Marianna Miliaraki

Potentially Avoidable Pediatric Transfers, Tertiary Hospital-Level Care, and Regional Differences in Referral Burden in Greece: A Retrospective Analysis of Transfer Pathways and Costs

Filippos Filippatos, Vasiliki M Kymioni, Dimitra Kallitsounaki, Spyridon Karageorgos et autres

Background: Pediatric transfers to tertiary hospitals may vary according to geographic origin and referral pathways and may impose substantial healthcare costs. However, data regarding pediatric transfer pathways, tertiary hospital-level care/admission, and transport-related expenditure in Greece remain limited. Methods: We conducted a retrospective …

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Age‐Related Aeroallergen Sensitisation and Asthma‐Associated Polysensitisation in Children With Allergic Rhinitis: A Single‐Centre Study From Athens, Greece

Filippos Filippatos, Evangelia Tsigkrou, Kyriaki Karavanaki, Alexandra Soldatou et autres

Summary Mediterranean children with allergic rhinitis from Athens, Greece, showed age‐dependent aeroallergen sensitisation patterns. Polysensitization predominated and was independently associated with asthma/wheeze.

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Potentially Avoidable Pediatric Transfers, Tertiary-Care Utilization, and Regional Care Inequities in Greece: A Retrospective Analysis of Transfer Pathways and Costs

Filippos Filippatos, Vasiliki-Maria Kymioni, Dimitra Kallitsounaki, Spyridon Karageorgos et autres

Background: Pediatric transfers to tertiary hospitals may reflect disparities in regional healthcare capacity and impose substantial healthcare costs. However, data regarding pediatric transfer pathways, tertiary-care utilization, and transport-related expenditure in Greece remain limited. Methods: We conducted a retrospective observational study of children …

Septic Cardiomyopathy: Age-Dependent Physiology and Hemodynamic Aspects—A Narrative Review

Marianna Miliaraki, George C. Briassoulis, Evangelia Dardamani, Panagiotis Briassoulis et autres

BACKGROUND: Septic cardiomyopathy (SCM) is a dynamic and heterogeneous complication of sepsis, driven by systemic inflammation, autonomic dysregulation, and microcirculatory alterations. Pediatric and adult patients share common pathophysiologic mechanisms, but age-dependent differences in cardiovascular physiology produce distinct hemodynamic responses. METHODS: A structured …

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Necroptotic and Apoptotic Pathways in Sepsis: A Comparative Analysis of Pediatric and Adult ICU Patients

George Briassoulis, Konstantina Tzermia, Kalliopi Bastaki, Marianna Miliaraki et autres

Background: Necroptosis, a regulated form of inflammatory cell death, is increasingly recognized as a key driver of sepsis and critical illness. The balance between necroptosis and apoptosis may influence immune responses and outcomes in ICU patients. Objective: To evaluate necroptosis- and apoptosis-related …

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Measurement of Dehumanization, Self-Dehumanization, and Empathy as Mediating Factors Among Healthcare Professionals

Aikaterini Roupa, Athina E. Patelarou, Konstantinos Giakoumidakis, Kyriaki Fousiani et autres

BACKGROUND: Dehumanization refers to the tendency of individuals or groups to attribute fewer human characteristics to other individuals or groups (referred to as hetero-dehumanization) or to themselves (referred to as self-dehumanization). This phenomenon currently seems to predominate in the medical and nursing …

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Lifelong training, retraining, reskilling, upskilling and knowledge gaps in emergency medicine: a cross-sectional survey study

George Briassoulis, Mina Argyrakopoulou, Dafni Korela, Sotiria Labrinaki et autres

BACKGROUND: Identifying and managing medical emergencies presents challenges in healthcare, where familiarity with established algorithms is essential for high-quality care.This study assessed healthcare professionals' understanding of the latest resuscitation guidelines and explored their views on lifelong training models. METHODS: This cross-sectional study …

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Progressive Quadriparesis of a Toddler with a Posterior Cranial Fossa Arachnoid Cyst (AC): Illustrative Case Report and Narrative Literature Review

Thanos Vassilopoulos, Marianna Miliaraki, Christos Tsitsipanis, Konstantinos Ntotsikas et autres

BACKGROUND/OBJECTIVES: Intracranial arachnoid cysts (ACs) may be congenital, primary, or secondary due to trauma. These cysts are benign, contain cerebrospinal fluid (CSF), and are classified based on location, size, and their clinical symptomatology. They are uncommon lesions in children, rarely leading to …

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Post-Traumatic Cerebral Venous Sinus Thrombosis (PtCVST) Resulting in Increased Intracranial Pressure during Early Post-Traumatic Brain Injury Period: Case Report and Narrative Literature Review

Athanasios K. Theofanopoulos, Αthanasia Proklou, Marianna Miliaraki, Ioannis Konstantinou et autres

Post-traumatic cerebral venous sinus thrombosis (ptCVST) often remains underdiagnosed due to the non-specific nature of clinical signs, commonly mimicking severe traumatic brain injury (TBI) manifestations. Early recognition of this rare and potentially life-threatening complication is crucial for the effective management of severe …

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Entangled in stagnant recruitment delusions

George Briassoulis, Panagiotis Briassoulis, Marianna Miliaraki, Stavroula Ilia

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The Role Of Thrombolysis In The Management Of Intraventricular Hemorrhage: A Review Of The Literature

Thanos Vassilopoulos, Dimitris Karabetsos, Nikos Chochlidakis, Andreas Yannopoulos et autres

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The Anti-Oxidative, Anti-Inflammatory, Anti-Apoptotic, and Anti-Necroptotic Role of Zinc in COVID-19 and Sepsis

George Briassoulis, Panagiotis Briassoulis, Stavroula Ilia, Marianna Miliaraki et autres

Zinc is a structural component of proteins, functions as a catalytic co-factor in DNA synthesis and transcription of hundreds of enzymes, and has a regulatory role in protein-DNA interactions of zinc-finger proteins. For many years, zinc has been acknowledged for its anti-oxidative …

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