2,510 results match your criteria: "University Hospital of Heraklion.[Affiliation]"

Schizophrenia is a chronic psychotic disorder comprising positive symptoms, negative symptoms, and cognitive deficits. Negative symptoms are associated with stigma, worse functional outcomes, and a significant deterioration in quality of life. Clinical diagnosis is challenging despite its significance, and current treatments offer little improvement in the burden of negative symptoms.

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Intraoperative OCT (iOCT) is an innovative imaging modality that provides ophthalmic surgeons with real-time cross-sectional views of the surgical field. Recent advances in OCT technology, such as higher acquisition scanning rates, enable real-time video visualization. iOCT systems are widely used in both vitreoretinal and anterior segment surgeries.

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Article Synopsis
  • Various conditions can appear similar to musculoskeletal infections in imaging, making diagnosis challenging.
  • The text discusses disorders in different parts of the body, including the axial skeleton and joints, that can mimic infections like osteomyelitis and septic arthritis.
  • It highlights typical imaging traits of actual infections and contrasts them with those of the mimicking conditions.
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Intact FGF23 and Markers of Iron Homeostasis, Inflammation, and Bone Mineral Metabolism in Acute Pediatric Infections.

Biology (Basel)

September 2024

Department of Pediatrics, University Hospital of Ioannina, Faculty of Medicine, School of Health Sciences, University of Ioannina, 45110 Ioannina, Greece.

Article Synopsis
  • The study assesses the relationship between intact Fibroblast Growth Factor 23 (i-FGF23) and various biological markers in children with acute infections, focusing on its role in anemia and iron metabolism.
  • Researchers analyzed data from 79 children, including those with bacterial and viral infections, comparing their blood parameters to a healthy control group while excluding cases with other causes of anemia.
  • Findings show a significant presence of inflammation-related anemia in patients with bacterial infections and a high prevalence of functional iron deficiency, along with notable correlations between hepcidin and i-FGF23 levels during infections, suggesting the need for further research on their interactions.
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Psoriasis is a chronic, immune-mediated skin condition with significant metabolic complications. Although lipid metabolism is linked to its pathogenesis, reliable biomarkers and the impact of modifiable factors remain underexplored. The aim of the present study was to identify potential biomarkers, study the affected metabolic networks, and assess the role of dietary and lifestyle factors in psoriasis.

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Background: Inflammatory bowel disease (IBD) commonly affects patients of reproductive age. The effect of disease activity on the outcome of pregnancy and its impact on neonatal health are areas of intense research.

Methods: Α national retrospective study of pregnancies in women with IBD between 2010 and 2020 was carried out in 22 IBD reference centers in Greece.

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Still waters run deep: a unique case of mummification under extreme conditions.

Forensic Sci Res

September 2024

Forensic Pathology Division of Crete, Hellenic Republic Ministry of Justice, Transparency and Human Rights, Heraklion, Greece.

Unlabelled: In rural Crete, Greece, a mummified body was discovered inside a screw-top plastic barrel next to a dry riverbed. Local authorities conducted a field investigation along with a forensic pathologist, and the body was transferred inside the barrel to the Forensic Medicine Unit of the University of Crete for further investigation. Forensic examination included radiographs taken using a portable X-ray machine followed by extraction of the remains, a full-body postmortem computed tomography scan, autopsy, DNA extraction, tissue and biofluid sampling, and histological and toxicological analyses.

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Background: Coronary computed tomography angiography (CCTA) in patients with post-coronary artery bypass graft (CABG) has a high diagnostic accuracy for visualization of grafts. Invasive coronary angiography (ICA) in patients with CABG is associated with increased procedural time, contrast agent administration, radiation exposure, and complications, compared with non-CABG patients. The aim of this multicenter, randomized controlled trial was to compare the strategy of CCTA-guided ICA versus classic ICA in patients with prior CABG.

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Article Synopsis
  • Clinical genetic testing helps find cancer risks by identifying gene changes, but some of these changes are confusing because we don't know what they mean (called VUS).
  • Researchers studied a huge number of breast cancer patients and healthy people to understand these confusing gene changes better.
  • They found that their method of analyzing data closely matches what other experts say about which gene changes are harmless or harmful, giving more information about 785 unclear changes.
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Introduction: The goal of the present study was to develop a short version (SV) of the Quality of Life Relevance-Acne (QOLRELEVANCE-ACNE) based on the identified most relevant items for acne patients.

Methods: Members of the international internet group for acne patients were asked to fill in the short prototype version of the QOLRELEVANCE-ACNE. Internal consistency was measured using Cronbach's alpha.

