36 results on '"Chrysovitsanou"'
Search Results
2. Double Trouble: Association of Malignant Melanoma with Sporadic and Genetic Forms of Parkinson’s Disease and Asymptomatic Carriers of Related Genes: A Brief Report
- Author
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Christos Koros, Athina-Maria Simitsi, Anastasia Bougea, Nikolaos Papagiannakis, Roubina Antonelou, Ioanna Pachi, Efthalia Angelopoulou, Andreas Prentakis, Athena Zachou, Chrysa Chrysovitsanou, Ion Beratis, Stella Fragkiadaki, Dionysia Kontaxopoulou, Efthymia Eftymiopoulou, Evangelia Stanitsa, Constantin Potagas, Sokratis G. Papageorgiou, Efstratios Karavasilis, Georgios Velonakis, Vasilios Prassopoulos, Xenia Geronicola-Trapali, and Leonidas Stefanis
- Subjects
Parkinson’s disease ,malignant melanoma ,Leucine Rich Repeat Kinase 2 ,Glucocerebrosidase ,genetic ,Medicine (General) ,R5-920 - Abstract
Introduction: Previous epidemiological evidence has established the co-occurrence of malignant melanoma (MM) and Parkinson’s disease (PD). Shared molecular mechanisms have been proposed to be implicated in this relationship. The aim of the present study was to assess the prevalence of MM in patients with sporadic and genetic types of PD, as well as in asymptomatic carriers of PD-related genes. Methods: Data regarding past medical history and concomitant disease of 1416 patients with PD (including 20 participants with prodromal disease who phenoconverted to PD), 275 healthy controls (HCs) and 670 asymptomatic carriers of PD-related genes were obtained from the database of the Parkinson’s Progression Markers Initiative (PPMI). Focus was placed on information about a medical record of MM. We also retrieved data regarding the genetic status of selected PPMI participants with a positive MM history. Results: In total, 46 patients with PD reported a positive MM history. Concerning the genetic forms of PD, nine of these PD patients (2.47%) carried a Leucine Rich Repeat Kinase 2 (LRRK2) gene mutation (mainly the G2019S), while eight (4.49%) harbored a Glucocerebrosidase (GBA) gene mutation (mainly the N370S). No alpha-synuclein (SNCA) gene mutation was identified in patients with an MM history. The remaining 29 PD patients (3.5%) were genetically undetermined. In total, 18 asymptomatic carriers of PD-related genes had a positive medical history for MM: among them, 10 carried an LRRK2 gene mutation (2.69%) and 10 a GBA gene mutation (3.51%) (2 were dual carriers). MM history was identified for seven HCs (2.5%). Conclusions: We replicated the previously reported association between genetically undetermined PD (GU-PD) and MM. A correlation of LRRK2 mutations with the development of MM could not be verified in either symptomatic PD patients or asymptomatic carriers, implicating distinct pathogenetic mechanisms as compared to GU-PD. Importantly, despite the limited literature evidence on Gaucher disease, this study highlights for the first time the relatively high prevalence of MM among asymptomatic and symptomatic PD GBA mutation carriers, with potential clinical implications.
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- 2023
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3. Medical cannabis as an alternative therapeutics for Parkinsons’ disease: Systematic review
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Bougea, Anastasia, Koros, Christos, Simitsi, Athina-Maria, Chrysovitsanou, Chrysa, Leonardos, Athanasios, and Stefanis, Leonidas
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- 2020
- Full Text
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4. Ambiental Factors in Parkinson’s Disease Progression: A Systematic Review
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Anastasia Bougea, Nikolas Papagiannakis, Athina-Maria Simitsi, Elpida Panagiotounakou, Chrysa Chrysovitsanou, Efthalia Angelopoulou, Christos Koros, and Leonidas Stefanis
- Subjects
Parkinson’s disease (PD) ,air pollutants ,organic matter (OM) ,UV light ,levodopa equivalent dose (LED) ,Unified Parkinson’s Disease Rating Scale (UPDRS) ,Medicine (General) ,R5-920 - Abstract
Background and Objectives: So far, there is little evidence of the ambient effect on motor and non-motor symptoms of Parkinson’s Disease (PD). This systematic review aimed to determine the association between ambiental factors and the progression of PD. Materials and Methods: A systematic literature search of PubMed, Cochrane, Embase, and Web of Science was conducted up to 21 December 2021 according the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Results: Eight articles were used in the analyses. Long-term exposure to fine particles (particulate matter ≤ 2.5 μm; PM2.5) was positively associated with disease aggravation in two studies. Short-term PM2.5 exposure was positively associated with disease aggravation in three studies. Significant associations were found between PD aggravation and NO2, SO2, CO, nitrate and organic matter (OM) concentrations in two studies. Associations were more pronounced, without reaching statistical significance however, in women, patients over 65 years old and cold temperatures. A 1% increase in temperature was associated with a significant 0.18% increase in Levodopa Equivalent Dose (LED). Ultraviolet light and humidity were not significantly associated with an increase in LED. There was no difference in hallucination severity with changing seasons. There was no evidence for seasonal fluctuation in Unified Parkinson’s Disease Rating Scale (UPDRS) scores. Conclusions: There is a link between air pollutants and temperature for PD progression, but this has yet to be proven. More longitudinal studies are warranted to confirm these findings.
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- 2023
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- View/download PDF
5. A case of Alemtuzumab-induced neutropenia in multiple sclerosis in association with the expansion of large granular lymphocytes
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A. G. Vakrakou, D. Tzanetakos, S. Valsami, E. Grigoriou, K. Psarra, J. Tzartos, M. Anagnostouli, E. Andreadou, M. E. Evangelopoulos, G. Koutsis, C. Chrysovitsanou, E. Gialafos, A. Dimitrakopoulos, L. Stefanis, and C. Kilidireas
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Multiple sclerosis ,Alemtuzumab ,Neutropenia ,Large granular cells ,Neurology. Diseases of the nervous system ,RC346-429 - Abstract
Abstract Background Alemtuzumab has been demonstrated to reduce the risks of relapse and accumulation of sustained disability in Multiple Sclerosis (MS) patients compared to β-interferon. It acts against CD52, leading primarily to lymphopenia. Recent data have shown that mild neutropenia is observed in 16% of treated MS-patients whereas severe neutropenia occurred in 0.6%. Case presentation Herein, we present the case of a 34-year-old woman with relapsing-remitting MS, with a history of treatment with glatiramer acetate and natalizumab, who subsequently received Alemtuzumab (12 mg / 24 h × 5 days). 70-days after the last Alemtuzumab administration, the patient displayed neutropenia (500 neutrophils/μL) with virtual absence of B-cells (0.6% of total lymphocytes), low values of CD4-T-cells (6.6%) and predominance of CD8-T-cells (48%) and NK-cells (47%); while large granular lymphocytes (LGL) predominated in the blood-smear examination. Due to prolonged neutropenia (5-days) the patient was placed on low-dose corticosteroids leading to sustained remission. Conclusion This is the first case of a patient with relapsing-remitting MS with neutropenia two months post-Alemtuzumab, with simultaneous presence of LGL cells in the blood and a robust therapeutic response to prednisolone. We recommend testing with a complete blood count every 15 days in the first 3 months after the 1st Alemtuzumab administration and searching for large granular lymphocytes cell expansion on microscopic examination of the peripheral blood if neutropenia develops.
