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.
In this work we present magnetization data on hybrids consisting of multilayers (MLs) of manganites [La0.33Ca0.67MnO3/La0.60Ca0.40MnO3](15) in contact with a low-T-c Nb superconductor (SC). Although a pure SC should behave diamagnetically in respect to the external magnetic field in our ML-SC hybrids we observed that the magnetization of the SC follows that of the ML. Our intriguing experimental results show that the SC below its T-c(SC) becomes ferromagnetically coupled to the ML. As a result in the regime where diamagnetic behavior of the SC was expected its bulk magnetization switches only whenever the coercive field of the ML is exceeded. By employing specific experiments where the ML was selectively biased or not we demonstrate that the ML inflicts its magnetic properties on the whole hybrid. Possible explanations are discussed in connection to recent theoretical proposals and experimental findings that were obtained in relative hybrids.
AIM: To develop an experimental model of islet allotransplantation in diabetic rats and to determine the positive or adverse effects of MMF as a single agent.
METHODS: Thirty-six male Wistar rats and 18 male Lewis rats were used as recipients and donors respectively. Diabetes was induced by the use of streptozotocin (60 mg/kg) intraperitoneally. Unpurified islets were isolated using the collagenase digestion technique and transplanted into the splenic parenchyma. The recipients were randomly assigned to one of the following three groups: group A (control group) had no immunosuppression; group B received cyclosporine (CsA) (5 mg/kg); group C received mycophenolate mofetil (MMF) (20 mg/kg). The animals were killed on the 12th d. Blood and grafted tissues were obtained for laboratory and histological assessment.
RESULTS: Median allograft survival was significantly higher in the two therapy groups than that in the controls (10 and 12 d for CsA and MMF respectively vs 0 d for the control group, P<0.01). No difference in allograft survival between the CsA and MMF groups was found. However, MMF had less renal and hepatic toxicity and allowed weight gain.
CONCLUSION: Monotherapy with MMF for immunosuppression was safe in an experimental model of islet allotransplantation and was equally effective with cyclosporine, with less toxicity.
BACKGROUND: Total thyroidectomy is associated with minimal morbidity. The electrothermal bipolar vessel sealing system is an adjunct to the surgical technique, recently made available to thyroid surgery.
METHODS: This is a prospective randomized trial of total thyroidectomies performed in single unit from July 2003 to May 2004. Patients were randomly assigned in two groups: group A (n = 90), total thyroidectomy with the classic suture ligation technique; and group B (n = 94), total thyroidectomy with the use of the electrothermal bipolar vessel sealing system.
RESULTS: Operative time was significantly reduced in group B by 14 minutes (mean difference, 14.3 +/- 4.2 minutes, 95% CI, 5.88-22.6 minutes). No statistically significant differences were found in postoperative complications, postoperative serum calcium measurements, or hospital stay between the two groups.
CONCLUSIONS: The electrothermal bipolar vessel sealing system is a safe and useful, time-saving adjunct for total thyroidectomy.
Living coccolithophores were collected, in August, 2001, from eight stations in the Gulf of Korthi (Andros Island, middle Aegean Sea, eastern Mediterranean), in order to determine the cell density, species composition and biogeographical (spatial and vertical) distribution in this coastal marine ecosystem. The holococcolithophore assemblages in the sampled stations sometimes reached more than 50% of the total standing crop, tending to be dominant especially at the shallower stations. Two new species of Sphaerocalyptra were identified and are described and figured here: Sphaerocalyptra dermitzakii sp. nov. and Sphaerocalyptra youngii sp. nov.
The ever-increasing mobility in Greece’s geopolitical neighborhood calls for an evaluation and re-design of the existing crisis management mechanism, with a long-term perspective. Due to the fact that the mechanism in question is based on the functioning of the Governmental Council on Foreign and Defence Matters (KYSEA), this evaluation is focused on the Council’s current structure and on its weaknesses.
Memory loads exceeding the limited capacity of working memory (WM) have been shown to expand the prefrontal areas that participate in WM and have revealed substantial individual differences in performance. We used a delayed-match-to-sample (DMS) task in an event-related fMRI study to map the full extent of the expanded regional activations associated with supracapacity loads. A 6-letter study array was compared to arrays of 1 and 3 letters. The task comprised separate encoding, retention, and retrieval fMRI epochs. A brain-wide spatial covariance analysis was applied to the data of all task epochs to identify patterns of correlated regional activations whose expression increased monotonically across 3 memory-load levels on a subject-by-subject basis. Such load-related activation patterns were in all task phases. Of greatest interest is the activation pattern that was obtained during the maintenance phase: increasing activation with memory load was found not only in the lateral PFC (BA 9,44) but also in the parietal lobe (BA 7,40), anterior cingulate (BA 32), and cerebellum. Decreasing activation was found in the occipito-temporal lobe (BA 19,39) as well as the medial prefrontal cortex (BA 9,10). Subject increases in pattern expression from 1 to 6 items were positively correlated with the corresponding reaction time increases (p<0.05) and negatively correlated with NARTIQ (p<0.05), indicating that people who were faster in their responses and had higher NARTIQ had to increase their subject expression of the memory-load-related activation pattern less and were more efficient at the cognitive task. Our method thus not only reproduced findings of other WM studies but also addressed the issue of interactions between lateral PFC and other parts of the brain during the task, for the retention of the to-be-remembered information. The load-related activation patterns from encoding and retrieval phase and their relationship to behavior are also discussed.
The origin of the pathogenic endothelial cells in common infantile hemangioma is unknown. We show here that the transcriptomes of human placenta and infantile hemangioma are sufficiently similar to suggest a placental origin for this tumor, expanding on recent immunophenotypical studies that have suggested this possibility [North, P. E., et al. (2001) Arch. Dermatol. 137, 559-570]. The transcriptomes of placenta, hemangioma, and eight normal and diseased tissues were compared by hierarchical and nonhierarchical clustering analysis of >7,800 genes. We found that the level of transcriptome similarity between placenta and hemangioma exceeded that of any other tissue compared and paralleled that observed between a given tissue and its derived tumor, such as normal and cancerous lung. The degree of similarity was even greater when a subset of endothelial cell-specific genes was analyzed. Genes preferentially expressed in both placenta and hemangiomas were identified, including 17-beta hydroxysteroid dehydrogenase type 2 and tissue factor pathway inhibitor 2. These data demonstrate the value of global molecular profiling of tissues as a tool for hypothesis-driven research. Furthermore, it suggests that the unique self-limited growth of infantile hemangioma may, in fact, mirror the lifetime of placental endothelium.
We report on the microstructural evolution in Cu 15%Nb multifilamentary wires upon annealing and the corresponding effects on their 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 the spheroidization of niobium filaments. Another important consequence of annealing is the recrystallization of Nb, that has a straightforward influence on the magnetization data. When compared to the as-drawn composite, in the annealed Cu15%Nb samples the bulk upper critical field H-c2(T) is reduced significantly, while the lower critical field H-c1 (T) is increased as a function of the annealing temperature and time. This indicates that we may employ this process as an efficient method to modify the basic superconducting parameters of Nb, namely the coherence length (T) and the penetration depth lambda(T).
Model combinatorial films (CFs) which host a pure superconductor adjacent to a ferromagnetic-superconducting hybrid film (HF) are manufactured for the study of the influence of ferromagnetic nanoparticles (FNs) on the nucleation of superconductivity. Careful resistance measurements were performed simultaneously on two different sites of the CFs. Enhancement of superconductivity and magnetic memory effects were observed only on the hybrid site of the CFs but were absent on their purely superconducting part. Our results give direct proof that the FNs modulate the superconducting order parameter in an efficient and controlled way giving us the possibility of miscellaneous practical applications.
In this paper the language of first-order modal logic is enriched with an operator @ (‘actually’) such that, in any model, the evaluation of a formula @A at a possible world depends on the evaluation of A at the actual world. The models have world-variable domains. All the logics that are discussed extend the classical predicate calculus, with or without identity, and conform to the philosophical principle known as serious actualism. The basic logic relies on the system K, whereas others correspond to various properties that the actual world may have. All the logics are axiomatized.
The objective of the study was to evaluate the efficacy and safety of 800 microg of misoprostol every 12 h, for a period of 36 h for pharmacological abortion. A group of 162 volunteer women with gestations between 50 and 63 days received misoprostol every 12 h up to a maximum of three doses for abortion. Outcome measures assessed included: successful abortion (complete abortion without requiring surgery), side effects, and a decrease in hemoglobin, mean time of vaginal bleeding, mean expulsion time and mean time of returning of menses. Complete abortion occurred in 148 of 162 (91%, 95% confidence interval 87.95) patients. The mean decrease in hemoglobin was statistically significant (p = 0.001). Vaginal bleeding lasted 8.0 +/- 3.2 days, spotting 8.0 +/- 3.5 days, and total bleeding 16 +/- 4.0 days. The mean expulsion time was 8.5 +/- 4.0 h. According to the observed outcomes, 800 microg of misoprostol vaginally could be a valid method to terminate pregnancies up to 9 weeks of gestation.
Computed tomography is entering the orthodontic specialty as a mainstream diagnostic modality. Radiation exposure and cost have decreased significantly, and the diagnostic value is very high compared with traditional radiographic options. However, 3-dimensional data present new challenges and need a different approach from traditional viewing of static images to make the most of the available possibilities. Advances in computer hardware and software now enable interactive display of the data on personal computers, with the ability to selectively view soft or hard tissues from any angle. Transfer functions are used to apply transparency and color. Cephalometric measurements can be taken by digitizing points in 3-dimensional coordinates. Application of 3-dimensional data is expected to increase significantly soon and might eventually replace many conventional orthodontic records that are in use today.
SUMMARY: The epidemic of hepatitis C virus (HCV) infection is a major public health issue. We conducted a comprehensive analysis to estimate future HCV-related morbidity and mortality, using a model which is the first to take into account currently available treatments. We reconstructed the incident infections per year in the past that progressed to chronic hepatitis C (CHC) in Greece. Then, the natural history of the disease was simulated in subcohorts of newly infected subjects in the presence or absence of treatment using yearly estimates of the number of treated patients obtained from national databases. Annual estimates of the incidence and prevalence of CHC by fibrosis stage, hepatocellular carcinoma (HCC) and mortality were obtained up to 2030. The current proportion of naive CHC patients receiving treatment in Greece is 1.2% per year. Treatment of 1.2-10% of naive CHC patients per year would reduce the cumulative number of incident cirrhosis and HCC cases from 2002 to 2030 by 10.8-39.4% and 12.8-39.8%, respectively and decrease the number of prevalent cirrhosis and HCC cases in 2030 by approximately 17-48% compared with the number estimated under the assumption of no treatment. Approximately 17 cirrhosis cases or six HCC cases or 10 premature deaths would be prevented for every 100 treated patients. However, the prevalent cirrhotic/HCC cases because of HCV and HCV-related deaths would not plateau until 2030. Despite the introduction of effective treatment, HCV-related morbidity and mortality will likely increase during the next 20-30 years in Greece. Intensive primary prevention efforts coupled with increased access to the currently available treatments are necessary to control the chronic consequences of HCV epidemic.
Gardner's syndrome is an autosomal dominant disease characterized by the presence of colonic polyposis, osteomas and a multitude of soft tissue tumors. The syndrome may present at any age from 2 mo to 70 years with a variety of symptoms, either colonic or extracolonic. We present a case of a 11-year-old female patient with Gardner's syndrome who presented with a lumbar area desmoid tumor and treated with resection of the desmoid, restorative proctocolectomy and ileal pouch anal anastomosis, A review of the current literature has been performed.
Background: A phase II study was conducted to evaluate the efficacy and toxicity of the combination of gemcitabine (GEM) and pegylated liposomal doxorubicin (PLD) in patients with platinum- and/or taxane-resistant/refractory advanced epithelial ovarian cancer (AEOC). Patients and Methods: Patients (pts), who had been treated with platinum or paclitaxel and met the criteria of resistant/refractory AEOC, received GEM 650 mg/m2 days 1 and 8 and PLD 25 mg/m2 day 1 every 4 weeks up to a total of 6 cycles, unless disease progression or adverse effects prohibited further therapy. Results: Thirty-seven patients entered the study. There was 1 complete (3%) and 7 partial responses (19%) for an overall response rate of 22%. Two patients had stable disease (5.5%). After a median follow-up of 16.2 months, the median survival was 8.4 months and time to treatment failure 2.7 months. The most frequent severe toxicity was myelosuppression recorded in 13 (35%) patients. Severe stomatitis was recorded in only 2 (5%) cases and severe palmar-plantar erythrodysesthesia in 1 patient. One severe allergic reaction (grade 4) to PLD was recorded following the third cycle of treatment. Conclusion: The combination of GEM and PLD in patients with AEOC, who are resistant/refractory to platinum and/or Taxanes, did not show any superiority over monotherapy. However, in view of the acceptable toxicity profile, the above combination may deserve further investigation in a randomised setting.
This paper presents a geopolitical approach to the phenomenon of terrorism, dealing mainly with its geo-economic, geostrategic and geo-cultural aspects. Aiming to establish an analytical basis for comprehending and countering the root causes of terrorism, it builds upon the global instability framework theorem as influenced by the trends of current globalisation processes, such as the issues of energy and energy resources, globalisation and the rapid technological changes, the world’s demographics and global climate changes. The broad stability concept is adopted as a substitute model for the traditional power and control maxim, with special emphasis on the so-called socially acceptable models and rates of development.
