Publications by Year: 2005

The pyridine functionalised N-heterocyclic carbene complexes [M(κ2-NCDIPP)(COD)]+A-, NCDIPP=3-(2,6-Pr2iC6H3)-1-[2-(3-picolyl)]-imidazol-2-ylidene, A-=[Ar4FB]-, [{3,5-(CF3)2C6H2}4B] -, M = Rh, 1b, Ir, 4, have been prepared in two steps by reaction of the [M(COD)Cl]2 with the isolated NCDIPP to [Rh(κ1-NCDIPP)(COD)Cl], 2, and [Ir(κ 2-NCDIPP)(COD)Cl], 3, followed by anion exchange with Na+A-. The phosphine functionalised N-heterocyclic carbene complex [Rh(PCH2Cmes)2]Br, 6, PCH 2Cmes = 1-(diphenylphosphino-methyl)-3-(2,4,6-Me 3C6H2)-imidazol-2-ylidene, was prepared by the reaction of the [Rh(COD)Cl]2 with the corresponding N-heterocyclic carbene generated in situ. Monomeric [Rh(PCH2CH2C DIPP)(acac)], 7 was prepared by an analogous reactions from [Rh(COE)2(acac)]. In contrast, phosphine functionalised N-heterocyclic carbene complexes of iridium (I) were not easily accessible. However, the reaction of [Ir(COD)(μ-Cl)2(μ-H)]2 with PCH 2CH2Cmes gave complex [Ir(COD)(PCH 2CH2Cmes)Br], 8, in which the carbene is coordinated to the metal in an 'abnormal' mode. © 2005 Elsevier B.V. All rights reserved.

Fundamental mode Rayleigh waves generated by 380 teleseismic events were analyzed over the period range 10-100 s, in order to study the structure of the lithosphere and upper mantle of the Aegean region. Using the two-station method, 255 reliable phase velocity dispersion curves were calculated over 35 profiles and further inverted to obtain a new model of S-wave velocity with depth. S-wave velocities are resolved to a depth of 180 km. Important features are defined, such as a not completely amphitheatric geometry for the western (≈25° dipping angle) and eastern segments (≈35° dipping angle) of the subducted slab. In north Aegean, high velocities associate with the North Aegean Trough, which westernmost tip correlates with a high velocity anomaly in eastern continental Greece. This zone of high velocity contrast is extended in depth, dips southwards with an angle ≈350 and intersects with the subducted slab at an area where the direction of major tectonic axes changes from ENE-WSW to NNW-SSE towards the continental massif. In Central and North Aegean, where back arc extension and crustal thinning occur, the predominant low velocities observed could be interpreted by upper mantle high thermal flow and partial melting.

Visceral involvement in acute non-lymphocytic leukemia (ANLL) seldom precedes hematological manifestation. We report on a patient with M4 - ANLL presenting with acute abdomen without any evidence of blood disorder. Laparotomy revealed only ileal wall oedema. Postoperative clinical deterioration led to a second-look operation combined with intraoperative endoscopy. Biopsied tissues were diffusely infiltrated by blasts characterised as HLA-DR (+), PGM1 (50% +), MPO (50% +) and CD 34 (-). Bone marrow reconfirmed these findings and showed positivity for CD4 (44%), CD11b (50%), CD11c (42%), CD13 (33%), CD34 (32%), and CD56 (54%). Chemotherapy achieved a complete but short remission. Relapse occurred 7 months later. Immediately after consolidation chemotherapy the profoundly immunosuppressed patient passed away after a lower respiratory tract infection. We discuss the contrast between histology and short disease duration, the unusual presentation and the bad prognosis, and attempt to correlate the clinical course with the coexpression of markers.

BACKGROUND AND AIMS: This prospective study aimed to review the trustworthiness of the initial clinical assessment in acute appendicitis without employment of imaging modalities, laparoscopy or any other adjunct diagnostic test. PATIENTS AND METHODS: 717 patients were operated on for appendicitis by six different surgeons. Initial clinical and laboratory examination were evaluated in relation to the intraoperative and the pathological appreciation of the appendiceal inflammation. RESULTS: 598 patients were found to have appendicitis, 34 a different condition, 41 had both appendicitis and an additional condition and 44 no pathology. 6% of the laparotomies and 11% of the appendectomies were unnecessary. The severity of the inflammation correlated significantly with periumbilical pain, pain migrating to right lower quadrant, loss of appetite, fever, rebound tenderness, local rigidity, polymorphonuclear predominance on deferential, polymorhonucleosis and leukocytosis. Leukocytosis was less frequent in aged patients. All the six surgeons were found to be equally reliable, although they all underestimated the setting compared to the pathologists. Patients with a long duration of symptoms had milder forms of inflammation and increased percentage of unanticipated abdominal conditions. CONCLUSIONS: Appendicitis can be reliably diagnosed clinically without employment of adjunct tests. These can be reserved for equivocal cases.

Purpose of investigation: Uterine papillary serous carcinoma (UPSC) and uterine clear cell carcinoma (UCCC) represent more aggressive tumors than the more common endometroid cancers, exhibiting a propensity for distant metastasis. The aim of this study was to investigate the activity and safety of paclitaxel/carboplatin chemotherapy as the only adjuvant treatment in patients with surgically resected UPSC and UCCC. Methods: Fifteen patients with Stage IB-IV UPSC or UCCC were treated with a mean of six courses of paclitaxel 175 mg/m3 plus carboplatin AUC 5 at three-week intervals, three to six weeks after undergoing surgery with curative intent. No patient had residual disease after surgery and none underwent pre- or post-chemotherapy irradiation. Results: With a median follow-up of 29.4 months, six patients (40%) relapsed and two (13%) died of disease. Mean time to recurrence was 16.9 months. Recurrence rate per Stage was 17% for Stage IB/C, 57% for Stage IIIA/C and 50% for Stage IV. Projected 5-year overall survival and progression-free survival was 79.7% and 55.7%, respectively. All relapses were abdominopelvic whereas in one case pelvic recurrence was accompanied by lung metastasis. The most frequent grade 3-4 toxicity was neutropenia. Conclusion: Chemotherapy with paclitaxel plus carboplatin is feasible and possibly prevents distant metastasis when used as adjuvant in UPSC and UCCC.

Objective. Mucinous epithelial ovarian cancer (mEOC) representing about 10% of all EOC are known to be possibly resistant to platinum-based chemotherapy and bear a poorer prognosis with respect to other subtypes of EOC. This study was undertaken to compare response and survival to platinum-based chemotherapy between patients with advanced stages III and IV mEOC and serous EOC (sEOC). Methods. A retrospective analysis was performed in 47 patients with advanced stage of mEOC treated with first-line platinum-based chemotherapy in the context of several study protocols of the Hellenic Cooperative Oncology Group (HeCOG) between 6/7/1983 and 25/2/2003. The outcome was compared to that of 94 patients with sEOC treated with the same protocols during the same study period (ratio mucinous: serous 1:2). Results. One hundred forty-one patients (47 stages III and IV mEOC, 94 stages III and IV sEOC) treated with platinum-based chemotherapy were analyzed. The overall response rate for mEOC was 38.5% (complete remission 18%) (95% CI 23.4-55.4%) and 70% (complete remission 47%) (95% CI 58.5-80.3%) for sEOC (P = 0.001). After a median follow-up of 77.8 months, median survival and time to tumor progression (TTP) were not significantly different between the two groups (33.2 months [95% CI 23.3-43.1 months] vs. 38.0 months [95% CI 26.8-49.2 months], P = 0.46, 11.8 months [95% CI 7.2-16.4 months] vs. 20.0 months [95% CI 15.7-24.2 months], P = 0.18, respectively). Conclusion. Patients with mEOC have significantly lower response to first-line platinum-based chemotherapy compared to patients with sEOC. This low response to platinum-based chemotherapy was not translated in inferior TTP or survival. Our data indicate that a new strategy for chemotherapy in mEOC should be adopted, one that focuses on new agents without cross-resistance to platinum agents. © 2005 Elsevier Inc. All rights reserved.

Background: The potential role of the adult thymus in T-cell homeostasis subsequent to lymphopenia remains the subject of debate. We examined whether thymic activity contributes to reconstitution of the peripheral T-cell pool, a critical process for patients recovering from antineoplastic therapy. Methods: In selected patients with various neoplastic diseases we assessed peripheral blood lymphocyte subsets by flow-cytometry, including thymus-derived, CD4+ T cells expressing the CD45RA molecule, and thymic size rebound by CT scan before, and 3, 6 and 12 months after completion of cytotoxic therapy. Results: Adult patients (n = 21, mean age of 30 years, range 18-49) had higher baseline numbers of B and lower numbers of NK cells than elderly patients (n = 15, mean age of 79 years, range 70-91), while total T-cell numbers did not differ. Despite the reduction of lymphocyte counts being comparable in the adult (mean of 45%) and elderly (mean of 49%) groups, occurring at, or near, completion of treatment, an enlargement of the previously atrophic thymus was evident in 63% of the adult, but in none of the elderly, subjects. In 22 patients who remained active disease-free during the following year, B cells and NK cells recovered to pretreatment levels as soon as at 3 months, whereas overall T-cell recovery occurred at 6 months post-treatment. Thymic rebound, observed in 11 of 22 patients who were of younger age, correlated significantly with a faster and more complete recovery of CD45RA+ CD4+ (mainly helper-naïve) T cells. Conclusion: The adult thymus appears capable of regeneration, at least up to middle age, contributing significantly to the reconstitution of the peripheral T-cell pool following chemotherapy-induced lymphopenia. In advanced age, however, although peripheral homeostatic pathways appear intact, regeneration of the naïve repertoire is incomplete. © 2005 Blackwell Publishing Ltd.

In this paper I investigate the relation between agreement checking and case licensing. I consider two constructions from Greek: (a) obligatory case agreement between the nominal predicate and the DP of which it is predicated in small clause structures, (b) nominative case assignment to subjects. Both constructions share the property of involving multiple case-assignment with two nominal elements that agree in case. I draw a distinction between case assignment and case agreement and show that case licensing is possible even in agreement pairs that do not involve a case assigning head. Therefore, I propose that case is not the by-product of agreement checking, but a feature subject to checking theory in the same way other phi-features are.

A decadal-scale trend in the tropical radiative energy budget has been observed recently by satellites, which however is not reproduced by climate models. In the present study, we have computed the outgoing shortwave radiation (OSR) at the top of atmosphere (TOA) at 2.5° longitude-latitude resolution and on a mean monthly basis for the 17-year period 1984-2000, by using a deterministic solar radiative transfer model and cloud climatological data from the International Satellite Cloud Climatology Project (ISCCP) D2 database. Anomaly time series for the mean monthly pixel-level OSR fluxes, as well as for the key physical parameters, were constructed. A significant decreasing trend in OSR anomalies, starting mainly from the late 1980s, was found in tropical and subtropical regions (30° S-30° N), indicating a decadal increase in solar planetary heating equal to 1.9±0.3Wm-2/decade, reproducing well the features recorded by satellite observations, in contrast to climate model results. This increase in solar planetary heating, however, is accompanied by a similar increase in planetary cooling, due to increased outgoing longwave radiation, so that there is no change in net radiation. The model computed OSR trend is in good agreement with the corresponding linear decadal decrease of 2.5±0.4Wm-2/decade in tropical mean OSR anomalies derived from ERBE S-10N non-scanner data (edition 2). An attempt was made to identify the physical processes responsible for the decreasing trend in tropical mean OSR. A detailed correlation analysis using pixel-level anomalies of model computed OSR flux and ISCCP cloud cover over the entire tropical and subtropical region (30° S-30° N), gave a correlation coefficient of 0.79, indicating that decreasing cloud cover is the main reason for the tropical OSR trend. According to the ISCCP-D2 data derived from the combined visible/infrared (VIS/IR) analysis, the tropical cloud cover has decreased by 6.6±0.2% per decade, in relative terms. A detailed analysis of the inter-annual and long-term variability of the various parameters determining the OSR at TOA, has shown that the most important contribution to the observed OSR trend comes from a decrease in low-level cloud cover over the period 1984-2000, followed by decreases in middle and high-level cloud cover. Note, however, that there still remain some uncertainties associated with the existence and magnitude of trends in ISCCP-D2 cloud amounts. Opposite but small trends are introduced by increases in cloud scattering optical depth of low and middle clouds.

