Publications by Type: Journal Article

Regular performance of resistance exercise induces an increase in skeletal muscle mass, however, the molecular mechanisms underlying this effect are not yet fully understood. The purpose of the present investigation was to examine acute changes in molecular signalling in response to resistance exercise involving different training volumes. Eight untrained male subjects carried out one, three and five sets of 6 repetition maximum (RM) in leg press exercise in a random order. Muscle biopsies were taken from the vastus lateralis both prior to and 30 min after each training session and the effect on protein signalling was studied. Phosphorylation of Akt was not altered significantly after any of the training protocols, whereas that of the mammalian target of rapamycin was enhanced to a similar extent by training at all three volumes. The phosphorylation of p70S6 kinase (p70(S6k)) was elevated threefold after 3 × 6 RM and sixfold after 5 × 6 RM, while the phosphorylation of S6 was increased 30- and 55-fold following the 3 × 6 RM and 5 × 6 RM exercises, respectively. Moreover, the level of the phosphorylated form of the gamma isoform of p38 MAPK was enhanced three to fourfold following each of the three protocols, whereas phosphorylation of ERK1/2 was unchanged 30 min following exercise. These findings indicate that when exercise is performed in a fasted state, the increase in phosphorylation of signalling molecules such as p70(S6k) and the S6 ribosomal protein in human muscle depends on the exercise volume.

Plasmacytoid dendritic cells (pDCs) play a central role in antiviral immunity, detecting viruses via Toll-like receptors (TLR) and producing in response vast amounts of type I interferons (IFNs). Hepatitis B virus (HBV) causes chronic infection after vertical transmission. This study investigated whether an HBV-infected maternal environment might influence DC numbers and pDC function in uninfected infants. Blood was collected from inactive HBsAg carrier and control mothers and their infants at birth and 1 and 6 months of age. HBV DNA was measured in maternal and neonatal perinatal sera using real-time PCR. The circulating frequencies of myeloid DCs (mDCs) and pDCs were determined in the babies by flow cytometry. Peripheral blood mononuclear cells (PBMCs) and cord blood pDCs were stimulated with resiquimod, and alpha interferon (IFN-alpha) production and the pDC phenotype were assessed. The effect of the common-cold virus, rhinovirus (RV), on resiquimod stimulation was also determined. HBV DNA was detected in 62.3% of the mothers and 41% of their infants. DC numbers and pDC functions were similar between subjects and controls and were not correlated with maternal or neonatal viremia. RV infection did not induce pDC maturation until the age of 6 months, and it reduced TLR7-dependent resiquimod-induced IFN-alpha production similarly in both groups. Although the DC system is immature at birth, DCs of uninfected neonates of HBV-positive mothers are competent to initiate and maintain T-cell responses. RV is a weak inducer of IFN-alpha production until the age of 6 months and inhibits IFN-alpha responses triggered by the TLR7 pathway.

In two cross-sectional studies we investigated whether soccer players' well-being (Study 1) and moral functioning (Studies 1 and 2) is related to performance-approach goals and to the autonomous and controlling reasons underlying their pursuit. In support of our hypotheses, we found in Study 1 that autonomous reasons were positively associated with vitality and positive affect, whereas controlling reasons were positively related to negative affect and mostly unrelated to indicators of morality. To investigate the lack of systematic association with moral outcomes, we explored in Study 2 whether performance-approach goals or their underlying reasons would yield an indirect relation to moral outcomes through their association with players' objectifying attitude-their tendency to depersonalize their opponents. Structural equation modeling showed that controlling reasons for performance-approach goals were positively associated with an objectifying attitude, which in turn was positively associated to unfair functioning. Results are discussed within the achievement goal perspective (Elliot, 2005) and self-determination theory (Deci & Ryan, 2000). © 2010 Human Kinetics, Inc.

BACKGROUND: Improved sensitivity of HBV-DNA tests is of critical importance for the management of HBV infection. Our aim was to develop and assess a new ultra sensitive in-house real-time PCR assay for HBV-DNA quantification (ultra sensitive RTQ-PCR). RESULTS: Previously used HBV-DNA standards were calibrated against the WHO 1st International Standard for HBV-DNA (OptiQuant(R) HBV-DNA Quantification Panel, Accrometrix Europe B.V.). The 95% and 50% HBV-DNA detection end-point of the assay were 22.2 and 8.4 IU/mL. According to the calibration results, 1 IU/mL equals 2.8 copies/mL. Importantly the clinical performance of the ultra sensitive real-time PCR was tested similar (67%) to the Procleix Ultrio discriminatory HBV test (dHBV) (70%) in low-titer samples from patients with occult Hepatitis B. Finally, in the comparison of ultra sensitive RTQ-PCR with the commercially available COBAS TaqMan HBV Test, the in-house assay identified 94.7% of the 94 specimens as positive versus 90.4% identified by TaqMan, while the quantitative results that were positive by both assay were strongly correlated (r = 0.979). CONCLUSIONS: We report a new ultra sensitive real time PCR molecular beacon based assay with remarkable analytical and clinical sensitivity, calibrated against the WHO 1st International standard.

OBJECTIVE: The phenotype associated with heterozygous HNF4A gene mutations has recently been extended to include diazoxide responsive neonatal hypoglycemia in addition to maturity-onset diabetes of the young (MODY). To date, mutation screening has been limited to patients with a family history consistent with MODY. In this study, we investigated the prevalence of HNF4A mutations in a large cohort of patients with diazoxide responsive hyperinsulinemic hypoglycemia (HH). SUBJECTS AND METHODS: We sequenced the ABCC8, KCNJ11, GCK, GLUD1, and/or HNF4A genes in 220 patients with HH responsive to diazoxide. The order of genetic testing was dependent upon the clinical phenotype. RESULTS: A genetic diagnosis was possible for 59/220 (27%) patients. K(ATP) channel mutations were most common (15%) followed by GLUD1 mutations causing hyperinsulinism with hyperammonemia (5.9%), and HNF4A mutations (5%). Seven of the 11 probands with a heterozygous HNF4A mutation did not have a parent affected with diabetes, and four de novo mutations were confirmed. These patients were diagnosed with HI within the first week of life (median age 1 day), and they had increased birth weight (median +2.4 SDS). The duration of diazoxide treatment ranged from 3 months to ongoing at 8 years. CONCLUSIONS: In this large series, HNF4A mutations are the third most common cause of diazoxide responsive HH. We recommend that HNF4A sequencing is considered in all patients with diazoxide responsive HH diagnosed in the first week of life irrespective of a family history of diabetes, once K(ATP) channel mutations have been excluded.

PURPOSE: Colorectal carcinomas that arise proximal (right) or distal (left) to the splenic flexure exhibit different clinical and biological characteristics. Although various hypotheses have been proposed to explain these differences, their origin remains unclear. In this study we investigated the clinicopathologic differences between left and right colon tumors and comment on the possible explanatory theories behind them. METHODS: This study included a total of 388 retrospectively collected cases of colorectal cancer, surgically treated from 1999 to 2004. Differences of patients' demographic data and tumor micro- and macroscopic characteristics between left and right-sided tumors were investigated and analysed. RESULTS: Patients with right-sided colon cancer were significantly older (mean age 70 vs. 68 years; p<0.05) and had more lymph nodes examined than patients with left colon tumors (mean number of nodes 18.9 vs. 12.6; p<0.05). There was a lower proportion of T1 stage right-sided tumors (3.1 vs. 5%) and a higher proportion of stage T2-4 (96.9 vs. 95%) compared with left-sided tumors (p<0.001 for x2 test of all T stages). Furthermore, right-sided tumors had a higher mean width and depth (4.3 vs. 3.8 cm and 1.8 vs. 1.6 cm, respectively; p<0.05). Finally, there was a higher percentage of poorly differentiated right colon tumors (41.4 vs. 17.5%; p<0.001). CONCLUSION: Right-sided colon tumors affect older patients and are diagnosed at more advanced disease stages. The underlying mechanisms that provoke these differences remain unclear. Further studies are needed in order to better understand the true nature of these differences and their possible clinical implications.

In two cross-sectional studies, we investigated to what extent elementary (Study 1) and middle school (Study 2) students pursue similar, yet distinct, mastery-related and performance-related goals in physical education. We found that students were more likely to endorse outcome goals in conjunction with mastery-related goals and ability goals in conjunction with normative goals. Rasch modelling suggested that students tended to endorse mastery-approach goals than learning and outcome goals and that they tended to favour ability goals than performance-approach goals. Differential item functioning analyses showed that autonomously motivated students were more likely to endorse learning goals and mastery-approach goals and less likely to endorse outcome goals than less autonomously motivated students. They were also more likely to endorse ability goals and less likely to endorse normative goals than controlled motivated students. Results are discussed within the achievement goal framework and the self-determination theory.

Division VII provides a forum for astronomers studying the Milky Way Galaxy and its constituents. Several meetings directly relevant to his subject were held at the General Assembly in Rio: IAU Symp. 262 Stellar Populations, IAU Symp. 265 Chemical Abundances in the Universe, IAU Symp. 266 Star Clusters, Joint Discussion 5 Modeling the Milky Way in the Era of Gaia, and Special Session 5 The Galactic Plane. Division VII therefore did not organize a separate science session at Rio, but business meetings were held for both the Division and for Commissions 33 and 37.

In the UapA uric acid-xanthine permease of Aspergillus nidulans, subtle interactions between key residues of the putative substrate binding pocket, located in the TMS8-TMS9 loop (where TMS is transmembrane segment), and a specificity filter, implicating residues in TMS12 and the TMS1-TMS2 loop, are critical for function and specificity. By using a strain lacking all transporters involved in adenine uptake (DeltaazgA DeltafcyB DeltauapC) and carrying a mutation that partially inactivates the UapA specificity filter (F528S), we obtained 28 mutants capable of UapA-mediated growth on adenine. Seventy-two percent of mutants concern replacements of a single residue, R481, in the putative cytoplasmic loop TMS10-TMS11. Five missense mutations are located in TMS9, in TMS10 or in loops TMS1-TMS2 and TMS8-TMS9. Mutations in the latter loops concern residues previously shown to enlarge UapA specificity (Q113L) or to be part of a motif involved in substrate binding (F406Y). In all mutants, the ability of UapA to transport its physiological substrates remains intact, whereas the increased capacity for transport of adenine and other purines seems to be due to the elimination of elements that hinder the translocation of non-physiological substrates through UapA, rather than to an increase in relevant binding affinities. The additive effects of most novel mutations with F528S and allele-specific interactions of mutation R481G (TMS10-TMS11 loop) with Q113L (TMS1-TMS2 loop) or T526M (TMS12) establish specific interdomain synergy as a critical determinant for substrate selection. Our results strongly suggest that distinct domains at both sides of UapA act as selective dynamic gates controlling substrate access to their translocation pathway.

It is known that non-cachectic patients with chronic obstructive pulmonary disease (COPD) respond well to pulmonary rehabilitation, but whether cachectic COPD patients are capable of adaptive responses is both important and unknown. 10 cachectic and 19 non-cachectic COPD patients undertook high-intensity cycling training, at the same relative intensity, for 45 min x day(-1), 3 days x week(-1) for 10 weeks. Before and after rehabilitation vastus lateralis muscle biopsies were analysed morphologically and for the expression of muscle remodelling factors (insulin-like growth factor (IGF)-I, myogenic differentiation factor D (MyoD), tumour necrosis factor (TNF)-alpha, nuclear factor (NF)-kappaB and myostatin) and key components of ubiquitin-mediated proteolytic systems (muscle ring finger protein (MURF)-1 and Atrogin-1). Rehabilitation improved peak work-rate and the 6-min walk distance similarly in non-cachectic (18+/-3% and 42+/-13 m, respectively) and cachectic (16+/-2% and 53+/-16 m, respectively) patients, but quality of life only improved in non-cachectic COPD. Mean muscle fibre cross-sectional area increased in both groups, but significantly less in cachectic (7+/-2%) than in non-cachectic (11+/-2%) patients. Both groups equally decreased the proportion of type IIb fibres and increased muscle capillary/fibre ratio. IGF-I mRNA expression increased in both groups, but IGF-I protein levels increased more in non-cachectic COPD. MyoD was upregulated, whereas myostatin was downregulated at the mRNA and protein level only in non-cachectic patients. Whilst rehabilitation had no effect on TNF-alpha expression, it decreased the activation of the transcription factor NF-kappaB in both groups by the same amount. Atrogin-1 and MURF-1 expression were increased in cachectic COPD, but it was decreased in non-cachectic patients. Cachectic COPD patients partially retain the capacity for peripheral muscle remodelling in response to rehabilitation and are able to increase exercise capacity as much as those without cachexia, even if they exhibit both quantitative and qualitative differences in the type of muscle fibre remodelling in response to exercise training.

We report on the effective optical response of single- and multilayer periodic structures of metallodielectric nanosandwiches on the basis of rigorous, full-electrodynamic calculations by the extended layer-multiple-scattering method. It is shown that the complex photonic band structure and the reflection coefficient of the infinite and semi-infinite crystal, respectively, provide reliable bulk effective parameters, which can be used as a reference in order to resolve ambiguities and problems in the determination of these parameters for finite slabs by the S-matrix retrieval procedure. Our results show that the structures under consideration exhibit strong artificial optical magnetism and thin films consisting of a few layers already behave like the bulk metamaterial.

Background: Studies indicate that myeloperoxidase (MPO) is associated with disease progression and severity in heart failure (HF), while it may provide a mechanistic link between inflammation and adverse cardiac remodeling. The mechanisms that regulate MPO are unclear, while it is unknown whether specific treatments such as HMG-CoA reductase inhibitors and xanthine oxidase inhibitors may modify MPO. Therefore in the present study we examined the effects of rosuvastatin and allopurinol on MPO levels in patients HF. Methods: Sixty clinically stable patients with systolic HF were randomized to receive rosuvastatin 10. mg/day, allopurinol 300. mg/day or placebo and followed up for 1 month. Plasma levels of MPO and serum levels of soluble CD40 ligand, interleukin-6, and oxidized LDL were determined using ELISA. All measurements were made before and after 1-month treatment. Results: Rosuvastatin significantly reduced plasma levels of MPO (p= 0.003), which remained unchanged in the other groups. Furthermore, the change of MPO levels in the rosuvastatin-treated group was significantly different compared with the other groups (p<0.05). Rosuvastatin administration also led to a significant decrease in oxidized LDL (p=0.009), while the other inflammatory markers remained unchanged in all groups. In the total population, a significant correlation was observed between the baseline levels of MPO and hsCRP (r=0.275, p=0.027), fibrinogen (r=0.278, p=0.025), and sCD40L (r=0.288, p=0.021). Conclusions: Short-term treatment with rosuvastatin regulates inflammatory process in patients with heart failure by significantly reducing plasma levels of MPO. This finding reveals a novel pleiotropic effect of statins in patients with heart failure, and provides further insights into the pathophysiological mechanisms of MPO in heart failure. © 2009 Elsevier Ireland Ltd.

BACKGROUND: In patients with multiple myeloma, renal impairment (RI) at the time of diagnosis is associated with poor survival. To the authors' knowledge, the current retrospective analysis presented is the first to assess the impact of various degrees of renal dysfunction on safety and efficacy outcomes in a large cohort of patients with relapsed and/or refractory multiple myeloma who received treatment with lenalidomide plus dexamethasone. METHODS: Three hundred fifty-three patients from 2 large phase 3 trials were randomized to receive lenalidomide (25 mg) plus dexamethasone (40 mg). For the purpose of this analysis, RI was defined according to the calculated creatinine clearance (CLCr) level as follows: mild or no RI (CLCr ≥ 60 mL/minute), moderate RI (CLCr from ≥ 30 mL/minute to <60 mL/minute), and severe RI (CLCr <30 mL/minute). RESULTS: The RI subgroups did not differ significantly in terms of the overall response rate (range, 50%-64%) or response quality (very good partial response or better, 27%-37%). In all RI subgroups, the time to progression and progression-free survival did not differ significantly compared with the mild or no RI group. Patients with RI experienced an increased incidence of thrombocytopenia, required more frequent lenalidomide dose reduction or interruption, and had shorter overall survival than patients with mild or no RI (P = .006). Lenalidomide plus dexamethasone led to improvement in renal function in the majority of patients. CONCLUSIONS: The results from this study indicated that, with careful monitoring of the CLCr level and adverse events as well as appropriate dose adjustments, lenalidomide plus dexamethasone is an effective and well tolerated treatment option for patients with multiple myeloma who have RI. © 2010 American Cancer Society.

OBJECTIVES: This study aims to assess whether elderly patients (>65 years) with open tibial shaft fractures (OFs) have increased mortality rates than those with closed fractures (CFs). PATIENTS AND METHODS: Patients admitted during 2003-2005 with open/closed diaphyseal (AO 42) fractures of the tibia were eligible to participate. EXCLUSION CRITERIA: Pathological and peri-prosthetic fractures. RESULTS: A total of 54 patients (38 females) met the inclusion criteria. Twenty-six patients had sustained CF and 28 OF (Gustilo grade I (11), grade II (five), grade IIIa (two) and grade IIIb (10)). The OF group was statistically significantly different with higher injury severity score, secondary procedures and length of hospital stay (p<0.05). A higher rate of admission/length of stay to intensive care unit and complication rate was noted in the OF group. Mortality rate between the two groups was comparable (CF=2/26, OF=3/28). CONCLUSIONS: Elderly patients with OFs of the tibial shaft have similar mortality rate to those with CFs.

We systematically examine all the tight-binding parameters pertinent to charge transfer along DNA. The pi molecular structure of the four DNA bases (adenine, thymine, cytosine, and guanine) is investigated by using the linear combination of atomic orbitals method with a recently introduced parametrization. The HOMO and LUMO wave functions and energies of DNA bases are discussed and then used for calculating the corresponding wave functions of the two B-DNA base-pairs (adenine-thymine and guanine-cytosine). The obtained HOMO and LUMO energies of the bases are in good agreement with available experimental values. Our results are then used for estimating the complete set of charge transfer parameters between neighboring bases and also between successive base-pairs, considering all possible combinations between them, for both electrons and holes. The calculated microscopic quantities can be used in mesoscopic theoretical models of electron or hole transfer along the DNA double helix, as they provide the necessary parameters for a tight-binding phenomenological description based on the pi molecular overlap. We find that usually the hopping parameters for holes are higher in magnitude compared to the ones for electrons. Our findings are also compared with existing calculations from first principles.

Tumors metastatic to the heart (cardiac metastases) are infrequent and few systematic studies on this topic have been published. Urothelial carcinomas are among the rarest associated with heart metastases and all cases reported to date concern autopsy examinations. We present the first report of urothelial carcinoma metastatic to the endocardium diagnosed antemortem. Notably, the endocardiac infiltration was the only site of recurrence and occurred 6 years after original diagnosis of bladder carcinoma. Although rare enough, the possibility of heart metastases without any other signs of recurrence should be included in the differential diagnosis in cases of urothelial cancer with increasing fatigue and dyspnea. © 2008 Elsevier Ireland Ltd. All rights reserved.

We report on the occurrence of strong nonlinear acousto-optic interactions in a one-dimensional model phoxonic cavity that supports, simultaneously, photonic and phononic localized resonant modes, by means of rigorous electrodynamic and elastodynamic calculations. We show that these interactions can take place when photons and phonons of long lifetime are confined in the same region of space and lead to enhanced modulation of light by acoustic waves through multiphonon exchange mechanisms.

One hundred healthy postmenopausal women were randomly assigned to receive 17β-E2 1 mg/drospirenone 2 mg or 17β-E2 1 mg/norethisterone acetate 0.5 mg for 6 months, and circulating soluble Fas, soluble Fas ligand, and cytochrome c were measured at baseline and at 6 months in 87 women who completed the study. Although cytochrome c levels were undetectable, circulating soluble Fas/soluble Fas ligand ratio decreased in both groups, suggesting a decrease in ligand-mediated apoptosis. Copyright © 2010 American Society for Reproductive Medicine, Published by Elsevier Inc.

In 1997, the European Communities Confederation of Clinical Chemistry and Laboratory Medicine (EC4) set up a Register for European Specialists in Clinical Chemistry and Laboratory Medicine. The operation of the Register is undertaken by a Register Commission (EC4RC). During the last 12 years, more than 2200 specialists in Clinical Chemistry and Laboratory Medicine have joined the Register. In 2007, EC4 merged with the Forum of European Societies of Clinical Chemistry and Laboratory Medicine (FESCC) to form the European Federation of Clinical Chemistry and Laboratory Medicine (EFCC). Two previous Guides to the Register have been published, one in 1997 and another in 2003. The third version of the Guide is presented in this article and is based on the experience gained and development of the profession since the last revision. Registration is valid for 5 years and the procedure and criteria for re-registration are presented as an Appendix at the end of the article. © 2010 by Walter de Gruyter, Berlin, New York.

Fish allergens represent one of the most common causes of adverse reactions to food worldwide. Double-blind placebo-controlled food challenges (DBPCFC) are the gold standard for food allergy diagnosis. However, no standardised recipes are available for common food allergens such as fish, and a well trained dietitian is essential for creating and standardising them. The present study aimed to create and standardise recipes for use in DBPCFCs to fish.|Three recipes were prepared. Employing a standardised procedure, a total of 35 panelists evaluated the different matrices using an evaluation form. A paired comparison test was used to estimate total evaluation's outcome. Fish allergic patients were challenged with different fish species blinded with the selected matrix and evaluated the recipe using the same form.|From a base recipe and step-by-step modifications, a low fat recipe was selected among other recipes tested, which proved to be appropriate for fish blinding, in terms of taste, odour, appearance and blinding. Patients challenged with the final matrix found it acceptable, no matter which fish type was used.|In this pilot study, a recipe with satisfactory organoleptic characteristics was developed and validated for DBPCFC to fish.

OBJECTIVE: To assess the short-term (15-d) and long-term (12-month) effects of a school-based health and nutrition education intervention on diet, nutrition intake and BMI. DESIGN: The 12-week teacher-implemented intervention in combination with seminars organized for parents was aimed at improving children's diet and nutrition knowledge. The intervention took place between September 2007 and January 2008. The participants were randomized to two study groups, the intervention group (IG) and control group (CG), and were examined prior to the intervention on a variety of health knowledge, dietary, behavioural and anthropometric indices. The same measurements were collected 15 d and 1 year after the intervention. SETTING: All high schools in Vyronas, a densely populated district of Athens, Greece. SUBJECTS: The sample consisted of 191 students aged 12-13 years. RESULTS: Twelve months after the intervention, the programme was effective in reducing various indices in the IG compared with baseline findings (BMI: 23.3 (sd 2.8) v. 24.0 (sd 3.1) kg/m2, P < 0.001; daily energy intake: 8112.4 (sd 1412.4) v. 8503.3 (sd 1419.3) kJ/d, P < 0.001; total fat intake: 31.3 (sd 4.4) v. 35.4 (sd 4.7) % of daily energy, P < 0.001). Except for BMI, decreases in the aforementioned indices were also observed 15 d after the intervention. In addition, students of the IG reduced their weekly consumption of red meat and non-home-made meals and increased their frequency of fruit and breakfast cereal consumption. CONCLUSIONS: The beneficial effects of this nutrition education intervention among adolescents may highlight the potential of such programmes in the prevention of obesity.

Purpsoe. Investigate the role of metabolites in bioequivalence (BE) assessment. Methods. Sets of ordinary differential equations are used to generate concentration - time data for both parent drug (P) and metabolite (M). The calculations include 24 subjects, two different formulations (Test, Reference), and a range of Test/Reference ratios for the fraction of dose absorbed and the rate of absorption. A summarized view of these results is made through the construction of three dimensional power curves. The criteria for the choice of the preferred analyte (P or M) are based on a sensitivity analysis of the bioequivalence measure (AUC, C-max). The latter depends on the relative ability of P and M to reflect better the changes of the pharmacokinetic parameters and variability. Results. The different sensitivity properties of P and M were reflected on the power curves. For AUC, the performance of metabolite is very similar to that of the parent drug for all scenarios and models examined. A more complex behaviour is evident for C-max. In most of these cases, metabolite data show higher permissiveness in the percentages of acceptance. This attribute is more evident when P exhibits high elimination rate and/or the formation of M occurs rapidly. When the Test and Reference products have similar absorption profiles, metabolite data are preferable for the determination of bioequivalence. Parent drug has the advantage for detecting better the differences in the absorption rate of two drugs. The latter is counterbalanced by the increased sensitivity of P data to the variability of the data. Conclusions. Both parent drug and metabolite share the same ability to declare BE when AUC is used as a bioequivalence measure. In case of C-max, metabolite data exhibit better performance when the T and R products are truly bioequivalent or the two formulations differ in their extent of absorption. For the pharmacokinetic scenarios studied, parent drug data were found to be more sensitive to detect differences in the rate of absorption. However, in such cases, their information is much influenced by the increased variability.

