Publications by Type: Journal Article

 

This paper focuses on the study of the geomorphological processes and the impact of neotectonic deformation on the geomorphological structure. A vast database was developed, containing different kinds of information, concerning geology, topography, drainage characteristics, vegetation and land use of the Ionian Islands. A geographic information system platform was developed in order to analyse the data, and to model and finally map the prevailing geomorphological processes: the erosion and deposition zones.Erosion risk factors have been processed in order to develop erosion risk maps demonstrating vulnerable to erosion areas. This study also concludes that the Ionian Islands are strongly influenced by the neotectonic processes that have defined their current morphology.

The extracellular slime of Staphylococcus epidermidis contains, amongst various macromolecules, an acidic polysaccharide (PS) of a molecular mass of 20 kDa with significant antigenic and biological properties. The isolation procedure used so far includes multiple fractionations in anion-exchange chromatographic columns before its final purification by gel filtration chromatography. This protocol is laborious, time-consuming and includes the risk of unnecessary loss of PS quantities. Because of the significance of this PS, a modified protocol resulting in an easier and quicker isolation procedure was developed. Furthermore, identification, purity, charge density and molecular integrity of the isolated polysaccharide were evaluated by a reverse-polarity capillary electrophoresis method.

Gastric cancer is the second leading cause of cancer related-death. Most patients present with an advanced stage of disease that has a dismal outcome. Evidently, there is a clear need for the development of new agents with novel mechanisms of action in the treatment of this disease. A number of biological agents modulating different signal transduction pathways are currently in clinical development, such as angiogenesis inhibitors and agents targeting epidermal growth factor receptor, cell cycle, matrix metalloproteinases, cyclooxygenase-2 (COX-2), mammalian target of rapamycin (mTOR) or proteasome. This is the first systematic review of the literature to synthesize all available data coming from trials and evaluate the efficacy and safety of molecular targeted drugs in unresectable and metastatic gastric cancer. As knowledge accumulates on the molecular mechanisms underlying carcinogenesis in the stomach, the anticipated development and assessment of molecularly targeted agents may offer a promising perspective for a disease which, to date, remains incurable. © 2011 Elsevier Ltd.

We highlight some physical and mathematical aspects relevant to the derivation and use of the Higuchi equation. More specifically, the application of the Higuchi equation to different geometries is discussed and Monte Carlo simulations to verify the validity of Higuchi law in one and two dimensions, as well as the derivation of the Higuchi equation under alternative boundary conditions making use of fractional calculus, are presented. (C) 2010 Elsevier B.V. All rights reserved.

The primary aim of the present study was to assess morphological covariation between the face and the basicranium (midline and lateral), and to evaluate patterns of integration at two specific developmental stages. A group of 71 children (6-10 years) was compared with a group of 71 adults (20-35 years). Lateral cephalometric radiographs were digitized and a total of 28 landmarks were placed on three areas; the midline cranial base, the lateral cranial base and the face. Geometric morphometric methods were applied and partial least squares analysis was used to evaluate correlation between the three shape blocks. Morphological integration was tested both with and without removing the effect of allometry. In children, mainly the midline and, to a lesser extent, the lateral cranial base were moderately correlated to the face. In adults, the correlation between the face and the midline cranial base, which ceases development earlier than the lateral base, was reduced. However, the lateral cranial base retained and even strengthened its correlation to the face. This suggests that the duration of common developmental timing is an important factor that influences integration between craniofacial structures. However, despite the apparent switch of primary roles between the cranial bases during development, the patterns of integration remained stable, thereby supporting the role of genetics over function in the establishment and development of craniofacial shape.

Present morphological and tectonic image of Ikaria island is the complex result of both the tem-poral evolution of the island, as part of the geodynamical evolution of the Hellenic Arc, especially that of the last stages (from the upper Miocene and after), and the exogenous factors. Also human impact functions as an additional parameter for the formation of Ikaria geoenvironment.According to field data and their analysis, computing and estimation which took part with the use of modern technologies (use of GIS, analysis of geographical and descriptive databases) the mor-photectonic units of Ikaria Island were defined. The definition of the morphotectonic units was based on their special features and more precisely on the lithological differentiation (granite, metamorphic rocks and post alpine formations) as well as the complex ductile and brittle structures (large scale ductile shear-zones and brittle detachment faults, normal faults, strike-slip transfer faults and join sets) and the morphological features (slope distribution, asymmetry of the drainage system, planation surfaces, morphological discontinuities etc).The synthesis of the special features of each morphotectonic unit in combination with the human impact (fires, overgrazing etc), defines the kind, the intensity and the geographical localization of the natural hazards which occur in various sites of the island, such as landslides, erosion, floods, seismic activity, relief changes, coastline changes etc.

The arrival of the novel agents thalidomide, bortezomib, and lenalidomide has significantly changed our approach to the management of multiple myeloma and, importantly, patient outcomes have improved. These agents have been investigated intensively in different treatment settings, providing us with data to make evidence-based decisions regarding the optimal management of patients. This review is an update to a previous summary of European treatment practices that examines new data that have been published or presented at congresses up to the end of 2010 and assesses their impact on treatment practices. © AlphaMed Press.

We present an extension of the layer-multiple-scattering method to phononic crystals of nonspherical particles in a homogeneous host medium by employing the extended-boundary-condition technique for the description of the individual scatterers. The efficiency of the method is demonstrated on specific examples of two- and three-dimensional periodic assemblies of spheroidal polymer particles in water and in silicon. We report a thorough analysis of the acoustic properties of these composites and emphasize aspects of the underlying physics that relate to the nonspherical shape of the particles.

The purpose of the present study was to assess the relative importance of selected performance indicators in modern top-level handball through the analysis of offensive actions in three consecutive men’s world championships (2005, 2007 and 2009). A total of 288 matches were examined, which included 29,439 throw attempts resulting in 16,240 goals. The results demonstrated the strong relationship between the six-meter and nine-meter offensive actions, as evidenced by their very high negative correlation coefficients in both the throw attempts and goals scored. The significant decrease of the throw attempts and goals scored from the six-meter position, evidenced in the 2007 and 2009 championships, is associated with the collateral significant increase of the nine-meter throws and goals. Interestingly, the nine-meter efficacy remained relatively constant throughout the three competition years, while the six-meter efficacy depicted a significant increase in competition years 2007 and 2009 compared to 2005, as a result of the appearance of highlyqualified top ranking players in the pivot position. The high performance efficiency of these players resulted in adaptive defensive tactics to prevent the ball from reaching this key position. The present findings provide valuable information to handball coaches, in the design of their strategic and tactical plans.

The aim of this study was to identify volleyball performance indicators that best discriminate between winning and losing teams in a set according to set final score differences. The data were collected from teams’ performances (N=350) in all sets played during the 2009 Men’s European Volleyball Championship in Turkey. Clusters analysis established three different groups of sets according to set final score difference: 2 points (ambivalent), 3-5 points (safe), >5 points (unbalanced). A 3x2 MANOVA (type of set x type of result) was then performed on 9 performance indicators reflecting % expressions of four basic skills of the game (serve, pass, attack, block). The analysis revealed significant multivariate differences in type of set, in type of results, and in their interaction. A follow-up Discriminant Analysis showed that effectiveness of attack is the most important performance indicator for all types of sets, far more for the ambivalent ones. The discriminant function correctly classified increasing % of cases with increase in score difference. Especially for ambivalent sets 67.3% were correctly classified, letting some space for further improving the critical performance indicators. The results suggest that training of a men’s volleyball team should emphasize more to improve offensive abilities.

The aim of this study was to identify volleyball performance indicators that best discriminate between winning and losing teams in a set according to set final score differences. The data were collected from teams’ performances (N=350) in all sets played during the 2009 Men’s European Volleyball Championship in Turkey. Clusters analysisestablished three different groups of sets according to set final score difference: 2 points (ambivalent), 3-5 points (safe), >5 points (unbalanced). A 3x2 MANOVA (type of set x type of result) was then performed on 9 performance indicators reflecting % expressions of four basic skills of the game (serve, pass, attack, block). The analysis revealed significant multivariate differences in type of set, in type of results, and in their interaction. A follow-up Discriminant Analysis showed that effectiveness of attack is the most important performance indicator for all types of sets, far more for the ambivalent ones. The discriminant function correctly classified increasing % of cases with increase in score difference. Especially for ambivalent sets 67.3% were correctly classified, letting some space for further improving the critical performance indicators. The results suggest that training of a men’s volleyball teamshould emphasize more to improve offensive abilities.

Repeated-sprint training often involves short sprints separated by inadequate recovery intervals. The effects of interval duration on metabolic and performance parameters are unclear. We compared the effects of two training programmes, differing in rest interval duration, on muscle (vastus lateralis) metabolism and sprint performance. Sixteen men trained three times a week for 8 weeks, each training session comprising 2-3 sets of two 80-m sprints. Sprints were separated by 10 s (n = 8) or 1 min (n = 8). Both training programmes improved performance in the 100-, 200-, and 300-m sprints, but the improvement was greater in the 10-s group during the final 100 m of the 200- and 300-m runs. Independent of interval duration, training mitigated the drop of muscle ATP after two 80-m sprints. The drop in phosphocreatine and the increases in glucose-6-phosphate and fructose-6-phosphate after two 80-m sprints were greater in the 10-s group. In conclusion, training with a limited number of repeated short sprints (≤10 s) may be more effective in improving speed maintenance in 200- and 300-m runs when performed with a 1:1 rather than a 1:6 exercise-to-rest ratio. This may be due to a greater activation of glycolysis caused, in part, by the limited resynthesis of phosphocreatine during the very short rest interval. © 2011 Taylor & Francis.

Repeated-sprint training often involves short sprints separated by inadequate recovery intervals. The effects of interval duration on metabolic and performance parameters are unclear. We compared the effects of two training programmes, differing in rest interval duration, on muscle (vastus lateralis) metabolism and sprint performance. Sixteen men trained three times a week for 8 weeks, each training session comprising 2-3 sets of two 80-m sprints. Sprints were separated by 10 s (n = 8) or 1 min (n = 8). Both training programmes improved performance in the 100-, 200-, and 300-m sprints, but the improvement was greater in the 10-s group during the final 100 m of the 200- and 300-m runs. Independent of interval duration, training mitigated the drop of muscle ATP after two 80-m sprints. The drop in phosphocreatine and the increases in glucose-6-phosphate and fructose-6-phosphate after two 80-m sprints were greater in the 10-s group. In conclusion, training with a limited number of repeated short sprints (≤10 s) may be more effective in improving speed maintenance in 200- and 300-m runs when performed with a 1:1 rather than a 1:6 exercise-to-rest ratio. This may be due to a greater activation of glycolysis caused, in part, by the limited resynthesis of phosphocreatine during the very short rest interval. © 2011 Taylor & Francis.

Repeated-sprint training often involves short sprints separated by inadequate recovery intervals. The effects of interval duration on metabolic and performance parameters are unclear. We compared the effects of two training programmes, differing in rest interval duration, on muscle (vastus lateralis) metabolism and sprint performance. Sixteen men trained three times a week for 8 weeks, each training session comprising 2-3 sets of two 80-m sprints. Sprints were separated by 10 s (n = 8) or 1 min (n = 8). Both training programmes improved performance in the 100-, 200-, and 300-m sprints, but the improvement was greater in the 10-s group during the final 100 m of the 200- and 300-m runs. Independent of interval duration, training mitigated the drop of muscle ATP after two 80-m sprints. The drop in phosphocreatine and the increases in glucose-6-phosphate and fructose-6-phosphate after two 80-m sprints were greater in the 10-s group. In conclusion, training with a limited number of repeated short sprints (≤10 s) may be more effective in improving speed maintenance in 200- and 300-m runs when performed with a 1:1 rather than a 1:6 exercise-to-rest ratio. This may be due to a greater activation of glycolysis caused, in part, by the limited resynthesis of phosphocreatine during the very short rest interval. © 2011 Taylor & Francis.

Earlier, we identified mutations in the first transmembrane segment (TMS1) of UapA, a uric acid-xanthine transporter in Aspergillus nidulans, that affect its turnover and subcellular localization. Here, we use one of these mutations (H86D) and a novel mutation (I74D) as well as genetic suppressors of them, to show that TMS1 is a key domain for proper folding, trafficking and turnover. Kinetic analysis of mutants further revealed that partial misfolding and deficient trafficking of UapA does not affect its affinity for xanthine transport, but reduces that of uric acid and confers a degree of promiscuity towards the binding of other purines. This result strengthens the idea that subtle interactions among domains not directly involved in substrate binding refine the selectivity of UapA. Characterization of second-site suppressors of H86D revealed a genetic interaction of TMS1 with TMS3, the latter segment shown for the first time to be important for UapA function. Systematic mutational analysis of polar and conserved residues in TMS3 showed that Ser154 is crucial for UapA transport activity. Our results are in agreement with a topological model of UapA built on the recently published structure of UraA, a bacterial homolog of UapA.

The optical and structural properties of cadmium and lead sulfide nanocrystals deposited on mesoporous TiO2 substrates via the successive ionic layer adsorption and reaction method were comparatively investigated by reflectance, transmittance, micro-Raman and photoluminescence measurements. Enhanced interfacial electron transfer is evidenced upon direct growth of both CdS and PbS on TiO2 through the marked quenching of their excitonic emission. The optical absorbance of CdS/TiO2 can be tuned over a narrow spectral range. On the other side PbS/TiO2 exhibits a remarkable band gap tunability extending from the visible to the near infrared range, due to the distinct quantum size effects of PbS quantum dots. However, PbS/TiO2 suffers from severe degradation upon air exposure. Degradation effects are much less pronounced for CdS/TiO2 that is appreciably more stable, though it degrades readily upon visible light illumination. © 2011 Kontos et al.

Recent years have witnessed tremendous research in quantum dots as excellent models of quantum physics at the nanoscale and as excellent candidates for various applications based on their optoelectronic properties. This review intends to present theoretical and experimental investigations of the near-field optical properties of these structures, and their multimodal applications such as biosensors, biological labels, optical fibers, switches and sensors, visual displays, photovoltaic devices and related patents.

We report on the optical response and, in particular, on the refractive properties of an fcc crystal of metallic nanoshells by means of full-electrodynamic layer-multiple-scattering simulations. Exact numerical calculations of the isofrequency surfaces reveal the existence of two frequency regions where negative refraction occurs. A thorough analysis of the photonic band structure, in conjunction with corresponding transmission diagrams, attributes this behavior to the excitation of collective modes, which stem from dipole particle-plasmon resonances, and shows that only in one of the two frequency regions negative refraction without birefringence can be obtained. In addition, we discuss the effect of absorptive losses, and reveal the existence of narrow bands of slab modes in a finite slab of the crystal that can transfer the evanescent components of an incident wave field.

The treatment of Waldenström's macroglobulinemia (WM) has changed over the last decades, mainly because of the introduction of nucleoside analogues and of rituximab while novel agents such as bortezomib have been recently introduced. We performed an analysis to investigate whether the outcome of patients with WM has improved over the last years, compared to that of patients who started treatment before new drugs became widely available, especially as part of the frontline treatment. We analyzed 345 symptomatic patients with WM: 130 who initiated treatment before and 215 who started treatment after January 1, 2000. Patients who started treatment in the latter group were older and had more often elevated beta2-microglobulin but the other characteristics were similar between the two groups. Most patients who started treatment before January 1, 2000 were treated upfront with alkylating agent-based regimens and most patients who started treatment after January 1, 2000 received rituximab-based regimens as initial treatment. Objective response (63 and 59%, respectively) and median overall survival, OS, (106.5 months for Group A and is estimated at 94 months for Group B, P = 0.327) were similar. There was also no difference regarding OS or cause specific survival (CSS) in each risk group according to IPSSWM. Our observation may be explained by the indolent course of WM in several patients and by the lack of profound cytoreduction in patients with high-risk disease. Possible differences in the 15- or 20-year survival rate between the two groups may be detected with further follow-up of these patients. © 2011 Wiley-Liss, Inc.

This review attempts to outline the alternative measures and interventions used in bloodless surgery in the field of gynecologic oncology and demonstrate their effectiveness. Nowadays, as increasingly more patients are expressing their fears concerning the potential risks accompanying allogenic transfusion of blood products, putting the theory of bloodless surgery into practice seems to gaining greater acceptance. An increasing number of institutions appear to be successfully adopting approaches that minimize blood usage for all patients treated for gynecologic malignancies. Preoperative, intraoperative and postoperative measures are required, such as optimization of red blood cell mass, adequate preoperative plan and invasive hemostatic procedures, assisting anesthetic techniques, individualization of anemia tolerance, autologous blood donation, normovolemic hemodilution, intraoperative cell salvage and pharmacologic agents for controlling blood loss. An individualised management plan of experienced personnel adopting a multidisciplinary team approach should be available to establish non-blood management strategies, and not only on demand of the patient, in the field of gynecologic oncology with the use of drugs, devices and surgical-medical techniques. © 2011 Simou et al; licensee BioMed Central Ltd.

The interaction between acoustic breathing modes and optical Mie resonances in a spherical particle made of a chalcogenide glass material is investigated by means of rigorous calculations, correct to any order in the acousto-optic coupling parameter. Our results reveal the occurrence of strong effects beyond the linear-response approximation, which lead to enhanced modulation of light by acoustic waves through multiphonon exchange mechanisms when both photons and phonons have a very long lifetime inside the particle.

For decades, parenteral drugs, such as the low molecular weight heparins and unfractionated heparins or vitamin K antagonists, have been used as anticoagulants for prevention of venous thromboembolism following major lower limb surgery. However, these regiments have limitations that rendered the quest for new anticoagulants mandatory. Recently, research has been focused on the development of orally active small molecules that directly target thrombin or activated factor X (FXa). These regiments exhibit a number of characteristics that an "ideal" anticoagulant should possess. Currently, two agents, dabigatran etexilate and rivaroxaban, which inhibit thrombin and FXa, respectively have been approved in the European Union and Canada for venous thromboprophylaxis in patients undergoing elective hip- or knee-replacement surgery. Other agents are at an early or late stage of clinical evaluation. In this study, we summarize the current evidence for these new developed or under development drugs regarding their applications in the filed of lower limb orthopaedic surgery.

Areas covered in this review: In this review, we present the classic approach of bioequivalence assessment, some situations of special importance such as the role of metabolites and highly variable drugs, and the current regulatory state in North America and Europe. Special emphasis is given to the methods proposed for solving the problems caused by high variability such as multiple-dose studies, replicate designs, individual bioequivalence and the widening of bioequivalence limits. Other issues discussed include the concept of biowaivers and the rising field of the equivalence of biologicals (biosimilars). What the reader will gain: The reader will gain an understanding of why bioequivalence assessment is necessary, how it is performed and what one should be aware of when planning to conduct a bioequivalence study. Take home message: The aim of bioequivalence studies is to ensure comparable in vivo performance of two drug products. This is accomplished by performing an appropriate clinical study which should be capable of ensuring the drug's safety and efficacy for consumers with less human exposure and costs of producing.

Dietary fat, both in terms of quantity and quality, has been implicated to cancer development, either positively or negatively. The aim of this work was to evaluate whether olive oil or monounsaturated fat intake was associated with the development of cancer. A systematic search of relevant studies, published in English, between 1990 and March 1, 2011, was performed through a computer-assisted literature tool (i.e., Pubmed). In total 38 studies were initially allocated; of them 19 case-control studies were finally studied (13800 cancer patients and 23340 controls were included). Random effects meta-analysis was applied in order to evaluate the research hypothesis. It was found that compared with the lowest, the highest category of olive oil consumption was associated with lower odds of having any type of cancer (log odds ratio = -0.41, 95%CI -0.53, -0.29, Cohran's Q = 47.52, p = 0.0002, I-sq = 62%); the latter was irrespective of the country of origin (Mediterranean or non-Mediterranean). Moreover, olive oil consumption was associated with lower odds of developing breast cancer (logOR = -0,45 95%CI -0.78 to -0.12), and a cancer of the digestive system (logOR = -0,36 95%CI -0.50 to -0.21), compared with the lowest intake. The strength and consistency of the findings states a hypothesis about the protective role of olive oil intake on cancer risk. However, it is still unclear whether olive oil's monounsaturated fatty acid content or its antioxidant components are responsible for its beneficial effects. © 2011 Psaltopoulou et al; licensee BioMed Central Ltd.

We propose to analyze ellipsometry data by using effective medium approximation (EMA) models. Thanks to EMA, having nanocrystalline reference dielectric functions and generalized critical point (GCP) model the physical parameters of two series of samples containing silicon nanocrystals, i.e. silicon rich oxide (SRO) superlattices and porous silicon layers (PSL), have been determined. The superlattices, consisting of ten SRO/SiO2 layer pairs, have been prepared using plasma enhanced chemical vapor deposition. The porous silicon layers have been prepared using short monopulses of anodization current in the transition regime between porous silicon formation and electropolishing, in a mixture of hydrofluoric acid and ethanol. The optical modeling of both structures is similar. The effective dielectric function of the layer is calculated by EMA using nanocrystalline components (nc-Si and GCP) in a dielectric matrix (SRO) or voids (PSL). We discuss the two major problems occurring when modeling such structures: (1) the modeling of the vertically non-uniform layer structures (including the interface properties like nanoroughness at the layer boundaries) and (2) the parameterization of the dielectric function of nanocrystals. We used several techniques to reduce the large number of fit parameters of the GCP models. The obtained results are in good agreement with those obtained by X-ray diffraction and electron microscopy. We investigated the correlation of the broadening parameter and characteristic EMA components with the nanocrystal size and the sample preparation conditions, such as the annealing temperatures of the SRO superlattices and the anodization current density of the porous silicon samples. We found that the broadening parameter is a sensitive measure of the nanocrystallinity of the samples, even in cases, where the nanocrystals are too small to be visible for X-ray scattering. Major processes like sintering, phase separation, and intermixing have been revealed as a function of annealing of the SRO superlattices. © 2010 Elsevier B.V. All rights reserved.

An expert panel convened to reach a consensus regarding the optimal use of lenalidomide in combination with dexamethasone (Len/Dex) in patients with relapsed or refractory multiple myeloma (RRMM). On the basis of the available evidence, the panel agreed that Len/Dex is a valid and effective treatment option for most patients with RRMM. As with other therapies, using Len/Dex at first relapse is more effective regarding response rate and durability than using it after multiple salvage therapies. Len/Dex may be beneficial regardless of patient age, disease stage and renal function, although the starting dose of lenalidomide should be adjusted for renal impairment and cytopenias. Long-term treatment until there is evidence of disease progression may be recommended at the best-tolerated doses of both lenalidomide and dexamethasone. Recommendations regarding the prevention and management of adverse events, particularly venous thromboembolism and myelosuppression, were provided on the basis of the available evidence and practical experience of panel members. Ongoing trials will provide more insight into the effects of continuous lenalidomide-based therapy in myeloma. © 2011 Macmillan Publishers Limited All rights reserved.

Chios mastic gum, the resin obtained as an exudate from the trunk and branches of Pistacia lentiscus L var. chia, is used extensively as a constituent of herbal drugs or functional foods. The oral absorption of its major constituents still remains unclear. In the context of identifying the features of mastic gum that are responsible for either therapeutic effects or effects of nutritional value, a methodology based on high-performance liquid chromatography (HPLC) coupled to tandem mass spectrometry (MS/MS) was developed and applied for the quantification of mastic gum triterpenic acids, 24Z-isomasticadienonic acid (IMNA), and 24Z-isomasticadienolic acid (IMLA) in mouse plasma. The specific compounds were selected based on their biological activity and potential against Helicobacter pylori. Concentrations were determined simultaneously in mouse plasma after oral administration of mastic gum or total mastic extract without polymer (TMEWP) in order to evaluate the role of the natural polymer, poly - myrcene, in the absorption process. Following TMEWP administration in mice, circulating IMNA and IMLA plasma levels were significantly higher (approximately 10-fold) in comparison to IMNA and IMLA plasma levels following total mastic gum administration (CMG), suggesting that the polymer plays a critical role in the absorption process. More specifically following TMEWP administration, Cmax plasma values were 3300±859ng/mL for IMNA and 163±58ng/mL for IMLA. In comparison, following CMG administration, Cmax plasma values were 329±57ng/mL for IMNA and 28±8ng/mL for IMLA. The methodological approaches presented in this study, along with the findings, offer valuable information on the availability of bioactive components following ingestion of mastic and facilitate the uses of mastic either as an ingredient of functional foods or as a herbal drug. © Georg Thieme Verlag KG Stuttgart - New York.

In Greece, there is no officially organized training in clinical chemistry for scientists. The Greek Society of Clinical Chemistry-Clinical Biochemistry decided to organize an intensive educational program of 18 seminars on clinical chemistry content as it is described in the EC4 Syllabus. The duration of each seminar was about 6 hours and consisted of 6 to 9 lectures. At the end of each seminar there was a voluntary written examination, comprised of 24 multiple choice questions. Successful completion of the Educational program was leading to a Certificate of Competence. Two cycles of the 18 seminars were performed: 1st cycle from October 2003 to December 2005 and 2nd cycle from March 2005 to October 2007. One hundred eighty nine colleagues was the mean attendance per seminar for the seminars of the 1st cycle and 38 colleagues for the seminars of the 2nd cycle. The mean participation to the examination for each seminar was almost 80% for the 1st cycle and 68% for the 2nd cycle. More than 80% of the participants performed Good or Very good in the examination in both cycles. It is estimated that more than 40% of the scientists who practice Clinical Chemistry in Greece, participated to this educational activity. This program is now provided as an e-learning application, and it is open for all scientists who want to follow the discipline of clinical chemistry.

BACKGROUND: Urothelial carcinoma of the upper urinary tract (UUT-UC) was a rare, aggressive urologic cancer with a propensity for multifocality, local recurrence, and metastasis. High-risk patients had poor outcomes. Because of the rarity of these tumors, randomized clinical trials and data regarding adjuvant chemotherapy in locally advanced tumors are currently unavailable. Our objective was to assess the effect of adjuvant chemotherapy and the impact of potential prognostic factors on survival in high-risk, postsurgical UUT-UC patients. METHODS: Using a multi-institutional, international retrospective database, identified were 627 patients with high risk UUT-UCs (pT3N0, pT4N0 and/or N+ and/or M+) who underwent surgical removal. Only patients who received adjuvant chemotherapy were included. RESULTS: Overall, 140 patients (22.6%) with a median age of 67 years were included. The median follow-up was 22.5 months. The 5-year, overall survival for the entire cohort was 43%, the 5-year recurrence-free survival was 54%, and metastasis-free survival was 53% at 5 years. Positive surgical margins were an independent prognostic factor for recurrence (P =.06), cancer-specific mortality (P =.05), and overall mortality (P =.02) of any cause. Adjuvant chemotherapy was not linked with overall or cancer-specific survival in patients with high risk disease (adjuvant chemotherapy [n = 140] vs no treatment [n = 487]) (P >.5). CONCLUSIONS: Adjuvant postoperative chemotherapy did not offer any significant benefit to overall survival in our population. Additional data were necessary, and studies enrolling patients at high risk in clinical trials investigating neoadjuvant chemotherapy in conjunction with chemotherapy should have been highly encouraged. Copyright © 2011 American Cancer Society.