BACKGROUND: Associations between the APOE genotype and various medical conditions have been documented at a very young age. The association between the APOE genotype and cognitive performance varies at different ages. APOE related changes in brain activation have been recently reported for middle aged and elderly subjects. OBJECTIVE: To explore APOE related alterations during cognitive activation in a population of young adults. METHODS: Using H2(15)O positron emission tomography (PET), imaging was carried out in 20 healthy young adults (age 19 to 28 years; four epsilon4 carriers and 16 non-epsilon4 carriers) during a non-verbal memory task. Voxel-wise multiple regression analyses were undertaken, with the activation difference PET counts as the dependent variable and the APOE genotype as the independent variable. RESULTS: Brain regions were identified where epsilon4 carriers showed significantly lower or higher activation than non-carriers. CONCLUSIONS: The results suggest that APOE dependent modulation of cerebral flow may be present even at a young age. This may reflect an APOE related physiological heterogeneity which may or may not predispose to brain disease in the ensuing decades or, less likely, the effect of very early Alzheimer's disease related pathological changes.

Our understanding of the cardiovascular system has evolved through the years by extensive studies emphasizing the identification of the molecular and physiological mechanisms involved in its normal function and disease pathogenesis. Major discoveries have been made along the way. However, the majority of this work has focused on specific genes or pathways rather than integrative approaches. In cardiomyopathies alone, over 30 different loci have shown mutations with varying inheritance patterns, yet mostly coding for structural proteins. The emergence of microarrays in the early 1990s paved the way to a new era of cardiovascular research. Microarrays dramatically accelerated the rhythm of discoveries by giving us the ability to simultaneously study thousands of genes in a single experiment. In the field of cardiovascular research, microarrays are having a significant contribution, with the majority of work focusing on end-stage cardiomyopathies that lead to heart failure. Novel molecular mechanisms have been identified, known pathways are seen under new light, disease subgroups begin to emerge, and the effects of various drugs are molecularly dissected. This cross-study data comparison concludes that consistent energy metabolism gene expression changes occur across dilated, hypertrophic, and ischemic cardiomyopathies, while Ca2+ homeostasis changes are prominent in the first two cardiomyopathies, and structural gene expression changes accompany mostly the dilated form. Gene expression changes are further correlated to disease genetics. The future of microarrays in the cardiomyopathy field is discussed with an emphasis on optimum experimental design and on applications in diagnosis, prognosis, and drug discovery.

Aim: The aim of the present study was to correlate bcl-2 protein expression and DNA-ploidy status with established prognostic parameters in renal cell carcinoma (RCC) and to examine their impact on disease progression and patient survival. Methods: Both parameters were prospectively measured in 50 consecutive radical nephrectomy specimens using flow cytometry. They were correlated with the tumor grade, stage and histological type. Kaplan-Meier survival analysis for all parameters was performed. Results: Bcl-2 protein expression was higher in RCC compared to normal renal tissue (P < 0.0001). Aneuploid tumors had higher bcl-2 expression compared to diploid tumors (P = 0.015). Bcl-2 expression and DNA content were not correlated with tumor histological types (P = 0.277/ P = 0.419), grades (P = 0.690/P = 0.449), T categories (P = 0.637/P = 0.585) or stages (P = 0.726/ P = 0.800). Median follow-up time was 46 months (range, 5-84) with a mean overall survival of 61.8 months (95% confidence interval, 53.7-69.9). Tumor stage was the only statistically important prognostic factor (P = 0.0045). Conclusion: Although Bcl-2 expression was correlated with tumor DNA content, the prognostic value of these two parameters following radical nephrectomy was not established.

{The pharmacokinetics of tobramycin was studied in adult patients (N = 151) admitted either for initial suspicion of Gram-negative infection or for prophylaxis. In addition to age, weight, height and creatinine clearance (CrCL), a range of other covariates were also analysed, including type of pathology, co-medication, fever, sex and ethnicity (Basque or not). All patients received 100 mg tobramycin every 8 h and samples were collected at three time points after the first dose and at two time points after the fourth dose and assayed with a fluorescence polarisation immunoassay. The population mixed effects bicompartmental parameters were obtained from 725 concentration measurements using NONMEM, FOCE method, and were: systemic clearance

Background: Brain metastases from epithelial ovarian cancer (EOC) are rare. A retrospective study of all patients diagnosed with brain metastases from EOC over the last 20 years, according to the Hellenic Cooperative Oncology Group (HeCOG) tumor registry, was conducted. Patients and Methods: A total of 1450 patients with EOC were treated within various HeCOG protocols from 1983 to 2004. Seventeen (1.17%) of them developed brain metastases. Results: The median age at diagnosis of brain metastases was 58 years (range, 24 to 77). At initial diagnosis, 2 patients had stage II, 12 had stage III and 3 had stage IV disease. Serous papillary adenocarcinoma was the most common histological subtype [12 patients (71%)]. All patients had received initial cisplatin-based chemotherapy. The median time from initial diagnosis to central nervous system (CNS) relapse was 15.9 months (range, 1.4 to 70.8). The CNS was the only site of disease in 13 (76.5%) patients, whereas 4 (23.5%) patients had additional extracranial disease. Two (12%) patients with isolated single brain lesions underwent surgical excision of the metastases, followed by whole brain radiation therapy (WBRT) and chemotherapy. Four (24%) patients were treated with WBRT alone, 6 (35%) patients with WBRT plus chemotherapy and 2 (12%) had only supportive care, while 3 (18%) patients decided not to have any further treatment after the diagnosis of brain metastases. The median survival time from diagnosis of CNS relapse was 5.7 months (range, 0.2 to 22.6) and the median survival time from diagnosis of EOC was 27.4 months (range, 3.0 to 71.4). In patients with CNS recurrence as the only site of disease, the median survival time from diagnosis of CNS relapse was 5.3 months (range, 0.6 to 22.6) and in those with both CNS and extracranial disease, the median survival time was 3.9 months (range, 0.2 to 11.9) (p=0.5597). There was a statistically significant difference in survival for those treated with WBRT plus chemotherapy (10.0 months) versus those treated with WBRT alone (1.5 months) and those who had only supportive care (0.2 months) (p=0.0003). Conclusion: The incidence of cerebral metastases in our patients with EOC was 1.17%, which is consistent with the mean value of all series reported in the literature. The prognosis of patients with brain metastases from EOC is poor. Patients who had WBRT and chemotherapy fared better than those who received WBRT alone.

In order to understand the brain networks that mediate cognitive reserve, we explored the relationship between subjects' network expression during the performance of a memory test and an index of cognitive reserve. Using H2(15)O positron emission tomography, we imaged 17 healthy older subjects and 20 young adults while they performed a serial recognition memory task for nonsense shapes under two conditions: low demand, with a unique shape presented in each study trial; and titrated demand, with a study list size adjusted so that each subject recognized shapes at 75% accuracy. A factor score that summarized years of education, and scores on the NART and the WAIS-R Vocabulary subtest was used as an index of cognitive reserve. The scaled subprofile model was used to identify a set of functionally connected regions (or topography) that changed in expression across the two task conditions and was differentially expressed by the young and elderly subjects. The regions most active in this topography consisted of right hippocampus, posterior insula, thalamus, and right and left operculum; we found concomitant deactivation in right lingual gyrus, inferior parietal lobe and association cortex, left posterior cingulate, and right and left calcarine cortex. Young subjects with higher cognitive reserve showed increased expression of the topography across the two task conditions. Because this topography, which is responsive to increased task demands, was differentially expressed as a function of reserve level, it may represent a neural manifestation of innate or acquired reserve. In contrast, older subjects with higher cognitive reserve showed decreased expression of the topography across tasks. This suggests some functional reorganization of the network used by the young subjects. Thus, for the old subjects this topography may represent an altered, compensatory network that is used to maintain function in the face of age-related physiological changes.

Laparoscopy has emerged as an important staging procedure for determining resectability of pancreatic cancer. However, a small fraction of patients with pancreatic cancer benefit from its use and therefore the routine application of laparoscopy remains controversial. We hypothesized that serum CA 19-9 levels may identify patients who will or will not benefit by laparoscopy. We retrospectively reviewed our database of 63 patients with pancreatic adenocarcinoma who underwent staging laparoscopy and correlated findings with CA 19-9 levels. Overall, laparoscopy identified metastatic disease in 12 patients (19%). None of those required any further operation. The resectability rate (patients who underwent resection after laparoscopy) was 73.5%. There was one false-negative laparoscopy (1.6%). Patients with higher CA 19-9 levels had significant higher odds of having metastasis identified by laparoscopy (odds ratio, 1.83; 95% confidence interval, 1.03-3.24; P = .04). There was no patient with CA 19-9 levels below 100 U/ml in whom metastatic disease was identified during laparoscopy: 18 patients (28.6%) with CA 19-9 levels below this cutoff point had negative laparoscopy and could have avoided the procedure had this cutoff been used for screening. This would have increased the laparoscopy yield to 26.7%. In patients with adenocarcinoma of the pancreas, low CA 19-9 levels predict low probability of metastatic disease; in those patients, laparoscopy can be spared. On the contrary, patients with elevated CA 19-9 have an increased probability of metastatic disease, and these patients may benefit from diagnostic laparoscopy.

Carboplatin-related hypersensitivity reactions, frequently encountered in the heavily pretreated subpopulation of patients with gynecologic malignancies, can be severe and even potentially lethal - precluding these patients from an effective salvage treatment. We describe our experience in the management of such reactions and the application of a pretreatment protocol with corticosteroids, antihistamines and a slow infusion rate in order to safely re-administer carboplatin to the above patients. From 1998 to 2004, twenty patients developed an allergic reaction to carboplatin. Sixteen of them (80%) suffered from ovarian cancer. Upon resolution of the acute reaction, thirteen patients were pretreated according to our protocol and were re-exposed to carboplatin. Fifteen patients experienced the reaction during second-line carboplatin-based treatment and 5 patients after 3 or more regimens. Fifteen of the reactions (75%) were severe. Thirteen patients were re-treated with carboplatin after the application of our protocol, all of them successfully, even though 10 patients (77%) experienced minor symptoms during subsequent courses. On the contrary, only one of the 6 patients who were re-treated without the application of the protocol was able to receive further platinum-based treatment. In conclusion, pretreatment with corticosteroids, antihistamines and a slower infusion rate may make re-treatment possible in patients having experienced hypersensitivity to carboplatin. © E.S.I.F.T. srl - Firenze.

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.

In this work, the characteristics of the long-term precipitation time series in Athens area (1891-2000). Statistical analysis shows that higher values of annual precipitation observed in the 1930s, while the lowest values were observed in the 1890s and 1980s. There is no significant trend in the annual precipitation time series. Moreover, the annual number of days with high precipitation (ANDHP) remains constant, during the investigated period. Spectral analysis by the Blackman-Tukey method that applied to the time series of ANDHP, showed in most cases peaks at frequencies corresponding to the following time periods: about 2.6 and 4.0 years. Β© by PSP.

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.