We present results of density-functional calculations on the magnetic properties of Cr, Mn, Fe and Co nanoclusters (1-9 atoms large) supported on Cu(001) and Cu(111). The inter-atomic exchange coupling is found to depend on competing mechanisms, namely ferromagnetic double exchange and antiferromagnetic kinetic exchange. Hybridization-induced broadening of the resonances is shown to be important for the coupling strength. The cluster shape is found to affect the coupling via a mechanism that comprises the different orientation of the atomic d-orbitals and the strength of nearest-neighbour hopping. Especially in Fe clusters, a correlation of binding energy and exchange coupling is also revealed. (C) 2010 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim

{Exhaled breath temperature (EBT) has been suggested as a non-invasive surrogate marker of airway inflammation in asthma. The aim of the study was to evaluate differences in EBT between periods of controlled disease and during exacerbations in children with virus-induced asthma.|Twenty-nine children (aged 6-14 years) with a history of intermittent, virus-induced asthma were included in this case-control study. Cases presented with a common cold and/or mild exacerbation of asthma, while controls were free of asthmatic or common cold symptoms during the previous 6 weeks. A baseline questionnaire was obtained. Atopy assessment, central temperature and a spirometric measurement were recorded. EBT was measured with a new device (Delmedica, Singapore). A nasal wash (for identification of common respiratory viruses) was obtained.|Twenty-four children (12 from each group) completed the study. Groups were homogeneous with respect to baseline characteristics. PCR revealed the presence of a virus in 3 out of 17 controls and 10 out of 12 cases (17.6 and 83.3%, respectively

Is there an Innovation Systems Governance in North Africa and in the Middle East?This article summarizes observations on the technological and innovation level of four Mediterranean countries (Egypt, Jordan, Morocco, Tunisia). Although these concepts are still controversial, we try to examine the specific issue of the governance of innovation policies. This approach is most adapted to countries where the “national system of innovation” concept seems not to apply. Our findings show that even though a real political will has been raised on innovation by the governments, the difficulties remain on many key aspects: (1) State Maghreb-Machrek, N˚ 202, Hiver 2009-2010 policies have served mainly to increase public research and the recent efforts to define the contours of an innovation policy have had little if no impact on the economy; (2) we suggest this is due to the fact that State policies oriented to promote innovation are badly accepted by other economic actors (due to a “top-down” approach that prevails in all four countries); (3) innovation policies seem hesitant and discontinuous and the voluntarism is rather of circumstances (changes in Tunisia, in Morocco, in Jordan, in Egypt); (4) scientific research is real in these countries and is based on individuals’ efforts, and innovation is developing in enterprises that have little knowledge of policies that are supposed to be oriented to tem. We conclude that the “world of innovation” is growing, even when the State seems to play a predominant role it has little impact and a low efficiency.

Prostate cancer is the most commonly diagnosed malignancy in male populations in the Western world. The KLK15 gene, the newest member of the kallikrein family, is expressed in the prostate gland. The purpose of this study is the expression analysis and the clinical evaluation of the KLK15 mRNA spliced variants in prostate cancer (CaP) and benign prostatic hyperplasia (BPH) patients. Total RNA was isolated from 104 CaP and BPH tissue specimens. After testing the quality of the RNA, cDNA was produced by reverse transcription, and PCR was performed for the amplification of the KLK15 mRNA transcripts. GAPDH and HPRT genes were used as endogenous controls Our data revealed that mRNA spliced variants of KLK15 were differentially expressed in prostate tissue specimens. Analysis of data showed a statistically significant (P < 0.001) increase in the frequency of overexpression of KLK15 transcripts encoding for both the active isoform and for the isoform 3 in CaP compared to BPH samples. Furthermore, KLK15 transcripts were found to be highly expressed in more aggressive tumors (P = 0.017). These results suggest that KLK15 expression analysis could be employed as a valuable tool for the discrimination between BPH and CaP tissue specimens and as an unfavorable prognostic marker for prostate cancer.

By applying a homogenization method based on systematic full-electrodynamic complex-band-structure calculations, we deduce the effective permittivity tensor of a uniaxial photonic crystal consisting of consecutive hexagonal arrays of aligned metallic nanorods of finite length. The form of the obtained permittivity tensor over a relatively broad low-frequency region, where homogenization is applicable, suggests the occurrence of unconventional refractive behavior, namely, negative refraction and self-collimation. This behavior is corroborated by straightforward calculation of the relevant group velocities in the actual photonic crystal. Moreover, it is shown that, in the frequency region where negative refraction occurs, a finite slab of the crystal possesses eigenmodes that form flat bands outside the light cone, as many as the number of its constituent layers. These eigenmodes allow for transfer of the evanescent components of an incident wave field to the other side of the slab, thus enabling subwavelength imaging.

Interacting properties of colloidal CdSe quantum dots (QDs) and polypyridyl ruthenium dyes employed as cosensitizers of mesoporous TiO2 electrodes as well as the effect of QDs coating and anchoring mode (direct and linker adsorption) have been investigated by photoluminesce (PL), Raman, and transient absorption (TAS) spectroscopies. Direct adsorption of QDs on TiO 2 leads to a more efficient PL quenching compared to that of QDs attached by means of a molecular linker (cysteine). This fact suggests higher electron injection for the former anchoring mode. Coating of ZnS on CdSe QDs sensitized TiO2 electrodes passivates the QDs surface states and partially releases quantum confinement effects, as is observed in colloidal core-shell nanoparticles. Subsequent cosensitization with a ruthenium molecular dye dramatically quenches the PL of the QDs/TiO2 electrodes, even in the presence of ZnS coating, indicating the presence of strong photoinduced charge transfer between the CdSe QDs and the dye molecules. This is firmly supported by TAS spectroscopy on the interfacial recombination kinetics that points to the fast hole transfer from the photoexcited QDs to the dye. The regenerating action of molecular dyes for QD sensitizers can have important implications in the development of efficient photovoltaic devices based on the synergistic action of dye-QD-TiO2 heterostructures. © 2010 American Chemical Society.

Comparison of the early development of the mandibular symphysis between primates and modern humans is of particular interest in human palaeontology. Using geometric morphometric methods, we explored and compared the ontogenetic shape changes of 14 chimpanzee mandibles (Pan troglodytes) against 66 human CT-scanned mandibles over the age range from fetal life to the complete emergence of the deciduous dentition in a visualization incorporating the deciduous tooth arrangement. The results reveal that the symphysis is anteriorly inclined in the youngest chimpanzee fetuses but develops an increasingly vertical orientation up until birth. At the same time, the anterior teeth reorient before a vertical emergence, and a symphyseal tuber appears on the labial side. When the deciduous canine emerges, the symphysis inclines anteriorly again, exhibiting the adult characteristic slope. These two phases are characterized by a repositioning of the simian shelf. Unlike chimpanzees, the human symphysis remains vertical throughout fetal development. However, the combination of morphological changes observed in chimpanzee fetuses is similar to that of modern humans after birth, as the mental region projects forward. By elongating the alveolar process, the inclination of the chimpanzee symphysis could be a key event for emergence of the deciduous canine, as space is lacking at the alveolar ridge in a vertical symphysis once the deciduous incisors and molars have emerged. The repositioning of the simian shelf suggests that the suprahyoid muscles have a significant influence on the anterior growth of the symphysis. The anteroposterior positioning of the basal symphysis in both species may be related to hyoid bone position during ontogeny.

OBJECTIVE: To assess the association between food combination and Alzheimer disease (AD) risk. Because foods are not consumed in isolation, dietary pattern (DP) analysis of food combination, taking into account the interactions among food components, may offer methodological advantages. DESIGN: Prospective cohort study. SETTING: Northern Manhattan, New York, New York. PATIENTS OR OTHER PARTICIPANTS: Two thousand one hundred forty-eight community-based elderly subjects (aged > or = 65 years) without dementia in New York provided dietary information and were prospectively evaluated with the same standardized neurological and neuropsychological measures approximately every 1.5 years. Using reduced rank regression, we calculated DPs based on their ability to explain variation in 7 potentially AD-related nutrients: saturated fatty acids, monounsaturated fatty acids, omega-3 polyunsaturated fatty acids, omega-6 polyunsaturated fatty acids, vitamin E, vitamin B(12), and folate. The associations of reduced rank regression-derived DPs with AD risk were then examined using a Cox proportional hazards model. Main Outcome Measure Incident AD risk. RESULTS: Two hundred fifty-three subjects developed AD during a follow-up of 3.9 years. We identified a DP strongly associated with lower AD risk: compared with subjects in the lowest tertile of adherence to this pattern, the AD hazard ratio (95% confidence interval) for subjects in the highest DP tertile was 0.62 (0.43-0.89) after multivariable adjustment (P for trend = .01). This DP was characterized by higher intakes of salad dressing, nuts, fish, tomatoes, poultry, cruciferous vegetables, fruits, and dark and green leafy vegetables and a lower intake of high-fat dairy products, red meat, organ meat, and butter. CONCLUSION: Simultaneous consideration of previous knowledge regarding potentially AD-related nutrients and multiple food groups can aid in identifying food combinations that are associated with AD risk.

Fractional calculus, the branch of calculus dealing with derivatives of non-integer order (e.g., the half-derivative) allows the formulation of fractional differential equations (FDEs), which have recently been applied to pharmacokinetics (PK) for one-compartment models. In this work we extend that theory to multi-compartmental models. Unlike systems defined by a single ordinary differential equation (ODE), considering fractional multi-compartmental models is not as simple as changing the order of the ordinary derivatives of the left-hand side of the ODEs to fractional orders. The latter may produce inconsistent systems which violate mass balance. We present a rationale for fractionalization of ODEs, which produces consistent systems and allows processes of different fractional orders in the same system. We also apply a method of solving such systems based on a numerical inverse Laplace transform algorithm, which we demonstrate that is consistent with analytical solutions when these are available. As examples of our approach, we consider two cases of a basic two-compartment PK model with a single IV dose and multiple oral dosing, where the transfer from the peripheral to the central compartment is of fractional order alpha < 1, accounting for anomalous kinetics and deep tissue trapping, while all other processes are of the usual order 1. Simulations with the studied systems are performed using the numerical inverse Laplace transform method. It is shown that the presence of a transfer rate of fractional order produces a non-exponential terminal phase, while multiple dose and constant infusion systems never reach steady state and drug accumulation carries on indefinitely. The IV fractional system is also fitted to PK data and parameter values are estimated. In conclusion, our approach allows the formulation of systems of FDEs, mixing different fractional orders, in a consistent manner and also provides a method for the numerical solution of these systems.

Patient Safety (PS) is a major concern that involves a wide range of roles in healthcare, including those who are directly and indirectly involved, and patients as well. In order to succeed into developing a safety culture among healthcare providers, carers and patients, there should be given great attention into building appropriate education and training tools, especially addressing those who plan patient safety activities. The framework described in this policy paper is based on the results of the European Network for Patient Safety (EUNetPaS) project and analyses the principles and elements of the guidance that should be provided to those who design and implement Patient Safety Education and training activities. The main principles that it should be based on and the core teaching objectives-expected outcomes are addressed. Once the main context and considerations are properly set, the guidance should define the general schema of the content that should be included in the Education and Training activities, as well as how these activities would be delivered. It is also important that the different roles of the recipients are clearly distinguished and linked to their role-specific methods, proper delivery platforms and success stories. Setting these principles into practice when planning and implementing interventions, primarily aims to enlighten and support those who are enrolled to design and implement Patient Safety education and training teaching activities. This is achieved by providing them with a framework to build upon, succeeding to build a collaborative, safety conscious and competent environment, in terms of PS. A guidelines web platform has been developed to support this process.

The objective of this study is to investigate the linkage of large-scale upper air circulation over the greater European area with intense precipitation events over Eastern Mediterranean and then to estimate potential changes in the atmospheric patterns in the future, under global warming conditions. For this purpose, results from the regional climate model HadRM3P and Global Circulation Model HadAM3P have been used for the present period 1960-1990 (control run) and the future period 2070-2100 based on the B2a IPCC emission scenario. For the identification of the precipitation extremes the Simple Daily Intensity Index (SDII) was employed. Our analysis has shown a notable relation of extreme events with the East Atlantic and Scandinavia teleconnection patterns, as well as the Eastern Mediterranean Pattern (EMP) during the wet period. In the future, similar patterns are found, with different magnitude and position, following the projected changes in atmospheric circulation over Europe.

A combined geophysical survey was conducted to investigate the possibility of detecting aquifer horizons characterized by secondary porosity development due to variations in textural structure. The SE part of Aegina Isl. (Perdika area) which is composed of volcanic rocks, namely of lower seated dacitic lavas overlain by pyroclastic rocks, was chosen for further investigation. Schlumberger soundings carried out along the long axis of the drainage system showed the existence of four geoelectrical layers instead of two which are the basic geological units of the whole area under investigation. This discrepancy is due to the presence of two distinct geological phenomena. The first, in the upper structure, results as a consequence of weathering and fracturing processes and is strongly dependent on lithologic phase changes of volcanic rocks. As a result a phreatic horizon could be developed in areas that are highly weathered and/or fractured. The deeper structure, on the other hand, is tectonically affected showing a great number of discontinuities filled mainly with water. The high transverse resistance value (T>5000 Ohm.m2 ), of the layer just above the deepest and conductive layer is attributed to dry dacitic lavas. The deepest conductive layer with intense deformation does not seem to be affected by sea water intrusion even at depths lower than sea level. The top surface of the conductive layer is not regularly spread over the area of investigation showing that the potentially developed aquifer within the fractures depends on the pre-existing topographic relief. The aim of the VLF survey was to detect any vertical or oblique conductive zones that could be associated with large scale tectonic features. Linear elements drawn from aerial photographs are strongly connected with anomaly zones outlined from VLF data. A model of the deep seated aquifer for the area under investigation to explain the recharging mechanism based on geophysical results as well as geologic and tectonic evidence is proposed.

During the last years the broader area of Koropi (Mesogheia-Greece), has faced rapidly increasing problems concerning irrigation and watering of the town, due to the brackish water in the water supply boreholes. Our main target is to determinate the subsurface geological structure of the study area, located NE of the Koropi city, where alterations of schists and carbonates, from three different post-alpine units, mainly appear and relate it with the groundwater flow paths. The dominant geological outcrops of the area are the Athenian Schist (Laurion-Attica Unit), the dolomitic marbles (Vari-Kirou Pira Unit) and the Lower Marble (Hymittos Unit). A geophysical research was carried out in the area mainly based on the geoelectrical methodology, including by executing fifteen Vertical Electrical Soundings and one Electrical Resistivity Tomography. The interpretation results of the geophysical data have been evaluated and combined with “in-situ” resistivity measurements and calibrated with cores coming from drilled boreholes revealing the area. Through this combining process important elements of the local geological subsurface structure have been determined, as the formation of the dolomitic marbles (massive or karstified) was found tilting southwards beneath the Athenian Schist. From a hydrogeological point of view, this alone adds a significant parameter to the subsurface geological structure which is highly related to the groundwater flow that is responsible for many problems and could be used for solving many others.

The geophysical and geological submarine features (pockmarks, gas chimneys, salt domes, etc.),identified by multi-beam echo sounders and sidescan sonars ,seismic surveys in the region South, South-west and South-east of Cyprus, as well as the corresponding international interest of investors, especially in the marine region of the Levantine Basin, lead to the conclusion that, from a geopolitical standpoint, Greece must be urged to accelerate the consolidation of its sovereign rights and understand anew and in practical terms, that “Cyprus is not far away, not at all actually”. With respect to Kastellorizo and the submarine area of its EEZ, we note that detailed geophysical and bathymetric surveys have confirmed the fact that the region of the submarine Anaximander Mountains presents active mud volcanoes that are linked to the presence of gas hydrates. Samples of gas hydrates were collected by means of indicative samplings in mud volcanoes thoroughly mapped in sub-seabed layers that do not exceed 1.5 m. These “ice-crystal” like features will probably have a significant socioeconomic impact in the near feature as an energy resource. New mud volcanoes were also discovered (“Athens” and “Thessaloniki”). Gas hydrates were found in samplings conducted in the “Thessaloniki” M.V. According to preliminary assessments, the total capacity of the mud volcanoes of the Anaximander mountains complex is estimated between 2.56-6.40 c. km. Geopolitics of Energy, Cyprus, Israel, Levantine, multi-beam echo sounders, side scan sonars, pockmarks, gas chimneys, salt domes, Exclusive Economic Zone/EEZ.

Background: Gestational Trophoblastic Neoplasia (GTN) is a pathologic entity that can affect any pregnancy and develop long after the termination of the pregnancy. Its course can be complicated by metastases to distant sites such as the lung, brain, liver, kidney and vagina. The therapeutic approach of this condition includes both surgical intervention and chemotherapy. The prognosis depends on many prognostic factors that determine the stage of the disease.Case Report: We present a woman with GTN and retroperitoneal metastatic disease who came to our department and was diagnosed as having high risk metastatic GTN. Accordingly she received chemotherapy as primary treatment but unfortunately developed massive bleeding after the first course of chemotherapy, was operated in an attempt to control bleeding but finally succumbed.Conclusion: This case demonstrates that GTN, while usually curable, can be a deadly disease requiring improved diagnostic, treatment modalities and chemotherapeutic agents. The gynaecologist should be aware of all possible metastatic sites of GTN and the patient immediately referred to a specialist center for further assessment and treatment. © 2010 Thomakos et al; licensee BioMed Central Ltd.

It seems we've come a long way since women‘s exclusion from the so-called male fields of the hard sciences. Women constitute over half the student population (52,9%) in the technological institutions in Greece and represent 58.7% of the total university student population. In the European Union (EU) 29.7 million women work in the science and technology (S&T) sectors, the highest percentage in Lithuania (72%) followed by Estonia (69.7%). On the other hand, the ―glass escalator (Hultin 2003, Williams 1992) is not yet gender inclusive since women today continue to be exceedingly under-represented in the workplace and especially in decision making positions: research, engineering, science and technology (S&T) and the academic hierarchies. An abundance of evidence indicates that men usually ride up the glass escalator as opposed to women who hit the glass ceiling and run into the ―sticky floor (Kimmel 2004). Gender diversity mainstreaming has given the impression that gender issues at work have been resolved, making subtle discrimination harder to spot. Current research indicates the need to focus on innovative approaches to getting gender back onto the agenda, namely to re-evaluate how we can move from ―gender fatigue (Kelan 2010, Merriman 2009) to gender energy. In examining international dialogue on the effects of the glass ceiling, the glass escalator and―gender fatigue, this paper discusses the 2009 ICT status report (European Commission 2010) which confirms that women’s interest in an academic career or in a career in the ICT sector is decreasing and presents an overview of the gender distribution in scientific research and in the academic hierarchies in Greece, where women still comprise a minority. Keywords: gender pay gap, glass escalator, glass ceiling, sticky floor, tokenism, gender fatigue.

The topic of this article is the historical evolution of Greek foreign policy in the Middle East over the past thirty-five years. It essentially seeks to explain the broad framework of conditions and objectives within which Greek foreign policy has been made towards the Arab Middle East and Israel. It argues that the amount of involvement of Greek foreign policy in the area was relatively little. Though much has changed in Greece's approach towards the Middle East since the 1990s, there is also a significant continuity of attitude, in the sense that serious attention has not been paid to this part of the world.

We report the detection of seven recent nova candidates in M 31 on two sets of three 300 s dithered stacked CCD images obtained on 2010 Oct 4 with the 1.3m Ritchey Chretien f/7.5 telescope at Skinakas Observatory, Crete, Greece, using an Andor DZ436-BV CCD Camera (with a Marconi 2k x 2k chip with 13.5 microns sq. pixels) and a broad (75 Angstrom wide) H-alpha filter. Only novae M31N 2010-07a and M31N 2010-10a were also detected on four 100 s dithered stacked CCD images obtained on 2010 Oct 5 with the same telescope and camera using a R filter.

Hepatic progenitor cells (HPC) appear in a variety of liver diseases. Their occurrence in chronic hepatitis C (CHC) remains unclear, and triggering factors have to be elucidated. The presence of HPC in CHC was examined in relation to histological and virological parameters and patient age. Fifty liver biopsies of HCV-infected patients were examined. The presence of HPC was evaluated by immunohistochemical expression of keratin 7 (K7). Double immunostaining with K7 and cell proliferation marker Ki-67 was undertaken. Ductular reaction at the limiting plate, mean number of isolated progenitor cells (IPC) and isolated ductular structures (IDS) were quantified. The predominant distribution pattern of IPC and IDS and the presence of K7(+) hepatocytes were registered. Relationship between ductular reaction, IPC, IDS, presence of K7(+) hepatocytes, and patient age, hepatitis grade and stage, HCV RNA, and HCV genotype was examined. Prominent ductular reaction and increased numbers of IPC and IDS correlated significantly with older age and severe fibrosis/cirrhosis. The above HPC subtypes were not proliferating. Periportal/periseptal distribution pattern of IPC and IDS and presence of K7(+) hepatocytes were significantly more frequent in advanced hepatitis stages and in patients older than 40 years. Intraparenchymal distribution pattern correlated with younger age, lobular activity, and early fibrosis stage. K7(+) hepatocytes were encountered almost exclusively in the periportal pattern and in the presence of interface hepatitis and were more frequent among HCV genotype-1 patients. HPC activation in CHC is a common but diverse phenomenon closely related to patient age and hepatitis stage.

Vertically transmitted hepatitis B virus (HBV) usually causes chronic infection. While combined active-passive immunoprophylaxis in neonates of hepatitis B surface antigen-positive (HBsAg(+)) mothers at birth prevents vertical transmission, it is not yet clear whether neonates encounter the virus or its products in the absence of hepatitis B e antigen (HBeAg). This study was undertaken to investigate HBV antigen-specific T-cell responses in vaccinated neonates of HBsAg(+)/HBeAg(-) mothers. Blood was collected from 46 HBsAg(+) mothers and their neonates (subjects) as well as 24 age-matched controls. All neonates of HBsAg(+) mothers received appropriate immunoprophylaxis, and HBsAg and hepatitis B surface antibody (anti-HBs) antibody titers were determined after completion of the vaccination course. Peripheral blood mononuclear cells (PBMCs) from infants at birth, 1 and 6 months of age were stimulated with recombinant HBsAg, hepatitis B core antigen (HBcAg) and mitogen, and interferon (IFN)-γ concentrations were determined by ELISA. HBsAg-induced production of IL-2, IL-5, IL-6 and IL-10 was assessed using a cytometric bead array kit on cells from 6-month-old neonates post-vaccination. All neonates were HBsAg(-) and responded to vaccination. Increased IFN-γ production following HBcAg stimulation was seen in 30.4% of neonates born to HBsAg(+)/HBeAg(-) mothers. Subjects demonstrated significantly higher IL-2 production post-HBsAg stimulation, whereas IL-5, IL-6 and IL-10 cytokine responses were not significantly different. Almost one-third of uninfected neonates developed viral antigen-induced IFN-γ production, suggesting that they had been exposed to virions or viral derivatives. This encounter, however, did not impair their T-cell responses to vaccination.

Ship-borne sunphotometer measurements obtained in the Arabian Sea (AS) in the pre-monsoon season (18 April-10 May 2006) during a cruise campaign (ICARB) have been used to retrieve the Aerosol Optical Depth (AOD; τ) and the Ångström wavelength exponent (α). The continents surrounding the AS produce natural and anthropogenic aerosols that have distinctive influences on α and its spectral distribution. The α values were estimated by means of the least-squares method over the spectral bands 340-1020 nm and 340-870 nm. The spectral distribution of AOD in logarithmic co-ordinates could be fit using a 2nd order polynomial with higher accuracy in the wavelength band 340-1020 nm than in the 340-870 nm band. A polynomial fit analytically parameterizes the observed wavelength dependencies of AOD with least errors in spectral variation of α and yields accurate estimates of the coefficients (α1 and α2). The coarse-mode (positive curvature in the ln λ vs. ln λ) aerosols are mainly depicted in the Northern part of the AS closely associated with the nearby arid areas while fine-mode aerosols are mainly observed over the far and coastal AS regions. In the study period the mean AOD at 500 nm is 0.25±0.11 and the α340-1020 is 0.90±0.19. The α340-870 exhibits similar values (0.92±0.18), while significant differences revealed for the constant terms of the polynomial fit (α1 and α2) proportionally to the wavelength band used for their determination. Observed day-to-day variability in the aerosol load and optical properties are direct consequence of the local winds and air-mass trajectories along with the position of the ship. © Author(s) 2010.

