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PubMed2001

Childhood acute rheumatic fever in Greece: experience of the past 18 years.

UNLABELLED: This study reports on the authors' experience with acute rheumatic fever (ARF) during the years 1980-1997. The objectives were to estimate the incidence of the disease an area of Greece to characterize its epidemiology, to determine the frequency of the antecedent symptoms and to describe its clinical presentation. The medical records of 66 confirmed cases admitted to the First Department of Pediatrics, "Aghia Sophia" Children's Hospital, were reviewed. Two outbreaks occurred during this period. In contrast to the 3-4 cases seen every year, 14 cases were diagnosed during the 6 mo period from October 1989 to March 1990. An additional 10 cases were diagnosed in 1993. Most of the children (76%) were between 8 and 14 y old. The children were predominantly from middle-class families with ready access to medical care. Carditis, evident by auscultation, and arthritis were the dominant major manifestations in 70% and 68% of the cases, respectively. Mild carditis was present in 54% of children with valvular disease. CONCLUSION: ARF exists in the paediatric Greek population with exacerbations and remissions, but the cardiac manifestations appear mild or moderate.

Adolescent↗
PubMed2003

Emissions of air pollutants from the road transport sector in Greece: year to year variation and present situation.

It is common knowledge that atmospheric emissions of various pollutants, from mobile and stationary sources, affect quality of life and public health. The impact of these emissions can be of a small (urban smog) or regional scale (acid deposition, troposheric ozone), as a result of the transportation of pollutants in the atmosphere. In terms of a local scale, road traffic is considered to be the most important pollutants source. In the present work, air pollutants emissions from road transport in Greece will be presented. The reference date for the calculations is the year 2000, but additionally, a year-to-year variation (from 1992 to 2000) of the emissions will be examined in order to clarify the impact of the vehicle fleet and the engine technology changes. To calculate emissions, a methodology developed for the European Commission in the framework of the CORINAIR project has been applied. This methodology was further improved and adjusted to the greek fleet characteristics taking into account the vehicle age, the level of the vehicle maintenance etc. Calculations have shown that, despite during the last years the amount of the emitted pollutants per vehicle has significantly decreased, the total pollutants emitted have increased as a result of the increase the number of circulating vehicles. More specifically, in heavy duty vehicles and passenger cars have the most important role for emitting NOx, whilst motorcycles are the most important polluters for non-methene article organic compounds.

Air Movements↗
PubMed2004

Comparison of air pollutant concentrations between weekdays and weekends in Athens, Greece for various meteorological conditions.

The objective of the present study is to contribute to the understanding of the "ozone weekend effect" as it occurs in the Greater Area of Athens, Greece both in the summer and wintertime. Therefore, weekly cycles of CO, NO and O3 concentrations for the 18-year-period 1983-2000 are studied. Each day of the week is considered separately, while sites with different levels of primary pollutants are examined. The reduction of the meteorological influence in the O3 mechanisms is achieved by applying meteorological classifications. The analysis for the cold period reveals that CO and NO display decreasing concentrations from weekdays to weekends, whereas O3 shows increasing concentrations. During the warm period, although primary pollutants display decreased concentrations compared to the cold period, their weekly cycles remain the same. On the other hand, meteorological changes affect the weekly cycle of ozone peaks. During days with unfavourable meteorology to ozone production, weekend ozone concentrations are higher than weekday O3 concentrations. The reverse is observed during days with favourable meteorology to ozone production.

Air Pollutants↗
PubMed2004

Nutrient intake and food consumption among medical students in Greece assessed during a Clinical Nutrition course.

