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Plachouri KM, Florou V, Georgiou V, Georgiou S. Cutaneous Side Effects of Modern Targeted Therapy and Immunotherapy in Patients with Dermatological Malignancies. Cancers (Basel) 2023; 15:3126. [PMID: 37370736 DOI: 10.3390/cancers15123126] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2023] [Revised: 05/24/2023] [Accepted: 06/07/2023] [Indexed: 06/29/2023] Open
Abstract
The advent of immunotherapy and targeted therapies in treating dermatological malignancies has dramatically changed the landscape of dermato-oncology in recent years. Their superior efficacy compared to previous therapeutic options, such as chemotherapy, has resulted in their use in treating devastating malignancies, such as melanoma or unresectable/metastatic basal cell and squamous cell carcinoma. Skin toxicity is a critical safety consideration, among other adverse reactions, that can occur under treatment with these agents. This article aims to summarize the cutaneous side effects of immune checkpoint inhibitors and targeted dermato-oncological therapies. Although the skin side effects of these agents are primarily mild, they can occasionally affect the decision for treatment continuation and the quality of life of the affected patients. Therefore, physicians must be acquainted with the specific cutaneous toxicity profile of such treatments to mitigate their impact on the patients and optimize the overall outcome of dermato-oncological therapy.
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Affiliation(s)
- Kerasia-Maria Plachouri
- Dermatology Department, University General Hospital of Patras, University of Patras, 265 04 Rio, Greece
| | - Vaia Florou
- Division of Oncology, Department of Medicine, Huntsman Cancer Institute, University of Utah, Salt Lake City, UT 841112, USA
| | - Vasileios Georgiou
- School of Medicine, University General Hospital of Patras, University of Patras, 265 04 Rio, Greece
| | - Sophia Georgiou
- Dermatology Department, University General Hospital of Patras, University of Patras, 265 04 Rio, Greece
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Papatheodorou DP, Tasioudi KE, Korou LM, Georgiou V, Iliadou P, Markantonatos G, Kirtzalidou A, Tzani M, Chondrokouki E, Mangana-Vougiouka O. First four Oral Rabies Vaccination campaigns of the red foxes in Greece: Evaluating factors and assessment. Vet Microbiol 2018. [PMID: 29519504 DOI: 10.1016/j.vetmic.2018.01.015] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Following the last animal rabies outbreak in Greece in 2012, Oral Rabies Vaccination (ORV) campaigns of red foxes (Vulpes vulpes) were conducted in order to halt the spread of the disease, as widely and effectively have also been implemented in other countries. The present study aims to report the main outcomes following the first Greek ORV campaigns during autumn 2013, 2014, 2015 and spring 2016, to assess their effectiveness and to investigate factors potentially related to their success. Blood samples, mandible bones and teeth, derived by 452 foxes, were tested for rabies antibody titration, animal age determination and tetracycline (TTC) detection. The laboratory results obtained were statistically analyzed. High seroprevalence and TTC detection rates were obtained following the autumn campaigns studied, while these rates were significantly reduced following the spring campaign. The year or the season of the vaccination campaign, the estimated age group of the animal and the geographical Regional Unit (RU), where the animal was hunted, were identified as important factors. On the contrary, no significance could be ascertained for TTC detection based on exclusively previous uptake, use of filter paper, blood sample type and quality, as well as sex of animal. Based on the monitoring results achieved, the first ORV campaigns conducted in the country can be generally considered to be satisfactory. No positives cases were detected since May 2014. Seasonal, geographical parameters and factors related to fox ecology may interfere with monitoring results and should be always considered when planning future ORV programs.