Summary Serum levels of five angiogenic cytokines were evaluated in 82 patients with primary systemic amyloidosis (AL). Angiopoietin-1, vascular endothelial growth factor, basic fibroblast growth factor and angiogenin were higher in AL patients than in controls (n = 35) and newly-diagnosed, symptomatic, myeloma patients (n = 35). Angiopoetin-1/Angiopoetin-2 ratio was lower in AL compared to controls but higher than in myeloma patients. Angiopoetin-2 correlated with cardiac dysfunction indices; however, none of the angiogenic growth factors was prognostically significant. The increased angiogenic cytokine levels observed in AL seem to represent either a toxic effect of amyloid fibrils or light chains, or a compensatory response to organ dysfunction. © 2010 Blackwell Publishing Ltd.

Tissue inhibitor of metalloproteinase-1 (TIMP-1) was evaluated in the pre-treatment serum of 55 newly diagnosed patients with symptomatic myeloma. TIMP-1 was elevated in 47% of patients and correlated with lytic bone disease and increased bone resorption. Importantly, TIMP-1 correlated with ISS stage (p=0.005) and was an independent prognostic covariate for survival [HR: 1.003 (1-1.006), p=0.004] in these patients who were all treated with novel agents (bortezomib and/or IMiDs) during their disease course. Our study provides evidence that pre-treatment serum TIMP-1 is associated with advanced myeloma and suggests the further evaluation of this molecule to better determine its prognostic potential in MM. © 2009 Elsevier Ltd.

The Pissouri basin (Cyprus Island) corresponds to a small tectonically controlled depression elongated NNW-SSE and widening southward in the direction of the deep Mediterranean domain. In the centre of the basin, the section Pissouri South, about 100 m thick, consists of well-preserved cyclic marine sediments including laminated brownish layers alternating with grey homogeneous marls. Plankton biostratigraphy (calcareous nannofossil and planktonic foraminifera) revealed a remarkable number of biovents bracketing the Zanclean-Piacenzian boundary. In particular the Highest Occurrence (HO) of Reticulofenestra pseudoumbilicus suggests the presence of NN14/15-NN16 nannofossil biozone boundary, dated at 3.84 Ma. Additionally the defined planktonic foraminiferal MPL3-MPL4a and MPL4a-MPL4b zone boundaries point to ages between 3.81 and 3.57 Ma, in Pissouri North section. Zanclean/Piacenzian boundary (3.6 Ma) is placed at 75.8 m from the base of the section, considering Discoaster pentaradiatus top paracme (3.61 Ma) and Globorotalia crassaformis first influx (3.6 Ma) bioevents. The cyclically developed sapropelic layers around the Zanclean – Piacenzian boundary suggest a climate characterized by a period of warm temperate conditions and a highly stratified water column that occurred at times of precession minima.

The Pissouri basin (Cyprus Island) corresponds to a small tectonically controlled depression elongated NNW-SSE and widening southward in the direction of the deep Mediterranean domain. In the centre of the basin, the section Pissouri South, about 100 m thick, consists of well-preserved cyclic marine sediments including laminated brownish layers alternating with grey homogeneous marls. Plankton biostratigraphy (calcareous nannofossil and planktonic foraminifera) revealed a remarkable number of biovents bracketing the Zanclean-Piacenzian boundary. In particular the Highest Occurrence (HO) of Reticulofenestra pseudoumbilicus suggests the presence of NN14/15-NN16 nannofossil biozone boundary, dated at 3.84 Ma. Additionally the defined planktonic foraminiferal MPL3-MPL4a and MPL4a-MPL4b zone boundaries point to ages between 3.81 and 3.57 Ma, in Pissouri North section. Zanclean/Piacenzian boundary (3.6 Ma) is placed at 75.8 m from the base of the section, considering Discoaster pentaradiatus top paracme (3.61 Ma) and Globorotalia crassaformis first influx (3.6 Ma) bioevents. The cyclically developed sapropelic layers around the Zanclean – Piacenzian boundary suggest a climate characterized by a period of warm temperate conditions and a highly stratified water column that occurred at times of precession minima.

The Pissouri basin (Cyprus Island) corresponds to a small tectonically controlled depression elongated NNW-SSE and widening southward in the direction of the deep Mediterranean domain. In the centre of the basin, the section Pissouri South, about 100 m thick, consists of well-preserved cyclic marine sediments including laminated brownish layers alternating with grey homogeneous marls. Plankton biostratigraphy (calcareous nannofossil and planktonic foraminifera) revealed a remarkable number of biovents bracketing the Zanclean-Piacenzian boundary. In particular the Highest Occurrence (HO) of Reticulofenestra pseudoumbilicus suggests the presence of NN14/15-NN16 nannofossil biozone boundary, dated at 3.84 Ma. Additionally the defined planktonic foraminiferal MPL3-MPL4a and MPL4a-MPL4b zone boundaries point to ages between 3.81 and 3.57 Ma, in Pissouri North section. Zanclean/Piacenzian boundary (3.6 Ma) is placed at 75.8 m from the base of the section, considering Discoaster pentaradiatus top paracme (3.61 Ma) and Globorotalia crassaformis first influx (3.6 Ma) bioevents. The cyclically developed sapropelic layers around the Zanclean – Piacenzian boundary suggest a climate characterized by a period of warm temperate conditions and a highly stratified water column that occurred at times of precession minima.

Objectives: High serum lactate dehydrogenase (LDH) is associated with features of advanced disease and inferior survival in multiple myeloma. It is however unclear whether LDH adds to the prognostic value of International Staging System (ISS) and whether it retains its prognostic significance in patients who are exposed to novel agent-based therapies. Patients/Methods: To address these issues we analyzed 996 consecutive symptomatic patients who were included in the database of the Greek Myeloma Study Group and received frontline treatment between January 1, 1995 and December 31, 2008. Results: The median overall survival (OS) of all patients was 40 months with a clear improvement in those who started treatment after January 1, 2000 (49 vs. 31 months; P < 0.01). A multivariate model showed that LDH, ISS, performance status, age and platelet counts had an independent prognostic value for OS (P < 0.001 for all parameters). The median OS of patients with high (11% of patients) and normal LDH was 15 vs. 44 months (P < 0.001). High LDH was associated with inferior OS within all ISS groups: 22 vs. 76 months for high and normal LDH groups, respectively, in ISS-1 (P < 0.01); 11 vs. 40 months in ISS-2 (P < 0.001) and 17 vs. 27 months in ISS-3 (P < 0.01). The median OS of high and normal LDH groups among patients who received novel agents was 21 vs. 51 months, respectively (P < 0.001). Conclusions: Lactate dehydrogenase is a readily available and inexpensive variable, which has a major impact on the survival of myeloma patients even when they belong to a low or intermediate ISS subgroup and even when they receive novel agent-based therapies. © 2010 John Wiley & Sons A/S.

Lung carcinogenesis is considered to be the result of composite environmental, genetic and epigenetic changes. Despite the fact that many of the genetic alterations, including loss of heterozygocity in the 3p chromosome locus and point mutations in the tumor-suppressor genes TP53 and retinoblastoma (RB1), occur in nearly all histopathologic types of lung cancer, the frequency and the " timing" of their occurrence seems to differ between small-cell lung cancer (SCLC) cells, that are characterized by neuroendocrine differentiation, and non-small-cell lung cancer (NSCLC) cells. Although loss of cell-cycle control is the crucial molecular event in both types, the mechanism by which it provokes oncogenesis differs significantly between SCLC and NSCLC. Importantly, some of these molecular events, including DNA-damage response and epidermal growth factor receptor (EGFR) mutations are valuable in predicting response to conventional chemotherapy or molecular-targeted agents as well as in the prognosis of patients that harbor these alterations. In the current review we report on the best characterized histopathologic and genetic changes in NSCLC and SCLC in relation to each histological subtype and we discuss their predictive and prognostic implications. © 2009 Elsevier Ireland Ltd.

Lung carcinogenesis is considered to be the result of composite environmental, genetic and epigenetic changes. Despite the fact that many of the genetic alterations, including loss of heterozygocity in the 3p chromosome locus and point mutations in the tumor-suppressor genes TP53 and retinoblastoma (RB1), occur in nearly all histopathologic types of lung cancer, the frequency and the "timing" of their occurrence seems to differ between small-cell lung cancer (SCLC) cells, that are characterized by neuroendocrine differentiation, and non-small-cell lung cancer (NSCLC) cells. Although loss of cell-cycle control is the crucial molecular event in both types, the mechanism by which it provokes oncogenesis differs significantly between SCLC and NSCLC. Importantly, some of these molecular events, including DNA-damage response and epidermal growth factor receptor (EGFR) mutations are valuable in predicting response to conventional chemotherapy or molecular-targeted agents as well as in the prognosis of patients that harbor these alterations. In the current review we report on the best characterized histopathologic and genetic changes in NSCLC and SCLC in relation to each histological subtype and we discuss their predictive and prognostic implications.

The current study investigated the impact of human immunodeficiency virus (HIV)/hepatitis B virus (HBV) co-infection on the rate of change of antiretroviral drugs after the initiation of highly active antiretroviral treatment (HAART). The data on 1425 HIV-positive patients with recorded serology for hepatitis B surface antigen (HBsAg) were retrospectively analysed. The estimated rate of treatment change was slightly higher in the HBsAg-positive group (0.57 per year) compared with the HBsAg-negative group (0.50 per year). Although this difference was insignificant in multivariable modelling, the confidence intervals of the estimates barely included unity. Antiretroviral drug family, calendar period, prior exposure to antiretrovirals and the diagnosis of acquired immunodeficiency syndrome were independently associated with the number of drug alterations. A slight impact of co-infection on the frequency of treatment change after the beginning of HAART cannot be excluded. However, the paucity of studies on this issue necessitates the conduct of further research.

Ovarian cancer is one of the leading causes of cancer-related death among women. Resistance to the disease occurs in more than 70 of the cases even after treated with chemotherapy agents such as paclitaxel- and platinum-based agents. The immune system is increasingly becoming a target for intense research in order to study the host's immune response against ovarian cancer. T cell populations, including NK T cells and Tregs, and cytokines have been associated with disease outcome, indicating their increasing clinical significance, having been associated with prognosis and as markers of disease progress, respectively. Harnessing the immune system capacity in order to induce antitumor response remains a major challenge. This paper examines the recent developments in our understanding of the mechanisms of development of the immune response in ovarian cancer as well as its prognostic significance and the existing experience in clinical studies. Copyright © 2010 Nikos G. Gavalas et al.

Aim. Intense and prolonged exercise greatly affects circulating cytokine levels. The purpose of this study was to investigate the possible changes in tumour necrosis factor -a (TNF-a), interleukin 6 (IL-6) and Cortisol concentrations during and after prolonged exercise of constant and alternating intensity of the same duration and total work performed. Methods. Ten male subjects underwent two main cycling exercise trials lasting one hour each. On one occasion, exercise intensity was alternated between 46.5±1.9% of maximal oxygen uptake (VO2max ) for 40 s and 120% of VO2max for 20 s, so that the mean intensity corresponded to 105% of the lactate threshold. On the other occasion, exercise intensity was constant at 105% of the lactate threshold. Levels of TNF-a, IL-6 after lipo polysaccharide (LPS) stimulation as well as Cortisol were measured at rest, 30 and 60 minutes of exercise and 1 hour after. Results. No significant differences were observed in TNF-a concentrations between the two exercise protocols (P= 0.75), but there was a significant time effect (P<0.01). TNF-a was increased in both groups from a resting value of 436.1±102.5 to 649.5±187.7 pg/mL (P<0.05) at the end of exercise and was subsequently decreased 1 hour post exercise to 305.9±78.8 pg/mL (P<0.01). No significant difference in IL-6 and Cortisol concentrations was observed between the two exercise protocols (P=0.13, P=0.10 accordingly). Conclusions. In conclusion, prolonged constant and alternating intensity exercise of the same mean intensity and duration seemed to provoke similar changes in aspects of immune response in healthy subjects.

{Aim. Intense and prolonged exercise greatly affects circulating cytokine levels. The purpose of this study was to investigate the possible changes in tumour necrosis factor -a (TNF-a), interleukin 6 (IL-6) and Cortisol concentrations during and after prolonged exercise of constant and alternating intensity of the same duration and total work performed. Methods. Ten male subjects underwent two main cycling exercise trials lasting one hour each. On one occasion, exercise intensity was alternated between 46.5±1.9% of maximal oxygen uptake (VO2max ) for 40 s and 120% of VO2max for 20 s, so that the mean intensity corresponded to 105% of the lactate threshold. On the other occasion, exercise intensity was constant at 105% of the lactate threshold. Levels of TNF-a, IL-6 after lipo polysaccharide (LPS) stimulation as well as Cortisol were measured at rest, 30 and 60 minutes of exercise and 1 hour after. Results. No significant differences were observed in TNF-a concentrations between the two exercise protocols (P= 0.75), but there was a significant time effect (P<0.01). TNF-a was increased in both groups from a resting value of 436.1±102.5 to 649.5±187.7 pg/mL (P<0.05) at the end of exercise and was subsequently decreased 1 hour post exercise to 305.9±78.8 pg/mL (P<0.01). No significant difference in IL-6 and Cortisol concentrations was observed between the two exercise protocols (P=0.13

{Aim. Intense and prolonged exercise greatly affects circulating cytokine levels. The purpose of this study was to investigate the possible changes in tumour necrosis factor -a (TNF-a), interleukin 6 (IL-6) and Cortisol concentrations during and after prolonged exercise of constant and alternating intensity of the same duration and total work performed. Methods. Ten male subjects underwent two main cycling exercise trials lasting one hour each. On one occasion, exercise intensity was alternated between 46.5±1.9% of maximal oxygen uptake (VO2max ) for 40 s and 120% of VO2max for 20 s, so that the mean intensity corresponded to 105% of the lactate threshold. On the other occasion, exercise intensity was constant at 105% of the lactate threshold. Levels of TNF-a, IL-6 after lipo polysaccharide (LPS) stimulation as well as Cortisol were measured at rest, 30 and 60 minutes of exercise and 1 hour after. Results. No significant differences were observed in TNF-a concentrations between the two exercise protocols (P= 0.75), but there was a significant time effect (P<0.01). TNF-a was increased in both groups from a resting value of 436.1±102.5 to 649.5±187.7 pg/mL (P<0.05) at the end of exercise and was subsequently decreased 1 hour post exercise to 305.9±78.8 pg/mL (P<0.01). No significant difference in IL-6 and Cortisol concentrations was observed between the two exercise protocols (P=0.13

Aims: Loss of phosphatase and tensin homologue (PTEN) leads to activation of several kinases, including mammalian target of rapamycin (mTOR), which promotes cell cycle progression. The aim was to study the expression of PTEN and phosphorylated (p)-mTOR in familial and sporadic invasive breast carcinomas and their relation to clinicopathological features, molecular indices (Wnt1) and patients' survival. Methods and results: PTEN and p-mTOR were detected immunohistochemically in 215 sections of invasive breast carcinomas (112 with a familial history of breast cancer). Image analysis was used and univariate and multivariate analyses employed for statistical evaluation of results. PTEN was detecte5d in the nucleus (73.5%) and p-mTOR in the cytoplasm (44.2%) of cancer cells. Loss of PTEN protein was more frequently detected in women with a familial history of breast cancer (72%) (P < 0.0001), while its expression was negatively correlated with Wnt1, in total (P = 0.049). p-mTOR showed a positive association with lymph node status (P = 0.010) and was found to have a negative impact on patients' overall survival (P = 0.016). Conclusions: Loss of PTEN protein expression appears to occur more frequently in women with a family history of breast cancer, whereas activation of mTOR protein seems to be related to a more aggressive phenotype. © 2010 Blackwell Publishing Limited.

Systems biology has emerged as a major trend in biological research during the past decade. As living organisms are described in more and more detail, it aims at filling the gap between understanding basic molecular processes and complex biological systems in which new properties often emerge from the combination of these elementary processes. This approach culminates in the development of computer-based mathematical models of physiological and pathophysiological processes. We review the state of the art in dynamic modelling, with emphasis on two complementary approaches: the modelling of small systems that is mostly developed by academic teams and aims at understanding generic biological properties, and the modelling of large systems that is mostly implemented by industrial companies and aims at the generation of new therapeutic strategies. We also provide an example of such large-scale modelling applied to the identification of drug targets for neurodegeneration.

MICs to tigecycline and 12 antimicrobials were performed by microdilution method, against 2423 nonduplicate pathogens recently isolated in 17 Greek hospitals. The Food and Drug Administration (FDA) and European Committee on Antimicrobial Susceptibility Testing (EUCAST) criteria were used comparatively for interpretation of tigecycline MICs. Tigecycline exhibited potent in vitro activity against the majority of the isolates tested. (MIC(90) values of 0.5, 1, 2, 0.125, 1, 0.25, 0.125, and 1 mg/L were observed for Escherichia coli, Klebsiella pneumoniae, Enterobacter spp., Moraxella catarrhalis, Acinetobacter spp., Staphylococcus aureus, Enterococcus spp., and Streptococcus pneumoniae isolates, respectively.) Tigecycline activity was the same, irrespective of the resistance profile to other antimicrobials (Gram-negative pathogens susceptible or resistant to imipenem, Enterococcus spp., S. aureus, or S. pneumoniae isolates, susceptible or resistant to vancomycin, methicillin or penicillin, respectively). Interpretation using EUCAST and FDA breakpoints differed among isolates of K. pneumoniae and Enterobacter spp. having tigecycline MICs of 2 to 4 mg/L. In conclusion, tigecycline exhibited potent activity against pathogens recently isolated in a region that experiences high antimicrobial resistance rates. Indications that the available criteria might categorize differently tigecycline susceptibility status in K. pneumoniae and Enterobacter spp. isolates were also detected.

Abdominal aortic aneurysm (AAA) progression and disease resistance are related to transmural degenerative processes and an inflammatory infiltration (INF). Diabetes is associated with low prevalence and growth rate of AAA. We sought to characterize INF in established AAA (INFAAA), in diabetic patients. From 89 male patients aged 52 to 83 years, aneurysm specimens obtained at open asymptomatic nonruptured AAA repair were graded for INF and immunostained using antibodies against T-lymphocytes (CD3) and macrophages (CD68). Diabetic patients had an odds ratio (OR) 3.8, 95% confidence interval ([CI] 1.14-12.96), P =.03, of experiencing above-median INFAAA. These associations were affected by serum glucose (SG) levels (OR 3.6, 95% CI [0.72-18.77]; P =.1). Macrophage subpopulations higher in diabetic patients (1.44 ± 0.78 versus 0.98 ± 0.76; P =.02) were correlated with SG (r =.21, P =.044). Abdominal aortic aneurysms in diabetic patients are associated with higher INF. Macrophage densities are correlated with SG. © The Author(s) 2010.

The objective of this paper is to assess the future adaptability of e-Learning platforms within postgraduate modules. An ongoing empirical assessment was conducted amongst postgraduate students, based on the Technology Acceptance Model (TAM). The current paper presents the outcomes from the second phase of a survey, involving fifty six participants. Data analysis was performed using a structural equation model, based on partial least squares. Results highlighted the very strong effect of perceived usefulness and perceived ease of use to attitude towards using e-Learning platforms. Consequently, attitude towards use proved to be a very strong predictor of behavioral intention. Perceived usefulness, on the contrary, did not prove to have an effect to behavioral intention. Implications on the potential of using e-Learning platforms are discussed along with limitations and future directions of the study.

Numerous studies have been published concerning the characteristics and the behaviour of the intramedullary devices in the treatment of the intertrochanteric hip fractures. However, there is still room for further exploration and exploitation concerning the implant behaviour with respect to the parts of the implant assembly (nail, lag screw and distal screw). Towards this direction, the present paper aimed at revealing the effect of the position of the distal screw on the mechanical behaviour of the fixation device. For this purpose, a simplified model was developed and analysed with the finite element method. In total, five different locations for the distal screw were examined. In all cases, the bone was fixed at its distal end while the external load was applied at the tip of the lag screw towards the hip and in the form of orthonormal force components applied individually. The results of the FE analyses were illustrated in appropriately formed plots revealing the sensitivity of the behaviour of the implant with respect to the location of the distal screw. The main conclusion derived from the present investigation was that moving the distal screw apically decreases the stresses on the distal screw but increases the stresses on the lag screw. In turn, this indicates the existence of a location for the distal screw that compromises these two effects in an optimum way.

BACKGROUND:Patterns of spatial variation in discrete phenotypic traits can be used to draw inferences about the adaptive significance of traits and evolutionary processes, especially when compared to patterns of neutral genetic variation. Population divergence in adaptive traits such as color morphs can be influenced by both local ecology and stochastic factors such as genetic drift or founder events. Here, we use quantitative color measurements of males and females of Skyros wall lizard, Podarcis gaigeae, to demonstrate that this species is polymorphic with respect to throat color, and the morphs form discrete phenotypic clusters with limited overlap between categories. We use divergence in throat color morph frequencies and compare that to neutral genetic variation to infer the evolutionary processes acting on islet- and mainland populations.RESULTS:Geographically close islet- and mainland populations of the Skyros wall lizard exhibit strong divergence in throat color morph frequencies. Population variation in throat color morph frequencies between islets was higher than that between mainland populations, and the effective population sizes on the islets were small (Ne:s < 100). Population divergence (FST) for throat color morph frequencies fell within the neutral FST-distribution estimated from microsatellite markers, and genetic drift could thus not be rejected as an explanation for the pattern. Moreover, for both comparisons among mainland-mainland population pairs and between mainland-islet population pairs, morph frequency divergence was significantly correlated with neutral divergence, further pointing to some role for genetic drift in divergence also at the phenotypic level of throat color morphs.CONCLUSIONS:Genetic drift could not be rejected as an explanation for the pattern of population divergence in morph frequencies. In spite of an expected stabilising selection, throat color frequencies diverged in the islet populations. These results suggest that there is an interaction between selection and genetic drift causing divergence even at a phenotypic level in these small, subdivided populations.

Ziel der vorliegenden Studie ist, die Rolle und die Wichtigkeit des Kindermordmythologems imRahmen des Medea-Mythos zu diskutieren. Dabei werden zwei der wichtigsten Bearbeitungen desMythos untersucht: Euripides’ Tragödie und Christa Wolfs Roman (1996). In einem ersten Schrittwird versucht, die Erfindung des Kindermordes von Seiten des Euripides von einem neuenBlickwinkel zu beleuchten. Im Gegensatz zur Annahme der überwiegenden Mehrheit der Forschergeht diese Studie davon aus, dass Euripides’ Medea nicht bloß ein bürgerliches Ehedrama, sonderneine politische und soziale Skizze des Mikrokosmos der Polis ist. In einer Art „Flaschenpost“ ist esdem großen Tragiker gelungen, die Bedürfnisse der Unterdrückten herauszustreichen und eine neuePerspektive für das weibliche Element zu eröffnen. Während jedoch in der männlichen Überlieferungvon Euripides bis von Trier das Unterdrückte als Grausamkeit ans Licht kommt, schlägt Wolf einanderes Modell von Weiblichkeit vor. Zu diesem Zweck braucht ihre Protagonistin den Kindermordnicht mehr. Der Mythos ist kein Kontext, sondern ein Rahmen. Demzufolge gehören alle Fassungenzum Mythos. In einer Zeit, die durch Gewalt und Angst gekennzeichnet ist, wirft Wolf Licht auf dieUrsprünge von Gewalt, indem sie beim Erzählen der Geschichte einer Gestalt, die sowohl Männern alsauch Frauen schlechthin Angst macht, andere Schwerpunkte setzt.