The aim of this study was to elucidate the clinicopathological and immunohistochemical prognostic factors of patients with ovarian carcinosarcoma treated with radical surgery and postoperative chemotherapy. During a 6-year period, nine patients with ovarian carcinosarcoma were referred to our institution. Tissue blocks were reviewed and sections containing both carcinomatous and sarcomatous elements were stained for epithelial membrane antigen (EMA), vimentin, vascular endothelial growth factor (VEGF), CD45RO, c-erbB-2, p53, CD34, Ki67, S100, estrogen, and progesterone receptors. Histological and immunohistochemical findings as well as clinical characteristics were then correlated with progression-free interval and overall survival. There were four homologous and five heterologous carcinosarcomas. Five patients had early stage disease. Seven of the patients were optimally debulked. All patients were treated with anthracycline-based chemotherapy following surgery. With regard to immunohistochemistry, all specimens were negative for CD34, c-erbB-2, estrogen, and progesterone receptor expression. Five tumors overexpressed p53 and four specimens demonstrated a positive staining for Ki67. Reactivity for VEGF and CD45RO was observed in four and two tumor specimens, respectively. The median overall survival was 32.9 months with no statistical difference between early and advanced stages, while median time to progression was 13.5 months. p53 overexpression demonstrated a trend for better overall survival. Only p53 overexpression seems to influence overall survival although, due to the small number of patients studied, no safe conclusions can be drawn. Despite the predominance of early stage patients that favorably influenced overall survival, aggressive surgical cytoreduction followed by anthracycline-based treatment were the cornerstone in our multimodality approach. © 2004 Elsevier Inc. All rights reserved.

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.

To investigate the efficacy and toxicity of the combination of gemcitabine and vinorelbine in patients with relapsed or refractory diffuse large B-cell lymphoma (DLBL), 22 patients with relapsed or refractory DLBL were treated with gemcitabine 1000 mg/m2 and vinorelbine 30 mg/m2 on days 1 and 8 every 3 wk for a maximum of six cycles. Fourteen patients were considered chemosensitive while eight patients were considered chemoresistant to the last treatment regimen. All 22 patients were assessed for response to treatment. Three patients (14%) achieved complete remission and eight patients (36%) had partial remission of their disease, with an overall response rate of 50%. With a median follow up of 44 months, the median time to progression (TTP) for all patients was 8.1 months while the median overall survival (OS) was 12.9 months. Toxicity was minimal and all patients were treated on an outpatient basis. The combination of gemcitabine and vinorelbine is an effective and well-tolerated regimen for patients with relapsed of refractory DLBL. © Blackwell Munksgaard 2005.

Docetaxel is an effective agent for the treatment of androgen-independent prostate cancer (AIPC). Its combination with estramustine phosphate (EMP) has shown promising results in AIPC but the toxicity remains considerable. In an effort to minimize toxicity, we designed an every-2-week docetaxel administration regimen with a 3-day low-dose EMP regimen. Patients with bone metastases also received zoledronic acid. A total of 54 patients with AIPC received docetaxel at 45 mg/m2 and EMP (140 mg orally every 8 hours for nine doses) every 2 weeks. Zoledronic acid was administered at 4 mg every 28 days. Of the 49 assessable patients, 22 (45%, 95% confidence interval [CI] 31% to 60%) had a prostate-specific antigen response. Of 24 patients with measurable disease, 9 (38%, 95% CI 19% to 59%) had a response to therapy (one complete response and eight partial responses). The median time to progression was 4.4 months (95% CI 2.7 to 6), and overall survival was 13.3 months (95% CI 9 to 17.6). Toxicity was mild, with only 5 cases of grade 3 or 4 toxicity. The pain score improved by 1 point in 21 (54%) of 39 symptomatic patients, and 14 (40%) of 38 patients who used analgesics discontinued analgesic consumption by the end of treatment. The combination of an every-2-week regimen of docetaxel, EMP, and zoledronic acid is an effective, well-tolerated regimen that results in symptomatic improvement in a significant proportion of patients with AIPC. © 2005 Elsevier Inc.

Objectives. To evaluate the safety profile and therapeutic value of the combination of estramustine, mitoxantrone, and vinorelbine in the treatment of hormone-refractory prostate cancer. Methods. Fifty-two patients with hormone-refractory prostate cancer were included in the study. Median age was 70 years (range, 49 to 100 years), World Health Organization performance status ranged from 0 to 2. The treatment schedule consisted of estramustine capsules (140 mg 3 times daily on days 1 to 3 and days 8 to 10 per os), intravenous mitoxantrone (12 mg/m2 on day 2), and intravenous vinorelbine (25 mg/m2 on day 2 and day 9), given in a 3-week cycle. Results. Thirty-one percent of patients with measurable soft-tissue disease demonstrated an objective response, which included six complete and ten partial responses in all involved organs (bone responses not included). Twenty-nine patients (56%) had a greater than 50% reduction in serum prostate-specific antigen level. The median duration of response was 6.9 months, and the median survival for all patients was 14.5 months. Conclusions. The combination of estramustine, vinorelbine, and mitoxantrone is safe, well tolerated, and relatively active in patients with hormone-refractory prostate cancer. © 2005 Elsevier Inc.

Objectives. To evaluate the safety profile and therapeutic value of the combination of estramustine, mitoxantrone, and vinorelbine in the treatment of hormone-refractory prostate cancer. Methods. Fifty-two patients with hormone-refractory prostate cancer were included in the study. Median age was 70 years (range, 49 to 100 years), World Health Organization performance status ranged from 0 to 2. The treatment schedule consisted of estramustine capsules (140 mg 3 times daily on days 1 to 3 and days 8 to 10 per os), intravenous mitoxantrone (12 mg/m2 on day 2), and intravenous vinorelbine (25 mg/m2 on day 2 and day 9), given in a 3-week cycle. Results. Thirty-one percent of patients with measurable soft-tissue disease demonstrated an objective response, which included six complete and ten partial responses in all involved organs (bone responses not included). Twenty-nine patients (56%) had a greater than 50% reduction in serum prostate-specific antigen level. The median duration of response was 6.9 months, and the median survival for all patients was 14.5 months. Conclusions. The combination of estramustine, vinorelbine, and mitoxantrone is safe, well tolerated, and relatively active in patients with hormone-refractory prostate cancer. © 2005 Elsevier Inc.

The aim of this study was the evaluation of the effect of intermediate doses of thalidomide with dexamethasone (Thal/Dex) on disease course and bone disease in patients with refractory/relapsed myeloma who were under zoledronic acid therapy. We studied 35 patients, who received thalidomide at a dose of 200mg/daily. We measured, pre-, 3 and 6 months post-treatment soluble receptor activator of nuclear factor-κB ligand (sRANKL), osteoprotegerin (OPG), osteopontin (OPN), markers of bone resorption and formation. Before treatment, patients had increased levels of sRANKL/OPG ratio, bone resorption markers and OPN, while they had suppressed bone formation. The pretreatment sRANKL/OPG ratio correlated with the extent of bone disease. Thal/Dex administration resulted in a significant reduction of sRANKL/OPG ratio, and bone resorption. Bone formation, OPG and OPN did not show any alteration. Changes of sRANKL/OPG ratio correlated with changes of bone resorption markers. Thal/Dex was given for a median time of 10 months and the median follow-up period was 22 months. The response rate was 65.7%. The median survival was 19.5 months. β2-microglobulin, type of response and International Staging System predicted for survival. These results suggest that the combination of intermediate dose of Thal/Dex is effective in patients with refractory/relapsed myeloma and improves abnormal bone remodeling through the reduction of sRANKL/OPG ratio. © 2005 Nature Publishing Group. All rights reserved.

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}.

PDAs and other handheld devices are commonly used for processing private or otherwise secret information. Their increased usage along with their networking capabilities raises security considerations for the protection of the sensitive information they contain and their communications.

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.

In most cases multiple myeloma is an incurable plasma cell malignancy. Despite the use of conventional therapy or high-dose chemotherapy with autologous stem cell transplantation (ASCT), patients continue to relapse at a constant rate. A small minority of patients are cured by allogeneic transplantation. Novel drugs targeting not only the myeloma cell but also its interactions with the malignant microenvironment have recently been used in patients with relapsed/refractory disease. So far, ASCT has been the treatment of choice for eligible myeloma patients. However, many questions regarding the management of myeloma patients remain unanswered. How safe is ASCT in elderly patients? Is there a role for non-myeloablative allogeneic transplantation in multiple myeloma? What is the role of novel agents, such as thalidomide, its analogues and bortezomib, in the treatment of newly diagnosed patients or as maintenance post-ASCT? This review summarises all available data for the current treatment options for myeloma providing a useful algorithm for its management. © 2005 Ashley Publications Ltd.

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.

In this paper we attempt to classify drainage sub-basins according to their erosion risk. We have adopted a multi-step procedure to face this problem. The input variables were introduced into a GIS – platform. These variables are the vulnerability of the surface rocks to erosion, topographic variations, vegetation cover and land use and drainage basin characteristics. We then constructed a fuzzy inferencemechanism to pre-process the input variables. Next we used neural-network technology to process the input variables. The above system was trained to ‘learn’ and classify the input data. The output of this procedure was a classification of the sub-drainage basins related to their risk of erosion. This neuro-fuzzy system was applied to the island of Lefkas (Greece).

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

Purpose: To review the diagnostic criteria, prognostic factors, response criteria, and treatment options of patients with Waldenstrom's macroglobulinemia (WM). Methods: A review of published reports was facilitated by the use of a MEDLINE computer search and by manual search of the Index Medicus. Results: WM should be regarded as a distinct clinicopathologic entity and confined to those patients with lymphoplasmacytoid lymphoma who have demonstrable serum immunoglobulin M monoclonal protein. Treatment decisions should rely on specific clinical and laboratory criteria. Initiation of therapy should not be based on serum monoclonal protein levels per se. The three main choices for systemic primary treatment of symptomatic patients with WM include alkylating agents (chlorambucil), nucleoside analogs (fludarabine and cladribine), and the monoclonal antibody rituximab. There are no data from prospective randomized studies to recommend the use of one first-line agent over another, although consideration of a patient's candidacy for autologous stem-cell transplantation (ASCT) should be taken into account to avoid stem cell-damaging agents. There are preliminary data to suggest that combinations of nucleoside analogs and alkylating agents with or without rituximab may improve response rates at the expense of higher toxicity. Conclusion: WM is a distinct low-grade lymphoproliferative disorder. When therapy is indicated, alkylating agents, nucleoside analogs, and rituximab are reasonable choices. Several factors, including the presence of cytopenias, need for rapid disease control, candidacy for ASCT, age, and comorbidities, should be taken into consideration when choosing the most appropriate primary treatment. © 2005 by American Society of Clinical Oncology.

Καμπερίδου Ει. & Πατσαντάρας Ν. (2005). Ο Προβληματισμός περί έμφυλου υποκειμένου στον Ολυμπιακό Αθλητισμό. Άθληση & Κοινωνία, Περιοδικό Αθλητικής Επιστήμης, 20-22, Μαίου 2005. ΤΕΦΑΑ του Δημοκρίτειου Πανεπιστημίου Θράκης, Κομοτηνή: 55-56. [L. 3 in Apella]****Kamberidou, I., & Patsantaras, N. (2005). The Gender Subject in Olympic Sports . In Announcement at the "13th International Conference on Physical Education and Sport" of the Democritus University of Thrace, May 20-22, 2005, Komotini, Greece, published in SPORT & SOCIETY, Sport Science Journal, pp. 55-56. (in Greek) [L. 3 in Apella]

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.

We consider the problem of dynamic admission control in a Markovian loss system with two classes. Jobs arrive at the system in batches; each admitted job requires different service rates and brings different revenues depending on its class. We introduce the definition of a 'preferred class' for systems receiving mixed and single-class batches separately, and derive sufficient conditions for each system to have a preferred class. We also establish a monotonicity property of the optimal value functions, which reduces the number of possibly optimal actions. © Applied Probability Trust 2005.