Multiple myeloma, a plasma cell neoplasm, is the second most common hematologic malignancy after non-Hodgkins lymphoma and is responsible for 2% of cancer deaths. Melphalan and prednisone (MP) has been the standard treatment in elderly patients for many decades. The VISTA study evaluated the effect of this combination with or without the first-in-class proteasome inhibitor bortezomib in newly diagnosed myeloma patients who were not candidates for autologous stem cell transplantation. Altogether 682 patients were enrolled and prospectively randomized in this trial. All patients received nine 6-week cycles of oral melphalan (9 mg/m 2) and prednisone (60 mg/m 2) on days 1-4, either alone or with bortezomib administered intravenously (1.3 mg/m 2 on days 1, 4, 8, 11, 22, 25, 29 and 32 during the first four cycles and on days 1, 8, 22, 29 during remaining course of therapy). Median time to progression (the primary end point of the trial) was 24 months in the bortezomib-containing group compared with 16.6 months in the control group (p < 0.001). Response was evaluated in 337 patients receiving bortezomib compared with 331 patients in the control group who received MP alone; the percentages of partial response or better was 71 vs 35% (p < 0.001), with complete response seen in 30 vs 4%, respectively (p < 0.001). Median response duration in both groups was 19.9 versus 13.1 months, respectively. Median overall survival has not been reached in VMP group compared with 43 months in the MP group (p < 0.001), and this benefit is maintained after long term follow-up and subsequent antimyeloma therapies. Hematological adverse events (AEs) were similar in both groups, although patients in the bortezomib group experienced more frequent peripheral sensory neuropathy (including 13% grade 3, with less than 1% grade 4). Overall, the occurrence of grade 3 AEs was higher in patients receiving bortezomib (53 vs 44%, p = 0.02), but the risk of grade 4 AEs was identical (28 vs 27%). These results confirm the superiority of MP plus bortezomib combination over MP therapy in treatment-naive patients with newly diagnosed multiple myeloma who are ineligible for autologous stem cell transplantation. © 2011 Future Medicine Ltd.

Background: Randomized studies have shown that bevacizumab combined with taxane-based regimens increases response rates and prolongs progression-free survival (PFS) of patients with metastatic breast cancer (MBC). However predictive or prognostic biological markers that identify the appropriate target population, thus improving the cost-effectiveness ratio of this treatment, are still needed. Patients and Methods: Retrospectively, 124 patients with MBC treated either with paclitaxel 90 mg/m2 weekly x12 plus bevacizumab 10 μg/kg every 2 weeks or 15 μg/kg every 3 weeks (85 patients) or paclitaxel 175 mg/m2 plus bevacizumab 15 μg/kg every 3 weeks for 6 cycles (36 patients) were identified. Additionally, the prognostic significance of a panel of key biological markers was evaluated centrally by immunohistochemistry (IHC) in 88 evaluable patients. Results: More than two thirds of the patients completed chemotherapy, as planned. The response rate was almost identical (55.3% vs. 55.6%) in the patients treated with weekly or 3-weekly paclitaxel, respectively. After a median follow-up time of 23 months, the median PFS of the study population was 13 months, while median survival had not yet been reached. Common severe adverse events were neutropenia (33%), neuropathy (18.6%) and metabolic disturbances (17.6%). The incidence of hypertension of all grades was 28.1%. High expression of vascular endothelial growth factor (VEGF) receptor 3 (VEGFR3) was associated with clinical response, while high expression of VEGFR1 was associated with poor survival. Conclusion: The safety and activity of the combination of bevacizumab with paclitaxel given either weekly or 3-weekly in patients with MBC is confirmed.

Background: Paclitaxel (Taxol) and vinorelbine have shown synergism of cytotoxic effects in vitro and clinical activity in phase I and II studies. This combination was compared prospectively with the paclitaxel/gemcitabine regimen in non-operable non-small-cell lung cancer. Patients and methods: Chemotherapy-naive patients, stage IIIbwet and IV with performance status (0-1), were randomized to receive paclitaxel 200 mg/m2 on day 1 plus gemcitabine 1 gm/m2 (group A) on days 1 and 8 every 3 weeks or paclitaxel 80 mg/m2 plus vinorelbine 22.5 mg/m2 (group B) on days 1, 8 and 15 every 4 weeks. Results: A total of 398 out of 415 patients were eligible for analysis on intent-to-treat basis (group A: 196, group B: 202). Progression-free survival (PFS) was 5.0 months [95% confidence interval (CI) 4.3-5.6] and 4.4 months (95% CI 3.7-5.2) for groups A and B respectively (P = 0.365). Median survival was 11.1 months (95% CI 9.2-13.0) and 8.6 months (95% CI 7.0-10.2) for groups A and B respectively (P = 0.147). Grade 3/4 neutropenia and leukopenia were worse in group B (P < 0.001, in both cases). Febrile neutropenia and severe infections were more prominent (P < 0.001, P = 0.029 respectively) in group B. Conclusion: Although response rate, PFS and survival were non-different in both groups, toxicity was significantly worse in group B and therefore further investigation of P-Vin is of no value. © The Author 2010. Published by Oxford University Press on behalf of the European Society for Medical Oncology. All rights reserved.

Dispilio is a lakeside settlement by the Orestias Lake, Kastoria, northern Greece. The site was inhabited from the Middle Neolithic to the Chalcolithic, with some surface evidence of Bronze Age occupation. Microfacies analysis of the sediments, supported by a suite of environmental indices, has provided detailed paleoenvironmental data and elucidated the main processes involved in the formation of the site and its history of occupation. The settlement was established on the lakeshore, on a shallow sand ridge and a shore marsh. Initially, houses were built on raised platforms above the water. After a major conflagration, a range of depositional microenvironments were established that caused local changes in the sedimentation rate. Therefore, some areas quickly emerged and became dry land, while some others continued to be flooded as part of the transitional supra-littoral environment. On the dry land, houses were built directly on the ground, whereas in the transitional areas houses continued to be built on raised platforms. Thus, gradually, a mound was formed and further shaped by subsequent lake-level fluctuations. One of the lake-level rises is tentatively related to the abandonment of the mound in the Chalcolithic and the development of a hardpan on its surface. There is also evidence of later occupation during the Bronze Age in the form of a few, mostly surface, archaeological remains.

Background. Esophagogastroduodenoscopy (EGD) and colonoscopy (CS) can evoke anxiety, embarrassment, and discomfort. These concerns can culminate in panic attacks, which may traumatize patients and significantly decrease their compliance to the procedure. The objective of this study was to evaluate the relationship between preendoscopic anxiety and the possibility of a panic attack during an elective gastrointestinal endoscopy (EGE). Methods. The study population comprised of 79 Greek outpatients. The examination was carried out without the use of conscious sedation. Patients' anxiety levels were assessed before the procedure using the Greek version of the Spielberger State-Trait Anxiety Inventory (STAI-Y). Results. Seventy-nine patients were enrolled: 45 EGD and 34 CS. Females had higher state and trait anxiety levels than males (48.14 ± 7.94 versus 44.17 ± 7.43, P < 0.05; and 43.68 ± 6.95 versus 39.86 ± 7.46, P < 0.05). Patients who experienced panic attack had significantly higher levels of both trait and state anxiety, compared to those who were panic-free. There was no significant relationship between panic attacks and sex or type of procedure. Conclusions. Patients who experience panic attacks during endoscopic procedures appear to have significantly higher anxiety levels before the procedure. Administering the STAI questionnaire prior to the endoscopy seems to be a useful screening method for vulnerable patients.

{Cow's milk is one of the most common causes of food allergy. In two-thirds of patients, adverse symptoms following milk ingestion are caused by IgE-mediated allergic reactions, whereas for one-third, the mechanisms are unknown. Aim of this study was to investigate whether patients suffering from non-IgE-mediated cow's milk protein intolerance can be distinguished from persons without cow's milk protein intolerance based on serological measurement of IgG and IgA specific for purified cow's milk antigens.|We determined IgG(1-4) subclass and IgA antibody levels to purified recombinant αS1-casein, αS2-casein, β-casein, κ-casein, α-lactalbumin, and β-lactoglobulin in four patient groups by ELISA: Patients with IgE-mediated cow's milk allergy (CMA

INTRODUCTION: Correlations between cephalometric measurements are frequently assumed to represent biologic associations. However, a significant portion of such correlations might arise from purely geometric dependencies, when measurements share common landmarks. Analytic calculation of this topographic component is difficult. The purpose of this study was to propose a permutation method for evaluating the topographic component of cephalometric correlations. METHODS: The method consisted of creating a virtual sample of cephalometric tracings (landmark configurations) from the original biologic sample under investigation. Each novel landmark configuration was constructed by assigning coordinates to the cephalometric points; the coordinates of each point were taken randomly from the original sample, each from a potentially different subject. Correlation analysis was performed separately on both samples and the results compared. Biologic meaning was ascribed only when there was a significant difference in correlation values between the samples. Confidence intervals for assessing statistical significance were calculated by using a randomization approach. The method was tested on a sample of 170 radiographs to evaluate the correlation between cranial base angle (NSBa) and angles SNA and SNB, as well as between ANB angle and the Wits appraisal. RESULTS: No biologic association was found between ANB and Wits, or between NSBa and SNA. The biologic correlation between NSBa and SNB was statistically significant but low (r(2) = 12%). CONCLUSIONS: Topographic associations between cephalometric measurements are ubiquitous and difficult to assess. The proposed method enables evaluation of their relative strength without the need for analytic solutions.

Most patients with newly diagnosed multiple myeloma (MM) are aged > 65 years with 30% aged > 75 years. Many elderly patients are also vulnerable because of comorbidities that complicate the management of MM. The prevalence of MM is expected to rise over time because of an aging population. Most elderly patients with MM are ineligible for autologous transplantation, and the standard treatment has, until recently, been melphalan plus prednisone. The introduction of novel agents, such as thalidomide, bortezomib, and lenalidomide, has improved outcomes; however, elderly patients withMM are more susceptible to side effects and are often unable to tolerate full drug doses. For these patients, lower-dose-intensity regimens improve the safety profile and thus optimize treatment outcome. Further research into the best treatment strategies for vulnerable elderly patients is urgently needed. Appropriate screening for vulnerability and an assessment of cardiac, pulmonary, renal, hepatic, and neurologic functions, as well as age > 75 years, at the start of therapy allows treatment strategies to be individualized and drug doses to be tailored to improve tolerability and optimize efficacy. Similarly, occurrence of serious nonhematologic adverse events during treatment should be carefully taken into account to adjust doses and optimize outcomes. © 2011 by The American Society of Hematology.

New CCD light curves of the recently detected eclipsing variable GSC 4589-2999 were obtained and analysed using the Wilson-Deninney code. Spectroscopic observations of the system allowed the spectral classification of the components and the determination of their radial velocities. The physical properties and absolute parameters of the components and an updated ephemeris of the system are given.

We present a detailed analysis of the optical modes and light propagation in photonic crystals consisting of chiral spheres in a nonchiral isotropic medium, calculated by the full electrodynamic layer-multiple-scattering method. It is shown that resonant modes of the individual spheres give rise to narrow bands that hybridize with the extended bands of the appropriate symmetry associated with light propagation in an underlying effective chiral medium. The resulting photonic dispersion diagrams exhibit remarkable features, peculiar to a system that possesses time-reversal but not space-inversion symmetry, which are analyzed in terms of group theory. In particular, we reveal the occurrence of strong band bending away from the Bragg points with consequent negative-slope dispersion inside the first Brillouin zone, slow-photon bands, and frequency gaps. The calculated band structure is discussed in conjunction with relevant reflection diagrams, providing a consistent interpretation of the underlying physics.

We report on the occurrence and properties of photonic surface states in fcc crystals of metallic nanoshells, by means of full-electrodynamic calculations using the layer-multiple-scattering method, properly extended. Detailed dispersion diagrams of the surface states associated with the (001)  and (111)  surfaces are calculated for such semi-infinite crystals and corresponding finite slabs, and convergence by increasing the slab thickness is discussed. It is shown that these states can be tuned over a broad frequency range by varying the shell thickness and can be characterized, along high-symmetry directions, according to their symmetry. Absorption in the metallic material limits the propagation length which can, however, be as long as several tens of lattice constants for low-loss metals and relatively broad bands.

Periodic media offer impressive opportunities to manipulate the transport of classical waves namely light or sound. Elastic waves can scatter light through the so-called acousto-optic interaction which is widely used to control light in telecommunication systems and, additionally, the radiation pressure of light can generate elastic waves. Concurrent control of both light and sound through simultaneous photonic-phononic, often called phoxonic, bandgap structures is intended to advance both our understanding as well as our ability to manipulate light with sound and vise versa. In particular co-localization of light and sound in phoxonic cavities could trigger nonlinear absorption and emission processes and lead to enhanced acousto-optic effects. In the present communication, we present our efforts towards the design of different phoxonic crystal architectures such as three-dimensional metallodielectric structures, two-dimensional patterned silicon slabs and simple one-dimensional multilayers, and provide optimum parameters for operation at telecom light and GHz sound. These structures can be used to design phoxonic cavities and study the acousto-optic interaction of localized light and sound, or phoxonic waveguides for tailored slow light-slow sound transport. We also discuss the acousto-optic interaction in onedimensional multilayer structures and study the enhanced modulation of light by acoustic waves in a phoxonic cavity, where a consistent interpretation of the physics of the interaction can be deduced from the time evolution of the scattered optical field, under the influence of an acoustic wave.

OBJECTIVES: To examine the association between physical activity (PA) and Alzheimer disease (AD) course. BACKGROUND: PA has been related to lower risk for AD. Whether PA is associated with subsequent AD course has not been investigated. METHODS: In a population-based study of individuals aged 65 years and older in New York who were prospectively followed up with standard neurologic and neuropsychological evaluations (every ~1.5 years), 357 participants i) were nondemented at baseline and ii) were diagnosed with AD during follow-up (incident AD). PA (sum of participation in a variety of physical activities, weighted by the type of activity [light, moderate, and severe]) obtained 2.4 (standard deviation [SD], 1.9) years before incidence was the main predictor of mortality in Cox models and of cognitive decline in generalized estimating equation models that were adjusted for age, gender, ethnicity, education, comorbidities, and duration between PA evaluation and dementia onset. RESULTS: One hundred fifty incident AD cases (54%) died during the course of 5.2 (SD, 4.4) years of follow-up. When compared with incident AD cases who were physically inactive, those with some PA had lower mortality risk, whereas incident AD participants with much PA had an even lower risk. Additional adjustments for apolipoprotein genotype, smoking, comorbidity index, and cognitive performance did not change the associations. PA did not affect rates of cognitive or functional decline. CONCLUSION: Exercise may affect not only risk for AD but also subsequent disease duration: more PA is associated with prolonged survival in AD.

In recent years, significant changes in precipitation regimes have been observed and these manifest in socio economic and ecological problems especially in regions with increased vulnerability such as the Mediterranean region. For this reason, it is necessary to estimate the future projected precipitation on short and long-term basis by analyzing long time series of observed station data. In this study, an effort was made in order to forecast the monthly maximum, minimum, mean and cumulative precipitation totals within a period of the next four consecutive months, using Artificial Neural Networks (ANNs). The precipitation datasets concern monthly totals recorded at four meteorological stations (Alexandroupolis, Thessaloniki, Athens, and Patras), in Greece. For the evaluation of the results and the ability of the developed prognostic models, appropriate statistical indexes such as the coefficient of determination (R2), the index of agreement (IA) and the root mean square error (RMSE) were used. The findings from this analysis showed that the ANN's methodology provides satisfactory precipitation totals in four consecutive months and these results are better results, than those obtained using classical statistical methods. A fairly good consistency between the observed and the predicted precipitation totals at a statistical significance level of p < 0.01 for the most of the examined cases has been revealed. More specifically, the Index of Agreement (IA) ranges between 0.523 and 0.867 and the coefficient of determination (R2) ranges between 0.141 and 0.603. The most accurate forecasts concern the mean monthly and the cumulative precipitation for the next four consecutive months. © 2011 Springer Science+Business Media B.V.

OBJECTIVE: Insomnia is frequently underrecognized in medical wards; therefore, we assessed the prevalence and explored medical and psychological variables associated with insomnia. METHOD: The Athens Insomnia Scale and the Hospital Anxiety and Depression Scale (HADS) were completed in 235 inpatients along with demographic data, admission diagnosis, lifetime psychiatric diagnosis and prescribed psychotropics. RESULTS: The overall insomnia prevalence was 37%. Logistic regression showed that HADS anxiety and depression cases and patients with infections were more likely to have insomnia (OR 24.2, 6.1 and 5.4, respectively). CONCLUSIONS: Patients with depressive and mainly anxiety symptoms are more likely to experience insomnia in medical wards. Patients with infections are also likely to have insomnia, independently of depressive and anxiety symptoms, and appropriate interventions should be applied.

The main objective of the present study is to perform a trend analysis and investigate the possible changes in the frequency and wind intensity of the Etesians during June to September of the years 1979 to 2009. The analysis is based mainly on the use of Reanalysis-1 data from the National Centers for Environmental Prediction/National Center for Atmospheric Research. The results are indicative of negative trends in the frequency and wind speed (WS) of the Etesians. During the 31-year period studied, the total number of Etesian days from June to September decreased by about 4.6 days, while the monthly maximum intensity of the daily WS was reduced by almost 1 m s-1. The above indications are strengthened by similar results derived from the trend analysis of observational wind data in the central Aegean for the years 1955 to 2002. The negative trend in the frequency of the Etesian days could be explained by a decreasing trend in the pressure gradient between the central and southern Europe high-pressure center and the Middle East low-pressure center, which cause the Etesians system. In the study, a possible association between the Southern Oscillation and the Etesian winds is also revealed. The negative trend in the frequency and WS of the Etesian winds could imply a reduced cooling mechanism in the eastern Mediterranean in the summer period due to climate change. © 2011 Springer-Verlag.

The management of patients with AL requires meticulous risk assessment in order to plan treatment strategy and reduce the risk of treatment related complications. The most important prognostic feature and poor risk factor is amyloidotic involvement of the heart. Traditional techniques, such as ultrasonography provide significant information on the severity of cardiac amyloidosis, however cardiac biomarkers (cardiac Troponins and NTproBNP) are simpler to perform, are available in almost every lab or as a bedside test, are noninvasive, have reasonable cost, and are powerful predictors of outcome and assess the risk of treatment related complications (especially early death) in patients considered for autologous transplantation. Refinement of cardiac biomarker-based prognostic system with additional markers may help identify subgroups of patients at special risk. Additional markers could also help assess the risk of renal or liver damage or autonomic dysfunction and could help improve management. There are no formal guidelines for the management of AL patients based on risk stratification systems; however, recommendations have been published and current evidence supports the use of cardiac biomarkers as a helpful guide to treatment strategy.© 2011 Informa UK, Ltd.

Objective: Early-stage epithelial ovarian cancer represents a prognostically heterogenous group. We studied prognostic factors in patients treated with adjuvant paclitaxel/carboplatin chemotherapy. Methods: Data was extracted from 147 patients with FIGO stage IA/IB, grade 2/3 or stage IC/IIA (any grade) who underwent primary surgery followed by paclitaxel/carboplatin chemotherapy. Results: Median follow-up was 88 months. Ten-year relapse-free (RFS) and disease-specific survival (DSS) were: 81% (95% confidence interval [CI]: 73-89) and 81% (95% CI: 73-89). On multivariate analysis, non serous histology was associated with reduced risk for RFS (0.294, 95% CI: 0.112-0.577, p = 0.001) and DSS (0.194, 95% CI: 0.075-0.504, p = 0.001), while high-risk category (stage IC/IIA and grade 2/3) with increased risk for RFS (3.989, 95% CI: 1.189-13.389, p = 0.009) and DSS (3.989, 95% CI: 1.064-16.386, p = 0.038). The combination of histology and grade identified 3 groups with distinctly different 10-year RFS and DSS rates (p < 0.001): grade 1 (100% and 100%), non-serous grade 2/3 (83% and 86%) and serous grade 2/3 (60% and 60%). Conclusions: Serous histology is an adverse prognostic factor in early-stage ovarian cancer treated with adjuvant paclitaxel/carboplatin. Risk stratification according to histology and grade is a useful discriminator of prognosis and can be used in the design of future studies. © 2011 Elsevier Inc. All rights reserved.

Waldenström's macroglobulinemia is characterized by a protracted course in most patients and the median survival may be long. However, a subset of patients may present with more aggressive disease that is associated with short survival. In order to better characterize these "poor-risk" patients, we identified patients who died within 2 years from the initiation of front-line treatment. These patients were older and had more often features of aggressive disease, such as elevated LDH and low serum albumin than the standard-risk population. Furthermore, only a minority of poor-risk patient had a response to initial therapy. However, conventional clinical factors or even the lack on response could not adequately identify poor-risk patients, indicating the need for novel molecular or other markers that would be able to effectively recognize patients at greatest need for aggressive therapies. © 2011 Elsevier Inc. All rights reserved.

There is a wide variety in the appearance of normal female external genitalia. Nevertheless a specific prototype is promoted by the media, leading to a false sense that all other appearances are abnormal. As adolescents become sexually aware at an earlier age, most of them are worried about the appearance of their genitalia, especially when labia minora protrude beyond labia majora. This is a prospective audit of adolescents presenting for assessment of their perceived abnormal genitalia. Sixteen girls aged 10.2 to 17.8 years presented between June 2009 and December 2010 to a specialist adolescent gynecology service. Their mean labial width was 36 mm (range: 2055 mm). In six girls, the reason for attending the service was inequality of the size of labia ranging between 6 mm and 35 mm (mean of 20 mm). Among the remaining 10 girls, the concern had arisen through comparison with a prepubescent sibling (one case), change of genitalia during puberty (four cases), looking at internet pictures (four cases), and looking at an anatomy book (one case). Risks of Female Genital Cosmetic Surgery (FGCS) have not been adequately documented, especially with regards to sexual function and long-term patient satisfaction. External genitalia are likely to change during puberty and therefore, any genital operation in the absence of clear pathology should be deferred until adulthood. Even then, women should have clear expectations of what will be achieved with the operation in terms of appearance and function. © 2011 Informa UK, Ltd.

Between 2004 and 2009, 60 patients with proximal tibial fractures were included in this prospective study. All fractures were treated with the polyaxial locked-plate fixation system (DePuy, Warsaw, IN, USA). Clinical and radiographic data, including fracture pattern, changes in alignment, local and systemic complications, hardware failure and fracture union were analysed. The mean follow-up was 14 (12-36) months. According to the Orthopaedic Trauma Association (OTA) classification, there were five 41-A, 28 41-B and 27 41-C fractures. Fractures were treated percutaneously in 30% of cases. Double-plating was used in 11 cases. All but three fractures progressed to union at a mean of 3.2 (2.5-5) months. There was no evidence of varus collapse as a result of polyaxial screw failure. No plate fractured, and no screw cut out was noted. There was one case of lateral joint collapse (>10°) in a patient with open bicondylar plateau fracture. The mean Knee Society Score at the time of final follow-up was 91 points, and the mean functional score was 89 points. The polyaxial locking-plate system provided stable fixation of extra-articular and intra-articular proximal tibial fractures and good functional outcomes with a low complication rate.

In a previous paper ([1]), we associated a holonomy groupoid and a C*-algebra to any singular foliation (M,ℱ). Using these, we construct the associated pseudodifferential calculus. This calculus gives meaning to a Laplace operator of any singular foliation ℱ on a compact manifold M, and we show that it can be naturally understood as a positive, unbounded, self-adjoint operator on L2(M).

The aim of the present study was to examine the psychometric properties of the Test of Performance Strategies-Competition scale (TOPS-CS; Thomas et al., 1999) in Greek athletic population. The TOPS-CS was designed to assess eight psychological strategies used by athletes in competition (activation, automaticity, emotional control, goal-setting, imagery, negative thinking, relaxation and self-talk). In order to evaluate the psychometric properties of the inventory, two different research studies were conducted in two different age groups (n1=382 athletes, aged 16 to 20 years and n2=343 athletes, aged 12 to 15 years). Furthermore, 263 athletes, (aged 16 to 20 years) completed the TOPS-CS, purposing to perform confirmatory factor analysis. The results of the first study supported the initial factorial structure of the TOPS-CS for athletes aged 16-20 years. Reliability analysis also provided adequate evidence for the internal consistency and stability of the scale for Greek athletes of this age. However, for athletes aged 12 to 15 years, the validity and reliability of the inventory were questionable and further research is required. © Editorial Committee of Journal of Human Kinetics.

Human kallikrein-related peptidase 14 gene (KLK14) is regulated by androgens and progestins. This gene is expressed in the central nervous system and endocrine tissues such as the breast, prostate and ovary. The differential KLK14 mRNA expression levels are related to several human neoplasias, among them breast cancer. The aim of this study was to analyse the KLK14 expression in breast tissues and to investigate its differential diagnostic and prognostic value in the mammary carcinomas. For this purpose, we isolated total RNA from 70 malignant and 33 benign specimens. After testing RNA quality, we synthesised cDNA by reverse transcription and applied a highly sensitive quantitative real-time PCR (qRT-PCR) method for KLK14 mRNA quantification using the SYBR Green(R) chemistry. HPRT1 was used as a reference gene and the BT20 breast cancer cell line as a calibrator. Relative quantification analysis was performed using the comparative CT method 2-DeltaDeltaCT. KLK14 expression was detected in both types of breast tumours. However, a statistically significant increase of the KLK14 mRNA level was observed in the malignant, compared to the benign tumour samples (p<0.001), highlighting its value in discriminating these breast lesions. Elevated KLK14 expression profiles were associated with higher tumour grade (p=0.043) and size (p=0.007) in cancerous samples. Furthermore, KLK14 mRNA expression showed negative correlation in a statistically significant manner with estrogen receptor status (p=0.024). In accordance with logistic regression models (p=0.012) and receiver-operating-characteristics analysis (p<0.001), KLK14 gene expression could be evaluated as a putative independent diagnostic biomarker in breast tumour biopsies.

Background: Colon cancer is a public health problem worldwide. Adjuvant chemotherapy after surgical resection for stage III colon cancer has been shown to improve both progression-free and overall survival, and is currently recommended as standard therapy. However, its value for patients with stage II disease remains controversial. When this study was designed 5-fluorouracil (5FU) plus leucovorin (LV) was standard adjuvant treatment for colon cancer. Irinotecan (CPT-11) is a topoisomerase I inhibitor with activity in metastatic disease. In this multicenter adjuvant phase III trial, we evaluated the addition of irinotecan to weekly 5FU plus LV in patients with stage II or III colon cancer.Methods: The study included 873 eligible patients. The treatment consisted of weekly administration of irinotecan 80 mg/m2intravenously (IV), LV 200 mg/m2and 5FU 450 mg/m2bolus (Arm A) versus LV 200 mg/m2and 5FU 500 mg/m2IV bolus (Arm B). In Arm A, treatments were administered weekly for four consecutive weeks, followed by a two-week rest, for a total of six cycles, while in Arm B treatments were administered weekly for six consecutive weeks, followed by a two-week rest, for a total of four cycles. The primary end-point was disease-free survival (DFS) at three years.Results: The probability of overall survival (OS) at three years was 0.88 for patients in Arm A and 0.86 for those in Arm B, while the five-year OS probability was 0.78 and 0.76 for patients in Arm A and Arm B, respectively (P = 0.436). Furthermore, the probability of DFS at three years was 0.78 and 0.76 for patients in Arm A and Arm B, respectively (P = 0.334). With the exception of leucopenia and neutropenia, which were higher in patients in Arm A, there were no significant differences in Grades 3 and 4 toxicities between the two regimens. The most frequently recorded Grade 3/4 toxicity was diarrhea in both treatment arms.Conclusions: Irinotecan added to weekly bolus 5FU plus LV did not result in improvement in disease-free or overall survival in stage II or III colon cancer, but did increase toxicity.Trial registration: Australian New Zealand Clinical Trials Registry: ACTRN12610000148077. © 2011 Papadimitriou et al; licensee BioMed Central Ltd.

