Αρχειοθήκη ιστολογίου

Αλέξανδρος Γ. Σφακιανάκης
ΩτοΡινοΛαρυγγολόγος
Αναπαύσεως 5
Άγιος Νικόλαος Κρήτη 72100
2841026182
6032607174

Πέμπτη 28 Απριλίου 2016

OtoRhinoLaryngology & Medicine,New Articles,April 28th,2016


Which outcome measures are reported by clinical trials investigating OME treatment? A case for standardised reporting

Many different OME treatment trials have been published using different outcomes measures to evaluate the success of particular interventions. We set out to identify the variation in reporting of outcome measures in OME trials that exists at present. This has been achieved by reviewing published trials to determine which outcome measures have been reported. from […]

Castleman’s Disease: Unusually young presentation resulting in delayed diagnosis of a neck mass.

We present a case report of a two year old child with an enlarging neck mass over a two year period. Her work-up included blood investigations, radiological imaging and fine needle aspirations which were non-diagnostic. At age 4 she had excision of her neck mass and histopathologic examination revealed unicentric Castleman’s disease. This is one […]

Association between temporomandibular disorders and obesity

Psychological stress can induce altered eating patterns, and studies have indicated that there is a correlation between temporomandibular disorder (TMD) and psychological stress. This study investigated the relationship between TMD and body mass index (BMI) in a large representative sample of the South Korean population using data from the Korea National Health and Nutrition Examination […]

How Addenbrooke’s Charitable Trust is changing medical practice through cancer research – Cambridge News

How Addenbrooke’s Charitable Trust is changing medical practice through cancer research Cambridge News on how to automate the process of defining the salivary glands on these computer images. Through our work there is a real possibility of changing practice country-wide in the future.» If you would like to help support patients through the ACT on […]

Systematic review with network meta-analysis: comparative effectiveness and safety of strategies for preventing NSAID-associated gastrointestinal toxicity

Αλέξανδρος ΣφακιανάκηςστοOtoRhinoLaryngology by Alexandros G.SfakianakisΠριν από 5 δευτερόλεπτα
Summary Background Many strategies are used to prevent nonsteroidal anti-inflammatory drug (NSAID)-associated gastrointestinal toxicity, but the comparative effectiveness remains unclear. Aim To evaluate the comparative effectiveness of clinical strategies for preventing gastrointestinal toxicity induced by NSAIDs. Methods MEDLINE, EMBASE and the Cochrane Library (from their inception to May 2015) were searched for randomised controlled trials comparing the risk of gastrointestinal adverse events in patients taking nonselective NSAIDs, selective cyclooxygenase(COX)-2 inhibitors...περισσότερα »

Late reactions after double-blind placebo-controlled food challenges

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 7 δευτερόλεπτα
Late reactions in food-allergic children and adolescents after double-blind placebo-controlled food challenges: Abstract The time during which children are observed following a double-blind, placebo controlled, food-challenge (DBPCFC) varies in clinical practice. There is little data on late reactions (LRs) following DBPCFCs. Therefore, we determined the prevalence, severity and clinical characteristics of late reactions in food-allergic children and adolescents after DBPCFC, and ascertained which factors are associated with and may predict LRs. Logistic regression analyses were pe... περισσότερα »

Successful Recovery and Transplantation of 11 Organs

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 7 δευτερόλεπτα
including Face, Bilateral Upper Extremities, and Thoracic and Abdominal Organs From a Single Deceased Organ Donor.: We report on the to date largest recovery of 11 organs from a single deceased donor with the transplantation of face, bilateral upper extremities, heart, 1 lung, liver (split for 2 recipients), kidneys, pancreas, and intestine. Although logistically challenging, this case demonstrates the feasibility and safety of the recovery of multiple thoracic and abdominal organs with multiple vascular composite allotransplants and tissues. Our experience of 8 additional successf... περισσότερα »

Diagnosing sensitization to house dust mite

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 8 δευτερόλεπτα
Interleukin-4 enzyme-linked immunospot assay may be useful for diagnosing sensitization to house dust mite: Background The skin prick test (SPT) is considered a standard test for identification of allergens, but it has some limitations in clinical practice. The multiple allergen simultaneous test (MAST), which measures allergen-specific immunoglobulin E in patients’ serum, is a widely used alternative test, but is limited by its relatively low sensitivity and specificity. As a novel diagnostic test to identify allergens, we investigated the sensitivity and specificity of an interle... περισσότερα »

Nasal pyogenic granuloma

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 8 δευτερόλεπτα
Demographics and etiologic factors of Background Nasal pyogenic granuloma (lobular capillary hemangioma) is a rare benign tumor of unclear etiology. This study describes the clinical characteristics and possible etiologic factors in a series of patients with pyogenic granuloma. Methods All adult patients with a histologic diagnosis of pyogenic granuloma of the nasal cavity were identified between January 2005 and May 2015. A total of 128 charts were reviewed retrospectively for age, gender, clinical presentation, location of lesion, and medical history. Results Thirty-eight patients... περισσότερα »

Imiquimod-induced psoriasis-like inflammation

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 9 δευτερόλεπτα
Oncostatin M overexpression induces skin inflammation but is not required in the mouse model of imiquimod-induced psoriasis-like inflammation: [image: cover.gif?v=1&s=b21358abd3cdaaa7c9eaac8d] Oncostatin M (OSM) has been reported to be overexpressed in psoriasis skin lesions and to exert proinflammatory effects in vitro on human keratinocytes. Here, we report the proinflammatory role of OSM in vivo in a mouse model of skin inflammation induced by intradermal injection of murine OSM-encoding adenovirus (AdOSM) and compare with that induced by IL-6 injection. Here, we show that OS...περισσότερα »

Multisystem reactions during egg oral food challenges

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 10 δευτερόλεπτα
may be associated with less severe reactions on initial presentation: Abstract In this study, we assessed whether multisystem reactions to egg and extensively-heated (EH) egg during OFCs were associated with a history of multisystem reactions. Records of children, who underwent OFC to egg or EH egg over a five-year period were reviewed. Of the 120 challenges, 26 (21.67 %) failed, with 38.4 % (10/26) having multisystem reactions. Of the 13 who had multisystem reactions on initial presentation, only two (15.4 %) had a similar OFC outcome. Eighty percent (8/10) of those who had ...περισσότερα »

BMI and Postoperative Complications with Free Flap

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 10 δευτερόλεπτα
in Anterolateral Craniofacial Reconstruction: [image: image]Background: Although we have seen tremendous advancement in microsurgery over the last 2 decades and free tissue transfer has become standard for head and neck reconstruction, surgeons still struggle to prevent postoperative complications. We examined the relationship between body mass index (BMI) and postoperative complications in patients undergoing rectus abdominis free flap transfer after anterolateral craniofacial resection. Methods: This was a retrospective review of reconstructive surgery using rectus abdominis m...περισσότερα »

Extending vascularized fibular grafts (VFG) with vascularized periosteum (VPG) in bone defect reconstruction in children

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 10 δευτερόλεπτα
Vascularized fibular grafts extended with vascularized periosteum in children: Purpose The purpose of this report is to evaluate the results of extending vascularized fibular grafts (VFG) with vascularized periosteum (VPG) in bone defect reconstruction in children. Methods Retrospective study of 10 children, mean age at surgery was 9.8 years (range, 4–16 years). Origin of one defect was oncological (*n* = 5), septical (*n* = 2), traumatic (*n* = 2), or congenital (*n* = 1). In five cases the flap consisted of a VFG and a vascularized epiphyseal transfer (VFET) in five. Mean bone de... περισσότερα »

Blepharophimosis Ptosis Epicanthus Inversus Syndrome With Congenital Hypothyroidism and Brachydactyly

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 10 δευτερόλεπτα
in a 7-Year-Old Girl.: A 7-year-old female presented with blepharophimosis ptosis epicanthus inversus syndrome with congenital hypothyroidism and brachydactyly. She displayed typical manifestations of type II blepharophimosis ptosis epicanthus inversus syndrome (normal uterus position, ovarian volume, and normal serum hormone levels). She takes levothyroxine sodium daily due to her congenital hypothyroidism. Karyotype analysis and genetic analysis of FOXL2 coding sequence was found to be normal. mtDNA A3243G, A8344G, 8993, and 13513 genes were also normal. The absence of mutations ... περισσότερα »

CT-Derived Prosthetics for Intraoperative Guidance of Tumor Resection.

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 10 δευτερόλεπτα
Use of Computed Tomography Preoperative computed tomography (CT)-derived design and modeling provides a useful guide for a more accurate reconstruction of a variety of complex maxillofacial deformities. While the use of three-dimensional CT imaging has focused mainly on bony reconstruction, the use of this technique to facilitate soft tissue reconstruction represents an important innovation that can assist surgeons with preoperative planning and intraoperative decision-making. In this study, the authors report the novel use of three-dimensional CT scan modeling to facilitate the r... περισσότερα »

Cephalic trimming of the lower lateral cartilage (LLC) of the nose

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 13 δευτερόλεπτα
The Benefit of a Complete Cephalic Trim and the Importance of the Scroll Area.: *Cephalic trimming of the lower lateral cartilage (LLC) of the nose is often performed to refine a broad nasal tip in the horizontal dimension*. The focus of cephalic trimming remains the preservation of the width of the lateral crura and the cartilage remnant at the cephalic end of the LLC is usually left intact, which leads to inadequate cephalic trimming. The authors suggest that cephalic trimming should continue all the way to the cephalic end of the LLC and no remnant cartilage should be left in the ... περισσότερα »

Anterior Cranial Vault Distraction for the Treatment of Normocephalic Pancraniosynostosis.