1. Resonances and stability of extra-solar planetary systems C. Beaugé, N. Callegari, S. Ferraz-Mello and T. A. Michtchenko; 2. Formation, migration, and stability of extrasolar planetary systems Fred C. Adams; 3. Dynamical evolution of extrasolar planetary systems Ji-Lin Zhou and Yi-Sui Sun; 4. Dynamics of planetesimals: the role of two-body relaxation Eiichiro Kokubo; 5. Fitting orbits Andrzej J. Maciejewski, Krzysztof Gozdziewski and Szymon Kozlowski; 6. The secular planetary three body problem revisited Jacques Henrard and Anne-Sophie Libert; 7. Dynamics of extrasolar systems at the 5/2 resonance: application to 47 UMa Dionyssia Psychoyos and John D. Hadjidemetriou; 8. Our solar system as model for exosolar planetary systems Rudolf Dvorak, Áron Süli and Florian Freistetter; 9. Planetary motion in double stars: the influence of the secondary Elke Pilat-Lohinger; 10. Planetary orbits in double stars: influence of the binary's orbital eccentricity Daniel Benest and Robert Gonczi; 11. Astrometric observations of 51 Peg and Gliese 623 at Pulkovo observatory with 65 cm refractor N. A. Shakht; 12. Observations of 61 Cyg at Pulkovo Denis L. Gorshanov, N. A. Shakht, A. A. Kisselev and E. V. Poliakow; 13. Formation of the solar system by instability Evgeny Griv and Michael Gedalin; 14. Behaviour of a two-planetary system on a cosmogonic time-scale Konstantin V. Kholshevnikov and Eduard D. Kuznetsov; 15. Boundaries of the habitable zone: unifying dynamics, astrophysics, and astrobiology Milan M. Cirkovic; 16. Asteroid proper elements: recent computational progress Fernando Roig and Cristian Beaugé; 17. Asteroid family classification from very large catalogues Anne Lemaitre; 18. Non-gravitational perturbations and evolution of the asteroid main belt David Vokrouhlicky, M. Broz and W. F. Bottke, D. Nesvorny and A. Morbidelli; 19. Diffusion in the asteroid belt Harry Varvoglis; 20. Accurate model for the Yarkovsky effect David Capek and David Vokrouhlicky; 21. The population of asteroids in the 2:1 mean motion resonance with Jupiter revised Miroslav Broz, D. Vokrouhlicky, F. Roig, D. Nesvorny, W. F. Bottke and A. Morbidelli; 22. On the reliability of computation of maximum Lyapunov Characteristic Exponents for asteroids Zoran Knezevic and Slobodan Ninkovic; 23. Nekhoroshev stability estimates for different models of the Trojan asteroids Christos Efthymiopoulos; 24. The role of the resonant 'stickiness' in the dynamical evolution of Jupiter family comets A. Alvarez-Canda and F. Roig; 25. Regimes of stability and scaling relations for the removal time in the asteroid belt: a simple kinetic model and numerical tests Mihailo Cubrovic; 26. Virtual asteroids and virtual impactors Andrea Milani; 27. Asteroid population models Alessandro Morbidelli; 28. Linking Very Large Telescope asteroid observations M. Granvik, K. Muinonen, J. Virtanen, M. Delbó, L. Saba, G. De Sanctis, R. Morbidelli, A. Cellino and E. Tedesco; 29. Collision orbits and phase transition for 2004 AS1 at discovery Jenni Virtanen, K. Muinonen, M. Granvik and T. Laakso; 30. The size of collision solutions in orbital elements space G. B. Valsecchi, A. Rossi, A. Milani and S. R. Chesley; 31. Very short arc orbit determination: the case of asteroid 2004 FU162 Steven R. Chesley; 32. Nonlinear impact monitoring: 2-dimensional sampling Giacomo Tommei; 33. Searching for gravity assisted trajectories to accessible near-Earth asteroids Stefan Berinde; 34. KLENOT - Near Earth and other unusual objects observations Michal Kocer, Jana Tichá and M. Tichy; 35. Transport of comets to the Inner Solar System Hans Rickman; 36. Nongravitational Accelerations on Comets Steven R. Chesley and Donald K. Yeomans; 37. Interaction of planetesimals with the giant planets and the shaping of the trans-Neptunian belt Harold F. Levison and Alessandro Morbidelli; 38. Transport of comets to the outer p

Background: Several lines of laboratory evidence support the epidermal growth factor receptor (EGFR) as an adverse prognostic indicator in ovarian cancers. However, different methods of immunohistochemical assessment have yielded conflicting results. Here, we sought to determine the prognostic value of EGFR in ovarian cancer using a novel method of compartmentalized in situ protein analysis. Methods: A tissue array composed of 150 advanced-stage ovarian cancers uniformly treated, with surgical debulking followed by platinum-paclitaxel combination chemotherapy, was constructed. For evaluation of EGFR protein expression, we used an immunofluorescence-based method of automated in situ quantitative measurement of protein analysis (AQUA). Results: Mean follow-up time for the entire cohort was 34.4 months. Eighty-one of 150 cases had sufficient tissue for AQUA analysis. High tumor EGFR expression was associated with poor outcome for overall survival (P = 0.0001) and disease-free survival (P = 0.0005) at 3 years. In multivariable analysis, adjusting for well-characterized prognostic variables, EGFR expression status was the most significant prognostic factor for disease-free and overall survival. Conclusion: The conflicting results in the literature regarding the prognostic value of EGFR may be due to the technical difficulties inherent in assessing EGFR with immunocytochemistry. In the present study, we show that measurement of EGFR protein levels in ovarian cancer using AQUA is feasible and can give important prognostic information. © 2005 American Association for Cancer Research.

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.

Objective. We investigated the dose-related effect of dopexamine and dopamine on free radical production and lipid peroxidation estimated by MDA measurements in an ischaemia-reperfusion model of supraceliac aortic repair. Design. Prospective, randomized, blinded experimental study. Materials. Twenty-five healthy pigs. Methods. All experiments were performed under general endotracheal anaesthesia. Supraceliac aortic cross clamping was performed in all pigs. The pigs were randomly assigned into five groups (n = 5 in each group) and received a continuous intravenous infusion of normal saline (CTL), dopamine 2 μg kg-1 min-1 (dopa 2), dopamine 8 μg kg-1 min-1 (dopa 8), dopexamine 2 μg kg-1 min-1 (dopex 2), dopexamine 8 μg kg-1 min-1 (dopex 8). Cardiac output, mean arterial pressure, arterial blood gas analysis and blood sampling for plasma MDA measurements (to reveal lipid peroxidation) were recorded after induction of anaesthesia (baseline), 60 and 120 min after cross-clamping of aorta (ischaemia phase), and 60 and 120 min after restoration of flow (reperfusion phase). Results. Dopexamine and dopamine at 8 μg kg-1 min-1 reduced MDA at 60 and 120 min after reperfusion. Conclusion. Dopexamine seems superior to dopamine in reducing oxygen free radicals and subsequent lipid peroxidation during reperfusion after supraceliac aortic cross clamping in pigs. © 2005 Elsevier Ltd. All rights reserved.

Objective. We investigated the dose-related effect of dopexamine and dopamine on free radical production and lipid peroxidation estimated by MDA measurements in an ischaemia-reperfusion model of supraceliac aortic repair. Design. Prospective, randomized, blinded experimental study. Materials. Twenty-five healthy pigs. Methods. All experiments were performed under general endotracheal anaesthesia. Supraceliac aortic cross clamping was performed in all pigs. The pigs were randomly assigned into five groups (n = 5 in each group) and received a continuous intravenous infusion of normal saline (CTL), dopamine 2 μg kg-1 min-1 (dopa 2), dopamine 8 μg kg-1 min-1 (dopa 8), dopexamine 2 μg kg-1 min-1 (dopex 2), dopexamine 8 μg kg-1 min-1 (dopex 8). Cardiac output, mean arterial pressure, arterial blood gas analysis and blood sampling for plasma MDA measurements (to reveal lipid peroxidation) were recorded after induction of anaesthesia (baseline), 60 and 120 min after cross-clamping of aorta (ischaemia phase), and 60 and 120 min after restoration of flow (reperfusion phase). Results. Dopexamine and dopamine at 8 μg kg-1 min-1 reduced MDA at 60 and 120 min after reperfusion. Conclusion. Dopexamine seems superior to dopamine in reducing oxygen free radicals and subsequent lipid peroxidation during reperfusion after supraceliac aortic cross clamping in pigs. © 2005 Elsevier Ltd. All rights reserved.

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.

The electronic properties of boron-doped multiwall carbon nanotubes (MWNTs) have been studied using static magnetization and electron spin resonance. A relatively strong ferromagnetic signal has been identified in the dc magnetization response that shows the occurrence of ferromagnetism, coexisting with the orbital and spin magnetism of the conduction electrons. The small diamagnetic susceptibility and the weak temperature variation of the g factor, which is observed in the narrow conduction-electron spin resonance (CESR), indicate a Fermi level shift of ∼0.2eV, according to the quasi-two-dimensional graphite band model. The temperature dependence of the spin susceptibility reveals considerable enhancement compared to undoped MWNTs and the presence of thermally activated behavior, complying with an increased density of states and the formation of localized impurity states close to the Fermi level. Line-shape analysis of the CESR spectra in terms of two separate spin systems implies enhanced doping inhomogeneity. © 2005 The American Physical Society.

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.

This study constitutes the first modern book-length, in-depth critical analysis of Ovid, Metamorphoses 13.623–14.582. In this unit Ovid, by challenging openly the artistry of his great predecessor Vergil, redraws the parameters associated with the definition and appreciation of epic poetry. The book first introduces the methodological complexity of the Ovidian embrace strategy, and, subsequently, it reads the ‘little Aeneid’ closely, discussing the network of allusions to its prototype. It assesses the structure and thematics of each episode in the cluster, and traces the recurrence of prominent motifs throughout the Metamorphoses. Not least, it explores poetics, arguing that Ovid’s selective incorporation of the Aeneid reproduces the spirit and fundamental ideas of the model in an idiosyncratic sophisticated manner.

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.

This study has been carried out in order to evaluate the performance of CALPUFF modelling system in an area of complex topography. For this reason a comparison was performed between numerical results produced by this modelling system and those derived by two Eulerian models (UAM-V and REMSAD), together with experimental measurements. The meteorological input parameters, produced by the meteorological model CALMET are also examined through comparison with observations and to MM5 model results. Emphasis is given to the mixing height calculation, due to its importance in the prediction of pollutant concentrations. It was found that the overall performance of the CALPUFF is satisfactory and the results derived are compatible with these produced by the Eulerian models, especially under unstable atmospheric conditions. The CALPUFF model’s performance is improved significantly when vertical meteorological profiles produced by MM5 are additionally employed. Copyright © 2005 Inderscience Enterprises Ltd.

Assessment of the reliability of NCEP-NCAR reanalysis data has been the subject of much recent climatological research. In this study, an attempt is made to evaluate the reanalysis data for maximum and minimum temperatures over Greece for the period 1958-2000. Considering that available observations for Greek stations are not included as input in the NCEP-NCAR reanalysis data, the evaluation was made using gridded observational data derived from long time series for the examined area, using an objective scheme. The reanalysis data were compared with respect to the intra-annual variability for extreme years, the inter-annual variability of the corresponding temperature anomalies, and their ability to represent cold and warm spells. Also, the correlation patterns between the two datasets of daily and monthly values were examined. In general, it was found that there was good agreement between the two datasets, although some regional and seasonal differences existed and these were associated with topographical features not correctly represented by the reanalysis model resolution, such as land-sea distribution and orography. © Springer-Verlag 2004.

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).