Background in Ancient Greek Music Theory and Philosophy. The foundation of musicology as agenuine discipline with a clear-cut subject matter and a well-defined terminology can be traced backto the writings of Aristoxenus of Taras, a pupil of Aristotle. However, its epistemological roots in harmonicsand origin in Pythagorean philosophy reach back until the 6th century. Ad interim the developmentof a melodic notation system acted as a crucial factor to grow musicology into a ̔science’ oflogical reasoning. Interestingly, and still without satisfactory explanation, notation as an adequatemedium of music was brusquely rejected by Aristoxenus.Background in Music Technology and Signal Processing. Besides the thought-provoking fact thatsignal processing as the foundation of modern music technology itself originates from the domain ofharmonic analysis and, similarly, became relevant to ̔musicology proper’ only by extension with adiscrete agency purely logic in nature—i.e. the computer—now, real-time pitch-tracking andpitch-shifting can be used to augment ancient instruments electronically in order to pose archaeologicalquestions and challenge sedimented hermeneutical interpretations.Aims. While re-enacting historical configurations, applied media theory provides an unconventionalframework to interlink both backgrounds anachronistically. In practice, the aim of the present interdisciplinaryapproach is to take issue with common exegeses of the rise of ancient Greek music theory,deliver testable hypotheses to corroborate a modified picture and finally to overcome the outdatedantithesis of Pythagorean vs. Aristoxenian views on music—i.e. numerology vs. phenomenology—propounded since the Hellenistic Period and still prevalent today.Main contribution. The historical background and epistemological circumstances that led to theformation of musicology as a separate field of knowledge are reviewed. During the course of discussiona "pre-Aristoxenian codec of notation" is uncovered and linked with scattered references to thebarbiton-lyre. The acoustical significance of its origin becomes ̔instrumental’ to augment a self-madereconstruction of such an instrument electronically. Hereby a perceptual model of melody isre-enacted that logically connects and unifies theoretical camps previously considered irreconcilable.The technology and methodology necessary to achieve this is described.Implications. Towards the end of the 5th century, many sources ascribe a revolutionary ̔new music’to the advent of frequent modulations and different ̔styles’ of playing techniques. Taking this revolutionseriously, the present paper constructs a history of hearing that proposes a rupture in the ancientGreek sonosphere. Accordingly, the changed strategy of listening is regarded the true cause of theAristoxenian separation of musicology. Today, the ̔kernel’ of this parting can be identified with themore general domain of "time-critical processes" in computation and signal processing whose applicationenables us to understand the subsequent reshaping of music theory and the radical remodellingof its philosophical conception. By extension, this lesson in mousikḗ may make us rethink music asstill a vital epistemological field and may encourage us to form a new research domain possibly calledcomputational archaeomusicology.

Abstract Renal impairment (RI) is a common presenting complication of multiple myeloma associated with significant morbidity and early mortality, while it has been associated with inferior survival in patients treated with conventional regimens. We assessed the impact of RI in 203 unselected consecutive patients treated upfront with novel agents (thalidomide, lenalidomide, bortezomib). RI was assessed by the estimated glomerular filtration rate (eGFR). RI (eGFR <60 mL/min) was present in 93 (45.8%) of patients at diagnosis and was associated with advanced age, advanced International Staging System (ISS) stage, poorer performance status, hypercalcemia, urine Bence-Jones proteinuria, anemia and thrombocytopenia. Myeloma response rates were similar for patients with or without RI. In univariate analysis RI was associated with shorter survival and a higher rate of early death (7% vs. 3.5%); however, when adjusted for other prognostic factors, RI was not independently associated with survival. In conclusion, in unselected newly diagnosed patients treated with novel agent-based therapies, RI is not independently associated with inferior survival, probably due to the significant activity of novel agents even in the context of RI.

To investigate the mechanisms of the therapeutic action and drug resistance to the nitrogen mustard melphalan, melphalan-induced DNA damage repair and chromatin structure were examined along the p53, N-ras and d-globin gene loci in cells carrying different repair activities. In nucleotide excision repair-deficient XP-A cells, similar levels of adducts were found in all fragments examined, indicating uniform distribution of DNA damage. In both, repair-proficient CS-B and XP-C cells, faster repair was observed in regions inside the transcribed N-ras and p53 genes, compared to regions on both sides outside of the genes, while no such difference was observed for the inactive d-globin gene. Moreover, very fast adduct repair on the transcribed strand of the active genes was seen immediately downstream of the transcription start site, together with a steeply decreasing gradient of repair efficiency along the gene towards the 3'-end. In all cells analyzed, the above variation in DNA repair efficiency was paralleled exactly by the variation in the degree of local chromatin condensation, more relaxed chromatin being associated with faster repair. Similar results were obtained using peripheral blood mononuclear cells from healthy volunteers, suggesting that the existence of a repair gradient along transcribed genes may be a universal phenomenon. In conclusion, these findings demonstrate that the repair of melphalan adducts in the transcribed strand of active genes is subject to a strong polarity effect arising from variations in the chromatin structure. © 2011 Elsevier B.V.

Objectives: Stage I testicular nonseminomatous germ-cell tumors (NSGCT) are highly curable. Following orchidectomy surveillance, adjuvant chemotherapy and retroperitoneal lymph node dissection can be applied. Certain factors are used to select patients in high-risk for relapse. We report the outcome and safety of a risk-adapted strategy by the Hellenic Cooperative Oncology Group. Methods: Between 1994 and 2004, 142 patients with stage I NSGCT and 1 of the following risk factors: lymphovascular invasion (LVI), invasion of tunica vaginalis, spermatic cord, rete testis or scrotal wall, embryonal component >50% of the total tumor, were prospectively included in a protocol of adjuvant chemotherapy consisting of two 3-week courses of bleomycin 15 IU, etoposide 120 mg/m2, and cisplatin 40 mg/m2 for 3 consecutive days with G-CSF support. Results: Median follow-up was 79 months and 138 patients have been followed for at least 2 years. Seventy-seven patients (54%) had LVI and 74 (52%) had >50% embryonal component. There was 1 relapse, which was cured with chemotherapy and surgery. Another patient died due to disease-unrelated causes and 1 patient developed a new primary of the remaining testicle, which was cured with surgery. Conclusion: Two cycles of bleomycin/etoposide/cisplatin is an effective and safe form of adjuvant therapy in high-risk stage I NSGCT. © 2011 Elsevier Inc.

Differences in ecological conditions can result in the evolution of dramatic inter-population shifts in whole suites of traits. We studied variation in reproductive output in three lizard populations of the Skyros Wall Lizard (Podarcis gaigeae, Lacertidae) endemic to the Skyros Archipelago (Greece), which live under similar climatic conditions but differ in predation pressure and food availability. Based on the ‘‘island syndrome’’ hypothesis, we predicted that females from island populations would produce larger, but fewer offspring. The study populations differ conspicuously in average body size, with males from the satellite Lakonissi and Diavates islets being respectively 20% and 39% larger than males from the main Skyros Island. Lizards from these predator-free islets produced eggs of larger size than the main Skyros population; however, they also produced significantly larger clutches than the Skyros population (2.31±0.83 and 2.73±1.0 vs. 1.97±0.58 eggs). All inter-population differences in clutch size, clutch volume, and egg size were explained by corresponding differences in average body size of the dams, revealing that across all populations, reproductive effort scaled similarly with maternal body size. There was no evidence of trade-offs between egg size and clutch size as generally encountered in many reptile taxa. The occurrence of this unusual pattern of reproductive investment among islet populations of giants is probably best explained by the occurrence of two underlying drivers: first, the substantial marine subsidies by resident seabird colonies and second, the existence of intense cannibalistic behaviors in the form of attacks to the tail and severe intraspecific predation on juveniles. This suggests that subsidies-driven gigantism in island endemics may free species from such trade-offs and allow a population to maximize reproductive output in multiple, normally conflicting dimensions.

Aim.?Postpartum mood disturbances are common among Greek women, with postpartum depression (PPD) being as high as 19%. This study aimed to investigate whether sex steroid hormone levels affect the incidence of postpartum mood disturbances. Materials and methods.?Fifty-seven women were evaluated for postpartum mood disturbances using the Postpartum Blues Questionnaire and the Edinburgh Postnatal Depression Scale on the 1st and 6th week. Serum estradiol, progesterone and testosterone concentrations were measured upon admission for delivery and daily until the fourth postpartum day. We then studied the association between hormone levels and the scores in the two psychometric scales. Results.?Testosterone was the only hormone that was marginally associated with psychometric scoring in simple regression analysis. (Postpartum Blues during days 14: b = 4.291, 95% C.I. -0.796 to 9.377 and p-value = 0.096). Women with lower testosterone drops had higher scores in Postpartum Blues Questionnaire. This association, however, lost statistical significance in the multivariable analysis after adjusting for pregnancy duration. In multiple regression analysis, only pregnancy duration had the most constant adverse effect on psychometric scores: The shorter the duration of pregnancy, the higher the scores for Postpartum Blues. (r = -0.39, p < 0.01). Conclusions.?Our findings do not indicate an association between the occurrence of postpartum mood disorders and sex steroid hormone levels. Preterm labour may be associated with a higher risk of postpartum mood disturbances. © 2010 Informa UK Ltd.

Successful research management requires multifunctional, equal teamwork and efficient coordination, aiming to increase the impact of the research outcomes. Aim of this paper is to present the strategies that have been followed to successfully manage the RN4CAST study, one of the largest multi country research projects ever conducted. The paper focuses on the core research strategies rather than on the administrative management activities also required for the success of this case report. Management of a multi-country 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.

BACKGROUND: Residual platelet reactivity (RPR) after clopidogrel loading, measured by the VerifyNow assay, has been shown to predict 12-month clinical events in patients with acute coronary syndromes. However, links between coronary angiographic findings and outcome in patients with ST-elevation myocardial infarction (STEMI), with RPR have not been reported. We investigated whether RPR is associated with the amount of intracoronary thrombus burden (TB) in patients with STEMI undergoing unexpectedly-delayed primary percutaneous coronary intervention (pPCI). Moreover, we evaluated whether RPR might influence coronary flow and myocardial perfusion immediately post-pPCI. METHODS AND RESULTS: The VerifyNow assay was used to determine RPR after clopidogrel loading, expressed in P2Y12-Reaction-Units (PRU). Intracoronary-TB was angiographically estimated and stratified as TB-Grade-A, -B and -C. Thrombolysis In Myocardial Infarction (TIMI) flow and Myocardial Blush (MB) were also estimated post-PCI. A total of 74 consecutive patients who presented with STEMI were enrolled in the study. Patients with greater TB presented significantly higher PRU-levels (174.1 ± 91.5, 196.23 ± 113.4 and 252.8 ± 107.8 for TB-Grade A, B and C, respectively; P=0.044). PRU-levels >251.5 were shown to predict Large-TB (LTB; TB-Grade-C) (sensitivity=57.9%; specificity=77.8%; P=0.014). Impaired TIMI-flow and MB after PCI were significantly associated with higher PRU-levels (P < 0.001). CONCLUSIONS: Among the studied patients, those with a higher RPR after clopidogrel loading presented larger intracoronary TB, worse post-PCI myocardial flow and perfusion.

Objectives: This subanalysis of the phase 3 VISTA trial aimed to assess the frequency, characteristics and reversibility of, and prognostic factors for, bortezomib-associated peripheral neuropathy (PN) in newly diagnosed patients with multiple myeloma ineligible for high-dose therapy who received bortezomib plus melphalan-prednisone.Methods: Patients received nine 6-wk cycles of VMP (bortezomib 1.3 mg/m2, days 1, 4, 8, 11, 22, 25, 29, 32, cycles 1-4, and days 1, 8, 22, 29, cycles 5-9; melphalan 9 mg/m2, days 1-4, cycles 1-9; and prednisone 60 mg/m2, days 1-4, cycles 1-9).Results: Overall, 47% of patients receiving VMP developed PN, including 19% grade 2 and 13% grade ≥3 (<1% grade 4). The PN incidence was dose-related and reached a plateau at a cumulative bortezomib dose of approximately 45 mg/m2. Median time to PN onset was 2.3 months. Bortezomib-associated PN was reversible; 79% of events improved by at least one NCI CTCAE grade within a median of 1.9 months and 60% completely resolved within a median of 5.7 months, with reversibility similar in responding and non-responding patients. By multivariate analysis, baseline neuropathy was the only consistent risk factor for any PN [hazard ratio (HR) 1.785, P = 0.0065], grade ≥2 PN (HR 2.205, P = 0.0032), and grade ≥3 PN (HR 2.438, P = 0.023); age, pre-existing diabetes, International Staging System stage, obesity, and creatinine clearance did not affect the overall rate of PN.Conclusions: Rates of bortezomib-induced PN in the frontline setting were similar to those in relapsed patients and resolved in most cases. (Clinicaltrials.gov identifier: NCT00111319). © 2010 John Wiley & Sons A/S.

European legislators and wine producers still debate on the requirement for labeling of wines fined with potentially allergenic food proteins (casein, egg white or fish-derived isinglass). We investigated whether wines fined with known concentrations of these proteins have the potential to provoke clinical allergic reactions in relevant patients.|In-house wines were produced for the study, fined with different concentrations of casein (n = 7), egg albumin (n = 1) and isinglass (n = 3). ELISA and PCR kits specific for the respective proteins were used to identify the fining agents. Skin prick tests and basophil activation tests were performed in patients with confirmed IgE-mediated relevant food allergies (n = 24). A wine consumption questionnaire and detailed history on possible reactions to wine was obtained in a multinational cohort of milk, egg or fish allergic patients (n = 53) and patients allergic to irrelevant foods as controls (n = 13).|Fining agents were not detectable in wines with the available laboratory methods. Nevertheless, positive skin prick test reactions and basophil activation to the relevant wines were observed in the majority of patients with allergy to milk, egg or fish, correlating with the concentration of the fining agent. Among patients consuming wine, reported reactions were few and mild and similar with the ones reported from the control group.|Casein, isinglass or egg, remaining in traces in wine after fining, present a very low risk for the respective food allergic consumers. Physician and patient awareness campaigns may be more suitable than generalized labeling to address this issue, as the latter may have negative impact on both non-allergic and allergic consumers.

Objective: We investigated the efficacy of risk-adapted adjuvant paclitaxel/carboplatin chemotherapy in early-stage ovarian carcinoma. Methods: Fifty-three patients were treated according to the risk of relapse: patients with stages IA or IB or with grade 1 (low risk) received 4 cycles of paclitaxel and carboplatin; patients with IC/IIA and grade 2 or 3 (high risk) received 6 cycles of chemotherapy. The outcome was compared with that of 95 patients who were all treated with 4 cycles. Results: Median follow-up was 88, 113 and 42 months for the whole cohort, non-risk-adapted and risk-adapted treatment, respectively. Five-year relapse-free and diseasespecific survival was 86 and 93% for the whole population, 96 and 97% for low-risk and 81 and 91% for high-risk patients. Risk classification was the only significant prognostic factor for relapse-free (p = 0.011) and disease-specific survival (p = 0.039). Among high-risk patients, the administration of 6 cycles was associated with a significantly lower relapse rate after censoring events, which occurred beyond 2 years (3 vs. 18%; p = 0.013), but this difference was diminished at 5 years (23 vs. 25%; p = 0.797). Conclusions: Six cycles of chemotherapy reduced the risk of relapse within 2 years, but the benefit from two additional cycles beyond this time is questionable. Copyright © 2012 S. Karger AG, Basel.

Environmental history often reveals the contribution of humans in the modification of natural environment, always in relation with the climatic factors. Archaeological settlements may be preserved through desiccation, however, they are commonly found in floodplain sediments. Archaeological evidences may provide with useful information about the processes and extent of environmental changes, but they may also be used as tools for the analysis of floodplain sedimentation, relative chronology of sedimentation events and for the geomorphological evaluation of the particular archaeological site. The characteristics of archaeological indicators and the deposits in which they occur, may indicate important aspects of their source, transportation way and age. Evidence of river migration may be found in alluvial plains, through careful observations. The study area is located in Kalavrita region in northern Peloponnese. The archaeological excavations carried out revealed the fortification wall of the ancient city of "Kleitor"which is dated between the 3rd and 2nd century BC (Hellenistic Period). It may also provide clues for land surface development, reworking of sedimentary deposits, paleoenvironmental and climatic conditions. Sediments indicating considerable climatic changes are alluvial deposits of considerable thickness, covering areas with human impact. All the aforementioned become a tool for dating the course changes of the rivers and consequently a geomorphological instability. The relationship between geomorphology and history is recognizable also in the settlement distribution. This close relationship between environment and man provides a tool to understanding the landscape evolution from a geomorphological and historical point of view.

An experimental campaign has been conducted in the frame of the European Commission funded network of excellence ECATS, at Athens International Airport (AIA), Greece, from 13 to 25 September 2007. In order to quantify the background air quality and study the influence of meteorological conditions and airport emissions to the broader region, the analysis was extended to the greater Messogia Plain of Attica, Greece. Mixing height was estimated taking into account measurements from remote sensing and surface based single point instrumentation. According to the analysis, the air quality over Messogia Plain is mainly controlled by the intensity and the direction of the background flow. Under low background wind conditions, the development of local flows (sea and land breeze cells) over the greater area preserves high concentrations of air pollutants which are mainly attributed to the airport emissions, the local activities and traffic. When the background flow is strong, the diurnal cycle of all concentrations was significantly reduced by more than 50%, due to the advection and the subsequent mixing of the lower atmosphere. In order to identify and quantify the various processes linked with meteorology and air quality, the Hilbert-Huang transform was selected to be applied on the air-quality time-series data. The calculated Hilbert spectra of the main pollutants showed that meteorology plays a prescriptive role on the evolution of air pollutants, determining the influence of the local scale characteristics at each station. © 2011 Elsevier Ltd.

Hyaluronan (HA) modulates key cancer cell functions through interaction with its CD44 and receptor for hyaluronic acid-mediated motility (RHAMM) receptors. HA was recently found to regulate the migration of fibrosarcoma cells in a manner specifically dependent on its size. Here, we investigated the effect of HA/RHAMM signaling on the ability of HT1080 fibrosarcoma cells to adhere onto fibronectin. Low molecular weight HA (LMWHA) significantly increased (p

In this work, we study theoretically the resonant coupling between longitudinal optical surface vibrations of Si-OH and/or Si-O-Si and electron and hole states in the silicon nanocrystals (Si NCs) within light emitting porous Si (PSi) thin films in the framework of the Fröhlich interaction. The results of this analysis are compared with experimental results, which show considerable enhancement and a redshift of the photoluminescence (PL) spectrum of a fresh as-grown PSi thin film after prolonged laser irradiation or after aging in air. These effects coincide with the formation of Si-OH and Si-O-Si bonds on the surface of PSi. The redshift of the PL spectrum is due to the pinning of the bandgap of the light emitting Si NCs, as both oxidation via laser irradiation in air and aging in air introduce energy states in the Si NC band gaps. According to the theoretical analysis, the PL enhancement is assigned to inhibition of nonradiative channels rather than to an enhancement of radiative channels in the Si NCs within the PSi film, due to a strong coupling of the surface Si-OH and/or Si-O-Si vibrational modes to the electronic sublevels in the Si NCs within the PSi layer. © 2011 American Institute of Physics.

During prostate carcinogenesis the cellular adhesion molecules, i.e.; integrins and cadherins mediate aberrant interactions between glandular epithelial cells and the extracellular matrix. Several integrin α subunits are downregulated, while β subunits are up-regulated. The expression of several cadherins and catenins has specific prognostic value. There is an association between the expression of the E-cadherin/catenin complex and high grade prostate cancer. Clinical trials evaluating the efficacy of integrin antagonists are ongoing with promising results. In this article we update the role of integrins and cadherins in prostate carcinogenesis and evaluate the therapeutic potential of their manipulation.

We have performed the Fourier decomposition analysis of 11-yr V-band light curves of a carefully selected sample of 100 RR Lyrae variables, detected in the central regions of the Small Magellanic Cloud (SMC), with the Optical Gravitational Lensing Experiment, phases II and III. The sample consisted of 84 fundamental mode pulsators (RRab stars) and 16 first-overtone pulsators (RRc stars). The Fourier decomposition parameters were used to derive metal abundances and distance moduli for these RR Lyrae variables. The average metal abundance of the RRab stars on the new scale of Carretta et al. is found to be <[Fe/H]C09>=-1.62 ± 0.41 dex (std, with a standard error of 0.05 dex). The distance modulus of the SMC was found to be <μ>= 18.90 ± 0.18 (std) from the RRab population in a distance scale where the distance modulus of the Large Magellanic Cloud (LMC) is μLMC= 18.52 ± 0.06 (std). The 1σ line-of-sight depth for the RRab stars was found to be σint= 4.13 ± 0.27 kpc, in good agreement with that estimated from red clump stars and eclipsing binaries. There is a clear indication that the metal-poorer and metal-richer objects in the sample may belong to different dynamical structures. The metal-rich stars have smaller scaleheight and could be part of a disc-like structure, while the more metal poor objects could be part of a much thicker structure, such as an inner halo or a bulge component.

Sarcomas of the fallopian tube are exceedingly rare malignancies. They have been considered the most lethal of all gynaecological malignancies with high metastatic potential, frequent recurrences and cancer-related deaths. The reported pathological types of the fallopian tube sarcomas are malignant mixed mullerian (mesodermal) tumours or carcinosarcomas, leiomyosarcomas, rhabdomyosarcomas, liposarcomas, and synovial sarcomas. The rarity of these sarcomas and their often aggressive clinical course has resulted in a relatively limited amount of literature. Thus a single hospital or specialist cannot gain sufficient experience with these tumours. This review article tries to elucidate this uncommon malignancy, in a systematic way, focusing on the different pathological types, epidemiology, risk factors, diagnosis, survival, and different therapeutic modalities (surgery, chemotherapy, and radiotherapy). Copyright © 2011 S. Karger AG, Basel.

Biomass burning and associated emissions of aerosols into the atmosphere play a vital role in atmospheric composition and climate change. During summer of 2007, Greece faced the worst natural disaster recorded in recent decades in terms of human losses, number of fire outbreaks and extent of the estimated burned area (more than 12% of the total forested areas in Greece). The present study aims at analyzing the impact of these fire events in western Peloponnese on atmospheric aerosol concentrations using satellite data. MODIS-derived Aerosol Optical Depth (AOD), effective radius, Ångström exponent, mass concentration, cloud-condensation nuclei (CCN) and OMI Aerosol Index (AI), single scattering albedo, absorption and extinction optical depths were analyzed. MODIS data showed smoke plumes traversing thousands of kilometers southwards influencing the central Mediterranean as well as the north African coastal regions. These thick smoke plumes dramatically affected AOD and aerosol-mass concentrations over the region and altered the microphysical aerosol properties, such as the effective radius and absorption coefficient. Model calculations suggested that the shortwave radiation at the ground was reduced by ∼50 Wm2, while that at the top of the atmosphere was reduced by ∼20 Wm2 resulting in atmospheric heating of ∼30 Wm2 over the areas affected by the smoke plumes. © 2010 Elsevier Ltd.

Four sampling sites were selected in the area of Velouhi mountain, Greece in order to screen for Pseudomonas syringae isolates with high ice nucleation activity from a ski resort environment. Bacterial isolates (n=147) were obtained from soil and phyllosphere samples. Seven isolates exhibited morphological, biochemical and physiological profile similar to P. syringae. Phylogenetic relationships of the seven isolates were determined by 16S rRNA gene sequencing. Two isolates were phylogenetically affiliated to P. syringae, three to P. viridiflava, one to P. avellanae, and one Pseudomonas strain could not be assigned to a known species. The seven isolates were examined for their ice-nucleation activity properties. Three out of the seven studied isolates exhibited ice nucleation activity from –4.67 to –4.35 ice nuclei per cell, values similar to those obtained from a known ice-nucleation protein producer P. syringae strain and therefore could be used for the production of artificial snow in ski resort areas with short snow periods.

Phospholamban (PLN), the reversible inhibitor of the sarco(endo)plasmic reticulum Ca(2+)-ATPase (SERCA2a), is a key regulator of myocyte Ca(2+) cycling with a significant role in heart failure. We previously showed that the single amino acid difference between human and mouse PLN results in increased inhibition of Ca(2+) cycling and cardiac remodeling and attenuated stress responses in transgenic mice expressing the human PLN (hPLN) in the null background. Here we dissect the molecular and electrophysiological processes triggered by the superinhibitory hPLN in the mouse. Using a multidisciplinary approach, we performed global gene expression analysis, electrophysiology, and mathematical simulations on hPLN mice. We identified significant changes in a series of Na(+) and K(+) homeostasis genes/proteins (including Kcnd2, Scn9a, Slc8a1) and ionic conductance (including L-type Ca(2+) current, Na(+)/Ca(2+) exchanger, transient outward K(+) current). Simulation analysis suggests that this electrical remodeling has a critical role in rescuing cardiac function by improving sarcoplasmic reticulum Ca(2+) load and overall Ca(2+) dynamics. Furthermore, multiple structural and transcription factor gene expression changes indicate an ongoing structural remodeling process, favoring hypertrophy and myogenesis while suppressing apoptosis and progression to heart failure. Our findings expand current understanding of the hPLN function and provide additional insights into the downstream implications of SERCA2a superinhibition in the mammalian heart.

Conditions resulting in insulin resistance, as well as metabolic, immune, and angiogenic perturbations, have been associated with an increased risk of preeclampsia (PE). Our purpose was to assess whether the adipose tissue-secreted hormones adiponectin, which has immune-modulating, metabolic, and angiogenic properties, and leptin, which reflects overall fat mass, are associated with PE risk. We performed a case-control design study within a hospital-based cohort of 368 pregnant women (106 with PE and 262 controls; mean age, 26.6 ± 6.8 years; mean gestational age at admission, 38.2 ± 2.8 weeks) between March 2005 and August 2007 at the Hospital of Pennsylvania University. Serum adiponectin and leptin were measured by radioimmunoassay. Statistical analysis of data was performed using simple and multiple regression analyses. No significant differences in adiponectin or leptin levels between preeclamptic and control pregnant women emerged in univariate analyses (P = .57 and P = .15, respectively). Among preeclamptic women, there were also no differences in adipokines between those with mild and severe disease. Serum adiponectin and leptin were not associated with higher risk of PE before and after adjustment for maternal age, race, primigravida, smoking status, body mass index at screening, gestational age at admission, history of PE, chronic hypertension, and gestational diabetes (odds ratio, 0.93; 95% confidence interval, 0.83-1.04 and odds ratio, 1; 95% confidence interval, 0.97-1.03, respectively). Maternal serum adiponectin and leptin levels, drawn at the time of PE diagnosis, were not associated with PE.

