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PubMed1986

Plants used in phytotherapy, cosmetics and dyeing in the Pramanda district (Epirus, North-West Greece).

Thirty plants used in phytotherapy, cosmetics and dyeing in the Pramanda district (North-West Greece) are reported. For many plants (myrtle, phlomis, daphne, etc.) the uses are localized and not noted for other phytotherapies; some uses coincide with those existing in other zones of the Mediterranean (mint, thyme, red juniper, Hypericum, etc.). The plants used are the most common and most easily found in this area.

Coloring Agents↗
PubMed1992

The tradition of medicinal plants in Zagori, Epirus (northwestern Greece).

Traditional herbal medicine in the Zagori region of Greece was studied by obtaining information from users and collecting herbs. In addition, traditional remedies found in old manuscripts and books were compared with those currently used in modern literature. The 36 medicinal plants used today are listed, including their common and scientific names, indications (some new) and recipes for preparations.

Greece↗
PubMedDate not supplied

Assessment of radiology installations in Macedonia, Greece.

Nine, small and large radiology installations in Macedonia, Greece using 40 generators and a total of 47 roentgen tubes were assessed and their work load was calculated. The results of quality control measurements in 39 of these (27 radiographic and 12 fluoroscopic tubes) are presented. The parameters measured were: (a) kvp, (b) radiation output, (c) timer accuracy, (d) field coincidence and (e) total filtering. For fluoroscopic equipment spatial resolution and radiation field alignment were also measured. Equipment exploitation seems to be very low, since more than half of the equipment was less than 8 years old, with a work load under 200 mA.min per week. The total work load was calculated to be about 4612 mA.min per week, corresponding to 123,960 patients. These were examined by 52 radiologists supported by 58 radiographers. Skin exposure was measured for fluoroscopy patients (2.8 +/- 2.7 R/mA per min), as well as for a set of routine radiographic examinations.

Equipment Failure↗
PubMed1989

Soil sampling and 137Cs analysis of the Chernobyl fallout in Greece.

A total of 1242 samples of soil, collected over Greece, during the period May-November 1986, were counted and analysed for 137Cs from Chernobyl fallout. The counting was performed using a NaI detector on-line to a microcomputer, moreover, 252 of the samples were also analysed using Ge detectors, for inter-comparison and also for the assessment of other long-lived isotopes in the fallout. The results show that 137Cs fallout from Chernobyl presents a remarkable geographical variability. The evaluated ground activity due to 137Cs deposition ranges between 0.01 and 137 kBq/m2.

Accidents↗
PubMed2006

Driver behaviour, dilemma zone and safety effects at urban signalized intersections in Greece.

Driving behaviour at signalized intersections is one of the main factors contributing to the safety level of such entities. This behaviour, with respect to yellow signal obedience or violation, is examined at a signalized intersection in Thessaloniki, Greece. The data, collected for the study purposes, include vehicles' speeds and distance from stop line when exposed to yellow light, gender and age group of drivers as well as reaction of Platoon leaders and first followers. Drivers were grouped into three categories, namely conservative, normal and aggressive, according to their behaviour at the intersection, the existence of a dilemma or option zone and their initial approaching speed. A binary choice model was also developed relating the probability of stopping at the STOP line or crossing it as a function of approach speed, distance from intersection, gender, age group and the existence or not of a dilemma zone. The findings of this research indicate that a large percentage of drivers facing the yellow signal are caught in a dilemma zone due to high approaching speeds and exercise an aggressive behaviour. The distribution of drivers into the three categories changes with differing assumptions pertaining to the factors affecting the calculation of safe stopping distance and critical crossing distance as well as speed thresholds for determining a priori aggressive behaviour. The research concludes that aggressive drivers represent a high percentage of all drivers and measures towards improving driving behaviour and/or reducing vehicles' speeds are required.

Acceleration↗
PubMed2005

An economic evaluation of the 2003 European Society of Hypertension-European Society of Cardiology guidelines for the management of mild-to-moderate hypertension in Greece.

