15-year-old female patient presented with neck pain accompanied by cervical scoliosis, on the existence of torticollis. Although rare, hemivertebra of the cervical spine is a congenital deformation associated with these three clinical features.

View Article and Find Full Text PDF

This report presents a bizarre and unusual case of looping and entrapment of a hydrophilic guidewire in the ureter of a 65-year-old woman with a stone in the lower ureter at the time of ureteroscopy and laser lithotripsy. We describe endourology maneuvers to remove the retained guidewire. Looping and entrapment of guidewire is a rare complication that urologists may face when they do not follow the basic principles of guidewire insertion.

View Article and Find Full Text PDF
Article Synopsis
  • The PHAETHON study aimed to recruit a representative cohort of acute coronary syndrome (ACS) patients in Greece to evaluate current treatment practices and patient outcomes amid recent advancements in therapy.
  • Conducted from May 2012 to February 2014, the study enrolled 800 ACS patients from diverse hospitals, tracking their health over a median of 189 days and assessing key outcomes like death and myocardial infarction.
  • Results showed a mean patient age of 62.7 years with most presenting as STEMI; complications occurred in 38% during hospitalization, and 12.6% faced significant events during follow-up, highlighting current management and prognostic challenges in ACS care.
View Article and Find Full Text PDF

Technical challenges and increased morbidity of open reconstruction for uretero-ileal strictures have led to a search for minimal invasive treatments as an alternative solution. The insertion of a thermo-expandable ureteral Memokath 051(®) metal stent across benign uretero-ileal anastomotic stricture in orthotopic neobladder has not been described in the English literature. Herein, we describe a case of a woman with a Hautmann neobladder and a 3.

View Article and Find Full Text PDF