Aims: We announce the discovery of a quasar behind the disk of M 31, which was previously classified as a remarkable nova in our neighbour galaxy. It is shown here to be a quasar with a single strong flare where the UV flux has increased by a factor of 20. The present paper is primarily aimed at the remarkable outburst of J004457+4123 (Sharov 21), with the first part focussed on the optical spectroscopy and the improvement in the photometric database. Methods: We exploited the archives of photographic plates and CCD observations from 15 wide-field telescopes and performed targetted new observations. In the second part, we try to fit the flare by models of (1) gravitational microlensing due to a star in M 31 and (2) a tidal disruption event (TDE) of a star close to the supermassive black hole of the quasar. Results: Both the optical spectrum and the broad band spectral energy distribution of Sharov 21 are shown to be very similar to that of normal, radio-quiet type 1 quasars. We present photometric data covering more than a century and resulting in a long-term light curve that is densely sampled over the past five decades. The variability of the quasar is characterized by a ground state with typical fluctuation amplitudes of 0.2 mag around bar{B} 20.5, superimposed by a singular flare of 2 yr duration (observer frame) with the maximum at 1992.81. The total energy in the flare is at least three orders of magnitudes higher than the radiated energy of the most luminous supernovae, provided that it comes from an intrinsic process and the energy is radiated isotropically. The profile of the flare light curve is asymmetric showing in particular a sudden increase before the maximum, whereas the decreasing part can be roughly approximated by a t-5/3 power law. Both properties appear to support the standard TDE scenario where a 10 M_⊙ giant star was shredded in the tidal field of a 2...5×108 M_⊙ black hole. The short fallback time derived from the observed light curve requires an ultra-close encounter where the pericentre of the stellar orbit is deep within the tidal disruption radius. This simple model neglects, however, the influence of the massive accretion disk, as well as general-relativistic effects on the orbit of the tidal debris. Gravitational microlensing probably provides an alternative explanation, although the probability of such a high amplification event is very low.

Tissue kallikrein (KLK1) and the kallikrein-related peptidase (KLK2-15) genes encode for a subgroup of 15 homologous secreted serine proteases possessing numerous physiological roles, such as the regulation of blood pressure, hormone processing and tissue remodeling. The expression of KLKs is detected in a broad spectrum of human tissues where it has been found to be regulated mainly by steroids hormones. The aberrant expression of KLKs, presented in many human malignancies, highlights the significance of this gene family for early diagnosis, prognosis and monitoring of cancer patients, as it is strongly emphasized by the routine use of PSA (KLK3) for prostate cancer management. Here, we review the presently known data regarding the role of KLKs as cancer biomarkers, giving emphasis on novel information about the subject.

This review investigates the quality and content of published reports relating to labial surgery for well women. Electronic databases were searched for relevant articles between 1950 and April 2009. Forty articles were identified, 18 of which included patient data. The specification of the study design was unavailable in 15 of the 18 papers; the remaining three were retrospective reports. No prospective, randomised or controlled studies were found. All reports claimed high levels of patient satisfaction and contained anecdotes pertaining to success. Medically nonessential surgery to the labia minora is being promoted as an effective treatment for women's complaints, but no data on clinical effectiveness exist. © RCOG 2009 BJOG An International Journal of Obstetrics and Gynaecology.

Lippia citriodora H.B.K. is an aromatic plant indigenous to South America. It is cultivated and commercialised as an ornamental for its lemon-like scent emitted from its leaves and flowers. The present morphoanatomical and histochemical study revealed that leaves of L. citriodora possess one type of setae (non-glandular) and at least five types of glandular trichomes, with the latter differing anatomically and in the composition of their secondary metabolites. Scanning electron microscopy revealed that the same types of trichomes exist also on the calyces. Histochemical tests indicate that the glandular trichomes contain a combination of terpenoids, flavonoids, carbohydrates, phenolics and alkaloids. However, within the vacuoles of the mesophyll cells, terpenoids, phenolics, flavonoids and tannins are stored. The presence of lamellar cytoplasmic inclusions in the mesophyll cells, possibly precursors of tannins stored in the vacuoles, is reported for the first time. © 2010 CSIRO.

Lenalidomide is a novel immunomodulatory agent with a unique dual mechanism of action: its tumoricidal effect leads to direct tumor cell death, and its immunomodulatory effect keeps the tumor in remission. Phase III clinical trials have demonstrated that in patients with relapsed/refractory multiple myeloma (MM), lenalidomide in combination with dexamethasone offers high clinical response rates and improved time to disease progression, progression-free survival (PFS), and overall survival (OS) compared with dexamethasone alone. In patients with newly diagnosed MM, the combination of lenalidomide and low-dose dexamethasone prolonged survival compared with lenalidomide and standard high-dose dexamethasone. The benefits of lenalidomide-based treatment regimens can be optimized by initiating treatment early in the disease course, either as a frontline treatment or at first relapse. Lenalidomide is generally well tolerated; the primary adverse events are myelosuppression and venous thromboembolic complications. These adverse events emerge early in the course of treatment and can be managed using standard interventions such as granulocyte colony-stimulating factor, dose reduction, and thromboprophylaxis. The combination of lenalidomide and dexamethasone is effective and generally well tolerated in patients with renal impairment provided that creatinine clearance level and adverse events are carefully monitored and the starting dose of lenalidomide is adjusted appropriately. Early results from phase III trials indicate that in patients with newly diagnosed MM, continuous lenalidomide therapy is well tolerated and associated with significant improvements in PFS, offering a new treatment option for patients with MM - although no OS benefit has yet been seen in this setting. Lenalidomide-based treatment is effective across the spectrum of MM disease phases, allowing for the long-term management of myeloma. © 2010 Elsevier Ltd.

Objectives: Lenalidomide and dexamethasone (LenDex) is an active regimen for relapsed/refractory multiple myeloma (MM). However, there is limited data for the effect of LenDex on renal impairment (RI) and on renal reversibility. Patients & Methods: Fifty consecutive patients with relapsed/refractory MM received LenDex in 28-d cycles. Median lines of previous therapies were 2 (range: 1-6). Lenalidomide was administered on days 1-21 according to creatinine clearance (CrCl), while dexamethasone was given at a dose of 40 mg on days 1-4 and 15-18 for the first four cycles and only on days 1-4 thereafter. Results: Twelve patients (24%) had RI at baseline, defined as CrCl < 50 mL/min. Most patients were pretreated with either thalidomide or bortezomib and > 50% of them were refractory to both drugs. At least partial response was documented in 60.5% and 58% of patients with and without RI. Median progression-free survival (PFS) and overall survival (OS) for all patients was 9 and 16 months, respectively. RI was not associated with an inferior PFS or OS. There were no differences in the incidence of adverse events among patients with and without RI. Three of 12 patients with RI (25%) achieved complete renal response and two (16%) achieved minor renal response with LenDex. Conclusions: We conclude that LenDex is an active treatment even in heavily pretreated MM. With dosing of lenalidomide according to renal function, LenDex can be administered to patients with RI (who may not have other treatment options) without excessive toxicity. Furthermore, LenDex may improve the renal function in approximately 40% of patients with RI. © 2010 John Wiley & Sons A/S.

The life span of various model organisms can be extended by caloric restriction as well as by autophagy-inducing pharmacological agents. Life span-prolonging effects have also been observed in yeast cells, nematodes and flies upon the overexpression of the deacetylase Sirtuin-1. Intrigued by these observations and by the established link between caloric restriction and Sirtuin-1 activation, we decided to investigate the putative implication of Sirtuin-1 in the response of human cancer cells and Caenorhabditis elegans to multiple triggers of autophagy. Our data indicate that the activation of Sirtuin-1 (by the pharmacological agent resveratrol and/or genetic means) per se ignites autophagy, and that Sirtuin-1 is required for the autophagic response to nutrient deprivation, in both human and nematode cells, but not for autophagy triggered by downstream signals such as the inhibition of mTOR or p53. Since the life spanextending effects of Sirtuin-1 activators are lost in autophagy-deficient C. elegans, our results suggest that caloric restriction and resveratrol extend longevity, at least in experimental settings, by activating autophagy.

We study the linear and nonlinear optical response of intersubband transitions in a semiconductor quantum well. We describe the coupling of the quantum well structure with the electromagnetic field by using the nonlinear density matrix equations, in the two-subband approximation. We provide proper approximate analytical solutions to these equations that are used for the closed-form determination of the optical susceptibilities &#x3C7;(1)">χ(1), &#x3C7;(3)">χ(3), and &#x3C7;(5)">χ(5). We also explore the dependence of &#x3C7;(1)">χ(1), &#x3C7;(3)">χ(3), and &#x3C7;(5)">χ(5) on the electron sheet density for a specific double GaAs/AlGaAs quantum well.

BACKGROUND: Lobular breast cancer in men is an extremely infrequent occurrence due to the lack of lobules and acini in the male breast. Such a rare case is described here. CASE REPORT: A 74-year-old patient presented with a sizeable lesion in the right breast, which proved to be a lobular carcinoma. Genetic studies excluded Klinefelter's syndrome, though revealing an interesting genetic multiformity feature. This case represented a lobular carcinoma in a genotypically male patient under no exogenous or endogenous estrogenic influence. CONCLUSIONS: The increasing number of male lobular breast cancer cases should be explored more extensively with particular emphasis placed on causally related genetic and hormonal factors.

Mean diameter or longest diameter are the 2 most frequently used parameters for wheal response assessment after skin prick testing (SPT). We aimed to compare these 2 parameters taking as gold standard the surface of the wheal skin response.|Patients suspected of having an allergic reaction against inhalant allergens have been skin prick tested using the Pan-European GA(2)LEN SPT panel. Fifteen minutes later, macroscopically evident wheal and flare reactions were marked with a pen and transferred to paper with a transparent scotch tape. Each paper-transferred wheal was scanned with an ordinary scanner, and its surface-corresponding maximum perpendicular diameters and longest diameters were measured using a computer software application for image recognition, developed for this purpose. Correlation coefficients (Spearman's rho) between surfaces and respective mean (rho(mean)) or longest (rho(longest)) diameters were calculated and subsequently compared.|1,554 SPTs were performed in 74 patients. In 264, a macroscopically evident wheal and flare response was observed. Both mean and longest diameters correlated significantly with the wheal surfaces. However, rho(longest) was statistically significantly larger than rho(mean) when the surface of the wheal was >17 mm(2) (rho(longest) > 0.860 vs. rho(mean) < 0.660; p < 0.05).Such a surface corresponds to a maximum diameter of approximately 7 mm and a mean diameter of approximately 6 mm. Thus, the larger the surface of the wheal, the more appropriate the usage of the longest diameter.|The longest wheal diameter alone seems to be a better surrogate marker of the wheal surface in comparison with the mean diameter. In addition, it is easier and faster to measure. Therefore, we propose this as the optimal methodology to evaluate SPTs.

This study examined in detail patterns of cholinesterase inhibitors (ChEIs) and memantine use and explored the relationship between patient characteristics and such use. Patients with probable Alzheimer disease AD (n=201) were recruited from the Predictors Study in 3 academic AD centers and followed from early disease stages for up to 6 years. Random effects logistic regressions were used to examine effects of patient characteristics on ChEIs/memantine use over time. Independent variables included measures of function, cognition, comorbidities, the presence of extrapyramidal signs, psychotic symptoms, age, sex, and patient's living situation at each interval. Control variables included assessment interval, year of study entry, and site. During a 6-year study period, rate of ChEIs use decreased (80.6% to 73.0%) whereas memantine use increased (2.0% to 45.9%). Random effects logistic regression analyses showed that ChEI use was associated with better function, no psychotic symptoms, and younger age. Memantine use was associated with better function, poorer cognition, living at home, later assessment interval, and later year of study entry. Results suggest that high rate of ChEI use and increasing memantine use over time are consistent with current practice guidelines of initiation of ChEIs in mild-to-moderate AD patients and initiation of memantine in moderate-to-severe patients.

Objective: The rarity of uterine sarcomas along with their pathological and molecular heterogeneities render their study particularly challenging. We evaluated a panel of somatic mutations principally centering on the tyrosine kinase gene family and their downstream signaling cascades in an attempt to identify potential candidate markers that may assist in diagnostic or therapeutic decisions in these tumors. Methods: We performed mutational analysis of 20 exons from 9 genes (EGFR, CDKN2A, MET, KIT, RAS, BRAF, PI3KCA, HER-2 and PDGFR-α) on biopsy material from 25 patients who underwent primary surgery for uterine sarcoma between October 1995 and October 2003. Due to the limited number of studies conducted we have also undertaken a literature review of somatic mutations in uterine sarcomas. Results: A total of 3 different somatic mutations were identified: one KRAS (codon G12D) in a carcinosarcoma and two exon 20 PI3KCA mutations (H1047R and H1047Y) both in carcinosarcomas. Mutational status of all mutations was confirmed using germline DNA extracted from peripheral blood. Consistent with the literature data, no other mutations regarding the rest of the genes of the panel were identified. Due to the low number of somatic mutations in our series, we did not perform further clinicopathological correlations. Conclusion: The absence of somatic mutations in the majority of genes that are considered critical in neoplastic transformation hampers the identification of potential therapeutic targets in patients with uterine sarcoma. © 2010 Elsevier B.V. All rights reserved.

The magnetic and electronic properties of composites consisting of oxidized multiwall carbon nantubes (MWNTs) dispersed in elastomeric poly(ether-ester) segmented block copolymer have been studied by means of electron spin resonance (ESR) and dc magnetization measurements. A marked reduction in the MWNT diamagnetic response is identified, indicative of substantial hole doping related to the oxygen functional groups on the oxidized carbon nanotube's surface. Both ESR and the static magnetization reveal considerable enhancement of the spin susceptibility due to an excessive increase in the density of paramagnetic defects, which are sensitive to the dynamical polymer relaxation and thus to the MWNT-polymer interfacial coupling. © 2010 American Institute of Physics.

The molecular triad, which includes the receptor activator of nuclear factor kappa-B ligand (RANKL), its receptor RANK, and the endogenous soluble RANKL decoy receptor osteoprotegerin (OPG), has emerged as an important determinant of bone metabolism. We aimed to evaluate the effect of treatment with the biphosphonate zoledronic acid (ZA) on biochemical markers of bone remodeling and to detect possible correlations of markerlevel changes with skeletal morbidity and clinical outcomes in patients with solid tumors and osseous metastases. The following serum markers were measured at the onset of skeletal metastases and after 6 months of treatment with ZA (4 mg intravenously monthly) in 70 patients with breast (n = 30), lung (n = 18), or prostate (n = 22) cancer: RANKL, OPG, C-terminal cross-linking telopeptide of type I collagen (CTX), tartrate-resistant acid phosphatase isoform 5b (TRACP-5b), bone-specific alkaline phosphatase (bALP), and osteopontin (OPN). Logistic regression models were applied to assess the correlation between marker-level changes and skeletal related events (SRE, primary endpoint), recurrence or progression, and death. Within a median follow-up of 32 months, 34 patients (48.6%) presented with at least 1 SRE and 48 patients (68.6%) relapsed. The RANKL/OPG ratio was upregulated in patients with breast and lung cancer, and it tended to decline after treatment with ZA, whereas prostate cancer patients presented with profound elevation of OPG only that persisted after treatment. CTX levels were significantly reduced after treatment in the whole study population (P = 0.003). None of the markers was able to predict skeletal morbidity or clinical outcomes independently of well-established prognostic clinical parameters. © 2010 Mosby, Inc. All rights reserved.

The paper is an investigation into the concept of actuality from the standpoint of the philosophy of language. It is argued that expressions such as ‘actually’ and ‘in fact’ are not indexicals like ‘here’ and ‘now’; when e.g. ‘Snow is actually white’ is uttered in a world, what proposition is conveyed does not depend on the world. Nor are such expressions ambiguous. The paper makes a suggestion about the role that ‘actually’ and its cognates do play. It is also argued that the sentence ⌜Actually S⌝ expresses a necessary truth only if S itself expresses one. In order to capture the necessitation of the proposition expressed in ⌜Actually S⌝ , it is not sufficient to prefix the word ‘necessarily’.

This paper reports on a design experiment conducted to explore the construction of meanings by 17 year old students, emerging from their interpretations and uses of algebraic like formalism. The students worked collaboratively in groups of two or three, using MoPiX, a constructionist computational environment with which they could create concrete entities in the form of models by using equations and animate them to link the equations’ formalism to the produced visual representation. Our aim was to further study the ways in which the use of formalism in constructionist environments can create contexts for the emerging of mathematical meanings. Some illustrative examples of two groups of students’ work indicate the potential of the activities and tools for expressing and reflecting on the mathematical nature of the available formalism. We particularly focused on the students’ engagement in reification processes, i.e. making sense of structural aspects of equations, involved in conceptualising them as objects that underlie the behaviour of the respective models

BACKGROUND: A decline of medical students' interest in a general surgery career is occurring in the Western medical world. We sought data on the mentality of Greek students toward specialty selection, and we determined whether trends indicated a decline in interest for general surgery in Greece. METHODS: A structured questionnaire was distributed to 3 groups of medical students: to pre-4th-year (group 1) surgical clerkship, post-4th-year (group 2) surgical clerkship, and post-6th-year internship students in surgery (group 3). The questions covered a wide spectrum of data including career choices, influential factors, and satisfaction rates on educational and training issues. RESULTS: From a total of 500 distributed questionnaires 363 were returned. Most students (63.1%) indicated preference toward nonsurgical (medical) specialties. Surgical specialties within the 3 groups gathered 19.5% (group 1), 26.5% (group 2) and 31.2% (group 3) preference rates. Among surgical specialties, general surgery was chosen by 29.4% in group 1, 10.0% in group 2, and 17.9% in group 3. The most common criterion for specialty selection was "quality of life" (68.6%) among group 1 students and "patient contact" for group 2 and group 3 students (77.3% and 65.3%, respectively). Among the 96 students who chose surgical specialties, the most common criterion for specialty selection was "scientific challenge" (100%) in group 1 and "patient contact" in groups 2 and 3 (62.5% and 69.2%, respectively). The 3 more frequently chosen factors that influenced the "picture" of surgery positively were attending live surgery cases in the operating room (37.6%), clinical experience (29.6%), and patient care (14.4%), followed by assisting in the operating room (8.8%). CONCLUSION: Our survey suggests a limited interest of Greek medical students for surgical specialties and general surgery in particular. As the medical curriculum is restructured, our data underscore the need for actions by surgical educators and medical school authorities so as to enhance the interest of medical students in general surgery in Greece.

We aimed to investigate the association between adherence to the Mediterranean diet (MeDi) and Alzheimer's disease (AD) risk in a prospective study. Specifically, we analyzed reduced inflammation and improved metabolic profile as a potential medium through which the MeDi reduced the risk of AD. During a 4-year follow-up, 118 incident AD cases were identified among the 1219 non-demented elderly (age ≥ 65) subjects who provided dietary information and blood samples at baseline. We used high-sensitivity C-reactive protein (hsCRP) as an index of systemic inflammation, and fasting insulin and adiponectin as indexes of metabolic profile. We investigated whether there was a change in the association between MeDi and incident AD risk when the biomarkers were introduced into multivariable adjusted COX models. Better adherence to MeDi was associated with lower level of hsCRP (p =0.003), but not fasting insulin or adiponectin. Better adherence to MeDi was significantly associated with lower risk for AD: compared to those in the lowest tertile of MeDi, subjects in the highest tertile had a 34% less risk of developing AD (p-for-trend =0.04). Introduction of the hsCRP, fasting insulin, adiponectin, or combinations of them into the COX model did not change the magnitude of the association between MeDi and incident AD. Ultimately, the favorable association between better adherence to MeDi and lower risk of AD did not seem to be mediated by hsCRP, fasting insulin, or adiponectin. Other aspects of inflammatory and metabolic pathways not captured by these biomarkers, or non-inflammatory or non-metabolic pathways, may be relevant to the MeDi-AD association.

Epithelial cancer of the ovary is the most lethal malignancy of all gynaecological cancers. Various clinical and pathological features of ovarian cancer are used as predictors of clinical outcome. The use of molecular markers in common clinical practice seems promising for the diagnosis and prognostication. The aim of this review article is to describe current theories regarding the pathogenesis and molecular evolution of epithelial ovarian cancer. With respect to the molecules involved, this article focuses on whether they are associated with poor prognosis or not. This evaluation is performed in light of the progress made and the potential usefulness in treatment decisions without overlooking existing controversies that should be further studied. It is tempting to anticipate the gradual integration of molecular profiling in clinical practice.

On February 25, 2009, a panel of international experts on plasma cell dyscrasia and skeletal disease met to discuss monoclonal gammopathy of undetermined significance (MGUS). This non-malignant B-cell disorder is the most common plasma cell dyscrasia and is associated with an increased risk of developing serious B-cell disorders. Individuals with MGUS also have an increased risk of osteoporosis and osteopenia associated with an increased likelihood of developing fractures especially in the vertebral column, peripheral neuropathy and thromboembolic events. The goal of the meeting was to develop a consensus statement regarding the appropriate tests to screen, evaluate and follow-up patients with MGUS. The panel also addressed the identification and treatment of MGUS-related skeletal problems, thromboembolic events and neurological complications. The following consensus statement outlines the conclusions and marks the first time that a consensus statement for the screening and treatment of MGUS has been clearly stated. © 2010 Blackwell Publishing Ltd.

Monoclonal gammopathy of undetermined significance (MGUS) was identified in 3.2% of 21 463 residents of Olmsted County, Minnesota, 50 years of age or older. The risk of progression to multiple myeloma, Waldenstrom's macroglobulinemia, AL amyloidosis or a lymphoproliferative disorder is approximately 1% per year. Low-risk MGUS is characterized by having an M protein < 15 g/l, IgG type and a normal free light chain (FLC) ratio. Patients should be followed with serum protein electrophoresis at six months and, if stable, can be followed every 2-3 years or when symptoms suggestive of a plasma cell malignancy arise. Patients with intermediate and high-risk MGUS should be followed in 6 months and then annually for life. The risk of smoldering (asymptomatic) multiple myeloma (SMM) progressing to multiple myeloma or a related disorder is 10% per year for the first 5 years, 3% per year for the next 5 years and 1-2% per year for the next 10 years. Testing should be done 2-3 months after the initial recognition of SMM. If the results are stable, the patient should be followed every 4-6 months for 1 year and, if stable, every 6-12 months. © 2010 Macmillan Publishers Limited All rights reserved.

BACKGROUND: Mucinous and clear cell histology have been associated with adverse prognosis in ovarian carcinomas. The authors compared the outcome of these subtypes with that of serous tumors in patients who were treated with combination paclitaxel/platinum at their center. METHODS: Four hundred twenty patients with histologically confirmed, serous (n = 367), mucinous (n = 24), or clear cell (n = 29) ovarian carcinomas, International Federation of Gynecology and Obstetrics stage III or IV disease, and who were treated with paclitaxel/platinum after cytoreductive surgery were included in this analysis. RESULTS: The median overall survival for each histological subtype was 47.7 months (95% confidence interval [CI], 37.7-57.7 months) for serous, 15.4 months (95% CI, 4.2-26.6 months) for mucinous, and 36.6 months (95% CI, 22.7-50.5 months) for clear cell carcinomas. Cox regression analysis showed that mucinous histology was an independent predictor of poor prognosis compared with serous tumors (hazard ratio, 0.360; 95% CI, 0.215-0.603; P = .001). In contrast, such a difference between clear cell and serous carcinomas was not found (P = .337). Median survival of patients with mucinous tumors and residual disease >2 cm was poor, averaging 7.1 months (95% CI, 4.6-9.6 months). CONCLUSIONS: Mucinous but not clear cell histology is associated with significantly worse prognosis in advanced ovarian cancer treated with combination platinum/paclitaxel. Different therapeutic strategies should be studied in this entity. © 2010 American Cancer Society.

