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Use of an automated on-line SPE-HPLC method to monitor caffeine and selected aniline and phenol compounds in aquatic systems of Macedonia-Thrace, Greece.

Caffeine and selected aniline and phenol compounds have been monitored in the river, lake, and ground water of Northern Greece (Macedonia-Thrace) from September 1999 to December 2000 by means of a fully automated on-line SPE-HPLC method. Among the target aniline and phenol compounds the most abundant was 2,6-di-tert-butyl-4-methylphenol, which was found to be present in both surface and ground water samples. Caffeine was also very frequently present in river and ground water, although its presence in lake water was rare. Caffeine and 2,6-di-tert-butyl-4-methylphenol were also monitored by off-line SPE of water samples and GC-ion-trap MS analysis of extracts.

Aniline Compounds↗

Low vitamin D status in mother-newborn pairs in Greece.

Adequate vitamin D status during pregnancy is crucial to assure normal fetal skeletal growth and to provide the vitamin D needed for infants' stores. To determine the actual situation in Greece, we evaluated serum 25-hydroxyvitamin D (25[OH]D), calcium (Ca), phosphorus (P), alkaline phosphatase (ALP), parathyroid hormone (PTH), osteocalcin (OC), and calcitonin (CT) concentrations in 123 healthy mother-newborn pairs recruited from a public hospital of the sunny Athenian region. Blood samples were obtained from pregnant women at term and their neonates (cord blood). The study was conducted between June 2003 and May 2004. None of the mothers has been prescribed vitamin D supplements. Maternal 25(OH)D levels (16.4 [11-21.1] ng/mL) were significantly lower than umbilical venous blood concentrations (20.4 [13.9-30.4] ng/mL) (P < 0.001). A strong correlation was observed between maternal and infant 25(OH)D concentrations (r = 0.626, P < 0.001). Twenty-four (19.5%) mothers and 10 (8.1%) neonates had 25(OH)D <10 ng/mL. Pregnant women who delivered in summer and autumn reported higher levels of 25(OH)D (18.9 [12.9-23.3] ng/mL) than those who delivered in winter and spring (14.6 [10.1-18.5] ng/mL) (P = 0.006). Mothers with a darker phototype had lower levels of serum 25(OH) D than those with a fair phototype (P = 0.023). Umbilical venous blood Ca, P, OC, and CT levels were significantly higher than maternal venous blood levels (P < 0.001). PTH umbilical levels were lower than maternal levels (P < 0.001). Apparently, the abundant sunlight exposure in Athens is not sufficient to prevent hypovitaminosis D. Pregnant women should be prescribed vitamin D supplementations, and the scientific community should consider vitamin D supplementation of foods.

Adult↗

Molecular phylogeny of the extinct pleistocene dwarf elephant Palaeoloxodon antiquus falconeri from Tilos Island, Dodekanisa, Greece.

A partial sequence of cytochrome b (228 bp) gene of mitochondrial DNA was successfully determined from rib bones of the dwarf elephant Palaeoloxodon antiquus falconeri BUSK, which were excavated from Charkadio cave of the island of Tilos, Dodekanisa, Greece. This is the first report of DNA sequence of a dwarf elephant. The sequences were used to examine the phylogenetic relationships among Elephantidae. Phylogenetic trees reconstructed by the neighbor-joining and maximum parsimony methods provided identical topologies. The results support the "Palaeoloxodon-Elephas" clade, which is consistent with previous morphological reports according to which Palaeoloxodon is more closely related to Elephas than to Loxodonta or Mammuthus.

Animals↗

Mercury in feathers of little egret Egretta garzetta and night heron Nycticorax nycticorax chicks and in theirprey in the Axios Delta, Greece.

Mercury concentrations were measured in feathers oflittle egret and night heron chicks and in their prey in the Axios Delta,Greece. Significantly higher concentrations occurred in night heron than inlittle egret in 1993. In the night heron the mercury content of feathers wasnegatively correlated to the size of chicks, possibly due to inhibition ofgrowth. Mercury concentrations were higher than reported for heron feathersin seriously polluted sites in North America and Japan, but the toxic hazardis unclear. Diets differed considerably between the two species due to use ofdifferent foraging habitats and this seems responsible for different mercurycontents of feathers. Mercury concentrations in the pumpkinseed sunfishLepomis gibbosus, goldfish Carrassius auratus, and indragonfly Odonata larvae were the highest among the prey categories. Frogs and water beetles Dytiscidae had moderate concentrationswhereas saltwater fish and terrestrial prey had very low mercuryconcentrations. The implication is that the deltaic marshes are the habitatmost polluted with mercury. Night heron chick feathers, freshwater fish anddragonfly larvae could be used to monitor mercury contamination in thisregion, but use of bird feathers alone could give misleading results ifchanges in diet occurred.

