Publications by Type: Journal Article

Microcystin-LR (MC-LR) is the most common and toxic variant of the group of microcystins (MCs) produced during the formation of harmful cyanobacterial blooms. Geosmin (GSM) and 2-methylisoborneol (MIB) may also be produced during cyanobacterial blooms and can taint water causing undesirable taste and odor. The photocatalytic degradation of MC-LR, GSM, and MIB in water under both UV-A and solar light in the presence of reduced graphene oxide-TiO2 composite (GO-TiO2) was studied. Two commercially available TiO 2 materials (Degussa P25 and Kronos) and a reference TiO2 material prepared in the laboratory (ref-TiO2) were used for comparison. Under UV-A irradiation, Degussa P25 was the most efficient photocatalyst for the degradation of all target analytes followed by GO-TiO 2, ref-TiO2, and Kronos. Under solar light irradiation GO-TiO2 presented similar photocatalytic activity to Degussa P25, followed by Kronos and ref-TiO2 which were less efficient. Intermediate products formed during the photocatalytic process with GO-TiO 2 under solar light were identified and were found to be almost identical to those observed by Degussa P25/UV-A. Assessment of the residual toxicity of MC-LR during the course of treatment with GO-TiO2 showed that toxicity is proportional only to the remaining MC-LR concentration. The photocatalytic performance of GO-TiO2 was also evaluated under solar light illumination in real surface water samples, and GO-TiO2 proved to be effective in the degradation of all target compounds. © 2013 American Chemical Society.

Visible light activated nanostructured TiO2 with nitrogen and fluorine co-dopants were prepared by the surfactant assisted sol-gel method and immobilized on glass substrates by dip coating. The films were inserted inside a continuous flow photoreactor and examined for the photocatalytic oxidation of NO air pollutant with initial concentration of 200-800ppbv. The modified catalysts exhibited significant photocatalytic activity under daylight illumination, with maximum percentage of NO removal equal to 24.2% and photooxidation rate up to 0.66μgm-2s-1. The reaction rates increased proportionally to the incident light intensity whereas for the strongly absorbed UV light a deviation from linearity was observed. Mass balance during photooxidation was confirmed by determining the amount of NO3- product residues onto the photocatalyst surface. © 2013 Elsevier B.V.

Introduite initialement par les photographes voyageurs et les photographes résidents, la photographie fut adoptée progressivement comme moyen de représentation par les artistes locaux de l’Orient méditerranéen. Formés en France ou associés aux photographes français, les photographes Orientaux devinrent progressivement autonomes, réussissant à rivaliser techniquement et artistiquement avec leurs collègues européens. De plus, présentés aux expositions internationales de Paris, les clichés des photographes comme Philippos Margaritis, Abdullah frères, Paul Sébah établit leur réputation en France. En outre, l’installation des photographes comme Bonfils au Proche-Orient contribua à la diffusion de l’art photographique dans la région

Aspergillus species originating from Greece were examined by morphological and molecular criteria to explore the diversity of this genus. The phylogenetic relationships of these species were determined using sequences from the ITS and IGS region of the nuclear rRNA gene complex, two nuclear genes ( β -tubulin (benA) and RNA polymerase II second largest subunit (rpb2)) and two mitochondrial genes (small rRNA subunit (rns) and cytochrome oxidase subunit I (cox1)) and, where available, related sequences from databases. The morphological characters of the anamorphs and teleomorphs, and the single gene phylogenetic trees, differentiated and placed the species examined in the well-supported sections of Aenei, Aspergillus, Bispori, Candidi, Circumdati, Clavati, Cremei, Flavi, Flavipedes, Fumigati, Nidulantes, Nigri, Restricti, Terrei, Usti, and Zonati, with few uncertainties. The combined use of the three commonly employed nuclear genes (benA, rpb2, and ITS), the IGS region, and two less often used mitochondrial gene sequences (rns and cox1) as a single unit resolved several taxonomic ambiguities. A phylogenetic tree was inferred using Neighbour-Joining, Maximum Parsimony, and Bayesian methods. The strains examined formed seven well-supported clades within the genus Aspergillus. Altogether, the concatenated nuclear and mitochondrial sequences offer additional tools for an improved understanding of phylogenetic relationships within this genus.

Objective To determine maternal serum concentrations of placental growth factor (PlGF) and soluble fms-like tyrosine kinase-1 (sFlt-1) longitudinally in normal pregnancies, pregnancies that developed preeclampsia and pregnancies that deliver a small for gestational age (SGA) infant, in order to evaluate them as markers for the prediction of preeclampsia. Study design In this case-control study we included 12 singleton pregnancies that developed preeclampsia and 104 randomly selected singleton normal pregnancies. Fourteen of the normal pregnancies gave birth to an SGA infant. Blood samples and ultrasonographic data were collected during the 1st, 2nd and 3rd trimesters of pregnancy. Results In preeclamptic pregnancies, PlGF (pg/mL) (median; inter-quartile range) was significantly lower in the 2nd (208; 84-339) (p = 0.035) and in the 3rd trimester (202; 109-284) (p = 0.002) while sFlt-1 was significantly higher only in the 3rd trimester (2521; 2101-3041) (p = 0.011) compared to normal pregnancies (PlGF 2nd: 311; 243-440, PlGF 3rd: 780; 472-1037, sFlt-1 3rd: 1616; 1186-2220). In pregnancies with SGA infants, PlGF and sFlt-1 did not differ significantly from normal pregnancies in any trimester. The sFlt-1 to PlGF ratio was significantly higher in preeclamptic pregnancies than in normal pregnancies, in both the 2nd and 3rd trimesters. The relative difference and the slope of PlGF concentration between 1st and 2nd trimester were significantly reduced in preeclampsia compared to normal pregnancies. A logistic regression model with predictors BMI, 2nd trimester Doppler PI and relative difference of PlGF from the 1st to the 2nd trimester gave 46% sensitivity and 99% specificity for the prediction of preeclampsia, with a very high negative predictive value of 98.3%. Conclusions Our study confirms that maternal serum PlGF concentration is significantly lower, at least after 20th week, while sFlt-1 concentration is significantly higher in 3rd trimester, in pregnancies destined to develop preeclampsia. Pregnancies that gave birth to SGA infants do not have altered angiogenic factor concentrations throughout pregnancy. The relative difference of PlGF from the 1st to the 2nd trimester, uterine artery Doppler PI in the 2nd trimester and BMI are the most powerful markers for the prediction of preeclampsia. © 2013 Elsevier Ireland Ltd © 2013 Published by Elsevier Ireland Ltd. All rights reserved.

Plasma cell leukemia (PCL) is a rare and aggressive variant of myeloma characterized by the presence of circulating plasma cells. It is classified as either primary PCL occurring at diagnosis or as secondary PCL in patients with relapsed/refractory myeloma. Primary PCL is a distinct clinic-pathological entity with different cytogenetic and molecular findings. The clinical course is aggressive with short remissions and survival duration. The diagnosis is based upon the percentage (≥20%) and absolute number (≥2 × 10 9/l) of plasma cells in the peripheral blood. It is proposed that the thresholds for diagnosis be re-examined and consensus recommendations are made for diagnosis, as well as, response and progression criteria. Induction therapy needs to begin promptly and have high clinical activity leading to rapid disease control in an effort to minimize the risk of early death. Intensive chemotherapy regimens and bortezomib-based regimens are recommended followed by high-dose therapy with autologous stem cell transplantation if feasible. Allogeneic transplantation can be considered in younger patients. Prospective multicenter studies are required to provide revised definitions and better understanding of the pathogenesis of PCL. © 2013 Macmillan Publishers Limited All rights reserved.

Multiple myeloma remains an incurable disease despite the introduction of the immunomodulatory drugs (IMiDs) thalidomide and lenalidomide and the proteasome inhibitor bortezomib that have improved the outcome of patients with both newly diagnosed and relapsed/ refractory disease. However, patients who relapse after treatment with these agents or are refractory to them represent an unmet need and highlight the necessity for the development of novel anti-myeloma agents. Pomalidomide is an IMiD, structurally related to thalidomide, with enhanced antiangiogenic, antineoplastic, and anti-inflammatory properties and exhibiting potent anti-myeloma activity in vitro and in vivo. Pomalidomide has shown remarkable activity in patients who were refractory to both bortezomib and lenalidomide in Phase II and III studies. This paper reviews the chemistry and mechanisms of action of pomalidomide as well as all the available data from clinical trials on pomalidomide use in patients with refractory/relapsed multiple myeloma. © 2013 Terpos et al, publisher and licensee Dove Medical Press Ltd.

Background: Few effective treatments exist for patients with refractory or relapsed and refractory multiple myeloma not responding to treatment with bortezomib and lenalidomide. Pomalidomide alone has shown limited efficacy in patients with relapsed multiple myeloma, but synergistic effects have been noted when combined with dexamethasone. We compared the efficacy and safety of pomalidomide plus low-dose dexamethasone with high-dose dexamethasone alone in these patients. Methods: This multicentre, open-label, randomised phase 3 trial was undertaken in Australia, Canada, Europe, Russia, and the USA. Patients were eligible if they had been diagnosed with refractory or relapsed and refractory multiple myeloma, and had failed at least two previous treatments of bortezomib and lenalidomide. They were assigned in a 2:1 ratio with a validated interactive voice and internet response system to either 28 day cycles of pomalidomide (4 mg/day on days 1-21, orally) plus low-dose dexamethasone (40 mg/day on days 1, 8, 15, and 22, orally) or high-dose dexamethasone (40 mg/day on days 1-4, 9-12, and 17-20, orally) until disease progression or unacceptable toxicity. Stratification factors were age (≤75 years vs >75 years), disease population (refractory vs relapsed and refractory vs bortezomib intolerant), and number of previous treatments (two vs more than two). The primary endpoint was progression-free survival (PFS). Analysis was by intention to treat. This trial is registered with ClinicalTrials.gov, number NCT01311687, and with EudraCT, number 2010-019820-30. Findings: The accrual for the study has been completed and the analyses are presented. 302 patients were randomly assigned to receive pomalidomide plus low-dose dexamethasone and 153 high-dose dexamethasone. After a median follow-up of 10·0 months (IQR 7·2-13·2), median PFS with pomalidomide plus low-dose dexamethasone was 4·0 months (95% CI 3·6-4·7) versus 1·9 months (1·9-2·2) with high-dose dexamethasone (hazard ratio 0·48 [95% CI 0·39-0·60]; p<0·0001). The most common grade 3-4 haematological adverse events in the pomalidomide plus low-dose dexamethasone and high-dose dexamethasone groups were neutropenia (143 [48%] of 300 vs 24 [16%] of 150, respectively), anaemia (99 [33%] vs 55 [37%], respectively), and thrombocytopenia (67 [22%] vs 39 [26%], respectively). Grade 3-4 non-haematological adverse events in the pomalidomide plus low-dose dexamethasone and high-dose dexamethasone groups included pneumonia (38 [13%] vs 12 [8%], respectively), bone pain (21 [7%] vs seven [5%], respectively), and fatigue (16 [5%] vs nine [6%], respectively). There were 11 (4%) treatment-related adverse events leading to death in the pomalidomide plus low-dose dexamethasone group and seven (5%) in the high-dose dexamethasone group. Interpretation: Pomalidomide plus low-dose dexamethasone, an oral regimen, could be considered a new treatment option in patients with refractory or relapsed and refractory multiple myeloma. Funding: Celgene Corporation. © 2013 Elsevier Ltd.

Poor oral health, including caries, tooth loss, and periodontitis, is ubiquitous worldwide, and is potentially treatable and preventable. Like adverse oral health conditions, Alzheimer disease and related disorders are also very common among aging populations. Established risk factors for Alzheimer disease include cerebrovascular disease and its vascular risk factors, many of which share associations with evidence of systemic inflammation also identified in periodontitis and other poor oral health states. In this review, we present epidemiologic evidence of links between poor oral health and both prevalent and incident cognitive impairment, and review plausible mechanisms linking these conditions, including evidence from compelling animal models. Considering that a large etiologic fraction of dementia remains unexplained, these studies argue for further multidisciplinary research between oral health conditions, including translational, epidemiologic, and possibly clinical treatment studies.

A novel potentiometric cholesterol biosensor has been fabricated through the immobilization of the stabilized polymeric lipid membrane onto graphene electrode. The stabilized polymeric lipid membrane is composed of cholesterol oxidase enzyme and polymerization mixture; which holds paramount influence on the properties of the cholesterol biosensor. The presented biosensor reveals an appreciable reproducibility, good selectivity and high sensing capability with a linear slope curve of ∼64 mV per decade. The strong biocompatibility among stabilized polymeric lipid membranes and human biofluids provides the possibility to use for real blood samples and other biological applications. © 2013 Versita Warsaw and Springer-Verlag Wien.

Histone deacetylases (HDACs) mediate protein acetylation states, which in turn regulate normal cellular processes often dysregulated in cancer. These observations led to the development of HDAC inhibitors that target tumors through multiple effects on protein acetylation. Clinical evidence demonstrates that treatment with HDAC inhibitors (such as vorinostat, panobinostat, and romidepsin) in combination with other antimyeloma agents (such as proteasome inhibitors and immunomodulatory drugs) has promising antitumor activity in relapsed/refractory multiple myeloma patients. This mini-review highlights the role of protein acetylation in the development of cancers and the rationale for the use of HDAC inhibitors in this patient population. © 2013 Elsevier Ltd.

The paleoenviromental conditions during the depositional interval of sapropel S1 in the northeastern Aegean (gravity core M-4, length 2.53 m; south Limnos basin) are studied based on quantitative micropaleontological (benthic and planktonic foraminifera) and geochemical (OC, δ13Corg) analyses. Special feature of core M-4 is the thickness of S1 layer (96 cm). Our study points that sapropelic layer S1a has been deposited in more dysoxic and warmer conditions in respect to S1b. Both primary productivity and preservation of organic material are more intense during the lower part of S1. An interruption of the sapropelic conditions at 8.0 Ka BP which is mainly characterized by the increase of agglutinated foraminiferal forms confirms both higher oxygen bottom conditions and freshwater input.

We aimed to investigate the effect of metal ions on the semen of males of child fathering age with metal-on-metal (MM) total hip arthroplasty (THA). Semen was collected form 11 patients with MM THA and 5 control of comparable age. Cobalt and chromium concentrations were measured in both the seminal plasma and in the blood of patients. Results showed that cobalt level was higher in the seminal plasma of MM THA patients (2.89 μg/L) compared to control patients (1.12 μg/L) (P = .011). The ejaculate volume, the sperm density, the total sperm count, the pH, and the percentage of cells with normal morphology were in the range of the World Health Organization criteria for fertile population.

From the 2008-2009 European Bacteroides antibiotic resistance survey, we selected 161 strains for detection of antibiotic resistance genes (cepA, cfxA, cfiA, nim, ermB, ermF, ermG, linA, mefA, msrSA, tetM, tetQ, tetX, tetX1, tet36 and bexA). To facilitate the throughput, the genes were detected by Real-Time PCR. The presence of the genes was correlated with the known MIC data of the strains for the appropriate antibiotics. For the β-lactams, the cepA gene was found in 70.8% of the tested strains (all resistant to ampicillin), but its presence did not correlate with the ampicillin MIC values. The cepA gene occurred at different frequencies among Bacteroides fragilis and non-fragilis Bacteroides strains. The cfxA gene was not a major factor in determining cefoxitin resistance and it was found with higher prevalence in non-fragilis Bacteroides strains than in B. fragilis. Among the five possible clindamycin resistance genes, ermF was the most common and had the highest effect on clindamycin resistance after linA. The ermG-mefA-msrSA combination was found in a set of strains and their linked occurrence implied that they were harbored by the conjugative transposon CTnGERM1. All strains tested were susceptible to metronidazole and none of them harbored nim genes. TetQ was prevalent among both the B. fragilis and non-fragilis Bacteroides strains (78.9 and 84.8%, respectively) and no gene could be clearly linked to tigecycline resistance other than tetQ. BexA, which codes for the fluoroquinolone efflux pump, was found in 7.5% of strains and occurred at different frequencies among B. fragilis and non-fragilis Bacteroides strains, but was represented only in a minor proportion of moxifloxacin-resistant strains.

Germline mutations in the BRCA1 and BRCA2 genes contribute to approximately 18% of hereditary ovarian cancers conferring an estimated lifetime risk from 15% to 50%. A variable incidence of mutations has been reported for these genes in ovarian cancer cases from different populations. In Greece, six mutations in BRCA1 account for 63% of all mutations detected in both BRCA1 and BRCA2 genes. This study aimed to determine the prevalence of BRCA1 mutations in a Greek cohort of 106 familial ovarian cancer patients that had strong family history or metachronous breast cancer and 592 sporadic ovarian cancer cases. All 698 patients were screened for the six recurrent Greek mutations (including founder mutations c.5266dupC, p.G1738R and the three large deletions of exon 20, exons 23-24 and exon 24). In familial cases, the BRCA1 gene was consequently screened for exons 5, 11, 12, 20, 21, 22, 23, 24. A deleterious BRCA1 mutation was found in 43/106 (40.6%) of familial cancer cases and in 27/592 (4.6%) of sporadic cases. The variant of unknown clinical significance p.V1833M was identified in 9/698 patients (1.3%). The majority of BRCA1 carriers (71.2%) presented a high-grade serous phenotype. Identifying a mutation in the BRCA1 gene among breast and/or ovarian cancer families is important, as it enables carriers to take preventive measures. All ovarian cancer patients with a serous phenotype should be considered for genetic testing. Further studies are warranted to determine the prevalence of mutations in the rest of the BRCA1 gene, in the BRCA2 gene, and other novel predisposing genes for breast and ovarian cancer. © 2013 Stavropoulou et al.

AIM: To determine the prevalence and frequency of non classical congenital adrenal hyperplasia (NC-CAH) due to 21-OHD at the time of clinical presentation and at the peripubertal period in a substantial sample of Greek women with acne and to investigate the correlation of serum T, 17-OHP and DHEA-S with acne appearance at the time of clinical presentation. METHODS: One hundred and twenty-three unselected women with hyperandrogenemic symptoms were examined. After the ACTH stimulation test, 6 (4.9%) women were diagnosed with NC-CAH due to 21-OHD. RESULTS: There was not any statistical significant difference in the frequency of peripubertal acne between NC-CAH group of patients (6.4%) and patients with hyperandrogenemia of other aetiology (93%), mainly ovarian (P = 0.41). However, there was a statistical significant difference in the prevalence of acne at the time of clinical examination between the two groups (P = 0.04). Acne was present in 83.3% of women with NC-CAH vs. 41.02% of women in the hyperandrogenic group without NC-CAH. A statistically significant decrease of acne from the peripubertal time to the time of clinical examination in the group of women with hyperandrogenemia of other aetiology (-21.37%) was observed compared to women with NC-CAH (P < 0.001). CONCLUSION: We have shown that acne persists from peripubertal period to adult life in NC-CAH women whereas it tends to diminish in women with hyperandrogenemia of other aetiology. Acne is a prominent finding in women with NC-CAH. Serum concentrations of 17-OHP after ACTH stimulation (17-OHP6O ) should be investigated in women with persistent acne in adult life.

Aim: To assess the prevalence of climacteric symptoms and their association with demographic, life-style and hormonal parameters in Greek peri-and recently postmenopausal women. Methods: 1025 Greek women who were either perimenopausal or within their first 5 postmenopausal years participated in this cross-sectional observational study. Menopausal symptoms were assessed by the Greene Climacteric Scale and were tested for associations with demographic, anthropometric, life-style and hormonal parameters. Results: 29.8% Of the women reported moderate to severe menopausal symptoms. More specifically, 39.2% reported vasomotor, 21.3% psychological, 6.3% psychosomatic and 34.5% sexual symptoms. Years since menopause (r = 0.13, p < 0.01), waist circumference (r = 0.11, p < 0.05) as well as serum FSH, LH and estradiol (r = 0.15, r = 0.118, r =-0.157; p < 0.01) correlated with the intensity of menopausal symptoms. In the multivariate analysis years since menopause and serum estradiol were the only significant predictors of menopausal symptoms (b =-0.158 and b =-0.198, p < 0.001, respectively), explaining though only 4.8% of the variance. Conclusion: One out of three Greek women has moderate to severe climacteric symptoms during the menopause transition or the first postmenopausal years. This frequency is comparable to other White populations. Menopausal age and endogenous estrogens are significant predictors of climacteric symptoms. © 2013 Informa UK, Ltd.

In this phase 2 multicenter trial, we evaluated the activity of bortezomib, dexamethasone, and rituximab (BDR) combination in previously untreated symptomatic patients with Waldenström macroglobulinemia (WM). To prevent immunoglobulin M (IgM) "flare," single agent bortezomib (1.3 mg/m 2 IV days 1, 4, 8, and 11;21-day cycle), was followed by weekly IV bortezomib (1.6 mg/m2 days 1, 8, 15, and 22) every 35 days for 4 additional cycles, followed by IV dexamethasone (40 mg) and IV rituximab (375 mg/m2) in cycles 2 and 5. Fifty-nine patients were treated; 45.5% and 40% were high and intermediate risk per the International Prognostic Scoring System for WM. On intent to treat, 85% responded (3% complete response, 7% very good partial response, 58% partial response [PR]).In 11% of patients, an increase of IgM ≥25% was observed after rituximab; no patient required plasmapheresis. After a minimum follow-up of 32 months, median progression-free survival was42months, 3-year durationof response for patients with≥PR was 70%, and 3-year survival was 81%. Peripheral neuropathy occurred in 46% (grade ≥3 in 7%); only 8% discontinued bortezomib due to neuropathy. BDR is rapidly acting, well tolerated, and nonmyelotoxic, inducing durable responses in previously untreated WM. © 2013 by The American Society of Hematology.

Background:Discrepant data have been published on the incidence and prognostic significance of ESR1 gene amplification in early breast cancer.Patients and Methods:Formalin-fixed paraffin-embedded tumor blocks were collected from women with early breast cancer participating in two HeCOG adjuvant trials. Messenger RNA was studied by quantitative PCR, ER protein expression was centrally assessed using immunohistochemistry (IHC) and ESR1 gene copy number by dual fluorescent in situ hybridization probes.Results:In a total of 1010 women with resected node-positive early breast adenocarcinoma, the tumoral ESR1/CEP6 gene ratio was suggestive of deletion in 159 (15.7%), gene gain in 551 (54.6%) and amplification in 42 cases (4.2%), with only 30 tumors (3%) harboring five or more ESR1 copies. Gene copy number ratio showed a significant, though weak correlation to mRNA and protein expression (Spearman's Rho <0.23, p = 0.01). ESR1 clusters were observed in 9.5% (57 gain, 38 amplification) of cases. In contrast to mRNA and protein expression, which were favorable prognosticators, gene copy number changes did not obtain prognostic significance. When ESR1/CEP6 gene ratio was combined with function (as defined by ER protein and mRNA expression) in a molecular classifier, the Gene Functional profile, it was functional status that impacted on prognosis. In univariate analysis, patients with functional tumors (positive ER protein expression and gene ratio normal or gain/amplification) fared better than those with non-functional tumors with ESR1 gain (HR for relapse or death 0.49-0.64, p = 0.003). Significant interactions were observed between gene gain/amplification and paclitaxel therapy (trend for DFS benefit from paclitaxel only in patients with ESR1 gain/amplification, p = 0.066) and Gene Functional profile with HER2 amplification (Gene Functional profile prognostic only in HER2-normal cases, p = 0.029).Conclusions:ESR1 gene deletion and amplification do not constitute per se prognostic markers, instead they can be classified to distinct prognostic groups according to their protein-mediated functional status. © 2013 Pentheroudakis et al.

Natural hazards pose an increasing threat to society and, for this reason, it is necessary to develop models and methodologies for better understanding and forecasting extreme weather events. A new structure of the Greek Regional Administration (Kallikratis) was established in 2011, based on geographical criteria, in order to create an operational and capable administration. An Atmospheric Hazards Early Warning System (AHEWS) could be characterised as an ultimate tool for the local authorities (first and second tier level) in order to organise and implement efficient plans to mitigate the risk. New operation centres (related to regional and municipality administration level) are suggested to be staffed and equipped with the proposed Early Warning System (EWS). The AHEWS will link to extensive Geographical Information Systems (GIS) datasets and methodologies for safety plans by government agencies and services in order to mitigate the impacts caused by atmospheric extreme events. AHEWS involves high-resolution Numerical Weather Prediction (NWP) products, ground observation network, lightning detection network and satellite information in terms of early convective, initiation and Now-Casting. Storms, lightings, gale winds, snow, hail, tornadoes, low temperatures, heatwaves and several others extreme events are weather phenomena that AHEWS deals with in order to prevent and mitigate impacts on humans and constructions. An automated dissemination procedure is described here for individual and administrative users, followed by safety and action plans, respectively. © 2013 Taylor & Francis.