Multiple myeloma (MM) is the second most common hematological malignancy, with an incidence of 6/100 000 in Europe. Interactions between myeloma cells and the microenvironment are essential for MM cell survival. Better knowledge of disease biology has led to the introduction of novel agents for the management of myeloma patients. Patients with asymptomatic MM may remain stable for a long time without any therapy, and treatment is needed only in symptomatic disease. Patients who are eligible for high-dose therapy and autologous stem cell transplantation (ASCT) are usually treated with bortezomib- or immunomodulatory drug (IMiD)-based regimens as induction therapy pre-ASCT. In elderly patients, the combination of melphalan and prednisone with either thalidomide (MPT) or bortezomib (MPV) is considered as the standard of care in this setting. Novel agent-based therapies are used for the management of relapsed/refractory disease. However, previous therapies, age, comorbidities and drug safety have to be taken into consideration before deciding the appropriate therapy for patients with relapsed/refractory myeloma. Patients with renal impairment or with extended bone disease may be treated with bortezomib-based regimens, while patients with pre-existing peripheral neuropathy may be treated with lenalidomide-based combinations. Maintenance therapy with thalidomide can be administered post-ASCT; however, caution is needed due to thalidomide toxicity. © The Author 2010. Published by Oxford University Press on behalf of the European Society for Medical Oncology. All rights reserved.

Aim of the present study was to describe the muscle fibre type composition and body composition of well-trained hammer throwers. Six experienced hammer throwers underwent the following measurements: one repetition maximum in squat, snatch, and clean, standing broad jump, backward overhead shot throw and the hammer throw. Dual x-ray absorptiometry was used for body composition analysis. Fibre type composition and cross sectional area was determined in muscle biopsy samples of the right vastus lateralis. Eight physical education students served as a control group. One repetition maximum in squat, snatch and clean for the hammer throwers was 245 ± 21, 132 ± 13 and 165 ± 12kg, respectively. Lean body mass was higher in hammer throwers (85.9 ± 3. 9kg vs. 62.7 ± 5.1kg (p < 0.01). The percentage area of type II muscle fibres was 66.1 ± 4% in hammer throwers and 51 ± 8% in the control group (p < 0.05). Hammer throwers had significantly larger type IIA fibres (7703 ± 1171 vs. 5676 ± 1270μm(2), p < 0.01). Hammer throwing performance correlated significantly with lean body mass (r = 0.81, p < 0.05). These data indicate that hammer throwers have larger lean body mass and larger muscular areas occupied by type II fibres, compared with relatively untrained subjects. Moreover, it seems that the enlarged muscle mass of the hammer throwers contributes significantly to the hammer throwing performance. Key pointsWell-trained hammer throwers had increased lean body mass, higher type IIA muscle fibres cross sectional areas, as well as higher bone mineral density, compared to controls.Increased lean body mass was closely related with hammer throwing performance.The relative high percentage of type IIX muscle fibres in vastus lateralis in hammer throwers warrants further investigation.

OBJECTIVES: 5382insC frameshift mutation along with 5331G>A (G1738R) missense mutation, both found in exon 20 of the BRCA1 gene, are relatively frequent among the Greek breast and ovarian cancer population (46%). Our goal was to develop a novel, reliable and rapid genotyping/scanning method for mutation detection of the exon 20 of the BRCA1 gene, using high-resolution melting curve analysis. DESIGN AND METHODS: The developed methodology was based on real-time PCR and high-resolution melting curve analysis in the presence of LCGreen I dye. Two amplicons on the exon 20 of BRCA1 gene were designed (157 bp and 100 bp), one flanking the exon's boundaries, and one embracing the 5382insC mutation. Our methodology was first optimized and validated by using genomic DNA samples with the 5382insC and 5331G>A (G1738R) mutations and wild-type. In total, the developed methodology was applied on 90 peripheral blood and 127 formalin-fixed paraffin-embedded breast tissue samples. RESULTS: Sensitivity studies with gDNA isolated from peripheral blood showed that mutated DNA could be reliably detected in the presence of wild-type DNA at 5% and 0.5% ratio with the larger and the smaller amplicon, respectively. By using the developed methodology we successfully identified 5382insC, 5331G>A and 5370C>T (R1751X) mutations, in genomic DNA isolated from peripheral blood samples and 5382insC mutation in two breast tumors, as verified by DNA sequencing. CONCLUSIONS: The combination of real-time PCR and high-resolution melting curve analysis provides a cost-efficient, simple and rapid approach to successfully scan exon 20 of BRCA1 gene for these clinically important and frequent mutations

In the gospel of Mark (6:14-29) the death of John the Baptist is reported in the most detailed fashion, compared to its synoptic parallels. In fact, this is the only extended story in the second gospel that interrupts the gospel’s linear narrative flow by referring to a past event. On the basis of stylistic, structural and narratological observations the present study attempts to illuminate the narrative function and the christological significance of this story by examining the relationship of Mk 6:14-16 to 8:27-29 and 9:9-13, as well as the relationship of 6:17-29 to the Marcan passion narrative. The study concludes that from a narrative, as well as a christological perspective, the second evangelist presents the death of John the Baptist as decisively pointing towards Jesus’ passion.

Metamaterials exhibiting negative electromagnetic parameters can enable a multitude of exciting applications, but currently their performance is limited by the occurrence of losses-particularly radiation losses, which dominate over their dissipative counterparts even in the optical regime. Here, a metamaterial configuration is conceived that judiciously generalizes the traditional electromagnetically induced transparency (EIT) scheme-by which radiation losses can be restrained-in such a way that EIT can be observed and exploited in negative-magnetic metamaterials. Analytic theory and three-dimensional simulations unveil the required route: introduction of poor-conductor meta-atoms next to the good-conductor meta-atoms of a magnetic metamaterial. This setup results in a frequency band where the metamaterial remains negative-magnetic, while its loss-performance dramatically improves owing to suppression of radiation damping. Furthermore, we show that placing the two meta-atoms on orthogonal planes gives rise to a passive anisotropic metamaterial exhibiting permeabilities with negative real parts (Re {μ} <0) and active imaginary parts (Im {μ} >0 for an e+iωt time dependence) along its principal crystallographic axes. © 2010 The American Physical Society.

Eccentric exercise has been extensively used as a model to study muscle damage-induced neuromuscular impairment, adopting mainly a bilateral matching task between the reference (unexercised) arm and the indicator (exercised) arm. However, little attention has been given to the muscle proprioceptive function when the exercised arm acts as its own reference. This study investigated muscle proprioception and motor control, with the arm acting both as reference and indicator, following eccentric exercise and compared them with those observed after isometric exercise. Fourteen young male volunteers were equally divided into two groups and performed an eccentric or isometric exercise protocol with the elbow flexors of the non-dominant arm on an isokinetic dynamometer. Both exercise protocols induced significant changes in indicators of muscle damage, that is, muscle soreness, range of motion and maximal isometric force post-exercise (p < 0.050.001), and neuromuscular function was similarly affected following both protocols. Perception of force was impaired over the 4-day post-exercise period (p < 0.001), with the applied force being systematically overestimated. Perception of joint position was significantly disturbed (i.e., target angle was underestimated) only at one elbow angle on day 4 post-exercise (p < 0.05). The misjudgements and disturbed motor output observed when the exercised arm acted as its own reference concur with the view that they could be a result of a mismatch between the central motor command and an impaired motor control after muscle damage. © 2010 Informa Healthcare Ltd.

Eccentric exercise has been extensively used as a model to study muscle damage-induced neuromuscular impairment, adopting mainly a bilateral matching task between the reference (unexercised) arm and the indicator (exercised) arm. However, little attention has been given to the muscle proprioceptive function when the exercised arm acts as its own reference. This study investigated muscle proprioception and motor control, with the arm acting both as reference and indicator, following eccentric exercise and compared them with those observed after isometric exercise. Fourteen young male volunteers were equally divided into two groups and performed an eccentric or isometric exercise protocol with the elbow flexors of the non-dominant arm on an isokinetic dynamometer. Both exercise protocols induced significant changes in indicators of muscle damage, that is, muscle soreness, range of motion and maximal isometric force post-exercise (p < 0.050.001), and neuromuscular function was similarly affected following both protocols. Perception of force was impaired over the 4-day post-exercise period (p < 0.001), with the applied force being systematically overestimated. Perception of joint position was significantly disturbed (i.e., target angle was underestimated) only at one elbow angle on day 4 post-exercise (p < 0.05). The misjudgements and disturbed motor output observed when the exercised arm acted as its own reference concur with the view that they could be a result of a mismatch between the central motor command and an impaired motor control after muscle damage. © 2010 Informa Healthcare Ltd.

Eccentric exercise has been extensively used as a model to study muscle damage-induced neuromuscular impairment, adopting mainly a bilateral matching task between the reference (unexercised) arm and the indicator (exercised) arm. However, little attention has been given to the muscle proprioceptive function when the exercised arm acts as its own reference. This study investigated muscle proprioception and motor control, with the arm acting both as reference and indicator, following eccentric exercise and compared them with those observed after isometric exercise. Fourteen young male volunteers were equally divided into two groups and performed an eccentric or isometric exercise protocol with the elbow flexors of the non-dominant arm on an isokinetic dynamometer. Both exercise protocols induced significant changes in indicators of muscle damage, that is, muscle soreness, range of motion and maximal isometric force post-exercise (p < 0.050.001), and neuromuscular function was similarly affected following both protocols. Perception of force was impaired over the 4-day post-exercise period (p < 0.001), with the applied force being systematically overestimated. Perception of joint position was significantly disturbed (i.e., target angle was underestimated) only at one elbow angle on day 4 post-exercise (p < 0.05). The misjudgements and disturbed motor output observed when the exercised arm acted as its own reference concur with the view that they could be a result of a mismatch between the central motor command and an impaired motor control after muscle damage. © 2010 Informa Healthcare Ltd.

The aim of this study is to develop milk-based formulations for ionized and unionized lipophilic drugs. Solubility studies of the following non-steroidal anti-inflammatory drugs (NSAIDs): mefenamic acid, tolfenamic acid, ketoprofen, meloxicam, tenoxicam and nimesulide in phosphate- and glycine-NaOH buffers at nominal pH 8-12. were performed. The solubilities of cyclosporine and danazol in water-ethanol solutions were studied. NSAIDs-, cyclosporine-, danazol-, aspirin-milk oral liquid formulations were prepared by adding the appropriate volume of (i) NSAIDs-alkaline buffer solutions, (ii) water-ethanol solutions of cyclosporine and danazol and (iii) aspirin aqueous solution to 150-200 ml of milk. All the non-steroidal anti-inflammatory drugs exhibited increased solubility in the alkaline buffers. The actual pH values (range 6.7-7.7) of the final NSAIDs-milk formulations were very close to milk pH. The higher ethanol content in ethanol-water mixtures increased the solubility of danazol and cyclosporine. A 15 mg meloxicam-, a 100 mg cyclosporine- and a 500 mg aspirin-milk formulation was administered orally to healthy volunteers. All these formulations showed a satisfactory in vivo performance. The strong buffering capacity of milk that was observed and the high solubility of unionized drugs in ethanol allow the preparation of drug-milk formulations with enhanced pharmacokinetic properties. (C) 2010 Elsevier B.V. All rights reserved.

Background: Particulate matter with diameter less than 10 micrometers (PM10) that originates from anthropogenic activities and natural sources may settle in the bronchi and cause adverse effects possibly via oxidative stress in susceptible individuals, such as asthmatic children. This study aimed to investigate the effect of outdoor PM10concentrations on childhood asthma admissions (CAA) in Athens, Greece. Methods: Daily counts of CAA from the three Children's Hospitals within the greater Athens' area were obtained from the hospital records during a four-year period (2001-2004, n = 3602 children). Mean daily PM10concentrations recorded by the air pollution-monitoring network of the greater Athens area were also collected. The relationship between CAA and PM10concentrations was investigated using the Generalized Linear Models with Poisson distribution and logistic analysis. Results: There was a statistically significant (95% CL) relationship between CAA and mean daily PM10concentrations on the day of exposure (+3.8% for 10 μg/m3 increase in PM10concentrations), while a 1-day lag (+3.4% for 10 μg/m3 increase in PM 10concentrations) and a 4-day lag (+4.3% for 10 g/m3 increase in PM10concentrations) were observed for older asthmatic children (5-14 year-old). High mean daily PM10concentration (the highest 10%; >65.69 μg/m3) doubled the risk of asthma exacerbations even in younger asthmatic children (0-4 year-old). Conclusions: Our results provide evidence of the adverse effect of PM10on the rates of paediatric asthma exacerbations and hospital admissions. A four-day lag effect between PM10peak exposure and asthma admissions was also observed in the older age group. © 2010 Nastos et al; licensee BioMed Central Ltd.

On the basis of a full-vectorial three-dimensional Maxwell-Bloch approach we investigate the possibility of using gain to overcome losses in a negative refractive index fishnet metamaterial. We show that appropriate placing of optically pumped laser dyes (gain) into the metamaterial structure results in a frequency band where the nonbianisotropic metamaterial becomes amplifying. In that region both the real and the imaginary part of the effective refractive index become simultaneously negative and the figure of merit diverges at two distinct frequency points. © 2010 The American Physical Society.

Ἡ ἑλληνικὴ πατερικὴ σκέψη καὶ ἡ τέχνη τῆς αὐτοαξιολογήσεως κατὰ τὴν παιδικὴ ἡλικία», στὸ Η χάρη θέλει αντίχαρη, αφιέρωμα στον Καθηγητή Αντώνιο Κ. Δανασσή-Αφεντάκη, ἐκδ. Πανεπιστήμιο Αθηνών, Αθήνα 2011, σ. 195-218.

Background: Antitumor activity of paclitaxel is based on promotion of abnormal microtubule (MT) assembly but it is also considered to have significant pro-inflammatory and anti-angiogenic effects in vivo and thus may cause vascular dysfunction. Methods: We studied 27 women treated with paclitaxel-containing combinations for breast or ovarian cancer. The control group was represented by 10 women with carcinoma of the uterine cervix who received low doses of weekly cisplatin as radiation sensitizer. We measured endothelial-dependent flow-mediated dilatation (FMD) and nitrate-mediated dilatation (NMD) of the right brachial artery by ultrasonography, as well as levels of the inflammatory cytokines TNF-α and IL-6 before and after chemotherapy. Results: Patients who received paclitaxel and an anthracycline had the most marked reduction in both FMD (p=0.005) and NMD (p=0.027). A significant reduction in FMD was also observed in patients treated with weekly paclitaxel (p=0.045), whereas NMD was not affected (p=0.421). Although TNF-α and IL-6 levels were different among chemotherapy groups after treatment, no significant differences were observed between levels of both markers before and after chemotherapy. Conclusion: Treatment with paclitaxel-containing combinations impairs endothelial function in vivo but endothelial function deterioration is not related to the serum levels of inflammation markers. © 2010 Elsevier Inc.

The coastal area of the Vravron Bay, in the vicinity of the homonym archaeological site, is a marshy plain located on the eastern part of the Attica Peninsula (eastern Greece). In order to provide evidence for palaeoenvironmental changes and landscape evolution of the area, detailed micropaleontological, palynological and sedimentological analyses have been conducted at the underlying Late Holocene coastal deposits. The recovered sediments (lithostratigraphic Units A–D) represent a continuous record of the environmental history of the area since the Early Bronze Age, covering all subsequent historical periods. The base of the recovered deposits is older than the 3rd millennium BC. Until late medieval times, the studied sequence contains plenty evidence for the existence of the natural port reported from the Mycenaean (lithostratigraphic Unit A), that infilled after repeated flooding events during the Classic period (lithostratigraphic Unit B) and gradually developed into a shallower marine environment (lithostratigraphic Unit C). In the uppermost part of the sequence (lithostratigraphic unit D), a transition towards brackish environment with intense fresh water input is featured around 1540 AD. Signs of human agricultural activities in Vravron appear since 3000 BC (Early Bronze Age) and are linked to the history of inhabitation in the area.

Palamari Bay is located on the northeastern coast of Skyros Island (Sporades Islands, Aegean Sea). At the northern edge of the bay a fortified prehistoric settlement is found, dated between 2800 and 1700 BC (Early Bronze Age II–Middle Bronze Age I). Detailed geomorphological mapping of the coastal alluvial plain and paleontological, micropaleontological, palynological, sedimentological and micromorphological studies of the Holocene coastal deposits have been conducted in order to reconstruct the palaeoenvironment and the landscape evolution of the broader area of Palamari Bay. Three main sedimentary units were recognized (A, B and C, from oldest to youngest). The lowermost sedimentary unit A, deposited between before 7500 and 3500 cal BP, consists of sediment deposited from high to moderate energy fresh water flows with some suspended load fallout in established water bodies. The microfauna indicates a shallow fresh water environment. However, a tendency to oligohaline conditions was established gradually. During the same period, the Palamari area was characterized by open mixed deciduous forests that gradually retreated as a possible consequence of the intensification of anthropic activity, associated with the settlement of Palamari. Indications of cultivating and grazing activities in the vicinity of the lagoon were identified, pointing to a strong human presence since the Neolithic. Between about 6000 and 3500 cal BP, the embayment was a lagoon southeasterly connected to the sea, therefore sheltered and protected from northeastern winds. The overlying unit B (ca. 3500–800 cal BP) is characterized by the dominance of brackish water microfauna, indicating a brackish stagnant shallow water depositional environment, which was periodically supplied with fresh water from the surrounding springs. As the result of the continuous sea-level rise during the Late Holocene, part of the northern headland was submerged. The decline of the Palamari settlement at the time of the establishment of Unit B might be related to the observed changes that rendered the embayment a restricted body of water. The uppermost sedimentary unit C corresponds to a backshore environment dominated by aeolian activity modified by fluvial processes.

The paramagnetic Meissner effect (PME) is related to the appearance of a positive magnetization when a superconducting specimen is field cooled through its critical temperature. In this work we report on the PME and ac magnetization in roll-bonded Cu-Nb (RB/Cu-Nb) layered composites. We present typical DC magnetization loops obtained in the normal magnetic field configuration that show the PME. In addition, we present ac magnetization measurements that reveal a crossover behavior at a characteristic field value. We show evidence that such a crossover behavior, attributed to activation processes of vortices, is probably related to the disappearance of the PME in the RB/Cu-Nb layered composites.

It is known that the frequency of men and women suffering from stress-related neuropsychiatric disorders is all but proportionally distributed. Notably, women are far more susceptible than men to the precipitation of depressive symptomatology. Some studies attribute this sex-specific vulnerability to the pronounced genetic predisposition that women may present towards the development of depressive disorders. Furthermore, clinical evidence support the notion that antidepressant response is also characterized by sex-specific manifestations; women may have a better outcome when treated with selective serotonin re-uptake inhibitors, in comparison to tricyclic antidepressants. Despite the fact that the contribution of the "genome" remains elusive when it comes to major depression, intriguing evidence has recently emerged pointing to sexually dimorphic influences of certain polymorphisms in genes related to the pathophysiology of major depression and antidepressant response, such as the serotonin transporter (5-HTT), serotonin 1A (5HT1A) receptor, monoamine oxidase A (MAO-A) and others. Given that the ultimate goal of pharmacogenetics is to provide "tailor-made" pharmacotherapies based on the genetic makeup of an individual, the factor of "sex" needs to be carefully addressed in disorders that are characterized by sex specific manifestations. The aim of the present article is to highlight the impact of sex in depression and in antidepressant pharmacoresponse by providing intriguing insights from the field of pharmacogenetics.

Heart disease represents the primary cause of death worldwide, with mortality rates being predicted to remain constant within the next couple of decades. Cardiac disease treatment currently includes the administration of drugs, predominantly aiming at improving heart performance, through controlling heart rhythm, blood pressure, as well as reducing cholesterol and blood clotting. Despite, however, the medical advances that have lead towards a better understanding of heart disease pathophysiology and the development of new therapeutic approaches, the degree of success of the available drug therapies varies among patients. The existence of polymorphisms in a number of genes has been shown to result in differences in pharmacokinetics, pharmacodynamics and drug metabolism and have therefore been associated with response to drug treatment. The occurrence of adverse drug reactions that may lead to drug-induced toxicity represents another factor influencing outcome of therapeutic treatment. While the influence of genetic polymorphisms in patient's response to heart disease drugs is being unveiled, the rapidly evolving field of pharmacogenetics is promising to aid clinicians in choosing the best suited drug/dose for each patient and the pharmaceutical companies in the design of better targeted, more effective new chemical compounds. In the near future individualized, targeted therapy will become part of clinical care routine maximizing patient therapeutic benefits and minimizing risks of adverse effects.

Importance of the field: The various phospholipase A2 (PLA2) types have been implicated in diverse kinds of lipid signaling and inflammatory diseases. Rheumatoid arthritis, lung inflammation, neurological disorders, such as multiple sclerosis, cardiovascular diseases, including atherosclerosis, and cancer are included among the diseases where PLA2 enzymes are involved. Thus, there is a great interest in developing potent and selective PLA2 inhibitors and some of them have entered clinical trials. Areas covered in this review: This review article discusses the role of each PLA2 class in inflammatory diseases and the advances in the development of inhibitors presented in patent literature from January 2004 to May 2009. What the reader will gain: PLA2s cluster in four main types: secreted sPLA2, cytosolic cPLA2, Ca2+-independent iPLA2 and lipoprotein-associated LpPLA2. Each of those types has been implicated in diverse kinds of inflammatory diseases. Readers will rapidly gain an overview of the various PLA2 inhibitors reported in the patent literature in the past 5 years. Furthermore, the readers will learn the difficulties related to the development of PLA2 inhibitors as new drugs and also the different companies and research groups that are the main players in the field. Take home message: Although the role of each PLA2 is not yet distinct in different diseases, the development and future use of different PLA2 inhibitors to treat human disease seems very promising.

Self-assembled titanium oxide nanotubular (NTs) arrays with vertical arrangement, tailored morphological properties and variable thickness were prepared by electrochemical anodization in ethylene glycol containing electrolytes. The NTs present significant UV photocatalysis against toluene and benzene at ppb concentrations, under normal conditions of temperature and pressure. The photocatalytic activity depends on the length of the NT arrays, showing a tendency of saturation for thickness above 2.5 μm and maximum efficiency for samples with thickness of 12 μm. The optimum NT structures outperform over standard Degussa P25 films rendering them very promising for outdoor photocatalytic applications. © 2010 Elsevier B.V. All rights reserved.

In this work, titanium dioxide (TiO2) has been used as an additive in lime binder (Ca(OH)2), in order to benefit from its photocatalytic properties and study both the photocatalytic properties of the produced mixtures and the effect of photocatalytically produced carbon dioxide on the carbonation process of lime. TiO2 was added in three different portions (3, 6 and 10% w/w) in lime mixtures and their physicochemical and photocatalytic properties were studied and compared to those of a reference, made exclusively of lime. The photocatalytic properties of the mixtures were studied through the photo-oxidation of an organic model pollutant solution (methyl orange) to a colorless form, as well as by studying the microstructure and carbonation depth in different groups of mixtures subjected to photocatalysis cycles in the laboratory and exposed for a 2 month period in the open air (urban environment). Laboratory results confirmed that lime-TiO2 composite mixtures exhibit photocatalytic properties in both UV radiation conditions and direct exposure to sunlight. Moreover, analytical results indicated an enhanced carbonation of lime-TiO2 composites. TiO2 can be added to lime successfully and can have applications in lime-based mortars used in the conservation of architectural heritage, enhancing their performance against soiling and amenity loss. © 2009 Elsevier B.V. All rights reserved.

We report that porous anodic alumina (aluminum oxide: Al2O 3) (PAA) thin films directly grown on Si show clear oscillations in their photoluminescence (PL) spectra which are ascribed to PL-induced interferences within the Fabry-Ṕrot optical cavity formed by the PAA film on Si, that involve the air/oxide and oxide/Si interfaces. The existence of the PL-induced oscillations is indicative of the high quality of the interface of the PAA film with Si, which is both planar and smooth. We show that by using these oscillations we can develop a sensitive optical method of measuring the porosity of PAA thin films on Si if we know the film thickness. The method is based on the calculation of the effective refractive index of the PAA film derived from the PL-induced oscillations, which is then introduced into the Bruggeman equation in order to derive the porosity of the film. © 2010 American Institute of Physics.

Three short period (P ∼ 1 day) variable stars from the Hipparcos catalogue targets were observed after suspected misclassification as Beta Lyr eclipsing systems (Perryman et al. 1997), as no secondary component had been noticed in the inspection of their Broadening Functions (BFs) (Rucinski 2002). FH Cam is found to be a multiple star system with a member exhibiting Delta Scuti behaviour. The dominant pulsation frequency is found to be 7.3411 ± 0.0002 c/d, which corresponds to a pulsation mode of l ≤ 1. We confirmed the pulsations of CU CVn using photometric observations and found a pulsation frequency of 14.7626 ± 0.0250 c/d, which is in agreement with the period given in literature. CC Lyn is a non-eclipsing visual binary (CCDM J07359+4302AB), the brighter component (A) is found to be a multi-mode Delta Scuti pulsator, with pulsation frequencies of 5.6402 ± 0.0004 c/d and 7.3368 ± 0.0005 c/d.

