Αρχειοθήκη ιστολογίου

Αλέξανδρος Γ. Σφακιανάκης
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Δευτέρα 14 Δεκεμβρίου 2015

OtoRhinoLaryngology & Medicine,New Articles,December 14th,2015


Chest X-rays

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 8 δευτερόλεπτα

Issue Information

Alexandros G. SfakianakisστοCell and Tissue Research by Alexandros G. SfakianakisΠριν από 25 δευτερόλεπτα
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Table of Contents: Runs into list of accepted articles and copyright block

Alexandros G. SfakianakisστοCell and Tissue Research by Alexandros G. SfakianakisΠριν από 25 δευτερόλεπτα
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Effectiveness of workplace interventions in the prevention of upper extremity musculoskeletal disorders and symptoms: an update of the evidence

Αλέξανδρος ΣφακιανάκηςστοMedicine by Alexandros G.SfakianakisΠριν από 50 δευτερόλεπτα
The burden of disabling musculoskeletal pain and injuries (musculoskeletal disorders, MSDs) arising from work-related causes in many workplaces remains substantial. There is little consensus on the most appropriate interventions for MSDs. Our objective was to update a systematic review of workplace-based interventions for preventing and managing upper extremity MSD (UEMSD). We followed a systematic review process developed by the Institute for Work & Health and an adapted best evidence synthesis. 6 electronic databases were searched (January 2008 until April 2013 inclusive) yieldi...περισσότερα »

Exposure to loud noise, bilateral high-frequency hearing loss and coronary heart disease

Αλέξανδρος ΣφακιανάκηςστοMedicine by Alexandros G.SfakianakisΠριν από 50 δευτερόλεπτα
Objectives Bilateral high-frequency hearing loss is an indicator for chronic exposure to loud noise. This study aimed to examine the association between bilateral high-frequency hearing loss and the presence of coronary heart disease (CHD). Methods This study included 5223 participants aged 20–69 years who participated in the audiometry examination of the National Health and Nutrition Examination Survey 1999–2004. Bilateral high-frequency hearing loss was defined as the average high-frequency (3, 4 and 6 kHz) hearing threshold ≥25 dB in both ears. CHD was defined as self-report...περισσότερα »

Author response: Extended follow-up of lung cancer and non-malignant respiratory disease mortality among California diatomaceous earth workers

Αλέξανδρος ΣφακιανάκηςστοMedicine by Alexandros G.SfakianakisΠριν από 50 δευτερόλεπτα
We will address the comments offered by Mundt and Boffetta1 on our manuscript describing findings from an update of mortality among California diatomaceous earth (DE) workers.2 We regard the sustained dose–response trends for lung cancer and non-malignant respiratory disease (NMRD) (tables 3 and 4, respectively) as the most important findings regarding risks associated with crystalline silica. The reduction of overall mortality for these outcomes, indicated by reduced standardised mortality ratios (SMR), is more likely to be a 'depletion of susceptibles' phenomenon than a 'balanci...περισσότερα »

Novel Methods of Insulin Replacement: The Artificial Pancreas and Encapsulated Islets., Treatment of..

Αλέξανδρος ΣφακιανάκηςστοMedicine by Alexandros G. SfakianakisΠριν από 51 δευτερόλεπτα
Switch to one email a week Unsubscribe from daily digest Hi Alexandros G. Sfakianakis, This daily digest contains latest stories from the sites you've added on Feedspot. View All New Stories News Reader Blog Chrome Reviews on Recent Clinical Trials Remove Novel Methods of Insulin Replacement: The Artificial Pancreas and Encapsulated Islets. 21 hours ago . Save . Twitter Authors: Davis SN, Woodward TE Abstract Type 1 diabetes represents 5-10% of patients with diabetes worldwide. The importance of tight glycemic control has been.. Read More → Clinical Medicine Insi... περισσότερα »

Chief complaint of a persistent cough : Sarcoidosis

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 1 ώρα
Sarcoidosis misdiagnosed as malignant tumors: a case report: Abstract BackgroundSarcoidosis is a rare condition that is often misdiagnosed as malignant tumors due to the similar clinical manifestations and imaging findings. Case PresentationWe encountered a 56-year-old Chinese woman who had a chief complaint of a persistent cough. The chest computer tomography (CT) revealed mediastinal and bilateral hilar lymph node enlargement, and positron emission tomography-computer tomography (PET-CT) revealed abnormal fluorodeoxyglucose (FDG) uptake in the lymph nodes of the chest and ab... περισσότερα »

Oral squamous cell carcinoma

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 1 ώρα
: Key clinical questions, biomarker discovery, and the role of proteomics στο Oral Biology Publication date: March 2016 *Source:*Archives of Oral Biology, Volume 63 Author(s): Uzma Urooj Malik, Shamshad Zarina, Stephen R. Pennington BackgroundThe molecular and cellular mechanisms underlying the pathogenesis of oral squamous cell carcinoma (OSCC) are relatively poorly understood and remain a subject of significant importance. However, it is well established that OSCC is associated with a variety of risk factors and notably, the high incidence rates of OSCC found in developing countries a...περισσότερα »

Relationship between Sputum Clusterin Levels and Childhood Asthma

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 1 ώρα
Relationship between Sputum Clusterin Levels and Childhood Asthma: Abstract Background Clusterin is a sensitive cellular biosensor of oxidative stress and has been studied as a biomarker for inflammation-associated diseases. Clusterin levels in childhood asthma have not been evaluated. Objectives 1) To evaluate sputum clusterin levels in children with asthma compared to a control group. 2) To assess the relationships between sputum clusterin levels and airway inflammation, pulmonary function, and bronchial hyperresponsiveness. Methods This study included 170 children aged 5–18 years ...περισσότερα »

The response to nasal allergen provocation with grass pollen is reduced in patients with chronic rhinosinusitis with nasal polyposis and grass sensitization

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 1 ώρα
The response to nasal allergen provocation with grass pollen is reduced in patients with chronic rhinosinusitis with nasal polyposis and grass sensitization: Abstract Background The majority of grass pollen sensitized rhinitis patients develops allergic symptoms when exposed to the causal allergen and shows a positive nasal allergen provocation test (NAPT). Chronic rhinosinusitis with nasal polyposis (CRSwNP) patients, also characterized by eosinophilic inflammation and local IgE production, can suffer from comorbid inhalant allergy, but may show a different response to allergens. ... περισσότερα »

The role of IgE recognition in allergic reactions to Amoxicillin and Clavulanic acid

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 1 ώρα
The role of IgE recognition in allergic reactions to Amoxicillin and Clavulanic acid: Abstract Betalactam (BL) antibiotics are the drugs most frequently involved in IgE-mediated reactions. The culprit BL varies according to consumption patterns, with amoxicillin (AX) more prevalent in Southern Europe and penicillin V in Scandinavian countries. Nowadays, the combination of AX and clavulanic acid (CLV), is the most highly consumed BL containing medicine worldwide. Both BLs, AX and CLV, can independently be involved in reactions, which poses a diagnostic challenge. In patients with imm... περισσότερα »

Prescribing Ceftolozane/Tazobactam for Pediatric Patients: Current Status and Future Implications

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 1 ώρα
Prescribing Ceftolozane/Tazobactam for Pediatric Patients: Current Status and Future Implications: AbstractAntibiotics are arguably the greatest medical development of the 20th century but these precious resources are being threatened by the continued rise in infections caused by multidrug-resistant bacteria. There is concern that we are on the precipice of a ‘post-antibiotic era’. The situation is exacerbated by a stagnation in the pharmaceutical industry in developing new antibiotics, particularly those with activity against some of the most resistant Gram-negative organisms beca... περισσότερα »

Αντιμετώπιση επείγουσας αλλεργικής αντίδρασης και επειγόντων περιστατικών

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 1 ώρα
39 ΕΠΙΣΤΗΜΟΝΙΚο ΑΡΘΡΟ ΩΤΟΡΙΝΟΛΑΡΥΓΓΟΛΟΓΙΑ ΧΕΙΡΟΥΡΓΙΚΗ ΚΕΦΑΛΗΣ & ΤΡΑΧΗΛΟΥ Ωτορινολαρυγγολογία - Χειρουργική Κεφαλής & Τραχήλου: τεύχος 38, Οκτώβριος - Νοέμβριος - Δεκέμβριος 2009, σελίδες 43-48 Σ. ΒΕΛΕΓΡΑΚΗΣ, Ι. ΠΑΠΑΔΑΚΗΣ, Α. ΒΑΡΔΟΥΝΙΩΤΗΣ, Β. ΛΑΧΑΝΑΣ, Δ. ΓΚΕΛΗΣ, Ε. ΠΡΟΚΟΠΑΚΗΣ ΩΡΛ Κλινική Πανεπιστημιακού Νοσοκομείου Ηρακλείου, Κρήτης Εξοπλισμός Ωτορινολαρυγγολογικού ιατρείου για αντιμετώπιση επείγουσας αλλεργικής αντίδρασης και επειγόντων περιστατικών Α. Γενικός εξοπλισμός Ο εξοπλισμός που πρέπει να υπάρχει σε ένα ΩΡΛ ιατρείο, για την αντιμετώπιση επειγόντων περιστατικών εξαρτάται ... περισσότερα »

Idiopathic anaphylaxis and angioedema : Effect of use of inhaled epinephrine

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 1 ώρα
Effect of use of inhaled epinephrine on intramuscular epinephrine use in patients with idiopathic anaphylaxis and angioedema στο ScienceDirect Publication: Annals of Allergy, Asthma & Immunology Publication date: Available online 12 December 2015 *Source:*Annals of Allergy, Asthma & Immunology Author(s): Cosby A. Stone, Jane J. Choi Epinephrine nebulizer solution is used for: Treating shortness of breath, chest tightness, and wheezing associated with asthma, emphysema, and other breathing problems. It may also be used for other conditions as determined by your doctor. Epinephrine neb... περισσότερα »

Failed Esophageal Atresia Repair

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 1 ώρα
Jejunal Interposition after στο Journal of the American College of Surgeons Publication date: Available online 13 December 2015 *Source:*Journal of the American College of Surgeons Author(s): Sigrid Bairdain, John E. Foker, Charles Jason Smithers, Thomas E. Hamilton, Brian I. Labow, Christopher W. Baird, Amir H. Taghinia, Neil Feins, Michael Manfredi, Russell W. Jennings BackgroundThe early outcomes of using jejunal interpositions to establish esophageal continuity in patients who have had a failed repair of esophageal atresia (EA) were determined.Study DesignThis was a retrospective ...περισσότερα »

Pressor Response to Noradrenaline in the Setting of Septic Shock: Anything New under the Sun—Dexmedetomidine, Clonidine? A Minireview

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 1 ώρα
Pressor Response to Noradrenaline in the Setting of Septic Shock: Anything New under the Sun—Dexmedetomidine, Clonidine? A Minireview: Progress over the last 50 years has led to a decline in mortality from ≈70% to ≈20% in the best series of patients with septic shock. Nevertheless, refractory septic shock still carries a mortality close to 100%. In the best series, the mortality appears related to multiple organ failure linked to comorbidities and/or an intense inflammatory response: shortening the period that the subject is exposed to circulatory instability may further lower morta... περισσότερα »

Age-specific prevalence of HPV16/18 genotypes in cervical cancer

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 1 ώρα
Age-specific prevalence of HPV16/18 genotypes in cervical cancer: a systematic review and meta-analysis: Abstract The prevalence of HPV16/18 in cervical cancer has been reported to decline with age in some papers. However, whether this decline in proportion of cancers positive for HPV16/18 is consistently observed across studies remains to be elucidated. Thus, the aim of our study was to identify papers reporting data on age-specific prevalence of HPV16/18 in cervical cancer and to summarize the results. We employed MEDLINE and Embase for a systematic literature search and thereby ...περισσότερα »

Brain Parenchymal Fraction

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 1 ώρα
Brain Parenchymal Fraction: A Relatively Simple MRI Measure to Clinically Distinguish ALS Phenotypes: Even though neuroimaging and clinical studies indicate that amyotrophic lateral sclerosis (ALS) manifests with distinct clinical phenotypes, no objective test exists to assess upper motor degeneration in ALS. There is great interest in identifying biomarkers of ALS to allow earlier diagnosis and to recognize disease subtypes. Current quantitative neuroimaging techniques such as T2 relaxometry and diffusion tensor imaging are time-consuming to use in clinical settings due to extensiv... περισσότερα »

Editorial Board/Title Page

Alexandros G. SfakianakisστοΝευρολογία κ' ΝευροχειρουργικήΠριν από 1 ώρα
Publication date: December 2015 *Source:*Cortex, Volume 73 from Neurology via xlomafota13 on Inoreader http://ift.tt/1MciPEx via IFTTT

Proton pump inhibitors (PPIs) : Esomeprazole induced galactorrhea

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 1 ώρα
Esomeprazole induced galactorrhea: a novel side effect: AbstractProton pump inhibitors (PPIs) are one of the most frequently prescribed medications across the globe. Esomeprazole is the S-isomer of omeprazole, and it is currently the most widely prescribed PPI. The safety profile of esomeprazole is extremely favorable with only minor side effects, like headache and diarrhea, that are encountered in day to day practice. We report a case of a young female with symptoms of gastroesophageal reflux disease who developed galactorrhea after starting esomeprazole therapy. Resolution of gal...περισσότερα »

Investigations into Ti-(Nb,Ta)-Fe Alloys for Biomedical Applications

Publication date: Available online 12 December 2015 *Source:*Acta Biomaterialia Author(s): Arne Biesiekierski, Jixing Lin, Yuncang Li, Dehai Ping, Yoko Yamabe-Mitarai, Cuie Wen In this study, a Ti-(Ta,Nb)-Fe system was investigated with aims toward the development of high strength, biocompatible titanium alloy suitable for the development of porous orthopedic biomaterials with minimal processing. Notable findings include yield strengths of 740, 1250 and 1360 MPa for the Ti-12Nb-5Fe, Ti-7Ta-5Fe and Ti-10Ta-4Fe alloys, respectively, with elastic moduli comparable to existing Ti-alloys... περισσότερα »

Debates in allergy medicine: food intolerance does not exist

Alexandros SfakianakisστοHead and Neck Diseases by Alexandros G.SfakianakisΠριν από 1 ώρα
Background: The term "intolerance" is not mentioned in the World Allergy Organization (WAO) document on allergy nomenclature. "Intolerance" has been used to describe some non-immunological diseases. However, pediatric gastroenterologists mix allergy and intolerance, e.g. by using the term "cow's milk protein allergy/intolerance (CMPA/I)", lumping together all types of mechanisms for not tolerating cow's milk. The basis for this mix is the fact that double-blind oral food challenges are time-consuming and expensive. Therefore, cow's milk exclusion and reintroduction is proposed to ...περισσότερα »

Debates in allergy medicine: food intolerance does exist

Alexandros SfakianakisστοHead and Neck Diseases by Alexandros G.SfakianakisΠριν από 1 ώρα
Background: Health care professionals and patients mix and mingle (hyper)sensitivity, allergy and intolerance. The consequences are discrepancies which result in confusion. The following is a very personal point of view, intended to start a debate to come to consensus.ObjectivesWe aimed to clarify the proposed terminology for the primary health care professional from the point of view of the pediatric gastroenterologist. Results: Many patients present with symptoms "related to food ingestion". We propose to use this wording if no underlying mechanism can be identified. Intolerance...περισσότερα »

Should ALPPS be Used for Liver Resection in Intermediate-Stage HCC?

