Zavitsanou A, Sypsa V, Petrodaskalaki M, Psichogiou M, Katsoulidou A, Boletis J, Hadjiconstantinou V, Karalis D, Kalapothaki V, Hatzakis A. Human herpesvirus 8 infection in hemodialysis patients. Am J Kidney DisAm J Kidney DisAm J Kidney Dis. 2006;47:167-70.Abstract
BACKGROUND: The aim of the present study was to evaluate human herpesvirus 8 (HHV-8) seroprevalence in Greek hemodialysis patients. Patterns of change in HHV-8 serostatus (seroconversions and seroreversions) over time were also evaluated. METHODS: Serum samples obtained from a cohort of 485 Greek hemodialysis patients were tested for antibodies to HHV-8 by whole virus lysate enzyme-linked immunosorbent assay, and reactive samples were confirmed by means of the orf-73 enzyme-linked immunosorbent assay. HHV-8 seroprevalence at study entry and the incidence of seroreversions and seroconversions per 100 person-years were estimated. RESULTS: The prevalence of HHV-8 antibodies in Greek hemodialysis patients at enrollment was 7.2%. No univariate associations were established between HHV-8 serostatus and patients' characteristics. Incidences of seroreversions and seroconversions were 16.4/100 person-years (95% confidence interval, 7.1 to 32.3) and 0.28/100 person-years (95% confidence interval, 0.03 to 1.02), respectively. Patients 50 years and younger had an increased probability for seroreversion to HHV-8 antibodies than patients older than 50 years (log-rank test, P = 0.018). CONCLUSION: We observed a fair number of seroreversions and a low incidence of seroconversion to HHV-8 infection in hemodialysis patients in Greece. Our data provide indirect evidence that HHV-8 transmission in the hemodialysis setting is uncommon.
Frequent viral upper respiratory tract infections (URTI) are considered to be risk factors for otitis media with effusion (OME). Atopy has also been associated with both OME and viral infections. The aim of this study was to evaluate the presence of viruses in middle ear effusions (MEE) in children 2-7 yr old with OME, and to determine risk factors for virus detection in the MEE. MEE samples, collected at the time of myringotomy from 37 children with OME were assessed. Physical examination, skin prick tests and a standardized questionnaire on OME and allergy were also performed. Viral RNA was detected by the use of reverse transcription PCR (RT-PCR). Fifteen samples (40.5%) were positive for rhinovirus (RV). One enterovirus and no other respiratory viruses were detected. Two out of five (40%), 3/7 (43%) and 10/25 (40%) were positive for RV in acute, subacute and chronic cases, respectively. Children with frequent episodes of OM, with early onset of OM (<2 yr old), and a positive family history of allergy had a statistically increased risk of RV detection. The two groups were comparable with respect to all other parameters examined. RV is the predominant virus recovered by RT-PCR in the middle ear cavity of children with asymptomatic OME, especially those with a history of longstanding OME or repeated episodes, or children with a family history of allergy. Interactions between allergy and RV infections are likely to predispose to middle ear disease.
Epidemiological evidence examining the role of atopy and/or allergy in the pathogenesis of otitis media with effusion (OME) is inconclusive. The aim of this study was to assess any increased risk for OME attributable to allergy-related factors, in a well-characterized population using a case-control design and multivariate analysis.|Eighty-eight 1-7-year-old children with OME, diagnosed by clinical and tympanometric evaluation and 80 matched controls were enrolled. A standardized questionnaire was completed, in order to assess factors related to OME and allergy-related symptoms and diagnoses using strict clinical definitions. Specific IgE was measured by skin-prick tests and/or CAP-FEIA.|The patient and control groups were well matched. Factors conferring increased risk for OME in the univariate analysis included IgE sensitization, dyspnea, wheezing, asthma, paroxysmal sneezing, rhinitis, eczema, 'any allergic disease,' family history of otitis media, and family history of allergy. After multivariate analysis IgE sensitization, wheezing, nasal obstruction, family history of otitis, and child-care attendance remained as independent risk factors for development of OME.|IgE sensitization and respiratory allergy symptoms are independent risk factors for the development of OME, suggesting that both immunological and mechanical pathways may contribute to the development of the disease. Otitis heritability provides additional risk, as well as frequent exposure to viral upper respiratory tract infections in children attending daycare. Treatment and/or prevention of OME using anti-allergic medications should be further examined.
Many studies have investigated APOE-related differences in cerebral structure, blood flow, metabolism, and activation in an attempt to detect early brain changes in subjects at risk for Alzheimer's disease (AD). Structural magnetic resonance imaging studies have produced conflicting results, with some failing to detect APOE-related differences and others suggesting that epsilon4 carriers have more pronounced atrophy, particularly at medial temporal structures. All functional imaging studies done during rest in middle-aged and elderly subjects have found decreased cerebral metabolism for epsilon4 carriers (mostly in areas that usually are affected by AD), and some have reported faster cerebral metabolic reductions over time. Areas with decreased resting cerebral perfusion and metabolism, in addition to other areas with increased perfusion, have been reported in young epsilon4 carriers. Imaging studies done during the performance of various cognitive tasks in middle-aged and elderly subjects, and a single study in young subjects, have produced mixed results with regionally nonspecific increased, decreased, or nondifferential APOE-related activations depending on the cognitive task used. APOE-related findings in imaging studies of nondemented subjects may be the result of incipient AD pathologic changes or of genetic heterogeneity in brain structure and function.
Decisions regarding the introduction of influenza immunization in healthy children require an accurate evaluation of influenza disease burden not only in the inpatient but also in the outpatient setting. We prospectively examined the impact of virologically confirmed influenza in 1462 outpatient children (> or = 6 months to < 14 years) and their families, during two consecutive influenza seasons. Influenza was documented in 573/1462 (39%) outpatients with febrile respiratory illness and accounted for 13.5% of all outpatient visits during the 14 weeks of each season. Acute otitis media (AOM) was the most common complication (18.5%) and about 40% of influenza positive patients received antibiotics. AOM and antibiotic use were more common in children younger than 5 years of age who accounted for 58% of all patients. For each child sick with influenza a mean of 1.34 workdays were lost by the parents. Family members of influenza positive children were more likely to develop a secondary respiratory illness and to require medical visits and antibiotic prescriptions. Influenza is associated with a heavy morbidity burden in the community that may be reduced considerably with the implementation of immunization in children younger than 5 years of age.
The in vitro activity of tigecycline was compared with those of benzylpenicillin, piperacillin + tazobactam, cefoxitin, imipenem, metronidazole, clindamycin, and tetracycline against 249 Gram-negative anaerobic bacteria (158 Bacteroides fragilis group, 27 non-fragilis Bacteroides spp., 44 Prevotella spp., and 20 miscellaneous), recently isolated from 8 general hospitals in Athens, Greece. Overall tigecycline MIC(50) and MIC(90) were 0.25 and 2 mg/L, respectively, whereas B. fragilis group MIC(50) and MIC(90) were 0.5 and 4 mg/L, respectively. In total, 93% of the isolates were susceptible to tigecycline (MIC /= 32 mg/L) was detected. In addition, tigecycline exhibited good activity against metronidazole- and tetracycline-resistant isolates (MIC(90), 0.5 and 8 mg/L, respectively). In summary, tigecycline exhibits good in vitro activity against Gram-negative anaerobic bacteria isolated in Greece, as well as stability to the most common occurring resistance mechanisms, attributes that make this parenteral agent an attractive alternative for use against infections involving these microorganisms.
In this study an attempt is made to assess the indoor air quality status of clinics of the Athens University School of Dentistry with respect to VOCs and CC2. Measurements were collected for a period of approximately three months in three clinics with the aid of portable instrumentation. It was found that the levels of VOCs concentrations are high, being attributed to the use of acrylic substances and dental materials but also to the detergent products for cleaning the working surfaces. The VOCs levels depend on the number of occupants and the material use as well as on the number of open windows. The corresponding background values remain high in all clinics. The levels of the concentrations of CO2 are considered in general satisfactory as compared to the international standards, however, they can exceed the intervention limit at certain hours of the day, suggesting poor air renewal. The opening of the windows was found to improve the air quality status.
Inflammatory leiomyosarcoma is a rare morphologic expression of smooth muscle tumor, which is more often found in the trunk, extremities, and retroperitoneoum. We present a case of inflammatory leiomyosarcoma arising near the ankle joint, superior to the medial malleolus, in a 55-year-old man. Immunohistochemistry, electron microscopy, and cytogenetics were used in the differentiation of this rare morphologic expression of leiomyosarcoma. As in all soft tissue leiomyosarcomas, the accurate prediction of the clinical behavior of this morphologic expression often proves to be difficult. Age, vascular invasion, depth, grade, tumor disruption, size, and stage have prognostic value. Nevertheless, prognosis of inflammatory leiomyosarcoma seems to be favorable when treated early with wide excision of the tumor as in the case presented. Sixteen months after excision of the tumor the patient is doing well with no signs of recurrence.
New uniform response criteria are required to adequately assess clinicaloutcomes in myeloma. The European Group for Blood and Bone MarrowTransplant/International Bone Marrow Transplant Registry criteria have beenexpanded, clarified and updated to provide a new comprehensive evaluationsystem. Categories for stringent complete response and very good partialresponse are added. The serum free light-chain assay is included to allowevaluation of patients with oligo-secretory disease. Inconsistencies in priorcriteria are clarified making confirmation of response and disease progressioneasier to perform. Emphasis is placed upon time to event and duration ofresponse as critical end points. The requirements necessary to use overallsurvival duration as the ultimate end point are discussed. It is anticipatedthat the International Response Criteria for multiple myeloma will be widelyused in future clinical trials of myeloma.
New precise times of minimum light for several early-type eclipsing binaries were obtained at three observatories. The changes of period of the following measured binaries are discussed: V1182 Aql, LY Aur, SZ Cam, FZ CMa, QZ Car, LZ Cen, V606 Cen, AH Cep and TU~Mus.
The competitive binding of diflunisal and three well-known uraemic toxins (3-indoxyl sulfate, indole-3-acetic acid and hippuric acid) to bovine serum albumin (BSA), human serum albumin (HSA) and human plasma was studied by direct potentiometry. The method used the potentiometric drug ion-probe technique with a home-made ion sensor (electrode) selective to the drug anion. The site-oriented Scatchard model was used to describe the binding of diflunisal to BSA, HSA and human plasma, while the general competitive binding model was used to calculate the binding parameters of the three uraemic toxins to BSA. Diflunisal binding parameters, number of binding sites, n(i) and association constants for each class of binding site, K-i, were calculated in the absence and presence of uraemic toxins. Although diflunisal exhibits high binding affinity for site I of HSA and the three uraemic toxins bind primarily to site II, strong interaction was observed between the drug and the three toxins, which were found to affect the binding of diflunisal on its primary class of binding sites on both BSA and HSA molecules and on human plasma. These results are strong evidence that the decreased binding of diflunisal that occurs in uraemic plasma may not be solely attributed to the lower albumin concentration observed in many patients with renal failure. The uraemic toxins that accumulate in uraemic plasma may displace the drug from its specific binding sites on plasma proteins, resulting in increased free drug plasma concentration in uraemic patients.
We perform a numerical simulation of magnetohydrodynamics (MHD) radially self-similar jets, whose prototype is the Blandford & Payne analytical example. The final steady state that is reached is valid close to the rotation axis and also at large distances above the disc where the classical analytical model fails to provide physically acceptable solutions. The outflow starts with a subslow magnetosonic speed, which subsequently crosses all relevant MHD critical points and corresponding magnetosonic separatrix surfaces. The characteristics are plotted together with the Mach cones and the superfast magnetosonic outflow satisfies MHD causality. The final solution remains close enough to the analytical one, which is thus shown to be topologically stable and robust for various boundary conditions.
We perform a numerical simulation of magnetohydrodynamics (MHD) radially self-similar jets, whose prototype is the Blandford & Payne analytical example. The final steady state that is reached is valid close to the rotation axis and also at large distances above the disc where the classical analytical model fails to provide physically acceptable solutions. The outflow starts with a subslow magnetosonic speed, which subsequently crosses all relevant MHD critical points and corresponding magnetosonic separatrix surfaces. The characteristics are plotted together with the Mach cones and the superfast magnetosonic outflow satisfies MHD causality. The final solution remains close enough to the analytical one, which is thus shown to be topologically stable and robust for various boundary conditions.
BACKGROUND: Achalasia is a progressive motility disorder of the esophagus, without a definitive cure. The principal method of palliation is myotomy of the distal esophagus. We analyzed the 5-year experience at our institution with laparoscopic Heller myotomy without an antireflux procedure to determine its results, particularly regarding postoperative gastroesophageal reflux.
MATERIALS AND METHODS: Thirty-three patients, mean age 43 years (range, 29-62 years) with clinical, manometric, x-ray, and endoscopic proof of achalasia were operated on and followed up for 24 months. Prior to being referred to surgery they had all undergone at least one pneumatic balloon dilation. The operative technique was a 7-cm myotomy that included the lower esophageal sphincter but did not exceed 5 mm of the gastric cardia. Follow-up consisted of clinical observation, cineesophagography, and 24-hour pHmetry.
RESULTS: All patients reported satisfactory to excellent results regarding dysphagia and no heartburn two years after the operation. The 24-hour pHmetry and the radiographic investigation showed no evidence of gastroesophageal reflux.
CONCLUSION: It seems that the risk of gastroesophageal reflux is very low when the cardiomyotomy does not exceed the length of 5 mm. Our results are in accordance with other observational studies as well as larger cohort and meta-analysis studies. Prospective randomized studies are needed to clarify the role of an antireflux procedure after laparoscopic Heller myotomy.
BACKGROUND: Laparoscopic splenectomy is considered the standard of care for the removal of the spleen in benign diseases. There are not sufficient data for the routine application of this technique in patients with beta thalassemia major.
MATERIALS AND METHODS: Twenty-eight consecutive beta thalassemia major patients who underwent elective splenectomy were randomized for open and laparoscopic splenectomy. Patient demographics, operative time, intraoperative and postoperative complications, conversion rate, transfusions, and length of stay were recorded.
RESULTS: There was no mortality in this series. There was no difference in complication rates between the two groups. Operative time was markedly increased in the group treated laparoscopically, as was the need for blood transfusions. Median hospital stay was decreased in the laparoscopic group (5 days) compared to the open group (6.5 days).
CONCLUSIONS: Laparoscopic splenectomy in patients with beta thalassemia major is feasible; however, it is more time consuming and bleeding occurs more often.
We present an extension of the layer-multiple-scattering method to photonic crystals of nonspherical particles in a homogeneous host medium. The efficiency of the method is demonstrated on a specific example of a crystal of metallic spheroids. We report a thorough analysis of the optical properties of this crystal and discuss aspects of the underlying physics that relate to the nonspherical shape of the particles.
When citing: Kamberidou, Irene (2006). Le Corps dans la Société Ottomane / the Body and Ottoman Society. MESOGEIOS: Mediterranee, Histoire, People, Langues, Cultures, vol. 28: 13-29. Editions Herodotos, Paris, France. https://www.mollat.com/livres/598882/mesogeios-n-28-2006-les-relations-greco-russes-les-philosophes-physiciens-dans-la-grece-antique
Στην εργασία αυτή εξετάζονται οι μαρτυρίες έγκλειστων εξισλαμισμένων γυναικών στα Οθωμανικά χαρέμια όπως αυτές καταγράφηκαν από δυτικές περιηγήτριες του 18ου και του 19ου αιώνα, στη Μικρά Ασία, στην Ελλάδα, στην Κύπρο, στην Αίγυπτο και σε άλλες κατεχόμενες περιοχές της Οθωμανικής Αυτοκρατορίας. Καταδεικνύεται ότι το υπερβολικό πάχος, η ακινησία και η έλλειψη χάρης στο ανάστημα και στην κίνηση και για τα δύο φύλα, αντανακλούσαν το ατομικό κοινωνικό καθεστώς και θεωρούνταν κοινωνικά ‘προνόμια’ που ανήκαν μόνο στις υψηλότερες τάξεις των Μουσουλμάνων. Ο χορός, η παντομίμα, η τέχνη της ακροβασίας, η φυσική δραστηριότητα και γενικά οποιοδήποτε μορφή καλλιτεχνικής ή σωματικής έκφρασης, κίνησης, ενέργειας ή εκγύμνασης, ήταν όλα σύμβολα κοινωνικής κατωτερότητας. Οι δραστηριότητες αυτές θεωρούνταν ασχολίες, ή εργασίες που ενέπιπταν στην αρμοδιότητα των εξισλαμισμένων σκλάβων, δηλαδή των πρώην μη-μουσουλμάνων που είχαν βίαια ή ‘ομαλά’ εξισλαμισθεί, καθώς και των υπόδουλων/υποτελών λαών, όπως των Ελλήνων, των Αρμενίων, των Εβραίων και των Τσιγγάνων (Kamberidou 2006).
Orbital period changes of the eclipsing binaries GO Cyg and GW Cep are explained by the light-time effect for the first time. New minima of the eclipsing binary AR Aur improve the predicted light-time orbit. The light-time orbit with the quadratic ephemeris of the binary matches the new observations of V505 Sgr better than the linear one. As the light-time effect fits in corresponding O - C diagrams of all four systems have been reaching extreme values, the observations of minima times in forthcoming years are highly desirable.
Cette étude traite de l’influence de Claudel sur le milieu enseignant féminin au cours de la période de l’entre-deux-guerres. Nombre d’enseignantes et de futures enseignantes du secondaire public, intellectuelles – terme décliné alors au masculin – nourries des valeurs d’une République laïque et soumises à la règle imposant la neutralité scolaire, participent aux débats intellectuels de leur temps marqués par un renouveau spirituel. Paul Claudel tient une place privilégiée au sein de cette effervescence intellectuelle. Ce travail prend donc acte de l’intérêt que suscite dans ce milieu laïc l’oeuvre claudélienne et tente de faire émerger un aspect du versant féminin du mouvement intellectuel de cette période.Dans une première partie l’analyse porte sur les Sévriennes. Des témoignages (lettres, écrits autobiographiques d’anciennes Sévriennes), le dépouillement de la rubrique « Lectures » du Bulletin de l’Association des élèves et anciennes élèves de Sèvres révèlent la participation des futures professeures aux grands débats portant sur Dieu ainsi que l’intérêt qu’elles manifestent pour les écrits de l’auteur – intérêt soutenu par l’enseignement du professeur Paul Desjardins.La deuxième partie de l’étude tente de mettre en relief les affinités éclectiques entre Claudel et trois enseignantes qui ont publié leurs écrits dans la première moitié du XXe siècle : la philosophe Simone Weil, la littéraire Marguerite Aron et la germaniste Jeanne Ancelet-Hustache. Cette partie s’attache surtout à faire émerger leurs itinéraires privés et intellectuels.
We discuss acoustic waveguiding through weakly coupled defects along a line in a three-dimensional phononic crystal which possesses an absolute frequency gap. A chain of appropriately chosen defect cells induces modes of the elastic field over a narrow band of frequencies within the gap. We introduce a model of this band in the manner of a tight-binding description of defect bands in semiconductors and demonstrate the applicability of this model through a specific example of phononic crystal: a bubbly liquid. This allows an exact, practically analytic solution and a deeper physical insight into the processes involved.
OBJECTIVES: To estimate long-term trajectories of direct cost of caring for patients with Alzheimer disease (AD) and examine the effects of patients' characteristics on cost longitudinally.
METHODS: The sample is drawn from the Predictors Study, a large, multicenter cohort of patients with probable AD, prospectively followed up annually for up to 7 years in three university-based AD centers in the United States. Random effects models estimated the effects of patients' clinical and sociodemographic characteristics on direct cost of care. Direct cost included cost associated with medical and nonmedical care. Clinical characteristics included cognitive status (measured by Mini-Mental State Examination), functional capacity (measured by Blessed Dementia Rating Scale [BDRS]), psychotic symptoms, behavioral problems, depressive symptoms, extrapyramidal signs, and comorbidities. The model also controlled for patients' sex, age, and living arrangements.
RESULTS: Total direct cost increased from approximately 9,239 dollars per patient per year at baseline, when all patients were at the early stages of the disease, to 19,925 dollars by year 4. After controlling for other variables, a one-point increase in the BDRS score increased total direct cost by 7.7%. One more comorbid condition increased total direct cost by 14.3%. Total direct cost was 20.8% lower for patients living at home compared with those living in an institutional setting.
