Oleuropein is a bioactive natural product from olives known to display a broad variety of health beneficial properties. However its presence in most edible olives is lowered due to debittering. In this respect, we envisaged the incorporation of oleuropein into dairy products (cow’s milk and yogurt) aiming to produce novel functional foods. Additionally, an analytical method for the monitoring of oleuropein in milk and yogurt was also developed and validated. Oleuropein was not affected during heat treatment of milk, while during the milk fermentation process it was not hydrolysed by the produced acids. Oleuropein was not metabolised by lactic acid bacteria, did not inhibit their growth and its stability in the final products was proven. The novel products displayed same taste, colour and texture as the conventional ones. Results herein indicate that oleuropein can be added as an active ingredient in milk and yogurt preparations to provide two novel functional dairy products.
Aims: We investigate the role of the second synchrotron self-Compton (SSC) photon generation to the multiwavelength emission from the compact regions of sources that are characterized as misaligned blazars. For this, we focus on the nearest high-energy emitting radio galaxy Centaurus A and we revisit the one-zone SSC model for its core emission. Methods: We have calculated analytically the peak luminosities of the first and second SSC components by first deriving the steady-state electron distribution in the presence of synchrotron and SSC cooling, and then by using appropriate expressions for the positions of the spectral peaks. We have also tested our analytical results against those derived from a numerical code where the full emissivities and cross-sections were used. Results: We show that the one-zone SSC model cannot account for the core emission of Centaurus A above a few GeV, where the peak of the second SSC component appears. We thus propose an alternative explanation for the origin of the high-energy (≳0.4 GeV) and TeV emission, where these are attributed to the radiation emitted by a relativistic proton component through photohadronic interactions with the photons produced by the primary leptonic component. We show that the required proton luminosities are not extremely high, i.e. ~1043 erg/s, provided that the injection spectra are modelled by a power law with a high value of the lower energy cutoff. Finally, we find that the contribution of the core emitting region of Cen A to the observed neutrino and ultra-high-energy cosmic-ray fluxes is negligible.
Aims: We investigate the role of the second synchrotron self-Compton (SSC) photon generation to the multiwavelength emission from the compact regions of sources that are characterized as misaligned blazars. For this, we focus on the nearest high-energy emitting radio galaxy Centaurus A and we revisit the one-zone SSC model for its core emission. Methods: We have calculated analytically the peak luminosities of the first and second SSC components by first deriving the steady-state electron distribution in the presence of synchrotron and SSC cooling, and then by using appropriate expressions for the positions of the spectral peaks. We have also tested our analytical results against those derived from a numerical code where the full emissivities and cross-sections were used. Results: We show that the one-zone SSC model cannot account for the core emission of Centaurus A above a few GeV, where the peak of the second SSC component appears. We thus propose an alternative explanation for the origin of the high-energy (≳0.4 GeV) and TeV emission, where these are attributed to the radiation emitted by a relativistic proton component through photohadronic interactions with the photons produced by the primary leptonic component. We show that the required proton luminosities are not extremely high, i.e. ~1043 erg/s, provided that the injection spectra are modelled by a power law with a high value of the lower energy cutoff. Finally, we find that the contribution of the core emitting region of Cen A to the observed neutrino and ultra-high-energy cosmic-ray fluxes is negligible.
The following paper presents a scientific contribution that explores the clinicians' use of online information retrieval systems for their clinical decision making. Particularly, the research focuses on the ability of doctors and nurses in seeking information through MEDLINE and ScienceDirect. The research process took place by an electronic form consisted of five clinical scenarios and an evaluation sheet. The results testify that only a small percent of clinicians use the recommended electronic bibliographic databasesand take the right clinical decision to the scenarios. Health professionals have to be educated in information searching and take advantage from the provided literature taking more useful and reliable answers on their clinical questions.
BACKGROUND: Patterns of health-care use and comorbidities present in patients in the period before diagnosis of chronic obstructive pulmonary disease (COPD) are unknown. We investigated these factors to inform future case-finding strategies.
METHODS: We did a retrospective analysis of a clinical cohort in the UK with data from Jan 1, 1990 to Dec 31, 2009 (General Practice Research Database and Optimum Patient Care Research Database). We assessed patients aged 40 years or older who had an electronically coded diagnosis of COPD in their primary care records and had a minimum of 3 years of continuous practice data for COPD (2 years before diagnosis up to a maximum of 20 years, and 1 year after diagnosis) and at least two prescriptions for COPD since diagnosis. We identified missed opportunites to diagnose COPD from routinely collected patient data by reviewing patterns of health-care use and comorbidities present before diagnosis. We assessed patterns of health-care use in terms of lower respiratory consultations (infective and non-infective), lower respiratory consultations with a course of antibiotics or oral steroids, and chest radiography. If these events did not lead to a diagnosis of COPD, they were deemed to be missed opportunities. This study is registered with ClinicalTrials.gov, number NCT01655667.
FINDINGS: We assessed data for 38,859 patients. Opportunities for diagnosis were missed in 32,900 (85%) of 38,859 patients in the 5 years immediately preceding diagnosis of COPD; in 12,856 (58%) of 22,286 in the 6-10 years before diagnosis, in 3943 (42%) of 9351 in the 11-15 years before diagnosis; and in 95 (8%) of 1167 in the 16-20 years before diagnosis. Between 1990 and 2009, we noted decreases in the age at diagnosis (0·05 years of age per year, 95% CI 0·03-0·07) and yearly frequency of lower respiratory prescribing consultations (rate ratio 0·982 opportunities per year, 95% CI 0·979-0·985). Prevalence of all comorbidities present at COPD diagnosis increased except for asthma and bronchiectasis, which decreased between 1990 and 2007, from 281 (33·4%) of 842 patients to 451 of 1465 (30·8%) for asthma, and from 53 of 842 (6·3%) to 53 of 1465 (3·6%) for bronchiectasis. In the 2 years before diagnosis, of 6897 patients who had had a chest radiography, only 2296 (33%) also had spirometry.
INTERPRETATION: Opportunities to diagnose COPD at an earlier stage are being missed, and could be improved by case-finding in patients with lower respiratory tract symptoms and concordant long-term comorbidities.
FUNDING: UK Department of Health, Research in Real Life.
The Small Magellanic Cloud (SMC) is well known to harbour a large number of high-mass X-ray binaries (HMXBs). The identification of their optical counterparts provides information on the nature of the donor stars and can help to constrain the parameters of these systems and their evolution. We obtained optical spectra for a number of HMXBs identified in previous Chandra and XMM-Newton surveys of the SMC using the AAOmega/2dF fibre-fed spectrograph at the Anglo-Australian Telescope. We find five new Be/X-ray binaries (BeXRBs; including a tentative one), by identifying the spectral type of their optical counterparts, and we confirm the spectral classification of an additional 15 known BeXRBs. We compared the spectral types, orbital periods and eccentricities of the BeXRB populations in the SMC and the Milky Way and we find marginal evidence for difference between the spectral type distributions, but no statistically significant differences for the orbital periods and the eccentricities. Moreover, our search revealed that the well-known supergiant B[e] star LHA 115-S 18 (or AzV 154) is associated with the weak X-ray source CXOU J005409.57-724143.5. We provide evidence that the supergiant star LHA 115-S 18 is the optical counterpart of the X-ray source, and we discuss different possibilities of the origin of its low X-ray luminosity (Lx ∼ 4 × 1033 erg s-1).
Solar proton flux measurements onboard Geostationary Operational Environmental Satellites (GOES) are of great importance as they cover several solar cycles, increasingly contributing to the development of long-term solar proton models and to operational purposes such as now-casting and forecasting of space weather. A novel approach for the cross calibration of GOES solar proton detectors is developed using as reference energetic solar proton flux measurements of NASA IMP-8 Goddard Medium Energy Experiment (GME). The spurious behavior in a part of IMP-8/GME measurements is reduced through the derivation of a nonlinear intercalibration function. The effective energy values of GOES solar proton detectors lead to a significant reduction of the uncertainties in spectra and may be used to refine existing scientific results, available models, and data products based on measurements over the last three decades. The methods presented herein are generic and may be used for calibration processes of other data sets as well.
More than 10 years ago Haux et al. tried to answer the question how health care provision will look like in the year 2013. A follow-up workshop was held in Braunschweig, Germany, for 2 days in May, 2013, with 20 invited international experts in biomedical and health informatics. Among other things it had the objectives to discuss the suggested goals and measures of 2002 and how priorities on MI research in this context should be set from the viewpoint of today. The goals from 2002 are now as up-to-date as they were then. The experts stated that the three goals: "patient-centred recording and use of medical data for cooperative care"; "process-integrated decision support through current medical knowledge" and "comprehensive use of patient data for research and health care reporting" have not been reached yet and are still relevant. A new goal for ICT in health care should be the support of patient centred personalized (individual) medicine. MI as an academic discipline carries out research concerning tools that support health care professionals in their work. This research should be carried out without the pressure that it should lead to systems that are immediately and directly accepted in practice.
INTRODUCTION: The prevalence of drug resistance is approximately 10% in Europe and North America among newly infected patients. We aim to investigate the temporal patterns of resistance among drug naive HIV-infected individuals in Greece and also to determine transmission networking among those with resistant strains.
MATERIALS AND METHODS: Protease (PR) and partial reverse transcriptase (RT) sequences were determined from 2499 newly diagnosed HIV-1 patients, in Greece, during 2003-2013. Genotypic drug resistance was estimated using the HIVdb: Genotypic Resistance Interpretation Algorithm. We identified transmission clusters of resistant strains on the basis of a large collection of HIV-1 sequences from 4024 seropositives in Greece. Phylodynamic analysis was performed using a Bayesian method.
RESULTS: We estimated drug resistance levels among naïve patients on the basis of all resistance mutations in PR and partial RT. The overall prevalence of resistance was 19.6% (490/2499). Resistance to NNRTIs was the most common (397/2499, 15.9%) followed by PIs (116/2499, 4.6%) and NRTIs (79/2499, 3.2%). We found a significant trend for decreasing resistance to NRTIs over time (6.7%-1.6%). There was no time trend for the overall PI and NNRTI resistance. The most frequently observed major resistant sites in PR were V82 (2.0%) and L90 (1.8%). In RT, we found E138 (58.6%), K103 (13.1%), V179 (8.4%) and T215 (7.1%), M41 (4.7%) associated with resistance to NNRTIs and NRTIs, respectively. The prevalence of K103N and E138Q were significantly increased during 2003-2013. Crucially, we found that both K103N, E138Q are associated with transmission networking within men having sex with men (MSM) and intravenous drug user (IDU) local networks. The K103N network included seropositives across Greece, while the latter only from the recent IDU outbreak in Athens metropolitan area (1). Phylodynamic analyses revealed that the exponential growth for K103N network started in 2009 (Figure 1) and for the E138Q in 2010.
CONCLUSIONS: The overall resistance has been stable in Greece over time; however, specific NNRTI resistance patterns are increasing. Notably, they are associated with local transmission networking, thus suggesting that this is the cause for the increased patterns of NNRTI resistance and not multiple transmissions of resistant strains from different sources among treated individuals. Our study highlights the advance of molecular epidemiology for understanding the dynamics of resistance.
BACKGROUND: In Europe, a continuous programme (SPREAD) has been in place for ten years to study transmission of drug resistant HIV. We analysed time trends of transmitted drug resistance mutations (TDRM) in relation to the risk behaviour reported.
METHODS: HIV-1 patients newly diagnosed in 27 countries from 2002 through 2007 were included. Inclusion was representative for risk group and geographical distribution in the participating countries in Europe. Trends over time were calculated by logistic regression.
RESULTS: From the 4317 patients included, the majority was men-having-sex-with-men -MSM (2084, 48%), followed by heterosexuals (1501, 35%) and injection drug users (IDU) (355, 8%). MSM were more often from Western Europe origin, infected with subtype B virus, and recently infected (<1 year) (p<0.001). The prevalence of TDRM was highest in MSM (prevalence of 11.1%), followed by heterosexuals (6.6%) and IDU (5.1%, p<0.001). TDRM was predominantly ascribed to nucleoside reverse transcriptase inhibitors (NRTI) with a prevalence of 6.6% in MSM, 3.3% in heterosexuals and 2.0% in IDU (p = 0.001). A significant increase in resistance to non- nucleoside reverse transcriptase inhibitors (NNRTIs) and a decrease in resistance to protease inhibitors was observed in MSM (p = 0.008 and p = 0.006, respectively), but not in heterosexual patients (p = 0.68 and p = 0.14, respectively).
CONCLUSIONS: MSM showed to have significantly higher TDRM prevalence compared to heterosexuals and IDU. The increasing NNRTI resistance in MSM is likely to negatively influence the therapy response of first-line therapy, as most include NNRTI drugs.
In this longitudinal study, we examined the extent to which perceived coach- and peer-created motivational climates are associated with athlete-group cohesion and satisfaction with participation among Spanish soccer players competing in the Third National Division. Multilevel modelling analyses showed that perceived coach-created task climate was positively related to perceived cohesion and players’ satisfaction with their participation within their team. Also, perceived peer-created task climate related positively to perceived cohesion. The results indicate the importance of considering peer-related aspects of the motivational climate in addition to considering the coach-related aspects of the motivational climate when examining motivational group dynamics in sport.
An 87 yr man was referred for abdominal pain over a pre-existing hernia in the right iliac fossa. Physical examination revealed a red painful palpable mass in the right lower abdominal quadrant. Abdominal CT scan revealed a loop of small intestine trapped into the abdominal wall. The patient underwent emergency laparotomy and the intraoperative findings consisted of a spigelian hernia, with perforation of the contained small intestine by a chicken bone (clavicle). The intestinal perforation was sutured and a polypropylene mesh plug and patch repair of the hernia was executed. The patient had an uneventful recovery and was discharged in stable condition. Our patient had a rare type of hernia with a rare complication. The arrow-shaped chicken bone led to irreducibility of the hernia and eventually to intestinal perforation. The diagnosis of spigelian hernias by history and physical examination is notoriously difficult. Recently, imaging modalities have increased preoperative diagnostic yield.
We show that a relatively sparse photonic crystal of high-permittivity magnetic garnet particles can induce a giant Faraday rotation of light transmitted through a finite slab of it. The underlying mechanism resides in wave propagation through collective Bloch modes, which are strongly localized in the particles.
BACKGROUND: In approximately 10% of newly diagnosed individuals in Europe, HIV-1 variants harboring transmitted drug resistance mutations (TDRM) are detected. For some TDRM it has been shown that they revert to wild type while other mutations persist in the absence of therapy. To understand the mechanisms explaining persistence we investigated the in vivo evolution of frequently transmitted HIV-1 variants and their impact on in vitro replicative capacity.
RESULTS: We selected 31 individuals infected with HIV-1 harboring frequently observed TDRM such as M41L or K103N in reverse transcriptase (RT) or M46L in protease. In all these samples, polymorphisms at non-TDRM positions were present at baseline (median protease: 5, RT: 6). Extensive analysis of viral evolution of protease and RT demonstrated that the majority of TDRM (51/55) persisted for at least a year and even up to eight years in the plasma. During follow-up only limited selection of additional polymorphisms was observed (median: 1).To investigate the impact of frequently observed TDRM on the replication capacity, mutant viruses were constructed with the most frequently encountered TDRM as site-directed mutants in the genetic background of the lab strain HXB2. In addition, viruses containing patient-derived protease or RT harboring similar TDRM were made. The replicative capacity of all viral variants was determined by infecting peripheral blood mononuclear cells and subsequently monitoring virus replication. The majority of site-directed mutations (M46I/M46L in protease and M41L, M41L + T215Y and K103N in RT) decreased viral replicative capacity; only protease mutation L90M did not hamper viral replication. Interestingly, most patient-derived viruses had a higher in vitro replicative capacity than the corresponding site-directed mutant viruses.
CONCLUSIONS: We demonstrate limited in vivo evolution of protease and RT harbouring frequently observed TDRM in the plasma. This is in line with the high in vitro replication capacity of patient-derived viruses harbouring TDRM compared to site-directed mutant viruses harbouring TDRM. As site-directed mutant viruses have a lower replication capacity than the patient-derived viruses with similar mutational patterns, we propose that (baseline) polymorphisms function as compensatory mutations improving viral replication capacity.
Atherosclerosis is the main cause of cardiovascular disease (CVD) and can lead to stroke, myocardial infarction, and death. The clinically available atheroprotective drugs aim mainly at reducing the levels of circulating low-density lipoprotein (LDL), increasing high-density lipoprotein (HDL), and attenuating inflammation. However, the cardiovascular risk remains high, along with morbidity, mortality, and incidence of adverse drug events. Pharmacogenomics is increasingly contributing towards the characterization of existing atheroprotective drugs, the evaluation of novel ones, and the identification of promising, unexplored therapeutic targets, at the global molecular pathway level. This chapter presents highlights of pharmacogenomics investigations and discoveries that have contributed towards the elucidation of pharmacological atheroprotection, while opening the way to new therapeutic approaches.
Purpose. The purpose of this paper is to present our technique for the treatment of periplate fractures. Methods. From 2009 to 2012 we treated three patients. In all cases the existing plate was left and the new one placed over the existing. Locking screws were placed through both plates. The other screws in the new plate were used as best suited the fracture. Results. In all cases less than 6 months had passed between fractures. None of the original fractures had healed. Mean followup was 2 years. All fractures proceeded to union within 7 months. No complications were recorded. All the patients returned to their normal activities and were satisfied with the results of their treatment. Conclusion. Our plate on plate technique is effective for the treatment of periplate fractures. A solid fusion can be achieved at the new fracture site without disturbing the previous fixation.
