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Natural Methods to Assist Delivery during the Second Stage of Labour: Part II: Timing and Type of Pushing

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Panos Antsaklis, Maria Papamichail, Marianna Theodora, Michael Syndos, George Daskalakis, Dimitris Loutradis

 

 

As women experience their partirution in health care facilities, they expect the best possible outcomes for them and their newborn, as interventions are supposed to be made accurately. Women in labour, are often directed to push as soon as the cervix reaches full dilation but this technique contradicts normal physiology. In contrast, when a woman is free to follow her instincts, by making spontaneous bearing down efforts, the time spending for pushing might be decreased and also urodynamic parameters after delivery are improved …

Posted in 2020 Volume 19 – Issue 1

Nitrate levels in drinking water and their impact on the risk of developing gynecological diseases and adverse pregnancy outcomes

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Vasilios Pergialiotis, Dimitrios Loutradis

 

 

Nitrate is a nitrogen oxoanion formed by loss of a proton from nitric acid. It is an important source of nitrogen which is essential for protein formation. Regular levels of nitrate in the environment do not exceed 2-5 mg/L. Fertilizers, herbicides and pesticides increase, however, the amount of nitrate in drinking water. In 2011 the World Health Organization (WHO) has issued a revised document on nitrate and nitrite levels in drinking water to help establish a common guideline that will help countries …

Posted in 2020 Volume 19 – Issue 1 Tagged , , , ,

Minimal invasive procedures for the treatment of genitourinary syndrome of menopause (GSM). Un update

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Dimitrios Zacharakis, Eleni Pitsouni, Themos Grigoriadis, Christos Kalantzis, Dimitrios Loutradis, Stavros Athanasiou

 

 

Genitourinary syndrome of menopause (GSM) is a new term for a condition more renowned as atrophic vaginitis. It is used to describe a variety of menopausal symptoms and signs that are related to the physical changes of the vulva, vagina and lower urinary tract. The etiology of GSM is secondary to decreased levels of endogenous estrogens and represents a common but underreported condition. In this update we present novel minimal invasive procedures that may benefit GSM …

Posted in 2020 Volume 19 – Issue 1 Tagged , , , , ,

Myo-inositol supplementation as a preventive consideration for gestational diabetes mellitus

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George Asimakopoulos, Panagiotis Antsaklis, Mariana Theodora, Michael Sindos, Alexandros Rodolakis, Dimitrios Loutradis, George Daskalakis

 

 

Gestational diabetes mellitus (GDM) is defined as impaired glucose tolerance with onset or first recognition during pregnancy, which is characterized by increased insulin resistance. GDM affects about 10% of pregnancies and its prevalence is rising worldwide mainly due to the advancing maternal age and the increased prevalence of obesity. GDM is associated with pregnancy-related maternal and fetal morbidity (both antenatal and perinatal). Traditional treatments for the GDM include diet and, if it is necessary, insulin …

Posted in 2020 Volume 19 – Issue 1 Tagged , , ,

Prenatal diagnosis of a large suprasellar arachnoid cyst

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George Asimakopoulos, Panagiotis Antsaklis, Mariana Theodora, Michael Sindos, Alexandros Rodolakis, Dimitrios Loutradis, George Daskalakis

 

Arachnoid cysts represent 1% of all intracranial lesions and appear on the arachnoid membrane (subarachnoid space). The etiology and pathogenesis of arachnoid cysts remain unclear and in their majority they are asymptomatic. Due to the developmental origin of arachnoid cysts, these formations can be identified on prenatal fetal imaging. In this report we presented a case of an enlarged suprasellar arachnoid cyst detected incidentally during a routine fetal sonographic examination at 33 weeks of gestation …

Posted in 2020 Volume 19 – Issue 1 Tagged , , , , ,

Nerve tissue into mastectomy scar. Its trap may lead to chronic pain?

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Aris Giannos, Sofoklis Stavros, Ioannis Thanopoulos, Emmanouil Stamatakis, Konstantinos Dimitrakakis, Peter Drakakis, Dimitrios Loutradis

 

 

The purpose of the present article is to present a case of a 64-year old woman that underwent mastectomy and presented with severe pain and palpable nodes on the mastectomy scar 2 years following the operation. Excision of the mastectomy scar and histological evaluation revealed nerve branches that were in contact with the muscular tissue and that resided between the fibrous and adipose tissue. Following the second procedure the pain was alleviated …

Posted in 2020 Volume 19 – Issue 1

Health Care Innovation

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Loutradis Dimitris

 

 

The exploitation of pharmaceutical innovation has resulted in a 15 – 24% reduction in mortality from malignant diseases worldwide, helping to save resources and ensure productivity by reducing hospitalizations and lost working days. There are currently a large number of new drugs under development aiming at some of the most serious health problems, and the crucial question that arises is: will the patients and the health system in Greece be able to benefit from this huge stream of innovation …

Posted in 2019 Volume 18 – Issue 4

PI3K/PDK1/Akt pathways and their fundamental role in Gynecological Cancer

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Sofoklis Stavros, Kalliopi Pappa, Peter Drakakis

 

 

The PI3K/PDK1/Akt pathway can regulate a large variety of cellular processes such as cell growth, proliferation and survival. Moreover, it is one of the most frequently altered networks in cancer though. The dysregulation of these pathways has been reported in several human cancers, as well as in diabetes, neurological diseases and cardiovascular diseases. Cervical carcinogenesis seems to be associated with increased levels of activated AKT kinase. Moreover, PTEN inactivation is the most common genetic alteration in type1 endometrial cancer …

Posted in 2019 Volume 18 – Issue 4

Energy sources in gynecologic laparoscopic surgery

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Nikolaos Kathopoulis, Athanasios Protopapas, Ioannis Xatzipapas, Panagiotis Antsaklis, Dimitrios Zacharakis, Konstantinos Samartzis, Konstantinos Kipriotis, Dimitrios Loutradis

 

 

A number of energy sources are used in gynecologic laparoscopy. Monopolar electrosurgery, bipolar electrosurgery, advanced bipolar devices, ultrasonic energy and various types of lasers are some of the technologies used nowadays to facilitate surgeons tasks during laparoscopic operations. A lack of basic knowledge or ignorance of principles of electrosurgery and equipment among obstetricians and gynecologists is reported. As a result thermal injuries during laparoscopic electrosurgery occur, which frequently lead to significant morbidity and mortality …

Posted in 2019 Volume 18 – Issue 4 Tagged , , ,

Periodontal disease of the mother and incidence of preeclampsia

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Thrasyvoulos-Marios Smyrlis, Sofoklis Stavros, Dimitrios Loutradis, Peter Drakakis

 

 

Periodontitis is a chronic inflammatory disease, which is progressing in a slow pace and leads to gingival tissue destruction and alveolar bone resorption. If left untreated, it will lead gradually in tooth loss. It is caused by the simultaneous action of bacterial virulence factors and the response of the immune system. In the literature there is growing evidence of a possible link between periodontal disease and systemic health. The relationship between periodontitis and diabetes mellitus3, atherosclerosis and cardiovascular diseases …

Posted in 2019 Volume 18 – Issue 4 Tagged , ,