In this study, novel approaches for the design of bioequivalence (BE) limits are developed. The new BE limits scale with intrasubject variability but only until a geometric mean ratio (GMR)-dependent plateau value and combine the classic (0.80-1.25) and expanded (0.70-1.43) BE limits into a single criterion. Plots of the extreme GMR values accepted as a function of coefficient of variation (CV) have a convex shape, similar to the classic unscaled 0.80-1.25 limits. The performance of the novel approaches in comparison to the classic unscaled 0.80-1.25 limits as well as the two expanded BE limits, i.e., 0.70-1.43 and 0.75-1.33 was assessed using simulated data. Two-period crossover BE investigations with 12, 24 or 36 subjects were simulated with assumptions of CV 10%, 20%, 30% or 40%. At low CV values, the performance of the novel BE limits is almost identical to the 0.80-1.25 criterion. On the contrary, the expanded BE limits are very permissive even at high GMR values. For high CV% values (30% and 40%), the new BE limits show a much greater probability of declaring BE when GMR = 1 in comparison to the classic 0.80-1.25 limits. In addition, when the drug products differ more than 25%, the new BE limits show much lower percentage of acceptance than the expanded 0.70-1.43 limits. One of the major advantages of the new BE limits is their gradual expansion with variability until a GMR-dependent plateau value. Finally, the continuity and leveling-off properties of the new BE limits make them suitable for the assessment of BE studies, irrespective of the level of variability encountered. (c) 2005 Elsevier B.V. All rights reserved.
The post Arafat era of the Palestinian issue is characterized by two different possible paths: 1) The path of conflict between opposite groups of PLO, i.e. Hamas (which is more widely accepted by people than Fatah), Hezbollah as well as other “Arafatian” tendencies which will lead the Palestinian case to disaster, and 2) The desired path of finding a “successor” to Arafat, who will be accepted as a negotiator by the other side that is the Israeli and, principally, the American one. In that case, acceptance by the American side is far more important than that by the Israeli government, as it will help address the Palestinian claims more fully. As things have evolved according to what was predicted, Mahmoud Abbas (better known under his PLO name as Abu Mazen) is Arafat’s successor and is considered by the Israelis as a tough but honest negotiator; he is also accepted by the Americans. Certainly, in both cases, it is reasonable that diplomatic references between the two parties will be defined in the Oslo Agreement Ι and ΙΙ and in the “Road Map”, since the aforementioned Agreement has been accepted by i) the American arbitration and the Quartet ii) the Israeli side and iii) the Palestinian side. Moreover, iv) it bears the seal of Arafat, which provides the text with moral and political vindication for the Palestinians and, therefore, with greater flexibility for legitimate national maneuvers to his successor. In both cases, the period within which commonly accepted conclusions may be reached, can be no less than 5 years.
The monthly mean shortwave (SW) radiation budget at the Earth's surface (SRB) was computed on 2.5-degree longitude-latitude resolution for the 17-year period from 1984 to 2000, using a radiative transfer model accounting for the key physical parameters that determine the surface SRB, and long-term climatological data from the International Satellite Cloud Climatology Project (ISCCP-D2). The model input data were supplemented by data from the National Centers for Environmental Prediction - National Center for Atmospheric Research (NCEP-NCAR) and European Center for Medium Range Weather Forecasts (ECMWF) Global Reanalysis projects, and other global data bases such as TIROS Operational Vertical Sounder (TOVS) and Global Aerosol Data Set (GADS). The model surface radiative fluxes were validated against surface measurements from 22 stations of the Baseline Surface Radiation Network (BSRN) covering the years 1992-2000, and from 700 stations of the Global Energy Balance Archive (GEBA), covering the period 1984-2000. The model is in good agreement with BSRN and GEBA, with a negative bias of 14 and 6.5 Wm-2, respectively. The model is able to reproduce interesting features of the seasonal and geographical variation of the surface SW fluxes at global scale. Based on the 17-year average model results, the global mean SW downward surface radiation (DSR) is equal to 171.6 Wm-2, whereas the net downward (or absorbed) surface SW radiation is equal to 149.4 Wm-2, values that correspond to 50.2 and 43.7% of the incoming SW radiation at the top of the Earth's atmosphere. These values involve a long-term surface albedo equal to 12.9%. Significant increasing trends in DSR and net DSR fluxes were found, equal to 4.1 and 3.7 Wm-2, respectively, over the 1984-2000 period (equivalent to 2.4 and 2.2 Wm-2 per decade), indicating an increasing surface solar radiative heating. This surface SW radiative heating is primarily attributed to clouds, especially low-level, and secondarily to other parameters such as total precipitable water. The surface solar heating occurs mainly in the period starting from the early 1990s, in contrast to decreasing trend in DSR through the late 1980s. The computed global mean DSR and net DSR flux anomalies were found to range within ±8 and ±6 Wm-2, respectively, with signals from El Niño and La Niña events, and the Pinatubo eruption, whereas significant positive anomalies have occurred in the period 1992-2000.
Generally speaking, the drafting of a Defense Doctrine follows the drafting and adoption, on the part of a government, of a National Security Policy, which includes the statement of the country’s Defense Policy and, consequently, its Defense Doctrine. In order to clarify the theoretical premises of the aims underlying the drafting of the Defense Doctrine, a set of definitions must be presented in detail. It should be stressed that this framework proposal, by its very nature, cannot be considered to imply a detailed presentation of the country’s New Defense Doctrine. It simply aims to outline the essential parameters which, in the eyes of its authors, should be considered by the country’s political leadership so that the final drafting of this Chart will be both complete and effective in view of protecting our national interest in all its aspects.
Καμπερίδου, Ειρήνη (2005). Η Αθλήτρια ως Κοινωνικό Είδωλο στα ΜΜΕ : Ένα Καινούργιο Αρχέτυπο της Αμερικανικής κουλτούρας. Γυναίκα & Άθληση. Τόμος ΙV, τεύχος 1, Δεκ. 2005 11-22. Έκδοση της Πανελλήνιας Ένωσης για την Προώθηση των Γυναικών στον Αθλητισμό και τα Σπόρ (ΠΕΠΓΑΣ), Θεσσαλονίκη. L. 2 inApella
Kamberidou, I. (2005). The idolization of the female athlete in the mass media: an icon of American culture. Women & Sport, (4), 1, Dec. 2005. Publication of the Hellenic Union for the Advancement of Women and Girls in Sport (PEPGAS): 11–22. [article and issue in Greek] L. 2 in Apella
Little research has been conducted regarding age-related changes in nonverbal memory. Using positron emission tomography (PET), the authors studied 17 elderly volunteers and 20 young volunteers, during nonverbal recognition task performance, to examine differences in brain blood flow. The subjects were asked to recognize a study list size (SLS) of shapes that was adjusted so that each subject performed at approximately 75% accuracy. Positron emission tomography results showed that, relative to younger individuals, elderly subjects engaged different regions, including the insula, during recognition. Elderly subjects did not show the relationship between parahippocampal flow and SLS, which was observed in younger subjects. These differences suggest that age-related functional brain changes partly explain performance deficits.
Using the state-of-the-art screened Korringa-Kohn-Rostoker Green function method we study the electronic and magnetic properties of NiMnSb and similar Heusler alloys. We show that all these compounds are half-metals, e.g. the minority-spin band is semiconducting and the Fermi level falls within this gap resulting in 100% spin polarization at the Fermi level. The total spin moment M-t shows the so-called Slater-Pauling behaviour and scales with the total valence charge Z(t) following the rule M-t = Z(t) - 18 for half and M-t = Z(t) - 24 for full Heusler alloys. These rules are connected to the origin of the gap. Finally we show that the inclusion of the spin-orbit interaction in our calculations kills the half-metallic gap but the spin-polarization at the Fermi level can be still very high, similar to 99% for NiMnSb, but much lower for a half-metallic compound like zinc-blende MnBi (77%).
Using theoretical arguments, we show that, in order to exploit half-metallic ferromagnets in tunneling magnetoresistance (TMR) junctions, it is crucial to eliminate interface states at the Fermi level within the half-metallic gap; contrary to this, no such problem arises in giant magnetoresistance elements. Moreover, based on an a priori understanding of the electronic structure, we propose an antiferromagnetically coupled TMR element based on half-metallic zinc-blende chalcogenides, in which interface states are eliminated, as a paradigm of materials design from first principles. Our conclusions are supported by ab initio calculations.
UNLABELLED: Interferon (IFN) and especially IFN-alpha exhibit clinical anti-tumor activity against various types of malignant diseases. Natural inhibitors to various cytokines and IFNs have been documented in vitro as well as in vivo. IFN inhibitors have been implicated for the ineffectiveness of IFN treatment in malignant neoplasias. The aim of this study was to investigate the incidence of the IFN inhibiting activity in serum from patients with haematological malignancies versus patients with solid tumours, as an effort to explain, just in part, the different response of these patients to IFN treatment.
PATIENTS AND METHODS: Ninety patients with a clinically evident solid tumour and forty-six patients with haematological malignancies were included in the study. Serum samples from all patients were collected before any treatment and stored at -70 degrees until use. Controls sera were selected from 50 apparently healthy blood donors. Interferon-inhibiting activity as well as endogenous IFN-like activity were determined in all serum samples in a cell line highly sensitive to IFN.
RESULTS: There was no endogenous IFN-like activity in any of the patients' group or controls' group. Sera from patients with haematological malignancies exhibited IFN-blocking activity at a lower percentage (21.7%) in comparison to sera from patients with solid tumours (56.6%, P<0.001), but at a significantly higher percentage in comparison to sera from controls (P<0.01).
CONCLUSIONS: The fact that IFN inhibitors were detected at a significantly lower percentage in sera from patients with haematological malignancies versus patients with solid tumours, could explain in part the better response of the haematological malignancies to IFN treatment.
AIM: To assess the relative occurrence of non motor-vehicle knee injuries and identify important clusters that can be targeted for preventive interventions.
METHODS: The study subjects covered 2167 children (0-14 years) who suffered non motor-vehicle knee injuries out of 66870 registered during a three-year period in an established Emergency Department Injury Surveillance System (EDISS). A more serious joint injury was identified in 263 (12%) children, whereas the remaining 1904 children had only soft tissue knee injuries.
RESULTS: The incidence of non motor-vehicle knee injuries was estimated at 6.5 per 1000 children-years. Both the incidence of knee injuries and the male-to-female ratio increase with increasing age, reflecting the gender and age pattern of physical activity. Three clusters were identified: The first consisted of more serious knee injuries among older children, frequently resulting after a fall from stairs or a collision in school during winter months; the second cluster consisted of rather minor knee injuries occurring mostly among younger girls at home or in playgrounds, following a fall after stumbling or hit by an object while playing, especially during the summer; the third cluster comprised injuries among older boys, sustained mainly subsequent to overexertion in a sports area.
CONCLUSION: Knee injuries tend to be more common among boys but more serious among girls. More and less serious knee injuries tend to fall into distinct clusters that could facilitate prioritization of preventive measures.
Waldenström's macroglobulinemia (WM) is a lymphoplasmacytic lymphoma which produces monoclonal immunoglobulin M (IgM). Over the last decade, new treatment modalites have been developed for the management of this disorder. Our objective is to provide treatment recommendations for WM. A review of published reports was facilitated by a MEDLINE computer search and by a manual search of Index Medicus. Other sources included abstracts and conference proceedings. Most patients with WM who are diagnosed by chance without symptoms should not be treated. Initiation of treatment should not be based on level of serum monoclonal protein per se. The presence of cytopenia, significant adenopathy or organomegaly, symptomatic hyperviscosity, severe neuropathy or cryoglobulinemia indicates the need for treatment. The main choices for primary treatment of symptomatic patients with WM include alkylating agents, the nucleoside analogs fludarabine or cladribine and the monoclonal antibody rituximab or combinations of these programs. There are no data from prospective randomized studies to recommend the use of one program over another. Nevertheless, the need for rapid disease control may favor the use of nucleoside analogs, whereas the presence of significant cytopenia may favor rituximab. High dose therapy with autologous stem cell transplantation may induce responses even in patients with resistance to all three class of agents. It may be prudent to avoid nucleoside analogs in patients who are candidates for high dose therapy. Despite the lack of randomized trials, a rational approach to the treatment of patients with WM is possible. Several factors, including the presence of cytopenias, need for rapid disease control, candidacy for autologous stem cell transplantation, age and co-morbid conditions, should be taken into consideration when choosing the most appropriate primary treatment.
UNLABELLED: Abnormal glucose tolerance is a frequent late complication of cystic fibrosis (CF), but the prevalence of CF-related diabetes mellitus (CFRD) in children less than 10 y old is less than 2%. The youngest child with CFRD reported to date was 6 mo of age. Insulinopenia is the primary cause of abnormal glucose tolerance/CFRD, but it is unknown whether it may begin in the neonatal period. We describe a case of a neonate with CF who presented with hyperglycaemia in the diabetic range and marked insulinopenia. Insulinopenia and impaired glucose tolerance were permanent findings at 6 and 15 mo of age. CONCLUSION: This case suggests that abnormal glucose tolerance/diabetes may occur much earlier in the course of CF, even during neonatal age. Careful follow-up and further studies in CF infants could reveal that the real incidence of glucose intolerance and diabetes in this age group has been underestimated.
OBJECTIVE: To investigate the association of (variable number tandem repeat) interleukin (IL) 1RN and (-511) IL-1B gene polymorphisms with brain hemorrhagic events after traumatic brain injury (TBI).
METHODS: Data from brain CT, Glasgow Coma Scale (GCS) at admission, and 6-month Glasgow Outcome Scale (GOS) and modified Rankin Scale (mRS) were collected for 151 prospectively recruited patients with TBI. IL-1RN and IL-1B genotypes were determined using standard methods. Presence vs absence of any type of brain hemorrhage was the main outcome. Type of brain hemorrhage, GCS at admission, and 6-month GOS and mRS were secondary outcomes. Odd ratios (ORs) and corresponding 95% CI were calculated using logistic regression analyses. In adjusted models, the associations were controlled for age, gender, diffuse brain edema, volume of intracranial hematoma, neurosurgical intervention, and GCS at admission. p values less than 0.01 were considered significant.