CONCLUSIONS: Total direct cost of caring for patients with Alzheimer disease increased substantially over time. Much of the cost increases were explained by patients' clinical and demographic variables. Comorbidities and functional capacity were associated with higher direct cost over time.
By using nuclear magnetic resonance techniques we show that for T < 30 K the La0.875Sr0.125MnO3 compound displays a nonuniform charge distribution, comprised of two interconnected Mn ion subsystems with different spin, orbital, and charge couplings. The NMR results agree very well with the two spin wave stiffness constants observed at small q values in the spin wave dispersion curves [Phys. Rev. B 67, 214430 (2003)]. This picture is probably related to a yet undetermined charge and orbital superstructure occurring in the ferromagnetic insulating state of the La0.875Sr0.125MnO3 compound.
The propagation of elastic waves in macroscopically periodic composites consisting of core-shell spherical scatterers in a homogeneous host medium is studied by means of numerical calculations using the layer-multiple-scattering method. By an appropriate choice of the constituent materials, these crystals exhibit wide absolute frequency gaps, over which no elastic wave can propagate in the composite medium, whatever the direction of its propagation. We analyze the detailed structure of transmission spectra of finite slabs of such crystals in conjunction with the corresponding complex-band-structure and density-of-states diagrams, and emphasize aspects of the underlying physics which have not been discussed previously.
There are limited reports of young patients with multiple myeloma (MM) who presented with multiple lytic bone lesions but without intervening infiltration of bone marrow, a pattern consisting of macrofocal MM. In order to clearly define the clinical and laboratory features and outcome of such patients, a retrospective analysis was performed of symptomatic patients with MM ≤40 years of age at diagnosis who received primary treatment over a 20-year period. Ten of 51 patients fulfilled the criteria of macrofocal MM. When compared to patients with typical MM, patients with macrofocal pattern were less anemic, none had hypercalcemia, renal impairment, elevated serum LDH or stage 3 according to the International Staging System (ISS). Patients with macrofocal MM usually had preserved the uninvolved immunoglobulins. An objective response to primary treatment was noted in 55% of patients with macrofocal MM and in 50% of patients without this pattern. The median survival of patients with typical MM was 57 months and is projected to exceed 8 years in patients with macrofocal MM (p = 0.087). With macrofocal MM despite multiple lytic bone lesions, patients have features of low tumor burden and improved survival when compared with young patients with typical MM.
The magnetic properties of the Mg2FeV3O11-x ternary vanadate, characterized by disorder between diamagnetic Mg2+ and high-spin Fe3+ ions, are studied using dc magnetization and electron paramagnetic resonance (EPR). The dc susceptibility shows antiferromagnetic interactions between Fe3+ spins with a Curie-Weiss temperature of Θ = -50(1) K, followed by spin-glass-like freezing at Tf ≈ 2.8 K, suggesting significant spin frustration. Temperature-dependent EPR measurements confirm the antiferromagnetic coupling of Fe3+ spins at high temperatures, while a distinct divergence is observed at T ≈ 50 K. This behavior is associated with the formation of spin clusters providing two different energy scales for the magnetic interactions. The magnetic response of Mg2FeV3O11-x is similar to that of the Zn-analogue compound, though the observed differences of the implicated energy scales indicate that magnetic inhomogeneity depends on the extent of cation disorder.
In the present work we study experimentally the influence that the domain structure of a ferromagnet (FM) has on the properties of a superconductor (SC) in bilayers and multilayers of La0.60Ca0.40MnO3/Nb and FePt/Nb proximity hybrids. Specific experimental protocols that were employed in the performed magnetization measurements enabled us to directly uncover a generic property of FM/SC hybrids: In the absence of an external magnetic field, the multidomain structure of the FM promotes the nucleation of superconductivity, while its monodomain state strongly suppresses it. Our experimental findings support recent theoretical studies [A. I. Buzdin and A. S. Mel'nikov, Phys. Rev. B 67, 020503(R) (2003); T. Champel and M. Eschrig, Phys. Rev. B 71, 220506(R) (2005)] that suggest the formation of the so-called domain-wall superconductivity and propose that when an inhomogeneous exchange field is offered by the FM to the SC the superconducting pairs are not susceptible to pairbreaking. In contrast, when magnetic homogeneity is restored in the FM the SC's properties are strongly suppressed.
Results are presented on component masses and system angular momenta for over 100 low-temperature contact binaries. It is found that the secondary components in close binary systems are very similar in mass. Our observational evidence strongly supports the argument that the evolutionary process goes from near-contact binaries to A-type contact binaries, without any need of mass loss from the system. Furthermore, the evolutionary direction of A-type into W-type systems with a simultaneous mass and angular momentum loss is also discussed. The opposite direction of evolution seems to be unlikely, since it requires an increase of the total mass and the angular momentum of the system.
OBJECTIVES: The development of an ICNP web-based nursing documentation system, and its evaluation for its usability, and its user acceptance.
METHODS: A web-based nursing documentation system was designed and implemented by using the Greek translation of ICNP beta 2 version nursing terminology. The system integrates the steps of nursing process for providing and documenting nursing care, while ICNP terminology is used for the description of nursing concepts. The system was evaluated by nurses in a computer laboratory. We measured the user interaction satisfaction mainly by using questionnaires and scenarios.
RESULTS: The nurses who evaluated the system possessed adequate basic computer skills; but low-to-moderate experience in clinical or hospital information systems; and insufficient experience with nursing vocabularies, and especially ICNP. Overall, they were satisfied enough with the system's usability and usefulness, while the acceptance level increased as the level of their training in computers, nursing process and ICNP was also increased. The integration and use in the system of predefined, or standardized, nursing concepts and care plans seems to increase the acceptance of the documentation system and also the ICNP.
CONCLUSION: The subjective satisfaction and response of the users towards the system is specified. The described system was evaluated under "laboratory conditions" and revealed some of its strong and weak points and some of the factors that influenced its success and acceptance by its users.
Using molecular dynamics simulations, we have explored the mechanical strength of the titin Z1Z2-telethonin complex, namely, its ability to bear strong forces such as those encountered during passive muscle stretch. Our results show that not only does this complex resist considerable mechanical force through beta strand crosslinking, suggesting that telethonin is an important component of the N-terminal titin anchor, but also that telethonin distributes these forces between its two joined titin Z2 domains to protect the proximal Z1 domains from bearing too much stress. Our simulations also reveal that without telethonin, apo-titin Z1Z2 exhibits significantly decreased resistance to mechanical stress, and that the N-terminal segment of telethonin (residues 1-89) does not exhibit a stable fold conformation when it is unbound from titin Z1Z2. Consequently, our study sheds light on a key but little studied architectural feature of biological cells-the existence of strong mechanical links that glue separate proteins together.
OBJECTIVES: To examine the association between the Mediterranean diet (MeDi) and Alzheimer disease (AD) in a different AD population and to investigate possible mediation by vascular pathways. Design, Setting, Patients, and
MAIN OUTCOME MEASURES: A case-control study nested within a community-based cohort in New York, NY. Adherence to the MeDi (0- to 9-point scale with higher scores indicating higher adherence) was the main predictor of AD status (194 patients with AD vs 1790 nondemented subjects) in logistic regression models that were adjusted for cohort, age, sex, ethnicity, education, apolipoprotein E genotype, caloric intake, smoking, medical comorbidity index, and body mass index (calculated as weight in kilograms divided by height in meters squared). We investigated whether there was attenuation of the association between MeDi and AD when vascular variables (stroke, diabetes mellitus, hypertension, heart disease, lipid levels) were simultaneously introduced in the models (which would constitute evidence of mediation).
RESULTS: Higher adherence to the MeDi was associated with lower risk for AD (odds ratio, 0.76; 95% confidence interval, 0.67-0.87; P<.001). Compared with subjects in the lowest MeDi tertile, subjects in the middle MeDi tertile had an odds ratio of 0.47 (95% confidence interval, 0.29-0.76) and those at the highest tertile an odds ratio of 0.32 (95% confidence interval, 0.17-0.59) for AD (P for trend <.001). Introduction of the vascular variables in the model did not change the magnitude of the association.
CONCLUSIONS: We note once more that higher adherence to the MeDi is associated with a reduced risk for AD. The association does not seem to be mediated by vascular comorbidity. This could be the result of either other biological mechanisms (oxidative or inflammatory) being implicated or measurement error of the vascular variables.
OBJECTIVE: Previous research in Alzheimer's disease (AD) has focused on individual dietary components. There is converging evidence that composite dietary patterns such as the Mediterranean diet (MeDi) is related to lower risk for cardiovascular disease, several forms of cancer, and overall mortality. We sought to investigate the association between MeDi and risk for AD.
METHODS: A total of 2,258 community-based nondemented individuals in New York were prospectively evaluated every 1.5 years. Adherence to the MeDi (zero- to nine-point scale with higher scores indicating higher adherence) was the main predictor in models that were adjusted for cohort, age, sex, ethnicity, education, apolipoprotein E genotype, caloric intake, smoking, medical comorbidity index, and body mass index.
RESULTS: There were 262 incident AD cases during the course of 4 (+/-3.0; range, 0.2-13.9) years of follow-up. Higher adherence to the MeDi was associated with lower risk for AD (hazard ratio, 0.91; 95% confidence interval, 0.83-0.98; p=0.015). Compared with subjects in the lowest MeDi tertile, subjects in the middle MeDi tertile had a hazard ratio of 0.85 (95% confidence interval, 0.63-1.16) and those at the highest tertile had a hazard ratio of 0.60 (95% confidence interval, 0.42-0.87) for AD (p for trend=0.007).
INTERPRETATION: We conclude that higher adherence to the MeDi is associated with a reduction in risk for AD.
Individuals with melanocortin 1 receptor (MC1R) gene variants have been shown to carry an increased risk for the development of melanoma. In this study, we investigated the relationship of MC1R gene variants and the risk of melanoma in 123 melanoma patients and 155 control subjects from Greece. The entire MC1R gene was sequenced for polymorphisms and the results were correlated with host factors and pigmentary characteristics. MC1R polymorphisms were present in 59.4% of melanoma patients compared to 37.5% of controls, yielding an odds ratio (OR) of 2.43 (95% confidence interval (CI) = 1.50-3.96, P < 0.001) for melanoma among MC1R carriers. The risk of melanoma was enhanced in individuals carrying multiple variant alleles (OR = 6.97; 95% CI = 1.86-26.12, P = 0.004). Only the Val60Leu, Arg142His, and Arg151Cys variants were significantly associated with melanoma risk. In stratified analysis, the risk of melanoma among MC1R carriers was not influenced by skin phototype, skin color, or hair color. No association was found between MC1R genotype and the age of onset of melanoma, the tumor location, or the tumor thickness. In conclusion, MC1R polymorphisms are a predisposing factor of melanoma in a southern European population with a relatively low incidence of the disease.
Gerolymatos PG, Manenkov AB, Tigelis IG, Amditis AJ. Metal iris influence on guided-mode diffraction. Journal of the Optical Society of America A: Optics and Image Science, and Vision [Internet]. 2006;23:1333-1339. Website
The complete sequence of the apiculate wine yeast Hanseniaspora uvarum mtDNA has been determined and analysed. It is an extremely compact linear molecule containing the shortest functional region ever found in fungi (11 094 bp long), flanked by Type 2 telomeric inverted repeats. The latter contained a 2704-bp-long subterminal region and tandem repeats of 839-bp units. In consequence, a population of mtDNA molecules that differed at the number of their telomeric reiterations was detected. The functional region of the mitochondrial genome coded for 32 genes, which included seven subunits of respiratory complexes and ATP synthase (the genes encoding for NADH oxidoreductase subunits were absent), two rRNAs and 23 tRNA genes which recognized codons for all amino acids. A single intron interrupted the cytochrome oxidase subunit 1 gene. A number of reasons contributed towards its strikingly small size, namely: (1) the remarkable size reduction (by >40%) of the rns and rnl genes; (2) that most tRNA genes and five of the seven protein-coding genes were the shortest among known yeast homologs; and (3) that the noncoding regions were restricted to 5.1% of the genome. In addition, the genome showed multiple changes in the orientation of transcription and the gene order differed drastically from other yeasts. When all protein coding gene sequences were considered as one unit and were compared with the corresponding molecules from all other complete mtDNAs of yeasts, the phylogenetic trees constructed robustly supported its placement basal to the yeast species of the 'Saccharomyces complex', demonstrating the advantage of this approach over single-gene or multigene approaches of unlinked genes.
Time-series CCD photometry of the contact system V839 Oph on May, June and July 2004 showed a continuous brightening of the system in all phases of the light curve. A possible explanation of this brightening could be enhanced (magnetic) activity of the system, also noticed in the past. Mass transfer and/or energy exchange between the two components can explain the observed increase of brightness. All possible cases, concerning the location and shape of the spotted area, are discussed and the most probable model is presented.
In this work we study the modulation of superconductivity in combinatorial films (CFs) that are constructed by anisotropic CoPt ferromagnetic particles (FPs) randomly embedded in high-quality Nb layers of thickness 200 nm. In the constructed CFs the FPs are embedded in only half of the Nb layers. In this way we studied the modulation of superconductivity directly by performing transport measurements on the hybrid and pure superconducting areas of the CFs simultaneously under the application of the same dc current. Modulation of superconductivity and magnetic memory effects appeared only at the hybrid part of the CFs. This proves that superconductivity can be noticeably controlled under the action of the dipolar fields of FPs. The enhancement of the superconducting regime on the H-T operational diagram suggests that such hybrids can be attractive for current-carrying applications. In addition, magnetoresistive elemental superconducting devices could be based on our CFs. (c) 2005 Elsevier B.V. All rights reserved.
This study aimed to estimate the overall HCV genotype distribution and to reconstruct the HCV genotype-specific incidence in Greece during the recent decades. It also focused at the identification of genotype 4 subtype variability in Greek isolates. A total of 1686 chronically infected HCV patients with detectable serum HCV RNA by RT-PCR, belonging to different risk groups were studied. Amplified products from the 5'-noncoding region were typed using a commercially available assay based on the reverse hybridization principle. The HCV genotype-specific incidence was estimated using a previously described back calculation method. HCV genotype 1 was the most prevalent (46.9%) followed by genotype 3 (28.1%), 4 (13.2%), 2 (6.9%) and 5 (0.4%). A high prevalence of genotype 1 (66.3%) in haemophilia patients was recorded whereas HCV genotype 3 was found mainly among patients infected by I.V. drug use (58.2%). Data on the temporal patterns of HCV genotype-specific incidence in Greece revealed a moderate increase (1.3-1.6 times) for genotypes 1 and 4, and a decrease (1.5 times) for genotype 2 from 1970 to 1990, whereas there was a sharp (13-fold) increase for genotype 3. The molecular characterization of 41 genotype 4 HCV isolates belonging to various risk groups revealed that, subtype 4a was the most frequently detected (78%). Phylogenetic comparison of the Greek 4a isolates with all HCV-4a isolates reported worldwide so far revealed a topology which does not discriminate Greek isolates from the others. HCV-4 does not represent a recent introduction in Greece.
The morphological characteristics of a coastal reef that is observed along the Ammoudara beach (6 km to the west of the city of Heraklion, Crete) are investigated in relation to the sedimentology and modern evolution of the adjacent beach zone. The reef has a length close to 4 km, a mean width close to 35m and is located at a distance of 60 m from the shoreline at an average water depth of 2.6m, while the seaward water depth exceeds 3m. Its height above the seafloor, exceeds 80 cm, reaching in places less than 0.5 m from the sea surface. It has two layers; the lower one which consists of fine grained (sandy) material and is approximately 40 cm thick and the upper layer, around 30 cm thick, consisting of relatively coarse,grained material (gravel and sand). Moreover, on the surface of the upper layer, runnels are observed, whilst distinguished cross bedding, similar to that observed in aeolian deposits, exists within the bottom layer. The reef is not present in front of the active mouths of the rivers Gazanos and Xiropotamos which debouch in the coastal area of Ammoudara. The western end of this submerged reef is attached to the beach face, exhibiting the characteristics of a typical beach,rock formation. On the basis of the above, it is concluded that the reef under investigation it is a submerged beach rock which indicates the position of a former coastline that is now submerged due to a relative sea level rise of approximately 0,5m.
We studied by Mossbauer spectroscopy the Na0.82CoO2 compound using 1% 57 Fe as a local probe which substitutes for the Co ions. Mossbauer spectra at T = 300 K revealed two sites which correspond to Fe3+ and Fe4+. The existence of two distinct values of the quadrupole splitting instead of a continuous distribution should be related with the charge ordering of Co+3, Co+4 ions and ion ordering of Na(1) and Na(2). Below T = 10 K part of the spectrum area, corresponding to Fe4+ and all of Fe3+, displays broad magnetically split spectra arising either from short-range magnetic correlations or from slow electronic spin relaxation. (c) 2006 Elsevier Ltd. All rights reserved.
We investigate the effect of an external magnetic field of variable orientation and magnitude (up to 20T) on the linear near-field optical absorption spectra of single and coupled III-V semiconductor quantum dots. We focus on the spatial as well as on the magnetic confinement, varying the dimensions of the quantum dots and the magnetic field. We show that the ground-state exciton binding energy can be manipulated utilizing the spatial and magnetic confinement. The effect of the magnetic field on the absorption spectra, increasing the near-field illumination spot, is also investigated. The zero-magnetic-field “structural” symmetry can be destroyed varying the magnetic field orientation and this affects the near-field spectra. The asymmetry induced (except for specific orientations along symmetry axes) by the magnetic field can be revealed in the near-field but not in the far-field spectra. We predict that near-field magnetoabsorption experiments, of realistic spatial resolution, will be in the position to bring to light the quantum dot symmetry. This exceptional symmetry-resolving power of the near-field magnetoabsorption is lost in the far field. The influence of the Coulomb interactions on the absorption spectra is also discussed. Finally, we show that certain modifications of the magnetoexcitonic structure can be uncovered using a realistically acute near-field probe of ≈20nm.
The central nervous system is often affected in patients with congenital toxoplasmosis. However, hypothalamo-pituitary dysfunction has rarely been reported in children with congenital toxoplasmosis, and no case with prolonged fever of central origin has been documented so far. We describe a newborn with congenital toxoplasmosis who presented with fever due to hypothalamo-pituitary dysregulation and combined hypothalamo-pituitary deficiencies consisting of central diabetes insipidus, hypothyroidism and ACTH deficiency.
Primary lymphoma of the upper urinary tract is an extremely rare entity without specific clinical or laboratory findings. Thus, this particular diagnosis is rarely anticipated and might well be reached only after nephroureterectomy. We describe a patient with primary follicular and diffuse follicle center lymphoma arising in the renal pelvis that was treated with surgery and postoperative immunochemotherapy. Furthermore, we review the literature regarding the treatment and outcome of this rare disease.
Steady axisymmetric outflows originating at the hot coronal magnetosphere of a Schwarzschild black hole and surrounding accretion disk are studied in the framework of general relativistic magnetohydrodynamics (GRMHD). The assumption of meridional self-similarity is adopted for the construction of semi-analytical solutions of the GRMHD equations describing outflows close to the polar axis. In addition, it is assumed that relativistic effects related to the rotation of the black hole and the plasma are negligible compared to the gravitational and other energetic terms. The constructed model allows us to extend previous MHD studies for coronal winds from young stars to spine jets from Active Galactic Nuclei surrounded by disk-driven outflows. The outflows are thermally driven and magnetically or thermally collimated. The collimation depends critically on an energetic integral measuring the efficiency of the magnetic rotator, similarly to the non relativistic case. It is also shown that relativistic effects quantitatively affect the depth of the gravitational well and the coronal temperature distribution in the launching region of the outflow. Similarly to previous analytical and numerical studies, relativistic effects tend to increase the efficiency of the thermal driving but reduce the effect of magnetic self-collimation.