Age Factors↗

Limnothrix redekei (Van Goor) Meffert (Cyanobacteria) strains from Lake Kastoria, Greece form a separate phylogenetic group.

Three strains of Limnothrix (Cyanobacteria) isolated from Lake Kastoria, Greece, were characterized based on their morphological features and 16S rRNA gene sequences. The Limnothrix isolates 007a, 165a, and 165c can morphologically be assigned to Limnothrix redekei (Van Goor) Meffert. The 16S rRNA gene of the Limnothrix strains showed a 99% similarity to the 16S rRNA gene of Planktothrix sp. FP1. Limnothrix redekei strains 165a, 165c, 007a and Planktothrix sp. FP1 formed a separate cluster in the cyanobacterial 16S rRNA gene tree. It was distinct from the Pseudanabaena cluster, which included the other Limnothrix strains isolated from northern temperate lakes. This is the first report on the phylogeny of L. redekei strains originating from a Mediterranean lake (southern Europe) and provides new data about the genus Limnothrix.

Analysis of Variance↗

Assessing the impact of pluriactivity on sustainable agriculture. A case study in rural areas of Beotia in Greece.

Pluriactivity of farms, or part-time farming, is a common feature of agriculture in all countries regardless of their socioeconomic system and level of development. Currently, pluriactivity is related to the values of sustainable agriculture. The objective of this study is to delineate those specific characteristics of pluriactive farms that contribute to sustainable agriculture. In rural areas of Boetia in Greece, a socioeconomic survey was carried out on 114 farms to determine the types of farming applied. The results demonstrate that pluriactivity is a stable component of the agricultural structure in the rural areas of Boetia. It is widespread in plains, but its presence is more important in mountainous and semimountainous areas. The choice of young farmers is to opt for pluriactivity. Farm size does not differ between pluriactive and full-time farms. Pluriactive and full- time farms use the same level of input and get the same output for the same type of crop. However, pluriactive farmers under the same land-productive conditions are oriented toward a more extensive farming system, managing their land with crops that need less inputs. Considering these findings, it can be claimed that pluriactivity can contribute to diminishing the demand on natural resources in favored (level and irrigated) areas, to continue agricultural production in unfavorable (mountainous and semimountainous) areas, and to help the sustenance of the rural population.

Agriculture↗

Re-establishing a sustainable wetland at former Lake Karla, Greece, using Ramsar restoration guidelines.

Lake Karla, Greece, was almost completely drained in 1962 both to protect surrounding farmlands from flooding and to increase agricultural area. Loss of wetland functions and values resulted in environmental, social, and economic problems. A number of restoration plans were proposed to address these problems. The plan approved by the government in the early 1990s proposed construction of a 4200-ha reservoir solely to improve water storage and flood attenuation functions. However, the Ramsar Scientific and Technical Review Panel states that the primary goal of any restoration project is to create resilient and sustainable ecosystems, as measured on a human timescale, in order to improve the ecological character and enhance the socioeconomic role that the wetland plays in the watershed. This study utilizes Ramsar guidelines for sustainable restoration of Lake Karla. Eight additional restoration measures are proposed based on functional analysis of the wetland to enhance additional wetland functions and support multiple values for humans and nature.

Agriculture↗

Integrated wastewater management reporting at tourist areas for recycling purposes, including the case study of Hersonissos, Greece.

