4,239 results match your criteria: "University of Athens medical School[Affiliation]"

Diets to promote healthy brain ageing.

Nat Rev Neurol

January 2025

1st Department of Neurology, Aiginition Hospital, National and Kapodistrian University of Athens Medical School, Athens, Greece.

Diet is a modifiable lifestyle factor with a proven role in cardiovascular disease risk reduction that might also play an important part in cognitive health. Evidence from observational studies has linked certain healthy dietary patterns to cognitive benefits. However, clinical trials of diet interventions have demonstrated either null or, at best, small effects on cognitive outcomes.

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Influence of gender on Behçet's disease phenotype and irreversible organ damage: Data from the International AIDA Network Behçet's Disease Registry.

Joint Bone Spine

November 2024

Rheumatology Unit, Department of Medical Sciences, Surgery and Neurosciences Department of Medical Sciences, Surgery and Neurosciences, University of Siena and Azienda Ospedaliero-Universitaria Senese [European Reference Network (ERN) for Rare Immunodeficiency, Autoinflammatory, and Autoimmune Diseases (RITA) Center], Siena, Italy. Electronic address:

Article Synopsis
  • The study aimed to explore gender differences in the phenotypical expression of Behçet's disease (BD) using data from the International AIDA Network Registry, focusing on damage index, disease manifestations, and cardiovascular risk.
  • A total of 1024 patients (567 males and 457 females) were examined, revealing that males had a significantly higher overall damage index and more frequent occurrences of uveitis and vascular involvement, while females showed higher instances of arthralgia, arthritis, and CNS involvement.
  • Key factors associated with major organ involvement included male gender, treatment with biologic agents, origin from endemic regions, and longer disease duration, indicating a more severe course of BD in males compared to females.
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Drug repurposing for neglected and zoonotic diseases.

Trends Pharmacol Sci

December 2024

Tufts Center for the Study of Drug Development, Tufts University School of Medicine, Boston, MA, USA.

Globalization and climate change have intensified the need to address the marginalization of R&D for neglected and zoonotic diseases. We propose that drug repurposing, using enabling technologies such as artificial intelligence, can address this need at a lower cost than de novo R&D processes.

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Background: Behçet's disease (BD) is a multisystemic chronic inflammatory disorder. Cardiac manifestations in BD are extremely rare. There have been no reports of cardiac involvement of BD and especially endomyocardial fibrosis in the left ventricle (LV).

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Epidemiological evidence suggests the presence of common risk factors for the development and prognosis of both cardio- and cerebrovascular diseases, including stroke, Alzheimer's disease, vascular dementia, heart, and peripheral vascular diseases. Accumulation of harmful blood signals may induce organotypic endothelial dysfunction affecting blood-brain barrier function and vascular health in age-related diseases. Genetic-, age-, lifestyle- or cardiovascular therapy-associated imbalance of amyloid-beta (Aβ) peptide metabolism in the brain and periphery may be the missing link between age-related neurocardiovascular diseases.

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Background: Clinical trials and real-world experience have provided evidence for the clinical benefits of mepolizumab, an anti-IL-5 biologic, in severe asthma. However, limited data exist regarding the impact of mepolizumab on airway remodeling.

Objective: We sought to investigate the effect of mepolizumab on airway structural remodeling in patients treated for severe asthma in routine clinical care.

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Background: Outcomes of hospitalized patients with heart failure (HF) and characteristics of advanced HF stage may vary across left ventricular ejection fraction (LVEF) and world regions.

Objectives: This study sought to analyze characteristics of hospitalized advanced HF patients across LVEF spectrum, world regions, and country income.

Methods: Among 18,553 hospitalized patients with acute HF (7,902 new-onset HF and 10,651 decompensated chronic HF) enrolled in the global registry REPORT-HF (International Registry to Assess Medical Practice With Longitudinal Observation for Treatment of Heart Failure), we analyzed characteristics and outcomes of patients with advanced HF, defined as previously diagnosed HF; severe symptoms before current admission (NYHA functional class III/IV); and ≥1 HF-related hospitalization in the preceding 12 months, excluding the current.

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: Childhood obesity is one of the most challenging contemporary public health problems. Children and adolescents with obesity experience multiple psychosocial difficulties, such as low self-esteem, depression, anxiety, and behavioral problems, which persist for a long time. The aim of the study was to assess the effect of a multidisciplinary personalized lifestyle intervention for depressive and anxiety symptoms, as evaluated by psychometric questionnaires, and their effect and association with cardiometabolic parameters in children and adolescents with overweight and obesity before and after the intervention.

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Endogenous metabolic pathways periodically adjust with fluctuations in day and night, a biological process known as circadian rhythm. Time-restricted eating (TRE) aligns the time of food intake with the circadian rhythm. This study aims to investigate the effects of TRE on body weight, body composition and cardiometabolic risk factors.

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The Effect of a Multidisciplinary Lifestyle Intervention Program on Apelin-12, Vaspin and Resistin Concentrations in Children and Adolescents with Overweight and Obesity.

Nutrients

October 2024

Division of Endocrinology, Metabolism and Diabetes, First Department of Pediatrics, National and Kapodistrian University of Athens Medical School, 'Aghia Sophia' Children's Hospital, 11527 Athens, Greece.

Obesity in childhood and adolescence has reached epidemic proportions in recent decades. In the present study, we determined the concentrations of apelin-12, vaspin and resistin in 106 children and adolescents with overweight or obesity before and after the implementation of a multidisciplinary, personalized lifestyle intervention program of diet, sleep and exercise for 1 year. All subjects attended our Center for the Prevention and Management of Overweight and Obesity in Childhood and Adolescence.