Purpose: (1) To develop novel scaled bioequivalence (BE) limits with levelling-off properties based solely on variability considerations and (2) to evaluate their performance in comparison to the classic unscaled BE limits 0.80-1.25, the expanded BE limits 0.75-1.33 and the recently proposed Geometric Mean Ratio (GMR)-dependent scaled BE limits BELscW (Karalis et al., Eur. J. Pharm. Sci., 26:54-61, 2005). Materials and Methods: Two model functions were used to ensure the gradual change of the BE limits from a starting value towards a predefined plateau value. Plots of the new BE limits and extreme GMR values ensuring BE as a function of the coefficient of variation (CV) were constructed. Two-period crossover BE studies with 12, 24, or 36 subjects were simulated assuming CV values from 10 to 60%. Power curves were constructed by recording the percentage of accepted BE studies as the true GMR was raised from 1.00 to 1.50. The percentage of the true GMR within the simulated BE limits vs. true GMR was used to evaluate the estimation accuracy of the scaled methods. Results: Depending on the parameters' values of the model functions, the scaled BE limits exhibit different performance. Four new scaled BE limits, showing favourable performance for the evaluation of average BE are presented. At low variability levels two of the novel BE limits show similar performance to the 0.80-1.25 criterion, while the other two (as expected from their design) appear to be less permissive. At high CV values (30, 40%) all new BE limits exhibit much higher statistical power than the 0.80-1.25 criterion. They show almost identical behavior with the expanded 0.75-1.33 limits and appear to be less permissive than BELscW. Finally, the percentage of the true GMR within the simulated BE limits vs. true GMR shows a sharp decline. Due to the absence of the GMR factor in the model functions a more accurate estimation of the new scaled BE limits, compared to BELscW, is observed. Conclusions: The new scaled BE limits appear to be highly effective at all levels of variation investigated and present satisfactory estimation accuracy.
We present a functional analysis of the last alpha-helical transmembrane segment (TMS12) of UapA, a uric acid-xanthine/H+ symporter in Aspergillus nidulans and member of the nucleobase-ascorbate transporter (NAT) family. First, we performed a systematic mutational analysis of residue F528, located in the middle of TMS12, which was known to be critical for UapA specificity. Substitution of F528 with non-aromatic amino acid residues (Ala, Thr, Ser, Gln, Asn) did not affect significantly the kinetics of UapA for its physiological substrates, but allowed high-capacity transport of several novel purines and pyrimidines. Allele-specific combinations of F528 substitutions with mutations in Q408, a residue involved in purine binding, led to an array of UapA molecules with different kinetic and specificity profiles. We propose that F528 plays the role of a novel-type selectivity filter, which, in conjunction with a distinct purine-binding site, control UapA-mediated substrate translocation. We further studied the role of TMS12 by analysing the effect of its precise deletion and chimeric molecules in which TMS12 was substituted with analogous domains from other NATs. The presence of any of the TMS12 tested was necessary for ER-exit while their specific amino acid composition affected the kinetics of chimeras.
Composite materials with periodic variations of density and/or sound velocities, so-called phononic crystals, can exhibit bandgaps where propagation of acoustic waves is forbidden. Phononic crystals are the elastic analogue of the well-established photonic crystals and show potential for manipulating the flow of elastic energy. So far, the experimental realization of phononic crystals has been restricted to macroscopic systems with sonic or ultrasonic bandgaps in the sub-MHz frequency range. In this work, using high-resolution Brillouin spectroscopy we report the first observation of a hypersonic bandgap in face-centred-cubic colloidal crystals formed by self-assembly of polystyrene nanoparticles with subsequent fluid infiltration. Depending on the particle size and the sound velocity in the infiltrated fluid, the frequency and the width of the gap can be tuned. Promising technological applications of hypersonic crystals, ranging from tunable filters and heat management to acousto-optical devices, are anticipated.
BACKGROUND: Cognitive impairment is increasingly recognized in patients with amyotrophic lateral sclerosis (ALS). Clinical and pathologic features overlap in frontotemporal lobar dementia and ALS. Demographics, respiratory status, bulbar site of onset, and disease severity are potential risk factors for cognitive impairment in ALS.
OBJECTIVES: To further delineate the frequency, nature, and implications of cognitive impairment in ALS and to assess previously identified risk factors.
DESIGN: Case-control and retrospective cohort study.
SETTING: Academic referral center.
PARTICIPANTS: Forty consecutive patients with ALS underwent baseline neurologic and neuropsychologic examinations. Cognitive test performance was compared in patients with ALS and matched controls. An exploratory analysis of the relationship between cognitive performance and ALS survival was performed.
MAIN OUTCOME MEASURES: Neuropsychologic test performance, ALS severity, and survival.
RESULTS: Twelve patients (30%) showed evidence of cognitive impairment, including 9 (23%) who met the neuropsychologic criteria for dementia. No statistically significant differences were found between demented and nondemented ALS groups regarding demographics, family history, site of onset, bulbar dysfunction, or ALS severity. Only 1 patient with dementia had bulbar-onset disease. An association was observed between increasing ALS severity and declining verbal fluency performance. Demented patients with ALS showed predominant impairment in free recall, executive function, and naming, with relative preservation of attention, psychomotor speed, and visuospatial function. No association was observed between cognition and survival, controlling for ALS severity.
CONCLUSIONS: Nearly a third of the patients with ALS showed evidence of cognitive impairment in a pattern consistent with frontotemporal lobar dementia. Cognitive performance was not related to site of onset or survival.
Background: There is limited information about the benefit from systemic chemotherapy in non-pure Transitional Cell Carcinomas (TCCs) of the urothelial tract. In this study the efficacy of platinum-based chemotherapy in patients with pure squamous or mixed carcinomas was retrospectively analysed and compared with that in pure TCCs. Patients and Methods: Analysis included 446 consecutive patients treated with platinum-based chemotherapy for advanced or metastatic urothelial cancer. There were 389 (87%) patients with pure TCC, 15 (3.5%) with pure Squamous Cell Carcinomas (SCC) and 42 (9.5%) patients had mixed histology (TCC+SCC) tumors. Results: There were no statistically significant differences in baseline characteristics (gender, PS, haemoglobin, sites of metastases) although disease in the pelvis was more frequent in mixed tumors than in pure TCCs (46% vs. 30%, p=0.034). Median survival for patients with TCC histology was 11.3 months, for SCC patients 13.6 months and 10.4 months for patients with mixed histology (p=0.720). Response rates were 44% for patients with TCC, 27% for patients with SCC and 34% for mixed histology patients (p=0.210). Multivariate analysis showed that presence of visceral metastases and poor performance status, were associated with worse prognosis in mixed histology tumors. Conclusion: Non-transitional histology does not predict for an inferior survival after platinum-based chemotherapy for advanced urothelial carcinoma. Well-known prognostic factors in transitional cell carcinomas were also associated with prognosis in mixed carcinomas.
The Z-disk of striated and cardiac muscle sarcomeres is one of the most densely packed cellular structures in eukaryotic cells. It provides the architectural framework for assembling and anchoring the largest known muscle filament systems by an extensive network of protein-protein interactions, requiring an extraordinary level of mechanical stability. Here we show, using X-ray crystallography, how the amino terminus of the longest filament component, the giant muscle protein titin, is assembled into an antiparallel (2:1) sandwich complex by the Z-disk ligand telethonin. The pseudosymmetric structure of telethonin mediates a unique palindromic arrangement of two titin filaments, a type of molecular assembly previously found only in protein-DNA complexes. We have confirmed its unique architecture in vivo by protein complementation assays, and in vitro by experiments using fluorescence resonance energy transfer. The model proposed may provide a molecular paradigm of how major sarcomeric filaments are crosslinked, anchored and aligned within complex cytoskeletal networks.
Pancreatic tuberculosis is a rare clinical setting manifesting in various ways. Most often, enlarged peripancreatic lymph nodes or growing tuberculomas compress adjacent organs, leading to biliary tract or gastrointestinal obstruction. Clinical examination, laboratory data, and imaging are all unspecific. Diagnosis is frequently misguided toward neoplasia requiring surgical intervention. However, the role of surgery in pancreatic tuberculosis ends in tissue sampling, abscess drainage, and bypassing obstruction. We present three cases of pancreatic tuberculosis: two caused by obstructive jaundice and the third caused by gastric outlet obstruction. All patients were operated on. Whipple's procedure was performed in one patient, and biliary and duodenal bypassing in the remaining patients. Diagnosis was decided by histopathology in all three cases. Medical treatment was effective in all patients. Although pancreatic tuberculosis is a medical disease, surgery is frequently used. Maintaining a high level of suspicion can assist in avoiding unnecessary laparotomies and solving this medical dilemma.
Temporoparietal and posterior cingulate metabolism deficits characterize patients with Alzheimer's disease (AD). A H(2)(15)O resting PET scan covariance pattern, derived by using multivariate techniques, was previously shown to discriminate 17 mild AD patients from 16 healthy controls. This AD covariance pattern revealed hypoperfusion in bilateral inferior parietal lobule and cingulate; and left middle frontal, inferior frontal, precentral, and supramarginal gyri. The AD pattern also revealed hyperperfusion in bilateral insula, lingual gyri, and cuneus; left fusiform and superior occipital gyri; and right parahippocampal gyrus and pulvinar. In an independent sample of 23 outpatients with mild cognitive impairment (MCI) followed at 6-month intervals, the AD pattern score was evaluated as a predictor of cognitive decline. In this MCI sample, an H2(15)O resting PET scan was carried out at baseline. Mean duration of follow-up was 48.8 (SD 15.5) months, during which time six of 23 MCI patients converted to AD. In generalized estimating equations (GEE) analyses, controlling for age, sex, education, and baseline neuropsychological scores, increased AD pattern score was associated with greater decline in each neuropsychological test score over time (Mini Mental State Exam, Selective Reminding Test delayed recall, Animal Naming, WAIS-R digit symbol; Ps<0.01-0.001). In summary, a resting PET covariance pattern previously reported to discriminate AD patients from control subjects was applied prospectively to an independent sample of MCI patients and found to predict cognitive decline. Independent replication in larger samples is needed before clinical application can be considered.
The extensive long-term CCD and photoelectric photometric observations of the classical symbiotic star YY Her covering the period of its post-outburst activity (JD 2 451 823 -- 2 452 996) are presented. We explain the periodic variations of the brightness of YY Her by the eclipses of the components in the symbiotic system. The model with a deformed (non-homogeneous) envelope, surrounding the white dwarf is discussed. In addition, we observed a flare in about JD 2 452 440, during the primary minimum, that was later followed by an energetic outburst in JD 2 452 700.
New high-quality CCD photometric light curves for the W UMa-type systems V410 Aur, CK Boo, FP Boo, V921 Her, ET Leo, XZ Leo, V839 Oph, V2357 Oph, AQ Psc and VY Sex are presented. The new multicolor light curves, combined with the spectroscopic data recently obtained at David Dunlap Observatory, are analyzed with the Wilson-Devinney code to yield the physical parameters (masses, radii and luminosities) of the components. Our models for all ten systems resulted in a contact configuration. Four binaries (V921 Her, XZ Leo, V2357 Oph and VY Sex) have low, while two (V410 Aur and CK Boo) have high fill-out factors. FP Boo, ET Leo, V839 Oph and AQ Psc have medium values of the fill-out factor. Three of the systems (FP Boo, V921 Her and XZ Leo) have very bright primaries as a result of their high temperatures and large radii.
Burwitz V, Pietsch W, Stefanescu A, Schrey F, Hatzidimitriou D, Reig P, Papamastorakis G. Possible Nova in M31. [Internet]. 2006;884:1. WebsiteAbstract
We report the discovery of a possible nova in M31 on an R filter CCD image (2006 September 17.03741, 17.1 mag) obtained at the 1.3m Ritchey Chretien f/7.5 Telescope at Skinakas Observatory, Crete, Greece using the Roper CCD Camera (with a SITE 1k x 1k chip with 24um sq. pixels). The position obtained for the nova candidate is RA(2000) = 00h 42m 41.45s, Dec(2000) = +41° 14' 44.55" with an accuracy of 0.11".
Akman OH, Karadimas C, Gyftodimou Y, Grigoriadou M, Kokotas H, Konstantinidou A, Anninos H, Patsouris E, Thaker HM, Kaplan JB. Prenatal diagnosis of glycogen storage disease type IV. Prenatal diagnosis. 2006;26(10):951-955.
OBJECTIVE: To examine the presence of human papillomavirus (HPV) in breast cancer tissues. DESIGN AND METHODS: Four different PCR methods for detection and verification of genital HPVs were applied in frozen breast cancer specimens. Tumors were also evaluated for various histopathological parameters. RESULTS: Seventeen samples out of 107 tested positive (15.9%). HPV RFLP typing identified a total of 21 high-risk viruses: fourteen HPV 16 (67% of all detected HPV types), three HPV 59, two HPV 58, one HPV 73 and one HPV 82 (one sample with double infection and two samples with triple infection). Breast cancer patients harboring high-risk HPV DNA sequences in their tumor were younger than the rest of the patients. Furthermore, they were less estrogen-receptor-positive and more proliferative as observed in the corresponding indices: Ki-67 staining, S-phase/proliferative fractions and percentage of cells with DNA content over 5C. CONCLUSION: The presence of high-risk HPV DNA sequences in the breast cancer tissues studied was verified, and a possible association with acceleration of malignancy was examined
The aim of this retrospective study was to illustrate the clinicopathologic data and the treatment results in patients with primary gastrointestinal tract non-Hodgkin's lymphoma (GI NHL). Among 810 patients with NHL, 128 cases (15.8%) were diagnosed as primary GI tract NHL. There were 79 males and 49 females with median age of 62 years. The most common primary site was the stomach (68%). Overall, 67.2% of the patients were in stages I-II, and 32.8% in stages III-IV. Simultaneous involvement of the GI tract and other extranodal sites was observed in 26 patients (20%). Extranodal marginal zone B-cell lymphoma (MZBL) (i.e., low-grade lymphoma of mucosa-associated lymphoid tissue type) accounted for 48.4% of lymphomas. Aggressive lymphomas (diffuse large B-cell lymphoma [DLBL]) accounted for 44.5%. Eighty-three patients (67.5%) achieved complete response (CR), either by surgery (43/ 43 patients, 17 with DLBL and 25 with MZBL) or by primary chemotherapy (40/64 patients, 22 with DLBL and 17 with MZBL). Sixty-two patients remain in CR; 33/43 after surgical resection (13/17 with DLBL and 20/25 patients with MZBL), and 29/40 after only chemotherapy (18/22 with DLBL and 10/17 with MZBL). The major prognostic factor for outcome in the present study was the stage of the disease. Patients with localized lymphoma (stage I and II) had significantly longer DFS and OS (DFS and OS at 3-year: 83% and 87%, respectively) than patients with extended disease (stage III and IV) (DFS and OS at 3-year: 46% and 60%, respectively) (P < 0.0001). The International Prognostic Index (IPI) for patients with aggressive lymphomas was prognostic only for DFS (79% for low-risk patients [IPI score 0-1] vs 49% for higher risk groups [IPI score 0-1] at 3-year, P = 0.0131).
Thin films of Ag(111) with two-dimensional crystallinity of large lateral coherence grow on Ge(111), free of in-plane registry with the underlying substrate. Ag s-p electrons forming two-dimensional quantum well states scatter coherently at the buried interface potential, resulting in an unexpected set of new quasiparticle states, as observed by angle-resolved photoemission. These new features originate from interactions among Ag quantum well bands, gaining a momentum equivalent to a reciprocal vector of the substrate lattice.
Purpose: Waldenström's macroglobulinemia (WM) is a lymphoplasmacytoid lymphoma characterized by a relatively indolent course with median survival ranging from 5 years to 10 years in different series. Several clinical and laboratory variables have been associated with inferior survival, such as advanced age, hyperviscosity, presence of cytopenia, and hypoalbuminemia. Recent data indicate that serum β2-microglobulin (β2M) might also be significant. The purpose of our study was to assess possible correlations of β2M with clinical and laboratory variables and to further evaluate its association with cause-specific and overall survival (OS) of patients with WM requiring treatment. Patients and Methods: We analyzed 124 patients with WM with an available pretreatment value of β2M. Median age was 70 years (range, 28-89 years), and median survival was 105 months. Multiple clinical and laboratory parameters were evaluated for their possible correlation with OS. Results: Patients with older age, anemia, thrombocytopenia, hypoalbuminemia, and higher creatinine levels had significantly greater serum β2M levels. This variable was associated with impaired cause-specific survival and OS in the whole group of patients and in patients aged ≤ 70 years. More specifically, OS for all patients according to serum β2M > 4 mg/dL versus ≤ 4 mg/dL was 79 months versus 115 months (P = 0.01). Conclusion: Our data provide further evidence that high β2M levels are an important parameter associated with inferior OS and cause-specific survival of patients with WM requiring treatment. This parameter may be used to stratify patients involved in prospective clinical trials.
BACKGROUND: Although dementia with Lewy bodies (DLB) may be one of most common forms of dementia, relatively little is known about its cognitive and functional course.
OBJECTIVE: To compare change over time in general cognitive status, memory test performance, psychiatric symptoms, neurological signs, and functional abilities in patients with probable DLB and probable Alzheimer disease (AD).
DESIGN: Twenty-eight patients who met diagnostic criteria for DLB were recruited into the study from 3 sites. Patients with AD (n = 55) were selected from a larger cohort and matched 2 to 1 to the patients with DLB on age and baseline global cognitive status. Patients were followed up at 6-month intervals for an average of 6.2 visits and assessed at each visit with tests of global cognitive functioning and verbal learning and memory and measures of psychiatric, neurological, and functional status.
RESULTS: At the baseline evaluation, patients with DLB performed more poorly on a measure of constructional praxis and all measures of functional status. They also had more severe psychiatric symptoms and neurological signs than the AD group. Despite these initial differences, generalized estimating equations applied to regression analyses with repeated measures determined that the only difference between the 2 groups in change in cognitive test performance was on a measure of recognition memory; patients with AD declined, while patients with DLB remained relatively stable. Patients with DLB had relatively stable behavioral symptoms and visual illusions, whereas patients with AD had a significant increase in these symptoms over time. Neurological and functional changes over time were similar in the 2 groups.
CONCLUSIONS: Both baseline and longitudinal differences between patients with DLB and patients with AD were noted; these have implications for clinical diagnosis and treatment.
A new sample of contact systems, consisting of more than 100 stars, was created for binaries for which the physical parameters have been determined using both photometric light curves and radial velocity measurements of both components. Properties of components are discussed including their evolutionary status.
The influence of the structural quality of a normal metal-superconductor interface on the strength of the proximity effect is studied for the cylindrical geometry of bulk Cu-Nb multifilamentary composite samples. In as-drawn Cu-Nb samples the superconducting properties induced to the Cu matrix due to its proximity with Nb filaments are manifested in the magnetization measurements through a pronounced peak positioned in the low-field regime. By systematic annealing in an extended temperature regime for various durations we changed the structural quality of the Cu-Nb interfaces and as a result their transparency to the superconducting carrier. The direct comparison of scanning electron microscopy images with magnetization data revealed that the distortion of the Cu-Nb interfaces is responsible for the suppression of the proximity effect. (c) 2006 Elsevier B.V. All rights reserved.
Psallas MICHAEL, Tentolouris N, Papadogiannis D, Doulgerakis D, Kokkinos A, Cokkinos DV, Katsilambros N. QT dağılımı Diyabette mikroalbüminüri ilişkisi ve. Journal of Diabetes and its Complition. 2006;2:75–86.
The aim of this study is to describe an alternative technique, using radio frequency energy to perform pericystectomy for hepatic echinococcosis. We present 3 patients with hepatic echinococcosis who were treated with radio frequency ablation (RFA)-assisted pericystectomy. A Radionics Cooltip Radio Frequency System (Tyco, Greece, Radionics) with a single shaft 15 cm long needle electrode and a 2 cm exposure tip, was used. The needle electrode was inserted in consecutive sites into the "healthy" hepatic parenchyma close to the cyst wall, so that a tissue zone around the cystic cavity was gradually ablated. The complete ablation of a site was followed by sharp division of the parenchyma. The operation completed successfully in all patients. Minor bleeding and/or bile leakage were successfully controlled with RFA coagulation. No other hemostatic method was used. The postoperative course was uneventful. No evidence of recurrent disease, or any other cause of morbidity, has been demonstrated at follow up (2 y). RFA-assisted pericystectomy for hepatic hydatid disease in experienced hands, might be useful to perform a "sterile" resection, eradicating single or multiple cysts and preventing local recurrence, with minimal morbidity.