The objective of this study was to determine nutrient intake and food consumption patterns among medical students at the University of Crete, Greece. As part of the Clinical Nutrition course from 1989 to 2001, a total of 951 third-year medical students (500 male, 451 female) aged 22+/-2 years underwent dietary interview, during which individual 24-h dietary recalls were taken. The students also completed a questionnaire on smoking habits, and anthropometric measurements were performed. The Mann-Whitney test was applied to assess differences in nutrient and food group intake between lower and higher fat eaters. Analysis of covariance was used to study relationships between nutrient intakes and tobacco use, adjusting for gender, age, and body mass index. The mean daily energy intake was 2493 kcal (10437 kJ) for males and 1675 kcal (7012 kJ) for females. The contribution of total fat to energy intake was 40% in each gender. Lower fat eaters (</=34.3% of total energy) had higher intakes of fiber (P<0.01), vitamin C (P<0.01) and fruits (P<0.05), and a lower consumption of red meat (P<0.01) than students in the upper fat quartile (>/=46.0% of total energy). Smokers had higher intakes of energy (P<0.05) and saturated fatty acids (P<0.01), and lower intakes of fiber (P<0.001), folate (P<0.05) and vitamin C (P<0.001) than non-smokers/ex-smokers. Our results indicate a need for Greek medical students to improve their dietary and health habits. Dietary assessment could be used to enhance nutrition education in medical schools.

Adult↗
PubMed1997

Neurological concepts in archaic Greece: what did Homer know?

There are few written records which tell us about Archaic Greek thought and certainly no medical writings. The earliest notions about neurologic matters can be found, however, in the Homeric epics. The attitudes and information which made up the culture of the Archaic Greeks were the starting point from which the later Greek medical literature grew. Although the Odyssey and Iliad are not medical texts, they contain many neurologic descriptions which can be analyzed to reveal the knowledge and concepts which were held by the people in Archaic Greece. By knowing the beginnings of the ancient medical traditions one is better equipped to understand the later works written specifically about medical matters.

Greece, Ancient↗
PubMed2002

Levels and composition of atmospheric particulates (PM10) in a mining-industrial site in the city of Lavrion, Greece.

The present work focuses on the characterization of air quality and the identification of pollutant origin at a former mining site in the city of Lavrion, Greece. A historical metallurgy complex is reused for establishing the Lavrion Technology and Cultural Park (LTCP). A serious problem with this is the severe soil contamination that resulted from intensive mining and metallurgical activities that has taken place in the greater area for the past 3,000 years. Among other consequences, surface-polluted depositions, rich in heavy and toxic metals, are loose and easily wind-eroded, resulting in transportation of particulate matter (PM) in the surrounding atmosphere. On the other hand, there are a number of industries relatively close to the site that are potential sources of PM air pollution. The current study deals with the collection and analysis of PM10 samples with respect to their concentration in heavy metals, such as Pb, Cd, Cu, Fe, Zn, Mn, Cr, and Ni. Though not a heavy metal, As also is included. Furthermore, the source of these elements is verified using statistical correlation and by calculating enrichment factors (EFs), considering that some substances are certainly of contaminated soil origin. Results show that PM10 and element concentrations are relatively low during winter but significantly increase during summer. Fe, Pb, Zn, Mn, and Cu may be considered of contaminated soil origin, while As, Ni, Cd, and Cr are very much enriched with respect to contaminated soil, indicating another possible source attributed to the adjacent industrial plants.

Air Pollutants↗
PubMed2003

On the relation between seasonal synoptic circulation types and spatial air quality characteristics in Athens, Greece.

The impact of weather on air pollution was examined and evaluated for the city of Athens, Greece. We used an objectively defined synoptic classification scheme consisting of six summer and eight winter circulation types. This scheme was established using a combination of both factor and cluster analysis during 1954-1999. Surface and isobaric levels of 850 hPa data were used. Factor analysis combined with cluster analysis was used to derive circulation types based on surface meteorological data for the period 1954-1999 in Athens and on surface pressure grid data. The city was divided into three sectors according to the financial and social activities of the residents. To examine the spatial characteristics of pollutant concentrations over Athens for each synoptic type, the synoptic circulation types were then correlated with both gaseous and particulate pollutant concentrations measured in each sector between 1983 and 1999. Finally, extreme and severe episodic events were studied in terms of their meteorological and synoptic characteristics.