Purpose: To quantitate the individual levels of melphalan-induced DNA damage formation and repair in vivo and to search for possible correlations with clinical outcome in patients with multiple myeloma (MM). Patients and Methods: The formation and subsequent repair of DNA damage (monoadducts and interstrand cross-links) in the p53 tumor-suppressor gene, the proto-oncogene N-ras, and the house-keeping gene beta-actin during the first 24 hours after treatment with high-dose melphalan (HDM; 200 mg/m2) supported by autologous blood stem-cell transplantation (ABSCT) was measured in blood leukocytes of 26 patients with MM. The peak DNA adduct levels, the total amount of adducts over time, and the rate of adducts repair in each gene were correlated with response and time to progression after HDM. Results: The levels of gene-specific DNA damage formation and the individual repairing capacity varied up to 16-fold among patients, indicating that the melphalan-induced biologic effect in vivo is highly individualized. A significantly greater DNA damage and a slower rate of repair in p53 for all end points under study were found in patients who achieved tumor reduction compared with nonresponding patients. Furthermore, longer progression-free survival correlated with increased peak monoadduct levels in the p53 gene (P = .032). Conclusion: Increased DNA damage and slower repairing capacity in the p53gene from blood leukocytes after HDM correlate with improved outcome of patients with MM who undergo ABSCT. These results suggest that quantitation of such biologic end points may identify patients who are more likely to benefit from this procedure. © 2005 by American Society of Clinical Oncology.

A small percentage of germ cell tumors is known to be familial. There are several reports describing familial cases of testicular germ cell tumors; however, there are only a few of them reporting germ cell tumors that occurred in both males and females of the same family. We present a family with three children, two females and one male, previously healthy, who all developed germ cell malignancies. The first sibling was diagnosed with malignant teratoma of the ovary, the second one with dysgerminoma involving both ovaries, and the male one with both embryonal carcinoma and seminoma of the testicle. Our case report suggests that the possibility of an association between germ cell tumors of both ovaries and testis should be considered. © 2004 Elsevier Inc. All rights reserved.

Ferromagnetic resonance (FMR) and ac conductivity have been applied to study a polymer composite containing as filler a binary mixture of magnetite (Fe3 O4) and cementite (Fe3 C) nanoparticles (30-50 nm) dispersed in a diamagnetic carbon matrix, which was synthesized by the carburization of nanocrystalline iron. Ac conductivity measurements showed thermally activated behavior involving a range of activation energies and power law frequency dependence at high frequencies similar to conducting polymer composites randomly filled with metal particles. Ferromagnetic resonance measurements revealed a relatively narrow FMR line at high temperatures indicating the presence of ferromagnetic nanoparticles, where thermal fluctuations and interparticle interactions determine the FMR temperature variation. An abrupt change of the FMR spectra was observed at T<81 K (ΔT≤1 K) coinciding with a sharp anomaly resolved in the temperature derivative of the ac conductivity. This behavior is attributed to the Verwey transition of Fe3 O4 nanoparticles, where the concurrent skin depth variation unveils the FMR of large magnetite conglomerates and thus allows discriminating their contribution from relatively isolated nanoparticles. © 2005 American Institute of Physics.

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.

The g factor of the first 2+1 state of radioactive 76Kr ( T 1/2 = 14.8 h) has been measured using projectile Coulomb excitation in inverse kinematics combined with the transient magnetic-field technique. The 76Kr beam was produced and accelerated in batch mode (re-cyclotron method) at the Lawrence Berkeley National Laboratory 88-Inch Cyclotron. The g factor g(76Kr; 2+1) = +0.37(11) was obtained. © Societa? Italiana di Fisica / Springer-Verlag 2005.

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.

We present and discuss the Scargle periodograms of fast-speed B-band optical photometry of the eclipsing dwarf nova EX Draconis during quiescence and outburst, obtained with the 1.2m telescope of the National Observatory of Athens (NOA) in July 2000. We report on the discovery of a 143 s periodicity which most likely is related to the spin period of the white dwarf. We also find periodicities near 115 and 123 seconds during outburst which may be caused by pulsations of the accreting white dwarf in response to the enhanced mass transfer rate.

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.

Καμπερίδου, Ειρήνη (2005). «Αρχέτυπων νέον: Η αθλήτρια ως κοινωνικό είδωλο» Εισήγηση στο Μεταπτυχιακό σεμινάριο ΑΓΩΝ-ΛΟΓΟΣ ΓΥΜΝΑΣΤΙΚΗ-ΑΘΛΗΤΙΚΗ-ΑΓΩΝΙΣΤΙΚΗ: ΕΠΙΣΤΗΜΗ, Στενή Ευβοίας (Δίρφυς), 11-12  Ιουνίου, 2005. Οργάνωση: Σπουδαστήρια Φιλοσοφίας, Αθλητικού Δικαίου και Στατιστικής του Τ.Ε.Φ.Α.Α. (ΕΚΠΑ) σε συνεργασία με το ΕΚΕΑΔ  και το ΕΛΕΕΑ.--------------------------------------------------------- Στη σημερινή μετανεωτερική πραγματικότητα, αναχρονιστικές ‘βιολογιστικές’ θεωρήσεις ή βιολογικά ‘δεδομένα’  που θεσμοθέτησαν και δόμησαν τις έμφυλες ιεραρχίες στον αθλητισμό αμφισβητούνται και επαναπροσδιορίζονται. Χρησιμοποιώντας τα εργαλεία των κοινωνικών επιστημών, θεωρητικές-μεθοδολογικές προσεγγίσεις που επεξεργάζονται την κοινωνική δόμηση του φύλου στις σύγχρονες δυτικές κοινωνίες, διερευνούνται ζητήματα που αναφέρονται στην συγκρότηση της κοινωνικής ταυτότητας ανδρών και γυναικών, και κατ’ επέκταση στην συγκρότηση της αθλητικής ταυτότητας. Επισημαίνεται, εντούτοις, ότι οι διαφορές μεταξύ γυναικών και ανδρών δεν είναι τόσο μεγάλες όσο είναι οι διαφορές μεταξύ των ίδιων των γυναικών ή μεταξύ των ίδιων των ανδρών, οι οποίες είναι δομημένες σύμφωνα με την κοινωνικο-οικονομική τάξη, την εθνική ταυτότητα, την κουλτούρα, την ηλικία, το χρώμα του δέρματος, τη θρησκεία, το σεξουαλικό προσανατολισμό, την επαγγελματική ιδιότητα, τις σωματικές αναπηρίες, κ.α. Πολλές διαφορές που παρατηρούνται βασίζονται λιγότερο στο βιολογικό φύλο (sex) και περισσότερο στο κοινωνικό φύλο (gender). Σύγχρονες συζητήσεις για το φύλο, την έμφυλη ταυτότητα και το ανθρώπινο σώμα (Kimmel 2004, Evans & Penney 2002, Macdonald 2002, McNay 2000) δεν βασίζονται πλέον αποκλειστικά στο βιολογικό φύλο (sex) ως αναλυτική κατηγορία, αλλά στο κοινωνικό φύλο (gender) το οποίο διαμορφώνει, προσδιορίζει και επαναπροσδιορίζει την ταυτότητα σύμφωνα με  κοινωνικο-πολιτισμικές ερμηνείες και εξελίξεις. Σε αυτά τα νέα θεωρητικά πλαίσια, το σώμα και το φύλο ‘ξανά ανακαλύπτονται’, ανοικοδομούνται, και επαναπροσδιορίζονται, δηλαδή γίνονται αντιληπτά ως μεταβαλλόμενες γλωσσικές συλλήψεις και έννοιες,  κοινωνικό-ιστορικές εκδηλώσεις, και εξελισσόμενα κοινωνικά στοιχεία. Σήμερα, η έννοια του φύλου σταδιακά μεταβάλλεται από μία στατική βιολογική αντίληψη, σε μία δυναμική κοινωνική κατηγορία (το κοινωνικό φύλο)— κοινωνική ομάδα δράσης, κοινωνικός φορέας, κοινωνική ιδιότητα  και κοινωνικό-πολιτισμικό σύμβολο—επηρεάζοντας και αλλάζοντας ως αποτέλεσμα τις προσδοκίες του κοινωνικού περιβάλλοντος.  Σε αυτά τα θεωρητικά πλαίσια το βιολογικό φύλο χάνει την προκαθεδρία του ως αναλυτική κατηγορία. στο σύγχρονο λόγο περί gender (κοινωνικού φύλου) και οι άνδρες, όπως και οι γυναίκες προσδιορίζονται, γίνονται αντιληπτοί ως έμφυλα υποκείμενα (gender subjects). Το gender, που ως σύλληψη (concept) και έννοια, οδηγεί στην ουδετεροποίηση ή απενεργοποίηση της ‘διαφοράς’ (difference) ως αναλυτική κατηγορία, (η οποία παράγει ανισότητα) στοχεύει στο σεβασμού της ποικιλότητας (diversity). Εν ολίγοις, η εισαγωγή  του κοινωνικού φύλου (gender), ως αναλυτική κατηγορία επιχειρεί να απενεργοποιήσει-ουδετεροποιήσει τον παράγοντα του βιολογικού φύλου (sex ή biological gender), της ‘διαφοράς’ ως στοιχείο κοινωνικής κατηγοριοποίησης και κοινωνικού αποκλεισμού, δηλαδή να εξαλείψει τις κοινωνικές διακρίσεις που πραγματοποιούνται σε πολλούς κοινωνικούς θεσμούς, όπως στην κοινωνική περιοχή του Αθλητισμού. Οι αλλαγές στις αντιλήψεις περί έμφυλων ρόλων παράγουν νέες αθλητικές ταυτότητες και νέες μορφές αυτονομίας και κοινωνικής πρόσβασης. Εντούτοις, εντοπίζονται και νέες μορφές κοινωνικής περιθωριοποίησης-κατηγοριοποίησης. Λόγου χάρη,  ‘ίσες ευκαιρίες’ και ‘ισότητα’ στην εμπορευματοποίηση- εκμετάλλευση του σώματος, το έμφυλο σώμα, η μοντελοποίηση των αθλητών-αθλητριών, και η σταδιακή εμφάνιση των άφυλων αθλητών (genderless athletes) στα ΜΜΕ.  

• Kamberidou, I. (2005).  “The female athlete as a social idol:  gender, physical education & sport. Presentation (12/6/2005) at the Graduate seminars “Agon-Logos, Gymnastics-Athletics-Agonistiki”, organized by the Laboratories of Philosophy, Sports Law and Statistics of the Faculty of Physical Education and Sport Science of the University of Athens in collaboration with the Hellenic Sport Science Association and the Hellenic Sports Law Research Centre, Euboea, Greece 11-12 June 2005. [official language Greek] L. 5 in Apella  

