15 results match your criteria: "Nikaia General Hospital "Aghios Panteleimon"[Affiliation]"

Postnatal growth failure, a common problem in very preterm neonates associated with adverse neurodevelopmental outcome, has recently been shown not to be inevitable. There is a wide discussion regarding feeding practices of very preterm neonates, specifically regarding feeding volumes and nutrients supply to avoid postnatal growth failure. Current guidelines recommend an energy intake of 115–140 kcal /kg per d with a considerably higher upper limit of 160 kcal/kg per d.

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Thromboelastometry in Neonates with Respiratory Distress Syndrome: A Pilot Study.

Diagnostics (Basel)

October 2021

Laboratory of Haematology and Blood Bank Unit, Attikon University Hospital, School of Medicine, National and Kapodistrian University of Athens, Haidari, 12462 Athens, Greece.

Background: Although respiratory distress syndrome (RDS) constitutes a postnatal risk factor for bleeding and thromboembolic events in neonates, few studies have addressed this issue. We aimed to evaluate the hemostatic profile of neonates with RDS using rotational thromboelastometry (ROTEM).

Methods: An observational study was conducted from November 2018 to November 2020 in the NICU of General Hospital of Nikaia "Aghios Panteleimon".

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Article Synopsis
  • * A study conducted over 15 months showed an incidence of culture-proven early-onset sepsis (EOS) ranging from 0 to 2.99 per 1000 live births, with an overall rate of 1.8 per 1000 across seven NICUs.
  • * Implementing the EOS-C could decrease empiric antibiotic initiations by up to 100% for healthy neonates and 86% for those with ambiguous symptoms, while also cutting down laboratory testing by significant percentages.
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Human milk is the best possible nutrition for infants, as it supplies them with nutrients, bioactive molecules as well as antibodies, which contribute to immune maturation, organ development, and healthy microbial colonisation. Few situations are considered definitive contraindications for breastfeeding. The disastrous Coronavirus Disease-2019 (COVID-19) pandemic raised many health issues, including the safety of breastfeeding for infants born to affected mothers.

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"Developmental hemostasis" refers to the dynamic process of gradual hemostatic maturation. Conventional coagulation tests seem to fail to accurately depict the in vivo hemostasis, while viscoelastic tests, thromboelastography (TEG), and rotational thromboelastometry (ROTEM) appear very promising as they provide insight more rapidly and accurately into the hemostatic potential. We systematically reviewed the literature in PubMed to examine the use of TEG and ROTEM in neonates.

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Article Synopsis
  • Antibiotics are often overprescribed in Greek Neonatal Intensive Care Units (NICUs), leading to high resistance rates, prompting a need for interventions to reduce usage.
  • A low-cost strategy was implemented in 15 public NICUs, focusing on discontinuing antibiotics within 5 days for certain neonates without signs of infection.
  • The intervention led to a significant increase in early antibiotic discontinuation and saved a considerable number of antibiotic days, indicating that similar approaches can be effective in resource-limited settings.
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Background: We aimed to assess whether nucleated red blood cells (NRBCs) count could serve as a diagnostic and prognostic biomarker for morbidity and mortality in critically ill neonates.

Methods: The association between NRBCs count and neonatal morbidity and mortality was evaluated in an observational cohort of critically ill neonates hospitalized in our neonatal intensive care unit over a period of 69 months. The discriminative ability of NRBCs count as diagnostic and prognostic biomarkers was evaluated by performing the Receiver Operating Characteristics (ROC) curve analysis.

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Thromboelastometry Variables in Neonates with Perinatal Hypoxia.

Semin Thromb Hemost

June 2020

Neonatal Department, National and Kapodistrian University of Athens School of Medicine, Aretaieion Hospital, Athens, Greece.

Perinatal hypoxia is associated with an increased risk of coagulation disorders by enhancing the consumption of platelets and some clotting factors due to the associated severe hypoxemia, acidemia, and compromised oxygen and blood supply to the neonatal liver and bone marrow. Thromboelastometry (TEM), which estimates the dynamics of blood coagulation, may represent an attractive tool for studying the coagulation status of these neonates. We aimed at assessing the hemostatic profile of neonates with perinatal hypoxia using the standard extrinsically activated TEM (ex-TEM) assay.

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Gene Expression in Osteoblasts and Osteoclasts Under Microgravity Conditions: A Systematic Review.

Curr Genomics

April 2019

18 Orthopedic Department, Shoulder Surgery Unit, General Hospital " Asklepieio", Vassileos Pavlou Av. 1, 16673, Voula, Athens, Greece; 2Graduate Program "Metabolic Bones Diseases", National and Kapodistrian University of Athens, Medical School, Mikras Asias 75, 11527, Goudi, Athens, Greece; 3Neonatal Intensive Care Unit, General Hospital of Nikaia "Aghios Panteleimon", Andrea Petrou Mantouvalou Str. 3, 18454, Nikaia, Piraeus, Greece; 4Laboratory for the Research of Musculoskeletal Disorders, Medical School, National and Kapodistrian University of Athens, Nikis 2, 14561, Kifissia, Athens, Greece; 5First Department of Pediatrics, University of Athens, Choremeio Research Laboratory, National and Kapodistrian University of Athens, Thivon & Levadeias 8, 11527, Goudi, Athens, Greece.

Background: Microgravity (μG) negatively influences bone metabolism by affecting normal osteoblast and osteoclast function. μG effects on bone metabolism has been an extensive field of study in recent years, due to the challenges presented by space flight.

Methods: We systematically reviewed research data from genomic studies performed in real or simulat-ed μG, on osteoblast and osteoclast cells.

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Scarce data exists about the hemostatic status of small for gestational age (SGA) neonates. We aimed at evaluating the hemostatic profile of SGA neonates, using thromboelastometry (TEM). This is an observational study performed in a Greek tertiary General Hospital during an 18-month period.

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Background: Healthcare-associated infections (HCAIs) are associated with increased morbidity and mortality and with excess costs. Central line-associated bloodstream infections (CLABSIs) are the most common HCAIs in neonates and children.

Aim: To establish national benchmark data for rates of CLABSI in neonatal and paediatric intensive care units (NICUs and PICUs) and paediatric oncology units (ONCs).

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