Air Movements↗
PubMed1996

Stigmatization, discrimination and fear of AIDS in Greece: implications for health policy.

A prospective health-education research project about AIDS knowledge and attitudes towards AIDS was conducted in Athens and nine adjacent municipalities in west Attica, Greece. Socioeconomic and demographic data, AIDS knowledge, and attitudinal information were collected from 1552 respondents and analysed treating the attitudes of stigmatization, discrimination and fear towards AIDS as the dependent variable. Statistically significant correlations were found between each of the three attitudinal variables and the independent ones; specifically, age, place of residence, marital status and level of AIDS knowledge. Our working hypothesis--that the higher the level of AIDS knowledge, the lower the level of discrimination and stigmatization--was supported by our data. The relationship between AIDS knowledge and fear was less clear. Fear probably inhibits a rational approach to screening for HIV, and more empirical research is needed about fear and its interaction with stigmatizing and discriminatory attitudes and behaviours. Such research should be aimed at identifying population groups 'at risk' of expressing high levels of negative social attitudes about AIDS so that educational programmes can be appropriately designed.

Acquired Immunodeficiency Syndrome↗
PubMedDate not supplied

Teacher perceptions of communication impairment at screening stage in preschool children living in Patras, Greece.

The general aim was to obtain piloting data for a series of experiments about the prevalence of communication impairment in preschool children in Greece. At this screening stage of the overall project, teacher perceptions of communication impairment in 57 kindergartens servicing 1113 children were examined via a questionnaire distributed in the urban region of Patras. The specific research goals were (1) to screen for specific categories of communication impairment such as articulation/phonology, receptive language, expressive language and pragmatics, hearing, stuttering, and voice, as they appear in the mainstreamed kindergarten population and (2) to offer comparative information on sex differences in communication impairment(s). The information was gathered by administration of a Greek-adapted version of the Communication Checklist for Pre-school Teachers, which was administered three times to obtain validity and reliability measures. The results were analysed separately for two studies (original and follow-up) and indicated teacher estimates of 14.4-18.7% for communication impairment in kindergarten children of the Patras region. Prevalence was higher for boys than for girls. Analysis of specific communication areas revealed that prevalence varies according to gender and category of communicative impairment. The limitations and follow-up needs of this study are discussed.

Child↗
PubMed1982

Environmental lead pollution in Greece.

The blood lead concentration, an index of the environmental lead pollution, was measured in groups of individuals from many parts of greece. The mean blood lead value for urban area individuals was 27.03 micrograms/100 mL for adults, 32.30 for children and 31.03 for neonates; while for rural area individuals it was 18.81 micrograms/100 mL for adults, 22.98 for children and 21.66 for neonates. Twenty one percent of the urban individuals had laboratory evidence of "undue lead absorption" (blood lead level greater than 40 micrograms/100 mL) compared to 1.7% of the rural individuals. Children with elevated blood lead levels were found to have anemia.

Adolescent↗
PubMed2001

Dietary intakes and food habits of adolescents in northern Greece.

The purpose of this study was to assess the dietary intakes and food habits of 582 adolescents in Northern Greece. Anthropometric data have been collected for all the participating adolescents. The prevalence of obesity as determined by both body mass index (BMI) and triceps skinfold thickness (TST) was higher for boys than for girls. Furthermore, boys had higher energy and macronutrient intakes compared to girls. Of total energy intake, 41% for boys and 43% for girls was derived from fat. Energy intake was found adequate whereas fat intake was much higher than recommended. A percentage of adolescents also had lower than recommended iron, vitamin A, folate and zinc intakes, showing an unbalanced diet.

Adolescent↗
PubMed2002

Pesticide residues in thermal mineral water in Greece.