BACKGROUND: The entomopathogenic fungi of the genus Beauveria are cosmopolitan with a variety of different insect hosts. The two most important species, B. bassiana and B. brongniartii, have already been used as biological control agents of pests in agriculture and as models for the study of insect host - pathogen interactions. Mitochondrial (mt) genomes, due to their properties to evolve faster than the nuclear DNA, to contain introns and mobile elements and to exhibit extended polymorphisms, are ideal tools to examine genetic diversity within fungal populations and genetically identify a species or a particular isolate. Moreover, mt intergenic region can provide valuable phylogenetic information to study the biogeography of the fungus. RESULTS: The complete mt genomes of B. bassiana (32,263 bp) and B. brongniartii (33,920 bp) were fully analysed. Apart from a typical gene content and organization, the Beauveria mt genomes contained several introns and had longer intergenic regions when compared with their close relatives. The phylogenetic diversity of a population of 84 Beauveria strains -mainly B. bassiana (n = 76) - isolated from temperate, sub-tropical and tropical habitats was examined by analyzing the nucleotide sequences of two mt intergenic regions (atp6-rns and nad3-atp9) and the nuclear ITS1-5.8S-ITS2 domain. Mt sequences allowed better differentiation of strains than the ITS region. Based on mt and the concatenated dataset of all genes, the B. bassiana strains were placed into two main clades: (a) the B. bassiana s. l. and (b) the "pseudobassiana". The combination of molecular phylogeny with criteria of geographic and climatic origin showed for the first time in entomopathogenic fungi, that the B. bassiana s. l. can be subdivided into seven clusters with common climate characteristics. CONCLUSIONS: This study indicates that mt genomes and in particular intergenic regions provide molecular phylogeny tools that combined with criteria of geographic and climatic origin can subdivide the B. bassiana s.l. entomopathogenic fungi into seven clusters with common climate characteristics.

We present results of the modelling of multicolour light curves of 10 contact binary systems: V376And, V523Cas, CCCom, BXDra, FGHya, UZLeo, XYLeo, AMLeo, EXLeo and RTLMi. The solutions resulted in a contact configuration for all systems. We found only FGHya and UZLeo to be in deep contact, the latter almost filling the outer critical lobe. The absolute parameters of the components have been determined with an accuracy of about a few per cent based on combined photometric and radial velocity curves, enlarging the sample of systems to 58 for which the physical parameters have been obtained in a uniform way. All but three systems (BXDra, AMLeo and RTLMi) show asymmetries and peculiarities in the observed light curves, interpreted as resulting from their magnetic activity.

Somatic mutations in the PIK3CA gene have been discovered in many human cancers, and their presence correlates to therapy response. Three "hotspot" mutations within the PIK3CA gene are localized in exons 9 and 20. High-resolution melting analysis (HRMA) is a highly sensitive, robust, rapid, and cost-effective mutation analysis technique. We developed a novel methodology for the detection of hotspot mutations in exons 9 and 20 of the PIK3CA gene that is based on a combination of PCR and HRMA. The PIK3CA HRMA assay was evaluated by performing repeatability, sensitivity, and comparison with DNA sequencing studies and was further validated in 129 formalin-fixed paraffin-embedded breast tissue samples: 99 tumors, 20 noncancerous, and 10 fibroadenomas. The developed methodology was further applied in a selected group of 75 breast cancer patients who underwent Trastuzumab treatment. In sensitivity studies, the assay presented a capability to detect as low as 1% of mutated dsDNA in the presence of wtDNA for both exons. In the 99 tumor samples (validation group), 12/99 (12.1%) exon 9 mutations and 20/99 (20.2%) exon 20 mutations were found. No mutations were found in noncancerous tissues. In fibroadenomas, we report one PIK3CA mutation for the first time. In the selected group, 30/75 (40%) samples were detected as mutants. The PIK3CA HRMA assay is highly sensitive, reliable, cost-effective, and easy-to-perform, and therefore can be used as a screening test in a high-throughput pharmacodiagnostic setting

OBJECTIVES: To determine if plasma β-amyloid (Aβ) levels (1) can be linked to specific cognitive changes that constitute conversion to Alzheimer disease (AD) and (2) correspond to cognitive change independent of dementia. DESIGN: Longitudinal study including 3 visits during approximately 4¹/₂ years (2000-2006). SETTING: Northern Manhattan community. PARTICIPANTS: Eight hundred eighty individuals from a population-based and ethnically diverse sample who had 2 plasma Aβ measurements and were dementia free at the time of the first Aβ sample; 481 remained cognitively healthy, 329 were cognitively or functionally impaired but not demented at any point, and 70 developed AD. MAIN OUTCOME MEASURES: General estimating equations tested the association between plasma Aβ (baseline and change in values) and cognitive change (composite score and memory, language, and visuospatial indices). RESULTS: High baseline plasma Aβ42 (P = .01) and Aβ40 (P = .01) and decreasing/relatively stable Aβ42 (P = .01) values were associated with faster decline in multiple cognitive domains. In those who remained cognitively healthy, high baseline plasma Aβ42 (P = .01) and decreasing/relatively stable plasma Aβ42 (P = .01) was associated with faster cognitive decline, primarily in memory. CONCLUSIONS: The association between plasma Aβ and multiple aspects of cognition more clearly specifies the previously documented downward trajectory of plasma Aβ with AD onset. The predominant association with memory seen only in healthy elderly individuals also suggests that plasma Aβ is linked with even earlier neurologic changes that may or may not culminate in dementia.

We apply the layer-multiple-scattering method to study the optical properties of different plasmonic architectures; namely two- and three-dimensional periodic arrays of metallic nanocylinders and of metallodielectric nanosandwiches. These structures exhibit various types of collective plasmonic resonances, tunable over a broad spectral range from infrared to visible frequencies, which cause large enhancement of the local field and give rise to interesting phenomena that we discuss and provide a consistent interpretation of the underlying physics. We analyze extinction spectra of finite slabs of the structures under consideration and explain the different spectral features. In relation to optical metamaterials, we deduce effective electromagnetic parameters by the S-matrix retrieval procedure for single- and multi-layer slabs of periodic arrays of metallodielectric nanosandwiches and propose a method to resolve ambiguities in the determination of the effective refractive index, which become prominent for thick slabs, based on the complex band structure of the corresponding infinite crystal.

BACKGROUND: Altered thrombocyte morphology and function have been reported in patients with diabetes mellitus (DM) type 2. The aim of the present study was to determine the associations between platelet morphology markers and hemoglobin A1C (HbA(1c)), fasting glucose (FG), hypertension and coronary heart disease (CHD) in patients with myelodysplastic syndromes (MDS) and DM, in patients with DM and in controls. METHODS: This cross-sectional study included 30 cases with primary MDS with normal platelet count and non-insulin dependent diabetes, 30 non-insulin dependent diabetic patients and 30 non-diabetic, non-MDS controls matched on age and gender. RESULTS: After adjusting for body mass index, platelet number, CHD and hypertension, HbA(1c) and FG were significant predictors of mean platelet volume (MPV) and platelet distribution width (PDW) in diabetic patients. There was no correlation between platelet parameters and HbA(1c) or FG in diabetic MDS patients. In controls, FG and hypertension predicted significant differences in platelet morphology. Platelet count correlated with platelet morphology in diabetic MDS and control groups, but not in diabetics. CONCLUSIONS: MPV and PDW are associated with glycemic indices in diabetic patients but not in diabetic MDS patients with normal platelet counts. Non-diabetic controls also exhibit FG related changes in platelet morphology. This suggests other factors inherent to bone marrow dysplasia, platelet turnover and biochemistry, or vascular environment affect platelet morphology in diabetic MDS patients even with normal platelet count. Platelet morphology in this population may be an early marker for myelodysplasia. These findings also support platelet morphology change as a marker for elevated macrovascular disease risk.

Group VIA calcium-independent phospholipase A2 (GVIA iPLA2) has recently emerged as a novel pharmaceutical target. We have now explored the structure−activity relationship between fluoroketones and GVIA iPLA2 inhibition. The presence of a naphthyl group proved to be of paramount importance. 1,1,1-Trifluoro-6-(naphthalen-2-yl)hexan-2-one (FKGK18) is the most potent inhibitor of GVIA iPLA2 (XI(50) = 0.0002) ever reported. Being 195 and >455 times more potent for GVIA iPLA2 than for GIVA cPLA2 and GV sPLA2, respectively, makes it a valuable tool to explore the role of GVIA iPLA2 in cells and in vivo models. 1,1,1,2,2,3,3-Heptafluoro-8-(naphthalene-2-yl)octan-4-one inhibited GVIA iPLA2 with a XI(50) value of 0.001 while inhibiting the other intracellular GIVA cPLA2 and GV sPLA2 at least 90 times less potently. Hexa- and octafluoro ketones were also found to be potent inhibitors of GVIA iPLA2; however, they are not selective.

Most correlations between in vitro and in vivo data (IVIVC) rely on linear relationships. However, non-linear IVIVC can be also observed, justified and validated. The purpose of the present work was the development of a methodology for power law IVIVC, which mirror power law kinetics under in vitro and in vivo conditions. Fractional calculus was used to justify power law kinetics for zero-order processes in disordered media. Power law kinetics was observed in a large number of in vitro data sets. When ``zero-order{''} release and absorption is considered in terms of fractional calculus the following power law IVIVC between the fraction released F-r and the fraction absorbed F-alpha, is obtained: F-alpha = mu F-r(lambda) - beta, where mu is a constant related to the rate constants and the orders of the release/absorption kinetics, lambda is the ratio of the orders of the kinetics under in vitro and in vivo conditions and 13 accounts for a time shift between the in vitro and in vivo processes; We used literature data to develop power law IVIVC and derive estimates for mu, lambda and beta; the simulated pharmacokinetic profiles using the in vitro release data and the IVIVC developed compared well with the actual in vivo data. (C) 2010 Elsevier B.V. All rights reserved.

Background: Serum CD105 has been associated with angiogenic activity in cancer, and low CD105 expression has been associated with improved prognosis. The present study evaluated the prognostic significance of serum levels of CD105 and related factors in patients with epithelial ovarian cancer (EOC) after cytoreductive surgery and chemotherapy. Patients and Methods: Eighty-six patients with stages IIC to IV EOC treated postoperatively with platinum-based chemotherapy were included. The enzyme-linked immunosorbent assay was used to measure prechemotherapy serum levels of CD105, transforming growth factor β1/2 (TGF-β1/2), angiopoietin 2, vascular endothelial growth factor, and tumor necrosis factor-α. Results: High levels of TGF-β2 (≥8908.86 pg/mL) and CD105 (≥4.25 ng/mL) were independently associated with improved overall survival (not reached vs 39 months, P = 0.009 and 75 vs 39 months, P = 0.029, respectively), whereas a high level of TGF-β2 and a low level of vascular endothelial growth factor (<219.04 pg/mL) were independently associated with improved progression-free survival (49 vs 17 months, P = 0.022 and 57 vs 16 months, P = 0.023, respectively). Among patients with favorable (≥4.25 ng/mL) CD105 levels, only patients with low TGF-β1 levels (<177.1 ng/mL) had superior survival than patients with low CD105 levels. Conclusions: Our study confirms the prognostic significance of angiogenesis in EOC and supports a biological interaction between CD105 and TGF-β1. High angiogenic activity may be associated by increased efficacy of postoperative chemotherapy. Copyright© 2010 by IGCS and ESGO.

The currently available genetic tests for identification of the RET proto-oncogene mutation offer the possibility of prospective successful therapy before the hyperplasia of C-cells evolve to Medullary Thyroid Carcinoma. We present our experience regarding the preventive thyroidectomy of family members with history of Medullary Thyroid Carcinoma, who were found to be heterozygote for mutant RET proto-oncogene. We have retrospectively reviewed 19 members of 6 families with history of Medullary Thyroid Carcinoma, who were heterozygote for mutant RET protooncogene and underwent prophylactic thyroidectomy. All patients included in this series were below twenty years of age. The Medullary Thyroid Carcinoma was asymptomatic and the mutation of RET protooncogene has been also documented pre-operatively in all of them. All patients had undergone total thyroidectomy, while 1 with pheochromocytoma had undergone also left epinephridectomy. Fourteen patients (73.68%) had undergone lymph-nodes resection (in 10 of them the resection was central, in 3 unilateral and in 1 bilateral). Although none of our patients suffered from hyperparathyroidism, 7 parathyroid glands have been also resected from 3 patients, while auto-transfusion has been performed in one. In all patients, preoperative measurement of the calcitonin blood levels before and after stimulation with pentagastrin has been performed.

Background: The treatment paradigm in advanced renal cell carcinoma (RCC) has changed in the recent years. Sunitinib has been established as a new standard for first-line therapy. We studied the prognostic significance of baseline characteristics and we compared the risk stratification with the established Memorial Sloan Kettering Cancer Center (MSKCC) model.Methods: This is a retrospective analysis of patients treated in six Greek Oncology Units of HECOG. Inclusion criteria were: advanced renal cell carcinoma not amenable to surgery and treatment with Sunitinib. Previous cytokine therapy but no targeted agents were allowed. Overall survival (OS) was the major end point. Significance of prognostic factors was evaluated with multivariate cox regression analysis. A model was developed to stratify patients according to risk.Results: One hundred and nine patients were included. Median follow up has been 15.8 months and median OS 17.1 months (95% CI: 13.7-20.6). Time from diagnosis to the start of Sunitinib (<= 12 months vs. >12 months, p = 0.001), number of metastatic sites (1 vs. >1, p = 0.003) and performance status (PS) (<= 1 vs >1, p = 0.001) were independently associated with OS. Stratification in two risk groups ("low" risk: 0 or 1 risk factors; "high" risk: 2 or 3 risk factors) resulted in distinctly different OS (median not reached [NR] vs. 10.8 [95% confidence interval (CI): 8.3-13.3], p < 0.001). The application of the MSKCC risk criteria resulted in stratification into 3 groups (low and intermediate and poor risk) with distinctly different prognosis underlying its validity. Nevertheless, MSKCC model did not show an improved prognostic performance over the model developed by this analysis.Conclusions: Studies on risk stratification of patients with advanced RCC treated with targeted therapies are warranted. Our results suggest that a simpler than the MSKCC model can be developed. Such models should be further validated. © 2010 Bamias et al; licensee BioMed Central Ltd.

One hundred and fifty-seven patients undergoing high-dose chemotherapy (HDT) and autologous stem-cell transplantation (ASCT) for hematopoietic malignancies and solid tumors were randomly assigned to receive (Group A) or not (Group B) prophylaxis with ciprofloxacin, orally, and vancomycin, intravenously. Prophylactic antibiotics were given from day 0 until resolution of neutropenia or the appearance of a febrile event. Furthermore, patients in both groups received once a day fluconazole, orally. The primary end-point of our study was the incidence of neutropenic febrile episodes attributed to infection. One hundred and twelve (71.3%) patients developed neutropenic fever, 50 (56.2%) in Group A and 62 (91.2%) in Group B (P < 0.001) with the majority (82%) of patients developing fever of unknown origin. Patients on prophylactic antibiotics had a significantly lower rate of bacteremias (5.6%) than did those randomized to no prophylaxis (29.4%) (P = 0.005) and, when developing neutropenic fever, they had a lower probability of response to first-line empirical antibiotics (P = 0.025). Prophylactic administration of ciprofloxacin and vancomycin reduced the incidence of neutropenic fever in patients receiving HDT with ASCT, however, without affecting the total interval of hospitalization, time to engraftment, or all-cause mortality. Therefore, our results do not support the use of antibiotic prophylaxis for patients undergoing HDT and ASCT. © 2010 Wiley-Liss, Inc.

Background: Platinum-based combinations are the standard second-line treatment for platinum-sensitive ovarian cancer (OC). This randomized phase II study was undertaken in order to compare the combination of carboplatin and pegylated liposomal doxorubicin (LD) with carboplatin and paclitaxel (CP) in this setting.Methods: Patients with histologically confirmed recurrent OC, at the time of or more than 6 months after platinum-based chemotherapy, were randomized to six cycles of CP (carboplatin AUC5 + paclitaxel 175 mg/m2, d1q21) or CLD (carboplatin AUC5 + pegylated LD 45 mg/m2, d1q28).Results: A total of 189 eligible patients (CP 96, CLD 93), with a median age of 63 years, median Performance Status (PS) 0 and a median platinum free interval (PFI) of 16.5 months, entered the study. Discontinuation due to toxicity was higher in the CP patients (13.5% versus 3%, P = 0.016). The overall response rate was similar: CP 58% versus CLD 51%, P = 0.309 (Complete Response; CR 34% versus 23%) and there was no statistical difference in time-to-progression (TTP) or overall survival (OS; TTP 10.8 months CP versus 11.8 CLD, P = 0.904; OS 29.4 months CP versus 24.7 CLD, P = 0.454). No toxic deaths were recorded. Neutropenia was the most commonly seen severe toxicity (CP 30% versus CLD 35%). More frequent in CLD were severe thrombocytopenia (11% versus 2%, P = 0.016), skin toxicity and Palmar-plantar erythrodysesthesia (PPE) grade 1-2 (38% versus 9%, P< 0.001), while grade 3 neurotoxicity and alopecia were higher in CP (7% versus 0%, P = 0.029, 20% versus 5%, P = 0.003). PS and PFI were independent prognostic factors for TTP and OS.Conclusions: The combination of pegylated LD with carboplatin is effective, showing less neurotoxicity and alopecia than paclitaxel-carboplatin. It thus warrants a further phase III evaluation as an alternative treatment option for platinum-sensitive OC patients. © 2010 Bafaloukos et al; licensee BioMed Central Ltd.

The optimal adjuvant treatment for gastric cancer remains controversial. We compared the efficacy of a docetaxel and platinum adjuvant chemotherapy regimen, in patients with high-risk gastric cancer, with that of the same chemotherapy plus radiation therapy (RT). In addition, we evaluated the prognostic and/or predictive value of a panel of molecular markers. Patients with histologically proven, radically resected gastric cancer, stage >T3 and/or N+ were randomized to 6 cycles of docetaxel with cisplatin, both at 75 mg/m 2 every 3 weeks (arm A) or the same treatment with RT (arm B; 45 Gy). Due to excessive nausea and vomiting, cisplatin was substituted by carboplatin at AUC (area under the curve) of 5 after the first 45 patients (22 group A, 23 group B). The prognostic value of EGFR, ERCC1, HER2, MET/HGFR, MAP-Tau, and PTEN expression was also studied in a subset of 67 patients using immunohistochemistry on tissue microarrays (TMAs). A total of 147 patients were randomized. After a median follow-up of 53.7 months, no differences in overall (OS) and diseasefree survival (DFS) were found between the two arms. The most common grade 3/4 toxicities for arms A and B (excluding alopecia) were non-febrile neutropenia (11 and 17%, respectively), febrile neutropenia (9 and 7%) and diarrhea (7 and 4%, respectively). Patients with ERCC1 positive tumors had significantly longer median DFS (33.1 vs. 11.8 months, Wald P = 0.016) and OS (63.2 vs. 18.8 months, Wald P = 0.046). Our results indicate that the addition of RT to platinum/docetaxel adjuvant chemotherapy does not appear to improve survival in high-risk, radically resected gastric cancer. However, the possibility that a benefit by the addition of RT was not detected due to decreased power of the study should not be excluded. © Springer-Verlag 2010.

One of the most significant challenges implementing colloidal magnetic nanoparticles in medicine is the efficient heating of microliter quantities by applying a low frequency alternating magnetic field. The ultimate goal is to accomplish nonsurgically the treatment of millimeter size tumors. Here, we demonstrate the synthesis, characterization, and the in vitro as well as in vivo efficiency of a dextran coated maghemite (gamma-Fe(2)O(3)) ferrofluid with an exceptional response to magnetic heating. The difference to previous synthetic attempts is the high charge of the dextran coating, which according to our study maintains the colloidal stability and good dispersion of the ferrofluid during the magnetic heating stage. Specifically, in vitro 2 mu l of the ferrofluid gives an outstanding temperature rise of 33 degrees C within 10 min, while in vivo treatment, by infusing 150 mu l of the ferrofluid in animal model (rat) glioma tumors, causes an impressive cancer tissue dissolution. (C) 2010 American Institute of Physics. [doi:10.1063/1.3449089]

When a magnetically dominated superfast-magnetosonic long/soft gamma-ray burst (GRB) jet leaves the progenitor star, the external pressure support will drop and the jet may enter the regime of ballistic expansion, during which additional magnetic acceleration becomes ineffective. However, recent numerical simulations by Tchekhovskoy et al. have suggested that the transition to this regime is accompanied by a spurt of acceleration. We confirm this finding numerically and attribute the acceleration to a sideways expansion of the jet, associated with a strong magnetosonic rarefaction wave that is driven into the jet when it loses pressure support, which induces a conversion of magnetic energy into kinetic energy of bulk motion. This mechanism, which we dub rarefaction acceleration, can only operate in a relativistic outflow because in this case the total energy can still be dominated by the magnetic component even in the superfast-magnetosonic regime. We analyse this process using the equations of relativistic magnetohydrodynamics and demonstrate that it is more efficient at converting internal energy into kinetic energy when the flow is magnetized than in a purely hydrodynamic outflow, as was found numerically by Mizuno et al. We show that, just as in the case of the magnetic acceleration of a collimating jet that is confined by an external pressure distribution - the collimation-acceleration mechanism - the rarefaction-acceleration process in a magnetized jet is a consequence of the fact that the separation between neighbouring magnetic flux surfaces increases faster than their cylindrical radius. However, whereas in the case of effective collimation-acceleration the product of the jet opening angle and its Lorentz factor does not exceed ~1, the addition of the rarefaction-acceleration mechanism makes it possible for this product to become >>1, in agreement with the inference from late-time panchromatic breaks in the afterglow light curves of long/soft GRBs.

When a magnetically dominated superfast-magnetosonic long/soft gamma-ray burst (GRB) jet leaves the progenitor star, the external pressure support will drop and the jet may enter the regime of ballistic expansion, during which additional magnetic acceleration becomes ineffective. However, recent numerical simulations by Tchekhovskoy et al. have suggested that the transition to this regime is accompanied by a spurt of acceleration. We confirm this finding numerically and attribute the acceleration to a sideways expansion of the jet, associated with a strong magnetosonic rarefaction wave that is driven into the jet when it loses pressure support, which induces a conversion of magnetic energy into kinetic energy of bulk motion. This mechanism, which we dub rarefaction acceleration, can only operate in a relativistic outflow because in this case the total energy can still be dominated by the magnetic component even in the superfast-magnetosonic regime. We analyse this process using the equations of relativistic magnetohydrodynamics and demonstrate that it is more efficient at converting internal energy into kinetic energy when the flow is magnetized than in a purely hydrodynamic outflow, as was found numerically by Mizuno et al. We show that, just as in the case of the magnetic acceleration of a collimating jet that is confined by an external pressure distribution - the collimation-acceleration mechanism - the rarefaction-acceleration process in a magnetized jet is a consequence of the fact that the separation between neighbouring magnetic flux surfaces increases faster than their cylindrical radius. However, whereas in the case of effective collimation-acceleration the product of the jet opening angle and its Lorentz factor does not exceed ~1, the addition of the rarefaction-acceleration mechanism makes it possible for this product to become >>1, in agreement with the inference from late-time panchromatic breaks in the afterglow light curves of long/soft GRBs.

Classical novae (CNe) have recently been reported to represent the major class of supersoft X-ray sources (SSSs) in the central area of our neighbouring galaxy M 31. This paper presents a review of results from recent X-ray observations of M 31 with XMM-Newton and Chandra. We carried out a dedicated optical and X-ray monitoring program of CNe and SSSs in the central area of M 31. We discovered the first SSSs in M 31 globular clusters (GCs) and their connection to the very first discovered CN in a M 31 GC. This result may have an impact on the CN rate in GCs. Furthermore, in our optical and X-ray monitoring data we discovered the CN M31N 2007-11a, which shows a very short SSS phase of 29-52 days. Short SSS states (durations ≤ 100 days) of CNe indicate massive white dwarfs (WDs) that are candidate progenitors of supernovae type Ia. In the case of M31N 2007-11a, the optical and X-ray light curves suggest a binary containing a WD with M_WD > 1.0 M\sun. Finally, we present the discovery of the SSS counterpart of the CN M31N 2006-04a k. The X-ray light curve of M31N 2006-04a shows short-time variability, which might indicate an orbital period of about 2 hours. Partly based on observations with \xmmk, an ESA Science Mission with instruments and contributions directly funded by ESA Member States and NASA.