OBJECTIVE: Menopause is associated with weight gain and an increase of cardiovascular risk. The aim of the present study was to estimate serum ischemia-modified albumin (IMA) levels in postmenopausal women and evaluate their association with body mass index (BMI) and coronary artery disease (CAD). METHODS: The study included 130 non-smoker postmenopausal women aged 43-80: 40 with BMI 26-32 kg/m(2) (Group A), 60 with BMI 21-25 kg/m(2) (Group B), and 30 with documented CAD and BMI 23-29 kg/m(2) (Group C). Serum IMA, albumin, hsCRP and NT-proBNP, glucose and insulin were measured. Homeostasis assessment model score (HOMA) and Quantitative insulin sensitivity index (QUICKI) were co-estimated. RESULTS: Serum IMA and IMA to albumin ratio were significantly elevated in Group A as compared to Group B (p<0.001) and similar to those of Group C. hsCRP and NT-proBNP did not differ between Groups A and B while they were lower in comparison to Group C (p<0.001). Glucose, insulin and HOMA were elevated in Group A compared to Group B (p<0.001) while QUICKI was lower (p<0.001). In Group A, IMA was positively correlated with BMI, hsCRP, insulin, HOMA and negatively with QUICKI. In postmenopausal women, multivariable regression analysis revealed that obesity was the strongest significant determinant of circulating IMA levels (p<0.001) contributing, therefore, to the elevated serum IMA concentration. CONCLUSIONS: Postmenopausal obesity is associated with elevated serum IMA possibly due to obesity associated oxidative stress. IMA measurement could provide an assessment of atherosclerotic burden in postmenopausal women. Further clinical evaluation is under investigation.

INTRODUCTION: Sex differences have been identified in antidepressant treatment; however, it remains unclear to what extent pharmacokinetics contributes to these differences. As current antidepressant pharmacotherapy is less than optimal, understanding the role of sex in pharmacokinetics may substantially contribute to a gender-based optimized treatment. AREAS COVERED: An unrestricted PubMed literature search on antidepressant pharmacokinetics and sex was performed. Sex differences in absorption, distribution, metabolism and elimination of antidepressants, as well as the interaction of sex with age, genetic polymorphisms and gonadal hormones are discussed. We also provide an overview of how each antidepressant presents a particular sex-differentiated pharmacokinetic profile. Most antidepressants present to some extent pharmacokinetic sex differences, which often are further accentuated by gonadal hormones. In most cases, women, particularly elderly women, are expected to have higher exposure to antidepressants when dosed in a similar way as men. EXPERT OPINION: Although the available pharmacokinetic evidence indicates that women should receive lower doses of antidepressants and men should receive higher doses, current guidelines do not recommend dose adjustment, because these sex differences are considered to be clinically insignificant. Unless we understand the link between pharmacokinetics and pharmacodynamics of antidepressants, it will be difficult to determine whether sex differences are of clinical importance or not. Thus, further systematic and particularly focused research is needed on sex differences in pharmacokinetics.

INTRODUCTION: Sex differences have been identified in antidepressant treatment; however, it remains unclear to what extent pharmacokinetics contributes to these differences. As current antidepressant pharmacotherapy is less than optimal, understanding the role of sex in pharmacokinetics may substantially contribute to a gender-based optimized treatment. AREAS COVERED: An unrestricted PubMed literature search on antidepressant pharmacokinetics and sex was performed. Sex differences in absorption, distribution, metabolism and elimination of antidepressants, as well as the interaction of sex with age, genetic polymorphisms and gonadal hormones are discussed. We also provide an overview of how each antidepressant presents a particular sex-differentiated pharmacokinetic profile. Most antidepressants present to some extent pharmacokinetic sex differences, which often are further accentuated by gonadal hormones. In most cases, women, particularly elderly women, are expected to have higher exposure to antidepressants when dosed in a similar way as men. EXPERT OPINION: Although the available pharmacokinetic evidence indicates that women should receive lower doses of antidepressants and men should receive higher doses, current guidelines do not recommend dose adjustment, because these sex differences are considered to be clinically insignificant. Unless we understand the link between pharmacokinetics and pharmacodynamics of antidepressants, it will be difficult to determine whether sex differences are of clinical importance or not. Thus, further systematic and particularly focused research is needed on sex differences in pharmacokinetics.

Women are more susceptible than men to certain stress-related psychiatric disorders, such as depression. Preclinical studies aim to understand these sex differences by studying male and female rats in stress models. In this chapter, we review sex differences in behavioural aspects, as well as neurochemical and neurobiological findings derived from acute, repeated and chronic stress models. In particular, we focus on sex differences in depressive-like symptomatology expressed in the forced swim test, the chronic mild stress (CMS) and the learned helplessness models, the Flinders Sensitive Line rats (FSL), which is a genetic model of depression and in the lipopolysaccharide (LPS)-induced sickness behaviour, a putative inflammatory model of depression. Also, sex differences in stress effects on learning and memory parameters are discussed, because cognitive alterations are often seen in sex-differentiated psychiatric disorders. The observed behavioural alterations are often linked with abnormalities in the endophenotype, such as in hormonal, neurochemical, immune and neuroplasticity indices. From these data, it is clear that all stress models have strengths and limitations that need to be recognized in order to use them effectively in the investigation of sex differences in affective disorders.

Women are more susceptible than men to certain stress-related psychiatric disorders, such as depression. Preclinical studies aim to understand these sex differences by studying male and female rats in stress models. In this chapter, we review sex differences in behavioural aspects, as well as neurochemical and neurobiological findings derived from acute, repeated and chronic stress models. In particular, we focus on sex differences in depressive-like symptomatology expressed in the forced swim test, the chronic mild stress (CMS) and the learned helplessness models, the Flinders Sensitive Line rats (FSL), which is a genetic model of depression and in the lipopolysaccharide (LPS)-induced sickness behaviour, a putative inflammatory model of depression. Also, sex differences in stress effects on learning and memory parameters are discussed, because cognitive alterations are often seen in sex-differentiated psychiatric disorders. The observed behavioural alterations are often linked with abnormalities in the endophenotype, such as in hormonal, neurochemical, immune and neuroplasticity indices. From these data, it is clear that all stress models have strengths and limitations that need to be recognized in order to use them effectively in the investigation of sex differences in affective disorders.

The aim of our study was to evaluate the effect of BMI on the change in circulating sex hormone in postmenopausal women during 6 months of oral continuous combined low-dose hormone therapy (HT). Fifty postmenopausal women were allocated to receive daily one tablet containing combination of 17Β-estradiol (1mg)/norethindrone acetate (0.5mg) for 6 months. Serum levels of follicle-stimulating hormone (FSH), estradiol, total testosterone, sex hormone-binding globulin (SHBG), free androgen index (FAI), free estrogen index (FEI), Δ4-androstendione (Δ4A), and dehydroepiandrosterone sulfate were assessed at baseline and at the end of 6 months. Mean absolute values and percent changes from baseline were compared between lean and overweight women. Mean FSH decreased and mean 17Β-estradiol increased significantly in both groups (FSH lean: 82.3 26.7 decreased to 45.0±17.0mIU/ml, P = 0.0001; FSH overweight: 85.5±22.1 decreased to 52.3±23.8mIU/ml, P = 0.003; P between groups = 0.661; E2 lean: 23.24±12.55 increased to 53.62±28.29pg/ml, P = 0.006; E2 overweight: 24.17±10.88 increased to 68.36± 53.99pg/ml, P = 0.0001; P between groups = 0.619). Lean individuals had statistically significant higher increments of FAI and specifically FEI compared to overweight (FEI lean; 0.14±0.09 increased to 0.29±0.14, P = 0.009; overweight 0.23±0.18 increased to 0.52±0.40, P = 0.126; P between groups = 0.034). Although BMI does not affect total 17Β-estradiol changes, free sex steroid concentrations increase more steeply in lean compared to overweight women receiving oral low-dose HT. © 2011 The Obesity Society.

The present study investigates whether the human mandible is sexually dimorphic during early postnatal development and whether early dimorphic features persist during subsequent ontogeny. We also examine whether mandibular dimorphism is linked to dimorphism of dental development. Dense CT-derived mandibular meshes of 84 females and 75 males, ranging from birth to adulthood, were analyzed using geometric morphometric methods. On the basis of the specimen's chronological ages and mineralization stages of the deciduous and permanent teeth, we compute dental age as proxy for dental development by the additive conjoint measurement method. By birth, males have, on average, more advanced age-specific shapes than females. However, sex differences decrease quickly as females catch up via a different association between shape and size. This leads to an almost complete reduction of sexual dimorphism between the ages of 4 and 14. From puberty to adulthood, males are characterized by allometric shape changes while the shape of the female mandible continues to change even after size has ceased to increase. Dimorphism of dental maturation becomes visible only at puberty. Sexual dimorphism, concentrated at the ramus and the mental region during the earliest ontogenetic stages and again at adulthood, is not associated with the development of the teeth. At puberty there is a simultaneous peak in size increase, shape development, and dental maturation likely controlled by the surge of sex hormones with a dimorphic onset age. We argue that the infant and adult dimorphism of the mental region may be associated with the development of supralaryngeal structures.

To assess the importance of the quality of response and of early relapse in unselected elderly patients with myeloma treated upfront with novel agents. Methods: We analyzed 135 unselected transplant-ineligible patients older than 65yr who were treated upfront with novel agent-based regimens in a single center. Results: On intent to treat, 81% of patients achieved a response (28% sCR/CR, 23% VGPR, and 30% PR). Median progression-free survival (PFS) for patients who achieved sCR/CR was 31 vs. 20months for VGPR and 23months for PR (P=0.048). Median overall survival (OS) for patients with sCR/CR was 62months, 53months for VGPR and 38months for patients with PR (P=0.028). Early relapse (PFS<12months) was more common in patients with PR (39% vs. 21% for VGPR vs. 3% for sCR/CR). Patients who relapsed or progressed <12months from initiation of treatment had a median OS of 15.4months compared with 53months (P<0.001) for patients who had a PFS>12months despite the fact that after relapse or progression most patients were treated again with novel agents. In multivariate analysis, short PFS was the most significant adverse prognostic factor affecting OS, associated with a 7.25-fold (P<0.0001) increase in the risk of death. Conclusion: In newly diagnosed patients over 65yr, treated upfront with novel agents achievement of CR and a PFS ≥12months is associated with improved outcome. Patients who fail to respond or experience early relapse after primary therapy with novel agent-based regimens should be encouraged to participate in clinical trials of novel agents and combinations. © 2011 John Wiley & Sons A/S.

Par le biais de l’étude du cas de la professeure de philosophie Simone Weil (1931-1940), cet article s’intéresse à faire émerger un aspect du versant féminin de la transgression des normes au sein de l’Université de l’entre-deux-guerres. Il prend appui sur le point de vue des autorités universitaires tel qu’il se dessine surtout à travers la lecture des documents conservés dans le dossier de carrière de la fonctionnaire. Le présent travail tente aussi d’interpréter, sous un éclairage différent, les faits relatés par ses biographes.L’analyse prend tout d’abord en considération le double registre de la langue utilisée par l’administration : discrétion dans notices annuelles, libération du langage dans la correspondance. La deuxième partie du travail enregistre les griefs les plus graves formulés contre la philosophe. L'administration fustige, en premier lieu, les rapports que Weil entretient avec ses collègues et sa conduite irrespectueuse à l’égard de sa directrice. On lui reproche en outre de ne pas respecter les programmes officiels et de transformer sa chaire en tribune où elle défend ses idées politiques et sociales : elle viole ainsi le principe de neutralité scolaire. La troisième partie de l’étude nous entraîne sur le terrain des activités militantes de la professeure. Les rapports de police, la correspondance de ses chefs administratifs, des articles de presse, enfin, se réfèrent surtout à sa participation aux grèves ouvrières organisées à la ville du Puy. L’examen du discours déployé dans ces documents révèle que le sexe de la militante gêne davantage que sa fonction : Weil provoque en premier lieu parce qu’elle est femme, donc non citoyenne, et ensuite parce qu’elle est professeure de l’enseignement public.Dans la dernière partie sont mis en évidence les « silences » du dossier de Weil après 1933, ce qui laisse supposer qu’il fut systématiquement dépouillé après cette date. Malgré les vides dans la documentation, les documents repérés laissent percevoir clairement le point de vue de l’administration au sujet de la place de Simone Weil dans l’Université : celle-ci est, à tout moment, présentée comme une intruse, comme une déplacée, une « indésirable ».

The Hellenic subduction zone displays well-defined temporal and spatial variations in subduction rate and offers an excellent natural laboratory for studying the interaction among slab buoyancy, subduction rate, and tectonic deformation. In space, the active Hellenic subduction front is dextrally offset by 100–120 km across the Kephalonia Transform Zone, coinciding with the junction of a slowly subducting Adriatic continental lithosphere in the north (5–10 mm/yr) and a rapidly subducting Ionian oceanic lithosphere in the south (∼35 mm/yr). Subduction rates can be shown to have decreased from late Eocene time onward, reaching 5–12 mm/yr by late Miocene time, before increasing again along the southern portion of the subduction system. Geodynamic modeling demonstrates that the differing rates of subduction and the resultant trench offset arise naturally from subduction of oceanic (Pindos) lithosphere until late Eocene time, followed by subduction of a broad tract of continental or transitional lithosphere (Hellenic external carbonate platform) and then by Miocene entry of high-density oceanic (Ionian) lithosphere into the southern Hellenic trench. Model results yield an initiation age for the Kephalonia Transform of 6–8 Ma, in good agreement with observations. Consistency between geodynamic model results and geologic observations suggest that the middle Miocene and younger deformation of the Hellenic upper plate, including formation of the Central Hellenic Shear Zone, can be quantitatively understood as the result of spatial variations in the buoyancy of the subducting slab. Using this assumption, we make late Eocene, middle Miocene, and Pliocene reconstructions of the Hellenic system that include quantitative constraints from subduction modeling and geologic constraints on the timing and mode of upper plate deformation.

BACKGROUND: Heat shock proteins (Hsp) are known to enhance cell survival under various stress conditions. In the heart, the small Hsp20 has emerged as a key mediator of protection against apoptosis, remodeling, and ischemia/reperfusion injury. Moreover, Hsp20 has been implicated in modulation of cardiac contractility ex vivo. The objective of this study was to determine the in vivo role of Hsp20 in the heart and the mechanisms underlying its regulatory effects in calcium (Ca) cycling. METHODS AND RESULTS: Hsp20 overexpression in intact animals resulted in significant enhancement of cardiac function, coupled with augmented Ca cycling and sarcoplasmic reticulum Ca load in isolated cardiomyocytes. This was associated with specific increases in phosphorylation of phospholamban (PLN) at both Ser16 and Thr17, relieving its inhibition of the apparent Ca affinity of SERCA2a. Accordingly, the inotropic effects of Hsp20 were abrogated in cardiomyocytes expressing nonphosphorylatable PLN (S16A/T17A). Interestingly, the activity of type 1 protein phosphatase (PP1), a known regulator of PLN signaling, was significantly reduced by Hsp20 overexpression, suggesting that the Hsp20 stimulatory effects are partially mediated through the PP1-PLN axis. This hypothesis was supported by cell fractionation, coimmunoprecipitation, and coimmunolocalization studies, which revealed an association between Hsp20, PP1, and PLN. Furthermore, recombinant protein studies confirmed a physical interaction between AA 73 to 160 in Hsp20 and AA 163 to 330 in PP1. CONCLUSIONS: Hsp20 is a novel regulator of sarcoplasmic reticulum Ca cycling by targeting the PP1-PLN axis. These findings, coupled with the well-recognized cardioprotective role of Hsp20, suggest a dual benefit of targeting Hsp20 in heart disease.

The behavior of organic solvents typically used in redox electrolyte media for dye-sensitized solar cells (DSCs) has been systematically investigated by resonance Raman spectroscopy in combination with electrochemical impedance (EIS), intensity modulated photovoltage (IMVS), and photocurrent (IMPS) spectroscopies. Resonance Raman spectra reveal appreciable shifts in the vibrational frequency of the dye carboxyl anchoring groups as well as intensity variations of high- and low-frequency modes of dye-redox species by varying the electrolyte solvent and the polarization bias. These results are related to the variable surface coverage of the dye-TiO2 photoelectrode by solvent molecules determined by their donor number, the concomitant change on the concentration of dye-redox couple intermediate adducts, and the dye-TiO 2 electronic coupling. EIS and IMVS reveal a marked variation of the recombination kinetics and chemical capacitance of the corresponding DSCs, providing direct evidence for the shift of the TiO2 conduction band edge and deceleration of back-reaction kinetics. This accounts well for the solvent dependence of the device opencircuit voltage, whereas more complicated effects underlie the variation of the short-circuit current density that depends on electron injection. Tuning the solvents' function in DSCs may thus result in significant improvement of the DSC photovoltaic efficiency by effectively controlling electron energetics and injected photoelectron-triiodide recombination. © 2011 American Chemical Society.

Η εποποιία του 1940 συγκλόνισε τους Έλληνες της Αμερικής, οι οποίοι παρακολουθούσαν αγωνιωδώς τις δραματικές εξελίξεις μέσα από τον ελληνοαμερικανικό τύπο, τις αφηγήσεις των μεταναστών εθελοντών και τις προκηρύξεις που διέρρεαν στις ελληνοαμερικανικές κοινότητες. Η ελληνοαμερικανική δραματουργία στο διάστημα του Β΄ Παγκοσμίου Πολέμου κατόρθωσε να υπερβεί τις ιδεολογικές της αντιφάσεις και να ακολουθήσει μια κοινή δραματουργική γραμμή. Κυριαρχεί ο ρομαντισμός και οι έννοιες της αυτοθυσίας και της ελευθερίας. Θεματολογικά τα έργα πραγματεύονται τον ελληνοαλβανικό πόλεμο και τα χρόνια της Κατοχής, εμπλουτισμένα με στομφώδη ρητορεία και υπερβολική συναισθηματολογία, βρίθουν από συγκινησιακά στοιχεία φορτισμένα από πατριωτισμό. Στον τομέα της θεατρικής πρακτικής τη δεκαετία του 1940 επικρατούν οι ερασιτεχνικοί θίασοι έναντι των επαγγελματικών, οι οποίοι επιλέγουν το πατριωτικό ρεπερτόριο και τις διάσημες αθηναϊκές πολεμικές οπερέτες. Έλληνες ηθοποιοί, οι οποίοι προπολεμικά συμμετείχαν ενεργά στους γηγενείς ελληνοαμερικανικούς θιάσους, είτε καταξιώνονται σε νευραλγικές θέσεις των ελληνικών κοινοτήτων, είτε επιστρέφουν στην Ελλάδα, στηρίζοντας τον Αγώνα της Αντίστασης.

We measured a spin polarization above a Pt(111) surface in the vicinity of a Co nanostripe by spin-polarized scanning tunneling spectroscopy. The spin polarization exponentially decays away from the Pt-Co interface and is detectable at distances larger than 1 nm. By performing self-consistent ab initio calculations of the electronic structure for a related model system we reveal the interplay between the induced magnetic moments within the Pt surface and the spin-resolved electronic density of states above the surface.

By employing the layer-multiple-scattering method, properly extended to periodic assemblies of arbitrarily oriented axis-symmetric particles, we investigate the optical response of a three-dimensional spiral-staircase structure of metallic nanorods. We show that the combination of plasmonic modes and helical arrangement of the nanorods results in the formation of collective optical eigenmodes with a specific predominant circular polarization character, sizable polarization gaps, and negative group velocity bands that lead to negative refraction. Moreover, we demonstrate that multilayer slabs of the given crystal exhibit strong optical activity and circular dichroism combined with reduced dissipative losses, which make the proposed structure potentially useful for polarization control applications in miniaturized optoelectronic devices.

The complexes [Ru(Tai)Cl{=C(H)Ph}(PCy3)] (4) and [Ru( PhBai)Cl{=C(H)Ph}(PCy3)] (5) [where Tai = HB(7-azaindolyl)3 and PhBai = Ph(H)B(7-azaindolyl) 2] have been prepared and structurally characterised. The borohydride unit is located in the coordination site trans to the chloride ligand in both complexes. The degree of interaction between the borohydride group and the metal centre was found to be significantly large in both cases. Thermolysis reactions involving complex 4 led to a dehydrogenation reaction forming [Ru(Tai)Cl{PCy2(η2-C6H9)}] (6) where the benzylidene group acts as a hydrogen acceptor. © The Royal Society of Chemistry 2011.

ISSN1986-2377. Μετά από πρόσκληση του Καθ. Κανονικού Δικαίου Α.Π.Θ. κ. Θεόδωρου Γιάγκου υπεύθυνου της συντακτικής ομάδος του εν λόγω περιοδικού να συμμετέχω στο αφιέρωμα για τα θέματα της βιοηθικής συνέγραψα με βάση τη διδακτορική μου διατριβή τα κυριότερα ζητήματα και διλήμματα που εγείρονται από την εφραμογή των μεθόδων της υποβοηθούμενης αναπαραγωγής.

The possibility of Holocene subsidence along the northern coast of the Corinth Gulf is often mentioned in the literature; however, systematic detailed evidence that submergence (e.g. of archaeological remains) does not simply depend from eustatic sea-level rise is most often missing. In this paper, a new detailed study of submerged tidal-notch profiles along the limestone coast has shown that periods of sea-level stability are intercalated with periods of rapid subsidence or gradual relative sea-level rise. It appears that most of the sites considered, seem to have been affected by a relatively recent co-seismic subsidence of about half a meter, whereas during the longer period, by stages of relative sea-level stability and/or gradual relative sea-level rise. This evidence of subsidence is confirmed by radiocarbon dating in doline sediments, suggesting that during certain periods, a relative sea-level rise was much faster than the raising suggested by glacio-eustatic or hydro-isostatic estimations. Juxtaposing a list of known earthquakes occurred in the area shows that several earthquakes (e.g. the 1981 one for the easternmost sites considered) are potential candidates for the recent co-seismic displacements and thus supporting the geomorphological interpretations.

Objectives This study was undertaken to investigate the effect of d-alpha-tocopheryl polyethylene glycol 1000 succinate (vitamin E TPGS) on the dissolution of carbamazepine (CBZ) commercial tablets (Tegretol (R)) as a function of temperature and to modify the reaction-limited model of dissolution for the description of classical supersaturated dissolution data. Methods Solubility studies were performed using various concentrations of (i) TPGS and (ii) silicon dioxide and microcrystalline cellulose, which are excipients of Tegretol (R) at 10, 25 and 37 degrees C. Dissolution studies were carried out using Tegretol (R) tablets, 200 mg/tab. Key findings The solubility of CBZ in the presence of TPGS was found to increase in a concentration-dependent manner at all temperatures studied. Classical supersaturated dissolution curves with concentration maxima higher than the corresponding solubility values in the presence of TPGS were observed only at 10 degrees C. The model developed was based on a time-dependant expression for the forward microconstant of the CBZ-TPGS reaction at the solid-liquid interface and it was fitted successfully to the dissolution data of CBZ in the presence of TPGS at 10 degrees C. Conclusions Vitamin E TPGS increased the solubility of CBZ at all temperatures studied. The modification of the reaction-limited model of dissolution allowed us to describe classical supersaturated dissolution curves.

AIM: To investigate three isoforms of survivin in colorectal adenocarcinomas. METHODS: We used the LightCycler Technology (Roche), along with a common forward primer and reverse primers specific for the splice variants and two common hybridization probes labeled with fluorescein and LightCycler-Red fluorophore (LC-Red 640). Real time quantitative polymerase chain reaction (PCR) was performed on cDNAs from 52 tumor specimens from colorectal cancer patients and 10 unrelated normal colorectal tissues. In the patients group, carcinoembryonic antigen (CEA) and CA19-9 tumor markers were also measured immunochemically. RESULTS: Wild type survivin mRNA isoform was expressed in 48% of the 52 tumor samples, survivin-2b in 38% and survivin-DeltaEpsilonx3 in 29%, while no expression was found in normal tissues. The mRNA expression of wild type survivin presented a significant correlation with the expression of the ratio of survivin-2b, survivin-DeltaEpsilonx3, survivin-2b/wild type survivin and survivin-DeltaEpsilonx3/wild type survivin (P < 0.001). The mRNA expression of wild-survivin and survivin-DeltaEpsilonx3 was related with tumor size and invasion (P = 0.006 and P < 0.005, respectively). A significant difference was found between survivin-2b and morphologic cancer type. Also, the ratio of survivin-DeltaEx3/wild-survivin was significantly associated with prognosis. No association was observed between the three isoforms and grade, metastasis, Dukes stage and gender. The three isoforms were not correlated with CEA and CA19-9. CONCLUSION: Survivin isoforms may play a role in cell apoptosis and their quantification could provide information about clinical management of patients suffering from colorectal cancer

AIM: To investigate three isoforms of survivin in colorectal adenocarcinomas. METHODS: We used the LightCycler Technology (Roche), along with a common forward primer and reverse primers specific for the splice variants and two common hybridization probes labeled with fluorescein and LightCycler-Red fluorophore (LC-Red 640). Real time quantitative polymerase chain reaction (PCR) was performed on cDNAs from 52 tumor specimens from colorectal cancer patients and 10 unrelated normal colorectal tissues. In the patients group, carcinoembryonic antigen (CEA) and CA19-9 tumor markers were also measured immunochemically. RESULTS: Wild type survivin mRNA isoform was expressed in 48% of the 52 tumor samples, survivin-2b in 38% and survivin-ΔΕx3 in 29%, while no expression was found in normal tissues. The mRNA expression of wild type survivin presented a significant correlation with the expression of the ratio of survivin-2b, survivin-ΔΕx3, survivin-2b/wild type survivin and survivin-ΔΕx3/wild type survivin (P < 0.001). The mRNA expression of wild-survivin and survivin-ΔΕx3 was related with tumor size and invasion (P = 0.006 and P < 0.005, respectively). A significant difference was found between survivin-2b and morphologic cancer type. Also, the ratio of survivin-ΔEx3/wild-survivin was significantly associated with prognosis. No association was observed between the three isoforms and grade, metastasis, Dukes stage and gender. The three isoforms were not correlated with CEA and CA19-9. CONCLUSION: Survivin isoforms may play a role in cell apoptosis and their quantification could provide information about clinical management of patients suffering from colorectal cancer.

Two novel boron-based flexible scorpionate ligands based on 7-azaindole, Li[HB(azaindolyl)2(1-naphthyl)] and Li[HB(azaindolyl) 2(mesityl)] {Li[NaphthBai] and Li[MesBai] respectively}, have been prepared (mesityl = 2,4,6-trimethylphenyl). These salts have been isolated in two forms, either as dimeric structures which contain bridging hydride interactions with the lithium centres or as crystalline material containing mono nuclear bis-acetonitrile solvates. The newly formed ligands have been utilised to prepare a range of group nine transition metal complexes with the general formula [M(COD){κ3-NNH-HB (azaindolyl)2(Ar)}] (where M = rhodium, iridium; Ar = 1-naphthyl, mesityl; COD = 1,5-cyclooctadiene) and [Rh(NBD){κ3-NNH-HB (azaindolyl)2(Ar)}] (where NBD = 2,5-norbornadiene; Ar = 1-naphthyl, mesityl). These new complexes have been compared to the previously reported compounds which contain the related scorpionate ligands Li[HB(azaindolyl) 2(phenyl)] and K[HB(azaindolyl)3] {Li[PhBai] and K[Tai] respectively}. Structural characterisation of the complexes [Rh(COD){κ3-NNH-HB (azaindolyl)2(mesityl)}], [Ir(COD){κ3-NNH-HB (azaindolyl)2(mesityl)}] and [Rh(NBD){κ3-NNH-HB (azaindolyl)2(naphthyl)}] confirm the expected κ3-NNH coordination mode for these new ligands. Spectroscopic analysis suggests strong interactions of the B-H functional group with the metal centres in all cases. © 2011 The Royal Society of Chemistry.