Wastewater treatment facilities in tourist areas, in comparison to other municipal facilities, require specific configurations and additional management actions in order to achieve a reliable and cost-effective treatment. For example, the same facility operates during winter with minimum flows and in summer with peak flows. Moreover, careful effluent management is required to minimize environmental impact and health effects on tourists. In this study, effluent management data, including quantitative and qualitative effluent characteristics, reuse, and economic aspects of the Hersonissos Wastewater Treatment Plant (WTP) in Greece, are discussed. It has been designed to treat both municipal wastewater from the Hersonissos Municipality and septage from the wider area. Analysis of effluent quantitative data showed two flow peaks in the summer period and only one in winter. The WTP was found to provide a reliable level of treatment in terms of biochemical oxygen demand (95.9%), total suspended solids (97.2%), and total nitrogen (87.7%) removal, but increased numbers of fecal coliforms were measured at some peak flow periods, suggesting the need for additional management strategies. Effluent is reused mainly for agricultural irrigation; secondary uses include fire protection and landscape irrigation. Economic analysis showed that for each cubic meter treated, the total annual economic cost for treatment, filtration, and reuse infrastructure was 1.07 euro, 0.05 euro, and 0.08 euro, respectively.

Conservation of Natural Resources↗

A hierarchical fuzzy decision support system for the environmental rehabilitation of Lake Koronia, Greece.

This article presents the design of a fuzzy decision support system (DSS) for the assessment of alternative strategies proposed for the restoration of Lake Koronia, Greece. Fuzzy estimates for the critical characteristics of the possible strategies, such as feasibility, environmental impact, implementation time, and costs are evaluated and supplied to the fuzzy DSS. Different weighting factors are assigned to the critical characteristics and the proposed strategies are ordered with respect to the system responses. The best strategies are selected and their expected impact on the ecosystem is evaluated with the aid of a fuzzy model of the lake. Sensitivity analysis and simulation results have shown that the proposed fuzzy DSS can serve as a valuable tool for the selection and evaluation of appropriate management actions.

Costs and Cost Analysis↗

Fatal chest injury with lung evisceration during athletic games in ancient Greece.

The "Olympic idealism" that dominates modern athletic culture is a myth. The true aims of the athletes in ancient Greece were rewards and life-long appointments to various positions in the military or the city administration. Competitions in the athletic games included, among others, wrestling, boxing, and pangration (a combination of wrestling and boxing). Occasionally, these games resulted in severe trauma or death. Two cases of extreme violence resulting in fatal chest trauma are presented and commented on from both surgical and social points of view.

Athletic Injuries↗

Audiological profile of the prevalent genetic form of childhood sensorineural hearing loss due to GJB2 mutations in northern Greece.

The present study describes the audiological profile of genetic hearing loss resulting from GJB2 mutations in northern Greece, as this represents the most frequent single cause of childhood sensorineural hearing loss. The 35delG mutation in homozygosity was detected in 27 of 107 patients (25.2%). The audiological profile is that of a profound or severe sensorineural hearing loss, with a sloping or flat configuration of the audiogram, mostly symmetrical, non-progressive and affecting more the higher frequencies. This profile underlines the importance of early identification and genetic family counseling leading to the future possibility of prevention of deafness.

Adolescent↗

Individual cases of autochthonous malaria in Evros Province, northern Greece: serological aspects.

From 1994 to 1995 four presumably autochthonous malaria cases were diagnosed by blood smear microscopy in Evros Province, northern Greece. Alarmed by these unexpected infections a serological survey was performed from 1997 to 1999 in ten rural villages, including those where the malaria cases had occurred. Among the 1,102 blood samples examined, nine turned out to contain specific antibodies against plasmodial parasites as detected by indirect fluorescent antibody test, including two of the former patients. The remaining seven samples were taken from healthy individuals with no history of recent infection or of having travelled to endemic areas. A further 21 sera showed borderline reactivity with Plasmodium falciparum antigen. Although no retrospective examination of the blood specimens could be performed to confirm the serological results by direct parasite detection, we can conclude that at least the seropositive persons have actually undergone infection with malaria parasites but developed no or only mild clinical symptoms which went unnoticed. It is becoming obvious that even in European countries where climatic and vector conditions are favourable for the development of the parasite there is a potential risk of incidental malaria transmission by indigenous Anopheles mosquitoes.

Animals↗

Individual cases of autochthonous malaria in Evros Province, northern Greece: entomological aspects.