Platelet-rich plasma (PRP) is defined as an autologous concentrated preparation of platelets and their associated growth factors in a small volume of plasma. The presence of these growth factors has stimulated the scientific community to search about possible benefits of the use of PRP in tissue regeneration. Provided that previously in vitro and animal research demonstrated that PRP could probably play an important role in the treatment of neural tissue disorders, we aimed to review the current literature, regarding the clinical studies that have been conducted to confirm this hypothesis. More specifically, we have reviewed the literature concerning the clinical application of PRP in peripheral neuropathies and investigated if there is strong evidence to establish the use of PRP in clinical practice as a therapeutic option. In contrast with animal studies, we have been able to identify only few clinical data concerning the use of PRP in peripheral neuropathies. We found five trials matched to our research that yields positive and promising results for the future for the application of PRP for the therapy of disorders of the peripheral nervous system. It is obvious that this interesting field of research gives to the scientists the ability to expand it extensively, in terms of both quality and quantity.
AIM: Posterior cervical spine fixation has undergone tremendous advancement in recent years. The purpose of this study is to present our experience with the Roy-Camille instrumentation for posterior cervical stabilization after injury in a long-term follow-up.
PATIENTS AND METHODS: From 1985 to 1995, 76 patients with a lower cervical spine traumatic lesion were treated in a single institution by posterior plate stabilization using the Roy-Camille plates (R-C plates). Fifty-four men and 22 women with a mean age of 43.2 years were involved. In 59 patients the injuries were due to a road traffic accident, in 14 cases the fall from a high was responsible, while in two cases the injuries were due to sport activities. There were four bilateral dislocations, nine unilateral dislocations, 56 fracture dislocations, five fracture separations of a lateral mass and two burst fractures. Neurological lesions were present in 65 patients (9 ASIA A, 16 ASIA B, 22 ASIA C, 18 ASIA D and 11 ASIA E). All patients had minimum follow-up of 7 years. Fifty-nine patients were followed up for a mean period of 21 years (14-27 years).
RESULTS: Stability was obtained in all but two cases. Reoperation was done in two cases: in one for the correction of the lost reduction and in a second for the reinsertion of a screw irritating a nerve root. No case in the ASIA A group showed neurological improvement, a fact observed in the other groups.
CONCLUSIONS: The R-C plates were used in the last quarter of the last century. This technique showed good short-time results, and we have shown good results in a long-term follow-up as well. The literature referred to this technique was favorable, as far as the biomechanical behavior and also clinical application concern. The question about this plating system abundance still remains unanswered.
The article discusses the significance of on-the-spot observation and eye witnessing as powerfulscientific tools for establishing the real in the early sixteenth century. In particular, I argue that thesimulation of such tools in the paratextual material to Utopia, especially the prefatory/postscriptletters, enhance, preemptively, the verisimilitude of the Utopian society as well as the materialityof the island at hand. If eye witnessing is reality-conferring, then, the powerful Renaissance actof reading a text as a simulation of eye witnessing is reality-conferring too. In this light, to readUtopia through the paratextual letters is to place one’s trust in the literal existence of Utopia insofaras reading simulates the act of seeing with one’s own eyes and bearing witness to a palpable reality.Keywords: Eye Witnessing, Humanism, Paratext, Utopia, Verisimilitude1. Paratext, Utopia and LiminalityNearly five hundred years after its first publication in 1516, Thomas More’sUtopia continues to spark endless discussions in relation to its potentialmeanings or its exact nature.1 More could not have written Utopia at a bettertime. As Alistair Fox maintains, when he sat down to write it in 1515, ‘Hisimagination had been excited by the discoveries of Cabot and Vespucci in theNew World… the momentum of Erasmian reform was approaching its height;and he had the stimulating company… of Cuthbert Tunstal, Busleyden andPeter Giles, humanists with interests and ambitions similar to his own’ (1984,53). The publication of Utopia was accompanied by paratextual material (attimes called parerga) – maps, illustrations, verses as well as a number of letterswritten by friends or acquaintances from the wider humanist continentalcircles. By fervently supporting the project, this paratextual material – whichwas altered to a great degree from edition to edition, thus also constantlyreshaping readers’ reception of Utopia – worked towards legitimising More’sendeavour, establishing its truthfulness, and announcing beforehand its acceptanceby early sixteenth-century readership.2‘Paratext’ in literature covers everything that lies around a text. GérardGenette has famously called paratext ‘a zone between text and off-text, a zonenot only of transition but also of transaction’ between the author(s) and thepublic, or ‘the most socialized side of the practice of literature’ (1997, 1, 14).
Allergy to cow's milk, egg, wheat, soy, peanut, tree nuts, fish, and shellfish constitutes the majority of food allergy reactions, but reliable estimates of their prevalence are lacking. This systematic review aimed to provide up-to-date estimates of their prevalence in Europe.Studies published in Europe from January 1, 2000, to September 30, 2012, were identified from searches of four electronic databases. Two independent reviewers appraised the studies and extracted the estimates of interest. Data were pooled using random-effects meta-analyses. Fifty studies were included in a narrative synthesis and 42 studies in the meta-analyses. Although there were significant heterogeneity between the studies, the overall pooled estimates for all age groups of self-reported lifetime prevalence of allergy to cow's milk, egg, wheat, soy, peanut, tree nuts, fish, and shellfish were 6.0% (95% confidence interval: 5.7-6.4), 2.5% (2.3-2.7), 3.6% (3.0-4.2), 0.4% (0.3-0.6), 1.3% (1.2-1.5), 2.2% (1.8-2.5), and 1.3% (0.9-1.7), respectively. The prevalence of food-challenge-defined allergy to cow's milk, egg, wheat, soy, peanut, tree nuts, fish, and shellfish was 0.6% (0.5-0.8), 0.2% (0.2-0.3), 0.1% (0.01-0.2), 0.3% (0.1-0.4), 0.2% (0.2-0.3), 0.5% (0.08-0.8), 0.1% (0.02-0.2), and 0.1% (0.06-0.3), respectively. Allergy to cow's milk and egg was more common among younger children, while allergy to peanut, tree nuts, fish, and shellfish was more common among the older ones. There were insufficient data to compare the estimates of soy and wheat allergy between the age groups. Allergy to most foods, except soy and peanut, appeared to be more common in Northern Europe. In summary, the lifetime self-reported prevalence of allergy to common foods in Europe ranged from 0.1 to 6.0%. The heterogeneity between studies was high, and participation rates varied across studies reaching as low as <20% in some studies. Standardizing the methods of assessment of food allergies and initiating strategies to increase participation will advance this evidence base.
BACKGROUND: Little is known of the extent to which nursing-care tasks are left undone as an international phenomenon.
AIM: The aim of this study is to describe the prevalence and patterns of nursing care left undone across European hospitals and explore its associations with nurse-related organisational factors.
METHODS: Data were collected from 33 659 nurses in 488 hospitals across 12 European countries for a large multicountry cross-sectional study.
RESULTS: Across European hospitals, the most frequent nursing care activities left undone included 'Comfort/talk with patients' (53%), 'Developing or updating nursing care plans/care pathways' (42%) and 'Educating patients and families' (41%). In hospitals with more favourable work environments (B=-2.19; p<0.0001), lower patient to nurse ratios (B=0.09; p<0.0001), and lower proportions of nurses carrying out non-nursing tasks frequently (B=2.18; p<0.0001), fewer nurses reported leaving nursing care undone.
CONCLUSIONS: Nursing care left undone was prevalent across all European countries and was associated with nurse-related organisational factors. We discovered similar patterns of nursing care left undone across a cross-section of European hospitals, suggesting that nurses develop informal task hierarchies to facilitate important patient-care decisions. Further research on the impact of nursing care left undone for patient outcomes and nurse well-being is required.
The aim of the present study is to investigate the morphodynamic regime of the coastal area of Xylokastro (north coast of Peloponnese), in order to identify and evaluate the processes controlling its formation and evolution. Within this concept, a number of factors have been considered and evaluated; near-shore morphometry and granulometry along shore-normal profiles, the direction and potential volumes of long- and cross-shore sediment transport the decadal and future trends of coastline displacement, the available information for terrestrial sediment influx and the geological processes operating in the broader coastal region of Xylokastro (i.e. subaqueous slides) as well as human interference. On the basis of these results, the formation and evolution of this coastal stretch seems to be governed primarily by the neotectonic activity and relative change of sea level rise, and secondarily by the wave-induced near-shore sediment transport; the role of the latter could be enhanced substantially by human intervention (i.e. construction of marina, seafront walls). Moreover, the expected eustatic increase in sea level by the year 2100, could cause a coastline retreat up to 9 m (SLR=0.38 m) or >19 m (SLR≥1 m).
AIM: The bacterial and atypical etiology of acute exacerbations of chronic obstructive pulmonary disease was investigated and the diagnostic techniques used were compared among 92 hospitalized patients.
MATERIALS & METHODS: Sputum specimens were investigated using culture and PCR, serological status evaluation was performed and the inflammatory profile was associated with the microbiological results.
RESULTS & CONCLUSION: The majority of the patients (65.2%) had very severe airway obstruction. The most common bacteria were Haemophilus influenzae and Pseudomonas aeruginosa (23.9 and 14.1%, respectively). Acinetobacter baumannii- and P. aeruginosa-positive cultures were associated with prolonged hospitalization and severe airway obstruction (p = 0.03 and 0.031, respectively). Chlamydia pneumoniae or Mycoplasma pneumoniae infection was diagnosed in four and two patients, respectively. Discrepant results were detected between PCR and serology, especially regarding C. pneumoniae.
In the present paper I argue that, since Cyprus came under the British rule and for at least seven decades, Britain did not consider Cyprus a “territory of major strategic importance for the Crown”. I also argue that the policy makers of colonial Britain probably considered this island one of the “poor colonies”, since it did not have raw material deposits or any kind of industrial infrastructure. Thus, I suggest that Greek researchers should examine how Great Britain was perceiving the strategic importance of Cyprus until the end of World War II and, therefore, should not insist on blaming the Greek side that, supposedly, did not take into account Britain’s sensitivity and “unwisely sought the Union (Enosis) of Cyprus with Greece, which annoyed Britain and led to the well-known traumatic events”.
OBJECTIVE: Recent evidence suggests that climacteric symptoms may be intensified by specific temperament and personality traits in postmenopausal women. In this study we investigate Cloninger's model of personality in relation to menopausal symptoms. METHODS: One-hundred and seventy peri- and postmenopausal women consecutively recruited from a menopause clinic of an academic hospital completed the Cloninger's Temperament and Character Inventory (TCI-140) which measures four dimensions of temperament: Harm avoidance, Novelty seeking, Reward dependence and Persistence, as well as three dimensions of character: Self-directedness, Cooperativeness, and Self-transcendence. Menopausal somatic, vasomotor and psychological symptoms were also assessed using the Greene Climacteric Scale. RESULTS: In comparison to the norms of the Greek general population, postmenopausal women presented lower scores in Novelty seeking and Reward dependence and higher scores in Persistence, Self-directedness, Cooperativeness and Self-transcendence. Higher harm avoidance (the inclination to avoid potential punishment, be shy and fearful of uncertainty) significantly correlated with anxiety and depressive symptoms while lower Self-directedness (the ability to have the willpower to adapt to or overcome any changes) correlated with depressive symptoms only. By multivariate regression analysis, higher Harm avoidance and lower Self-directedness were independently associated with the presence of depressive symptoms. No significant associations were observed between TCI-140 traits and somatic or vasomotor symptoms. CONCLUSIONS: Our findings indicate that most temperament and character traits according to Cloninger's model in peri- and postmenopausal women varied significantly as compared to the general population. Among several traits, high Harm avoidance and low Self-directedness were most strongly associated with psychological climacteric distress but not with somatic and vasomotor symptoms.
Depression and anxiety, the most common mental disorders (CMD), are highly prevalent among women of childbearing age, but are even higher among mothers in low- and middle-income countries (LMIC), possibly due to mothers' disproportionate exposure to multiple risk factors, such as poverty, gender disparities and violence, and a high prevalence of medical illness. The extra burden imposed by maternal CMD in LMIC can be nothing short of catastrophic, affecting infant and child growth and leading to preventable illness and death among children. One possible mechanism, by which maternal CMD lead to compromised child development, is through negatively affecting mothers' health-promoting behaviors (e.g., contraceptive use, participation in antenatal care) and child-care practices (e.g., vaccination uptake, cessation of breastfeeding, sanitation practices). The aim of this study was three-fold. First, to assess psychological distress among mothers of young children (aged 0-5 years) as measured by the Kessler 6 (K6), a brief screening instrument for nonspecific psychological distress in Ghana and Uganda. Second, to identify sociodemographic, socioeconomic, obstetric, and psychosocial correlates of maternal psychological distress in Ghana and Uganda. Third, to explore the relationship between maternal psychological distress, child health-promoting practices, and child health outcomes and nutritional status. The study utilized cross-sectional baseline data from the Millennium Villages Project. One hundred mothers in Ghana and 100 in Uganda who had at least one child up to 5 years at the time of baseline collection participated in the study. Results provided evidence for the adequate reliability and validity of the K6 in our study. Several correlates of maternal distress were identified in the study, some of which were common for both sites, while others where site-specific. Maternal distress was associated with maternal sanitation practices in Uganda. An exploratory analysis revealed a significant relationship between maternal distress and risk for child undernutrition. These findings offer partial support for the relationship between maternal psychological distress and poor child health outcomes. Discussion of the study findings focuses on the social roots of maternal distress in SSA. The clinical implications of the study and recommendations for future research are discussed.
The purine utilization pathway has been thoroughly characterized in Aspergillus nidulans. We establish here the subcellular distribution of seven key intracellular enzymes, xanthine dehydrogenase (HxA), urate oxidase (UaZ), 5-hydroxy-isourate hydrolase (UaX), 2-oxo-4-hydroxy-4-carboxy ureido imidazoline decarboxylase (UaW), allantoinase (AlX), allantoicase (AaX), ureidoglycolate lyase (UglA), and the fungal specific a-ketoglutarate Fe(II)-dependent dioxygenase (XanA). HxA, AlX, AaX, UaW and XanA are cytosolic, while UaZ, UaX and UglA are peroxisomal. Peroxisomal localization was confirmed by using appropriate pex mutants. The pathway is largely, but not completely conserved in the Eurotiomycetes, noticeably in some species AaX is substituted by an alternative enzyme of probable bacterial origin. UaZ and the urate–xanthine UapA and UapC transporters, are also localized in specific cells of the conidiophore. We show that metabolic accumulation of uric acid occurring in uaZ null mutations is associated with an increased frequency of appearance of morphologically distinct colony sectors, diminished conidiospore production, UV resistance and an altered response to oxidation stress, which may provide a rationale for the conidiophore-specific localization. The pathway-specific transcription factor UaY is localized in both the cytoplasm and nuclei under non-inducing conditions, but it rapidly accumulates exclusively to the nuclei upon induction by uric acid.
A series of methodologies are described in this paper aiming to quantify the natural hazard due to the coastal changes at a deltaic fan. The coastline of Istiaia (North Evia, Greece) has been chosen for this study as several areas of accretion and erosion have been identified during the past few decades. We combined different types of datasets, extracted from high resolution panchromatic aerial photographs and traced the contemporary shoreline by high accuracy surveying with Real Time Kinematics (RTK) GPS equipment. The interpretation of all shorelines required geo-statistical analysis in a Geographical Information System. A large number of high resolution morphological sections were constructed normally to the coast, revealing erosional and depositional parts of the beach. Retreating and extension rates were calculated for each section reaching the values of 0.98 m/yr and 1.36 m/yr, respectively. The results proved to be very accurate, allowing us to expand the developed methodology by using more complete time-series of remote sensing datasets along with more frequent RTK-GPS surveying.
A previously developed method for measurement of oleocanthal and oleacein in olive oil by quantitative (1)H NMR was expanded to include the measurement of the monoaldehydic forms of oleuropein and ligstroside aglycons. The method was validated and applied to the study of 340 monovarietal Greek and Californian olive oils from 23 varieties and for a 3-year period. A wide variation concerning the concentrations of all four secoiridoids was recorded. The concentration of each one ranged from nondetectable to 711 mg/kg and the sum of the four major secoiridoids (named as D3) ranged from nondetectable to 1534 mg/kg. Examination of the NMR profile of the olive oil extract before and after contact with normal or reversed stationary chromatography phase proved the artificial formation of the 5S,8S,9S aldehydic forms of oleuropein and ligstroside aglycon isomers during chromatography. Finally, methyl elenolate was identified for the first time as a minor constituent of olive oil.
A previously developed method for measurement of oleocanthal and oleacein in olive oil by quantitative 1H NMR was expanded to include the measurement of the monoaldehydic forms of oleuropein and ligstroside aglycons. The method was validated and applied to the study of 340 monovarietal Greek and Californian olive oils from 23 varieties and for a 3-year period. A wide variation concerning the concentrations of all four secoiridoids was recorded. The concentration of each one ranged from nondetectable to 711 mg/kg and the sum of the four major secoiridoids (named as D3) ranged from nondetectable to 1534 mg/ kg. Examination of the NMR profile of the olive oil extract before and after contact with normal or reversed stationary chromatography phase proved the artificial formation of the 5S,8S,9S aldehydic forms of oleuropein and ligstroside aglycon isomers during chromatography. Finally, methyl elenolate was identified for the first time as a minor constituent of olive oil.
Electrons mediate many of the interactions between atoms in a solid. Their propagation in a material determines its thermal, electrical, optical, magnetic and transport properties. Therefore, the constant energy contours characterizing the electrons, in particular the Fermi surface, have a prime impact on the behaviour of materials. If anisotropic, the contours induce strong directional dependence at the nanoscale in the Friedel oscillations surrounding impurities. Here we report on giant anisotropic charge density oscillations focused along specific directions with strong spin-filtering after scattering at an oxygen impurity embedded in the surface of a ferromagnetic thin film of Fe grown on W(001). Utilizing density functional theory, we demonstrate that by changing the thickness of the Fe films, we control quantum well states confined to two dimensions that manifest as multiple flat energy contours, impinging and tuning the strength of the induced charge oscillations which allow to detect the oxygen impurity at large distances (approximate to 50 nm).
