1,673 results match your criteria: "University Hospital of Patras.[Affiliation]"

Background: Phyllodes tumors (PTs) of the breast are uncommon fibroepithelial neoplasms that tend to recur locally and may have metastatic potential. Their pathogenesis is poorly understood. Hippo signaling pathway plays an essential role in organ size control, tumor suppression, tissue regeneration and stem cell self-renewal.

View Article and Find Full Text PDF

Prior studies have suggested that immune thrombotic thrombocytopenic purpura (iTTP) may display seasonal variation; however, methodologic limitations and sample sizes have diminished the ability to perform a rigorous assessment. This 5-year retrospective study assessed the epidemiology of iTTP and determined whether it displays a seasonal pattern. Patients with both initial and relapsed iTTP (defined as a disintegrin and metalloprotease with thrombospondin type motifs 13 activity <10%) from 24 tertiary centers in Australia, Canada, France, Greece, Italy, Spain, and the US were included.

View Article and Find Full Text PDF
Article Synopsis
  • - The study investigates how different levels of sodium in dialysate affect blood pressure (BP) in patients undergoing hemodialysis, as hypertension is linked to serious health issues in these patients.
  • - Results indicate that increasing dialysate sodium concentrations led to a significant rise in both systolic and diastolic BP over a 72-hour period in the patients monitored.
  • - The findings suggest that using lower dialysate sodium concentrations could potentially help maintain better blood pressure control in hemodialysis patients.
View Article and Find Full Text PDF

Background: Increased aortic blood pressure (BP) and arterial stiffness are associated with higher cardiovascular risk in hemodialysis. Previous works showed that lower dialysate sodium is associated with lower brachial-BP; data on aortic-BP and arterial stiffness are limited. This study aimed to investigate the effects of different dialysate sodium concentrations on 72-hour aortic-BP and arterial stiffness parameters in hemodialysis patients.

View Article and Find Full Text PDF

Cognitive deficits and course of recovery in transient global amnesia: a systematic review.

J Neurol

October 2024

Department of Neurology, University Hospital of Larissa, Faculty of Medicine, University of Thessaly, Mezourlo Hill, 41100, Larissa, Greece.

Article Synopsis
  • - The study aimed to explore cognitive deficits during transient global amnesia (TGA) episodes, discovering that impairments extend beyond just episodic memory.
  • - Researchers reviewed 1302 articles, ultimately including 17 in their analysis, and found that TGA patients experience significant issues with spatiotemporal awareness, anterograde amnesia, and working memory during acute episodes.
  • - Although many cognitive functions remain normal, recovery typically starts with spatiotemporal orientation, followed by working and semantic memory retrieval, while episodic memory issues may last longer, with subtle memory deficits possible even after 24 hours.
View Article and Find Full Text PDF

Surgeons have grappled with the treatment of recurrent and T4b locally advanced rectal cancer (LARC) for many years. Their main objectives are to increase the overall survival and quality of life of the patients and to mitigate postoperative complications. Currently, pelvic exenteration (PE) with or without neoadjuvant treatment is a curative treatment when negative resection margins are achieved.

View Article and Find Full Text PDF

Chronic Atrophic Autoimmune Gastritis: The Evolving Role of Vitamin D.

Front Biosci (Landmark Ed)

July 2024

Division of Gastroenterology, Department of Internal Medicine, University Hospital of Patras, 26504 Patras, Greece.

Article Synopsis
  • Vitamin D is essential for bone health, immune system function, and overall physiological processes; its deficiency can be a concern for patients with chronic atrophic autoimmune gastritis (CAAG), which impairs nutrient absorption.
  • CAAG leads to inflammation and damage in the stomach, making adequate vitamin D levels important for managing immune responses and reducing inflammation, which is critical to controlling disease symptoms.
  • Regular monitoring and supplementation of vitamin D may enhance health outcomes in CAAG patients by improving immune regulation and preventing nutrient deficiencies linked to bone health.
View Article and Find Full Text PDF

Background: Biventricular pacing (BVP) is recommended for patients with heart failure (HF) who require cardiac resynchronization therapy (CRT). Left bundle branch area pacing (LBBAP) is a novel pacing strategy that appears to ensure better electrical and mechanical synchrony in these patients. Our aim was to systematically review and meta-analyze the existing evidence regarding the clinical outcomes of LBBAP-CRT compared with BVP-CRT.

View Article and Find Full Text PDF

Head and neck cancers (HNCs) constitute a wide range of malignancies originating from the epithelial lining of the upper aerodigestive tract, including the oral cavity, pharynx, larynx, nasal cavity, paranasal sinuses, and salivary glands. Although lymphomas affecting this region are not conventionally classified as HNCs, they may occur in lymph nodes or mucosa-associated lymphoid tissues within the head and neck. Oncogenic viruses play a crucial role in HNC onset.