Prompted by four autochthonous cases of malaria in 1994 and 1995 in Evros Province, northern Greece, we conducted an entomological study between 1997 and 1999 in Nipsa and Chandras, rural locations where two of the four cases had occurred, and in Feres where two additional autochthonous malaria cases had been diagnosed in 1998. In Nipsa and Chandras, we identified 29 Anopheles breeding sites and characterized them by physicochemical parameters. Larvae were collected both at these sites and in a brackish water breeding site near Feres in the Evros River delta. Adults were caught in sheds at all three locations. Morphology was used to classify larvae and adults as A. superpictusor as species belonging to the A. claviger or A. maculipennis species complexes. The latter were further identified by PCR as being A. maculipennis s.s., A. melanoon and A. sacharovi. Of the A. maculipennis complex larvae collected inland, approximately 94% were A. maculipennis s.s. and 6% A. melanoon, whereas all larvae collected in the coastal region were A. sacharovi. In contrast, the A. maculipennis adults were A. maculipennis s.s. and A. melanoon (both 47%), and A. sacharovi (6%). In the coastal region, no A. maculipennis s.s. adults were caught. The ratio of A. melanoon adults collected to A. sacharovi was about 3:1. As shown by a bloodmeal ELISA, only 5 of 266 fed females (1.9%) had ingested human blood, whereas 232 (87%) had fed on goats. Of the mosquitoes containing human blood, two were A. melanoon, one A. sacharovi and one A. maculipennis s.s. One human blood specimen could no longer be assigned to a particular mosquito.

Animals↗

Weather impacts on respiratory infections in Athens, Greece.

In this study the contribution of meteorological parameters to the total variability of respiratory infections (RI) is analysed. For this purpose, data on the daily numbers of general practitioner (GP) consultations for RI during the year 2002 were used. This dataset has been compiled by the Local Health Service in the surroundings of Athens, Greece (Acharnes city). The meteorological data obtained by the Meteorological Station of the National Observatory of Athens comprise daily values of mean, maximum, and minimum air temperature, air temperature range, relative humidity, absolute humidity, sunshine, surface atmospheric pressure, wind speed, as well as day-to-day changes of these parameters. Furthermore, the following biometeorological parameters and thermal indices were also evaluated: mean radiant temperature (T (mrt)), predicted mean vote (PMV), physiologically equivalent temperature (PET) and standard effective temperature (SET*) as well as their day-to-day changes. First, the relationship between every meteorological-biometeorological parameter and consultations for RI was examined by applying the Pearson Chi-Square Test (chi (2)) to the data of the 25 compiled contingency tables. In the second stage, the application of generalised linear models (GLM) with Poisson distribution to the data revealed how much the weather variability leads to statistically important changes in consultations for RI. The results of this study contribute to the evidence that there is an association between weather conditions and the number of GP consultations for RI. More specifically, the influence of air temperature and absolute humidity on consultations on the same day is weaker than the lag effect ( approximately 2 weeks) related to cold existence and absolute humidity, while a strong wind during the preceding 3 days drives a peak in GP consultations.

Greece↗

On the association between daily mortality and air mass types in Athens, Greece during winter and summer.

In this study, we examined the short-term effects of air mass types on mortality in Athens, Greece. An objective air mass types classification was used, based on meteorological parameters measured at the surface. Mortality data were treated with generalized additive models (GAM) and extending Poisson regression, using a LOESS smoother to control for the confounding effects of seasonal patterns, adjusting also for temperature, long-term trends, day of the week, and ambient particle concentrations. The introduced air mass classification explains the daily variation of mortality to a statistically significant degree. The highest daily mortality was observed on days characterized by southerly flow conditions for both the cold (increase in relative risk for mortality 9%; with a 95% confidence interval: 3-14%), and the warm period (7%; with a 95% confidence interval: 2-13%) of the year. The northeasterly flow is associated with the lowest mortality. Effects on mortality, independent of temperature, are observed mainly for lag 0 during the cold period, but persist longer during the warm period. Not adjusting for temperature and/or ambient particle levels slightly alters the results, which then reflect the known temperature and particle effects, already reported in the literature. In conclusion, we find that air mass types have independent effects on mortality for both the cold and warm season and may be used to predict weather-related adverse health effects.

Air Movements↗

Awareness of diagnosis, and information-seeking behavior of hospitalized cancer patients in Greece.