Eight different hot springs (SPA) in Greece were monitored over a one-year survey for priority pesticide residues. A specific and effective procedure including solid phase extraction in combination with HPLC and GC analytical methods were applied. Samples that were sensitive to nitrogen-phosphorus (NPD) and/or electron capture (ECD) detectors were analysed by capillary gas chromatography. From the twenty-six water samples, pesticide residues were detected in fourteen of them (54%) but no one exceeding the European Union Maximum Acceptable Concentration (MAC). Lindane (gamma-BHC) was the most frequently detected pesticide. It was found in nine samples (35%) in concentrations from < 0.005 to 0.01 microg/L. Other pesticides detected were phorate (in five samples), propachlor (in two samples) and chlorpyriphos ethyl (in three samples) but in concentrations far below the permissible levels.

Chromatography, Gas↗
PubMed2000

Visceral leishmaniasis during childhood in southern Greece.

Records were reviewed of 82 immunocompetent children (median age, 2. 5 years) from southern Greece who were diagnosed with visceral leishmaniasis from 1986 through 1998. Forty-nine (58%) patients originated from the city of Athens; of them, 46 (94%) lived by hills bordering the city. The median interval from the onset of symptoms to admission was 10 days. Fever and splenomegaly were observed in >95% of the patients. Thrombocytopenia was the most frequent hematological finding (80%). All patients were treated with meglumine antimonate; 20 (24%) of them were partially treated on an outpatient basis. Rapid clinical response was noted in all patients but one. Five patients relapsed; 3 responded to reintroduction of meglumine antimonate, 1 responded to liposomal amphotericin B, and 1 underwent splenic artery ligation. We conclude that pentavalent antimonials remain the first choice of treatment for visceral leishmaniasis in immunocompetent children in areas where resistance has not become a problem. It is possible to treat affected patients with outpatient administration of these agents, making them feasible options for therapy.

Adolescent↗
PubMed2000

Antimicrobial use and colonization with erythromycin-resistant Streptococcus pneumoniae in Greece during the first 2 years of life.

We evaluated nasopharyngeal colonization with erythromycin-resistant Streptococcus pneumoniae during the first 2 years of life in central and southern Greece. Of 2448 children studied from February 1997 to February 1999, 766 (31%) carried 781 pneumococcal isolates. Ninety-five (3.9%) of the children attended day care centers. Eighteen percent of the pneumococci were resistant to erythromycin (minimal inhibitory concentration 1 to >128 microg/mL), with 67.9% of them carrying the erm(B) gene and 29.2% mef(A) gene products. Four strains possessed neither the erm(B) nor the mef(A) gene. Multidrug resistance occurred in 97% and 40% of isolates carrying the erm(B) and mef(A) gene, respectively. An association was found between the erm(B) gene and serotypes 6B and 23F and between the mef(A) gene and serotypes 14 and 19F. A significant relationship existed between carriage of erythromycin-resistant pneumococci and use of macrolides or beta-lactams in the previous 3 months; the association was strongest when macrolide therapy was administered during the last month (odds ratio, 5.92; P=.0001). The findings indicate the necessity of a judicious use of both macrolides and beta-lactams in young children to reduce the colonization with erythromycin-resistant pneumococci and the subsequent spread of such strains to the community.

Anti-Bacterial Agents↗
PubMed1997

Resistance patterns of streptococcus pneumoniae from carriers attending day-care centers in southwestern Greece.

The resistance to beta-lactam and non-beta-lactam antibiotics of 133 nasopharyngeal isolates of Streptococcus pneumoniae recovered from December 1995 to February 1996 from children attending seven day-care centers in southwestern Greece was studied. Reduced susceptibility to one or more anti-microbial agents was found in 70 isolates (53%), as follows: penicillin, 17% intermediate, 12% resistant; cefotaxime, 10.5% intermediate, 1.5% resistant; trimethoprim-sulfamethoxazole, 8% intermediate, 35% resistant; chloramphenicol, 27% resistant; tetracycline, 29% resistant; and erythromycin/clindamycin, 19% resistant. Eighty-seven percent of penicillin-intermediate or -resistant strains belonged to serogroups/serotypes 19, 21, and 23. Fifty-six percent of the antibiotic-resistant pneumococci were multiply resistant, including serogroup 6 strains that were penicillin-susceptible but resistant to all non-beta-lactam drugs tested, as well as serogroup 23 strains resistant to penicillin, chloramphenicol, tetracycline, and trimethoprim-sulfamethoxazole. The high incidence of antibiotic-resistant pneumococci and the divergent and unique resistance patterns found in this study underline the need for global surveillance of S. pneumoniae to document the evolution and spread of resistant strains and to guide therapy.