Zirconium dioxide nanomaterials, including nanoparticles and their derived films, were synthesized using a new surfactant self-assembling sol-gel route, which involves complexation of zirconium alkoxide precursor with acetylacetone as a chelating agent and Tween 20 as a structural directing agent. The properties of the synthesized material were studied using XRD, SEM, SAXS, HRTEM and N2 adsorption and desorption analysis. It was found that Tween 20 can greatly increase the BET surface area and pore volume, inhibit crack formation in the derived film and retard particle growth at some extent. There exists tetragonal crystalline network with narrow pore size distribution in the ZrO2 nano-materials prepared with Tween 20 in the sol. Furthermore, a mechanism on the formation of mesopore ZrO2 structure via the Tween 20 self-assembling sol-gel process is presented. With the selection of the sono-gel carbon electrode modified by the mesoporous ZrO2 film (M-ZrO2 film) prepared with 1.10g Tween 20/ml zirconia sol, enhanced electrochemical responses (i.e., enhanced peak currents) to catechol and ascorbic acid were confirmed using cyclic voltammetry (CV). Moreover, the modified electrode demonstrated additional improved electrochemical properties, such as good reversibility (ipc/ipa≈1) and high selectivity (exceptionally resolved oxidation peaks between catechol and ascorbic acid), good stability and repeatability. © 2010 Elsevier B.V.

The reactions of 2-, 3- and 4-aminopyridines with 4,5-dichloro-1,2,3-dithiazolium chloride (Appel salt) 4 to give N-(4-chloro-5H-1,2,3-dithiazol-5-ylidene)pyridin-X-amines 1a (X = 2), 1g (X = 3) and 1k (X = 4) were optimized with respect to base, temperature and reaction time. Based on these conditions a total of thirteen [(dithiazolylidene) amino]azines 1a-m were prepared and fully characterized.

Background and aims. Primary malignant peritoneal mesothelioma is a rare malignancy with an unfavorable prognosis. Pemetrexed has proven effective in the treatment of malignant mesothelioma, alone or in combination with platinum agents. In the present study, chemo-naïve patients were evaluated for the efficacy and safety of the pemetrexed-cisplatin combination. Methods. Six patients with diffuse peritoneal mesothelioma were treated with 6 cycles of pemetrexed (500 mg/m2) and cisplatin (75 mg/m2). Chemotherapy was administered on an outpatient basis every 3 weeks. Results. Complete response was observed in 2 patients (33%) and partial response was observed in 3 patients (50%). The estimated median overall survival was 24 months and the estimated median time to disease progression was 9.5 months. The regimen was well tolerated. Conclusions. Though our data reflect a small sample size, pemetrexed plus cisplatin accomplished a particularly high clinical benefit rate on chemo-naïve patients. Free full text available at www.tumorionline.it.

Background: The 90 kDa heat shock protein (HSP90), which facilitates proper folding and stability of numerous signaling molecules involved in growth control, cell survival, and development, has been implicated in malignant processes. Like its parent compound geldanamycin, tanespimycin binds to HSP90 and causes antineoplastic effects in vitro and in vivo. Materials and Methods: All relevant published papers identified through searches of PubMed and abstracts from major recent hematology and oncology meetings were reviewed as of October 2009. Results: Different formulations and schedules of tanespimycin monotherapy and combination therapy have been tested in several phase I studies in patients with solid tumors or multiple myeloma (MM). No responses have been reported in studies of tanespimycin monotherapy in patients with metastatic melanoma. Tanespimycin given in combination with trastuzumab in patients with metastatic breast cancer induced a partial response in 24% of patients. Single-agent tanespimycin showed activity in MM and in combination with bortezomib, 27% of patients achieved minor response or better (48% bortezomib-naive patients, 22% bortezomib-pretreated patients, 13% bortezomib-refractory patients). Conclusion: Tanespimycin represents a promising new agent for the treatment of relapsed/refractory MM. Results of ongoing and future trials will determine the role of tanespimycin both in MM and other malignancies, including breast cancer. © 2011 Elsevier Inc. All rights reserved.

We establish a theory that traces light amplification in an active double-fishnet metamaterial back to its microscopic origins. Based on ab initio calculations of the light and plasmon fields we extract energy rates and conversion efficiencies associated with gain and loss channels directly from Poynting's theorem. We find that for the negative refractive index mode both radiative loss and gain outweigh resistive loss by more than a factor of 2, opening a broad window of steady-state amplification (free of instabilities) accessible even when a gain reduction close to the metal is taken into account. © 2011 American Physical Society.

We analyse the spontaneous magnetization reversal of supported monatomic chains of finite length due to thermal fluctuations via atomistic spin-dynamics simulations. Our approach is based on the integration of the Landau-Lifshitz equation of motion of a classical spin Hamiltonian in the presence of stochastic forces. The associated magnetization lifetime is found to obey an Arrhenius law with an activation barrier equal to the domain wall energy in the chain. For chains longer than one domain wall width, the reversal is initiated by nucleation of a reversed magnetization domain primarily at the chain edge followed by a subsequent propagation of the domain wall to the other edge in a random-walk fashion. This results in a linear dependence of the lifetime on the chain length, if the magnetization correlation length is not exceeded. We studied chains of uniaxial and triaxial anisotropy and found that a triaxial anisotropy leads to a reduction of the magnetization lifetime due to a higher reversal attempt rate, even though the activation barrier is not changed.

Objective: This study investigated whether changes in thyroid hormone (TH) in plasma are associated with the recovery of cardiac function in patients with acute myocardial infarction (AMI). Previous experimental studies have provided evidence of potential implication of TH signaling in post-ischemic recovery of cardiac function. Methods: A total of 47 patients with AMI and early reperfusion therapy were included in this study. Myocardial injurywas analyzed by peak creatinine kinase-MB(CKMB) and cardiac function was assessed by echocardiographic left ventricular ejection fraction (LVEF%). Recovery of function (ΔEF%) was estimated as the difference of LVEF% between 48 h and 6 months (6 mo) after AMI. Total triiodothyronine (T3), thyroxine (T4), and TSH were measured in plasma at different time points (24 h, 48 h, 5 d, and 6 mo). Results: A significant correlation between LVEF% and T3 (r=0.5, P=0.0004) was found early after AMI (48 h), whereas no correlation was observed between CKMB and T3 (r=-0.04, P=0.81). A strong correlation was found between ΔEF% and total T3 (r=0.64, P=10-6) at 6 mo after AMI. Furthermore, multivariate regression analysis revealed that T3 at 6 mo (r=0.64, r2=0.41, P=10-6) was an independent determinant of DEF%. Conclusion: Changes in T3 levels in plasma are closely correlated with the early and late recovery of cardiac function after AMI. T3 levels at 6 mo appear to be an independent predictor of late functional recovery. © 2011 European Society of Endocrinology.

Background/Aim: Easily assessable clinical predictors of response to chemotherapy in advanced castration-resistant prostate cancer (CRPC) are few. The objective of this retrospective study was to search for and identify such candidate predictors of outcome. Patients and Methods: A retrospective analysis of clinical data of CRPC patients entered in the Clinical Therapeutics' departmental prostate cancer database from 1996-2009 was performed. Univariate and multivariate analyses for progression-free survival and overall survival included patients receiving both docetaxel- and non-docetaxel-containing regimens. Results: From 1996 until June 2009, 286 out of 313 patients in our database were treated with chemotherapy. Prostate-specific antigen (PSA) reduction >30% correlated with improved survival irrespective of treatment. Beyond previously reported predictors, i.e. baseline PSA>30 ng/dl, hemoglobin below 10 mg/dl, weight loss, poor performance status, elevated lactic dehydrogenase and alkaline phosphatase, and time to CRPC of less than or equal to two years was associated with a poor overall survival and shorter progression-free survival upon univariate analysis. Pain was associated with shorter survival. Multivariate analysis confirmed time to CRPC, lactate dehydrogenase and alkaline phosphatase as independent predictors of overall and progression-free survival. Conclusion: Time to castration resistance is an important predictor of outcome in CRPC. PSA reduction >30% predicts survival improvement following chemotherapy for CRPC regardless of chemotherapy applied.

Thromboembolic disease remains one of the most devastating and potentially lethal complications after elective total knee replacement (TKR) surgery. Studies have shown that 40-85% of patients undergoing TKR will develop venographically confirmed deep vein thrombosis (DVT) if they are not given any type of post-operative thromboprophylaxis and approximately 0.1 to 1.7% will suffer fatal pulmonary embolism (PE). Consequently, there is a general consensus that patients undergoing elective TKR require adequate antithrombotic prophylaxis. The following article reviews current evidence regarding chemical thromboprophylaxis after total knee replacement. Clinical guidelines as described by the American Academy of Orthopaedic Surgeons (AAOS), the American College of Chest Physicians (ACCP) and the UK's National Institute for Health and Clinical Excellence (NICE) are summarized along with the differences between the recommendations. The results of the new oral anticoagulants are reviewed as well as the most recent developments in the search for the most effective venous thromboembolism (VTE) prophylaxis after TKR surgery.

We report a case of an 84-year-old female with symptomatic severe aortic stenosis, who was treated with trans-catheter aortic-valve implantation (TAVI), through the left subclavian artery. A CoreValve bioprosthesis was successfully implanted, but the procedure was complicated by a focal left subclavian dissection and transient left-arm paralysis, which was successfully managed.

The introduction of the Immunomodulatory drugs (IMiDs) and proteasome inhibitors, used either as a single-agent or combined with classic anti-myeloma therapies, has improved the outcome for patients with relapsed myeloma. However, there is currently no generally accepted standard treatment for relapsed/refractory myeloma patients, partly because of the absence of trials comparing the efficacy of the novel agents in relapsed/refractory myeloma. Choice of a new treatment regimen depends on both patient and disease-specific characteristics. A lenalidomide-based regimen is the first choice in patients with neuropathy, while bortezomib has the highest efficacy in patients with renal insufficiency and is not associated with increased risk of thromboembolism. A second autologous stem cell transplantation (auto-SCT) can be applied in patients with a progression-free period of ≥18-24. months after the first auto-SCT. In high-risk relapse such as occurring early after auto-SCT consolidation with allogeneic SCT can be considered. In this review we provide an overview of the various salvage regimens and give recommendations for treatment of patients with relapsed/refractory myeloma in different clinical settings. © 2010 Elsevier Ltd.

INTRODUCTION: The dilemma of extraction vs nonextraction treatment, along with the uncertain potential of orthodontic treatment to control vertical dimensions, still remains among the most controversial issues in orthodontics. The aim of this study was to evaluate 2 contradictory treatment protocols for hyperdivergent Class II Division 1 malocclusion regarding their effectiveness in controlling vertical dimensions. METHODS: The subjects were retrospectively selected from 2 orthodontic offices that used contrasting treatment protocols. The patients had similar hyperdivergent skeletal patterns, malocclusion patterns, skeletal ages, and sexes. Group A (29 patients) was treated with 4 first premolar extractions and "intrusive" mechanics (eg, high-pull headgear), whereas group B (28 patients) was treated nonextraction with no regard to vertical control (eg, cervical headgear, Class II elastics). Twenty-seven landmarks were digitized on lateral cephalometric radiographs before and after treatment, and 14 measurements were assessed. Geometric morphometric methods were also implemented to evaluate size and shape differences. RESULTS: As expected, the maxillary and mandibular molars translated mesially and the mandibular incisors uprighted in group A but remained approximately unchanged in group B. The vertical positions of the molars and the incisors were similar between groups before and after treatment, although they were altered by treatment or growth. No significant differences were observed in the posttreatment skeletal measurements between the 2 groups, including vertical variables, which remained unaltered. Permutation tests on Procrustes distances between skeletal shapes confirmed these results. CONCLUSIONS: This study demonstrated the limitations of conventional orthodontics to significantly alter skeletal vertical dimensions. More important factors are probably responsible for the development and establishment of the vertical skeletal pattern, such as neuromuscular balance and function.

The aim of this study was to compare craniofacial morphology and soft tissue profiles in patients with complete bilateral cleft lip and palate at 9 years of age, treated in two European cleft centres with delayed hard palate closure but different treatment protocols. The cephalometric data of 83 consecutively treated patients were compared (Gothenburg, N=44; Nijmegen, N=39). In total, 18 hard tissue and 10 soft tissue landmarks were digitized by one operator. To determine the intra-observer reliability 20 cephalograms were digitized twice with a monthly interval. Paired t-test, Pearson correlation coefficients and multiple regression models were applied for statistical analysis. Hard and soft tissue data were superimposed using the Generalized Procrustes Analysis. In Nijmegen, the maxilla was protrusive for hard and soft tissue values (P=0.001, P=0.030, respectively) and the maxillary incisors were retroclined (P<0.001), influencing the nasolabial angle, which was increased in comparison with Gothenburg (P=0.004). In conclusion, both centres showed a favourable craniofacial form at 9-10 years of age, although there were significant differences in the maxillary prominence, the incisor inclination and soft tissue cephalometric values. Follow-up of these patients until facial growth has ceased, may elucidate components for outcome improvement.

Aim: Hypertension (HT) complicates treatment with antiangiogenic agents, including the tyrosine kinase inhibitor (TKI) sunitinib. To prospectively evaluate the prevalence and management of HT in patients with advanced renal cell carcinoma (RCC) receiving sunitinib we used 24-h ABPM and we treated HT according to guidelines of the Joint National Committee on Prevention, Detection and Evaluation and the Treatment of High Blood Pressure (JNC7). Patients and methods: Normal 24-h ABPM at the baseline and at 2, 4 and 6 weeks of the first cycle was ensured with the successive use of hydrochlorothiazide + irbesartan, nebivolol and amlodipine. Office BP measurements were used in subsequent cycles to monitor HT. Sunitinib dose was modified only if BP was not controlled with four anti-hypertensive agents. Results: Forty patients were included in this analysis. Twenty-one patients (53%) had baseline HT, while 12 of 14 (84%) normotensive patients required anti-HT treatment during the 1st cycle of sunitinib. HT was infrequent in subsequent cycles and increase of anti-HT medication was required in only 2 cases. Two patients permanently discontinued sunitinib due to HT. The remaining 34 (94%) required no dose modifications for HT. One cardiac event (2.8%) was observed. There was no correlation of HT with sunitinib efficacy. Conclusion: Sunitinib-associated HT is more frequent than previously reported. The use of 24-h ABPM for diagnosis and tailoring of HT according to JNC7 guidelines may achieve uninterrupted, full dose therapy in most patients. The substitution of such protocols for currently used Toxicity Criteria may be warranted. © 2011 Elsevier Ltd. All rights reserved.

Comparable international data on food and nutrient intake is often hindered by the lack of a common instrument to assess food intake. The objective of this study was within the Global Allergy and Asthma European Network of Excellence (GA(2)LEN), we developed and piloted a food frequency questionnaire (FFQ) to assess its validity in Europe.|Five countries participating in GA(2)LEN took part in the pilot study. A total of 200 adults aged 31-75 years were invited to complete a FFQ in two occasions and to give a blood sample. The intra-class correlation coefficient (ICC) was used to assess repeatability of the FFQ. Plasma phospholipid fatty acids (FAs) were analysed by gas chromatography. Pearson correlation was used to analyse the correlation between estimated dietary FA intake and plasma phospholipid FA levels.|A total of 177 participants (89%) had complete data on FFQ(1) and plasma phospholipid FAs. In all, 152 participants (76%) completed both FFQs. ICCs between macronutrients ranged from 0.70 (saturated FAs) to 0.78 (proteins) and between 0.70 (retinol) and 0.81 (vitamin D) for micronutrients. Dietary n-3 FAs showed a good correlation with total plasma phospholipid n-3 FAs and with docosahexaenoic acid in the whole sample (0.40) and in individual countries. Poor correlations were observed for other FAs.|The GA(2)LEN FFQ is an appropriate tool to estimate dietary intake for a range of nutrients across Europe regardless of cultural and linguistic differences. The FFQ seems to be useful to estimate the intake of n-3 FAs but not other FAs.

OBJECTIVES: To investigate the hypothesis that specific fracture patterns in patients with femoral shaft fractures can predict the likelihood of associated injuries. DESIGN: Retrospective cohort study. SETTING: Level I trauma center. PATIENTS/PARTICIPANTS: Consecutive patients treated because of a traumatic diaphyseal femoral fracture. MAIN OUTCOME MEASUREMENT: We studied the association between the Orthopaedic Trauma Association (OTA) fracture classification (derived from initial radiographs) and concomitant injuries of the head, spine, chest, abdomen, and pelvis with a severity of two or more points according to the Abbreviated Injury Scale by logistic regression analysis. RESULTS: One hundred forty-three of 203 patients (80 men, 63 women; mean age 54 ± 26 years) met the inclusion criteria. All patients had unilateral diaphyseal fractures, 64 OTA 32.A (45%), 46 OTA 32.B (32%), and 33 OTA 32.C (23%). In addition, 134 associated injuries were identified in 52 patients. Increasing fracture severity, as expressed by the OTA classification (ie, A, B, C), was significantly associated with a higher likelihood of thoracic (odds ratio [OR], 5.89; 95% confidence interval [CI], 2.59-13.40), pelvic (OR, 4.55; 95% CI, 2.01-10.28), upper (OR, 2.38; 95% CI, 1.27-4.48), and lower extremity injuries (OR, 3.12; 95% CI, 1.78-5.46). Fracture severity explained between 70% and 86% of the probability of having accompanying injuries. CONCLUSION: Radiographic grading of the severity of a femoral shaft fracture may signal the presence of accompanying injuries and should contribute to the clinical decision-making process in severe trauma.

This study explores the longitudinal relationship between patient characteristics and use of 4 drug classes (antihypertensives, antidepressants, antipsychotics, and hormones) that showed significant changes in use rates over time in patients with Alzheimer disease. Patient/caregiver-reported prescription medication usage was categorized by drug class for 201 patients from the Predictors Study. Patient characteristics included use of cholinesterase inhibitors and/or memantine, function, cognition, living situation, baseline age, and sex. Assessment interval, year of study entry, and site were controlled for. Before adjusting for covariates, useage increased for antihypertensives (47.8% to 62.2%), antipsychotics (3.5% to 27.0%), and antidepressants (32.3% to 40.5%); use of hormones decreased (19.4% to 5.4%). After controlling for patient characteristics, effects of time on the use of antidepressants were no longer significant. Antihypertensive use was associated with poorer functioning, concurrent use of memantine, and older age. Antipsychotic use was associated with poorer functioning and poorer cognition. Antidepressant use was associated with younger age, poorer functioning, and concurrent use of cholinesterase inhibitors and memantine. Hormone use was associated with being female and younger age. Findings suggest accurate modeling of the Alzheimer disease treatment paradigm for certain subgroups of patients should include antihypertensives and antipsychotics in addition to cholinesterase inhibitors and memantine.

In this study, the variability and trends of the mean annual and seasonal maximum and minimum surface air temperature in Greece are examined, using monthly data sets of 26 meteorological stations from the Hellenic National Meteorological Service (HNMS) and gridded data from the National Center for Environmental Prediction-National Center for Atmospheric Research (NCEP-NCAR) Reanalysis project for the period 1955-2001. NCEP-NCAR reanalysis data sets are created by assimilating climate observations from different sources, including ships, satellites, ground stations, radiosonde observations and radar. The general purpose of conducting reanalyses is to produce multi-year global state-of-the-art gridded representations of atmospheric states, generated by a constant model and a constant data-assimilation system. The trends of the mean extreme air temperatures were evaluated, using the Mann-Kendall criterion, and, in the process, factor analysis was applied to both the stations' and the NCEP-NCAR grid points time series. Regarding the mean maximum air temperature, the first main factor, which explains a high percentage of the total variance, presents a statistically significant (CL = 95%) negative trend only during the winter. The first main factor of the mean minimum air temperature manifests a statistically significant (CL = 95%) positive trend during the summer and the year, and a statistically significant (CL = 95%) negative trend in autumn and winter. These findings were compared to the respective ones of the NCEP-NCAR reanalysis data and significant differences in the spatial distribution and temporal variability of the extracted new factors were found. These differences between the two examined data sets could be attributed to topographical factors such orography and land-sea distribution, which could not be represented properly by the reanalysis model. © 2011 Taylor & Francis.

A major part of the burden of asthma is caused by acute exacerbations. Exacerbations have been strongly and consistently associated with respiratory infections. Respiratory viruses and bacteria are therefore possible treatment targets. To have a reasonable estimate of the burden of disease induced by such infectious agents on asthmatic patients, it is necessary to understand their nature and be able to identify them in clinical samples by employing accurate and sensitive methodologies. This systematic review summarizes current knowledge and developments in infection epidemiology of acute asthma in children and adults, describing the known impact for each individual agent and highlighting knowledge gaps. Among infectious agents, human rhinoviruses are the most prevalent in regard to asthma exacerbations. The newly identified type-C rhinoviruses may prove to be particularly relevant. Respiratory syncytial virus and metapneumovirus are important in infants, while influenza viruses seem to induce severe exacerbations mostly in adults. Other agents are relatively less or not clearly associated. Mycoplasma and Chlamydophila pneumoniae seem to be involved more with asthma persistence rather than with disease exacerbations. Recent data suggest that common bacteria may also be involved, but this should be confirmed. Although current information is considerable, improvements in detection methodologies, as well as the wide variation in respect to location, time and populations, underline the need for additional studies that should also take into account interacting factors.

Nitrogen and fluorine co-doped TiO2 films have been prepared by dip coating of a modified titania sol-gel based on a nitrogen precursor and a nonionic fluorosurfactant as pore template and fluorine source. The modified NF-TiO2 films absorb in the visible spectral range, between 400-510 nm and undergo reversible hydrophilic conversion under visible light to a final contact angle of 8°, in contrast to the UV limited optical response of their undoped anatase TiO2 analogues. The phenomenon takes place at a rate slower than the corresponding one observed for the UV stimulated superhydrophilic effect. The wetting response of the N-F doped TiO2 films correlates well with the variation of their optical properties and surface morphological characteristics and most importantly with their photocatalytic activity, rendering these materials very promising for self-cleaning applications under visible light. © 2011 The Royal Society of Chemistry and Owner Societies.

In 2 quasi-experimental field studies in a real-life physical education (PE) setting, the authors investigated whether the interest-enjoyment and vitality of Greek pupils (age range, 10-12 years) varied from class-to-class as a function of the class-to-class variation in the manipulated motivational environment (Studies 1 and 2) and pupils' relative autonomous motivation (Study 2). In Study 1, multilevel analyses showed at the within-student level that students (N = 138, 48.6% boys and 51.4% girls) reported, on average, more interest-enjoyment and vitality after a need-supportive, relative to a typical (i.e., control group), PE class. This main effect was replicated in Study 2 (N = 155, 53.6% boys and 46.4% girls), and Study 2 findings further showed at the between-student level that interest-enjoyment was somewhat higher among pupils scoring higher in relative autonomous motivation. Moreover, Study 2 provided evidence for an interaction effect such that pupils with high, as compared with those with low, relative autonomous motivation benefited significantly more from a need-supportive class. Perceived need support was found to fully explain the effects of manipulated need support on interest-enjoyment and vitality. Results are discussed within the self-determination theory (Deci & Ryan, 2000).

The largest Local Group spiral galaxy, M31, has been completely imaged for the first time, obtaining a luminosity lower limit about 1035erg/s in the 0.2-4.5keV band. Our XMM-Newton EPIC survey combines archival observations along the major axis, from June 2000 to July 2004, with observations taken between June 2006 and February 2008 that cover the remainder of the D25 ellipse. The main goal of the paper is to study X-ray source populations of M31. An X-ray catalogue of 1897(*) sources was created with 914 detected for the first time. Source classification and identification were based on X-ray hardness ratios, spatial extent of the sources, and cross correlation with catalogues in the X-ray, optical, infrared and radio wavelengths. We also analysed the long-term variability of the X-ray sources and this variability allows us to distinguish between X-ray binaries and active galactic nuclei (AGN). Furthermore, supernova remnant classifications of previous studies that did not use long-term variability as a classification criterion could be validated. Including previous Chandra and ROSAT observations in the long-term variability study allowed us to detect additional transient or at least highly variable sources, which are good candidate X-ray binaries. (*) the final catalog of table5 icludes 1948 sources. (2 data files).

Context. Classical novae (CNe) represent the major class of supersoft X-ray sources (SSSs) in the central region of the galaxy M31. We performed a dedicated monitoring of the M31 central region with XMM-Newton and Chandra between Nov 2007 and Feb 2008 and between Nov 2008 and Feb 2009, respectively, to find SSS counterparts of CNe, determine the duration of their SSS phase, and derive physical outburst parameters. We systematically searched our data for X-ray counterparts of CNe, determined their X-ray light curves and characterised their spectra using blackbody fits and white dwarf (WD) atmosphere models. Additionally, we determined luminosity upper limits for all previously known X-ray emitting novae that are not detected any more and for all CNe in our field of view with optical outbursts between one year before the start of the X-ray monitoring (Oct 2006) and its end (Feb 2009). (2 data files).

BACKGROUND: Osteonecrosis has been associated with the presence of white matter lesions. The objective of this study was to investigate the association between macro- and micro- vascular disease and white matter lesions. METHODS: Sixty-four patients with femoral head osteonecrosis were assessed during a cross sectional study in our university-based hospital. A vascular 'profile' was obtained for each patient and included measurement of plasma lipids, fundoscopic examination and common carotid artery triplex ultrasonography. All patients had brain MRI to assess for presence of white matter lesions. The two groups formed, with and without white matter lesions, were compared in order to define the association between white matter lesions and vascular disease. RESULTS: Patients without white matter lesions had more frequently corticosteroid induced osteonecrosis. There was no difference in the two groups with respect to intima media thickness and ApoB/ApoA1 ratio. Only one of our patients demonstrated retinopathy. CONCLUSIONS: There is no evidence of concurrent macro- and micro- vascular pathology in young patients with white matter lesions and femoral head osteonecrosis. Cortisone appears to have a 'protective' effect against occurrence of white matter lesions.