RESULTS: Compared with noncarriers, IL-1RN allele 2 carriers had higher odds of having cerebral hemorrhages after TBI (adjusted OR = 4.57; 95% CI = 1.67 to 12.96; p = 0.004). The associations for (-511) IL-1B polymorphism were not significant.
CONCLUSION: There is an association between the presence of interleukin-1RN allele 2 and posttraumatic brain hemorrhage.
Virus infections are the major cause of asthma exacerbations. CD8+ T cells have an important role in antiviral immune responses and animal studies suggest a role for CD8+ T cells in the pathogenesis of virus-induced asthma exacerbations. We have previously shown that the presence of IL-4 during stimulation increases the frequency of IL-5-positive cells and CD30 surface staining in CD8+ T cells from healthy, normal subjects. In this study, we investigated whether excess IL-4 during repeated TCR/CD3 stimulation of CD8+ T cells from atopic asthmatic subjects alters the balance of type 1/type 2 cytokine production in favour of the latter.|Peripheral blood CD8+ T cells from mild atopic asthmatic subjects were stimulated in vitro with anti-CD3 and IL-2 +/- excess IL-4 and the expression of activation and adhesion molecules and type 1 and type 2 cytokine production were assessed.|Surface expression of very late antigen-4 [VLA-4] and LFA-1 was decreased and the production of the type 2 cytokines IL-5 and IL-13 was augmented by the presence of IL-4 during stimulation of CD8+ T cells from mild atopic asthmatics.|These data suggest that during a respiratory virus infection activated CD8+ T cells from asthmatic subjects may produce excess type 2 cytokines and may contribute to asthma exacerbation by augmenting allergic inflammation.
Η ανθολογία αυτή συγκεντρώνει για πρώτη φορά εντυπώσεις Βρετανίδων περιηγητριών από την Ελλάδα, αρχίζοντας από τις επιστολές της λαίδης Μόνταγκιου, της πιο διάσημης περιηγήτριας και θαυμάστριας της Ανατολής του 18ου αιώνα, και τελειώνοντας με τα ημερολόγια της Βιρτζίνια Γουλφ, που επισκέφτηκε δύο φορές τη χώρα μας. Οι περιηγητικές πραγματείες, οι επιστολές και τα ημερολόγια που επιλέγονται αποκαλύπτουν όχι μόνο τον σημαντικό ρόλο που έπαιξε η Ελλάδα στον βρετανικό πολιτισμό αλλά και τη σημασία του φύλου, τόσο στον περιηγητισμό όσο και στην αναπαράσταση ενός "άλλου" πολιτισμού. Τα κείμενα των περιηγητριών αμφισβητούν τα στερεότυπα του ελληνικού ταξιδιού, που διαμορφώθηκαν σύμφωνα με τα πρότυπα των αρχαιοφίλων (και αρχαιοθήρων) του 18ου αιώνα ή μέσα από το ρομαντικό βλέμμα του λόρδου Βύρωνα και των επιγόνων του· συμπίπτουν επίσης χρονικά με την ιστορική περίοδο της αυτογνωσίας, τη διαμόρφωση της εθνικής και πολιτισμικής ταυτότητας του νέου έθνους-κράτους. [...] "Η Αθήνα" γράφει η Βιρτζίνια Γουλφ "σημαίνει πολύ περισσότερα πράγματα από την Ακρόπολη και το συνετότερο σχέδιο είναι να διαχωρίσεις τους ζωντανούς από τους νεκρούς, το παλιό από το νέο, έτσι ώστε η μια εικόνα να μην ενοχλεί την άλλη". Χωρίς να εγκαταλείπουν την αναζήτηση του παρελθόντος, οι περιηγήτριες αυτής της ανθολογίας δείχνουν να αφοσιώνονται στην απεικόνιση ενός "νοθευμένου" μεν αλλά απτού παρόντος, σε μια Ελλάδα που δεν είναι ξεπεσμένη, αλλά ζωντανή.
BACKGROUND: The aim of this multicenter hemodialysis (HD) cohort study is to prospectively investigate the incidence of hepatitis C virus (HCV) infection in Greece from 1993 to 1995 and delineate early virological and serological events associated with HCV seroconversion in the HD setting. METHODS: Sequential serum samples collected weekly from 562 patients were tested biochemically and serologically by means of a second- (EIA-2) and third-generation enzyme immunoassay (EIA-3). All patients with positive antibody to HCV test results (anti-HCV + ) and sequential samples from seroconverting patients were tested for HCV RNA. RESULTS: Anti-HCV prevalence at study entry was 29% (163 of 562 patients), and viremia was detectable in 110 of 163 anti-HCV + patients (67.5%). HCV incidence was 6.2 cases/100 person-years. Seroconversions could not be attributed to transfusions after study entry (only 1 patient had been administered transfusion), and HD unit was associated with increased hazard for seroconversion ( P = 0.002), even after adjusting for potential differences among their patients. According to Kaplan-Meier estimation, the median interval by which the HCV RNA assay detected HCV infection earlier than anti-HCV testing was 246 and 154 days for EIA-2 and EIA-3, respectively. Detectable HCV RNA and at least 2 consecutive abnormal alanine aminotransferase levels in the preseroconversion period were observed in 29 of 30 (97%) and 14 of 32 patients (44%), respectively. Reductions in HCV RNA levels immediately after seroconversion were transient or did not occur. CONCLUSION: On the grounds of apparent nosocomial transmission, the wide window period of HCV infection in HD patients emphasizes the need for strict adherence to specific infection-control measures in this setting.
AIM: To study the incidence of ulcerative colitis UC in the prefecture of Trikala, Central Greece. METHODS: A prospective and population based epidemiological study of UC from 1990 to the end of 1994 was conducted. Trikala is a semirural prefecture of Central Greece with a population of 138 946 (census 1991). Three gastroenterologists (one hospital based, two private doctors) of the prefecture participated in this study. RESULTS: During the study period, 66 new histologically verified cases of UC were recorded. The mean annual incidence of the disease in 1990-1994 was 11.2 per 10(5) inhabitants (95%CI: 8.7-14.3). There was no difference between men and women (annual incidence: 10.5 and 12.0 per 10(5) inhabitants respectively), either among urban, semirural or rural populations (annual incidence: 11.7, 17.1 and 9.9 per 10(5) inhabitants respectively). The majority (56%) of the patients never smoked and a quarter were ex-smokers. About a half of all cases had proctitis. CONCLUSION: UC is common in Central Greece and its incidence is similar to that in North-Western European countries.
The crystal structures of 4-chlorophenoxyacetic acid (4CPA) included in beta-cyclodextrin (beta-CD) and heptakis(2,3,6-tri-O-methyl)-beta-cyclodextrin (TMbetaCD) have been studied by X-ray diffraction. The 4CPA/beta-CD complex crystallizes as a head-to-head dimer in the space group C2 in the Tetrad packing mode. The packing modes of some beta-CD dimeric complexes, having unique stackings, are also discussed. The 4CPA/TMbetaCD inclusion complex crystallizes in the space group P2(1) and its asymmetric unit contains two crystallographically independent complexes, complex A and complex B, exhibiting different conformations. The host molecule of complex A is significantly distorted, as a glucosidic residue rotated about the O4'-C1 and C4-O4 bonds forms an aperture where the guest molecule is accommodated. The phenyl moiety of the guest molecule of complex B is nearly perpendicular to the mean plane of the O4n atoms. The conformations of the guest molecules of the two complexes are similar. The crystal packing consists of antiparallel columns as in the majority of the TMbetaCD complexes published so far.
The phenotypic differences among Duchenne muscular dystrophy patients, mdx mice, and mdx(5cv) mice suggest that despite the common etiology of dystrophin deficiency, secondary mechanisms have a substantial influence on phenotypic severity. The differential response of various skeletal muscles to dystrophin deficiency supports this hypothesis. To explore these differences, gene expression profiles were generated from duplicate RNA targets extracted from six different skeletal muscles (diaphragm, soleus, gastrocnemius, quadriceps, tibialis anterior, and extensor digitorum longus) from wild-type, mdx, and mdx(5cv) mice, resulting in 36 data sets for 18 muscle samples. The data sets were compared in three different ways: (1) among wild-type samples only, (2) among all 36 data sets, and (3) between strains for each muscle type. The molecular profiles of soleus and diaphragm separate significantly from the other four muscle types and from each other. Fiber-type proportions can explain some of these differences. These variations in wild-type gene expression profiles may also reflect biomechanical differences known to exist among skeletal muscles. Further exploration of the genes that most distinguish these muscles may help explain the origins of the biomechanical differences and the reasons why some muscles are more resistant than others to dystrophin deficiency.
Dermatomyositis has been modeled as an autoimmune disease largely mediated by the adaptive immune system, including a local humorally mediated response with B and T helper cell muscle infiltration, antibody and complement-mediated injury of capillaries, and perifascicular atrophy of muscle fibers caused by ischemia. To further understand the pathophysiology of dermatomyositis, we used microarrays, computational methods, immunohistochemistry and electron microscopy to study muscle specimens from 67 patients, 54 with inflammatory myopathies, 14 with dermatomyositis. In dermatomyositis, genes induced by interferon-alpha/beta were highly overexpressed, and immunohistochemistry for the interferon-alpha/beta inducible protein MxA showed dense staining of perifascicular, and, sometimes all myofibers in 8/14 patients and on capillaries in 13/14 patients. Of 36 patients with other inflammatory myopathies, 1 patient had faint MxA staining of myofibers and 3 of capillaries. Plasmacytoid dendritic cells, potent CD4+ cellular sources of interferon-alpha, are present in substantial numbers in dermatomyositis and may account for most of the cells previously identified as T helper cells. In addition to an adaptive immune response, an innate immune response characterized by plasmacytoid dendritic cell infiltration and interferon-alpha/beta inducible gene and protein expression may be an important part of the pathogenesis of dermatomyositis, as it appears to be in systemic lupus erythematosus.
BACKGROUND AND OBJECTIVES: Leakage from the pancreaticojujenostomy is the most serious complication of Whipple. Pancreatic fistula rate is higher in cases of fragile pancreas often seen in duodenal carcinomas and carcinomas of the ampulla of Vater. Octreotide administration has been used for the prevention of fistula formation through the subcutaneous route. Due to its physiologic effects to the pancreatic parenchyma the intra-arterial administration of octreotide could provide tissue hardening that allows for a technically easier anastomosis while maintaining its protective role for fistula formation.
METHODS: Octreotide was injected directly into the distal part of the gastroduodenal artery (GDA) in four patients undergoing Whipple for histologically proven periampullary cancer.
RESULTS: Tissue hardening after octreotide administration was evident not only in surgeons' hands but in the intra-operative ultrasound as well. The three patients were discharged on day 9, 11, and 13; they had an uneventful postoperative course, while one patient had a minor bile leak from the choledojejunal anastomosis and was discharged on day 22.
CONCLUSIONS: The intra-arterial administration of octreotide during Whipple is a safe procedure and provides tissue hardening thus making the performance of the anastomosis technically easier. The actual benefit in terms of morbidity, mortality, and fistula rate are to be further evaluated.
Shakespeare PG, Anagnostopoulou KK, Cokkinos DV, Chauhan A, More RS, Kostman JR, Robinson TG, Griffiths M, Miller H, Bhansali A, et al.The Journal of Continuing Professional Development. Postgrad Med J. 2005;81.
Purpose of investigation: Late relapses are infrequent in ovarian cancer. We present the characteristics and outcome of patients who relapsed at least five years after first-line chemotherapy. Methods: Six cases were retrieved from 203 patients treated from 1994 to 1998. Results: Time to recurrence ranged from five to nine years. The initial stage was I or II in all cases, while histology was: endometrioid (4 cases), clear cell (1 case) and unspecified adenocarcinoma (1 case). Only two of five assessable patients responded to chemotherapy. Compared to earlier relapses, late relapses were characterized by earlier stages (p < 0.001), non serous histology (p = 0.010) and absence of symptoms (0% vs 46.5%, p = 0.025) at baseline. Five of 16 relapses (31%) among patients with Stage I or II were late relapses. Conclusion: Late relapses of ovarian cancer occur in early stages, where they are relatively frequent, while the chemosensitivity of the disease may be less than expected.
After a brief description of the layer multiple scattering method as applied to phononic crystals, we present some results obtained by this method, relating to: crystals of polystyrene spheres in water; crystals of silica spheres in air; and crystals of steel spheres in polyester. We relate the transmission characteristics of slabs of these ma terials to the complex band structure of the corresponding infinite crystals. We emphasize aspects of the underlying physics which have not been discussed previously.
We present a computer program to calculate the frequency band structure of an infinite phononic crystal, and the transmission, reflection and absorption of elastic waves by a slab of this crystal. The crystal consists of a stack of identical slices parallel to a given surface; the slice may consist of multilayers of non-overlapping spheres of given periodicity parallel to the surface and homogeneous plates. The elastic coefficients of the various components of the crystal may be complex functions of the frequency.
We theoretically investigate the linear near field absorption spectra of semiconductor quantum dots under magnetic field of variable orientation. We examine if the application of the magnetic field alone is sufficient to cause – increasing the spot illuminated by the near field probe – “unexpected” features to the absorption spectra.