Καμπερίδου, Ειρήνη (2005).  «Ο Έμφυλος Ηρωισμός του Αθλητισμού». Εισήγηση στην διημερίδα με θέμα: «Μεσογειακή Κουλτούρα-Γυναίκες και Σπόρ» της Πανελλήνιας Ένωσης για την Προώθηση των Γυναικών στον Αθλητισμό και τα Σπόρ (ΠΕΠΓΑΣ), 4-5 Νοεμβρίου, Θεσσαλονίκη.   -------------------------------------------------------------------------------------------------------------Δεν γεννιόμαστε με μία βιολογική προδιάθεση για μια έμφυλη ανισότητα. Οι έμφυλες διαφορές και ομοιότητες, η κυριαρχία ή η ‘υπεροχή’, δεν είναι γνωρίσματα των χρωμοσωμάτων μας. Είναι αποτέλεσμα της διαφορετικής πολιτιστικής και κοινωνικής αξιολόγησης των εμπειριών των ανδρών και των γυναικών. Γινόμαστε έμφυλα άτομα μέσα σε μία έμφυλη κοινωνία, δηλαδή σε μία κοινωνία που οι οργανισμοί και θεσμοί της αναπαράγουν τις ‘διαφορές’ μεταξύ γυναικών και ανδρών.  Η έννοια ή το νόημα του φύλου διαφέρει από πολιτισμό σε πολιτισμό, από κοινωνία σε κοινωνία, από κουλτούρα σε κουλτούρα. Το κοινωνικό φύλο σε αντίθεση με το βιολογικό φύλο διαφέρει και μεταβάλλεται, ακόμα και μέσα σε μία συγκεκριμένη κοινωνία, σε μία κουλτούρα ή σε ένα πολιτισμό, όχι μόνο μακροπρόθεσμα, ανάλογα με την ιστορική περίοδο, αλλά και κατά την διάρκεια της ζωής μας. Αντιλήψεις και στάσεις περί έμφυλων ρόλων και έμφυλων στερεότυπων εξελίσσονται, μεταλλάσσονται και αλλάζουν. Οι αθλήτριες της καινούργιας χιλιετηρίδας καταρρίπτουν τα ‘φυσικά εμπόδια’ του παρελθόντος και παράγουν νέες κουλτούρες και νέες αθλητικές ταυτότητες. Εντούτοις, πολλές συζητήσεις και διερευνητικά ερωτήματα προκαλούνται σχετικά με τη διαφορετική μεταχείριση ανδρών και γυναικών στους αθλητικούς θεσμούς, στον αγωνι9στικό αθλητισμό και την προβολή του στα ΜΜΕ. Αναμφίβολα, ο Αθλητισμός συνεχώς δημιουργεί, κατασκευάζει και αναπαράγει ‘ήρωες’ και 'ηρωίδες’, έμφυλα υποκείμενα που προβάλλονται με ιδιαίτερους τρόπους. Επισημαίνουμε ότι και ο άνδρας είναι ένα έμφύλο υποκείμενο ( gender subject), και όχι μόνο η γυναίκα. Αναδεικνύεται, ωστόσο ότι οι αθλήτριες που πετυχαίνουν αντιμετωπίζουν τη διφορούμενη ανταπόκριση του κοινού και των ΜΜΕ. Η αθλήτρια-ηρωίδα, σε αντίθεση με τον ήρωα-αθλητή, προσδιορίζεται διαφορικά και υπό-όρους. Επιπροσθέτως, παρατηρείται ότι η δημιουργία και η προβολή των ‘ηρωίδων’ του αθλητισμού αποσύρει την προσοχή από την γενική θέση της πλειοψηφίας των γυναικών στον αθλητισμό και αποκρύπτει τις διαφορές μεταξύ τους. Δηλαδή, αγνοούνται κοινωνική παράμετροι και μεταβλητές, όπως η πολυπλοκότητα, η πολλαπλότητα ή οι κατηγορίες της ‘διαφοράς’ του έμφυλου υποκειμένου σε σχέση με την κοινωνικο-οικονομική τάξη, την κοινωνική στρωμάτωση, την κουλτούρα, το έθνος, την φυλή, το χρώμα του δέρματος, τη θρησκεία, τις σωματικές αναπηρίες και το σεξουαλικό προσανατολισμό

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.

Concerning the present situation we must bear into mind the following: A) No external mediation can replace the interested parties in a recommencement of talks for a jointly accepted solution in the Cyprus Issue. B) The Turkish occupation troops must withdraw from the Island shortly and certainly before the implementation of the new solution. C) The last wave of Turkish settlers must return to Turkish territories, where it originally came from. D) The complete demilitarization of the Island and its accession to NATO, as the unique reliable figure of regional and international security. This means that Ankara can no longer promote claims of “insecurity” for the Turkish population of the Island. Furthermore it means that the “Sovereign British Bases” have no place in Cyprus. E) In order for all this to be achieved, the government of Athens must not pressure in any way the legitimate Government of the Republic of Cyprus of Mr. Tassos Papadopoulos and it must allow as it has already done in the case or the April 4th Referendum, the Cypriot people to express freely and without bias its opinion. The line of action adopted by Mr. Karamanlis and Mr. Molyviatis in this case must be continued. On the other hand, the talks with the legitimate Cypriot government of the now European Republic of Cyprus for its accession to NATO must begin. This will constitute the most important key-point of the century-old Cyprus Issue.

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.

The scope of this article is to present the diachronic value of Xenakis’ technological thought in computer musicresearch and creation of our days within a comparative and critical approach. On the one hand, we will refer to the maindomains of Xenakis’ contributions to Music Technology: the conquest of the computer as a tool for logicaltransformations of symbols into music and a laboratory of automation for certain compositional tasks on meta-musicaland compositional design issues; his pedagogical and compositional approach by the sound-design system UPIC as aninterface between musician and machine; his granular approaches of sound synthesis as a link between algorithms andthe creation of new sounds; the multi-sensoring approach of the conception of Polytopes where he combines varioustechnological tools in order to achieve a kind of a total art work.On the other hand, we will exalt the impact of his research in current music technology (use of the granular model inmodern synthesizers, the marriage between sound and light in modern interactive performances, the design of new userfriendlytools for the music education, etc).At the same time, we will discuss in which way many of the headmasters of computer music research have beenprofoundly affected by Xenakis’ technological and epistemological approach.

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 in Apella  

• 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.

We present a small polaron hopping model to interpret the high-temperature electrical conductivity measured along the DNA molecules. The model takes into account the one-dimensional character of the system and the presence of disorder in the DNA double helix. The experimental data for the lambda phage DNA (λ-DNA) and the poly(dA)-poly(dT) DNA follow nicely the theoretically predicted behavior leading to realistic values of the maximum hopping distances supporting the idea of multiphonon-assisted hopping of small polarons between next nearest neighbors of the DNA molecular "wire".

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.

We report the growth of ultra-thin indium oxide layers using the dc-magnetron sputtering method. We demonstrate that good quality tunnel barriers made of indium oxide can be routinely fabricated and employed in spintronic-related devices. Simple magnetic tunnel junctions (MTJs) were fabricated in a cross geometry using ex situ thermally evaporated cobalt and permalloy. Our best junctions obey the Rowell criteria for tunneling and exhibit a tunnel magnetoresistance of 15% at 100 K. © 2004 Elsevier B.V. All rights reserved.

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.

The objective of this study was to investigate the evolution of pollutant concentrations generated by smoking in a controlled indoor environment. For this purpose, a small flat in the centre of Athens, Greece was equipped with NO x, O 3 and SO 2 continuous measuring instruments and portable analysers for spot measurements of TVOCs and CO 2, while two volunteer smokers remained inside and smoked as normal inhabitants. The results indicated that when windows are kept closed and smoking takes place NO x, CO 2 and TVOCs concentrations increase by an order of 3, 4 or 10 times, respectively, and decrease returning to initial levels after 1 or 2 h. © 2004 Elsevier B.V. All rights reserved.

Background: Irinotecan (IRI) and oxaliplatin (OXA) are effective in the treatment of colorectal cancer. Previously untreated patients with advanced colorectal carcinoma (CRC) were randomly assigned to receive IRI plus leucovorin (LV)/5-fluorouracil (5-FU), or OXA plus LV/5-FU in order to compare the response rates, time-to-tumor progression, overall survival rates, and toxicity profiles of these two agents. Materials and methods: From January 1999 to February 2002, 295 patients were randomized to receive either IRI/LV/5-FU or OXA/LV/5-FU. The treatment schedules consisted of weekly IRI 70 mg/m2 or OXA 45 mg/m2 plus LV 200 mg/m2 followed immediately by intravenous bolus 5-FU 450 mg/m2 for 6 weeks, followed by a 2-week rest period. Treatment was continued for up to four cycles or until disease progression, unacceptable toxicity or patient refusal. Results: There were no significant differences between the study arms in the overall response rate (33% with IRI/LV/5-FU versus 32% with OXA/LV/5-FU based on responses demonstrated on a single evaluation; 23% with IRI/LV/5-FU versus 22.3% with OXA/LV/5-FU based on responses confirmed according to WHO criteria) median time to progression (8.9 versus 7.6 months), and median overall survival (17.6 versus 17.4 months). Toxicity profiles (grades 3 and 4) were similar in the IRI and OXA arms (diarrhea 12.3% and 9.8%, neutropenia 8.2% and 4.9%, and febrile neutropenia 1.4% and 1.4%, respectively), with the exception of grade 3 sensory neuropathy, which almost exclusively occurred in the OXA arm (0% versus 5.6%; P = 0.003, Fisher's exact test). Conclusion: The IRI/LV/5-FU and OXA/LV/5-FU regimens demonstrated equally substantial efficacies and manageable toxicity profiles in the first-line treatment of patients with advanced CRC. However, IRI/LV/5-FU may be the preferable regimen to avoid significant neurotoxicity associated with OXA-LV/5-FU. © 2005 European Society for Medical Oncology.

Naxos is the biggest island of the Cyclades. It is composed primarily of mica-shists, gneiss and marbles and granodiorites in the western part. The latter extend along parts of the studied area. Detailed coastal geomorphological study and GIS analysis made possible the determination of coastal evolution of this area during Late Quaternary. A number of shallow drillings and archaeological evidence helped in the determination of the sequence of the coastal evolution of the study area. Two sets of coastal dunes were mapped reaching elevation of 4 and 8 m respectively, plus older well preserved dune fields reaching elevations up to 18m located in the south. It was found that three granodiorite capes were small islands at the end of the last transgression in Mid Holocene. Since then, parts of the coastline, prograded joining them and forming coastal dunes, beachrocks and wetlands in several locations.

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.

New CCD observations of the pulsating star SZ Lyn are analyzed and a new ephemeris is proposed. The photometric data collected over the last 43 years are used to determine and update the pulsational and orbital elements, based on the light-time effect detected in the O-C diagram.

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.

Electron spin resonance (ESR) has been applied to investigate the magnetic heterogeneity in electron doped La1-xCaxMnO3 (0.80≤x≤0.95). A low field ferromagnetic resonance (FMR) mode is observed for lightly doped compounds (x = 0.90,0.95), signifying the formation of ferromagnetic (FM) spin clusters within the antiferromagnetic G-type AFM phase. The anomalous temperature variations of the resonance field, linewidth and FMR intensity, as well as the observation of thermal cycling effects below TC, emphasize the non-trivial dynamics of the FM phase, which is attributed to the temperature dependent size evolution of the underlying spin clusters towards canted AFM and FM domains. For heavier electron doping (x = 0.80,0.85), distinct AFM behaviour is evinced in the vicinity of TN in the monoclinic C-type AFM phase, characterized by the absence of critical relaxation. Additional weak FMR lines are observed for x = 0.80 and 0.85, whereas a narrow superparamagnetic-like signal is detected for x = 0.95. © 2005 IOP Publishing Ltd.

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.

Mathematical models are presented for studying the value of leadership in a team where the members interact with each other. The models are based on a leader's role of motivating each team member to perform closer to his/her maximum ability. These models include controllable parameters whose values reflect the amount of task interdependence among the workers as well as the motivational skill and variability in the skill of the leader. Confirming results - such as the fact that the skill level of the leader is a critical factor in the expected performance of the team - establish credibility in the models. Mathematical analysis and computer simulations are used to provide new managerial insights into the value of the leader - such as the fact that the skill of the leader can be more important than controlling the amount of interdependence among the team members and that having a choice of multiple leaders with no particular motivating skill is beneficial to the performance of small teams but not to large teams. © Springer Science + Business Media, Inc. 2005.

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.