This paper we report on an interdisciplinary project for modelingGreek chant with real-time vocal synthesis. Building on previousresearch, we employ a hybrid musical instrument: Phonodeon(Georgaki et al. 2005), consisting of a MIDI-accordeon coupled toa real-time algorithmic interaction and vocal synthesis engine.The synthesis is based on data provided by the AOIDOS programdeveloped in the Department of the Computer science of theUniversity of Athens, investigating Greek liturgical chantcompared to bel canto singing. Phonodeon controls expressivevocal synthesis models based on formant synthesis andconcatenated filtered samples. Its bellows serve as hardwarecontrol device that is physically analogous to the human breathingmechanism [georgaki, 1998a], while the buttons of the right handcan serve multiple functions. This paper focuses on a particularaspect of control, namely that of playing in the traditional nontemperedand flexible interval structure of Greek modes (ήχοι:echoi) while using the 12-semitone piano-type keyboard of theleft hand. This enables the musical exploration of the relationshipbetween the spectral structure of the vocal timbre of Greek chantand characteristic intervals occuring in the modal structure of thechant. To implement that, we developed techniques forsuperimposing interval patterns of the modes on the keyboard ofthe phonodeon. The work is the first comprehensive interactivemodel of antique, medieval and modern near-eastern tunings. Thetechniques developed can be combined with techniques for othercontrol aspects, such as timbre and vocal expression control,phoneme or (expressive/ornamental/melodic pattern, inflection)sequence recall and combination, data record on/off, or others,which form part of the phonodeon project. This research can findapplications in many computer music fields such asalgorithmically controlled improvisation, microtonal music, musictheory and notation of (algorithmic/computerized) real-timeperformance, and computer modeling of experimental or nonwesternmusical styles.
Švancara I, Baldrianová L, Tesařová E, Hočevar SB, Elsuccary SAA, Economou A, Sotiropoulos S, Ogorevc B, Vytřas K. Recent advances in anodic stripping voltammetry with bismuth‐modified carbon paste electrodes. Electroanalysis: An International Journal Devoted to Fundamental and Practical Aspects of ElectroanalysisElectroanalysis: An International Journal Devoted to Fundamental and Practical Aspects of Electroanalysis. 2006;18:177-185.
Background. Lipoprotein(a), Lp(a), has been recognized as an atherogenic and thrombogenic lipoprotein in the general population and in hemodialysis (HD) patients. In addition, fibrinogen and fibronectin may promote atherothrombosis. The aim of this study was to investigate any possible relationship between Lp(a) and thrombogenic coagulation proteins in non-diabetic HD patients. Patients and Methods. Serum Lp(a) and plasma fibrinogen, plasminogen, and fibronectin levels were measured pre-HD in 60 uremic patients (30 male, 30 female) aged 58.6 ± 8.0 years who had been receiving HD treatment for 61.3 ± 50.7 months. The control group comprised 20 age- and sex-matched healthy subjects. All patients were receiving erythropoietin treatment. Results. The mean serum Lp(a) (33.88 ± 34.12 mg/dL) and plasma fibrinogen (329.45 ± 80.62 mg/dL) levels were significantly higher in the HD patients compared with those in the controls (16.70 ± 10.36 and 254.00 ± 43.34 mg/dL, respectively; p < .05 and p < .001, respectively). Plasminogen levels did not differ between the HD patients (11.64 ± 3.22 mg/dL) and the control group (10.67 ± 1.41 mg/dL, p>.05). Fibronectin levels were slightly increased in the HD patients (33.96 ± 5.49 mg/dL) versus in the control group (30.9 ± 5.80 mg/dL, p < .05). There was a significant positive correlation between Lp(a) and fibrinogen levels (r = 0.305, p < .02), as well as between Lp(a) and fibronectin levels (r = 0.360, p < .01). Moreover, there was a significant positive correlation between fibrinogen and fibronectin levels (r = 0.587, p < .0001). Conclusions. According to our results, in non-diabetic HD patients, abnormal serum Lp(a) levels significantly correlated with abnormal levels of fibrinogen and fibronectin. There is a concern that the relationship between these atherogenic and thrombogenic acute-phase proteins may contribute to the increased incidence of atherosclerotic cardiovascular disease in this patient population.
Jets in active galactic nuclei are collimated, relativistic flows that emanate from accretion disks around supermassive black holes. Electromagnetic stress- es are the most plausible candidate for extracting energy from the source and converting it into outflow kinetic energy. Questions that need to be answered in order for these processes to be well understood are: Can we explain parsec-scale accelerations that the observations infer? How the conditions near the disk are related to the terminal Lorentz factor of the jet and what is the asymptotic value of the Poynting-to-matter energy flux ratio? Can we model the apparent kinematics of the observed jet components? I present solutions of the ideal magnetohydrodynamic equations that help to shed light on these questions.
We present the results of extensive time-series photometry of the pulsating subdwarf B star KPD 2109 + 4401. Our data set consists of 29 data runs with a total length of 182.6h over 31d, collected at five observatories in 2004. These data comprised high signal-to-noise ratio observations acquired with larger telescopes and wider time-coverage observations obtained with smaller telescopes. They are sufficient to resolve the pulsation structure to 0.4 μHz and are the most extensive data set for this star to date. With these data, we identify eight pulsation frequencies extending from 4701 to 5481μHz, corresponding to periods of 182-213s. The pulsation frequencies and their amplitudes are examined over several time-scales with some frequencies showing amplitude variability.
The role of respiratory viral infection in the development of asthma remains unclear. A number of factors play crucial roles, including the type of virus, the severity of the disease, the time of the infection, and, most important, the host predisposition. On the other hand, there is little doubt that a strong association exists between viral respiratory infections and induction of wheezing illnesses and asthma exacerbations. The underlying mechanisms, although not fully clarified, are likely to be multifactorial, involving inflammation of the bronchial mucosa, which interacts under certain circumstances with allergic inflammation. In addition, repetitive infections play an important role in perpetuating inflammation and airway hyperresponsiveness, especially in the presence of atopy, leading from childhood asthma to a more persistent asthma phenotype.
We present a first-principles Study of the unreconstructed (001) surfaces of the half-metallic ferromagnet NiMnSb. Both terminations (MnSb and Ni) are considered. We find that half-metallicity is lost at the surfaces. After a discussion of the geometric relaxations and the spin-polarized surface band structure, we focus on topography images which are expected to be found with spin-polarized scanning tunnelling microscopy. For the MnSb-terrninated surface we find that only the Sb atoms are visible, reflecting a geometric buckling caused by relaxations. For the Ni-terminated surface we find a strong contrast between the images of forward and reverse tip-sample-bias of 0.5 eV, as well as a stripe-like image for reverse bias. We interpret these findings in terms of highly directional Surface states which are formed in the spin-down gap region.
99mTc-2-methoxyisobutylisonitrile (99mTc-MIBI) scintigraphy has been suggested in multiple myeloma (MM) patients. According to the International Staging System (ISS), serum b2-microglobulin (Sβ2M) and serum albumin (SA) are dominant predictive factors and different cut-off values of these factors can separate patients into various stages of the disease. The purpose of this study was to assess the relationship between ISS staging, by Sβ2M and SA, and the 99mTc-MIBI scan findings. Twenty-five MM patients have been studied. Eighteen patients were at stage I, three at stage II and four at stage III of MM. 99mTc-MIBI scans were obtained and scored according to intensity (I) and extent (E) of the radiotracer uptake. A summed score (S) for the 99mTc-MIBI scan was calculated for each patient. A statistically significant negative correlation between E, I and S uptake scores versus the SA levels (P=0.004, 0.049 and 0.018 respectively), as well as a statistically significant positive correlation between E and S scores and the Sβ2M levels (P=0.012 and 0.032) were detected. A statistically significant difference between the E and S uptake scores among the MM patients examined for every stage separately was also found (P=0.007 and 0.024 respectively). The gradual increase of the E and S scores across the three stages of MM was also significant (P=0.003 and 0.021 respectively), despite the relatively small number of patients in stages II and III. In seven patients who died at the end of the follow-up period all three scores were significantly increased as compared to the scores of the patients who remained alive at that time. In conclusion, this study provides additional evidence that 99mTc-MIBI scan not only reflects myeloma disease activity in bone marrow but it is also well correlated with the Sβ2M and SA levels according to ISS.
We report a case of septic arthritis due to Roseomonas mucosa in a rheumatoid arthritis patient receiving infliximab therapy. This is the first report of septic arthritis due to R. mucosa, and infliximab therapy might be a predisposing factor because this infection was never reported in the pre-anti-tumor necrosis factor alpha therapy period.
OBJECTIVES: To evaluate the alterations of serum procalcitonin (PCT) levels in patients with chronic hepatitis C during pegylated interferon-alpha (PEG-IFNa) plus ribavirin (RIB) treatment and to correlate them with clinical and virological outcomes.
STUDY DESIGN: Fifty-two consecutive patients (29 males, age=41.2+/-14.7 years) with chronic HCV-related liver disease (six cirrhotics) were evaluated for PCT levels at baseline and during the treatment course (at week 12, 24, 48 and 72) with PEG-IFNa plus RIB. Sustained virological response (SVR) was confirmed by undetectable serum HCV-RNA at the end of treatment and again 6 months after completion of treatment.
RESULTS: Two patients exhibited culture-proved bacterial infections during the treatment course. Thirty-six patients (69.2%) exhibit SVR and 16 (30.8%) were non-responders. Serum PCT levels remained within normal limits (0.1-0.5 ng/mL) in all treated patients throughout the follow-up period except those two who exhibited bacterial infections during the treatment course. Virological responders exhibited significant decline of serum PCT levels over time compared to non-responders (p<0.001), even when adjusted for multiple baseline parameters (p=0.037).
CONCLUSION: Serum PCT levels decline in chronic hepatitis C patients during PEG-IFNa plus RIB treatment, especially in the sustained virological responder group, while they elevate only when bacterial infections complicate the treatment course.
We tested the hypothesis that age-related time production deficits are dopamine-mediated. The experiment was conducted double-blind, and with random assignment of 32 healthy aged and 32 healthy young participants to either inert placebo or levodopa (200 mg) groups. The procedure included training participants to produce two target time intervals (6 and 17 sec) in separate blocks, drug/placebo administration, a 1-hr delay, and then delayed free-recall time production retesting without feedback. Participants also performed a speeded choice reaction time (RT) task, as a control for potential dopaminergic and aging effects on attention and psychomotor speed. Results indicate that during retesting, aged participants show duration-dependent timing errors that are larger than those shown by the young participants. Levodopa administration yielded lengthened time production of both target intervals. The aging and levodopa effects did not interact. Also, aging slowed RT and increased RT variability, but levodopa had no effect on the RT. These results suggest that at this dosage and under these specific conditions, timing is dopamine-mediated but the effect of aging on time production is not. Moreover, the levodopa timing effect cannot be attributed to the effects of dopaminergic function on psychomotor speed.
The occupational health and safety management constitutes a field of increasing interest. Institutions in cooperation with enterprises make synchronized efforts to initiate quality management systems to this field. Computer networks can offer such services via TCP/IP which is a reliable protocol for workflow management between enterprises and institutions. A design of such network is based on several factors in order to achieve defined criteria and connectivity with other networks. The network will be consisted of certain nodes responsible to inform executive persons on Occupational Health and Safety. A web database has been planned for inserting and searching documents, for answering and processing questionnaires. The submission of files to a server and the answers to questionnaires through the web help the experts to make corrections and improvements on their activities. Based on the requirements of enterprises we have constructed a web file server. We submit files in purpose users could retrieve the files which need. The access is limited to authorized users and digital watermarks authenticate and protect digital objects. The Health and Safety Management System follows ISO 18001. The implementation of it, through the web site is an aim. The all application is developed and implemented on a pilot basis for the health services sector. It is all ready installed within a hospital, supporting health and safety management among different departments of the hospital and allowing communication through WEB with other hospitals.
We report on the influence of the microstructure on the AC and DC magnetic properties of Cu-3.5% Nb nanofilamentary wires. Samples obtained from a single Cu-3.5% Nb wire were subsequently submitted to different plastic strain levels via drawing so that their microstructure was altered. Noticeable differences are observed in their isothermal DC magnetization curves that present a double-peak structure. The first peak, which occurs at low magnetic fields, is attributed to superconductivity induced in the Cu matrix due to the proximity effect. It is argued that the second peak is related exclusively to niobium. The dependence of these two distinct peaks on the characteristic nanometre length scales of the samples, i.e. dimension of the Nb filaments and interfilamentary spacing, are discussed.
Nemaline myopathy (NM), the most common non-dystrophic congenital myopathy, is a variably severe neuromuscular disorder for which no effective treatment is available. Although a number of genes have been identified in which mutations can cause NM, the pathogenetic mechanisms leading to the phenotypes are poorly understood. To address this question, we examined gene expression patterns in an NM mouse model carrying the human Met9Arg mutation of alpha-tropomyosin slow (Tpm3). We assessed five different skeletal muscles from affected mice, which are representative of muscles with differing fiber-type compositions, different physiological specializations and variable degrees of pathology. Although these same muscles in non-affected mice showed marked variation in patterns of gene expression, with diaphragm being the most dissimilar, the presence of the mutant protein in nemaline muscles resulted in a more similar pattern of gene expression among the muscles. This result suggests a common process or mechanism operating in nemaline muscles independent of the variable degrees of pathology. Transcriptional and protein expression data indicate the presence of a repair process and possibly delayed maturation in nemaline muscles. Markers indicative of satellite cell number, activated satellite cells and immature fibers including M-Cadherin, MyoD, desmin, Pax7 and Myf6 were elevated by western-blot analysis or immunohistochemistry. Evidence suggesting elevated focal repair was observed in nemaline muscle in electron micrographs. This analysis reveals that NM is characterized by a novel repair feature operating in multiple different muscles.
We discuss a small polaron hopping model, in order to explain the intense temperature (T) dependence of the electrical conductivity (σ) observed at high temperatures along the DNA molecules. The model takes into account the one-dimensional character of the system as well as the presence of disorder in the DNA double helix. Theoretical considerations based on percolation lead to analytical expressions for the high temperature multiphonon-assisted small polaron hopping conductivity, the maximum hopping distance and their temperature dependence. For example, experimental data for the lambda-phage DNA, the poly(dA)-poly(dT) DNA, and the native wet-spun calf thymus Li-DNA, follow nicely the theoretically predicted behavior, EQUATION, over wide high-T ranges. In contrast to some previously presented theoretical suggestions, our model leads to realistic values for the maximum hopping distances, supporting the idea of multiphonon-assisted hopping of small polarons between next nearest neighbors of the DNA molecular “wire”. We also examine the low temperature case.
In the present work a detailed seismotectonic study of the broader area of the Mygdonia basin (N. Greece) is performed. Digital data for earthquakes which occurred in the broader Mygdonia basin and were recorded by the permanent telemetric network of the Geophysical Laboratory of the Aristotle University of Thessaloniki during the period 1989-1999 were collected and fault plane solutions for 50 earthquakes which occurred in the study area were calculated with a modified first motions approach which incorporates amplitude and radiation pattern information. Fault plane solutions for the 3 main shocks of Volvi (23/05/78, MW = 5.8 and 20/06/78, MW = 6.5) and Arnaia (04/05/95, MW = 5.8) events and the 1978 aftershock sequence were additionally used. Moreover, data from two local networks established in the Mygdonia basin were also incorporated in the final dataset. Determination of the stress field was realized by the use of the method of Gephart and Forsyth [Gephart, J.W., Forsyth, D.W., 1984. An improved method for determining the regional stress tensor using earthquake focal mechanism data: application to the San Fernando earthquake sequence: Jour. Geophys. Res., v.89, no. B11, p. 9305-9320] for the stress tensor inversion and the results were compared with independent estimates based on the calculation of the average moment tensor [Papazachos, C.B.,Kiratzi, A.A., 1992. A formulation for reliable estimation of active crustal deformation and its application to central Greece. Geophys. J. Int. 111, 424-432]. The obtained stress results show a relatively good agreement between the two approaches, with differences in the azimuth of the dominant extension axis of the order of 10°. Furthermore, comparison with independent information for the mean stress axes provided by the study of kinematics on neotectonic faults [Mountrakis, D., Kilias, A., Tranos, M., Thomaidou, E., Papazachos, C., Karakaisis, G., Scordilis, E., Chatzidimitriou, P., Papadimitriou, E., Vargemezis, G., Aidona, E., Karagianni, E., Vamvakaris, D. Skarlatoudis, A. 2003. Determination of the settings and the seismotectonic behavior of the main seismic-active faults of Northern Greece area using neotectonic and seismological data. Earthquake Planning and Protection Organisation (OASP) (in Greek)] shows a similar agreement with typical misfit of the order 10°. The stress inversion method was modified in order to select one or both nodal planes of the focal mechanism which corresponds to the "true" fault plane of the occurred earthquakes and was able to select a single fault plane in the majority of examined cases. Using this approach, the obtained fault plane rose diagrams are in agreement with results from various neotectonic studies. Moreover, several secondary active fault branches were identified, which are still not clearly observed in the field.
The study focuses on the application of computing elements in the field of geoarchaeology. Emphasis is placed on the meaningful combination of geomorphological and environmental data along with archaeological features within Geographic Information Systems. Principal objective was the identification and the modeling of possible Roman cadastres in the area of Béziers, in southern France. For this purpose numerous technologies have been applied; GIS, GPS, Remote Sensing techniques and Digital Image Processing methods were used for the collection, storage, digitization and analysis of geoarchaeological data. Geographical Information System (G.I.S.) was used for the processing of primary data, the production of secondary information layers, the development of the digital elevation model and its derivative files and, in essence, for the spatial and the quantitative analysis of the data. The research concluded at 3 potential Roman cadastre grids establishing orientation and distance of axes as main criteria. Further processing of the data concluded in one final Roman cadastre grid for the area of Biterrois in France.
Global column ozone and tropospheric temperature observations made by ground-based (1964–2004) and satellite-borne (1978–2004) instrumentation are analyzed. Ozone and temperature fluctuations in small time-intervals are found to be positively correlated to those in larger time-intervals in a power-law fashion. For temperature, the exponent of this dependence is larger in the mid-latitudes than in the tropics at long time scales, while for ozone, the exponent is larger in tropics than in the mid-latitudes. In general, greater persistence could be a result of either stronger positive feedbacks or larger inertia. Therefore, the increased slope of the power distribution of temperature in mid-latitudes at long time scales compared to the slope in the tropics could be connected to the poleward increase in climate sensitivity predicted by the global climate models. The detrended fluctuation analysis of model and observed time series provides a helpful tool for visualizing errors in the treatment of long-range correlations, whose correct modeling would greatly enhance confidence in long-term climate and atmospheric chemistry modeling.
Context.Recent surveys of the Local Group spiral Galaxies M 31 and M 33 with XMM-Newton yielded a large number of X-ray sources. Aims.As part of the effort to identify and classify the objects responsible for this X-ray emission, we have obtained optical spectra of the brightest optical counterparts of the identified X-ray sources, using the 1.3 m Skinakas Telescope. Most of these objects are foreground star candidates. The purpose of the present study is to confirm this identification and to explore the compatibility between the optical spectral classification and the observed X-ray properties of the sources. Methods.We have obtained optical spectra for the 14 brightest optical counterparts of X-ray sources identified by XMM-Newton in the direction of M 31 and for 21 optical counterparts in the direction of M 33, using the 1.3 m Skinakas telescope in Crete, Greece. Results.All of the M 31 sources and all but one of the M 33 sources were confirmed to be foreground stars, of spectral types between A and M. One of the stars is a late M dwarf with Hα emission, a flare star, also displaying strong X-ray variability. One of the M 33 sources (lying within the D25 ellipse) corresponds to a previously known background galaxy, LEDA 5899.
We report on the microstructure evolution in Cu-15% Nb multifilamentary wires upon annealing and the corresponding effects on their electrical and magnetic properties. During annealing at temperatures higher than 800 degrees C thermal instability mechanisms take place in the microstructure of the Cu-15%Nb composite, leading to spheroidization, followed by coarsening of niobium filaments. Such microstructural changes exert considerable influence on the magnitude of the normal electrical resistivity for the Cu-Nb composite. In addition, the annealing process leads to a double-peak structure in the isothermal DC magnetization curves of the composite, which is strongly dependent on the annealing time. This behavior suggests that the spheroidization kinetics can be obtained from M(H) curves.