Gamma-ray bursts (GRBs) have been inferred to arise in highly collimated, ultrarelativistic jets that emanate from the vicinity of a solar-mass compact object. Electromagnetic stresses are the most plausible candidate for extracting rotational energy at the source and converting it into outflow kinetic energy. Two questions that need to be answered in order for this process to be well understood are: what determines the terminal Lorentz factor of the flow? What is the asymptotic value of the Poynting-to-matter energy flux ratio? We discuss the general characteristics of the relativistic magnetohydrodynamic (MHD) solutions that, together with previously obtained exact results, help to shed light on these questions.
It is well known that estradiol derived from neural aromatization of testosterone plays a crucial role in the development of the male brain and the display of sexual behaviors in adulthood. It was recently found that male aromatase knockout mice (ArKO) deficient in estradiol due to a mutation in the aromatase gene have general deficits in coital behavior and are sexually less motivated. We wondered whether these behavioral deficits of ArKO males could be related to changes in activity, exploration, anxiety and "depressive-like" symptomatology. ArKO and wild type (WT) males were subjected to open field (OF), elevated plus maze (EPM), and forced swim tests (FST), after being exposed or not to chronic mild stress (CMS). CMS was used to evaluate the impact of chronic stressful procedures and to unveil possible differences between genotypes. There was no effect of genotype on OF, EPM and FST behavioral parameters. WT and ArKO mice exposed to CMS or not exhibited the same behavioral profile during these three types of tests. However, all CMS-exposed mice (ArKO and WT) spent less time in the center of the EPM. Additionally, floating duration measured in the FST increased between two tests in both WT and ArKO mice, though that increase was less prominent in mice previously subjected to CMS than in controls. Therefore, both ArKO and WT males displayed the same behavior and had the same response to CMS however CMS exposure slightly modified the behavior displayed by mice of both genotypes in the FST and EPM paradigms. These results show that ArKO males display normal levels of activity, exploration, anxiety and "depressive-like" symptomatology and thus their deficits in sexual behavior are specific in nature and do not result indirectly from other behavioral changes.
For 5 years (January 1998 to November 2002) our department has applied the Marlex Mesh Perfix Plug hernioplasty. This article demonstrates the experience gained in operative and postoperative aspects, costs, and outcome along with the results of a follow-up analysis. Altogether, 801 patients (749 males, 52 females) were operated on Sixty-four males had bilateral groin hernias, so the total number of hernioplasties amounted to 865. A total of 19 hernias were recurrent, 297 were direct, 545 were indirect or scrotal (or both) 21 were femoral, and 2 were Spigelian. Fifty-three operations were performed on an emergency basis. Preoperative routine use of antibiotics was minimized throughout the years. Operating time fluctuated from 20 to 25 min (30-40 minutes for recurrent hernias), and the postoperative hospital stay was 28 hours (6-72) hours. The complication rate was 5% and the recurrence rate less than 1%. Early patient mobilization and return to everyday activities (1-2 weeks) was encouraged. The follow-up of 95% of the patient population lasted 12 to 60 months and was performed at 1 week, 1 month, 1 year, and yearly thereafter. The technique demonstrates less overall postoperative pain, discomfort, and complications combined with a remarkably low recurrence rate. The rapid rehabilitation with great patient comfort and decreased operating room time, resulting in lower financial costs, have led us nowadays to repair all types of inguinal hernias, femoral and recurrent ones, using this technique.
Drug dissolution, release and uptake are the principal components of oral drug absorption. All these processes take place in the complex milieu of the gastrointestinal tract and they are influenced by physiological (e.g. intestinal pH, transit time) and physicochemical factors (e.g. dose, particle size, solubility, permeability). Due to the enormous complexity issues involved, the models developed for drug dissolution and release attempt to capture their heterogeneous features. Hence, Monte Carlo simulations and population methods have been utilized since both dissolution and release processes are considered as time evolution of a population of drug molecules moving irreversibly from the solid state to the solution. Additionally, mathematical models have been proposed to determine the effect of the physicochemical properties, solubility/dose ratio and permeability on the extent of absorption for regulatory purposes, e.g. biopharmaceutics classification. The regulatory oriented approaches are based on the tube model of the intestinal lumen and apart from the drug's physicochemical properties, take into account the formulation parameters the dose and the particle size.
OBJECTIVE: To examine whether the presence of motor signs has predictive value for important outcomes in Alzheimer disease (AD).
METHODS: A total of 533 patients with AD at early stages (mean Folstein Mini-Mental State Examination [MMSE] 21/30 at entry) were recruited and followed semiannually for up to 13.1 years (mean 3) in five University-based AD centers in the United States and European Union. Four outcomes, assessed every 6 months, were used in Cox models: cognitive endpoint (Columbia Mini-Mental State Examination < or = 20/57 [ approximately MMSE < or = 10/30]), functional endpoint (Blessed Dementia Rating Scale > or = 10), institutionalization equivalent index, and death. Using a standardized portion of the Unified PD Rating Scale (administered every 6 months for a total of 3,149 visit-assessments, average 5.9 per patient), the presence of motor signs, as well as of individual motor sign domains, was examined as time-dependent predictor. The models controlled for cohort, recruitment center, sex, age, education, a comorbidity index, and baseline cognitive and functional performance.
RESULTS: A total of 39% of the patients reached the cognitive, 41% the functional, 54% the institutionalization, and 47% the mortality endpoint. Motor signs were noted for 14% of patients at baseline and for 45% at any evaluation. Their presence was associated with increased risk for cognitive decline (RR, 1.72; 95% CI, 1.24 to 2.38), functional decline (1.80 [1.33 to 2.45]), institutionalization (1.68 [1.26 to 2.25]), and death (1.38 [1.05 to 1.82]). Tremor was associated with increased risk for reaching the cognitive and bradykinesia for reaching the functional endpoints. Postural-gait abnormalities carried increased risk for institutionalization and mortality. Faster rates of motor sign accumulation were associated with increased risk for all outcomes.
CONCLUSIONS: Motor signs predict cognitive and functional decline, institutionalization, and mortality in Alzheimer disease. Different motor sign domains predict different outcomes.
The in-vitro activities of penicillin, ticarcillin-clavulanic acid, cefoxitin, imipenem, ertapenem, metronidazole and clindamycin were evaluated against 138 Gram-negative anaerobic isolates (82 Bacteroides fragilis group, 17 non-fragilis Bacteroides spp., 31 Prevotella spp., four Fusobacterium spp., two Veillonella spp., one Porphyromonas sp. and one Tissierella praeacuta) collected from six general hospitals in Athens, Greece. Overall rates of non-susceptibility (both resistant and intermediately-resistant) to penicillin and ticarcillin-clavulanic acid were 81.8% and 2.3%, respectively. The rates of non-susceptibility to cefoxitin and clindamycin were 30.3% and 31.1%, respectively, and that for metronidazole was 4.3% (four Prevotella spp. isolates, one Porphyromonas sp. isolate and one B. fragilis isolate). Only the single B. fragilis isolate was nim-positive by PCR. Only one B. fragilis isolate was resistant to both carbapenems tested, while six more Bacteroides spp. isolates were imipenem-susceptible and ertapenem-non-susceptible. The MIC range, MIC(50) and MIC(90) values were comparable for imipenem and ertapenem, although ertapenem MIC(90)s were one or two two-fold dilutions higher.
Immunonutrition with diets enriched in polyunsaturated fatty acids (PUFAs) are becoming mandatory for multiple trauma patients. Solutions containing single n-6 PUFAs were administered intravenously in an experimental model of trauma. Thirty-five rabbits were studied; 13 controls; 10 administered gamma-linolenic acid (GLA) 30 min after fracture of the right femor; and 12 arachidonic acid (AA). Systolic, diastolic and mean arterial pressures and heart rate were recorded; serum levels of tumor necrosis factor-alpha (TNFalpha), malondialdehyde (MDA) and nitrate were estimated before and after therapy. Mean survival of controls, of animals treated with GLA and of animals treated with AA was 0.80, 1.41 and 3.60 days, respectively. Administration of PUFAs induced higher levels of blood pressure; that of AA decreased serum TNFalpha and tissue bacterial load compared to controls. Intravenous administration of n-6 PUFAs conferred hemodynamic stability and increased survival in a model of trauma rendering further research mandatory.
Magnetic nanostructures on nonmagnetic or magnetic substrates have attracted strong attention due to the development of interesting experimental methods with atomic resolution. Motivated by this progress we have extended the full-potential Korringa-Kohn-Rostoker Green-function method to treat noncollinear magnetic nanostructures on surfaces. We focus on magnetic 3d impurity nanoclusters, sitting as adatoms on or in the first surface layer on Ni(001), and investigate the size and orientation of the local moments and, moreover, the stabilization of noncollinear magnetic solutions. While clusters of Fe, Co, Ni atoms are magnetically collinear, noncollinear magnetic coupling is expected for Cr and Mn clusters on surfaces of elemental ferromagnets. The origin of frustration is the competition of the antiferromagnetic exchange coupling among the Cr or Mn atoms with the antiferromagnetic (for Cr) or ferromagnetic (for Mn) exchange coupling between the impurities and the substrate. We find that Cr and Mn first-neighboring dimers and a Mn trimer on Ni(001) show noncollinear behavior nearly degenerate with the most stable collinear configuration. Increasing the distance between the dimer atoms leads to a collinear behavior, similar to the one of the single impurities. Finally, we compare some of the noncollinear ab initio results to those obtained within a classical Heisenberg model, where the exchange constants are fitted to total energies of the collinear states; the agreement is surprisingly good.
The nucleation of superconductivity in a hybrid film (HF) that consists of randomly distributed CoPt ferromagnetic nanoparticles (FNs) embedded in a 200 nm Nb layer was studied by combined magnetic and magnetoresistance measurements. The FNs exhibit both soft and hard magnetic behaviour. It is found that both magnetic phases contribute to the modulation of bulk and surface-like superconductivity by broadening their intermediate regime. More specifically, while the soft FNs (SFNs) promote bulk superconductivity, the hard FNs (HFNs) suppress the bulk superconducting state. In contrast, both SFNs and HFNs promote surface-like superconductivity since on the H-T phase diagram the respective boundary line presents abrupt upturns at their corresponding saturation fields. The dependence of the observed effects on the magnetic history gives clear evidence that they are mainly induced by the cooperative action of the FNs. Our experimental results are compared with current theoretical studies on relevant hybrid systems. Finally, the possible applications that such HFs could find in the near future are discussed.
The optical properties of a dielectric waveguide coated on one side with a periodic monolayer of metallic nanospheres are studied by means of transmission and density-of-states calculations using the on-shell layer-multiple-scattering method. In particular, the strong coupling mechanism between the waveguide and collective particle–plasmon modes is analysed and its influence on the optical response of the system is elucidated.
We carried out spectroscopic observations of the optical transient near M31 reported in ATel #611 (RA = 00h38m54.63s DEC =+40o27'34.2" (J2000)) from the 1.3m telescope of the Skinakas Observatory in Crete (Greece) on the nights 28 and 29 September 2005. The spectra covered the range 3800-7000 angstroms. All the lines of the Balmer series up to H-8 appeared strongly in emission. The equivalent widths of the H-alpha and H-beta lines (the strongest emission features) on 28 September 2005 were -550+-25 angstrom and -220+-20 angstrom, respectively and the FWHM 1800+-30 km/s in both lines.
Otitis media with effusion–defined as the accumulation of middle-ear effusion behind an intact tympanic membrane without signs or symptoms of acute infection–is one of the most common causes of hearing loss in children in developed countries, potentially leading to language deficits. Although treatment of chronic or relapsing otitis media with effusion is considered imperative, none of the preventative or nonsurgical management measures currently available have proven effective. Tympanostomy tube placement remains the recommended treatment option for high-risk children or for cases of unresponsive otitis media with effusion. This can be attributed to the uncertainties surrounding its pathogenesis. Multiple factors and several possible pathogenetic models have been proposed to explain the production and persistence of middle-ear effusion; only a few of them are supported by sufficient evidence. In this review, the authors will present current knowledge on the pathogenesis, consequences, diagnosis and management of otitis media with effusion. An effort will be made to clarify those aspects sufficiently supported by evidence-based studies, and to underline those that remain unfounded.
Levkau B, Hermann SS, Baba H, Stegger L, Flögel U, Schrader J, Schäfers K, Schober O, Schäfers M, Koutelou MM, et al.PET and molecular imaging oral abstract session. Journal of Nuclear Cardiology. 2005;12:S14.
This paper presents research on controlling synthetic voice via a MIDI accordion. As motivation for this research served the goal of reviving "lost instruments", that is of using existing traditional instruments “lost” to new music genres as interfaces to control new types of sound generation in novel and future genres of music.We worked with a MIDI-accordion, because it provides expressive control similar to the human breath through the mechanism of the bellows. The control interface of the two hands is also suited for characteristics of the singing voice: The right hand controls the pitch of the voice as traditionally used, while the left hand chooses combinations of timbres,phonemes, longer phonetic units, and different kinds of vocal expression. We use a simple model of phonemes, diphones and timbre presets. We applied this to a combination of sample based synthesis and formantbased synthesis. Our intention is to extend the work to physical models. A further goal of this research is to bridge the gap between ongoing research in the domain of synthesis of the singing voice with that of experimentation in novel forms of artistic performance, by examining different ways of interpreting synthesized voices via the MIDI accordion.
Photonic crystals are inhomogeneous materials whose dielectric properties vary periodically in space on a macroscopic scale. These materials have novel and interesting properties concerning both basic physics and technological applications. After a brief description of the main properties of photonic crystals, we present some specific applications related to wave guiding and Anderson localization of light due to stacking faults in these crystals.