Anti-Bacterial Agents↗
PubMed1988

Heterosexual transmission of HIV in Greece.

To provide further evidence for the heterosexual transmission of the acquired immunodeficiency syndrome (AIDS) in Greece we examined 53 Greek female steady heterosexual partners of 53 anti-HIV-positive men. Human immunodeficiency virus (HIV) transmission was estimated by the detection of anti-HIV antibodies. Our results showed that 27.8% (5 of 18) of the female partners of bisexuals, 33.3% (2 of 6) of intravenous drug abusers (IVDA), and 100% (4 of 4) of those who had lived for a long time in Africa were found anti-HIV positive. In contrast, only 4% (1 of 25) of the studied sexual partners of hemophiliac carriers were found to be HIV seropositive. The use of condoms seemed to be the most important factor in reducing HIV transmission. According to our results the duration of sexual relationships and the practice of anal intercourse did not increase the possibility of seroconversion. These results confirm the heterosexual transmission of HIV. However, further studies should be conducted to evaluate the relative role of various risk factors and the overall importance of heterosexual spread of HIV infections.

Acquired Immunodeficiency Syndrome↗
PubMed2005

Human herpesvirus-8 seropositivity and clinical correlations in HIV-1-positive and highly exposed, persistently HIV-seronegative individuals in Greece.

The prevalence of anti-human herpesvirus 8 (HHV-8) antibodies was retrospectively assessed in a cohort of 248 consecutive HIV-1-positive patients followed up in an academic unit in Greece during a 14-year period and in 46 highly exposed, persistently HIV-seronegative (HEPS) individuals. The impact of the initial anti-HHV-8 status on tumorgenesis and mortality was studied. The first available serum sample from the department's pool was tested. Demographics and data regarding history of sexually transmitted diseases, Hepatitis B surface antigen (HbsAg) and hepatitis C (HCV) status were collected. Patients who developed either HHV-8-related or non-HHV-8-related neoplasms during long-term follow-up were also identified. Forty-eight percent of the HIV-1-positive patients and 56% of the HEPS subjects were found anti-HHV-8-positive. No difference was observed regarding the development of HHV-8-related or non-HHV-8-related neoplasia and mortality on grounds of initial anti- HHV-8 status. Mortality was positively associated with the presence of HBsAg. HCV infection showed a trend to be more common in anti-HHV-8-positive patients. In summary, the seroprevalence of HHV-8 among HIV-1-positive patients is higher than the one reported in the Western world. The initial anti-HHV-8 status is not a prognostic factor in HIV-1-positive individuals. The high seroprevalence in HEPS individuals possibly reflects their risk-prone lifestyle. HbsAg-positive status is a long-term negative prognostic factor in HIV infection.

Adolescent↗
PubMed2005

The 35delG mutation in the connexin 26 gene (GJB2) associated with congenital deafness: European carrier frequencies and evidence for its origin in ancient Greece.

The 35delG mutation in the connexin 26 gene (GJB2) at the DFNB1 locus represents the most common mutation in Caucasian patients with genetic sensorineural deafness. This new meta-analysis concerns published carrier frequencies of the 35delG mutation in 27 populations for 6,628 unrelated individuals in Europe and in the Middle East; the mean carrier frequency of the mutation is 1.9%. Compared on a regional basis, the most elevated carrier frequency value is of 1 individual carrier in 31 in southern Europe. It is probable that the 35delG mutation originated in ancient Greece and was subsequently propagated in other Mediterranean countries (especially in Italy) during recent historical times.

Connexin 26↗