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- 2018
- Full Text
- View/download PDF
6. Double Trouble: Association of Malignant Melanoma with Sporadic and Genetic Forms of Parkinson’s Disease and Asymptomatic Carriers of Related Genes: A Brief Report
- Author
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Koros, Christos, primary, Simitsi, Athina-Maria, additional, Bougea, Anastasia, additional, Papagiannakis, Nikolaos, additional, Antonelou, Roubina, additional, Pachi, Ioanna, additional, Angelopoulou, Efthalia, additional, Prentakis, Andreas, additional, Zachou, Athena, additional, Chrysovitsanou, Chrysa, additional, Beratis, Ion, additional, Fragkiadaki, Stella, additional, Kontaxopoulou, Dionysia, additional, Eftymiopoulou, Efthymia, additional, Stanitsa, Evangelia, additional, Potagas, Constantin, additional, Papageorgiou, Sokratis G., additional, Karavasilis, Efstratios, additional, Velonakis, Georgios, additional, Prassopoulos, Vasilios, additional, Geronicola-Trapali, Xenia, additional, and Stefanis, Leonidas, additional
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- 2023
- Full Text
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7. FROM REPULSION TO FASCINATION TO ‘CYCLADOMANIA’
- Author
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CHRYSOVITSANOU, Vasiliki, primary
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- 2019
- Full Text
- View/download PDF
8. Ambiental Factors in Parkinson’s Disease Progression: A Systematic Review
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Bougea, Anastasia, primary, Papagiannakis, Nikolas, additional, Simitsi, Athina-Maria, additional, Panagiotounakou, Elpida, additional, Chrysovitsanou, Chrysa, additional, Angelopoulou, Efthalia, additional, Koros, Christos, additional, and Stefanis, Leonidas, additional
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- 2023
- Full Text
- View/download PDF
9. Ειδικά θέματα της Ιστορίας της Τέχνης του 20ού αιώνα
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Chrysovitsanou, Vasiliki, Kaminari, Agathi Anthoula, and Palaiologou, Christina
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Φωτορεαλισμός ,Ιστορία της τέχνης ,Pop Art ,Ντανταϊσμός ,Μεταφυσική ζωγραφική ,Σουρεαλισμός ,Expressionism ,Εξπρεσιονισμός ,Κυβισμός ,Τέχνη της οικειοποίησης ,Metaphysical painting ,Μοντερνισμός ,Appropriation art ,Greek Shadow Theatre ,Ελληνικό Θέατρο Σκιών ,Ιταλικός Φουτουρισμός ,Dada ,History of Art ,Τέχνη του δρόμου ,Modernism ,Cubism ,Photorealism ,Street Art ,Italian futurism ,Surrealism - Abstract
Το παρόν επιστημονικό σύγγραμμα με τίτλο Ειδικά θέματα της Ιστορίας της Τέχνης του 20ού αιώνα απευθύνεται στους φοιτητές που έχουν στο πρόγραμμα σπουδών τους το μάθημα Ιστορία της Τέχνης του 20ού αιώνα [Σχολή Εφαρμοσμένων Τεχνών και Πολιτισμού, Πανεπιστήμιο Δυτικής Αττικής, Α.Σ.Κ.Τ. (Αθήνα), Σχολή Καλών Τεχνών (Α.Π.Θ.), Τμήματα Ιστορίας και Αρχαιολογίας, Τμήματα Θεατρικών Σπουδών]. Στο σύγγραμμα περιλαμβάνονται 12 κεφάλαια, τα οποία παραπέμπουν σε καλλιτεχνικά κινήματα του 20ού αιώνα. Κάθε καλλιτεχνικό κίνημα περιγράφεται μέσω ενός χαρακτηριστικού θέματος που απασχολεί τους καλλιτέχνες και φωτογραφίζει την εποχή άνθισης του κινήματος. Τα κεφάλαια του συγγράμματος είναι τα ακόλουθα: 1. Το πρωτόγονο στη ζωγραφική των Γερμανών εξπρεσιονιστών 2. Μοντέρνα γλυπτική και πρωτογονισμός (Primitivism) 3. Επιστροφή στη λογική: Μια νέα ερμηνεία του κόσμου. Το έργο των κυβιστών ζωγράφων 4. Η μηχανή, σύμβολο των Ιταλών Φουτουριστών 5. Οι αρχαίοι μύθοι στη Μεταφυσική ζωγραφική των αδελφών de Chirico 6. Όνειρα και εφιάλτες στο έργο των Σουρεαλιστών 7. Το παραλογικό στοιχείο στην τέχνη. Παραφράσεις ενός θέματος: Η περίπτωση του Ubu Roi 8. Η «εμψύχωση» του αντικειμένου ως απήχηση της Pop Art 9. Φωτογραφικός ρεαλισμός: Ένα παρεξηγημένο κίνημα 10. Appropriation Art: Δημιουργία ή ακινησία; 11. Street Art: Η τέχνη του εφήμερου 12. Μορφές του Θεάτρου Σκιών στην ελληνική ζωγραφική του 20ού αιώνα Κάθε κεφάλαιο ολοκληρώνεται με χωρία από θεωρητικά κείμενα (διακηρύξεις καλλιτεχνικών ομάδων, κείμενα καλλιτεχνών, κ.ά.), που συμβάλουν στην εμβάθυνση σημαντικών θεμάτων της Ιστορίας της τέχνης του 20ού αιώνα. Τα κείμενα προσφέρονται για περεταίρω μελέτη και καλούν τους φοιτητές να στοχαστούν γύρω από καίρια ζητήματα της Ιστορίας της τέχνης. Κάθε κεφάλαιο αρχίζει με μια σύντομη σύνοψη της ύλης και ολοκληρώνεται με ασκήσεις ανακεφαλαίωσης. Το παρόν σύγγραμμα παρέχει τη δυνατότητα στους φοιτητές να το χρησιμοποιήσουν ως βοήθημα είτε να επιλέξουν μεμονωμένα θέματα και να εμβαθύνουν σε αυτά.
