General Hospital of Veria

Thessaloníki, Greece

General Hospital of Veria

Thessaloníki, Greece
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Zorbas K.A.,General Hospital of Veria | Economopoulos K.P.,Society of Junior Doctors | Economopoulos K.P.,Harvard University | Vlahos N.F.,National and Kapodistrian University of Athens
Archives of Gynecology and Obstetrics | Year: 2015

Purpose: Recurrence of endometriosis after conservative surgery has been observed in 40–50 % of patients within the first 5 years. A variety of regimens such as combined oral contraceptives, GnRH agonists, danazol, and progestins have been used postoperatively to reduce recurrence rates. Oral contraceptives (oCP) have been used either in a cyclic or in a continuous (no pill-free interval) fashion. The purpose of this article was to summarize the existing evidence on the efficacy and patient compliance for the use of oCP in a continuous versus cyclic fashion following conservative surgery for endometriosis. Methods: A systematic search of Medline identified four eligible studies. Studies were considered eligible, if they have evaluated oCP therapy, either in a cyclic or continuous regimen, after conservative surgery for endometriosis. Specifically, studies (1) reporting on women with endometriosis who were treated postoperatively with both continuous oCP and cyclic oCP, (2) written in English, (3) with minimum 6 months duration of medical treatment, and (4) with minimum 12 months duration of follow-up were considered eligible for our systematic review. Outcome measures of these eligible studies were tabulated and then analyzed cumulatively. A purely descriptive approach was adopted concerning all variables. Results: Postoperative use of continuous oCP was associated with a reduction in the recurrence rate of dysmenorrhea, delay in the presentation of dysmenorrhea, reduction in nonspecific pelvic pain, and reduction in the recurrence rate for endometrioma. Conclusions: Use of oCP in a continuous fashion following conservative surgery for endometriosis is more beneficial to cyclic use. © 2015, Springer-Verlag Berlin Heidelberg.

Sountoulides P.,General Hospital of Veria | Gravas S.,University of Thessaly
Current Drug Targets | Year: 2015

Benign prostatic hyperplasia (BPH) can be a progressive disease for some men with significant impact on their quality of life due to worsening of symptoms, risk of acute urinary retention (AUR) and surgery. Certain clinical parameters such as age' prostate volume and PSA are able to predict those patients with BPH-associated LUTS that are at risk of disease progression. These patients will likely benefit most from medical therapy that provides symptom relief while at the same time may prevent disease progression. Studies have shown that a-blockers, although able to rapidly alleviate symptoms, have no effect on prostate volume, risk for AUR and BPH-related surgery. On the other hand 5ARIs have proven their efficacy in reducing prostate size, the risk of AUR and prostate surgery. Therefore combination therapy with an a-blocker and a 5ARI can be the mainstay of treatment for those patients at risk of BPH progression. Patients' perspective and their needs and expectations from treatment are other crucial parameters to consider in order selecting the optimal management of BPH. Therefore physicians should take into consideration the drug properties and also the patients' preferences before deciding on the optimal pharmacological treatment for BPH-associated LUTS. © Bentham Science Publishers.

Sountoulides P.,General Hospital of Veria | Metaxa L.,General Hospital of Veria | Cindolo L.,S Pio Da Pietrelcina Hospital
Journal of Endourology | Year: 2013

The introduction of minimally invasive endourologic procedures for upper urinary stone disintegration has closed the curtain on the era of open surgery for upper urinary tract stones in which complete stone eradication was the rule. This shift to minimally invasive procedures has led to the introduction of new terminology, such as stone-free rates and residual stone fragments, the presence of which after treatment was considered an acceptable therapeutic end point. Percutaneous nephrolithotomy (PCNL) is currently considered the procedure of choice for large renal stones. Its use has been greatly facilitated by the favorable profile of multidetector CT with regard to its sensitivity in detecting small stones. Despite the fact that CT is considered essential for the diagnosis and exact localization of stones and has been used for the creation of percutaneous tracts in PCNL, however, its routine use for the post-PCNL detection of residual stones has not been established. There is evidence that routine application of post-PCNL CT provides additional advantages compared with other imaging modalities - namely, the identification of the presence and location of even small residual fragments, which has been shown to cause significant trouble and necessitate secondary procedures in a significant cohort of patients after PCNL. On the other hand, the issues of cost, availability of CT scanners, and radiation exposure along with the acceptable sensitivity, cost, and availability of other imaging studies has raised doubts as to whether CT should be the routine imaging study asfter PCNL. The present review will discuss the concept of clinically significant residual fragments and comment on the advantages and drawbacks of different imaging studies used for the detection of residual stones after PCNL. This review also aims to clarify the indications in which CT should routinely be performed or could be omitted in the follow-up after PCNL. © Copyright 2013, Mary Ann Liebert, Inc. 2013.

Sountoulides P.,General Hospital of Veria | Metaxa L.,General Hospital of Veria | Cindolo L.,S Pio da Pietrelcina Hospital
Journal of Medical Case Reports | Year: 2011

Renal cell carcinoma is a potentially lethal cancer with aggressive behavior and a propensity for metastatic spread. Due to the fact that the patterns of metastases from renal cell carcinomas are not clearly defined, there have been several reports of cases of renal cell carcinoma associated with rare metastatic sites and atypical presenting symptoms. The present review focuses on these atypical rare clinical presentations of renal cell carcinomas both at the time of diagnosis of the primary tumor but also in the years after radical nephrectomy. © 2011 Sountoulides et al; licensee BioMed Central Ltd.

