1,674 results match your criteria: "National Kapodistrian University of Athens.[Affiliation]"

The Cost and the Value of Stroke Care in Greece: Results from the SUN4P Study.

Healthcare (Basel)

September 2023

Center for Health Services Management and Evaluation, Department of Nursing National and Kapodistrian, University of Athens, 115 27 Athens, Greece.

Article Synopsis
  • The study assessed the one-year total cost of strokes in Greece, focusing on patients with first-ever acute strokes admitted to hospitals within 48 hours of symptom onset.
  • It found that the total annual cost of stroke care was EUR 343.1 million in 2021, averaging EUR 10,722 per patient, with an estimated cost-effectiveness of EUR 23,308 per Quality Adjusted Life Year (QALY).
  • Key costs included 53.3% direct healthcare expenses and significant productivity losses, totaling EUR 160.2 million from work absences, premature retirement, and caregiving, emphasizing the need for improved stroke care and effective interventions.
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Insights into Facilitated Subcutaneous Immunoglobulin Use in Patients with Secondary Immunodeficiency Diseases: A FIGARO Subgroup Analysis.

Cancers (Basel)

September 2023

Hospital for Children and Adolescents, St. Georg Hospital, Academic Teaching Hospital of the University of Leipzig, IDCL (ImmunoDeficiency Center Leipzig), 04129 Leipzig, Germany.

The Facilitated Immunoglobulin Administration Registry And Outcomes (FIGARO) Study was a European, multicenter, prospective, observational study conducted across Europe designed to provide insights on the clinical use and tolerability of facilitated subcutaneous immunoglobulin (fSCIG). Data herein are reported for the cohort of patients with secondary immunodeficiency (SID), with a subgroup analysis by age. The SID cohort included 31 patients: 1 pediatric, 15 adult, and 15 older adult patients.

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The Ageing Foot.

Int J Low Extrem Wounds

September 2023

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

Article Synopsis
  • Feet experience significant stress over a lifetime, leading to issues like dry skin, calluses, and infections, as well as degenerative conditions affecting ligaments and tendons.* -
  • Age-related foot problems can lead to deformities such as bunions, hammer toes, and stress fractures, which may decrease overall quality of life.* -
  • The review emphasizes the importance of prevention, foot care, and prompt treatment in maintaining foot health, which is crucial for overall well-being and mobility in older adults.*
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Holmium:YAG laser-assisted intraductal sialendoscopic lithotripsy under local anesthesia.

J Stomatol Oral Maxillofac Surg

April 2024

School of Medicine, 2nd Otolaryngolgy Department, National & Kapodistrian University of Athens, "Attikon" University Hospital, Rimini 1, Chaidari, Athens 124 62, Greece.

Article Synopsis
  • - The study evaluates the effectiveness and safety of Holmium:YAG laser-assisted sialendoscopic intraductal lithotripsy performed under local anesthesia on patients with saliva gland stones, specifically focusing on outcomes and patient tolerance.
  • - A total of 42 patients with 48 stones, mostly over 5 mm in size, were treated, achieving complete stone fragmentation in 66.7% of cases, with the procedure largely well tolerated despite some discomfort experienced by a few patients.
  • - The authors conclude that this procedure is safe and viable for treating small to intermediate-sized fixed stones, although pain can restrict how powerful the laser can be and how long the treatment lasts, which is noted as a significant limitation.
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Spinal cord injuries at the cervical spine level represent the most consequential of the related injuries at all levels of the spine. They can trigger permanent unilateral or bilateral damage with conspicuous disability. Regarding unstable injuries, the gold standard approach is open reduction and osteosynthesis, which can select between anterior and posterior surgical access.

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The traditional trial paradigm is often criticized as being slow, inefficient, and costly. Statistical approaches that leverage external trial data have emerged to make trials more efficient by augmenting the sample size. However, these approaches assume that external data are from previously conducted trials, leaving a rich source of untapped real-world data (RWD) that cannot yet be effectively leveraged.