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 13 δευτερόλεπτα
Anterior Cranial Vault Distraction for the Treatment of Normocephalic Pancraniosynostosis.: Normocephalic pancraniosynostosis is a rare form of craniosynostosis that usually presents later in life secondary to a delayed onset of symptoms and the presence of a normal head shape. Since its initial description in the literature in 2010, normocephalic pancraniosynostosis remains a rare clinical entity that has only been reported in 6 patients. Surgical treatment in the 2 published reports has been by staged total calvarial reconstruction or anterior cranial vault remodeling with bilater...περισσότερα »

Microvascular transplants : Predictors of free flap loss

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 13 δευτερόλεπτα
in the head and neck region: a four-year retrospective study with 451 microvascular transplants at a single centre via ScienceDirect Publication: Journal of Cranio-Maxillofacial Surgery Publication date: Available online 26 April 2016 *Source:*Journal of Cranio-Maxillofacial Surgery Author(s): Thomas Mücke, Lucas M. Ritschl, Maximilian Roth, Florian D. Güll, Andrea Rau, Sonja Grill, Marco R. Kesting, Klaus-Dietrich Wolff, Denys J. Loeffelbein IntroductionMicrovascular free flaps have become an essential part of reconstructive surgery following head and neck tumour ablation. The author...περισσότερα »

Helper and cytotoxic T cell subsets (Th1, Th2, Tc1 and Tc2)

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 15 δευτερόλεπτα
in benign and malignant salivary gland tumors: Abstract Objective To explore the prevalence of T helper-type 1 (Th1; CD4+IFN-*γ* +) and Th2 (CD4+IL-4+) cells, as well as cytotoxic T cell-type 1 (Tc1; CD8+IFN-*γ*+) and Tc2 cells (CD8+IL-4+) in peripheral blood of the patients with salivary gland tumors (SGTs Subjects And Methods Thirty new patients with SGTs and 15 healthy controls were recruited. After intracellular cytokine staining, data acquisition and analysis was done by flowcytometry Results The mean percentages of Th1 and Tc1 cells, as well as the ratios of Th1/Th2 and Tc1/T...περισσότερα »

Primary Leiomyosarcoma of the Mandibular Alveolar Mucosa

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 15 δευτερόλεπτα
of a 12-Year-Old Child from Ethiopia: A Case Report: Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0036-1582459 Leiomyosarcomas (LMSs) are rare malignant mesenchymal tumors which show smooth-muscle differentiation. Most LMSs involving the oral tissues primarily affect the maxillary sinus, the maxillary or mandibular bone. We present a case of LMS of the mandibular alveolar mucosa, arising in a 12-year-old male child from Ethiopia. A malignant spindle cell-like neoplasm was diagnosed on clinical and radiographic findings as well as on incisional biopsy. The tumor was rese...περισσότερα »

Efficacy of 4 Irrigation Protocols in Killing Bacteria Colonized in Dentinal Tubules Examined by a Novel Confocal Laser Scanning Microscope Analysis

Alexandros G. SfakianakisστοΚοσμητική ΟδοντοΙατρική και ΓναθοΧειρουργικήΠριν από 16 δευτερόλεπτα
[image: gr1.sml] The aim of this study was to determine the efficiency of 4 irrigation systems in eliminating bacteria in root canals, particularly in dentinal tubules. from #Dental via xlomafota13 on Inoreader http://ift.tt/1QCeIDK via IFTTT Medicine by Alexandros G.Sfakianakis,Anapafseos 5 Agios Nikolaos,Crete 72100,Greece,tel :00302841026182 & 00306932607174

Tumoral Vitamin D Synthesis by CYP27B1 1-α-Hydroxylase Delays Mammary Tumor Progression in the PyMT-MMTV Mouse Model and Its Action Involves NF-κB Modulation

Alexandros G. SfakianakisστοΕνδοκρινολογίαΠριν από 16 δευτερόλεπτα
Endocrinology, Early Release. from Endocrinology via ola Kala on Inoreader http://ift.tt/1VDUy4w via IFTTT

Transzygomatic approach for the resection of large condylar osteochondromas using computer-assisted preoperative planning

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 16 δευτερόλεπτα
Transzygomatic approach for the resection of large condylar osteochondromas using computer-assisted preoperative planning: The purpose of this study was to evaluate the outcomes of patients with large osteochondromas (OCs) treated via transzygomatic approach for exposure and local resection. All patients with large OCs treated by transzygomatic approach from 2006 through 2014 were investigated. The inclusion criteria were (1) condylar OC of exogenous type; (2) a mass that could be treated only via transzygomatic approach, as assessed using computer-assisted preoperative planning. The...περισσότερα »

Pharyngeal Deglutitive Function Following Total Laryngectomy

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 16 δευτερόλεπτα
Biomechanics of Objective Postlaryngectomy, pharyngeal weakness, and pharyngoesophageal junction (PEJ) restriction are the candidate mechanisms of dysphagia. The aims were, in laryngectomees, whether (1) hypopharyngeal propulsion is reduced and/or PEJ resistance is increased, (2) dilatation improves dysphagia, and (3) whether symptomatic improvement correlates with reduced PEJ resistance. Design Multidisciplinary cross-sectional study. Setting Tertiary academic hospital. Subjects and Methods Swallow biomechanics were assessed in 30 laryngectomees. Patients were stratified in...περισσότερα »

Efficacy of 4 Irrigation Protocols in Killing Bacteria Colonized in Dentinal Tubules Examined by a Novel Confocal Laser Scanning Microscope Analysis

Alexandros G. SfakianakisστοOroFacial Medicine by Alexandros G.SfakianakisΠριν από 16 δευτερόλεπτα
[image: gr1.sml] The aim of this study was to determine the efficiency of 4 irrigation systems in eliminating bacteria in root canals, particularly in dentinal tubules. from #Dental via xlomafota13 on Inoreader http://ift.tt/1QCeIDK via IFTTT

Cone-beam Computed Tomography: Anatomic Analysis of Maxillary Posterior Teeth—Impact on Endodontic Microsurgery

Alexandros G. SfakianakisστοOroFacial Medicine by Alexandros G.SfakianakisΠριν από 16 δευτερόλεπτα
[image: gr1.sml] It is imperative that the endodontic surgeon be knowledgeable of the anatomic dimensions of the surgical site. If cone-beam computed tomography is not available because of location/cost, it is prudent for the clinician to consult a knowledge base for the surgical site. An understanding of the root thickness of maxillary premolars and molars at the preferred level for root resection (3.0–3.6 mm), bone thickness over these roots, and the proximity of each root apex to the maxillary sinus will help the surgeon before and during the surgical procedure. from #Dental vi... περισσότερα »

Detection of Simulated Vertical Root Fractures: Which Cone-beam Computed Tomographic System Is the Most Accurate?

Alexandros G. SfakianakisστοOroFacial Medicine by Alexandros G.SfakianakisΠριν από 16 δευτερόλεπτα
[image: gr1.sml] We aimed to compare the diagnostic accuracy of 5 cone-beam computed tomographic (CBCT) systems in detecting vertical root fractures (VRFs) and to assess whether fracture identification is affected by the presence of root canal filling. from #Dental via xlomafota13 on Inoreader http://ift.tt/1QCeInf via IFTTT

Qualitative Methods in Public Health: A Field Guide for Applied Research, 2nd Edition

Alexandros G. SfakianakisστοOroFacial Medicine by Alexandros G.SfakianakisΠριν από 16 δευτερόλεπτα
[image: 111883450X.jpg] [image: rsstrack.gif?Section=RSS_WILEY2_MED&Page] *A real-world guide to conducting rigorous qualitative research* *Qualitative Methods in Public Health: A Field Guide for Applied Research* provides a practical orientation to conducting effective qualitative research in the public health sphere. With thorough examination and simple explanations, this book guides you through the logic and workflow of qualitative approaches, with step-by-step guidance on every phase of the research. Students learn how to Read More... from #Dental via xlomafota13 on Inorea... περισσότερα »

Transzygomatic approach for the resection of large condylar osteochondromas using computer-assisted preoperative planning

Alexandros G. SfakianakisστοOroFacial Medicine by Alexandros G.SfakianakisΠριν από 16 δευτερόλεπτα
The purpose of this study was to evaluate the outcomes of patients with large osteochondromas (OCs) treated via transzygomatic approach for exposure and local resection. All patients with large OCs treated by transzygomatic approach from 2006 through 2014 were investigated. The inclusion criteria were (1) condylar OC of exogenous type; (2) a mass that could be treated only via transzygomatic approach, as assessed using computer-assisted preoperative planning. The preliminary results evaluated included recurrence, joint form and function, occurrence of facial deformity, facial nerve ...περισσότερα »

Multisystem reactions during egg oral food challenges may be associated with less severe reactions on initial presentation

Alexandros G. SfakianakisστοAllergy Rhinology Immunology AsthmaΠριν από 16 δευτερόλεπτα
In this study, we assessed whether multisystem reactions to egg and extensively-heated (EH) egg during OFCs were associated with a history of multisystem reactions. Records of children, who underwent OFC to eg... from Allergy\Immunology via ola Kala on Inoreader http://ift.tt/1NC2Y9U via IFTTT

Diagnostic Contribution of Donor-Specific Antibody Characteristics to Uncover Late Silent Antibody-Mediated Rejection-Results of a Cross-Sectional Screening Study.

Alexandros G. SfakianakisστοAllergy Rhinology Immunology AsthmaΠριν από 16 δευτερόλεπτα
Background: Circulating donor-specific antibodies (DSA) detected on bead arrays may not inevitably indicate ongoing antibody-mediated rejection (AMR). Here, we investigated whether detection of complement-fixation, in parallel to IgG mean fluorescence intensity (MFI), allows for improved prediction of AMR. Methods: Our study included 86 DSA+ kidney transplant recipients subjected to protocol biopsy, who were identified upon cross-sectional antibody screening of 741 recipients with stable graft function at 6 months or longer after transplantation. IgG MFI was analyzed after eliminati...περισσότερα »

The International Liver Transplant Society Guidelines on Living Liver Donation.

Alexandros G. SfakianakisστοAllergy Rhinology Immunology AsthmaΠριν από 16 δευτερόλεπτα
The following guideline represents the position of the International Liver Transplantation Society (ILTS) on key preoperative, operative, and postoperative aspects surrounding living liver donation. These recommendations were developed from experts in the field from around the world. The authors conducted an analysis of the National Library of Medicine indexed literature on "living donor liver transplantation" [Medline search] using Grading of Recommendations Assessment, Development and Evaluation methodology. Writing was guided by the ILTS Policy on the Development and Use of Pract... περισσότερα »

Pharmacological Reconditioning of Marginal Donor Rat Lungs Using Inhibitors of Peroxynitrite and Poly (ADP-ribose) Polymerase During Ex Vivo Lung Perfusion.

