146 results match your criteria: "Sismanogleio Hospital[Affiliation]"

Background And Objective: Stone size has traditionally been measured in one dimension. This is reflected in most of the literature and in the EAU guidelines. However, recent studies have shown that multidimensional measures provide better prediction of outcomes.

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  • Chronic subdural hematoma (chSDH) primarily affects older adults, and this study investigates factors that influence its recurrence, particularly focusing on the effectiveness of the single burr hole surgical technique.
  • A retrospective analysis involved 166 patients who were categorized into two groups based on hematoma recurrence, revealing a recurrence rate of 7.2% using the single burr hole method, which is lower than some other techniques documented in existing studies.
  • Key risk factors for recurrence included the use of anticoagulants, previous brain stroke events, and mixed densities of hematoma on CT scans, with the average recurrence happening about 16 days post-surgery.
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The global obesity epidemic, attributed to sedentary lifestyles, unhealthy diets, genetics and environmental factors, has led to over 1.9 billion adults being classified as overweight and 650 million living with obesity. Despite advancements in early detection and treatment, lung cancer prognosis remains poor due to late diagnoses and limited therapies.

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Saharan dust storms, which originate from the Sahara desert, have a significant impact on global health, especially on respiratory conditions of populations exposed to fine particulate matter that travels across continents. Dust events, characterized by the transport of mineral dust such as quartz and feldspar, lead to the suspension of particulate matter in the atmosphere, capable of traversing long distances and affecting air quality adversely. Emerging research links these dust episodes with increased incidence and exacerbation of lung diseases, including asthma and chronic obstructive pulmonary disease, especially during peak dust emission seasons from November to March.

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Objectives: Ureterorenoscopy is seeing a bloom of technological advances, one of which is incorporating suction. The objective of this study is to systematically review existing literature regarding suction use in rigid and flexible ureterorenoscopy and perform meta-analysis of studies comparing suction versus no suction ureteroscopy or mini percutaneous nephrolithotomy (PCNL).

Methods: A literature search was performed (November 2023) in MEDLINE, Embase and Cochrane CENTRAL.

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The re-emergence of monkeypox as a significant global health concern has highlighted the need to reassess its clinical presentation, particularly its impact on pulmonary health. Traditionally associated with dermatological symptoms, recent outbreaks in non-endemic regions have underscored the virus's potential for widespread transmission and respiratory complications. Emerging evidence indicates that monkeypox infection can lead to respiratory symptoms such as cough, sore throat, and, in severe cases, pneumonia and acute respiratory distress syndrome (ARDS).

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Effect of adequacy of empirical antibiotic therapy for hospital-acquired bloodstream infections on intensive care unit patient prognosis: a causal inference approach using data from the Eurobact2 study.

Clin Microbiol Infect

December 2024

OUTCOMEREA Research Group, Drancy, France; Institut National de la Santé et de la Recherche Medicale, Infection Antimicrobial Modelisation Evolution, U1137, Team Decision Science in Infectious Diseases, Paris, France; Assistance Publique Hôpitaux de Paris, Bichat hospital, Medical and infectious diseases ICU, F75018, Paris France. Electronic address:

Article Synopsis
  • Hospital-acquired bloodstream infections (HA-BSI) in ICU patients can be life-threatening, and this study aimed to see how early adequate antibiotic treatment affects 28-day mortality rates for patients who survive at least one day after infection onset.
  • Using data from a multicenter study with 2,418 patients, researchers found that those who received adequate treatment within 24 hours had a lower 28-day mortality rate (32.8%) compared to those who were inadequately treated (40%).
  • The study concluded that inadequate antibiotic therapy within 24 hours contributes significantly to 28-day mortality, indicating that quicker treatment could greatly improve patient outcomes in cases of HA-BSI.
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Atypical pneumonia (Review).

Exp Ther Med

November 2024

Laboratory of Clinical Virology, School of Medicine, University of Crete, 71003 Heraklion, Greece.

Article Synopsis
  • Antibiotic treatment typically avoids β-lactams and uses macrolides, tetracyclines, quinolones, and ketolides due to their effectiveness against intracellular pathogens, though rising antibiotic resistance complicates treatment.
  • The prevalence of atypical pneumonia is notable globally, particularly in young adults and outpatient settings, and can lead to severe health complications, including multi-organ damage and increased mortality rates.
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Gastric cancer (GC) constitutes one of the most wide-ranging cancers, with brain metastasis (BM) being a markedly uncommon and unfavorable outcome. The present meta-analysis evaluated the relationship between no-surgical treatment vs. additional surgical BM resection on the patient's quality of life and potential survival using electronic databases, including PubMed (1980-April 2024), Medline (1980-April 2024), Cochrane Library, and EMBASE (1980-April 2024).

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  • Social media is integral to modern life, influencing interactions between patients and urologists, offering both educational and communication opportunities.
  • While patients can benefit from support networks, the accuracy of online health information is often questionable, raising concerns about misinformation.
  • For urologists, social media can enhance networking and research but also poses risks, such as mental health impacts and ethical issues regarding patient privacy and consent.
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Decompressive craniectomy (DC) is considered a cornerstone in the management of refractory intracranial hypertension. For decades, DC was known as an occasionally lifesaving procedure; however, it was associated with numerous severe complications. The present study is a single-center retrospective case series study on with 321 patients who underwent DC between January, 2010 and December, 2020.