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- 2023
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10. A case of Alemtuzumab-induced neutropenia in multiple sclerosis in association with the expansion of large granular lymphocytes
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Vakrakou, A. G., Tzanetakos, D., Valsami, S., Grigoriou, E., Psarra, K., Tzartos, J., Anagnostouli, M., Andreadou, E., Evangelopoulos, M. E., Koutsis, G., Chrysovitsanou, C., Gialafos, E., Dimitrakopoulos, A., Stefanis, L., and Kilidireas, C.
- Published
- 2018
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- View/download PDF
11. Factors associated with perceived social support of patients with multiple sclerosis
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Chrysa Chrysovitsanou, Ioannis Koutelekos, Maria Polikandrioti, Spyridoula Stefanidou, and Aikaterini Papa
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medicine.medical_specialty ,Neurology ,Activities of daily living ,Multiple Sclerosis ,business.industry ,Multiple sclerosis ,Social Support ,Friends ,Interpersonal communication ,medicine.disease ,Frequent urination ,Social support ,medicine ,Marital status ,In patient ,Original Article ,Family ,Neurology (clinical) ,medicine.symptom ,business ,Clinical psychology - Abstract
Background: Multiple sclerosis (MS) is an inflammatory chronic disease of the central nervous system (CNS) which is related with unpredictable course and increasing disability. Social support as an available interpersonal resource may help patients with MS. The purpose of the present study was to evaluate perceived social support in patients with MS as well as the associated factors. Methods: The sample of this cross-sectional study included 200 patients with MS. Data collection was performed by the completion of the Multidimensional Scale of Perceived Social Support (MSPSS) and a questionnaire which included patients' characteristics. Results: Patients reported to perceive high support from significant others and their family (median: 24.0 and 23.5, respectively) and less from their friends (median: 20). Moreover, a statistically significant association was found between social support from significant others and marital status (P = 0.010), modification of daily activities (P = 0.018), difficulties with social and family environment (P ≤ 0.001 and P ≤ 0.001, respectively), frequent urination (P = 0.015), and whether they easily forgot (P = 0.049), characterized themselves as anxious (P = 0.049), and believed in God (P = 0.002). Also, a statistically significant association was fond between social support from family and relation with health professionals (P = 0.041), difficulties with social and family environment (P = 0.003 and P ≤ 0.001, respectively), and whether they considered themselves as anxious (P = 0.050), and they believed in God (P ≤ 0.001). Furthermore, a statistically significant association was found between support from friends and modification of daily activities (P = 0.010), help in daily activities (P = 0.016), need for movement assistance (P = 0.001), difficulties with social and family environment (P ≤ 0.001 and P = 0.005, respectively), and whether they considered themselves anxious (P = 0.046). Conclusion: Factors associated with perceived social support should be evaluated when planning holistic care to patients with MS.
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- 2021
12. Effects of a structured dance program in Parkinson's disease. A Greek pilot study
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Elpidoforou, M. Bakalidou, D. Drakopoulou, M. Kavga, A. Chrysovitsanou, C. Stefanis, L.
- Abstract
Introduction: Dance for Parkinson's Disease® (DfPD®) is a structured dance program that has never been evaluated in Greek PD population. This study assesses for the first time the efficacy, safety and feasibility of DfPD® program in Greek PD patients. Material and methods: A total of 16 early-to-mid-stage PD patients (50% men, aged 56 ± 12) underwent a total of 16 60-min classes of adjusted to Greek music and dance culture DfPD®, twice weekly, over 8 weeks. Assessments were performed at baseline and at the end of the study period and included quality of life (PDQ-8), depressive symptoms (BDI-II), fatigue (PFS-16), cognitive functions (MoCA), balance (BBS) and body mass index (BMI). Safety (possible falls, injuries, muscle soreness or excessive fatigue) and feasibility (technical and financial parameters, willingness for participation and continuation, recruitment rates) were also assessed. Results: Statistically significant improvements were found in quality of life (29 ± 47%, p = 0,020), depressive symptoms (26 ± 52%, p = 0,046), fatigue (13 ± 20%, p = 0,021), cognitive functions (17 ± 23%, p = 0,010), balance (5 ± 4%, p = 0,003) and BMI (2 ± 2%, p = 0,010). No adverse events, high adherence (93,75%) and low attrition (12,5%) rates were reported. Conclusion: A twice weekly 60-min DfPD® class for 8 weeks is a safe and feasible non-pharmacological complementary therapeutic intervention for Greek PD patients and may improve their quality of life, depressive symptoms, fatigue, cognitive functions, balance, and BMI. Further research on this intervention is warranted. © 2021
- Published
- 2022
13. Factors associated with perceived social support of patients with multiple sclerosis
- Author
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Papa, Aikaterini, primary, Koutelekos, Ioannis, additional, Stefanidou, Spyridoula, additional, Chrysovitsanou, Chrysa, additional, and Polikandrioti, Maria, additional
- Published
- 2021
- Full Text
- View/download PDF
14. Medical cannabis as an alternative therapeutics for Parkinsons’ disease: Systematic review
- Author
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Bougea, A. Koros, C. Simitsi, A.-M. Chrysovitsanou, C. Leonardos, A. Stefanis, L.
- Abstract
Objectives: 1) to evaluate the efficacy of medical cannabinoids (MC) by appraising the quality of evidence from clinical studies 2) to explore the factors hampering the MC use in clinical practice of Parkinson's disease (PD). Methods: We performed a systematic review through various databases. The quality of 14 studies was assessed by Cochrane risk bias (5 randomized controlled trials- RCT) and Newcastle-Ottawa scale (9 uncontrolled studies). Results: The positive effects on motor (5 studies) and non-motor symptoms (4 studies) described in uncontrolled studies have not been confirmed by the few and small RCTs. Only one RCT found a reduction of levodopa-induced dyskinesias, another a reduction in anxiety and tremor amplitude in an anxiogenic situation, while the remaining three without effect on motor/non-motor symptoms. Physical and psychological symptoms are among the most common side effects. Conclusions: There is insufficient evidence to reform international legislation regarding cannabis use in PD practice. © 2020 Elsevier Ltd
- Published
- 2020
15. Effects of a structured dance program in Parkinson’s disease. A Greek pilot study
- Author
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Michail Elpidoforou, Daphne Bakalidou, Maria Drakopoulou, Anna Kavga, Chrysa Chrysovitsanou, and Leonidas Stefanis
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Adult ,Male ,Greece ,Complementary and alternative medicine ,Dance Therapy ,Quality of Life ,Humans ,Female ,Parkinson Disease ,Pilot Projects ,Middle Aged ,Aged - Abstract
Dance for Parkinson's Disease® (DfPD®) is a structured dance program that has never been evaluated in Greek PD population. This study assesses for the first time the efficacy, safety and feasibility of DfPD® program in Greek PD patients.A total of 16 early-to-mid-stage PD patients (50% men, aged 56 ± 12) underwent a total of 16 60-min classes of adjusted to Greek music and dance culture DfPD®, twice weekly, over 8 weeks. Assessments were performed at baseline and at the end of the study period and included quality of life (PDQ-8), depressive symptoms (BDI-II), fatigue (PFS-16), cognitive functions (MoCA), balance (BBS) and body mass index (BMI). Safety (possible falls, injuries, muscle soreness or excessive fatigue) and feasibility (technical and financial parameters, willingness for participation and continuation, recruitment rates) were also assessed.Statistically significant improvements were found in quality of life (29 ± 47%, p = 0,020), depressive symptoms (26 ± 52%, p = 0,046), fatigue (13 ± 20%, p = 0,021), cognitive functions (17 ± 23%, p = 0,010), balance (5 ± 4%, p = 0,003) and BMI (2 ± 2%, p = 0,010). No adverse events, high adherence (93,75%) and low attrition (12,5%) rates were reported.A twice weekly 60-min DfPD® class for 8 weeks is a safe and feasible non-pharmacological complementary therapeutic intervention for Greek PD patients and may improve their quality of life, depressive symptoms, fatigue, cognitive functions, balance, and BMI. Further research on this intervention is warranted.