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  • Lung cancer is a significant global health issue, and the Ki-67 index is important for evaluating how aggressive the cancer is, while radiomics can help analyze medical images for better insights into tumor behavior.* -
  • The systematic review examined multiple studies from various databases to determine the effectiveness of using CT scans and radiomics to predict Ki-67 status in patients with Non-Small Cell Lung Cancer, assessing the quality of the studies as well.* -
  • Results showed that radiomics models had a pooled sensitivity of around 78-80% and specificity of 70-80% in predicting Ki-67 status, with improved results from studies using specific segmentation software.*
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  • - Post-traumatic cerebral venous sinus thrombosis (ptCVST) is often underdiagnosed in severe traumatic brain injury (TBI) patients due to non-specific symptoms that mimic TBI manifestations, making early detection critical for effective treatment.
  • - The study follows a 66-year-old male with moderate TBI who showed initial improvement in brain scans despite worsening clinical symptoms; this led to the diagnosis of ptCVST through brain CT venography after suspicious findings arose.
  • - There are currently no established guidelines for managing ptCVST, so treatment mainly focuses on controlling intracranial pressure and ensuring normal cerebral perfusion, highlighting the importance of recognizing signs that could indicate this complication.
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Unlabelled: The first Fragility Hip Fracture Registry has been established in Greece. The in-hospital length of stay was 10.8 days and was significantly influenced by the delayed surgical fixation.

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Article Synopsis
  • * A thorough literature review identified 12 studies (10 on dupilumab, 2 on JAK inhibitors) and evaluated their effects on skin barrier metrics like transepidermal water loss and hydration, with a total of 416 participants across various study designs.
  • * Results showed that dupilumab significantly reduced transepidermal water loss and improved skin hydration, highlighting the effectiveness of IL-4/IL-13 inhibitors, while the data on JAK inhibitors is limited, suggesting further research is needed
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Intestinal dysbiosis is a major contributor to colorectal cancer (CRC) development, leading to bacterial translocation into the bloodstream. This study aimed to evaluate the presence of circulated bacterial DNA (cbDNA) in CRC patients ( = 75) and healthy individuals ( = 25). DNA extracted from peripheral blood was analyzed using PCR, with specific primers targeting rRNA, (), and ().

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Telomere biology disorders: from dyskeratosis congenita and beyond.

Postgrad Med J

November 2024

Department of Pediatric Hematology-Oncology & Autologous Hematopoietic Stem Cell Transplantation Unit, University Hospital of Heraklion & Laboratory of Blood Diseases and Childhood Cancer Biology, School of Medicine, University of Crete, Voutes, Heraklion, Crete, 71500, Greece.

Article Synopsis
  • - Defective telomerase function leads to genomic instability, resulting in telomere biology disorders (telomeropathies), which are characterized by variations in telomere length and related health issues.
  • - These disorders can cause multiple organ effects and exhibit a variety of symptoms even among family members, sometimes linking to previously unexplained diseases like pulmonary fibrosis and liver cirrhosis.
  • - Patients with telomere biology disorders have an increased risk of specific cancers and may experience heightened sensitivity to standard chemotherapy, highlighting the need for better awareness and a multidisciplinary management approach for these conditions.
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Background: Despite its high prevalence and impact on health, metabolic dysfunction-associated steatotic liver disease (MASLD) is inadequately addressed in European primary care (PC), with a large proportion of cases going undiagnosed or diagnosed too late. A multi-country European research consortium led a project to design and evaluate a patient-centered, integrated model for MASLD screening, diagnosis, and linkage to specialty care for European PC settings. Based on the lessons from this project, the latest research evidence, and existing guidelines for the management of MASLD, we sought to develop a set of practice recommendations for screening, referral, and management of MASLD in PC.

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: Hemophagocytic lymphohistiocytosis (HLH) is a rare, life-threatening syndrome characterized by an uncontrolled hyperinflammatory reaction. HLH is classified into primary (familial) and secondary (acquired). Secondary HLH is commonly triggered by infections, with viral infections being a leading cause.

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in polymicrobial osteomyelitis of the tibia in a female patient - a case report.

Germs

March 2024

MD, PhD, Internal Medicine Department, University Hospital of Heraklion, Heraklion, PC 71110, Greece, and School of Medicine, University of Crete, Heraklion, PC 71003, Greece.

Article Synopsis
  • A rare microorganism, formerly known as a Gram-positive bacterium from the Micrococcaceae family, is commonly found in various environments but is infrequently reported as a cause of infection.
  • A case study discusses a 39-year-old woman with a history of osteomyelitis who had a relapse and was successfully treated with ciprofloxacin and amoxicillin-clavulanate after cultures identified the rare pathogen.
  • The study highlights the importance of advanced diagnostic methods for identifying uncommon infections and emphasizes the need for more research to enhance understanding and treatment of such cases.
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Paediatric radiology is a challenging and intriguing subspecialty, dealing with children, guardians and non-radiological clinical colleagues. Paediatric radiologists are routinely in contact with numerous paediatric and surgical subspecialties, all having different needs, perceptions, prioritisations and expectations. Moreover, the radiologist is part of the team of radiographers, sonographers, nurses and secretaries, assisted by appropriate equipment and electronic tools.

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Article Synopsis
  • The study aims to investigate the rising cesarean section rates in Greece and implement interventions to promote vaginal delivery through a trial named ENGAGE, focusing on evidence-based practices.
  • Twenty-two maternity units across Greece will participate in a multicenter trial involving 20,000 to 25,000 births, employing a stepped-wedge design whereby units will gradually implement interventions over 8-18 months.
  • Key interventions include applying updated clinical guidelines, training on cardiotocography, and providing ongoing support to healthcare professionals, with data on cesarean rates and outcomes collected for analysis throughout the study.
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