Aims: One of the goals of the XMM-Newton survey of the Small Magellanic Cloud is to study the Be/X-ray binary population. During one of our first survey observations, a bright new transient - XMMU J004814.0-732204 - was discovered. Methods: We present the analysis of the EPIC X-ray data, together with optical observations, to investigate the spectral and temporal characteristics of XMMU J004814.0-732204. Results: We found coherent X-ray pulsations in the EPIC data with a period of (11.86642 ± 0.00017) s. The X-ray spectrum can be modelled by an absorbed power law with an indication for a soft excess. Depending on the modelling of the soft X-ray spectrum, the photon index ranges between 0.53 and 0.66. We identify the optical counterpart as a B = 14.9 mag star that was monitored during the MACHO and OGLE-III projects. The optical light curves show regular outbursts by ~0.5 mag in B and R and up to 0.9 mag in I, which repeat on a time scale of about 1000 days. The OGLE-III optical colours of the star are consistent with an early B spectral type. An optical spectrum obtained at the 1.9 m telescope of the South African Astronomical Observatory in December 2009 shows Hα emission with an equivalent width of 3.5 ± 0.6 Å. Conclusions: The X-ray spectrum and the detection of pulsations suggest that XMMU J004814.0-732204is a new high-mass X-ray binary pulsar in the SMC. The long term variability and the Hα emission line in the spectrum of the optical counterpart identify it as a Be/X-ray binary system.

Context. Classical novae (CNe) represent the major class of supersoft X-ray sources (SSSs) in the central region of the galaxy M 31. Aims: We performed a dedicated monitoring of the M 31 central region with XMM-Newton and Chandra between Nov. 2007 and Feb. 2008 and between Nov. 2008 and Feb. 2009, respectively, to find SSS counterparts of CNe, determine the duration of their SSS phase, and derive physical outburst parameters. Methods: We systematically searched our data for X-ray counterparts of CNe, determined their X-ray light curves and characterised their spectra using blackbody fits and white dwarf (WD) atmosphere models. Additionally, we determined luminosity upper limits for all previously known X-ray emitting novae that are not detected any more and for all CNe in our field of view with optical outbursts between one year before the start of the X-ray monitoring (Oct. 2006) and its end (Feb. 2009). Results: We detected 17 X-ray counterparts of CNe in M 31, only four of which were previously known. These latter sources are still active 12.5, 11.0, 7.4 and 4.8 years after the optical outburst. In addition, we detected three known SSSs without a nova counterpart. Four novae displayed short SSS phases (<100 d). Based on these results and previous studies we compiled a catalogue of all novae with SSS counterparts in M 31 known so far. We used this catalogue to derive correlations between the following X-ray and optical nova parameters: turn-on time, turn-off time, blackbody temperature (X-ray), t2 decay time and expansion velocity of the ejected envelope (optical). Temperatures derived from blackbody fits and WD atmosphere models were found to characterise the effective SSS temperatures almost equally well. Furthermore, we found a first hint for the existence of a difference between SSS parameters of novae associated with the stellar populations of the M 31 bulge and disk. Additionally, we conducted a Monte Carlo Markov chain simulation on the intrinsic fraction of novae with SSS phase. This simulation showed that the high fraction of novae without detected SSS emission might be explained by the inevitably incomplete coverage with X-ray observations in combination with a large part of novae with short SSS states, as expected from the WD mass distribution. Conclusions: Our results confirm that novae are the major class of SSSs in the central region of M 31. The catalogue of novae with X-ray counterpart, mainly based on our X-ray monitoring, contains valuable insight into the physics of the nova process. In order to verify our results with an increased sample, more monitoring observations are needed. Partly based on observations with XMM-Newton, an ESA Science Mission with instruments and contributions directly funded by ESA Member States and NASA.All tables are available in electronic form at http://www.aanda.orgTable 9 is also available at the CDS via anonymous ftp to cdsarc.u-strasbg.fr (130.79.128.5) or via http://cdsarc.u-strasbg.fr/viz-bin/qcat?J/A+A/533/A52

Aims: We study the expected variability patterns of blazars within the two-zone acceleration model, putting special emphasis on flare shapes and spectral lags. Methods: We semi-analytically solve the kinetic equations that describe the particle evolution in the acceleration and radiation zone. We then perturb the solutions by introducing Lorentzian variations in its key parameters and examine the flaring behavior of the system. We apply the above to the X-ray observations of blazar 1ES 1218+304, which exhibited a hard lag behavior during a flaring episode and discuss possibilities of producing it within the context of our model. Results: The steady-state radio to X-rays emission of 1ES 1218+304 can be reproduced with parameters that lie well within the ones generally accepted from blazar modeling. Additionally, we find that the best way to explain its flaring behavior is by varying the rate of particles injected in the acceleration zone.

Η απόφαση 2533/2011 του Δ Τμήματος του ΣτΕ παραπέμπει το ζήτημα της συνταγματικότητας της θέσπισης πληθυσμιακών κριτηρίων για την έκδοση άδειας λειτουργίας φαρμακείου στην Ολομέλεια. Η απόφαση ΣτΕ (Ολ.) 3665/2005 είχε κρίνει ότι τα πληθυσμιακά κριτήρια αντίκεινται στο άρθρο 5 παρ. 1 του Συντάγματος που καθιερώνει την επαγγελματική ελευθερία. Από την ανάγνωση των αποφάσεων αυτών δεν προκύπτει κανένα νεότερο νομικό στοιχείο. Υποστηρίζω ότι τα πληθυσμιακά κριτήρια όπως ισχύουν δεν συνάδουν ούτε με το άρθρο 5 παρ. 1 του Συντάγματος ούτε με όσα το ευρωπαϊκό δίκαιο κάνει δεκτά. Δεν αποτελεί λόγο δημοσίου συμφέροντος η εξασφάλιση της βιωσιμότητας των υφιστάμενων φαρμακείων ενώ η πρόσβαση του πληθυσμού της υπαίθρου στο φάρμακο μπορεί να επιτευχθεί με προσφορότερα και λιγότερο περιοριστικά μέτρα. 

Το άρθρο αυτό αφορά τον καιρό

(2011). H μεταστροφή του Αχιλλέα στα ‘επί Πατρόκλω άθλα’ της ραψωδίας Ψ της Ιλιάδος. Ο βαθύτατος πόνος ως αφορμή για αναδιαμόρφωση της προσωπικότητας του ανθρώπου Κωνσταντίνα Γογγάκη, Ελισάβετ Στραβάκου               Στους αγώνες προς τιμήν του Πατρόκλου, τους επικήδειους αγώνες της ραψωδίας Ψ της Ιλιάδος οι οποίοι διεξάγονται ενώ το δέμας του νεκρού είναι ακόμη ζεστό (Γογγάκη, 2003), ο Αχιλλέας και οι άλλοι Έλληνες επιδεικνύουν την πιο πολιτισμένη συμπεριφορά τους. Ειδικότερα ο Αχιλλέας μετά το θάνατο του Πατρόκλου εξωτερικεύει το μεγάλο του πόνο και το θυμό του με ακραίες αντιδράσεις, μη μπορώντας να αποδεχθεί τον ξαφνικό και άδικο χαμό του αγαπημένου του συντρόφου. Το ξέσπασμα αυτό  λειτουργεί λυτρωτικά για τον ήρωα, ώστε να εισέλθει στη φάση της συνειδητοποίησης του θανάτου, ξαναβρίσκοντας και τα ευγενικά χαρακτηριστικά του. Ο Αχιλλέας εξέρχεται από την οδυνηρή εμπειρία του θανάτου περισσότερο «εξανθρωπισμένος» από πριν, με νέα ποιοτικά δεδομένα στην προσωπικότητά του (Krook, 1969). Ο απαρηγόρητος και γεμάτος μίσος ήρωας των προηγούμενων ραψωδιών μεταστρέφεται σε έναν σπλαχνικό ήρωα, ο οποίος δείχνει μια ελεγχόμενη και κάπως απόμακρη κοινωνικότητα (Whitman, 1958, Edwards, 2001).             Στην κατάληξη των επικήδειων αγώνων ο Αχιλλέας είναι ο πιο αγνώριστος απ’ όλους. Ο ήρωας αυτός, με σταθερό γνώρισμά του ως τώρα την αδιαλλαξία, γίνεται στην ενότητα αυτή ο διαλλακτικότερος όλων, ακτινοβολώντας τέτοια καλοσύνη που χαρακτηρίζει τους υψηλόφρονες (Scadewaldt, 1982) . Αξίζει να επισημανθεί ότι στους αθλητικούς αυτούς αγώνες ο απαρηγόρητος για τον θάνατο του Πατρόκλου χαμογελάει, για πρώτη και μοναδική φορά σε ολόκληρη την Ιλιάδα (Ψ 155-157). Ο Αχιλλέας χαμογελάει γνωρίζοντας ότι το αγώνισμα της αρματοδρομίας όσο διαρκεί αναστέλλει και απωθεί το θανάσιμο βάρος του πολέμου. Η ραψωδία Ψ της Ιλιάδος αποτελεί, εν προκειμένω, τη ραψωδία της ψυχικής μεταστροφής. Ο πόνος που επιφέρει στην ανθρώπινη ψυχή ο θάνατος ενός αγαπημένου προσώπου είναι οξύτατος, και η εμπειρία αυτή προξενεί βαθύ ρήγμα στην προσωπικότητα του ανθρώπου, ενώ στη συνέχεια ο πόνος αυτός αρχίζει να μεταστρέφεται σε εμπειρία ζωής και σε γνώση. Η οδύνη της απώλειας σταδιακά ενισχύει την επίγνωση σχετικά με τον φθαρτό χαρακτήρα του ανθρώπινου βίου. Κάποια στιγμή θάρθει και η σειρά του ζωντανού να ακολουθήσει την αναπόδραστη πορεία. Η συνείδηση αυτή τον κάνει πιο ανθρώπινο, διαμορφώνοντας, εν τέλει, μέσα από τη διαδικασία του πόνου, τη νέα ποιότητά του.   

The purpose of this case study is the presentation of the adverse long-term consequences of school bullying. This case study concerns a 22-year-old female who sought out therapy in order to cope with her intense negative feelings of stress and depression. During the therapeutic process, it became clear that the patient's current problems were related to having been the victim of systematic bullying during her school years. Her self-image in the period she sought out help deteriorated, as shown in her negative cognitions regarding her abilities and capacities, which had been shaped under the influence of the bullying experience. According to a number of empirical investigations (Hawker & Boulton, 2000; Nansei, Craig, & Overpeck, 2004; Kochenderfer & Ladd, 1996; Kochenderfer & Wardrop, 2001; and in Greece: Galanaki & Vogiatzoglou, 2007; Galanaki, Amanaki, & Noikokiri, 2009), some of the consequences of school bullying - such as relationship problems, low self-esteem, limited social contacts, stress, depression, feelings of loneliness - are likely to be maintained for an extended period of time, especially when the individual has failed to form a network of social support (Newman, Holden, & Delville, 2004). Thus, adults who as pupils suffered from bullying experience more feelings of loneliness, depression, and inadequacy and they encounter difficulties in their interpersonal relations (Gilmartin, 1987; Hugh-Jones & Smith, 1999; Isaacs, Hodges, & Salmivalli, 2008; Newman et al., 2005; Olweus, 1994; Storch, Roth, Cales, Heimberg, Bravata, & Moser, 2004). In this case study, the ongoing presence and lasting influence of these negative consequences in adult life become obvious.

   

By means of full electrodynamic and elastodynamic multiple-scattering calculations we study the optical and acoustic properties of three-dimensional lattices of metallic nanospheres implanted in a dielectric host. Our results show that such structures exhibit omnidirectional spectral gaps for both telecom infrared light and hypersound, with relatively low absorptive losses. This class of dual (phoxonic) band-gap materials is an essential step toward the hypersonic modulation of light and could lead to the development of efficient acousto-optical devices.

OBJECTIVE: In obese postmenopausal women we assessed leptin and adiponectin, high-sensitive C-reactive protein (hsCRP), serum lipids and lipoxidative stress products: oxidized LDL (oxLDL) and malondialdehyde (MDA), in relation to impaired glucose tolerance (IGT). METHODS: Thirty-eight overweight/obese postmenopausal women were included in the study. Eighteen with normal glucose metabolism (NGT) and twenty with IGT, as it is diagnosed by OGTT. Serum leptin, adiponectin, hsCRP and MDA were measured at time 0 and 120 min of OGTT while total-cholesterol, LDL, HDL, triglycerides, oxLDL and anti-oxLDL autoantibodies at time 0. Insulin resistance (HOMA)/sensitivity (QUICKI) indexes were estimated. RESULTS: In subjects with NGT, hsCRP was positively correlated with fasting leptin and HOMA, while in subjects with IGT negatively with QUICKI. In both groups, hsCRP was positively correlated with fasting insulin, body mass index and waist circumference. Fasting adiponectin was positively associated with HDL in both groups and negatively with triglycerides in subjects with NGT as well as with serum glucose levels at time 120 min of OGTT in subjects with IGT. No association was observed between oxLDL and adipokines. A significant positive association was found between oxLDL and HOMA in subjects with IGT. During OGTT there was a significant increase of leptin and MDA levels in both groups. CONCLUSIONS: A relationship exists between obesity, insulin and sub-clinical inflammation. Leptin and lipid peroxidation are linked to hyperglycaemic state while oxLDL might be considered as a predictor of insulin resistance. Adiponectin could exert its antiatherogenic effect through HDL independently of the presence of IGT.

The present study provides additional data on the distributional range of six alien foraminiferal species in living assemblages from Greek coastal areas (Aegean Sea, Eastern Mediterranean). Amphistegina lobifera LARSEN 1976, Sorites orbiculus (FORSK L 1775) and Coscinospira hemprichii EHRENBERG 1839 are well established in Greek coastal areas, whereas Triloculina fichteliana D'ORBIGNY 1839, Planogypsina acervalis (BRADY 1884) and Cymbaloporetta plana (CUSHMAN 1924), are recorded for the first time in this paper. The occurrence of these species in a number of sites in the Aegean Sea establishes their presence in the Eastern Mediterranean.

Although extensively studied for its pharmaceutical properties, Teucrium polium has yet to disclose its leaf structure and the chemical nature of the accumulated or secreted products. Therefore, light, scanning, and transmission electron microscopy along with histochemical tests were employed to investigate the leaf of this perennial dwarf Mediterranean shrub. Structural characteristics include large cells with cutinized walls, creating cavities of obscured function in contact to a vessel element of the conductive tissue and different types of glandular hairs. A variety of secreted materials was identified by certain histochemical stains within the mesophyll cells and the glandular hairs. A dense indumentum of non-glandular hairs protects the secretory apparatus and the leaf surface from the stressful conditions of the Mediterranean climate.

Dietary shifts have played a major role in the evolution of many vertebrates. The idea that the evolution of herbivory is physiologically constrained in squamates is challenged by a number of observations that suggest that at least some lizards can overcome the putative physiological difficulties of herbivory on evolutionary and even ecological timescales. We compared a number of morphological and physiological traits purportedly associated with plant consumption between two island populations of the lacertid lizard Podarcis sicula. Previous studies revealed considerable differences in the amount of plant material consumed between those populations. We continued the investigation of this study system and explored the degree of divergence in morphology (dentition, gut morphology), digestive performance (gut passage time, digestive efficiency), and ecology (endosymbiont density). In addition, we also performed a preliminary analysis of the plasticity of some of these modifications. Our results confirm and expand earlier findings concerning divergence in the morphology of feeding structures between two island populations of P. sicula lizards. In addition to the differences in skull dimensions and the prevalence of cecal valves previously reported, these two recently diverged populations also differ in aspects of their dentition (teeth width) and the lengths of the stomach and small intestine. The plasticity experiment suggests that at least some of the changes associated with a dietary shift toward a higher proportion of plant material may be plastic. Our results also show that these morphological changes effectively translate into differences in digestive performance: the population with the longer digestive tract exhibits longer gut passage time and improved digestive efficiency. © 2010 by The University of Chicago.

Objective: Anorexia nervosa (AN) affects a large number of women, usually in their adolescence. One of the primary manifestations of the disease is menstrual irregularity, and the presence of a menstrual cycle is often used as a sign of recovery among patients. Women with AN are likely to seek medical advice from a gynecologist with regards to their period problems. The role of the gynecologist is therefore crucial in identifying and referring these patients promptly to specialised centers. Study design: A brief anonymous questionnaire was completed by 94 gynecologists practising in Athens. Results: Approximately half of the responders felt that the conditions were rarer than it really is, and 25{%} thought that the disease primarily affects women in their early twenties. Although 56{%} of gynecologists would not prescribe the combined oral contraceptive in women with AN in order to restore their periods, the remainder of gynecologists were in favour of prescribing hormone replacement with a view to reducing the risk of osteopenia. This is despite the fact that emerging evidence shows there is no benefit. Ten percent of gynecologists never weigh their patients during evaluation of amenorrhoea and 72{%} felt that their level of knowledge as far as anorexia nervosa is concerned is inadequate. Conclusion: More education is required among gynecologists on the subject of anorexia nervosa, in order to identify and refer patients in the early stages of the disease process. © 2010 Elsevier Ireland Ltd.

Pietsch, Henze, and Burwitz -- together with A. Liakos (Department of Physics, University of Athens), D. Hatzidimitriou (Department of Physics, University of Crete), and P. Niarchos (Department of Physics, University of Athens) -- add that confirmation of M31N 2010-06c at mag 18.0 was obtained with a stack of ten 60-s unfiltered CCD images obtained with a 40-cm Cassegrain telescope (+ f/5.1 focal reducer + 2184x1472-pixel ST-10XME CCD camera; pixel size 6.8 microns square) at the Athens University Observatory on June 27.028 UT; they provide position end figures 04s.48, 33".8.

W. Pietsch, M. Henze, and V. Burwitz, Max-Planck-Institut fuer Extraterrestrische Physik; A. Liakos, Department of Physics, University of Athens; D. Hatzidimitriou, Department of Physics, University of Crete; and P. Niarchos, Department of Physics, University of Athens, report the detection of an apparent nova in M31 using observations with the UltraViolet/Optical Telescope (UVOT) onboard the Swift satellite. The object was serendipitously detected in the UVW1 filter (range 181-321 nm; UVOT observation number 31255018 with 4333-s exposure) starting on June 24.02 UT with a magnitude of 19.5 +/- 0.2. The position for the nova candidate, designated M31N 2010-06d, is R.A. = 0h42m55s.56, Decl. = +41d19'25".5 (equinox 2000.0; uncertainty 1".0), which is 127" east and 197" north of the core of M31. The source is clearly detected in the individual images. In the UVW1 filter, Swift observation number 31255014, starting on June 12.04 (4161-s exposure), and in the U filter, Swift observation number 31255017, starting on June 21.29 (1330-s exposure), no object was detected at the position of M31N 2010-06d, with limiting magnitudes of 20.5 and 19.7 (3 sigma), respectively. (All magnitudes are on the UVOT photometric system of Poole et al. 2008, MNRAS 383, 627, and have not been corrected for extinction.) M31N 2010-06d was confirmed on a stacked unfiltered CCD image composed of ten 60-s frames obtained at a 40-cm Cassegrain telescope with a focal reducer (f/5.1) equipped with a 2184x1472-pixel ST-10XME CCD camera (pixel size 6.8 microns square) at the Athens University Observatory on July 1.082 UT, yielding magnitude 17.8 (obtained from a photometric solution using R magnitudes of the Local Group Survey M31 catalogue of Massey et al. 2006) and position end figures 55s.62, 25".7 (uncertainty 0".5), fully consistent with the position of the Swift source. M31N 2010-06d is visible in the UV filter already several days before the detection in the optical (similar to novae M31N 2009-08a and M31N 2010-01b). Public data from the Swift data archive was used. Kamil Hornoch, Ondrejov Observatory, reports the independent discovery of M31N 2010-06d by Marek Wolf and himself on co-added 1620-s and co-added 1350-s R-band CCD frames taken by Hornoch on June 30.003 UT and by Wolf on July 1.022, respectively, with the 0.65-m telescope at Ondrejov. M31N 2010-06d is marginally visible on single images used for the co-added frames. Also, the new object is visible on pre-discovery co-added R-band frames taken with the same instrumentation during three previous nights, but is not present on numerous archive images taken at Ondrejov. M31N 2010-06d is located at R.A. = 0h42m55s.53, Decl. = +41o19'25".0 (equinox 2000.0), which is 126" east and 196" north of the center of M31. Available R-band magnitudes for M31N 2010-06d, measured by Hornoch: June 9.459 UT, [21.7 (P. Garnavich, C. Littlefield, N. Paul, and S. Bouzid, 1.83-m Vatican Advanced Technology Telescope); 18.152, [21.1 (P. Kubanek, J. Gorosabel, O. Lara-Gil, and M. Jelinek, 1.23-m telescope at Calar Alto); 27.034, 20.1 +/- 0.3 (K. Hornoch, 0.65-m telescope at Ondrejov); 28.014, 19.7 +/- 0.2 (Hornoch and P. Hornochova, 0.65-m telescope at Ondrejov); 28.040, 19.7 +/- 0.2 (Hornoch and Hornochova); 29.022, 19.2 +/- 0.2 (P. Zasche, 0.65-m telescope at Ondrejov); 29.034, 19.0 +/- 0.2 (Zasche); 30.003, 18.6 +/- 0.15 (Hornoch); 30.022, 18.65 +/- 0.1 (Hornoch); July 1.022, 18.3 +/- 0.1 (M. Wolf, 0.65-m telescope at Ondrejov).

Are Eccentric Strength Asymmetries Connected with Increased Risk for Muscle Injuries in the Thigh Muscles of Professional Soccer Players? Konstantinos Fousekis, Elias Τsepis, George Vagenas Introduction. The purpose of this prospective study was to statistically evaluate the relation between isokinetic strength asymmetries and risk of non-contact muscle strains in soccer. Methods. One hundred professional soccer players (age 23.4±4.8 years, height 178±6.7 cm, body mass 74.2±7.6 kg) were tested for isokinetic concentric and eccentric strength during the extension and flexion of the knee and ankle joint. Isokinetic testing was carried-out concentrically at 60o /sec. 180o/sec & 300o/sec and eccentrically at 60o/sec & 180o/sec for the knee joint. The ankle joint was tested at 60o/sec for both the concentric and eccentric mode of action. Each players? non-contact muscle strains resulting in missing at least one practise session or game were recorded during one competition season. Results. Analysis of the composite muscle strength asymmetries showed a significantly high relative risk of injury for players with eccentric strength asymmetries greater than 15% (RR=5.10; 95% CI: 1.29-20.17). Τhe majority of muscle strains involved 16% the hamstrings and 7% the quadriceps. The relative risk for strains in knee extensors strains was significantly increased in players with eccentric muscle asymmetries >15% (RR=1.93, 95% CI: 0.81- 4.56) and approximated statistical significance in the case of knee flexors strains (RR=1.82, 95% CI: 0.86-3.87). No significant relationship was found between concentric muscle strength asymmetries and muscle strains. Conclusions. Players with eccentric isokinetic strength asymmetries higher than 15% were more prone to injure their lower extremities. Preseason eccentric isokinetic assessment is required for the identification of soccer players being at high risk of thigh muscle strain and for the prevention of potential muscle strains via individualized exercise protocols.

PurposeThe aim of this paper is to study the technical and scale efficiency of a set of tax offices (Inland Revenue) in Greece during the period 2001‐2006. Design/methodology/approachThe methodology used to estimate efficiency scores and Greek tax office ranking was the data envelopment analysis. In addition window analysis was used to detect efficiency trends and stability over time. Tobit analysis was applied to explain whether non‐discretionary factors play a role in tax office's performance. FindingsThe results underline that “scale size” and the structure of regional economy where tax offices operate are important factors affecting their efficiency. Research limitations/implicationsDespite the limitations related to the data set, the empirical work suggests that future research may need to concentrate on the dynamic factors i.e. characteristics of the regional where the tax office is situated which could play a significant role in a tax office performance. Practical implicationsThe analysis provides information on tailor‐made political and administrative measures that can lead to improvements in the general infrastructure behind the tax office system in Greece. Originality/valueConsidering that the emerging results needed to be evaluated and considered with a sceptical eye, the present study simply highlights the importance of the information (without sensationalizing it) from the policymakers' perspective and in so doing perhaps provide an additional information resource on which they can base their decisions and policies. © 2010, Emerald Group Publishing Limited.

INTRODUCTION: the FcγRIIa receptor is responsible for the clearance of large immune complexes and recently has been proved to be a C-reactive protein (CRP) receptor as well. A polymorphism in the corresponding FCG2RA gene resulting in an amino acid change (R131H) has been implicated, with conflicting results in the pathogenesis of various autoimmune or inflammatory disorders (e.g., atherosclerosis and coronary artery disease [CAD]). METHODS: we recently developed a real-time polymerase chain reaction and melting curve analysis method for the genotyping of the above polymorphism. We further looked at its validity with bioinformatics study and DNA sequencing. Then we genotyped 134 CAD patients and 45 angiographically normal controls and determined serum high-sensitivity CRP by nephelometry (Dade-Behring). Also, we used apparently healthy platelet donors (n = 206) as a larger control group. RESULTS: our method is accurate and devoid of problems with homologs and copy number variants. The need for reference materials is stressed. There were statistically significant differences (p < 0.05) between the CAD patients and each of the two other control groups, with the percentage of RR genotype rising from 6.5% and 11% in the control groups to an average of 19% in all CAD patients (17%, 24%, and 18.5% in stable angina, unstable angina, and myocardial infarction, respectively). In a logistic regression model that included known risk factors for CAD including CRP, the RR genotype remained a significant predictor for CAD (odds ratio: 6.3 [1.1-36.3]). Also after linear regression analysis, CRP levels were reduced in the RR carriers (vs. HH + HR), controlling for age, sex, and disease (marginal p = 0.07). CONCLUSIONS: with our accurate genotyping method, the RR genotype was correlated with atherothrombotic CAD events. The inverse correlation found between CRP levels and genotype supports the in vitro data of RR cells binding CRP stronger than HH.

INTRODUCTION: the FcgammaRIIa receptor is responsible for the clearance of large immune complexes and recently has been proved to be a C-reactive protein (CRP) receptor as well. A polymorphism in the corresponding FCG2RA gene resulting in an amino acid change (R131H) has been implicated, with conflicting results in the pathogenesis of various autoimmune or inflammatory disorders (e.g., atherosclerosis and coronary artery disease [CAD]). METHODS: we recently developed a real-time polymerase chain reaction and melting curve analysis method for the genotyping of the above polymorphism. We further looked at its validity with bioinformatics study and DNA sequencing. Then we genotyped 134 CAD patients and 45 angiographically normal controls and determined serum high-sensitivity CRP by nephelometry (Dade-Behring). Also, we used apparently healthy platelet donors (n = 206) as a larger control group. RESULTS: our method is accurate and devoid of problems with homologs and copy number variants. The need for reference materials is stressed. There were statistically significant differences (p < 0.05) between the CAD patients and each of the two other control groups, with the percentage of RR genotype rising from 6.5% and 11% in the control groups to an average of 19% in all CAD patients (17%, 24%, and 18.5% in stable angina, unstable angina, and myocardial infarction, respectively). In a logistic regression model that included known risk factors for CAD including CRP, the RR genotype remained a significant predictor for CAD (odds ratio: 6.3 [1.1-36.3]). Also after linear regression analysis, CRP levels were reduced in the RR carriers (vs. HH + HR), controlling for age, sex, and disease (marginal p = 0.07). CONCLUSIONS: with our accurate genotyping method, the RR genotype was correlated with atherothrombotic CAD events. The inverse correlation found between CRP levels and genotype supports the in vitro data of RR cells binding CRP stronger than HH

Studies have suggested that dental development substantially influences the variation of mandibular morphology and growth in primates. As a contribution to the methodology of such studies, we introduce a novel approach to quantifying the covariation between teeth and mandible. This was done showing fluctuations in the magnitude of this covariation within a sample of modern human mandibles at different postnatal ages. Dense CT- derived mandibular surface meshes of 73 females and 71 males, ranging in age from birth to adulthood, were processed by methods of geometric morphometrics. Each specimen's deciduous and permanent teeth were rated for mineralization stage. Form-space principal component analysis of the morphometric data was used to produce a single metric variable that best explains mandibular-form variation. This variable was then used to quantify the developing teeth, all together, through the use of the additive conjoint measurement method. This new metric variable corresponds to the dental prediction of the mandibular-form variation. Finally, we examine the covariation of the two over the full range of mineralization stages. We found a strikingly tight association between mandibular form and dental maturation up through the full emergence of the deciduous dentition (about age 2 years), followed by an equally striking decline in that association in later developmental stages, particularly for girls. The onset of the decline of the teeth-mandible relationship coincides with the onset time of the adult-like pattern of mastication and speech. The increasingly functional diversity may lead to more independence between dental development and mandibular growth than during the first two years.