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Cardiac amyloidosis is a rare but increasingly recognized condition characterized by the deposition of amyloid fibrils in cardiac tissue, leading to structural and functional heart impairment. This infiltrative cardiomyopathy often mimics more common cardiac conditions, posing significant diagnostic challenges. Particularly deceptive is its presentation as non-ST-segment elevation myocardial infarction (NSTEMI), where the clinical overlap necessitates considering amyloidosis in differential diagnoses.

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  • Melatonin, which regulates circadian rhythms and possesses antioxidant properties, may influence addiction behaviors and mitigate health risks associated with chronic nicotine use.
  • Research suggests that melatonin could play a therapeutic role in addiction treatment by reducing cravings and withdrawal symptoms, but further studies are needed to explore its underlying mechanisms.
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Intracranial aneurysms (IAs) are present in ~2% of the general population, and genetic factors cannot be excluded for the risk of their development. The gene factors that result in the changes in the vascular extracellular matrix (ECM) may also be a key reason for IAs being hereditary. The gene [also known as chondroitin sulfate proteoglycan 2 ()] plays various roles in maintaining ECM functions.

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  • Kidney stones during pregnancy are rare but difficult to manage, and there's no comprehensive survey on current management practices globally.
  • A 19-item survey was developed to evaluate how different regions handle kidney stones in pregnant patients, covering demographics, diagnosis, and treatment options.
  • Results showed that most hospitals lack a clear protocol, with ultrasound as the preferred imaging method, but the use of CT scans is growing, especially when ultrasound results are unclear.
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  • * A systematic review and meta-analysis were conducted using databases like Cochrane Library and PubMed, identifying 48 relevant articles to assess the incidence of these ACA variations.
  • * The analysis reveals that there were no statistically significant differences in the prevalence of ACA variations when comparing cadaveric (autopsy) studies to imaging studies.
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  • * Comprehensive metabolic screening and personalized preventative measures, like fluid intake and dietary recommendations, are crucial for patients, especially those with specific types of stones.
  • * Continuous monitoring and targeted therapies are essential for managing patients at high risk of stone recurrence to improve long-term outcomes.
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The present study reports the case of a 50-year-old obese male with ankylosing spondylitis, Scheuermann's kyphosis. The patient was asymptomatic concerning the ectopic ossification of the posterior longitudinal ligament (OPLL) at the cervical spine; he developed quadriparesis and respiratory insufficiency following minor head trauma. Even though trauma to the cervical spine in patients with OPLL is common, to the best of our knowledge, this is the first reported case of an extensive osteophyte with a lethal outcome after syncope.

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  • Chronic subdural hematoma (CSDH) poses significant challenges in neurosurgery, prompting a study comparing different surgical techniques among 122 patients.
  • The study divided patients into three groups based on the surgical approach: burr hole with subperiosteal drain, single burr hole with intradural drain, and mini-craniotomy, assessing various post-operative outcomes.
  • Results indicated that the burr hole techniques (groups 1 and 3) had lower rates of hematoma recurrence, shorter hospital stays, and better discharge consciousness levels compared to the intradural drain approach in group 2.
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Exploring the Link Between Metabolic Syndrome and Cellulite.

Cureus

June 2024

Internal Medicine, Athens Medical Group, Athens, GRC.

Metabolic syndrome (MetS) encompasses a cluster of metabolic abnormalities, including insulin resistance, hypertension, abdominal obesity, and dyslipidemia, increasing cardiovascular disease and type 2 diabetes risks. Cellulite, a cosmetic condition marked by dimpled skin, predominantly affects women and shares risk factors with MetS, such as obesity and hormonal imbalances. This review examines the potential link between MetS and cellulite, focusing on shared pathophysiological pathways and implications for clinical practice and future research.

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The present systematic review aimed to identify all the available literature on awake craniotomy (AC) in patients with arteriovenous malformation (AVM) in order to evaluate its safety, risks, benefits and effectiveness. All available literature on AC in patients with AVM was collected and evaluated in an aim to provide a better understanding of its safety, associated risks and benefits. A systematic search for studies employing AC in patients with AVM was conducted using the PubMed, Scopus and ScienceDirect databases without restrictions on the year of publication, language, or study design, from inception up to May 30, 2021.

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Social media is increasingly used as a platform for patients to explore health care information. Our objective was to study the content on TikTok in order to gain insight into the perspectives shared by the public on vasectomy. A search was performed using the hashtag ´#vasectomy´ on 12.

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  • Neuro-monitoring is often used for critically ill patients with severe conditions like stroke and head trauma, especially in the ICU.
  • The case study focuses on a 14-year-old boy who experienced acute intracranial hemorrhage after neuromonitoring catheters were placed, requiring surgical intervention.
  • It emphasizes the importance of assessing the patient’s clotting profile, using careful surgical methods, and performing a CT scan after catheter insertion to reduce the risk of bleeding complications related to neuromonitoring.
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  • - Mycoplasmas, which are the smallest wall-less bacteria, are a significant cause of chronic respiratory illnesses and pneumonia, especially affecting children and adolescents, although most infections tend to be mild and self-limiting.
  • - Complications from mycoplasma infections can occur both in the lungs and elsewhere in the body, driven by different mechanisms like immune damage and inflammation, leading to potentially severe conditions.
  • - The pathogenicity of mycoplasmas relies on their ability to adhere to host cells using specialized proteins, which affect how they cause disease and may provide targets for new vaccine development by understanding genetic variations related to virulence.
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