Titan's vertical atmospheric temperature profile, atmospheric chemical composition and haze structure are controlled by many processes. In this work we present a self-consistent 1D simulation of radiation transfer, photochemistry and haze microphysics that determine Titan's atmosphere and haze. The atmospheric model extends from the surface up to the lower thermosphere and incorporates: high resolution radiation transfer codes for solar and thermal radiation, complete neutral species photochemical evolution and a detailed Eulerian description of the microphysical haze particle growth. Chemical analysis of the laboratory produced haze analogs, suggests that the most probable photochemical pathways leading to haze formation, include copolymers of acetylene, hydrogen cyanide, aromatics and others. Although these pathways produce a Haze monomers mass production rate of the correct magnitude to fit the geometric albedo, their production profiles are significantly different from the simplified ones used in previous simulations. The photochemical part of the model produces the vertical profile of all the important hydrocarbons and nitriles in Titan's atmosphere including the polymerisation of organic species for Haze production. This interaction of the Haze precursors with the chemistry is considered to take place until the precursors reach a typical mass of ∼1000 amu, after which the polymers chemical growth ceases and the conglomeration of the Haze particles commences. The resulting distribution of different size particles, along with the rest of the species interacting with the radiation field are included in the radiative/convective part of the model for the calculation of the thermal structure. The model iterates between these processes until a steady state is reached. The results presented are validated against observed data (geometric albedo, chemical composition, thermal structure, etc.) in order to understand better the physical processes that control: Titan's methane abundance; the production, structure and radiative properties of the haze; and the radiative properties of Titan's atmosphere and surface.

The main research aim of this paper is to examine the slope-stream erosionalprocess in the Korinthos drainage basin located in the north – eastern part ofPeloponnese, Greece, by means of applying the fuzzy set theory on a GIS platform.The main steps of this procedure are: the definition of the input variables (erodibilityof rocks, slope angle, slope morphology), the construction of a fuzzy inference system based on theoretical and empirical knowledge for transforming the input to output variables (erosion – deposition) and the visualization of the output variables (Spatial distribution of the erosion-deposition processes). The earth’s surface is the result of endogenous (weathering) and exogenous (erosion) processes. Weathering destroys chemically, biologically and mechanically the structure and the cohesion of the rock. The erosional mechanism transports the sediment and depends on many factors such as: frequency and magnitude of precipitation, surface and subsurface waters, slope elements (geometry, length and angle), rocks’ susceptibility to erosion, vegetation cover, human actions and land use. The study of the erosional process demands a series of steps in order to obtain the final output maps. These steps include: 1) field-work, air-photos and satellite images interpretation, map digitization (geological, topographical, drainage), 2) definition of input and output variables, 3) formulation of the proper logical rules (Boolean or fuzzy) for the transformation of input variables to output variables, 4) analysis and visualization of the output results.The input variables used in this research are: erodibility of rocks, slope angle andslope morphology. The erodibility of rocks depends on many variables which showspatial and time variation. Firstly, it depends on physical and chemical characteristics of the rocks and the rocks’ structure and discontinuities. Secondly, it depends on the existence of a protective vegetative cover which contributes in the increase of the infiltration capacity and limits the runoff flow. Thirdly, it depends on the characteristics of the involved processes: the intensity and duration of precipitation and also its spatial and time distribution and its raindrop size.The input variables are inserted into a fuzzy inference system, constructed in orderto transform them to output variables (erosion-deposition variable). This is achievedby the formulation of the proper ‘if…then’ rules based on theoretical as well asempirical knowledge of the erosional processes.The output variable (erosion) expresses the degree of erosion and deposition ofthe various parts of the drainage basin and is presented through erosion risk maps of the area that is studied.

Print & Online: US $1499 (US), US $2039 (Rest of World),€ 1153 (Europe),£ 912 (UK). Prices are exclusive of tax. Asia-Pacific GST, Canadian GST and European VAT will be applied at the appropriate rates. For more information on current tax rates, please go to https://onlinelibrary. wiley. com/library-info/products/price-lists/payment. The price includes online access to the current and all online backfiles for previous 5 years, where available. For other pricing options, including access information and terms and conditions, please visit https://onlinelibrary. wiley. com/library-info/products/price-lists. Terms of use can be found here: https://onlinelibrary. wiley. com/terms-and-conditions.

We have employed magnetization measurements, Mössbauer and ESR spectroscopic techniques, in order to study the ferromagnetic insulating (FMI) compound La1-xCaxMnO3 (x=0.175) doped with 1% 57Fe. We have used two samples; one prepared in air which has cation vacancies and a second in inert atmosphere, which is stoichiometric. An abrupt change of the experimental results is obtained, by all techniques, in the ferromagnetic insulating regime, in the temperature region of T O/O//≈60 K, where an orbital rearrangement is suggested to occur. An analysis of these findings points to an orbital rearrangement transformation. Ferromagnetic resonance reveals considerable differences between stoichiometric and cation deficient samples, indicating anisotropy of the exchange interactions in the former sample with significant temperature dependence, most pronounced in the vicinity of TO/O//. © EDP Sciences, Società Italiana di Fisica, Springer-Verlag 2005.

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 outburst and eclipse characteristics of the eclipsing dwarf nova EX Dra prompted us to monitor it during the months July-August 2000 with the 1.2m telescope of the National Observatory of Athens (NOA). Here, we present an eclipse mapping study of the July 2000 light curves. B-band of the August 2000 data have been presented by Harlaftis et al. (2002).

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.

The purpose of this retrospective study was to illustrate the clinicopathological features of patients presenting with multifocal extranodal non-Hodgkin lymphoma (NHL). Among 810 patients with NHL, 37 cases (4.2%) were found to have multiple extranodal involvement (two or more sites). There were 24 men and 13 women, with a median age of 63 years. The majority of these cases (n = 26) had gastric or intestinal (GI) involvement with or without other extranodal sites. Lung along with another extranodal site was relatively common in the present series. Stratification of the 37 cases according to the International Prognostic Index (IPI) showed that 89% of the patients belonged to the high-risk groups. Diffuse large-B -cell lymphoma (DLBCL) accounted for 62%, and mucosa-associated lymphoma tissue (MALT) lymphoma accounted for 27% of all cases. After induction treatment with anthracycline-based regimens, complete remission was achieved in 21 patients (57%), partial remission was achieved in six patients (16%), and seven patients (19%) had no response, while three patients (8%) were nonevaluable. In conclusion, multifocal extranodal NHL is a heterogeneous group of diseases. The majority of them arise at various sites in the GI tract. DLBCL was the most frequent histological subtype followed by MALT lymphoma. Risk group, as defined by the IPI, was predictive of survival. ©AlphaMed Press.

Objectives: Purpose of this study was to compare prognostic factors and outcome of patients with multiple myeloma (MM) aged > 70 yr at diagnosis with those of younger patients. We also applied the recently proposed International Staging System (ISS) for MM in these patients. Patients and methods: Among 1,162 newly diagnosed, symptomatic MM patients included in our database, 357 (31%) were > 70 yr of age. Clinical and laboratory variables were evaluated in patients > 70 yr and in younger patients and were assessed for possible correlation with survival in patients > 70 yr of age. Results: Most clinical and laboratory features were similar in the two groups of patients but older patients presented more frequently with advanced ISS (P = 0.02). Despite similar response rates to primary treatment, younger patients survived longer than patients > 70 yr of age (40 vs. 28 months, P = 0.001). There was a longer survival of younger patients than that of older patients diagnosed with ISS stage 1 (median 71 vs. 54 months, P = 0.007) and ISS stage-2 patients (median: 38 vs. 26 months, P = 0.0008) but for patients with ISS stage 3 median survival was similarly poor in the younger and older age group (21 and 20 months, P = 0.283). Other variables associated with impaired prognosis were severe anemia, extensive bone marrow plasmacytosis and elevated serum LDH. Conclusions: Older patients with MM present more often with advanced ISS and have significantly shorter survival than younger patients. The ISS retained its prognostic significance within the group of elderly patients. © Blackwell Munksgaard 2005.

This book came to fruition as a result of my interest and research in the area of integration as well as music education’s role and independence within the educational process and formal classroom.The concepts of integration, interdisciplinarity and other relative terms are explained through the trace of their historical and philosophical roots and uses. The autonomy of music within the umbrella of arts as well as integrative applications between music and other subjects is discussed and issues and problems are highlighted.It was the first book in the Greek language with this subject and was reviewed and presented in the specialized press.The second edition with minor corrections was published in 2008 and the third in 2014.

Bone disease is a major feature of multiple myeloma. Myeloma-induced bone destruction is the result of an increased activity of osteoclasts, which is not accompanied by a comparable increase of osteoblast function. Recent studies have revealed that new molecules such as the receptor activator of nuclear factor-kappa B (RANK), its ligand (RANKL), osteoprotegerin (OPG), and macrophage inflammatory protein-1α are implicated in osteoclast activation and differentiation, while proteins such as dickkopf-1 inhibit osteoblastic bone formation. These new molecules seem to interfere not only with the biology of myeloma bone destruction but also with tumour growth and survival, creating novel targets for the development of new antimyeloma treatment. Currently, bisphosphonates play a major role in the management of myeloma bone disease. Clodronate, pamidronate and zoledronic acid are the most effective bisphosphonates in symptomatic myeloma patients. Biochemical markers of bone remodeling have been used in an attempt to identify patients more likely to benefit from early treatment with bisphosphonates. Furthermore, using microarray techniques, myeloma patients may be subdivided into molecular subgroups with certain clinical characteristics, such as propensity for lytic lesions that may need early prophylactic treatment. Recent phase I studies with recombinant OPG and monoclonal antibodies to RANKL appear promising. © 2005 European Society for Medical Oncology.

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.

The role of neoadjuvant chemotherapy in muscle-invasive bladder cancer has been clarified by recent randomized studies and meta-analyses, which all showed that cisplatin-based, combination chemotherapy offers a significant survival advantage. Preoperative chemotherapy results in downstaging in a significant percentage of patients, which is an independent factor of favorable prognosis. Nevertheless, the optimal sequence of perioperative chemotherapy remains undefined. The authors examine the results of large Phase II and randomized studies as well as the role of neoadjuvant chemotherapy in the context of bladder preservation strategies. Finally, issues of improving therapeutic efficacy and directing clinical research are discussed. © 2005 Future Drugs Ltd.

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 purpose of this retrospective study, the largest unselected series in our country, was to illustrate the clinicopathological features of non-Hodgkin's lymphoma (NHL) classified according to the World Health Organization (WHO) classification of lymphoid neoplasms. A retrospective analysis was conducted and clinical features of histological subtypes were established in 810 patients (age ≥ 15 years) with NHL who were treated at 8 major centers representative of Greece. There were 435 males and 375 females 95% of them aged >30 years. B symptoms were present in 34% of the patients, while 45.3% had stages I-II and 54.6% had stages III-IV. LDH was increased in 37% of the patients. B cell lymphomas formed 88% of the cases whereas T cell lymphomas formed 12% of the total. Indolent lymphomas accounted for 31.1%, aggressive ones for 66.7% and very aggressive ones for 2.4% of all NHLs. Among indolent lymphomas extranodal ones (MALT B cell lymphoma) were the most common subset while follicular lymphoma grade I and II and small lymphocytic ones presented with equal frequency. Among the aggressive lymphomas diffuse large cell lymphoma (DLCL) was the most common subtype; this entity along with large-cell immunoblastic lymphomas accounted for 45.2% of all B cell lymphomas. Among the T cell lymphomas, peripheral T cell lymphomas and anaplastic large cell lymphomas of the T/null-cell type were the most common subtypes. The most common extranodal presentation was the gastrointestinal tract (GI). Next in frequency were primary extranodal NHL of the head and neck region. MALT B cell lymphomas were found in almost half of the patients with GI tract NHL, whereas in all other extranodal places DLCL was the predominant histological subtype. The median survival for indolent and aggressive NHL was 123.5 and 55.5 months, respectively. This is the first report of a large series of malignant lymphomas in Greece using the WHO classification. It appears that there are no significant differences between NHL in Greece and other large series as far as clinical and extranodal presentation is concerned. The frequency of follicular lymphoma in the current study is comparable to that reported from Asian countries and mainland Europe, but lower than that of US and Northern European series. There were no important differences in the incidence of the remaining histological subtypes between Greece and other European countries. Copyright © 2005 S. Karger AG.