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Affiliation(s)
- Dimos P Papatheodorou
- Virology Laboratory-National Reference Laboratory for Rabies in Animals, Department of Molecular Diagnostics, FMD, Virological, Rickettsial & Exotic Diseases, Directorate of Veterinary Center of Athens, Directorate General of Veterinary Services, Ministry of Rural Development and Food, Athens, Greece.
| | - Konstantia E Tasioudi
- Virology Laboratory-National Reference Laboratory for Rabies in Animals, Department of Molecular Diagnostics, FMD, Virological, Rickettsial & Exotic Diseases, Directorate of Veterinary Center of Athens, Directorate General of Veterinary Services, Ministry of Rural Development and Food, Athens, Greece
| | - Laskarina-Maria Korou
- Department of Zoonoses, Animal Health Directorate, Directorate General of Veterinary Services, Ministry of Rural Development and Food, Athens, Greece
| | | | - Peristera Iliadou
- Virology Laboratory-National Reference Laboratory for Rabies in Animals, Department of Molecular Diagnostics, FMD, Virological, Rickettsial & Exotic Diseases, Directorate of Veterinary Center of Athens, Directorate General of Veterinary Services, Ministry of Rural Development and Food, Athens, Greece
| | - Gerasimos Markantonatos
- Virology Laboratory-National Reference Laboratory for Rabies in Animals, Department of Molecular Diagnostics, FMD, Virological, Rickettsial & Exotic Diseases, Directorate of Veterinary Center of Athens, Directorate General of Veterinary Services, Ministry of Rural Development and Food, Athens, Greece
| | - Aikaterini Kirtzalidou
- Virology Laboratory-National Reference Laboratory for Rabies in Animals, Department of Molecular Diagnostics, FMD, Virological, Rickettsial & Exotic Diseases, Directorate of Veterinary Center of Athens, Directorate General of Veterinary Services, Ministry of Rural Development and Food, Athens, Greece
| | - Myrsini Tzani
- Department of Zoonoses, Animal Health Directorate, Directorate General of Veterinary Services, Ministry of Rural Development and Food, Athens, Greece
| | - Eleni Chondrokouki
- Virology Laboratory-National Reference Laboratory for Rabies in Animals, Department of Molecular Diagnostics, FMD, Virological, Rickettsial & Exotic Diseases, Directorate of Veterinary Center of Athens, Directorate General of Veterinary Services, Ministry of Rural Development and Food, Athens, Greece
| | - Olga Mangana-Vougiouka
- Virology Laboratory-National Reference Laboratory for Rabies in Animals, Department of Molecular Diagnostics, FMD, Virological, Rickettsial & Exotic Diseases, Directorate of Veterinary Center of Athens, Directorate General of Veterinary Services, Ministry of Rural Development and Food, Athens, Greece
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Papathanasopoulos P, Preka-Papadema P, Gkotsinas A, Dimisianos N, Hillaris A, Katsavrias C, Antonakopoulos G, Moussas X, Andreadou E, Georgiou V, Papachristou P, Kargiotis O. The possible effects of the solar and geomagnetic activity on multiple sclerosis. Clin Neurol Neurosurg 2016; 146:82-9. [PMID: 27161905 DOI: 10.1016/j.clineuro.2016.04.023] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2015] [Revised: 02/23/2016] [Accepted: 04/26/2016] [Indexed: 01/25/2023]
Abstract
OBJECTIVES Increasing observational evidence on the biological effects of Space Weather suggests that geomagnetic disturbances may be an environmental risk factor for multiple sclerosis (MS) relapses. In the present study, we aim to investigate the possible effect of geomagnetic disturbances on MS activity. PATIENTS AND METHODS MS patient admittance rates were correlated with the solar and geophysical data covering an eleven-year period (1996-2006, 23rd solar cycle). We also examined the relationship of patterns of the solar flares, the coronal mass ejections (CMEs) and the solar wind with the recorded MS admission numbers. RESULTS The rate of MS patient admittance due to acute relapses was found to be associated with the solar and geomagnetic events. There was a "primary" peak in MS admittance rates shortly after intense geomagnetic storms followed by a "secondary" peak 7-8 months later. CONCLUSION We conclude that the geomagnetic and solar activity may represent an environmental health risk factor for multiple sclerosis and we discuss the possible mechanisms underlying this association. More data from larger case series are needed to confirm these preliminary results and to explore the possible influence of Space Weather on the biological and radiological markers of the disease.