Purpose; Hepatic resection is the mainstay of the curative treatment of primary hepatic tumors, with constantly improving short and long term results. Radiofrequency ablation (RFA)-assisted liver resection is a relatively new method of transection of the liver parenchyma with favorable intra- and perioperative results. The aim of this study was to investigate the oncological efficacy (long term overall survival/OS and disease free survival/DFS) and to confirm the favorable short term morbidity and mortality. Methods: Between May 2004 and January 2007, 28 patients underwent 32 resections with removal of 50 hepatocellular carcinoma (HCC) lesions. The technique of parenchymal transection has been described previously as RFA-assisted liver resection. Results: Thirty-day morbidity and mortality were 42.8 and 0%, respectively. Blood transfusion was necessary for 28.5% of the patients. The median hospital stay was 16.5 days (range 5-34). The 1- and 3-year OS were 92.9 and 65.7%, respectively. The 1- and 3-year DFS were 62.3 and 54.6% respectively. No patient developed metastatic disease or local recurrence at the margin site. Twelve patients (42.9%) developed in-the-liver recurrence away from the resection area. Conclusion: RFA-assisted liver resection is a safe and oncologically efficacious method for the surgical treatment of HCC with results comparable to other surgical techniques.
We construct and analyze a model of the relativistic steady-state magnetohydrodynamic rarefaction that is induced when a planar symmetric flow (with one ignorable Cartesian coordinate) propagates under a steep drop of the external pressure profile. Using the method of self-similarity, we derive a system of ordinary differential equations that describe the flow dynamics. In the specific limit of an initially homogeneous flow, we also provide analytical results and accurate scaling laws. We consider that limit as a generalization of the previous Newtonian and hydrodynamic solutions already present in the literature. The model includes magnetic field and bulk flow speed having all components, whose role is explored with a parametric study.
We construct and analyze a model of the relativistic steady-state magnetohydrodynamic rarefaction that is induced when a planar symmetric flow (with one ignorable Cartesian coordinate) propagates under a steep drop of the external pressure profile. Using the method of self-similarity, we derive a system of ordinary differential equations that describe the flow dynamics. In the specific limit of an initially homogeneous flow, we also provide analytical results and accurate scaling laws. We consider that limit as a generalization of the previous Newtonian and hydrodynamic solutions already present in the literature. The model includes magnetic field and bulk flow speed having all components, whose role is explored with a parametric study.
BACKGROUND: Allergen immunotherapy (AIT) has been thoroughly documented in randomized controlled trials (RCTs). It is the only immune-modifying and causal treatment available for patients suffering from IgE-mediated diseases such as allergic rhinoconjunctivitis, allergic asthma and insect sting allergy. However, there is a high degree of clinical and methodological heterogeneity among the endpoints in clinical studies on AIT, for both subcutaneous and sublingual immunotherapy (SCIT and SLIT). At present, there are no commonly accepted standards for defining the optimal outcome parameters to be used for both primary and secondary endpoints.
METHODS: As elaborated by a Task Force (TF) of the European Academy of Allergy and Clinical Immunology (EAACI) Immunotherapy Interest Group, this Position Paper evaluates the currently used outcome parameters in different RCTs and also aims to provide recommendations for the optimal endpoints in future AIT trials for allergic rhinoconjunctivitis.
RESULTS: Based on a thorough literature review, the TF members have outlined recommendations for nine domains of clinical outcome measures. As the primary outcome, the TF recommends a homogeneous combined symptom and medication score (CSMS) as a simple and standardized method that balances both symptoms and the need for antiallergic medication in an equally weighted manner. All outcomes, grouped into nine domains, are reviewed.
CONCLUSION: A standardized and globally harmonized method for analysing the clinical efficacy of AIT products in RCTs is required. The EAACI TF highlights the CSMS as the primary endpoint for future RCTs in AIT for allergic rhinoconjunctivitis.
The reaction of Appel salt 1 with 1H-pyrazol-5-amines 2 gives main products N-(4-chloro-5H-1,2,3-dithiazol-5-ylidene)-1H-pyrazol-5-amines 3, and 6H-pyrazolo[3,4-c]isothiazole-3-carbonitriles 5, together with several minor side products. When the pyrazoles are N-1 methylated, the product ratio 3:5 can be modified by adjusting the pH of the reaction medium: acidic conditions favor formation of the dithiazolylidenes 3, while basic conditions favor formation of pyrazolo[3,4-c]isothiazoles 5. Furthermore, thermolysis of N-(4-chloro-5H-1,2,3-dithiazol-5-ylidene)-1H-pyrazol-5-amines 3 gives 1H-pyrazolo[3,4-d]thiazole-5-carbonitriles 4. Single crystal X-ray crystallography supports the structure of 4,6-dimethyl-6H-pyrazolo[3,4-c]isothiazole-3-carbonitrile (5a) and helps resolve a previous incorrect structural assignment of 1H-pyrazolo[3,4-d]thiazole-5-carbonitriles 4.
Excess body weight is associated with various types of malignancies. Resistin, originally described as an adipocyte-specific hormone modulating insulin resistance in rodents, may exhibit proliferative, antiapoptotic, proinflammatory, proangiogenic and metastatic properties. Accumulating evidence supports a role of resistin as a risk factor and potential diagnostic and prognostic biomarker in cancer. In this report, the current knowledge about resistin's properties and pathophysiological implications in cancer in the context of dysregulated adipose tissue in obesity is summarized; clinical translations, preventive and therapeutic considerations, and future perspectives in the field of resistin research are discussed. At the same time, several enigmatic issues involving resistin receptor and signaling pathways remain to be clarified in order to unmask its ontological role in cancer pathophysiology.
The issue of violence on the soccer field in our time is a very complicated sport-social phenomenon. The subject has already been extensively researched, but there is still room for further inquiry. In accordance with internationally accepted theoretical tendencies, previous studies examining the issue of violence in soccer in Greece have focused on the understanding of this phenomenon as it relates to either the social conditions in society in general, or to the social characteristics of the spectators of the soccer clubs that are involved in that violence. This study looked at the issue from another point of view. Specifically, it focuses on the understanding of the phenomenon as it relates with the space, the time and the structural conditions under which it is produced. For that purpose, a questionnaire was administered to 696 subjects divided into four different groups of individuals related to soccer. The results, divided in three categories, indicate that, when we examine issues of violence in soccer, we should consider how a variety of socialcultural and emotional conditions inside football stadiums are shaped, keeping in mind that those conditions are specific in each game. This would enable us to differentiate violence in sport from other forms of violence and would assist in understanding the limits of responsibility of football institutions and organizations.
Key Words: violence, football stadium, emotional energy, structural characteristics and conditions, expectations.
Automatic segmentation of the arterial lumen from ultrasound images is an important task in clinical diagnosis. Carotid artery recognition, the first task in lumen segmentation, should be performed in a fully automated, fast, and reliable way to further facilitate the low-level task of arterial delineation. In this paper, a user-independent, real-time algorithm is introduced for carotid artery localization in longitudinal B-mode ultrasound images. The proposed technique acts directly on the raw image, and exploits basic statistics along with anatomical knowledge. The method's evaluation and parameter value optimization were performed on a threefold cross validation basis. In addition, the introduced algorithm was systematically compared with another algorithm for common carotid artery recognition in B-mode scans, separately for multi-frame and single-frame data. The data sets used included 2,149 images from 100 subjects taken from three different institutions and covering a wide range of possible lumen and surrounding tissue representations. Using the optimized values, the carotid artery was recognized in all the processed images in both multi-frame and single-frame data. Thus, the introduced technique will further reinforce automatic segmentation in longitudinal B-mode ultrasound images.
We investigate the effects of hadronic cascades on the gamma-ray burst (GRB) prompt emission spectra in scenarios of efficient neutrino production. By assuming a fiducial GRB spectrum and a power-law proton distribution extending to ultrahigh energies, we calculate the proton cooling rate and the neutrino emission produced through photopion processes. For this, we employ a numerical code that follows the formation of the hadronic cascade by taking into account non-linear feedback effects, such as the evolution of the target photon field itself due to the contribution of secondary particles. We show that in cases of efficient proton cooling and subsequently efficient high-energy neutrino production, the emission from the hadronic cascade distorts and may even dominate the GRB spectrum. Taking this into account, we constrain the allowable values of the ratio ηp = Lp/Lγ, where Lp and Lγ are the isotropic equivalent proton and prompt gamma-ray luminosities. For the highest value of ηp that does not lead to the dominance of the cascading emission, we then calculate the maximum neutrino luminosity from a single burst and show that it ranges between (0.01-0.6)Lp and (0.5-1.4)Lγ for various parameter sets. We discuss possible implications of other parameters, such as the magnetic field strength and the shape of the initial gamma-ray spectrum, on our results. Finally, we compare the upper limit on ηp derived here with various studies in the field, and we point out the necessity of a self-consistent treatment of the hadronic emission in order to avoid erroneously high neutrino fluxes from GRB models.
Bont L, Baraldi E, Fauroux B, Greenough A, Heikkinen T, Manzoni P, Martinón-Torres F, Nair H, Papadopoulos NG. RSV - still more questions than answers. Pediatr Infect Dis J. 2014.
We examine the neutrino and cosmic ray spectra resulting from two models of fitting the spectral energy distribution (SED) of the blazar Mrk 421 using a self-consistent leptohadronic code. The γ -ray emission is attributed to either synchrotron radiation of ultra-high energy protons (LHs model) or to synchrotron radiation from electrons that result from photopion interactions of lower energy protons (LH π model). Although both models succeed in fitting satisfactorily the SED, the parameter values that they use result in significantly different neutrino and cosmic-ray spectra. For the LH π model, which requires high proton energy density, we find that the neutrino spectrum peaks at an energy Eν,peak = 3.3 PeV which falls well within the energy range of recent neutrino observations. While at the same time its peak flux is just under the sensitivity limit of IC-40 observations, it cannot produce ultra-high energy cosmic rays. In the LHs model, on the other hand, neutrinos are far from being detectable because of their low flux and peak energy at Eν,peak ≃ 100 PeV. However, the propagation of protons produced by the decay of escaping neutrons results in an ultra-high energy cosmic ray flux close to that observed by Pierre Augere, HiRes and Telescope Array at energies Ep ≃ 30 EeV.
We examine the neutrino and cosmic ray spectra resulting from two models of fitting the spectral energy distribution (SED) of the blazar Mrk 421 using a self-consistent leptohadronic code. The γ -ray emission is attributed to either synchrotron radiation of ultra-high energy protons (LHs model) or to synchrotron radiation from electrons that result from photopion interactions of lower energy protons (LH π model). Although both models succeed in fitting satisfactorily the SED, the parameter values that they use result in significantly different neutrino and cosmic-ray spectra. For the LH π model, which requires high proton energy density, we find that the neutrino spectrum peaks at an energy Eν,peak = 3.3 PeV which falls well within the energy range of recent neutrino observations. While at the same time its peak flux is just under the sensitivity limit of IC-40 observations, it cannot produce ultra-high energy cosmic rays. In the LHs model, on the other hand, neutrinos are far from being detectable because of their low flux and peak energy at Eν,peak ≃ 100 PeV. However, the propagation of protons produced by the decay of escaping neutrons results in an ultra-high energy cosmic ray flux close to that observed by Pierre Augere, HiRes and Telescope Array at energies Ep ≃ 30 EeV.
Psychiatric disorders are characterized by sex differences in their prevalence, symptomatology and treatment response. Animal models have been widely employed for the investigation of the neurobiology of such disorders and the discovery of new treatments. However, mostly male animals have been used in preclinical pharmacological studies. In this review, we highlight the need for the inclusion of both male and female animals in experimental studies aiming at gender-oriented prevention, diagnosis and treatment of psychiatric disorders. We present behavioural findings on sex differences from animal models of depression, anxiety, post-traumatic stress disorder, substance-related disorders, obsessive-compulsive disorder, schizophrenia, bipolar disorder and autism. Moreover, when available, we include studies conducted across different stages of the oestrous cycle. By inspection of the relevant literature, it is obvious that robust sex differences exist in models of all psychiatric disorders. However, many times results are conflicting, and no clear conclusion regarding the direction of sex differences and the effect of the oestrous cycle is drawn. Moreover, there is a lack of considerable amount of studies using psychiatric drugs in both male and female animals, in order to evaluate the differential response between the two sexes. Notably, while in most cases animal models successfully mimic drug response in both sexes, test parameters and treatment-sensitive behavioural indices are not always the same for male and female rodents. Thus, there is an increasing need to validate animal models for both sexes and use standard procedures across different laboratories.
Psychiatric disorders are characterized by sex differences in their prevalence, symptomatology and treatment response. Animal models have been widely employed for the investigation of the neurobiology of such disorders and the discovery of new treatments. However, mostly male animals have been used in preclinical pharmacological studies. In this review, we highlight the need for the inclusion of both male and female animals in experimental studies aiming at gender-oriented prevention, diagnosis and treatment of psychiatric disorders. We present behavioural findings on sex differences from animal models of depression, anxiety, post-traumatic stress disorder, substance-related disorders, obsessive-compulsive disorder, schizophrenia, bipolar disorder and autism. Moreover, when available, we include studies conducted across different stages of the oestrous cycle. By inspection of the relevant literature, it is obvious that robust sex differences exist in models of all psychiatric disorders. However, many times results are conflicting, and no clear conclusion regarding the direction of sex differences and the effect of the oestrous cycle is drawn. Moreover, there is a lack of considerable amount of studies using psychiatric drugs in both male and female animals, in order to evaluate the differential response between the two sexes. Notably, while in most cases animal models successfully mimic drug response in both sexes, test parameters and treatment-sensitive behavioural indices are not always the same for male and female rodents. Thus, there is an increasing need to validate animal models for both sexes and use standard procedures across different laboratories.
The occurrence of mutual genetic loci in morphogenesis of the face and teeth implies shape covariation between these structures. However, teeth finalize their shape at an early age, whereas the face grows and is subjected to environmental influences for a prolonged period; it is therefore conceivable that covariation might modulate with age. Here we investigate the extent of this covariation in humans by measuring the 3D shape of the occlusal surface of the permanent first molars and the shape of the craniofacial complex from lateral radiographs, at two maturations stages. A sample of Greek subjects was divided into two groups (110 adult, 110 prepubertal) with equally distributed gender. The occlusal surfaces of the right first molars were 3D scanned from dental casts; 265 and 274 landmarks (including surface and curve semilandmarks) were digitized on the maxillary and mandibular molars, respectively. The corresponding lateral cephalometric radiographs were digitized with 71 landmarks. Geometric morphometric methods were used to assess shape variation and covariation. The vertical dimension of the craniofacial complex was the main parameter of shape variation, followed by anteroposterior deviations. The male craniofacial complex was larger (4.0-5.7%) and was characterized by a prominent chin and clockwise rotation of the cranial base (adult group only). Allometry was weak and statistically significant only when examined for the sample as a whole (percent variance explained: 2.1%, P = 0.0002). Covariation was statistically significant only between the lower first molar and the craniofacial complex (RV = 14.05%, P = 0.0099, and RV = 12.31%, P = 0.0162, for the prepubertal and adult groups, respectively). Subtle age-related covariation differences were noted, indicating that environmental factors may influence the pattern and strength of covariation. However, the main pattern was similar in both groups: a class III skeletal pattern (relative maxillary retrusion and mandibular protrusion), hyperdivergency, forward rotation of the posterior cranial base and upward rotation of the anterior cranial base were associated with mesiodistal elongation of the lower molars and height reduction of their distal cusps. This pattern mimics phylogeny in humans, where flexion and counterclockwise rotation of the cranial base, considered advantageous to survival, co-occur with tooth reductions that cannot be easily explained in evolutionary terms. The similarity of the phylogenetic and covariation patterns seems to support the pleiotropic gene hypothesis.
International Medical Informatics Association (IMIA) and European Federation of Medical Informatics are scientific associations which represents Health/Medical informatics as scientific and profesional disciplines. Those associations have long tradition in spreading knowledge, experiences and strategies in organization, practical applications and education within Health, Medical and Biomedical informatics in approximately 60 countries the world. In this review we present basic facts about IMIA and EFMI.who celebrate this 50 years of their establishing as professional associations.
Wyatt-Ashmead J, Konstantinidou A, Offiah AC. Skeletal dysplasias. The Pediatric and Perinatal Autopsy Manual with DVD-ROM. 2014:235.
Zimmermann B, Chadova K, Koedderitzsch D, Blügel S, Ebert H, Fedorov DV, Long NH, Mavropoulos P, Mertig I, Mokrousov Y, et al.Skew scattering in dilute ferromagnetic alloys. PHYSICAL REVIEW B. 2014;90:220403.Abstract
The challenging problem of skew scattering for Hall effects in dilute ferromagnetic alloys, with intertwined effects of spin-orbit coupling, magnetism, and impurity scattering, is studied here from first principles. Our main aim is to identify chemical trends and work out simple rules for large skew scattering in terms of the impurity and host states at the Fermi surface, with particular emphasis on the interplay of the spin and anomalous Hall effects in one and the same system. The predicted trends are benchmarked by referring to three different ab initio methods based on different approximations with respect to the electronic structure and transport properties.
This paper describes an empirical study which evaluates the Greek population perceptions on a "Smart" m-health application for Travelers, their attitude towards use, and their intention to use it. Based on TAM, IDT and other research works, a theoretical model was empirically constructed and then validated. The sample was 313 individuals, who most of them travel frequently and using Smartphone. Data analysis was performed using partial least squares path modeling. Results highlight the very strong significant effect of perceived usefulness, relative advantage and compatibility as well as, the significant effect of perceived ease of use to attitude towards using a "Smart" m-health application for Travelers. The study findings reveal also a strong significant effect of attitude towards use to behavioral intention to use showing the need for such m-health applications.