Alexandros G. SfakianakisστοAllergy Rhinology Immunology AsthmaΠριν από 16 δευτερόλεπτα
Background: Donor lungs obtained after prolonged warm ischemia (WI) may be unsuitable for transplantation due to the risk of reperfusion injury, but could be reconditioned using ex-vivo lung perfusion (EVLP). Key processes of reperfusion injury include the formation of reactive oxygen species (ROS)/nitrogen species (RNS) and the activation of poly(adenosine diphosphate-ribose) polymerase (PARP). We explored whether rat lungs obtained after WI could be reconditioned during EVLP using the ROS/RNS scavenger Mn(III)-tetrakis (4-benzoic acid) porphyrin chloride (MnTBAP) or the PARP inhib...περισσότερα »

Ex Vivo Treatment.

Alexandros G. SfakianakisστοAllergy Rhinology Immunology AsthmaΠριν από 16 δευτερόλεπτα
No abstract available from Allergy\Immunology via ola Kala on Inoreader http://ift.tt/1pIxrrm via IFTTT

Attenuation of Ischemia-Reperfusion Injury and Improvement of Survival in Recipients of Steatotic Rat Livers Using CD47 Monoclonal Antibody.

Alexandros G. SfakianakisστοAllergy Rhinology Immunology AsthmaΠριν από 16 δευτερόλεπτα
Background: Despite the efficacy of orthotopic liver transplantation in the treatment of end-stage liver diseases, its therapeutic utility is severely limited by the availability of donor organs. The ability to rehabilitate marginal organs, such as steatotic allografts, has the potential to address some of the supply limitations of available organs for transplantation. Steatotic livers are more susceptible to ischemia-reperfusion injury (IRI), which is exacerbated by the thrombospondin-1/CD47 pathway through inhibition of nitric oxide signaling. We postulated that CD47 blockade with ... περισσότερα »

Successful Recovery and Transplantation of 11 Organs including Face, Bilateral Upper Extremities, and Thoracic and Abdominal Organs From a Single Deceased Organ Donor.

Alexandros G. SfakianakisστοAllergy Rhinology Immunology AsthmaΠριν από 16 δευτερόλεπτα
We report on the to date largest recovery of 11 organs from a single deceased donor with the transplantation of face, bilateral upper extremities, heart, 1 lung, liver (split for 2 recipients), kidneys, pancreas, and intestine. Although logistically challenging, this case demonstrates the feasibility and safety of the recovery of multiple thoracic and abdominal organs with multiple vascular composite allotransplants and tissues. Our experience of 8 additional successful multiple vascular composite allotransplants, thoracic, and abdominal organ recoveries suggests that such procedure... περισσότερα »

Posttransplant Lymphoproliferative Disorders in Irish Renal Transplant Recipients: Insights From a National Observational Study.

Alexandros G. SfakianakisστοAllergy Rhinology Immunology AsthmaΠριν από 16 δευτερόλεπτα
Background: Posttransplant lymphoproliferative disorders (PTLD) are a common malignancy after renal transplantation with a high incidence of PTLD described in the first posttransplant year. We sought to determine incidence and risk determinants of PTLD in Irish kidney transplant recipients. Materials and Methods: Retrospective observational study of 1996 adult first kidney transplant recipients between 1991 and 2010 in the Republic of Ireland. Recipients were cross-referenced with the National Cancer Registry to determine incidence of PTLD. Kaplan-Meier analysis was performed for PT... περισσότερα »

Tablet Audiometry : A Portable and Efficient Method for Hearing Screening

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 17 δευτερόλεπτα
Tablet Audiometry in Canadas North: A Portable and Efficient Method for Hearing Screening: Background Access to hearing health care is limited in many parts of the world, creating a lack of prompt diagnosis, which further complicates treatment. The use of portable audiometry for hearing loss testing can improve access to diagnostics in marginalized populations. Our study objectives were twofold: (1) to determine the prevalence of hearing loss in children aged 4 to 11 years in Iqaluit, Nunavut, and (2) to test and demonstrate the use of our tablet audiometer as a portable hearing-tes... περισσότερα »

Continuous Positive Airway Pressure on Middle Ear Pressure and Acoustic Stapedial Reflex

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 17 δευτερόλεπτα
Effects of Objective This study investigated the effects of continuous positive airway pressure (CPAP) on middle ear pressure and acoustic stapedial reflex and the correlation between CPAP and middle ear pressure. Study Design Prospective cohort study. Setting Tertiary hospitals. Subjects and Methods Fifty patients with obstructive sleep apnea-hypopnea syndrome were assigned to the study group, and 50 healthy volunteers were assigned to the control group. The subjects underwent standard tympanometry while wearing a CPAP device (ie, simulated CPAP treatment), which was set to 0... περισσότερα »

Magnesium Disorders and Hypocalcemia Following Thyroidectomy

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 18 δευτερόλεπτα
Association between Objective To identify factors associated with postoperative hypocalcemia after thyroid surgery and to understand the relationship among hypocalcemia, length of hospitalization, and costs of care. Study Design Retrospective database analysis. Methods Discharge data from the Nationwide Inpatient Sample for 620,744 patients who underwent thyroid surgery from 2001 to 2010 were analyzed through cross-tabulations and multivariate regression modeling. Hypocalcemia, length of stay, and costs were examined as dependent variables. Secondary independent variables inclu...περισσότερα »

Children with Hearing Impairment

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 19 δευτερόλεπτα
Quality of Life in Children with Hearing Impairment: Systematic Review and Meta-analysis: Objective To determine the impact of pediatric hearing loss (HL) on quality of life (QOL). Data Sources A qualified medical librarian conducted a literature search for relevant publications that evaluate QOL in school-aged children with HL. Review Methods Studies were assessed independently by 2 reviewers for inclusion in the systematic review and meta-analysis. Results From 979 abstracts, 69 were identified as relevant; ultimately, 40 articles were included in the systematic review. This r... περισσότερα »

Tracing Spasmodic Dysphonia

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 19 δευτερόλεπτα
The Source of Ludwig Traubes Priority: Objectives: Since the mid–20th century, one citation is given historical priority as the first description of spasmodic dysphonia (SD): Ludwig Traube’s 1871 case of the "spastic form of nervous hoarseness." Our objective is to understand how this case serves as the foundation of understanding laryngeal movement disorders. Methods: The original German paper was located and translated. Bibliographical and bibliometric methods are used to determine the citation history of this original source over the past 140 years. Results: Although secondary... περισσότερα »

Combined Surgical Approach to Giant Cholesteatoma

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 19 δευτερόλεπτα
A Case Report and Literature Review: Objectives: Cholesteatomas can grow to a remarkable size before clinically making their presence felt. Managing giant cholesteatomas and their complications can become a challenge for the otological surgeon. Methods: We describe a case of a giant congenital cholesteatoma of the mastoid in an adult. The lesion extended to the sigmoid sinus, jugular bulb, carotid canal, occipital condyle, and the lateral portion of the first cervical vertebra. Surgical excision was performed using a combined microscopic and endoscopic surgical approach. Results:... περισσότερα »

Retained projectile metal object to the neck that occurred after airbag deployment

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 19 δευτερόλεπτα
Penetrating Neck Trauma: An Unusual Case Presentation and Review of the Literature: Objectives: The aim of this report is to describe a case of a retained projectile metal object to the neck that occurred after airbag deployment during a motor vehicle accident. Methods: Case report with literature review. Results: After a motor vehicle accident on the interstate, a 19-year-old man presents to the emergency department for several open extremity fractures, a neck laceration, and a C1 lateral mass fracture. The trauma surgery team repaired the neck laceration with no further evidenc... περισσότερα »

Synovial sarcoma of the hypopharynx

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 19 δευτερόλεπτα
– a case report and literature review via ScienceDirect Publication: Brazilian Journal of Otorhinolaryngology Publication date: Available online 26 April 2016 *Source:*Brazilian Journal of Otorhinolaryngology Author(s): Yasmine Kamhieh, Hannah Fox, Phillip Holland, Carl Passant Introduction Synovial sarcoma of the head and neck is very rare, and sarcoma of the larynx and hypopharynx rarer still. As such, correct diagnosis and decision-making regarding surgery and adjuvant therapies pose clinical challenges to the otolaryngologist. We present a case of a synovial sarcoma arising from th... περισσότερα »

The starship children's hospital tonsillectomy

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 19 δευτερόλεπτα
A further 10 years of experience: Objectives/Hypothesis Tonsillectomy as a day-stay procedure remains controversial, although it is an established procedure in New Zealand. We reviewed our last 10 years' experience. Methods A prospective audit was used to determine unplanned conversion from day-stay to overnight hospital admission rates and the incidence of postoperative complications. Results There were 5,400 tonsillectomies performed over the 10-year study period (January 2004–January 2015); 71% as outpatients. The unplanned conversion rate to overnight stay was 0.4%. The median ...περισσότερα »

Sampling the Body Odor of Primates: Cotton Swabs Sample Semivolatiles Rather Than Volatiles

Αλέξανδρος ΣφακιανάκηςστοOtoRhinoLaryngology by Alexandros G.SfakianakisΠριν από 20 δευτερόλεπτα
We assessed the suitability of a frequently used sampling method employing cotton swabs for collecting animal body odor for gas chromatography–mass spectrometry (GC-MS) analysis of volatile organic compounds (VOCs). Our method validation showed that both sampling material and sampling protocols affect the outcome of the analyses. Thus, among the tested protocols swabs of pure viscose baked before use and extracted with hexane had the least blank interferences in GC-MS analysis. Most critical for the recovery of VOCs was the handling time: the significant recovery losses of volatile...περισσότερα »

Overvibration-induced blood perfusion and vascular permeability changes may lead to vocal edema

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 23 δευτερόλεπτα
Overvibration-induced blood perfusion and vascular permeability changes may lead to vocal edema: [image: cover.gif?v=1&s=70d968db1aa799c81f57954d] Objectives/Hypothesis To observe blood perfusion and vascular permeability changes under varying vibration frequency exposures. Study Design Animal model. Methods Blood perfusion was measured using laser Doppler flowmetry in eight rabbit auricular vessels (four rabbits) under nonvibration, and 62.5-Hz/1-mm, 125-Hz/1-mm, and 250-Hz/0.5-mm vibration frequency/amplitude exposures. Another 12 rabbits were randomly divided into vibration on... περισσότερα »