Alexandros SfakianakisστοHead and Neck Diseases by Alexandros G.SfakianakisΠριν από 1 ώρα
Abstract Background Extended liver resections in patients with hepatocellular carcinoma (HCC) are problematic due to hepatitis, fibrosis, and cirrhosis. Associating liver partition with portal vein ligation for staged hepatectomy (ALPPS) has been promoted as a novel method to induce hypertrophy for patients with extensive colorectal liver metastases, but outcomes in HCC have not been well investigated. Methods All patients registered in the international ALPPS Registry (www.alpps.org) from 2010 to 2015 were studied. Hypertrophy of the future liver remnant, perioperative morbidity...περισσότερα »

Parents' Perspective: The Decision Making Process for Bone Anchored Hearing Systems for Children

Alexandros G. SfakianakisστοΑκοή και ΙσορροπίαΠριν από 1 ώρα
Liz Presson: At Oticon Medical, through our work with patients and their families, we understand that the decision-making process for bone anchored hearing solutions for children (and for hearing solutions for children, in general) is a journey that is not always easy to navigate. It is an incredibly important journey for parents, in order to help their children achieve their full potential. Instead of talking about that decision-making process as a professional, I am joined by Melissa Tumblin and Anne Pipes who will provide you with their perspectives as parents. from #Audiology... περισσότερα »

Carotid sacrifice with a single Penumbra occlusion device

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 1 ώρα
Carotid sacrifice with a single Penumbra occlusion device: a feasibility study in a swine model: Introduction Carotid sacrifice is a valuable tool in the treatment of select vascular lesions. Traditional coil embolization as the primary means of carotid sacrifice can be expensive, with high radiation exposure. We investigated the feasibility of a novel hybrid coil, the Penumbra occlusion device (POD), for carotid sacrifice in a swine model. Methods A total of eight common carotid artery sacrifices were performed in fully heparinized pigs under fluoroscopic guidance. A single POD de... περισσότερα »

Mammary Analogue Secretory Carcinoma of the Parotid Gland

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 1 ώρα
Mammary Analogue Secretory Carcinoma of the Parotid Gland: A Third World Country Perspective—A Case Series: Mammary analogue secretory carcinoma (MASC) is a recently described pathological entity in major salivary glands, which was first described by Skálová et al. in 2010. Since then only a limited number of case reports/series have been published describing this tumor with the majority of them discussing the genetic and cytoarchitectural aspect of this tumor. Keeping this in view with the lack of clinical correlation with regard to this tumor, we present our approach to management...περισσότερα »

Berberine in Combination with Insulin Has Additive Effects on Titanium Implants Osseointegration in Diabetes Mellitus Rats

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 1 ώρα
Berberine in Combination with Insulin Has Additive Effects on Titanium Implants Osseointegration in Diabetes Mellitus Rats: This study evaluated the effects of berberine in combination with insulin on early osseointegration of implants in diabetic rats. Fifty male Sprague-Dawley rats were randomly divided into 5 groups: healthy rats were used as control (HC), and streptozotocin-induced diabetic rats were treated with insulin, berberine, berberine + insulin (IB), or no treatment. Each rat received one machined-surface cp-Ti implant into the right tibia and was given insulin injection... περισσότερα »

Pharyngeal rupture,Pneumomediastinum,Mediastinitis,Arytenoid dislocation.Complications Associated with the Use of Supraglottic Airway Devices in Perioperative Medicine

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 1 ώρα
Complications Associated with the Use of Supraglottic Airway Devices in Perioperative Medicine: Supraglottic airway devices are routinely used for airway maintenance in elective surgical procedures where aspiration is not a significant risk and also as rescue devices in difficult airway management. Some devices now have features mitigating risk of aspiration, such as drain tubes or compartments to manage regurgitated content. Despite this, the use of these device may be associated with various complications including aspiration. This review highlights the types and incidence of thes...περισσότερα »

Hearing in Children With Trisomy 21

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 1 ώρα
Hearing in School-Aged Children With Trisomy 21 – Results of a Longitudinal Cohort Study in Children Identified at Birth: Abstract Objectives To report the prevalence of hearing problems and the hearing sequelae in school-aged children with Trisomy 21 in a longitudinal study. Design All children with Trisomy 21 were identified via schools, community-based Child Development Centres, General Practitioners or the Universal Newborn Hearing Screen. Audiological data and otorhinolaryngological problems were prospectively entered in to the Audiological Surveillance Programme database from ...περισσότερα »

DNA methylation markers for oral pre-cancer progression

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 1 ώρα
: A critical review στο ScienceDirect Publication: Oral Oncology Publication date: Available online 12 December 2015 *Source:*Oral Oncology Author(s): Krithiga Shridhar, Gagandeep Kaur Walia, Aastha Aggarwal, Smriti Gulati, A.V. Geetha, Dorairaj Prabhakaran, Preet K. Dhillon, Preetha Rajaraman Although oral cancers are generally preceded by a well-established pre-cancerous stage, there is a lack of well-defined clinical and morphological criteria to detect and signal progression from pre-cancer to malignant tumours. We conducted a critical review to summarize the evidence regarding ab... περισσότερα »

Photodynamic therapy with 80 mg/g methyl aminolaevulinate for severe facial acne vulgaris

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 1 ώρα
Photodynamic therapy with 80 mg/g methyl aminolaevulinate for severe facial acne vulgaris: a randomised vehicle-controlled study: Abstract Background Severe acne vulgaris has limited therapeutic options. Objectives To evaluate photodynamic therapy (PDT) using topical methyl aminolaevulinate (MAL, 80 mg/g) as the photosensitiser in severe facial acne Methods Double-blind, randomised, vehicle-controlled multicentre trial in 153 patients (12-35 years) with severe facial acne (Investigator Global Assessment [IGA] score 4; 25-75 inflammatory lesions with ≤3 nodules; 20–100 non-inflammator...περισσότερα »

Prognostic relevance of LDH and serum S-100 levels in Stage IV melanoma with known BRAF mutation status

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 1 ώρα
Prognostic relevance of LDH and serum S-100 levels in Stage IV melanoma with known BRAF mutation status: Abstract Background Activating mutations of the BRAF-gene provide an important treatment target in melanoma patients. However, prognostic role of several biochemical markers in relation to the mutation status is not clear yet. Objectives Prognostic significance of BRAF mutation in melanoma patients was analyzed and correlated to different additional markers. Patients and Methods 162 melanoma stage IV patients with known BRAF-mutation status were included. Clinical, histopathologic...περισσότερα »

Trichodysplasia spinulosa: a polyomavirus infection

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 1 ώρα
Trichodysplasia spinulosa: a polyomavirus infection specifically targeting follicular keratinocytes in immunocompromised patients: Abstract Trichodysplasia spinulosa (TS) is a rare skin disease occurring in immunocompromised patients, caused by a specific polyomavirus. Pathophysiological mechanisms of TS are not yet fully understood. We report evidence of follicular keratinocytes being the primary target of trichodysplasia spinulosa-associated polyomavirus (TSPyV) by PCR and skin biopsy immunostaining in a pædiatric case. This article is protected by copyright. All rights reserved.

Apneic CPAP Recruitment Demonstration

Alexandros G. SfakianakisστοΒιοΜηχανικήΠριν από 1 ώρα
Apneic CPAP Recruitment Demonstration by George Kovacs: Cadaver demonstration of Apneic CPAP Recruitment EMCrit by Scott Weingart.

Custom-designed Laser-based Heating Apparatus for Triggered Release of Cisplatin from Thermosensitive Liposomes with Magnetic Resonance Image Guidance

Alexandros G. SfakianakisστοΒιοΜηχανικήΠριν από 1 ώρα
Custom-designed Laser-based Heating Apparatus for Triggered Release of Cisplatin from Thermosensitive Liposomes with Magnetic Resonance Image Guidance: [image: 53055fig1.jpg] AN MRI-compatible custom-designed laser-based heating apparatus has been developed to provide local heating of subcutaneous tumors in order to activate release of agents from thermosensitive liposomes specifically at the tumor region.

Verb Surgical

Alexandros G. SfakianakisστοΒιοΜηχανικήΠριν από 1 ώρα
Verb Surgical - the name for Google and JnJ's venture: [image: Verb_illustration.jpg] Verb Surgical envisions “A new future, a future unimagined even a few years ago, which will involve machine learning, robotic surgery, instrumentation, advanced visualization, and data analytics.” Few details are known: - Verb Surgical was incorporated in August 2015. "Verb Surgical was founded with technology, expertise, and funding from Verily (formerly Google Life Sciences) and Ethicon, a medical device company in the Johnson & Johnson family of companies." - "Verb’s surgica... περισσότερα »

Reducing Trismus after Surgery and Radiotherapy

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 1 ώρα
in Oral Cancer Patients: Results of Alternative Operation versus Traditional Operation στο ScienceDirect Publication: Journal of Oral and Maxillofacial Surgery Publication date: Available online 13 December 2015 *Source:*Journal of Oral and Maxillofacial Surgery Author(s): Chiang-Chin Tsai, Shang-Liang Wu, Shang-Lun Lin, Shun-Yao Ko, Wei-Fan Chiang, Jung-Wu Yang PurposePatients with oral cancer can develop trismus (maximum interincisal opening less than 35 mm) as a result of surgery and radiotherapy (RT). The aim of this study was to provide an alternative operation to both eradicate ...περισσότερα »

Maxillary alveolar defect repair using osteoblasts differentiated human deciduous dental pulp Stem Cells

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 1 ώρα
8h Success of maxillary alveolar defect repair in rat using osteoblasts differentiated human deciduous dental pulp Stem Cells στο ScienceDirect Publication: Journal of Oral and Maxillofacial Surgery Publication date: Available online 13 December 2015 *Source:*Journal of Oral and Maxillofacial Surgery Author(s): Arezoo Jahanbin, Roozbeh Rashed, Daryoush Hamidi Alamdari, Niloufar Koohestanian, Atefeh Ezzati, Mojgan Kazemian, Shadi Saghafi, Mohammad Ali Raisolsadat ObjectiveThe use of cell-based therapies represents one of the most advanced methods for enhancing the regenerative response ... περισσότερα »

Prognostic value of the neutrophil-to-lymphocyte ratio for overall and disease-free survival in patients with surgically treated esophageal squamous cell carcinoma

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 1 ώρα
Prognostic value of the neutrophil-to-lymphocyte ratio for overall and disease-free survival in patients with surgically treated esophageal squamous cell carcinoma: AbstractAlthough increasing evidence indicates that cancers are associated with inflammation, the prognostic role of the neutrophil-to-lymphocyte ratio (NLR) and the platelet-to-lymphocyte ratio (PLR) in patients with esophageal squamous cell carcinoma remains controversial. We determined the prognostic roles of NLR and PLR in patients with esophageal squamous cell carcinoma who underwent surgical treatment. We retrospe... περισσότερα »

Vocal cord dysfunction diagnosis

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 1 ώρα
may be improved by a screening check list στο ScienceDirect Publication: Allergology International Publication date: Available online 13 December 2015 *Source:*Allergology International Author(s): Lucia Helena Eduardo Pinto, Marcelo Vivolo Aun, Sabrina Cukier-Blaj, Rafael Stelmach, Alberto Cukier, Jorge Kalil, Rosana Câmara Agondi, Pedro Giavina-Bianchi BackgroundMany patients with vocal cord dysfunction (VCD), with or without asthma, receive inappropriate treatment because they are misdiagnosed as having difficult-to-control asthma alone. We developed a clinical screening check list ... περισσότερα »