Friedman SR, Downing, M. J. J, Smyrnov P, Nikolopoulos G, Schneider JA, Livak B, Magiorkinis G, Slobodianyk L, Vasylyeva TI, Paraskevis D, et al.Socially-integrated transdisciplinary HIV prevention. AIDS BehavAIDS BehavAIDS Behav. 2014;18:1821-34.Abstract
Current ideas about HIV prevention include a mixture of primarily biomedical interventions, socio-mechanical interventions such as sterile syringe and condom distribution, and behavioral interventions. This article presents a framework for socially-integrated transdisciplinary HIV prevention that may improve current prevention efforts. It first describes one socially-integrated transdisciplinary intervention project, the Transmission Reduction Intervention Project. We focus on how social aspects of the intervention integrate its component parts across disciplines and processes at different levels of analysis. We then present socially-integrated perspectives about how to improve combination antiretroviral treatment (cART) processes at the population level in order to solve the problems of the treatment cascade and make "treatment as prevention" more effective. Finally, we discuss some remaining problems and issues in such a social transdisciplinary intervention in the hope that other researchers and public health agents will develop additional socially-integrated interventions for HIV and other diseases.
Current ideas about HIV prevention include a mixture of primarily biomedical interventions, socio-mechanical interventions such as sterile syringe and condom distribution, and behavioral interventions. This article presents a framework for socially-integrated transdisciplinary HIV prevention that may improve current prevention efforts. It first describes one socially-integrated transdisciplinary intervention project, the Transmission Reduction Intervention Project. We focus on how social aspects of the intervention integrate its component parts across disciplines and processes at different levels of analysis. We then present socially-integrated perspectives about how to improve combination antiretroviral treatment (cART) processes at the population level in order to solve the problems of the treatment cascade and make "treatment as prevention" more effective. Finally, we discuss some remaining problems and issues in such a social transdisciplinary intervention in the hope that other researchers and public health agents will develop additional socially-integrated interventions for HIV and other diseases.
Chimona C, Karioti A, Skaltsa H, Rhizopoulou S. Occurrence of secondary metabolites in tepals of Asphodelus ramosus. Plant Biosystems. 2014;148(1):31-34.Abstract
Major processes contributing to subtleties of ephemeral flowers of Asphodelus ramosus are related to chemical constituents detected in tepals which expand during cold and wet seasons in the eastern Mediterranean. Luteolin, caffeic acid, chlorogenic, and p-hydroxy-benzoic acids are the main constituents, whereas alkanes, ketones, and fatty acids appear in low amounts.
Rhizopoulou S. “Portrayals” of long-lived Mediterranean plants linked to virtues. Plant Biosystems [Internet]. 2014. Publisher's VersionAbstract
The association of plants with moral principles of individuals is presented in a miscellaneous, Medieval Greek manuscript. Botanical traits of 14 plants grown in Mediterranean landscapes have been used to express and awaken morals in the Middle Ages. Nowadays, plants symbolically linked to virtues represent a global resource for research.
In foreign language contexts, course books assume a considerable amount of responsibility for the structuring of class time, classroom interaction, and language learning. In this paper, we evaluate EFL course book materials by considering their structure and effectiveness through survey questionnaires administered to teachers working in Greek state primary schools (4th and 5th grades) and via in-depth interviews with the book authors. Our research has shown that materials production can be a predominantly top–down process, in which policy makers, materials authors and teachers can draw independent pathways to developing and implementing the final product, i.e. the course book. The findings of the study have implications for teaching, teacher training, materials design and policy making in contexts where learners use course books for foreign language learning.
The paper discusses the challenges and opportunities that the English as a lingua franca (ELF) paradigm raises for ESOL teacher education. I argue that one of the prominent implications of the ELF paradigm for ESOL teachers is the need to review and ultimately change their convictions about key aspects of foreign language teaching, such as normativity, the role of native/non-native speakers, and the function of teacher feedback in the foreign language classroom. I review evidence from the ELF literature that supports such a perspective and discuss the kind of reflective reviewing that teachers need to engage in. I argue that, while the critical approach is certainly the right way to go, it is not enough. What is necessary is a more rigorous approach that would go beyond merely exposing teachers to the principles and criteria of ELF and prompt them to critically consider and ultimately transform their deeper convictions about these issues. I present a framework for such a transformative perspective that aims at educating the ELF-aware teacher.
Η δημοσίευση, είναι η ανακοίνωση που εκφωνήθηκε το Μάιο του 2011 στο Columbia College στο Σικάγο στο “International Chicago Theatre Symposium: Chicago theatre capital of America: Past, Present, Future” . Το κείμενο πραγματεύεται τη γέννηση του πρώτου ερασιτεχνικού και εν συνεχεία του πρώτου επαγγελματικού θιάσου που δημιουργήθηκε στις Η.Π.Α., και συγκεκριμένα στο Σικάγο. Ήδη από το 1895 οι πρώτες ελληνικές οργανώσεις στους κόλπους της ορθόδοξης εκκλησίας ιδρύουν ερασιτεχνικούς θιάσους, οι οποίοι συνήθως παρουσιάζουν πατριωτικά, εθνικά δράματα κατά την επέτειο της 25ης Μαρτίου. Παράλληλα η Mabel Hay Barrows, κόρη φιλέλληνα εύπορου Αμερικανού, στα τέλη του 19ου αι. με την σύμπραξη των Ελλήνων μεταναστών σύστησε επαγγελματικό θίασο αρχαίου δράματος. Η Barrows περιπλανώμενη στις ελληνικές γειτονιές στο Σικάγο εντόπισε τα μέλη του θιάσου της, τα οποία εκπαίδευσε σχολαστικά ώστε το αποτέλεσμα της δουλειάς της να γνωρίσει κοινή αποδοχή όχι μόνο από το ελληνικό αλλά και από το αμερικανικό κοινό. Η συστηματική δράση και η επιτυχία της Barrows είχε ως αποτέλεσμα τη διάδοση και την καθιέρωση του ελληνικού θεάτρου σε όλες τις Πολιτείες των Η.Π.Α.
In the person of Boccaccio the humanism of Florence found its major representative. In 1358 he completed his great work, The Decameron, begun some ten years earlier. Considered the prelude to the new spirit that was to be manifested by the Renaissance, it was written in the spirit of a human-centred era. In the tales of The Decameron, based on events occurring during the plague at Florence of 1348, Boccaccio provides a detailed outline of how medical events were viewed at a time of transition from the Middle Ages to the new age of change. The Decameron opens with a description of the Bubonic Plague (Black Death). Boccaccio knows that it started in the East, and attributes it either to the influence of heavenly bodies or to God's anger over the wicked deeds of men. But the symptoms of the plague are not like those in the East, where he has heard that a sudden gush of blood from the nose is a sure sign of impending death. Instead, there are swellings, the buboes, in the groin and under the armpit, growing to the size of a small apple or an egg, then large purple or black spots on other parts of the body, and death soon afterwards. This leads to the story of a group of seven young women and three young men who fled from plague-ridden Florence to a villa outside the city walls. To pass the time, they organized themselves so that each person at night has to amuse the others by telling a story. The stories, told over ten days, contain dramatic and or humorous, elements, and many refer in one way or another to the way illness was conceived and managed in those times.
A growing body of evidence suggests that adiponectin presents anti-neoplastic effects via two mechanisms. First, adiponectin can act directly on tumor cells by enhancing receptor-mediated signaling pathways. Secondly, adiponectin may act indirectly by regulating inflammatory responses, influencing cancer angiogenesis and regulating insulin sensitivity at the target tissue site
What’s in a dialogic construction?A constructional approach to polysemy and the grammar of challengeAbstract: In this paper we address lexical polysemy in a constructional perspective, arguing that each of the conversational meanings we identify for Modern Greek ela (2nd person singular imperative of the verb erxome ‘come’) is appropriately modeled as a conceptual gestalt of formal (including prosodic) and semantic-pragmatic properties. In turn-initial position, ela is used to challenge a preceding utterance; we show that the variations in the kind of challenge expressed are systematically tied to the word that follows ela, the speech act force and the sentence type of the preceding utterance, and finally prosodic and textual cues. To the extent that these varieties of conversational challenge are conditioned by particular contextual features, we treat them as a family of related constructions whose common features can be captured in the form of a generalized ela construction abstracted from the different sub-patterns. Our analysis thus demonstrates the appropriateness of a constructional framework for dealing with the different kinds of parameters involved in dialogic meaning and strongly suggests that at least some of the variation inherent in discourse is amenable to a grammatical description, so that sentence-level and supra-clause patterns can be analyzed in a uniform way.
Keywords: (dialogic) constructions, Construction Grammar, polysemy, (speech act
of) challenge, exclamations, particles, Modern Greek, discourse
Matsangouras IT, Nastos PT, Zacharopoulos K. Spatial and temporal analysis of lightning impacts over Greece. COMECAP2014–ebook of contributions, edited by: Kanakidou, M., Mihalopoulos, N., and Nastos, P., Proceedings 12th International Conference of Meteorology, Climatology and Physics of the Atmosphere, Greece, Crete University Press . 2014.
Aims: We observed RX J0520.5-6932 in the X-rays and studied the optical light curve of its counterpart to verify it as a Be/X-ray binary. Methods: We performed an XMM-Newton anticipated target-of-opportunity observation in January 2013 during an X-ray outburst of the source in order to search for pulsations and derive its spectral properties. We monitored the source with Swift to follow the evolution of the outburst and to look for further outbursts to verify the regular pattern seen in the optical light curve with a period of ~24.4 d. Results: The XMM-Newton EPIC light curves show coherent X-ray pulsations with a period of 8.035331(15) s (1σ). The X-ray spectrum can be modelled by an absorbed power law with photon index of ~0.8, an additional black-body component with temperature of ~0.25 keV, and an Fe K line. Phase-resolved X-ray spectroscopy reveals that the spectrum varies with pulse phase. We confirm the identification of the optical counterpart within the error circle of XMM-Newton at an angular distance of ~0.8'', which is an O9Ve star with known Hα emission. By analysing the combined data from three OGLE phases we derived an optical period of 24.43 d. Conclusions: The X-ray pulsations and long-term variability, as well as the properties of the optical counterpart, confirm that RX J0520.5-6932 is a Be/X-ray binary pulsar in the Large Magellanic Cloud. Based on the X-ray monitoring of the source, we conclude that the event in January 2013 was a moderately bright type-I X-ray outburst, with a peak luminosity of 1.79 × 1036 erg s-1. Based on observations with XMM-Newton, an ESA Science Mission with instruments and contributions directly funded by ESA Member states and the USA (NASA); with Swift, a NASA mission with international participation.
We present new optical spectroscopy of 20 candidate counterparts of 17 X-ray sources in the direction of the M31 disc. By comparing the X-ray catalogue from the XMM-Newton survey of M31 with star catalogues from the Local Group Galaxy Survey, we chose counterpart candidates based on optical colour and X-ray hardness. We have discovered 17 counterpart candidates with spectra containing stellar features. Eight of these are early-type stars of O or B type in M31, with hard X-ray spectra, making them good high-mass X-ray binary (HMXB) candidates. Three of these eight exhibit emission lines, which we consider to be the strongest HMXB candidates. In addition, our spectra reveal two likely Galactic cataclysmic variables, one foreground M star, two probable low-mass X-ray binaries related to M31 globular clusters, one emission-line region with an embedded Wolf-Rayet star and one newly discovered supernova remnant. Finally, two of the sources have stellar spectra with no features indicative of association with an X-ray source.
We present new optical spectroscopy of 20 candidate counterparts of 17 X-ray sources in the direction of the M31 disc. By comparing the X-ray catalogue from the XMM-Newton survey of M31 with star catalogues from the Local Group Galaxy Survey, we chose counterpart candidates based on optical colour and X-ray hardness. We have discovered 17 counterpart candidates with spectra containing stellar features. Eight of these are early-type stars of O or B type in M31, with hard X-ray spectra, making them good high-mass X-ray binary (HMXB) candidates. Three of these eight exhibit emission lines, which we consider to be the strongest HMXB candidates. In addition, our spectra reveal two likely Galactic cataclysmic variables, one foreground M star, two probable low-mass X-ray binaries related to M31 globular clusters, one emission-line region with an embedded Wolf-Rayet star and one newly discovered supernova remnant. Finally, two of the sources have stellar spectra with no features indicative of association with an X-ray source.
The spin relaxation induced by the Elliott-Yafet mechanism and the extrinsic spin Hall conductivity due to the skew scattering are investigated in 5d transition-metal ultrathin films with self-adatom impurities as scatterers. The values of the Elliott-Yafet parameter and of the spin-flip relaxation rate reveal a correlation with each other that is in agreement with the Elliott approximation. At 10-layer thickness, the spin-flip relaxation time in 5d transition-metal films is quantitatively reported about few hundred nanoseconds at atomic percent. This time scale is one and two orders of magnitude shorter than the values in Au and Cu thin films, respectively. The anisotropy effect of the Elliott-Yafet parameter and of the spin-flip relaxation rate with respect to the direction of the spin-quantization axis in relation to the crystallographic axes is also analyzed. We find that the anisotropy of the spin-flip relaxation rate is enhanced due to the Rashba surface states on the Fermi surface, reaching values as high as 97% in 10-layer Hf(0001) film or 71% in 10-layer W(110) film. Finally, the spin Hall conductivity as well as the spin Hall angle due to the skew scattering off self-adatom impurities are calculated using the Boltzmann approach. Our calculations employ a relativistic version of the first-principles full-potential Korringa-Kohn-Rostoker Green function method.
The fundamental aspects of spin-dependent transport processes and their interplay with temperature gradients, as given by the spin Seebeck coefficient, are still largely unexplored and a multitude of contributing factors must be considered. We used density functional theory together with a Monte-Carlo-based statistical method to simulate simple nanostructures, such as Co nanowires and films embedded in a Cu host or in vacuum, and investigated the influence of spin disorder scattering on electron transport at elevated temperatures. While we show that the spin-dependent scattering of electrons due to temperature-induced disorder of the local magnetic moments contributes significantly to the resistance, thermoelectric, and spin-caloric transport coefficients, we also conclude that the actual magnitude of these effects cannot be predicted, quantitatively or qualitatively, without such detailed calculations.
BACKGROUND: Although asthma is characterized by variable airways obstruction, most studies of asthma phenotypes are cross-sectional. The stability of phenotypes defined either by biomarkers or by physiological variables was assessed by repeated measures over 1 year in the Pan-European BIOAIR cohort of adult asthmatics.
METHODS: A total of 169 patients, 93 with severe asthma (SA) and 76 with mild-to-moderate asthma (MA), were examined at six or more visits during 1 year. Asthma phenotype clusters were defined by physiological variables (lung function, reversibility and age of onset of the disease) or by biomarkers (eosinophils and neutrophils in induced sputum).
RESULTS: After 1 year of follow-up, the allocation to clusters was changed in 23.6% of all asthma patients when defined by physiological phenotypes and, remarkably, in 42.3% of the patients when stratified according to sputum cellularity (P = 0.034). In the SA cohort, 30% and 48.6% of the patients changed allocation according to physiological and biomarker clustering, respectively. Variability of phenotypes was not influenced by change in oral or inhaled corticosteroid dose, nor by the number of exacerbations. Lower stability of single and repeated measure was found for all evaluated biomarkers (eosinophils, neutrophils and FeNO) in contrast to good stability of physiological variables (FEV1 ), quality of life and asthma control.
CONCLUSION: Phenotypes determined by biomarkers are less stable than those defined by physiological variables, especially in severe asthmatics. The data also imply that definition of asthma phenotypes is improved by repeated measures to account for fluctuations in lung function, biomarkers and asthma control.
Joint hypermobility syndrome (JHS) is a heritable disorder of the connective tissue characterized by excessive joint movement, musculoskeletal pain and neurophysiological deficits (i.e. decreased proprioceptive acuity, altered neuromuscular reflexes). Such deficits may affect body balance thus increasing the risk of injury. The present study aimed at examining static and dynamic body balance following challenge of the visual and vestibular systems in individuals with JHS. The sample consisted of 21 females with JHS and 20 controls without signs of JHS. Static body balance was assessed by the degree of anteroposterior and mediolateral deviation of the center of pressure, during 20-sec single-leg stances with eyes opened (EO), eyes closed (EC) and eyes opened with head extension (EO-HE) using a foot pressure platform. Dynamic body balance was assessed by the number of landing and balance errors committed during a multiple single-leg-hop-stabilization test. Nonparametric analysis showed that the JHS-group demonstrated significantly greater (a) mediolateral deviation during single-leg-stance with EO (p < 0.01), (b) mediolateral and anteroposterior deviation during single-leg-stance with EO-HE (p < 0.05), and (c) number of landing errors (p < 0.05) compared to the control group. Poor static balance following challenge of the vestibular system may be justified by vestibular deficiency and/or insufficient proprioceptive capabilities of the neck. Impairments of dynamic balance in individuals with JHS may be attributed to proprioceptive deficits, which can alter feedforward and feedback mechanisms.
ObjectivesTwo-stage clinical designs are currently recommended by the regulatory authorities for the assessment of bioequivalence (BE). A specific statistical methodology was recently proposed by the European Medicines Agency (EMA). The aims of this article are to elaborate on the suggested statistical design from the EMA and to compare it with the existing statistical methods reported in the literature. MethodsMonte Carlo simulations were used to simulate the conditions of a two-stage BE design. The starting sample size was either 24 or 48, whereas the coefficient of variation of the within-subject variability was equal to 20% and 40%. Several geometric mean ratio levels of the BE metric were considered. Under each condition, 1000000 studies were simulated. Key findingsThe overall performance, in terms of percentage of BE acceptance, is identical. The additional term, sequencexstage', suggested in the EMA method is in most cases nonsignificant. The same results were obtained regardless of the type (fixed or random) of the effect applied to the subjects' term. ConclusionsAny BE study either finished or in progress which relies on the existing literature methodology leads to the same percentage of BE acceptance as if it was analysed with the recently proposed EMA method.