Sudden sensorineural hearing loss is associated with chronic rhinosinusitis: population-based study

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 23 δευτερόλεπτα
Main ArticleSudden sensorineural hearing loss is associated with chronic rhinosinusitis: population-based studyS H Hunga1, H C Lina2, L T Kaoa3, C S Wua4 and S D Chunga1a2a5a6 c1 a1 Department of Otolaryngology, Taipei Medical University Hospital, Taipei, Taiwan a2 Sleep Research Center, Taipei Medical University Hospital, Taipei, Taiwan a3 Graduate Institute of Life Science, National Defense Medical Center, Taipei, Taiwan a4 Department of Otolaryngology, Taipei City Hospital, New Taipei City, Taiwan a5 Department of Surgery, Far Eastern Memorial Hospital, New Taipei City, Taiwan a6 G... περισσότερα »

The efficacy of submucosal corticosteroid injection and dilatation in subglottic stenosis of different aetiology

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 23 δευτερόλεπτα
Main ArticleThe efficacy of submucosal corticosteroid injection and dilatation in subglottic stenosis of different aetiologyM Wierzbickaa1 c1, M Tokarskia1, M Puszczewicza2 and W Szyftera1 a1 Department of Otolaryngology, Head and Neck Surgery, Poznan University of Medical Sciences, Poland a2 Department of Rheumatology and Internal Medicine, Poznan University of Medical Sciences, Poland Abstract Objective: To determine the long-term efficacy of submucosal corticosteroid injection plus dilatation for subglottic stenosis as a single modality treatment in granulomatosis with polyangiitis...περισσότερα »

Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN)

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 23 δευτερόλεπτα
a 20-year single-center experience.: [image: http:--media.wiley.com-assets-7315-19-Wi] Authors: Lalosevic J, Nikolic M, Gajic-Veljic M, Skiljevic D, Medenica L Abstract BACKGROUND: Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) are life-threatening diseases that are most frequently caused by drugs. OBJECTIVES: The purpose of this study was to summarize 20 years of experience with SJS and TEN in the largest dermatology clinic in Serbia. METHODS: The study included 38 patients treated during the period 1993-2012. The patients were classified into three groups ... περισσότερα »

Case 13-2016: A 49-Year-Old Woman with Sudden Hemiplegia and Aphasia during a Transatlantic Flight

Alexandros G. SfakianakisστοΟγκολογίαΠριν από 24 δευτερόλεπτα
Presentation of Case. Dr. Patricia Musolino: A 49-year-old woman was brought to the emergency department of this hospital after the sudden onset of hemiplegia and aphasia during a transatlantic flight. The patient had been well until approximately 2 hours before presentation, when severe weakness… from Cases via ola Kala on Inoreader http://ift.tt/1WscCxx via IFTTT

Sampling the Body Odor of Primates: Cotton Swabs Sample Semivolatiles Rather Than Volatiles

Alexandros G. SfakianakisστοΓεύση και ΌσφρησηΠριν από 24 δευτερόλεπτα
We assessed the suitability of a frequently used sampling method employing cotton swabs for collecting animal body odor for gas chromatography–mass spectrometry (GC-MS) analysis of volatile organic compounds (VOCs). Our method validation showed that both sampling material and sampling protocols affect the outcome of the analyses. Thus, among the tested protocols swabs of pure viscose baked before use and extracted with hexane had the least blank interferences in GC-MS analysis. Most critical for the recovery of VOCs was the handling time: the significant recovery losses of volatile...περισσότερα »

Sampling the Body Odor of Primates: Cotton Swabs Sample Semivolatiles Rather Than Volatiles

Alexandros G. SfakianakisστοΓεύση και ΌσφρησηΠριν από 24 δευτερόλεπτα
We assessed the suitability of a frequently used sampling method employing cotton swabs for collecting animal body odor for gas chromatography–mass spectrometry (GC-MS) analysis of volatile organic compounds (VOCs). Our method validation showed that both sampling material and sampling protocols affect the outcome of the analyses. Thus, among the tested protocols swabs of pure viscose baked before use and extracted with hexane had the least blank interferences in GC-MS analysis. Most critical for the recovery of VOCs was the handling time: the significant recovery losses of volatile...περισσότερα »

Sampling the Body Odor of Primates: Cotton Swabs Sample Semivolatiles Rather Than Volatiles

Alexandros G. SfakianakisστοΓεύση και ΌσφρησηΠριν από 24 δευτερόλεπτα
We assessed the suitability of a frequently used sampling method employing cotton swabs for collecting animal body odor for gas chromatography–mass spectrometry (GC-MS) analysis of volatile organic compounds (VOCs). Our method validation showed that both sampling material and sampling protocols affect the outcome of the analyses. Thus, among the tested protocols swabs of pure viscose baked before use and extracted with hexane had the least blank interferences in GC-MS analysis. Most critical for the recovery of VOCs was the handling time: the significant recovery losses of volatile...περισσότερα »

Peri-implantitis

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 25 δευτερόλεπτα
Effectiveness of Implant Therapy Analyzed in a Swedish Population: Prevalence of Peri-implantitis.: [image: http:--highwire.stanford.edu-icons-exter] Authors: Derks J, Schaller D, Håkansson J, Wennström JL, Tomasi C, Berglundh T Abstract Peri-implantitis is an inflammatory disease affecting soft and hard tissues surrounding dental implants. As the global number of individuals that undergo restorative therapy through dental implants increases, peri-implantitis is considered as a major and growing problem in dentistry. A randomly selected sample of 588 patients who all had received... περισσότερα »

Small NSHL-AR associated genes (CABP2,CIB2,PJVK/DFNB59,GJB3,ILDR1,LHFPL5,LRTOMT, TMIE)

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 25 δευτερόλεπτα
Mutations in eight small DFNB genes are not a frequent cause of non-syndromic hereditary hearing loss in Czech patients via International Journal of Pediatric Otorhinolaryngology Publication date: July 2016 *Source:*International Journal of Pediatric Otorhinolaryngology, Volume 86 Author(s): Simona Marková, Dana Šafka Brožková, Anna Mészárosová, Jana Neupauerová, Daniel Groh, Gabriela Křečková, Petra Laššuthová, Pavel Seeman ObjectivesTo evaluate the contribution of eight small NSHL-AR (non-syndromic deafness, autosomal recessive) genes to hereditary hearing loss in Czech patients.Patie... περισσότερα »

TumorGraft- Guided Therapy for Improved Outcomes in Head and Neck Squamous Cell Cancer-

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 28 δευτερόλεπτα
A Feasibility Study: *Condition*: Head and Neck Squamous Cell Carcinoma *Intervention*: Other: Drug testing on PDX per Investigator's choice (upto 4) *Sponsors*: Lawson Health Research Institute; Champions Oncology ArmsAssigned Interventions HNSCC -PDX development Participants with HNSCC who will undergo curative surgery will be included in this group. This involves PDX development only, no drug testing will be done on the PDX. Other: Drug testing on PDX per Investigator's choice (upto 4) Drug of Investigator's choice (upto 4 Ontario funded Chemotherapeutics) will be tested...περισσότερα »

Oral Preparation on Bacterial Colonization of the Pharyngeal Mucosa in Surgery of Head and Neck Cancer

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 28 δευτερόλεπτα
Effect of : *Condition*: Bacterial Infection *Interventions*: Drug: Chlorhexidine; Device: NaCl serum *Sponsor*: Rennes University Hospital ArmsAssigned Interventions Experimental: CHLORHEXIDINE Patients will receive 1 preoperative oral preparation and 1 peroperative oral preparation of chlorhexidine Drug: Chlorhexidine 4 mouthwashs during 30 seconds with Eludril Perio 10 ml and 1 application after intubation with Eludril Perio Other Name: Eludril Perio Placebo Comparator: NaCl serum Patients will receive 1 preoperative oral preparation and 1 peroperative oral preparati... περισσότερα »

Sampling the Body Odor of Primates: Cotton Swabs Sample Semivolatiles Rather Than Volatiles

Alexandros G. SfakianakisστοΓεύση και ΌσφρησηΠριν από 30 δευτερόλεπτα
We assessed the suitability of a frequently used sampling method employing cotton swabs for collecting animal body odor for gas chromatography–mass spectrometry (GC-MS) analysis of volatile organic compounds (VOCs). Our method validation showed that both sampling material and sampling protocols affect the outcome of the analyses. Thus, among the tested protocols swabs of pure viscose baked before use and extracted with hexane had the least blank interferences in GC-MS analysis. Most critical for the recovery of VOCs was the handling time: the significant recovery losses of volatile...περισσότερα »

Covert-saccades, Dynamic Visual Acuity and Quality of Life

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 30 δευτερόλεπτα
Covert-saccades, Dynamic Visual Acuity and Quality of Life: *Condition*: Vestibular Diseases *Interventions*: Other: Head Impulse Tests; Other: Dynamic visual acuity Test (DVAT); Other: VEMPs & VEMPo; Other: Dizziness Handicap Inventory; Other: Oscillopsia severity questionnaire *Sponsor*: Hospices Civils de Lyon Patients with chronic bilateral vestibular hypofunction may suffer from a visual instability during head movement called oscillopsia. Visual consequence of vestibular deficit can lead to a severe impairment of their quality of life. However, correcting sac... περισσότερα »

Endoscopic Sinus Surgery : Olfaction, NOSE scale and Quality of Life

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 31 δευτερόλεπτα
Outcomes in Endoscopic Sinus Surgery : Olfaction, NOSE scale and Quality of Life in a Prospective Cohort Study: Abstract Objectives To determine the efficacy of endoscopic sinus surgery (ESS) on olfactory function in Chronic Rhinosinusitis patients with Nasal Polyps (CRSwNP) and without Nasal Polyps (CRSsNP) and to compare the nasal obstruction and symptom evaluation (NOSE) scale before and after surgery. Design A prospective cohort study Setting Royal National Throat and Nose and Ear Hospital, London UK. Participants 113 patients with CRS; 60 CRSwNP and 53 CRSsNP. Outcome measurement... περισσότερα »