- Published
- 2022
16. A case of Alemtuzumab-induced neutropenia in multiple sclerosis in association with the expansion of large granular lymphocytes
- Author
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Maria Anagnostouli, Serena Valsami, Leonidas Stefanis, Elissavet Andreadou, C. Kilidireas, Dimitrios Tzanetakos, John Tzartos, A. Dimitrakopoulos, E. Grigoriou, Aigli G Vakrakou, K. Psarra, Chrysa Chrysovitsanou, Elias Gialafos, M. E. Evangelopoulos, and Georgios Koutsis
- Subjects
Adult ,medicine.medical_specialty ,Neutropenia ,CD52 ,Case Report ,Antibodies, Monoclonal, Humanized ,Gastroenterology ,lcsh:RC346-429 ,Multiple sclerosis ,03 medical and health sciences ,Large granular cells ,Multiple Sclerosis, Relapsing-Remitting ,0302 clinical medicine ,Natalizumab ,Internal medicine ,medicine ,Humans ,Immunologic Factors ,Lymphocytes ,Glatiramer acetate ,Alemtuzumab ,lcsh:Neurology. Diseases of the nervous system ,medicine.diagnostic_test ,business.industry ,Complete blood count ,General Medicine ,medicine.disease ,030220 oncology & carcinogenesis ,Prednisolone ,Female ,Neurology (clinical) ,business ,030217 neurology & neurosurgery ,medicine.drug - Abstract
Background Alemtuzumab has been demonstrated to reduce the risks of relapse and accumulation of sustained disability in Multiple Sclerosis (MS) patients compared to β-interferon. It acts against CD52, leading primarily to lymphopenia. Recent data have shown that mild neutropenia is observed in 16% of treated MS-patients whereas severe neutropenia occurred in 0.6%. Case presentation Herein, we present the case of a 34-year-old woman with relapsing-remitting MS, with a history of treatment with glatiramer acetate and natalizumab, who subsequently received Alemtuzumab (12 mg / 24 h × 5 days). 70-days after the last Alemtuzumab administration, the patient displayed neutropenia (500 neutrophils/μL) with virtual absence of B-cells (0.6% of total lymphocytes), low values of CD4-T-cells (6.6%) and predominance of CD8-T-cells (48%) and NK-cells (47%); while large granular lymphocytes (LGL) predominated in the blood-smear examination. Due to prolonged neutropenia (5-days) the patient was placed on low-dose corticosteroids leading to sustained remission. Conclusion This is the first case of a patient with relapsing-remitting MS with neutropenia two months post-Alemtuzumab, with simultaneous presence of LGL cells in the blood and a robust therapeutic response to prednisolone. We recommend testing with a complete blood count every 15 days in the first 3 months after the 1st Alemtuzumab administration and searching for large granular lymphocytes cell expansion on microscopic examination of the peripheral blood if neutropenia develops. Electronic supplementary material The online version of this article (10.1186/s12883-018-1183-4) contains supplementary material, which is available to authorized users.
- Published
- 2018
17. Medical cannabis as an alternative therapeutics for Parkinsons' disease: Systematic review
- Author
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Chrysa Chrysovitsanou, Leonidas Stefanis, Athina-Maria Simitsi, Anastasia Bougea, Christos Koros, and Athanasios Leonardos
- Subjects
medicine.medical_specialty ,Disease ,Medical Marijuana ,Anxiety ,Motor symptoms ,law.invention ,03 medical and health sciences ,0302 clinical medicine ,Randomized controlled trial ,law ,medicine ,Humans ,030212 general & internal medicine ,Intensive care medicine ,Tremor amplitude ,Randomized Controlled Trials as Topic ,business.industry ,Parkinson Disease ,Cannabis use ,Quality of evidence ,Complementary and alternative medicine ,Medical cannabis ,medicine.symptom ,business ,030217 neurology & neurosurgery - Abstract
Objectives 1) to evaluate the efficacy of medical cannabinoids (MC) by appraising the quality of evidence from clinical studies 2) to explore the factors hampering the MC use in clinical practice of Parkinson's disease (PD). Methods We performed a systematic review through various databases. The quality of 14 studies was assessed by Cochrane risk bias (5 randomized controlled trials- RCT) and Newcastle-Ottawa scale (9 uncontrolled studies). Results The positive effects on motor (5 studies) and non-motor symptoms (4 studies) described in uncontrolled studies have not been confirmed by the few and small RCTs. Only one RCT found a reduction of levodopa-induced dyskinesias, another a reduction in anxiety and tremor amplitude in an anxiogenic situation, while the remaining three without effect on motor/non-motor symptoms. Physical and psychological symptoms are among the most common side effects. Conclusions There is insufficient evidence to reform international legislation regarding cannabis use in PD practice.
- Published
- 2019
18. FROM REPULSION TO FASCINATION TO ‘CYCLADOMANIA’
- Author
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Vasiliki Chrysovitsanou
- Subjects
media_common.quotation_subject ,Art history ,Art ,Relation (history of concept) ,media_common ,History of art - Published
- 2019
19. Nurses’ knowledge about perioperative care of patients with neurological diseases
- Author
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Laopoulou, E. Papagiorgis, P. Chrysovitsanou, C. Tsiou, C. Plakas, S. Fouka, G.
- Abstract
This study investigated the level of nurses’ knowledge regarding the perioperative care of neurological patients. An author-developed questionnaire of 20 items was used in a sample of 94 hospital nurses serving in the neurology, surgery and anesthesiology departments and the intensive care unit. The average percentage of participants with correct answers was 49.2%. The mean value of participants' score was 9.8 ±3.4. Preexisting experience in the care of cases with multiple sclerosis and Parkinson’s disease was positively related to the level of knowledge (p = 0.001 and 0.014 respectively). The ascertained level of nurses' knowledge regarding the perioperative care of neurological patients was moderate, questioning their adequacy to handle such cases. Previous experience in the care of particular diseases had significantly positive impact on knowledge, suggesting potential improvement strategies through targeted education and specialization of nurses. In conclusion, nurse's knowledge regarding perioperative care of neurological patients was insufficient, requiring appropriate improvement interventions. © The Author(s) 2018.