We consider a transportation station, where customers arrive according to a Poisson process. A transportation facility visits the station according to a renewal process and serves at each visit a random number of customers according to its capacity. We assume that the arriving customers decide whether to join the station or balk, based on a natural reward-cost structure. We study the strategic behavior of the customers and determine their symmetric Nash equilibrium strategies under two levels of information.
Given that platelet activating factor (PAF) is a crucial inflammatory phospholipid mediator that is implicated in the mechanism of atherogenesis, the presence of PAF inhibitors in food reinforces their nutritional value in terms of protection against cardiovascular diseases. The aim of the present study was to evaluate the anti-atherogenic (anti-inflammatory) properties of two different types of Greek cheese: Kefalotyri and Ladotyri. Total lipids (TL) of both types of cheese samples were extracted by the method of Bligh and Dyer and separated into total polar lipids (TPL) and total neutral lipids (TNL) by countercurrent distribution. TPL were further separated by preparative thin-layer chromatography (TLC). TL, TPL, TNL and the obtained polar lipid fractions after TLC separation were tested to determine their biological activity towards atherosclerosis based on the in vitro inhibition of PAF-induced platelet aggregation. Both types of cheese samples exhibited strong biological activity, and their lipids were potent PAF inhibitors. Comparing the two types of cheese samples, Ladotyri cheese polar lipid fractions were found to exhibit stronger inhibitory properties than those of Kefalotyri cheese. The fact that both types of cheese were found to contain PAF inhibitors highlights their nutritional value in terms of cardio-protection.
Journal of Food Science
Volume 79, Issue 5, May 2014, Pages R765-R780
The Bioaccumulation and Physiological Effects of Heavy Metals in Carrots, Onions, and Potatoes and Dietary Implications for Cr and Ni: A Review (Article)
Stasinos, S., Nasopoulou, C., Tsikrika, C., Zabetakis, I.
Laboratory of Food Chemistry, Dept. of Chemistry, Univ. of Athens, Athens, Greece
View references (69)
Abstract
The bioaccumulation of heavy metals in food tubers (carrots, onions, and potatoes) as a result of polluted irrigation water has been studied in this review paper. Given that heavy metals can cause a considerable oxidative stress, the impact of these metals to the physiology of the plants has also been assessed. The consumption of vegetables cross-contaminated with heavy metals carries a considerable risk for humans (especially for children and pregnant women) and these dietary implications are discussed while European Food Safety Authority has been urged to look into this matter of concern.
The purpose of this study was to structurally characterise the polar lipids of sea bass (Dicentrarchus labrax), fed with an experimental diet containing olive pomace (OP), that exhibit cardioprotective activities. OP has been added to conventional fish oil (FO) feed at 4% and this was the OP diet, having been supplemented as finishing diet to fish. Sea bass was aquacultured using either FO or OP diet. At the end of the dietary experiment, lipids in both samples of fish muscle were quantified and HPLC fractionated. The in vitro cardioprotective properties of the polar lipid fractions, using washed rabbit’s platelets, have been assessed and the two most biologically active fractions were further analysed by mass spectrometry. The gas-chromatrograpy–mass spectrometric data shows that these two fractions contain low levels of myristic (14:0), oleic (18:1 cis ω-9) and linoleic acids (18:2 ω-6), but high levels of palmitic (16:0) and stearic acids (18:0) as well as eicosadienoic acid (20:2 ω-6). The first fraction (MS1) also contained significant levels of arachidonic acid (20:4 ω-6) and the omega-3 fatty acids: eicosapentaenoic acid (22:5) and docosahexaenoic acid (22:6). Electrospray-mass spectrometry elucidated that the lipid composition of the two fractions contained various diacyl-glycerophospholipids species, where the majority of them have either 18:0 or 18:1 fatty acids in the sn-1 position and either 22:6 or 20:2 fatty acids in the sn-2 position for MS1 and MS2, respectively. Our research focuses on the structure/function relationship of fish muscle polar lipids and cardiovascular diseases and structural data are given for polar lipid HPLC fractions with strong cardioprotective properties.
The spectrin superfamily of proteins plays key roles in assembling the actin cytoskeleton in various cell types, crosslinks actin filaments, and acts as scaffolds for the assembly of large protein complexes involved in structural integrity and mechanosensation, as well as cell signaling. alpha-actinins in particular are the major actin crosslinkers in muscle Z-disks, focal adhesions, and actin stress fibers. We report a complete high-resolution structure of the 200 kDa alpha-actinin-2 dimer from striated muscle and explore its functional implications on the biochemical and cellular level. The structure provides insight into the phosphoinositide-based mechanism controlling its interaction with sarcomeric proteins such as titin, lays a foundation for studying the impact of pathogenic mutations at molecular resolution, and is likely to be broadly relevant for the regulation of spectrin-like proteins.
Abstract The νg$_{9/2}$, d$_{5/2}$, s$_{1/2}$ orbitals are assumed to be responsible for the swift onset of collectivity observed in the region below $^{68}$Ni. Especially the single-particle energies and strengths of these orbitals are of importance. We studied such properties in the nearby $^{67}$Ni nucleus, by performing a (d,p)-experiment in inverse kinematics employing a post-accelerated radioactive ion beam (RIB) at the REX-ISOLDE facility. The experiment was performed at an energy of 2.95 MeV/u using a combination of the T-REX particle detectors, the Miniball γ-detection array and a newly-developed delayed-correlation technique as to investigate μs-isomers. Angular distributions of the ground state and multiple excited states in $^{67}$Ni were obtained and compared with DWBA cross-section calculations, leading to the identification of positive-parity states with substantial νg$_{9/2}$ (1007 keV) and νd$_{5/2}$ (2207 keV and 3277 keV) single-particle strengths up to an excitation energy of 5.8 MeV. 50% of the νd$_{5/2}$ single-particle strength relative to the νg$_{9/2}-orbital is concentrated in and shared between the first two observed 5/2^{+} levels. A comparison with extended Shell Model calculations and equivalent ($^3$He, d) studies in the region around $^{90}_{40}$Zr$_{50}$ highlights similarities for the strength of the negative-parity pf and positive-parity g$_{9/2}$ state, but differences are observed for the d$_{5/2} single-particle strength.
In ferromagnetic/superconducting (FM/SC) planar hybrids, a reentrance of the upper-critical field line H-c2(T) is observed close to T-c. The effect is generally ascribed to the so-called domain-wall superconductivity and has been theoretically explored in great detail. Experimental investigations are limited mostly to FM/SC bilayers in which the FM layers host out-of-plane magnetic domains of strong anisotropy and large width (>300 nm), the SC layer is quite thick (>30 nm), and the external magnetic field was applied normal. To expand our knowledge to until now unexplored conditions, we study a series of Co(d(Co))/Nb(d(Nb))/Co(d(Co)) trilayers under a parallel magnetic field; Co outer layers exhibit out-of-plane magnetic domains of weak anisotropy and small width (<150 nm) and the Nb interlayer is very thin (<20 nm). We demonstrate a strong reentrance of H-c2(T) that can be tuned through the irreversible magnetization processes of the FM outer layers, the two-dimensional character of the SC interlayer, and the matching between the interfering SC and FM length scales. These results refine the nature of the reentrance of H-c2(T) in FM/SC hybrids and can motivate new theoretical and experimental investigations. (C) 2014 AIP Publishing LLC.
A series of observations performed with Swift/XRT (Target ID 33042) in the SMC detected a variable X-ray source within the field of view. The source appeared in observations performed on and after 2014 Jan 06, while it remained undetected in the period 2013 Dec 13 - 24. The XRT J2000 position is RA = 01:07:45.00, DEC = -72:27:40.9, (90% error radius of 4.0"). This position matches [MCS2008] 206, detected with Chandra on 2006 Feb 10.
We report an outburst of Swift J0513.4-6547, a 27.28 s pulsar Be/X-ray binary in the Large Magellanic Cloud, which was discovered by Krimm et al. (2009, ATel #2011) and has an orbital period of 27 d (ATel #5511).
Extracellular matrix (ECM) components form a dynamic network of key importance for cell function and properties. Key macromolecules in this interplay are syndecans (SDCs), a family of transmembrane heparan sulfate proteoglycans (HSPGs). Specifically, heparan sulfate (HS) chains with their different sulfation pattern have the ability to interact with growth factors and their receptors in tumor microenvironment, promoting the activation of different signaling cascades that regulate tumor cell behavior. The affinity of HS chains with ligands is altered during malignant conditions because of the modification of chain sequence/sulfation pattern. Furthermore, matrix degradation enzymes derived from the tumor itself or the tumor microenvironment, like heparanase and matrix metalloproteinases, ADAM as well as ADAMTS are involved in the cleavage of SDCs ectodomain at the HS and protein core level, respectively. Such released soluble SDCs "shed SDCs" in the ECM interact in an autocrine or paracrine manner with the tumor or/and stromal cells. Shed SDCs, upon binding to several matrix effectors, such as growth factors, chemokines, and cytokines, have the ability to act as competitive inhibitors for membrane proteoglycans, and modulate the inflammatory microenvironment of cancer cells. It is notable that SDCs and their soluble counterparts may affect either the behavior of cancer cells and/or their microenvironment during cancer progression. The importance of these molecules has been highlighted since HSPGs have been proposed as prognostic markers of solid tumors and hematopoietic malignancies. Going a step further down the line, the multi-actions of SDCs in many levels make them appealing as potential pharmacological targets, either by targeting directly the tumor or indirectly the adjacent stroma.
A systematic study of carrier transfer along DNA dimers, trimers and polymers including poly(dG)-poly(dC), poly(dA)-poly(dT), GCGCGC..., ATATAT... is presented allowing to determine the spatiotemporal evolution of electrons or holes along a N base-pair DNA segment. Physical quantities are defined including maximum transfer percentage p and pure maximum transfer rate p/T when a period T is defined; pure mean transfer rate k and speed u=kd, where d is the charge transfer distance. The inverse decay length β for the exponential fit k=k0exp(-βd) and the exponent η for the power-law fit k=k0′N-η are computed. β≈0.2-2 Å-1, k0 is usually 10-2-10-1 PHz, generally ≈10-4-10 PHz. η≈1.7-17, k0′ is usually 10-2-10-1 PHz, generally ≈10-4-10 3 PHz. The results are compared with theoretical and experimental works. This method allows to assess the extent at which a specific DNA segment can serve for charge transfer.
We give two general mathematical models predicting geopolitical events into a geopolitical system according to Mazis’ lakatosian formulation methodology for a Systemic Geopolitical Analysis. To this end, we consider weighted geopolitical indices and their measurements. When the weighted geopolitical indices, as well as the related geopolitical measurements take values in different times and different geographical points, then they form two sets in the four-dimensional Euclidean space. The distance between these sets can be considered as a measure for assessing the occurrence or not of a geopolitical event. To this direction, we give general frameworks of two algorithms for determining the time moments and geographical points at which is expected the appearance of peculiar geopolitical events.
INTRODUCTION: Novel therapeutic compounds are needed for prostate cancer (CaP), given the limitations of already used drugs and the disease's mortality, often attributed to castrate resistance. Tissue kallikrein and kallikrein-related peptidases (KLKs) form a family of serine proteases aberrantly expressed and broadly implicated in human malignancies. In CaP, KLKs participate in the promotion of cell proliferation, extracellular matrix degradation, tumour cell invasion and metastasis. AREAS COVERED: This review discusses the different ways of inhibiting, modulating and exploiting KLK activity and/or expression as emerging CaP therapeutics. KLKs are targeted by diverse naturally occurring substances, including proteinaceous inhibitors, low-molecular-weight peptides and Zn(2+). Synthetic KLK inhibitors include protein/peptide-based inhibitors and small molecules. A re-engineered serpin-based KLK inhibitor is under evaluation in first-in-human trials as a CaP therapeutic, whereas additional potent and selective KLK inhibitors with relevance to CaP have been synthesized. KLK3-activated pro-drugs have entered Phase I and Phase II clinical trials as therapeutics for prostate tumours. The KLK3-based PROSTVAC(R) vaccine is evaluated in Phase III clinical trials. Targeting KLK expression via RNA interference methods could represent another promising therapeutic approach for CaP. EXPERT OPINION: Apart from their immense biomarker potential, KLKs also hold promise as the basis of novel CaP therapeutics.
BACKGROUND: This study was conducted to investigate the effects of intravenous thalidomide administration in an experimental model of musculoskeletal trauma. We hypothesized that because thalidomide inhibits secretion of tumor necrosis factor alpha (TNF-α), survival of animals that received thalidomide would be significantly prolonged.
MATERIAL AND METHODS: After an open fracture of the right femur, 24 rabbits were randomly assigned to control and thalidomide groups. Intravenous therapy with thalidomide was started 30 min after fracture. Hemodynamic monitoring of all animals was performed for 4 h. Survival was recorded and bacterial growth in blood and organs was measured after animal death or sacrifice. Blood was sampled for TNF-α measurement and for isolation of peripheral blood mononuclear cells (PBMCs). Apoptosis of PBMCs was measured by flow cytometry.
RESULTS: Survival was significantly prolonged in the thalidomide group. Apoptosis of PBMCs was increased in the control group compared with the thalidomide group at 24 h. There were no differences in vital signs, blood and tissue cultures, and serum TNF-α concentration between the two groups.
CONCLUSIONS: Intravenous thalidomide prolonged survival in an experimental model of severe musculoskeletal injury in rabbits. Its mechanism of action did not involve TNF-α suppression but prevention of mononuclear apoptosis. In view of these promising results, further research is needed to clarify the immunomodulatory mechanism of action of thalidomide and its potential use for the management of severe trauma.
A non conventional source or receiver of THz and above THz electromagnetic radiation is proposed. Specifically, electron or hole oscillations in DNA dimers (two interacting DNA base‐pairs or monomers) are predicted, with frequency in the range f ~ 0.25 - 100 THz (period T ~ 10 - 4000 fs) i.e. potentially absorbing or emitting electromagnetic radiation mainly in the mid‐ and far‐infrared with wavelengths ~ 3 - 1200 μm. The efficiency of charge transfer between the two monomers which make up the dimer is described with the maximum transfer percentage p and the pure maximum transfer rate pf. For dimers made of identical monomers p = 1, but for dimers made of different monomers p < 1. The investigation is extended to DNA trimers (three interacting DNA base‐pairs or monomers). For trimers made of identical monomers the carrier oscillates periodically with f ~ 0.5 - 33 THz (T ~ 30 - 2000 fs); for 0 times crosswise purines p = 1, for 1 or 2 times crosswise purines p < 1. For trimers made of different monomers the carrier movement may be non periodic. Generally, increasing the number of monomers above three, the system becomes more complex and periodicity is lost; even for the simplest tetramer the carrier movement is not periodic.
Aims: We apply both leptonic and leptohadronic emission scenarios for modelling the multiwavelength photon spectra and the observed variability in the optical, X-ray, and TeV gamma-ray energy bands of blazar PKS 2155-304 while being in a low state between 25 August and 6 September 2008. Methods: We consider three emission models, namely a one-component synchrotron self-Compton model (1-SSC), a one-zone proton synchrotron model (LHs), and a two-component SSC model (2-SSC). Only in the first scenario can the emission from the optical up to very high-energy (VHE) gamma-rays be attributed to a single particle population from one emission region. In the LHs model, the low-energy and high-energy bumps of the spectral energy distribution (SED) are the result of electron and proton synchrotron radiation, respectively, i.e. two different particle populations are required. In the 2-SSC model, the emission from one component dominates in the optical and gamma-ray energy bands, while the other one contributes only to the X-ray flux. Using a time-dependent numerical code that solves the kinetic equations for each particle species, we derived, in all cases, acceptable fits to the time-averaged SED. By imposing variations to one (or more) model parameters according to observed variability pattern in one (or more) frequencies we calculated the respective lightcurves and compared them with the observations. Results: We show that the 1-SSC model cannot account for the anticorrelation observed between the X-rays and VHE gamma-rays, although it can explain the time-averaged SED. The anticorrelation can be more naturally explained by the two-component emission models. Both of them reproduce satisfactorily the optical, X-ray, and TeV variability but at the cost of additional free parameters, which from four in the 2-SSC model increase to six in the LHs model. Although the results of our time-resolved analysis do not favour one of the aforementioned models, they suggest that a two-component scenario is more adequate for the emission of PKS 2155-304 in the low state of 2008, which agrees with a recent independent analysis. This suggests that the quiescent blazar radiation might result from a superposition of the radiation from different components, while a flare might still be the result of a single component.
Waldenström macroglobulinemia (WM) is a distinct B-cell lymphoproliferative disorder for which clearly defined criteria for the diagnosis, initiation of therapy, and treatment strategy have been proposed as part of the consensus panels of International Workshops on WM (IWWM). As part of the IWWM-7 and based on recently published and ongoing clinical trials, the panels updated treatment recommendations. Therapeutic strategy in WM should be based on individual patient and disease characteristics (age, comorbidities, need for rapid disease control, candidacy for autologous transplantation, cytopenias, IgM-related complications, hyperviscosity, and neuropathy). Mature data show that rituximab combinations with cyclophosphamide/ dexamethasone, bendamustine, or bortezomib/dexamethasone provided durable responses and are indicatedformostpatients. Newmonoclonalan-tibodies (ofatumumab), second-generation proteasome inhibitors (carfilzomib), mam-malian target of rapamycin inhibitors, and Bruton's tyrosine kinase inhibitors are promising and may expand future treatment options. A different regimen is typically recommended for relapsed or refractory disease. In selected patients with relapsed disease after long-lasting remission, reuse of a prior effective regimen may be appropriate. Autologous stem cell transplantation may be considered in young patients with chemosensitive disease and in newly diagnosed patients with very-high-risk features. Active enrollment of patients with WM in clinical trials is encouraged.