The surgical techniques for the treatment of internal nasal valve collapse

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 31 δευτερόλεπτα
A systematic review of the surgical techniques for the treatment of internal nasal valve collapse: Where do we stand?: Abstract Background A myriad of interventions have been described to address the restoration or preservation of the internal nasal valve, the narrowest portion of nasal airway. Objective of Review To review systematically available knowledge and evidence about management options of the collapse of the internal nasal valve area. Type of review Systematic review. Search Strategy A MEDLINE, EMBASE, Cochrane Library and CENTRAL database search, followed by extensive hand...περισσότερα »

NPC : Using a nasoseptal flap for the reconstruction of osteoradionecrosis

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 35 δευτερόλεπτα
in nasopharyngeal carcinoma: a case report via Latest Results for Journal of Otolaryngology - Head & Neck Surgery AbstractBackgroundOsteoradionecrosis (ORN) is a challenging complication in patients with postirradiated nasopharyngeal carcinoma (NPC). The aim of this study was to evaluate the usage of a nasoseptal flap (NSF) after endoscopic sequestrectomy to reconstruct resultant skull base defects for the treatment of ORN. Case PresentationWe present our experience on the adaption of an NSF as a reconstruction method for bony clival defects after endoscopic sequestrectomy in patient... περισσότερα »

Fully automatic volumetric modulated arc therapy plan generation for rectal cancer

Alexandros G. SfakianakisστοΘεραπείαΠριν από 35 δευτερόλεπτα
[image: gr1.sml] To develop and evaluate a fully automatic rectal planning optimizer (ARPO) for volumetric modulated arc therapy (VMAT) treatment planning without human interaction. from Rathiotherapy via ola Kala on Inoreader http://ift.tt/1UiIJzv via IFTTT

microRNA profiles between benign and malignant salivary gland tumors

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 45 δευτερόλεπτα
Comparison of microRNA profiles between benign and malignant salivary gland tumors in tissue, blood and saliva samples: a prospective, case-controlled study via ScienceDirect Publication: Brazilian Journal of Otorhinolaryngology Publication date: Available online 27 April 2016 *Source:*Brazilian Journal of Otorhinolaryngology Author(s): Ovgu Cinpolat, Zeynep Nil Unal, Onur Ismi, Aysegul Gorur, Murat Unal IntroductionSalivary gland tumors (SGTs) are rare head and neck malignancies consisting of a spectrum of tumors with different biological behaviors.ObjectiveIn this study we aimed to f... περισσότερα »

Speech perception in noise

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 45 δευτερόλεπτα
in the elderly: interactions between cognitive performance, depressive symptoms, and education via ScienceDirect Publication: Brazilian Journal of Otorhinolaryngology Publication date: Available online 27 April 2016 *Source:*Brazilian Journal of Otorhinolaryngology Author(s): Laura Maria Araujo de Carvalho, Elisiane Crestani de Miranda Gonsalez, Maria Cecília Martineli Iorio IntroductionThe difficulty the elderly experience in understanding speech may be related to several factors including cognitive and perceptual performance.ObjectiveTo evaluate the influence of cognitive performance...περισσότερα »

Cochlear microphonic potentials in auditory neuropathy

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 46 δευτερόλεπτα
Study of via ScienceDirect Publication: Brazilian Journal of Otorhinolaryngology Publication date: Available online 27 April 2016 *Source:*Brazilian Journal of Otorhinolaryngology Author(s): Ilka do Amaral Soares, Pedro de Lemos Menezes, Aline Tenório Lins Carnaúba, Kelly Cristina Lira de Andrade, Otávio Gomes Lins IntroductionAuditory Neuropathy/Dyssynchrony is a disorder characterized by the presence of Otoacoustic Emissions and Cochlear Microphonic Potentials, an absence or severe alteration of Brainstem Evoked Auditory Potential, auditory thresholds incompatible with speech thresho...περισσότερα »

Advanced-stage laryngotracheal stenosis : Airway reconstruction

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 46 δευτερόλεπτα
: review of an approach to the advanced-stage laryngotracheal stenosis via ScienceDirect Publication: Brazilian Journal of Otorhinolaryngology Publication date: Available online 27 April 2016 *Source:*Brazilian Journal of Otorhinolaryngology Author(s): Mohamad A. Bitar, Randa Al Barazi, Rana Barakeh IntroductionThe management of laryngotracheal stenosis is complex and is influenced by multiple factors that can affect the ultimate outcome. Advanced lesions represent a special challenge to the treating surgeon to find the best remedying technique.ObjectiveTo review the efficacy of our sur...περισσότερα »

Primary extraskeletal Ewing's sarcoma of the maxillary sinus

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 46 δευτερόλεπτα
doi:10.1016/j.bjorl.2016.03.014 Introduction Ewing's sarcoma was identified by James Ewing in 1921 as a perivascular endothelial tumor.1 Since the 1980s, it has been believed that this tumor originates from mesenchymal, myeloid, or primitive multipotential cells.2 Although it mostly originates from bones of lower extremities, it can also arise from soft tissues such as paravertebral region. These small round cell tumors have been termed Ewing's Sarcoma (ES)/Peripheral Primitive Neuroectodermal Tumor (PNET) and include ES of the bone, extraskeletal ES, PNET and Askin's tumor.3 Extras... περισσότερα »

The younger and older adult patients with tinnitus

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 49 δευτερόλεπτα
Comparison of tinnitus and psychological aspects between the younger and older adult patients with tinnitus: To explore the differences in various tinnitus-related features and psychological aspects between the younger and older adult patients with tinnitus. AbstractObjective To explore the differences in various tinnitus-related features and psychological aspects between the younger and older adult patients with tinnitus. Methods We retrospectively reviewed the clinical data of the adult patients who visited our tinnitus clinic in 2013 and completed full tinnitus assessment incl... περισσότερα »

Functional Microfibers for Biomimetic Complex Tissue Construction

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 50 δευτερόλεπτα
Microfluidic−Based Generation of via Acta Biomaterialia Publication date: Available online 27 April 2016 *Source:*Acta Biomaterialia Author(s): Yicong Zuo, Xiaoheng He, You Yang, Dan Wei, Jing Sun, Meiling Zhong, Rui Xie, Hongsong Fan, Xingdong Zhang Microfluidic−based fiber system displays great potential in reconstructing naturally complex tissues. In these systems, fabrication of the basic fiber is a significant factor in ensuring a functional construction. The fiber should possess the strong mechanical rigidity for assembly, predefined microenvironment for cell spatial distributio... περισσότερα »

Inferior alveolar nerve lateralization:

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 50 δευτερόλεπτα
Clinical and radiographic evaluation of implants placed by means of inferior alveolar nerve lateralization: a 5-year follow-up study: Abstract Objective To evaluate clinical and radiological responses of implants placed in combination with inferior alveolar nerve lateralization, analyzing survival and success rates over 5 years functional loading. Materials and methods This prospective, longitudinal, single-center study recruited 40 patients with mandibular atrophy in the posterior sectors, who underwent lateralization of the inferior alveolar nerve. Three months after surgery and i... περισσότερα »

LOW PROFILE HALO HEAD FIXATION IN NON-HUMAN PRIMATES

Alexandros G. SfakianakisστοΝευρολογία κ' ΝευροχειρουργικήΠριν από 51 δευτερόλεπτα
[image: S01650270.gif] Publication date: Available online 27 April 2016 *Source:*Journal of Neuroscience Methods Author(s): Kousha Azimi, Ian A. Prescott, Robert A. Marino, Andrew Winterborn, Ron Levy BackgroundWe present a new halo technique for head fixation of non-human primates during electrophysiological recording experiments. Our aim was to build on previous halo designs in order to create a simple low profile system that provided long-term stability.New MethodOur design incorporates sharp skull pins that are directly threaded through a low set halo frame and are seated into i... περισσότερα »

(1) standard needle irrigation, (2) sonically agitating with EndoActivator, (3) XP Endo finisher, or (4) erbium:yttrium aluminum garnet laser (PIPS)

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 52 δευτερόλεπτα
Efficacy of 4 Irrigation Protocols in Killing Bacteria Colonized in Dentinal Tubules Examined by a Novel Confocal Laser Scanning Microscope Analysis: [image: gr1.sml] The aim of this study was to determine the efficiency of 4 irrigation systems in eliminating bacteria in root canals, particularly in dentinal tubules. AbstractIntroduction The aim of this study was to determine the efficiency of 4 irrigation systems in eliminating bacteria in root canals, particularly in dentinal tubules. Methods Roots of human teeth were prepared to 25/04, autoclaved, and inoculated with *Enter... περισσότερα »

Cone-beam Computed Tomography: Anatomic Analysis of Maxillary Posterior Teeth—Impact on Endodontic Microsurgery

Alexandros G. SfakianakisστοΚοσμητική ΟδοντοΙατρική και ΓναθοΧειρουργικήΠριν από 52 δευτερόλεπτα
[image: gr1.sml] It is imperative that the endodontic surgeon be knowledgeable of the anatomic dimensions of the surgical site. If cone-beam computed tomography is not available because of location/cost, it is prudent for the clinician to consult a knowledge base for the surgical site. An understanding of the root thickness of maxillary premolars and molars at the preferred level for root resection (3.0–3.6 mm), bone thickness over these roots, and the proximity of each root apex to the maxillary sinus will help the surgeon before and during the surgical procedure. from #Dental vi... περισσότερα »

Detection of Simulated Vertical Root Fractures: Which Cone-beam Computed Tomographic System Is the Most Accurate?