Wall lizards of the genus Podarcis (Sauria, Lacertidae) comprise 17 currently recognized species in southern Europe, where they are the predominant novavian reptile group. The taxonomy of Podarcis is complex and unstable. Based oil DNA sequence data, the species of Podarcis falls into four main groups that have substantial geographic coherence (Western island group, southwestern group, Italian group, and Balkan Peninsula group). The Balkan Peninsula species are divided into two subgroups: the subgroup of P. taurica (P. taurica, P. milensis, P. gaigeae, and perhaps P. melisellensis), and the Subgroup of P. erhardii (P. erhardii and P. peloponnesiaca). In the present study, the question of phylogenetic relationships among the species of Podarcis encountered in the Balkan Peninsula was addressed using partial mtDNA sequences for cytochrome b (cyt b) and 16S rRNA (16S). The data support the monophyly of Podarcis and suggest that there are three phylogenetic clades: the clade A (P. taurica, P. gaigeae, P. milensis, and P. melisellensis); the clade B (P. erhardii and P. peloponnesiaca), and the clade C (P. muralis and P. sicula). By examining intraspecific relationships it was found that extant populations of P. erhardii are paraphyletic. Furthermore, subspecies previously defined on the basis of morphological characteristics do not correspond to different molecular phylogenetic clades, Suggesting that their status should be reconsidered. The distinct geographic distribution of the major clades of the phylogenetic tree and its topology Suggest a spatial and temporal sequence of phylogenetic separations that coincide with some major paleogeographic separations during the geological history of the Aegean Sea. The results stress the need for a reconsideration of the evolutionary history of Balkan Podarcis species and help overcome difficulties that classical taxonomy has encountered at both the species and subspecies level. (c) 2005 Elsevier Inc. All rights reserved.
Wall lizards of the genus Podarcis (Sauria, Lacertidae) comprise 17 currently recognized species in southern Europe, where they are the predominant reptile group. The taxonomy of Podarcis is complex and unstable. Based on DNA sequence data the species of Podarcis falls into four main groups that have substantial geographical conherence (western island group, southwestern group, Italian group and Balkan group). The Balkan species are divided in two subgroups: the subgroup of Podarcis taurica (P. taurica, P. milensis, P. gaigeae and perhaps P. melisellensis), and the subgroup of Podarcis erhardii (P. erhardii and P. peloponnesiaca). We addressed the question of phylogenetic relations among the species of the P. taurica subgroup encountered in Greece, as they can be inferred from partial mtDNA (cyt b and 16S) sequences. Our data support the monophyly of P. taurica subgroup and suggest that P. gaigeae, P. milensis and P. melisellensis form a clade, which thereinafter connects to P. taurica. Within the previous clade, P. gaigeae is more closely related to P. milensis than to P. melisellensis. However, the specimens of P. taurica were subdivided in two different groups. The first one includes the specimens from northeastern Greece, and the other group includes the specimens from the rest of continental Greece and Ionian islands. Because the molecular clock of the cyt b and 16 rRNA genes was not rejected in our model test, it is possible to estimate times of speciation events. Based on the splitting of the island of Crete from Peloponnisos [c. 5 million years ago (Ma)], the evolutionary rate for the cyt b is 1.55% per million years (Myr) and for the 16S rRNA is 0.46% per Myr. These results suggest that the evolutionary history of P. taurica in Greece is more complex than a single evolutionary invasion. The data analysed, stress the need for a reconsideration of the evolutionary history of Greek Podarcis species and help overcome difficulties that classical taxonomy has encountered at both the species level.
The paper presents new geometric, photometric and absolute parameters, derived from combined spectroscopic and photometric solutions, for ten contact binary systems. The analysis shows that three systems (EF Boo, GM Dra and SW Lac) are of W-type with shallow to moderate contact. Seven systems (V417 Aql, AH Aur, YY CrB, UX Eri, DZ Psc, GR Vir and NN Vir) are of A-type in a deep contact configuration. For six systems (V417 Aql, YY CrB, GM Dra, UX Eri, SW Lac and GR Vir) a spot model is introduced to explain the O'Connell effect in their light curves. The photometric and geometric elements of the systems are combined with the spectroscopic data taken at David Dunlap Observatory to yield the absolute parameters of the components.
Health informatics is a well established and important multi-disciplinary and inter-disciplinary field that not only involves informatics but also medicine, nursing, engineering, biology and other-related subjects. A co-ordination of this field at a postgraduate level has become an important issue now in Europe where other European Community programs such as the Telematics for Health Care will require during the Fifth and Sixth Framework Programmes (2000-2006) adequate human resources of higher potential and knowledge. A European M.Sc. course met all the above objectives. The curriculum was developed according to previous experiences in similar programmes. Recently the course has been organised on the basis of an Inter-University nature with the participation of 5 Greek Universities. The paper aims at providing a current description of the academic programme and a brief evaluation of the implementation phase.
Rituximab is an active agent for the treatment of Waldenström's macroglobulinemia. However, many patients do not respond to this agent and several others develop secondary resistance. In order to identify clinical and laboratory parameters that could predict a higher likelihood for response, we evaluated 54 patients who were treated with single-agent rituximab. Twenty-four patients (44%)exhibited ≥ 50% reduction of serum monoclonal protein. Previously untreated and pretreated patients had the same probability for response. Low response rates were noted in patients with serum monoclonal protein level ≥ 40 g/L (17%) and serum albumin level < 35 g/L (14%). Furthermore, a multivariate analysis indicated that high serum monoclonal protein and low albumin were the dominant variables associated with shorter time to progression. The presence of 2, 1, or none of these variables was associated with median times to progression of 4 months, 11 months, and approximately 48 months, respectively. We conclude that patients with low levels of monoclonal protein and normal albumin are the best candidates for treatment with rituximab.
BACKGROUND: In cognitively impaired patients without dementia, the utility of apolipoprotein E (APOE) genotyping is unclear.
OBJECTIVE: To evaluate the predictive utility of the APOE epsilon4 genotype for conversion to probable Alzheimer disease (AD).
DESIGN: Naturalistic, longitudinal study.
SETTING: Memory disorders outpatient clinic.
PATIENTS: A total of 136 patients with memory complaints were determined to have mild cognitive impairment and were evaluated every 6 months. Fifty-seven age- and sex-matched healthy controls were evaluated annually.
MAIN OUTCOME MEASURES: Primary outcome measures included conversion to AD. Secondary outcome measures included change over time in Mini-Mental State Examination (MMSE) score and Selective Reminding Test (SRT) delayed recall score.
RESULTS: The APOE epsilon4 allele was present in 25% of patients and 21% of healthy controls. During a mean +/- SD follow-up of 35.2 +/- 24.3 months, 35 of 136 patients converted to AD. APOE epsilon4 carrier status did not differ between converters (31%) and nonconverters to AD (23%, P = .3) and did not affect the time trend in MMSE or SRT scores in the entire sample. Four of 5 APOE epsilon4 homozygotes converted to AD compared with 7 of 29 heterozygotes (P = .02). In a Cox proportional hazards model stratified by age quartiles, after controlling for sex, education, MMSE score, and SRT delayed recall score, APOE epsilon4 increased the risk of AD in patients 70 to 85 years old (n = 57; risk ratio, 2.77; 95% confidence interval, 1.1-7.3; P = .03) but not in patients 55 to 69 years old (n = 79; P = .7).
CONCLUSIONS: APOE epsilon4 carrier status was associated with conversion to AD in older outpatients after controlling for known demographic and clinical risk factors, and APOE epsilon4 homozygosity was associated with increased risk of conversion to AD. However, APOE epsilon4 carrier status by itself did not predict cognitive decline or conversion to AD, indicating that APOE genotyping in patients with mild cognitive impairment may have limited clinical applicability for prediction of outcome.
We report multicolour photometric observations of the 2003 eclipse of the long-period (5.6 yr) eclipsing binary EE Cep. Measurements were obtained with ten telescopes at eight observatories in four countries. In most cases, UBV(RI)C broad band filters have been used. The light curve shape shows that the obscuring body is an almost dark disk around a low-luminosity central object. However, variations of the colour indices during the eclipse indicate that the obscuring body emits a considerable amount of radiation in the near infrared.
SUMMARY: A 71-year-old diabetic patient underwent right pneumonectomy with wide mediastinal lymph node dissection for lung cancer (right upper lobe). Postoperatively he developed pleura empyema that was successfully treated - drainage and Eloesser window, followed by adjuvant radiotherapy. Two months later he developed an esophagopleural fistula. Due to the patient's physical condition primary repair of the esophageal rupture was considered a high-risk operation. Stenting was also considered as inappropriate due to the existing contamination. Bypassing with the use of the stomach as conduit was preferred due to its simplicity compared to the colon. In order to avoid mediastinum after the postradiation alterations and because of the Eloesser window we adopted a presternal subcutaneous position. Twenty-eight months after the by pass procedure the patient is in good health being able to eat and drink, has gained weight and shows no evidence of malignancy. Presternal gastric esophageal bypass has never been reported as a treatment for esophagopleural fistula. This case report indicates its possible successful use in this debilitating setting, although more experience is needed.
The prevalence of HIV-1 drug resistance mutations in naive patients has been previously shown to differ greatly with the geographic origin. The purpose of this study was to prospectively estimate the prevalence of HIV-1 drug resistance in Greece by analyzing a representative sample of newly HIV-1 diagnosed patients, as part of the SPREAD collaborative study. Protease (PR) and partial reverse transcriptase (RT) sequences were determined from 101 newly diagnosed HIV-1 patients, in Greece, during the period September 2002--August 2003, representing one-third of the total newly diagnosed HIV-1 patients in the same time period. The prevalence of HIV-1 drug resistance was estimated according to the IAS-USA mutation table taking into account all mutations in RT and only major mutations in PR region. The overall prevalence of resistance was 9% [95% confidence interval (CI): 4.2--16.2%]. The prevalence of mutations associated with resistance to NRTIs was 5% (95% CI: 1.6--11.2%), for NNRTIs was 4% (95% CI: 1.1--9.8%), while no major resistance mutations were found in PR. No multi-class resistance was detected in the study population. The prevalence of resistant mutations in the recent seroconverters was 22%. For two individuals, there was clear evidence for transmitted resistance based on epidemiological information for a known source of HIV-1 transmission. The prevalence of the HIV-1 non-B subtypes and recombinants was 52%.
The authors report the case of a 2-year-old girl with pulmonary cystic adenomatoid malformation type II who presented with a mass on the lower lobe of the left lung. Resection and histological examination revealed pleomorphic rhabdomyosarcoma. Chemotherapy and radiotherapy followed the operation and the girl is alive and in perfect condition 10 years after the operation. The literature on primary rhabdomyosarcoma of the lung in children is reviewed.
The recent activity of the events over the project has been handled by the experts with restraint. The negotiations between the Russian President Putin and the Greek Prime Minister Mr. Karamanlis that took place in Moscow in December 2004 did not make the situation over the future of the project any clearer. We cannot deny that among many Bosporus bypassing projects, it is the Bourgas-Alexandroupolis project that is the most advantageous for Russia from the geopolitical point of view. And it is logical to assume that the Russian authorities will be guided by the geopolitical interests of the country, while making a decision on overcoming the Bosporus deadlock. The same interests will no doubt become the decisive ones for the policy of the oil companies that are likely to participate in the project. In any case, we should take into account that Russian oil exports are almost completely controlled by the government, and the decision on choosing new export routes is its exclusive prerogative. Thus, the “last word” on the future of Bourgas-Alexandroupolis will be said by the Russian president. The project could be also promoted by the European Union, and it will be in line with the economic and political interests of the EU, that in the future it can confront the situation when Turkey will control oil traffic from the Caspian region to Europe. However, until now there has not been any essential reaction from the EU authorities, and the European Committee on Transport, Energy and Communications has concentrated its attention on the disputable Ukrainian route Odessa-Brody.
There are 509 expanding neutral hydrogen shells catalogued in the Small Magellanic Cloud (SMC), all apparently very young, with dynamical ages of a few Myr. To examine their relationship with young stellar objects, we cross-correlated the shell catalogue with various catalogues of OB associations, supergiants, Cepheids, Wolf-Rayet stars, supernova remnants and star clusters. The incidence of chance line-ups was estimated via Monte Carlo simulations, and found to be high. However, it is important that there are 1.5 times more shells that are not spatially correlated to an OB association, than shells that are. Moreover, 59 of the 509 shells lie mainly in low stellar density fields and have no young stellar objects associated with them, and therefore no obvious energy source. It is shown that, on the whole, the properties of these `empty' shells are very similar to the properties of the rest of the shells, once selection biases are taken into account. In both cases, the shell radius and expansion velocity distribution functions are consistent with the standard model, according to which shells are created by stellar winds and supernova explosions, as long as all shells were created in a single burst and with a power-law distribution of the input mechanical luminosity. This would indicate a burst of star formation. This interpretation, however, cannot explain why the 59 shells, with no young stellar counterparts, show almost exactly the same behaviour as shells with OB associations within their radius. Gamma-ray bursts could account for some but certainly not for the majority of the `empty' shells. Many `empty' shells, including most of the high-luminosity ones, are located in the north-western outer regions of the SMC, and may be associated with a chimney-like feature that is known to exist in that area. Finally, it is noted that turbulence is a promising mechanism for the formation of the shell-like structures, but direct comparison with the observations was not possible at this stage, due to lack of detailed models.
The concept of the law of damages in common law systems is dualistic: damages can be recovered for the losses incurred, including loss of profit, and for punishment of the wrongdoer. On the contrary the concept of the law of damages in civil law systems is purely monistic, at least if taken at face vale. Damages are strictly restricted to compensation. Punishment of the tortfeasor is under no circumstances a legitimate function of damages. Nevertheless during the last decade continental tort law has proven less static than one might initially think. It is still to be examined whether any recent developments have brought the two systems any closer to each other, so as at least to narrow that apparently unbridgeable gap.