Multiple myeloma (MM) typically follows a relapsing course with many patients requiring multiple therapies. This single-arm phase 2 study prospectively evaluated the efficacy and safety of bortezomib retreatment in MM patients who had relapsed after achieving at least a partial response (≥PR) to prior bortezomib-based therapy. Patients aged ≥18years, with measurable, secretory MM, who relapsed ≥6months after prior bortezomib treatment were eligible. Patients received up to eight cycles of bortezomib (±dexamethasone). The primary endpoint was best confirmed response at retreatment; secondary endpoints included duration of response (DOR), time to progression (TTP), and safety. Adverse events (AEs) were graded by National Cancer Institute Common Terminology Criteria for Adverse Events version 3.0. A total of 130 patients (median of two prior lines of therapy) were enrolled and received retreatment. At retreatment, 28% and 72% of patients received bortezomib and bortezomib-dexamethasone, respectively. Overall response rate was 40%. In patients who achieved ≥PR, median DOR and TTP were 6·5 and 8·4months, respectively. Thrombocytopenia was the most common grade ≥3 AE (35%). Forty percent of patients experienced neuropathy events, which improved and resolved in a median of 1·5 and 8·9months, respectively. In conclusion, bortezomib retreatment was effective and tolerable in relapsed MM patients, with no evidence of cumulative toxicities. © 2013 Blackwell Publishing Ltd.

Background: The combinations of methotrexate, vinblastine, Adriamycin, cisplatin (Pharmanell, Athens, Greece) (MVAC) or gemcitabine, cisplatin (GC) represent the standard treatment of advanced urothelial cancer (UC). Dosedense (DD)-MVAC has achieved longer progression-free survival (PFS) than the conventional MVAC. However, the role of GC intensification has not been studied. We conducted a randomized, phase III study comparing a DD-GC regimen with DD-MVAC in advanced UC. Patients and methods: One hundred and thirty patients were randomly assigned between DD-MVAC: 66 (M 30 mg/ m2, V 3 mg/m2, A 30 mg/m2, C 70 mg/m2 q 2 weeks) and DD-GC 64 (G 2500 mg/m2, C 70 mg/m2 q 2 weeks). The median follow-up was 52.1 months (89 events). Results: The median overall survival (OS) and PFS were 19 and 8.5 months for DD-MVAC and 18 and 7.8 months for DD-GC (P = 0.98 and 0.36, respectively). Neutropenic infections were less frequent for DD-GC than for DD-MVAC (0% versus 8%). More patients on DD-GC received at least six cycles of treatment (85% versus 63%, P = 0.011) and the discontinuation rate was lower for DD-GC (3% versus 13%). Conclusions: Although DD-GC was not superior to DD-MVAC, it was better tolerated. DD-GC could be considered as a reasonable therapeutic option for further study in this patient population. Clinical Trial Number: ACTRN12610000845033, www.anzctr.org.au. © The Author 2012. Published by Oxford University Press on behalf of the European Society for Medical Oncology. All rights reserved.

The ubiquitin-proteasome system is central to the regulation of cellular proteostasis. Nevertheless, the impact of in vivo proteasome dysfunction on the proteostasis networks and the aging processes remains poorly understood. We found that RNAi-mediated knockdown of 20S proteasome subunits in Drosophila melanogaster resulted in larval lethality. We therefore studied the molecular effects of proteasome dysfunction in adult flies by developing a model of dose-dependent pharmacological proteasome inhibition. Impaired proteasome function promoted several 'old-age' phenotypes and markedly reduced flies' lifespan. In young somatic tissues and in gonads of all ages, loss of proteasome activity induced higher expression levels and assembly rates of proteasome subunits. Proteasome dysfunction was signaled to the proteostasis network by reactive oxygen species that originated from malfunctioning mitochondria and triggered an Nrf2-dependent upregulation of the proteasome subunits. RNAi-mediated Nrf2 knockdown reduced proteasome activities, flies' resistance to stress, as well as longevity. Conversely, inducible activation of Nrf2 in transgenic flies upregulated basal proteasome expression and activity independently of age and conferred resistance to proteotoxic stress. Interestingly, prolonged Nrf2 overexpression reduced longevity, indicating that excessive activation of the proteostasis pathways can be detrimental. Our in vivo studies add new knowledge on the proteotoxic stress-related regulation of the proteostasis networks in higher metazoans. Proteasome dysfunction triggers the activation of an Nrf2-dependent tissue- and age-specific regulatory circuit aiming to adjust the cellular proteasome activity according to temporal and/or spatial proteolytic demands. Prolonged deregulation of this proteostasis circuit accelerates aging. © 2013 The Anatomical Society and John Wiley & Sons Ltd.

Proteasome inhibitors effectively kill tumor cells in myeloma and other plasma cell-related diseases. Preclinical data indicated that lymphoplasmatic cells are also vulnerable to proteasome inhibition and proteasome-targeting therapies have proved their clinical activity in Waldenström's macroglobulinemia (WM). Bortezomib is the first in class proteasome inhibitor (PI), and has been used in several clinical trials either alone or in combination with rituximab. Bortezomib treatment alone might induce major responses in 25%-60% of patients with WM but in combination with rituximab major responses might be as high as 50%-83%. Bortezomib might reduce immunoglobulin M levels rapidly and is not myelotoxic. However, peripheral neuropathy remains a major toxicity of bortezomib therapy; alternative schedules and dosing or route of administration (subcutaneous) might reduce neurotoxicity. Second generation PIs, such as carfilzomib, are also promising but further investigation is needed. © 2013 Elsevier Inc.

Generics are usually considered to exhibit comparable in vivo properties in terms of efficacy and safety and for this reason are intended to be interchangeable with the reference product. The aim of this study is to provide a quantitative picture of the switchability problem between two generics and to introduce the concept of conditional probability of bioequivalence (BE) acceptance. Monte Carlo simulations were performed to examine all possible relationships between the tested products. Four types of percent BE acceptances are defined and evaluated: (a) % BA1, when generic T-1 is compared to the R product, (b) % BA2, in cases of comparison of generic T-2 with the R product, (c) % BA21, when generic T-2 is compared to another generic T-1, and finally (d) % BA21C which is the conditional probability of percent bioequivalence acceptance of generic T(2)versus another generic T-1 given that both T-1 and T-2 are declared bioequivalent to the same R formulation. The simulations were expanded to study concomitantly the performance of T-1 and T-2 when compared to the same R formulation. In each case, the 2 x 2 cross-over design was used and evaluation of BE was based on the classic BE limits (0.80-1.25) and the stricter BE limits (0.90-1.11) for narrow therapeutic index (NTI) drugs. A number of 24 and 48 subjects were assumed to participate in the simulated trials, while the coefficient of variation for the within-subject variability (CVw) was 20% and 40%. A number 40,000 BE trials were simulated under each condition. The T-1/R and T-2/R ratios ranged from 0.80 to 1.25 using a step of 0.05. Even though two generics (T-1 and T-2) can be declared bioequivalent to the same R product, this does not ensure that they are always mutually bioequivalent. On the contrary, two generic products which differ substantially from the R product can still have a high probability to be truly interchangeable. The two generics (T-1 and T-2) can be switched from one to another when the T-1/R and T-2/R ratios are close to the same value, the CVw of the drug is low, and each BE study of T-1-R and T-2-R was conducted using a relatively large number of subjects. In the same context, two generic NTI drugs which differ more than 10% from the R product can still be declared bioequivalent to one another depending on the relative T-1/R and T-2/R ratios. Switchability between generics assessed at the 0.90-1.11 interval is safer, but not always ensured. (C) 2013 Elsevier B.V. All rights reserved.

The forecast of extreme weather events become imperative due to the emerging climate change and possible adverse effects in humans. The objective of this study is to construct predictive models in order to forecast rain intensity (mm/day) in Athens, Greece, using Artificial Neural Networks (ANN) models. The ANNs outcomes concern the projected mean, maximum and minimum monthly rain intensity for the next four consecutive months in Athens. The meteorological data used to estimate the rain intensity, were the monthly rain totals (mm) and the respective rain days, which were acquired from the National Observatory of Athens, for a 111-year period (1899-2009). The results of the developed and applied ANN models showed a fairly reliable forecast of the rain intensity for the next four months. For the evaluation of the results and the ability of the developed prognostic models, appropriate statistical indices were taken into consideration. In general, the predicted rain intensity compared with the corresponding observed one seemed to be in a very good agreement at a statistical significance level of p. <. 0.01. © 2011 Elsevier B.V.

Relativistic jets associated with long/soft gamma-ray bursts are formed and initially propagate in the interior of the progenitor star. Because of the subsequent loss of their external pressure support after they cross the stellar surface, these flows can be modelled as moving around a corner. A strong steady-state rarefaction wave is formed, and the sideways expansion is accompanied by a rarefaction acceleration. We investigate the efficiency and the general characteristics of this mechanism by integrating the steady-state, special relativistic, magnetohydrodynamic equations, using a special set of partial exact solutions in planar geometry (r self-similar with respect to the `corner'). We also derive analytical approximate scalings in the ultrarelativistic cold/magnetized, and hydrodynamic limits. The mechanism is more effective in magnetized than in purely hydrodynamic flows. It substantially increases the Lorentz factor without much affecting the opening of the jet; the resulting values of their product can be much greater than unity, allowing for possible breaks in the afterglow light curves. These findings are similar to the ones from numerical simulations of axisymmetric jets by Komissarov et al. and Tchekhovskoy et al., although in our approach we describe the rarefaction as a steady-state simple wave and self-consistently calculate the opening of the jet that corresponds to zero external pressure.

Relativistic jets associated with long/soft gamma-ray bursts are formed and initially propagate in the interior of the progenitor star. Because of the subsequent loss of their external pressure support after they cross the stellar surface, these flows can be modelled as moving around a corner. A strong steady-state rarefaction wave is formed, and the sideways expansion is accompanied by a rarefaction acceleration. We investigate the efficiency and the general characteristics of this mechanism by integrating the steady-state, special relativistic, magnetohydrodynamic equations, using a special set of partial exact solutions in planar geometry (r self-similar with respect to the `corner'). We also derive analytical approximate scalings in the ultrarelativistic cold/magnetized, and hydrodynamic limits. The mechanism is more effective in magnetized than in purely hydrodynamic flows. It substantially increases the Lorentz factor without much affecting the opening of the jet; the resulting values of their product can be much greater than unity, allowing for possible breaks in the afterglow light curves. These findings are similar to the ones from numerical simulations of axisymmetric jets by Komissarov et al. and Tchekhovskoy et al., although in our approach we describe the rarefaction as a steady-state simple wave and self-consistently calculate the opening of the jet that corresponds to zero external pressure.

International Staging System (ISS), serum free light chain ratio (sFLCR) and lactate dehydrogenase (LDH) are well known, easily assessed independent prognostic indicators of outcome in multiple myeloma (MM). The purpose of the study was to re-examine the prognostic contribution of these variables in a multicenter setting with special attention to MM patients treated with autologous stem cell transplantation (ASCT) or novel agents (NA). Three hundred and five symptomatic newly diagnosed MM patients were retrospectively studied. Twenty-seven per cent, 32% and 41% were in ISS stages 1, 2, and 3, respectively. Fifty-six per cent of them presented kappa light chain monoclonality; median sFLCR was 27.04 (0.37-1.9×105) and 47.97 (0.26-2.3×107) for kappa patients and lambda patients, respectively; patients with sFLCR above median constituted the high sFLCR group. Thirty-one per cent of patients had increased LDH. As first line treatment, 55.7% received conventional treatment and 44.3% NA. After induction, 24% underwent ASCT, whereas 76% received NA at any line, either bortezomib (82.5%), thalidomide (48%) or lenalidomide (27%). When the 305 patients were analyzed together, staging, high sFLCR and abnormal LDH were predictive of survival. The same was true for patients that never received NA, whereas neither high sFLCR nor abnormal LDH constituted adverse factors in patients that received NA frontline. In the last group of patients, no difference was observed between ISS stages 2 and 3. The median 5-year survival of patients that never received NA versus those who did frontline was 29% vs 47%, 7% vs 52% and 24% vs 40% in patients with abnormal LDH, high sFLCR and ISS stage 3, respectively (p=0.03, p<0.00001 and p=0.035). In conclusion, patients gaining the most from NA are those with an aggressive disease as reflected by advanced stage, abnormal LDH and high sFLCR. In addition, the adverse impact of these three variables is obscured by NA. © 2012 John Wiley & Sons, Ltd.

IMPORTANCE: Adherence to Mediterranean-type diet (MeDi) may delay onset of Alzheimer and Parkinson diseases. Whether adherence to MeDi affects time to phenoconversion in Huntington disease (HD), a highly penetrant, single-gene disorder, is unknown. OBJECTIVES: To determine if MeDi modifies the time to clinical onset of HD (phenoconversion) in premanifest carriers participating in Prospective Huntington at Risk Observational Study (PHAROS), and to examine the effects of body mass index and caloric intake on time to phenoconversion. DESIGN, SETTING, AND PARTICIPANTS: A prospective cohort study of 41 Huntington study group sites in the United States and Canada involving 1001 participants enrolled in PHAROS between July 1999 and January 2004 who were followed up every 9 months until 2010. A total of 211 participants aged 26 to 57 years had an expanded CAG repeat length (≥ 37). EXPOSURE: A semiquantitative food frequency questionnaire was administered 33 months after baseline. We calculated daily gram intake for dairy, meat, fruit, vegetables, legumes, cereals, fish, monounsaturated and saturated fatty acids, and alcohol and constructed MeDi scores (0-9); higher scores indicate higher adherence. Demographics, medical history, body mass index, and Unified Huntington's Disease Rating Scale (UHDRS) score were collected. MAIN OUTCOME AND MEASURE: Cox proportional hazards regression models to determine the association of MeDi and phenoconversion. RESULTS Age, sex, caloric intake, education status, and UHDRS motor scores did not differ among MeDi tertiles (0-3, 4-5, and 6-9). The highest body mass index was associated with the lowest adherence to MeDi. Thirty-one participants phenoconverted. In a model adjusted for age, CAG repeat length, and caloric intake, MeDi was not associated with phenoconversion (P for trend = 0.14 for tertile of MeDi, and P = .22 for continuous MeDi). When individual components of MeDi were analyzed, higher dairy consumption (hazard ratio, 2.36; 95% CI, 1.0-5.57; P = .05) and higher caloric intake (P = .04) were associated with risk of phenoconversion. CONCLUSIONS AND RELEVANCE: MeDi was not associated with phenoconversion; however, higher consumption of dairy products had a 2-fold increased risk and may be a surrogate for lower urate levels (associated with faster progression in manifest HD). Studies of diet and energy expenditure in premanifest HD may provide data for interventions to modify specific components of diet that may delay the onset of HD.

In this paper the author presents research into the role of religion in the modern world and attempts to answer the question why students should know about religion, and particularly why religion should be taught in schools. He also presents research into young people’s perspectives on the role of religion in European school systems while at the same time offering a justification for compulsory Religious Education. The arguments are based on international and European legislation, experiences of different countries and the findings of two different researches in Greece published for the first time. Furthermore, the author offers a proposal for compulsory Religious Education which is necessarily based on the constructivist theory according to pedagogical practice in Europe. Finally, the paper stresses the existence of the right to withdraw from Religious Education and the author illustrates the consequences of such a practice.

This article concerns two recent political legislative moves by the Greek government and one in regard to Religious Education (RE) in schools. The latter concerns compulsory RE and the right to exemption for Orthodox students. The former concerns the new Curriculum of compulsory education (2011) which keeps RE as a distinctive compulsory subject for all, claiming that RE has been non-confessional since 2003 and an Amendment (2013) of Law 3536/2007 which was never implemented. The Amendment enacts a formal Muslim RE only for the schools of Western Thrace and for the students of the Muslim Minority who register at Greek public schools and have the right to withdraw from RE due to reasons relating to their religious consciousness. The native Muslims of Western Thrace (a region in the northern part of Greece bordering Turkey) are recognized as a minority according to the Lausanne Treaty (1923). They comprise 50% of the population, and according to the Treaty they have their own religion and educational system. The author takes into account the complexity of religion, educationand politics in the region and addresses controversial issues on the topic of RE that have been raised not only in local society but also between academics, educationists and educators. The question arises as to whether the Greek State is really concerned with RE and the type of RE to be offered to children. Fieldwork by interviewing persons responsible for or related to the subject and articles of local and national newspapers provided the sources for the paper.

PURPOSE: The purpose of this study was to present a fatal case of fulminant hepatitis B (FHB) that developed in a renal transplant recipient, immunized against hepatitis B, 1 year post transplantation. METHODS: Polymerase chain reaction amplification and full genome sequencing were performed to investigate whether specific mutations were associated with hepatitis B virus (HBV) transmission and FHB. RESULTS: Molecular analysis revealed multiple mutations in various open reading frames of HBV, the most important being the G145R escape mutation and a frameshift mutation-insertion (1838insA) within the pre-C/C reading frame. CONCLUSIONS: Our results highlight the possibility of developing FHB, despite previous immunization against HBV or administration of hyperimmune gammaglobulin, because of the selection of escape virus mutants. The current literature and guidelines regarding renal transplantation from hepatitis B surface antigen (HBsAg)-positive to HBsAg-negative patients were also reviewed.

Despite the fact that a significant percentage of the population is unable to swallow tablets and capsules, these dosage forms continue to be the default standard. These oral formulations fail many patients, especially children, because of large tablet or capsule size, poor palatability, and lack of correct dosage strength. The clinical result is often lack of adherence and therapeutic failure. The American Association of Pharmaceutical Scientists formed a Pediatric Formulations Task Force, consisting of members with various areas of expertise including pediatrics, formulation development, clinical pharmacology, and regulatory science, in order to identify pediatric, manufacturing, and regulatory issues and areas of needed research and regulatory guidance. Dosage form and palatability standards for all pediatric ages, relative bioavailability requirements, and small batch manufacturing capabilities and creation of a viable economic model were identified as particular needs. This assessment is considered an important first step for a task force seeking creative approaches to providing more appropriate oral formulations for children.

The mammalian target of rapamycin (mTOR) is a central regulator of cell proliferation that is often deregulated in cancer. Inhibitors of mTOR, including rapamycin and its analogues, are being evaluated as antitumor agents. For their promise to be fulfilled, it is of paramount importance to identify the mechanisms of resistance and develop novel therapies to overcome it. Given the emerging role of microRNAs (miRNAs) in tumorigenesis, we hypothesized that miRNAs could play important roles in the response of tumors to mTOR inhibitors. Long-term rapamycin treatment showed extensive reprogramming of miRNA expression, characterized by up-regulation of miR-17-92 and related clusters and down-regulation of tumor suppressor miRNAs. Inhibition of members of the miR-17-92 clusters or delivery of tumor suppressor miRNAs restored sensitivity to rapamycin. This study identifies miRNAs as new downstream components of the mTOR-signaling pathway, which may determine the response of tumors to mTOR inhibitors. It also identifies potential markers to assess the efficacy of treatment and provides novel therapeutic targets to treat rapamycin-resistant tumors.

The role of thalidomide, bortezomib and lenalidomide in multiple myeloma patients presenting with renal impairment was evaluated in 133 consecutive newly diagnosed patients who were treated with a novel agent-based regimen. A significant improvement of renal function (≥renalPR (renal partial response)) was observed in 77% of patients treated with bortezomib, in 55% with thalidomide and in 43% with lenalidomide (P=0.011). In multivariate analysis, bortezomib-based therapy was independently associated with a higher probability of renal response compared with thalidomide-or lenalidomide-based therapy. Other important variables included eGFR (estimated glomerular filtration rate) ≥30 ml/min, age ≤65 years and myeloma response. Patients treated with bortezomib achieved at least renalPR in a median of 1.34 months vs 2.7 months for thalidomide and >6 months for lenalidomide-treated patients (P=0.028). In multivariate analysis bortezomib-based therapy, higher doses of dexamethasone (≥160 mg during the first month of treatment), an eGFR ≥30 ml/min and age ≤65 years were independently associated with shorter time to renal response. In conclusion, bortezomib-based therapies may be more appropriate for the initial management of patients with myeloma-related renal failure; however, thalidomide and lenalidomide are also associated with significant probability of improvement of their renal function. © 2013 Macmillan Publishers Limited All rights reserved.

New paleomagnetic data from Early Miocene to Pliocene terrestrial sedimentary and volcanic rocks in Central Greece constrain the history of vertical-axis rotation along the central part of the western limb of the Aegean arc. The present-day pattern of rapid block rotation within a broad zone of distributed deformation linking the right-lateral North Anatolian and Kephalonia continental transform faults initiated after Early Pliocene time, resulting in a uniform clockwise rotation of 24.3±6.5° over a region >250 km long and >150 km wide encompassing Central Greece and the western Cycladic archipelago. Because the published paleomagnetic dataset requires clockwise rotations of >50° in Western Greece after ∼17 Ma, while our measurements resolve no vertical-axis rotation of Central Greece between ∼15 Ma and post-Early Pliocene time, a large part of the clockwise rotation of Western Greece must have occurred during the main period of contraction within the external thrust belt of the Ionian Zone between ∼17 and ∼15 Ma. Pliocene initiation of rapid clockwise rotation in Central and Western Greece reflects the development of the North Anatolia–Kephalonia Fault system within the previously extended Aegean Sea region, possibly in response to entry of dense oceanic lithosphere of the Ionian Sea into the Hellenic subduction zone and consequent accelerated slab rollback. The development of the Aegean geometric arc therefore occurred in two short-duration pulses characterized by rapid rotation and strong regional deformation.

Purpose: There is a controversy in the literature regarding the role and the prognostic significance of serum markers in uterine carcinosarcomas (CSs). We attempted to determine the utility of serum CA 125, CA 15-3, CA 19-9, and CEA as prognostic factors and disease follow-up in patients with CS of the uterus. Methods: Thirty-seven patients with CS of the uterus were included in this study. Information regarding demographic, clinical, pathologic, tumor marker data (CA 125, CA 19-9, CA 15-3, and CEA both pre- and postoperatively) treatment and outcome information was obtained, followed by Statistical analysis. Results: The mean follow-up period was 3.5 years. None of the study serum markers showed significant association with the outcome. Greater hazard was found for cases that staged from IIIA to IV compared to those staged from IA to IIB (HR = 4.75, 95 % CI: 1.99-11.3). Also, greater hazard was found for adenosquamous histological type compared to the other histological types. When multiple Cox regression analysis with stepwise approach was implied, it indicated stage as the only significant factor for the outcome. Elevated CA19-9 was more frequent in cases with heterologous sarcoma (p = 0.036). Conclusion: In this retrospective study, none of the preoperative serum tumor markers, neither epithelial component, histological type, nor grade showed a significant association with prognosis. This null finding may have significant implications in the common clinical practice; given that there is a controversy in the literature regarding the role and the significance of the prognostic significance of serum CEA, CA 125, CA 19-9, and CA 15-3. © 2012 Springer-Verlag.

OBJECTIVE: Previous few studies have shown that resistin is significantly elevated in breast cancer (BC) patients. Therefore, we investigated whether serum resistin could be used as a potential diagnostic and prognostic tool for postmenopausal BC (PBC), taking into account clinicopathological features, serum tumor markers, anthropometric, metabolic, and, for the first time, inflammatory parameters. METHODS: Serum resistin, tumor markers (CA 15-3 and CEA), metabolic, anthropometric and inflammatory parameters (TNF-α, IL-6, hsCRP) were determined in 103 postmenopausal women with incident, pathologically confirmed, invasive BC, 103 controls matched on age and time of diagnosis, and 51 patients with benign breast lesions (BBL). RESULTS: Mean serum resistin was significantly higher in cases than in controls and patients with BBL (p<0.001). In patients, resistin was significantly associated with tumor and inflammatory markers, cancer stage, tumor size, grade and lymph node invasion but not with anthropometric, metabolic parameters and hormone receptor status. Multivariable regression analysis revealed that serum IL-6 (p=0.02) and cancer stage (p=0.048) were the strongest determinants of serum resistin in cases adjusting for demographic, metabolic and clinicopathological features. Although resistin's diagnostic performance was low based on ROC curve analysis [0.72, 95% CI: 0.64-0.79], it could, however, represent a BC biomarker reflecting advanced disease stage and inflammatory state. CONCLUSION: Further prospective and longitudinal studies are needed to evaluate whether serum resistin could be used as a prognostic tool in BC monitoring and management. More research is essential to elucidate resistin's ontological role in the association between obesity, representing a chronic low-grade subclinical inflammation, and PBC.