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Affiliation(s)
| | | | - Anastasios Gkotsinas
- Department of Astronomy, Astrophysics and Mechanics, University of Athens, Athens, Greece
| | | | - Alexandros Hillaris
- Department of Astronomy, Astrophysics and Mechanics, University of Athens, Athens, Greece
| | - Christos Katsavrias
- Department of Astronomy, Astrophysics and Mechanics, University of Athens, Athens, Greece
| | - Gregorios Antonakopoulos
- Department of Theoretical and Mathematical Physics, Astronomy and Astrophysics, University of Patras, Patra, Greece
| | - Xenophon Moussas
- Department of Astronomy, Astrophysics and Mechanics, University of Athens, Athens, Greece
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Papathanasiou A, Messinis L, Zampakis P, Panagiotakis G, Gourzis P, Georgiou V, Papathanasopoulos P. Thalamic atrophy predicts cognitive impairment in relapsing remitting multiple sclerosis. Effect on instrumental activities of daily living and employment status. J Neurol Sci 2015; 358:236-42. [DOI: 10.1016/j.jns.2015.09.001] [Citation(s) in RCA: 35] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2015] [Revised: 08/31/2015] [Accepted: 09/01/2015] [Indexed: 11/30/2022]
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Salmi LR, Barsanti S, Bourgueil Y, Daponte A, Piznal E, Ménival S, Ménival S, Piznal E, Salmi LR, Leleu H, Jusot F, Bourgueil Y, Saton MO, Piznal E, Kovacs Z, Novakovic A, Codina AD, Bolivar J, Mateo I, Pérez IR, Georgiou V, Janzyk V, Salfield N, Ismail Z, Giannoni M, D'Urzo E, Ferialla L, Barsanti S, Heijmans S, Pucci T, Di Loreto P, Cleanthous P, Salmi LR, Mouillet E, Barsanti S, Iacovina N, Nuti S, de Saint Pol E, Piznal E, Salfield N, Szabo Z, Kovacs Z, Novakovic A, Mratovic MC, Boban AD, Daponte A, Bolivar J, Mateo I, Pérez IR, Barnhoorn F, Berghmans L, Harlet J, Bourgueil Y, Bederski K, Theren G, Caleja N, Almeida M, Heijmans S, Marquez S, Carriazo A, Gonzalez-Seco I, Salmi LR, Hofmeister A, Cleanthous P, Daponte A, Bolivar J, Mateo I, Pérez IR, Solano MB, Marquez S, González-Seco I, de Saint Pol E, Piznal E, Godwin A, Mratovic MC, Mourtou E, Berghmans L, Bourgueil Y, Theren G, Hering T, Heijmans S, Barsanti S, Salmi LR, Ménival S, Piznal E, Mouillet E, Berghmans L, Harlet J, Bizel P, Pensis G, Szabo Z, Kovacs Z, Bourgueil Y, Jusot F, Leleu H, Barsanti S, Iacovina N, Daponte A, Bolivar J, Bernal Solano M, Mateo I, Ruis Pérez I, Salfield N, Godwin A, Rajaratnam G, Jobarteh J, Cleanthous P, Heijmans S, Novakovic A, Mratovic MC, Dzona-Boban A, Ismail Z, Giannoni M, D'Urzo E, Ferialla L, Cassucci P, Ammannati B, Tanini D, Bottai R, Berti A, Georgiou V, Hultgren E, Barnhoorn F, de Saint Pol E, Mc Shane M, Gonzalez-Seco I, Guérin D, Wardle M, Sandor J, Theren G, Hofmeister A, Carriazo A, Marquez S, Loizou C, Bederski K, Caleja N, Almeida M. Interventions addressing health inequalities in European regions: the AIR project. Health Promot Int 2015; 32:430-441. [DOI: 10.1093/heapro/dav101] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- Louis-Rachid Salmi
- Univ. Bordeaux, ISPED, Centre INSERM U897-Epidemiologie-Biostatistique, Bordeaux F-33000, France
- INSERM, ISPED, Centre INSERM U897-Epidemiologie-Biostatistique, Bordeaux F-33000, France
- CHU de Bordeaux, Pole de sante publique, Service d'information medicale, Bordeaux F-33000, France
| | - Sara Barsanti
- Scuola Superiore Sant'Anna di Pisa, Laboratorio Management e Sanità, Pisa, Italy
| | - Yann Bourgueil
- Institut de Recherche et de Documentation en Economie de la Santé, Paris, France
| | - Antonio Daponte
- Escuela Andaluza de Salud Pública, Granada, Andalucia, Spain
- CIBER Epidemiología y Salud Pública (CIBERESP), Instituto de Salud Carlos III, Madrid, Spain