Background. Dysplasia epiphysealis hemimelica (DEH) is rare and its main characteristic is osteochondromas of the epiphysis of long bones. Methods. We report a case of DEH of the ankle in an 8-year-old boy that was resected in 2005. Additionally we collect all the reported cases of DEH. The literature is reviewed regarding the treatment, prognosis, long term function, and patterns and areas affected by DEH. Results. In our case no complications were noted and our patient remains asymptomatic. Reviewing the literature we found that 73 authors have reported 144 cases from 1926 to 2013. We propose and describe a new classification that correlates with prognosis. According to our classification DEH is classified as types 1 with single lower limb involvement, 2 with multiple lower limb, 3 with single upper limb, 4 with multiple upper limb, 5 with upper and lower limb, and 6 with spine. Conclusions. All single lesions should be followed up and if indicated a whole body nuclear bone scan can be useful in identifying the existence of multiple affected joints. Type 1 lesions have better prognosis than 2 and have less chances of developing OA even if not resected. Resection, even if partial, can be a successful treatment for DEH.
Fractures of the lesser tuberosity of the humerus are typically met in combination with other injuries of the shoulder. Case reports of isolated lesser tuberosity fractures are particularly rare and, consequently, therapeutic protocols have not yet been completely clarified. Conservative as well as surgical treatment has been recommended, while several operative techniques have been applied. We present a case of a 39-year-old man with an isolated lesser tuberosity fracture who was treated surgically in our institution. Due to fracture comminution, a two-level reconstruction technique with headless screws and buttress plate was applied. As far as we know, this method of fixation of this type of fracture has not been previously described in the literature. The patient tolerated the procedure well and excellent results were obtained at the latest follow-up.
Transporters are ubiquitous proteins mediating the translocation of solutes across cell membranes, a biological process involved in nutrition, signaling, neurotransmission, cell communication and drug uptake or efflux. Similarly to enzymes, most transporters have a single substrate binding-site and thus their activity follows Michaelis-Menten kinetics. Substrate binding elicits a series of structural changes, which produce a transporter conformer open toward the side opposite to the one from where the substrate was originally bound. This mechanism, involving alternate outward- and inward-facing transporter conformers, has gained significant support from structural, genetic, biochemical and biophysical approaches. Most transporters are specific for a given substrate or a group of substrates with similar chemical structure, but substrate specificity and/or affinity can vary dramatically, even among members of a transporter family that show high overall amino acid sequence and structural similarity. The current view is that transporter substrate affinity or specificity is determined by a small number of interactions a given solute can make within a specific binding site. However, genetic, biochemical and in silico modeling studies with the purine transporter UapA of the filamentous ascomycete Aspergillus nidulans have challenged this dogma. This review highlights results leading to a novel concept, stating that substrate specificity, but also transport kinetics and transporter turnover, are determined by subtle intramolecular interactions between a major substrate binding site and independent outward- or cytoplasmically-facing gating domains, analogous to those present in channels. This concept is supported by recent structural evidence from several, phylogenetically and functionally distinct transporter families. The significance of this concept is discussed in relationship to the role and potential exploitation of transporters in drug action.
Adrenal hemorrhage (AH) is a rare but serious condition that is often diagnosed at autopsy. Unilateral adrenal hemorrhage (UAH) in adults is extremely rare and is often due to trauma or anticoagulation or is associated with systemic illness. The case of a 73-year-old man who was diagnosed with UAH several days after an elective total knee replacement is presented. The patient had an uncomplicated procedure and he was treated postoperatively with a prophylactic dose of subcutaneous low-molecular- weight heparin and compression sleeves. On postoperative day 8, he reported sustained epigastric and midback pain at the lower thoracic level. He had a temperature of 38.5°C. On clinical examination, the patient expressed only mild tenderness at the lumbar area. Abdominal ultrasound and computed tomography (CT) scan were inconclusive. On postoperative day 13, the patient experienced no pain but remained febrile. An abdominal CT scan revealed a high-density mass on the left adrenal gland suggestive of hemorrhage. The subcutaneous heparin as well as the antimicrobial therapy was discontinued and a serum cortisol examination was done. Serum levels were within normal values in the evening and the morning. On postoperative day 16, all laboratory values returned to normal and the patient was discharged in excellent condition. Patients who have abdominal pain, hypotension, or both soon after initiation of anticoagulation or patients who experience abdominal pain, fever, nausea, or confusion postoperatively should be screened for AH.
Abstract Sedimentary Mesozoic rocks from \{NW\} Greece (Epirus region), and particularly laminated phosphatized limestones, bedded chert-rich limestones and brecciated phosphatized limestones, were examined for their actinide content. Gamma-ray measurements using a \{HPGe\} detector showed that the above geological materials exhibit high radioactivity, mainly attributed to the 238U-series. The 238U content (up to 7700 Bq/kg) was determined by the 1001 keV photopeak of 234mPa, the 238U daughter. Bulk geochemical analyses using ICP-OES/MS showed variable U concentrations with a notable value of 648 ppm in the case of dark organic-rich material hosted into the brecciated phosphatized limestones. Relatively high concentrations of Cd, probably related to apatite, were also revealed. On the other hand, the rock is geochemically depleted in \{LILE\} (e.g. Cs, Rb, K), as well as in As, Sb and Se in contrast to “average phosphorite”. Powder-XRD combined with optical microscopy, SEM–EDS and \{FTIR\} confirmed abundant apatite, besides calcite, as well as organic compounds (organic matter/O.M.) which should be associated to the high U content. According to Th/Sc vs. Zr/Sc discrimination diagrams the organic-rich part of the U-bearing phosphatised limestones exhibits a mafic trend, in contrast to the rest of the studied rocks lying close to typical pelagic sediments. However, Eu/Eu* vs. Ce/Ce* diagrams, in combination with SEM–EDS, indicated that the organic-rich part is a typical sedimentary material whereas the organic-poor (and also U-poor) part of the rock is secondary calcite related to surface waters. As far as we know, the studied rocks from \{NW\} Greece are classified as among the richest U-bearing phosphatized limestones and/or sedimentary phosphorites in the world.
BACKGROUND: Scalp psoriasis, one of the most common sites of psoriasis involvement, is often difficult to control with topical agents. There is a lack of substantial evidence-based data for the efficacy and safety of systemic therapies.
METHODS: Two patients from our university-based psoriasis clinic with chronic plaque psoriasis and severe recalcitrant scalp involvement were assessed by Psoriasis Area and Severity Index and Psoriasis Scalp Severity Index scores, respectively, and quality of life by the Dermatology Life Quality Index.
RESULTS: We report 2 psoriasis patients with very severe scalp psoriasis who developed a fast clinical response of scalp psoriasis to ustekinumab in 8 weeks with excellent patient adherence up to 28 weeks of follow-up and positive impact on quality of life due to rapid and long-term clearing.
CONCLUSION: Ustekinumab produces a fast clinical response of recalcitrant scalp psoriasis with excellent patient adherence and a positive impact on quality of life due to rapid and long-term clearing in patients with very severe scalp involvement who failed conventional topical and systemic treatment.
BACKGROUND: Survivin is a novel antiapoptotic gene, which is a member of the inhibitor of apoptosis protein (IAP) family. Recently, 3 splice variants of this gene were cloned and characterized. This study aimed to validate a sensitive and specific method for the detection of survivin variants in breast cancer.
METHODS: Real-time quantitative polymerase chain reaction (qPCR) was performed on the cDNA with a reverse primer specific for each splice variant and a pair of common hybridization probes.
RESULTS: The expression of wild-type survivin was significantly correlated with survivin-2b, survivin-ΔEx3, and the ratio of survivin-ΔEx3 to wild-type survivin (P < .001). The ratio of survivin-2b to wild-type survivin was strongly associated with the ratio of survivin-ΔEx3 to wild-type survivin (P < .001). There was a strong positive association between the grade of the tumor and survivin-2b mRNA, survivin-ΔEx3 mRNA, and the ratio of survivin-ΔEx3 to wild-type survivin mRNA (P < .05). The ratio of survivin-2b to wild-type survivin was significantly associated with the presence of estrogen receptors (P = .05).
CONCLUSION: Our validated data suggest that survivin isoforms may be related to clinicopathological features and could be used as molecular prognostic tools or as new therapy targets.
BACKGROUND: Survivin is a novel antiapoptotic gene, which is a member of the inhibitor of apoptosis protein (IAP) family. Recently, 3 splice variants of this gene were cloned and characterized. This study aimed to validate a sensitive and specific method for the detection of survivin variants in breast cancer. METHODS: Real-time quantitative polymerase chain reaction (qPCR) was performed on the cDNA with a reverse primer specific for each splice variant and a pair of common hybridization probes. RESULTS: The expression of wild-type survivin was significantly correlated with survivin-2b, survivin-DeltaEx3, and the ratio of survivin-DeltaEx3 to wild-type survivin (P < .001). The ratio of survivin-2b to wild-type survivin was strongly associated with the ratio of survivin-DeltaEx3 to wild-type survivin (P < .001). There was a strong positive association between the grade of the tumor and survivin-2b mRNA, survivin-DeltaEx3 mRNA, and the ratio of survivin-DeltaEx3 to wild-type survivin mRNA (P < .05). The ratio of survivin-2b to wild-type survivin was significantly associated with the presence of estrogen receptors (P = .05). CONCLUSION: Our validated data suggest that survivin isoforms may be related to clinicopathological features and could be used as molecular prognostic tools or as new therapy targets
Vanishing bone disease (Gorham-Stout syndrome) is a rare entity of unknown etiology, characterized by destruction of osseous matrix and proliferation of vascular structures, resulting in destruction and absorption of bone. Despite the extensive investigation of the pathogenetic mechanisms of the disease, its etiology hasn't been clarified and several theories exist. The syndrome can affect one or multiple bones of the patient, including the skull, the upper and lower extremities, the spine and pelvis. The clinical presentation of a patient suffering from vanishing bone disease includes, pain, functional impairment and swelling of the affected region, although asymptomatic cases have been reported, as well as cases in which the diagnosis was made after a pathologic fracture. In this short review we summarize the theories regarding the etiology as well as the clinical presentation, the diagnostic approach and treatment options of this rare disease.
Aim
Although all five of the major mediterranean-climate ecosystems (MCEs) of the world are recognized as loci of high plant species diversity and endemism, they show considerable variation in regional-scale richness. Here, we assess the role of stable Pleistocene climate and Cenozoic topography in explaining variation in regional richness of the globe's MCEs. We hypothesize that older, more climatically stable MCEs would support more species, because they have had more time for species to accumulate than MCEs that were historically subject to greater topographic upheavals and fluctuating climates.
Location
South-western Africa (Cape), south-western Australia, California, central Chile and the eastern (Greece) and western (Spain) Mediterranean Basin.
Methods
We estimated plant diversity for each MCE as the intercepts of species–area curves that are homogeneous in slope across all regions. We used two down-scaled global circulation models of the Last Glacial Maximum (LGM) to quantify climate stability by comparing the change in the location of MCEs between the LGM and present. We quantified the Cenozoic topographic stability of each MCE by comparing contemporary topographic profiles with those present in the late Oligocene and the early Pliocene.
Results
The most diverse MCEs – Cape and Australia – had the highest Cenozoic environmental stability, and the least diverse – Chile and California – had the lowest stability.
Main conclusions
Variation in plant diversity in MCEs is likely to be a consequence not of differences in diversification rates, but rather the persistence of numerous pre-Pliocene clades in the more stable MCEs. The extraordinary plant diversity of the Cape is a consequence of the combined effects of both mature and recent radiations, the latter associated with increased habitat heterogeneity produced by mild tectonic uplift in the Neogene.
This is the first documentation of a combination coccosphere from samples collected in the field (North Aegean Sea, NE Mediterranean) between the heterococcolithophore species Coronosphaera mediterranea (Lohmann 1902) Gaarder in Gaarder & Heimdal (1977) and the holococcolithophore species “Zygosphaera hellenica”. This specimen verifies previous combination coccosphere evidence found in culture and again demonstrates that “Zygosphaera hellenica” can be developed from cells of Coronosphaera mediterranea in a life-cycle association.
The active form vitamin D is a seco-steroid with multiple neurotrophic and neuroprotective functions in the central nervous system. Robust evidence from studies in animals suggests that vitamin D deficiency may impair brain physiological functioning causing anatomical and behavioral adverse effects. On the other hand, vitamin D has been found to be protective against biological processes associated with Alzheimer's disease and cognition, including amyloid-β deposition, inflammation, calcium homeostasis, and corticosteroid-induced perturbations in cortical areas and the hippocampus. Human studies that examined the relationship between vitamin D status and cognitive function have provided inconclusive results. The majority of cross-sectional and longitudinal studies suggest a potentially protective association, whereas results from clinical trials are mostly negative, or at best, controversial. We review these studies in humans, with particular emphasis on randomized and observational prospective ones.
We combine new BV photometry with the spectroscopic observations of the Gaia-ESO Survey to study the open cluster NGC6 705. 1028 stars were observed with the HR15n grating of the GIRAFFE instrument at VLT/UT2. The radial velocities obtained for those stars were used to derive membership probabilities. (1 data file).
This work is based on XMM-Newton and Chandra observations 30.0 of the central area of M 31 that were dedicated to the monitoring of SSS states of novae (PI: W. Pietsch). We report on the analysis of three observation campaigns carried out during Nov 2009 to Feb 2010, Nov 2010 to Mar 2011, and Nov 2011 to Mar 2012. (10 data files).
Seasonal differences in the water content of fourCodringtoniaspecies were investigated using specimens collected from the field. In addition, rate of water loss and expression of heat-shock protein 70 (Hsp70) were measured in a laboratory setting with sixCodringtoniaspecies subjected to a short-term heat shock. Using a phylogenetic framework, both the Hsp70 expression levels and the rate of water loss were inves tigated for their correlation with spatial and climatic variables. As indicated by the field-collected samples, during summer aestivation only C. helenaeexhibited a tendency for water loss. During the short-term heat shock the rate of water loss inC. helenaewas also significantly greater. No interspecific differences could be detected in the levels of Hsp70 in the species subjected to short-term heat shock. A singleCodringtoniaspecies seemed to maintain increased Hsp70 protein levels. In the species subjected to short-term heat shock, a positive relationship was found between Hsp70 levels and rate of water loss. On the other hand, the Hsp70 levels under normal conditions showed a negative correlation with altitude and mean summer precipitation of the sampling localities. Thus, species seem to adapt to harsher environmental conditions by maintaining higher levels of Hsp70.
Seasonal differences in the water content of fourCodringtoniaspecies were investigated using specimens collected from the field. In addition, rate of water loss and expression of heat-shock protein 70 (Hsp70) were measured in a laboratory setting with sixCodringtoniaspecies subjected to a short-term heat shock. Using a phylogenetic framework, both the Hsp70 expression levels and the rate of water loss were inves tigated for their correlation with spatial and climatic variables. As indicated by the field-collected samples, during summer aestivation only C. helenaeexhibited a tendency for water loss. During the short-term heat shock the rate of water loss inC. helenaewas also significantly greater. No interspecific differences could be detected in the levels of Hsp70 in the species subjected to short-term heat shock. A singleCodringtoniaspecies seemed to maintain increased Hsp70 protein levels. In the species subjected to short-term heat shock, a positive relationship was found between Hsp70 levels and rate of water loss. On the other hand, the Hsp70 levels under normal conditions showed a negative correlation with altitude and mean summer precipitation of the sampling localities. Thus, species seem to adapt to harsher environmental conditions by maintaining higher levels of Hsp70.
Children who begin wheezing during early childhood are frequently seen by health care providers in primary care, in hospitals, and in emergency departments, and by allergists and pulmonologists. When a young child, such as the 2 year-old patient presented here, is evaluated for wheezing, a frequent challenge for clinicians is to determine whether the symptoms represent transient, viral-induced wheezing or whether sufficient risk factors are present to suspect that the child may experience recurrent wheezing and develop asthma. Most factors that influence prognosis are not mutually exclusive, are interrelated (ie, cofactors), and often represent gene-environment interactions. Many of these risk factors have been, and continue to be, investigated in prospective studies to decipher their relative importance with the goal of developing new therapies and interventions in the future. The etiologies of wheezing in young children, diagnostic methods, treatment, prognostic factors, and potential targets for prevention of the development of asthma are discussed.