Alexandros G. SfakianakisστοΚοσμητική ΟδοντοΙατρική και ΓναθοΧειρουργικήΠριν από 52 δευτερόλεπτα
[image: gr1.sml] We aimed to compare the diagnostic accuracy of 5 cone-beam computed tomographic (CBCT) systems in detecting vertical root fractures (VRFs) and to assess whether fracture identification is affected by the presence of root canal filling. from #Dental via xlomafota13 on Inoreader http://ift.tt/1QCeInf via IFTTT Medicine by Alexandros G.Sfakianakis,Anapafseos 5 Agios Nikolaos,Crete 72100,Greece,tel :00302841026182 & 00306932607174

Qualitative Methods in Public Health: A Field Guide for Applied Research, 2nd Edition

Alexandros G. SfakianakisστοΚοσμητική ΟδοντοΙατρική και ΓναθοΧειρουργικήΠριν από 55 δευτερόλεπτα
[image: 111883450X.jpg] [image: rsstrack.gif?Section=RSS_WILEY2_MED&Page] *A real-world guide to conducting rigorous qualitative research* *Qualitative Methods in Public Health: A Field Guide for Applied Research* provides a practical orientation to conducting effective qualitative research in the public health sphere. With thorough examination and simple explanations, this book guides you through the logic and workflow of qualitative approaches, with step-by-step guidance on every phase of the research. Students learn how to Read More... from #Dental via xlomafota13 on Inor... περισσότερα »

Comment on “Hepatitis C and the Sex Trade”

from #AlexandrosSfakianakis via Alexandros G.Sfakianakis on Inoreader http://ift.tt/24lHx0W via IFTTT

Neurological Complications of Middle East Respiratory Syndrome Coronavirus: A Report of Two Cases and Review of the Literature

Middle East Respiratory Syndrome Coronavirus (MERS-CoV) was first discovered in September 2012 in Saudi Arabia. Since then, it caused more than 1600 laboratory-confirmed cases and more than 580 deaths among them. The clinical course of the disease ranges from asymptomatic infection to severe lower respiratory tract illness with multiorgan involvement and death. The disease can […]

Plasma Cytokine Profiles in Long-Term Strenuous Exercise

The open window theory indicates altered immunity 3 to 72 hours after exercise. The J-curve describes the risk of illness in response to exercise. The aim of this study was to examine the secretion of proinflammatory and anti-inflammatory cytokines before and after long-term strenuous exercise. Fourteen marathon and 16 half-marathon runners and 10 military cadets […]

Biomolecules, Vol. 6, Pages 24: Molecular Mechanisms in the Pathogenesis of Alzheimer’s disease and Tauopa thies-Prion-Like Seeded Aggregation and Phosphorylation

Neurofibrillary tau pathology (tangles and threads) and extracellular amyloid-β (Aβ) pathology are defining features of Alzheimer’s disease. For 25 years, most research has focused on the amyloid hypothesis of AD pathogenesis and progression. But, because of failures in clinical trials of Aβ-targeted therapies and the new concept of prion-like propagation of intracellular abnormal proteins, tau […]

E-cigarettes are a “gateway from smoking,” RCP concludes

Smokers should be actively encouraged to swap their tobacco cigarettes for electronic cigarettes because “vaping” is much safer than smoking and is likely to benefit UK public health, a report from… from #AlexandrosSfakianakis via Alexandros G.Sfakianakis on Inoreader http://ift.tt/1VDTkWY via IFTTT

Multisystem reactions during egg oral food challenges may be associated with less severe reactions on initial presentation

In this study, we assessed whether multisystem reactions to egg and extensively-heated (EH) egg during OFCs were associated with a history of multisystem reactions. Records of children, who underwent OFC to eg… from Allergy via Alexandros G.Sfakianakis on Inoreader http://ift.tt/1NC2Y9U via IFTTT

Postural seated balance in children

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 1 ώρα
can be assessed with good reliability via Gait & Posture Publication date: June 2016 *Source:*Gait & Posture, Volume 47 Author(s): Line Kjeldgaard Pedersen, Polina Martinkevich, Søren Ege, Sofie Gjessing, Ahmed Abdul-Hussein Abood, Ole Rahbek, Bjarne Møller-Madsen BackgroundSeated postural stability can be measured using Tekscan, CONFORMat. Standing postural stability has gained great clinical and, research value by use of different force platforms with mostly good reliability. No reliability testing or biologic variation assessment has been documented regarding seated balance. This s... περισσότερα »

Hearing loss and dementia

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 1 ώρα
The Effect of Decreased Audibility on MMSE Performance: A Measure Commonly Used for Diagnosing Dementia.: J Am Acad Audiol. 2016 Apr;27(4):311-323 Authors: Jorgensen LE, Palmer CV, Pratt S, Erickson KI, Moncrieff D Abstract BACKGROUND: Hearing loss and dementia are both prevalent in late adulthood. The most common test used to determine cognitive status in late adulthood, the Mini-Mental State Examination (MMSE), is presented face to face, usually in the context of the physician's office in the presence of background noise. Despite the problems of hearing loss and cognitive proble... περισσότερα »

Comparison of tinnitus and psychological aspects between the younger and older adult patients with tinnitus

Αλέξανδρος ΣφακιανάκηςστοOtoRhinoLaryngology by Alexandros G.SfakianakisΠριν από 1 ώρα
To explore the differences in various tinnitus-related features and psychological aspects between the younger and older adult patients with tinnitus. from #ORL via xlomafota13 on Inoreader http://ift.tt/26wmURT via IFTTT

Characterization of Bacillus cereus isolates from local dairy farms in China

Alexandros G. SfakianakisστοΛοίμωξηΠριν από 1 ώρα
*Bacillus cereus* is an important opportunistic food-borne pathogen. In the present work, a total of 306 milk and environmental samples were collected from 10 local dairy farms in Beijing, China. Of the 92 *B. cereus*-like isolates 88 and four belonged to *B. cereus* and *B. thuringiensis*, respectively. The prevalence of *B. cereus* isolates in bedding, faeces, feed, liquid manure and raw milk was 93.3%, 78.9%, 41.2%, 100.0% and 9.8%, respectively. Three main toxin genes *nhe*, *hbl* and *ces* were detected with rates of 100.0%, 78.3% and 1.1%, but no strain harbored *cytK1*. The ... περισσότερα »

Primary extraskeletal Ewing's sarcoma of the maxillary sinus

Αλέξανδρος ΣφακιανάκηςστοOtoRhinoLaryngology by Alexandros G.SfakianakisΠριν από 1 ώρα
Publication date: Available online 27 April 2016 *Source:*Brazilian Journal of Otorhinolaryngology Author(s): Neslihan Yaprak, Havva Serap Toru, Irem Hicran Ozbudak, Alper Tunga Derin from #ORL via xlomafota13 on Inoreader http://ift.tt/1TfqJRF via IFTTT

Airway reconstruction: review of an approach to the advanced-stage laryngotracheal stenosis

Αλέξανδρος ΣφακιανάκηςστοOtoRhinoLaryngology by Alexandros G.SfakianakisΠριν από 1 ώρα
Publication date: Available online 27 April 2016 *Source:*Brazilian Journal of Otorhinolaryngology Author(s): Mohamad A. Bitar, Randa Al Barazi, Rana Barakeh IntroductionThe management of laryngotracheal stenosis is complex and is influenced by multiple factors that can affect the ultimate outcome. Advanced lesions represent a special challenge to the treating surgeon to find the best remedying technique.ObjectiveTo review the efficacy of our surgical reconstructive approach in managing advanced-stage laryngotracheal stenosis treated at a tertiary medical center.MethodsA retrospectiv...περισσότερα »

Study of cochlear microphonic potentials in auditory neuropathy

Αλέξανδρος ΣφακιανάκηςστοOtoRhinoLaryngology by Alexandros G.SfakianakisΠριν από 1 ώρα
Publication date: Available online 27 April 2016 *Source:*Brazilian Journal of Otorhinolaryngology Author(s): Ilka do Amaral Soares, Pedro de Lemos Menezes, Aline Tenório Lins Carnaúba, Kelly Cristina Lira de Andrade, Otávio Gomes Lins IntroductionAuditory Neuropathy/Dyssynchrony is a disorder characterized by the presence of Otoacoustic Emissions and Cochlear Microphonic Potentials, an absence or severe alteration of Brainstem Evoked Auditory Potential, auditory thresholds incompatible with speech thresholds and altered acoustic reflexes. The study of the Cochlear Microphonic Potent... περισσότερα »

Transzygomatic approach for the resection of large condylar osteochondromas using computer-assisted preoperative planning

The purpose of this study was to evaluate the outcomes of patients with large osteochondromas (OCs) treated via transzygomatic approach for exposure and local resection. All patients with large OCs treated by transzygomatic approach from 2006 through 2014 were investigated. The inclusion criteria were (1) condylar OC of exogenous type; (2) a mass that could be treated only via transzygomatic approach, as assessed using computer-assisted preoperative planning. The preliminary results evaluated included recurrence, joint form and function, occurrence of facial deformity, facial nerv...περισσότερα »

Clinical and radiographic evaluation of implants placed by means of inferior alveolar nerve lateralization: a 5-year follow-up study

Abstract Objective To evaluate clinical and radiological responses of implants placed in combination with inferior alveolar nerve lateralization, analyzing survival and success rates over 5 years functional loading. Materials and methods This prospective, longitudinal, single-center study recruited 40 patients with mandibular atrophy in the posterior sectors, who underwent lateralization of the inferior alveolar nerve. Three months after surgery and implant placement, the implants were loaded by means of screw-retained implant-supported partial prostheses or fixed complete prosth... περισσότερα »

Case 13-2016: A 49-Year-Old Woman with Sudden Hemiplegia and Aphasia during a Transatlantic Flight

Alexandros G. SfakianakisστοΝευρολογία κ' ΝευροχειρουργικήΠριν από 1 ώρα
[image: NEJMCat_leader_eventglobal_header.gif] Presentation of Case. Dr. Patricia Musolino: A 49-year-old woman was brought to the emergency department of this hospital after the sudden onset of hemiplegia and aphasia during a transatlantic flight. The patient had been well until approximately 2 hours before presentation, when severe weakness… from NeuroSurgery via xlomafota13 on Inoreader http://ift.tt/1WscCxx via IFTTT

The CRISPR Way to Think about Duchenne’s

Alexandros G. SfakianakisστοΝευρολογία κ' ΝευροχειρουργικήΠριν από 1 ώρα
[image: NEJMCat_leader_eventglobal_header.gif] Today's hottest genome-engineering method, CRISPR-Cas9, has recently been used to treat mouse models of the most common form of muscular dystrophy, Duchenne's muscular dystrophy (DMD). Three groups of investigators have recently described the use of CRISPR-Cas9 to remove a mutation in the gene… from NeuroSurgery via xlomafota13 on Inoreader http://ift.tt/1TxYeBf via IFTTT

Impact of healthcare-associated sepsis on mortality in critically ill infants

Abstract Healthcare-associated sepsis (HAS) is a life-threatening complication in neonatal intensive care. Research into the impact of HAS on mortality adjusted for comorbidities is however limited. We conducted a historical cohort study to evaluate impact of HAS on mortality stratified by birth weight and risk factors for mortality in the HAS cohort. HAS was defined […]

