96 results match your criteria: "University General Hospital of Thessaloniki AHEPA[Affiliation]"

Background: Cabazitaxel is an effective treatment in metastatic castration-resistant prostate cancer (mCRPC) patients previously exposed to docetaxel and novel hormonal treatments. Understanding the molecular biology of mCRPC disease and taking into account the several approved treatment options, biomarkers are needed to guide decision making including cabazitaxel treatment.

Methods: Cababone was a phase II translational study that attempted to identify predictors of cabazitaxel efficacy.

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: Acute necrotizing pancreatitis (ANP) is the acute inflammation of pancreatic parenchyma, most commonly due to alcohol abuse or cholelithiasis. The treatment can be either conservative or invasive, including a variety of techniques; however, it has not yet been established if the intervention should be early or if it should be delayed. The aim of this review is to investigate the optimal time for intervention in ANP.

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Article Synopsis
  • Autoimmune pancreatitis (AIP) is a rare form of chronic pancreatitis caused by autoimmune dysfunction, classified into three subtypes, with type 1 and type 2 responding well to corticosteroids.
  • A case study presented a patient with symptoms resembling pancreatic cancer, where imaging suggested obstruction, leading to a Whipple surgery; however, the pathology indicated AIP type 1 instead.
  • This highlights the importance of thorough preoperative assessments to avoid unnecessary surgeries, as AIP can be misdiagnosed, emphasizing its relevance in clinical practice.
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Cervical internal carotid artery fenestration: a rare cause of lumen "dissection''.

Surg Radiol Anat

October 2024

2nd Department of Neurology, School of Medicine, Aristotle University of Thessaloniki, AHEPA University Hospital, Thessaloniki, Greece.

Purpose: To highlight the clinical and diagnostic importance of correctly identifying cervical internal carotid artery fenestration (fcICA), an extremely rare vascular anomaly, and to present a case where fcICA was initially misdiagnosed as a dissection in a patient with fibromuscular dysplasia (FMD).

Methods: A 47-year-old woman with pulsatile tinnitus underwent computed tomography angiography (CTA) and digital subtraction angiography (DSA) to differentiate between fenestration and dissection of the internal carotid artery.

Results: CTA revealed a fusiform dilatation of the distal C1 segment of the right internal carotid artery (ICA) with a linear filling defect, suggesting either fenestration or dissection.

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Background: Cardiac magnetic resonance (CMR) allows comprehensive myocardial tissue characterisation, revealing areas of myocardial inflammation or fibrosis that may predispose to ventricular arrhythmias (VAs). With this study, we aimed to estimate the prevalence of structural heart disease (SHD) and decipher the prognostic implications of CMR in selected patients presenting with significant VAs.

Methods: Electronic databases were searched for studies enrolling adult patients that underwent CMR for diagnostic or prognostic purposes in the setting of significant VAs.

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Article Synopsis
  • - This study investigates the prevalence of hepatitis D virus (HDV) among people living with HIV (PLWHIV) in Greece, highlighting the importance of understanding the impact of co-infections on liver disease as new treatments emerge.
  • - A total of 696 serum samples from PLWHIV were analyzed, revealing that the majority of participants were male (93%) with a median age of 54 and a long history on antiretroviral therapy, while additional findings showed seroprevalence for other viruses like HCV and HAV.
  • - Results showed a low HDV prevalence in the study group, with only 3% testing positive for anti-HDV IgG antibodies and none for HDV RNA, indicating fewer
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Effect of Extract Supplementation in the Metabolic Control of People with Diabetes Mellitus Type 1: A Double-Blind Randomized Placebo-Controlled Trial.

Nutrients

June 2024

Diabetes Center, 1st Propaedeutic Department of Internal Medicine, School of Medicine, University General Hospital of Thessaloniki AHEPA, Aristotle University of Thessaloniki, 54636 Thessaloniki, Greece.

Unlabelled: Introduction-Background: Data from experimental trials show that L. (saffron) is considered to improve glycemia, lipid profile, and blood pressure and reduce oxidative stress. So far, clinical trials have been conducted in individuals with metabolic syndrome and Diabetes Mellitus type 2 (DMT-2).

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Neuroendocrine Breast Carcinoma: Interesting Images of an Underdiagnosed Entity.

