Georgios Menexes

A systematic review and meta-analysis of abdominal compartment syndrome after endovascular repair of ruptured abdominal aortic aneurysms

OBJECTIVE Limited data exist regarding the development of abdominal compartment syndrome (ACS) after endovascular repair of ruptured abdominal aortic aneurysms (RAAAs). We aimed to record the incidence, management, and outcome of this complication. METHODS A systematic review and meta-analysis of the English language literature was undertaken through June 2012. Articles reporting data on outcome after endovascular repair of RAAAs were identified, and information regarding ACS was sought. RESULTS Included were 39 eligible studies reporting 1134 patients. The pooled perioperative mortality was 21% (95% confidence interval [CI], 18%-24%). A total of 109 cases of ACS were recorded. There was significant within-study heterogeneity (Cochran Q = 94.1; P < .0001), and the pooled ACS rate was 8% (95% CI, 5.6%-10.8%). Only six studies accurately defined ACS, and four focused specifically on ACS. When the meta-analysis was repeated after including only studies with a definition and those focusing on ACS, the pooled rate increased to 17% (95% CI, 10%-26%) and 21% (95% CI, 13%-30%), respectively. A random-effects meta-regression analysis investigating the effect of ACS and other risk factors on mortality revealed a significant linear correlation between hemodynamic instability and death (r = 0.303) and a nonlinear (second degree polynomial) association between bifurcated endograft approach and death (R(2) = 0.348; P = .0027). However, no statistically significant association could be found between ACS and death. A further meta-regression analysis failed to identify any statistically significant predictors of ACS. Treatment included open decompression in 86 patients, percutaneous drainage in 18 (catheter only in five, combined with tissue plasminogen activator infusion in 13), and conservative measures in five. Data on outcome of ACS were only available for 76 patients; 35 of these died, for a mortality rate of 47%. CONCLUSIONS The pooled ACS rate was calculated at 8%, but this figure may be >20% with improved awareness and vigilant monitoring. Although no statistically significant association could be found between ACS and death, almost half the patients who developed ACS after endovascular repair of RAAAs were likely to die.

Salivary concentration of the antimicrobial peptide LL-37 in children

OBJECTIVE Antimicrobial peptides are important components of innate immunity, especially in the unique environment of the oral cavity. Lack of the human cathelicidin LL-37 has been implicated in severe periodontitis, whilst high salivary levels of LL-37 seem to increase caries resistance. Limited data exists about the concentration of LL-37 in saliva of young children. In this study, the salivary concentration of LL-37 was examined in relation to age, gender, type of dentition (primary, mixed or permanent) and caries experience of children. DESIGN Unstimulated whole saliva was collected from 49 systemically healthy and gingivitis free children aged 2-18 years old. Their caries activity was recorded. The salivary LL-37 concentration was determined by enzyme linked immunosorbent assay (ELISA). RESULTS LL-37 was detected in all saliva samples. Its concentration varied widely, with girls exhibiting higher peptide levels than boys. A positive correlation of the LL-37 concentration was observed with age. Children with primary dentition had significantly lower peptide concentration than those with mixed or permanent dentition. Significantly lower concentrations of LL-37 were also found in children with high caries activity, compared to caries free children or to children with low to moderate caries activity. CONCLUSIONS Our results reinforce the belief that LL-37 is an important molecule of immunity in the oral environment and it seems to play a protective role against caries.