- Published
- 2019
20. Nurses' knowledge about perioperative care of patients with neurological diseases
- Author
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Petros Papagiorgis, Chrysoula Tsiou, Sotirios Plakas, Evagelia Laopoulou, Chrysa Chrysovitsanou, and Georgia Fouka
- Subjects
Adult ,Male ,medicine.medical_specialty ,Multiple Sclerosis ,Nurses knowledge ,Sample (statistics) ,Nurse's Role ,Perioperative Care ,03 medical and health sciences ,Nursing care ,Young Adult ,0302 clinical medicine ,030202 anesthesiology ,Surveys and Questionnaires ,Medicine ,Humans ,030212 general & internal medicine ,business.industry ,Reproducibility of Results ,Parkinson Disease ,General Medicine ,United Kingdom ,Family medicine ,Perioperative care ,Female ,Clinical Competence ,Nervous System Diseases ,business - Abstract
This study investigated the level of nurses’ knowledge regarding the perioperative care of neurological patients. An author-developed questionnaire of 20 items was used in a sample of 94 hospital nurses serving in the neurology, surgery and anesthesiology departments and the intensive care unit. The average percentage of participants with correct answers was 49.2%. The mean value of participants' score was 9.8 ±3.4. Preexisting experience in the care of cases with multiple sclerosis and Parkinson’s disease was positively related to the level of knowledge (p = 0.001 and 0.014 respectively). The ascertained level of nurses' knowledge regarding the perioperative care of neurological patients was moderate, questioning their adequacy to handle such cases. Previous experience in the care of particular diseases had significantly positive impact on knowledge, suggesting potential improvement strategies through targeted education and specialization of nurses. In conclusion, nurse's knowledge regarding perioperative care of neurological patients was insufficient, requiring appropriate improvement interventions.
- Published
- 2018
21. Additional file 1: of A case of Alemtuzumab-induced neutropenia in multiple sclerosis in association with the expansion of large granular lymphocytes
- Author
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A. Vakrakou, D. Tzanetakos, S. Valsami, E. Grigoriou, K. Psarra, J. Tzartos, M. Anagnostouli, E. Andreadou, M. Evangelopoulos, G. Koutsis, C. Chrysovitsanou, E. Gialafos, A. Dimitrakopoulos, L. Stefanis, and C. Kilidireas
- Subjects
hemic and lymphatic diseases - Abstract
Table S1. Table describing the hematological and serological profile of our patient with Alemtuzumab-induced neutropenia. Whole blood analysis, immunophenotypic analysis and serological analysis of parameters before, at the onset of neutropenia, throughout its duration and after neutropenia resolution. (DOCX 17 kb)
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- 2018
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22. A case of Alemtuzumab-induced neutropenia in multiple sclerosis in association with the expansion of large granular lymphocytes
- Author
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Vakrakou, A.G. Tzanetakos, D. Valsami, S. Grigoriou, E. Psarra, K. Tzartos, J. Anagnostouli, M. Andreadou, E. Evangelopoulos, M.E. Koutsis, G. Chrysovitsanou, C. Gialafos, E. Dimitrakopoulos, A. Stefanis, L. Kilidireas, C.
- Abstract
Background: Alemtuzumab has been demonstrated to reduce the risks of relapse and accumulation of sustained disability in Multiple Sclerosis (MS) patients compared to β-interferon. It acts against CD52, leading primarily to lymphopenia. Recent data have shown that mild neutropenia is observed in 16% of treated MS-patients whereas severe neutropenia occurred in 0.6%. Case presentation: Herein, we present the case of a 34-year-old woman with relapsing-remitting MS, with a history of treatment with glatiramer acetate and natalizumab, who subsequently received Alemtuzumab (12 mg / 24 h × 5 days). 70-days after the last Alemtuzumab administration, the patient displayed neutropenia (500 neutrophils/μL) with virtual absence of B-cells (0.6% of total lymphocytes), low values of CD4-T-cells (6.6%) and predominance of CD8-T-cells (48%) and NK-cells (47%); while large granular lymphocytes (LGL) predominated in the blood-smear examination. Due to prolonged neutropenia (5-days) the patient was placed on low-dose corticosteroids leading to sustained remission. Conclusion: This is the first case of a patient with relapsing-remitting MS with neutropenia two months post-Alemtuzumab, with simultaneous presence of LGL cells in the blood and a robust therapeutic response to prednisolone. We recommend testing with a complete blood count every 15 days in the first 3 months after the 1st Alemtuzumab administration and searching for large granular lymphocytes cell expansion on microscopic examination of the peripheral blood if neutropenia develops. © 2018 The Author(s).
- Published
- 2018
23. Additional file 2: of A case of Alemtuzumab-induced neutropenia in multiple sclerosis in association with the expansion of large granular lymphocytes
- Author
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A. Vakrakou, D. Tzanetakos, S. Valsami, E. Grigoriou, K. Psarra, J. Tzartos, M. Anagnostouli, E. Andreadou, M. Evangelopoulos, G. Koutsis, C. Chrysovitsanou, E. Gialafos, A. Dimitrakopoulos, L. Stefanis, and C. Kilidireas
- Abstract
Figure S1. Brain MRI scanning for our patient before and after Alemtuzumab initiation. Brain MRI scanning revealed decline in lesion size and signal intensity 6-months after alemtuzumab initiation compared to baseline (2Â months prior to alemtuzumab initiation). (DOCX 9019 kb)
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- 2018
- Full Text
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24. Nurses’ knowledge about perioperative care of patients with neurological diseases
- Author
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Laopoulou, Evagelia, primary, Papagiorgis, Petros, additional, Chrysovitsanou, Chrysa, additional, Tsiou, Chrysoula, additional, Plakas, Sotirios, additional, and Fouka, Georgia, additional
- Published
- 2018
- Full Text
- View/download PDF
25. Predicting caregiving status and caregivers' burden in multiple sclerosis. A short report
- Author
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Markos Zacharis, Maria Anagnostouli, Chrysa Chrysovitsanou, Paraskevi Argyrou, Serafeim Katsavos, Ilia Theotoka, and Artemios Artemiadis
- Subjects
Gerontology ,Adult ,Male ,medicine.medical_specialty ,Multiple Sclerosis ,Disease duration ,03 medical and health sciences ,Disability Evaluation ,0302 clinical medicine ,Predictive Value of Tests ,Internal medicine ,Surveys and Questionnaires ,medicine ,Humans ,030212 general & internal medicine ,Expanded Disability Status Scale ,Multiple sclerosis ,Mean age ,General Medicine ,Middle Aged ,medicine.disease ,Cross-Sectional Studies ,Neurology ,Caregivers ,ROC Curve ,Female ,Neurology (clinical) ,Psychology ,030217 neurology & neurosurgery - Abstract
Predicting caregiving status (CS) in multiple sclerosis (MS) is of both clinical and health policy-making value. The aim of this cross-sectional study was to assess the clinical predictors of CS, along with factors related to caregivers' stress.A sample of 342 clinically definite MS patients (67.5% females, 67.8% relapsing MS, mean age 43.1 ± 11.4 year-old, mean disease duration 147 ± 105.4 months, median Expanded Disability Status Scale -EDSS-3.0) was screened for CS. The Multiple Sclerosis Quality of Life-54 and Zarit Burden Interview were used to measure quality of patients' life and the their caregivers' burden, respectively.In total, 57.9% of patients reported at least one caregiver, 97% of which were relatives or friends. Higher EDSS was associated with higher chance of reporting a caregiver. Two EDSS cut-offs were recognized; 2.0 and 4.5, the former with increased sensitivity (78.8%) and the latter with increased specificity (82.3%) to predict CS. Patients in the mild disability group (EDSS: 0-1.5) needing a caregiver had higher subjective cognitive function, implying presumably a beneficial role of care in cognition. Age and education were showed to affect CS in the moderate disability group (EDSS: 2.0-4.5). Physical and mental disability was more pronounced in patients reporting at least one caregiver in the high disability group (EDSS above 4.5). Caregivers' stress was significantly positively correlated with age, EDSS, and duration of the disease and negatively with cognitive, physical, and mental health.In conclusion, the clinical predictors of CS are known to serve well both the researchers and the clinicians.