This retrospective study aimed to estimate the value of spiral Computerized Tomography (sCT) in patients with suspected appendicitis who remained undiagnosed after 48 hours of expectant management. We assessed a cohort of 150 patients by focused unenhanced sCT. According to the clinical scenario we occasionally employed contrast media and extended the scanned area. The major radiological signs were appendiceal enlargement and inflammatory changes of periappendiceal tissue and mesenteric fat. Regarding acute appendicitis the examination was 95.8% sensitive, 97.4% specific, had a positive predictive value of 97.18%, a negative predictive value of 96.2% and an accuracy of 96.7%. It also provided alternative diagnoses in 55 patients leading correctly 31 of them to the theatre for a variety of abdominal surgical diseases. For abdominal surgical pathology in general, sCT was 97.1% sensitive, 95.7% specific, had a positive predictive value of 98% and a negative predictive value of 93.8%. The importance of good communication between the clinicians and radiologists was pointed out by the correct alternative diagnoses set by imaging in the 55 patients after modifying the sCT protocol and was highlighted by the unnecessary appendectomy of three patients with negative imaging. Our results verify the accuracy and value of unenhanced sCT in patients with a clinical picture which remains inconclusive after an initial period of expectant management.
The vortex-matter phase diagram of Tl2Ba2CaCu2O8+x single crystal superconductor has been studied, using bulk and local magnetization measurements. We observed a second magnetization peak in the temperature interval 20 K < T < 40 K. At 40 K the second peak splits into two peaks, termed the upper and lower second magnetization peaks (USP and LSP), respectively. In the magnetic field interval [H-LCP,H-UCP] we observed the clear signature of a first-order melting transition of the vortex lattice. This particular behavior is similar to a situation with two critical endpoints of the first-order melting line and one coexistence point, where the topological transition line ends on the first-order melting line.
A case of spontaneous peritonitis caused by Leminorella grimontii in a 63-year-old man with cirrhosis is reported. To our knowledge, L. grimontii has never been reported as a cause of spontaneous bacterial peritonitis. The patient responded to antimicrobial therapy. Clinical and therapeutic implications are discussed.
Malignant transformation of a mature ovarian cystic teratoma is the most serious complication of this relatively common neoplastic lesion. While any constituent tissue of the teratoma can undergo malignant transformation, squamous cell carcinoma represents approximately 80% of those malignancies. Furthermore, the synchronous occurrence of a second malignancy in that setting is extremely rare. Preoperative diagnosis of malignant transformation within a mature cystic teratoma is extremely difficult and poses a great challenge to current clinical surgical practice. The particularly aggressive behavior of this rare tumor, also poses significant surgical managing dilemmas. We present a case report of a premenopausal woman with an invasive squamous cell carcinoma arising in a mature cystic teratoma and a synchronous invasive lobular carcinoma of the breast.
Aims.We analyse the influence of the stochastic particle acceleration for the evolution of the electron spectrum. We assume that all investigated spectra are generated inside a spherical, homogeneous source and also analyse the synchrotron and inverse Compton emission generated by such an object. Methods: .The stochastic acceleration is treated as the diffusion of the particle momentum and is described by the momentum-diffusion equation. We investigate the stationary and time dependent solutions of the equation for several different evolutionary scenarios. The scenarios are divided into two general classes. First, we analyse a few cases without injection or escape of the particles during the evolution. Then we investigate the scenarios where we assume continuous injection and simultaneous escape of the particles. Results: .In the case of no injection and escape the acceleration process, competing with the radiative cooling, only modifies the initial particle spectrum. The competition leads to a thermal or quasi-thermal distribution of the particle energy. In the case of the injection and simultaneous escape the resulting spectra depend mostly on the energy distribution of the injected particles. In the simplest case, where the particles are injected at the lowest possible energies, the competition between the acceleration and the escape forms a power-law energy distribution. We apply our modeling to the high energy activity of the blazar Mrk 501 observed in April 1997. Calculating the evolution of the electron spectrum self-consistently we can reproduce the observed spectra well with a number of free parameters that is comparable to or less than in the "classic stationary" one-zone synchrotron self-Compton scenario.
The structure of the 2[4Fe-4S] ferredoxin (PaFd) from Pseudomonas aeruginosa, which belongs to the Allochromatium vinosum (Alvin) subfamily, has been determined by X-ray crystallography at 1.32-A resolution, which is the highest up to now for a member of this subfamily of Fds. The main structural features of PaFd are similar to those of AlvinFd. However, the significantly higher resolution of the PaFd structure makes possible a reliable comparison with available high-resolution structures of [4Fe-4S]-containing Fds, in an effort to rationalize the unusual electrochemical properties of Alvin-like Fds. Three major factors contributing to the reduction potential values of [4Fe-4S]2+/+ clusters of Fds, namely, the surface accessibility of the clusters, the N-H...S hydrogen-bonding network, and the volume of the cavities hosting the clusters, are extensively discussed. The volume of the cavities is introduced in the present work for the first time, and can in part explain the very negative potential of cluster I of Alvin-like Fds.
Subcutaneous fat necrosis (SFN) of the newborn is an uncommon disorder of the adipose tissue, mostly affecting full-term or post-term newborns who experience perinatal distress. The lesions of SFN typically occur during the first six weeks of life; they are usually self-limited and no specific therapy is required. The disorder may be rarely complicated with hypercalcaemia. We present the case of a neonate with perinatal asphyxia who manifested SFN followed by hypocalcaemia instead of hypercalcaemia and a biochemical profile of pseudohypoparathyroidism four weeks after the eruption of skin lesions. The infant was treated with alfacalcidiol. Blood biochemistry was normalized within one week and serum parathyroid hormone levels declined to normal over the next two months. It is suggested that perinatal asphyxia was the common etiopathogenetic factor for the development of both SFN and pseudohypoparathyroidism.
In the present work we study extensively the manipulation of superconductivity through ferromagnetism in a new category of hybrids. The studied hybrids consist of antiferromagnetic/ ferromagnetic (AF/FM) [La0.33Ca0.67MnO3/La0.60Ca0.40MnO3](15) multilayers (MLs) in contact with a low-T-c Nb superconductor (SC). In these hybrids a relatively thick FM buffer layer was used as a reservoir for the generation of stray fields that influence the SC intensively. Our results show that in the parallel field configuration the SC becomes ferromagnetically coupled to the ML when field-cooled through its T-c(SC). Thus, although the SC should behave diamagnetically in respect to the externally applied magnetic field, its bulk magnetization behaves ferromagnetically and switches together with the magnetization of the ML when its coercive field is exceeded (switching effect). By employing specific experiments, where the ML was selectively exchange biased or not, we clearly demonstrate that the ML structure, separating the FM buffer and the SC layers, inflicts its magnetic properties on the whole hybrid. Thus, in such ML/SC hybrids the exchange bias mechanism can be used for regulating the switching of the SC magnetization. By employing specific experimental protocols for our magnetization measurements we directly uncover that the multidomain magnetic state of the ML strongly suppresses both the transition's height and the critical temperature of the SC. Simple FM/SC bilayers have also been studied. In these samples the switching effect is observed only for zero external field, while it is absent when a magnetic field is applied. This indicates that the ML structure is an essential ingredient for the generic observation of the switching effect. Our experimental results support recent theoretical studies referring to the mutual proximity effect (Kharitonov et al 2006 Phys. Rev. B 73 054511), to the possible formation of spin-triplet superconductivity (Bergeret et al 2001 Phys. Rev. Lett. 86 4096), and to the influence of an FM domain state on the properties of an SC (Buzdin and Mel'nikov 2003 Phys. Rev. B 67 020503( R)) in relevant hybrids. Apart from their importance for theory, our results are valuable for the design of spin-valve devices that recently have attracted great interest.
We present the spectral and temporal radiative signatures expected within the ``supercritical pile'' model of gamma-ray bursts (GRBs). This model is motivated by the need for a process that provides the dissipation necessary in GRBs and presents a well-defined scheme for converting the energy stored in the relativistic protons of the relativistic blast waves (RBWs) associated with GRBs into radiation; at the same time, it leads to spectra that exhibit a peak in the burst νFν distribution at an energy Epeak~=1 MeV in the observer's frame, in agreement with observations and largely independent of the Lorentz factor Γ of the associated relativistic outflow. Furthermore, this scheme does not require (but does not preclude) acceleration of particles at the shock other than that provided by the isotropization of the flow bulk kinetic energy in the RBW frame. In the present paper we model in detail the evolution of protons, electrons, and photons from a RBW to produce detailed spectra of the prompt GRB phase as a function of time from across a very broad range in frequency, spanning roughly 4logΓ decades. The model spectra are in general agreement with observations and provide a means for delineating the model parameters through direct comparison with trends observed in GRB properties.
When surface-state electrons scatter at perturbations, such as magnetic or nonmagnetic adatoms or clusters on surfaces, an electronic resonance, localized at the adatom site, can develop below the bottom of the surface-state band for both spin channels. In the case of adatoms, these states have been found very recently in scanning tunneling spectroscopy experiments for the Cu(111) and Ag(111) surfaces. Motivated by these experiments, we carried out a systematic theoretical investigation of the electronic structure of these surface states in the presence of magnetic and nonmagnetic atoms on Cu(111). We found that Ca and all 3d adatoms lead to a split-off state at the bottom of the surface band which is, however, not seen for the sp elements Ga and Ge. The situation is completely reversed if the impurities are embedded in the surface: Ga and Ge are able to produce a split-off state whereas the 3d impurities are not. The resonance arises from the s state of the impurities and is explained in terms of strength and the interaction nature (attraction or repulsion) of the perturbing potential.
The long-term CCD and photoelectric observations of YY Her covering the period of its post-outburst activity (JD 2 451 823 -- 2 452 996) are presented. We explain the periodic variations of the brightness of YY Her by the eclipses of the components in the system. The model with a deformed (non-homogeneous) envelope, surrounding the white dwarf is discussed. In addition, we observed a flare in about JD 2 452 440, during the primary minimum, that was later followed by an energetic outburst in JD 2 452 700.
Rhinoviruses (RV), the major trigger of acute asthma exacerbations, are able to infect bronchial epithelium and induce production of pro-inflammatory, but also angiogenic and pro-fibrotic mediators. Fluticasone propionate (FP) and salmeterol (S) are clinically effective and act synergistically in controlling persistent asthma; however, their effect on virus-associated asthma is less clear.|The aim of this study was to assess the individual and combined effects of FP and S on RV-induced epithelial production of vascular endothelial growth factor (VEGF) and fibroblast growth factor-2 (FGF-2).|Bronchial epithelial cells (BEAS-2B) were exposed in vitro to RV and were subsequently treated with FP and S, at physiologically relevant concentrations, alone or in combination. VEGF and FGF-2 were measured in the supernatants of these cultures using ELISA.|FP was able to reduce RV-induced VEGF production in a dose-dependent manner. S also induced a smaller reduction; addition of both factors inhibited VEGF synergistically. FGF-2 production was not inhibited by either FP or S alone, but was significantly reduced when both substances were present in the culture.|This study demonstrates that FP and S may synergistically inhibit the production of angiogenic and/or pro-fibrotic factors that are induced after RV infection of BEAS-2B and are implicated in airway remodelling, suggesting that this combination may represent an important therapeutic option on virus-induced asthma.
Nucleophilic substitutions of the reactive chlorine atoms in cyanuric chloride by the bridging 4,4'-bipyridine in refluxing toluene lead to quaternarization of the latter and the subsequent formation of a pi-conjugate, covalent layered network. The network is composed of central 1,3,5-triazine units with 4,4'-bipyridinium rings covalently attached and balanced by the released chloride ions. Due to the extremely high electron deficiency of the triazine rings, the material undergoes partial reduction by its compensated chloride ions resulting in a radical concentration of 1 X 1020 spin g(-1), according to EPR quantitative analysis. In this instance, the radicals provide stability to the organic network by minimizing its electron deficiency. The material exhibits thermal and electrochemical stability, as evidenced by thermal gravimetric analysis (TGA) and cyclic voltammetry techniques. As such, the pi-conjugate organic material displays low band gaps and electrical conductivity in the range of 10(-4)-10(-5) S cm(-1) at room temperature. (c) 2006 Elsevier Ltd. All rights reserved.
PLA2 is an important signaling enzyme that generates multiple downstream effectors, such as arachidonic acid and PAF, which are key mediators of inflammation as well as other pathophysiological conditions. Inhibition of PLA2 is potentially an effective therapy for several inflammatory diseases. In this review, we discuss the various classes of synthetic inhibitors of Group IVA and Group VIA phospholipase A2.
Chatgilialoglu C, Caminal C, Altieri A, Vougioukalakis GC, Mulazzani QG, Gimisis T, Guerra M. {Tautomerism in the guanyl radical}. J. Am. Chem. Soc. 2006;128:13796–13805.Abstract
Despite a few decades of intense study, a full description of tautomers of one-electron-oxidized guanine remains to be achieved. Here we show that two of these tautomers are produced by the protonation of an 8-haloguanine electron adduct. The rate constants for the reactions of hydrated electrons (e(aq)(-)) with a variety of 8-substituted guanine derivatives have been measured by a pulse radiolysis technique and correlated with both inductive and resonance components of the substituents. The fate of electron adducts was investigated by radiolytic methods coupled with product studies and addressed computationally by means of time-dependent DFT (TD-B3LYP/6-311G**//B1B95/6-31+G**) calculations. The reaction of e(aq)(-) with 8-haloguanosine or 8-halo-2'-deoxyguanosine produces the first observable transient species that decay unimolecularly (k = 1 x 10(5) s(-1) at 22 degrees C) to give the one-electron oxidized guanosine or 2'-deoxyguanosine. Theory suggests that the electron adducts of 8-bromoguanine derivatives protonated at C8 form a pi-complex, with the Br atom situated above the molecular plane, that is prompt to eject Br-. The two short- lived intermediates, which show a substantial difference in their absorption spectra, are recognized to be the two purine tautomers (i.e., iminic 7 and aminic 3 forms). The spin density distributions of the two tautomers are quite different at the O6 and N10 positions, whereas they are very similar at the N3, C5, and C8 positions. The resonance structures of the two tautomers are discussed in some detail. B1B95/6-31+G** calculations show also that the tautomerization from the iminic (7) to the aminic (3) arrangement is a water-assisted process.
We propose two novel approaches to study the temperature dependence of the magnetization and the spin polarization at the Fermi level in magnetic compounds, and apply them to half-metallic ferromagnets. We reveal a new mechanism, where the hybridization of states forming the half-metallic gap depends on thermal spin fluctuations and the polarization can drop abruptly at temperatures much lower than the Curie point. We verify this for NiMnSb by ab initio calculations. The thermal properties are studied by mapping ab initio results to an extended Heisenberg model which includes longitudinal fluctuations and is solved by a Monte Carlo method.
Background: Intrauterine fetal development is characterized by increased rates of proliferation and apoptosis, while both these processes may be attenuated post-natally. Aim: Tissue polypeptide specific antigen and sFas serum concentrations were determined during pregnancy and post-natally, in order to evaluate their alterations during these crucial periods. Materials and Methods: Forty-seven healthy pregnant women, their full-term newborns and 35 healthy adults (controls) were included in the study. Markers were measured: a) in maternal serum (MS), during the 1st, 2nd, 3rd trimester and at the 1st stage of labor; b) in the umbilical cord (UC), during the 2nd stage of labor; c) in neonatal serum in the 1st (1N) and 5th (5N) day after birth; and d) in controls. Results: The serum TPS concentrations in MS increased significantly with gestational age, being higher in the 3rd trimester and labor, than those in controls (p<0.001). TPS values were significantly lower in the UC, compared to those in MS (p<0.001), while they were markedly elevated in 1N, compared to MS and UC (p<0.001), and subsequently decreased in 5N (p<0.001), remaining higher, than those in the controls (p<0.001). Serum sFas concentrations in the MS depended significantly on gestational age (p<0.001), being significantly lower in the first trimester, than those in the second (p<0.003), the third (p<0.03), in labor and controls (p<0.005). sFas concentrations in the UC were significantly lower than in MS and controls (p<0.001), while they increased significantly in 5 N samples (p<0.01). Conclusion: Our results demonstrate: a) a higher apoptosis rate in the first trimester of pregnancy, possibly affecting maternal immuno-tolerance, followed by a down-regulation during the post-natal period; b) a progressively increased proliferation from the first trimester to parturition, reflecting the fetal and placental growth and development, that seems to be thereafter moderated.
Bacteroides fragilis group strains are still considered susceptible to most antimicrobial agents used for the treatment of infections caused by anaerobic organisms. We describe two cases of infections due to isolates simultaneously resistant to clindamycin, tetracycline, cefoxitin, piperacillin-tazobactam, and imipenem and, in one of the two cases, to metronidazole. Such infections, although still rare, do exist and tend to complicate treatment.
BACKGROUND: In order to reduce abdominal trauma and operative costs we have adopted a two-trocar laparoscopic-assisted appendectomy for patients with acute appendicitis. In the current study, the proposed technique is prospectively evaluated against conventional laparoscopic appendectomy with respect to feasibility, safety, and postoperative outcome.
MATERIALS AND METHODS: Between July 2001 and July 2003, 83 consecutive patients were admitted with clinically diagnosed acute appendicitis and were randomly assigned to two-trocar laparoscopic-assisted appendectomy (n = 40, 48.2%) or conventional laparoscopic appendectomy (n = 43, 51.8%).
RESULTS: Two-trocar laparoscopic-assisted appendectomy was successfully completed in 30 patients (80.1%). Four patients initially scheduled for two-trocar laparoscopic-assisted appendectomy (10.8%) were converted to laparotomy due to excessive body weight (BMI > or = 40), while an additional 5-mm infraumbilical trocar was inserted in another 3 patients (8.1%). The procedure was associated with decreased operative time and more rapid return to normal activity compared to laparoscopic appendectomy (P < 0.001 and P = 0.038, respectively). There was no statistically significant difference regarding the duration of hospitalization or the morbidity rate between the two groups. Conversion of the initial procedure was associated with increased wound infection rate and higher morbidity (P = 0.032 and P = 0.018, respectively).
CONCLUSION: Two-trocar laparoscopic-assisted appendectomy represents a promising minimally invasive procedure for the treatment of acute appendicitis. It is fast and easy to perform, and it is expected to decrease the overall cost of laparoscopic appendectomy. Its only contraindication is excessive body weight; it remains to be evaluated in the setting of perforated appendicitis and retrocecally located appendices.
This report by an international consensus panel updates current recommendations for defining clinical response in Waldenström's macroglobulinemia (WM). The previously published response criteria incorporated parameters for monoclonal protein reduction and/or improvement of marrow and nodal involvement, and included definitions of complete and partial remissions. The criteria have been updated to include minor response and stable disease categories. In addition, the criteria now recognize that delayed responses after treatment with nucleoside analogues and biologic agents and the time point for assessing response in patients with WM should be considered so as to not miss or miscategorize a response. The new criteria should therefore help in better delineating responses to therapy in patients with WM, particularly with the wide use of nucleoside analogues and biologically based agents for this disease.
This study aimed at evaluating whether addition of extensive upper body training in well-trained cross country skiers induces an adaptation of the triceps brachii (TB) muscle and whether this affects performance. Muscle biopsies were obtained from TB muscle in six male elite cross country skiers before and after 20 weeks of increased upper body training. The cross-sectional area of type I and IIA fibers increased by 11.3% and 24.0%, respectively, and so did the number of capillaries per fiber (2.3-3.2) (all P<0.05). SDS-polyacrylamide electrophoresis revealed in single fibers that the number of fibers expressing myosin heavy chain (MHC) type I isoform decreased from 68.7% to 60.9% (P<0.05), MHC I/IIA isoform was unaltered, while MHC IIA fibers increased from 21.6% to 35.7% and the 4.8% MHC IIA/IIX disappeared with the training (both P<0.05). Citrate synthase and 3-hydroxyacyl coenzyme A dehydrogenase activities increased by 23.3% and 15.4%, respectively, and double poling 10 km time-trial by 10.4% (all P<0.05). The values for TB are similar to what has been demonstrated for leg muscles after exercise training. The subjects who demonstrated the largest improvement in performance exhibited the largest muscle adaptation, which, in turn, was related to the pre-maximal oxygen uptake.