In Japanese quail, as in rats, the expression of male sexual behavior over relatively long time periods (days to weeks) is dependent on the local production of estradiol in the preoptic area via the aromatization of testosterone. On a short-term basis (minutes to hours), central actions of dopamine as well as locally produced estrogens modulate behavioral expression. In rats, a view of and sexual interaction with a female increase dopamine release in the preoptic area. In quail, in vitro brain aromatase activity (AA) is rapidly modulated by calcium-dependent phosphorylations that are likely to occur in vivo as a result of changes in neurotransmitter activity. Furthermore, an acute estradiol injection rapidly stimulates copulation in quail, whereas a single injection of the aromatase inhibitor vorozole rapidly inhibits this behavior. We hypothesized that brain aromatase and dopaminergic activities are regulated in quail in association with the expression of male sexual behavior. Visual access as well as sexual interactions with a female produced a significant decrease in brain AA, which was maximal after 5 min. This expression of sexual behavior also resulted in a significant decrease in dopaminergic as well as serotonergic activity after 1 min, which returned to basal levels after 5 min. These results demonstrate for the first time that AA is rapidly modulated in vivo in parallel with changes in dopamine activity. Sexual interactions with the female decreased aromatase and dopamine activities. These data challenge established views about the causal relationships among dopamine, estrogen action, and male sexual behavior.
Greek electroacoustic music, born in the New Music environment of the sixties and developed among fruitful and critical periods, seems to be in expansion in our days. In this article we present a brief overview of the genesis and evolution of the electroacoustic music in Greece since 1967 until today, exposing three crucial periods. In the second section we present the works, the means and aesthetics of representative composers of the most recent period (1990-2005). In the last section we focus on the pedagogical and institutional development of the Greek electroacoustic music during the last fifteen years, as well as on the diversity of styles and techniques of works presented in various events in Athens and other places in Greece. We also stress the lack of an official institute for the archiving, creation and expansion of the electroacoustic music, and the indifference of the cultural authorities to cultivate such kind of music.
Human rhinoviruses (RV), the most common triggers of acute asthma exacerbations, are considered not cytotoxic to the bronchial epithelium. Recent observations, however, have questioned this knowledge. The aim of this study was to evaluate the ability of RV to induce epithelial cytotoxicity and affect epithelial repair in-vitro.|Monolayers of BEAS-2B bronchial epithelial cells, seeded at different densities were exposed to RV serotypes 1b, 5, 7, 9, 14, 16. Cytotoxicity was assessed chromatometrically. Epithelial monolayers were mechanically wounded, exposed or not to RV and the repopulation of the damaged area was assessed by image analysis. Finally epithelial cell proliferation was assessed by quantitation of proliferating cell nuclear antigen (PCNA) by flow cytometry.|RV1b, RV5, RV7, RV14 and RV16 were able to induce considerable epithelial cytotoxicity, more pronounced in less dense cultures, in a cell-density and dose-dependent manner. RV9 was not cytotoxic. Furthermore, RV infection diminished the self-repair capacity of bronchial epithelial cells and reduced cell proliferation.|RV-induced epithelial cytotoxicity may become considerable in already compromised epithelium, such as in the case of asthma. The RV-induced impairment on epithelial proliferation and self-repair capacity may contribute to the development of airway remodeling.
{Viremia has been implicated in many viral infections; however, viremia due to rhinovirus (RV; rhinoviremia) has been considered not to occur in normal individuals.|To evaluate whether RV enters the bloodstream and identify the possible risk factors.|Nasopharyngeal washes (NPWs) of 221 children with respiratory infections were examined for the presence of RV by reverse transcription-polymerase chain reaction. Blood from 88 children, whose NPW was RV-positive, and 31 of RV-negative control subjects was subsequently examined for the presence of RV in the blood by semi-nested reverse transcription-polymerase chain reaction. Rhinoviremia was then correlated with clinical characteristics of the disease.|RV was detected in the blood of 10 out of 88 NPW RV-positive cases (11.4%): 7 of 28 children with asthma exacerbations (25.0%), 2 of 26 with common cold (7.7%), 1 of 25 with bronchiolitis (4.0%), and 0 of 9 with pneumonia (0%). All NPW RV-negative cases were negative in the blood. The proportion of rhinoviremia in children with asthma exacerbation was significantly higher compared with children suffering from the other diseases (25 vs. 5%
The optical response of a two-dimensional periodic array of metallic nanoparticles on a dielectric waveguide is investigated by means of numerical calculations using the on-shell layer-multiple-scattering method. We find that the strong interaction between particle-plasmon and waveguide modes influences drastically the extinction spectrum of the system. Our results explain successfully available experimental data and provide a transparent physical picture of the underlying processes.
We calculate the monthly components of the Mediterranean Sea heat budget, namely the net shortwave, net longwave, latent, sensible heat fluxes, and heat storage change, for years 1984-2000. The radiative components of the seasonal heat budget are derived by a radiation transfer model, while in most other studies bulk formulae are used. A variety of data are required to run the model, among which are cloud data from International Satellite Cloud Climatology Project (ISCCP) D2 data set, aerosol data from Global Aerosol Data Set (GADS), temperature and humidity from National Center for Environmental Prediction/National Center for Atmospheric Research (NCEP/NCAR) and European Centre for Medium-range Weather Forecasts (ECMWF) Re-Analysis (ERA-40), and oceanographical data from Mediterranean Data Archaeology and Rescue (MEDAR) MEDATLAS database and the World Ocean Atlas 2001. We compare two methods for the estimation of the monthly latent heat flux and evaporation: the bulk aerodynamic and the heat balance. The average annual evaporation rate for the Mediterranean Sea, based on the heat balance method, is estimated at 1500 ± 190 mm yr-1. The bulk aerodynamic method produces estimates of the annual evaporation rate in the range 1060-1280 mm yr-1, depending on the source of the input data. The analysis of the heat content shows that the solar heat absorbed by the sea during summer is redistributed to winter evaporation via heat storage by the sea. Thus the peak evaporation occurs in winter and is mainly driven by energy released (100-150 Wm-2) from sea heat storage.
Side Population (SP) cells, isolated from murine adult bone marrow (BM) based on the exclusion of the DNA dye Hoechst 33342, exhibit potent hematopoietic stem cell (HSC) activity when compared to Main Population (MP) cells. Furthermore, SP cells derived from murine skeletal muscle exhibit both hematopoietic and myogenic potential in vivo. The multipotential capacity of SP cells isolated from variable tissues is supported by an increasing number of studies. To investigate whether the SP phenotype is associated with a unique transcriptional profile, we characterized gene expression of SP cells isolated from two biologically distinct tissues, bone marrow and muscle. Comparison of SP cells with differentiated MP cells within a tissue revealed that SP cells are in an active transcriptional and translational status and underexpress genes reflecting tissue-specific functions. Direct comparison of gene expression of SP cells isolated from different tissues identified genes common to SP cells as well as genes specific to SP cells within a particular tissue and further define a muscle and bone marrow environment. This study reports gene expression of muscle SP cells, common features and differences between SP cells isolated from muscle and bone marrow, and further identifies common signaling pathways that might regulate SP cell functions.
STUDY OBJECTIVES: To investigate the response to interval exercise (IE) training by looking at changes in morphologic and biochemical characteristics of the vastus lateralis muscle, and to compare these changes to those incurred after constant-load exercise (CLE) training.
DESIGN: Randomized, controlled, parallel, two-group study (IE vs CLE training).
SETTING: Multidisciplinary, outpatient, hospital-based, pulmonary rehabilitation program.
PATIENTS: Nineteen patients with stable advanced COPD (mean +/- SEM FEV1, 40 +/- 4% predicted).
INTERVENTIONS: Patients (n = 10) assigned to IE training exercised at a mean intensity of 124 +/- 15% of baseline peak exercise capacity (peak work rate [Wpeak]) with 30-s work periods interspersed with 30-s rest periods for 45 min/d. Patients (n = 9) allocated to CLE training exercised at a mean intensity of 75 +/- 5% Wpeak for 30 min/d. Patients exercised 3 d/wk for 10 weeks.
MEASUREMENTS AND RESULTS: Needle biopsies of the right vastus lateralis muscle were performed before and after rehabilitation. After IE training, the cross-sectional areas of type I and IIa fibers were significantly increased (type I before, 3,972 +/- 455 microm2; after, 4,934 +/- 467 microm2 [p = 0.004]; type IIa before, 3,695 +/- 372 microm2; after, 4,486 +/- 346 microm2 [p = 0.008]), whereas the capillary-to-fiber ratio was significantly enlarged (from 1.13 +/- 0.08 to 1.24 +/- 0.07 [p = 0.013]). Citrate synthase activity increased (from 14.3 +/- 1.4 to 20.5 +/- 4.2 micromol/min/g), albeit not significantly (p = 0.097). There was also a significant improvement in Wpeak (by 19 +/- 5%; p = 0.04) and in lactate threshold (by 17 +/- 5%; p = 0.02). The magnitude of changes in all the above variables was not significantly different compared to that incurred after CLE training. During training sessions, however, ratings of dyspnea and leg discomfort, expressed as fraction of values achieved at baseline Wpeak, were significantly lower (p < 0.05) for IE training (73 +/- 9% and 60 +/- 8%, respectively) compared to CLE training (83 +/- 10% and 87 +/- 13%, respectively).
CONCLUSIONS: High-intensity IE training is equally effective to moderately intense CLE training in inducing peripheral muscle adaptations; however, IE is associated with fewer training symptoms.
We present a small polaron hopping model for interpreting the strong temperature (T) dependence of the electrical conductivity, σ, observed at high (h) temperatures along DNA molecules. The model takes into account the one-dimensional character of the system and the presence of disorder in the DNA double helix. Percolation-theoretical considerations lead to analytical expressions for the high temperature multiphonon-assisted small polaron hopping conductivity, the hopping distance and their temperature dependence. The experimental data for lambda phage DNA (λ-DNA) and poly(dA)–poly(dT) DNA follow nicely the theoretically predicted behaviour (EQUATION). Moreover, our model leads to realistic values of the maximum hopping distances, supporting the idea of multiphonon-assisted hopping of small polarons between next nearest neighbours of the DNA molecular 'wire'. The low temperature case is also investigated.
This article presents a survey of Greek EFL teachers' (N = 421) attitudes regarding their pronunciation beliefs and practices. It touches on two sets of questions. First, it refers to teachers' viewpoints regarding pronunciation-specific issues and the possible links between pronunciation teaching, English as an international language (EIL), and the sociocultural identity of nonnative speakers of English (NNSs). Second, it tries to establish the extent to which these teachers are aware of EIL-related matters, such as the need for mutual intelligibility in NNS-NNS communication. We conclude that teachers' viewpoints are predominantly norm bound. We further attempt to make sense of these viewpoints by referring to (a) the teachers' sense of being the custodians of the English language as regards English language learners and (b) the wider sociocultural linguistic background in Greece (which involves a history of diglossia and a recent experience of a massive inflow of immigrants). We go on to suggest ways to raise teachers' awareness of EIL-related concerns by suggesting that they use their immediate geopolitical and sociocultural surroundings.
We present calculations of the spectral and temporal radiative signatures expected from ultrarelativistic protons in compact sources. The coupling between the protons and the leptonic component is assumed to occur via Bethe-Heitler pair production. This process is treated by modeling the results of Monte-Carlo simulations and incorporating them in a time-dependent kinetic equation, that we subsequently solve numerically. Thus, the present work is, in many respects, an extension of the leptonic “one-zone” models to include hadrons. Several examples of astrophysical importance are presented, such as the signature resulting from the cooling of relativistic protons on an external black-body field and that of their cooling in the presence of radiation from injected electrons. We also investigate and refine the threshold conditions for the “Pair Production/Synchrotron” feedback loop which operates when relativistic protons cool efficiently on the synchrotron radiation of the internally produced Bethe-Heitler pairs. We demonstrate that an additional component of injected electrons lowers the threshold for this instability.
INTRODUCTION: The purpose of this study was to record and analyze the dynamic nature of spontaneous smiles.
METHODS: Fifteen children (9 girls and 6 boys; average age, 10.5 years) were filmed with a hidden camera while they watched a funny cartoon video. Spontaneous smiles were recorded, and the video frames were digitized. Time-graphs of the measurements were constructed, and plots of the movement of the mouth points were drawn.
RESULTS: Facial measurements showed that the upper lip elevated by 28%, relative to the rest position, and the mouth increased in width by 27%. The corners of the mouth moved laterally and superiorly at an angle of approximately 47 degrees . Time analysis showed that the smiles developed in a staged fashion. The first stage (attack phase) was the shortest, lasting an average 500 ms. It was followed by a sustaining phase that included waxing and waning. The smile ended with a fade-out stage. The second and third stages were of variable duration and could be interrupted by the attack phase of a subsequent smile.
CONCLUSIONS: The dynamics of the spontaneous smile and the findings of this study raise concerns about the validity of a single photographic capture for esthetic assessment and treatment planning.
The recent advances in biology and technology genetics have a great influence on the human being and further on the human-athlete, since the human cloning possibilities and the potentiality to create the conditions which will allow the blastocells production, actually leads to the creation of organic cells which contribute to the revival of the body- tissue. The international consideration that has already been developed for this matter is mainly concentrated on: a) whether or not such a scientific development consists of an interference in the biological human status and, b) whether or not such an action is morally acceptable. Those supporting the aforementioned procedures consider that the moral objections inhibit the development of important sectors of the latest technology which allows the improvement of the living conditions. On the other hand those criticizing these procedures claim that this scientific advance is actually an interference in the historical and natural continuity of the human being and further a clear moral offence to the human rights. Consequently, the development in biogenetics set up a new perception of the athlete as an individual and of sports as an anthropological phenomenon, since the role of the first is denied and the importance of the latter is downgraded. Considering that “athletics” is a phenomenon that brings together the individual with his/her nature, the genetic interference in the future athlete results in the contrary, i.e his/her withdrawal from his/her nature, while it degenerates the value of sports and weakens the importance of the sports spirit.