In elderly patients, exposure to antipsychotic medication and subsequent withdrawal may lead to the development of persistent extrapyramidal symptoms, possibly including a syndrome suggested to be tardive parkinsonism. We describe a case in which withdrawal of antipsychotics was unexpectedly associated with progressive deterioration, rather than improvement, of extrapyramidal parkinsonian symptoms. Abnormal imaging of presynaptic dopamine transporters (DaTs) using single-photon emission computed tomography (SPECT) with ioflupane I 123 (DaTscan) substantially contributed to the differential diagnosis, suggesting it was likely that the patient had an underlying neurodegenerative disorder that preceded the onset of medicationinduced parkinsonian symptoms. Our report illustrates how novel findings from DaTscan may assist with diagnosing the cause of persistent parkinsonian symptoms after antipsychotic withdrawal and provide insight into the controversial concept of tardive parkinsonism.

Sex differences in the visual system have been reported in aspects of human vision, such as color perception, peripheral vision and even in the activation of the primary visual cortex. Similarly sex differences have been identified in the visual system of laboratory animals such as monkeys and rats. On the other hand, environmental enrichment (EE) has long been known to affect visual tissues. Taking into consideration the variation in the experimental approaches concerning EE and the sex differences in the visual system, we investigated in male and female rats the serotonergic and dopaminergic effects of EE in the retina and the visual cortex at different time points (i.e. P0-25, P0-P90 and P90-P150). Early EE in adulthood increased the serotonergic activity of the male visual cortex and the female retina (P0-P90). In addition early enrichment (P0-P90) increased dopaminergic activity in the female retina and in the visual cortex of both sexes. Late enrichment increased the serotonergic activity in the retina and visual cortex of both sexes (P90-P150), but increased the dopaminergic activity in the visual cortex only in male animals. In the present study we expose marked sex differences in the neurochemistry of visual tissues and we demonstrate for the first time that EE can in fact modify the serotonergic and dopaminergic neurotransmission in the retina and visual cortex. Overall, the present study underpins the sex-dependent neurochemical status of the visual system and provides insights into the different mechanisms underlying visual processing in the two sexes.

Sex differences in the visual system have been reported in aspects of human vision, such as color perception, peripheral vision and even in the activation of the primary visual cortex. Similarly sex differences have been identified in the visual system of laboratory animals such as monkeys and rats. On the other hand, environmental enrichment (EE) has long been known to affect visual tissues. Taking into consideration the variation in the experimental approaches concerning EE and the sex differences in the visual system, we investigated in male and female rats the serotonergic and dopaminergic effects of EE in the retina and the visual cortex at different time points (i.e. P0-25, P0-P90 and P90-P150). Early EE in adulthood increased the serotonergic activity of the male visual cortex and the female retina (P0-P90). In addition early enrichment (P0-P90) increased dopaminergic activity in the female retina and in the visual cortex of both sexes. Late enrichment increased the serotonergic activity in the retina and visual cortex of both sexes (P90-P150), but increased the dopaminergic activity in the visual cortex only in male animals. In the present study we expose marked sex differences in the neurochemistry of visual tissues and we demonstrate for the first time that EE can in fact modify the serotonergic and dopaminergic neurotransmission in the retina and visual cortex. Overall, the present study underpins the sex-dependent neurochemical status of the visual system and provides insights into the different mechanisms underlying visual processing in the two sexes.

Pineios River is the 3 rd longest river in Peloponnese and flows in Kyllini wider area which is located close to the Hellenic Arc-Trench system. This is one of the most seismically and tectonically active regions in Greece with a great number of changes in the morphogenetic events taking place during the neotectonic period, as well as the last 100 ky. Prior to the 18 th century A.D., the lower alluvial Pineios River flowed north of the Kyllini peninsula and into the Ionian Sea southwest of Kotichi Lagoon, but the river now flows southward into a deltaic swamp and dune region, burying a former lagoon-barrier coastal zone. From this, it becomes apparent that this river is not monotonous in appearance and therefore is not completely controlled by hydrology and hydraulics. In fact, the lower alluvial Pineios River has reacted to major geological controls, surface deformation and uplift movements caused by the activity of the recently mapped Pineios normal fault zone and salt tectonics in Kyllini peninsula resulting in the river flow diversion from north to south at completely different open sea areas. The effects of the geological, tectonic and neotectonic activity and the impact of the human presence and influence on the lower Pineios River are presented in this paper in order to determine the causes of the diversion of the lower (alluvial) Pineios River (NW Peloponnese, Greece) and shoreline displacements.

This study investigated the changes in oxidative stress biomarkers and antioxidant status indices caused by a 3-week high-intensity interval training (HIT) regimen. Eight physically active males performed three HIT sessions/week over 3. weeks. Each session included four to six 30-s bouts of high-intensity cycling separated by 4. min of recovery. Before training, acute exercise elevated protein carbonyls (PC), thiobarbituric acid reactive substances (TBARS), glutathione peroxidase (GPX) activity, total antioxidant capacity (TAC) and creatine kinase (CK), which peaked 24. h post-exercise (252 ± 30%, 135 ± 17%, 10 ± 2%, 85 ± 14% and 36 ± 13%, above baseline, respectively; p<. 0.01), while catalase activity (CAT) peaked 30. min post-exercise (56 ± 18% above baseline; p<. 0.01). Training attenuated the exercise-induced increase in oxidative stress markers (PC by 13.3 ± 3.7%; TBARS by 7.2 ± 2.7%, p<. 0.01) and CK activity, despite the fact that total work done was 10.9 ± 3.6% greater in the post- compared with the pre-training exercise test. Training also induced a marked elevation of antioxidant status indices (TAC by 38.4 ± 7.2%; CAT by 26.2 ± 10.1%; GPX by 3.0 ± 0.6%, p<. 0.01). Short-term HIT attenuates oxidative stress and up-regulates antioxidant activity after only nine training sessions totaling 22. min of high intensity exercise, further supporting its positive effect not only on physical conditioning but also on health promotion. © 2013 Elsevier Ltd.

This study investigated the changes in oxidative stress biomarkers and antioxidant status indices caused by a 3-week high-intensity interval training (HIT) regimen. Eight physically active males performed three HIT sessions/week over 3. weeks. Each session included four to six 30-s bouts of high-intensity cycling separated by 4. min of recovery. Before training, acute exercise elevated protein carbonyls (PC), thiobarbituric acid reactive substances (TBARS), glutathione peroxidase (GPX) activity, total antioxidant capacity (TAC) and creatine kinase (CK), which peaked 24. h post-exercise (252 ± 30%, 135 ± 17%, 10 ± 2%, 85 ± 14% and 36 ± 13%, above baseline, respectively; p<. 0.01), while catalase activity (CAT) peaked 30. min post-exercise (56 ± 18% above baseline; p<. 0.01). Training attenuated the exercise-induced increase in oxidative stress markers (PC by 13.3 ± 3.7%; TBARS by 7.2 ± 2.7%, p<. 0.01) and CK activity, despite the fact that total work done was 10.9 ± 3.6% greater in the post- compared with the pre-training exercise test. Training also induced a marked elevation of antioxidant status indices (TAC by 38.4 ± 7.2%; CAT by 26.2 ± 10.1%; GPX by 3.0 ± 0.6%, p<. 0.01). Short-term HIT attenuates oxidative stress and up-regulates antioxidant activity after only nine training sessions totaling 22. min of high intensity exercise, further supporting its positive effect not only on physical conditioning but also on health promotion. © 2013 Elsevier Ltd.

This study investigated the changes in oxidative stress biomarkers and antioxidant status indices caused by a 3-week high-intensity interval training (HIT) regimen. Eight physically active males performed three HIT sessions/week over 3. weeks. Each session included four to six 30-s bouts of high-intensity cycling separated by 4. min of recovery. Before training, acute exercise elevated protein carbonyls (PC), thiobarbituric acid reactive substances (TBARS), glutathione peroxidase (GPX) activity, total antioxidant capacity (TAC) and creatine kinase (CK), which peaked 24. h post-exercise (252 ± 30%, 135 ± 17%, 10 ± 2%, 85 ± 14% and 36 ± 13%, above baseline, respectively; p<. 0.01), while catalase activity (CAT) peaked 30. min post-exercise (56 ± 18% above baseline; p<. 0.01). Training attenuated the exercise-induced increase in oxidative stress markers (PC by 13.3 ± 3.7%; TBARS by 7.2 ± 2.7%, p<. 0.01) and CK activity, despite the fact that total work done was 10.9 ± 3.6% greater in the post- compared with the pre-training exercise test. Training also induced a marked elevation of antioxidant status indices (TAC by 38.4 ± 7.2%; CAT by 26.2 ± 10.1%; GPX by 3.0 ± 0.6%, p<. 0.01). Short-term HIT attenuates oxidative stress and up-regulates antioxidant activity after only nine training sessions totaling 22. min of high intensity exercise, further supporting its positive effect not only on physical conditioning but also on health promotion. © 2013 Elsevier Ltd.

We fabricated a silicon-wafer based p-n junction solar cell with conversion efficiency of 11% without conventional doping of the emitter or the use of anti-reflecting coatings. The emitter was originally nanocrystalline, grown on n-type crystalline Si and covered with a thin semi-transparent Al layer. Annealing in nitrogen at 430 °C promoted a simultaneous aluminum (Al)-induced recrystallization and Al-doping of the emitter. The recrystallized emitter consisted of considerably larger Si grains which were epitaxially crystallized on the Si substrate. These two effects led to a considerable improvement of the electrical and photovoltaic properties of the resulting p-n junction. © 2013 AIP Publishing LLC.

BACKGROUND: Psoriasis is associated with a variety of comorbidities such as obesity and cardiovascular disease. OBJECTIVE: In a cross-sectional study, we explored whether obstructive sleep apnea and hypopnea syndrome (OSAHS) is associated with psoriasis characteristics and metabolic parameters. METHODS: Thirty-five patients with chronic plaque psoriasis underwent a nocturnal polysomnography study and were analysed for Apnoea-Hypopnoea Index to assess OSAHS severity and Framigham score to predict the absolute risk of coronary artery disease at 10 years. The association of OSAHS with psoriasis was examined according to psoriasis characteristics (PASI and DLQI scores, disease duration and previous use of systemic treatments), metabolic parameters (Body Mass Index - BMI, waist to hip ratio - WHR, lipid profile) and other comorbidities (obesity, hypertension, arthritis and cardiovascular disease). RESULTS: There was no correlation between psoriasis characteristics and OSAHS. Psoriasis patients with OSAHS presented more frequent snoring and lower sleep quality compared with those without OSAHS. In univariate analyses, OSAHS was associated with increased BMI and hypertension in psoriasis patients. In multivariable logistic regression models, there was statistically significant evidence that only BMI and hypertension were associated with increased risk of OSAHS, adjusting for psoriasis characteristics, age and gender. Presence of metabolic syndrome, WHR, and smoking were not significant risk factors for OSAHS. In subgroup analyses, OSAHS correlated with duration of psoriasis (>8 years) in women (P = 0.021) and with Framigham score in men (P = 0.035). CONCLUSION: OSAHS may be a comorbidity in obese psoriasis patients with hypertension. Treatment with continuous positive airway pressure and weight loss interventions should be initiated.

Given a singular foliation, we attach an “essential isotropy” group to each of its leaves, and show that its discreteness is the integrability obstruction of a natural Lie algebroid over the leaf. We show that a condition ensuring discreteness is the local surjectivity of a transversal exponential map associated with the maximal ideal of vector fields prescribed to be tangent to the foliation. The essential isotropy group is also shown to control the smoothness of the holonomy cover of the leaf (the associated fiber of the holonomy groupoid), as well as the smoothness of the associated isotropy group. Namely, the (topological) closeness of the essential isotropy group is a necessary and sufficient condition for the holonomy cover to be a smooth (finite-dimensional) manifold and the isotropy group to be a Lie group. These results are useful towards understanding the normal form of a singular foliation around a compact leaf. At the end of this article we briefly outline work of ours on this normal form, to be presented in a subsequent paper.

Although there is a substantial body of research on loneliness in children and adolescents, there is relatively less research evidence on solitude, as a state of being alone, and more specifically, on facets of solitude such as attitude toward aloneness, ability to be alone, and positive aloneness. In this paper, after some conceptual clarifications, research is reviewed on understanding the nature of solitude; affect of time alone; attitude toward aloneness; the links between solitude and adjustment; and the associations between solitude and other aloneness concepts. Finally, suggestions for future research on solitude in childhood and adolescence are offered.

We aimed to determine the second-trimester amniotic fluid (AF) levels of soluble Fas (sFas) and Fas-ligand (FasL) and investigate their association with fetal growth. Therefore, sFas and FasL levels were measured by enzyme immunoassay in the AF of 21 small for gestational age (SGA), 13 large for gestational age (LGA), and 44 appropriate for gestational age (AGA) fetuses of pregnant women who underwent amniocentesis at between 15 and 22 weeks gestation. Our study results showed that sFas and FasL levels were detectable in AF. sFAS median (25th-75th centile) levels were 3.8 (2.8-4.6). ng/ml in SGA, 3.6 (3.1-4.5). ng/ml in AGA, and 4.0 (3.1-4.4). ng/ml in LGA. FasL median (25th-75th centile) levels were 26.0 (20.3-32.7). pg/ml in SGA, 22.7 (18.4-28.5). pg/ml in AGA, and 21.5 (15.8-30.9). pg/ml in LGA. The differences were not statistically significant. Nevertheless, statistically significant differentiation of FasL levels existed when SGA fetuses in the extremes of distribution (≤5th, ≤2.5th centile) were considered. This is the first study presenting sFas and FasL concentrations in early second-trimester amniotic fluid in AGA, SGA, and LGA fetuses. We found indications that severe and very severe SGA fetuses (≤5th and ≤2.5th centile) have high levels of FasL in the amniotic fluid. This finding probably reflects the increased rate of apoptosis that is assumed to exist in cases of extreme growth restriction. © 2013 Elsevier Ireland Ltd.

Nerium oleander (oleander) is a very desirable ornamental, widely diffused throughout the Mediterranean region that exhibits a prolonged flowering period during the dry season. The structure of white, pink and red petals of single flowers of N. oleander was examined using light microscopy, scanning electron microscopy and atomic force microscopy. The petals consist of one layered adaxial epidermis with conical-papillate cells, a mesophyll with loosely arranged cells and large intercellular spaces, and one layered abaxial epidermis with cuboid cells. The adaxial and the abaxial epidermises of petals are further ornamented by wrinkled reliefs, which increase the cell surface area. Roughness of the extracellular relief varies between adaxial and abaxial surfaces of white and red petals; the opposite holds true for the pink petals of the wild plants of N. oleander. Roughness was linearly correlated with vertical distance, and surface distance was linearly correlated with horizontal distance of the reliefs. Micromophology of petals of N. oleander revealed submicron features that may be particularly important for the performance of the nectarless flowers under ambient conditions, affecting energy exchange with the surrounding environment and adhesive properties of pink flowers during a seven-day flower life-span, and white and red flowers during a five-day life-span.

We consider a Markovian clearing queueing system, where the customers are accumulated according to a Poisson arrival process and the server removes all present customers at the completion epochs of exponential service cycles. This system may represent the visits of a transportation facility with unlimited capacity at a certain station. The system evolves in an alternating environment that influences the arrival and the service rates. We assume that the arriving customers decide whether to join the system or balk, based on a natural linear reward-cost structure. We study the balking behavior of the customers and derive the corresponding Nash equilibrium strategies under various levels of information.

The Sparta Fault system is a major structure approximately 64 km long that bounds the eastern flank of the Taygetos Mountain front (2407 m) and shapes the present-day Sparta basin. It was activated in 464 B.C., devastating the city of Sparta. This fault is examined and described in terms of its geometry, segmentation, drainage pattern and post-glacial throw, emphasising how these parameters vary along strike. Qualitative analysis of long profile catchments shows a significant difference in longitudinal convexity between the central and both the south and north parts of the fault system, leading to the conclusion of varying uplift rate along strike. Catchments are sensitive in differential uplift as it is observed by the calculated differences of the steepness index ksn between the outer (ksn < 83) and central parts (121 < ksn < 138) of the Sparta Fault along strike the fault system. Based on fault throw-rates and the bedrock geology a seismic hazard map has been constructed that extracts a locality specific long-term earthquake recurrence record. Based on this map the town of Sparta would experience a destructive event similar to that in 464 B.C. approximately every 1792 ± 458 years. Since no other major earthquake M ~ 7.0 has been generated by this system since 464 B.C., a future event could be imminent. As a result, not only time-independent but also time-dependent probabilities, which incorporate the concept of the seismic cycle, have been calculated for the town of Sparta, showing a considerably higher time-dependent probability of 3.0 ± 1.5% over the next 30 years compared to the time-independent probability of 1.66%. Half of the hanging wall area of the Sparta Fault can experience intensities ≥ IX, but belongs to the lowest category of seismic risk of the national seismic building code. On view of these relatively high calculated probabilities, a reassessment of the building code might be necessary.

The objective of this paper is to study the spatial and temporal variability of the Aridity Index (AI) in Greece, per decade, during the 50-year period (1951-2000). Besides, the projected changes in ensemble mean AI between the period 1961-1990 (reference period) and the periods 2021-2050 (near future) and 2071-2100 (far future) along with the inter-model standard deviations were presented, based on the simulation results, derived from a number of Regional Climatic Models (RCMs), within the ENSEMBLE European Project. The projection of the future climate was done under SRES A1B.The climatic data used, concern monthly precipitation totals and air temperature from 28 meteorological stations (22 stations from the Hellenic National Meteorological Service and 6 stations from neighboring countries, taken from the Monthly Climatic Data for the World). The estimation of the AI was carried out based on the potential evapotranspiration (PET) defined by Thornthwaite (1948). The data processing was done by the application of the statistical package R-project and the Geographical Information Systems (GIS).The results of the analysis showed that, within the examined period (1951-2000), a progressive shift from the "humid" class, which characterized the wider area of Greece, towards the "sub-humid" and "semi-arid" classes appeared in the eastern Crete Island, the Cyclades complex, the Evia and Attica, that is mainly the eastern Greece. The most significant change appears during the period 1991-2000. The future projections at the end of twentieth century, using ensemble mean simulations from 8 RCMs, show that drier conditions are expected to establish in regions of Greece (Attica, eastern continental Greece, Cyclades, Dodecanese, eastern Crete Island and northern Aegean). The inter-model standard deviation over these regions ranges from 0.02 to 0.05 against high values (0.09-0.15) illustrated in western mountainous continental Greece, during 2021-2050. Higher values of inter-model standard deviation appear in the 2071-2100 ranging from 0.02 to 0.10 reaching even 0.50 over mountainous regions of the country. © 2011 Elsevier B.V.

Using first-principles methods based on density-functional theory, we investigate the spin relaxation in W(001) ultrathin films. Within the framework of the Elliott-Yafet theory, we calculate the spin mixing of the Bloch states and we explicitly consider spin-flip scattering off self-adatoms. At small film thicknesses, we find an oscillatory behavior of the spin-mixing parameter and relaxation rate as a function of the film thickness, which we trace back to surface-state properties. We also analyze the Rashba effect experienced by the surface states and discuss its influence on the spin relaxation. Finally, we calculate the anisotropy of the spin-relaxation rate with respect to the polarization direction of the excited spin population relative to the crystallographic axes of the film. We find that the spin-relaxation rate can increase by as much as 27% when the spin polarization is directed out of plane, compared to the case when it is in plane. Our calculations are based on the multiple-scattering formalism of the Korringa-Kohn-Rostoker Green-function method.

In contrast to the long-known fact that spin-flip hot spots, i.e., special k points on the Fermi surface showing a high spin-mixing parameter, do not occur in the bulk of monovalent (noble and alkali) metals, we found them on the surface Brillouin-zone boundary of ultrathin films of these metals. Density-functional calculations within the Korringa-Kohn-Rostoker Green function method for ultrathin (001) oriented Cu, Ag, and Au films of 10-layer thickness show that the region around the hot spots can have a substantial contribution, e. g., 52% in Au(001), to the integrated spin-mixing parameter, that could lead to a significant enhancement of the spin-relaxation rate or spin-Hall angle in thin films. Owing to the appearance of spin-flip hot spots, a large anisotropy of the Elliott-Yafet parameter {[}50% for Au(001)] is also found in these systems. The findings are important for spintronics applications in which noble metals are frequently used and in which the dimensionality of the sample is reduced.

Aims: We have studied a mechanism for producing intrinsic broken power-law γ-ray spectra in compact sources. This is based on the principles of automatic photon quenching, according to which γ-rays are being absorbed on spontaneously produced soft photons whenever the injected luminosity in γ-rays lies above a certain critical value. Methods: We derived an analytical expression for the critical γ-ray compactness in the case of power-law injection. For the case where automatic photon quenching is relevant, we calculated analytically the emergent steady-state γ-ray spectra. We also performed numerical calculations in order to back up our analytical results. Results: We show that a spontaneously quenched power-law γ-ray spectrum obtains a photon index 3Γ/2, where Γ is the photon index of the power-law at injection. Thus, large spectral breaks of the γ-ray photon spectrum, e.g. ΔΓ ≳ 1, can be obtained by this mechanism. We also discuss additional features of this mechanism that can be tested observationally. Finally, we fit the multiwavelength spectrum of a newly discovered blazar (PKS 0447-439) by using such parameters to explain the break in the γ-ray spectrum by means of spontaneous photon quenching, under the assumption that its redshift lies in the range 0.1 < z < 0.24.

Aims: We have studied a mechanism for producing intrinsic broken power-law γ-ray spectra in compact sources. This is based on the principles of automatic photon quenching, according to which γ-rays are being absorbed on spontaneously produced soft photons whenever the injected luminosity in γ-rays lies above a certain critical value. Methods: We derived an analytical expression for the critical γ-ray compactness in the case of power-law injection. For the case where automatic photon quenching is relevant, we calculated analytically the emergent steady-state γ-ray spectra. We also performed numerical calculations in order to back up our analytical results. Results: We show that a spontaneously quenched power-law γ-ray spectrum obtains a photon index 3Γ/2, where Γ is the photon index of the power-law at injection. Thus, large spectral breaks of the γ-ray photon spectrum, e.g. ΔΓ ≳ 1, can be obtained by this mechanism. We also discuss additional features of this mechanism that can be tested observationally. Finally, we fit the multiwavelength spectrum of a newly discovered blazar (PKS 0447-439) by using such parameters to explain the break in the γ-ray spectrum by means of spontaneous photon quenching, under the assumption that its redshift lies in the range 0.1 < z < 0.24.

Purpose: The purpose of this work was to assess the colloidal stability of novel milk-based formulations. Methods: Milk-based formulations were prepared in situ by adding into milk alkaline- or ethanolic-drug solutions containing an array of drugs namely; ketoprofen, tolfenamic acid, meloxicam, tenoxicam and nimesulide, mefenamic acid, cyclosporine A, danazol and clopidogrel besylate. The produced formulations were characterized by means of dynamic lightscattering, zeta-potential studies, atomic force microscopy, fluorescence spectroscopy, Raman spectroscopy complemented with ab initio calculations and stability studies. Results: The presence of the drugs did not induce significant changes in most cases to the particle size and zeta-potential values of the emulsions pointing to the colloidal stability of these formulations. Raman spectroscopy studies revealed interactions of the drugs and the milk at the intermolecular level. Complementary analysis with ab initio calculations confirmed the experimental observations obtained by Raman spectroscopy. Finally the produced drug containing alkaline/ethanolic solutions exhibited stability over a period of up to 12 months. Conclusions: The current data demonstrate that milk is a promising drug carrier. (C) 2013 Elsevier B. V. All rights reserved.

The selectivity of the mixed-sandwich U(III) complexes of the type [U(η-C8H6{SiiR3-1,4} 2)(η-CpR′)] (R = Me, iPr; R′ = Me4H, Me5, Me4iPr, Me 4SiMe3, Me4Et) toward the reductive coupling of CO to form uranium-bound oxocarbons has been explored. In this context, the new U(III) mixed-sandwich complexes [U(η-C8H6{Si iPr3-1,4}2)(η-CpMe4TMS)], [U(η-C8H6{SiiPr3-1,4} 2)(η-CpMe4iPr)], [U(η-C8H 6{SiiPr3-1,4}2)(η-Cp Me4Et)], [U(η-C8H6{SiMe3-1,4} 2)(η-Cp*)], and [U(η-C8H 6{SiMe3-1,4}2)(η-CpMe4TMS)] have been prepared and structurally characterized. The reactivity toward CO is dominated by the "global" sterics around the uranium center, while selectivity for oxocarbon formation is largely regulated by the steric bulk of the CpR′ ligand. Accordingly, with excess CO [U(η-C 8H6{SiiPr3-1,4}2)(η- CpMe4TMS)] and [U(η-C8H6{Si iPr3-1,4}2)(η-CpMe4iPr)] show no reactivity, [U(η-C8H6{SiMe3-1,4} 2)(η-CpMe4TMS)] is completely selective for the formation of the ynediolate complex [U(η-C8H 6{SiMe3-1,4}2)(η-CpMe4TMS)] 2(μ-η1:η1-13C 2O2), [U(η-C8H6{SiiPr 3-1,4}2)(η-Cp*)] affords only the deltate complex [U(η-C8H6{SiiPr3-1,4} 2)(η-Cp*)]2(μ-η2: η2-C3O3), and [U(η-C8H 6{SiiPr3-1,4}2)(η-CpMe4H)] gives solely the squarate complex [U(η-C8H6{SiiPr 3-1,4}2)(η-CpMe4H)]2(μ- η2:η2-C4O4). Additionally, the squarate moiety has been removed from the uranium center in the last complex by reaction with Me3SiCl to afford the TMS ester of squaric acid, C4O2(OTMS)2. © 2012 American Chemical Society.