We sought to study the presence of the receptor for advanced glycation endproducts (RAGE) and its ligands, advanced glycation endproducts (AGEs), S100/calgranulins and amphoterin (high mobility group box 1 protein; HMGB1), in the vitreous cavity and epiretinal membranes (ERMs) of eyes of patients with proliferative diabetic retinopathy (PDR) and proliferative vitreoretinopathy (PVR). Undiluted vitreous specimens were collected from 30 eyes of 30 patients undergoing pars plana vitrectomy for repair of retinal detachment (RD) secondary to PDR (n = 15) or PVR (n = 15). The vitreous samples obtained from 10 eyes undergoing macular hole repair were used as controls. Epiretinal membranes were obtained from eight eyes with PDR and from 10 eyes with PVR. The levels of AGEs in the vitreous were measured using ELISA. The vitreous levels of soluble RAGE (sRAGE), S100/calgranulins and amphoterin were measured using Western blot analyses. The localization of RAGE and its ligands in ERMs was determined with immunohistochemistry. The vitreous levels of sRAGE were significantly increased in both PDR and PVR (p < or = 0.05) compared to control vitreous. In both PDR and PVR, the vitreous levels of AGEs (p < or = 0.01), S100/calgranulins (p < or = 0.05), and amphoterin (p < or = 0.01) were also elevated compared to control eyes. Expression of RAGE was detected in six of eight ERMs from eyes with PDR and eight of 10 ERMs from eyes with PVR. Many cells expressing RAGE also expressed vimentin, suggesting a glial cell origin. Ligands for RAGE were also detected in ERMs, with AGEs detected in five eyes with PDR and eight eyes with PVR. Similarly, S100 and amphoterin ERM expression was observed in six eyes with PDR; these ligands were also expressed in ERMs from eyes with PVR (8 and 7 cases, respectively). We conclude that RAGE and its ligands are increased in the vitreous cavity of eyes with PDR and PVR and are present in ERMs of eyes with these proliferative retinal disorders. These findings suggest a role for the proinflammatory RAGE axis in the pathogenesis of proliferative retinal diseases.
Previous findings from our group based on Monte Carlo simulations indicated that Fickian drug release from Euclidian or fractal matrices can be described with the Weibull function. In this study, the entire drug release kinetics of various published data and experimental data from commercial or prepared controlled release formulations of diltiazem and diclofenac are analyzed using the Weibull function. The exponent of time b of the Weibull function is linearly related to the exponent n of the power law derived from the analysis of the first 60% of the release curves. The value of the exponent b is an indicator of the mechanism of transport of a drug through the polymer matrix. Estimates for b < 0.75 indicate Fickian diffusion in either fractal or Euclidian spaces while a combined mechanism (Fickian diffusion and Case 11 transport) is associated with b values in the range 0.75 < b < 1. For values of b higher than 1, the drug transport follows a complex release mechanism. (c) 2005 Elsevier B.V. All rights reserved.
Human rhinoviruses, major precipitants of asthma exacerbations, infect the lower airway epithelium inducing inflammation. The possibility that viral infection may mediate angiogenesis, thus contributing to airway remodeling, has not been evaluated.|To investigate whether epithelial infection with rhinovirus mediates angiogenesis in vitro, evaluate possible modulation by an atopic environment, and confirm angiogenic factor induction after in vivo rhinovirus infection.|Bronchial epithelial cells were infected with rhinovirus and levels of vascular endothelial growth factor (VEGF), and angiopoietins were measured. The angiogenic effect of epithelial products was assessed in in vitro models of angiogenesis. PBMCs, obtained from patients with atopic asthma and normal controls, were exposed to rhinovirus; the ability of supernatants from these cultures differentially to affect rhinovirus-mediated epithelial VEGF production was evaluated. VEGF levels were measured in respiratory secretions from patients with asthma, before and during rhinovirus-induced exacerbations.|Epithelial infection with rhinovirus specifically stimulated mRNA expression and release of VEGF, but not angiopoietins, in a time-dependent and dose-dependent manner. Supernatants from these cultures were able to induce angiogenesis in vitro, significantly inhibited by a neutralizing anti-VEGF antibody. When bronchial cells were exposed to supernatants of rhinovirus-infected mononuclear cells from normal subjects or atopic patients with asthma, VEGF induction was significantly higher under the influence of the atopic environment. VEGF was elevated during rhinovirus-associated asthma exacerbations.|Rhinovirus infection, a frequent event, induces VEGF production in bronchial epithelial cells and human airways, an effect enhanced in an atopic environment. Rhinovirus-associated, VEGF-mediated angiogenesis may contribute to airway remodeling in asthma.
OBJECTIVES: To assess the predictive value of neuropsychologic profiles, at diagnosis, for mortality in incident Alzheimer disease (AD).
BACKGROUND: Rate of AD progression varies significantly across individuals for reasons that are not well understood. Several studies have linked rapid decline with disproportionately impaired executive functioning, presumably reflecting greater impairment of frontal networks. To the extent that differential neuropsychologic profiles reflect various neuropathologic presentations of AD, such profiles may inform survival estimates early in the disease.
METHODS: Five neuropsychologic indices were used to characterize performance in 161 individuals at diagnosis of AD during a 15-year, longitudinal, primarily community-based study.
RESULTS: Fifty-two percent of participants reached the mortality end point with a median survival of 5.52 years (95% confidence interval, 4.41-6.63). Cox proportional hazards analyses indicated that older age at diagnosis was associated with higher risk of mortality (risk ratios, 1.08; 95% confidence interval, 1.04-1.12) whereas Hispanic ethnicity predicted lower mortality [0.22 (0.09-0.55)]. Controlling for these 2 demographic variables, higher verbal fluency scores at diagnosis predicted lower mortality [0.69 (0.49-0.96)].
CONCLUSIONS: Disproportionate impairment of both category and letter fluency at the earliest stages of AD predicts mortality. The prognostic value of these tests may derive from their general psychometric properties, or may reflect the measures' sensitivity to an early or critical level of compromise to frontal networks.
The optical observations used in this study were carried out during three observing runs, on September 6, 2003, on October 18-22, 2003 and on October 10-11, 2004, using the 1.3-m Ritchey-Cretien telescope at Skinakas Observatory, located on the island of Crete (Greece). (3 data files).
Pissas M, Stamopoulos D, Ma YC, Wang NL. Vortex matter properties of Tl2Ba2CaCu2O8 superconductor. PHYSICA C-SUPERCONDUCTIVITY AND ITS APPLICATIONS. 2006;437-38(4th International Conferene on Vortex Matter in Nanostructured Superconductors (VORTEX IV):267 - 269.Abstract
The vortex matter phase diagram for H parallel to c of the thallium-based cuprate with formula Tl2Ba2CaCu2O8 (Tl-2212) has been studied using magnetization measurements. We observed a second magnetization peak monotonically decreasing with temperature in the temperature interval 20 K < T < 40 K. At 40 K the second peak splits into two peaks. The field location of the lower part of the second peak decreases with temperature and for 80 K <= T <= T-c it is transformed to a sudden drop. The corresponding upper part of the second peak forms a broad maximum and subsequently develops a negative curvature as it approaches the melting line. In the magnetic field interval [H-LCP,H-UCP] we observed a first-order melting transition (FOT) of the vortex lattice. (c) 2006 Elsevier B.V. All rights reserved.
We present the results of a statistical investigation of the period-color and period-bolometric magnitude relations using a carefully selected sample of 120 contact systems with known physical parameters.
Καμπερίδου, Ε., (2006). Οι περί Ελληνισμού Αντιλήψεις και Περιγραφές περιηγητριών του 17ου, 18ου και 19ου και η γυναικεία περιήγηση. ΦΙΛΟΣΟΦΙΑ & ΠΑΙΔΕΙΑ, 38, 14-18. K.9.2. στο Apella
We present an analysis of the individual observations of a deep XMM-Newton survey of the Local Group spiral galaxy M 33. We detected a total of 350 sources with fluxes (in the 0.2-4.5 keV energy band) in the range 6.7 × 10-16-1.5 × 10-11 erg s-1. This comprehensive study considers flux variability, spectral characteristics, and classification of the detected objects. Thirty-nine objects in our catalogue are new sources, while 311 were already detected in a previous analysis of most of the same data using combined images. We present improved positions of these sources and the X-ray parameters of each source in each individual observation that covers the source. We then used these parameters to systematically search for flux variability on time scales of hours to months or years. The long-term light-curves were generated for the 61 sources showing a significant variability of the (0.2-4.5) keV flux, by a factor of 1.2 to 144. The detected variability was then used to classify 8 new X-ray binary candidates in M 33. Together with the hardness ratio method and cross-correlation with optical, infrared, and radio data, we also classify or confirm previous classification of 25 supernova remnants and candidates, 2 X-ray binaries, and 11 super-soft source candidates (7 of which are new SSS candidates). In addition, we classify 13 active galactic nuclei and background galaxies, 6 stars, and 23 foreground star candidates in the direction of M 33. Further 206 objects are classified as "hard", approximately half of which are sources intrinsic to M 33. The relative contribution of the classified XRB and SSS in M 33 is now comparable to M 31. The luminosity distribution of SNRs in both spiral galaxies is almost the same, although the number of the detected SNRs in M 33 remains much higher.
The aim of this study was to examine whether the only existing, to date. model for the explanation of children's understanding and experience of loneliness - a model proposed by Hymel, Tarulli, Hayden Thomson, and Terrell-Deutsch (1999), and documented in Greece by Besevegis and Galanaki (2003) and Galanaki (2004a. 2004b) - is supported through the use of the retrospective method and, more specifically, through memories of childhood loneliness. The participants were 203 students from the University of Athens (Greece), who were asked to write down a memory of childhood loneliness (6-12 years). Results showed that the above model fits, with some differentiations, the loneliness memories. The individual differences In the experience of childhood loneliness, the stability of loneliness across time and situations, the relevant attributions, and the issue of beneficial aloneness are also discussed.
Cette étude s’inscrit au croisement des sciences sociales et des sciences du langage. Elle aborde la question de l’adaptation du système de la langue aux exigences qu’a fait surgir l’entrée des femmes dans la sphère publique et notamment dans la vie politique. Elle adopte une optique comparatiste : y sont confrontés le cas de la Grèce et celui de la France.L’étude est centrée sur les axes suivants : en premier lieu sont recensés les problèmes grammaticaux suscités par la nécessité de féminiser le langage, notamment les noms de titre et de fonction ; cette première partie tente de répertorier les attitudes et les propositions des linguistes, grammairiens et lexicographes. Ensuite sont présentées les politiques adoptées par les pouvoirs publics en matière de langue (cf. création de commissions spécialisées de terminologie en France, publication de circulaires encourageant l’utilisation des formes féminines des noms de métier, de grade et de fonction, financement de projets de recherche) ainsi que les réactions d’institutions officielles (par exemple, de l’Académie Française) face à cette politique linguistique. Le troisième axe de cette recherche concerne l’implantation de la féminisation des noms de titre et de fonction et l’évolution des usages dans le secteur des médias. Dans tous les domaines examinés, il semble bien que la France a fait davantage de progrès que la Grèce. La recherche effectuée conduit à la conclusion que les résistances face à la parité linguistique ne font que miroiter les obstacles à l’accès des femmes à une égalité politique visible et reconnue.
Τα ερωτήματα τα οποία εξετάζει η εργασία, προκειμένου να καταλήξει σε προτάσεις για την πληρέστερη αξιοποίηση της μερικής απασχολήσεως με βάση τις ρυθμίσεις του ασφαλιστικού δικαίου, είναι τα εξής: Πρώτον, πώς μπορεί η ασφαλιστική νομοθεσία για τη μερική απασχόληση να συμβάλλει στην επίτευξη άλλων κοινωνικοοικονομικών στόχων; Υποστηρίζεται ότι υπάρχουν περιθώρια για τη θέσπιση ασφαλιστικών ρυθμίσεων, οι οποίες θα επιτρέψουν την εξυπηρέτηση διαφόρων στόχων της κοινωνικής προστασίας και της οικονομικής ανάπτυξης, όπως π.χ. η ασφάλιση της μερικής απασχολήσεως σε συνδυασμό με την τμηματική σύνταξη και τη χρονικά περιορισμένη επιδότηση των εισφορών. Δεύτερον, συνάδουν οι ρυθμίσεις για την ασφάλιση της μερικής απασχόλησης με τις αρχές της ισότητας και της αναλογικότητας και τις επιταγές του ευρωπαϊκού κοινοτικού δικαίου; Διαπιστώνεται διαφορετική μεταχείριση εργαζομένων που παρέχουν τον ίδιο αριθμό ωρών εργασίας επειδή η βάση υπολογισμού της σύνταξης είναι η ημέρα εργασίας στην ασφάλιση, κατ’ αντιγραφή αυτού που συμβαίνει στην πλήρη απασχόληση. Η διακριτική αυτή μεταχείριση αντίκειται στην αρχή της ισότητας και στην αρχή της αναλογικότητας καθώς και στις επιταγές της Οδηγίας 97/81 Ε.Κ. του Συμβουλίου της 15ης Δεκεμβρίου 1997 σχετικά με τη συμφωνία πλαίσιο για την εργασία μερικής απασχόλησης, η οποίααναγνωρίζει μεν ότι τα θέματα που αφορούν την υποχρεωτική κοινωνική ασφάλιση των μερικώς εργαζομένων υπάγονται στην αρμοδιότητα των κρατών μελών, αλλά παράλληλα προτρέπει τα κράτη μέλη να θεσπίσουν ασφαλιστικά συστήματα που θα παρέχουν την κατάλληλη προστασία στα άτομα που απασχολούνται με τις άτυπες μορφές εργασίας. Τρίτον, ερωτάται μήπως η περιορισμένη ανάπτυξη της μερικής απασχόλησης στην Ελλάδα οφείλεται στην προτίμηση για τις συμβάσεις μισθώσεως έργου και ανεξαρτήτων υπηρεσιών; Διαπιστώνεται ότι η δυσμενής κοινωνικοασφαλιστική μεταχείριση σημαντικής μερίδας των μερικώς απασχολουμένων μισθωτών είναι ένας από τους λόγους που εμποδίζουν την ανάπτυξή της. Ήδη, η Επιτροπή της Ε.Ε. έχει συστήσει στη χώρα μας τη λήψη μέτρων για την προώθηση της μερικής απασχόλησης. Τέτοια μέτρα είναι η αντικατάσταση της ημέρας εργασίας στην ασφάλιση με την ώρα εργασίας, η κατάργηση των εμποδίων για την προαιρετική συνέχιση της ασφάλισης και, γενικότερα, η επανεξέταση των χρονικών και λοιπών προϋποθέσεων για την απονομή των παροχών στους μερικώς απασχολούμενους καθώς και η αντικατάσταση των δύσκαμπτων και αυστηρών διαδικασιών για την υπαγωγή στην ασφάλιση. Η εργασία καταλήγει ότι τα τεκμήρια υπαγωγής στην ασφάλιση και οι διακρίσεις μεταξύ εξαρτημένης και ανεξάρτητης εργασίας στο ασφαλιστικό δίκαιο δεν έχουν και τόσο μεγάλη σημασία. Σκοπός είναι η ασφαλιστική κάλυψη. Αυτό που ενδιαφέρει είναι η επαρκής κάλυψη των ασφαλισμένων και των συνταξιούχων από τους γνωστούς και τους νέους κοινωνικούς κινδύνους διαμέσου της λειτουργίας ενός δίκαιου και βιώσιμου ασφαλιστικού συστήματος.
The aim of this study was to collect, present, and discuss Anna Freud's references to the phenomenon of aloneness and loneliness among children-victims of World War II. Those references are included in Anna Freud's observations of parentless children, children who had lived in concentration camps, children who were separated from their parents due to the evacuation of London, etc. All these children were living in the residences founded by Anna Freud and her collaborators in London (Freud & Burlingham, 1944, 1973; Freud & Dann, 1951). Unfortunately, Anna Freud did not utilize those observations for the interpretation of severe early trauma and for the formulation of her developmental theory. Among Anna Freud's observations, various themes on traumatized children's experience of aloneness and loneliness are identified and discussed, the following: type of attachments; separation anxiety in the relationships with parents, siblings, and peers; fear of loneliness; nature of loneliness; inability to be alone; inability to use aloneness constructively; disturbed and non disturbed ways of mastering the fear of loneliness (e.g., attachment, playing, fantasies, defense mechanisms). The discussion points out that aloneness and loneliness among children with such severe early traumas (war, death of parents, separation from parents, hospitalization) constitute extremely painful and deviant experiences, warranting psychotherapeutic intervention. Anna Freud's observations are discussed in the framework of the classic psychoanalytic approaches, as well as some recent empirical investigations on children's experience of aloneness and loneliness.
Παρατηρείται μία ιδιαίτέρη ευαισθητοποίηση στις γυναικείες μαρτυρίες, όσον αφορά το θέμα της υποδούλωσης και του εξανδραποδισμού, από τον Τουρκικό ζυγό, αυτών που αποκαλούσαν απογόνους των αρχαίων Ελλήνων, που συμβάλλει στην επικέντρωση του γυναικείου λόγου στο Ελληνικό στοιχείο, συγκριτικά με τις περιγραφές τους για άλλους υπόδουλους λαούς και υποτελείς υπηκόους των Οθωμανικών επικρατειών. Εν ολίγοις, οι λόγοι που ώθησαν τις περιηγήτριες να επικεντρώσουν μεγαλύτερη προσοχή ή να παρέχουν περισσότερο υλικό, στα έργα τους για το «Ελληνικό στοιχείο», συγκριτικά με άλλους υπόδουλους λαούς, αναζητούνται στον ευρύτερο ρόλο που έπαιζε στις κοινωνίες, ο απόηχος του αρχαίου Ελληνικού πολιτισμού. Οι περιηγήτριες, και ιδιαίτερα εκείνες του 19ου αιώνα, όπως και οι περιηγητές, ήταν επηρεασμένες από τον «Ελληνικό Πυρετό» (Larrabee 1957), δηλαδή το μεγάλο φιλελληνικό πνεύμα και ρεύμα της εποχής τους- τον ρομαντισμό και την εξιδανίκευση για την Ελλάδα, που, κατά την εκτίμησή τους, υπήρξε η κοιτίδα του πολιτισμού και της δημοκρατίας, η Ελλάδα των αρχαίων φιλοσόφων, του Ομήρου, των απογόνων των αρχαίων, οι οποίοι είχαν καταφέρει μετά από 400 χρόνια δουλείας να διατηρήσουν την εθνική τους συνείδηση, αλλά και να εξεγερθούν—παρόλο που και άλλοι λαοί αγωνίσθηκαν και εκείνοι σκληρά για την εθνική τους ανεξαρτησία. Έτσι ευαισθητοποιημένοι, οι δυτικοί, πέραν της αποστολής μη-κυβερνητικής Αγγλικής, Γαλλικής και Αμερικάνικής οικονομικής βοήθειας στον υπόδουλο Ελληνισμό, κατά την διάρκεια του Ελληνικού εθνικο-απελευθερωτικού αγώνα (της Ελληνικής Επανάστασης) και των εξεγέρσεων που ακολούθησαν, έφταναν και οι ίδιοι, γυναίκες και άνδρες, σε μεγάλους αριθμούς, για να βοηθήσουν και να συμμετάσχουν στον εθνικο-απελευθερωτικό αγώνα του Ελληνισμού κατά του Τουρκικού ζυγού. Οι γυναικείες μαρτυρίες που ακολουθούν, αποτελούν αντιπροσωπευτικά δείγματα αυτού του φιλελληνικού ρεύματος, αυτού του «Ελληνικού Πυρετού» και αυτής της ιδιαίτερης ευαισθητοποίησης για εκείνους που εθεωρούσαν απογόνους των αρχαίων Ελλήνων.
Η σχολιαζόμενη απόφαση δέχεται ότι ο νομοθέτης μπορεί να καθιερώσει σύστημα διοικητικής εποπτείας και να συστήσει θέση κυβερνητικού επιτρόπου στους οργανισμούς κοινωνικής ασφάλισης. Το ΣτΕ με την απόφαση αυτή αποσαφηνίζει το ελάχιστο περιεχόμενο του πυρήνα του θεσμού της κοινωνικής ασφάλισης, όσον αφορά στη διοίκηση των ασφαλιστικών οργανισμών.