Objective: The International Medical Informatics Association (IMIA) agreed on revising the existing international recommendations in health informatics/medical informatics education. These should help to establish courses, course tracks or even complete programs in this field, to further develop existing educational activities in the various nations and to support international initiatives concerning education in biomedical and health informatics (BMHI), particularly international activities in educating BMHI specialists and the sharing of courseware. Method: An IMIA task force, nominated in 2006, worked on updating the recommendations' first version. These updates have been broadly discussed and refined by members of IMIA's National Member Societies, IMIA's Academic Institutional Members and by members of IMIA's Working Group on Health and Medical Informatics Education. Results and Conclusions: The IMIA recommendations center on educational needs for health care professionals to acquire knowledge and skills in information processing and information and communication technology. The educational needs are described as a three-dimensional framework. The dimensions are: 1) professionals in health care (e.g. physicians, nurses, BMHI professionals), 2) type of specialization in BMHI (IT users, BMHI specialists), and 3) stage of career progression (bachelor, master, doctorate). Learning outcomes are defined in terms of knowledge and practical skills for health care professionals in their role a) as IT user and b) as BMHI specialist. Recommendations are given for courses/course tracks in BMHI as part of educational programs in medicine, nursing, health care management, dentistry, pharmacy, public health, health record administration, and informatics/computer science as well as for dedicated programs in BMHI (with bachelor, master or doctor degree). To support education in BMHI, IMIA offers to award a certificate for high-quality BMHI education. It supports information exchange on programs and courses in BMHI through its Working Group on Health and Medical Informatics Education.

In order to explain the absence of hysteresis in ferromagnetic p-type (Cd,Mn)Te quantum wells (QWs), spin dynamics was previously investigated by Monte Carlo simulations combining the Metropolis algorithm with the determination of hole eigenfunctions at each Monte Carlo sweep. Short-range antiferromagnetic superexchange interactions between Mn spins—which compete with the hole-mediated long-range ferromagnetic coupling—were found to accelerate magnetization dynamics if the layer containing Mn spins is wider than the vertical range of the hole wave function. Employing this approach it is shown here that appreciate magnitudes of remanence and coercivity can be obtained if Mn ions are introduced to the quantum well in a delta-like fashion.

The aim of the present study was the determination of the levels of osteoprotegerin and soluble RANKL in blood serum and in gingival crevicular fluid relative to the degree of orthodontic root resorption in a rat model. Blood samples and gingival crevicular fluid were collected from fourteen 6-month-old male Wistar rats weighing 350-500 g. A 25-g closed orthodontic coil spring was inserted between each upper right first molar and the upper incisors. After 21 days of loading, both upper first molars (treated and control) were extracted and studied under microcomputed tomography scanning. Statistical analysis demonstrated a positive linear correlation between the initial concentration of RANKL in blood serum and the degree of root resorption. The ratio of the initial concentrations of osteoprotegerin to RANKL in blood serum proved to be an independent prognostic factor of the degree of root resorption. The initial concentration of RANKL in gingival crevicular fluid showed a negative correlation to the initial concentration of RANKL in blood serum and for a finite range of initial concentrations of osteoprotegerin in gingival crevicular fluid, the dental root seemed protected against extreme external root resorption. Finally, the concentration of osteoprotegerin in blood serum decreased significantly in cases of severe root resorption.

The relationship of prolonged dry spells in Eastern Mediterranean with large-scale surface and upper circulation is investigated on seasonal basis with the aid of the Singular-Value Decomposition Analysis (SVDA) for the period 1958-2000. The study was based on daily precipitation data of 56 stations, evenly distributed over Eastern Mediterranean region. Extreme dry spells are defined using the CDD index (maximum number of consecutive dry days). It was found that teleconnection patterns centered over Northern Atlantic and northern Europe seem to affect the duration of the longest dry spells over the Eastern Mediterranean, while surface synoptic scale systems in Northern Africa play a substantial role. The SVDA results compare well with the corresponding results of Canonical Correlation Analysis (CCA), mainly for the surface circulation during winter and summer. © Springer-Verlag 2009.

The objective of this study is to investigate the relationship of orography over Greece with prolonged dry spells, as represented by the maximum number consecutive dry days (CDD index) during an extremely dry summer. For this purpose a simulation experiment was conducted with the aid of the regional climate model RegCM3.1 using a spatial resolution of 10 km. It was shown that a significant precipitation regime formed over the mountainous areas of continental Greece and Crete during this dry summer, due to orographically forced precipitation, consequently influencing the length of dry spells. Furthermore, the CDD appears spatial variations over the maritime areas, despite the zero or insignificant precipitation. The sensitivity test that was performed with the elimination of orography demonstrated the important role that orography plays in the distribution of CDD, since significant lengthening of extreme dry spells was found over the mountainous areas. © Author(s) 2010.

We study semi-analytical time-dependent solutions of the relativistic magnetohydrodynamic (MHD) equations for the fields and the fluid emerging from a spherical source. We assume uniform expansion of the field and the fluid and a polytropic relation between the density and the pressure of the fluid. The expansion velocity is small near the base but approaches the speed of light at the light sphere where the flux terminates. We find self-consistent solutions for the density and the magnetic flux. The details of the solution depend on the ratio of the toroidal and the poloidal magnetic field, the ratio of the energy carried by the fluid and the electromagnetic field and the maximum velocity it reaches.

We study semi-analytical time-dependent solutions of the relativistic MHD equations for the fields and the fluid emerging from a spherical source. We assume uniform expansion of the field and the fluid and a polytropic relation between the density and the pressure of the fluid. The expansion velocity is small near the base but approaches the speed of light at the light sphere where the flux terminates. We find self-consistent solutions for the density and the magnetic flux. The details of the solution depend on the ratio of the toroidal and the poloidal magnetic field, the ratio of the energy carried by the fluid and the electromagnetic field and the maximum velocity it reaches.

Renal impairment is a common complication of multiple myeloma (MM). The estimated glomerular filtration rate (eGFR) using the Modification of Diet in Renal Disease formula is the recommended method for the assessment of renal function in patients with MM with stabilized serum creatinine. In acute renal injury, the RIFLE (risk, injury, failure, loss and end-stage kidney disease) and Acute Renal Injury Network criteria seem to be appropriate to define the severity of renal impairment. Novel criteria based on eGFR measurements are recommended for the definition of the reversibility of renal impairment. Rapid intervention to reverse renal dysfunction is critical for the management of these patients, especially for those with light chain cast nephropathy. Bortezomib with high-dose dexamethasone is considered as the treatment of choice for such patients. There is limited experience with thalidomide in patients with myeloma with renal impairment. Thus, thalidomide can be carefully administered, mainly in the context of well-designed clinical trials, to evaluate if it can improve the rapidity and probability of response that is produced by the combination with bortezomib and high-dose dexamethasone. Lenalidomide is effective in this setting and can reverse renal insufficiency in a significant subset of patients, when it is given at reduced doses, according to renal function. The role of plasma exchange in patients with suspected light chain cast nephropathy and renal impairment is controversial. High-dose melphalan (140 mg/m2) and autologous stem-cell transplantation should be limited to younger patients with chemosensitive disease. © 2010 by American Society of Clinical Oncology.

Renal impairment is a common complication of multiple myeloma. Chronic renal failure is classified according to glomerular filtration rate as estimated by the MDRD (modification of diet in renal disease) formula, while RIFLE (risk, injury, failure, loss and end-stage renal disease) and AKIN (acute renal injury network) criteria may be used for the definition of the severity of acute renal injury. Novel criteria based on estimated glomerular filtration rate measurements are proposed for the definition of the reversibility of renal impairment. Renal complete response (CRrenal) is defined as sustained (i.e., lasting at least 2 months) improvement of creatinine clearance (CRCL) from under 50 mL/min at baseline to 60 mL/min or above. Renal partial response (PRrenal) is defined as sustained improvement of CRCL from under 15 mL/min at baseline to 30 to 59 mL/min. Renal minor response (MRrenal) is defined as sustained improvement of the baseline CRCL of under 15 mL/min to 15 to 29 mL/min or, if baseline CRCL was 15 to 29 mL/min, improvement to 30 to 59 mL/min. Bortezomib with high-dose dexamethasone is considered the treatment of choice for myeloma patients with renal impairment and improves renal function in most patients. Although there is limited experience with thalidomide, this agent can be administered at the standard dosage to patients with renal failure. Lenalidomide, when administered at reduced doses according to renal function, is effective and can reverse renal impairment in a subset of myeloma patients.

The resolution of 2-amino alcohols protected by urethane-type groups either via porcine pancreatic lipase (PPL) hydrolysis of the corresponding racemic acetates or via PPL catalyzed transesterification of racemic alcohols was studied. In both cases, Boc protecting group led to better chemical yields and enantiopurities than Z and Fmoc protecting groups. Furthermore, a simple and efficient method for the synthesis of the medicinally interesting optically pure (R)-2-aminohexadecanol was developed. 

We propose a method for calculating average local effective permittivity and permeability tensors for anisotropic photonic crystals through least-squares fits of sets of data points, obtained by rigorous, systematic complex-band-structure, and reflection calculations for all propagation directions, to appropriate analytic expressions. The proposed methodology is applied on a specific example of a tetragonal structure of metallic nanoshells, which is a uniaxial photonic crystal of resonant units. Our results demonstrate the efficiency of the method at low and moderate frequencies and, at the same time, reveal the inability to define local effective constitutive parameters in regions of resonance gaps.

The purpose of this analysis was to assess the effect of novel agent-based regimens on the improvement of renal impairment (RI) in newly diagnosed patients with multiple myeloma. Ninety-six consecutive patients with RI received conventional chemotherapy (CC)-based regimens (n= 32), IMiDs-based regimens (n= 47) or bortezomib-based regimens (n= 17) as frontline therapy. Improvement of RI was more frequent in patients treated with novel agents (79% in IMiD- and 94% in bortezomib-treated groups versus 59% in CC-treated group; p= 0.02). Bortezomib-based regimens and CrCl > 30 ml/min at baseline independently correlated with a higher probability of at least renal partial response (PRrenal) and with a shorter time to PRrenal or better. Thus bortezomib-based regimens may be the preferred treatment for newly diagnosed myeloma patients with RI. © 2010 Elsevier Ltd.

The ensemble of forces that stabilize protein structure and facilitate biological function are intimately linked with the ubiquitous aqueous environment of living systems. As a consequence, biomolecular activity is highly sensitive to the interplay of solventĝ€"protein interactions, and deviation from the native conditions, for example by exposure to increased thermal energy or severe dehydration, results in denaturation and subsequent loss of function. Although certain enzymes can be extracted into non-aqueous solvents without significant loss of activity, there are no known examples of solvent-less (molten) liquids of functional metalloproteins. Here we describe the synthesis and properties of room-temperature solvent-free myoglobin liquids with near-native structure and reversible dioxygen binding ability equivalent to the haem protein under physiological conditions. The realization of room-temperature solvent-free myoglobin liquids with retained function presents novel challenges to existing theories on the role of solvent molecules in structural biology, and should offer new opportunities in protein-based nanoscience and bionanotechnology. © 2010 Macmillan Publishers Limited. All rights reserved.

We have used a new ApoA-I transgenic mouse model to identify by global gene expression profiling, candidate genes that affect lipid and lipoprotein metabolism in response to fenofibrate treatment. Multilevel bioinformatical analysis and stringent selection criteria (2-fold change, 0% false discovery rate) identified 267 significantly changed genes involved in several molecular pathways. The fenofibrate-treated group did not have significantly altered levels of hepatic human APOA-I mRNA and plasma ApoA-I compared with the control group. However, the treatment increased cholesterol levels to 1.95-fold mainly due to the increase in high-density lipoprotein (HDL) cholesterol. The observed changes in HDL are associated with the upregulation of genes involved in phospholipid biosynthesis and lipid hydrolysis, as well as phospholipid transfer protein. Significant upregulation was observed in genes involved in fatty acid transport and beta-oxidation, but not in those of fatty acid and cholesterol biosynthesis, Krebs cycle and gluconeogenesis. Fenofibrate changed significantly the expression of seven transcription factors. The estrogen receptor-related gamma gene was upregulated 2.36-fold and had a significant positive correlation with genes of lipid and lipoprotein metabolism and mitochondrial functions, indicating an important role of this orphan receptor in mediating the fenofibrate-induced activation of a specific subset of its target genes.

It is well-known that natural and anthropogenic emissions of ambient pollutants affect air quality, and as a consequence the public health. Air pollution indices are commonly used to indicate the level of severity of air pollution to the public. The objective of this study is the assessment of the air quality levels in the urban environment of Athens, Greece using the Air Quality Index (AQI), which presents advantages as an administrative tool for early warning in the context of public health protection. The AQI is a complex index and calculated by compounding appropriately the concentrations of surface ozone (O3), nitrogen dioxide (NO2), sulphur dioxide (SO2), carbon monoxide (CO) and particles with aerodynamic diameter less than 10 μm (PM 10). For this purpose, available hourly data of the above ambient pollutants recorded by the Athens air pollution monitoring network, during the period 2001-2006, were analyzed for the development of the proposed index. The temporal and spatial distribution of the mean annual AQI values within greater Athens area (GAA) is examined, and the results are analyzed in terms of the meteorological conditions. The effect of wind speed and direction on AQI levels is found to be significant, among the other meteorological parameters such as air temperature, relative humidity, sunshine and total solar radiation. The analysis revealed that the higher values of AQI, during the warm period of the year, are strongly associated with sea breeze than with northern wind flow. The knowledge of the sea breeze characteristics over GAA contributes to the comprehension of the local air quality formation levels. Β© by PSP.

This paper evaluates the role of meteorological factors on the configuration of the complex aerosol’s character at a suburban area of Athens, Greece. To this effort, 4-month period measurements of hourly PM2.5 aerosol samples were employed, being collected with the aid of a conventional R&P TEOM (model 1400a) at Aghia Paraskevi. The simultaneous daily PM10 and PM2.5.10 concentrations are also discussed. Then, the entire daily data set was divided in 5 different classes at similar proportion by one decimal point for each one of assessed meteorological parameter, temperature, relative humidity and wind speed. The present study discusses not only the variations of the recorded levels of the three PM fractions and their seasonality but also the inter-fraction relationship for all possible matching of the aerosol’s pairs and the PM ratios in connection with the differentiation of the meteorological parameters’ values. PM10 and PM2.5-10 appeared to have the same character as in all the cases they proved to be strongly correlated. It was found that temperature enhanced the concentrations of the PM fractions and especially those with bigger diameter while relative humidity seemed to favour the formation of fine particles. Wind direction appeared to play a key role on the recorded PM profile. The transportation from the ’polluted’ Athens center proved to be the major mechanism which deters the ’clean atmosphere’ of the suburban area. © by PSP.

A seasonal morphological variability is observed in Emiliania huxleyi var. huxleyi specimens, collected from discrete water samples in the Aegean Sea. Biometric analyses reveal a consistent pattern of increase in the size of coccoliths and coccospheres, including the thickness of the inner tube elements (INT), in winter/spring time low sea surface temperature and moderate productivity samples when compared with summer time high temperature–low productivity samples. The small range of salinity change in the Aegean Sea and the absence of seasonal  pattern in nutrient content do not support any association with the observed increase in E. huxleyi coccolith size. A relatively increased [HCO3-] content is observed during spring-time interval related with the increase in the coccolith size, however it remains unclear which parameter of the carbonate system causes the observed effects.

A cross-sectional study was carried out in injecting drug users (IDUs) from Greece to assess the seroprevalence of human herpesvirus 8 (HHV-8) and to identify potentially associated risk factors. A total of 288 IDUs were tested for K8.1 antibodies to HHV-8 lytic antigen. Associations between HHV-8 serostatus and potential risk factors were examined using univariate and multivariate logistic regression analysis. Seroprevalence of HHV-8 was 24.3% (95% CI 19.5-29.7), increasing with age from 19.4% in those aged <30 years to 52.9% in those aged 40 years (P for trend=0.003). No statistically significant associations between HHV-8-positive status and gender, educational level, age at first drug injection, needle sharing, number of imprisonments, complications from drug overdose, HIV and HCV were observed. In the multivariate logistic regression analysis, older age (40 vs. <40 years, OR 3.30, 95% CI 1.14-9.56) and report of septicaemia/abscess (yes vs. no, OR 1.80, 95% CI 1.01-3.18) were each independently associated with higher HHV-8 seroprevalence. HHV-8 is highly prevalent in the IDU population in Greece. The independent association between HHV-8 and reported abscess or septicaemia supports the hypothesis that poor hygiene conditions in the setting of drug injection may contribute to HHV-8 transmission.

Many stress-related mental disorders, including depression and post-traumatic stress disorder occur more often in women than in men. While social and cultural factors certainly contribute to these differences, neurobiological sex differences seem to also play an important role. A rapidly burgeoning literature from basic and clinical research documents sex differences in brain anatomy, chemistry and function, as well as in stress and drug responses. For example, some clinical studies have reported that women may have a better outcome when treated with selective serotonin re-uptake inhibitors, in comparison to tricyclic antidepressants. Furthermore, relatively limited basic research has been devoted to developing animal models and consequently describing drug treatments which are sensitive to sex differences. In this MiniReview, we discuss sex differences in behavioural aspects, as well as neurochemical, neurobiological and pharmacological findings that we have collected from several different animal models and tests of depression. These are the forced swim test, the chronic mild stress and the learned helplessness models, the Flinders sensitive line rats, which is a genetic model of depression and the lipopolysaccharide-induced sickness behaviour, a putative inflammatory model of depression. Collectively, our data have shown that in all animal models assayed, serotonergic neurochemical responses were differently affected in males and females, ultimately producing sex-dependent behavioural effects. In addition, Flinders sensitive line rats exhibited a sexually dimorphic response to chronic antidepressant treatment. These sex-differentiated neurochemical and behavioural alterations lend support to a major role of serotonin in the mediation of sexually dimorphic responses.

Many stress-related mental disorders, including depression and post-traumatic stress disorder occur more often in women than in men. While social and cultural factors certainly contribute to these differences, neurobiological sex differences seem to also play an important role. A rapidly burgeoning literature from basic and clinical research documents sex differences in brain anatomy, chemistry and function, as well as in stress and drug responses. For example, some clinical studies have reported that women may have a better outcome when treated with selective serotonin re-uptake inhibitors, in comparison to tricyclic antidepressants. Furthermore, relatively limited basic research has been devoted to developing animal models and consequently describing drug treatments which are sensitive to sex differences. In this MiniReview, we discuss sex differences in behavioural aspects, as well as neurochemical, neurobiological and pharmacological findings that we have collected from several different animal models and tests of depression. These are the forced swim test, the chronic mild stress and the learned helplessness models, the Flinders sensitive line rats, which is a genetic model of depression and the lipopolysaccharide-induced sickness behaviour, a putative inflammatory model of depression. Collectively, our data have shown that in all animal models assayed, serotonergic neurochemical responses were differently affected in males and females, ultimately producing sex-dependent behavioural effects. In addition, Flinders sensitive line rats exhibited a sexually dimorphic response to chronic antidepressant treatment. These sex-differentiated neurochemical and behavioural alterations lend support to a major role of serotonin in the mediation of sexually dimorphic responses.

Purpose: To provide an overview on smoldering (asymptomatic) multiple myeloma (SMM) including current diagnostic criteria, predictors of progression, pattern of progression, and outcome. Design: A comprehensive review of the literature on risk factors for progression, treatment attempts to delay progression and outcome in patients with SMM. Results: The risk factors for progression of SMM include: plasma cell mass including M-protein size and percentage of bone marrow clonal plasma cells (BMPC), abnormal free light chain ratio, proportion of phenotypically abnormal BMPC, immunoparesis, evolution pattern (evolving v nonevolving), and pattern of magnetic resonance imaging abnormalities. Most patients with SMM progress with anemia and/or skeletal involvement. Immediate therapy with cytotoxic agents, such as melphalan/prednisone has not resulted in improved outcome. Patients should not be treated until progressive disease with end-organ damage occurs. Increasing anemia is the most reliable indicator of progression. Conclusion: These recently recognized predictors of outcome may be helpful for better disease monitoring and for investigation of new treatment approaches. Thus, recommendations for follow-up every to 3 to 6 months depending on the risk of progression are suggested, and clinical trials with new noncytotoxic biologically derived agents to delay progression, particularly in high-risk patients, are ongoing. © 2009 by American Society of Clinical Oncology.

Καμπερίδου, Ειρήνη (2010). Κοινωνικό φύλο - βιολογικό φύλο: το φύλο στον αθλητισμό και η ιστορικότητα του γυναικείου αποκλεισμού. Γυναίκα και Άθληση, τόμος VII, 2009/2010, σελ. 7-24.-------------------------------------------------------------------------------------------------------------------------------------- Σκοπός της εργασίας αυτής είναι να διερευνηθούν οι αιτίες που οδήγησαν στη σημερινή υπό-εκπροσώπηση των γυναικών όσον αφορά θέσεις διοικητικής ευθύνης στους αθλητικούς θεσμούς και να προταθούν στρατηγικές ενσωμάτωσης. Στην πρώτη ενότητα αναφέρονται οι θεωρητικές προσεγγίσεις για το φύλο (κοινωνικό φύλο – βιολογικό φύλο). Εξετάζετε το έμφυλο υποκείμενο (gender subject) καθώς και η έμφυλη ταυτότητα ως αποτέλεσμα συσχετισμού της βιολογικής διαφοράς με πολύπλοκες κοινωνικές διεργασίες. Το ενδιαφέρον επικεντρώνετε στην έμφυλη ουδετερότητα, που αφορά στην πρόσβαση και ενσωμάτωση του υποκειμένου επιμέρους κοινωνικές περιοχές όπως της πολιτικής, του αθλητισμού κ.τ.λ. Διαπιστώθηκε ότι ιδιαίτερα στο υψηλό αθλητισμό, σε αντίθεση με άλλες κοινωνικές περιοχές, δεν συναντάται ως δομικό συστατικό  μια έμφυλη ουδετερότητα. Στην δεύτερη ενότητα διερευνήθηκαν οι παράγοντες υπό-εκπροσώπησης στον αγωνιστικό αθλητισμό και στους αθλητικούς θεσμούς.    Λέξεις κλειδιά: κοινωνικό φύλο, βιολογικό φύλο, έμφυλη ουδετερότητα, αθλητισμός, κοινωνική χειραφέτηση, εκδημοκρατισμός, αθλητικοί θεσμοί------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Women have come a long way since the 1952 Helsinki Games, where they represented only 10 percent of the Olympic athletes. At the 2008 Olympics in Beijing women represented approximately 43 percent of the total athlete delegation, up from 41 percent in the Athens 2004 Olympics. This does not mean that their biological make-up has changed. What has changed however are the socio-cultural perceptions pertaining to gender. On the other hand, women constitute an invisible minority in sport governing bodies today. This paper focuses on women’s underrepresentation in sport governing bodies and proposes strategies-practices of gender inclusion, including the democratization of sport institutions. The first part of thestudy examines current discussions on gender, gender neutrality, the gender subject and gender identity. In the new theoretical framework gender is being transformed from a static biological perception into a dynamic social category, affecting and changing identity, gender relations and the expectations of the social environment. Namely, in today’s postmodernist reality discussions on gender no longer focus exclusively on the biological gender (sex) as an analytical category, but on the social gender which formulates, defines and redefines identity, according to evolving socio-cultural interpretations. Although the biological gender is losing its primacy as an analytical category in most social spaces (i.e. there is no regulated gender classification system in the political arena, in sports, etc.), it is enforced by rules and regulations in competitive sports, and not only. It seems to extend into sport governing bodies as well. The second part of the study explores the interrelation of outdated social theories, ‘biologistic’ approaches and anachronistic gender- based ideologies that established gender stereotypes, hierarchies in sports that continue to apply today. Women are still under-reprsented in executive bodies of national and international sport organizations, federations and institutions, such as the IOC: there are only 14 women who represent 14.1% of the total of 113 IOC members. Consequently, a critical issue which needs to be addressed extensively, among others, is the democratization of the IOC structures since exclusions based on genetic characteristics are a contradiction to the value system of sport. Keywords: gender identity, gender neutrality, democratization of the IOC.  ............................................ΠΕΡΙΛΗΨΗ - Σκοπός της εργασίας αυτής είναι να διερευνηθούν οι αιτίες που οδήγησαν στη σημερινή υπό-εκπροσώπηση των γυναικών όσον αφορά θέσεις διοικητικής ευθύνης στους αθλητικούς θεσμούς και να προταθούν στρατηγικές ενσωμάτωσης. Στην πρώτη ενότητα αναφέρονται οι θεωρητικές προσεγγίσεις για το φύλο (κοινωνικό φύλο – βιολογικό φύλο). Εξετάζετε το έμφυλο υποκείμενο (gender subject) καθώς και η έμφυλη ταυτότητα ως αποτέλεσμα συσχετισμού της βιολογικής διαφοράς με πολύπλοκες κοινωνικές διεργασίες. Το ενδιαφέρον επικεντρώνετε στην έμφυλη ουδετερότητα, που αφορά στην πρόσβαση και ενσωμάτωση του υποκειμένου επιμέρους κοινωνικές περιοχές όπως της πολιτικής, του αθλητισμού κ.τ.λ. Διαπιστώθηκε ότι ιδιαίτερα στο υψηλό αθλητισμό, σε αντίθεση με άλλες κοινωνικές περιοχές, δεν συναντάται ως δομικό συστατικό  μια έμφυλη ουδετερότητα. Στην δεύτερη ενότητα διερευνήθηκαν οι παράγοντες υπό-εκπροσώπησης στον αγωνιστικό αθλητισμό και στους αθλητικούς θεσμούς.     Λέξεις κλειδιά: κοινωνικό φύλο, βιολογικό φύλο, έμφυλη ουδετερότητα, αθλητισμός, κοινωνική χειραφέτηση, εκδημοκρατισμός, αθλητικοί θεσμοί  

In this study, the spatial and temporal variability of the mean annual rain intensity in Greece are examined during a 41-year period (1962-2002). The meteorological datasets concern monthly rain amounts (mm) and the respective monthly durations (h) recorded at thirty two meteorological stations of the Hellenic National Meteorological Service, which are uniformly distributed on Greek territory, in order to calculate the mean monthly rain intensity. All the rain time series used in the analysis were tested by the application of the short-cut Bartlett test of homogeneity. The spatial distribution of the mean annual rain intensity is studied using the Kriging interpolation method, while the temporal variability, concerning the mean annual rain intensity trends along with their significance (Mann-Kendall test), is analysed. The findings of the analysis show that statistically significant negative trends (95% confidence level) appear mainly in the west sub-regions of Greece, while statistically significant positive trends (95% confidence level) appear in the wider area of Athens and the complex of Cyclades Islands. Further analysis concerning the seasonal rain intensity is needed, because there are different seasonal patterns, taking into account that, convective rain in Greece occurs mainly within the summer season. Β© 2010 Author(s).