We report on the occurrence of strong nonreciprocal magnetochiral dichroism in helical structures of magnetic garnet spheres, which emerges as a result of the simultaneous lack of time-reversal and space-inversion symmetries, by means of rigorous full-electrodynamic calculations using the layer-multiple-scattering method. It is shown that a strong effect appears in flat band regions associated with enhanced natural and magnetic optical activity.

The Attic-Cycladic metamorphic-core complex province was formed during Miocene to recent regional back-arc extension in response to slab-rollback and gravitational collapse. The development of several metamorphic-core complexes along extensional low-angle detachment faults resulted in the exhumation of lower-plate rocks and the tectonic denudation of the upper plate that is only sparsely exposed throughout the Aegean Sea. One of these areas is in southern Syros where the tectonic configuration includes three tectonometamorphic units separated by two detachment faults. The lower-plate Cycladic Blueschist Unit underwent late Cretaceous-Eocene HP/LT metamorphism and subsequent greenschist-facies overprint during Oligo-Miocene times. The tectonically overlying greenschist-facies Upper Unit is a tectonic sliver between the Cycladic Blueschist Unit and the structurally highest unit, the Vari Unit, which is dominated by quartzofeldspathic gneisses that are affected by four distinct deformation events (D1-D4). The late Cretaceous upper greenschist-facies D1 episode is related to late Cretaceous-Eocene subduction while D2-D4 fabrics were formed in response to late Cenozoic extension and exhumation. Field relations and structural data suggest that the late Miocene brittle Vari Detachment juxtaposes both Vari Unit and Upper Unit against the Cycladic Blueschist Unit. Mylonitic rocks observed at the base of Vari Unit along the contact with Upper Unit and zircon and apatite (U-Th)/He thermochronometry corroborate this scenario with lower-plate Cycladic Blueschist Unit rocks recording rapid cooling at $\sim$. 8-10. Ma. In contrast, cooling ages from the Vari Unit cluster at $\sim$. 13-15. Ma, indicating rapid exhumation coeval with activity along the Livadi Detachment on the neighboring island of Tinos. These data document new evidence that Vari Unit was affected by a major middle Miocene phase of exhumation and an older semi-brittle episode, both unrelated to late Miocene detachment faulting, revealing that crustal extension occurred in multiple stages and in a protracted episodic fashion similar to other parts of the Cyclades. © 2012 Elsevier B.V.

Zinc ferrites, ZnFe2O4 and zinc ferrite nanoparticles substituted with indium and yttrium, Zn1-xInxFe2O4 and ZnYxFe2-xO4 (0 <= x <= 0.3), were synthesized by co-precipitation method. We have investigated the effect of composition on the cation distribution in the spinel structure, and on the magnetic properties with a view to obtain magnetic ceramics with improved properties compared to their bulk counter parts. The results of X ray diffraction (XRD) and transmission electron microscopy (TEM) confirmed the nanoscale dimensions and spinel structure of the samples. The estimated crystallite size lies within the range 4-10 nm. Additional experiments had been conducted using a scanning mobility particle sizer spectrometer (SMPS) in order to measure the number size distribution of the nanoparticles. Mossbauer spectroscopy was used to investigate the cation distribution between the tetrahedral and octahedral sites and the formation of the partially inverse spinel. The study of the magnetic properties showed that the hysteresis loops do not saturate even in the presence of high magnetic fields, confirming the superparamagnetic single domain nature of the samples. The particle size and composition variations (e.g. addition of yttrium and indium) cause significant structural rearrangements which affect the magnetic behavior of these materials. (C) 2012 Elsevier Ltd and Techna Group S.r.l. All rights reserved.

Cochineal is one of the most well known organic red dyes. Dactylopius coccus Costa (Dactylopiidae) is a scale insect that is used as the source of the dye known as Mexican cochineal. Although cochineal is today a natural food colorant (E120) and although it has been used in art objects (textiles and paintings) for centuries, its exact chemical consistency is not well clarified except for carminic acid which is the major component and kermesic and flavokermesic acids. Several minor components (typically less than 5% of the colouring material) remained unknown or partially studied, although their presence has been reported in numerous analytical works related to art objects. Chemical investigation of the methanol extract of the dried insects, after subsequent HPLC chromatographic separations, led to the isolation and structure elucidation of six new anthraquinones, along with the known compounds carminic acid, kermesic acid and flavokermesic acid. The new compounds formerly described as DCII and DCIII, were found to be the 2 C-glucoside of flavokermesic acid and 4-aminocarminic acid, respectively, while DCIV and DCVII were found to be the α/β C-glucofuranosides of kermesic acid, and were studied as a mixture due to equilibrium. In addition, 3 O-glucoside of flavokermesic acid (DCOFK), and 3,4-dideoxycarminic acid (DDCA) were identified. The structures of the new compounds were elucidated on the basis of their NMR and MS data. Finally, the new compounds were detected in silk dyed with cochineal, lake pigment and, furthermore, in historical objects of the cultural heritage (icon and textile) using LC-DAD and LC-MS. © 2013 Elsevier B.V.

The objectives of this autopsy-based audit of firearm-related fatalities were to acquire data to inform policy decisions and to assess the probability of the injured arriving alive at a hospital and receiving definitive care. Evaluated variables Demographics; co-morbidities; location and intention of the injury; toxicology; types of firearms; Abbreviated Injury Scale; Injury Severity Score (ISS); transfer means and time; and location of death. Results Of a total of 370 fatalities, 85.7% were male. The median age was 38 (9–95) years. Suicides (47%) and assaults (45.1%) were the most common underlying intentions. The most seriously injured regions were the head (44.5%), thorax (25.7%), abdomen (10.7%), and spine (5.7%). Of the 370 total subjects, 4.9% had an İSS\} < 16 and 59.5% had an İSS\} ≤ 74; both groups were classified as potentially preventable deaths. The majority (84%) died at the scene, and only 9.8% left the emergency department alive for further treatment. Multivariate analyses documented that postmortem İSS\} is an independent factor that predicts the probability of the injured reaching a hospital alive and receiving definitive care. Individuals injured in greater Athens and those most seriously injured in the face, abdomen or spine had significantly greater chances of reaching a hospital alive and receiving definitive care, whereas those injured by a shotgun and the positive toxicology group were significantly less likely to. In conclusion, this study provides data to inform policy decisions, calls for a surveillance network and establishes a baseline for estimating the probability regarding the location of firearm-related deaths.

Splenosis is a common benign condition that occurs after splenic rupture via trauma or surgery. The mechanism behind splenic cell autotransplantation begins with the splenic rupture, either from trauma or surgical removal. Splenosis is usually found incidentally and, unless symptomatic, surgical therapy is not indicated. Subcutaneous splenosis is an extremely rare form of splenosis, mostly observed in abdominal surgical scars. We report a case of subcutaneous splenosis, as well as a comprehensive review of the literature. In our case, a 43-year-old woman who had splenectomy after traumatic splenic rupture at the age of 7 years old presented for plastic reconstruction of her postoperative scar. Upon surgery, two asymptomatic subcutaneous nodules were incidentally discovered. The presence of splenic tissue was confirmed by the histological study. The nodules were not excised, as the patient was not symptomatic.

BACKGROUND: HBV subgenotype A1 is the dominant genotype A strain in Africa, with molecular characteristics differentiating it from A2, which prevails elsewhere. Outside Africa, A1 is confined to areas with migration history from Africa, including India and Latin America. The aim of this study was to reconstruct A1 phylogeny on a spatial scale in order to determine whether A1 can be used to track human migrations. METHODS: A phylogenetic comparison of A1 was established using neighbour-joining analysis of complete genomes, and the Bayesian method, implemented in BEAST, was performed on the S region of isolates from 22 countries. Migration events were estimated by ancestral state reconstruction using the criterion of parsimony. RESULTS: From the tree reconstruction, nucleotide divergence calculations and migration analysis, it was evident that Africa was the source of dispersal of A1 globally, and its dispersal to Asia and Latin America occurred at a similar time period. Strains from South Africa were the most divergent, clustering in both the African and Asian/American clades and a South African subclade was the origin of A1. The effect of the 9th to 19th century trade and slave routes on the dispersal of A1 was evident and certain unexpected findings, such as the co-clustering of Somalian and Latin American strains, and the dispersal of A1 from India to Haiti, correlated with historical evidence. CONCLUSIONS: Phylogeographic analyses of subgenotype A1 can be used to trace human migrations in and out of Africa and the plausible sites of origin and migration routes are presented.

The congenital pseudarthrosis of the tibia (CPT) is one of the most challenging problems in pediatric orthopedics. The primary treatment goals are outlined as osteosynthesis, stabilization of the ankle mortise by fibular stabilization and lower-limb-length equalization. Despite the fact that each of the aforementioned goals is difficult to be achieved regardless the surgical option, the main biological consideration is the same: pseudarthrosis resection, biological bone bridging of the defect by stable fixation and the correction of any angular deformity. The external fixation method is suggested as valuable treatment of CPT because it can address not only pseudarthrosis but also all complex deformities associated with this condition. However, treatment of CPT is impaired with complications due to the complex nature of the disease thus failure is common. The most common of these are refracture, growth disturbance, poor foot and ankle function with stiffness. Of these, refracture is the most common and serious complication after primary healing and might result in the reestablishment of pseudarthrosis. Therefore, an effective, safe and practical treatment method that minimizes the residual challenges after healing and accomplishes the multiple goals of treatment is needed. In this article, we report a patient with CPT treated successfully with external fixation. Level of evidence IV retrospective.

The superconducting magnetoresistance effect (SMRE) observed in trilayers (TLs) consisting of a superconducting (SC) Nb interlayer and two outer ferromagnetic (FM) Ni80Fe20 and Co layers is studied. We observed that the SMRE exhibits a pronounced magnitude (R-max - R-min)/R-nor of order 45 % and 86 % for the NiFe-based and Co-based TLs, respectively. For the NiFe-based TLs, the dynamic transport behavior of the observed SMRE is presented through detailed I-V characteristics that exhibit a nonlinear character even extremely close to the critical temperature, T-c(SC). Also, the detailed evolution of the longitudinal and transverse components of the TL magnetization from close to well below T-c(SC) is presented. For the Co-based TLs, the obtained magnetization and transport data justify that a strict requisite for the observation of a pronounced SMRE across T-c(SC) is that the coercivities of the FM layers should be similar. The combined data on the NiFe-based and Co-based TLs show that across the superconducting transition the SMRE is influenced by out-of-plane stray-fields, attaining pronounced values when the respective coercive fields coincide, thus enabling the transverse magnetic coupling of the outer FM layers through the SC interlayer.

We present a process that accounts for the steep decline and plateau phase of the Swift X-Ray Telescope (XRT) light curves, vexing features of gamma-ray burst (GRB) phenomenology. This process is an integral part of the "supercritical pile" GRB model, proposed a few years ago to account for the conversion of the GRB kinetic energy into radiation with a spectral peak at E pk ~ mec 2. We compute the evolution of the relativistic blast wave (RBW) Lorentz factor Γ to show that the radiation-reaction force due to the GRB emission can produce an abrupt, small (~25%) decrease in Γ at a radius that is smaller (depending on conditions) than the deceleration radius RD . Because of this reduction, the kinematic criticality criterion of the "supercritical pile" is no longer fulfilled. Transfer of the proton energy into electrons ceases and the GRB enters abruptly the afterglow phase at a luminosity smaller by ~mp /me than that of the prompt emission. If the radius at which this slow-down occurs is significantly smaller than RD , the RBW internal energy continues to drive the RBW expansion at a constant (new) Γ and its X-ray luminosity remains constant until RD is reached, at which point it resumes its more conventional decay, thereby completing the "unexpected" XRT light curve phase. If this transition occurs at R ~= RD , the steep decline is followed by a flux decrease instead of a "plateau," consistent with the conventional afterglow declines. Besides providing an account of these peculiarities, the model suggests that the afterglow phase may in fact begin before the RBW reaches R ~= RD , thus providing novel insights into GRB phenomenology.

Context. Classical novae (CNe) represent the main class of supersoft X-ray sources (SSSs) in the central region of our neighbouring galaxy M 31. Only three confirmed novae and three SSSs have been discovered in globular clusters (GCs) of any galaxy so far, of which one nova and two SSSs (including the nova) were found in M 31 GCs. Aims: To study the SSS state of CNe we carried out a high-cadence X-ray monitoring of the M 31 central area with XMM-Newton and Chandra. This project is supplemented by regular optical monitoring programmes at various observatories. Methods: We analysed X-ray and optical monitoring data of a new transient X-ray source in the M 31 GC Bol 126, discovered serendipitously in Swift observations. Our optical data set was based on regular M 31 monitoring programmes from five different small telescopes and was reduced using a homogeneous method. Additionally, we made use of Pan-STARRS 1 data obtained during the PAndromeda survey. We extracted light curves of the source in the optical and X-rays, as well as X-ray spectra. Results: Our observations reveal that the X-ray source in Bol 126 is the third SSS in an M 31 GC and can be confirmed as the second CN in the M 31 GC system. This nova is named M31N 2010-10f. Its properties in the X-ray (high black-body temperature, short SSS phase) and optical (relatively high maximum magnitude, fast decline) regimes agree with a massive white dwarf (MWD ≳ 1.3 M⊙) in the binary system. Incorporating the data on previously found (suspected) novae in M 31 GCs we used our high-cadence X-ray monitoring observations to estimate a tentative nova rate in the M 31 GC system of 0.05 yr-1 GC-1. An optical estimate, based on the recent 10.5-year WeCAPP survey, gives a lower nova rate, which is compatible with the X-ray rate on the 95% confidence level. Conclusions: Although still based on small-number statistics, there is growing evidence that the nova rate in GCs is higher than expected from primordial binary formation and under conditions as in the field. Dynamical binary formation and/or additional accretion from the intracluster medium are possible scenarios for an increased nova rate, but observational confirmation for this enhancement has been absent, so far. Regular X-ray monitoring observations of M 31 provide a promising strategy to find these novae. Partly based on observations with XMM-Newton, an ESA Science Mission with instruments and contributions directly funded by ESA Member States and NASA.Tables 1-3 are available in electronic form at http://www.aanda.org

We report a new high-mass X-ray binary (HMXB), found in a Swift observation performed on 2013 October 11 as part of the monitoring of the nova LMC2012 (ObsId: 00049549004). The Swift/XRT count rate was 0.023±0.008 cts s-1, corresponding to a flux of 1.6×10-12 erg cm-2 s-1 (0.3-10 keV) and an unabsorbed luminosity of 5.1×1035 erg s-1 for LMC distance (50 kpc).

Aims: We observed the newly discovered X-ray source Swift J053041.9-665426in the X-ray and optical regime to confirm its proposed nature as a high mass X-ray binary. Methods: We obtained XMM-Newton and Swift X-ray data, along with optical observations with the ESO Faint Object Spectrograph, to investigate the spectral and temporal characteristics of Swift J053041.9-665426. Results: The XMM-Newton data show coherent X-ray pulsations with a period of 28.77521(10) s (1σ). The X-ray spectrum can be modelled by an absorbed power law with photon index within the range 0.76 to 0.87. The addition of a black body component increases the quality of the fit but also leads to strong dependences of the photon index, black-body temperature and absorption column density. We identified the only optical counterpart within the error circle of XMM-Newton at an angular distance of ~0.8'', which is 2MASS J05304215-6654303. We performed optical spectroscopy from which we classify the companion as a B0-1.5Ve star. Conclusions: The X-ray pulsations and long-term variability, as well as the properties of the optical counterpart, confirm that Swift J053041.9-665426 is a new Be/X-ray binary pulsar in the Large Magellanic Cloud. Based on observations with XMM-Newton, an ESA Science Mission with instruments and contributions directly funded by ESA Member states and the USA (NASA).

Landmark studies have established taxanes in the treatment of patients with breast cancer; however, recommendations regarding their administration during pregnancy are controversial. The present systematic review aims to synthesize all available data that stem exclusively from breast cancer case series to evaluate the efficacy and safety of taxanes during pregnancy. Overall, 16 studies (50 pregnancies) were eligible for the systematic review according to prisma guidelines. The mean age of patients with breast cancer at pregnancy was 34.6 years. The gestational age (GA) at chemotherapy administration varied from 12 to 36 weeks. The mean GA at delivery was 35.9 weeks. The mean weight of babies at delivery was 2380 g. In 76.7% of cases, a completely healthy neonate was born; in the remaining cases, a neonate who was dystrophic and premature, one with mild hydrocephalus, one with signs of bacterial sepsis, one with hyperbilirubinemia, one with apnea of prematurity, respiratory distress syndrome and gastroesophageal reflux, one with meconium-stained fluid, and another neonate with neutropenia and pyloric stenosis were reported. Ninety percent of children were completely healthy, with a median follow-up of 16 months; in the remaining cases, one child with recurrent otitis media, one with immunoglobulin A deficiency and mild constipation, and another child with delayed speech were reported. In conclusion, available data suggest that taxanes may potentially play a promising role in the optimal therapeutic strategy of patients with breast cancer diagnosed during pregnancy. © 2013 Elsevier Inc.

Allergic diseases are common in childhood and can cause a significant morbidity and impaired quality-of-life of the children and their families. Adequate allergy testing is the prerequisite for optimal care, including allergen avoidance, pharmacotherapy and immunotherapy. Children with persisting or recurrent or severe symptoms suggestive for allergy should undergo an appropriate diagnostic work-up, irrespective of their age. Adequate allergy testing may also allow defining allergic trigger in common symptoms. We provide here evidence-based guidance on when and how to test for allergy in children based on common presenting symptoms suggestive of allergic diseases.

 This text is a brief presentation of the course, in theory and in practice, of Ahmet Davutoğlu’s views, as presented in his work Stratejik Derinlik: Türkiye’nin Uluslararası Konumu, Küre Yayınları, İstanbul 2001/2004 (18th edition) and in the corresponding partial translations of these texts by my colleague, K. Gogos (PhD in Geopolitics), as well as in the Greek published translation (Athens, Pοiotita editions, 2010). We shall present the ideological, Islamic and neo–Ottoman, background of this work, together with its main political proponents, on the level of Turkey’s political power. Moreover, we shall present the main points of the scholar’s geopolitical approach that lie in the sphere of the classic geostrategists and geopoliticians of the German and the Anglo–Saxon school. Davutoğlu is a typical example of a researcher of international affairs, characterised by significant epistemological and methodological deficits. He, too, fails to distinguish between Geopolitical Analysis, on the one hand, and Geostrategic Synthesis and suggestions, on the other. It is a fact, evident in the scholar’s reference to ethical and scientific dilemmas of social scientists. His stance is a serious blow to his overall geopolitical analysis and integrates prima facie his methodology, together with the particular work of the Turk scholar, into the geostrategic epistemological sphere of political propositions (which are undoubtedly systematic and thorough). This paper concludes with a presentation of the points, on the Subsystem level, of Davutoğlu’s geopolitical and geostrategic approach. In the light of the systemic geopolitical analysis, these points are considered geostrategically dangerous for Greece’s national interests. This text aims to trigger a deeper and fuller study and understanding of Davutoğlu’s work in the near future.

BACKGROUND: The major thiol-disulfide couple of reduced glutathione (GSH) and oxidized glutathione is a key regulator of major transcriptional pathways regulating aseptic inflammation and recovery of skeletal muscle after aseptic injury. Antioxidant supplementation may hamper exercise-induced cellular adaptations. OBJECTIVE: The objective was to examine how thiol-based antioxidant supplementation affects skeletal muscle's performance and redox-sensitive signaling during the inflammatory and repair phases associated with exercise-induced microtrauma. DESIGN: In a double-blind, crossover design, 10 men received placebo or N-acetylcysteine (NAC; 20 mg · kg(-1) · d(-1)) after muscle-damaging exercise (300 eccentric contractions). In each trial, muscle performance was measured at baseline, after exercise, 2 h after exercise, and daily for 8 consecutive days. Muscle biopsy samples from vastus lateralis and blood samples were collected before exercise and 2 h, 2 d, and 8 d after exercise. RESULTS: NAC attenuated the elevation of inflammatory markers of muscle damage (creatine kinase activity, C-reactive protein, proinflammatory cytokines), nuclear factor κB phosphorylation, and the decrease in strength during the first 2 d of recovery. NAC also blunted the increase in phosphorylation of protein kinase B, mammalian target of rapamycin, p70 ribosomal S6 kinase, ribosomal protein S6, and mitogen activated protein kinase p38 at 2 and 8 d after exercise. NAC also abolished the increase in myogenic determination factor and reduced tumor necrosis factor-α 8 d after exercise. Performance was completely recovered only in the placebo group. CONCLUSION: Although thiol-based antioxidant supplementation enhances GSH availability in skeletal muscle, it disrupts the skeletal muscle inflammatory response and repair capability, potentially because of a blunted activation of redox-sensitive signaling pathways. This trial was registered at clinicaltrials.gov as NCT01778309.

In this paper, after a short summary on the processes and rates of bioerosion that contribute to the deepening of a tidal-notch profile, some Mediterranean case-studies are presented, where a tidal notch is prevented either from forming or from being preserved. Furthermore, as shown also in a complementary paper, the recent global sea-level rise is preventing the development of new tidal notches in the present mid-littoral zone. This very useful sea-level indicator, of past temporary standstills of the relative sea level in carbonate rock areas, is of great value in assisting interpretations of relative sea-level change in locations where it is preserved. The possibilities of absence of formation or of preservation, however, imply that it should be interpreted carefully before reconstructing local relative sea-level histories. In particular, the lack of fossil tidal notches cannot be relied upon to interpret the absence of past periods of relative sea-level stabilization.

BACKGROUND: This study aims to identify crucial factors affecting the evolution of liver disease in HCV-infected renal transplant recipients. METHODS: Forty-two HCV-infected recipients with known time of HCV acquisition were followed up for a mean (SD) of 7.6 +/- 3.4 yr after transplantation with consecutive liver biopsies. Hepatitis progression was defined by: a) fibrosis progression >/= 0.2 stages/yr and/or b) development of a cholestatic syndrome. RESULTS: Twenty-three patients (54.8%) displayed benign and 19 (45.2%) aggressive hepatitis progression. Hepatitis course was aggressive in 9.1% and 85% of the patients infected pre- and peri/post-transplantation, respectively (p < 0.001). In multivariate analysis, patients who acquired HCV infection peri- or after transplantation had an increased risk of an adverse outcome compared with those infected before transplantation (p = 0.001). HCV RNA levels at the time of first liver biopsy were lower in patients showing a benign course compared with those with aggressive evolution (p = 0.052). CONCLUSIONS: Time of acquisition of HCV infection is a major prognostic factor for hepatitis progression in the setting of renal transplantation. Immunosuppression was found to be determinant in the progression of HCV infection acquired peri- or post-transplantation. High viral load seems to be crucial in the pathogenetic process.

This meta-analysis aims to quantitatively synthesize all available data on the association between tobacco smoking and multiple myeloma (MM) risk. Eligible studies were identified and pooled effect estimates (odds ratios and relative risks) were calculated regarding ever, current and former smoking. Separate analyses were performed on case-control and cohort studies, as well as on males and females. Meta-regression analysis with percentage of males, mean age, years of smoking, pack-years, cigarettes per day, years since quit and age at onset was performed. Forty articles were deemed eligible; of them 27 used a case-control design (4,625 cases and 21,591 controls) and 13 used a cohort design (2,228 incident cases among a total cohort size equal to 1,852,763 subjects). Ever smoking was not associated with MM risk (pooled effect estimate = 0.92, 95% confidence interval (CI): 0.85-1.00); similar results were obtained for current (pooled effect estimate = 0.87, 95% CI: 0.74-1.03) and former smoking (pooled effect estimate = 1.04, 95% CI: 0.96-1.13). Regarding ever smoking, the null association was reproducible upon cohort studies (pooled effect estimate = 1.01, 95%CI: 0.89-1.15), whereas the inverse association in case-control studies (pooled effect estimate = 0.87, 95% CI: 0.78-0.96) was particularly due to the bias-prone hospital-based ones. Meta-regression analysis did not yield statistically significant results. In conclusion, MM does not seem to be associated with tobacco smoking. There is a need to further explore how molecular mechanisms are involved in the resistance of MM progenitor cells toward smoking. What's new? Tobacco smoking has been linked with many cancers but some cancers seem unaffected. To assess the effect of tobacco smoking on multiple myeloma, the authors performed a meta-analysis of 40 existing studies. They found no significant association with ever, current or former smoking. They suggest that a specific resistance mechanism protects multiple myeloma progenitor cells from the negative influence of tobacco smoking. Copyright © 2012 UICC.