View Article and Find Full Text PDF

The presence and contribution of senescent cells in premalignant lesions is well documented, but not in germ cell neoplasia in situ. The purpose of this study is to identify the presence of senescent cells in pre-malignant testicular conditions and in different histological types of testicular cancer. Thirty patients who underwent orchiectomy due to testicular tumors were included.

View Article and Find Full Text PDF

Interoceptive Processing in Functional Gastrointestinal Disorders.

Int J Mol Sci

July 2024

Division of Gastroenterology, Department of Internal Medicine, University Hospital of Patras, 26504 Patras, Greece.

Functional gastrointestinal disorders (FGIDs) are characterized by chronic gastrointestinal symptoms in the absence of overt pathology and affect a significant percentage of the worldwide population. They are commonly accompanied by co-morbid psychiatric symptomatology and are associated with significant suffering and great healthcare services utilization. There is growing evidence that dysregulation of the gut-brain axis and disturbances in the processing of afferent interoceptive signals lie at the heart of these disorders.

View Article and Find Full Text PDF

Chronic hepatitis B (CHB) infection constitutes a leading cause of hepatocellular carcinoma (HCC) development. The identification of HCC risk factors and the development of prognostic risk scores are essential for early diagnosis and prognosis. The aim of this observational, retrospective study was to evaluate baseline risk factors associated with HCC in CHB.

View Article and Find Full Text PDF
Article Synopsis
  • Significant unprotected left main (ULM) disease is a serious heart condition that requires quick treatment because it can cause major heart problems.
  • A study called NOBLE didn't show that one treatment method (PCI) is better than another (CABG), but other studies showed both methods have similar results.
  • It's important for doctors to keep researching to find the best treatments for this heart condition, especially with new technologies and medicines.
View Article and Find Full Text PDF

Muscle ultrasound in myopathies.

Curr Opin Neurol

October 2024

Department of Neurology& Clinical Neurophysiology, Clinical Neuromuscular Imaging Group, Donders Center for Neuroscience, Radboudumc, Nijmegen, The Netherlands.

Purpose Of Review: This review highlights recent developments in the field of muscle ultrasound (MUS) for the diagnosis and follow up of muscle disorders.

Recent Findings: The diagnostic screening capacity of quantitative grayscale analysis is still sufficient to assess children suspected of a neuromuscular disorder. A combination of visual and quantitative assessment is advised for optimal interpretation.

View Article and Find Full Text PDF

Purpose: In addition to chromosomal abnormalities, several genes have been implicated as causes of disorders of sex development (DSD). The NR5A1 gene expresses SF1, a transcription factor that plays a role in steroidogenesis by controlling multiple stages of adrenal and gonadal development, its mutations having been reported in cases of DSD.

Case Presentation: A 15-year-old teenager was admitted to the Children's ICU of a tertiary center due to acute encephalitis.

View Article and Find Full Text PDF

Purpose: Iatrogenic ureteral strictures (US) after endoscopic treatment for urolithiasis represent a significant healthcare concern. However, high-quality evidence on the risk factors associated with US is currently lacking. We aimed to develop a consensus statement addressing the definition, risk factors, and follow-up management of iatrogenic US after endoscopic treatment for urolithiasis.

View Article and Find Full Text PDF
Article Synopsis
  • - This study introduces a new method, FFR2D, for quickly and accurately calculating fractional flow reserve using routine 2D coronary angiograms, comparing its effectiveness to the traditional pressure wire measurement in assessing coronary artery stenosis.
  • - Conducted with 88 patients, the results showed that FFR2D had a strong correlation with the invasive FFR, achieving a diagnostic accuracy of 90.9%, with key metrics including 85.7% sensitivity and 93.3% specificity for identifying critical artery blockages.
  • - FFR2D outperformed the standard 50% diameter stenosis measurement in predictive ability, demonstrating a significantly higher area under the ROC curve, indicating its potential as a more reliable tool
View Article and Find Full Text PDF

Introduction: Patients being on immunosuppressive treatment of any reason, along with other risk factors such as smoking and obesity, are vulnerable to be infected from SARS-CoV2. Aim of this report is to describe a case of a female patient under Rituximab therapy who experienced episodes of lung infection due to Severe Acute Coronavirus 2 (SARS-CoV-2 ) invasion although fully vaccinated.

Case Report: A 50-year-old woman, with a past medical history of lupus nephritis on rituximab was diagnosed with lung infection due to SARS-CoV-2.

View Article and Find Full Text PDF

Introduction: Revisional bariatric surgery (RBS) for insufficient weight loss/weight regain or metabolic relapse is increasing worldwide. There is currently no large multinational, prospective data on 30-day morbidity and mortality of RBS. In this study, we aimed to evaluate the 30-day morbidity and mortality of RBS at participating centres.

View Article and Find Full Text PDF