Debates in allergy medicine: food intolerance does not exist

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 1 ώρα
Debates in allergy medicine: food intolerance does not exist: Background: The term “intolerance” is not mentioned in the World Allergy Organization (WAO) document on allergy nomenclature. “Intolerance” has been used to describe some non-immunological diseases. However, pediatric gastroenterologists mix allergy and intolerance, e.g. by using the term “cow’s milk protein allergy/intolerance (CMPA/I)”, lumping together all types of mechanisms for not tolerating cow’s milk. The basis for this mix is the fact that double-blind oral food challenges are time-consuming and expensive. Therefo... περισσότερα »

Facial Dysmorphology

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 1 ώρα
Recognition of the Cornelia de Lange Syndrome Phenotype with Facial Dysmorphology Novel Analysis: Abstract Facial analysis systems are becoming available to healthcare providers to aid in the recognition of dysmorphic phenotypes associated with a multitude of genetic syndromes. These technologies automatically detect facial points and extract various measurements from images to recognise dysmorphic features and evaluate similarities to known facial patterns (gestalts). To evaluate such systems’ usefulness for supporting the clinical practice of healthcare professionals, the recogni...περισσότερα »

Postinflammatory Hyperpigmentation

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 1 ώρα
An in vivo model for postinflammatory hyperpigmentation: an analysis of histological, spectroscopic, colorimetric and clinical traits: Summary Background Acne vulgaris is a common condition that occurs in all skin types. Postinflammatory hyperpigmentation (PIH) is often associated with acne in patients of darker skin types, making it a common complaint in dermatology offices. Despite this, there is limited understanding of and effective treatment options for PIH. Objectives The study objective was to validate an *in vivo* model for PIH and to compare the clinical, histological and s... περισσότερα »

Assisted coiling of saccular wide-necked unruptured intracranial aneurysms: stent versus balloon

Alexandros G. SfakianakisστοΝευρολογία κ' ΝευροχειρουργικήΠριν από 1 ώρα
Background and purpose Assisted coiling with stents or balloons enables a higher percentage of complete occlusions of saccular unruptured intracranial aneurysms to be achieved with a reasonable complication rate. The aim of this study was to compare stent-assisted coiling and the balloon remodeling technique in terms of efficacy, stability, and safety for the treatment of comparable unruptured saccular intracranial aneurysms. Materials and methods 268 patients with 286 saccular unruptured wide-necked intracranial aneurysms were treated at our institution with stent- or balloon-a... περισσότερα »

Carotid sacrifice with a single Penumbra occlusion device: a feasibility study in a swine model

Alexandros G. SfakianakisστοΝευρολογία κ' ΝευροχειρουργικήΠριν από 1 ώρα
Introduction Carotid sacrifice is a valuable tool in the treatment of select vascular lesions. Traditional coil embolization as the primary means of carotid sacrifice can be expensive, with high radiation exposure. We investigated the feasibility of a novel hybrid coil, the Penumbra occlusion device (POD), for carotid sacrifice in a swine model. Methods A total of eight common carotid artery sacrifices were performed in fully heparinized pigs under fluoroscopic guidance. A single POD device was deployed within each vessel, and intermittent follow-up angiography was performed to... περισσότερα »

Bilateral carotid and vertebral rete mirabile with vein of Galen aneurysmal malformation: an unreported association

Alexandros G. SfakianakisστοΝευρολογία κ' ΝευροχειρουργικήΠριν από 1 ώρα
Rete mirabile is a fine meshwork of anastomosing vessels that replace the parent artery. A 30-year-old woman complained of slurring of speech, right eye proptosis, recurrent vomiting, and loss of bladder and bowel control, followed by drowsiness lasting 30–40 min, for the past 6 months. On cross sectional imaging and angiography, the patient was found to have a vein of Galen aneurysmal malformation, with bilateral carotid and vertebral rete mirabile. The patient was offered both endovascular and open surgical options but she refused any form of surgical treatment and opted for con... περισσότερα »

Comparing routine versus selective use of intraoperative cerebral angiography in aneurysm surgery: a prospective study

Alexandros G. SfakianakisστοΝευρολογία κ' ΝευροχειρουργικήΠριν από 1 ώρα
Introduction While the use of intraoperative angiography (IA) has been shown to be a useful adjunct in aneurysm surgery, its routine use remains controversial. Objective We wished to determine if IA is required in all patients undergoing aneurysm surgery (ie, routine IA) or if intraoperative assessment can reliably predict the need for IA (ie, select IA). Methods We prospectively evaluated all patients undergoing craniotomy for aneurysm clipping. In these patients, the treating surgeons were asked to record whether they felt IA was required at two time points: (1) prior to surg... περισσότερα »

Collateral flow as causative of good outcomes in endovascular stroke therapy

Alexandros G. SfakianakisστοΝευρολογία κ' ΝευροχειρουργικήΠριν από 1 ώρα
Background Endovascular reperfusion techniques are a promising intervention for acute ischemic stroke (AIS). Prior studies have identified markers of initial injury (arrival NIH stroke scale (NIHSS) or infarct volume) as predictive of outcome after these procedures. We sought to define the role of collateral flow at the time of presentation in determining the extent of initial ischemic injury and its influence on final outcome. Methods Demographic, clinical, laboratory, and radiographic data were prospectively collected on a consecutive cohort of patients who received endovascul... περισσότερα »

Patient-reported outcome measures for patients with cerebral aneurysms acquired via social media: data from a large nationwide sample

Alexandros G. SfakianakisστοΝευρολογία κ' ΝευροχειρουργικήΠριν από 1 ώρα
Background With greater survival rates, patient-reported outcome measures (PROMs) among survivors of ruptured cerebral aneurysm should be an increasing concern among neurointerventionalists. Prior studies were limited in scale and generalizability. Our study aims were to (1) evaluate the validity of cerebral aneurysm PROMs obtained from social media; (2) determine the persistence of PROMs over time; and (3) determine what PROMs still exist in those with no physical impairments. Methods By engaging national brain aneurysm support groups and using an online questionnaire modeled ...περισσότερα »

A novel approach to the treatment of a direct carotid-cavernous fistula in a patient with Ehlers-Danlos syndrome type IV

Alexandros G. SfakianakisστοΝευρολογία κ' ΝευροχειρουργικήΠριν από 1 ώρα
We report a case of a direct carotid–cavernous fistula (CCF) in a patient with Ehlers–Danlos syndrome type IV who presented with progressive chemosis and diplopia. To prevent potential lethal arterial wall injury due to the fragility of the arterial vessel wall, the ipsilateral carotid artery and internal jugular vein were surgically exposed for direct insertion of endovascular sheaths, and transvenous embolization was performed using triple microcatheters with detachable coils. The clinical course was uneventful, and chemosis and diplopia subsequently resolved. By the 6 month fol... περισσότερα »

The Lazarus Funnel: a blinded prospective randomized in vitro trial of a novel CE-marked thrombectomy assist device

Alexandros G. SfakianakisστοΝευρολογία κ' ΝευροχειρουργικήΠριν από 1 ώρα
Introduction The use of retrievable stents for acute ischemic stroke (AIS) may result in the release of distal emboli in 12–22% of cases. The Lazarus Funnel is a novel CE-marked thrombectomy assist device designed to capture the stentriever and thrombus to minimize the likelihood of distal embolization. To study this technology, we performed a randomized blinded in vitro evaluation of this device. Methods A cerebral flow model was used as an in vitro simulator for cerebral arterial thrombectomy procedures. Stratified block randomization was performed following embolus injection... περισσότερα »

Intracranial pseudoaneurysm after intracranial pressure monitor placement

Alexandros G. SfakianakisστοΝευρολογία κ' ΝευροχειρουργικήΠριν από 1 ώρα
Traumatic intracranial pseudoaneurysms are a rare but severe complication following arterial injury. Pseudoaneurysm formation can occur secondary to blunt or penetrating trauma or iatrogenic injury. We report a case of traumatic pseudoaneurysm secondary to placement of an intracranial pressure (ICP) monitor. A 27-year-old man was involved in a motorcycle accident resulting in multiple intracranial hemorrhages. The patient underwent craniectomy and placement of an ICP monitor. 17 days later he developed dilation of his left pupil, with imaging demonstrating a new hemorrhage in the ...περισσότερα »

Remission of neurovascular conflicts in the cerebellopontine angle in interventional neuroradiology

Alexandros G. SfakianakisστοΝευρολογία κ' ΝευροχειρουργικήΠριν από 1 ώρα
Background and purpose To investigate the efficacy of endovascular treatment (EVT) for neurovascular conflicts (NVCs) in the cerebellopontine angle (CPA) caused by intracranial aneurysms (IAs) and intracranial arteriovenous malformations (AVMs), including trigeminal neuralgia, hemifacial spasm, and glossopharyngeal neuralgia. Materials and methods From January 2010 to January 2014, 14 consecutive patients presenting with three NVCs caused by IAs or intracranial AVMs were admitted to our department. The clinical outcomes of these NVCs after EVT were retrospectively analyzed. Res...περισσότερα »

Just a drop of cement: a case of cervical spine bone aneurysmal cyst successfully treated by percutaneous injection of a small amount of polymethyl-methacrylate cement

Alexandros G. SfakianakisστοΝευρολογία κ' ΝευροχειρουργικήΠριν από 1 ώρα
Aneurysmal bone cyst (ABC) is a benign hemorrhagic tumor, commonly revealed by local pain. The best treatment for this lesion is still controversial. We report the case of a patient with chronic neck pain revealing an ABC of the third cervical vertebra. After percutaneous injection of a small amount of polymethyl-methacrylate bone cement, the patient experienced significant clinical and radiological improvement. from NeuroSurgery via xlomafota13 on Inoreader http://ift.tt/1UmYfrx via IFTTT

Hear me, see me, feel me

Alexandros G. SfakianakisστοΝευρολογία κ' ΝευροχειρουργικήΠριν από 1 ώρα
Pull my chin, stroke my hair, scratch my nose, hug my knees Try drink, food, cigarette, Tension will not ease. I tap my fingers, fold my arms, breath in deep, cross my legs Shrug my shoulders, stretch my back—but nothing seems to please. I need contact I need contact Nothing seems to please I need contact *—Peter Gabriel, 1982* There have been numerous 'ages' throughout history; the bronze age, the industrial age, the gilded age, and so forth. We have the pleasure of living smack in the middle of the information age. Each age has had its own peculiarities, I suppose, as does ... περισσότερα »

Multicenter clinical experience in over 125 patients with the Penumbra Separator 3D for mechanical thrombectomy in acute ischemic stroke

Alexandros G. SfakianakisστοΝευρολογία κ' ΝευροχειρουργικήΠριν από 1 ώρα
Background The aim of this study was to assess reperfusion and clinical outcome of treatment with the self-expanding retrievable Separator 3D in revascularization of acute ischemic stroke. The three-dimensional (3D) device secures thrombus with direct aspiration and supports debulking of the clot. Methods At two centers, 129 consecutive stroke patients with National Institutes of Health Stroke Scale (NIHSS) scores ≥5 were treated with mechanical thrombectomy using the Separator 3D as a component of the Penumbra System within 8 h of symptom onset; modified Treatment in Cerebral ...περισσότερα »

Morphological and hemodynamic analysis of posterior communicating artery aneurysms prone to rupture: a matched case-control study

Alexandros G. SfakianakisστοΝευρολογία κ' ΝευροχειρουργικήΠριν από 1 ώρα
Objectives We evaluated the correlation between posterior communicating artery (PcomA) aneurysm rupture and morphological and hemodynamic parameters to assess related rupture risk indices. Methods Six patients with PcomA aneurysms that ultimately ruptured (cases) were studied after initially being included in a prospective database including their three-dimensional (3D) imaging before rupture. For each case, four incidental stable unruptured aneurysms (controls) were randomly selected and matched based on clinical factors. The 3D images from all patients were reconstructed to e...περισσότερα »

Comparison of Solitaire thrombectomy and Penumbra suction thrombectomy in patients with acute ischemic stroke caused by basilar artery occlusion

Alexandros G. SfakianakisστοΝευρολογία κ' ΝευροχειρουργικήΠριν από 1 ώρα
Background and purpose Acute ischemic stroke (AIS) caused by basilar artery occlusion (BAO) is a very severe neurological disease with a high mortality rate and poor clinical outcomes. In this study, we compared our experience of mechanical thrombectomy using the Solitaire stent (Solitaire thrombectomy) and manual aspiration thrombectomy using the Penumbra reperfusion catheter (Penumbra suction thrombectomy) in patients with AIS caused by BAO. Materials and methods Between March 2011 and December 2011, 13 patients received Solitaire thrombectomy. In January 2012, the Korean Food... περισσότερα »

Effect of antiplatelet therapy and platelet function testing on hemorrhagic and thrombotic complications in patients with cerebral aneurysms treated with the pipeline embolization device: a review and meta-analysis

Alexandros G. SfakianakisστοΝευρολογία κ' ΝευροχειρουργικήΠριν από 1 ώρα
Purpose The pipeline embolization device (PED) necessitates dual antiplatelet therapy (APT) to decrease thrombotic complications while possibly increasing bleeding risks. The role of APT dose, duration, and response in patients with hemorrhagic and thromboembolic events warrants further analysis. Methods A PubMed and Google Scholar search from 2009 to 2014 was performed using the following search terms individually or in combination: pipeline embolization device, aneurysm(s), and flow diversion, excluding other flow diverters. Review of the bibliographies of the retrieved artic...περισσότερα »

Lesion stability characteristics outperform degree of stenosis in predicting outcomes following stenting for symptomatic intracranial atherosclerosis