The β-glucosidase assay: a new diagnostic tool for necrotizing enterocolitis. Sensitivity, specificity, and predic tive values

Abstract We aimed to establish the utility of serum cytosolic β-glycosidase (CBG) assay as a NEC diagnosis tool. CBG activity has been compared in 192 NEC-free (NEC−) and 13 NEC-affected (NEC+) neonates, with modified Bell’s stages II/III, born at Reina Sofia University Hospital; additional blood hematology, microbiology, and biochemical parameters have been assayed. NEC+ neonates […]

You should heed warnings about smokeless tobacco – TribDem.com

You should heed warnings about smokeless tobacco TribDem.com Smokeless tobacco has been shown to cause cancer of the tongue, cheeks, gums and esophagus. Chewing tobacco products have also been linked to pancreatic cancer, mouth sores from leukoplakia, gum disease and tooth decay. The American Cancer … from #ORL-AlexandrosSfakianakis via simeraentaxei on Inoreader http://ift.tt/24lvzoe via IFTTT […][…]

SIRT2 directs PK M2 activity

Sirtuins participate in sensing nutrient availability and directing metabolic activity to match energy needs with energy production and consumption. However, the pivotal targets for sirtuins in cancer are mainly unknown. In this study, we identify the M2 isoform of pyruvate kinase (PKM2) as a critical target of the sirtuin SIRT2 implicated in cancer. PKM2 directs […]

Laboratory maintained and wild populations of Hydra differ in their microbiota

Abstract Very often, the microbial composition of lab-maintained model organisms is significantly different compared to their natural counterparts. Controlled environment in the lab versus dynamic conditions in the wild could be one of the reasons for such differences. Considering the impact of microbes on development, immunology, ecology, evolution, etc., it is very important to explore […]

Quercetin increases stress resistance in the yeast Saccharomyces cerevisiae not only as an antioxidant

Abstract Quercetin is one of the most abundant dietary flavonoids and one of the most studied antioxidants. In this work, the effect of quercetin on stress resistance of exponentially growing Saccharomyces cerevisiae cells was estimated. Pre-treatment with low concentrations (10 μM and 100 μM) of quercetin enhanced yeast viability under exposure to hydrogen peroxide, copper […]

Tinnitus

Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 1 ώρα
Mcmaster University Tinnitus: Tinnitus is a symptom of a problem with the ear that causes sufferers to hear a variety of ringing or buzzing noises inside their ears. Some patients may have symptoms only in one ear, while other patients will hear noises in both ears. Twenty percent of people experience tinnitus, which means it is a common symptom. The noises can sometimes occur constantly, which can impact a person’s routine. Other patients may only hear the noises at certain times, such as after being exposed to loud noise. Possible causes There are several possibilities for the... περισσότερα »

Primary extraskeletal Ewing's sarcoma of the maxillary sinus

Αλέξανδρος ΣφακιανάκηςστοOtoRhinoLaryngology by Alexandros G.SfakianakisΠριν από 1 ώρα
Publication date: Available online 27 April 2016 *Source:*Brazilian Journal of Otorhinolaryngology Author(s): Neslihan Yaprak, Havva Serap Toru, Irem Hicran Ozbudak, Alper Tunga Derin from #ENT via xlomafota13 on Inoreader http://ift.tt/1TfqJRF via IFTTT

Airway reconstruction: review of an approach to the advanced-stage laryngotracheal stenosis

Αλέξανδρος ΣφακιανάκηςστοOtoRhinoLaryngology by Alexandros G.SfakianakisΠριν από 1 ώρα
Publication date: Available online 27 April 2016 *Source:*Brazilian Journal of Otorhinolaryngology Author(s): Mohamad A. Bitar, Randa Al Barazi, Rana Barakeh IntroductionThe management of laryngotracheal stenosis is complex and is influenced by multiple factors that can affect the ultimate outcome. Advanced lesions represent a special challenge to the treating surgeon to find the best remedying technique.ObjectiveTo review the efficacy of our surgical reconstructive approach in managing advanced-stage laryngotracheal stenosis treated at a tertiary medical center.MethodsA retrospectiv...περισσότερα »

Study of cochlear microphonic potentials in auditory neuropathy

Αλέξανδρος ΣφακιανάκηςστοOtoRhinoLaryngology by Alexandros G.SfakianakisΠριν από 1 ώρα
Publication date: Available online 27 April 2016 *Source:*Brazilian Journal of Otorhinolaryngology Author(s): Ilka do Amaral Soares, Pedro de Lemos Menezes, Aline Tenório Lins Carnaúba, Kelly Cristina Lira de Andrade, Otávio Gomes Lins IntroductionAuditory Neuropathy/Dyssynchrony is a disorder characterized by the presence of Otoacoustic Emissions and Cochlear Microphonic Potentials, an absence or severe alteration of Brainstem Evoked Auditory Potential, auditory thresholds incompatible with speech thresholds and altered acoustic reflexes. The study of the Cochlear Microphonic Potent... περισσότερα »

Speech perception in noise in the elderly: interactions between cognitive performance, depressive symptoms, and education

Αλέξανδρος ΣφακιανάκηςστοOtoRhinoLaryngology by Alexandros G.SfakianakisΠριν από 1 ώρα
Publication date: Available online 27 April 2016 *Source:*Brazilian Journal of Otorhinolaryngology Author(s): Laura Maria Araujo de Carvalho, Elisiane Crestani de Miranda Gonsalez, Maria Cecília Martineli Iorio IntroductionThe difficulty the elderly experience in understanding speech may be related to several factors including cognitive and perceptual performance.ObjectiveTo evaluate the influence of cognitive performance, depressive symptoms, and education on speech perception in noise of elderly hearing aids users.MethodsThe sample consisted of 25 elderly hearing aids users in bil...περισσότερα »

Comparison of microRNA profiles between benign and malignant salivary gland tumors in tissue, blood and saliva samples: a prospective, case-controlled study

Αλέξανδρος ΣφακιανάκηςστοOtoRhinoLaryngology by Alexandros G.SfakianakisΠριν από 1 ώρα
Publication date: Available online 27 April 2016 *Source:*Brazilian Journal of Otorhinolaryngology Author(s): Ovgu Cinpolat, Zeynep Nil Unal, Onur Ismi, Aysegul Gorur, Murat Unal IntroductionSalivary gland tumors (SGTs) are rare head and neck malignancies consisting of a spectrum of tumors with different biological behaviors.ObjectiveIn this study we aimed to find out differential expression of microRNA profiles between benign and malignant SGTs.MethodsWe investigated the possible role of 95 microRNAs in the 20 patients with salivary gland tumors with comparison of 17 patients witho... περισσότερα »

The effectiveness of external sensory cues in improving functional performance in individuals with Parkinson's disease: a systematic review with meta-analysis.

Alexandros G. SfakianakisστοRehabilitation,Sports and Exercise Medicine by Alexandros G. SfakianakisΠριν από 1 ώρα
A systematic review with meta-analysis was performed to investigate the effect external sensory cued therapy on activities of daily living (ADL) performance that include walking and daily tasks such as dressing for individuals with Parkinson's disease (PD). A detailed computer-aided search of the literature was applied to MEDLINE, Cumulative Index to Nursing and Allied Health Literature, EMBASE and PubMed. Studies investigating the effects of external sensory cued therapy on ADL performance for individuals with PD in all stages of disease progression were collected. Relevant article... περισσότερα »

Validity and reliability of the Chinese version of the Daily Living Self-Efficacy Scale among stroke patients.

Alexandros G. SfakianakisστοRehabilitation,Sports and Exercise Medicine by Alexandros G. SfakianakisΠριν από 1 ώρα
The aim of this study was to examine the reliability and validity of the Chinese version of the Daily Living Self-Efficacy Scale (DLSES) in stroke patients. In total, 172 participants were recruited from a local hospital in China. The internal consistent reliability and convergent validity of the total scale and activities of daily living (ADL) and psychosocial functioning subscales were examined and factor analysis was carried out. Cronbach's [alpha]s for the Chinese version of the DLSES, ADL subscale, and psychosocial subscale were 0.96, 0.90, and 0.95, respectively. In the factor... περισσότερα »

Diagnostic Contribution of Donor-Specific Antibody Characteristics to Uncover Late Silent Antibody-Mediated Rejection-Results of a Cross-Sectional Screening Study.

Αλέξανδρος ΣφακιανάκηςστοOtoRhinoLaryngology by Alexandros G.SfakianakisΠριν από 1 ώρα
Background: Circulating donor-specific antibodies (DSA) detected on bead arrays may not inevitably indicate ongoing antibody-mediated rejection (AMR). Here, we investigated whether detection of complement-fixation, in parallel to IgG mean fluorescence intensity (MFI), allows for improved prediction of AMR. Methods: Our study included 86 DSA+ kidney transplant recipients subjected to protocol biopsy, who were identified upon cross-sectional antibody screening of 741 recipients with stable graft function at 6 months or longer after transplantation. IgG MFI was analyzed after eliminati...περισσότερα »

The International Liver Transplant Society Guidelines on Living Liver Donation.

Αλέξανδρος ΣφακιανάκηςστοOtoRhinoLaryngology by Alexandros G.SfakianakisΠριν από 1 ώρα
The following guideline represents the position of the International Liver Transplantation Society (ILTS) on key preoperative, operative, and postoperative aspects surrounding living liver donation. These recommendations were developed from experts in the field from around the world. The authors conducted an analysis of the National Library of Medicine indexed literature on "living donor liver transplantation" [Medline search] using Grading of Recommendations Assessment, Development and Evaluation methodology. Writing was guided by the ILTS Policy on the Development and Use of Pract... περισσότερα »

Pharmacological Reconditioning of Marginal Donor Rat Lungs Using Inhibitors of Peroxynitrite and Poly (ADP-ribose) Polymerase During Ex Vivo Lung Perfusion.