DIFFERENTIAL RESPONSE OF TWO OLIVE CULTIVARS TO EXCESS MANGANESE

The response of three-month-old rooted cuttings of the olive cultivars ‘Picual’ and ‘Koroneiki’ grown in black plastic bags containing perlite as a substrate to excess manganese (Mn) (640 μM) was studied. The rooted cuttings were irrigated with 50% modified Hoagland nutrient solution. At the end of the experimental period, which lasted 130 days, the total fresh and dry weights, as well as the shoot elongation of ‘Picual’ plants were significantly reduced under excess Mn (640 μM), compared to the control plants (2 μM), whereas the growth of ‘Koroneiki’ plants was similar in both Mn treatments. The tolerance index, which is derived from the ratios between the plant growth data of different treatments and the control one, of ‘Picual’ plants to excess Mn was about half of this of ‘Koroneiki’ plants. In both cultivars, the concentrations of Mn in various plant parts (root, basal stem, top stem, basal leaves, top leaves) were significantly increased as Mn concentration in the nutrient solution increased. Furthermore, in the 640 μM Mn treatment, 2 to 2.5-fold greater Mn concentrations were recorded in almost all plant parts of ‘Koroneiki’, than those of ‘Picual’. Similar results were recorded with regard to the total Mn content per plant (‘Koroneiki’ absorbed much more Mn from the nutrient solution than ‘Picual’). On the other hand, excess Mn negatively affected the absorption of iron (Fe), calcium (Ca), magnesium (Mg), phosphorus (P), zinc (Zn), and boron (B), depending on the olive cultivar. In both cultivars, while the Mn use efficiency was significantly decreased under excess Mn conditions, the nutrient use efficiencies of P, Ca, and Fe were significantly increased, compared to the control plants (2 μM Mn). It was also found that excess Mn resulted in a significant increase of stomatal conductance and transpiration rate of both cultivars, whereas the photosynthetic rate was significantly increased only in ‘Koroneiki’. In ‘Picual’, similar photosynthetic rates were recorded in both Mn treatments. The measurement of the various chlorophyll fluorescence parameters, Fv/Fm and Fv/F0 ratios, revealed that the functional integrity of photosystem II (PSII) of photosynthesis was not affected due to excess Mn, irrespectively of the cultivar. In conclusion, although ‘Koroneiki’ tissues had much higher Mn concentrations than those of ‘Picual’, the parameters related to the growth and photosynthetic performance of plants indicates that the internal tolerance of ‘Koroneiki’ tissues to excess Mn was higher than this of ‘Picual’.

Investigating the compatibility of the biocontrol agent Clonostachys rosea IK726 with prodigiosin-producing Serratia rubidaea S55 and phenazine-producing Pseudomonas chlororaphis ToZa7

This study was carried out to assess the compatibility of the biocontrol fungus Clonostachys rosea IK726 with the phenazine-producing Pseudomonas chlororaphis ToZa7 or with the prodigiosin-producing Serratia rubidaea S55 against Fusarium oxysporum f. sp. radicis-lycopersici. The pathogen was inhibited by both strains in vitro, whereas C. rosea displayed high tolerance to S. rubidaea but not to P. chlororaphis. We hypothesized that this could be attributed to the ATP-binding cassette (ABC) proteins. The results of the reverse transcription quantitative PCR showed an induction of seven genes (abcB1, abcB20, abcB26, abcC12, abcC12, abcG8 and abcG25) from subfamilies B, C and G. In planta experiments showed a significant reduction in foot and root rot on tomato plants inoculated with C. rosea and P. chlororaphis. This study demonstrates the potential for combining different biocontrol agents and suggests an involvement of ABC transporters in secondary metabolite tolerance in C. rosea.

Development and Validation of a Mediterranean Oriented Culture-Specific Semi-Quantitative Food Frequency Questionnaire

The objectives were to develop a Mediterranean oriented semi-quantitative food frequency questionnaire (FFQ) and evaluate its validity in measuring energy and nutrient intakes. For FFQ development, the main challenge was to merge food items and practices reflecting cultural Mediterranean preferences with other food choices ensuing from diet transition to more westernized dietary patterns. FFQ validity was evaluated by comparing nutrient intakes against the average of two 24-h dietary recalls for 179 pregnant women. Although the mean intake values for most nutrients and energy tended to be higher when determined by the FFQ, the Cohen’s d was below 0.3. Bland-Altman plots confirmed the agreement between the two methods. Positive significant correlations ranged from 0.35 to 0.77. The proportion of women classified correctly was between 73.2% and 92.2%, whereas gross misclassification was low. Weighted kappa values were between 0.31 and 0.78, while intraclass correlation coefficients were between 0.49 and 0.89. Our methodological approach for the development and validation of this FFQ provides reliable measurements of energy, macro- and micronutrient intakes. Overall, our culture-specific FFQ could serve as a useful assessment tool in studies aiming at monitoring dietary intakes, especially in the Mediterranean region, where countries share common cultural dietary habits.