Alexandros G. SfakianakisστοΝευρολογία κ' ΝευροχειρουργικήΠριν από 1 ώρα
Background Intracranial atherosclerotic disease (ICAD) causes substantial morbidity and mortality. Treatment decisions have most commonly been driven by the degree of luminal stenosis. This study compares ICAD lesion stability features with percentage stenosis for associations with adverse outcomes following treatment with stents. Materials and methods Retrospective analysis was performed of prospectively maintained procedure logs. Lesions were classified by symptom type as hypoperfusion, non-hypoperfusion, or indeterminate, and pretreatment asymptomatic intervals were noted. H...περισσότερα »

Cone-beam CT angiography (Dyna CT) for intraoperative localization of cerebral arteriovenous malformations

Alexandros G. SfakianakisστοΝευρολογία κ' ΝευροχειρουργικήΠριν από 1 ώρα
Background Arteriovenous malformations (AVMs) of the brain are commonly treated in multimodality fashion, with endovascular embolization followed by surgical extirpation being one of the most effective strategies. Modern endovascular suites enable rotational angiography, also known as cone-beam CT angiography (CBCT-A), using the full capability of modern C-arm digital angiography systems. This imaging modality offers a superior image quality to current options such as digital subtraction angiography, MRI, or CT angiography. Preoperative planning can be greatly aided by the resolu...περισσότερα »

Bone Anchored Hearing Systems for Children

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 1 ώρα
Parents' Perspective: The Decision Making Process for Bone Anchored Hearing Systems for Children: Liz Presson: At Oticon Medical, through our work with patients and their families, we understand that the decision-making process for bone anchored hearing solutions for children (and for hearing solutions for children, in general) is a journey that is not always easy to navigate. It is an incredibly important journey for parents, in order to help their children achieve their full potential. Instead of talking about that decision-making process as a professional, I am joined by Melissa T... περισσότερα »

3D-TOF-MRA and CE-MRA

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 1 ώρα
Follow-up of intracranial aneurysms treated by flow diverter: comparison of three-dimensional time-of-flight MR angiography (3D-TOF-MRA) and contrast-enhanced MR angiography (CE-MRA) sequences with digital subtraction angiography as the gold standard: Background and purpose Follow-up of intracranial aneurysms treated by flow diverter with MRI is complicated by imaging artifacts produced by these devices. This study compares the diagnostic accuracy of three-dimensional time-of-flight MR angiography (3D-TOF-MRA) and contrast-enhanced MRA (CE-MRA) at 3 T for the evaluation of aneurysm ...περισσότερα »

Cone-beam CT angiography (Dyna CT) for intraoperative localization of cerebral arteriovenous malformations

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 1 ώρα
Cone-beam CT angiography (Dyna CT) for intraoperative localization of cerebral arteriovenous malformations: Background Arteriovenous malformations (AVMs) of the brain are commonly treated in multimodality fashion, with endovascular embolization followed by surgical extirpation being one of the most effective strategies. Modern endovascular suites enable rotational angiography, also known as cone-beam CT angiography (CBCT-A), using the full capability of modern C-arm digital angiography systems. This imaging modality offers a superior image quality to current options such as digital ...περισσότερα »

Antiplatelet therapy and platelet function testing on hemorrhagic and thrombotic complications

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 1 ώρα
Effect of antiplatelet therapy and platelet function testing on hemorrhagic and thrombotic complications in patients with cerebral aneurysms treated with the pipeline embolization device: a review and meta-analysis: Purpose The pipeline embolization device (PED) necessitates dual antiplatelet therapy (APT) to decrease thrombotic complications while possibly increasing bleeding risks. The role of APT dose, duration, and response in patients with hemorrhagic and thromboembolic events warrants further analysis. Methods A PubMed and Google Scholar search from 2009 to 2014 was performed...περισσότερα »

Posterior communicating artery (PcomA) aneurysm rupture

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 1 ώρα
Morphological and hemodynamic analysis of posterior communicating artery aneurysms prone to rupture: a matched case-control study: Objectives We evaluated the correlation between posterior communicating artery (PcomA) aneurysm rupture and morphological and hemodynamic parameters to assess related rupture risk indices. Methods Six patients with PcomA aneurysms that ultimately ruptured (cases) were studied after initially being included in a prospective database including their three-dimensional (3D) imaging before rupture. For each case, four incidental stable unruptured aneurysms (...περισσότερα »

Cervical spine bone aneurysmal cyst successfully treated by percutaneous injection of a small amount of polymethyl-methacrylate cement

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 1 ώρα
Just a drop of cement: a case of cervical spine bone aneurysmal cyst successfully treated by percutaneous injection of a small amount of polymethyl-methacrylate cement: Aneurysmal bone cyst (ABC) is a benign hemorrhagic tumor, commonly revealed by local pain. The best treatment for this lesion is still controversial. We report the case of a patient with chronic neck pain revealing an ABC of the third cervical vertebra. After percutaneous injection of a small amount of polymethyl-methacrylate bone cement, the patient experienced significant clinical and radiological improvement.

Remission of neurovascular conflicts in the cerebellopontine angle in interventional neuroradiology

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 1 ώρα
Remission of neurovascular conflicts in the cerebellopontine angle in interventional neuroradiology: Background and purpose To investigate the efficacy of endovascular treatment (EVT) for neurovascular conflicts (NVCs) in the cerebellopontine angle (CPA) caused by intracranial aneurysms (IAs) and intracranial arteriovenous malformations (AVMs), including trigeminal neuralgia, hemifacial spasm, and glossopharyngeal neuralgia. Materials and methods From January 2010 to January 2014, 14 consecutive patients presenting with three NVCs caused by IAs or intracranial AVMs were admitted to... περισσότερα »

Thrombectomy assist devices

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 1 ώρα
The Lazarus Funnel: a blinded prospective randomized in vitro trial of a novel CE-marked thrombectomy assist device: Introduction The use of retrievable stents for acute ischemic stroke (AIS) may result in the release of distal emboli in 12–22% of cases. The Lazarus Funnel is a novel CE-marked thrombectomy assist device designed to capture the stentriever and thrombus to minimize the likelihood of distal embolization. To study this technology, we performed a randomized blinded in vitro evaluation of this device. Methods A cerebral flow model was used as an in vitro simulator for ce...περισσότερα »

Seroepidemiology of Human Polyomaviruses in a US Population

Alexandros G. SfakianakisστοΟγκολογίαΠριν από 1 ώρα
Polyomaviruses (PyV) are potentially tumorigenic in humans. However, limited data exist on the population seroprevalence of PyVs and individual characteristics that relate to seropositivity. Using multiplex serology, we determined the seroprevalence of 10 human PyVs (BK, JC, KI, WU, MCV, HPyV6, HPyV7, TSV, HPyV9, and HPyV10) among controls from a population-based skin cancer case-control study (*n* = 460) conducted in New Hampshire between 1993 and 1995. On a subset of participants (*n* = 194), methylation at CpG dinucleotides across the genome was measured in peripheral blood usin... περισσότερα »

Invited Commentary: Troubling Trends in Birth Weight

Alexandros G. SfakianakisστοΟγκολογίαΠριν από 1 ώρα
Birth weight is a strong predictor of the health of newborns. Consequently, the report by Catov et al. in this issue of the *Journal* (*Am J Epidemiol*. 2015;000(00):0000–0000), in which they showed downward trends in birth weights in a Pittsburgh, Pennsylvania, hospital from 1997 to 2011, raises concerns. The widening gap reported between birth weights of babies born to white and African-American women could correspond to a widening gap in actual health outcomes. However, if the relation between birth weight and health outcomes is not causal, these trends may be epiphenomena of li...περισσότερα »

Race Disparities and Decreasing Birth Weight: Are All Babies Getting Smaller?

Alexandros G. SfakianakisστοΟγκολογίαΠριν από 1 ώρα
The mean infant birth weight in the United States increased for decades, but it might now be decreasing. Given race disparities in fetal growth, we explored race-specific trends in birth weight at Magee-Womens Hospital, Pittsburgh, Pennsylvania, from 1997 to 2011. Among singleton births delivered at 37–41 weeks (*n* = 70,607), we evaluated the proportions who were small for gestational age and large for gestational age and changes in mean birth weights over time. Results were stratified by maternal race/ethnicity. Since 1997, the number of infants born small for their gestational ...περισσότερα »

The Development of Extremely Preterm Infants Born to Women Who Had Genitourinary Infections During Pregnancy

Alexandros G. SfakianakisστοΟγκολογίαΠριν από 1 ώρα
Gestational genitourinary infections, which have been associated with neurodevelopmental impairments among infants born near term, have not been studied among very preterm infants. The mothers of 989 infants born before 28 weeks of gestation were interviewed about urine, bladder, or kidney infections (UTIs) and cervical or vaginal infections (CVIs) during pregnancy, as well as other exposures and characteristics, and their charts were reviewed for the Extremely Low Gestational Age Newborns (ELGAN) Study (2002–2004). At 2 years of age, these infants underwent a neurodevelopmental a... περισσότερα »

A novel approach to the treatment of a direct carotid-cavernous fistula

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 1 ώρα
A novel approach to the treatment of a direct carotid-cavernous fistula in a patient with Ehlers-Danlos syndrome type IV: We report a case of a direct carotid–cavernous fistula (CCF) in a patient with Ehlers–Danlos syndrome type IV who presented with progressive chemosis and diplopia. To prevent potential lethal arterial wall injury due to the fragility of the arterial vessel wall, the ipsilateral carotid artery and internal jugular vein were surgically exposed for direct insertion of endovascular sheaths, and transvenous embolization was performed using triple microcatheters with ... περισσότερα »

Routine versus selective use of intraoperative cerebral angiography

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 1 ώρα
Comparing routine versus selective use of intraoperative cerebral angiography in aneurysm surgery: a prospective study: Introduction While the use of intraoperative angiography (IA) has been shown to be a useful adjunct in aneurysm surgery, its routine use remains controversial. Objective We wished to determine if IA is required in all patients undergoing aneurysm surgery (ie, routine IA) or if intraoperative assessment can reliably predict the need for IA (ie, select IA). Methods We prospectively evaluated all patients undergoing craniotomy for aneurysm clipping. In these patient... περισσότερα »

Bilateral carotid and vertebral rete mirabile with vein of Galen aneurysmal malformation: an unreported association

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 1 ώρα
Bilateral carotid and vertebral rete mirabile with vein of Galen aneurysmal malformation: an unreported association: Rete mirabile is a fine meshwork of anastomosing vessels that replace the parent artery. A 30-year-old woman complained of slurring of speech, right eye proptosis, recurrent vomiting, and loss of bladder and bowel control, followed by drowsiness lasting 30–40 min, for the past 6 months. On cross sectional imaging and angiography, the patient was found to have a vein of Galen aneurysmal malformation, with bilateral carotid and vertebral rete mirabile. The patient was ... περισσότερα »

Gene Transfection of Human Turbinate Mesenchymal Stromal Cells Derived from Human Inferior Turbinate Tissues

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 1 ώρα
Gene Transfection of Human Turbinate Mesenchymal Stromal Cells Derived from Human Inferior Turbinate Tissues: Human turbinate mesenchymal stromal cells (hTMSCs) are novel stem cells derived from nasal inferior turbinate tissues. They are easy to isolate from the donated tissue after turbinectomy or conchotomy. In this study, we applied hTMSCs to a nonviral gene delivery system using polyethyleneimine (PEI) as a gene carrier; furthermore, the cytotoxicity and transfection efficiency of hTMSCs were evaluated to confirm their potential as resources in gene therapy. DNA-PEI nanoparticle...περισσότερα »

Parents' Perspective: The Decision Making Process for Bone Anchored Hearing Systems for Children

Αλέξανδρος ΣφακιανάκηςστοAudiology by Alexandros G. SfakianakisΠριν από 2 ώρες
Liz Presson: At Oticon Medical, through our work with patients and their families, we understand that the decision-making process for bone anchored hearing solutions for children (and for hearing solutions for children, in general) is a journey that is not always easy to navigate. It is an incredibly important journey for parents, in order to help their children achieve their full potential. Instead of talking about that decision-making process as a professional, I am joined by Melissa Tumblin and Anne Pipes who will provide you with their perspectives as parents. from #Audiology v... περισσότερα »

Parents' Perspective: The Decision Making Process for Bone Anchored Hearing Systems for Children

Αλέξανδρος ΣφακιανάκηςστοAudiology by Alexandros G. SfakianakisΠριν από 2 ώρες
Liz Presson: At Oticon Medical, through our work with patients and their families, we understand that the decision-making process for bone anchored hearing solutions for children (and for hearing solutions for children, in general) is a journey that is not always easy to navigate. It is an incredibly important journey for parents, in order to help their children achieve their full potential. Instead of talking about that decision-making process as a professional, I am joined by Melissa Tumblin and Anne Pipes who will provide you with their perspectives as parents. from #Audiology v... περισσότερα »

Parents' Perspective: The Decision Making Process for Bone Anchored Hearing Systems for Children

Αλέξανδρος ΣφακιανάκηςστοAudiology by Alexandros G. SfakianakisΠριν από 2 ώρες
Liz Presson: At Oticon Medical, through our work with patients and their families, we understand that the decision-making process for bone anchored hearing solutions for children (and for hearing solutions for children, in general) is a journey that is not always easy to navigate. It is an incredibly important journey for parents, in order to help their children achieve their full potential. Instead of talking about that decision-making process as a professional, I am joined by Melissa Tumblin and Anne Pipes who will provide you with their perspectives as parents. from #Audiology v... περισσότερα »