Stroke is a serious and frequent cerebrovascular disease with an enormous socioeconomic burden worldwide. Stroke prevention includes treatment of carotid atherosclerosis, the most common underlying cause of stroke, according to a specific diagnostic algorithm. However, this diagnostic algorithm has proved insufficient for a large number of mostly asymptomatic subjects, which poses a significant research challenge of identifying novel personalized risk markers for the disease. This paper illustrates the potential of carotid ultrasound image analysis toward this direction, with ultrasound imaging being a low-cost and noninvasive imaging modality and ultrasound-image-based features revealing valuable information on plaque composition and stability. A concise report of state-of-the-art studies in the field is provided and a perspective for clinical scenario for optimal management of atherosclerotic patients is described. Challenges and necessary future steps toward the realization of this scenario are discussed in an attempt to urge and orient future research, and mainly include systematic applications to sufficiently large patient samples, appropriately designed longitudinal studies, confirmation with histological results, and clinical trials.

Landmark studies have established trastuzumab in the treatment of HER2-positive breast cancer. The present systematic review and meta-analysis aims to synthesize all available data, so as to evaluate the safety of trastuzumab during pregnancy. This study was performed in accordance with the PRISMA guidelines. All studies that examined the safety of trastuzumab administered during pregnancy, regardless of sample size, were considered eligible. Overall, 17 studies (18 pregnancies; 19 newborns) were included. In 55.6 % of cases, trastuzumab was administered in the metastatic setting. The mean duration of trastuzumab administration was 14.8 weeks. Occurrence of oligohydramnios/anhydramnios (O/A) was the most common (61.1 %) adverse event. 73.3 % of pregnancies exposed to trastuzumab during the second/third trimester were complicated with O/A; the respective rate of pregnancies exposed to trastuzumab exclusively during the first trimester was 0 % (P = 0.043). The mean GA at delivery was 33.8 weeks, and the mean weight of babies at delivery was 2,261 gr. In 52.6 % of cases, a healthy neonate was born. At the long-term evaluation, all children without problems at birth were healthy with a median follow-up of 9 months, while four out of nine children facing troubles at birth were dead within an interval ranging between birth and 5.25 months. All children exposed to trastuzumab in utero exclusively in the first trimester were completely healthy at birth. Trastuzumab should not be administered during pregnancy. However, for women who become accidentally pregnant during trastuzumab administration and wish to continue pregnancy, trastuzumab should be stopped and pregnancy could be allowed to continue. © 2012 Springer Science+Business Media New York.

BACKGROUND: The widespread adoption of electronic health records (EHRs) is accelerating the collection of sensitive clinical data. The availability of these data raises privacy concerns, yet sharing the data is essential for public health, longitudinal patient care, and clinical research. METHOD: Following previous work in the United States [1,2], the International Medical Informatics Association convened the 2012 European Summit on Trustworthy Reuse of Health Data. Over 100 delegates representing national governments, academia, patient groups, industry, and the European Commission participated. In all, 21 countries were represented. The agenda was designed to solicit a wide range of perspectives on trustworthy reuse of health data from the participants. RESULTS AND CONCLUSIONS: Delegates agreed that the "government" should provide oversight, that the reuse should be "fully regulated," and that the patient should be "fully informed." One important reflection was that doing nothing will have negative implications across the European Union (EU). First, continued fragmented parallel non-standards-based developments in multiple sectors entail a substantial duplication of costs and human effort. Second, a failure to work jointly across the stakeholders on common policy frameworks will forego a crucial opportunity to boost key EU markets (pharmaceuticals, health technology and devices, and eHealth solutions) and counter global competition. Finally, and crucially, the lack of harmonized policy across EU nations for trustworthy reuse of health data risks patient safety. The productive dialog, initiated with multiple stakeholders from government, academia, and industry, will have to continue, in order to address the many remaining issues outlined in this white paper.

Combining density-functional theory calculations with a classical Monte Carlo method, we show that for B2-type FeCo compounds, tetragonal distortion gives rise to a strong reduction of the Curie temperature T-C. The T-C monotonically decreases from 1575K (for c/a = 1) to 940K (for c/a = root 2). We find that the nearest neighbor Fe-Co exchange interaction is sufficient to explain the c/a behavior of the T-C. Combination of high magnetocrystalline anisotropy energy with a moderate TC value suggests tetragonal FeCo grown on the Rh substrate with c/a = 1.24 to be a promising material for heat-assisted magnetic recording applications. (C) 2013 AIP Publishing LLC.

In the study and teaching of folk dance the determination of the syntactical rules that shape the interdependence between the structural elements of dance and music remains a major topic of interscientific interest. Therefore, the aim of the present research was the multivariate categorical analysis of Greek folk dances according to their resemblance in structure and form to the type of a widespread Greek folk dance “choros sta tria.” The multivariate analysis was conducted on the qualitative findings of Tyrovola’s study (1994) which with the use of the structural-morphological method for the analysis of dance: a) documented the structural type of “choros sta tria,” b) showed its homogeneity with 132 Greek folk dances and c) proposed four taxonomic categories of dance form for their classifi cation. 122 dances of Tyrovola’s research were used in the present study and were categorized according to two independent variables (factors): a) category of dance form (identical, heteromorphic, varied, and remodeled-related dance forms), and b) geographic area (terrestrial and insular areas of the country). Nine distinct and variant properties of the dance form of “choros sta tria” were used as dependent variables: music meter, tempo, dynamics, dance handhold, dance formation, number and kind of kinetic elements of the 2nd part of the semifinal and final kinetic dance motifs, model of dance form. The correlational structure of the nine dance properties and the two factors were tested by a series of chi square (χ2) analyses (nonparametric univariate approach) and non-linear canonical correlation analyses (multivariate approach). The results of these analyses indicated that there is a significant difference between the terrestrial and insulardistribution of Greek dances across the four levels of dance form. The geographical differentiation of the dances in terrestrial or insular was mainly based on the properties of metro, tempo, dynamics, and dance formation, while the morphological differentiation in identical, heteromorphic, varied, remodeled-related dance forms was based on the interaction between the elements of their rhythmical organization and the variations of their basic structural type. The application of these statistical methods of analysis in thestudy of structure and style of Greek folk dances proved to be very efficient in unveiling critical aspects of their multivariate domain. The morphological method of dance analysis combined with statistical methods may enhance research in this area, enriching thus already documented findings regarding the substantial dimensions of this multi-factorial phenomenon.

Fractals have been very successful in quantifying nature's geometrical complexity, and have captured the imagination of scientific community. The development of fractal dimension and its applications have produced significant results across a wide variety of biomedical applications. This review deals with the application of fractals in pharmaceutical sciences and attempts to account the most important developments in the fields of pharmaceutical technology, especially of advanced Drug Delivery nano Systems and of biopharmaceutics and pharmacokinetics. Additionally, fractal kinetics, which has been applied to enzyme kinetics, drug metabolism and absorption, pharmacokinetics and pharmacodynamics are presented. This review also considers the potential benefits of using fractal analysis along with considerations of nonlinearity, scaling, and chaos as calibration tools to obtain information and more realistic description on different parts of pharmaceutical sciences. As a conclusion, the purpose of the present work is to highlight the presence of fractal geometry in almost all fields of pharmaceutical research. (C) 2013 Elsevier B.V. All rights reserved.

Resistance to antiviral treatment for chronic hepatitis B virus (HBV) has been associated with mutations in the HBV polymerase region. This study aimed at developing an ultrasensitive method for quantifying viral populations with all major HBV resistance-associated mutations, combining the amplification refractory mutation system real-time PCR (ARMS RT-PCR) with a molecular beacon using a LightCycler. The discriminatory ability of this method, the ARMS RT-PCR with molecular beacon assay, was 0.01 to 0.25% for the different HBV resistance-associated mutations, as determined by laboratory-synthesized wild-type (WT) and mutant (Mut) target sequences. The assay showed 100% sensitivity for the detection of mutant variants A181V, T184A, and N236T in samples from 41 chronically HBV-infected patients under antiviral therapy who had developed resistance-associated mutations detected by direct PCR Sanger sequencing. The ratio of mutant to wild-type viral populations (the Mut/WT ratio) was >1% in 38 (63.3%) of 60 samples from chronically HBV-infected nucleos(t)ide analogue-naive patients; combinations of mutations were also detected in half of these samples. The ARMS RT-PCR with molecular beacon assay achieved high sensitivity and discriminatory ability compared to the gold standard of direct PCR Sanger sequencing in identifying resistant viral populations in chronically HBV-infected patients receiving antiviral therapy. Apart from the dominant clones, other quasispecies were also quantified. In samples from chronically HBV-infected nucleos(t)ide analogue-naive patients, the assay proved to be a useful tool in detecting minor variant populations before the initiation of the treatment. These observations need further evaluation with prospective studies before they can be implemented in daily practice.

State-of-the-art documents like ARIA and EPOS provide clinicians with evidence-based treatment algorithms for allergic rhinitis (AR) and chronic rhinosinusitis (CRS), respectively. The currently available medications can alleviate symptoms associated with AR and RS. In real life, a significant percentage of patients with AR and CRS continue to experience bothersome symptoms despite adequate treatment. This group with so-called severe chronic upper airway disease (SCUAD) represents a therapeutic challenge. The concept of control of disease has only recently been introduced in the field of AR and CRS. In case of poor control of symptoms despite guideline-directed pharmacotherapy, one needs to consider the presence of SCUAD but also treatment-related, diagnosis-related and/or patient-related factors. Treatment-related issues of uncontrolled upper airway disease are linked with the correct choice of treatment and route of administration, symptom-oriented treatment and the evaluation of the need for immunotherapy in allergic patients. The diagnosis of AR and CRS should be reconsidered in case of uncontrolled disease, excluding concomitant anatomic nasal deformities, global airway dysfunction and systemic diseases. Patient-related issues responsible for the lack of control in chronic upper airway inflammation are often but not always linked with adherence to the prescribed medication and education. This review is an initiative taken by the ENT section of the EAACI in conjunction with ARIA and EPOS experts who felt the need to provide a comprehensive overview of the current state of the art of control in upper airway inflammation and stressing the unmet needs in this domain.

A systematic study of historical earthquakes leading to the quantification of earthquake effects in terms of macroseismic data points (MDPs) and, consequently, earthquake parameters has been carried out in the last decade at the Laboratory of Seismology of the University of Athens. For each earthquake, the available background information was evaluated and the corresponding macroseismic intensities assessed in terms of the European Macroseismic Scale 1998. A considerable amount of these MDPs contributed to the Archive of Historical Earthquake Data inventory through European initiatives (NERIES and SHARE). Based on the structure of the European Database, the local version of the Hellenic Macroseismic Database (HMDB.UoA) was designed incorporating historical earthquakes of the period 1000–1899 from the eastern Aegean area, central Greece and Ionian Islands. In its present form, the HMDB.UoA includes 90 events with Imax ≥ 7 (868 MDPs) and 1,088 events with Imax < 7 (1,273 MDPs). The database is hosted on the website http://macroseismology.geol.uoa.gr/.

In a bioprospecting effort towards novel thermostable lipases, we assessed the lipolytic profile of 101 bacterial strains isolated from the volcanic area of Santorini, Aegean Sea, Greece. Screening of lipase activity was performed both in agar plates and liquid cultures using olive oil as carbon source. Significant differences were observed between the two screening methods with no clear correlation between them. While the percentage of lipase producing strains identified in agar plates was only 17%, lipolytic activity in liquid culture supernatants was detected for 74% of them. Nine strains exhibiting elevated extracellular lipase activities were selected for lipase production and biochemical characterization. The majority of lipase producers revealed high phylogenetic similarity with Geobacillus species and related genera, whilst one of them was identified as Aneurinibacillus sp. Lipase biosynthesis strongly depended on the carbon source that supplemented the culture medium. Olive oil induced lipase production in all strains, but maximum enzyme yields for some of the strains were also obtained with Tween-80, mineral oil, and glycerol. Partially purified lipases revealed optimal activity at 70–80 °C and pH 8-9. Extensive thermal stability studies revealed marked thermostability for the majority of the lipases as well as a two-step thermal deactivation pattern.

A closer examination of fundamental Olympic values and symbolic meanings— expressed in the Olympic charter and recognized in Olympic protocol— reveals that they correspond to the basic perceptions in the Declaration of Human Rights. The Olympic project seems to be an ideal vehicle to promote the United Nations values and principles.Conseuently it is important to examine to what extent Olympic action communication is actually used to serve such objectives-goals and to discuss its effectiveness and legitimacy within this framework. Olympic ceremonies, for example, provide an international-global platform of mobilization for individuals, social groups, countries and nations who have been unfairly treated or remain disadvantaged, such as the mass demonstrations around the globe during the Olympic relay from ancient Olympia to Beijing in protest of the violations of human rights in China. This paper disccusses the role of the IOC in accordance to human rights and examines, on a theoretical level, why the Olympic project in general, including the Olympic symbols and ceremonies generate and activate discussions on human rights. This article, as a side effect or by-product reveals the difficulties inherent to the implementation of the human rights project outside of Olympic space and time. One need point out here, with regard to the methodological perspective, that the use of terms such as universalism, internationalism, globalization, enlightenment, nation and nationalism serve as a heuristic approach, in order to link or connect some of their cognitive contents and elementary meanings to the subject.

The vertical structure of surface cyclonic tracks affecting the eastern Mediterranean region is studied on a climatological basis for the cold period of the year. The dataset used is the 1° × 1° ERA-40 Reanalysis for a 40-year period (1962-2001). The vertical tracking of surface cyclonic tracks was performed with the aid of the Melbourne University Vertical Tracking Algorithm. It was found that about 83 % of the cyclones were extended up to the 500-hPa level and almost 65 % up to 200-hPa level, implying that the cyclones are in general well organized. The surface tracks that originate within the examined area exhibit the smallest vertical extension, intensity, radius, and depth compared to the cyclones originating in the other sectors. Moreover, the 500-hPa counterparts for the said cyclones are mainly located to the north-west or south-west of the surface cyclone position, consistent with the baroclinic character of the Mediterranean cyclones. The zonal (eastward) component of motion predominates both at the surface and at 500 hPa. © 2012 Springer-Verlag.

Vitamin D receptor's (VDR) genotypes have been associated both with the development of bone disease and the pathogenesis of multiple sclerosis (MS). We aimed to evaluate the association between the presence of Bsm1 restriction fragment length polymorphism of VDR and bone loss in ambulatory patients with MS. This cross-sectional study included 82 adult patients with relapsing-remitting MS. Fasting blood samples were obtained for biochemical-hormonal assessment and genotyping. Bone mineral density (BMD) was assessed at the lumbar spine (LS) and the femoral neck (FN), using dual energy X-ray absorptiometry. Possible associations between VDR's genotypes and BMD levels as well as biochemical and hormonal indices were evaluated. Among premenopausal women and men, carriers of the B allele exhibited higher BMD and Z score at the FN and a trend toward higher BMD at the LS, compared to patients with the bb genotype, after adjusting for age, BMI, sex, EDSS scoring, interferon administration, duration of MS and total steroids intake. Among postmenopausal women, the presence of the B allele was not associated with BMD or T score at any site, whereas carriers of the B allele exhibited higher levels of calcium (p value 0.008, univariate). No other significant differences were exhibited between levels of electrolytes, parathormone, 25-hydroxyvitamin D 3 and the genotype of VDR, in any of the groups. VDR's Bsm1 polymorphism is associated with a mild effect on BMD in younger patients with MS. Larger studies are necessary to corroborate these findings. © 2012 Springer-Verlag Italia.

The present study is based on observations obtained with the 1.3m Warsaw telescope at the Las Campanas Observatory, Chile, during phase III of the OGLE project, between 2001 and 2009 (Soszynski et al., 2010, cat. J/AcA/60/165) (3 data files).

The XMM-Newton survey of the Small Magellanic Cloud (SMC) yields a complete coverage of the bar and eastern wing in the 0.2-12.0keV band. This catalogue comprises 3053 unique X-ray point sources and sources with moderate extent that have been reduced from 5236 individual detections found in observations between April 2000 and April 2010. Sources have a median position uncertainty of 1.3" (1σ) and limiting fluxes down to ~1*10-14erg/s/cm2 in the 0.2-4.5keV band, corresponding to 5*1033erg/s for sources in the SMC. Sources have been classified using hardness ratios, X-ray variability, and their multi-wavelength properties. In addition to the main-field (5.58deg2) available outer fields have been included in the catalogue, yielding a total field area of 6.32deg2. X-ray sources with high extent (>40", e.g. supernova remnants and galaxy cluster) have been presented by Haberl et al. (2012, Cat. J/A+A/545/A128) (2 data files).

For all Chandra HRC-I observations a source catalogue was created and the energy flux of each source in each observation was derived. Fluxes were calculated assuming a generic power law spectrum and Galactic foreground absorption for each source. (5 data files).

Background: We aimed to assess efficacy and tolerability of vorinostat in combination with bortezomib for treatment of patients with relapsed or refractory multiple myeloma. Methods: In our randomised, double-blind, placebo-controlled, phase 3 trial, we enrolled adults (≥18 years) at 174 university hospitals in 31 countries worldwide. Eligible patients had to have non-refractory multiple myeloma that previously responded to treatment (one to three regimens) but were currently progressing, ECOG performance statuses of 2 or less, and no continuing toxic effects from previous treatment. We excluded patients with known resistance to bortezomib. We randomly allocated patients (1:1) using an interactive voice response system to receive 21 day cycles of bortezomib (1·3 mg/m2 intravenously on days 1, 4, 8, and 11) in combination with oral vorinostat (400 mg) or matching placebo once-daily on days 1-14. We stratified patients by baseline tumour stage (International Staging System stage 1 or stage ≥2), previous bone-marrow transplantation (yes or no), and number of previous regimens (1 or ≥2). The primary endpoint was progression-free survival (PFS) in the intention-to-treat population. We assessed adverse events in all patients who received at least one dose of study drug. This study is registered with ClinicalTrials.gov, number 00773747. Findings: Between Dec 24, 2008, and Sept 8, 2011, we randomly allocated 317 eligible patients to the vorinostat group (315 of whom received at least one dose) and 320 to the placebo group (all of whom received at least one dose). Median PFS was 7·63 months (95% CI 6·87-8·40) in the vorinostat group and 6·83 months (5·67-7·73) in the placebo group (hazard ratio [HR] 0·77, 95% CI 0·64-0·94; p=0·0100). 312 (99%) of 315 patients in the vorinostat group and 315 (98%) of 320 patients in the placebo group had adverse events (300 [95%] adverse events in the vorinostat group and 282 [88%] in the control group were regarded as related to treatment). The most common grade 3-4 adverse events were thrombocytopenia (143 [45%] patients in the vorinostat group vs 77 [24%] patients in the placebo group), neutropenia (89 [28%] vs 80 [25%]), and anaemia (53 [17%] vs 40 [13%]). Interpretation: Although the combination of vorinostat and bortezomib prolonged PFS relative to bortezomib and placebo, the clinical relevance of the difference in PFS between the two groups is not clear. Different treatment schedules of bortezomib and vorinostat might improve tolerability and enhance activity. Funding: Merck. © 2013 Elsevier Ltd.

The paper presents a semi-supervised weather classification method based on 850-hPa isobaric level maps. A preprocessing step is employed, where isolines of geopotential height are extracted from weather map images via an image processing procedure. Α feature extraction stage follows where two techniques are applied. The first technique implements phase space reconstruction, and yields multidimensional delay distributions. The second technique is based on chain code representation of signals, from which histogram features are derived. Similarity measures are used to compare multidimensional data and the k-means algorithm is applied in the final stage. The method is applied over the area of Greece, and the resulting catalogues are compared to a subjective classification for this area. Numerical experiments with datasets derived from the European Meteorological Bulletin archives exhibit an up to 91 % accurate agreement with the subjective weather patterns. © 2013 Springer-Verlag Wien.

The sexually transmitted diseases are a group of infectious diseases with increasing incidence worldwide. In recent years, these diseases have taken epidemic proportions in many countries and huge efforts have been made to prevent them. The gonococcus infections, the HPV virus, AIDS, chlamydia, herpes genitalia, hepatitis B and C, the trichomonas and syphilis are the most common sexually transmitted diseases. This paper describes the clinical and epidemiological symptoms and the preventive measures that should be taken for each disease. lt also presents the dimensions of the sexually transmitted diseases in adolescents who are particularly a "sensitive" group. One of the most important and widely disseminated measures of prevention is the use of condoms. We can also see the importance of and other preventive measures which can be taken against sexually transmitted diseases. Finally, it is noted also the role of the state to treat these diseases, which are unfortunately quite common, and the measures taken by it to prevent and treat them.

Asthma and obesity are chronic multifactorial conditions that are associated with gene-environment interaction and immune function. Although the data are not fully consistent, it seems that obesity increases the risk of asthma and compromises asthma control.|To investigate the impact that weight changes have on asthma.|We carried out a systematic review of three large biomedical databases. Studies were scrutinized and critically appraised according to agreed exclusion and inclusion criteria. Quality assessment of eligible papers was conducted using the GRADE method. Meta-analyses of comparable studies were carried out.|Thirty studies met the eligibility criteria of the review. Interventions were limited to dietary manipulation in three studies, one of which also used anti-obesity drugs, and bariatric surgery in four. All the other studies reported observational data. Becoming obese increased the odds for incident asthma by 1.82 (95% CI 1.47, 2.25) in adults and 1.98 (95% CI 0.71, 5.52) in children. Weight loss was associated with significant improvement in mean scores for symptoms, rescue medication score, and asthma exacerbations in the only randomized controlled trial. Similarly, evidence gathered from observational studies, with follow-up ranging between 8 weeks to 1 year, and from changes 1 year after bariatric surgery showed improvements in all asthma control-related outcomes. Changes in lung function were reported in one randomized controlled and eight observational studies of asthmatic subjects, with conflicting results. Either improvement after weight loss, decline with weight gain, or no effects at all were reported. Changes in airway inflammation and responsiveness were reported only by observational studies.|Weight increases above the obesity threshold significantly increase the risk of asthma. The available studies show weak evidence of benefits from weight reduction on asthma outcomes.

Gait speed is associated with multiple adverse outcomes of aging. White matter hyperintensities (WMH) on magnetic resonance imaging (MRI) have been associated with gait speed, though few studies have examined changes in gait speed over time in population-based studies comprising participants from diverse cultural backgrounds. The purpose of this study was to examine the association between a decline in gait speed and total and regional WMH volumes in a community-based study of aging. Participants (n = 701) underwent gait-speed measurement via a 4-m walk test at the time of initial enrollment and MRI at a second time interval (mean 4.7 [SD = 0.5] years apart). Logistic regression was used to examine the association between large WMH volume and regional WMH volume with gait speed <0.5 m/s (abnormal speed), and a transition to abnormal gait speed. Analyses were adjusted for demographic and clinical factors. Large WMH volume was associated with abnormal gait speed and a transition to abnormal gait speed between the two visits, but not after adjustment for modifiable vascular disease risk factors. Increased frontal lobe WMH volume was associated with abnormal gait speed and transition to abnormal gait speed, but not in adjusted models. WMH are associated with slowing of gait over time. Prevention of WMH presents a potential strategy for the prevention of gait speed decline.