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.

This article investigates the role of option contracts in a supply chain when the demand curve is downward sloping. We consider call (put) options that provide the retailer with the right to reorder (return) goods at a fixed price. We show that the introduction of option contracts causes the wholesale price to increase and the volatility of the retail price to decrease. In general, options are not zero-sum games. Conditions are derived under which the manufacturer prefers to use options. When this happens the retailer is also better off, if the uncertainty in the demand curve is low. However, if the uncertainty is sufficiently high, then the introduction of option contracts alters the equilibrium prices in a way that hurts the retailer. © 2005 INFORMS.

Purpose: Osteonecrosis of the jaw (ONJ) has been associated recently with the use of pamidronate and zoledronic acid. We studied the incidence, characteristics, and risk factors for the development of ONJ among patients treated with bisphosphonates for bone metastases. Patients and Methods: ONJ was assessed prospectively since July 2003. The first bisphosphonate treatment among patients with ONJ was administered in 1997. Two hundred fifty-two patients who received bisphosphonates since January 1997 were included in this analysis. Results: Seventeen patients (6.7%) developed ONJ: 11 of 111 (9.9%) with multiple myeloma, two of 70 (2.9%) with breast cancer, three of 46 (6.5%) with prostate cancer, and one of 25 (4%) with other neoplasms (P = .289). The median number of treatment cycles and time of exposure to bisphosphonates were 35 infusions and 39.3 months for patients with ONJ compared with 15 infusions (P < .001) and 19 months (P = .001), respectively, for patients with no ONJ. The incidence of ONJ increased with time to exposure from 1.5% among patients treated for 4 to 12 months to 7.7% for treatment of 37 to 48 months. The cumulative hazard was significantly higher with zoledronic acid compared with pamidronate alone or pamidronate and zoledronic acid sequentially (P < .001). All but two patients with ONJ had a history of dental procedures within the last year or use of dentures. Conclusion: The use of bisphosphonates seems to be associated with the development of ONJ. Length of exposure seems to be the most important risk factor for this complication. The type of bisphosphonate may play a role and previous dental procedures may be a precipitating factor. © 2005 by American Society of Clinical Oncology.

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.

Background. Data about the outcome and prognostic factors in the group of patients with non-squamous cell advanced or recurrent carcinomas of the uterine cervix are limited. We compared the outcome of patients with non-squamous with that of squamous cell carcinomas after platinum-based combination chemotherapy as first line therapy for stage IV or recurrent cervical carcinoma. Patients and methods. A total of 200 patients with stage IV or recurrent carcinomas of the cervix received platinum-based combination chemotherapy and were included in our analysis. Results. There were 58 patients with non-squamous and 142 patients with squamous cell carcinomas. Response to chemotherapy was 53.5% in non-squamous vs. 43.5% in squamous carcinomas. Histology was not an independent predictor of tumor response (P = 0.797). Response rates were lower in patients with relapse only in a previously irradiated area in both squamous (26.9% vs. 53.5%, P = 0.005) and non-squamous carcinomas (47.1% vs. 65%, P = 0.270). Weight loss was the only significant predictor of survival in non-squamous histology patients (P <0.0001). There was no significant difference in median survival between squamous (11.57 months [95% CI 9.35-13.79]) and non-squamous carcinomas (19.05 months [95% CI 13.63-24.47]) (P = 0.064). After adjustment for independent prognostic factors (ECOG performance status and weight loss), differences in survival remained not significant. Conclusion. Our study showed a similar outcome for both squamous and non-squamous stage IV or recurrent cervical carcinomas treated with platinum-based combination chemotherapy. © 2005 Elsevier Inc. All rights reserved.

Background: The majority of patients with advanced urothelial cancer are elderly, but data regarding this specific age group are limited. We compared the tolerability and efficacy of first-line platinum (cisplatin or carboplatin)-based chemotherapy in elderly patients (≥70 years) with those in younger patients. Patients and methods: A total of 381 patients with advanced urothelial carcinoma received CIMV (cisplatin, ifosphamide, methotrexate, vinblastine) (n=32), MVAC (methotrexate, vinblastine, doxorubicin, cisplatin) (n=105), DC (docetaxel, cisplatin) (n=174), CaG (carboplatin, gemcitabine) (n=64) or other regimes (n=6) and were included in this analysis. Results: A total of 116 patients were ≥70 years. Elderly patients experienced more frequent neutropenia grade 3/4 (55% versus 37%, P=0.087) and renal toxicity (28% versus 10%, P=0.033) among patients treated with CIMV/MVAC, and neutropenic infections (4% versus 0%, P=0.019) among patients treated with DC. Median survival did not differ significantly between elderly and younger patients (9.3 versus 10.5 months, P=0.16). Eastern Cooperative Oncology Group performance status (PS) and haemoglobin were independently associated with prognosis. Patients with PS <2 and haemoglobin ≥10g/dl had a median survival of 14 months as opposed to 5 months for patients with PS ≥2 or haemoglobin <10g/dl (P <0.001). Conclusion: Elderly patients with advanced urothelial cancer tolerate platinum-based chemotherapy well and derive the same benefit as their younger counterparts. © 2005 European Society for Medical Oncology.

BACKGROUND. Oral-based antibiotic therapy is the standard of care in the management of cancer patients with low-risk neutropenic fever. Nevertheless, to the authors' knowledge, the best antibiotic regimen and the feasibility of ambulatory treatment have not been clearly defined. METHODS. The authors evaluated the efficacy and safety of moxifloxacin as outpatient treatment in cancer patients with febrile neutropenia who were selected according to the recently proposed Multinational Association for Supportive Care in Cancer (MASCC) risk assessment model. Moxifloxacin was given at a dose of 400 mg orally once daily. RESULTS. Fifty-four patients with solid and hematologic malignancies, the majority of whom (84%) had advanced disease, were included in the current study. The median neutrophil count at the time of study entry was 340/mm3 (range, 20-950/mm3) and the median duration of neutropenia was 4 days (range, 3-14 days). Of 55 neutropenic episodes, 50 (91%) had a successful outcome with a median time to defervescence of 2 days (range, 1-5 days). A multivariate analysis indicated that severe neutropenia (an absolute neutrophil count of < 100 mm3) was the only independent factor associated with treatment failure (P < 0.04). Moxifloxacin was found to be well tolerated and there were no infectious deaths reported. CONCLUSIONS. The results of the current study demonstrated that moxifloxacin was a highly effective and safe regimen in the outpatient treatment of cancer patients with febrile neutropenia. © 2005 American Cancer Society.

Background: We compared the combination plus Carboplatin plus paclitaxel, which is considered the treatment of choice for initial chemotherapy of advanced ovarian cancer (AOC) with a regimen combining alternating carboplatin and cisplatin plus paclitaxel. The two platinum derivatives have been previously combined as they are not totally cross-resistant and as they share no overlapping toxicities. Patients and methods: Patients with AOC, after the initial cytoreductive surgery were randomized to either 6 courses of paclitaxel at 175 mg/m2 as 3h infusion plus Carboplatin at 7 AUC (Arm A) or Paclitaxel at the same dose plus Carboplatin again at 7 AUC for cycles 1,3,5, while for cycles 2,4,6 Cisplatin at 75 mg/m2 substituted for Carboplatin (Arm B). Results: 247 patients are analyzed. Significant differences were not found, both in terms of PFS (38 vs 39 months, p=0.95) and overall survival (40.6 vs 38.6 months, p=0.79). There was not also difference in 5-year survival rate (35% vs 39%) or 5-year PFS rate (23% vs 28%). Age >60, PS 2, stage IV disease and presence of residual disease were adversely related to the overall survival. Conclusion: Both regimens are well tolerated and effective. Alternating cisplatin with carboplatin does not improve the results compared with the standard combination. © 2005 European Society fr Medical Oncology.

The irinotecan-cisplatin combination has emerged as a new standard for the treatment of advanced-stage small-cell lung cancer (AS-SCLC). To move forward we developed a 3-day regimen of cisplatin, etoposide and irinotecan. Successive cohorts of AS-SCLC patients were treated with irinotecan administered as a single 1-h infusion in combination with fixed doses of cisplatin (20 mg/m 2) and etoposide (75 mg/m2), both given for three consecutive days (ECI regimen). Irinotecan dose was escalated from 60 mg/m 2 by 40-mg/m2 increments. At mid-step between the maximum tolerated dose (MTD) and the previous dose level, patients were randomized for the day of administration of irinotecan (day 1 vs day 3). A total of 36 AS-SCLC patients received 166 courses of treatment at four dose levels. The MTD of irinotecan was 140 mg/m2 (three dose-limiting toxicities, DLTs), and the recommended optimal dose (ROD) 120 mg/m2 (two DLTs). DLTs were febrile neutropenia and grade 3 diarrhea. Other toxicities were mild. No difference in toxicity was seen between the two time schedules. A 77% (95% CI 63.25-90.75%) response rate was recorded among 31 evaluable patients and the median survival was 12 months. The ECI regimen was well tolerated and showed considerable activity in patients with AS-SCLC. Phase II/III evaluation is ongoing. © Springer-Verlag 2005.

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.

The physical parameters of ten eclipsing binaries (eight contact and two semi-detached) are derived by using ground-based photometric observations and Hipparcos/Tycho photometric data, which mimic the photometric observations that are expected to be obtained by Gaia. The results are compared and the achievable precision of the basic stellar parameters derived by Gaia photometry is discussed.

We report the growth of single-phase, stoichiometric polycrystalline thin films of the half-Heusler ferromagnet NiMnSb, predicted to be half-metallic, on single crystal (100) InSb substrates heated at 200 °C by pulsed laser deposition (PLD). The NiMnSb target used for the PLD deposition was synthesized by arc melting and had a saturation magnetization, MS (5K) ≤ 4μB/formula unit. The films exhibited saturation magnetization, MS (5K) ≤ 4μB/formula unit and coercive fields of 2 Oe at 300 K, indicating good structural quality. The temperature dependence of the saturation magnetization shows that at low temperature (T < 200 K) the system behaves like a Heisenberg ferromagnet as expected for a half-metal, while at T > 200 K behaves like an itinerant ferromagnet. © 2005 IOP Publishing Ltd.

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.

Purpose: The aim of this study was to explore the effect of dose-dense sequential chemotherapy with or without paclitaxel primarily on disease-free survival (DFS) and secondarily on overall survival (OS) in patients with high-risk operable breast cancer. Patients and methods: From June 1997 until November 2000, 604 patients with T1-3N1M0 or T3 N0M0 tumors were randomized to three cycles of epirubicin 110 mg/m2 followed by three cycles of paclitaxel 250 mg/m2 followed by three cycles of 'intensified' CMF (cyclophosphamide 840 mg/m2, methotrexate 47 mg/m2 and fluorouracil 840 mg/m2) (group A), or to four cycles of epirubicin followed by four cycles of CMF, as in group A (group B). All cycles were given every 2 weeks with granulocyte colony-stimulating factor support. Results: A total of 595 patients were eligible. Median follow-up was 61.7 months for group A and 62 months for group B. The 3-year DFS was 80% in group A and 77% in group B. Survival rates were 93% and 90%, respectively. The effect of treatment on the hazard of death was different according to hormonal receptor status. More specifically, in patients with negative receptor status the hazard of death was significantly higher for group B (hazard ratio 2.42). Both regimens were well tolerated and severe acute side-effects were infrequent. No cases of severe cardiotoxicity or acute leukemia were recorded. Conclusions: The present study failed to demonstrate a significant difference in DFS or OS between the two treatment groups. However, our study has shown clearly that high-dose paclitaxel can be safely incorporated to dose-dense sequential chemotherapy. © 2005 European Society for Medical Oncology.