- Published
- 2016
26. L'ordinaire des sciences et techniques. Cultures populaires, cultures informelles (2)
- Author
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Michel LETTE, Auxane Buresi, Anne Lagune, Régis Soret, Célia Vautier, Amélie Huynh-Lemaux, Robert Nardone, Maïté Carrive-Bedouani, Estelle Léonard, Claire Sanchez, Mathieu Lefrançois, Prisca Gnaedig, Nathalie Rudloff, Quentin Hoffer, Dominique Menard, Charlène Lavoir, Nadia Bastide, Clémence Collet, Fanny Giraudeau, Nicolas Loquet, Nadia Guerguadj, Yann-Gaël Secher, Franciane Begarin, Artemis Chrysovitsanou, Fabienne Velter, Jara Blanco Aguilar, Valérie Haxaire-Grégoire, Sabien Guiraud, Gabriel Boudard, Corinne Burlaud, Chloé Choquet, Loic Petitgirard, Jérôme Gazeau, Histoire des technosciences en société (HT2S), Conservatoire National des Arts et Métiers [CNAM] (CNAM), Biologie des Organismes et Ecosystèmes Aquatiques (BOREA), Université de Caen Normandie (UNICAEN), Normandie Université (NU)-Normandie Université (NU)-Muséum national d'Histoire naturelle (MNHN)-Institut de Recherche pour le Développement (IRD)-Sorbonne Université (SU)-Centre National de la Recherche Scientifique (CNRS)-Université des Antilles (UA), ToxAlim (ToxAlim), Université Toulouse III - Paul Sabatier (UT3), Université Fédérale Toulouse Midi-Pyrénées-Université Fédérale Toulouse Midi-Pyrénées-Institut National Polytechnique (Toulouse) (Toulouse INP), Université Fédérale Toulouse Midi-Pyrénées-Ecole Nationale Vétérinaire de Toulouse (ENVT), Institut National Polytechnique (Toulouse) (Toulouse INP), Université Fédérale Toulouse Midi-Pyrénées-Université Fédérale Toulouse Midi-Pyrénées-Ecole d'Ingénieurs de Purpan (INPT - EI Purpan), Université Fédérale Toulouse Midi-Pyrénées-Université Fédérale Toulouse Midi-Pyrénées-Institut National de la Recherche Agronomique (INRA), Centre d'enseignement Cnam Paris (CNAM Paris), Michel Letté, Lette, Michel, HESAM Université - Communauté d'universités et d'établissements Hautes écoles Sorbonne Arts et métiers université (HESAM)-HESAM Université - Communauté d'universités et d'établissements Hautes écoles Sorbonne Arts et métiers université (HESAM), Institut National de la Recherche Agronomique (INRA)-Université Toulouse III - Paul Sabatier (UT3), Université de Toulouse (UT)-Université de Toulouse (UT)-Ecole Nationale Vétérinaire de Toulouse (ENVT), Université de Toulouse (UT)-Université de Toulouse (UT)-Institut National Polytechnique (Toulouse) (Toulouse INP), Université de Toulouse (UT)-Ecole d'Ingénieurs de Purpan (INPT - EI Purpan), Université de Toulouse (UT)-Université de Toulouse (UT), HESAM Université (HESAM)-HESAM Université (HESAM), Centre National de la Recherche Scientifique (CNRS)-Université des Antilles (UA)-Muséum national d'Histoire naturelle (MNHN)-Institut de Recherche pour le Développement (IRD)-Sorbonne Université (SU)-Université de Caen Normandie (UNICAEN), Normandie Université (NU)-Normandie Université (NU), Université Fédérale Toulouse Midi-Pyrénées-Université Fédérale Toulouse Midi-Pyrénées-Ecole Nationale Vétérinaire de Toulouse (ENVT), Université Fédérale Toulouse Midi-Pyrénées-Ecole d'Ingénieurs de Purpan (INPT - EI Purpan), and Université Fédérale Toulouse Midi-Pyrénées-Université Fédérale Toulouse Midi-Pyrénées
- Subjects
[SHS.HISPHILSO]Humanities and Social Sciences/History, Philosophy and Sociology of Sciences ,[SHS.SOCIO]Humanities and Social Sciences/Sociology ,[SHS.HISPHILSO] Humanities and Social Sciences/History, Philosophy and Sociology of Sciences ,[SHS.MUSEO] Humanities and Social Sciences/Cultural heritage and museology ,[SHS.SOCIO] Humanities and Social Sciences/Sociology ,[SHS.HIST] Humanities and Social Sciences/History ,[SHS.INFO]Humanities and Social Sciences/Library and information sciences ,[SHS.EDU]Humanities and Social Sciences/Education ,[SHS.EDU] Humanities and Social Sciences/Education ,[SHS.HIST]Humanities and Social Sciences/History ,[SHS.MUSEO]Humanities and Social Sciences/Cultural heritage and museology ,[SHS.INFO] Humanities and Social Sciences/Library and information sciences - Abstract
International audience; La présente édition de la Lucarne matérialise la poursuite d’un travail engagé depuis 2013. Comme pour la précédente livraison, il a été réalisé dans le cadre d’un atelier collaboratif d’histoire socioculturelle. L’atelier lui-même est animé par un collectif formé des enseignant∙e∙s et auditeur∙rice∙s des formations du CNAM dédiées à la médiation socioculturelle des sciences et techniques. Certificat de compétences, Licence professionnelle ou Magister s’attèlent ainsi à la réflexion, à la conception et à la réalisation de dispositifs pour la médiation des sciences et techniques en société par le design culturel. C’est dans ce cadre de réalisation pédagogique que sont rassemblés ces textes et documents pour lesquels sont proposés de courtes analyses sur leur fonction de support de diffusion massive dans l’espace public d’une culture populaire et ordinaire des sciences et techniques. Tous ont été rédigés dans le cadre d’un exercice exigé pour la validation d’un enseignement. Si le résultat final peut s’avérer inégalement satisfaisant à l’aune des critères de leurs commanditaires, tous les textes apportent cependant un regard jugé pertinent sur un des aspects des manifestations des sciences et techniques dans leurs rapports à la société au travers de la production et de la consommation culturelle de masse. Quelques-uns ont été un peu remaniés pour la présente édition. Retrouvez-les tous, ainsi que d’autres non publiés dans ce volume, sur le site de la Lucarne : http://ateliercst.hypotheses.org/