What is being done to support female entrepreneurship and in particular promote the ways in which information and communication technologies (ICTs) can encourage and facilitate it? Is today's business climate more inviting to women entrepreneurs? Are women equipped to thrive in this digital age? Current, future, and aspiring women entrepreneurs responded to these questions, and many more, at the recent European conference in Athens, Greece ‘More Technologies? More Women entrepreneurs!’ at which Madi Sharma, member of the European Economic and Social Committee argued that ‘we cannot have change unless we have men in the room.’ The European conference showed women - and men - the advantages and opportunities that ICTs can offer them for the development of their business initiatives. It also presented 12 European projects that focus on women's entrepreneurship and how ICT facilitates and fosters it. The European Commission is dynamically promoting, supporting, and encouraging female entrepreneurship. Europe needs more women entrepreneurs and actions are being taken to overcome the obstacles and change mindsets. This paper examines discussions and research on female entrepreneurial activity and provides Tips from successful women entrepreneurs who tell how they have been using new technologies - and social media in particular - to excel in their careers and balance their professional and family lives. Accordingly, this paper begins with an examination of the current research findings on social women’s new models of work, levels of engagement, and transformational leadership styles. Women share content in multiple ways, and working online has been a financial windfall for many, including stay-at-home moms and homemakers. More women are doing what comes ‘naturally’, taking advantage of their so-called natural strengths, such as ‘listening’, sharing, building relationships, and creating a culture of collaboration.   Keywords: Gender, Technology, Women entrepreneurs, ‘Feminine’ skills, Leadership qualities, Social media

Cite this article as:

Kamberidou, I. J Innov Entrep (2013) 2: 6. https://doi.org/10.1186/2192-5372-2-6

• DOI https://doi.org/10.1186/2192-5372-2-6
• Publisher Name Springer Berlin Heidelberg
• Online ISSN 2192-5372

• About this journal
• Reprints and Permissions

What is being done to support female entrepreneurship and in particular promote the ways in which information and communication technologies (ICTs) can encourage and facilitate it? Is today's business climate more inviting to women entrepreneurs? Are women equipped to thrive in this digital age? Current, future, and aspiring women entrepreneurs responded to these questions, and many more, at the recent European conference in Athens, Greece ‘More Technologies? More Women entrepreneurs!’ at which Madi Sharma, member of the European Economic and Social Committee argued that ‘we cannot have change unless we have men in the room.’ The European conference showed women - and men - the advantages and opportunities that ICTs can offer them for the development of their business initiatives. It also presented 12 European projects that focus on women's entrepreneurship and how ICT facilitates and fosters it. The European Commission is dynamically promoting, supporting, and encouraging female entrepreneurship. Europe needs more women entrepreneurs and actions are being taken to overcome the obstacles and change mindsets. This paper examines discussions and research on female entrepreneurial activity and provides Tips from successful women entrepreneurs who tell how they have been using new technologies - and social media in particular - to excel in their careers and balance their professional and family lives. Accordingly, this paper begins with an examination of the current research findings on social women’s new models of work, levels of engagement, and transformational leadership styles. Women share content in multiple ways, and working online has been a financial windfall for many, including stay-at-home moms and homemakers. More women are doing what comes ‘naturally’, taking advantage of their so-called natural strengths, such as ‘listening’, sharing, building relationships, and creating a culture of collaboration.   Keywords: Gender, Technology, Women entrepreneurs, ‘Feminine’ skills, Leadership qualities, Social media------------------------------------------------------------------------------------------------

Cite this article as:

Kamberidou, I. J Innov Entrep (2013) 2: 6. https://doi.org/10.1186/2192-5372-2-6

• DOI https://doi.org/10.1186/2192-5372-2-6
• Publisher Name Springer Berlin Heidelberg
• Online ISSN 2192-5372

• About this journal
• Reprints and Permissions

Context. Local-Group galaxies provide access to samples of X-ray source populations of whole galaxies. The XMM-Newton survey of the Small Magellanic Cloud (SMC) completely covers the bar and eastern wing with a 5.6 deg2 area in the (0.2-12.0) keV band. Aims: To characterise the X-ray sources in the SMC field, we created a catalogue of point sources and sources with moderate extent. Sources with high extent (≥40'') have been presented in a companion paper. Methods: We searched for point sources in the EPIC images using sliding-box and maximum-likelihood techniques and classified the sources using hardness ratios, X-ray variability, and their multi-wavelength properties. Results: The catalogue comprises 3053 unique X-ray sources with a median position uncertainty of 1.3'' down to a flux limit for point sources of ~10-14 erg cm-2 s-1 in the (0.2-4.5) keV band, corresponding to 5 × 1033 erg s-1 for sources in the SMC. We discuss statistical properties, like the spatial distribution, X-ray colour diagrams, luminosity functions, and time variability. We identified 49 SMC high-mass X-ray binaries (HMXB), four super-soft X-ray sources (SSS), 34 foreground stars, and 72 active galactic nuclei (AGN) behind the SMC. In addition, we found candidates for SMC HMXBs (45) and faint SSSs (8) as well as AGN (2092) and galaxy clusters (13). Conclusions: We present the most up-to-date catalogue of the X-ray source population in the SMC field. In particular, the known population of X-ray binaries is greatly increased. We find that the bright-end slope of the luminosity function of Be/X-ray binaries significantly deviates from the expected universal high-mass X-ray binary luminosity function. Based on observations obtained with XMM-Newton an ESA science mission with instruments and contributions directly funded by ESA Member States and NASACatalogue is 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/558/A3

A Swift observation performed on 2013 January 13 as part of the LMC UV survey (PI: S. Immler) detected the high-mass X-ray binary candidate RX J0520.5-6932 in a moderately bright X-ray outburst. Assuming a power-law spectrum with a photon index of 0.9 and absorption of 1021 cm-2, we derive a 0.2-12 keV flux of 1.67 × 10-12 erg s-1 cm-2. This flux is ~25 times higher than measured during a recent XMM-Newton observation (see below).

Context. The central field of the Andromeda galaxy (M 31) was monitored from 2006 to 2012 using the Chandra HRC-I detector (about 0.1-10 keV energy range) with the main aim of detecting X-rays from optical novae. We present a systematic analysis of all X-ray sources found in the 41 nova monitoring observations, along with 23 M 31 central field HRC-I observations available from the Chandra data archive starting in December 1999. Aims: Based on these observations, we studied the X-ray long-term variability of the source population and especially of X-ray binaries in M 31. Methods: We created a catalogue of sources detected in the 64 available observations that adds up to a total exposure time of about 1 Ms. To study the variability, we developed a processing pipeline to derive long-term Chandra HRC-I light curves for each source over the 13 years of observations. We also searched for extended X-ray sources in the merged images. Results: We present a point-source catalogue containing 318 X-ray sources with detailed long-term variability information, 28 of which are published for the first time. The spatial and temporal resolution of the catalogue allows us to classify 115 X-ray binary candidates showing high X-ray variability or even outbursts, as well as 14 globular cluster X-ray binary candidates showing no significant variability. The analysis may suggest that outburst sources are less frequent in globular clusters than in the field of M 31. We detected seven supernova remnants, one of which is a new candidate, and also resolved the first X-rays from a known radio supernova remnant. In addition to 33 known optical nova/X-ray source correlations, we discovered one previously unknown super-soft X-ray outburst and several new nova candidates. Conclusions: The catalogue contains a large sample of detailed long-term X-ray light curves in the M 31 central field, which helps in understanding the X-ray population of our neighbouring spiral galaxy M 31. Tables 1 and 2 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/555/A65

Βλ. στο λίνκ http://www.pemptousia.gr/analekta_issues/bioethik_paid/index.html Η παρούσα δημοσίευση περιγράφει το πρόγραμμα σχολικών δραστηριοτήτων αγωγής υγείας που εκπονήθηκε στο 2ο Γυμνάσιο Τούμπας το σχολικό έτος 2012-13 και παρουσιάσθηκε στην ΑΕΑΘ στο μάθημα της Βιοηθικής του καθηγητή κ. Νικολάου Κόιου. Η δημοσίευση περιλαμβάνεται στο περιοδικό Ανάλεκτα με τίτλο τεύχους: «Βιοηθική Παιδεία».

Στην παρούσα εργασία παρουσιάζεται ένα πρόγραμμα μουσικοκινητικής αγωγής Carl Orff (Orff-Schulwerk) για μαθητές με προβλήματα ακοής – κωφούς και βαρήκοους μαθητές. Το πρόγραμμα βασίζεται στη θέση ότι η ακουστική απώλεια δεν αποκλείει το αναπτυσσόμενο άτομο από τη δυνατότητα ενασχόλησής του με τη μουσική. Η χρησιμότητα και η πρωτοτυπία του προγράμματος έγκειται στο ότι αποτελεί μία από τις πρώτες προσπάθειες στην Ελλάδα για μουσικοκινητική αγωγή κωφών και βαρήκοων μαθητών, η οποία είναι μέρος του ωρολογίου προγράμματος του σχολείου. Μέχρι πριν από λίγα χρόνια, η μουσική αγωγή των ατόμων με προβλήματα ακοής αντιμετωπιζόταν με επιφυλάξεις και προκαταλήψεις ως προς την αναγκαιότητα και την αποτελεσματικότητά της. Παρουσιάζονται οι θεωρητικές αρχές στις οποίες βασίστηκε το πρόγραμμα, οι στόχοι και τα μέσα του προγράμματος, καθώς και ο τρόπος αξιολόγησης των μαθητών. Τονίζεται η συμβολή της παιδαγωγικής προσέγγισης Orff στο συγκεκριμένο πρόγραμμα, καθώς οι βασικοί άξονες του προγράμματος συνάδουν με τις θεωρητικές αρχές της φιλοσοφίας Orff και έχουν υιοθετηθεί στην πράξη τα μέσα, οι παιδαγωγικές τεχνικές και τα όργανα της ορχήστρας αυτής της παιδαγωγικής προσέγγισης.

In this paper, we examine the relation between psychic trauma in the first years of life and loneliness. We selected a representative sample of important ''natural experiments'', as revealed in the work of Anna Freud, René Spitz as well as James and Joyce Robertson. The adverse effects of child neglect, abuse, abandonment, war, separation from parents, life in inappropriate institutions, and hospitalization are presented and discussed. Our analysis shows that among children with early and multiple trauma, the quality of loneliness, the normal fear of loneliness, separation anxiety in the relations with parents, siblings and peers, ways of coping with loneliness (e.g., forming relationships, play, fantasies, defense mechanisms), the capacity to be alone and the creative use of solitude, suffer and constitute major problems of traumatized children. We suggest that trauma can be healed through binding, as a restitution of the break in the continuity resulting from trauma, as well as sharing.

This article provides the constructivist approach of religious education in Greek schools. As religious literacy is essential in interpretation of the contemporary world issues, religious education seems to be indispensable in schools according to international and European surveys and pedagogical theories. However, E.U. recommends a compulsory religious education provided to be objective and non-confessional, as it is in Greece according to the two recent curriculums of 2003 and 2011. The author imposes constructivist approach of religious education because it meets the attainments of the education generally and especially a post modern religious education. He also suggests a stage pedagogical strategy of the instruction, posing a particular proposal for the forthcoming change of religious education in the 4th, 5th and 6th years of High School (Lyceum).

Καμπερίδου, Ειρήνη (2013).  «Μετάφραση Αποσπασμάτων από την έρευνα της Ειρήνης Καμπερίδου "Γυναίκες Επιχειρηματίες: Δεν μπορούμε να έχουμε αλλαγή αν δεν συμμετέχουν και οι άνδρες," Journal of Innovation and Entrepreneurship 2013, a Springer Open Journal»,  σελ. 20-22. Ημερομηνία δημοσίευσης, 2013/12, ICAP Marketing Solutions. LWB- Leading Women in Business / οι γυναίκες Ηγέτες των επιχειρήσεων στην Ελλάδα. [ΕΝΘΕΤΟ ΣΤΑ ΝΕΑ]. C.0.  in Apella

The aim of this research was to investigate children’s reading preferences as related to gender, age, socio-economic level, general academic achievement and reading achievement. Participants were 1,136 fourth- and sixth-grade students from public schools in Athens. They completed the Greek adaptation of The Reading Preferences Survey (Bundy, 1982). The data indicated statistically significant differences among all variables studied. Results are discussed in the framework of the existing research literature on reading preferences of primary school children and in relation to well-known theoretical formulations about children’s reading. Finally, on the basis of the data, suggestions for promoting children’s love of reading are presented.

The  aim  of  this  research  was  to  examine  school  bullying  and  victimization  among  young adolescents (12-15 years old) as well as its relation to age, gender, and area of residence.  Participants  were  536  seventh,  eighth,  and  ninth  graders  from  lower-secondary schools located at Athens and the city of Agrinio. Students completed the Revised  Olweus  Bully/Victim  Questionnaire  (Olweus,  2006).  Results  did  not  show  statistically  significant  differences  between  seventh,  eighth  and  ninth  graders  as  to  their  classification  in  the  categories  “bully”,  “victim”  and  “bully/victim”.  Indirect  types of bullying and victimization became more frequent with advancing age. Boys were  more  likely  to  be  categorized  as  bullies  compared  to  girls,  who  were  more  likely to be victimized. Adolescents living in the city of Agrinio were more likely to be victims and reported a higher tendency for bullying and victimization compared to adolescents living in Athens. Results are discussed in the framework of the exist-ing Greek and international research on bullying among young adolescents.

It is well established that women experience major depression at roughly twice the rate of men. Interestingly, accumulating clinical and experimental evidence shows that the responsiveness of males and females to antidepressant pharmacotherapy, and particularly to tricyclic antidepressants (TCAs), is sex-differentiated. Herein, we investigated whether exposure of male and female rats to the chronic mild stress (CMS) model of depression, as well as treatment with the TCA clomipramine may affect serotonergic receptors' (5-HTRs) mRNA expression in a sex-dependent manner. Male and female rats were subjected to CMS for 4 weeks and during the next 4 weeks they concurrently received clomipramine treatment (10 mg/ml/kg). CMS and clomipramine's effects on 5-HT(1A)R, 5-HT(2A)R, and 5-HT(2C)R mRNA expression were assessed by in situ hybridization histochemistry in selected subfields of the hippocampus and in the lateral orbitofrontal cortex (OFC), two regions implicated in the pathophysiology of major depression. CMS and clomipramine treatment induced sex-differentiated effects on rats' hedonic status and enhanced 5-HT(1A)R mRNA expression in the cornu ammonis 1 (CA1) hippocampal region of male rats. Additionally, CMS attenuated 5-HT(1A)R mRNA expression in the OFC of male rats and clomipramine reversed this effect. Moreover, 5-HT(2A)R mRNA levels in the OFC were enhanced in females but decreased in males, while clomipramine reversed this effect only in females. CMS increased 5-HT2CR mRNA expression in the CA4 region of both sexes and this effect was attenuated by clomipramine. Present data exposed that both CMS and clomipramine treatment may induce sex-differentiated and region-distinctive effects on 5-HTRs mRNA expression and further implicate the serotonergic system in the manifestation of sexually dimorphic neurobehavioral responses to stress.

Young infants are at increased risk for influenza-associated serious illness, onset of complications, utilization of health-care services, and hospitalization. We investigated the feasibility and acceptance of an influenza vaccination (cocooning) strategy by household contacts implemented in a maternity hospital and the neonatal unit of a pediatric hospital in Athens. A total of 224 mothers (mean age: 30.2 years) who gave birth to 242 neonates were studied. Of them, 165 (73.7%) mothers were vaccinated. Multiple logistic regression revealed that statistically significant factors associated with increased vaccination rates among mothers were: being of Roma origin (p-value=0.002), being an immigrant (p-value=0.025), giving birth to a neonate with birth weight <2500g (p-value=0.012), and residing in a family with >=4 family members (p-value=0.017). Of the 224 fathers, 125 (55.8%) received the influenza vaccine. Fathers of neonates whose mothers were vaccinated had 6-fold higher vaccination rates compared to fathers of neonates whose mothers refused vaccination (p-value<0.001). Overall, influenza vaccine was administered to 348 (46.9%) of a total of 742 household contacts of the 242 neonates. Upon entering the 2011-2012 influenza season, 51 (22.7%) of 224 families had all household contacts vaccinated against influenza (complete cocoon). Among parents, the statement "I do not want to receive the vaccine" was the prevalent reason for declining influenza vaccination, followed by the misconception "I am not at risk for contacting influenza" (41.1% and 38.2%, respectively).

Light control through elastic waves is a well established and mature technology. The underlying mechanism is the scattering of light due to the dynamic modulation of the refractive index and the material interfaces caused by an elastic wave, the so-called acousto-optic interaction. This interaction can be enhanced in appropriately designed structures that simultaneously localize light and elastic waves in the same region of space and operate as dual optical-elastic cavities, often called phoxonic or optomechanical cavities. Typical examples of phoxonic cavities are multilayer films with a dielectric sandwiched between two Bragg mirrors or, in general, defects in macroscopically periodic structures that exhibit dual band gaps for light and elastic waves. In the present work we consider dielectric particles as phoxonic cavities and study the influence of elastic eigenmode vibrations on the optical Mie resonances. An important issue is the excitation of elastic waves in such submicron particles and, in this respect, we analyze the excitation of high-frequency vibrations following thermal expansion induced by the absorption of a femtosecond laser pulse. For spherical particles, homogeneous thermalization leads to excitation of the particle breathing modes. We report a thorough study of the acousto-optic interaction, correct to all orders in the acousto-optic coupling parameter, by means of rigorous full electrodynamic and elastodynamic calculations, in both time and frequency domains. Our results show that, under double elastic-optical resonance conditions, strong acousto-optic interaction takes place and results in large dynamical shifts of the high-Q optical Mie resonances, manifested through multiphonon exchange mechanisms.

Optical metamaterials and nanoplasmonics bridge the gap between conventional optics and the nanoworld. Exciting and technologically important capabilities range from subwavelength focusing and stopped light to invisibility cloaking, with applications across science and engineering from biophotonics to nanocircuitry. A problem that has hampered practical implementations have been dissipative metal losses, but the efficient use of optical gain has been shown to compensate these and to allow for loss-free operation, amplification and nanoscopic lasing. Here, we review recent and ongoing progress in the realm of active, gain-enhanced nanoplasmonic metamaterials. On introducing and expounding the underlying theoretical concepts of the complex interaction between plasmons and gain media, we examine the experimental efforts in areas such as nanoplasmonic and metamaterial lasers. We underscore important current trends that may lead to improved active imaging, ultrafast nonlinearities on the nanoscale or cavity-free lasing in the stopped-light regime. © 2012 Macmillan Publishers Limited. All rights reserved.

Asthma is a heterogeneous disease more appropriately seen as a syndrome rather than a single pathologic entity. Although it can remain quiescent for extended time periods, the inflammatory and remodeling processes affect the bronchial milieu and predispose to acute and occasionally severe clinical manifestations. The complexity underlying these episodes is enhanced during childhood, an era of ongoing alterations and maturation of key biological systems. In this review, the authors focus on such sudden-onset events, emphasizing on their diversity on the basis of the numerous asthma phenotypes.

The purpose of this study was to investigate the acute effects of countermovement jumping and sprinting on shot put performance in experienced shot putters. Ten shot putters (best performance 13.16-20.36 m) participated in the study. After a standard warm-up including jogging, stretching, and 4-6 submaximal puts, they performed 3 shot put attempts with maximum effort, separated with 1.5-minute interval. Three minutes later, they performed 3 maximal consecutive countermovement jumps (CMJs). Immediately after jumping, they performed 3 shot put attempts with maximum effort, separated with a 1.5-minute interval. One week later, they carried out a similar protocol, at similar external conditions, but they performed a bout of 20-m sprinting instead of the CMJs, to potentiate shot put performance. Muscular strength (1 repetition maximum in squat, snatch, bench press, incline bench press) and body composition (dual x-ray absorptiometry) were measured during the same training period (±10 days from the jumping and sprinting protocols). Shot put performance was significantly increased after the CMJs (15.45 ± 2.36 vs. 15.85 ± 2.41 m, p = 0.0003). Similarly, shot put performance was significantly increased after sprinting (15.34 ± 2.41 vs. 15.90 ± 2.46 m, p = 0.0007). The increase in performance after sprinting was significantly higher compared with the increase after jumping (2.64 ± 1.59 vs. 3.74 ± 1.88%, p = 0.02). In conclusion, the results of this study indicate that a standard warm-up protocol followed by 3 maximal bouts of shot put and either 3 consecutive countermovement jumps or a bout of 20-m sprinting induce an acute increase in shot put performance in experienced shot putters.

This study examined the effects of two different warm-up protocols on lower limb power and flexibility in high level athletes. Twenty international level fencers (10 males and 10 females) performed two warm-up protocols that included 5-min light jogging and either short (15s) or long (45s) static stretching exercises for each of the main leg muscle groups (quadriceps, hamstrings and triceps surae), followed by either 3 sets of 3 (short stretching treatment), or 3 sets of 5 tuck jumps (long stretching treatment), in a randomized crossover design with one week between treatments. Hip joint flexion was measured with a Lafayette goniometer before and after the 5-min warm-up, after stretching and 8 min after the tuck jumps, while counter movement jump (CMJ) performance was evaluated by an Ergojump contact platform, before and after the stretching treatment, as well as immediately after and 8 minutes after the tuck jumps. Three way ANOVA (condition, time, gender) revealed significant time (p < 0.001) and gender (p < 0.001) main effects for hip joint flexion, with no interaction between factors. Flexibility increased by 6.8 ± 1.1% (p < 0.01) after warm-up and by another 5.8 ± 1.6% (p < 0.01) after stretching, while it remained increased 8 min after the tuck jumps. Women had greater ROM compared with men at all time points (125 ± 8° vs. 94 ± 4° p<0.01 at baseline), but the pattern of change in hip flexibility was not different between genders. CMJ performance was greater in men compared with women at all time points (38.2 ± 1.9 cm vs. 29.8 ± 1.2 cm p < 0.01 at baseline), but the percentage of change CMJ performance was not different between genders. CMJ performance remained unchanged throughout the short stretching protocol, while it decreased by 5.5±0.9% (p <0.01) after stretching in the long stretching protocol However, 8 min after the tuck jumps, CMJ performance was not different from the baseline value (p = 0.075). In conclusion, lower limb power may be decreased after long periods of stretching, but performance of explosive exercises may reverse this phenomenon. © Journal of Sports Science and Medicine.

This study examined the effects of two different warm-up protocols on lower limb power and flexibility in high level athletes. Twenty international level fencers (10 males and 10 females) performed two warm-up protocols that included 5-min light jogging and either short (15s) or long (45s) static stretching exercises for each of the main leg muscle groups (quadriceps, hamstrings and triceps surae), followed by either 3 sets of 3 (short stretching treatment), or 3 sets of 5 tuck jumps (long stretching treatment), in a randomized crossover design with one week between treatments. Hip joint flexion was measured with a Lafayette goniometer before and after the 5-min warm-up, after stretching and 8 min after the tuck jumps, while counter movement jump (CMJ) performance was evaluated by an Ergojump contact platform, before and after the stretching treatment, as well as immediately after and 8 minutes after the tuck jumps. Three way ANOVA (condition, time, gender) revealed significant time (p < 0.001) and gender (p < 0.001) main effects for hip joint flexion, with no interaction between factors. Flexibility increased by 6.8 ± 1.1% (p < 0.01) after warm-up and by another 5.8 ± 1.6% (p < 0.01) after stretching, while it remained increased 8 min after the tuck jumps. Women had greater ROM compared with men at all time points (125 ± 8° vs. 94 ± 4° p<0.01 at baseline), but the pattern of change in hip flexibility was not different between genders. CMJ performance was greater in men compared with women at all time points (38.2 ± 1.9 cm vs. 29.8 ± 1.2 cm p < 0.01 at baseline), but the percentage of change CMJ performance was not different between genders. CMJ performance remained unchanged throughout the short stretching protocol, while it decreased by 5.5±0.9% (p <0.01) after stretching in the long stretching protocol However, 8 min after the tuck jumps, CMJ performance was not different from the baseline value (p = 0.075). In conclusion, lower limb power may be decreased after long periods of stretching, but performance of explosive exercises may reverse this phenomenon. © Journal of Sports Science and Medicine.

This study examined the effects of two different warm-up protocols on lower limb power and flexibility in high level athletes. Twenty international level fencers (10 males and 10 females) performed two warm-up protocols that included 5-min light jogging and either short (15s) or long (45s) static stretching exercises for each of the main leg muscle groups (quadriceps, hamstrings and triceps surae), followed by either 3 sets of 3 (short stretching treatment), or 3 sets of 5 tuck jumps (long stretching treatment), in a randomized crossover design with one week between treatments. Hip joint flexion was measured with a Lafayette goniometer before and after the 5-min warm-up, after stretching and 8 min after the tuck jumps, while counter movement jump (CMJ) performance was evaluated by an Ergojump contact platform, before and after the stretching treatment, as well as immediately after and 8 minutes after the tuck jumps. Three way ANOVA (condition, time, gender) revealed significant time (p < 0.001) and gender (p < 0.001) main effects for hip joint flexion, with no interaction between factors. Flexibility increased by 6.8 ± 1.1% (p < 0.01) after warm-up and by another 5.8 ± 1.6% (p < 0.01) after stretching, while it remained increased 8 min after the tuck jumps. Women had greater ROM compared with men at all time points (125 ± 8° vs. 94 ± 4° p<0.01 at baseline), but the pattern of change in hip flexibility was not different between genders. CMJ performance was greater in men compared with women at all time points (38.2 ± 1.9 cm vs. 29.8 ± 1.2 cm p < 0.01 at baseline), but the percentage of change CMJ performance was not different between genders. CMJ performance remained unchanged throughout the short stretching protocol, while it decreased by 5.5±0.9% (p <0.01) after stretching in the long stretching protocol However, 8 min after the tuck jumps, CMJ performance was not different from the baseline value (p = 0.075). In conclusion, lower limb power may be decreased after long periods of stretching, but performance of explosive exercises may reverse this phenomenon. © Journal of Sports Science and Medicine.