Skin prick testing (SPT) is the standard method for diagnosing allergic sensitization but is to some extent performed differently in clinical centres across Europe. There would be advantages in harmonizing the standard panels of allergens used in different European countries, both for clinical purposes and for research, especially with increasing mobility within Europe and current trends in botany and agriculture. As well as improving diagnostic accuracy, this would allow better comparison of research findings in European allergy centres. We have compared the different SPT procedures operating in 29 allergy centres within the Global Allergy and Asthma European Network (GA(2)LEN). Standard SPT is performed similarly in all centres, e.g. using commercial extracts, evaluation after 15-20 min exposure with positive results defined as a wheal >3 mm diameter. The perennial allergens included in the standard SPT panel of inhalant allergens are largely similar (e.g. cat: pricked in all centres; dog: 26 of 29 centres and Dermatophagoides pteronyssinus: 28 of 29 centres) but the choice of pollen allergens vary considerably, reflecting different exposure and sensitization rates for regional inhalant allergens. This overview may serve as reference for the practising doctor and suggests a GA(2)LEN Pan-European core SPT panel.
The optical properties of three-dimensional photonic crystals consisting of polaritonic spheres in a dielectric host medium are studied by means of accurate numerical calculations using the on-shell layer-multiple-scattering method. The transmission characteristics of finite slabs of these materials are related to the complex band structure of the corresponding infinite crystals and the effect of dissipative losses is examined.
Basel, Switzerland,
Αποτελεί δημοσίευση περίληψης της ανακοίνωσης μας στο Συνέδριο της Ολλανδίας (ESF Euroconference, «Biomedicine within the Limits of Existence», Doom Utrecht, Holland, 8-13 Αpril 2005), την οποία συμπεριέλαβε το επιστημονικό περιοδικό της Societe Suisse d’ Ethique Biomedicale. Υπήρξε ιδιαίτερη επιθυμία από τη συντακτική επιτροπή για τη δημοσίευση αυτή και για περαιτέρω συνεργασία. Μέρος των απόψεων για την ανθρώπινη κλωνοποίηση που γράφτηκαν για το ελβετικό αυτό περιοδικό, το οποίο δημοσιεύει άρθρα στα αγγλικά, γαλλικά, γερμανικά και ιταλικά, περιλαμβάνονται και αποτελούν θέσεις που εκφράσθηκαν παλαιότερα στη δημοσίευση στην Επιστημονική Επετηρίδα του Τμήματος Θεολογίας 12 (2002), σελ. 389-395.
Field body temperatures (T(b)s), activity cycles, and preferred body temperatures maintained in a laboratory thermogradient (T-sel) were studied for Podarcis milensis, a small, endemic, lacertid lizard occurring in Milos Archipelago, Greece. P. milensis is active all year round; overall maximum activity level is recorded in spring, and minimum activity in winter. Daily activity patterns range from unimodal (winter) to strongly bimodal (summer). Body temperature of adults of the examined population (n = 188) averages 31.3 degrees C range 21.5-38.4 degrees C, SD 3.27 degrees C; mean monthly T(b)s are grouped together into "seasons". The species actively thermoregulates, and effectiveness of thermoregulation for the month of August is high, 0.95. The thermoregulatory behavior, microhabitat utilization, and activity cycle of this population are all discussed in the specific context of our study system: the harsh thermal environment of an insular sand dune.
The present study attempted a follow-up of the time characteristics in elite volleyball, four years after the implementation of the new regulations. To this aim data concerning set and match points and duration and total match duration from two consecutive Olympic volleyball competitions in men and women (Sidney, 2000 and Athens, 2004) were compared. Results indicated a statistically significant increase of the corresponding sets duration, and as a result of the match and total match duration, in the Athens Olympics, both for men and women. On the contrary the total number of set points remained the same. Consequently, the increase in set time duration is caused exclusively by rally time expansion. In conclusion, time characteristics of the volleyball game continue to be influenced by the impact of the new regulations. Keywords: volleyball, time characteristics, rules.
The nova-like variable TT Ari had shown a luminosity change with a drastic change of the light curve. This state is distincly different from both the bright "negative superhump" state and the "positive superhump" state known before.
There is a consistent variation in the response of different skeletal muscle groups to mutations in genes known to cause muscular dystrophy, yet these muscles appear histologically similar. To better understand these phenotypic differences, we analyzed gene expression patterns in control muscle specimens obtained from four sites at autopsy: deltoid, quadriceps, gastrocnemius, and tibialis anterior (TA). A total of 35 muscle samples from nine individuals (four pediatric and five geriatric) were studied. Factors potentially influencing gene expression in the different samples included individuality, age, muscle type, gender, cause of death, postmortem interval, and ethnicity. The first three factors, in decreasing order, were found to have a significant impact on the stratification of muscle specimens. A novel analytic method, using a second round of normalization, was used to elicit differences between muscle types. This approach may be extended to a broader survey, potentially elucidating a molecular classification of the skeletal muscles.
We studied viral dynamic parameters in 44 chronic hepatitis B/hepatitis B e antigen (HBeAg)(-) patients treated with pegylated interferon alfa-2b (PEG-IFN) 100 or 200 microg weekly or lamivudine 100 mg daily or the combination of PEG-IFN 100 or 200 microg with lamivudine. Patients receiving PEG-IFN monotherapy exhibited viral load oscillations between weekly injections, which were resolved by the addition of lamivudine. The median pharmacological delay was estimated at 4.1, 5.8, and 1.8 hours in PEG-IFN monotherapy, PEG-IFN 100/200 microg + lamivudine, and lamivudine monotherapy, respectively (P = .44). The median half-life of free virus was 12.7 hours (range, 2.4-69.2 hours). The mean antiviral effectiveness of PEG-IFN 100/200 microg monotherapy was lower than that of lamivudine (82.6% vs. 96.4%; P = .005). The mean effectiveness of PEG-IFN 100 microg + lamivudine and PEG-IFN 200 microg + lamivudine was 92.8% and 94.4%, respectively. The half-life of infected cells ranged from 2.7 to 75 days. The median half-life of infected cells in patients receiving the combination regimens of PEG-IFN and lamivudine was similar to that of lamivudine patients (5.0 days vs. 6.0 days, P = .77). In conclusion, the addition of pegylated interferon alfa-2b in lamivudine treatment was found to neither enhance the potency of blocking HBV production nor the decay rates of infected cells. Supplementary material for this article can be found on the HEPATOLOGY website (http://www.interscience.wiley.com/jpages/0270-9139/suppmat/index.html).
From a sample of 304 carbon stars in the central parts of the Large Magellanic Cloud (LMC), ~27 per cent have Merrill-Sanford (MS) bands of the SiC2 molecule. The data are based on a uniform set of spectra taken with 2dF on the Anglo-Australian Telescope, and give useful statistics on the incidence of MS bands and on their correlation (or otherwise) with other properties. All of these are red stars, cooler than 3100 K. The proportion of stars showing the bands is highest amongst the coolest stars, but not all very cool stars show the bands. There is no evidence that MS bands are more common in J-type stars (carbon stars with a high 13C/12C ratio) than in N-type carbon stars, at least within this sample of LMC stars. There is no apparent correlation with stellar variability, or between the photospheric temperature [as measured by (J-K)] and the occurrence of the 'hot' MS bands from excited molecular states. (2 data files).
We demonstrate the existence of strong Anderson localization in certain disordered phononic systems. As a result, the transmission coefficient of elastic waves through a slab of the material practically vanishes, whatever the angle of incidence, over a region of frequency much wider than the absolute frequency gap of the corresponding ordered system. The phenomenon can be of use in the design of phononic systems with very wide absolute transmission gaps.
Η παρουσίαση της δημοσιευμένης μεταπτυχιακής εργασίας στη Θεολογική Σχολή του Πανεπιστημίου Αθηνών προβάλλει τη σημασία και το ρόλο των δημοσιευμάτων στον Αθηναϊκό Τύπο για τα θέματα της βιοηθικής και της βιοτεχνολογίας.
Η παγκόσμια αθλητική ηγεσία δεν κατόρθωσε να διεκδικήσει αποτελεσματικά την εφαρμογή της εκεχειρίας στο σύγχρονο κόσμο κατά τη διεξαγωγή των Ολυμπιακών Αγώνων, που θα δρούσε ως προστατευτική προμετωπίδα των αγώνων. Επίσης, δεν κατάφερε να προστατεύσει τους αγώνες απ’ την τεράστια εμπορευματοποίηση που, οικειοποιούμενη τα αθλητικά οφέλη, δεν διστάζει να διογκώσει την αθλητική επιτυχία ώστε αυτή να μετατρέπεται σε ελκυστικό καταναλωτικό προϊόν. Ο αθλητισμός, αποτελώντας μια απεικόνιση της κοινωνίας στην οποία ανήκει, αντανακλά την προβληματική της. Το μεγαλύτερο πρόβλημα που αντιμετωπίζει σήμερα ο ολυμπιακός αθλητισμός, η επαπειλούμενη ασφάλεια, είναι ακριβώς το ίδιο που αξιολογείται ως νούμερο ένα στην κλίμακα των ζητημάτων του σύγχρονου κόσμου. Η τρομοκρατία, που δημιουργεί το κλίμα γενικής ανασφάλειας, είναι μια πραγματικότητα των καιρών μας, όπως πραγματικότητα είναι όμως και οι οποιοιδήποτε πολιτικοί λόγοι που γεννούν το φαινόμενο της τρομοκρατίας. Η απόφαση ν’ ανατεθεί η προστασία των Ολυμπιακών Αγώνων του 2004 στο στρατιωτικό πλέγμα του ΝΑΤΟ ήρθε σε πλήρη αντίθεση με το πνεύμα που χαρακτηρίζει τους αγώνες: της ειρήνης, της ισότητας, της συνεργασίας των λαών. Η απόφαση αυτή, όχι μόνο βρίσκεται σε σύγκρουση με τον αυθεντικό χαρακτήρα των αγώνων, αλλά εγκυμονεί και κινδύνους για την επιβίωση του θεσμού. Υπάρχει μια σαφής αντίφαση στο να διεξάγεται μια εκδήλωση που συμβολίζει την ειρήνη υπό την ομπρέλα του πιο ισχυρού στρατιωτικού μηχανισμού- ο οποίος έχει μάλιστα χρεωθεί τις μεγαλύτερες επιθέσεις κατά πληθυσμών τα τελευταία χρόνια, και εναντίον του οποίου έχουν πραγματοποιηθεί οι πολυπληθέστερες αντιπολεμικές διαδηλώσεις σε όλο τον κόσμο. Όχι μόνο δεν θα έπρεπε να εισχωρήσει το ΝΑΤΟ σε μια τέτοιου χαρακτήρα εκδήλωση, αλλά και η ίδια η Αμερική, ως χώρα ευρισκόμενη σε πολεμική διένεξη με το Ιράκ και μ’ άλλες χώρες (Πακιστάν, Αφγανιστάν), θα έπρεπε, σύμφωνα με το μέτρο του αποκλεισμού που ίσχυε κατά την αρχαιότητα, να αποκλειστεί από τους Ολυμπιακούς Αγώνες. Η ανάληψη της ευθύνης των Ολυμπιακών Αγώνων από την Ατλαντική Συμμαχία, δεν περιορίστηκε άλλωστε μόνο στους αγώνες, αλλά νομιμοποιήθηκε το ΝΑΤΟ να επιβλέπει και να ελέγχει επίσημα ολόκληρη την ευρύτερη περιοχή της Μεσογείου. Αν υπάρχει, ωστόσο, κάποιο περιθώριο ν’ αποφορτιστεί ο θεσμός των Ολυμπιακών Αγώνων από το ρόλο του πολιτικού κατασκόπου απαιτούνται σημαντικές παρεμβάσεις. Μια διαφορετική εθνική και διεθνής πολιτική είναι αναγκαίες, ώστε οι μελλοντικοί Ολυμπιακοί Αγώνες ν’ αποτελούν ένα αθλητικό συμβόλαιο που θα συμβάλλει στην αποφυγή ενεργειών εμπορικού ή επιθετικού χαρακτήρα, δημιουργώντας μηχανισμούς απομόνωσης απ’ τους αγώνες χωρών και ανθρώπων που οικειοποιούνται το θεσμό για πολιτικούς ή οικονομικούς λόγους. Η μορφή μιας νέας ολυμπιακής εκεχειρίας, θα έδινε έναν αξιόπιστο πολιτικό ρόλο στους αγώνες, ενώ ταυτόχρονα θα τον καθιστούσε θεσμό επικοινωνίας και συνύπαρξης μεταξύ των κοινωνιών. Η καθιέρωση της υποχρεωτικής εκεχειρίας ως προϋπόθεση για τη συμμετοχή στους Ολυμπιακούς Αγώνες, πιθανόν να έδινε τη δυνατότητα στο ολυμπιακό ιδεώδες να διαδραματίσει έναν οικουμενικό ρόλο, αποκτώντας, προς όφελος της ανθρωπότητας, μιαν ειρηνευτική αποστολή και διαπαιδαγωγώντας τις νέες γενιές για τη σπουδαιότητα της ειρηνικής διευθέτησης των διαφορών.
Στο άρθρο παρουσιάζονται με συντομία συμβολές ομιλητών στο συνέδριο στην Ολλανδία (ESF Euroconference, «Biomedicine within the Limits of Existence», Doom Utrecht, Holland, 8-13 Αpril 2005), οι οποίες προσφέρουν αφορμή για προβληματισμό στα σύγχρονα βιοηθικά προβλήματα.