BACKGROUND: In the 2003 European Society of Hypertension-European Society of Cardiology (ESH-ESC) guidelines, it is concluded that the major classes of antihypertensive agents are suitable for the initiation and maintenance of antihypertensive therapy. The aim of this study was to compare the cost-effectiveness of each one of the major antihypertensive agents as monotherapy in the management of mild-to-moderate hypertension in Greece, when following the 2003 ESH-ESC guidelines. METHODS: We performed a cost-effectiveness analysis based on numbers needed to treat. A decision analysis model was developed to compare chlorthalidone, propranolol, amlodipine, enalapril and losartan. Clinical inputs were derived from a meta-analysis and randomized controlled trials and cost data from public sources. The evaluation of the cost of managing hypertension includes the cost of drug therapy, monitoring, treating side effects, poor compliance and switching. All costs were calculated from a public insurance system perspective, in 2004 Euros. Future costs and clinical benefits were discounted at 5%. The time frame was 5 years. Extensive sensitivity analyses were also performed. RESULTS: The cost (in Euros) of uncomplicated hypertension treatment for 5 years was 485.87, 567.66, 851.44, 607.45, and 1279.88 for chlorthalidone, propranolol, amlodipine, enalapril, and losartan, respectively. The estimated total cost (in Euros) to prevent one death was 60230.71, 70369.96, 105596.72, 75301.40, and 158659.35, respectively. CONCLUSIONS: In mild-to-moderate uncomplicated hypertension chlorthalidone is the most cost-effective agent. If it was the drug of choice to initiate treatment of uncomplicated hypertension, it would probably save the public insurance system organizations a great amount of expenses for benefit of the insured patients.

Antihypertensive Agents↗
PubMed2004

Status and management of blood lipids in Greek adults and their relation to socio-demographic, lifestyle and dietary factors: the ATTICA Study. Blood lipids distribution in Greece.

OBJECTIVE: In this work, we assessed the status and management of blood lipids in a sample of cardiovascular disease free adult men and women from Greece. We also evaluated the effect of several socio-demographic, dietary and lifestyle habits on lipid levels. METHODS: The ATTICA Study is a population-based cohort that has randomly enrolled 1128 men and 1154 women (aged >18 years old), stratified by age-gender, from the greater area of Athens, during 2001-2002. Adherence to Mediterranean diet was assessed through a diet score that was based on a validated food-frequency questionnaire. RESULTS: Forty-six percent of men and 40% of women had total serum cholesterol levels >200mg/dl. Of them, 40% of men and 30% of women were unaware of their condition. Twenty-one percent of men and 7% of women had HDL-cholesterol levels <35 mg/dl. Twenty-eight percent of men and 13% of women had triglyceride levels >150 mg/dl. Fifteen percent of men and 12% of women had LDL-cholesterol levels >160 mg/dl and 52% of men and 48% of women had LDL >130 mg/dl. Of those who had known blood lipid abnormalities, 36% of men and 33% of women followed a dietary medication, 31% of men and 20% of women were receiving a pharmaceutical treatment (mainly statin) and the rest were untreated. Participants who adopted the Mediterranean diet and received statin, had on average 9% lower total cholesterol (P = 0.04), 19% lower LDL-cholesterol levels (P = 0.02) and 32% lower oxidized LDL-cholesterol levels (P < 0.001) compared to those who were untreated and adopted a Westernized diet. CONCLUSIONS: We could speculate that about 3 million Greek adults had high total cholesterol levels. Adverse findings were also observed regarding the other investigated blood lipids. Mediterranean diet could be a complimentary mean to pharmaceutical treatment in reducing blood lipids.

Adult↗
PubMed2005

Burn injuries related to motorcycle exhaust pipes: a study in Greece.

PURPOSE: To identify measures that should reduce the incidence of burn injuries resulting from motorcycle exhaust pipes through epidemiological analysis of such injuries. BASIC PROCEDURES: During a 5-year period, 251 persons who suffered burn injuries related to motorcycle exhaust pipes have contacted four major hospitals belonging to the Emergency Department Injury Surveillance System (EDISS) operating since 1996 in Greece. These burn injuries were studied in relation to person, environment and vehicle characteristics. MAIN FINDINGS: The estimated countrywide incidence of burns from motorcycle exhaust pipes was 17 per 100,000 person-years (208 per 100,000 motorcycle-years). The incidence was two times higher for children than for older persons and among the latter it was 60% higher among females than among males. Most of burn injuries (70.5%) concerned motorcycle passengers, mainly when getting on or off motorcycle, with peak incidence during summer. The most frequent location of burn wounds was below the knee and particularly the right leg. It was estimated that the risk of motorcycle exhaust pipe burns when wearing shorts could be reduced by 46% through wearing long pants. Among the victims 65.3% experienced second degree burns. PRINCIPAL CONCLUSIONS: Motorcycle exhaust burns could be substantially reduced by systematically wearing long pants, by incorporating in the design of motorcycles external thermo resistant shields with adequate distance to the exhaust pipe, and by avoiding riding with children on motorcycles.