- Published
- 2016
27. Nurses' knowledge about perioperative care of patients with neurological diseases.
- Author
-
Laopoulou, Evagelia, Papagiorgis, Petros, Chrysovitsanou, Chrysa, Tsiou, Chrysoula, Plakas, Sotirios, and Fouka, Georgia
- Published
- 2019
- Full Text
- View/download PDF
28. Predicting caregiving status and caregivers’ burden in multiple sclerosis. A short report
- Author
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Katsavos, Serafeim, primary, Artemiadis, Artemios K., additional, Zacharis, Markos, additional, Argyrou, Paraskevi, additional, Theotoka, Ilia, additional, Chrysovitsanou, Chrysa, additional, and Anagnostouli, Maria, additional
- Published
- 2016
- Full Text
- View/download PDF
29. The evolving role of the multiple sclerosis nurse - implications of future management directions: Proceedings of an International Symposium held at the Intercontinental Hotel, Athens, Greece, 22-24 September 2011
- Author
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Chrysovitsanou, C. Thomas, D. Duddy, M.
- Abstract
The role of the multiple sclerosis (MS) nurse is constantly evolving, owing to the introduction of new MS therapies and new patient treatment and support strategies. The second MS nurse symposium, 'The Evolving Role of the MS Nurse: Implications of Future Management Directions' took place in Athens between 22-24 September 2011 and was attended by approximately 300 participants from 30 countries. Presentations at the symposium outlined the mechanisms of action and clinical evidence for novel therapies for MS treatment. The importance of making clinical trial data available and understandable to people with MS was addressed, followed by a summary of the latest data on established MS therapies and an update on autoinjectors and their role in improving adherence. Novel patient support strategies were outlined followed by presentations by MS nurses from different countries who discussed their roles and their opportunities to evolve against a background of very different healthcare systems. Group discussions of typical MS case examples emphasised the need for good communications and relationships between patients and MS nurses. The final session focused on communication skills, highlighting 'tips' for engaging with people with MS and examining the challenges that different patient expectations and communication media can bring. © TOUCHBRIEFINGS 2012.
- Published
- 2012
30. The onset of multiple sclerosis in Greece: A single-center study of 1,034 consecutive patients
- Author
-
Koutsis, G. Evangelopoulos, M.E. Andreadou, E. Mandellos, D. Karachalios, G. Potagas, C. Karantoni, E. Karouli, M. Chrysovitsanou, C. Vassilopoulos, D. Sfagos, C.
- Abstract
Background/Aims: The onset of multiple sclerosis (MS) in Greece has not been systematically studied. We sought to provide data on the onset of MS in Greece with detailed information regarding initial symptoms, and to confirm the prognostic significance of demographic and clinical factors at onset. Methods: We studied 1,034 consecutive patients with MS and independently assessed 265 patients 'seen at onset'. We used the MS severity score and survival analysis (time to reach an Expanded Disability Status Scale score of 4.0) to evaluate the prognostic significance of factors at onset. Results: Female-to-male ratio was 1.9:1 and mean age at onset was 30.7 ± 9.9 years. MS was primary progressive in 9.6%. Initial symptoms were optic neuritis in 20.1%, brainstem dysfunction in 14.7%, dysfunction of long tracts in 49.3%, cerebral dysfunction in 1% and a combination of symptoms in 14.9%. In 'seen at onset' patients, detailed data on initial symptoms are presented. Female gender, earlier age at onset, 'bout onset' and onset with optic neuritis were associated with less severe disease and longer time to disability. Conclusion: The onset of MS in Greece is similar to Western populations. Initial symptoms are within the expected spectrum. Prognostic significance of factors at onset is as previously identified. Copyright © 2010 S. Karger AG.
- Published
- 2010
31. The onset of multiple sclerosis in Greece: a single-center study of 1,034 consecutive patients
- Author
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M. E. Evangelopoulos, Dimitris Mandellos, G Karachalios, Constantin Potagas, Constantinos Sfagos, M Karouli, Chrysa Chrysovitsanou, Georgios Koutsis, E Karantoni, Elisabeth Andreadou, and Dimitris Vassilopoulos
- Subjects
Adult ,Male ,Pediatrics ,medicine.medical_specialty ,Multiple Sclerosis ,Kaplan-Meier Estimate ,Severity of Illness Index ,Statistics, Nonparametric ,Young Adult ,Severity of illness ,medicine ,Humans ,Optic neuritis ,Young adult ,Age of Onset ,Survival analysis ,Retrospective Studies ,Expanded Disability Status Scale ,Greece ,business.industry ,Multiple sclerosis ,Retrospective cohort study ,medicine.disease ,Surgery ,Neurology ,Female ,Neurology (clinical) ,Age of onset ,business - Abstract
Background/Aims: The onset of multiple sclerosis (MS) in Greece has not been systematically studied. We sought to provide data on the onset of MS in Greece with detailed information regarding initial symptoms, and to confirm the prognostic significance of demographic and clinical factors at onset. Methods: We studied 1,034 consecutive patients with MS and independently assessed 265 patients ‘seen at onset’. We used the MS severity score and survival analysis (time to reach an Expanded Disability Status Scale score of 4.0) to evaluate the prognostic significance of factors at onset. Results: Female-to-male ratio was 1.9:1 and mean age at onset was 30.7 ± 9.9 years. MS was primary progressive in 9.6%. Initial symptoms were optic neuritis in 20.1%, brainstem dysfunction in 14.7%, dysfunction of long tracts in 49.3%, cerebral dysfunction in 1% and a combination of symptoms in 14.9%. In ‘seen at onset’ patients, detailed data on initial symptoms are presented. Female gender, earlier age at onset, ‘bout onset’ and onset with optic neuritis were associated with less severe disease and longer time to disability. Conclusion: The onset of MS in Greece is similar to Western populations. Initial symptoms are within the expected spectrum. Prognostic significance of factors at onset is as previously identified.