Η προσπάθεια ηθικοποίησης της ολυμπιακής νίκης κατά την αρχαιότητα, σε μια κοινωνία που για πρώτη φορά θέτει όρους ηθικής λειτουργίας των θεσμών, δεν στέφθηκε πάντοτε από επιτυχία. Η για πολιτικούς λόγους εκμετάλλευση της ολυμπιακής επιτυχίας αποτελεί ως εκ τούτου την έκβαση της λειτουργίας μιας κοινωνίας που το πρώτιστο πολιτικό της κύτταρο είναι η «πόλη», καθώς η νίκη υφαρπάζεται από τα χέρια του μεμονωμένου νικητή για να αναχθεί σε καθολική νίκη της πόλης του. Ωστόσο, εκτός από τις αψιμαχίες μεταξύ των πόλεων, ο διακαής πόθος Ολυμπιονικών να καρπωθούν πολιτικά τα οφέλη της νίκης, οδήγησε ενίοτε σε αχαλίνωτες προσωπικές φιλοδοξίες, ή σε δραματικά αποτελέσματα, όπως το απεχθές Κυλώνειον άγος. Η διεκδίκηση της αθλητικής επιτυχίας, ως απόρροια της δίψας για προσωπική ωφέλεια, είναι ένα φαινόμενο που λειτουργεί χωρίς εξαίρεση, γι’ αυτό παρατηρείται το ίδιο συχνά είτε σε έναν τύραννο, ή βασιλιά ή ευγενή της αρχαιότητας, είτε σε έναν κοινό θνητό της σύγχρονης κοινωνίας που επιδιώκει να ξεχωρίσει δια της ολυμπιακής νίκης. Σύμμαχος και συν-διαμορφωτής αυτής της αντίληψης του αθλητή σήμερα είναι συνήθως τα ίδια τα πολιτικά σχήματα, που ως άλλοι χορηγοί και σπόνσορες, παρακολουθούν την επικαιρότητα των αθλητικών επιδόσεων, με σκοπό να αρπάξουν σαν πολεμικό λάφυρο το νικητή, για να τον χρησιμοποιήσουν στον πολιτικό στίβο ως κυνηγό ψήφων. Αυτό όχι μόνο αντίκειται στο ολυμπιακό πνεύμα, επειδή το διαστρεβλώνει, αλλά και έχει ως συνέπεια την υποβάθμιση του πολιτικού διαλόγου και των ηθικών αξιών, καθώς καλλιεργούνται στη νεολαία και στην κοινωνία πρότυπα επιτυχίας αντί για πρότυπα αξίας.
Στο άρθρο αυτό επισημαίνεται ότι επιβάλλεται να καθορίζεται ρητώς ο στόχος και οι αρχές που ακολουθεί κάθε οικογενειακή παροχή, ώστε να ενισχυθούν οι ευπαθείς κοινωνικές ομάδες. Eπισημαίνεται ότι η προστασία των απασχολουμένων στην Ελλάδα για τα οικογενειακά βάρη είναι κοινωνικά άνιση. Οι ελληνικές οικογένειες διακρίνονται σε δύο κατηγορίες: α) Η πρώτη, περιλαμβάνει τους δημόσιους υπαλλήλους και τους μισθωτούς του δημόσιου και του ιδιωτικού τομέα και προστατεύεται από την εργατική νομοθεσία και την κοινωνική ασφάλιση κατά τρόπο που κρίνεται σχετικά ικανοποιητικός. β) Η δεύτερη περιλαμβάνει τους αυτοτελώς απασχολουμένους και τους αγρότες και έχει μειωμένη προστασία σε σχέση με την προηγούμενη, διότι όσοι ανήκουν σε αυτήν απουσιάζουν ελάχιστα από την εργασία τους, επειδή δεν εξασφαλίζονται οι αποδοχές τους κατά τη διάρκεια της απουσίας τους. Οι κοινωνικές αυτές ανισότητες στην Ελλάδα είναι ιδιαίτερα σημαντικές, διότι η πρώτη και η δεύτερη κατηγορία έχουν περίπου ίσο αριθμό εργαζομένων. Η αναλογία αυτή διαφοροποιεί την Ελλάδα από πολλά άλλα κράτη μέλη της Ε.Ε., όπου ο συνολικός αριθμός των μισθωτών είναι πολύ μεγαλύτερος από τον αριθμό των λοιπών ασφαλισμένων.
Μία άλλη παράμετρος που εντοπίζεται είναι ότι οι έμμεσα ασφαλισμένοι που στην Ελλάδα στην πλειοψηφία τους είναι γυναίκες και παιδιά δεν έχουν άμεσο δικαίωμα κατά του ασφαλιστικού οργανισμού να αξιώσουν ατομικά και για λογαριασμό τους τις σχετικές παροχές. Προτείνεται η εκτίμηση της ανάγκης να γίνεται ανά οικογένεια και η είσπραξη της παροχής ατομικά.
Επίσης, εξετάζονται τα αντικίνητρα για την απασχόληση των γυναικών που δημιουργεί η ισχύουσα προστασία και κίνητρο για την απασχόληση με συμβάσεις έργου που υποκρύπτουν συμβάσεις εργασίας. Για να δημιουργηθεί ένα συνεκτικό και ισότιμο σύστημα που θα εναρμονίζει την οικογενειακή με την επαγγελματική ζωή προτείνεται η ίδρυση ενιαίου χρηματοδοτούμενου από το Κράτος ταμείου για την κάλυψη των οικογενειακών βαρών.
Στην εργασία αυτή παρουσιάζουμε, σε θεματικές, σημαντικές απόψεις του Piaget για την εκπαίδευση και την παιδαγωγική, ένα θέμα στο οποίο δεν έχει δοθεί η απαιτούμενη προσοχή. Αναφέρονται και σχολιάζονται οι απόψεις του για τη σχέση μάθησης-ανάπτυξης, παιδαγωγικής-ψυχολογίας, για την αναγκαιότητα της γνώσης από τον εκπαιδευτικό της ψυχολογίας του παιδιού, για το περιεχόμενο της μάθησης και τα είδη της γνώσης, για τις διαδικασίες προαγωγής της μάθησης, για την ομαδική-συνεργατική μάθηση, για το παιχνίδι, για τη σχέση της γνωστικής με την ηθική εκπαίδευση, για την αυτοδιακυβέρνηση και την αλληλεγγύη, καθώς και για τη διεθνή παιδεία ως παιδεία της ελευθερίας και της ειρήνης. Επισημαίνεται η διαχρονική και ιδιαίτερα επίκαιρη αξία των ιδεών αυτών του Piaget.
Mantzoros C, Petridou E, Dessypris N, Chavelas C, Dalamaga M, Alexe DM, Papadiamantis Y, Markopoulos C, Spanos E, Chrousos G, et al.Adiponectin and breast cancer risk. J Clin Endocrinol Metab. 2004;89(3):1102-7.Abstract
Adiponectin, an adipocyte-secreted hormone, is closely and inversely associated with insulin resistance and was recently found to be inversely and independently associated with endometrial cancer. Because insulin resistance in the setting of obesity has also been associated with the development of breast cancer, we have hypothesized that decreased adiponectin levels might underlie the association between breast cancer and obesity/insulin resistance. We evaluated the association of adiponectin with the occurrence of breast cancer in a case-control study comprising 174 women with newly diagnosed, histologically confirmed breast cancer and 167 controls. We found an inverse, fairly strong, and statistically significant association of serum adiponectin with breast cancer (odds ratio, 0.84; 95% confidence interval, 0.71-0.99). Importantly, despite a fairly robust inverse association of adiponectin with breast cancer risk among postmenopausal women (odds ratio, 0.82; 95% confidence interval, 0.67-1.00), no such significant association between adiponectin and breast cancer was found among premenopausal women. The observed associations were independent of possible effects of major components of the IGF system, leptin, body mass index, sociodemographic variables, and known risk factors for breast cancer. Future studies are needed to prove causality and provide further insights into both the mechanisms underlying the actions of this hormone and its potential role in breast cancer.
Purpose: Radical cystectomy represents the treatment of choice for muscle infiltrative bladder carcinoma. Adjuvant chemotherapy has been used to improve outcome after cystectomy. We report results in a prospective cohort of patients at high risk for relapse who were treated with the combination of paclitaxel and carboplatin as adjuvant treatment following cystectomy for muscle invasive bladder cancer. Materials and Methods: A total of 92 patients with extravesical tumor extension (pT 3b or greater) or lymph node involvement (N+) were treated with 4 cycles of paclitaxel at 175 mg/m2 and carboplatin (area under the curve 5 according to the Calvert formula) every 3 weeks following radical cystectomy. Patients were followed every 6 months thereafter. Results: Median followup was 36.6 months. Chemotherapy was well tolerated with 62% of patients receiving 100% of the expected chemotherapy doses without delays. Grade 3 or 4 neutropenia was reported in 19% of patients, while neutropenic fever was reported in 7%. Five-year overall, cause specific and disease-free survival was 28.9% (95% CI 14.8 to 43.0), 36.6% (95% CI 24.4 to 49.7) and 29% (95% CI 16.3 to 42.4), respectively. Conclusions: Adjuvant chemotherapy with paclitaxel and carboplatin is feasible and could be used as adjuvant treatment for high risk bladder carcinoma. Its true value should be assessed in prospective, randomized trials.
OBJECTIVE: To evaluate age-related differentiation of immune response in newborns by measuring serum concentrations of interleukin-2 (IL-2), interleukin-4 (IL-4) and interferon-γ (IFN-γ) during the perinatal period. Subjects and methods: Fifty-seven healthy term neonates, their mothers and 25 healthy adults (controls) age-matched to the mothers were included in the study. Cytokine concentrations were measured in the umbilical cord (UC), and in first-day (1N) and fifth-day (5N) neonatal samples, compared with those in maternal serum (MS) and control serum samples. Results: Serum IL-2 concentrations in the UC were markedly elevated compared with those in MS and controls (p < 0.0001), decreasing significantly thereafter up to 5N (p < 0,001). IL-4 serum concentrations did not differ significantly between the UC, 1N and 5N samples; they were, however, markedly elevated compared with those in MS (p < 0.001, p < 0.0007 and p < 0.0001, respectively) and controls (p < 0.05, p < 0.01 and p < 0.006, respectively). IFN-γ serum concentrations were significantly lower in the UC compared with those in controls (p < 0.04), increasing significantly up to 5N (p < 0.03). Both IFN-γ/IL-2 and IFN-γ/IL-4 ratios increased significantly in 5N, compared with those in the UC (p < 0.001 and p < 0.03). Conclusion: Our findings indicate a differential cytokine balance at birth with enhanced expression of IL-2 and IL-4 against IFN-γ. However, a regularization of immune response seems to proceed quickly during the early neonatal life.
OBJECTIVE: Few previous studies have investigated the association between APOE genotype and brain activation during performance of cognitive tasks in healthy middle-aged and elderly subjects, and the results have been mixed. The authors investigated APOE-mediated differential brain activation in a group of healthy elderly subjects.
METHODS: Using H215O positron emission tomography (PET), they imaged 32 healthy subjects (26 non-epsilon4 carriers and 6 epsilon4 carriers) performing a serial shape-recognition memory task under two conditions: Simple Demand (SD), in which one shape was presented in each study trial, and Titrated Demand (TD), in which study list length was adjusted so that each subject recognized words at approximately 75% accuracy. Multiple-regression analyses were performed, with the "activation" difference (TD-SD PET counts) as the dependent variable and the APOE genotype (presence versus absence of the epsilon4 allele) as the independent variable.
RESULTS: Compared with non-carriers, epsilon4 carriers exhibited significantly decreased TD-SD activation differences in the left superior temporal, right superior frontal, left postcental, left precuneus, and posterior cingulate gyrus because epsilon4 carriers (versus non-carriers) showed increased activation during the SD and decreased activation during the TD condition.
CONCLUSION: Patterns of brain activation during a nonverbal memory task differed as a function of APOE genotype and, therefore, of genetic risk for Alzheimer disease (AD). Differences in activation were not a reflection of task difficulty, but indicate memory-related altered cognitive processing. Brain regions with decreased activation in the epsilon4 subjects may result from subclinical incipient AD pathology and/or APOE-related neurophysiologic heterogeneity.
The mitochondrial genome (mtDNA) of the entomopathogenic fungus Lecanicillium muscarium (synonym Verticillium lecanii) with a total size of 24,499-bp has been analyzed. So far, it is the smallest known mitochondrial genome among Pezizomycotina, with an extremely compact gene organization and only one group-I intron in its large ribosomal RNA (rnl) gene. It contains the 14 typical genes coding for proteins related to oxidative phosphorylation, the two rRNA genes, one intronic ORF coding for a possible ribosomal protein (rps), and a set of 25 tRNA genes which recognize codons for all amino acids, except alanine and cysteine. All genes are transcribed from the same DNA strand. Gene order comparison with all available complete fungal mtDNAs-representatives of all four Phyla are included-revealed some characteristic common features like uninterrupted gene pairs, overlapping genes, and extremely variable intergenic regions, that can all be exploited for the study of fungal mitochondrial genomes. Moreover, a minimum common mtDNA gene order could be detected, in two units, for all known Sordariomycetes namely nad1-nad4-atp8-atp6 and rns-cox3-rnl, which can be extended in Hypocreales, to nad4L-nad5-cob-cox1-nad1-nad4-atp8-atp6 and rns-cox3-rnl nad2-nad3, respectively. Phylogenetic analysis of all fungal mtDNA essential protein-coding genes as one unit, clearly demonstrated the superiority of small genome (mtDNA) over single gene comparisons.