The Mediterranean diet (MeDi), due to its correlation with a low morbidity and mortality for many chronic diseases, has been widely recognised as a healthy eating model. We aimed to investigate, in a cross-sectional study, the association between adherence to a MeDi and risk for Alzheimer's disease (AD) and mild cognitive impairment (MCI) in a large, elderly, Australian cohort. Subjects in the Australian Imaging, Biomarkers and Lifestyle Study of Ageing cohort (723 healthy controls (HC), 98 MCI and 149 AD participants) completed the Cancer Council of Victoria Food Frequency Questionnaire. Adherence to the MeDi (0- to 9-point scale with higher scores indicating higher adherence) was the main predictor of AD and MCI status in multinominal logistic regression models that were adjusted for cohort age, sex, country of birth, education, apolipoprotein E genotype, total caloric intake, current smoking status, body mass index, history of diabetes, hypertension, angina, heart attack and stroke. There was a significant difference in adherence to the MeDi between HC and AD subjects (P < 0.001), and in adherence between HC and MCI subjects (P < 0.05). MeDi is associated with change in Mini-Mental State Examination score over an 18-month time period (P < 0.05) in HCs. We conclude that in this Australian cohort, AD and MCI participants had a lower adherence to the MeDi than HC participants.

Classification of weather maps at various isobaric levels as a methodological tool is used in several problems related to meteorology, climatology, atmospheric pollution and to other fields for many years. Initially the classification was performed manually. The criteria used by the person performing the classification are features of isobars or isopleths of geopotential height, depending on the type of maps to be classified. Although manual classifications integrate the perceptual experience and other unquantifiable qualities of the meteorology specialists involved, these are typically subjective and time consuming. Furthermore, during the last years different approaches of automated methods for atmospheric circulation classification have been proposed, which present automated and so-called objective classifications. In this paper a new method of atmospheric circulation classification of isobaric maps is presented. The method is based on graph theory. It starts with an intelligent prototype selection using an over-partitioning mode of fuzzy c-means (FCM) algorithm, proceeds to a graph formulation for the entire dataset and produces the clusters based on the contemporary dominant sets clustering method. Graph theory is a novel mathematical approach, allowing a more efficient representation of spatially correlated data, compared to the classical Euclidian space representation approaches, used in conventional classification methods. The method has been applied to the classification of 850. hPa atmospheric circulation over the Eastern Mediterranean. The evaluation of the automated methods is performed by statistical indexes; results indicate that the classification is adequately comparable with other state-of-the-art automated map classification methods, for a variable number of clusters. © 2012 Elsevier B.V.

Reduced graphene oxide-TiO2 composites (GOT) were prepared by liquid phase deposition followed by post-thermal reduction at different temperatures. The composite materials were systematically evaluated as photocatalysts for the degradation of an important pharmaceutical water pollutant, diphenhydramine (DP), and an azo-dye, methyl orange (MO), under both near-UV/Vis and visible light irradiation as a function of the graphene oxide (GO) content. A marked compositional dependence of the photocatalytic activity was evidenced for DP and MO pollutants degradation and mineralization under both UV/Vis and visible light. Especially under visible light, optimum photocatalytic performance was obtained for the composites treated at 200°C comprising 3.3-4.0wt.% GO, exceeding that of the benchmark P25 (Evonik) catalyst. According to scanning electron microscopy, Raman spectroscopy, and porosimetry analysis data, this was attributed to the optimal assembly and interfacial coupling between the reduced GO sheets and TiO2 nanoparticles. Almost total degradation and significant mineralization of DP and MO pollutants (in less than 60min) was achieved under near-UV/Vis irradiation for the optimum GOT composites. However, higher GO content and calcination temperatures (350°C) led to detrimental effects due to the GO excess and the disruption of the GO-TiO2 binding. Photocatalytic experiments employing sacrificial hole and radical scavenging agents revealed that photogenerated holes are the primary active species in DP degradation for both bare TiO2 and GOT under UV/Vis irradiation, while an enhanced contribution of radical mediated DP oxidation was evidenced under visible light. These results combined with the distinct quenching of the GO photoluminescence under visible and NIR laser excitation, indicate that reduced GO acts either as electron acceptor or electron donor (sensitizer) of TiO2 under UV and visible light, respectively. Fine-tuning of the reduced GO-TiO2 interface is concluded as a very promising route to alleviate electron-hole recombination and circumvent the inherently poor light harvesting ability of TiO2 in the visible range. © 2012 Elsevier B.V.

In the past years, a wide range of epidemiological, clinical, and experimental studies have produced remarkable advances in the field of respiratory allergies in childhood. By the recent investigations on epidemiological trends, risk factors, and prevention of asthma and allergic rhinitis, various exiting concepts have been challenged, and novel innovative approaches have been developed. Pediatric Allergy and Immunology (PAI), with a number of highly relevant contributions between 2010 and 2012, has become an important forum in this area. The prevalence of asthma in some developed countries may have reached a plateau, while in developing countries, where the prevalence was previously low, allergic diseases are still on the increase. A wide array of risk and protective factors, including hygiene, infections, outdoor and indoor air pollution, allergen exposure, breast-feeding practices, nutrition, and obesity, play a multifaceted role in shaping the observed worldwide trends of respiratory allergies. Under the guidance of recent research, prediction and prevention strategies in the clinical practice are progressively changing, the focus moving away from avoidance of allergen exposure and toward tolerance induction.

Allergic rhinitis (AR) and asthma represent global health problems for all age groups. Asthma and rhinitis frequently coexist in the same subjects. Allergic Rhinitis and its Impact on Asthma (ARIA) was initiated during a World Health Organization workshop in 1999 (published in 2001). ARIA has reclassified AR as mild/moderate-severe and intermittent/persistent. This classification closely reflects patients' needs and underlines the close relationship between rhinitis and asthma. Patients, clinicians, and other health care professionals are confronted with various treatment choices for the management of AR. This contributes to considerable variation in clinical practice, and worldwide, patients, clinicians, and other health care professionals are faced with uncertainty about the relative merits and downsides of the various treatment options. In its 2010 Revision, ARIA developed clinical practice guidelines for the management of AR and asthma comorbidities based on the Grading of Recommendation, Assessment, Development and Evaluation (GRADE) system. ARIA is disseminated and implemented in more than 50 countries of the world. Ten years after the publication of the ARIA World Health Organization workshop report, it is important to make a summary of its achievements and identify the still unmet clinical, research, and implementation needs to strengthen the 2011 European Union Priority on allergy and asthma in children.

The goal of this work is the analysis of particulate matter with aerodynamic diameter less than 10 μm (PM10) recorded in the urban area of Volos, a medium-sized Greek coastal city on the eastern seaboard of Central Greece. For this purpose, concentration measurements of PM10, for a seven-year period (2001-2007) are analyzed. Air pollution data were obtained by a monitoring station, fully automated, that was established by the Hellenic Ministry of the Environment, Energy and Climatic Change, in order to measure air pollution levels in Volos. The extracted findings showed that the mean diurnal variation of the examined air pollutant concentrations within the cold and the warm period of the year show a double peak structure with respect to morning and evening hours. Additionally, the intra annual variation of PM10 concentrations shows a double peak pattern. The dominant peak is observed in February and the secondary peak in May/June. Besides, the role of wind seems to be significant as the PM10 exceedances are strongly associated with predominant wind directions. © by PSP 2012.

Purpose. Thorough understanding of biliary anatomy is required when performing surgical interventions in the hepatobiliary system. This study describes the anatomical variations of right bile ducts in terms of branching and drainage patterns, and determines their frequency. Methods. We studied 73 samples of cadaveric material, focusing on the relationship of the right anterior and posterior segmental branches, the way they form the right hepatic duct, and the main variations of their drainage pattern. Results. The anatomy of the right hepatic duct was typical in 65.75% of samples. Ectopic drainage of the right anterior duct into the common hepatic duct was found in 15.07% and triple confluence in 9.59%. Ectopic drainage of the right posterior duct into the common hepatic duct was discovered in 2.74% and ectopic drainage of the right posterior duct into the left hepatic duct in 4.11%. Ectopic drainage of the right anterior duct into the left hepatic ductal system and ectopic drainage of the right posterior duct into the cystic duct was found in 1.37%. Conclusion. The branching pattern of the right hepatic duct was atypical in 34.25% of cases. Thus, knowledge of the anatomical variations of the extrahepatic bile ducts is important in many surgical cases.

The concept of anisotropy of spin relaxation in nonmagnetic metals with respect to the spin direction of the injected electrons relative to the crystal orientation is introduced. The effect is related to an anisotropy of the Elliott-Yafet parameter, arising from a modulation of the decomposition of the spin-orbit Hamiltonian into spin-conserving and spin-flip terms as the spin quantization axis is varied. This anisotropy, reaching gigantic values for uniaxial transition metals (e.g., 830% for hcp Hf) as density-functional calculations show, is related to extended ``spin-flip hot areas'' on the Fermi surface created by the proximity of extended sheets of the surface, or ``spin-flip hot loops'' at the Brillouin zone boundary, and has no theoretical upper limit. Possible ways of measuring the effect as well as consequences in application are briefly outlined.

An attempt is made to forecast the daily maximum surface ozone concentration for the next 24 hours, within the greater Athens area (GAA). For this purpose, we applied Multiple Linear Regression (MLR) models against a forecasting model based on Artificial Neural Network (ANN) approach. The availability of basic meteorological parameters is of great importance in order to forecast the ozone's concentration levels. Modelling was based on recorded meteorological and air pollution data from thirteen monitoring sites within the GAA (network of the Hellenic Ministry of the Environment, Energy and Climate Change) over five years from 2001 to 2005. The evaluation of the performance of the constructed models, using appropriate statistical indices, shows clearly that in every aspect, the prognostic model by far is the ANN model. This suggests that the ANN model can be used to issue warnings for the general population and mainly sensitive groups. © 2012 K. P. Moustris et al.

Most recommender systems have too many items to propose to too many users based on limited information. This problem is formally known as the sparsity of the ratings' matrix, because this is the structure that holds user preferences. This paper outlines a Collaborative Filtering Recommender System that tries to amend this situation. After applying Singular Value Decomposition to reduce the dimensionality of the data, our system makes use of a dynamic Artificial Neural Network architecture with boosted learning to predict user ratings. Furthermore we use the concept of k-separability to deal with the resulting noisy data, a methodology not yet tested in Recommender Systems. The combination of these techniques applied to the MovieLens datasets seems to yield promising results.

The advent of microarrays over the past decade has transformed the way genome-wide studies are designed and conducted, leading to an unprecedented speed of acquisition and amount of new knowledge. Microarray data have led to the identification of molecular subclasses of solid tumors characterized by distinct oncogenic pathways, as well as the development of multigene prognostic or predictive models equivalent or superior to those of established clinical parameters. In the field of molecular-targeted therapy for cancer, in particular, the application of array-based methodologies has enabled the identification of molecular targets with 'key' roles in neoplastic transformation or tumor progression and the subsequent development of targeted agents, which are most likely to be active in the specific molecular setting. Herein, we present a summary of the main applications of whole-genome expression microarrays in the field of molecular-targeted therapies for solid tumors and we discuss their potential in the clinical setting. An emphasis is given on deciphering the molecular mechanisms of drug action, identifying novel therapeutic targets and suitable agents to target them with, and discovering molecular markers/signatures that predict response to therapy or optimal drug dose for each patient.

PURPOSE: We performed a prospective study to document, by intra-operative manipulation under anaesthesia (MUA) of the pelvic ring, the stability of lateral compression type 1 injuries that were managed in a Level-I Trauma Centre. The documentation of the short-term outcome of the management of these injuries was our secondary aim. METHODS: A total of 63 patients were included in the study. Thirty-five patients (group A) were treated surgically whereas 28 (group B) were managed nonoperatively. Intraoperative rotational instability, evident by more than two centimetres of translation during the manipulation manoeuvre, was combined with a complete sacral fracture in all cases. RESULTS: A statistically significant difference was present between the length of hospital stay, the time to independent pain-free mobilisation, post-manipulation pain levels and opioid requirements between the two groups, with group A demonstrating significantly decreased values in all these four variables (p < 0.05). There was also a significant difference between the pre- and 72-hour post-manipulation visual analogue scale and analgesic requirements of the group A patients, whereas the patients in group B did not demonstrate such a difference. CONCLUSION: LC-1 injuries with a complete posterior sacral injury are inheritably rotationally unstable and patients presenting with these fracture patterns definitely gain benefit from surgical stabilisation.

The biomass degrading enzymatic potential of 101 thermophilic bacterial strains isolated from a volcanic environment (Santorini, Aegean Sea, Greece) was assessed. 80 % of the strains showed xylanolytic activity in Congo Red plates, while only eight could simultaneously hydrolyze cellulose. Fifteen isolates were selected on the basis of their increased enzyme production, the majority of which was identified as Geobacilli through 16S rDNA analysis. In addition, the enzymatic profile was evaluated in liquid cultures using various carbon sources, a procedure that revealed lack of correlation on xylanase levels between the two cultivation modes and the inability of solid CMC cultures to fully unravel the cellulose degrading potential of the isolates. Strain SP24, showing more than 99 % 16S DNA similarity with Geobacillus sp. was further studied for its unique ability to simultaneously exhibit cellulase, xylanase, β-glucosidase and β-xylosidase activities. The first two enzymes were produced mainly extracellularly, while the β-glycosidic activities were primarily detected in the cytosol. Maximum enzyme production by this strain was attained using a combination of wheat bran and xylan in the growth medium. Bioreactor cultures showed that aeration was necessary for both enhanced growth and enzyme production. Aeration had a strong positive effect on cellulase production while it negatively affected expression of β-glucosidase. Xylanase and β-xylosidase production was practically unaffected by aeration levels.

BACKGROUND: Recent studies have demonstrated an association between a Mediterranean-type diet and Alzheimer's risk. We assessed the association between Mediterranean-type diet adherence and Parkinson's disease (PD) status. METHODS: Two hundred and fifty-seven PD participants and 198 controls completed the Willett semiquantitative questionnaire that quantifies diet during the past year. Scores were calculated using a 9-point scale; higher scores indicated greater adherence to the Mediterranean-type diet. Logistic regression models were used to assess the association between PD status and Mediterranean-type diet, adjusting for caloric intake, age, sex, education, and ethnicity. Adjusted linear regression models were used to examine the association between Mediterranean-type diet adherence and PD age at onset. RESULTS: Higher Mediterranean-type diet adherence was associated with reduced odds for PD after adjustment for all covariates (OR, 0.86; 95% CI, 0.77-0.97; P = .010). Lower Mediterranean-type diet score was associated with earlier PD age at onset (β = 1.09; P = .006). CONCLUSIONS: PD patients adhere less than controls to a Mediterranean-type diet. Dietary behavior may be associated with age at onset.

Background: We investigated the associations between second trimester amniotic fluid (AF) levels of human adiponectin and placental growth factor (PLGF) in small for gestational age (SGA), large for gestational age (LGA) and appropriate for gestational age (AGA) fetuses. Materials and Methods: Adiponectin and PLGF levels were determined by enzyme immunoassay in AF of 21 SGA, 13 LGA and 44 AGA fetuses between 15-22 weeks of gestation, derived from pregnant women who underwent amniocentesis. Results: Adiponectin and PLGF levels were detectable in AF. Median (25th-75th percentile) adiponectin levels were 16.1 (10.9-32.3) ng/ml in SGA, 19.5 (15.1-30.9) ng/ml in AGA, and 18.2 (14.7-30.8) ng/ml in LGA fetuses. Median (25th-75th percentile) PLGF levels were 24.2 (19.9-34.9) pg/nl in SGA, 26.4 (20.9-33.8) pg/ml in AGA and 33.5 (21.8-40.4) pg/ml in LGA fetuses. The differences were not statistically significant. Nevertheless, indication of differentiation of levels existed when SGA and LGA fetuses in the extremes of distribution were considered. Specifically, very severely SGA fetuses (≤2.5th percentile) tended to have high levels of adiponectin and reduced levels of PLGF in AF. Conclusion: This is the first study presenting adiponectin and PLGF concentrations in early second trimester amniotic fluid in AGA, SGA and LGA fetuses. The altered concentrations of adiponectin and PLGF in very severely SGA fetuses possibly result from the growth-promoting effect of these factors through the metabolic route and the vascular integrity of the placenta, respectively.

Aim: The association between two polymorphisms of ERCC1 and treatment outcomes after platinum-based chemotherapy in patients with advanced urothelial cancer (UC) was examined. Materials & methods: Genotyping of 19007C>T and 8092C>A polymorphisms was determined by PCR amplification and RFLP in 113 advanced UC patients, treated with platinum-based chemotherapy. Results: Seventy eight patients (69%) were carriers of the 19007T polymorphic allele: 51 (45%) heterozygotes and 27 (24%) homozygotes. Fifty three (47%) patients were carriers of the 8092A polymorphic allele: the frequencies of C/A and A/A genotypes were 37% and 10%, respectively. The T/T genotype was independently associated with prolonged median cancer-specific survival (not-reached vs 14.8 months; p = 0.026). There was no interaction between T/T or any other genotype with the type of platinum derivative (cisplatin/carboplatin). Conclusion: 19007C>T, especially in its homozygotic state, but not 8092C>A polymorphism, could be a useful prognostic marker in advanced UC treated with platinum-based chemotherapy. Original submitted 17 July 2012; Revision submitted 21 September 201. © 2012 Future Medicine Ltd.

Although the painful experience of loneliness has been largely investigated, attitude toward aloneness and ability to be alone during middle and late childhood remains a highly neglected research issue. The Ability to Be Alone Questionnaire (Berlin, 1990), and the Aversion to Aloneness and Affinity for Aloneness subscales of the Loneliness and Aloneness Scale for Children and Adolescents (Marcoen & Goossens, 1993) were used with 136 fourth and sixth graders (Study 1); also, a sentence completion task assessing feelings about aloneness (Coleman, 1974), and three questions assessing the ability to differentiate between aloneness and loneliness (Galanaki, 2004) (Study 2) were used with 108 fourth and sixth graders. All participants came from primary schools of Athens, Greece. Results showed a decrease from middle to late childhood in children’s aversion to aloneness, and an increase in their capacity to understand that loneliness may be experienced even in the presence of others. Ability to be alone and affinity for aloneness did not show any statistically significant increase with age. The majority of fourth graders were able to understand that “alone” does not necessarily means “lonely”, but had difficulties in accepting the state “feeling lonely even in the presence of others”. Empirical support for an ambivalent attitude toward aloneness during both these age periods also emerged. Gender differences were not found. Findings are discussed in the framework of the existing research on children’s understanding and experience of aloneness and solitude, and suggestions for future research are made.

Anxiety and depression are considered as stress-related disorders, which present considerable sex differentiation. In animal models of anxiety and depression sex differences have been described and linked to the sexually dimorphic hypothalamus-pituitary-adrenals (HPA) axis. The present study aimed to adjust corticosterone, the main HPA axis stress hormone, in male and female adrenalectomized rats with oral (25 μg/ml) corticosterone replacement (ADXR). Subsequently we investigated the behavioral performance of ADXR rats in the open field, light/dark and forced swim test (FST). Male ADXR rats showed less anxiety-like behavior when compared to sham-operated controls, despite adequate corticosterone replacement. They further showed increased swimming and reduced climbing behavior in the FST, while immobility duration did not differ from sham-operated males. On the contrary, adrenalectomy and corticosterone replacement did not have significant effects on the female behavioral response. Females were generally more active and presented less anxiety-like behavior than males, while they exhibited higher depressive-like symptomatology in the FST. ADXR affected behavioral responses predominantly in males, which in turn modified sex differences in the behavioral profile. Females in proestrous and estrous did not differ from females in diestrous and methestrous in any measured behavioral response. Present results suggest that the male and not the female behavioral responses in models of anxiety and depression were mainly affected by ADXR. These findings may play a significant role in explaining the differential coping strategy of the two sexes in response to stressful experiences. This article is part of a Special Issue entitled 'Anxiety and Depression'.

Anxiety and depression are considered as stress-related disorders, which present considerable sex differentiation. In animal models of anxiety and depression sex differences have been described and linked to the sexually dimorphic hypothalamus-pituitary-adrenals (HPA) axis. The present study aimed to adjust corticosterone, the main HPA axis stress hormone, in male and female adrenalectomized rats with oral (25 μg/ml) corticosterone replacement (ADXR). Subsequently we investigated the behavioral performance of ADXR rats in the open field, light/dark and forced swim test (FST). Male ADXR rats showed less anxiety-like behavior when compared to sham-operated controls, despite adequate corticosterone replacement. They further showed increased swimming and reduced climbing behavior in the FST, while immobility duration did not differ from sham-operated males. On the contrary, adrenalectomy and corticosterone replacement did not have significant effects on the female behavioral response. Females were generally more active and presented less anxiety-like behavior than males, while they exhibited higher depressive-like symptomatology in the FST. ADXR affected behavioral responses predominantly in males, which in turn modified sex differences in the behavioral profile. Females in proestrous and estrous did not differ from females in diestrous and methestrous in any measured behavioral response. Present results suggest that the male and not the female behavioral responses in models of anxiety and depression were mainly affected by ADXR. These findings may play a significant role in explaining the differential coping strategy of the two sexes in response to stressful experiences. This article is part of a Special Issue entitled 'Anxiety and Depression'.

Benthic foraminiferal composition of sedimentary successions during the last 7500 years, was investigated from boreholes drilled in three rather tectonically stable coastal areas of the Aegean Sea (Alykes Kitros, Lafrouda Thrace and Vravron Attica). The quantitative analysis of foraminiferal fauna enabled separation into two different groups that are supported by the analysis of modern benthic foraminiferal communities in the studied sites. Group A consists of Ammonia tepida and Haynesina germanica (closed lagoon assemblage), whereas the most common species of Group B (open lagoon assemblage) are Aubignyna perlucida, miliolids, Elphidium spp. and Ammonia spp. The foraminiferal composition integrated with radiometric dating provides information on Holocene paleoenvironmental changes in the studied coastal plains, related to seaeland interaction. Alykes Kitros and Lafrouda Thrace boreholes show a similar trend, with an open lagoonal fauna in the lower part, transitional upwards to closed lagoonal conditions. This environmental change has taken place after 6500 cal BP in Alykes Kitros and around 3000 cal BP at Lafrouda Thrace. The benthic communities of Vravron Attica borehole sediments seem to represent continuously an open lagoon/shallow marine environment from 4700 to 400 cal BP.

The aim of this work is to study the bioclimatic conditions as well as the air quality for three different regions of the greater Athens area (GAA), during the warm period of the year for the time period 2001-2005. Furthermore, the thermal discomfort and the air pollution persistence within 24 hours were studied. Finally, both the variability and the trend of the bioclimatic and air quality conditions during the examined period were studied. In order to determine the human thermal comfort-discomfort levels, a widely used biometeorological index, the Cooling Power Index, and microclimatic data (air temperature and wind speed) were used. On the other hand, data concerning the air pollutant concentrations surface ozone (O 3) and particulate matter with aerodynamic diameter less than 10μm (PM 10) measured over this area were used for the determination of the air quality levels. The performed analysis indicates throughout the examined area degradation of the air quality and intensive thermal discomfort episodes. More specifically, during the warm period of the year a relatively high frequency of days, in the city center of Athens showing thermal discomfort and air quality degradation, simultaneously, is observed. On the contrary, on the suburban GAA's monitoring sites a reduction of the frequency of days with thermal discomfort is observed while the number of days with air pollution exacerbations is relatively high. In any case, during the examined period the environmental conditions due to bioclimatic and air quality parameters seem to be rather degraded. © by PSP.

To explore the comparative performance of the recently proposed bioequivalence (BE) approaches, FDA(s) and EMA(s), by the FDA working group on highly variable drugs and the EMA, respectively; to compare the impact of the GMR-constraint on the two approaches; and to provide representative plots of % BE acceptance as a function of geometric mean ratio, sample size and variability. Simulated BE studies and extreme GMR versus CV plots were used. Three sequence, three period crossover studies with two treatments were simulated using four levels of within-subject variability. The FDA(s) and EMA(s) approaches were identical when variability was < 30%. In all other cases, the FDA(s) method was more permissive than EMA(s). The major discrepancy was observed for variability values > 50%. The GMR-constraint was necessary for FDA(s), especially for drugs with high variabilities. For EMA(s), the GMR-constraint only became effective when sample size was large and variability was close to 50%. A significant discrepancy in the performances of FDA(s) and EMA(s) was observed for high variability values. The GMR-constraint was essential for FDA(s), but it was of minor importance in case of the EMA(s).