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Context: Unlike other cancers, the concept of oligometastatic disease (OMD) in bladder cancer (BC) has not been systematically investigated. There is therefore a need to develop universally accepted definitions and guidelines for the management of oligometastatic BC (OMBC).

Objective: To conduct a systematic review to assist a European consensus group in producing a definition of OMBC and to provide recommendations on staging and local therapies.

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PD-1, PD-L1, IDO, CD70 and microsatellite instability as potential targets to prevent immune evasion in sarcomas.

Immunotherapy

October 2023

Center for Oncological Research, Integrated Personalized & Precision Oncology Network, University of Antwerp, Wilrijk, 2610, Belgium.

Soft tissue and bone sarcomas are rare entities, hence, standardized therapeutic strategies are difficult to assess. Immunohistochemistry was performed on 68 sarcoma samples to assess the expression of PD-1, PD-L1, IDO and CD70 in different tumor compartments and molecular analysis was performed to assess microsatellite instability status. PD-1/PD-L1, IDO and CD70 pathways are at play in the immune evasion of sarcomas in general.

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The advantages of human milk feeding, especially in preterm babies, are well recognized. Infants' feeding with breast milk lowers the likelihood of developing a diverse range of non-communicable diseases later in life and it is also associated with improved neurodevelopmental outcomes. Although the precise mechanisms through which human milk feeding is linked with infants' neurodevelopment are still unknown, potential epigenetic effects of breast milk through its bioactive components, including non-coding RNAs, stem cells and microbiome, could at least partly explain this association.

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Remdesivir was the first antiviral approved for treating COVID-19. We investigated its patterns of use, effectiveness and safety in clinical practice in Greece. This is a retrospective observational study of hospitalized adults who received remdesivir for COVID-19 in September 2020-February 2021.

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Article Synopsis
  • * Dysfunctions or autoimmune responses to AQPs, especially AQP4, are linked to diseases such as neuromyelitis optica spectrum disorder (NMOSD), which affects CNS health.
  • * The review discusses the detection methods for AQP1-antibodies in the CNS and examines evidence suggesting their potential role in the pathophysiology of NMOSD.
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Review of Disease-Specific microRNAs by Strategically Bridging Genetics and Epigenetics in Oral Squamous Cell Carcinoma.

Genes (Basel)

August 2023

Unit of Orofacial Genetics, 1st Department of Pediatrics, National Kapodistrian University of Athens, "Aghia Sophia" Children's Hospital, 115 27 Athens, Greece.

Oral squamous cell carcinoma (OSCC) is one of the most prevalent human malignancies and a global health concern with a poor prognosis despite some therapeutic advances, highlighting the need for a better understanding of its molecular etiology. The genomic landscape of OSCC is well-established and recent research has focused on miRNAs, which regulate gene expression and may be useful non-invasive biomarkers or therapeutic targets. A plethora of findings regarding miRNA expression have been generated, posing challenges for the interpretation and identification of disease-specific molecules.

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Article Synopsis
  • Congenital heart malformations (CHMs) occur in 2-3% of births and are linked to the development of heart chambers influenced by bone morphogenetic proteins (BMPs).
  • A study examined BMP2 and BMP4 genes in 52 heart biopsies with various CHMs compared to 10 normal hearts, finding no loss-of-function mutations but observing changes in mRNA expression profiles.
  • Despite similar protein levels in both affected and normal hearts, the study suggests that epigenetic, microRNA, or post-transcriptional factors might influence early heart malformation processes, indicating a complex interplay beyond just genetic mutations.
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Bladder cancer is one of the most commonly diagnosed genitourinary malignancies. For many years, the primary treatment for metastatic urothelial cancer (mUC) was predicated on the use of platinum-based chemotherapy. More recently, immune checkpoint inhibitors (ICIs) were approved by regulatory agencies such as the US FDA for use in both the first- and second-line settings.