Diagnostics (Basel)

May 2024

3rd Surgical Department, University General Hospital of Thessaloniki "AHEPA", Aristotle University of Thessaloniki, 1st St. Kiriakidi Street, 54621 Thessaloniki, Greece.

Breast cancer is the most common type of cancer of the female gender. A rare subtype of breast cancer is the invasive breast carcinoma (IBC) with neuroendocrine (NE) differentiation. Its incident is believed to be 0.

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  • Pancreatic cancer is a serious health concern, being the fourth deadliest cancer, but not all pancreatic masses are malignant, highlighting the need for accurate diagnosis through biopsy.
  • This meta-analysis compares two minimally invasive biopsy methods for pancreatic tissue: percutaneous biopsies guided by imaging versus transduodenal biopsies using endoscopic ultrasound (EUS).
  • Results show that the percutaneous approach is statistically superior in sensitivity and specificity, but biases in tumor selection may affect these findings, making the choice of biopsy method dependent on various clinical factors.
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Background: To identify the preferences and perceptions of migraine patients for acute and preventive treatment options and to investigate which treatment outcomes are the most important.

Design And Methods: The authors performed a choice-format survey in a cohort of migraine patients from Greece and Cyprus. A self-administered questionnaire developed in collaboration with the Greek Society of Migraine Patients was used.

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Pharmaceutical Management of Secondary Hyperparathyroidism and the Role of Surgery: A 5-Year Retrospective Study.

Medicina (Kaunas)

May 2024

3rd Surgical Department, University General Hospital of Thessaloniki "AHEPA", School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, 1st St. Kiriakidi Street, 54621 Thessaloniki, Greece.

Secondary hyperparathyroidism (SHPT) poses a common condition among patients with chronic kidney disease (CKD) due to the chronic stimulation of the parathyroid glands as a result of persistently low calcium levels. As a first option for medical treatment, vitamin D receptor analogs (VDRAs) and calcimimetic agents are generally used. Apart from cinacalcet, which is orally taken, in recent years, another calcimimetic agent, etelcalcetide, is being administered intravenously during dialysis.

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Sudden sensorineural hearing loss (SSHL) is believed to be mainly idiopathic since the cause is not usually identified. Several recent studies have examined the role of cardiovascular risk factors in this disease. The aim of this systematic literature review is to investigate the possible association between acquired and inherited cardiovascular risk factors and the incidence, severity, and prognosis of SSHL.

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BACKGROUND Schwannomas are tumors that arise from Schwann cells that surround and support nerve cells. Most common sites for presentations are head, neck, and extremities. Schwannomas of gastrointestinal tract are rare, slow-growing tumors, usually benign, arising from gastrointestinal tract's neural plexus.

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Article Synopsis
  • - The Covid-19 pandemic has significantly harmed mental health and quality of life for older adults, prompting global health concerns and political responses.
  • - A study involving 3,388 older adults compared their mental health, lifestyle, and health metrics before and after the pandemic, finding persistent negative impacts.
  • - The findings suggest the need for future healthcare programs focused on psychological support and nutritional counseling to help older adults cope with these adverse effects.
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In our experience, employing a radial artery in combination with an internal thoracic artery under specific conditions represents a superior option compared to using a vein graft in coronary artery surgery. Additionally, this combination is a remarkable alternative to utilizing bilateral thoracic arteries. We had planned the left radial artery as the second target graft in two patients undergoing coronary artery bypass surgery; the left internal thoracic artery to the left anterior descending branch would be the main graft in both patients.

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Use of Advanced Hybrid Closed-Loop System during Pregnancy: Strengths and Limitations of Achieving a Tight Glycemic Control.

J Clin Med

March 2024

Diabetes Center, 1st Propaedeutic Department of Internal Medicine, Faculty of Medicine, University General Hospital of Thessaloniki AHEPA, Aristotle University of Thessaloniki, 54636 Thessaloniki, Greece.

: Pregnant women with type 1 diabetes mellitus (T1DM) face an elevated risk of complications for both themselves and their newborns. Experts recommend strict glycemic control. The advanced hybrid closed-loop (AHCL) system, though not officially approved for pregnant T1DM patients, is promising for optimal glycemic control.