- Published
- 2009
32. Assessing the Impact of Stress on a Series of Greek Patients with Multiple Sclerosis (MS).
- Author
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Chrysovitsanou, C., Ghika, A., Voumvourakis, K., Tzenalis, A., Kilidireas, C., Minasidou, E., and Stamboulis, E.
- Subjects
MENTAL health ,PSYCHOLOGICAL adaptation ,AGE distribution ,MENTAL depression ,MAGNETIC resonance imaging ,MULTIPLE sclerosis ,SCIENTIFIC observation ,PSYCHOLOGICAL tests ,SEX distribution ,PSYCHOLOGICAL stress ,CROSS-sectional method - Abstract
Copyright of Interscientific Health Care is the property of University of Thessaly, Medical School / Technological Education Institute, Nursing Department and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2016
33. The Evolving Role of the Multiple Sclerosis Nurse - Implications of Future Management Directions
- Author
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Martin Duddy, Del Thomas, and Chrysa Chrysovitsanou
- Subjects
Neurology ,Nursing ,business.industry ,Multiple sclerosis ,Medicine ,Neurology (clinical) ,business ,medicine.disease - Abstract
The role of the multiple sclerosis (MS) nurse is constantly evolving, owing to the introduction of new MS therapies and new patient treatment and support strategies. The second MS nurse symposium, ‘The Evolving Role of the MS Nurse: Implications of Future Management Directions’ took place in Athens between 22–24 September 2011 and was attended by approximately 300 participants from 30 countries. Presentations at the symposium outlined the mechanisms of action and clinical evidence for novel therapies for MS treatment. The importance of making clinical trial data available and understandable to people with MS was addressed, followed by a summary of the latest data on established MS therapies and an update on autoinjectors and their role in improving adherence. Novel patient support strategies were outlined followed by presentations by MS nurses from different countries who discussed their roles and their opportunities to evolve against a background of very different healthcare systems. Group discussions of typical MS case examples emphasised the need for good communications and relationships between patients and MS nurses. The final session focused on communication skills, highlighting ‘tips’ for engaging with people with MS and examining the challenges that different patient expectations and communication media can bring.
- Published
- 2012
34. The Onset of Multiple Sclerosis in Greece: A Single-Center Study of 1,034 Consecutive Patients
- Author
-
Koutsis, G., primary, Evangelopoulos, M.E., additional, Andreadou, E., additional, Mandellos, D., additional, Karachalios, G., additional, Potagas, C., additional, Karantoni, E., additional, Karouli, M., additional, Chrysovitsanou, C., additional, Vassilopoulos, D., additional, and Sfagos, C., additional
- Published
- 2010
- Full Text
- View/download PDF
35. Book Review / Erratum
- Author
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Joon-Tae Kim, C. Chrysovitsanou, M.E. Evangelopoulos, Oskar Hansson, Hani T.S. Benamer, Blanca Fuentes, Kang-Ho Choi, M. Karouli, Elisabet Londos, Yuki Sakamoto, Yasuyuki Iguchi, Alfonso Tafur, E. Karantoni, Myeong-Kyu Kim, Kristian Tullhög, Joerg Kleeberg, Antonio Carolei, Josmarlin Medina, Eelco F. M. Wijdicks, Rajith de Silva, C. Sfagos, Lennart Minthon, Byeong-Chae Kim, Luis Idrovo, Salma H. Khaleel, Seung-Han Lee, Geum-Jin Yoon, Lobna M. El-Nabil, Marta Martínez, Simona Sacco, D. Mandellos, Luis Rodríguez, Ki-Hyun Cho, Kazuto Kobayashi, Iman M. Bayoumy, María José Aguilar-Amat, María José Abenza, Philippe Maeder, D. Vassilopoulos, Man-Seok Park, Junya Aoki, Henrik Zetterberg, Kensaku Shibazaki, Ramez Reda Moustafa, Rubén Cazorla, Exuperio Díez-Tejedor, Masao Watanabe, G. Koutsis, Seong-Min Choi, G. Karachalios, Tai-Seung Nam, E. Andreadou, Kaj Blennow, Patricia Martínez-Sánchez, Gerardo Ruiz-Ares, Malin Maeder-Ingvar, C. Potagas, Christian Saleh, Kazumi Kimura, and Laura Gabaldón
- Subjects
Cognitive science ,Neurology ,business.industry ,Medicine ,Neurology (clinical) ,business ,Neuroscience - Published
- 2010
36. Predicting caregiving status and caregivers’ burden in multiple sclerosis. A short report.
- Author
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Katsavos, Serafeim, Artemiadis, Artemios K., Zacharis, Markos, Argyrou, Paraskevi, Theotoka, Ilia, Chrysovitsanou, Chrysa, and Anagnostouli, Maria
- Abstract
Objectives: Predicting caregiving status (CS) in multiple sclerosis (MS) is of both clinical and health policy-making value. The aim of this cross-sectional study was to assess the clinical predictors of CS, along with factors related to caregivers' stress. Methods: A sample of 342 clinically definite MS patients (67.5% females, 67.8% relapsing MS, mean age 43.1 ± 11.4 year-old, mean disease duration 147 ± 105.4 months, median Expanded Disability Status Scale -EDSS-3.0) was screened for CS. The Multiple Sclerosis Quality of Life-54 and Zarit Burden Interview were used to measure quality of patients' life and the their caregivers' burden, respectively. Results: In total, 57.9% of patients reported at least one caregiver, 97% of which were relatives or friends. Higher EDSS was associated with higher chance of reporting a caregiver. Two EDSS cut-offs were recognized; 2.0 and 4.5, the former with increased sensitivity (78.8%) and the latter with increased specificity (82.3%) to predict CS. Patients in the mild disability group (EDSS: 0–1.5) needing a caregiver had higher subjective cognitive function, implying presumably a beneficial role of care in cognition. Age and education were showed to affect CS in the moderate disability group (EDSS: 2.0–4.5). Physical and mental disability was more pronounced in patients reporting at least one caregiver in the high disability group (EDSS above 4.5). Caregivers' stress was significantly positively correlated with age, EDSS, and duration of the disease and negatively with cognitive, physical, and mental health. Discussion: In conclusion, the clinical predictors of CS are known to serve well both the researchers and the clinicians. [ABSTRACT FROM AUTHOR]
- Published
- 2017
- Full Text
- View/download PDF
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