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Multiple Sclerosis (MS) is a chronic inflammatory, autoimmune disease of the Central Nervous System with a vast spectrum of clinical phenotypes. A major aspect of its clinical presentation is cerebellar ataxia where physiotherapy and treatment modalities play a significant role on its management. This systematic review aims to investigate the physiotherapeutic rehabilitation techniques regarding the management of cerebellar ataxia due to MS and secondary to stratify each protocol as part of a multi structural personalized rehabilitation approach based on the gravity of the symptoms.

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Introduction: Trauma accounts for 20% of deaths in pregnant women. Injury characterisation and outcome in pregnant women following trauma is poorly described. To understand and inform optimum care of this key injury population, a study was conducted using the Trauma Audit Research Network (TARN) database.

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Post Hospital Discharge Functional Recovery of Critical Illness Survivors. Systematic Review.

J Crit Care Med (Targu Mures)

April 2023

Clinical Ergospirometry, Exercise and Rehabilitation Laboratory, 1st Critical Care Department, Evangelismos Hospital, School of Medicine, National & Kapodistrian University of Athens, Athens, Greece.

Article Synopsis
  • Millions of people require ICU hospitalization annually, and even with improved survival rates, many patients experience cognitive, psychological, and functional issues post-discharge.
  • This study examined recovery interventions after ICU discharge, assessing the effectiveness of rehabilitative protocols and identifying gaps in existing research.
  • Nine randomized controlled trials found that while rehabilitation programs showed improvements in functional ability, the differences between treatment and control groups were not statistically significant, indicating a need for further research to establish concrete benefits.
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Introduction: The Nurses of Hemodialysis Units: it is necessary to face HAIs (hospital-acquired infections) as a "well-tuned" teamwork. The aim of this study was to investigate the perceptions of the teamwork as well as the knowledge attitudes of the nurses of hemodialysis units on infection prevention in Greece.

Methodology: A cross-sectional survey was conducted with a sample of 1018 HCWs (health care workers) of hemodialysis units in Greece.

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The Role of Ultrasonography in Hip Impingement Syndromes: A Narrative Review.

Diagnostics (Basel)

August 2023

3rd Department of Orthopaedic Surgery, National & Kapodistrian University of Athens, KAT General Hospital, 14561 Athens, Greece.

Hip pain is indubitably a frequent clinical problem deriving from copious etiologies. Hip impingement syndromes are one of the most prevalent causes of persistent groin pain, especially in young and active patients. Diligent imaging of the hip region is indispensable to discern femoroacetabular impingement, as the differential diagnosis of hip pain can be exceedingly arduous.

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: The interactions between Diabetes Mellitus type II (DMII) and Multiple Sclerosis (MS) lead to higher levels of fatigue, higher risk of physical disability, faster cognitive decline, and in general a lower quality of life and a higher frequency of depression compared to the general population. All of the above accelerate the disability progression of patients with MS, reduce the patients' functional capacity, and further increase their psychological and economic burden. : This systematic review and meta-analysis aims to calculate the prevalence of DMII in the MS population.

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Decongestion strategies in patients presenting with acutely decompensated heart failure: A worldwide survey among physicians.

Eur J Heart Fail

September 2023

Emergency Institute for Cardiovascular Diseases 'Prof. C.C. Iliescu', Bucharest, Romania, University of Medicine Carol Davila, Bucharest, Romania.

Aims: Decongestion strategies for acute decompensated heart failure (ADHF) characterized by volume overload differ widely. The aim of this independent international academic web-based survey was to capture the therapeutic strategies that physicians use to treat ADHF and to assess differences in therapeutic approaches between cardiologists versus non-cardiologists.

Methods And Results: Physicians were invited to complete a web-based questionnaire, capturing anonymized data on physicians' characteristics and treatment preferences based on a hypothetical clinical scenario of a patient hospitalized with ADHF.

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We examined changes in barbell velocity and surface electromyographic activity (sEMG) during the concentric (CON) and eccentric (ECC) phases of a bench press set. Ten men executed a set to instant exhaustion as fast as possible, against a low (40% 1-RM) and a heavy load (80% 1-RM), one week apart. The reduction in mean barbell velocity was lower in the ECC compared with the CON phase for both loads (40%1-RM: ECC: -36 ± 21% vs.

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