PURPOSE: The goal of our study was to evaluate the extent of disease-related knowledge and the need for further information of cancer patients in Greece. MATERIALS AND METHODS: We evaluated 203 mentally competent adult cancer patients hospitalized in general and oncological hospitals in the city of Athens and its suburbs. Data were collected by means of semistructured interviews. Patients were evaluated as to whether they had awareness of their diagnosis. Those who did so (n = 83) were further questioned about additional disease-related information. RESULTS: The majority of patients (59%) claimed to have no knowledge of their diagnosis. Women (p = 0.004) as well as high school and university graduates (p = 0.024) showed significantly superior levels of information when compared to men and graduates of elementary schools, respectively. Age was also a factor that influenced the level of the awareness of the diagnosis and the request for additional information: patients who were informed about the diagnosis and patients who asked for more information were significantly younger than their counterparts who ignored the diagnosis (p < 0.001) and those who didn't ask for further information, respectively (p = 0.03). Hospital specialization (oncological versus general, p < 0.001) and department specialization (medical versus surgical, p = 0.004) were associated with significantly increased levels of information. The patient's educational level was associated with increased request for additional information (p = 0.006). Most patients with knowledge of their diagnosis requested detailed information about severity of their disease and prognosis. Only 13% of those in the informed group claimed they would have benefited psychologically by having been unaware of their diagnosis. CONCLUSIONS: Although Greek patients with diagnoses of malignancies want and need to be adequately informed, the amount of information they receive is inadequate. Over half of those patients evaluated were not aware of their diagnosis. Attitudes of health care professionals, preestablished family beliefs, "mind-set" difficulties, and organizational issues should not become barriers to the patients' right to be fully informed of their diagnoses and choices of potential therapies.

Adult↗

Nucleotide sequence of the 3' terminal region of the genome of four lettuce mosaic virus isolates from Greece and Yemen.

Lettuce mosaic virus (LMV) is an economically important Potyvirus causing a severe disease of commercial lettuce crops. Based on molecular data, three phylogenetic groups of isolates have previously been discriminated, reflecting their geographical origin (Western Europe-California, Greece, or Yemen). Sequence information for the entire coat protein domain was only available for one of the Western Europe-California phylogenetic group. We have now sequenced the 3' terminal region of the genome LMV-Gr4, -Gr5 and -GrB, isolates which belong to the Greek phylogenetic group and of LMV-Yar, the sole known representative of the third LMV phylogenetic group. The region sequenced encodes the last 62 amino-acids of the polymerase and the entire coat protein of the four isolates, plus the 3' non-translated region of LMV-Gr5 and -Yar. The Greek and Yemenite isolates studied are all very aggressive on lettuce, are able to overcome the resistance genes mo1(1) and mo1(2) and belong to the two phylogenetic groups which have so far been only partially characterised. As for other Potyviruses, the core and the C-terminal regions of the coat protein are highly conserved among all isolates whereas the N-terminus is more variable. No amino acid change in the coat protein or carboxy-terminal part of the polymerase could be related to the resistance-breaking properties of the isolates analysed. The sequences obtained provide the basis for the rapid typing of LMV isolates using the restriction pattern of segments of cDNA amplified by PCR.

3' Untranslated Regions↗

Eruption times of permanent teeth in children and young adolescents in Athens (Greece).

In a study in Athens, Greece, during the summer of 2003, 2,304 patients (1,168 boys and 1,176 girls) were examined by a young dentistry. The examination occurred within the framework of a routine dental check-up performed at the National and Kapodistrian University of Athens. The age span ranged from 3.00 to 24.93 years of age. Sex, age and present permanent teeth were recorded. Wisdom teeth were excluded. The sequence of tooth eruption differs significantly in the lower and upper jaw, whereas no significant differences existed when comparing the sides of each jaw. The tooth eruption in the lower and upper jaw of male and female probands is symmetrical. In comparing the upper and the lower jaw of both genders, it becomes evident that there is a tendency for earlier tooth eruptions in the lower jaw. In respect to the tooth eruption sequence, a change was noted in the upper jaw. Contrary to the reports of other authors, the second premolar has changed places with the canine and erupts prior to this tooth. This could also be demonstrated in recent studies from New York and Bremen (Germany). Otherwise no major differences concerning the sequence of tooth eruptions were observed, when compared with the results gained from other populations. Concerning the entire dentition, no acceleration of the tooth eruption could be noted. The computed differences of teeth eruption as a mean value calculated over all teeth was +/-1 year at maximum, compared with studies from different continents. Oral examination of teeth is a simple tool to calculate tooth eruption intervals. This first investigation in a population of Athens revealed a change in the eruption sequence of permanent teeth. These findings are relevant for dental treatment planning and should be reconfirmed at certain intervals.

Adolescent↗