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Sakkou Z, Stripeli F, Papadopoulos NG, Critselis E, Georgiou V, Mavrikou M, Drossatou P, Constantopoulos A, Kafetzis D, Tsolia M. Impact of influenza infection on children's hospital admissions during two seasons in Athens, Greece. Vaccine 2010; 29:1167-72. [PMID: 21172380 DOI: 10.1016/j.vaccine.2010.12.014] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2010] [Revised: 12/02/2010] [Accepted: 12/03/2010] [Indexed: 11/16/2022]
Abstract
A prospective epidemiologic surveillance of hospitalizations associated with influenza was conducted in order to calculate population-based hospitalization rates. Eligible children were 6 months to 13 years of age and were admitted to one of the two large children's hospitals in the Athens area during two influenza seasons. Nasopharyngeal aspirates were tested for influenza by a polymerase reaction assay. Influenza accounted for 9.9-11.8% of all admissions during the influenza season and the overall annual rate of hospitalizations was 13.6-16.8 cases per 10,000 children being highest for children under 5 years of age (26-31.2/10,000 children). Febrile seizures and acute otitis media were the two most common complications associated with influenza and antibiotics were administered to 61% of flu positive patients. Influenza is associated with high hospitalization rates among young children and these may be substantially reduced with the introduction of routine immunization.
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Affiliation(s)
- Z Sakkou
- Second Department of Pediatrics of the University of Athens School of Medicine, Athens, Greece
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Messinis L, Lyros E, Andrian V, Katsakiori P, Panagis G, Georgiou V, Papathanasopoulos P. Neuropsychological functioning in buprenorphine maintained patients versus abstinent heroin abusers on naltrexone hydrochloride therapy. Hum Psychopharmacol 2009; 24:524-31. [PMID: 19650155 DOI: 10.1002/hup.1050] [Citation(s) in RCA: 27] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Abstract
RATIONALE Methadone and buprenorphine are among the most widely employed pharmacological treatments currently available for opioid addiction. Cognitive effects of buprenorphine in abstinent heroin abusers are nevertheless far from being understood. METHODS Neuropsychological performance of 18 buprenorphine-maintained patients (BMP) was evaluated relative to that of 32 currently abstinent heroin abusers on naltrexone hydrochloride therapy (FHAN), and 34 non-drug dependent controls. The three groups were demographically balanced. Clinical groups reported histories of similar patterns of drug use and had increased periods of abstinence from any illicit substance use including heroin. RESULTS The BMP group performed poorer than controls on the RAVLT (encoding and delayed recall of verbal information), CTT (conceptual flexibility, executive functions) and the RBANS figure copy (visual perception) and delayed recall of visual information. There were no significant differences in any of the cognitive measures between the BMP and FHAN groups or between the FHAN group and controls. Furthermore, the non-differing percentage of abnormal cases between the two patient groups led us to infer that treatment with either BPM or FHAN is not accompanied by qualitative differences in the cognitive profiles of these patients. CONCLUSION Overall, results suggest that treatment with naltrexone in abstinent heroin abusers may result in less impairment of cognitive functions compared to treatment with buprenorphine. These findings are relevant for improved prognosis and treatment strategies in opioid dependence.
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Affiliation(s)
- Lambros Messinis
- Department of Neurology, Neuropsychology Section, University of Patras Medical School, Greece.