The Aerosol Index (AI) observations derived from the Ozone Monitoring Instrument (OMI) on board the Dutch-Finnish Aura satellite are analyzed over Greece covering the period from September 2004 to August 2008. The AI data cover the whole Greek territory (34°-42°N, 20°-28°E) with a spatial resolution of 0.25° × 0.25° The results show significant spatial and temporal variabilities of the seasonal and monthly-mean AI, with higher values at the southern parts and lower values over northern Greece. On the other hand, the AI values do not show significant differences between the western and eastern parts and, therefore, the longitude-averaged AI values can be utilized to reveal the strong south-to-north gradient. This gradient significantly changes from season to season being more intense in spring and summer, while it is minimized in winter. Another significant remark is the dominance of negative AI values over northern Greece in the summer months, indicating the presence of non-UV-absorbing aerosols, such as sulfate and sea-salt particles. The great geographical extent of the negative AI values in the summer months is indicative of long-range transport of such aerosols. In contrast, the high positive AI values over southern Greece, mainly in spring, clearly reveal the UV-absorbing nature of desert-dust particles affecting the area during Saharan dust events. The annual variation of spatial-averaged AI values shows a predominant spring maximum (0.424 ± 0.329, in April) due to dust particles, which dominate this average and a summer minimum due to the negative AI values observed over northern Greece. In the cold period of the year (November to February) the AI values are higher over northern Greece compared to those in south, while in the rest of the year the opposite is true. © 2010 Elsevier B.V.

Two techniques for correcting malpositioning occurring during percutaneous aortic valve replacement (PAVR) with the CoreValve ReValving™ System are described in this article. The "Removing and Reinserting Technique" was used in 2 patients, in whom the prosthesis was positioned too high. The "Snare Technique" was used in 1 patient, in whom the prosthesis was implanted too low. In all patients the aortic valve prosthesis was successfully re-implanted.

AIM: Leptin and adiponectin are two well-studied adipokines in relation to malignancies. In this study, we examined the association between leptin/adiponectin and risk of B-cell chronic lymphocytic leukemia (B-CLL), as well as the relationships between adipokines and several established prognostic factors of B-CLL. METHODS: Ninety-five patients with incident B-CLL and 95 hospital controls matched on age and gender were studied between 2001 and 2007, and blood samples were collected. Leptin, total and high molecular weight adiponectin, and prognostic markers of B-CLL were determined. RESULTS: Cases had a higher body mass index (BMI) than controls (p = 0.01) and lower levels of leptin (p < 0.01). Significantly more cases than controls presented a family history of lymphohematopoietic cancer (LHC) (p = 0.01). Higher serum leptin levels were associated with lower risk of B-CLL adjusting for age, gender, family history of LHC, BMI and serum adiponectin; the multivariate odds ratio comparing highest to lowest tertile was 0.05 (95% CI 0.01-0.29, p trend < 0.001); Adiponectin was not significantly different between cases and controls. CONCLUSION: Leptin was found to be inversely associated with risk of CLL but in contrast to prior studies of CLL and hematologic malignancies, this study found no significant association between CLL and adiponectin.

(2010). Beijing 2008: Οι Ολυμπιακοί Αγώνες στη «Χώρα του Δράκου» και το γεωπολιτικό παιχνίδι στη «στέγη του κόσμου». Το Πεκίνο, η καρδιά της Κίνας, της πολυπληθέστερης χώρας του πλανήτη, υποδέχτηκε τους 29ους Ολυμπιακούς Αγώνες το 2008. Ποια είναι τα βασικά χαρακτηριστικά της ιδιαίτερης αυτής χώρας από απόψεως ιστορίας, φιλοσοφίας και πολιτικής; Μέσα από ποιες διεργασίες το κομμουνιστικό κόμμα διαδέχτηκε το αυτοκρατορικό σύστημα; Η χώρα του Κομφούκιου και του Μάο Τσε Τούνγκ συνιστά σήμερα ένα εξαιρετικά πολύπλοκο κράτος, όπου η τυραννία και η ελευθερία συνυπάρχουν, μαζί με την πρόοδο και την ελπίδα. Η χώρα του «κόκκινου καπιταλισμού» με αφορμή τους Ολυμπιακούς Αγώνες θα εκμεταλλευόταν την ευκαιρία να δείξει σε όλο τον πλανήτη πόσο μεγάλη και ισχυρή έχει γίνει. Ποιο είναι, όμως, σήμερα το γεωπολιτικό παιχνίδι στη «στέγη του κόσμου»; Ποιες οι αρχές του λαμαϊσμού (του θιβετιανής εκδοχής βουδισμού), όπως τις εκφράζει με τη στάση και τη φιλοσοφία του ο σημερινός 14ος Δαλάι Λάμα; Ο εξόριστος ηγέτης των Θιβετιανών και τιμημένος με το βραβείο Νόμπελ Ειρήνης, ο μοναχός που λατρεύεται ως θεός από τους βουδιστές του κόσμου, έχει επιδιώξει το συγκερασμό μεταξύ πολιτικής και πνευματικότητας, σήμερα τάσσεται υπέρ της παγκοσμιοποίησης και υποστηρίζει την αυτονομία του Θιβέτ. Κατά τη διάρκεια των Ολυμπιακών Αγώνων του Πεκίνου η πολιτική εξουσία δεν έμεινε μακράν των αγώνων, με αφορμή την ανελευθερία και την καταπάτηση των ανθρωπίνων δικαιωμάτων στην Κίνα. Στο μεταξύ, η κρίση στον Καύκασο τίναξε την οποιαδήποτε συζήτηση περί «ολυμπιακής εκεχειρίας» στον αέρα. Στη συνέχεια, πάντως, η όλη διοργάνωση υπήρξε ανάλογη ενός ανερχόμενου γίγαντα όπως είναι σήμερα η Κίνα. Με την αισθητική του σκηνοθέτη Ζανγκ Γιμού συναντήθηκε ο αρχαίος πολιτισμός της με τη σύγχρονη αισθητική, σαν ταινία μυστηρίου και φαντασμαγορίας.  Η Κίνα του 21ου αιώνα είναι αναμφισβήτητα μια από τις ηγέτιδες δυνάμεις του σύγχρονου κόσμου. Παρά την γιγαντιαία διοργάνωση, ωστόσο, σημειώθηκαν και ευτράπελα στην Made in China κινεζική τελειότητα. 

Background This retrospective pooled analysis of two phase III trials (MM-009/MM-010) compared clinical outcomes of patients who achieved a complete response or very good partial response to treatment with lenalidomide plus dexamethasone with the outcomes of those who only achieved a partial response. Design and Methods Patients (n=353) received lenalidomide (25 mg/day for 21 days of each 28-day cycle) plus dexamethasone (40 mg on days 1-4, 9-12, and 17-20 for four cycles, and only on days 1-4 after the first four cycles). Time to response, duration of response, time-to-progression, overall survival, and adverse events were investigated for patients who had a complete or very good partial response and compared with those of patients who had a partial response. Results At the time of unblinding, 32% of patients had achieved a complete or very good partial response and 28% had a partial response. Half (50.5%) of the patients who had a partial response as their initial response achieved a complete or very good partial response with further treatment. The probability of achieving a complete or very good partial response with continued lenalidomide treatment decreased with delayed achievement of a partial response (by cycle 4 versus later); however, it remained clinically significant. With an extended follow-up of 48 months, the median response duration, time-to-progression, and overall survival were longer in patients with a complete or very good partial response than in those with a partial response (24.0 versus 8.3 months, P<0.001; 27.7 versus 12.0 months, P<0.001; not reached versus 44.2 months, P=0.021, respectively). The benefit of a complete or very good partial response was independent of when it was achieved. Conclusions Continuing treatment with lenalidomide plus dexamethasone to achieve best response, in the absence of disease progression and toxicity, provided deeper remissions and greater clinical benefit over time for patients in this study. © 2010 Ferrata Storti Foundation.

Magnetic particles are currently applied to special biomedical and environmental applications owing to their unique magnetic, morphological and substance-carrying capabilities. Very recently we introduced Magnetically Assisted Hemodialysis (MAHD), an innovative therapeutic application of Ferromagnetic Nanoparticles (FNs) for the treatment of End-Stage Renal Disease (ESRD). MAHD can be employed for the selective and efficient removal of toxins that, although of high biological importance, they cannot be handled by current Hemodialysis strategies. This work is focused on evaluating the biocompatibility of Fe3O4 FNs with cells of donated human blood, namely Red Blood Cells (RBCs), White Blood Cells (WBCs) and Platelets (Pits). To that end, optical microscopy and atomic force microscopy were employed for the morphological examination of blood cells that were maturated under the presence of Fe3O4 FNs by means of mild incubation up to 120 min at T = 20 degrees C. As a conclusion we have not detected noticeable interference between RBCs, WBCs and Pits with FNs for the maturation conditions and the extreme FNs concentrations examined in this work.

The diffusion layer model of drug dissolution is used for the simulation of oral drug absorption as well as for the analysis of experimental data. The governing role of saturation solubility in the rate of dissolution makes this parameter predominant for biopharmaceutical classification purposes. The hypothesis models and criteria associated with the use of solubility and dissolution for the biopharmaceutical classification of compounds and marketed drugs are reviewed in this article. The complex hydrodynamics in the in vitro dissolution apparatuses as well as the motility in the gastrointestinal tract do not allow the application of the diffusion layer model in these systems, as this has been built and verified in the rotating disk device. The solubilizing capacity of gastrointestinal fluids media is higher than the aqueous saturation solubility usually reported and used for biopharmaceutical purposes. Emphasis is given on the reaction-limited model of dissolution which provides a useful alternative not based on diffusion principles. Model independent dissolution parameters are more useful for regulators as our knowledge for the dissolution mechanism(s) under in vivo conditions is limited.

PURPOSE: The purpose of the current study was to investigate the relationship between fat-free mass and shot put performance at the beginning of the winter preparation cycle and at the first peak of the season (12 wk later) in well-trained shot-putters using the rotational style. METHODS: Eight national-level shot put athletes followed their individual training programs for a period of 12 wk aiming at the national indoor championship. Shot put performance with the rotational style as well as from the power position was determined before and after this 12 wk period. Body composition was determined before and after the training period with dual x-ray absorptiometry. RESULTS: Shot put from the power position was increased by 3% (P = .03) while shot put with the rotational style was increased by 6.5% (P < .01). Fat-free mass, body fat and bone mineral density were not altered after the training period. The correlation coefficient between fat-free mass and shot put performance from the power position was significant (r = .76 preseason vs r = .66, competition; P < .05). The correlation coefficient between fat-free mass and shot put performance with the rotational style was significant at the beginning of the training period (r = .70, P < .05) but it was decreased to moderate and nonsignificant levels at competition (r = .55, ns). CONCLUSIONS: These results suggest that the increase of fat-free mass might not be the most essential element for competition when the rotational shot put style is involved.

Waldenström macroglobulinemia (WM) is a B-Cell lymphoproliferative disorder characterized by lymphoplasmacytic bone marrow infiltration and immunoglobulin M (IgM) monoclonal gammopathy. It remains incurable, with a median survival of 5-10 years in symptomatic WM. Current first-line treatment options include alkylating agents, nucleoside analogues, and rituximab-based therapies. However, primary or secondary resistance invariably develops. Thus, new treatment options are needed. Preclinical studies have shown that the proteasome inhibitor bortezomib targets signaling pathways of relevance in WM. Bortezomib, alone and in combination with rituximab, has demonstrated notable activity in clinical studies in patients with WM, predominantly in phase II trials in the relapsed or refractory setting. In newly diagnosed patients, bortezomib plus rituximab and dexamethasone is highly active (complete response/near-complete response = 22%). Bortezomib-based therapies result in rapid responses, potentially making them suitable treatment options for patients with hyperviscosity-related symptoms who require a rapid reduction in IgM level. In addition, bortezomib appears unique in reducing rituximab-associated IgM flares. Bortezomib is generally well tolerated in WM. However, neurotoxicity is common and might be the cause of dose reduction or treatment discontinuation. Bortezomib has no adverse effect on stem cell harvesting and engraftment, making it a feasible treatment option in transplantation-eligible patients. These encouraging data have led to the inclusion of bortezomib as a salvage treatment option in the recently updated Fourth International Workshop on Waldenstrom's Macroglobulinemia treatment recommendations.

Purpose: The purpose of this study was to confirm overall survival (OS) and other clinical benefits with bortezomib, melphalan, and prednisone (VMP) versus melphalan and prednisone (MP) in the phase III VISTA (Velcade as Initial Standard Therapy in Multiple Myeloma) trial after prolonged follow-up, and evaluate the impact of subsequent therapies. Patients and Methods: Previously untreated symptomatic patients with myeloma ineligible for high-dose therapy received up to nine 6-week cycles of VMP (n = 344) or MP (n = 338). Results: With a median follow-up of 36.7 months, there was a 35% reduced risk of death with VMP versus MP (hazard ratio, 0.653; P < .001); median OS was not reached with VMP versus 43 months with MP; 3-year OS rates were 68.5% versus 54.0%. Response rates to subsequent thalidomide-(41% v 53%) and lenalidomide-based therapies (59% v 52%) appeared similar after VMP or MP; response rates to subsequent bortezomib-based therapy were 47% versus 59%. Among patients treated with VMP (n = 178) and MP (n = 233), median survival from start of subsequent therapy was 30.2 and 21.9 months, respectively, and there was no difference in survival from salvage among patients who received subsequent bortezomib, thalidomide, or lenalidomide. Rates of adverse events were higher with VMP versus MP during cycles 1 to 4, but similar during cycles 5 to 9. With VMP, 79% of peripheral neuropathy events improved within a median of 1.9 months; 60% completely resolved within a median of 5.7 months. Conclusion: VMP significantly prolongs OS versus MP after lengthy follow-up and extensive subsequent antimyeloma therapy. First-line bortezomib use does not induce more resistant relapse. VMP used upfront appears more beneficial than first treating with conventional agents and saving bortezomib- and other novel agent-based treatment until relapse. © 2010 by American Society of Clinical Oncology.

Purpose: To assess the efficacy and tolerability of bortezomib with or without dexamethasone and to define prognostic factors for patients with primary systemic light chain (AL) amyloidosis treated with bortezomib or both. Patients and Methods: Ninety-four patients from three centers were analyzed: 19% received the combination as first-line treatment, 81% had a median of two previous therapies, and 69% had refractory disease, while most patients had symptomatic heart involvement or elevated serum N-terminal pro-brain natriuretic peptide (NT-proBNP). Results: A hematologic response was achieved in 71% within a median of 52 days, including 25% complete responses (CRs). Previously untreated patients had a 47% CR rate. Age 65 years or younger (P = .043) and twice weekly administration of bortezomib (P = .041) were associated with higher response rates. A cardiac response was documented in 29% of patients, in most as sustained improvement of functional class and less often as a decrease in wall thickness. Hematologic responses were associated with a cardiac response and NT-proBNP reduction. After a median follow-up of 12 months, 29% of patients had organ progression and 27% had hematologic progression. Median survival has not been reached and the 1-year survival rate is 76%. Baseline NT-proBNP was independently associated with survival (P = .001), while in a landmark analysis, survival was associated with NT-proBNP reduction of ≥ 30% (P = .006) and achievement of hematologic response (P = .001). Toxicity was manageable and mostly consisted of neuropathy, orthostasis, peripheral edema, and constipation or diarrhea. Conclusion: Bortezomib with or without dexamethasone is active in AL amyloidosis and induces rapid responses and high rates of hematologic and organ responses. Serial measurement of cardiac biomarkers is a powerful predictor of outcome. © 2010 by American Society of Clinical Oncology.

In this paper we examined whether the recorded precipitation changes cause erosion in Naxos Island, Greece using precipitation indices derived from daily precipitation totals, during the period 1955-2007, in order to develop an erosion risk model. Although the mean annual precipitation appear to be low (∼360.0 mm), the erosion processes of the area are very intense, because of the intensive character of precipitation, the high slope relief, the differential lithology and the absence of important land cover The results of the analysis showed that the climatic changes in precipitation and the changes in land cover and land use are the main drivers for the erosion. This is why the 2nd (1971-1985) and 3rd (1986-2007) studied sub-periods may be called of high erosion risk, and especially the second one mainly because of the increased frequency of extreme precipitation events. © 2010 Author(s).

In this paper we examined whether the recorded precipitation changes cause erosion in Naxos Island, Greece using precipitation indices derived from daily precipitation totals, during the period 1955–2007, in order to develop an erosion risk model. Although the mean annual precipitation appear to be low (~360.0 mm), the erosion processes of the area are very intense, because of the intensive character of precipitation, the high slope relief, the differential lithology and the absence of important land cover The results of the analysis showed that the climatic changes in precipitation and the changes in land cover and land use are the main drivers for the erosion. This is why the 2nd (1971–1985) and 3rd (1986–2007) studied sub-periods may be called of high erosion risk, and especially the second one mainly because of the increased frequency of extreme precipitation events.

Extreme precipitation events have significant environmental consequences because they may cause considerable damages to urban as well as rural areas. The aim of this work is to construct a threshold model which will describe the exceedances over a threshold for the daily precipitation totals over Athens, Greece. The data used are daily precipitation totals recorded at the National Observatory of Athens, for a 115-year period (1891-2005). The generalized Pareto distribution is considered as the proper distribution for the study of the exceedances. The threshold of u=15.8 mm (10% upper limit) is used for the construction of the optimal return level function. © Author(s) 2010.

Background: Burkitt's lymphoma (BL) in pregnancy presenting with breast involvement is a rare clinical entity, and only 13 cases have been reported so far. Case Report: We describe the case of a 28-year-old postpartum woman who presented with markedly enlarged breasts caused by BL. She was treated with 8 cycles of the CALGB 10002 regimen, as well as with irradiation to both breasts. After achieving a complete objective response, the patient received consolidation with high dose BEAM followed by autologous stem cell transplantation. 20 months after the initial diagnosis, our patient remains alive and relapse-free. Data extracted from the published case reports include information regarding demographic details, type of treatment, sites of disease, and survival. The clinical outcome of the reviewed cases was very unfavorable. Conclusions: BL affecting breasts during pregnancy or lactation is a rare entity that requires a prompt diagnosis and an aggressive therapeutic approach. © 2010 S. Karger AG, Basel.

In core ADE3-23 collected in the Libyan Sea, the nannofossil species Coccolithus pelagicus, Coronosphaera spp., Helicosphaera spp., Syracosphaera spp., Calcidiscus spp., small Gephyrocapsa spp., and the planktonic foraminifers Globigerina bulloides, Neogloboquadrina pachyderma, Globorotalia scitula, Turborotalita quinqueloba and Neogloboquadrina dutertrei prevail in sapropel S6 (midpoint at 172 ka B.P.), indicative of cold and highly productive surface conditions. Warm and highly stratified water-column conditions are recorded by the characteristic assemblage of Globigerinoides ruber, Globoturborotalita rubescens, Florisphaera profunda, Rhabdosphaera spp. during the sapropel S5 depositional interval (midpoint at 124 ka B.P.). Compared with S5, Globigerinita glutinata, Globorotalia inflata, Globigerinella siphonifera, Globorotalia truncatulinoides and the calcareous nannofossil Emiliania huxleyi characterise less stratified conditions within sapropel S1 (midpoint at 8.5 ka B.P.). Multivariate statistical analyses of calcareous nannofossil and planktonic foraminifers in core ADE3-23 identify planktonic assemblages which typify sapropels S6, S5 and S1 in the Libyan Sea. A warmer interval is recognised in the middle part of the cold S6, and can beassociated with an influx of less saline waters and the occurrence of a faint, temporary deep chlorophyll maximum. Evidence for enhanced surface productivity and breakdown of stratification is observed in the middle–upper part of the warm S5, associated with climatic deterioration. Moreover, an increase in surface productivity in the upper S1 implies weak stratification. Our combined calcareous nannofossil and planktonic foraminiferal data add to the evidence that climate variability was more pronounced than commonly considered to date for all the three studied Eastern Mediterranean sapropel depositional intervals. 

In core ADE3-23 collected in the Libyan Sea, the nannofossil species Coccolithus pelagicus, Coronosphaera spp., Helicosphaera spp., Syracosphaera spp., Calcidiscus spp., small Gephyrocapsa spp., and the planktonic foraminifers Globigerina bulloides, Neogloboquadrina pachyderma, Globorotalia scitula, Turborotalita quinqueloba and Neogloboquadrina dutertrei prevail in sapropel S6 (midpoint at 172 ka B.P.), indicative of cold and highly productive surface conditions. Warm and highly stratified water-column conditions are recorded by the characteristic assemblage of Globigerinoides ruber, Globoturborotalita rubescens, Florisphaera profunda, Rhabdosphaera spp. during the sapropel S5 depositional interval (midpoint at 124 ka B.P.). Compared with S5, Globigerinita glutinata, Globorotalia inflata, Globigerinella siphonifera, Globorotalia truncatulinoides and the calcareous nannofossil Emiliania huxleyi characterise less stratified conditions within sapropel S1 (midpoint at 8.5 ka B.P.). Multivariate statistical analyses of calcareous nannofossil and planktonic foraminifers in core ADE3-23 identify planktonic assemblages which typify sapropels S6, S5 and S1 in the Libyan Sea. A warmer interval is recognised in the middle part of the cold S6, and can beassociated with an influx of less saline waters and the occurrence of a faint, temporary deep chlorophyll maximum. Evidence for enhanced surface productivity and breakdown of stratification is observed in the middle–upper part of the warm S5, associated with climatic deterioration. Moreover, an increase in surface productivity in the upper S1 implies weak stratification. Our combined calcareous nannofossil and planktonic foraminiferal data add to the evidence that climate variability was more pronounced than commonly considered to date for all the three studied Eastern Mediterranean sapropel depositional intervals. 

We present the mathematical formulation and numerical results for the beam-wave interaction in a coaxial waveguide with rectangular slots filled with a lossy dielectric material. The formalism is based on a full-wave analysis and the linearized Vlasov equation. Numerical results are given for all kinds of modes in simplified gyrotron beam tunnels, and the effect of the losses to the parasitic oscillations is examined and discussed.

Caloric restriction and autophagy-inducing pharmacological agents can prolong lifespan in model organisms including mice, flies, and nematodes. In this study, we show that transgenic expression of Sirtuin-1 induces autophagy in human cells in vitro and in Caenorhabditis elegans in vivo. The knockdown or knockout of Sirtuin-1 prevented the induction of autophagy by resveratrol and by nutrient deprivation in human cells as well as by dietary restriction in C. elegans. Conversely, Sirtuin-1 was not required for the induction of autophagy by rapamycin or p53 inhibition, neither in human cells nor in C. elegans. The knockdown or pharmacological inhibition of Sirtuin-1 enhanced the vulnerability of human cells to metabolic stress, unless they were stimulated to undergo autophagy by treatment with rapamycin or p53 inhibition. Along similar lines, resveratrol and dietary restriction only prolonged the lifespan of autophagy-proficient nematodes, whereas these beneficial effects on longevity were abolished by the knockdown of the essential autophagic modulator Beclin-1. We conclude that autophagy is universally required for the lifespan-prolonging effects of caloric restriction and pharmacological Sirtuin-1 activators.

The effect of resistance exercise on blood lipids is not clear yet. The purpose of this study was to examine the cholesterol responses to a heavy resistance leg press exercise emphasizing on the eccentric movement 24 and 48 hours following exercise and to quantify the cardiorespiratory responses of the exercise bout in an attempt to clarify the exercise characteristics that may be responsible for the effects of heavy resistance exercise on blood lipids. Nine healthy, untrained male volunteers aged 27.2 ± 1.1 yrs (76.2 ± 2.5 kg, 1.79 ± 0.02 m) performed a session of heavy RE emphasizing on the eccentric movement consisting of eight sets of inclined leg presses at six repetition maximum with 3-min rest intervals. Venous blood samples were obtained at rest (control) and 24 and 48 hours following exercise. Average VO2 at rest was 4.0 ± 0.4 ml·min-1·kg-1, during exercise 19.6 ± 0.2 ml·min-1·kg-1 and during the 180 sec recovery period between sets 12.5 ± 0.2 ml·min-1·kg-1. RER values decreased with the progression of the exercise and were significantly lower during the last four sets compared with the first four sets of the exercise session. Resting heart rate was 67 ± 2 bpm, and maximum heart rate during exercise was 168 ± 1 bspm. Serum creatine kinase was significantly elevated on day 1 (1090 ± 272 U·L-1, p < 0.03) and peaked on day 2 (1230 ± 440 U·L-1 p < 0.01). Total cholesterol, HDL cholesterol and calculated LDL cholesterol concentration did not change significantly following with exercise. This protocol of heavy resistance exercise has no effect on TC or cholesterol sub-fraction concentration 24 and 48 hours following exercise which may be due to the low energy expenditure of the exercise and/or to the gender of the participants. © Journal of Sports Science and Medicine.

The effect of resistance exercise on blood lipids is not clear yet. The purpose of this study was to examine the cholesterol responses to a heavy resistance leg press exercise emphasizing on the eccentric movement 24 and 48 hours following exercise and to quantify the cardiorespiratory responses of the exercise bout in an attempt to clarify the exercise characteristics that may be responsible for the effects of heavy resistance exercise on blood lipids. Nine healthy, untrained male volunteers aged 27.2 ± 1.1 yrs (76.2 ± 2.5 kg, 1.79 ± 0.02 m) performed a session of heavy RE emphasizing on the eccentric movement consisting of eight sets of inclined leg presses at six repetition maximum with 3-min rest intervals. Venous blood samples were obtained at rest (control) and 24 and 48 hours following exercise. Average VO2 at rest was 4.0 ± 0.4 ml·min-1·kg-1, during exercise 19.6 ± 0.2 ml·min-1·kg-1 and during the 180 sec recovery period between sets 12.5 ± 0.2 ml·min-1·kg-1. RER values decreased with the progression of the exercise and were significantly lower during the last four sets compared with the first four sets of the exercise session. Resting heart rate was 67 ± 2 bpm, and maximum heart rate during exercise was 168 ± 1 bspm. Serum creatine kinase was significantly elevated on day 1 (1090 ± 272 U·L-1, p < 0.03) and peaked on day 2 (1230 ± 440 U·L-1 p < 0.01). Total cholesterol, HDL cholesterol and calculated LDL cholesterol concentration did not change significantly following with exercise. This protocol of heavy resistance exercise has no effect on TC or cholesterol sub-fraction concentration 24 and 48 hours following exercise which may be due to the low energy expenditure of the exercise and/or to the gender of the participants. © Journal of Sports Science and Medicine.