Adolescent↗
PubMed2005

The association of p53 mutations and p53 codon 72, Her 2 codon 655 and MTHFR C677T polymorphisms with breast cancer in Northern Greece.

The aim of this study was to explore a possible association between p53 codon 72, Her 2 codon 655 and MTHFR C677T polymorphisms and breast cancer in Northern Greece. We examined 42 women with breast cancer and 51 controls. A total of 42 women with breast cancer as well as healthy controls were investigated and results showed that p53 codon 72 polymorphism is statistically significantly associated with breast cancer (OR for Arg/Arg to non-Arg/Arg was 6.66, P = 0.0001 at 95% CI 2.63-16.9), but not Her 2 and MTHFR polymorphisms are associated with breast cancer (OR for Ile/Ile to non-Ile/Ile was 1.33, P = 0.54 at 95% CI 0.52-3.38 and OR for T/T versus non-T/T was 1.07, P = 0.89 at 95% CI 0.35-3.25). All subjects were examined for p53 exons 5-8 mutations. Three novel sequence variations in exons 7 and 8 of TP53 gene were found in three patients. One of them induces an amino acid change at Ser 241Gly, the second is a silent mutation Gly244Gly, and the third one results in a premature stop codon 294 (Glu294stop) and a truncated p53 protein.

Adult↗
PubMed2004

Profile analysis of organic micropollutants in the environment of a coal burning area, NW Greece.

The concentrations and profiles of dibenzo-p-dioxins, dibenzofurans, polychlorinated biphenyls and polynuclear aromatic compounds in various environmental matrices are presented in this study. The examined environmental matrices are total suspended particles, fly ash and soil collected in NW Greece, an area characterized by intensive coal burning for electrical power generation. Moreover, the occurrence of organic micropollutants in soot after an accidental fire was examined and the possible impact on the outdoor environment was evaluated. Results were statistically treated to obtain information on representative PCDD/F profiles in each matrix and to compare these profiles with the compositional patterns of possible sources from literature. Coal combustion, fly ash and vehicle exhausts appeared to be the most possible sources in local atmosphere.

Benzofurans↗
PubMed2004

Profile analysis of ambient and source emitted particle-bound polycyclic aromatic hydrocarbons from three sites in northern Greece.

Polycyclic aromatic hydrocarbons (PAHs) adsorbed to ambient PM(10) were determined at three sites in Thessaloniki, northern Greece, during the period June 1997-July 1998. Ambient PAH profiles exhibited significant seasonal and spatial variations. Source PAH profiles were obtained for a number of urban, industrial and geological sources including cement, fertilizer and asphalt production, quarry operations, metal electroplating, metal welding and tempering, steel manufacture, lead and bronze smelters, metal scrap incineration, oil burning, non-catalyst equipped passenger cars, diesel fueled taxies and buses, paved road dust and soil dust. Principal component analysis (PCA) and diagnostic ratios were employed to compare ambient and source PAH profiles in an attempt to recognize compositional patterns. Similarities between the ambient PAH profiles and the profiles of certain sources, such as vehicular emissions, oil burning and metal industries, were identified.

Air Pollutants↗
PubMed2005

Microbiological risk assessment of Agios Georgios source supplies in Northwestern Greece based on faecal coliforms determination and sanitary inspection survey.

The assessment of potential risks from microbiological contamination of drinking water supplies is of greatest concern to human health. The study involves the examination of water samples from Agios Georgios source that supplies the capitals, the major towns and several villages of Arta, Preveza and Lefkada prefectures, in Northwestern Greece. The study includes the sanitary inspection survey of the source and the microbiological examination of water samples on a monthly basis during the period February 1996-June 1999 except of Augusts (n=38). The microbiological risk assessment (MRA) approach of World Health Organisation (WHO) guidelines was applied to enhance the source protection. The faecal contamination of the source water was quantified using faecal coliforms (FC) as indicator bacteria. Microbiological analyses indicate that of the 38 samples analyzed the FC failure rate (positive samples) was 63.2% according to the limit set by the 98/83 directive of the European Union. The 36.8% of the source water samples was found in conformity with WHO guidelines, 42.1% of low risk, 21.1% of intermediate risk while there was not found samples of high or very high risk. Failure rates displayed a seasonal trend being greater during the winter, decreased during spring and autumn and lower during summer. This observation was explained partially by a significant positive relationship with the rainfall amount (r(Spearmann)=0.890, P=0.001). The sanitary inspection score was found 5/10 during the whole survey period that corresponds to an intermediate risk of source contamination. The color-code classification for FC contamination was found 36.8% A (blue, no risk), 42.1% B (green, low risk) and 21.1% C (yellow, intermediate risk). The previous risks were combined for the assessment of waterborne risk, which was determined as intermediate to high; therefore there is a need for high action priority. The potential remedial actions were also suggested in order to improve the source protection of such supplies.