Coiling and clipping of middle cerebral artery aneurysms: a systematic review on clinical and imaging outcome

Alexandros G. SfakianakisστοΝευρολογία κ' ΝευροχειρουργικήΠριν από 2 ώρες
Background There is an ongoing debate on the preferred treatment of middle cerebral artery (MCA) aneurysms. The purpose of this study was to assess the clinical and imaging outcomes comparing conventional coiling and clipping of unruptured and ruptured MCA aneurysms. Methods We searched the electronic databases PubMed, EMBASE, and Cochrane from January 1990 to May 2014. Results 51 studies were included in the analysis. Favorable outcome was reported in 97.0% and 77.1%, and in 97.2% and 72.8% of patients after coiling and clipping of unruptured and ruptured aneurysms, respectiv...περισσότερα »

Follow-up of intracranial aneurysms treated by flow diverter: comparison of three-dimensional time-of-flight MR angiography (3D-TOF-MRA) and contrast-enhanced MR angiography (CE-MRA) sequences with digital subtraction angiography as the gold standard

Alexandros G. SfakianakisστοΝευρολογία κ' ΝευροχειρουργικήΠριν από 2 ώρες
Background and purpose Follow-up of intracranial aneurysms treated by flow diverter with MRI is complicated by imaging artifacts produced by these devices. This study compares the diagnostic accuracy of three-dimensional time-of-flight MR angiography (3D-TOF-MRA) and contrast-enhanced MRA (CE-MRA) at 3 T for the evaluation of aneurysm occlusion and parent artery patency after flow diversion treatment, with digital subtraction angiography (DSA) as the gold standard. Materials and methods Patients treated with flow diverters between January 2009 and January 2013 followed by MRA a...περισσότερα »

Issue Information

Alexandros G. SfakianakisστοΝευρολογία κ' ΝευροχειρουργικήΠριν από 2 ώρες
from Neurology via xlomafota13 on Inoreader http://ift.tt/1MchCwM via IFTTT

Improving Cell Engraftment in Cardiac Stem Cell Therapy

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 2 ώρες
Improving Cell Engraftment in Cardiac Stem Cell Therapy: Myocardial infarction (MI) affects millions of people worldwide. MI causes massive cardiac cell death and heart function decrease. However, heart tissue cannot effectively regenerate by itself. While stem cell therapy has been considered an effective approach for regeneration, the efficacy of cardiac stem cell therapy remains low due to inferior cell engraftment in the infarcted region. This is mainly a result of low cell retention in the tissue and poor cell survival under ischemic, immune rejection and inflammatory condition... περισσότερα »

Morin Attenuates Ovalbumin-Induced Airway Inflammation by Modulating Oxidative Stress-Responsive MAPK Signaling

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 2 ώρες
Morin Attenuates Ovalbumin-Induced Airway Inflammation by Modulating Oxidative Stress-Responsive MAPK Signaling: Asthma is one of the most common inflammatory diseases characterized by airway hyperresponsiveness, inflammation, and remodeling. Morin, an active ingredient obtained from Moraceae plants, has been demonstrated to have promising anti-inflammatory activities in a range of disorders. However, its impacts on pulmonary diseases, particularly on asthma, have not been clarified. This study was designed to investigate whether morin alleviates airway inflammation in chronic asthm...περισσότερα »

Vocal Fold Augmentation with Beta Glucan Hydrogel Cross-Linked by γ Irradiation for Enhanced Duration of Effect: In Vivo Animal Study

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 2 ώρες
Vocal Fold Augmentation with Beta Glucan Hydrogel Cross-Linked by γ Irradiation for Enhanced Duration of Effect: In Vivo Animal Study: This study explored a novel strategy to restore the vocal gap by using cross-linked β-glucan hydrogel by γ-irradiation. An aqueous solution of 5 wt% β-glucan was prepared and cross-linked using 60Co γ irradiation. Ten nude mice were injected with 0.8 mL of irradiated β-glucan on the left back and the same volume of nonirradiated β-glucan on the right back for comparison. The mice were sacrificed at 1 and 2 weeks after injection and histological evalu... περισσότερα »

Inflammaging and Anti-Inflammaging: The Role of Cytokines in Extreme Longevity

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 2 ώρες
Inflammaging and Anti-Inflammaging: The Role of Cytokines in Extreme Longevity: Abstract Longevity and aging are two sides of the same coin, as they both derive from the interaction between genetic and environmental factors. Aging is a complex, dynamic biological process characterized by continuous remodeling. One of the most recent theories on aging focuses on immune response, and takes into consideration the activation of subclinical, chronic low-grade inflammation which occurs with aging, named “inflammaging”. Long-lived people, especially centenarians, seem to cope with chronic s...περισσότερα »

Parents' Perspective: The Decision Making Process for Bone Anchored Hearing Systems for Children

Alexandros G. SfakianakisστοΑκοή και ΙσορροπίαΠριν από 2 ώρες
Liz Presson: At Oticon Medical, through our work with patients and their families, we understand that the decision-making process for bone anchored hearing solutions for children (and for hearing solutions for children, in general) is a journey that is not always easy to navigate. It is an incredibly important journey for parents, in order to help their children achieve their full potential. Instead of talking about that decision-making process as a professional, I am joined by Melissa Tumblin and Anne Pipes who will provide you with their perspectives as parents. from #Audiology... περισσότερα »

Thymic stromal lymphopoietin controls prostaglandin D generation in patients with aspirin-exacerbated respiratory disease

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 2 ώρες
Thymic stromal lymphopoietin controls prostaglandin D generation in patients with aspirin-exacerbated respiratory disease: Prostaglandin (PG) D2 is the dominant COX product of mast cells and is an effector of aspirin-induced respiratory reactions in patients with aspirin-exacerbated respiratory disease (AERD). (Source: Journal of Allergy and Clinical Immunology)

Survivin, cyclin d1 and p21hras in keratocystic odontogenic tumors before and after decompression

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 2 ώρες
Survivin, cyclin d1 and p21hras in keratocystic odontogenic tumors before and after decompression: ConclusionsWithin the limits of the study, we can conclude that following decompression, keratocystic odontogenic tumors preserve distinct immunohistochemical profiles of cyclin D1 and p21hras expression, despite substantial reduction in size of the lesions. Significant increase of survivin expression after decompression might be attributed to higher level of epithelial proliferation caused by this procedure.This article is protected by copyright. All rights reserved. (Source: Oral Dis... περισσότερα »

B7‐H3 overexpression in oral cancer

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 2 ώρες
B7‐H3 overexpression in oral cancer Abstract In a recent study published in *Proceedings of the National Academy of Sciences of the United States of America*, Chen and collaborators (2015), aiming to discover predictive markers with impact on treatment and survival of patients with oral squamous cell carcinoma (OSCC), described an important role of the transmembrane receptor B7 homolog 3 (B7-H3), also known as CD276 and B7RP-2, in OSCCs. Besides the overexpression of this protein, the results highlight differences in the N-glycan structure of this glycoprotein between normal and ...περισσότερα »

Association between microbial characteristics and poor outcomes among patients with methicillin-resistant Staphylococcus aureus pneumonia: a retrospective cohort study

Alexandros G. SfakianakisστοΛοίμωξηΠριν από 2 ώρες
Background: Methicillin-resistant S. aureus (MRSA) pneumonia is associated with poor clinical outcomes. This study examined the association between microbial characteristics and poor outcomes among patients with methicillin-resistant Staphylococcus aureus pneumonia.FindingsThis retrospective cohort study included 75 patients with MRSA pneumonia who were admitted to two large tertiary care medical centers during 2003–2010. Multivariable models were created using Cox proportional hazards regression and ordinal logistic regression to identify predictors of mortality or increased leng...περισσότερα »

De-epithelialised patch: a simple method to monitor free flaps intraorally

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 2 ώρες
De-epithelialised patch: a simple method to monitor free flaps intraorally: Successful reconstruction of free flaps is dependent on the patency of the microvascular anastomoses.1,2 The best opportunity to salvage a flap is by early recognition of compromised perfusion and emergency revascularisation.3 There are many ways of monitoring flaps, from simple bedside checks (colour, refill, temperature), to more elaborate mechanisms (cutaneous Doppler monitoring, surface temperature probes, spectrophotometry, laser Doppler systems, implantable perianastomotic Dopplers, contrast enhanced D... περισσότερα »

Comment on ‘Basic concepts regarding fractures healing and the current options and future directions in managing bone fractures’

Alexandros G. SfakianakisστοΑισθητική ΔερματολογίαΠριν από 2 ώρες
from #Dermatology via alexandrossfakianakis on Inoreader http://ift.tt/1NrBXAm via IFTTT

TruSight Cancer Sequencing Panel reveals pharmacogenetic variants associated with sensitivity to chemotherapy in lung cancer

Alexandros SfakianakisστοHead and Neck Diseases by Alexandros G.SfakianakisΠριν από 3 ώρες
Abstract Lung cancer is the most common cause of cancer death worldwide, and its prognosis and treatment response rate as well as the survival rate remain poor. In our study, we performed next generation sequencing (NGS) with cancer panel (Illumina) for 19 Bulgarian patients with both non-small cell lung cancer (NSCLC; 18 patients) and neuroendocrine tumor (1 patient) and focused on common polymorphisms which define proven or reported sensitivity to platinum-based therapy. We report reference SNP (rs)1042522 *(TP53)*, rs2228001 *(XPC)*, rs2227983 *(EGFR)*, rs1799793, and rs13181 *(...περισσότερα »

Glycation Contributes to Interaction Between Human Bone Alkaline Phosphatase and Collagen Type I

Alexandros SfakianakisστοHead and Neck Diseases by Alexandros G.SfakianakisΠριν από 3 ώρες
Abstract Bone is a biological composite material comprised primarily of collagen type I and mineral crystals of calcium and phosphate in the form of hydroxyapatite (HA), which together provide its mechanical properties. Bone alkaline phosphatase (ALP), produced by osteoblasts, plays a pivotal role in the mineralization process. Affinity contacts between collagen, mainly type II, and the crown domain of various ALP isozymes were reported in a few in vitro studies in the 1980s and 1990s, but have not attracted much attention since, although such interactions may have important implic... περισσότερα »

Higher Level of Dickkopf-1 is Associated with Low Bone Mineral Density and Higher Prevalence of Vertebral Fractures in Patients with Ankylosing Spondylitis

Alexandros SfakianakisστοHead and Neck Diseases by Alexandros G.SfakianakisΠριν από 3 ώρες
Abstract Patients with ankylosing spondylitis (AS) have an increased risk of bone loss and vertebral fractures. In this study, we explored the hypothesis that the excess bone loss and vertebral fractures might be related with the activity of the Wingless signaling pathway, and in particular with the serum levels of its circulating inhibitors, Sclerostin and Dickkopf-1 (DKK1). We recruited 71 patients diagnosed with AS. Lateral radiographs of the total spine were analyzed to detect the presence of vertebral fractures, and bone mineral density (BMD) was assessed in all patients usin... περισσότερα »

Hepatitis C Status and Infectious Complications in the Surgical Intensive Care Unit: a Retrospective Analysis of 1,941 Consecutive Patients

Alexandros SfakianakisστοHead and Neck Diseases by Alexandros G.SfakianakisΠριν από 3 ώρες
Hepatitis C Virus (HCV) infection is thought to be associated with immune dysfunction. We hypothesized that HCV status would be associated with increased infectious complications in the SICU. from #Medicine-SfakianakisAlexandros via o.lakala70 on Inoreader http://ift.tt/1Nrk5pa via IFTTT from #Med Blogs by Alexandros G.Sfakianakis via Alexandros G.Sfakianakis on Inoreader http://ift.tt/1NjXTPN via IFTTT [image: 1Y8O8fK] [image: 1lZQU5w] from #Med Blogs by Alexandros G.Sfakianakis via Alexandros G.Sfakianakis on Inoreader http://ift.tt/1NYvAUn via IFTTT [image: 1Z7bC1V] [image: 1... περισσότερα »



Utility of the CPS+EG staging system in hormone receptor-positive, human epidermal growth factor receptor 2-negative breast cancer treated with neoadjuvant chemotherapy

Alexandros SfakianakisστοCancer by Sfakianakis AlexandrosΠριν από 2 δευτερόλεπτα
Publication date: January 2016 *Source:*European Journal of Cancer, Volume 53 Author(s): Frederik Marmé, Bianca Lederer, Jens-Uwe Blohmer, Serban Dan Costa, Carsten Denkert, Holger Eidtmann, Bernd Gerber, Claus Hanusch, Jörn Hilfrich, Jens Huober, Christian Jackisch, Sherko Kümmel, Sibylle Loibl, Stefan Paepke, Michael Untch, Gunter von Minckwitz, Andreas Schneeweiss BackgroundPathologic complete response after neoadjuvant chemotherapy (NACT) correlates with overall survival (OS) in primary breast cancer. A recently described staging system based on pre-treatment clinical stage (CS)... περισσότερα »

Effect of denosumab versus zoledronic acid in preventing skeletal-related events in patients with bone metastases by baseline characteristics

Alexandros SfakianakisστοCancer by Sfakianakis AlexandrosΠριν από 2 δευτερόλεπτα
Publication date: January 2016 *Source:*European Journal of Cancer, Volume 53 Author(s): A. Lipton, K. Fizazi, A.T. Stopeck, D.H. Henry, M.R. Smith, N. Shore, M. Martin, S. Vadhan-Raj, J.E. Brown, G.E. Richardson, F. Saad, D.A. Yardley, K. Zhou, A. Balakumaran, A. Braun BackgroundAnalyses of phase III trials showed that denosumab was superior to zoledronic acid (ZA) in preventing skeletal-related events (SREs) irrespective of age, history of SREs, or baseline pain status. This analysis assessed the risk of SREs across additional baseline characteristics.Patients and MethodsPatients ... περισσότερα »