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Skevaki CL, Christodoulou I, Spyridaki IS, Tiniakou I, Georgiou V, Xepapadaki P, Kafetzis DA, Papadopoulos NG. Budesonide and formoterol inhibit inflammatory mediator production by bronchial epithelial cells infected with rhinovirus. Clin Exp Allergy 2009; 39:1700-10. [PMID: 19549024 DOI: 10.1111/j.1365-2222.2009.03307.x] [Citation(s) in RCA: 53] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
BACKGROUND Rhinoviruses (RVs) are responsible for the majority of acute asthma and chronic obstructive pulmonary disease (COPD) exacerbations. RVs infect the lower airways and induce the production of pro-inflammatory and remodelling-associated mediators. Budesonide (BUD) and formoterol (FORM) synergize in controlling asthma and COPD exacerbations; however, their effects on virus-induced inflammation and remodelling are less known. OBJECTIVE We investigated whether BUD and FORM synergize in suppressing RV-induced inflammation and remodelling in the airways. METHODS In vitro models of RV infection of BEAS-2B and primary normal human bronchial epithelial (NHBE) cells were used. We assessed the effects of individual and combined drugs administered post-infection, at a clinically relevant concentration range (10(-6)-10(-10) m), on the production of CCL5, CXCL10, CXCL8, IL-6 and the remodelling-associated VEGF and bFGF, using ELISA and RT-PCR. RESULTS BUD effectively suppressed RV-mediated induction of all mediators studied, in a concentration-dependent manner. FORM alone suppressed the production of CXCL8 and bFGF. The combination of BUD and FORM had concentration-dependent, additive or synergistic effects in the suppression of RV-induced CCL5, CXCL8 and CXCL10 in both cell types as well as VEGF in NHBE only. Combination treatment also resulted in an enhanced suppression of RV-induced IL-6, and CCL5 at the mRNA level as compared with BUD or FORM alone. CONCLUSION BUD and FORM suppress RV-induced chemokines and growth factors in bronchial epithelial cells in a concentration-dependent, synergistic or additive manner. These data further support the combined use of BUD and FORM in asthma and COPD and intensification of this therapy during exacerbations.
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Affiliation(s)
- C L Skevaki
- Second Department of Pediatrics, Allergy Research Center, University of Athens, Athens, Greece.
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Wengstrom Y, Costa A, Leto S, Georgiou V. 35 Differences in older versus younger women's experience and knowledge of adjuvant endocrine therapy (AET) for early breast cancer (EBC). Crit Rev Oncol Hematol 2006. [DOI: 10.1016/s1040-8428(13)70106-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Cooper S, Georgiou V. [The impact of cytotoxic chemotherapy from the viewpoint of patients, specialists and nurses]. Soins 1993:35-39. [PMID: 8303397] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/22/2023]
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Abstract
This study, carried out in three European countries, elicited the views and impact of three medical groups involved in patient care. Their views were compared with patients' perspectives of their condition. The main stage of the study was carried out by self-completion questionnaires by 300 patients across Italy, France and the U.K. The views of the medical profession were quantified via 150 hospital specialists, 75 cancer care nurses and 30 general practitioner interviews. Patients' symptoms most frequently seen by the medical profession were nausea, tiredness, loss of hair, vomiting, worrying and lack of appetite. On a scale of 1-4 (1 = not at all; 4 = very much) the frequency of these side effects were rated at 2.8 or over. Intensity of concern was highest for nausea and vomiting. These two symptoms was most frequently highlighted as one of the three highest concerns respectively for 74% and 54% of specialists, 64% and 60% of nurses and 50% of general practitioners. Patients on average reported a lower frequency of major symptoms. Most frequent were loss of hair, tiredness, lack of energy, nausea and decreased sexual interest. In terms of the impact of these problems, tiredness, nausea and loss of hair were the most frequently mentioned. Vomiting bothered them more than the frequency would suggest. 1 in 10 patients claim to have delayed their treatment because of previous experiences of side effects. The main impact on patient's quality of life related to the aspects of worrying and the effects on the family. In terms of communication, both the medical profession and the patients felt that patients were well informed about the disease and treatment. However, differences emerged between what patients claim to have been told about the disease and its treatment and what nurses and doctors claim to have said.
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Affiliation(s)
- S Cooper
- Adelphi International Research, Bollington, Macclesfield, U.K
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Kourouclis C, Athanasiadis D, Georgiou V, Andritsakis G, Avgoustakis D. Right coronary artery to coronary sinus communication simulating pericardial effusion. Cardiology 1978; 63:47-52. [PMID: 618589 DOI: 10.1159/000169880] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
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