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Background: Multiple sclerosis (MS) constitutes a chronic inflammatory and degenerative demyelinating disease, which can progressively lead to a broad range of sensorimotor, cognitive, visual, and autonomic function symptoms, independently of patient' age. However, the clinical studies that examine the role of dietary patterns against disease progression and symptomatology remain extremely scarce, especially concerning Mediterranean diet (MD) in the subgroup age of older adults with MS.

Aims: The present study aimed to investigate the potential impact of MD compliance in disease progression and symptoms severity as well as quality of life and physical activity of community-dwelling older adults with MS.

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Moving from left ventricular ejection fraction to deformation imaging in mitral valve regurgitation.

Curr Probl Cardiol

April 2024

First Department of Cardiology, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, AHEPA Hospital, St. Kiriakidi 1, Thessaloniki 54636, Greece. Electronic address:

Article Synopsis
  • The rise in mitral regurgitation (MR) cases highlights the urgent need for timely surgical or transcatheter interventions to prevent serious health complications.
  • While left ventricular ejection fraction (LVEF) is typically used to assess heart damage, its accuracy in MR situations is questionable, prompting a look into alternative methods like deformation imaging.
  • The review calls for a combination of traditional and new assessment techniques for better patient management and emphasizes the importance of future large-scale studies to confirm the effectiveness of deformation imaging in clinical settings.
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Background: The choice of the first-line technique in vertebrobasilar occlusions (VBOs) remains challenging. We aimed to report outcomes in a large cohort of patients and to compare the efficacy and safety of contact aspiration (CA) and combined technique (CoT) as a first-line endovascular technique in patients with acute VBOs.

Methods: We retrospectively analyzed clinical and neuroradiological data of patients with VBOs from the prospective, multicenter, observational Endovascular Treatment in Ischemic Stroke (ETIS) Registry in France between January 2015 and August 2023.

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Introduction: Hemoptysis is one of the most common symptoms of respiratory system diseases. Common causes include bronchiectasis, tumors, tuberculosis, aspergilloma, and cystic fibrosis. The severity of hemoptysis varies from mild to moderate to massive hemoptysis and can easily lead to hemodynamic instability and death from suffocation or shock.

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Our aim was to evaluate the concordance between the Myriad MyChoice and two alternative homologous recombination deficiency (HRD) assays (AmoyDx HRD Focus NGS Panel and OncoScan™) in patients with epithelial ovarian cancer (EOC). Tissue samples from 50 patients with newly diagnosed EOC and known Myriad MyChoice HRD status were included. DNA aliquots from tumor samples, previously evaluated with Myriad MyChoice and centrally reassessed, were distributed to laboratories to assess their HRD status using the two platforms, after being blinded for the Myriad MyChoice CDx HRD status.

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The evolution of ultrasound (US) techniques has greatly improved the evaluation of many parameters in dialysis vascular access, which is typically achieved through an arteriovenous fistula (AVF) or graft (AVG). These techniques include grayscale B-mode, color Doppler, power Doppler, spectral Doppler, non-Doppler US flow imaging techniques, contrast-enhanced US, and elastography. In conjunction with a patient's medical history and physical examination, US provides crucial information about the native vascular bed prior to the surgical creation of an arteriovenous anastomosis.

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Ultrasound investigation and management of the thyroid nodule.Tirads classification.Patient's follow-up after thyroidectomy.

Hell J Nucl Med

November 2023

Department of Radiology, University General Hospital of Thessaloniki AHEPA, Aristotle University of Thessaloniki, Thessaloniki, Greece.

Thyroid's ultrasound examination is the first and main imaging modality for the morphological investigation of the gland following clinical examination. It depicts both the number and texture of both palpable and non-palpable nodules.

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Article Synopsis
  • Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) causes COVID-19, a pandemic that not only affects the respiratory system but also leads to serious gastrointestinal complications, including gastrointestinal bleeding (GIB).
  • A systematic review analyzed 33 studies involving over 134,000 COVID-19 patients, revealing a GIB prevalence ranging from 0.47% to 19%, with an overall pooled prevalence of about 3.05%.
  • The occurrence of GIB is particularly concerning for patients on anticoagulant therapy, and its symptoms, such as melena and hematemesis, require prompt medical attention due to the potential for life-threatening consequences.
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