MicroRNAs as potential diagnostic and prognostic biomarkers in melanoma

Alexandros SfakianakisστοCancer by Sfakianakis AlexandrosΠριν από 2 δευτερόλεπτα
Publication date: January 2016 *Source:*European Journal of Cancer, Volume 53 Author(s): Hamed Mirzaei, Sharareh Gholamin, Soodabeh Shahidsales, Amirhossein Sahebkar, Mahmoud Reza Jafaari, Hamid Reza Mirzaei, Seyed Mahdi Hassanian, Amir Avan Melanoma is a life-threatening malignancy with poor prognosis and a relatively high burden of mortality in advanced stages. The efficacy of current available therapeutic strategies is limited, with a survival rate of less than 10%. Despite rapid advances in biomarker-guided drug development in different tumour types, including melanoma, only a v... περισσότερα »

Debates in allergy medicine: food intolerance does not exist

Alexandros SfakianakisστοHead and Neck Diseases by Alexandros G.SfakianakisΠριν από 1 ώρα
Background: The term "intolerance" is not mentioned in the World Allergy Organization (WAO) document on allergy nomenclature. "Intolerance" has been used to describe some non-immunological diseases. However, pediatric gastroenterologists mix allergy and intolerance, e.g. by using the term "cow's milk protein allergy/intolerance (CMPA/I)", lumping together all types of mechanisms for not tolerating cow's milk. The basis for this mix is the fact that double-blind oral food challenges are time-consuming and expensive. Therefore, cow's milk exclusion and reintroduction is proposed to ...περισσότερα »

Debates in allergy medicine: food intolerance does exist

Alexandros SfakianakisστοHead and Neck Diseases by Alexandros G.SfakianakisΠριν από 1 ώρα
Background: Health care professionals and patients mix and mingle (hyper)sensitivity, allergy and intolerance. The consequences are discrepancies which result in confusion. The following is a very personal point of view, intended to start a debate to come to consensus.ObjectivesWe aimed to clarify the proposed terminology for the primary health care professional from the point of view of the pediatric gastroenterologist. Results: Many patients present with symptoms "related to food ingestion". We propose to use this wording if no underlying mechanism can be identified. Intolerance...περισσότερα »

Should ALPPS be Used for Liver Resection in Intermediate-Stage HCC?

Alexandros SfakianakisστοHead and Neck Diseases by Alexandros G.SfakianakisΠριν από 1 ώρα
Abstract Background Extended liver resections in patients with hepatocellular carcinoma (HCC) are problematic due to hepatitis, fibrosis, and cirrhosis. Associating liver partition with portal vein ligation for staged hepatectomy (ALPPS) has been promoted as a novel method to induce hypertrophy for patients with extensive colorectal liver metastases, but outcomes in HCC have not been well investigated. Methods All patients registered in the international ALPPS Registry (www.alpps.org) from 2010 to 2015 were studied. Hypertrophy of the future liver remnant, perioperative morbidity...περισσότερα »

Issue Information – Information for Authors

Alexandros SfakianakisστοCancer by Sfakianakis AlexandrosΠριν από 2 ώρες
from Cancer via ola Kala on Inoreader http://ift.tt/1Y93hgQ via IFTTT

Issue Information – UICC

Alexandros SfakianakisστοCancer by Sfakianakis AlexandrosΠριν από 2 ώρες
from Cancer via ola Kala on Inoreader http://ift.tt/1SWxXeD via IFTTT

Issue Information – Table of Contents

Alexandros SfakianakisστοCancer by Sfakianakis AlexandrosΠριν από 2 ώρες
from Cancer via ola Kala on Inoreader http://ift.tt/1Y93gJZ via IFTTT

TruSight Cancer Sequencing Panel reveals pharmacogenetic variants associated with sensitivity to chemotherapy in lung cancer

Alexandros SfakianakisστοHead and Neck Diseases by Alexandros G.SfakianakisΠριν από 3 ώρες
Abstract Lung cancer is the most common cause of cancer death worldwide, and its prognosis and treatment response rate as well as the survival rate remain poor. In our study, we performed next generation sequencing (NGS) with cancer panel (Illumina) for 19 Bulgarian patients with both non-small cell lung cancer (NSCLC; 18 patients) and neuroendocrine tumor (1 patient) and focused on common polymorphisms which define proven or reported sensitivity to platinum-based therapy. We report reference SNP (rs)1042522 *(TP53)*, rs2228001 *(XPC)*, rs2227983 *(EGFR)*, rs1799793, and rs13181 *(...περισσότερα »

Glycation Contributes to Interaction Between Human Bone Alkaline Phosphatase and Collagen Type I

Alexandros SfakianakisστοHead and Neck Diseases by Alexandros G.SfakianakisΠριν από 3 ώρες
Abstract Bone is a biological composite material comprised primarily of collagen type I and mineral crystals of calcium and phosphate in the form of hydroxyapatite (HA), which together provide its mechanical properties. Bone alkaline phosphatase (ALP), produced by osteoblasts, plays a pivotal role in the mineralization process. Affinity contacts between collagen, mainly type II, and the crown domain of various ALP isozymes were reported in a few in vitro studies in the 1980s and 1990s, but have not attracted much attention since, although such interactions may have important implic... περισσότερα »

Higher Level of Dickkopf-1 is Associated with Low Bone Mineral Density and Higher Prevalence of Vertebral Fractures in Patients with Ankylosing Spondylitis

Alexandros SfakianakisστοHead and Neck Diseases by Alexandros G.SfakianakisΠριν από 3 ώρες
Abstract Patients with ankylosing spondylitis (AS) have an increased risk of bone loss and vertebral fractures. In this study, we explored the hypothesis that the excess bone loss and vertebral fractures might be related with the activity of the Wingless signaling pathway, and in particular with the serum levels of its circulating inhibitors, Sclerostin and Dickkopf-1 (DKK1). We recruited 71 patients diagnosed with AS. Lateral radiographs of the total spine were analyzed to detect the presence of vertebral fractures, and bone mineral density (BMD) was assessed in all patients usin... περισσότερα »

Hepatitis C Status and Infectious Complications in the Surgical Intensive Care Unit: a Retrospective Analysis of 1,941 Consecutive Patients

Alexandros SfakianakisστοHead and Neck Diseases by Alexandros G.SfakianakisΠριν από 3 ώρες
Hepatitis C Virus (HCV) infection is thought to be associated with immune dysfunction. We hypothesized that HCV status would be associated with increased infectious complications in the SICU. from #Medicine-SfakianakisAlexandros via o.lakala70 on Inoreader http://ift.tt/1Nrk5pa via IFTTT from #Med Blogs by Alexandros G.Sfakianakis via Alexandros G.Sfakianakis on Inoreader http://ift.tt/1NjXTPN via IFTTT [image: 1Y8O8fK] [image: 1lZQU5w] from #Med Blogs by Alexandros G.Sfakianakis via Alexandros G.Sfakianakis on Inoreader http://ift.tt/1NYvAUn via IFTTT [image: 1Z7bC1V] [image: 1... περισσότερα »

The Number of Inpatient Consultations is Negatively Correlated with Patient Satisfaction in Patients with Prolonged Hospital Stays

Alexandros SfakianakisστοHead and Neck Diseases by Alexandros G.SfakianakisΠριν από 3 ώρες
In long stay patients, having fewer inpatient consultations was the strongest predictor of patient satisfaction with physician communication. Examination of patient- level data in clinically relevant subgroups may be a useful way to identify targets for quality improvement. from #Medicine-SfakianakisAlexandros via o.lakala70 on Inoreader http://ift.tt/1Nrk58K via IFTTT from #Med Blogs by Alexandros G.Sfakianakis via Alexandros G.Sfakianakis on Inoreader http://ift.tt/1mj5JR5 via IFTTT [image: 1lZQWKp] [image: 1Y8O7Z3] from #Med Blogs by Alexandros G.Sfakianakis via Alexandros G.S... περισσότερα »

An in vivo model for postinflammatory hyperpigmentation: an analysis of histological, spectroscopic, colorimetric and clinical traits

Alexandros SfakianakisστοHead and Neck Diseases by Alexandros G.SfakianakisΠριν από 3 ώρες
Summary Background Acne vulgaris is a common condition that occurs in all skin types. Postinflammatory hyperpigmentation (PIH) is often associated with acne in patients of darker skin types, making it a common complaint in dermatology offices. Despite this, there is limited understanding of and effective treatment options for PIH. Objectives The study objective was to validate an *in vivo* model for PIH and to compare the clinical, histological and spectroscopic characteristics of artificially induced PIH and acne-induced PIH. Methods A nonblinded, nonrandomized pilot study was ...περισσότερα »

Asthma education material for children and their families; a global survey of current resources

Alexandros SfakianakisστοHead and Neck Diseases by Alexandros G.SfakianakisΠριν από 3 ώρες
One of the keys to high quality paediatric asthma management is the provision of age appropriate information regarding the disease and its management. In order to determine whether the generation of a minimum dataset of information which can be translated into a wide range of languages might be used to assist children and their parents around the world, we undertook a survey of national Member Societies of the World Allergy Organization (WAO) to determine what educational material on asthma for children and their families already exists.A questionnaire was developed using Survey M...περισσότερα »

Debates in allergy medicine: food intolerance does not exist

Alexandros SfakianakisστοHead and Neck Diseases by Alexandros G.SfakianakisΠριν από 3 ώρες
Background: The term "intolerance" is not mentioned in the World Allergy Organization (WAO) document on allergy nomenclature. "Intolerance" has been used to describe some non-immunological diseases. However, pediatric gastroenterologists mix allergy and intolerance, e.g. by using the term "cow's milk protein allergy/intolerance (CMPA/I)", lumping together all types of mechanisms for not tolerating cow's milk. The basis for this mix is the fact that double-blind oral food challenges are time-consuming and expensive. Therefore, cow's milk exclusion and reintroduction is proposed to ...περισσότερα »

Debates in allergy medicine: food intolerance does exist

Alexandros SfakianakisστοHead and Neck Diseases by Alexandros G.SfakianakisΠριν από 3 ώρες
Background: Health care professionals and patients mix and mingle (hyper)sensitivity, allergy and intolerance. The consequences are discrepancies which result in confusion. The following is a very personal point of view, intended to start a debate to come to consensus.ObjectivesWe aimed to clarify the proposed terminology for the primary health care professional from the point of view of the pediatric gastroenterologist. Results: Many patients present with symptoms "related to food ingestion". We propose to use this wording if no underlying mechanism can be identified. Intolerance...περισσότερα »

Should ALPPS be Used for Liver Resection in Intermediate-Stage HCC?

Alexandros SfakianakisστοHead and Neck Diseases by Alexandros G.SfakianakisΠριν από 4 ώρες
Abstract Background Extended liver resections in patients with hepatocellular carcinoma (HCC) are problematic due to hepatitis, fibrosis, and cirrhosis. Associating liver partition with portal vein ligation for staged hepatectomy (ALPPS) has been promoted as a novel method to induce hypertrophy for patients with extensive colorectal liver metastases, but outcomes in HCC have not been well investigated. Methods All patients registered in the international ALPPS Registry (www.alpps.org) from 2010 to 2015 were studied. Hypertrophy of the future liver remnant, perioperative morbidity...περισσότερα »

Decreased level of osteopontin in children with allergic rhinitis during sublingual immunotherapy

Alexandros SfakianakisστοHead and Neck Diseases by Alexandros G.SfakianakisΠριν από 4 ώρες
Sublingual immunotherapy (SLIT) is proven to be very effective in the treatment of allergic rhinitis (AR), but its regulatory mechanism and biomarkers for predicting efficacy are still unknown. Osteopontin (OPN), as a recently described Th2 inflammation related protein, plays key role in the pathogenesis of AR. The aim of this study was to identify the expression and role of OPN during SLIT in children. from #Medicine-SfakianakisAlexandros via o.lakala70 on Inoreader http://ift.tt/1UmqV42 via IFTTT [image: 1lZQX0X] [image: 1Y8Obbt] from #Med Blogs by Alexandros G.Sfakianakis via ...περισσότερα »

Hepatitis C Status and Infectious Complications in the Surgical Intensive Care Unit: a Retrospective Analysis of 1,941 Consecutive Patients

Alexandros SfakianakisστοHead and Neck Diseases by Alexandros G.SfakianakisΠριν από 4 ώρες
Hepatitis C Virus (HCV) infection is thought to be associated with immune dysfunction. We hypothesized that HCV status would be associated with increased infectious complications in the SICU. from #Medicine-SfakianakisAlexandros via o.lakala70 on Inoreader http://ift.tt/1Nrk5pa via IFTTT from #Med Blogs by Alexandros G.Sfakianakis via Alexandros G.Sfakianakis on Inoreader http://ift.tt/1NjXTPN via IFTTT [image: 1Y8O8fK] [image: 1lZQU5w] from #Med Blogs by Alexandros G.Sfakianakis via Alexandros G.Sfakianakis on Inoreader http://ift.tt/1NYvAUn via IFTTT from #Med Blogs by Alexan... περισσότερα »

Development and validation of a checklist for assessing recorded performance of laparoscopic inguinal hernia repair