Colony Count, Microbial↗
PubMed2004

PM10-bound polycyclic aromatic hydrocarbons (PAHs) in the Greater Area of Athens, Greece.

Polycyclic aromatic hydrocarbons (PAHs) associated to ambient PM10 were determined at four sites within the Greater Athens Area (GAA), Greece, during the period May 2001-June 2002. Daily average PM10 samples were collected using reference samplers installed in two urban locations (Maroussi, MAR and Aristotelous, ARI), a mixed urban-industrial location (Elefsina, ELE), and a background location (Thracomacedones, THR). Spatial and temporal variation of ambient PAH levels and possible relationships with conventional air pollutants and meteorological parameters were investigated. Moreover, source identification was attempted using diagnostic ratios. The PAH concentrations observed in this study, even in downtown Athens, were towards the lowest end of the range of values reported for other European urban locations. The mean concentration of the well known carcinogen B[alpha]Py was at all four sites below the proposed value of 1 ng m-3 (annual average assessment threshold). Automobile traffic was identified as the major PAH source in the GAA exhibiting greatest contribution in the urban sites.

Air Pollutants↗
PubMed2005

Accumulation profiles of persistent organochlorines in liver and fat tissues of various waterbird species from Greece.

Waterbirds are particularly subject to accumulation of persistent organic pollutants (POPs) that have been shown to constitute a major hazard for this group of birds. Liver and fat tissue from ten species belonging to the orders Ciconiformes (Ardeidae, Ciconiidae, Phoenicopteridae) and Pelicaniformes (Pelecanidae, Phalacrocoracidae) were used as bioindicators in order to assess environmental pollution by POPs (HCHs, DDTs, cyclodienes, PCBs) in Greek wetlands. To our knowledge, this is the first study on POPs in livers of water birds in Greece and Eastern Mediterranean area. The DDTs consisted mainly of p,p'-DDE with percentages over 60% in the great majority of the samples. The highest summation SigmaDDT concentrations were measured in the liver and subcutaneous fat of Phoenicopterus rubber and in Ardea purpurea liver (15565, 24706 and 10406 ng g(-1) wet weight, respectively). Low concentrations of cyclodienes (Cycls) and HCHs were detected occasionally and the contamination pattern of OCPs in most species of waterbirds followed the order summation SigmaDDTs> summation SigmaCycls> summation SigmaHCHs. Individual values of total PCBs reached the levels of 4468 and 3252 ng g(-1) wet weight, for Nycticorax nycticorax and Egretta garzetta samples respectively. Some of the recorded differences in organochlorine concentrations could be due to different causes of death, with a subsequent effect on body lipid levels. Organochlorine pesticides and PCBs residues were lower than those commonly associated with mortality and reduced reproductive success in most species. However, low level exposure to these contaminants may constitute one of the many stressors that in combination could adversely affect bird populations.

Adipose Tissue↗
PubMed2006

Characterization of atmospheric particulates, particle-bound transition metals and polycyclic aromatic hydrocarbons of urban air in the centre of Athens (Greece).

The concentrations of trace metals and polycyclic aromatic hydrocarbons (PAHs) adsorbed to total suspended particulate (TSP) and finer fractions of airborne particulate matter (PM) were determined from a site in the centre of Athens (Greece), which is characterized by heavy local traffic and is densely populated, during the winter and summer periods in 2003-2004. Also, we collected and analyzed samples of diesel and gasoline exhaust particles from local vehicles (buses, taxis and private cars) and from chimney exhaust of residential central heating appliances. A seasonal effect was observed for the size distribution of aerosol mass, with a shift to larger fine fractions in winter. The most commonly detected trace metals in the TSP and PM fractions were Fe, Pb, Zn, Cu, Cr, V, Ni and Cd and their concentrations were similar to levels observed in heavily polluted urban areas from local traffic and other anthropogenic emissions. Analysis of 16 PAHs bound to PM showed that they are mostly traffic related. In general, the fine particulate PAHs concentrations were higher than coarse particles. The most common PAHs in PM(10.2) and PM(2.1) were pyrene, phenanthrene, acenapthylene and fluoranthene, which are associated with diesel and gasoline exhaust particles. The results of this study underlined the importance of local emission sources, especially vehicular traffic, central heating and other local anthropogenic emissions. Compared with other big cities, Athens has much higher levels of airborne particles, especially of the finer fractions PM(10) and PM(2.5), correlated with traffic-related air pollution.