Sountoulides P.,General Hospital of Veria | Moutzouris G.,General Hospital of Nafplion
Expert Review of Anticancer Therapy | Year: 2014

Prostate cancer (PCa) constitutes a major health issue of the western world given its increasing rate of diagnosis and the fact that it is the second cause of cancer-related death among men. Although the incidence of PCa is rising, deaths from PCa are at the same time declining. This phenomenon has been largely attributed to the implementation of PCa screening. However PCa screening, which is mainly performed through serum prostate-specific antigen measurement, does not have the desired diagnostic accuracy. This results in a substantial proportion of men undergoing unnecessary biopsies and consequently given therapies for low-risk cancers that will have no effect in prolonging life and might as well only add morbidity. The current report will discuss the pros and cons of PCa screening in light of the recent modifications in the guidelines regarding the early diagnosis of PCa. © Informa UK, Ltd.

Iliopoulos E.,General Hospital of Veria | Priporas C.-V.,University of Macedonia
BMC Health Services Research | Year: 2011

Background: The purpose of this study was to explore the effect of internal marketing on job satisfaction in health services, particularly in public hospitals in Northern Greece. Methods. A questionnaire with three sections was used. The first one referred to internal marketing by using Foreman and Money's scale, while the second one contained questions on job satisfaction based on Stamps and Piermonte's work. The last section included demographic questions. Three categories of health care professionals, nurses, doctors and paramedic personnel working in public hospitals have participated. Results: Doctors tend to be more satisfied with their job than nurses in the same hospitals. Male personnel also tend to be more satisfied with their job than female. Time-defined work contract personnel have a greater level of job satisfaction than permanent personnel. Marital status, position, and educational level have no statistically significant impact on job satisfaction. A slight decline in job satisfaction occurs as the personnel age. Conclusions: Internal marketing has a positive effect on the job satisfaction of hospital staff in Northern Greece. Also, doctors and male personnel seem to have greater levels of job satisfaction. Staff with time-defined work contracts with the hospital are more satisfied than permanent staff, and as the staff age, there is a slight decline in job satisfaction. © 2011 Iliopoulos and Priporas; licensee BioMed Central Ltd.

Agathangelidis F.,General Hospital of Veria
BMJ case reports | Year: 2013

A 53-year-old man presented with an open fracture of the pisiform after a fall on his left wrist. Treatment of the patient presented a dilemma between excision of the proximal fragment and internal fixation. The patient underwent internal fixation with a 2.5 cortical screw. At 6 months follow-up the fracture appeared fully consolidated with full functional recovery of the wrist.

Sountoulides P.,General Hospital of Veria | Mykoniatis I.,General Hospital of Veria | Dimasis N.,Theagenio Anticancer Hospital
Hippokratia | Year: 2014

Malignancies of the genitourinary tract are diagnosed with increased frequency compared to the past. Currently prostate and bladder cancer account for the majority of urological malignancies. While for prostate cancer recent developments in the management of local and metastatic disease are likely to lead the majority of patients to either cure from the disease or to longer survival time, for bladder cancer advanced disease will unfortunately lead to death within months. However, the common clinical scenario in both prostate and bladder cancer includes, in high incidence, upper urinary tract obstruction in the advanced stages of these malignancies. This coupled with the fact that average life expectancy in the western world is increasing, will result in a significant patient population with either advanced, non-curable disease or with problems related to the received therapeutic surgical or medical interventions. There is no doubt that in both circumstances the room and role of palliation therapy is increasing. The care of patients with advanced urologic malignancies requires a multi-disciplinary effort from physicians of many specialties under the guiding role of the treating urologist. This review focuses on currently available palliative therapeutic options for upper urinary tract obstruction in the setting of patients with advanced malignancies of the urinary tract, as recently significant advancements have been witnessed in this field. © 2014, Hippokratia General Hospital of Thessaloniki. All rights reserved.

Kanonidou E.,General Hospital of Veria
Bulletin de la Société belge d'ophtalmologie | Year: 2010

To assess the young people's knowledge regarding the ophthalmic effects of smoking. 198 students (111 males and 87 females) with a mean age of 27 years old (+/- 6 years) participated in the study. A simple questionnaire was used and the participants were requested to fill out the questionnaire themselves. 77% (152) of the participants were smokers. 67% (130) have never heard about the adverse effect of smoking to the eyes. 87% (172) have not heard about the relationship between smoking and thyroid eye disease. 84% (166) were not aware that smoking could ccontribute to the formation of cataract. 50% (99) have no knowledge about the association between smoking and age-related macular degeneration. 80% (158) were unaware that smoking is a risk factor for visual loss. The level of knowledge of young people regarding the ophthalmic effects of smoking is not satisfactory. There is an urgent need to promote the awareness of the population regarding the adverse effect of smoking on visual function.

Kanonidou E.,General Hospital of Veria
International Ophthalmology | Year: 2011

Amblyopia is a form of cerebral visual impairment in the absence of an organic cause. It is considered to derive from the degradation of the retinal image associated with abnormal visual experience during the developmental period of the visual system in infancy and early childhood. Amblyopia is a significant cause of unilateral visual deficit in childhood and is still considered as one of the most common causes of persistent unilateral visual impairment in adulthood. The following review aims at presenting the contemporary literature regarding the prevalence, the aetiology, the neural correlates, the period of critical development, the treatment, the prognosis and the disability associated with this visual deficit. © 2011 Springer Science+Business Media B.V.

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