Alexandros SfakianakisστοHead and Neck Diseases by Alexandros G.SfakianakisΠριν από 4 ώρες
Despite a need for video assessment for the performance transabdominal preperitoneal procedure (TAPP), the present assessment tools have not been validated for the use of evaluation of the recorded performance. We aimed to develop a checklist for the evaluation of the recorded performance of TAPP. from #Medicine-SfakianakisAlexandros via o.lakala70 on Inoreader http://ift.tt/1Nrk58A via IFTTT [image: 1Y8O5k0] [image: 1lZQU5s] from #Med Blogs by Alexandros G.Sfakianakis via Alexandros G.Sfakianakis on Inoreader http://ift.tt/1NYvAUd via IFTTT from #Med Blogs by Alexandros G.Sfak...περισσότερα »

The Number of Inpatient Consultations is Negatively Correlated with Patient Satisfaction in Patients with Prolonged Hospital Stays

Alexandros SfakianakisστοHead and Neck Diseases by Alexandros G.SfakianakisΠριν από 4 ώρες
In long stay patients, having fewer inpatient consultations was the strongest predictor of patient satisfaction with physician communication. Examination of patient- level data in clinically relevant subgroups may be a useful way to identify targets for quality improvement. from #Medicine-SfakianakisAlexandros via o.lakala70 on Inoreader http://ift.tt/1Nrk58K via IFTTT from #Med Blogs by Alexandros G.Sfakianakis via Alexandros G.Sfakianakis on Inoreader http://ift.tt/1mj5JR5 via IFTTT [image: 1lZQWKp] [image: 1Y8O7Z3] from #Med Blogs by Alexandros G.Sfakianakis via Alexandros G.S... περισσότερα »

Peri-operative outcomes of elective inflow revascularization for lower extremity claudication in the ACS-NSQIP database

Alexandros SfakianakisστοHead and Neck Diseases by Alexandros G.SfakianakisΠριν από 4 ώρες
We compared the early post-operative morbidity and mortality rates of contemporary aortofemoral bypass (AFB) and other inflow procedures for claudication. from #Medicine-SfakianakisAlexandros via o.lakala70 on Inoreader http://ift.tt/1Nrk7gR via IFTTT [image: 1lZQTOV] [image: 1Y8O4MX] from #Med Blogs by Alexandros G.Sfakianakis via Alexandros G.Sfakianakis on Inoreader http://ift.tt/1NYvADZ via IFTTT from #Med Blogs by Alexandros G.Sfakianakis via Alexandros G.Sfakianakis on Inoreader http://ift.tt/1QFNGj2 via IFTTT

Should ALPPS be Used for Liver Resection in Intermediate-Stage HCC?

Alexandros SfakianakisστοCancer by Sfakianakis AlexandrosΠριν από 4 ώρες
Abstract Background Extended liver resections in patients with hepatocellular carcinoma (HCC) are problematic due to hepatitis, fibrosis, and cirrhosis. Associating liver partition with portal vein ligation for staged hepatectomy (ALPPS) has been promoted as a novel method to induce hypertrophy for patients with extensive colorectal liver metastases, but outcomes in HCC have not been well investigated. Methods All patients registered in the international ALPPS Registry (www.alpps.org) from 2010 to 2015 were studied. Hypertrophy of the future liver remnant, perioperative morbidity...περισσότερα »

TruSight Cancer Sequencing Panel reveals pharmacogenetic variants associated with sensitivity to chemotherapy in lung cancer

Alexandros SfakianakisστοCancer by Sfakianakis AlexandrosΠριν από 4 ώρες
Abstract Lung cancer is the most common cause of cancer death worldwide, and its prognosis and treatment response rate as well as the survival rate remain poor. In our study, we performed next generation sequencing (NGS) with cancer panel (Illumina) for 19 Bulgarian patients with both non-small cell lung cancer (NSCLC; 18 patients) and neuroendocrine tumor (1 patient) and focused on common polymorphisms which define proven or reported sensitivity to platinum-based therapy. We report reference SNP (rs)1042522 *(TP53)*, rs2228001 *(XPC)*, rs2227983 *(EGFR)*, rs1799793, and rs13181 *(...περισσότερα »

miR-548d-3p/TP53BP2 axis regulates the proliferation and apoptosis of breast cancer cells

Alexandros SfakianakisστοCancer by Sfakianakis AlexandrosΠριν από 4 ώρες
Abstract Fast growth and hardly any apoptosis are important characteristics of breast cancer, which assure the spread via invasion and metastasis of breast cancer cells. Inhibition of fast proliferation and induction of apoptosis are critical way to cure this cancer. microRNAs (miRNAs) had been increasingly reported to be the critical regulator of tumorigenesis. In our study, we found that increasing copy number of miR-548d-2-3p is critically involved poor prognosis. We overexpressed miR-548d-3p in MDA-MB-231cells and found that the proliferation was promoted significantly, whereas... περισσότερα »

Asthma education material for children and their families; a global survey of current resources

Alexandros SfakianakisστοHead and Neck Diseases by Alexandros G.SfakianakisΠριν από 4 ώρες
One of the keys to high quality paediatric asthma management is the provision of age appropriate information regarding the disease and its management. In order to determine whether the generation of a minimum dataset of information which can be translated into a wide range of languages might be used to assist children and their parents around the world, we undertook a survey of national Member Societies of the World Allergy Organization (WAO) to determine what educational material on asthma for children and their families already exists.A questionnaire was developed using Survey M...περισσότερα »

Debates in allergy medicine: food intolerance does not exist

Alexandros SfakianakisστοHead and Neck Diseases by Alexandros G.SfakianakisΠριν από 4 ώρες
Background: The term "intolerance" is not mentioned in the World Allergy Organization (WAO) document on allergy nomenclature. "Intolerance" has been used to describe some non-immunological diseases. However, pediatric gastroenterologists mix allergy and intolerance, e.g. by using the term "cow's milk protein allergy/intolerance (CMPA/I)", lumping together all types of mechanisms for not tolerating cow's milk. The basis for this mix is the fact that double-blind oral food challenges are time-consuming and expensive. Therefore, cow's milk exclusion and reintroduction is proposed to ...περισσότερα »

Table of Contents

Alexandros SfakianakisστοHead and Neck Diseases by Alexandros G.SfakianakisΠριν από 4 ώρες
from #ORL-AlexandrosSfakianakis via simeraentaxei on Inoreader http://ift.tt/1TKdolW via IFTTT from #Med Blogs by Alexandros G.Sfakianakis via Alexandros G.Sfakianakis on Inoreader http://ift.tt/1NYza0O via IFTTT

Debates in allergy medicine: food intolerance does exist

Alexandros SfakianakisστοHead and Neck Diseases by Alexandros G.SfakianakisΠριν από 4 ώρες
Background: Health care professionals and patients mix and mingle (hyper)sensitivity, allergy and intolerance. The consequences are discrepancies which result in confusion. The following is a very personal point of view, intended to start a debate to come to consensus.ObjectivesWe aimed to clarify the proposed terminology for the primary health care professional from the point of view of the pediatric gastroenterologist. Results: Many patients present with symptoms "related to food ingestion". We propose to use this wording if no underlying mechanism can be identified. Intolerance...περισσότερα »

Polyploidy Formation in Doxorubicin-Treated Cancer Cells Can Favor Escape from Senescence

Alexandros SfakianakisστοHead and Neck Diseases by Alexandros G.SfakianakisΠριν από 4 ώρες
Cancer cells can undergo stress-induced premature senescence, which is considered to be a desirable outcome of anticancer treatment. However, the escape from senescence and cancer cell repopulation give rise to some doubts concerning the effectiveness of the senescence-induced anticancer therapy. Similarly, it is postulated that polyploidization of cancer cells is connected with disease relapse. We postulate that cancer cell polyploidization associated with senescence is the culprit of atypical cell divisions leading to cancer cell regrowth. from #ORL-AlexandrosSfakianakis via sim... περισσότερα »

Combining Optical Reporter Proteins with Different Half-lives to Detect Temporal Evolution of Hypoxia and Reoxygenation in Tumors

Alexandros SfakianakisστοHead and Neck Diseases by Alexandros G.SfakianakisΠριν από 4 ώρες
Here we have developed a hypoxia response element driven imaging strategy that combined the hypoxia-driven expression of two optical reporters with different half-lives to detect temporal changes in hypoxia and hypoxia inducible factor (HIF) activity. For this purpose, human prostate cancer PC3 cells were transfected with the luciferase gene fused with an oxygen-dependent degradation domain (ODD-luc) and a variant of the enhanced green fluorescent protein (EGFP). Both ODD-luciferase and EGFP were under the promotion of a poly-hypoxia-response element sequence (5xHRE). from #ORL-Al...περισσότερα »

Autofluorescence Imaging of Tumor Heterogeneity in Response to Treatment

Alexandros SfakianakisστοHead and Neck Diseases by Alexandros G.SfakianakisΠριν από 4 ώρες
Subpopulations of cells that escape anti-cancer treatment can cause relapse in cancer patients. Therefore, measurements of cellular-level tumor heterogeneity could enable improved anti-cancer treatment regimens. Cancer exhibits altered cellular metabolism, which affects the autofluorescence of metabolic cofactors NAD(P)H and FAD. The optical redox ratio (fluorescence intensity of NAD(P)H divided by FAD) reflects global cellular metabolism. The fluorescence lifetime (amount of time a fluorophore is in the excited state) is sensitive to microenvironment, particularly protein-binding.... περισσότερα »

Breast Cancer Cell Colonization of the Human Bone Marrow Adipose Tissue Niche

Alexandros SfakianakisστοHead and Neck Diseases by Alexandros G.SfakianakisΠριν από 4 ώρες
BACKGROUND/OBJECTIVES: Bone is a preferred site of breast cancer metastasis, suggesting the presence of tissue-specific features that attract and promote the outgrowth of breast cancer cells. We sought to identify parameters of human bone tissue associated with breast cancer cell osteotropism and colonization in the metastatic niche. METHODS: Migration and colonization patterns of MDA-MB-231-fLuc-EGFP (luciferase-enhanced green fluorescence protein) and MCF-7-fLuc-EGFP breast cancer cells were studied in co-culture with cancellous bone tissue fragments isolated from 14 hip arthrop...περισσότερα »

Asthma education material for children and their families; a global survey of current resources

Alexandros SfakianakisστοHead and Neck Diseases by Alexandros G.SfakianakisΠριν από 4 ώρες
One of the keys to high quality paediatric asthma management is the provision of age appropriate information regarding the disease and its management. In order to determine whether the generation of a minimum dataset of information which can be translated into a wide range of languages might be used to assist children and their parents around the world, we undertook a survey of national Member Societies of the World Allergy Organization (WAO) to determine what educational material on asthma for children and their families already exists.A questionnaire was developed using Survey M...περισσότερα »

Debates in allergy medicine: food intolerance does not exist

Alexandros SfakianakisστοHead and Neck Diseases by Alexandros G.SfakianakisΠριν από 4 ώρες
Background: The term "intolerance" is not mentioned in the World Allergy Organization (WAO) document on allergy nomenclature. "Intolerance" has been used to describe some non-immunological diseases. However, pediatric gastroenterologists mix allergy and intolerance, e.g. by using the term "cow's milk protein allergy/intolerance (CMPA/I)", lumping together all types of mechanisms for not tolerating cow's milk. The basis for this mix is the fact that double-blind oral food challenges are time-consuming and expensive. Therefore, cow's milk exclusion and reintroduction is proposed to ...περισσότερα »

Debates in allergy medicine: food intolerance does exist

Alexandros SfakianakisστοHead and Neck Diseases by Alexandros G.SfakianakisΠριν από 4 ώρες
Background: Health care professionals and patients mix and mingle (hyper)sensitivity, allergy and intolerance. The consequences are discrepancies which result in confusion. The following is a very personal point of view, intended to start a debate to come to consensus.ObjectivesWe aimed to clarify the proposed terminology for the primary health care professional from the point of view of the pediatric gastroenterologist. Results: Many patients present with symptoms "related to food ingestion". We propose to use this wording if no underlying mechanism can be identified. Intolerance...περισσότερα »

Asthma education material for children and their families; a global survey of current resources

Alexandros SfakianakisστοHead and Neck Diseases by Alexandros G.SfakianakisΠριν από 4 ώρες
One of the keys to high quality paediatric asthma management is the provision of age appropriate information regarding the disease and its management. In order to determine whether the generation of a minimum dataset of information which can be translated into a wide range of languages might be used to assist children and their parents around the world, we undertook a survey of national Member Societies of the World Allergy Organization (WAO) to determine what educational material on asthma for children and their families already exists.A questionnaire was developed using Survey M...περισσότερα »

Debates in allergy medicine: food intolerance does not exist

Alexandros SfakianakisστοHead and Neck Diseases by Alexandros G.SfakianakisΠριν από 4 ώρες
Background: The term "intolerance" is not mentioned in the World Allergy Organization (WAO) document on allergy nomenclature. "Intolerance" has been used to describe some non-immunological diseases. However, pediatric gastroenterologists mix allergy and intolerance, e.g. by using the term "cow's milk protein allergy/intolerance (CMPA/I)", lumping together all types of mechanisms for not tolerating cow's milk. The basis for this mix is the fact that double-blind oral food challenges are time-consuming and expensive. Therefore, cow's milk exclusion and reintroduction is proposed to ...περισσότερα »

Debates in allergy medicine: food intolerance does exist

Alexandros SfakianakisστοHead and Neck Diseases by Alexandros G.SfakianakisΠριν από 4 ώρες
Background: Health care professionals and patients mix and mingle (hyper)sensitivity, allergy and intolerance. The consequences are discrepancies which result in confusion. The following is a very personal point of view, intended to start a debate to come to consensus.ObjectivesWe aimed to clarify the proposed terminology for the primary health care professional from the point of view of the pediatric gastroenterologist. Results: Many patients present with symptoms "related to food ingestion". We propose to use this wording if no underlying mechanism can be identified. Intolerance...περισσότερα »