Context. Classical novae (CNe) represent the major class of supersoft X-ray sources (SSSs) in the central region of our neighbouring galaxy M 31. Aims: We performed a dedicated monitoring of the M 31 central region, which aimed to detect SSS counterparts of CNe, with XMM-Newton and Chandra between Nov. and Mar. of the years 2009/10, 2010/11, and 2011/12. Methods: We systematically searched our data for X-ray counterparts of CNe and determined their X-ray light curves and also their spectral properties in the case of XMM-Newton data. Additionally, we determined luminosity upper limits for all previously known X-ray emitting novae, which are not detected anymore, and for all CNe in our field of view with recent optical outbursts. Results: In total, we detected 24 novae in X-rays. Seven of these sources were known from previous observations, including the M 31 nova with the longest SSS phase, M31N 1996-08b, which was found to fade below our X-ray detection limit 13.8 yr after outburst. Of the new discoveries, several novae exhibit significant variability in their short-term X-ray light curves with one object showing a suspected period of about 1.3 h. We studied the SSS state of the most recent outburst of a recurrent nova, which had previously shown the shortest time ever observed between two outbursts (~5 yr). The total number of M 31 novae with X-ray counterpart was increased to 79, and we subjected this extended catalogue to detailed statistical studies. Four previously indicated correlations between optical and X-ray parameters could be confirmed and improved. Furthermore, we found indications that the multi-dimensional parameter space of nova properties might be dominated by a single physical parameter, and we provide interpretations and suggest implications. We studied various outliers from the established correlations and discuss evidence of a different X-ray behaviour of novae in the M 31 bulge and disk. Conclusions: Exploration of the multi-wavelength parameter space of optical and X-ray measurements is shown to be a powerful tool for examining properties of extragalactic nova populations. While there are hints that the different stellar populations of M 31 (bulge vs. disk) produce dissimilar nova outbursts, there is also growing evidence that the overall behaviour of an average nova might be understood in surprisingly simple terms. Partly based on observations with XMM-Newton, an ESA Science Mission with instruments and contributions directly funded by ESA Member States and NASA.Tables 1-9 are only available at the CDS via anonymous ftp to http://cdsarc.u-strasbg.fr (ftp://130.79.128.5) or via http://cdsarc.u-strasbg.fr/viz-bin/qcat?J/A+A/563/A2
We report on the evolution of the current X-ray outburst of the LMC Be/X-ray binary pulsar RX J0520.5-6932 (see ATel #5673) from our Swift/XRT monitoring. Since the start of the outburst (2013 Dec 28) the luminosity of the source has continued to rise to a maximum of 1.91×1038erg s-1 (0.3-10 keV band), which is close to or at the Eddington limit for a neutron star.
Context. Astronomical observations, analytical solutions, and numerical simulations have provided the building blocks to formulate the current theory of young stellar object jets. Although each approach has made great progress independently, it is only during the past decade that significant efforts have been made to bring the separate pieces together. Aims: Building on previous work that combined analytical solutions and numerical simulations, we apply a sophisticated cooling function to incorporate optically thin energy losses in the dynamics. On one hand, this allows a self-consistent treatment of the jet evolution, and on the other hand, it provides the necessary data to generate synthetic emission maps. Methods: Firstly, analytical disk and stellar outflow solutions are properly combined to initialize numerical two-component jet models inside the computational box. Secondly, magneto-hydrodynamical simulations are performed in 2.5D, correctly following the ionization and recombination of a maximum of 29 ions. Finally, the outputs are post-processed to produce artificial observational data. Results: The values for the density, temperature, and velocity that the simulations provide along the axis are within the typical range of protostellar outflows. Moreover, the synthetic emission maps of the doublets [O i], [N ii], and [S ii] outline a well-collimated and knot-structured jet, which is surrounded by a less dense and slower wind that is not observable in these lines. The jet is found to have a small opening angle and a radius that is also comparable to observations. Conclusions: The first two-component jet simulations, based on analytical models, that include ionization and optically thin radiation losses demonstrate promising results for modeling specific young stellar object outflows. The generation of synthetic emission maps provides the link to observations, as well as the necessary feedback for further improvement of the available models.
Context. Astronomical observations, analytical solutions, and numerical simulations have provided the building blocks to formulate the current theory of young stellar object jets. Although each approach has made great progress independently, it is only during the past decade that significant efforts have been made to bring the separate pieces together. Aims: Building on previous work that combined analytical solutions and numerical simulations, we apply a sophisticated cooling function to incorporate optically thin energy losses in the dynamics. On one hand, this allows a self-consistent treatment of the jet evolution, and on the other hand, it provides the necessary data to generate synthetic emission maps. Methods: Firstly, analytical disk and stellar outflow solutions are properly combined to initialize numerical two-component jet models inside the computational box. Secondly, magneto-hydrodynamical simulations are performed in 2.5D, correctly following the ionization and recombination of a maximum of 29 ions. Finally, the outputs are post-processed to produce artificial observational data. Results: The values for the density, temperature, and velocity that the simulations provide along the axis are within the typical range of protostellar outflows. Moreover, the synthetic emission maps of the doublets [O i], [N ii], and [S ii] outline a well-collimated and knot-structured jet, which is surrounded by a less dense and slower wind that is not observable in these lines. The jet is found to have a small opening angle and a radius that is also comparable to observations. Conclusions: The first two-component jet simulations, based on analytical models, that include ionization and optically thin radiation losses demonstrate promising results for modeling specific young stellar object outflows. The generation of synthetic emission maps provides the link to observations, as well as the necessary feedback for further improvement of the available models.
Σε αυτό το άρθρο επιχειρούμε να εστιάσουμε στον τρόπο που μπορεί να αξιοποιηθεί μεθοδολογικά η αρχή της διαψευσιμότητας στον έλεγχο των θεωρητικών εννοιών που χρησιμοποιούνται για την ερμηνεία του μετασχηματισμού κοινωνικών δομών, ή θεσμών. Μέσα από την ανάδειξη των προβληματικών σημείων της μαρξιστικής προσέγγισης (π.χ. ντετερμινισμός, αναγωγική λογική, πραγμοποίηση και ανθρωπομορφισμός) επιχειρείται η ανασκευή των προβλημάτων που είτε λανθάνουν, είτε αναφέρονται, αλλά δεν επιλύονται, σε άλλα σχετικά άρθρα. Αυτό που επιχειρείται από την πλευρά μας είναι η ανάπτυξη μιας ευρύτερης και γενικότερης συζήτησης πάνω στον τρόπο με τον οποίο χρησιμοποιείται το θεωρητικό και εννοιολογικό πλαίσιο κατά την ερμηνεία στην ιστορία της εκπαίδευσης.
Η δημοσίευση βασίζεται στην ομιλία του γράφοντος στο Α΄ Συνέδριο του μεταπτυχιακού προγράμματος «Σπουδές στην Ορθόδοξη Θεολογία» του ΕΑΠ που έγινε στην Πάτρα στις 2-3 Μαίου 2014 (βλ. http://www.cais.upatras.gr/node/5119) και περιλαμβάνει σύντομη ιστορική αναδρομή για τη θεολογική συζήτηση στην Ελλάδα για τις μεταμοσχεύσεις, κυρίως για τα θέματα της «εικαζόμενης συναίνεσης» και του λεγόμενου εγκεφαλικού θανάτου.
The purpose of this study was to examine the relation between school bullying/ victimization and symptoms of anxiety disorders in preadolescents. Participants were 255 fifth- and sixth-grade students from primary schools of Attica region. They completed the Greek versions of the following measures: the Revised Olweus Bully/Victim Questionnaire (Olweus, 2006), the Social Anxiety Scale for Children- Revised (LaGreca & Stone, 1993), the Children’s Revised Impact of Event Scale (Smith, Perrin, Dyregrov, & Yule, 2003), and the Psychosomatic Symptom Score (Aro, Paronen, & Aro, 1987). Social anxiety, post-traumatic stress disorder and psychosomatic symptoms were all found to be positively correlated to both the tendency to be victimized and the tendency to bully others. The more the tendency to be victimized increased, the more students complained of psychosomatic symptoms and manifested clinically significant social anxiety and post-traumatic stress symptoms. The tendency to bully others could be predicted by psychosomatic symptoms and mothers’ country of birth. Furthermore, compared to non bullies-non victims, victims were found to score higher on all anxiety measures. Implications of the results for bullying prevention and intervention are discussed.
This article presents the results of a three year research conducted by the author based on an educational project which was implemented in a Greek Secondary school for two years (2009-11). ‘We organise a conference’ was a project that presented students with an open-ended key evaluative question which they were required to answer. It was based upon enquiry based learning and it used the methods and techniques of applied theatre. Over the school year students researched an issue through role play (related to the process of organizing and taking part in a conference), which led to improvements in their cognitive skills while at the same time gaining greater insight into the issue and their own attitudes and practices. This is the educational way of ‘making sense of’ and ‘giving meaning to’ an issue related to students’ lives. The author discusses the learning outcomes of the process and the educational importance and value of the method in the larger context of educational design. Empirical methods such as texts and by-products of the project, a research journal and semi-structured interviews, questionnaires and observation provided the basis for the hermeneutical analysis method which was used in the quantitative and qualitative survey, the findings and results of which are presented in the article.
Psoriasis has been lately seen as a potential systemic inflammatory disease associated with a range of co-morbidities exhibiting an overlapping pathology and presenting a great social health impact such as cardiovascular disease and metabolic diseases, including obesity. Adipose tissue is considered a genuine endocrine organ producing a variety of bioactive adipocytokines, such as leptin, adiponectin, resistin and visfatin, participating in physiological and pathological processes, such as energy balance, insulin sensitivity and resistance, immunity, inflammation, hematopoiesis and angiogenesis. Adipocytokines could serve as a missing link in the association between psoriasis, obesity and metabolic co-morbidities. In chronic inflammatory disease states such as psoriasis, adipocytokines may be implicated in psoriasis onset, progression, severity as well as in the pathogenesis of co-morbidities. Measuring serum adipocytokine levels in the future may be useful in predicting psoriasis severity, progression, treatment outcome and risk of any co-morbidities. Interventions to decrease pro-inflammatory adipocytokine levels could offer preventive and therapeutic options for improving psoriasis severity and protecting against its co-morbidities. Candidate strategic interventions incorporate increased physical activity, weight control and pharmacologic approaches such as metformin. However, the mechanisms underlying the actions of adipocytokines in psoriasis as well as their potential diagnostic, prognostic and/or therapeutic utility require further investigation with larger prospective, longitudinal and mechanistic studies.
The number of patients with allergic diseases in Europe, and thus relevant demand for health care, is continuously increasing. In this EAACI-UEMS position paper, a rationale is given for the medical specialty of allergology. General practitioners and general paediatricians usually cannot elucidate and address all causative factors. Throughout Europe, therefore, the expertise of allergologists (allergists) is required. In collaboration with other medical professionals, they take care of allergic patients, in private practices or in specialized public centres. A well-structured collaboration between allergists and allergy centres offers the possibility of rapid signalling of new trends developing in the population of allergic patients (e.g. in food and drug allergy). Allergy centres also can perform clinical (and basic) research, teach medical students, future allergists and provide postgraduate training. To prevent that the quality of care in one or several countries within Europe lags behind developments in other countries, the UEMS Section and Board on Allergology together with the European Academy of Allergy and Clinical Immunology advocates the status of a full specialty of allergology in each European country, with a further intention to align their activities (blueprint, curriculum and centre visitation) with the UEMS Section of Paediatrics.
Using first-principles methods we explore the anisotropy of the spin relaxation and transverse transport properties in bulk metals with respect to the real-space direction of the spin-quantization axis in paramagnets or of the spontaneous magnetization in ferromagnets. Owing to the presence of the spin-orbit coupling the orbital and spin character of the Bloch states depends sensitively on the orientation of the spins relative to the crystal axes. This leads to drastic changes in quantities which rely on interband mixing induced by the spin-orbit interaction. The anisotropy is particularly striking for quantities which exhibit spiky and irregular distributions in the Brillouin zone, such as the spin-mixing parameter or the Berry curvature of the electronic states. We demonstrate this for three cases: (i) the Elliott-Yafet spin-relaxation mechanism in paramagnets with structural inversion symmetry; (ii) the intrinsic anomalous Hall effect in ferromagnets; and (iii) the spin Hall effect in paramagnets. We discuss the consequences of the pronounced anisotropic behavior displayed by these properties for spin-polarized transport applications.
Reduced-activation ferritic-martensitic steels are promising candidates for structural applications in future nuclear fusion power plants. Oxide dispersion strengthened ODS-Eurofer and Eurofer 97 steels were cold rolled to 80% reduction in thickness and annealed in vacuum for 1 h from 200 to 1350 degrees C to evaluate both their thermal stability and magnetic behavior. The microstructural changes were followed by magnetic measurements, in particular the corresponding variation of the coercive field (H-c), as a function of both annealing and tempering treatments. Results show that Y2O3 nanoparticles strongly affect the mechanical properties of ODS-Eurofer steel but leave their magnetic properties fairly unchanged when compared with Eurofer-97 steel. (C) 2012 Elsevier BM. All rights reserved.
The objective of the study was to determine the antimicrobial efficacy of three denture adhesives toward Streptococcus oralis, mutans, Prevotella oralis and Fusobacterium nucleatum. Adhesives used were Corega Ultra(®), Fixodent Pro Original(®) and Biotene(®) Denture Grip. For Streptococcus oralis and Streptococcus mutans, four tubes of Trypticase Soy Broth 10 mL and 1 g denture of adhesive were used. In addition four tubes of Trypticase Soy Broth 10 mL without any denture adhesive was employed as control. For Prevotella oralis and Fusobacterium nucleatum, four tubes of thioglycolate 10 mL and 1 g denture adhesive were used for each one, while four tubes of thioglycolate 10 mL without adhesive served as control. All samples were incubated for 48 h at 37°C. After 48 h, the number of colonies was counted and the mean was extracted as cfu/mL. The results were evaluated with ANOVA on ranked data and Tukey's post hoc test at α = 0.05. Streptococcus oralis, mutans, Prevotella oralis and Fusobacterium nucleatum showed decreased number of colonies for each denture adhesive compared to the control. Under the conditions of this in vitro study, all the tested denture adhesives showed antimicrobial efficacy. However, in contrast to the hypothesis, there were differences among them. Corega Ultra(®) and Biotene(®) Denture Grip were more effective for all the tested oral malodor-related microbes than Fixodent Pro Original(®).
The healthcare researchers', academics' and practitioners' interest concerning the development of Healthcare Information Systems has been on a steady rise for the last decades. Fueling this steady rise has been the healthcare professional need of quality information, in every healthcare provision incident, whenever and wherever this incident may take place. In order to address this need a truly mobile health care system is required, one that will be able to provide a healthcare provider with accurate patient-related information regardless of the time and place that healthcare is provided. In order to fulfill this role the present study proposes the architecture for a Healthcare Smartcard system, which provides authenticated healthcare professionals with remote mobile access to a Patient's Healthcare Record, through their Smartphone. Furthermore the research proceeds to develop a working prototype system.
BACKGROUND: The behavioral and psychological symptoms associated with dementia (BPSD) can be burdensome to informal/family caregivers, negatively affecting mental health and expediting the institutionalization of patients. Because the dementia patient-caregiver relationship extends over long periods of time, it is useful to examine how BPSD impact caregiver depressive symptoms at varied stages of illness. The goal of this study was to assess the association of BPSD that occur during early stage dementia with subsequent caregiver depressive symptoms.
METHODS: Patients were followed from the early stages of dementia every six months for up to 12 years or until death (n = 160). Caregiver symptoms were assessed on average 4.5 years following patient's early dementia behaviors. A generalized estimating equation (GEE) extension of the logistic regression model was used to determine the association between informal caregiver depressive symptoms and BPSD symptoms that occurred at the earliest stages dementia, including those persistent during the first year of dementia diagnosis.
RESULTS: BPSD were common in early dementia. None of the individual symptoms observed during the first year of early stage dementia significantly impacted subsequent caregiver depressive symptoms. Only patient agitation/aggression was associated with subsequent caregiver depressive symptoms (OR = 1.76; 95% CI = 1.04-2.97) after controlling for concurrent BPSD, although not in fully adjusted models.
CONCLUSIONS: Persistent agitation/aggression early in dementia diagnosis may be associated with subsequent depressive symptoms in caregivers. Future longitudinal analyses of the dementia caregiving relationship should continue to examine the negative impact of persistent agitation/aggression in the diagnosis of early stage dementia on caregivers.
We investigated the role of all arrestin-like proteins of Aspergillus nidulans in respect to growth, morphology, sensitivity to drugs and specifically for the endocytosis and turnover of the uric acid-xanthine transporter UapA. A single arrestin-like protein, ArtA, is essential for HulA(Rsp) (5) -dependent ubiquitination and endocytosis of UapA in response to ammonium or substrates. Mutational analysis showed that residues 545-563 of the UapA C-terminal region are required for efficient UapA endocytosis, whereas the N-terminal region (residues 2-123) and both PPxY motives are essential for ArtA function. We further show that ArtA undergoes HulA-dependent ubiquitination at residue Lys-343 and that this modification is critical for UapA ubiquitination and endocytosis. Lastly, we show that ArtA is essential for vacuolar turnover of transporters specific for purines (AzgA) or l-proline (PrnB), but not for an aspartate/glutamate transporter (AgtA). Our results are discussed within the frame of recently proposed mechanisms on how arrestin-like proteins are activated and recruited for ubiquitination of transporters in response to broad range signals, but also put the basis for understanding how arrestin-like proteins, such as ArtA, regulate the turnover of a specific transporter in the presence of its substrates.
It is disputed whether recurrent episodes of wheeze in preschool-aged children comprise a distinct asthma phenotype.|We sought to prospectively assess airflow limitation and airway inflammation in children 4 to 6 years old with episodic virus-induced wheeze.|Ninety-three children 4 to 6 years old with a history of mild, virus-induced episodes of wheeze who were able to perform acceptable fraction of exhaled nitric oxide (Feno) maneuvers and spirometry (with forced expiratory time ≥0.5 seconds) were followed prospectively. Lung function and Feno values were measured every 6 weeks (baseline) within the first 48 hours of an acute wheezing episode (day 0) and 10 and 30 days later. Symptom scores and peak flow measurement were recorded daily.|Forty-three children experienced a wheezing episode. At day 0, Feno values were significantly increased, whereas forced expiratory volume at 0.5 seconds (FEV(0.5)) significantly decreased compared with baseline (16 ppb [interquartile range {IQR}, 13-20 ppb] vs 9 ppb IQR, 7-11 ppb] and 0.84 L [IQR, 0.75-0.99 L] vs 0.99 L [IQR, 0.9-1.07 L], respectively; both P < .001). Airflow limitation at day 0 was reversible after bronchodilation. FEV(0.5) and Feno values were significantly associated with each other and with lower and upper respiratory tract symptoms when assessed longitudinally but not cross-sectionally at all time points independently of atopy. Feno and FEV(0.5) values returned to baseline levels within 10 days.|Mild episodes of wheeze in preschoolers are characterized by enhanced airway inflammation, reversible airflow limitation, and asthma-related symptoms. Feno values increase significantly during the first 48 hours and return to personal baseline within 10 days from the initiation of the episode. Longitudinal follow-up suggests that symptoms, inflammation, and lung function correlate well in this phenotype of asthma.