Αλέξανδρος ΣφακιανάκηςστοOtoRhinoLaryngology by Alexandros G.SfakianakisΠριν από 1 ώρα
Background: Donor lungs obtained after prolonged warm ischemia (WI) may be unsuitable for transplantation due to the risk of reperfusion injury, but could be reconditioned using ex-vivo lung perfusion (EVLP). Key processes of reperfusion injury include the formation of reactive oxygen species (ROS)/nitrogen species (RNS) and the activation of poly(adenosine diphosphate-ribose) polymerase (PARP). We explored whether rat lungs obtained after WI could be reconditioned during EVLP using the ROS/RNS scavenger Mn(III)-tetrakis (4-benzoic acid) porphyrin chloride (MnTBAP) or the PARP inhib...περισσότερα »

Ex Vivo Treatment.

Αλέξανδρος ΣφακιανάκηςστοOtoRhinoLaryngology by Alexandros G.SfakianakisΠριν από 1 ώρα
No abstract available from #ENT via xlomafota13 on Inoreader http://ift.tt/1pIxrrm via IFTTT

Attenuation of Ischemia-Reperfusion Injury and Improvement of Survival in Recipients of Steatotic Rat Livers Using CD47 Monoclonal Antibody.

Αλέξανδρος ΣφακιανάκηςστοOtoRhinoLaryngology by Alexandros G.SfakianakisΠριν από 1 ώρα
Background: Despite the efficacy of orthotopic liver transplantation in the treatment of end-stage liver diseases, its therapeutic utility is severely limited by the availability of donor organs. The ability to rehabilitate marginal organs, such as steatotic allografts, has the potential to address some of the supply limitations of available organs for transplantation. Steatotic livers are more susceptible to ischemia-reperfusion injury (IRI), which is exacerbated by the thrombospondin-1/CD47 pathway through inhibition of nitric oxide signaling. We postulated that CD47 blockade with ... περισσότερα »

Successful Recovery and Transplantation of 11 Organs including Face, Bilateral Upper Extremities, and Thoracic and Abdominal Organs From a Single Deceased Organ Donor.

Αλέξανδρος ΣφακιανάκηςστοOtoRhinoLaryngology by Alexandros G.SfakianakisΠριν από 1 ώρα
We report on the to date largest recovery of 11 organs from a single deceased donor with the transplantation of face, bilateral upper extremities, heart, 1 lung, liver (split for 2 recipients), kidneys, pancreas, and intestine. Although logistically challenging, this case demonstrates the feasibility and safety of the recovery of multiple thoracic and abdominal organs with multiple vascular composite allotransplants and tissues. Our experience of 8 additional successful multiple vascular composite allotransplants, thoracic, and abdominal organ recoveries suggests that such procedure... περισσότερα »

Posttransplant Lymphoproliferative Disorders in Irish Renal Transplant Recipients: Insights From a National Observational Study.

Αλέξανδρος ΣφακιανάκηςστοOtoRhinoLaryngology by Alexandros G.SfakianakisΠριν από 1 ώρα
Background: Posttransplant lymphoproliferative disorders (PTLD) are a common malignancy after renal transplantation with a high incidence of PTLD described in the first posttransplant year. We sought to determine incidence and risk determinants of PTLD in Irish kidney transplant recipients. Materials and Methods: Retrospective observational study of 1996 adult first kidney transplant recipients between 1991 and 2010 in the Republic of Ireland. Recipients were cross-referenced with the National Cancer Registry to determine incidence of PTLD. Kaplan-Meier analysis was performed for PT... περισσότερα »

Zinc finger protein 618 regulates UHRF2 (ubiquitin like with PHD and ring finger domains 2) function as a specific 5-hydroxymethylcytosine reader Cell Biology

5-hydroxymethylcytosine (5hmC) is an epigenetic modification that is generated by ten-eleven translocation (TET) protein-mediated oxidation of 5-methylcytosine (5mC). 5hmC is associated with transcription regulation and is decreased in many cancers including melanoma. Accumulating evidence has suggested that 5hmC is functionally distinct from 5mC. Ubiquitin like with PHD and ring finger domains 2 (UHRF2) is the […]

Alanine Expansions Associated With Congenital Central Hypoventilation Syndrome Impair PHOX2B Homeodomain-Mediated Dimerisation And Nuclear Import Molecular Bases of Disease

Heterozygous mutations of the human PHOX2B gene, a key regulator of autonomic nervous system development, lead to Congenital Central Hypoventilation Syndrome (CCHS), a neurodevelopmental disorder characterised by a failure in the autonomic control of breathing. Polyalanine expansions in the 20-residues region of the C-terminus of PHOX2B are the major mutations responsible for CCHS. Elongation of […]

Carboxyl-terminal 20 Amino Acids of Drosophila Topoisomerase 2 Are Required for Binding to a BRCT Domain-containing Protein Mus101 and Fidelity of DNA Segregation Enzymology

Eukaryotic Topoisomerase 2 (Top2) and one of its interacting partners, Topoisomerase IIβ binding protein 1 (TopBP1) are two proteins performing essential cellular functions. We mapped the interacting domains of these two proteins using the co-immunoprecipitation and pull-down experiments with truncated or mutant Drosophila Top2 with various Ser to Ala substitutions. We discovered that the last […]

The type I interferon-IRF7 axis mediates transcriptional expression of Usp25 Signal Transduction

Viral infection or LPS treatment induce expression of a large array of genes, the products of which play a critical role in host anti-pathogen immunity and inflammation. We have previously reported that the expression of ubiquitin-specific protease 25 (USP25) is significantly upregulated after viral infection or LPS treatment, which is essential for innate immune signaling. […]

Transforming Growth Factor {beta}1 (TGF-{beta}1) Activates Hepcidin mRNA Expression in Hepatocytes Cell Biology

The hepatic hormone hepcidin is the master regulator of systemic iron homeostasis. Its expression level is adjusted to alterations in iron levels, inflammatory cues as well as iron requirements for erythropoiesis. Bone morphogenetic protein 6 (BMP6) contributes to the iron-dependent control of hepcidin. In addition, TGF-β1 has been reported to stimulate hepcidin mRNA expression in […]

Team of Teams or Team of Rivals.

Αλέξανδρος ΣφακιανάκηςστοEmergency Medicine by Alexandros G. SfakianakisΠριν από 2 ώρες
No abstract available from Emergency Medicine via xlomafota13 on Inoreader http://ift.tt/21gdxlu

Resilience.

Αλέξανδρος ΣφακιανάκηςστοEmergency Medicine by Alexandros G. SfakianakisΠριν από 2 ώρες
No abstract available from Emergency Medicine via xlomafota13 on Inoreader http://ift.tt/1VDDgEF

Suction Evacuation of Hemothorax: A Prospective Study.

Αλέξανδρος ΣφακιανάκηςστοEmergency Medicine by Alexandros G. SfakianakisΠριν από 2 ώρες
Introduction: Though tube thoracostomy is a common procedure following thoracic trauma, incomplete evacuation of fluid places the patient at risk for retained hemothorax. As little as 300-500cc of blood may result in the need for an additional thoracostomy tube or, in more severe cases, lung entrapment and empyema. We hypothesized that suction evacuation of the thoracic cavity prior to tube placement would decrease the incidence of retained late complications. Methods: Patients requiring tube thoracostomy within 96 hours of admission were prospectively identified and underwent sucti... περισσότερα »

Initial Safety and Feasibility of Cold Stored Uncrossmatched Whole Blood Transfusion in Civilian Trauma Patients.

Αλέξανδρος ΣφακιανάκηςστοEmergency Medicine by Alexandros G. SfakianakisΠριν από 2 ώρες
Background: The transfusion of cold stored uncrossmatched whole blood (WB) has not been extensively utilized in civilian trauma resuscitation. This report details the initial experience with the safety and feasibility of using WB in this setting after a change of practice at a level 1 trauma center was instituted. Methods: Up to two units of uncrossmatched group O positive WB that was leukoreduced using a platelet sparing filter from male donors were transfused to male trauma patients with hypotension secondary to bleeding. Hemolytic marker haptoglobin and reports of transfusion rea... περισσότερα »

Evaluation of Role 2 (R2) Medical Resources in the Afghanistan Combat Theater: Initial Review of the Joint Trauma System R2 Registry.

Αλέξανδρος ΣφακιανάκηςστοEmergency Medicine by Alexandros G. SfakianakisΠριν από 2 ώρες
Background: A Role 2 registry (R2R) was developed in 2008 by the US Joint Trauma System (JTS). The purpose of this project was to undertake a preliminary review of the R2R to understand combat trauma epidemiology and related interventions at these facilities to guide training and optimal utilization of forward surgical capability in the future. Methods: A retrospective review of available JTS R2R records; the registry is a convenience sample entered voluntarily by members of the R2 units. Patients were classified according to basic demographics, affiliation, region where treatment w... περισσότερα »

Influences of Limited Resuscitation with Plasma or Plasma Protein Solutions on Hemostasis and Survival of Rabbits with Non-Compressible Hemorrhage.

Αλέξανδρος ΣφακιανάκηςστοEmergency Medicine by Alexandros G. SfakianakisΠριν από 2 ώρες
Background: Plasma infusion with or without RBC is the current military standard of care for prehospital resuscitation of combat casualties. We examined possible advantages of early and limited resuscitation with fresh plasma compared with a single plasma protein or crystalloid solutions in an uncontrolled hemorrhage model in rabbits. Methods: Anesthetized spontaneously breathing rabbits (3.3+/-0.1 kg) were instrumented and subjected to a splenic uncontrolled hemorrhage. Rabbits in shock were resuscitated at 15 min with Plasma-Lyte (PAL; 30 ml/kg), PAL+ fibrinogen (PAL+F; 30ml+100mg...περισσότερα »

Managing the surge in demand for blood following mass casualty events. Early automatic restocking may preserve red cell supply.

Αλέξανδρος ΣφακιανάκηςστοEmergency Medicine by Alexandros G. SfakianakisΠριν από 2 ώρες
Background: Traumatic hemorrhage is a leading preventable cause of mortality following mass casualty events (MCEs). Improving outcomes requires adequate in-hospital provision of high volume red blood cell (RBC) transfusions. This study investigated strategies for optimizing RBC provision to casualties in MCEs using simulation modeling. Methods: A computerized simulation model of a UK major trauma centre (TC) transfusion system was developed. The model used input data from past MCEs, civilian and military trauma registries. We simulated the effect of varying on-shelf RBC stock hold a...περισσότερα »

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