Glaucoma, a leading cause of blindness worldwide, is currently defined as a disturbance of the structural or functional integrity of the optic nerve that causes characteristic atrophic changes in the optic nerve, which may lead to specific visual field defects over time. This disturbance usually can be arrested or diminished by adequate lowering of intraocular pressure (IOP). Glaucoma can be divided roughly into two main categories, ' open angle ' and ' closed angle ' glaucoma.Open angle, chronic glaucoma tends to progress at a slower rate and patients may not notice loss of vision until the disease has progressed significantly. Primary open angle glaucoma(POAG) is described distinctly as a multifactorial optic neuropathy that is chronic and progressive with a characteristic acquired loss of optic nerve fibers. Such loss develops in the presence of open anterior chamber angles, characteristic visual field abnormalities, and IOP that is too high for the healthy eye. It manifests by cupping and atrophy of the optic disc, in the absence of other known causes of glaucomatous disease. Several biological markers have been implicated with the disease. The purpose of this study was to summarize the current knowledge regarding the non-genetic molecular markers which have been predicted to have an association with POAG but have not yet been validated

The present work investigates the concept of sound, in relation to the new means andsciences under different perspectives, ultimately providing an analysis of the newbornartistic movement of bioart. It deals with two parts. The first part of the study is basedupon reference, investigating the interconnection between art and science. Thismechanism is characterized by transformation processes in the interdisciplinarypractices that are applied mainly by various artists and movements of the second postworld war period. The expressive element seeks for an unworldly explanation throughaudio and visual conjunctions. This nature is obvious in Paul Klee’s reflections ofmusical elements in his paintings, Rimington’s attempts to marry audiovisual influencesin his “colour organs”, the experimentations of composers like Xenakis and Stockhausenat various locations with light and color proves the continuous quest to render sound bythe use of new means. Technology is a vital component of transformation as it enhancesthe syncretic creativity for various art domains like the ones that Fluxus deployed. ΝamJun Paik and Dick Higgins introduce radical techniques in their performances as theydetach their selves from the parameters that define composition and use the mind andpower of sentiment in order to identify reality aurally and optically. Towards the end ofthe 20th century we witness the appearance of new art forms like bioart. The humanbody, host of material and immaterial functions comes to the forefront of art practice. Itsrelation to elements such as oscillations and vibrations that express the energy flow areanalyzed through the model of spiritualism that came from eastern thought. The notionof digital embodiment is presented as a reminder, highlighting the importance oftechnology in biotechnology and genetics.The second part of the study involves an experiment. This is how the concept ofbiomusic is applied with the use of ECG data from the MIT PhysioNet database. Assound penetrates the entire human body, it can be analyzed in all of its phasma. Usingthat information we attempt to translate/transform that biological sound phenomena intomusic. The sound produced by the elaboration of data which result from biologicalfunctions, can be described as Biomusic. It can be transformed into frequencies relatedto time and be expressed into music themes. Sonification plays an important role in thisresearch as it constitutes a quick and precise rendering of the polymorphic information(in this case the E.C.G.) in musical notes. This modeling and musical attribution leads intwo distinguished results each one of them concerning different clinical cases (all databelong to a normal heart function and a pathological one). The invention of this novelsystem is suggested for the scientific as well as for the music discipline. It has the abilityto be implemented in an experimental form and obtain an educational character. Thetransformation process avoids compensation throughout the matching process inbetween E.C.G. functions and music, while focusing on the aesthetic factor at the sametime. Sound meets art in the world of Biomusic as it takes shape through technology,constituting a new medium to further evolve the model of ‘’biology into art’’transformation.

BACKGROUND: Pompe disease is an inherited metabolic disorder characterized by α-glycosidase deficiency, which leads to lysosomal glycogen accumulation in many different tissues. The infantile form is the most severe with a rapidly fatal outcome, while the late onset form has a greater phenotypic variability, characterized by skeletal muscle dysfunction and early respiratory involvement. Bone mineral density (BMD) has been recently reported to be reduced in many patients with both forms of the disease. Enzyme replacement therapy (ERT) is now available with an undefined, impact on BMD in patients with late onset disease. OBJECTIVES: The present study aimed to investigate BMD in patients with late onset form of Pompe disease before and after ERT initiation. PATIENTS AND METHODS: Dual x-ray absorptiometry (DEXA) was examined in four newly diagnosed patients with late onset Pompe disease and in four adults under ERT before and after ERT initiation with a treatment duration of 18 to 36 months. RESULTS: The initial DEXA showed normal total body BMD z-score in all the patients, while L2-L4 and femoral neck BMD was reduced in three and two patients, respectively. After ERT administration, two patients had an improvement in L2-L4 lumbar spine and one patient in femoral neck BMD z-score with values within normal range. CONCLUSIONS: The results suggested that regional BMD may moderately reduce in some patients with the late onset form of Pompe disease, although profound osteopenia was not observed. The improvement of measurements in L2-L4 and femoral neck BMD z-score in some patients with low pre-treatment values after ERT administration needs to be confirmed in larger scale studies.

We report on the calculation of the fundamental plasmon waveguide modes in linear periodic chains of finite silver nanorods, aligned perpendicular to the chain. The results of rigorous full-electrodynamic calculations by the layer-multiple-scattering method are discussed in conjunction with the results of the widely used coupled-dipole model and a critical evaluation of the latter is provided. More specifically, it is shown that both diameter and height of the nanorods must be much smaller than the interparticle distance; otherwise, for relatively long nanorods close to each other, the coupled-dipole model can fail completely to predict the waveguide dispersion diagram. Moreover, the model systematically underestimates the effect of dissipative losses and cannot describe the effect of a supporting substrate, which is always present in realistic cases and induces considerable changes in the waveguide dispersion diagram.

INTRODUCTION: Successful research management requirements include; equal teamwork and efficient coordination, in order to increase the impact of the research outcomes and provide added value knowledge. Aim of this paper is to discuss the strategies that have been followed during the RN4CAST study, the largest nursing multi-country research project ever conducted in Europe. The paper focuses on the core research strategies rather than on the administrative activities, which are inevitably also required for the success of a large scale research. RESULTS AND DISCUSSION: This paper is an extension of a conference presentation in the International Conference of the European Federation for Medical Informatics (MIE) 2011 in Oslo, and was subsequently published in the Studies in Health Technology and Informatics book series (IOS Press) under the title "Research management: the case of RN4CAST." Management of a multicountry nursing survey requires the use of common data collection tools, applicable to every context, research protocols supporting the scope of the research, data models for multi-country analyses and global dissemination strategies. Challenges that may be faced during the implementation of the study include the individualized confrontation of obstacles during data collection, the coherence of national procedures (for example permissions for data collection) in European level, and the challenge to gain information of added value for the EU, by aggregating the national survey results through a powerful data analysis model. Communication strategies are also discussed.

This study analyses the weather conditions, the main pathways and transport mechanisms favouring the presence of specific aerosol types over Athens, Greece. On the basis of the aerosol optical depth at 550 nm (AOD 550) and fine mode (FM) values from a Terra-MODIS dataset in the period 2000-2005, three main aerosol types are identified (urban/industrial, UI; clean maritime, CM; and desert dust, DD), each one corresponding to different optical characteristics and source regions. The UI aerosols are associated with polluted air masses from Europe, the CM aerosols with clean Atlantic air masses and the DD aerosols with air masses from North African arid regions carrying significant amount of dust in certain cases. The comparison of the three aerosol types with the air masses from their favourable sector constitutes a first 'quick-validation' of the identification scheme. Thus, the incidence of transport from Europe explain 81% of the variability in the observed UI type, while the 73% of the Atlantic air masses correspond to the CM type; the 50% of the African air masses can be considered as DD aerosols over Athens. The mean synoptic meteorological patterns, favouring the presence of each aerosol type, are also investigated. Further analysing the air-mass trajectories at three altitudes, the transport mechanisms of the aerosol types are identified. The results clearly show that the UI aerosols are mainly transported within the boundary layer, while the CM conditions are associated with Atlantic air masses at higher altitudes. Moreover, the DD aerosols are transported either in the upper atmosphere or in the whole atmospheric column. This is among the first studies conducted over Athens aiming at investigating the weather conditions, pathways and transport mechanisms that favour the presence of aerosols of different characteristics. © 2011 Royal Meteorological Society.

Background: Activin-A is a transforming growth factor -β superfamily member, which seems to be implicated in the biology of osteolytic disease in multiple myeloma. Design and methods: Circulating activin-A was evaluated in 98 newly diagnosed myeloma patients (85 with symptomatic disease), in 40 patients with relapsed myeloma before and after four cycles of lenalidomide and dexamethasone (RD), in 27 healthy controls and in 10 monoclonal gammopathy of undetermined significance patients. Results: Patients with newly diagnosed symptomatic myeloma had increased circulating activin-A compared with controls (P < 0.001), while patients with relapsed disease had elevated activin-A even compared with symptomatic patients at diagnosis (P < 0.001). High activin-A correlated with advanced International Staging System stage (P = 0.002), increased bone resorption (P < 0.001) and extensive bone disease (P = 0.03). Low levels of activin-A (<442 pg/ml) were associated with superior median overall survival: not reached versus 59 months (P = 0.04), while activin-A inversely correlated with survival as a continuous variable (P < 0.001). RD did not alter circulating activin-A after four cycles of treatment, even in responders. Conclusions: High circulating activin-A correlates with advanced features of myeloma, supporting the rationale for the use of activin-A antagonists, such as sotatercept in myeloma. The inability of RD to reduce activin-A reveals RD as a good candidate for combination therapies with activin-A antagonists in myeloma. © The Author 2012. Published by Oxford University Press on behalf of the European Society for Medical Oncology. All rights reserved.

Although increasing evidence supports an association between endogenous sex hormones and cardiovascular disease, the results still remain controversial. This study aims to examine the association between endogenous sex hormones and indices of vascular function and structure. Serum follicle-stimulating hormone, luteinizing hormone, estradiol, testosterone, sex hormone-binding globulin, dehydroepiandrosterone sulfate (DHEAS), and Δ4-androstenedione were measured in 120 healthy postmenopausal women aged 41 to 60 years. Possible associations with surrogate markers of subclinical atherosclerosis, arterial stiffness, and endothelial function were investigated. Indices of arterial structure included carotid and femoral intima-media thickness and atheromatous plaques presence. Indices of arterial function included flow-mediated dilation of the brachial artery, carotid-femoral pulse wave velocity (PWV), and augmentation index. Total testosterone and free androgen index (FAI) were the most important predictors of common carotid artery intima-media thickness (β = 0.376 and β = 0.236, P <.001 and P =.014, respectively). Similarly, FAI was the only significant independent predictor of PWV (β = 0.254, P =.027) after adjusting for age, smoking, body mass index, homeostasis model assessment of insulin resistance, and blood lipids. Free estrogen index showed a positive association with PWV, independently of age, smoking, and body mass index, but not of homeostasis model assessment of insulin resistance and blood lipids. Age-adjusted levels of DHEAS exhibited a significant independent negative association with measures of augmentation index. Follicle-stimulating hormone, luteinizing hormone, estradiol, sex hormone-binding globulin, and Δ4-androstenedione were not associated with any of the vascular parameters independently of traditional cardiovascular risk factors. Higher serum testosterone and FAI are associated with subclinical atherosclerosis in healthy recently menopausal women. This association is independent of traditional cardiovascular risk factors or insulin resistance. On the contrary, serum DHEAS exhibits a negative association with arterial stiffness. © 2012 Elsevier Inc. All rights reserved.

The circulating levels of several angiogenic cytokines [angiopoietin-1 (Ang-1), angiopoietin-2 (Ang-2), vascular endothelial growth factor (VEGF), angiogenin and basic fibroblast growth factor (bFGF)] were evaluated in 174 consecutive patients with newly diagnosed, symptomatic, multiple myeloma (MM). Circulating levels of Ang-1/Ang-2 were reduced in myeloma patients compared to controls, whereas VEGF and angiogenin levels were increased. Reduced angiopoietin-1/angiopoietin-2 ratio correlated with advanced disease features including international staging system (ISS)-3 stage, renal impairment and extensive bone disease. Based on immunohistochemical results in 20 patients (10 with the higher and 10 with the lower values of circulating angiopoietin-2) we found that angiopoietin-2 is expressed by myeloma cells and correlates with increased microvessel density in subsets of patients. Furthermore, Ang-1/Ang-2 ratio correlated with survival. Patients with circulating Ang-1/Ang-2 below or equal to the median value (6.03) had a median survival of 26.3 months compared to 53 months of all others (p = 0.002). Interestingly, this was mainly observed in patients who received first-line therapy with novel agent-based regimens (65% of our patients). Furthermore, a subset of ISS-3 patients with serum Ang-1/Ang-2 above the median value had favourable prognosis (median survival: 45 months versus 17 months of all others; p = 0.0001). The multivariate analysis revealed that low Ang-1/Ang-2 ratio could independently predict for inferior survival in our cohort of patients (relative risk (RR) 2.07, 95% CI 1.50-2.42; p < 0.001). These results highlight the role of angiopoietins pathway in the biology of MM and reveal novel targets for the development of antimyeloma agents. Copyright © 2011 UICC.

INTRODUCTION: The presence of the appendix in a femoral hernia sac is known as de Garengeot's hernia. We report a rare case of an elderly woman with femoral hernia appendicitis and discuss the surgical pitfalls and considerations through a literature review. PRESENTATION OF CASE: An 83-year-old woman presented with fever and right lower quadrant abdominal pain. Clinical examination revealed a femoral hernia. Ultrasonography confirmed bowel was present in the hernia sac. In the operation room, an acutely inflamed appendix was recognized within the sac. The patient underwent appendectomy and hernia repair with sutures. DISCUSSION: Acute appendicitis within a femoral hernia is rare and multiple dilemmas exist regarding its treatment. An incision below the inguinal ligament is a reasonable choice in order to access the hernia sac. A mesh should be placed in non-infectious appendectomy while herniorrhaphy is preferred in cases of appendicitis. CONCLUSION: The presence of the vermiform appendix in a femoral hernia sac is rare but the surgeon should be aware of this clinical entity. Prompt diagnosis and appropriate surgical treatment is the key to avoid complications.

Ocean acidification and the related changes in seawater chemistry may disrupt calcification by coccolithophores and departure from the normal growth process causing malformed coccoliths. Coccospheres with malformed were coccoliths collected from different locations in the Aegean Sea. Although most of these specimens in our work are restricted to Emiliania huxleyi, scarce coccospheres of Rhabdosphaera clavigera, Syracosphaera pulchra, Discosphaera tubifera and Calcidiscus quadriperforatus have also been detected. In this study we discuss our observations on malformed distribution in relation to seawater carbonate chemistry.

Nanoplasmonic metamaterials are an exciting new class of engineered media that promise a range of important applications, such as subwavelength focusing, cloaking, and slowing/stopping of light. At optical frequencies, using gain to overcome potentially not insignificant losses has recently emerged as a viable solution to ultra-low-loss operation that may lead to next-generation active metamaterials. Maxwell-Bloch models for active nanoplasmonic metamaterials are able to describe the coherent spatiotemporal and nonlinear gain-plasmon dynamics. Here, we extend the Maxwell-Bloch theory to a Maxwell-Bloch Langevin approach-a spatially resolved model that describes the light field and noise dynamics in gain-enhanced nanoplasmonic structures. Using the example of an optically pumped nanofishnet metamaterial with an embedded laser dye (four-level) medium exhibiting a negative refractive index, we demonstrate the transition from loss-compensation to amplification and to nanolasing. We observe ultrafast relaxation oscillations of the bright negative-index mode with frequencies just below the THz regime. The influence of noise on mode competition and the onset and magnitude of the relaxation oscillations is elucidated, and the dynamics and spectra of the emitted light indicate that coherent amplification and lasing are maintained even in the presence of noise and amplified spontaneous emission. © 2012 American Chemical Society.

BACKGROUND: A feature selection method in microarray gene expression data should be independent of platform, disease and dataset size. Our hypothesis is that among the statistically significant ranked genes in a gene list, there should be clusters of genes that share similar biological functions related to the investigated disease. Thus, instead of keeping N top ranked genes, it would be more appropriate to define and keep a number of gene cluster exemplars. RESULTS: We propose a hybrid FS method (mAP-KL), which combines multiple hypothesis testing and affinity propagation (AP)-clustering algorithm along with the Krzanowski & Lai cluster quality index, to select a small yet informative subset of genes. We applied mAP-KL on real microarray data, as well as on simulated data, and compared its performance against 13 other feature selection approaches. Across a variety of diseases and number of samples, mAP-KL presents competitive classification results, particularly in neuromuscular diseases, where its overall AUC score was 0.91. Furthermore, mAP-KL generates concise yet biologically relevant and informative N-gene expression signatures, which can serve as a valuable tool for diagnostic and prognostic purposes, as well as a source of potential disease biomarkers in a broad range of diseases. CONCLUSIONS: mAP-KL is a data-driven and classifier-independent hybrid feature selection method, which applies to any disease classification problem based on microarray data, regardless of the available samples. Combining multiple hypothesis testing and AP leads to subsets of genes, which classify unknown samples from both, small and large patient cohorts with high accuracy.

The paper Faivre et al. (2011) presents an interpretation of results deduced from two coastal cores that are trying to date the period of formation of a slightly submerged tidal notch often reported from the coasts of Istria. The development of a tidal notch in carbonate coasts is usually made possible by intertidal bioerosion processes during periods of relative sea-level stability (Pirazzoli, 1986). The inward depth of the tidal notch profile, that in Istria is often of about half a meter, may be used for a rough estimation of the duration of the period of relative sea-level stability, with assumptions on the bioerosion rates, that in the Mediterranean have been reported to vary generally between about 0.2 and 1.0 mm/y (Evelpidou et al., 2012). The profile of the Istrian tidal notch shows a well preserved roof, evidence that the notch was submerged by a rapid subsidence, probably coseismic (Evelpidou et al., 2011a, 2011b). Several publications, some of them co-signed by the same authors for the area between Porec and Zadar (Fouache et al., 2000; Faivre and Fouache, 2003), have reported, from correlation with archaeological remains, that the submerged notch corresponds, more or less, to the sea level in Roman times. Other data by Faivre et al. (2010), mention a tidal notch submerged by 0.5e0.7 m and a sea level rise from the first century AD that cannot have highly exceeded 1.0 m. Finally according to Fouache et al. (2011), the sea level rise indicated by archeological remains can be estimated at 1.0+-0.48 m since Roman times. Faivre et al. (2011) provide a new interpretation from the two cores, which is in complete contradiction with previous results, suggesting that the notch formed much later, between 1000 and 1500 AD. These two dates correspond to radiocarbon ages of two shells collected by the cores. However, apart from the depth of sampling, that nearly coincides to the base of the notch, not before but after its submergence, there is no clear evidence that the dated shells are really related to the sea level at which the notch developed before its submergence. Also, the assertion that the sample from one core would have been deposited at the beginning of the notch formation, while the sample at the same depth from the other core would just have preceded the coseismic subsidence, seems unconvincing. In fact, after the rapid subsidence of the area, the relative sea level became several decimeters higher in the areas of the Mirna River valley and of the Santa Marina Cove, permitting an acceleration in marine sediment deposition at the levels where they have been recently cored. In addition, the period between 1000 and 1500 AD seems too short for the development of the tidal notch considered, more specifically that this period seems very unfavorable to tidal notch development because the global sea-level rise that occurred until at least 1350 AD, at a rate of 0.6 mm/y (Kemp et al., 2011), has probably limited the possibilities of local bioerosion. Seismic evidence in the period around 1500 AD is also missing. If the rapid subsidence had a coseismic origin, the event is likely to have produced a tsunami in the northern Adriatic. It is hardly believable that a tsunami occurring about 1500 AD could escape notice in Venice and in the other lagoons and harbors of the western coast of the Adriatic. In short, a late Roman date, e.g. 361 AD, as suggested by Benac et al. (2004), seems more likely than a date around 1500 AD. As to the relative sea level stability necessary for the notch formation, it could have occurred in a period of balance for relative sea level changes between the eustatic, isostatic and tectonic factors (Pirazzoli, 2005), i.e. before and during Roman times, possibly in accordance with relative sea-level variations of the type of those predicted with the modelm-2byAntonioli et al. (2007, Fig. 9C or 9D).

Research on star clusters and associations includes the observation and theory of stellar groupings as they form and evolve, cluster disruption, stellar interactions inside clusters, and star formation in dense environments. In what follows, we list past, present and future meetings (http://www2.cadc-ccda.hia-iha.nrc-cnrc.gc.ca/meetings/), publications statistics and important surveys, reviews, and databases about clusters.

This paper investigates the potential congruence between research and innovation intensity in a country and the role society plays in the adoption and dissemination of scientific results. Using descriptive reports it tries to quantify certain variables and finds a significant degree of coincidence between the two. This, however, does not indicate any causal relationship but suggests that a systematic exercise of this type is feasible and may lead to the creation of valuable time series that can form solid evidence for policy in the future and create an interesting database for further research and policy-making. Countries that rank higher in their ‘science in society’ performance compared to their innovation ranking may be used as models for imitation. Furthermore, the rating process indicated that there are significant differences between European member states but there is at least a minimum involvement in every country.

Motion of the carotid artery wall is important for the quantification of arterial elasticity and contractility and can be estimated with a number of techniques. In this paper, a framework for quantitative evaluation of motion analysis techniques from B-mode ultrasound images is introduced. Six synthetic sequences were produced using 1) a real image corrupted by Gaussian and speckle noise of 25 and 15 dB, and 2) the ultrasound simulation package Field II. In both cases, a mathematical model was used, which simulated the motion of the arterial wall layers and the surrounding tissue, in the radial and longitudinal directions. The performance of four techniques, namely optical flow (OF (HS)), weighted least-squares optical flow (OF (LK(WLS))), block matching (BM), and affine block motion model (ABMM), was investigated in the context of this framework. The average warping indices were lowest for OF (LK(WLS)) (1.75 pixels), slightly higher for ABMM (2.01 pixels), and highest for BM (6.57 pixels) and OF (HS) (11.57 pixels). Due to its superior performance, OF (LK(WLS)) was used to quantify motion of selected regions of the arterial wall in real ultrasound image sequences of the carotid artery. Preliminary results indicate that OF (LK(WLS)) is promising, because it efficiently quantified radial, longitudinal, and shear strains in healthy adults and diseased subjects.

Land snails usually exhibit cycles of activity and dormancy (aestivation or hibernation). The transition between these two states is accompanied by a range of behavioural and physiological responses to ensure their survival under adverse environmental conditions. Furthermore, aestivation plays an important role in shaping species' distribution patterns. We examined the seasonal patterns in biochemical tissue composition in relation to aspects of behavioural ecology in three land snail populations: one mainland and one insular population of the widespread Helix aspersa and a population (sympatric with the latter) of Helix figulina, a congeneric species with a narrow and declining distribution. Helix figulina aestivates in underground borrows, while H. aspersa spends the summer under stones and may interrupt aestivation when conditions become favourable. Prior to aestivation H. figulina accumulates metabolic fuels, which it consumes later during summer, and at the same time loses substantial body water and increases lactate dehydrogenase (LDH) activity. The insular H. aspersa population follows a similar pattern (regarding metabolites and LDH activity), with the difference that water loss is limited. However, the mainland population of H. aspersa deviates from this model with energy metabolites and water levels showing little variation throughout the year, while LDH activity is reduced. These differences probably reflect the particular behavioural and physiological patterns adopted by each species. The specialist and range-restricted H. figulina shows a constant and more predictable seasonal pattern, which may be effective for surviving in its historical biogeographic range, but it seems to be more vulnerable to possibly changing environmental conditions. On the other hand the generalist and cosmopolitan H. aspersa adopts a more flexible pattern that compensates for the effects of adverse conditions during aestivation and permits a more effective exploitation of energy resources.

Zymomonas mobilis is an ethanologenic bacterium that has been studied for use in biofuel production. Of the sequenced Zymomonas strains, ATCC 29191 has been described as the phenotypic centrotype of Zymomonas mobilis subsp. mobilis, the taxon that harbors the highest ethanol-producing Z. mobilis strains. ATCC 29191 was isolated in Kinshasa, Congo, from palm wine fermentations. This strain is reported to be a robust levan producer, while in recent years it has been employed in studies addressing Z. mobilis respiration. Here we announce the finishing and annotation of the ATCC 29191 genome, which comprises one chromosome and three plasmids.

In this study, we explored the factors related to acceptance of evolutionary theory among students/preservice preschool education teachers using conceptual ecology for biological evolution as a theoretical frame. We aimed to examine the acceptance and understanding of evolutionary theory and also the relationship of acceptance and understanding of the nature of science, thinking dispositions and religiosity as independent variables. We also studied the influence of teaching on the conceptual ecology of evolution acceptance. A class of 320 future teachers was surveyed using two questionnaires. According to our findings, students' understanding of evolutionary theory is positively correlated with a moderate acceptance of evolutionary theory. We found a weak positive correlation between the understanding of the nature of science and acceptance of evolution theory, and a positive correlation between open-minded thinking dispositions and evolution theory acceptance. The strength and the patterns of these correlations are miscellaneous and are examined carefully in this paper. We also found that systematic teaching may have a significant influence on evolution theory acceptance. Our findings stress the differences that exist between societies and how socio-cultural factors such as type of religion influence acceptance of evolution and have a strong influence on evolution education.