The present study examines nitrate contamination and groundwater quality in the Megara basin of Attica Prefecture (Greece). Hydrochemical data were assessed using descriptive and multivariate statistical analysis to (1) classify the data into hydrochemically similar groups, and (2) to investigate geochemical and human-related factors responsible for the observed groundwater quality. Geographic Information Systems (GIS) were used to incorporate both thematic (landuse) data and groundwater chemistry to study the extent and variation of nitrate contamination and to establish spatial relationships with specific landuse types. The results indicate that more than 70% of the groundwater samples located around the national highway had
nitrate concentrations that exceeded acceptable levels according to international legislation and guidelines (Directive 98/83/EC, EPA, WHO). The combined spatial analysis and statistical hydrochemical evaluation show that nitrate contamination in groundwater is closely associated with specific landuse classes and activities (e.g. agriculture, pasture, industries, urban effluents).
The International Medical Informatics Association (IMIA) biomedical informatics educational recommendations of 2010 provided an excellent guide for institutions across the world in updating their curricula or establishing new programs. IMIA subsequently decided to offer an accreditation process, guided by the earlier recommendations, to assess existing educational programs in the field of biomedical informatics. This paper presents an overview and SWOT analysis of the accreditation process based on a two-year trial period at three sites across continents. Because other sites are now requesting similar accreditation visits by IMIA, the lessons learned by the committee that performed the assessments during trial period will provide useful guidance for both IMIA and those educational institutions.
This study investigates the contagion effects of the 2007-2009 global financial crisis across multiple asset markets and different regions. It uses daily return data of six asset classes: stocks, bonds, commodities, shipping, foreign exchange and real estate. A robust analysis of financial contagion is provided by estimating and comparing asymmetric conditional correlations among asset markets during stable and turmoil periods. Results provide evidence on the existence of a correlated-information channel as a contagion mechanism among the U.S. stocks, real estate, commodities and emerging Brazilian bond index. The findings also support the decoupling of BRIC equity markets from the crisis, the diversification benefits of shipping and foreign exchange value of the U.S. dollar indices, and the existence of a flight to quality mechanism from risky U.S. assets to German bonds. This evidence has important implications for portfolio diversification strategies and the future work of policymakers.
Introduction:Autotaxin (ATX) is a lysophospholipase D enzyme that hydrolyzes lysophosphatidylcholine to lysophosphatidic acid (LPA) and choline. LPA is a bioactive lipid mediator that activates several transduction pathways, and is involved in migration, proliferation and survival of various cells. Thus, ATX is an attractive medicinal target.
Areas covered:The aim of this review is to summarize ATX inhibitors, reported in patents from 2006 up to now, describing their discovery and biological evaluation.
Expert opinion:ATX has been implicated in various pathological conditions, such as cancer, chronic inflammation, neuropathic pain, fibrotic diseases, etc. Although there is an intensive effort on the discovery of potent and selective ATX inhibitors in order to identify novel medicinal agents, up to now, no ATX inhibitor has reached clinical trials. However, the use of ATX inhibitors seems an attractive strategy for the development of novel medicinal agents, for example anticancer therapeutics.
Dimitrakakis C, Tsigginou A, Zagouri F, Marinopoulos S, Sergentanis TN, Keramopoulos A, Liakou P, Zografos GC, Papadimitriou CA, Dimopoulos M-A, et al.Breast cancer in women aged 25 years and younger. Obstetrics and Gynecology [Internet]. 2013;121(6):1235 - 1240. WebsiteAbstract
A subset of ultraluminous X-ray sources (those with luminosities of less than 1040 erg s-1 ref. 1) are thought to be powered by the accretion of gas onto black holes with masses of ~5-20, probably by means of an accretion disk. The X-ray and radio emission are coupled in such Galactic sources; the radio emission originates in a relativistic jet thought to be launched from the innermost regions near the black hole, with the most powerful emission occurring when the rate of infalling matter approaches a theoretical maximum (the Eddington limit). Only four such maximal sources are known in the Milky Way, and the absorption of soft X-rays in the interstellar medium hinders the determination of the causal sequence of events that leads to the ejection of the jet. Here we report radio and X-ray observations of a bright new X-ray source in the nearby galaxy M 31, whose peak luminosity exceeded 1039 erg s-1. The radio luminosity is extremely high and shows variability on a timescale of tens of minutes, arguing that the source is highly compact and powered by accretion close to the Eddington limit onto a black hole of stellar mass. Continued radio and X-ray monitoring of such sources should reveal the causal relationship between the accretion flow and the powerful jet emission.
Valid risk stratification for carotid atherosclerotic plaques represents a crucial public health issue toward preventing fatal cerebrovascular events. Although motion analysis (MA) provides useful information about arterial wall dynamics, the identification of motion-based risk markers remains a significant challenge. Considering that the ability of a motion estimator (ME) to handle changes in the appearance of motion targets has a major effect on accuracy in MA, we investigated the potential of adaptive block matching (ABM) MEs, which consider changes in image intensities over time. To assure the validity in MA, we optimized and evaluated the ABM MEs in the context of a specially designed in silico framework. ABM(FIRF2), which takes advantage of the periodicity characterizing the arterial wall motion, was the most effective ABM algorithm, yielding a 47% accuracy increase with respect to the conventional block matching. The in vivo application of ABM(FIRF2) revealed five potential risk markers: low movement amplitude of the normal part of the wall adjacent to the plaques in the radial (RMA(PWL)) and longitudinal (LMA(PWL)) directions, high radial motion amplitude of the plaque top surface (RMA(PTS)), and high relative movement, expressed in terms of radial strain (RSI(PL)) and longitudinal shear strain (LSSI(PL)), between plaque top and bottom surfaces. The in vivo results were reproduced by OF(LK(WLS)) and ABM(KF-K2), MEs previously proposed by the authors and with remarkable in silico performances, thereby reinforcing the clinical values of the markers and the potential of those MEs. Future in vivo studies will elucidate with confidence the full potential of the markers.
AIM: To present the 18 year survival and the clinical and radiological outcomes of the Müller straight stem, cemented, total hip arthroplasty (THA).
METHODS: Between 1989 and 2007, 176 primary total hip arthroplasties in 164 consecutive patients were performed in our institution by the senior author. All patients received a Müller cemented straight stem and a cemented polyethylene liner. The mean age of the patients was 62 years (45-78). The diagnosis was primary osteoarthritis in 151 hips, dysplasia of the hip in 12 and subcapital fracture of the femur in 13. Following discharge, serial follow-up consisted of clinical evaluation based on the Harris Hip Score and radiological assessment. The survival of the prosthesis using revision for any reason as an end-point was calculated by Kaplan-Meier analysis.
RESULTS: Twenty-four (15%) patients died during the follow-up study, 6 (4%) patients were lost, while the remaining 134 patients (141 hips) were followed-up for a mean of 10 years (3-18 years). HSS score at the latest follow-up revealed that 84 hips (59.5%) had excellent results, 30 (22.2%) good, 11 (7.8%) fair and 9 (6.3%) poor. There were 3 acetabular revisions due to aseptic loosening. Six (4.2%) stems were diagnosed as having radiographic definitive loosening; however, only 1 was revised. 30% of the surviving stems showed no radiological changes of radiolucency, while 70% showed some changes. Survival of the prosthesis for any reason was 96% at 10 years and 81% at 18 years.
CONCLUSION: The 18 year survival of the Müller straight stem, cemented THA is comparable to those of other successful cemented systems.
PURPOSE: We present a study comparing the insertion of central vascular catheter (CVC) and peripherally inserted central catheter (PICC) by an anesthesia nurse at 2 Greek University Hospitals.
METHODS: Eighty patients, aged 20-80 years, were enrolled in the study. Patients were divided into 2 groups. In group A (41 patients), a CVC was inserted in the internal jugular vein. In group B (39 patients), a pressure-injectable PICC was inserted in the basilica vein.
RESULTS: Correlations between the methods applied, the patients' characteristics, the procedures' characteristics and the overall satisfaction scores for each procedure were examined. The final results show that the patients of group B (PICC method) were more satisfied with the procedure than the patients of group A (CVC method), at the statistical significance level of a=0.01. Also, according to the results of the analysis, the PICC method offers significantly more comfort and relative satisfaction than the CVC method, at the statistical significance level of a=0.01. The satisfaction scores of "physicians" were statistically more significant, at a=0.01, for the patients of group A (classic CVCs) mainly because of the insufficient flow rate of the PICCs when compared with the CVCs and especially if one considers the fact that the physicians did not have any experience with the PICC method at all.
CONCLUSIONS: PICCs under ultrasound guidance constitute the solution of choice for patients and they definitely surpass the CVCs focusing mainly on the improvement of the quality of life and the satisfaction of patients.
Objectives: A high body mass index (BMI) in middle-age or a decrease in BMI at late-age has been considered a predictor for the development of Alzheimer's disease (AD). However, little is known about the BMI change close to or after AD onset. Methods: BMI of participants from three cohorts, the Washington Heights and Inwood Columbia Aging Project (WHICAP; population-based) and the Predictors Study (clinic-based), and National Alzheimer's Coordinating Center (NACC; clinic-based) were analyzed longitudinally. We used generalized estimating equations to test whether there were significant changes of BMI over time, adjusting for age, sex, education, race, and research center. Stratification analyses were run to determine whether BMI changes depended on baseline BMI status. Results: BMI declined over time up to AD clinical onset, with an annual decrease of 0.21 (p=0.02) in WHICAP and 0.18 (p=0.04) kg/m2 in NACC. After clinical onset of AD, there was no significant decrease of BMI. BMI even increased (b=0.11, p=0.004) among prevalent AD participants in NACC. During the prodromal period, BMI decreased over time in overweight(BMI ≥25 and <30) WHICAP participants or obese (BMI≥30)NACC participants. After AD onset, BMI tended to increase in underweight/normal weight (BMI<25) patients and decrease in obese patients in all three cohorts, although the results were significant in NACC study only. Conclusions: Our study suggests that while BMI declines before the clinical AD onset, it levels off after clinical AD onset, and might even increase in prevalent AD. The pattern of BMI change may also depend on the initial BMI.
Ongoing studies suggest an important role for iPLA2β in a multitude of biological processes and it has been implicated in neurodegenerative, skeletal and vascular smooth muscle disorders, bone formation, and cardiac arrhythmias. Thus, identifying an iPLA2β inhibitor that can be reliably and safely used in vivo is warranted. Currently, the mechanism-based inhibitor bromoenol lactone (BEL) is the most widely used to discern the role of iPLA2β in biological processes. While BEL is recognized as a more potent inhibitor of iPLA2 than of cPLA2 or sPLA2, leading to its designation as a “specific” inhibitor of iPLA2, it has been shown to also inhibit non-PLA2 enzymes. A potential complication of its use is that while the S and R enantiomers of BEL exhibit preference for cytosol-associated iPLA2β and membrane-associated iPLA2γ, respectively, the selectivity is only 10-fold for both. In addition, BEL is unstable in solution, promotes irreversible inhibition, and may be cytotoxic, making BEL not amenable for in vivo use. Recently, a fluoroketone (FK)-based compound (FKGK18) was described as a potent inhibitor of iPLA2β. Here we characterized its inhibitory profile in beta-cells and find that FKGK18: (a) inhibits iPLA2β with a greater potency (100-fold) than iPLA2γ, (b) inhibition of iPLA2β is reversible, (c) is an ineffective inhibitor of α-chymotrypsin, and (d) inhibits previously described outcomes of iPLA2β activation including (i) glucose-stimulated insulin secretion, (ii) arachidonic acid hydrolysis; as reflected by PGE2 release from human islets, (iii) ER stress-induced neutral sphingomyelinase 2 expression, and (iv) ER stress-induced beta-cell apoptosis. These findings suggest that FKGK18 is similar to BEL in its ability to inhibit iPLA2β. Because, in contrast to BEL, it is reversible and not a non-specific inhibitor of proteases, it is suggested that FKGK18 is more ideal for ex vivo and in vivo assessments of iPLA2β role in biological functions.
In this paper we present a combination of several near surface geophysical investigation techniques with high resolution remote sensing image interpretations, in order to define the groundwater flow paths and whether they can be affected by future seismic events. A seasonal spring (Amvrakia) located at the foot of Meteora pillars near the village of Kastraki (Greece) was chosen as a test site. The Meteora conglomeratic formations crop out throughout the study area and are characterized by large discontinuities caused by post Miocene till present tectonic deformation [Ferriere et al. 2011, Royden and Papanikolaou 2011]. A network of groundwater pathways has been developed above the impermeable marls underlying the conglomeratic strata. Our research aims to define these water pathways in order to investigate and understand the exact mechanism of the spring by mapping the exposed discontinuity network with classic field mapping and remote sensing image interpretation and define their underground continuity with theΒ contribution of near surface geophysical techniques. Five Very Low Frequency (VLF) profiles were conducted with different directions around the spring aiming to detect possible conductive zones in the conglomeratic formations that the study area consists of. Moreover, two Electrical Resistivity Tomography (ERT) sections of a total length of 140m were carried out parallel to the VLF profiles for cross-checking and verifying the geophysical information. Both techniques revealed important conductive zones (<200 Ohm m) within the conglomerate strata, which we interpret as discontinuities filled with water supplying the spring, which are quite vulnerable to displacements as the hydraulic connections between them might be easily disturbed after a future seismic event.
In this paper we present a combination of several near surface geophysicalΒ investigation techniques with high resolution remote sensingΒ image interpretations, in order to define the groundwater flow pathsΒ and whether they can be affected by future seismic events. A seasonalΒ spring (Amvrakia) located at the foot of Meteora pillars near the villageΒ of Kastraki (Greece) was chosen as a test site. The Meteora conglomeraticΒ formations crop out throughout the study area and areΒ characterized by large discontinuities caused by post Miocene till presentΒ tectonic deformation [Ferriere et al. 2011, Royden and PapanikolaouΒ 2011]. A network of groundwater pathways has been developedΒ above the impermeable marls underlying the conglomeratic strata. OurΒ research aims to define these water pathways in order to investigate andΒ understand the exact mechanism of the spring by mapping the exposedΒ discontinuity network with classic field mapping and remote sensingΒ image interpretation and define their underground continuity with theΒ contribution of near surface geophysical techniques. Five Very Low FrequencyΒ (VLF) profiles were conducted with different directions aroundΒ the spring aiming to detect possible conductive zones in the conglomeraticΒ formations that the study area consists of. Moreover, two ElectricalΒ Resistivity Tomography (ERT) sections of a total length of 140m wereΒ carried out parallel to the VLF profiles for cross-checking and verifyingΒ the geophysical information. Both techniques revealed important conductiveΒ zones (<200 Ohm m) within the conglomerate strata, which weΒ interpret as discontinuities filled with water supplying the spring, whichΒ are quite vulnerable to displacements as the hydraulic connections betweenΒ them might be easily disturbed after a future seismic event.
A conventional PCR and a real-time PCR for detecting Bacteroides fragilis were evaluated against clinical specimens. Analytical sensitivities were 100 and 40 fg of DNA, respectively. Detection limits were 100 and 10 CFU/ml, respectively. A total of six culture-negative specimens were positive by PCR. Altering the gold standard from "positive culture" to "positive culture or both PCR assays positive" resulted in sensitivities of 91.7% and 100%, respectively, and in specificities of 100% and 98.6%, respectively.
The association between perinatal factors and asthma inception is under rigorous investigation. Nevertheless, evidence of a correlation between asthma, conception via in vitro fertilization (IVF) and delivery through Caesarean section (C-section) is inconclusive.|We aimed to assess the relation of asthma incidence with IVF and C-section, after controlling for several potential confounding factors.|Parent-reported wheeze in the last 12 months (current), wheeze ever, physician-diagnosed asthma, method of conception, and type of delivery were recorded from questionnaires filled in by the parents of 2016 Greek children aged 9-13, (the Healthy Growth Study population). Some perinatal data were recorded from children's medical records and others were reported by parents; anthropometric measurements were also conducted in children.|IVF was correlated with physician-diagnosed asthma (OR = 2.25; 95% CI = 1.11-4.56), but not with current/ever wheeze after adjustment for potential confounding factors. After adjustment, C-section was also associated with asthma (OR = 1.39; 95% CI = 1.04-1.87), but not with current/ever wheeze. When the association of both IVF and C-section with asthma was examined in the same multivariate logistic regression model, it was weakened to borderline significance (OR = 2.04; 95% CI = 1-4.15 and OR = 1.34; 95% CI = 1-1.81 respectively).|Conception via IVF and delivery by C-section may predispose children to future asthma development. Either variable could also exert a confounding effect on the link of the other to asthma; this may partially be accountable for inconsistencies in the findings of pertinent studies.
A series of observations performed with Swift/XRT (Target ID 33042) in the SMC detected a relatively bright X-ray source at the edge of the field of view. The source is consistent with XMMU J010429.4-723136. It is classified as a high-mass X-ray binary (HMXB) candidate in the XMM-Newton point-source catalogue of the SMC (Sturm et al.
El presente artículo se centra en algunos aspectos del conocimiento receptivo y productivo del vocabulario de LE. Primero, en base a las diversas definiciones de los conceptos propuestas por los especialistas en el léxico de LE, se constata que todavía no existe una definición conclusiva de los dos tipos de conocimiento. Segundo, se pretende aclarar su relación exponiendo algunos de los modelos explicativos de dicha relación propuestos desde la década de los años noventa.