Οι νομοθετικές παλινδρομήσεις κατέστησαν εν τοις πράγμασι κενή περιεχομένου την υποχρέωση σύνταξης αναλογιστικών μελετών και συνέβαλαν αποφασιστικά στην κακή οικονομική τους κατάσταση και στην ανάγκη τακτικής και έκτακτης χρηματοδότησής τους από τον κρατικό προϋπολογισμό για να ανταποκρίνονται ασφαλιστικές τους υποχρεώσεις. Η συμβολή του ΣτΕ στη διασφάλιση της βιωσιμότητας των οργανισμών κοινωνικής ασφάλισης είναι καθοριστική, διότι εντάσσει στο περιεχόμενο του πυρήνα του θεσμού της κοινωνικής ασφάλισης την ασφαλιστική τεχνική και τις αναλογιστικές μελέτες, με αποτέλεσμα ο κοινός νομοθέτης να μην μπορεί να αποφύγει τη σύνταξή τους κατά τον καθορισμό – τροποποίηση των παροχών και του τρόπου χρηματοδοτήσεως. Το Δικαστήριο δέχεται ότι η σύνταξη αναλογιστικών μελετών θέτει σε υγιείς βάσεις τη σχέση παροχών και χρηματοδοτήσεως του οργανισμού, διασφαλίζει τη λειτουργία βιώσιμων ασφαλιστικών οργανισμών και συνακόλουθα διασφαλίζει τον ίδιο τον θεσμό της κοινωνικής ασφάλισης, τον οποίο εγγυάται το Κράτος, σύμφωνα με το άρθρο 22 παρ. 5 του Συντάγματος. Το σχόλιο καταλήγει με την παρατήρηση ότι παρά τα όσα το ΣτΕ και η θεωρία δέχονται ο νομοθέτης και η διοίκηση δεν έχουν εμπεδώσει την αξία και την αναγκαιότητα της συντάξεως αναλογιστικών μελετών.
We have undertaken the study of 6Li breakup on a 28Si target near the Coulomb barrier through an angular distribution measurement. Alpha particles were recorded in coincidence with deuterons in order to determine exclusively the breakup of lithium. The results are analysed and are discussed, in a continuum discretized coupled channel framework (CDCC).
Visceral involvement in acute non-lymphocytic leukemia (ANLL) seldom precedes hematological manifestation. We report on a patient with M4 - ANLL presenting with acute abdomen without any evidence of blood disorder. Laparotomy revealed only ileal wall oedema. Postoperative clinical deterioration led to a second-look operation combined with intraoperative endoscopy. Biopsied tissues were diffusely infiltrated by blasts characterised as HLA-DR (+), PGM1 (50% +), MPO (50% +) and CD 34 (-). Bone marrow reconfirmed these findings and showed positivity for CD4 (44%), CD11b (50%), CD11c (42%), CD13 (33%), CD34 (32%), and CD56 (54%). Chemotherapy achieved a complete but short remission. Relapse occurred 7 months later. Immediately after consolidation chemotherapy the profoundly immunosuppressed patient passed away after a lower respiratory tract infection. We discuss the contrast between histology and short disease duration, the unusual presentation and the bad prognosis, and attempt to correlate the clinical course with the coexpression of markers.
BACKGROUND AND AIMS: This prospective study aimed to review the trustworthiness of the initial clinical assessment in acute appendicitis without employment of imaging modalities, laparoscopy or any other adjunct diagnostic test.
PATIENTS AND METHODS: 717 patients were operated on for appendicitis by six different surgeons. Initial clinical and laboratory examination were evaluated in relation to the intraoperative and the pathological appreciation of the appendiceal inflammation.
RESULTS: 598 patients were found to have appendicitis, 34 a different condition, 41 had both appendicitis and an additional condition and 44 no pathology. 6% of the laparotomies and 11% of the appendectomies were unnecessary. The severity of the inflammation correlated significantly with periumbilical pain, pain migrating to right lower quadrant, loss of appetite, fever, rebound tenderness, local rigidity, polymorphonuclear predominance on deferential, polymorhonucleosis and leukocytosis. Leukocytosis was less frequent in aged patients. All the six surgeons were found to be equally reliable, although they all underestimated the setting compared to the pathologists. Patients with a long duration of symptoms had milder forms of inflammation and increased percentage of unanticipated abdominal conditions.
CONCLUSIONS: Appendicitis can be reliably diagnosed clinically without employment of adjunct tests. These can be reserved for equivocal cases.
Purpose of investigation: Uterine papillary serous carcinoma (UPSC) and uterine clear cell carcinoma (UCCC) represent more aggressive tumors than the more common endometroid cancers, exhibiting a propensity for distant metastasis. The aim of this study was to investigate the activity and safety of paclitaxel/carboplatin chemotherapy as the only adjuvant treatment in patients with surgically resected UPSC and UCCC. Methods: Fifteen patients with Stage IB-IV UPSC or UCCC were treated with a mean of six courses of paclitaxel 175 mg/m3 plus carboplatin AUC 5 at three-week intervals, three to six weeks after undergoing surgery with curative intent. No patient had residual disease after surgery and none underwent pre- or post-chemotherapy irradiation. Results: With a median follow-up of 29.4 months, six patients (40%) relapsed and two (13%) died of disease. Mean time to recurrence was 16.9 months. Recurrence rate per Stage was 17% for Stage IB/C, 57% for Stage IIIA/C and 50% for Stage IV. Projected 5-year overall survival and progression-free survival was 79.7% and 55.7%, respectively. All relapses were abdominopelvic whereas in one case pelvic recurrence was accompanied by lung metastasis. The most frequent grade 3-4 toxicity was neutropenia. Conclusion: Chemotherapy with paclitaxel plus carboplatin is feasible and possibly prevents distant metastasis when used as adjuvant in UPSC and UCCC.
A decadal-scale trend in the tropical radiative energy budget has been observed recently by satellites, which however is not reproduced by climate models. In the present study, we have computed the outgoing shortwave radiation (OSR) at the top of atmosphere (TOA) at 2.5° longitude-latitude resolution and on a mean monthly basis for the 17-year period 1984-2000, by using a deterministic solar radiative transfer model and cloud climatological data from the International Satellite Cloud Climatology Project (ISCCP) D2 database. Anomaly time series for the mean monthly pixel-level OSR fluxes, as well as for the key physical parameters, were constructed. A significant decreasing trend in OSR anomalies, starting mainly from the late 1980s, was found in tropical and subtropical regions (30° S-30° N), indicating a decadal increase in solar planetary heating equal to 1.9±0.3Wm-2/decade, reproducing well the features recorded by satellite observations, in contrast to climate model results. This increase in solar planetary heating, however, is accompanied by a similar increase in planetary cooling, due to increased outgoing longwave radiation, so that there is no change in net radiation. The model computed OSR trend is in good agreement with the corresponding linear decadal decrease of 2.5±0.4Wm-2/decade in tropical mean OSR anomalies derived from ERBE S-10N non-scanner data (edition 2). An attempt was made to identify the physical processes responsible for the decreasing trend in tropical mean OSR. A detailed correlation analysis using pixel-level anomalies of model computed OSR flux and ISCCP cloud cover over the entire tropical and subtropical region (30° S-30° N), gave a correlation coefficient of 0.79, indicating that decreasing cloud cover is the main reason for the tropical OSR trend. According to the ISCCP-D2 data derived from the combined visible/infrared (VIS/IR) analysis, the tropical cloud cover has decreased by 6.6±0.2% per decade, in relative terms. A detailed analysis of the inter-annual and long-term variability of the various parameters determining the OSR at TOA, has shown that the most important contribution to the observed OSR trend comes from a decrease in low-level cloud cover over the period 1984-2000, followed by decreases in middle and high-level cloud cover. Note, however, that there still remain some uncertainties associated with the existence and magnitude of trends in ISCCP-D2 cloud amounts. Opposite but small trends are introduced by increases in cloud scattering optical depth of low and middle clouds.
Kouveliotis NK, Trakadas PT, Heretakis II, CAPSALIS CN. Antenna Reverberation Chamber. Encyclopedia of RF and Microwave Engineering. 2005.
BACKGROUND: Associations between the APOE genotype and various medical conditions have been documented at a very young age. The association between the APOE genotype and cognitive performance varies at different ages. APOE related changes in brain activation have been recently reported for middle aged and elderly subjects.
OBJECTIVE: To explore APOE related alterations during cognitive activation in a population of young adults.
METHODS: Using H2(15)O positron emission tomography (PET), imaging was carried out in 20 healthy young adults (age 19 to 28 years; four epsilon4 carriers and 16 non-epsilon4 carriers) during a non-verbal memory task. Voxel-wise multiple regression analyses were undertaken, with the activation difference PET counts as the dependent variable and the APOE genotype as the independent variable.
RESULTS: Brain regions were identified where epsilon4 carriers showed significantly lower or higher activation than non-carriers.
CONCLUSIONS: The results suggest that APOE dependent modulation of cerebral flow may be present even at a young age. This may reflect an APOE related physiological heterogeneity which may or may not predispose to brain disease in the ensuing decades or, less likely, the effect of very early Alzheimer's disease related pathological changes.
Our understanding of the cardiovascular system has evolved through the years by extensive studies emphasizing the identification of the molecular and physiological mechanisms involved in its normal function and disease pathogenesis. Major discoveries have been made along the way. However, the majority of this work has focused on specific genes or pathways rather than integrative approaches. In cardiomyopathies alone, over 30 different loci have shown mutations with varying inheritance patterns, yet mostly coding for structural proteins. The emergence of microarrays in the early 1990s paved the way to a new era of cardiovascular research. Microarrays dramatically accelerated the rhythm of discoveries by giving us the ability to simultaneously study thousands of genes in a single experiment. In the field of cardiovascular research, microarrays are having a significant contribution, with the majority of work focusing on end-stage cardiomyopathies that lead to heart failure. Novel molecular mechanisms have been identified, known pathways are seen under new light, disease subgroups begin to emerge, and the effects of various drugs are molecularly dissected. This cross-study data comparison concludes that consistent energy metabolism gene expression changes occur across dilated, hypertrophic, and ischemic cardiomyopathies, while Ca2+ homeostasis changes are prominent in the first two cardiomyopathies, and structural gene expression changes accompany mostly the dilated form. Gene expression changes are further correlated to disease genetics. The future of microarrays in the cardiomyopathy field is discussed with an emphasis on optimum experimental design and on applications in diagnosis, prognosis, and drug discovery.
Aim: The aim of the present study was to correlate bcl-2 protein expression and DNA-ploidy status with established prognostic parameters in renal cell carcinoma (RCC) and to examine their impact on disease progression and patient survival. Methods: Both parameters were prospectively measured in 50 consecutive radical nephrectomy specimens using flow cytometry. They were correlated with the tumor grade, stage and histological type. Kaplan-Meier survival analysis for all parameters was performed. Results: Bcl-2 protein expression was higher in RCC compared to normal renal tissue (P < 0.0001). Aneuploid tumors had higher bcl-2 expression compared to diploid tumors (P = 0.015). Bcl-2 expression and DNA content were not correlated with tumor histological types (P = 0.277/ P = 0.419), grades (P = 0.690/P = 0.449), T categories (P = 0.637/P = 0.585) or stages (P = 0.726/ P = 0.800). Median follow-up time was 46 months (range, 5-84) with a mean overall survival of 61.8 months (95% confidence interval, 53.7-69.9). Tumor stage was the only statistically important prognostic factor (P = 0.0045). Conclusion: Although Bcl-2 expression was correlated with tumor DNA content, the prognostic value of these two parameters following radical nephrectomy was not established.
{The pharmacokinetics of tobramycin was studied in adult patients (N = 151) admitted either for initial suspicion of Gram-negative infection or for prophylaxis. In addition to age, weight, height and creatinine clearance (CrCL), a range of other covariates were also analysed, including type of pathology, co-medication, fever, sex and ethnicity (Basque or not). All patients received 100 mg tobramycin every 8 h and samples were collected at three time points after the first dose and at two time points after the fourth dose and assayed with a fluorescence polarisation immunoassay. The population mixed effects bicompartmental parameters were obtained from 725 concentration measurements using NONMEM, FOCE method, and were: systemic clearance
Background: Brain metastases from epithelial ovarian cancer (EOC) are rare. A retrospective study of all patients diagnosed with brain metastases from EOC over the last 20 years, according to the Hellenic Cooperative Oncology Group (HeCOG) tumor registry, was conducted. Patients and Methods: A total of 1450 patients with EOC were treated within various HeCOG protocols from 1983 to 2004. Seventeen (1.17%) of them developed brain metastases. Results: The median age at diagnosis of brain metastases was 58 years (range, 24 to 77). At initial diagnosis, 2 patients had stage II, 12 had stage III and 3 had stage IV disease. Serous papillary adenocarcinoma was the most common histological subtype [12 patients (71%)]. All patients had received initial cisplatin-based chemotherapy. The median time from initial diagnosis to central nervous system (CNS) relapse was 15.9 months (range, 1.4 to 70.8). The CNS was the only site of disease in 13 (76.5%) patients, whereas 4 (23.5%) patients had additional extracranial disease. Two (12%) patients with isolated single brain lesions underwent surgical excision of the metastases, followed by whole brain radiation therapy (WBRT) and chemotherapy. Four (24%) patients were treated with WBRT alone, 6 (35%) patients with WBRT plus chemotherapy and 2 (12%) had only supportive care, while 3 (18%) patients decided not to have any further treatment after the diagnosis of brain metastases. The median survival time from diagnosis of CNS relapse was 5.7 months (range, 0.2 to 22.6) and the median survival time from diagnosis of EOC was 27.4 months (range, 3.0 to 71.4). In patients with CNS recurrence as the only site of disease, the median survival time from diagnosis of CNS relapse was 5.3 months (range, 0.6 to 22.6) and in those with both CNS and extracranial disease, the median survival time was 3.9 months (range, 0.2 to 11.9) (p=0.5597). There was a statistically significant difference in survival for those treated with WBRT plus chemotherapy (10.0 months) versus those treated with WBRT alone (1.5 months) and those who had only supportive care (0.2 months) (p=0.0003). Conclusion: The incidence of cerebral metastases in our patients with EOC was 1.17%, which is consistent with the mean value of all series reported in the literature. The prognosis of patients with brain metastases from EOC is poor. Patients who had WBRT and chemotherapy fared better than those who received WBRT alone.
In order to understand the brain networks that mediate cognitive reserve, we explored the relationship between subjects' network expression during the performance of a memory test and an index of cognitive reserve. Using H2(15)O positron emission tomography, we imaged 17 healthy older subjects and 20 young adults while they performed a serial recognition memory task for nonsense shapes under two conditions: low demand, with a unique shape presented in each study trial; and titrated demand, with a study list size adjusted so that each subject recognized shapes at 75% accuracy. A factor score that summarized years of education, and scores on the NART and the WAIS-R Vocabulary subtest was used as an index of cognitive reserve. The scaled subprofile model was used to identify a set of functionally connected regions (or topography) that changed in expression across the two task conditions and was differentially expressed by the young and elderly subjects. The regions most active in this topography consisted of right hippocampus, posterior insula, thalamus, and right and left operculum; we found concomitant deactivation in right lingual gyrus, inferior parietal lobe and association cortex, left posterior cingulate, and right and left calcarine cortex. Young subjects with higher cognitive reserve showed increased expression of the topography across the two task conditions. Because this topography, which is responsive to increased task demands, was differentially expressed as a function of reserve level, it may represent a neural manifestation of innate or acquired reserve. In contrast, older subjects with higher cognitive reserve showed decreased expression of the topography across tasks. This suggests some functional reorganization of the network used by the young subjects. Thus, for the old subjects this topography may represent an altered, compensatory network that is used to maintain function in the face of age-related physiological changes.
Laparoscopy has emerged as an important staging procedure for determining resectability of pancreatic cancer. However, a small fraction of patients with pancreatic cancer benefit from its use and therefore the routine application of laparoscopy remains controversial. We hypothesized that serum CA 19-9 levels may identify patients who will or will not benefit by laparoscopy. We retrospectively reviewed our database of 63 patients with pancreatic adenocarcinoma who underwent staging laparoscopy and correlated findings with CA 19-9 levels. Overall, laparoscopy identified metastatic disease in 12 patients (19%). None of those required any further operation. The resectability rate (patients who underwent resection after laparoscopy) was 73.5%. There was one false-negative laparoscopy (1.6%). Patients with higher CA 19-9 levels had significant higher odds of having metastasis identified by laparoscopy (odds ratio, 1.83; 95% confidence interval, 1.03-3.24; P = .04). There was no patient with CA 19-9 levels below 100 U/ml in whom metastatic disease was identified during laparoscopy: 18 patients (28.6%) with CA 19-9 levels below this cutoff point had negative laparoscopy and could have avoided the procedure had this cutoff been used for screening. This would have increased the laparoscopy yield to 26.7%. In patients with adenocarcinoma of the pancreas, low CA 19-9 levels predict low probability of metastatic disease; in those patients, laparoscopy can be spared. On the contrary, patients with elevated CA 19-9 have an increased probability of metastatic disease, and these patients may benefit from diagnostic laparoscopy.
We present a case of systemic sarcoidosis with ovarian and peritoneal involvement. The atypical clinical presentation of the disease has lead to a problem of the differential diagnosis with ovarian cancer. A 72-year-old female was admitted because of low grade fever, fatigue and dilatation of the abdomen. Clinical and laboratory evaluation of the patient revealed moderate right pleural effusion, ascites, diffuse ovarian infiltration, presence of enlarged intraabdominal lymph nodes and a substantially high value of serum CA 125. Histological examination after laparotomy was indicative of ovarian sarcoidosis.
New BVRI light curves of the eclipsing binary system V1363 Ori, based on CCD observations made at the University of Athens Observatory, are analyzed using the Wilson-Devinney light curve synthesis code and new geometric and photometric elements are derived. These elements are used together with the available spectroscopic data to compute the absolute elements of the system. The evolutionary status of the system is also discussed.
New ground-based BV RI CCD observations of the eclipsing binary systems NN Vir and YY CrB are analyzed and illustrated. New times of minima are given and new ephemerides are proposed. The light curves are analyzed with the Wilson-Devinney light curve synthesis code and new geometric and photometric elements are derived. These elements are used together with the available spectroscopic data to compute absolute elements. The evolutionary status of each system is studied by means of mass-radius diagrams. The systems NN Vir and YY CrB are found to be A-type and W-type W UMa systems, respectively.
Despite the knowledge that women are more susceptible than men to stress-related mental illness, such as major depression, there is no comprehensive estimation of the role of gender in the detrimental effects of chronic stress that might cause depression. Sex differences regarding the association of behavioral parameters with serotonergic and hypothalamic-pituitary-adrenal axis activities were investigated in the chronic mild stress model of depression. Additionally, the impact of chronic mild stress exposure on an additional/novel short-term stressful procedure, such as the forced swim test was examined in male and female rats. Female rats were found to be more vulnerable to chronic mild stress and that was depicted with disruption of sucrose intake, decreases in open field activity, increased corticosterone levels, alteration in estrous cycle and decreased serotonergic activity in hippocampus and hypothalamus. On the contrary, in males the current chronic mild stress protocol elicited only behavioral changes, such as disruption in sucrose intake and decreased open field activity. Interestingly, in response to forced swim test, females previously subjected to chronic mild stress, were found to cope better by exhibiting increased active behavior in the second forced swim test session and higher hypothalamic serotonergic activity in comparison with corresponding males. On the other hand, males were more affected by previous chronic mild stress exposure and that was manifested by decreased active behavior in the first forced swim test session and increased corticosterone levels following second forced swim test session. These data indicate that although females are more vulnerable in the application of chronic mild stress than males, in response to an additional-novel stressor (forced swim test) they show better response. Therefore, both sex/gender and combination of stressful procedures should be carefully considered in the study of the pathophysiology of stress-related mental illnesses.