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Sex is a key variable in the regulation of human physiology and pathology. Many diseases disproportionately affect one sex: autoimmune diseases, such as systemic lupus erythematosus, are more common in women but more severe in men, whereas the incidence of other disorders such as gouty arthritis and malignant cancers is higher in men. Besides the pathophysiology, sex may also influence the efficacy of therapeutics; participants in clinical trials are still predominately men, and the side effects of drugs are more common in women than in men.

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Dietary and Physical Activity Habits of Children and Adolescents before and after the Implementation of a Personalized, Intervention Program for the Management of Obesity.

Nutrients

October 2024

Division of Endocrinology, Metabolism and Diabetes, First Department of Pediatrics, National and Kapodistrian University of Athens Medical School, 'Aghia Sophia' Children's Hospital, 11527 Athens, Greece.

Background: Obesity in childhood and adolescence represents a major public health problem, mostly attributed to dietary and physical activity factors. We aimed to determine the dietary and physical activity habits of participants before and after the implementation of a personalized, multidisciplinary, lifestyle intervention program for the management of obesity in the context of the Horizon Research Project 'BigO: Big Data against Childhood Obesity'.

Methods: Three hundred and eighty-six (n = 386) children and adolescents (mean age ± SD: 12.

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Weight Loss Therapies and Hypertension Benefits.

Biomedicines

October 2024

First Department of Cardiology, Hippokration General Hospital, National and Kapodistrian University of Athens Medical School, 114 Vasilissis Sofias Avenue, 11527 Athens, Greece.

Obesity and hypertension have become an international health issue, with detrimental consequences on patients. Obesity and hypertension share common pathophysiological mechanisms, such as overactivity of the renin-angiotensin-aldosterone and the sympathetic nervous systems, insulin resistance, and disruption of the leptin pathway. Approved therapies for obesity and overweight include phentermine/topiramate, orlistat, naltrexone/bupropion, the glucagon-like peptide-1 receptor agonists liraglutide and semaglutide, tirzepatide, and bariatric surgery.

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Methods and techniques to optimize energy delivery using the circular array pulsed field ablation catheter.

Heart Rhythm

October 2024

Northwell Cardiovascular Institute, Center for Arrhythmias, New Hyde Park, New York; Department of Cardiology, Division of Electrophysiology, Lenox Hill Hospital, New York, New York.

Pulsed field ablation (PFA) is a novel method of cardiac ablation in which electrical fields are used to create microscopic pores in the cardiomyocyte cell membrane, resulting in cell death. Unlike traditional thermal radiofrequency and cryoablation technologies, PFA is cardiomyocyte preferential, reducing the risk of collateral damage to the esophagus and phrenic nerve. However, achieving durable lesions with PFA is dependent on the proximity to the tissue and presently approved systems do not provide contact force sensing.

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Article Synopsis
  • A population model was created to analyze the impact of increasing remdesivir use in hospitalized COVID-19 patients, using data from the PINC AI healthcare database collected in 2023.
  • The analysis found that among the 13,233 patients not treated with remdesivir, initiating treatment could have potentially saved 231 lives, with a national estimate of over 800 lives saved.
  • The majority of potential lives saved were elderly patients (89%) and a significant portion were immunocompromised individuals (19%), emphasizing the importance of using remdesivir as a treatment upon hospital admission for COVID-19.
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Article Synopsis
  • Endometrial cancer (EC) is on the rise and linked to factors like unopposed estrogen, insulin resistance, and chronic inflammation, particularly in the context of obesity and type 2 diabetes.
  • Recent studies suggest that drugs like metformin, used for diabetes management, may help prevent EC, highlighting the role of insulin resistance in its development.
  • The study aims to investigate the potential of glucagon-like peptide-1 (GLP-1) receptor agonists (RAs), which have various functions and may induce apoptosis in cancer cells, for non-surgical treatment of endometrial cancer, although more research is needed to fully understand their role in this context.
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Article Synopsis
  • - Current research indicates that asymptomatic atrial fibrillation (AF) may lead to similar risks of stroke and mortality as symptomatic AF, despite conflicting previous findings.
  • - A review of 36 studies, involving over 217,000 participants, showed no significant differences in all-cause mortality, stroke, or other major health outcomes between symptomatic and asymptomatic AF patients; however, symptomatic patients had a higher risk of developing new heart failure.
  • - Symptomatic patients tended to receive more aggressive treatments like antiarrhythmic drugs and ablation therapy, while asymptomatic patients had a higher chance of progressing to permanent AF.
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Population pharmacokinetics/pharmacodynamics of minocycline plus rifampicin in patients with complicated skin and skin structure infections caused by MRSA.

J Antimicrob Chemother

December 2024

Bristol Centre for Antimicrobial Research and Evaluation (BCARE), Antimicrobial Reference Laboratory, Infection Sciences, North Bristol NHS Trust, Southmead Hospital, Bristol BS10 5NB, UK.

Article Synopsis
  • - The study aimed to analyze how the antibiotics minocycline, rifampicin, and linezolid perform in treating infections caused by MRSA in a population setting, using pharmacokinetics and pharmacodynamics data.
  • - Researchers collected samples during a Phase 4 trial, comparing the effectiveness of oral minocycline plus rifampicin against linezolid, finding minocycline plus rifampicin to be just as effective as linezolid.
  • - Despite most patients meeting the drug concentration targets for effective treatment, the study concluded that the pharmacokinetic/pharmacodynamic measurements did not correlate with clinical outcomes, meaning the expected model did not predict how well patients would respond to the treatment.
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