The effect of resistance exercise on blood lipids is not clear yet. The purpose of this study was to examine the cholesterol responses to a heavy resistance leg press exercise emphasizing on the eccentric movement 24 and 48 hours following exercise and to quantify the cardiorespiratory responses of the exercise bout in an attempt to clarify the exercise characteristics that may be responsible for the effects of heavy resistance exercise on blood lipids. Nine healthy, untrained male volunteers aged 27.2 ± 1.1 yrs (76.2 ± 2.5 kg, 1.79 ± 0.02 m) performed a session of heavy RE emphasizing on the eccentric movement consisting of eight sets of inclined leg presses at six repetition maximum with 3-min rest intervals. Venous blood samples were obtained at rest (control) and 24 and 48 hours following exercise. Average VO2 at rest was 4.0 ± 0.4 ml·min-1·kg-1, during exercise 19.6 ± 0.2 ml·min-1·kg-1 and during the 180 sec recovery period between sets 12.5 ± 0.2 ml·min-1·kg-1. RER values decreased with the progression of the exercise and were significantly lower during the last four sets compared with the first four sets of the exercise session. Resting heart rate was 67 ± 2 bpm, and maximum heart rate during exercise was 168 ± 1 bspm. Serum creatine kinase was significantly elevated on day 1 (1090 ± 272 U·L-1, p < 0.03) and peaked on day 2 (1230 ± 440 U·L-1 p < 0.01). Total cholesterol, HDL cholesterol and calculated LDL cholesterol concentration did not change significantly following with exercise. This protocol of heavy resistance exercise has no effect on TC or cholesterol sub-fraction concentration 24 and 48 hours following exercise which may be due to the low energy expenditure of the exercise and/or to the gender of the participants. © Journal of Sports Science and Medicine.

A case of abrupt and significant increase of surface ozone was examined, which is recorded during the night of October 9th, 2003, over the area of the Thriassion Plain - Greece, being accompanied by the occurrence of a wind outbreak during the same period. As this increase cannot be explained by the ordinary diurnal evolution of tropospheric ozone concentration, the possibility of downward stratospheric ozone transport was investigated. It was indeed found that the case is associated with tropopause folding and subsequent stratospheric air intrusion in the upper troposphere over Greece. With the aid of mesoscale modeling, being also supported by the hydraulic theory, it was found that the intense wind outbreak is associated with the development of disturbances in the lee side of the neighbouring mountain ranges. These disturbances contribute to the free troposphere - atmospheric boundary layer interaction, facilitating the transportation of stratospheric air close to the surface, thus resulting to the observed tropospheric ozone increase. © 2010 Gebrüder Borntraeger, Berlin, Stuttgart.

The purpose of this study was to propose a growth-based structural superimposition method for assessment of cervical vertebral fusion and evaluate variations and abnormalities of the upper cervical vertebrae. Standardized lateral cephalograms of 156 patients (69 males and 87 females, age range 6-20 years), representing a skeletally heterogeneous orthodontic population, were used. Primary criterion for sample selection was the existence of at least two lateral cephalograms, one taken before orthodontic treatment, which depicted the first four cervical vertebrae. The abnormalities of the vertebrae were estimated by visual assessment and structural superimposition. Lateral cephalometric analysis was conducted in order to correlate vertebral anomalies to skeletal pattern. Descriptive statistics were calculated for all variables and interobserver agreement was evaluated using the kappa statistic. Four patients (2.6 per cent) were found to have secondary ossicles in close relationship to the first cervical vertebra, while in 7.4 per cent, the vertebral arteries of the atlas were surrounded by a complete ring-shaped osseous structure. Three cephalograms showed atlas posterior arch dehiscence. After visual examination, 14 patients were provisionally identified as presenting fusion between the second and third cervical vertebrae. However, growth-based superimposition of the radiographs disclosed that no patient showed actual fusion, even though the lateral cephalometric analysis revealed sufficient extreme skeletal patterns, which have been previously related to vertebral fusion. The findings of this study demonstrated a low percentage of atlas anomalies. It was not possible to correlate skeletal pattern to fusion of cervical vertebrae because no fusions were found. Subjective visual examination of a single cephalogram may result in false-positive findings of fusion and growth-based superimposition is recommended.

Respiratory infections have been implicated in the origin and exacerbation of asthma in a variety of ways; however, systemisation of this knowledge in a way helpful for disease management remains suboptimal. Several conceptual issues need to be taken into account: the fact that the effects of an infection may vary according to genetic background, the current immune status of the host, and parallel environmental stimuli, in addition to the particular infectious agent itself. Moreover, childhood is a very special period because of the continuous processes taking place, such as neural, immune and respiratory maturation. Epidemiological studies have convincingly demonstrated that the majority of asthma exacerbations, in both adults and children, follow viral upper respiratory tract infections. Asthma exacerbations are still often unresponsive to current asthma treatment, and new therapeutic approaches are required. This review presents current knowledge on the associations between infection and exacerbation of established asthma with respect to definitions, epidemiology, mechanisms and treatment.

The distribution of Chlamydia trachomatis serovars and Neisseria gonorrhoeae coinfection was studied in a group of 100 C. trachomatis-positive males with urethritis in Greece. The serovar distribution revealed that apart from the predominant worldwide types E and F, the relatively uncommon type G is also prevalent. Gonococcal coinfection was frequent (30%) and was associated with genovariant Ja (75%, P = 0.008).

A case of a neonate with congenital chylous ascites resulting from primary lymphatic dysplasia is described. The baby also presented with a sludge ball in the gallbladder that eventually progressed to gallstones. The association of chylous ascites with cholelithiasis in this neonate is discussed.

{BACKGROUND: Adipocyte fatty acid binding protein (a-FABP) has been suggested to play an important role in the pathogenesis of metabolic syndrome. Preterm infants are at risk for the later development of insulin resistance, and, possibly, other components of metabolic syndrome. AIM: To determine circulating levels of a-FABP in preterm infants and examine possible associations of a-FABP with metabolic indices (serum lipids, glucose, and insulin levels, and homeostasis model assessment index of insulin resistance [HOMA-IR]), levels of leptin and adiponectin, anthropometric parameters and weight gain. STUDY DESIGN: Prospective cohort study. SUBJECTS: 55 healthy preterm (mean [SD] gestational age 32.8 [1.8] weeks) and 23 fullterm infants (reference group). OUTCOME MEASURES: Serum a-FABP, lipids, glucose, insulin, leptin and adiponectin levels at 31.9 [10.4] days of life. RESULTS: Serum a-FABP levels did not differ significantly between preterm and fullterm infants. A-FABP levels correlated positively with total-cholesterol [total-C] in both preterm and fullterm infants (beta=0.33; p=0.01 and beta=0.33; p=0.04, respectively). In addition to total-C, weight gain correlated independently with a-FABP levels in preterm infants (beta=0.36

Uterine agenesis is one of the differential diagnoses in adolescent girls with delayed menstruation. It may also be suspected earlier in childhood during investigations for other genitourinary conditions. However, accurate confirmation that the uterus is absent can be extremely difficult before puberty because of its small size. We describe ten girls referred to a specialist centre with a presumed diagnosis of an absent uterus which was later found to be incorrect. We conclude that imaging should be undertaken by clinicians with experience in management of this age group and in some girls it may be necessary to delay final diagnosis until after puberty. © 2009 RCOG BJOG An International Journal of Obstetrics and Gynaecology.

Environmental pollution abatement and especially the growing demand for clean water pose one of the most severe challenges worldwide. Besides the scarcity of water resources, the presence of hazardous chemicals with serious adverse health effects, even at extremely low concentrations, impose serious considerations for the quality of drinking water. The rapid evolution of nanoscale science and technology has dramatically expanded the materials' application potential towards radically new or multifunctional properties rendering nanotechnology an indispensable component in shaping modern environmental science. The nanoscale-perspective maintaining the integrity of the environment is currently the stimulus for the development of innovative and cost-effective functional materials and sustainable processes for water treatment and purification. The CLEAN WATER (EU FP7 collaborative project) aims at the development of an innovative and efficient water detoxification technology exploiting solar energy and nano-engineered titania photocatalysts in combination with nanofiltration membranes. In this approach, nanostructured titania with high UV-visible response will be synthesized and stabilized on nanotubular membranes of controlled pore size and retention efficiency as well as on carbon nanotubes exploiting their high surface area to achieve photocatalytically active nanocomposite membranes. Comparative evaluation of the UV-visible and solar light efficiency of the modified titania photocatalysts for water detoxification will be intensively investigated on various target pollutants ranging from classical water contaminants such us phenols, pesticides and azo-dyes to the extremely hazardous cyanobacterial toxins and emerging endocrine disrupting compounds in order to evaluate/optimize the materials performance and validate their competence on water treatment. Particular efforts will be devoted to the analysis and quantification of degradation products as well as their toxicity. All these will be the crucial components for the fabrication of innovative continuous flow photocatalytic-disinfection-membrane reactors for the implementation of sustainable and cost effective water treatment technologies based on nano-engineered materials. © Springer Science+Business Media B.V. 2010.

Background: Primary systemic light-chain (AL) amyloidosis is characterized by the deposition of immunoglobulin light chain-derived amyloid fibrils in various tissues leading to multiorgan dysfunction. Patients and Methods: In order to define characteristics, treatment, and outcome of Greek patients with AL amyloidosis, we analyzed 112 unselected patients with AL from several hospitals. Results: The heart was involved in 59% of patients and kidneys in 71%. Patients were treated with several different treatment regimens; high-dose dexamethasone-based regimens were used as primary treatment in 43% and melphalan-based regimens in 37%, while 12% received up-front bortezomib with dexamethasone. A hematologic response to first-line therapy was documented in 50% (complete response, 14.5%), and organ responses were observed in 25% of patients, the latter being strongly associated with achievement of hematologic response. Median overall survival was 34.2 months and was independently affected by heart involvement, creatinine, age, involvement of ≥2 organs, and bone marrow plasmacytosis > 30%. In patients with cardiac involvement, advanced age and extended bone marrow plasmacytosis were associated with an even worse outcome, while for patients without heart involvement, only bone marrow plasmacytosis was independently associated with survival. Hematologic response was associated with improved survival in patients with heart involvement but mostly in patients with less bone marrow infiltration. Conclusion: In this first series of patients from Greece with AL amyloidosis, disease features and outcome appeared similar to those reported from tertiary centers. Heart involvement and bone marrow plasma cell infiltration comprise adverse prognostic factors but also indicate the heterogeneity of the disease and the need for individual treatment approaches.

Even though treatment of several types of solid tumors has improved in the past few years with the introduction of molecular targeted agents in the therapeutic armamentarium of the medical oncologist, response rates to these agents are generally modest. Increasing evidence is now revealing that genetic factors are affecting patients' response to these therapeutic agents as well as the frequency and intensity of toxic reactions. Importantly, pharmacogenetic analysis is now required for the administration of several molecular targeted agents in clinical practice. For the vast majority of these agents, however, data remain purely experimental. Herein, we provide an overview of the genetic changes (mutations and polymorphisms) that have been associated with response to treatment with anticancer molecular targeted agents. Special emphasis is given on molecules (monoclonal antibodies and tyrosine kinase inhibitors) that target critical mediators in the epidermal growth factor receptor (EGFR), the human epidermal growth factor receptor 2 (HER2/ERBB2/NEU) and the vascular endothelial growth factor receptor (VEGFR) pathways. The true clinical utility of these applications remains to be proven in future prospective, randomized clinical trials in large patient cohorts of all different ethnic backgrounds.

Although hollow nanostructures, such as nanotubes, represent a major portion of nanoscaled materials with a tremendously large application range, a detailed evaluation of their internal characteristics still remains elusive. Transmission electron microscopy is the most common analytical technique to examine the internal configuration of these structures, yet it can only provide evidence of a minimal portion of the overall material, thus, it cannot be accurately generalized. In the present paper, in addition to electron microscopy and other spot-size analysis methods (X-ray diffraction, Raman spectroscopy, etc.), a combination of techniques including adsorption, permeability, and relative permeability are employed in order to provide important insights into various crucial details of the overall internal surface and hollow-space characteristics of carbon nanotube (CNT) arrays and membranes. The CNT arrays are fabricated using anodized alumina as a template in a flow-through chemical vapor deposition (CVD) reactor. This is the first systematic approach for investigating the internal configuration of template-based CNT arrays in detail. Key findings are made fiar the customized optimization of the resulting nanotube membranes for a variety of applications, including separations, nanofluidics and nanoreactors, biological capturing and purification, and controlled drug delivery and release. © 2010 WILEY-VCH Verlag GmbH & Co. KGaA, Weinhelm.

Living coccolithophores were collected in February 2008, in surface waters from seven stations over the western Cretan Straits (South Aegean Sea, Eastern Mediterranean). The coccolithophore distribution was quantitatively documented through Scanning Electron Microscopy in terms of density, diversity and community structure. In the study period, the most abundant species was Emiliania huxleyi, followed by Rhabdosphaera clavigera and Syracosphaera pulchra, while additional important component of the winter assemblages were Helicosphaera carteri, Algirosphaera robusta and Syracosphaera molischii. The studied coccolithophore communities indicate a close relationship between coccosphere densities and surface water circulation, with the surface temperature gradient affecting species composition. 

Phenotypic variation in CHARGE syndrome remains unexplained. A subcategory of CHARGE patients show overlapping phenotypic characteristics with DiGeorge syndrome (thymic hypo/aplasia, hypocalcemia, T-cell immunodeficiency). Very few have been tested or reported to carry a mutation of the CHD7 (chromodomain helicase DNA-binding domain) gene detected in two-thirds of CHARGE patients. In an attempt to explore the genetic background of a severe CHARGE/DiGeorge phenotype, we performed comparative genomic array hybridization in an infant carrier of a CHD7 mutation. The high-resolution comparative genomic array hybridization revealed interesting findings, including a deletion distal to the DiGeorge region and disruptions in other chromosomal regions of genes implicated in immunological and other functions possibly contributing to the patient’s severe phenotype and early death.

Multiple myeloma (MM) is an incurable disease characterized by the accumulation of malignant plasma cells in the bone marrow. Recently, an improved understanding of the biology of the disease has led to the development of targeted agents such as the proteasome inhibitor bortezomib and the immunomodulatory agents thalidomide and lenalidomide; however, MM remains incurable. The combination of bortezomib and an HDAC inhibitor synergistically induces MM cell apoptosis and may be of value in the treatment of patients with relapsed/refractory MM. This review examines the potential of combined proteasome and HDAC inhibition in the treatment of relapsed/refractory MM. © 2010.

This study focused on Saharan dust (SD) events over Athens, Greece, based on measurements of the daily aerosol optical depth at 550 nm (AOD550) and the fine-mode fraction (FM) derived from Terra Moderate Resolution Imaging Spectroradiometer (MODIS) observations. Back-trajectories ending at Athens at altitudes of 500, 1000 and 4000 m were calculated by means of the Hybrid Single-Particle Lagrangian Integrated Trajectory (HYSPLIT) model. Several criteria were taken into account to identify the SD events. According to these criteria and the altitudes of the air masses, three dust transport mechanisms were identified: (1) vertical transport (VT), including the whole atmospheric column, (2) upper atmosphere transport (UAT), above the atmospheric boundary layer, and (3) boundary layer transport (BLT), only within the lower atmospheric levels. The Aerosol Index (AI) derived from Total Ozone Mapping Spectrometer (TOMS) data was found to be adequate for characterization of the dust load over Athens, while higher values of the AI were found in cases where the dust was transported in the upper atmosphere. The predictions of the Dust Regional Atmospheric Model (DREAM) were consistent with the satellite observations and back trajectories, indicating the suitability of the model for monitoring dust transport over the Mediterranean. The analysis presents three case studies, one for each transport mechanism, where the aerosol field deduced from satellites and models is presented over the Eastern Mediterranean. In conclusion, this study shows that the combination of remote sensing measurements and back-trajectory calculations constitutes a powerful tool for the identification of SD events over Athens, while modelling can monitor the spread of the dust. © 2010 Taylor & Francis.

The business session for Commission 37 was held on 11 August 2009 at the IAU General Assembly in Rio de Janeiro. The meeting was attended by about a dozen members of our Comission, including President Elmegreen, VP Carraro and several committee members. We introduced ourselves and then went through a powerpoint presentation first prepared by outgoing President Hatzidimitriou and revised by incoming President Elmegreen. The contents of the powerpoint presentation are given in this summary.

In part due to the increased demand for higher education, typical evaluation frameworks for universities often address the key issue of available resource utilisation. This study seeks to estimate the efficiency of 20 public universities in Greece through quantitative analysis (including performance indicators, data envelopment analysis (DEA) and econometric procedures). The findings show inefficiency in terms of human resources management while also identifying a clear opportunity to increase research activity and hence research income. In addition to the immediate findings, this paper more broadly discusses the methodology behind the evaluation process used in this investigation and its potential to more consistently and reliably evaluate the efficiency of resource management by public universities. This paper is set against, and hopes to contribute to, the broader debate on reforming the management and administration system of Greek universities. © 2010 Elsevier Ltd.

Detailed quantitative analyses of coccolithophores performed on the shallow deposits of the southeastern Aegean region (core NS-14, 505 m depth), evidenced that the distribution of calcareous nannoplankton assemblages during the last 13 ka BP reflects paleoenvironmental changes which are directly related to parameters such as temperature, salinity, productivity and nutrient flux in the water column. Analysis enabled the separation of the assemblages in four groups. Group A consists of Emiliania huxleyi and the subtropical species Syracosphaera spp. and Rhabdosphaera clavigera, Group B is composed of Helicospaera spp. and Florisphaera profunda, typical species for high productivity conditions in the middle-lower photic zone, Group C consists of Gephyrocapsa oceanica and Braarudosphaera bigelowii, that characterise low salinity conditions and Group D includes Umbilicosphaera spp. and Calcidiscus spp. which are described as relatively eutrophic species. The Holocene assemblages differ distinctly from the living coccolithophore communities in the coastal ecosystems of the Aegean Sea, where only Group A coccolithophores are thriving in the seasonally controlled marine environment.

Batch effects are the systematic non-biological differences between batches (groups) of samples in microarray experiments due to various causes such as differences in sample preparation and hybridization protocols. Previous work focused mainly on the development of methods for effective batch effects removal. However, their impact on cross-batch prediction performance, which is one of the most important goals in microarray-based applications, has not been addressed. This paper uses a broad selection of data sets from the Microarray Quality Control Phase II (MAQC-II) effort, generated on three microarray platforms with different causes of batch effects to assess the efficacy of their removal. Two data sets from cross-tissue and cross-platform experiments are also included. Of the 120 cases studied using Support vector machines (SVM) and K nearest neighbors (KNN) as classifiers and Matthews correlation coefficient (MCC) as performance metric, we find that Ratio-G, Ratio-A, EJLR, mean-centering and standardization methods perform better or equivalent to no batch effect removal in 89, 85, 83, 79 and 75% of the cases, respectively, suggesting that the application of these methods is generally advisable and ratio-based methods are preferred.

Context. Significant progress has been made in the last years in the understanding of the jet formation mechanism through a combination of numerical simulations and analytical MHD models for outflows characterized by the symmetry of self-similarity. Analytical radially self-similar models successfully describe disk-winds, but need several improvements. In a previous article we introduced models of truncated jets from disks, i.e. evolved in time numerical simulations based on a radially self-similar MHD solution, but including the effects of a finite radius of the jet-emitting disk and thus the outflow. Aims: These models need now to be compared with available observational data. A direct comparison of the results of combined analytical theoretical models and numerical simulations with observations has not been performed as yet. This is our main goal. Methods: In order to compare our models with observed jet widths inferred from recent optical images taken with the Hubble Space Telescope (HST) and ground-based adaptive optics (AO) observations, we use a new set of tools to create emission maps in different forbidden lines, from which we determine the jet width as the full-width half-maximum of the emission. Results: It is shown that the untruncated analytical disk outflow solution considered here cannot fit the small jet widths inferred by observations of several jets. Furthermore, various truncated disk-wind models are examined, whose extracted jet widths range from higher to lower values compared to the observations. Thus, we can fit the observed range of jet widths by tuning our models. Conclusions: We conclude that truncation is necessary to reproduce the observed jet widths and our simulations limit the possible range of truncation radii. We infer that the truncation radius, which is the radius on the disk mid-plane where the jet-emitting disk switches to a standard disk, must be between around 0.1 up to about 1 AU in the observed sample for the considered disk-wind solution. One disk-wind simulation with an inner truncation radius at about 0.11 AU also shows potential for reproducing the observations, but a parameter study is needed.

We confirm a nova candidate in M 31 reported to us by K. Nishiyama and F. Kabashima and present a pre-discovery detection and upper limit that allows us to tightly constrain the time of outburst for this object. New observations show that the source is still increasing in brightness. The nova candidate was discovered by Nishiyama and Kabashima (Miyaki-Argenteus observatory, Japan) on 2010 September 30.566 UT, with no object visible at its position on September 28.606 UT (private communication).

We study the interaction of chirped electromagnetic pulses with intersubband transitions of a double semiconductor quantum well. We consider the ground and first excited subbands and give emphasis to controlled intersubband population transfer. The system dynamics is described by the nonlinear density matrix equations that include the effects of electron-electron interactions. These equations are solved numerically for various values of the electron sheet density for a realistic double GaAs/AlGaAs quantum well, and the efficiency of population transfer is discussed.

The aim of this study was to examine coping with loneliness during early, middle, and late childhood, which is a highly neglected research issue. Children's perceptions of coping with loneliness and coping with real loneliness experiences in the past were investigated. Interviews were conducted with 180 second, fourth, and sixth graders from Athens, Greece. Qualitative analyses of children's responses were done on the basis of a recent conceptualization of coping with stress in childhood and adolescence (Skinner & Zimmer-Gembeck, 2007), which was supported by the data. Statistically significant age and gender differences were found. Results are discussed from the viewpoint of the two literatures—coping and loneliness—that this study attempted to bring together, and suggestions for future research are made.

The treatment of multiple myeloma (MM) has undergone significant developments in recent years. The availability of the novel agents thalidomide, bortezomib, and lenalidomide has expanded treatment options and has improved the outcome of patients with MM. Following the introduction of these agents in the relapsed/refractory setting, they are also undergoing investigation in the initial treatment of MM. A number of phase III trials have demonstrated the efficacy of novel agent combinations in the transplant and nontransplant settings, and based on these results standard induction regimens are being challenged and replaced. In the transplant setting, a number of newer induction regimens are now available that have been shown to be superior to the vincristine, doxorubicin, and dexamethasone regimen. Similarly, in the front-line treatment of patients not eligible for transplantation, regimens incorporating novel agents have been found to be superior to the traditional melphalan plus prednisone regimen. Importantly, some of the novel agents appear to be active in patients with high-risk disease, such as adverse cytogenetic features, and certain comorbidities, such as renal impairment. This review presents an overview of the most recent data with these novel agents and summarizes European treatment practices incorporating the novel agents. ©AlphaMed Press.

Angioimmunoblastic T-cell lymphoma (AITL) is an aggressive non-Hodgkin's nodal peripheral T-cell lymphoma characterized by general lymphadenopathy, night sweats, fever, hepatosplenomegaly, polyclonal hypergammaglobulinemia, and cutaneous involvement. We present a rare case of AITL cutaneous involvement mimicking toxic erythema recurring with AITL relapse and suggesting a precursor of disease progression.

The application of harmonic analysis to the annual variability of precipitation is the object of this study, so that the modes, which compose the annual variability, be elicited. For this purpose, monthly precipitation totals from 30 meteorological stations of the Hellenic National Meteorological Service (HNMS), for the period 1950-2000, were used. The initial target is to reduce the number of variables and to detect structure in the relationships between the variables. The most commonly used technique for this purpose is the application of Factor Analysis (FA) resulted in five main factors (sub-regions) with common precipitation characteristics, explaining 77% of the total variance. For each sub-region, a representative station is selected for the analyses, mainly, as the station within the sub-region with the highest factor loading. In the process, the Fourier Analysis is applied to the mean monthly precipitation, so that 2 harmonic components are derived, which explain more than 90% of the total variability of each station, and are due to different synoptic and thermodynamic processes associated with Greece's precipitation regime. Finally the calculation of the time of the maximum precipitation, for each harmonic component, gives the spatial distribution of the appearance of the maximum precipitation in the Greek region.

In this study, an updated and extended climatology of cyclonic tracks affecting the eastern Mediterranean region is presented, in order to better understand the Mediterranean climate and its changes. This climatology includes intermonthly variations, classification of tracks according to their origin domain, dynamic and kinematic characteristics, and trend analysis. The dataset used is the 1962–2001, 2.58 3 2.58, 40-yr European Centre for Medium-Range Weather Forecasts (ECMWF) Re-Analysis (ERA-40). The identification and tracking of the cyclones was performed with the aid of the Melbourne University algorithm. It was verified that considerable intermonthly variations of track density occur in the eastern Mediterranean, consistent with previous studies for the entire Mediterranean, while further interesting new features have been revealed. The classification of the tracks according to their origin domain reveals that the vast majority originate within the examined area itself, mainly in the Cyprus area and the southeastern Aegean Sea, while the tracks that originate elsewhere most frequently enter from the west. Deeper cyclones follow the southwest track originating from the area between Algeria and the Atlas Mountains. A greater size characterizes the westerly tracks (southwest, northwest, and west), while the northwest tracks propagate faster over the study area. A negative trend of the track frequency was found on an annual basis that can be mostly attributed to the winter months, being associated with variations in the baroclinicity. This negative trend is more prominent for the westerly and northeasterly tracks, as well as for those originating in the northern part of the examined area.

In this study, an updated and extended climatology of cyclonic tracks affecting the eastern Mediterranean region is presented, in order to better understand the Mediterranean climate and its changes. This climatology includes intermonthly variations, classification of tracks according to their origin domain, dynamic and kinematic characteristics, and trend analysis. The dataset used is the 1962-2001, 2.5° × 2.5°, 40-yr European Centre for Medium-Range Weather Forecasts (ECMWF) Re-Analysis (ERA-40). The identification and tracking of the cyclones was performed with the aid of the Melbourne University algorithm. It was verified that considerable intermonthly variations of track density occur in the eastern Mediterranean, consistent with previous studies for the entire Mediterranean, while further interesting new features have been revealed. The classification of the tracks according to their origin domain reveals that the vast majority originate within the examined area itself, mainly in the Cyprus area and the southeastern Aegean Sea, while the tracks that originate elsewhere most frequently enter from the west. Deeper cyclones follow the southwest track originating from the area between Algeria and the Atlas Mountains. A greater size characterizes the westerly tracks (southwest, northwest, and west), while the northwest tracks propagate faster over the study area. A negative trend of the track frequency was found on an annual basis that can be mostly attributed to the winter months, being associated with variations in the baroclinicity. This negative trend is more prominent for the westerly and northeasterly tracks, as well as for those originating in the northern part of the examined area. © 2010 American Meteorological Society.