Air Pollutants↗
PubMed2006

Occurrence of polychlorinated biphenyls (PCBs) in the Soulou stream in the power generation area of Eordea, northwestern Greece.

The occurrence of polychlorinated biphenyls (PCBs) was investigated in the Soulou stream in the area of Eordea, northwestern Greece, receiving the effluents of two lignite burning power plants. The study was carried out after an accidental fire in one of the power plants during which losses of an amount of Aroclor 1232 were recorded. PCBs were determined in water and sediment samples collected from the wastewater treatment unit of the power plant and various points across the stream. Concentrations of PCBs were in the same order of magnitude as in other surface waters and sediments previously found in the Greek territory. The sum concentrations of seven PCBs (#28, #52, #101, #118, #138, #153, #180) varied between 94 and 206 ngl(-1) in waters, and between 67 and 500 ngg(-1) in sediments. Profile analysis of PCB congeners revealed large differences between waters and sediments, showing also significant dissimilarity with the profile of Aroclor 1232.

Carbon↗
PubMed2006

Trace elements in atmospheric particulate matter over a coal burning power production area of western Macedonia, Greece.

Total suspended particle (TSP) concentrations were determined in the Eordea basin (western Macedonia, Greece), an area with intensive lignite burning for power generation. The study was conducted over a one-year period (November 2000-November 2001) at 10 sites located at variable distances from the power plants. Ambient TSP samples were analyzed for 27 major, minor and trace elements. Annual means of TSP concentrations ranged between 47+/-33 microg m(-3) and 110+/-50 microg m(-3) at 9 out of the 10 sites. Only the site closest to the power stations and the lignite conveyor belts exhibited annual TSP levels (210+/-97 microg m(-3)) exceeding the European standard (150 microg m(-3), 80/779/EEC). Concentrations of TSP and almost all elemental components exhibited significant spatial variations; however, the elemental profiles of TSP were quite similar among all sites suggesting that they are affected by similar source types. At all sites, statistical analysis indicated insignificant (P<0.05) seasonal variation for TSP concentrations. Some elements (Cl, As, Pb, Br, Se, S, Cd) exhibited significantly higher concentrations at certain sites during the cold period suggesting more intense emissions from traffic, domestic heating and other combustion sources. On the contrary, concentrations significantly higher in the warm period were found at other sites mainly for crustal elements (Ti, Mn, K, P, Cr, etc.) suggesting stronger influence from soil resuspension and/or fly ash in the warm months. The most enriched elements against local soil or road dust were S, Cl, Cu, As, Se, Br, Cd and Pb, whereas negligible enrichment was found for Ti, Mn, Mg, Al, Si, P, Cr. At most sites, highest concentrations of TSP and elemental components were associated with low- to moderate-speed winds favoring accumulation of emissions from local sources. Influences from the power generation were likely at those sites located closest to the power plants and mining activities.

Air Pollutants↗
PubMed2005

Correlates of high-density mammographic parenchymal patterns by menopausal status in a rural population in Northern Greece.

Reproductive factors affect breast cancer risk, but less is known of their associations with mammographic density and whether these differ by menopausal status. We report on a cross-sectional study of 1946 pre- and 3047 post-menopausal women who joined a breast screening programme in Northern Greece during 1993-1997. The odds of having a high-density Wolfe pattern (P2/DY) was inversely associated with age (P for linear trend <0.001) in both pre- and post-menopausal women and, for post-menopausal women, with years since menopause (P < 0.001). The odds of a P2/DY pattern declined with higher parity (P < 0.001) and younger age at first pregnancy (P = 0.05) in both pre- and post-menopausal women. They also decreased with the duration of breast-feeding in pre-menopausal women (P = 0.03 in pre- and P = 0.69 in post-menopausal women; test for interaction with menopausal status: P = 0.07). Age at menarche, age at menopause and the number of miscarriages/abortions were not associated with mammographic density. Age at first pregnancy and parity were strong correlates of mammographic density in pre- and post-menopausal women while duration of breast-feeding appeared to be particularly important in pre-menopausal women.

Aged↗