Table of Contents

Alexandros SfakianakisστοHead and Neck Diseases by Alexandros G.SfakianakisΠριν από 4 ώρες
from #ORL-AlexandrosSfakianakis via simeraentaxei on Inoreader http://ift.tt/1TKdolW via IFTTT from #Med Blogs by Alexandros G.Sfakianakis via Alexandros G.Sfakianakis on Inoreader http://ift.tt/1TKeaiC via IFTTT

Polyploidy Formation in Doxorubicin-Treated Cancer Cells Can Favor Escape from Senescence

Alexandros SfakianakisστοHead and Neck Diseases by Alexandros G.SfakianakisΠριν από 4 ώρες
Cancer cells can undergo stress-induced premature senescence, which is considered to be a desirable outcome of anticancer treatment. However, the escape from senescence and cancer cell repopulation give rise to some doubts concerning the effectiveness of the senescence-induced anticancer therapy. Similarly, it is postulated that polyploidization of cancer cells is connected with disease relapse. We postulate that cancer cell polyploidization associated with senescence is the culprit of atypical cell divisions leading to cancer cell regrowth. from #ORL-AlexandrosSfakianakis via sim... περισσότερα »

Combining Optical Reporter Proteins with Different Half-lives to Detect Temporal Evolution of Hypoxia and Reoxygenation in Tumors

Alexandros SfakianakisστοHead and Neck Diseases by Alexandros G.SfakianakisΠριν από 4 ώρες
Here we have developed a hypoxia response element driven imaging strategy that combined the hypoxia-driven expression of two optical reporters with different half-lives to detect temporal changes in hypoxia and hypoxia inducible factor (HIF) activity. For this purpose, human prostate cancer PC3 cells were transfected with the luciferase gene fused with an oxygen-dependent degradation domain (ODD-luc) and a variant of the enhanced green fluorescent protein (EGFP). Both ODD-luciferase and EGFP were under the promotion of a poly-hypoxia-response element sequence (5xHRE). from #ORL-Al...περισσότερα »

Autofluorescence Imaging of Tumor Heterogeneity in Response to Treatment

Alexandros SfakianakisστοHead and Neck Diseases by Alexandros G.SfakianakisΠριν από 5 ώρες
Subpopulations of cells that escape anti-cancer treatment can cause relapse in cancer patients. Therefore, measurements of cellular-level tumor heterogeneity could enable improved anti-cancer treatment regimens. Cancer exhibits altered cellular metabolism, which affects the autofluorescence of metabolic cofactors NAD(P)H and FAD. The optical redox ratio (fluorescence intensity of NAD(P)H divided by FAD) reflects global cellular metabolism. The fluorescence lifetime (amount of time a fluorophore is in the excited state) is sensitive to microenvironment, particularly protein-binding.... περισσότερα »

Breast Cancer Cell Colonization of the Human Bone Marrow Adipose Tissue Niche

Alexandros SfakianakisστοHead and Neck Diseases by Alexandros G.SfakianakisΠριν από 5 ώρες
BACKGROUND/OBJECTIVES: Bone is a preferred site of breast cancer metastasis, suggesting the presence of tissue-specific features that attract and promote the outgrowth of breast cancer cells. We sought to identify parameters of human bone tissue associated with breast cancer cell osteotropism and colonization in the metastatic niche. METHODS: Migration and colonization patterns of MDA-MB-231-fLuc-EGFP (luciferase-enhanced green fluorescence protein) and MCF-7-fLuc-EGFP breast cancer cells were studied in co-culture with cancellous bone tissue fragments isolated from 14 hip arthrop...περισσότερα »

Asthma education material for children and their families; a global survey of current resources

Alexandros SfakianakisστοHead and Neck Diseases by Alexandros G.SfakianakisΠριν από 5 ώρες
One of the keys to high quality paediatric asthma management is the provision of age appropriate information regarding the disease and its management. In order to determine whether the generation of a minimum dataset of information which can be translated into a wide range of languages might be used to assist children and their parents around the world, we undertook a survey of national Member Societies of the World Allergy Organization (WAO) to determine what educational material on asthma for children and their families already exists.A questionnaire was developed using Survey M...περισσότερα »

Outcome of orthodontic mini-implant loss in relation to interleukin 6 polymorphisms

Alexandros SfakianakisστοHead and Neck Diseases by Alexandros G.SfakianakisΠριν από 5 ώρες
Mini-implants (MIs) are used increasingly for orthodontic anchorage and their success may require some osseointegration, which is affected by the underlying host immune-inflammatory response. Interleukin 6 (IL-6) is a cytokine expressed during the host response after a trauma or infection. The aim of this study was to investigate the association of clinical characteristics and IL6 tag single nucleotide polymorphisms (which capture the information of the whole gene in terms of genetic variability) with the loss of MIs for orthodontic anchorage. from #Head and Neck by Sfakianakis vi... περισσότερα »

Flat detector C-arm CT-guided transthoracic needle biopsy of small (≤2.0 cm) pulmonary nodules: diagnostic accuracy and complication in 100 patients

Alexandros SfakianakisστοHead and Neck Diseases by Alexandros G.SfakianakisΠριν από 5 ώρες
Abstract Purpose This study aimed at assessing the usefulness of flat detector cone-beam CT virtual navigation-guided transthoracic needle biopsy of small (≤2.0 cm) pulmonary nodules in terms of diagnostic accuracy and complications to evaluate the diagnostic performance and complications of small pulmonary nodules under cone-beam CT (CBCT) guidance. Materials and methods A total of 100 patients with 100 solid lung nodules were retrospectively enrolled to undergo transthoracic needle biopsy (TNB) procedures. The mean diameter of lesions was 1.25 cm ± 0.39 (range 0.50–2.00 cm). The... περισσότερα »

Long-term prognosis of tooth autotransplantation: a systematic review and meta-analysis

Alexandros SfakianakisστοHead and Neck Diseases by Alexandros G.SfakianakisΠριν από 5 ώρες
The aim of this study was to systematically review the prognosis of autotransplanted teeth followed up for a period of 6 years or more. A literature search was conducted in five databases and the eligibility criteria were established. The outcomes evaluated were the survival rate, percentage of abnormal mobility, pulpal conditions, and percentage of root resorption. The searches identified 1848 articles, and after evaluation against the eligibility criteria, six were included. Data related to outcome measures were extracted from the studies and a meta-analysis was performed. from... περισσότερα »

Opening doors to compensation for nuclear workers – The Bellingham Herald

Alexandros SfakianakisστοHead and Neck Diseases by Alexandros G.SfakianakisΠριν από 5 ώρες
[image: 1QFE5Zq] The Bellingham Herald *Opening doors to compensation for nuclear workers* *The Bellingham Herald* They include bone and renal *cancer*, some leukemias, lung *cancer*, multiple myeloma, some lymphomas, and primary *cancers* of the bile ducts, brain, breast, colon, esophagus, gallbladder, liver, ovary, pancreas, pharynx, *salivary gland*, small intestine, … from #ORL-AlexandrosSfakianakis via simeraentaxei on Inoreader http://ift.tt/1QFE5Jc via IFTTT from #Med Blogs by Alexandros G.Sfakianakis via Alexandros G.Sfakianakis on Inoreader http://ift.tt/1I2CxYj via IFTTT

Menstrual cycle phase at the time of rape does not affect recovery of semen or amplification of STR profiles of a suspect in vaginal swabs

Alexandros SfakianakisστοHead and Neck Diseases by Alexandros G.SfakianakisΠριν από 5 ώρες
Abbreviated title: Effect of menses in forensic investigation of rapes from #ORL-AlexandrosSfakianakis via simeraentaxei on Inoreader http://ift.tt/1NOBz2c via IFTTT from #Med Blogs by Alexandros G.Sfakianakis via Alexandros G.Sfakianakis on Inoreader http://ift.tt/1lZL2cq via IFTTT

Menstrual cycle phase at the time of rape does not affect recovery of semen or amplification of STR profiles of a suspect in vaginal swabs

Alexandros SfakianakisστοHead and Neck Diseases by Alexandros G.SfakianakisΠριν από 5 ώρες
Abbreviated title: Effect of menses in forensic investigation of rapes from #ORL-AlexandrosSfakianakis via simeraentaxei on Inoreader http://ift.tt/1NOBz2c via IFTTT from #Med Blogs by Alexandros G.Sfakianakis via Alexandros G.Sfakianakis on Inoreader http://ift.tt/1I2CvzJ via IFTTT

Cancer burden in Vietnam: P2 – The culprits – Tuoitrenews (press release)

Alexandros SfakianakisστοHead and Neck Diseases by Alexandros G.SfakianakisΠριν από 5 ώρες
[image: 1lZE2MG] Tuoitrenews (press release) *Cancer burden in Vietnam: P2 – The culprits* *Tuoitrenews (press release)* Photo: Tuoi Tre. Meanwhile, liver and stomach *cancer* account for 80 percent of infection-related *cancers* among males. Several other types of *cancer*, including anal, penile, vaginal, vulvar, *tongue* and throat *cancer*, are also found to have links with *…* from #ORL-AlexandrosSfakianakis via simeraentaxei on Inoreader http://ift.tt/1NOBw6z via IFTTT from #Med Blogs by Alexandros G.Sfakianakis via Alexandros G.Sfakianakis on Inoreader http://ift.tt/1lZL4ks... περισσότερα »

Protocol for Three-dimensional Confocal Morphometric Analysis of Astrocytes

Alexandros SfakianakisστοHead and Neck Diseases by Alexandros G.SfakianakisΠριν από 5 ώρες
[image: 53113fig1.jpg] Astrocytes in the CNS change their functional and structural properties in response to harmful stimuli. This report presents a protocol for assessment of three-dimensional astrocyte morphology in diseased conditions or after therapeutic interventions. from Medicine via xlomafota13 on Inoreader http://ift.tt/1QnrCuQ via IFTTT from #Med Blogs by Alexandros G.Sfakianakis via Alexandros G.Sfakianakis on Inoreader http://ift.tt/1RMstEU via IFTTT

Long-term prognosis of tooth autotransplantation: a systematic review and meta-analysis

Alexandros SfakianakisστοHead and Neck Diseases by Alexandros G.SfakianakisΠριν από 5 ώρες
The aim of this study was to systematically review the prognosis of autotransplanted teeth followed up for a period of 6 years or more. A literature search was conducted in five databases and the eligibility criteria were established. The outcomes evaluated were the survival rate, percentage of abnormal mobility, pulpal conditions, and percentage of root resorption. The searches identified 1848 articles, and after evaluation against the eligibility criteria, six were included. Data related to outcome measures were extracted from the studies and a meta-analysis was performed. from... περισσότερα »

Menstrual cycle phase at the time of rape does not affect recovery of semen or amplification of STR profiles of a suspect in vaginal swabs

Alexandros SfakianakisστοHead and Neck Diseases by Alexandros G.SfakianakisΠριν από 6 ώρες
Abbreviated title: Effect of menses in forensic investigation of rapes from #ORL-AlexandrosSfakianakis via simeraentaxei on Inoreader http://ift.tt/1NOBz2c via IFTTT from #Med Blogs by Alexandros G.Sfakianakis via Alexandros G.Sfakianakis on Inoreader http://ift.tt/1J5T4FK via IFTTT

Opening doors to compensation for nuclear workers – The Bellingham Herald

Alexandros SfakianakisστοHead and Neck Diseases by Alexandros G.SfakianakisΠριν από 6 ώρες
[image: 1QFE5Zq] The Bellingham Herald *Opening doors to compensation for nuclear workers* *The Bellingham Herald* They include bone and renal *cancer*, some leukemias, lung *cancer*, multiple myeloma, some lymphomas, and primary *cancers* of the bile ducts, brain, breast, colon, esophagus, gallbladder, liver, ovary, pancreas, pharynx, *salivary gland*, small intestine, … from #ORL-AlexandrosSfakianakis via simeraentaxei on Inoreader http://ift.tt/1QFE5Jc via IFTTT from #Med Blogs by Alexandros G.Sfakianakis via Alexandros G.Sfakianakis on Inoreader http://ift.tt/1QfArav via IFTTT

In Memoriam: Jean Maleville, 1927–2015

Alexandros SfakianakisστοHead and Neck Diseases by Alexandros G.SfakianakisΠριν από 6 ώρες
from #ORL-AlexandrosSfakianakis via ola Kala on Inoreader http://ift.tt/1NrkTKG via IFTTT from #Med Blogs by Alexandros G.Sfakianakis via Alexandros G.Sfakianakis on Inoreader http://ift.tt/1P2cCQ9 via IFTTT

Gelsolin promotes cell growth and invasion through the upregulation of p-AKT and p-P38 pathway in osteosarcoma

Alexandros SfakianakisστοCancer by Sfakianakis AlexandrosΠριν από 9 ώρες
Abstract The gelsolin (GSN) has been involved in the regulation of tumor formation and development, but the biological role of GSN in the pathogenesis of osteosarcoma (OS) has not been well characterized. In this study, we show that high expression of GSN was observed in OS tissues and correlated with tumor size, advanced Enneking stage, and poor patient prognosis. Knockdown of GSN significantly inhibited cell proliferation and invasiveness in the OS cell lines. Furthermore, stable overexpression of GSN in OS cells resulted in a significant increase in cell growth and motility with... περισσότερα »

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