Despite the knowledge that women are more susceptible than men to stress-related mental illness, such as major depression, there is no comprehensive estimation of the role of gender in the detrimental effects of chronic stress that might cause depression. Sex differences regarding the association of behavioral parameters with serotonergic and hypothalamic-pituitary-adrenal axis activities were investigated in the chronic mild stress model of depression. Additionally, the impact of chronic mild stress exposure on an additional/novel short-term stressful procedure, such as the forced swim test was examined in male and female rats. Female rats were found to be more vulnerable to chronic mild stress and that was depicted with disruption of sucrose intake, decreases in open field activity, increased corticosterone levels, alteration in estrous cycle and decreased serotonergic activity in hippocampus and hypothalamus. On the contrary, in males the current chronic mild stress protocol elicited only behavioral changes, such as disruption in sucrose intake and decreased open field activity. Interestingly, in response to forced swim test, females previously subjected to chronic mild stress, were found to cope better by exhibiting increased active behavior in the second forced swim test session and higher hypothalamic serotonergic activity in comparison with corresponding males. On the other hand, males were more affected by previous chronic mild stress exposure and that was manifested by decreased active behavior in the first forced swim test session and increased corticosterone levels following second forced swim test session. These data indicate that although females are more vulnerable in the application of chronic mild stress than males, in response to an additional-novel stressor (forced swim test) they show better response. Therefore, both sex/gender and combination of stressful procedures should be carefully considered in the study of the pathophysiology of stress-related mental illnesses.
BACKGROUND: Peptide YY (PYY) and ghrelin are gastrointestinal tract-derived hormones that play roles in the regulation of food intake and energy balance. Negative energy balance often occurs in hospitalized preterm infants. METHODS: To measure serum concentrations of PYY in preterm and full-term infants and to investigate their correlations with anthropometric characteristics, food intake, and serum ghrelin concentrations, we measured serum PYY and ghrelin concentrations by RIA in 62 healthy preterm infants [mean (SD) gestational age, 32.0 (2.1) weeks; postnatal age, 40.9 (14.8) days] and 15 healthy full-term infants of comparable postnatal age. All of the infants were formula-fed every 3 h. RESULTS: PYY concentrations were significantly higher in preterm [1126.2 (215.4) ng/L] than in full-term infants [825.3 (234.4) ng/L; P < 0.001]. In the entire study population, serum PYY concentrations correlated negatively with gestational age and anthropometric measurements (birth weight, body weight, body length, body mass index, and head circumference) and positively with serum ghrelin concentrations, whereas there was no significant correlation between PYY concentration and caloric intake or weight gain. Multiple regression analysis, after correction for prematurity, revealed that serum PYY concentrations correlated independently with serum ghrelin concentrations and infant body weight or body mass index. CONCLUSIONS: Circulating concentrations of PYY may increase in preterm infants to compensate for the negative body-weight balance. The physiologic mechanisms behind the correlation between PYY and ghrelin remain to be elucidated.
This paper is a study of the way in which native speakers of Modern Greek use deictic categories. Specifically, it provides a theoretical account of the cognitive procedures that motivate the choice of one deictic over its counter-part in a deictic contrast and the pragmatic effects that this particular choice seems to have in terms of the speech situation.
This study determined the role of the combined use of 99mTc- sestamibi and 99mTc-pentavalent dimercaptosuccinic acid (V-DMSA) scintigraphy in evaluating the effectiveness of chemotherapy in patients with multiple myeloma. Methods: In 20 patients with multiple myeloma who had received or were receiving chemotherapy, 99mTc-sestamibi and 99mTc-V-DMSA scanning was performed to evaluate the effectiveness of chemotherapy. Results: In group A (11 patients with active disease), 42 99mTc-sestamibi-positive lesions were found. Thirty-seven of those lesions were also positive for 99mTc-V-DMSA uptake, as were 16 additional lesions (nonactive) (NAL). Thus, in group A, the total number of positive lesions (TPL) detected was 58 and the NAL/TPL ratio was 16:58. In group B (9 patients in remission), 5 99mTc-sestamibi-positive lesions were found. A further 22 lesions were also positive for 99mTc-V-DMSA uptake. Thus, in group B, the NAL/TPL ratio was 22:27. Therefore, the NAL/TPL ratios considered to represent effectively treated lesions were 27.6% and 81.5% for groups A and B, respectively. Conclusion: Combined use of the 2 agents allows the effectiveness of chemotherapy to be evaluated through a comparison of NAL and TPL multiple myeloma lesions even in the absence of a baseline study.
Tail autotomy, the self-induced tail separation from the body, is a common and effective antipredator mechanism in lizards. In this study, we examine the muscle energetics of tail shedding in six lacertid lizard species (Podarcis erhardii, Podarcis peloponnesiaca, Podarcis muralis, Podarcis gaigeae, Podarcis milensis, and Lacerta graeca) from the northeast Mediterranean region. Very long periods of postautotomy tail movement were demonstrated for all species (rangep6–8 min), and differences among species were not statistically significant. Postautotomy tail movement, powered by anaerobic muscle activity, resulted in a strong increase in lactate concentrations and a concomitant depletion of muscle glycogen of exhausted tails relative to resting tails. No significant differences were found in either lactate or glycogen concentrations among the species examined. Duration of movement was negatively correlated with final lactate concentrations. The lack of differentiation in postautotomy energetic physiology in this group of species that have evolved nder very different predation environments indicates that postautotomy muscle metabolism involves an overall conservative suite of characters.
INTRODUCTION: The purpose of this investigation was to study the shapes of the condyle and the glenoid fossa in patients with Class II Division 1, Class II Division 2, and Class III malocclusions.
METHODS: Axially corrected tomograms of 189 patients were used (109 Class II Division 1, 47 Class II Division 2, and 33 Class III). Five points on the condyle and 7 on the outline of the fossa were digitized. Size was assessed by the centroid size of each structure, and measurements of shape were made by principal component analysis of the Procrustes residuals.
RESULTS AND CONCLUSIONS: Inspection of the principal components of shape showed that shape variability of the condyle was mainly related to inclination of the condylar head; shape variability of the fossa was related to inclination of the eminence and fossa height. Centroid size was correlated to age in the Class III group only. Condylar and fossa shapes were found to be different between the groups; the Class III group had a more elongated and anteriorly inclined condylar head and a wider and shallower fossa. In the Class III group, the condyle was closer to the roof of the fossa. The 2 Class II divisions differed only in the position of the condyle in the fossa, which was situated more anteriorly in the Class II Division 1 group.
{The 3-D structure of the lithosphere beneath the Aegean Sea is investigated through surface wave dispersion analysis. Rayleigh and Love waves recorded by 12 broad-band stations installed for a duration of 6 months in the Aegean region are processed through array analysis and Wiener filtering. Data from three GEOFON stations in the area of Crete were also used. The resulting two-station phase velocities are used to determine lateral variations of Rayleigh wave phase velocities between periods of 20 and 100 s by a 2-D ray tomography method. The obtained phase velocities are inverted to calculate variation of S-wave velocity with depth using a combination of linearized inversion and a Monte Carlo based non-linear inversion.The absolute S-wave velocity is resolved to a depth of approximately 200 km. A high-velocity anomaly of 3 per cent is observed in the southern Aegean attributed to the Hellenic subduction. In the northern part of the Aegean, in the prolongation of the North Anatolian Fault which is influenced by strong extensional movements, we found low absolute S-wave velocities at 50–100 km depth. This supports a model of a distributed deformation of the upper mantle in the area. Separate Rayleigh and Love wave phase velocity inversions along common profiles reveal a strong Love–Rayleigh discrepancy in the northern Aegean down to at least 150 km depth, i.e. most probably including the top of the asthenosphere.}
The purpose of this study was to examine the usefulness and validity of contrast enhanced-spiral computerized tomography in assessing blunt abdominal trauma. 257 patients were admitted in a general hospital over a period of five years and were examined with computed tomography. Two-dimension reconstruction and delayed imaging were used when appropriate. 169 patients underwent a laparotomy, while 88 were treated conservatively. Scans were true positive for intraabdominal damage in 212 patients depicting chiefly splenic, liver, renal, urinary bladder, and mesenteric/intestinal injuries (41%, 18%, 6.6%, 6.6%, and 13.7% respectively). True negative examinations amounted up to 35. 10 non-specific examinations displayed the existence of hemoperitoneum but not the actual damage itself, therefore they were considered false negative. No false positive examination existed. Overall sensitivity was 95%, specificity 100%, positive predictive value 100% and negative predictive value 78%. In conclusion spiral computed tomography is a valuable examination in blunt abdominal trauma as it facilitates diagnosis of intraabdominal damage, assists in defining treatment and occasionally allows foretelling the outcome.
We discuss the correlation between the evolution of the TeV emission and X-ray radiation observed in high-energy peaked BL Lac objects. We describe such a correlation by a simple power law F_TeV(t) propto F^x_X-ray(t). In the first part of this work we present correlations obtained for the activity of Mrk 501 observed in 1997 April and for the activity of Mrk 421 observed in 2000 February. Our results obtained for Mrk 501 show that the index of the correlation (x) may strongly depend on the width and position of the spectral bands used for the comparison. The result of the correlation which we have obtained for Mrk 421 is not informative. However, we discuss results of similar correlation obtained for this source by other authors. They report an almost quadratic (x ∼ 2) correlations observed between the evolution of the TeV and X-ray emission. In the second part of this paper we present a phenomenological model which describes the evolution of the synchrotron and inverse Compton emission of a simple spherical homogeneous source. Neglecting the radiative cooling of the particles we derive analytical expressions that describe the evolution. Then we use a numerical code to investigate the impact of radiative cooling on the evolution. We show that different forms of correlations can be obtained depending on the assumed evolution scenario and the spectral bands used for the calculation. However, the quadratic correlation observed during the decay phase of the flare observed in Mrk 421 on 2001 March 19 appears problematic for this basic modeling. The quadratic correlation can be explained only for specific choices of the spectral bands used for the calculation. Therefore, looking for more robust solutions, we investigate the evolution of the emission generated by a cylindrical source. However this model does not provide robust solutions for the problem of a quadratic correlation. In principle the problem could be solved by the TeV emission generated by the self Compton scattering in the Thomson limit. However, we show that such a process requires unacceptably large values of the Doppler factor. Finally we briefly discuss the possible influence of the light travel time effect on our results.
We show that the integrability obstruction of a transitive Lie algebroid coincides with the lifting obstruction of a crossed module of groupoids associated naturally with the given algebroid. Then we extend this result to general extensions of integrable transitive Lie algebroids by Lie algebra bundles. Such a lifting obstruction is directly related with the classification of extensions of transitive Lie groupoids. We also give a classification of such extensions which differentiates to the classification of transitive Lie algebroids discussed in \cite{KCHM:new}.
We studied the crystal and magnetic structure of the La1-xCaxMnO3 compound for (0.11 <= x <= 0.175) using stoichiometric samples. For x < 0.13 the system's ground state is insulating canted antiferromagnetic. For 0.13 <= x <= 0.175 below the Jahn-Teller transition temperature (T-JT) the crystal structure undergoes a monoclinic distortion. The crystal structure can be described with P2(1)/c space group which permits two Mn sites. The unit-cell strain parameter s=2(a-c)/(a+c) increases for T < T-JT, taking the maximum value at the Curie point, and then decreases. Below T-M'M''approximate to 60 K s abruptly changes slope and finally approaches T=0 K with nearly zero slope. The change of s at T-M'M'' is connected to a characteristic feature in the magnetic measurements. As x increases towards the ferromagnetic metallic boundary, although s is reduced appreciably, the monoclinic structure is preserved. The monoclinic structure is discussed with relation to the orbital ordering, which can produce the ferromagnetic insulating ground state. We also studied samples that were prepared in air atmosphere. This category of samples shows ferromagnetic insulating behavior without following the particular variation of the s parameter. The crystal structure of these samples is related to the so-called O-* (c > a > b/root 2) structure.
BACKGROUND: Delusions and hallucinations are common in Alzheimer disease (AD) and there are conflicting reports regarding their ability to predict cognitive decline, functional decline, and institutionalization. According to all previous literature, they are not associated with mortality.
OBJECTIVE: To examine whether the presence of delusions or hallucinations has predictive value for important outcomes in AD.
DESIGN, SETTING, AND PARTICIPANTS: A total of 456 patients with AD at early stages (mean Folstein Mini-Mental State Examination [MMSE] score of 21 of 30 at entry) were recruited and followed up semiannually for up to 14 years (mean, 4.5 years) in 5 university-based AD centers in the United States and Europe. Using the Columbia University Scale for Psychopathology in AD (administered every 6 months, for a total of 3266 visit-assessments, average of 7.2 per patient), the presence of delusions and hallucinations was extracted and examined as time-dependent predictors in Cox models. The models controlled for cohort effect, recruitment center, informant status, sex, age, education, a comorbidity index, baseline cognitive and baseline functional performance, behavioral symptoms, and use of neuroleptics and cholinesterase inhibitors.
MAIN OUTCOME MEASURES: Cognitive (Columbia MMSE score of < or =20/57 [approximate Folstein MMSE score of < or =10/30]), functional (Blessed Dementia Rating Scale [parts I and II] score of > or =10), institutionalization equivalent index, and death.
RESULTS: During the full course of follow-up, 38% of patients reached the cognitive, 41% the functional, 54% the institutionalization, and 49% the mortality end point. Delusions were noted for 34% of patients at baseline and 70% at any evaluation. Their presence was associated with increased risk for cognitive (risk ratio [RR], 1.50; 95% confidence interval [CI], 1.07-2.08) and functional decline (RR, 1.41; 95% CI, 1.02-1.94). Hallucinations were present in 7% of patients at initial visit and in 33% at any visit. Their presence was associated with increased risk for cognitive decline (RR, 1.62; 95% CI, 1.06-2.47), functional decline (RR, 2.25; 95% CI, 1.54-2.27), institutionalization (RR, 1.60; 95% CI, 1.13-2.28), and death (RR, 1.49; 95% CI, 1.03-2.14).
CONCLUSIONS: Delusions and hallucinations are very common in AD and predict cognitive and functional decline. Presence of hallucinations is also associated with institutionalization and mortality.
In this paper we demonstrate the dependence of MgB2 as for its superconducting properties with respect to different thermal profiles used at the manufacturing stage of the compound. A colligation is made between the change of the superconducting capabilities and the structure of the final material. The samples were characterized, as far as the structure is concerned, with an X-ray diffractometer, a scanning electron microscope, and a differential thermal analyzer. As for the superconductivity aspect of the compound, the dependence of the magnetic ac susceptibility and resistivity with respect to temperature was determined. (c) 2004 Elsevier B.V. All rights reserved.
OBJECTIVES: To examine the natural course of depressive symptoms in patients with probable Alzheimer's disease (AD), specifically, the temporal relationship between depressive symptoms, function, and cognitive status.
DESIGN: Multicenter cohort study with follow-up of up to 14 years.
SETTING: Patients from the two Multicenter Study of Predictors of Disease Course in Alzheimer's Disease (Predictors Study) cohorts were recruited at five sites in the United States and Europe.
PARTICIPANTS: Patients diagnosed with probable AD (n=536) enrolled in a longitudinal study (Predictors Study).
MEASUREMENTS: Depressive symptoms were evaluated at 6-month intervals using the Columbia Scale for Psychopathology in Alzheimer's Disease. The Modified Mini-Mental State (3MS) and Blessed Dementia Rating Scale (BDRS) were used to assess cognitive status and functional activity, respectively.
RESULTS: The prevalence of depressive symptoms was stable over the first 3 years of follow-up, at approximately 40%. There was a significant drop to 28% and 24% in the fourth and fifth years of follow-up, respectively. Time-dependent Cox analysis revealed that functional activity (BDRS) but not cognitive status (3MS) was a significant predictor of the first episode of depressive symptoms during follow-up. Generalized estimating equation analyses showed that AD duration and functional activity but not cognitive status were significantly related to depressive symptoms over the entire follow-up period.
CONCLUSION: Depressive symptoms are common in AD, but their prevalence decreases over time. Examination of the temporal relationship between depressive symptoms and risk factors suggests that decline in function but not in cognition precedes the first episode of depressive symptoms in patients with probable AD.
OBJECTIVES: To develop a real-time quantitative RT-PCR method for BRCA1 mRNA and then use it for the study of BRCA1 gene expression in human MCF-7 breast cancer cells after their exposure to antineoplastic agents and gamma irradiation. DESIGN AND METHODS: The developed QRT-PCR method is based on the real-time monitoring of a fluorescein-labeled TaqMan probe, specific for BRCA1 mRNA, during PCR in the LightCycler. A BRCA1 PCR amplicon was purified, quantitated and used as a standard of known concentration for the development and analytical evaluation of the assay. The method was applied to study the alteration of BRCA1 gene expression after exposure to taxol, doxorubicin, 5-fluorouracil, etoposide or gamma irradiation in human MCF-7 breast cancer cells. RESULTS: The developed method is quantitative, highly specific for mRNA and highly sensitive (detection limit of 4 BRCA1 copies per mug of total RNA). We observed a reduction of BRCA1 expression for all antineoplastic agents used, while the gamma irradiated MCF-7 cells had an increase of expression with a peak at the 10 Gy dose. CONCLUSIONS: The developed BRCA1 QRT-PCR method is quantitative, highly sensitive and specific. The proposed method is rapid, automated, and cost effective and can be used to study BRCA1 expression in a variety of clinical samples
Most statistical methods for censored survival data assume there is no dependence between the lifetime and censoring mechanisms, an assumption which is often doubtful in practice. In this paper we study a parametric model which allows for dependence in terms of a parameter δ and a bias function B(t, θ). We propose a sensitivity analysis on the estimate of the parameter of interest for small values of δ. This parameter measures the dependence between the lifetime and the censoring mechanisms. Its size can be interpreted in terms of a correlation coefficient between the two mechanisms. A medical example suggests that even a small degree of dependence between the failure and censoring processes can have a noticeableeffect on the analysis.
The double-mode pulsation of GSC 00144-03031 has been detected when searching for COROT targets. A very large dataset composed of 4722 photometric measurements was collected at six observatories in Europe and America. There is no hint of the excitation of additional modes (down to 0.6 mmag) and therefore GSC 00144-03031 seems to be a pure double-mode pulsator, with a very short fundamental radial mode (P = 84 min). From uvbyβ photometry and evolutionary tracks it appears to be a Pop. I star with M = 1.75 M⊙, located in the middle of the instability strip, close to the Zero-Age Main Sequence. We also discovered other new double-mode pulsators in the databases of large-scale projects: OGLE BW2_V142, OGLE BW1_V207, ASAS3 094303-1707.3, ASAS3 000116-6037.0, NSVS 3234596 and NSVS 3324715. An observational Petersen diagram is presented and explained by means of new models. A common sequence connecting Pop. I stars from the shortest to the longest periods is proposed and the spreads in the period ratios are ascribed to different metallicities (at the shortest periods) and to different masses (at the longest ones).
Respiratory viruses induce asthma exacerbations and airway hyperresponsiveness (AHR). Atopy is an important risk factor for asthma persistence.|We sought to evaluate whether atopy is a risk factor for prolonged AHR after upper respiratory tract infections (URIs).|Twenty-five children (13 atopic and 12 nonatopic children) with intermittent virus-induced asthma were studied. Clinical evaluation, skin prick tests, methacholine bronchoprovocation, questionnaires, and a nasal wash specimen were obtained at baseline. For 9 months, subjects completed diary cards with respiratory symptoms. During their first reported cold, a nasal wash specimen was obtained. Methacholine provocation was performed 10 days and 5, 7, 9, and 11 weeks later. In case a new cold developed, the provocation schedule was followed from the beginning.|Viruses were detected in 17 (68%) of 25 patients during their first cold, with rhinovirus being most commonly identified (82%). AHR increased significantly 10 days after the URI, equally in both groups (P = .67), and remained so up to the fifth week. Duration of AHR in subjects experiencing a single URI ranged from 5 to 11 weeks, without a significant difference between groups. In the duration of the study, atopic children experienced more colds and asthma exacerbations than nonatopic children. Thus for duration of AHR, significant prolongation was noted in the atopic group when assessed cumulatively.|In asthmatic children the duration of AHR after a single natural cold is 5 to 11 weeks. However, an increased rate of symptomatic cold and asthma episodes in atopic children is associated with considerable cumulative prolongation of AHR, which might help explain the role of atopy as a risk factor for asthma persistence.