BACKGROUND: The Alberta Infant Motor Scale (AIMS) is a norm-referenced test that assesses the spontaneous motor performance of infants from birth through independent walking (0-18 months). This scale has been utilized for clinical and research purposes in various countries, however, whether the initial standardization in Canadian infants is also representative of other countries’ populations has been questioned. AIM: To assess whether the AIMS needs new reference values for Greek infants. METHODS: A cohort of 424 healthy full-term infants (250 boys and 174 girls), aged between 7 days and 18 months, derived from various areas of the Prefecture of Attica and from all socio-economic classes to ensure a true representation, was studied. The AIMS-scores of Greek infants were compared with the norm-referenced values of the original Canadian population reported by Piper and Darrah. RESULTS: The mean AIMS-scores did not differ significantly between Greek and Canadian infants at any age level from birth to 18 months, except for the 2-<3 month of age when higher scores were observed in Greek infants (p=0.02). There was no significant difference in AIMS-values corresponding to the 5th and 90th percentile between Greek and Canadian infants. Inter-rater reliability was excellent in our study population [ICC: 0.99 (95% CI: 0.99-0.99)]. CONCLUSION: In healthy full-term Greek infants, gross motor maturity assessed by the AIMS during the first 18 months of age, seems to follow a similar course to that of Canadian infants.

Using Chandra, XMM-Newton, and optical photometric catalogs we study the young X-ray binary (XRB) populations of the Small Magellanic Cloud. We find that the Be/X-ray binaries (Be-XRBs) are observed in regions with star formation rate bursts ~25-60 Myr ago. The similarity of this age with the age of maximum occurrence of the Be phenomenon (~40 Myr) indicates that the presence of a circumstellar decretion disk plays a significant role in the number of observed XRBs in the 10-100 Myr age range. We also find that regions with strong but more recent star formation (e.g., the Wing) are deficient in Be-XRBs. By correlating the number of observed Be-XRBs with the formation rate of their parent populations, we measure a Be-XRB production rate of ~1 system per 3 × 10-3 M sun yr-1. Finally, we use the strong localization of the Be-XRB systems in order to set limits on the kicks imparted on the neutron star during the supernova explosion.

(Στην αμερικάνικη ιστοσελίδα ηθικού και βιοηθικού επιστημονικού ενδιαφέροντος http://ethicshare.org/files/user_files/5759/Fanaras,%20EAP%20Article%202010%20pp.%201-14Copy.pdf ) Η παρούσα πρωτότυπη εργασία δημοσιεύθηκε στα αγγλικά και περιλαμβάνει θέσεις και απόψεις για την έρευνα στα βλαστοκύτταρα από την ορθόδοξη χριστιανική  ηθική άποψη.

In this study, the mean rain intensity (mm/h) in Athens and Thessaloniki, Greece, is examined during the period 1930-2007. The daily meteorological data were acquired from the meteorological stations of the National Observatory of Athens (Thissio) and the University Campus of Thessaloniki. These stations have recorded the longest and reliable daily rain time series in Greece. The trends of the annual and seasonal mean, as well as the maximum rain intensity, are analyzed. On the one hand, all of the time series in Athens present higher figures of mean rain intensity during the period 1990-2007 compared to the period 1930-1990. On the other hand, regarding the time series in Thessaloniki, the mean rain intensity remains in lower level than the respective one in Athens without significant trend at the Confidence Level (CL) 95%. As far as the annual and seasonal maximum rain intensity is concerned, similar patterns appear. However, the summer maximum rain intensity in Thessaloniki remains at higher levels till 1970's. The atmospheric circulation patterns for the extreme rain intensities show intense negative anomalies centred over Greece and positive anomalies to the north, with centre over Scandinavia.

Severe aortic valve stenosis may be tackled with percutaneous aortic valve replacement instead of surgical replacement. At present, two CE marked prosthetic valves are available. The CoreValve ReValving System is primarily designed to be introduced transfemorally, while implantation via subclavian arteries has been described in cases of unsuitable femoral access. However, this route has been used when subclavian artery is free of disease. In this case report we describe a successful CoreValve ReValving System implantation via a diseased and tortuous left subclavian artery after predilatation balloon angioplasty. The prosthesis was then advanced in the native aortic valve, deployed, and successfully implanted. Techniques and manipulations are provided.

The phase 3 Velcade as Initial Standard Therapy in Multiple Myeloma: Assessment with Melphalan and Prednisone study in newly diagnosed multiple myeloma patients ineligible for high-dose therapy demonstrated that bortezomib-melphalan-prednisone (VMP) was superior to melphalan-prednisone across all efficacy end points. We assessed the prognostic impact of response on time-to-event parameters in the intent-to-treat population. Patients received nine 6-week cycles of treatment. Time to progression, time to next therapy, and treatment-free interval were associated with quality of response. When European Group for Blood and Marrow Transplantation criteria were used, complete response (CR) was associated with significantly longer time to progression (hazard ratio [HR] = 0.45, P = .004), time to next therapy (HR = 0.46, P = .0004), and treatment-free interval (HR = 0.38, P < .0001) versus partial response, but there was no significant difference in overall survival (HR = 0.87, P = .54); similar differences were seen with CR versus very good partial response by uniform criteria. Quality of response improved with prolonged VMP treatment, with 28% of CRs achieved during cycles 5-9. CR duration appeared similar among patients with "early" (cycles 1-4) and "late" CRs (cycles 5-9) and among patients receiving 9 versus < 9 cycles of bortezomib within VMP. These results highlight that CR is an important treatment goal and support prolonged VMP therapy to achieve maximal response. This study is registered at http://www.clinicaltrials.gov as NCT00111319. © 2010 by The American Society of Hematology.

To investigate the transient nature of supersoft sources (SSSs) in M 31, we compared SSS candidates of the XMM-Newton Deep Survey, ROSAT PSPC surveys and the Chandra catalogues in the same field. We found 40 SSSs in the XMM-Newton observations. While 12 of the XMM-Newton sources were brighter than the limiting flux of the ROSAT PSPC survey, only two were detected with ROSAT ˜10 yr earlier. Five correlate with recent optical novae which explains why they were not detected by ROSAT. The remaining 28 XMM-Newton SSSs have fluxes below the ROSAT detection threshold. Nevertheless we found one correlation with a ROSAT source, which had significantly larger fluxes than during the XMM-Newton observations. Ten of the XMM-Newton SSSs were detected by Chandra with <1- ˜6 yr between the observations. Five were also classified as SSSs by Chandra. Of the 30 ROSAT SSSs three were confirmed with XMM-Newton, while for 11 sources other classifications are suggested. Of the remaining 16 sources one correlates with an optical nova. Of the 42 Chandra very-soft sources five are classified as XMM-Newton SSSs, while for 22 we suggest other classifications. Of the remaining 15 sources, nine are classified as transient by Chandra, one of them correlates with an optical nova. These findings underlined the high variability of the sources of this class and the connection between SSSs and optical novae. Only three sources, were detected by all three missions as SSSs. Thus they are visible for more than a decade, despite their variability. Based on observations obtained with XMM-Newton, an ESA science mission with instruments and contributions directly funded by ESA Member States and NASA.

Purpose: We conducted a retrospective analysis of the survival effect of venous thromboembolism (VTE) development in patients with multiple myeloma (MM). Methods: Two identically designed, multicenter, double-blind, phase III clinical trials (MM-009 and MM-010) were conducted in Europe and the United States to assess the effect of lenalidomide in combination with dexamethasone versus dexamethasone plus placebo in patients with relapsed or refractory MM, after failing at least one prior line of treatment. In this retrospective analysis, we evaluated incidence and survival effect of thromboembolism in 353 patients randomly assigned to receive 25 mg of lenalidomide on days 1 through 21 of a 28-day cycle, plus 40 mg of oral dexamethasone on days 1 through 4, 9 through 12, and 17 through 20 for the first four cycles; after the fourth cycle, 40 mg of dexamethasone was administered on days 1 through 4 only. Results: Seventeen percent of patients experienced a thromboembolic episode. The development of VTE did not significantly affect overall survival (P = .90) or time to progression (P = .34). No significant survival impact was observed in a subgroup of patients who received prophylactic anticoagulation (overall survival P = .7, time to progression P = .1). Conclusion: Patients with MM treated with lenalidomide and high-dose dexamethasone who developed a VTE did not experience shorter overall survival or time to progression. © 2009 by American Society of Clinical Oncology.

We report the detection of a nova candidate in M 31 using observations with the UltraViolet/Optical Telescope (UVOT) on board the Swift satellite. The object was serendipitously detected in the UVW1 filter (181-321nm) UVOT observation 00031255018 with 4333 s exposure starting on 2010-06-24.02 UT with a magnitude of 19.5+-0.2. The position for the nova candidate is RA = 00h42m55s.56, Dec = +41d19'25".5 (J2000, accuracy of 1.0"), which is 127" east and 197" north of the core of M 31.

The reaction of [Ru(η6-p-cymene)Cl2]2 with 2.0 mol equivalents of C(CH2SMe)4, C(CH 2SeMe)4, 1,2,4,5-C6H2(CH 2SMe)4 or 1,2,4,5-C6H2(CH 2SeMe)4 (L4) and [NH4][PF 6] in ethanol solution forms the [RuCl(η6-p-cymene) {κ2-L4}][PF6] complexes. Similar Os(II) complexes are obtained starting with [Os(η6-p-cymene)Cl 2]2. Treatment of [RuCl(η6-p-cymene) {κ2-L4}][PF6] with a further 0.5 mol equivalents of [Ru(η6-p-cymene)Cl2]2 or reaction of [Ru(η6-p-cymene)Cl2]2 directly with 1.0 mol equivalent of L4 forms the homobimetalllic [{RuCl(η6-p-cymene)}2{κ2κ ′2-L4}][PF6]2. Reaction of [OsCl(η6-p-cymene)-{κ2-C(CH2SeMe) 4}][PF6] with [Ru(η6-p-cymene)Cl 2]2 or [PtCl2(MeCN)2] affords the heterobimetallic [{OsCl(η6-p-cymene)}{RuCl(η6-p- cymene)}{κ2κ′2-C(CH2SeMe) 4}][PF6]2 and [{OsCl(η6-p- cymene)}{PtCl2}{κ2κ′2- C(CH2SeMe)4}][PF6] respectively. The complexes have been characterised by multinuclear NMR and IR spectroscopy and X-ray crystallography. The synthesis and properties of homomonometallic and homo-and hetero- bimetallic complexes based upon tetrathio-or tetraselenoether ligands with {(arene)MCl]+ units are described, and crystal structures reported for representative examples. © 2010 Elsevier B.V.

Glycogen phosphorylase (GP) is a promising molecular target for the treatment of Type 2 diabetes. The design of potential inhibitors for the catalytic site of the enzyme is based on the high affinity for -D-glucopyranose and the pres- ence of a -cavity that extends from the sugar anomeric position forming a 15 x 7.5 x 10 Å available space. This review is focused on our efforts towards the design and synthesis of various families of potential inhibitors, including N--D- glucopyranosyl oxamic acid esters and oxamides, N--D-glucopyranosylaminocarbonyl L-aminoacids and peptides, as well as glucose-derived purine and pyrimidine nucleosides, spiro- and other bicyclic derivatives. Kinetic and crystallo- graphic study of the interactions of these inhibitors with GP has increased our understanding of the importance of the various functional groups within the catalytic site and has pointed the way towards the in silico prediction and design of potent inhibitors, which are both synthetically viable and pharmacologically relevant.

This study reports on the synthesis, characterization and environmental application of immobilized nitrogen and fluorine co-doped TiO2 (NF-TiO2) photocatalyst. A fluorosurfactant-based sol-gel approach was employed to enhance the physicochemical properties and photocatalytic activity of NF-TiO2 under visible and UV light for the degradation of the hepatotoxin microcystin-LR (MC-LR). The films were characterized by XRD, environmental scanning electron microscope (ESEM), TEM, AFM, EPR, micro-Raman, X-ray photoelectron spectroscope (XPS), UV-vis spectroscopy and porosimeter analysis. The results revealed that by modifying the molar ratio of the fluorosurfactant, we could effectively control the physicochemical properties and obtain films with high BET surface area and porosity, small crystallite size and narrow pore size distribution. UV-vis spectroscopy showed an increase in the absorption capacity of NF-TiO2 in the visible light range compared to reference films. The existence of interstitial nitrogen and substitutional fluorine in the titanium dioxide (TiO2) lattice was determined by XPS. Comparative EPR measurements between the co-doped and reference samples identified distinct N spin species in NF-TiO2, with a high sensitivity to visible light irradiation. The abundance of these paramagnetic centers verifies the formation of localized intra-gap states in TiO2 and implies synergistic effects between fluorine and nitrogen dopants. Micro-Raman spectroscopy showed the growth of small amounts of brookite concomitantly with the major anatase TiO2 phase, which could promote the system's photocatalytic activity through the formation of anatase/brookite heterojunctions. Analysis of the lower frequency Eg anatase Raman mode indicated the occurrence of size effects reflecting phonon confinement in the anatase nanocrystallites as well as deviations from stoichiometry due to structural defects in the co-doped sample. NF-TiO2 films effectively degraded MC-LR under visible and UV light compared to reference film. Similar MC-LR degradation rates under visible light after three cycles revealed high mechanical stability and no irreversible changes of the film during photocatalysis. This process has the potential of providing environmentally benign routes for drinking water treatment with solar powered photocatalytic systems. © 2010 Elsevier B.V.

BACKGROUND: Current guidelines propose different reperfusion strategies for ST-elevation myocardial infarction (STEMI) depending on the time delay from pain onset, the availability of a catheterization laboratory and the patient's characteristics. In order to implement national strategies to improve reperfusion rates the existing situation must be first analysed. The aim of this report is to provide a description of where and when STEMI patients present in a countrywide registry. METHODS: The Hellenic Infarction Observation Study (HELIOS) was a countrywide registry that enrolled 1096 patients with STEMI from 31 hospitals with a proportional representation of all types of hospitals from all geographical areas. We recorded the proportion of patients that fits within each category of treatment algorithms. RESULTS: The following percentages of the total STEMI population were recorded: a) admitted in invasive hospitals within 12 h 28.7% (with 26% of those not reperfused) and after 12 h 5.9% and b) admitted in non-invasive hospitals within 3 h 34.9% (with 30% of those not reperfused), 3-12 h 19.3% and after 12 h 11%. CONCLUSIONS: A large proportion of STEMI patients are admitted either in an invasive hospital within 12 h or in a non-invasive one within 3 h from pain onset and therefore can be treated locally according to the guidelines. A relatively small percentage of patients are late presenters in non-invasive centres and are candidates for immediate transfer for primary PCI. These data could be useful in planning reperfusion strategies at countrywide level since not all patients may require immediate transfer for primary PCI.

The goal of this work is the analysis of air quality levels in the area of Volos, a city of average size on the eastern seaboard of Central Greece. For this purpose, concentration measurements of sulfur dioxide, nitrogen oxide, and nitrogen dioxide, for a 4-year period (2001-2004) are analyzed. Air pollution data were obtained by a monitoring station, fully automated, which was established by the Hellenic Ministry of the Environment, Physical Planning, and Public Works, in order to measure air pollution levels in Volos, a medium-sized city, which faces the effects of industrialization. The main conclusions from the statistical analysis of the 4-year measurements of hourly SO2, NO2, and NO concentrations in the city of Volos, showed that the mean seasonal variation of the examined air pollutant concentration presents a minimum during the warm period of the year and a maximum during the cold period. Although the local geomorphology and meteorology encourage particularly the accumulation of air pollutants, the analysis shows that the SO2 and NO2 concentration levels remain lower than corresponding thresholds for human health protection set by the European Union, in this urban measuring site, during the examined period. The application of harmonic analysis revealed the difference between the annual variation of the SO2 and NO x concentrations. Regarding NO x, the variation is mainly due to the first harmonic term (anthropogenic factor), while the SO2 variation is interpreted by the two harmonic terms, which represent the anthropogenic and meteorological factors, respectively. © 2009 Springer Science+Business Media B.V.

The revised tectono-stratigraphy of Crete and especially of the "Phyllites-Quartzites" complex demonstrated the distinction of the probable Paleozoic low-medium grade metamorphic rocks of the Arna unit from the underlying Permo-Triassic phyllites and associated carbonate sediments (Trypali facies) of Western Crete unit as well as the overlying Permo-Triassic phyllites and associated sediments of the Tyros/Ravdoucha Beds at the base of the Tripolis unit. The pre-existing mixture of the above tectono-stratigaphic units in a single complex created a number of misinterpretations as far as stratigraphy, metamorphism and interpretation of low angle faults as thrusts or detachments. Especially in cases where the inferred tectonic contact concerns the transition between the Tyros Beds and the base of the Tripolis carbonate platform there is no structural omission and therefore the contact represents a minor disharmonic sliding surface and not a detachment. Based on the revised tectono-stratigraphic analysis the determination of the structural omission for each tectonic contact was possible and several detachments were described for the first time. Footwall rocks of the detachments comprised several tectonic units usually from the lower nappes and hanging wall rocks comprised several tectonic units usually from the upper nappes. The detachment may separate not only metamorphosed units in the footwall (Mani, Western Crete, Arna) from non metamorphosed units in the hanging wall (Tripolis, Pindos and higher nappes) but also all other possible combinations from the Cretan nappe pile. Extension in Crete started in the Middle-Late Miocene with the formation of extensional detachment faults. The reported extensional structures of Oligocene to Early Miocene age do not correspond to crustal extension of Crete but to localized shear zones related to nappe stacking and the exhumation of metamorphic rocks. Extensional detachments in Crete form a tectonic horst through two oppositely dipping E-W-trending zones; one dipping north, related to the opening of the Cretan basin, and the other dipping south, related to the formation of the Messara supra-detachment basin. The deformation history of units within Crete can be summarized as: (i) compressional deformation producing arc-parallel east-west-trending south-directed thrust faults in Oligocene to Early Miocene time; (ii) extensional deformation along arc-parallel, east-west-trending detachment faults in Middle Miocene time, with hanging wall motion to the north and south; and (iii) Late Miocene-Quaternary transtensional deformation along high-angle normal and oblique normal faults that disrupt the older arc-parallel structures.

Purpose: To identify if thymidine phosphorylase (TP), dihydropyrimidine dehydrogenase (DPD), and ratio TP/DPD levels in tumor tissues are potential predictive factors for response to combined preoperative chemoradiation with capecitabine, in patients with locally advanced rectal cancer (LARC). Methods And Patients: Between 2004 and 2006, 28 patients with LARC (cT2-T4, N0-N2) were treated with neoadjuvant chemoradiation. Total radiation dose was 50.4 Gy and daily dose was 1.8 Gy in 5.5 weeks. Capecitabine was administrated 1,650 mg/m2/day, 7 days/week. Preoperative staging was based on combined computer tomography and endorectal ultrasound. Tissue samples, both neoplastic and normal ones, were endoscopically taken before treatment for TP and DPD measurement with ELISA. Levels of total proteins were calculated by the Bradford method. Results: Median TP, DPD, ratio TP/DPD levels in the primary tumors were 32.85 U/mg, 18.73 U/mg, and 1.64 respectively. Median ratio TP/DPD of patients with proven pathological "response" (downstaging of the disease) was higher than the "no response" group, 4.40 and 1.42, respectively (P = 0.0001). Levels of TP and DPD in tumor tissue did not reveal any statistically important difference between the two groups. Conclusions: TP/DPD ratio is a possible predictive factor for tumor response after concomitant preoperative chemoradiation with capecitabine in LARC. © 2009 Wiley-Liss, Inc.

Background: Postpartum mood disturbances are very common with postpartum blues being as high as 44.5% among Greek women. This study aimed to investigate whether thyroid function within the normal range affects the incidence of postpartum mood disturbances. Methods: In a cross-sectional study in the maternity ward of Aretaieion Hospital, 57 Greek women were evaluated for postpartum mood swings by the Maternity Blues Questionnaire and the Edinburgh Postnatal Depression Scale on the first and sixth week postpartum. Serum Free T4, Free T3 and TSH concentrations as well as thyroglobulin and thyroid peroxidase antibodies were measured on admission for delivery and daily until the fourth postpartum day. We examined the association between hormone and antibody levels, and scores in the two scales evaluating postpartum mood disturbances. Results: Prepartum serum FT3 and FT4 correlated negatively with blues scores in the first week postpartum (blues on day 4: with FT3, rho = - 0.44, p ≤ 0.01; with FT4 rho = - 0.36, p ≤ 0.01). Women with lower FT3 and FT4 levels belonged to the high scoring group (high scoring group: FT3 = 1.22 pg/ml, FT4 = 0.66 ng/dl; low scoring group: FT3 = 1.64 pg/ml, FT4 = 0.73 ng/dl). Serum FT3 showed a negative independent correlation with postpartum blues scores in the first postpartum days. No association was found between thyroid antibody levels and mood scores. Conclusion: Our findings indicate an association between the occurrence of postpartum mood disorders and antenatal thyroid function. Within normal limits, lower levels of serum FT3 and FT4 are associated with increased incidence of mood disturbances in the first postpartum week. © 2009 Elsevier B.V. All rights reserved.