Second trimester amniotic fluid glucose, uric acid, phosphate, potassium, and sodium concentrations in relation to maternal pre-pregnancy BMI and birth weight centiles

Abstract Objective: To study the evolution profile of amniotic fluid (AF) glucose, uric acid, phosphate, potassium, and sodium, in the second trimester of pregnancy, and explore the possible relations between the concentration of these components and maternal, as well as neonatal characteristics. Methods: AF of 52 pregnant women was analyzed using an automatic multichannel analyzer. Maternal age, pre-pregnancy Body Mass Index (BMI), inter-pregnancy intervals, and smoking status were derived from questionnaires. Information on pregnancy and delivery was collected from medical records. Results: Uric acid increased (r = 0.423, p < 0.01), while phosphate and glucose concentrations decreased during the period of 16–26th week of pregnancy (r = −0.590, p < 0.001 and r = −0.314, p < 0.05, respectively). Maternal pre-pregnancy BMI was significantly correlated with AF uric acid concentration (r = 0.460, p < 0.01) and marginally with AF glucose (r = 0.274, p = 0.052) and sodium (r = 0.254, p = 0.070) levels. Multiple linear regression indicated that mid-trimester AF uric acid and phosphate levels were significantly related to birth weight centiles (R2 = 0.345, p < 0.05). Conclusions: Our results suggest that: (a) AF phosphate levels reflect gestational age to a satisfactory extent, (b) maternal pre-pregnancy BMI is significantly correlated with AF uric acid concentration, and (c) in appropriate for gestational age infants, AF phosphate and uric acid levels may serve as potential biomarkers of birth weight centiles. Further studies on AF composition may help to unravel the biochemical pathways underlying fetal development and could offer insight on the potential impact of maternal nutritional management on fetal growth regulation.

An exploratory study of dietary intake patterns among adults diagnosed with cardiovascular risk factors

Abstract The objective of the present exploratory study was to assess compliance with the nutrient recommendations among a convenience sample of adults diagnosed with cardiovascular risk factors in northern Greece and evaluate their dietary intake patterns. Ninety-two people participated in this cross-sectional study. Dietary assessment was carried out using a semi-quantitative food frequency questionnaire. Principal components analysis (PCA) and hierarchical cluster analysis (HCA) were adopted to obtain dietary patterns and classify individuals with similar dietary behaviour. HCA, performed on the factorial scores obtained from PCA, revealed a 4-group interpretable and statistically significant clustering of participants. For all clusters, the mean daily intake for saturated fatty acids was more than 10% of total calories, while the mean sodium intake was above 1500 mg; additionally, a relatively low mean Mediterranean diet score was recorded. Dietary interventions should be considered to raise awareness and expand knowledge on the nutritional and functional benefits of heart-healthy foods.

Conventional breeding of Greek oregano (Origanum vulgare ssp. hirtum) and development of improved cultivars for yield potential and essential oil quality

This study is an attempt to describe a conventional breeding program on Greek oregano (Origanum vulgare ssp. hirtum). First of all, a descriptor list including the most significant morphological traits was developed for the starting genetic material. The program aimed to select the elite self-plants obtained from the initial population originated from Samothraki Island, in purpose to generate the ideotype of a new cultivar, characterized by desirable agronomical traits and qualitative properties. Therefore, a pedigree intraselection method, based on widely spaced single-plant performance through honeycomb arrangement, was applied. The existing genetic/phenotypic variability of plants and families produced after selection was evaluated for plant’s growth and biomass density, type of stems and inflorescences and their components of yield potential. In addition, the effect of the mode of pollination on plants’ performance from two types of families obtained from self (SP) and open pollination (OP) was assessed. The evaluation for the components of yield potential, the composition of essential oil and carvacrol content, was detected in selected self plants, revealing genotypes with high yield potential. The target of this breeding program was the selection for high essential oil and carvacrol content and stabilization of valuable herbage components. The main selection criteria; high carvacrol and essential oil content, dry weight of leaves and flowers, ratio of leaves and flowers per stem, were subjected to statistical analysis using analytic hierarchy process, and plants were ranking according to their performance. The end-scope of this research was to recombine or even improve the starting population of local population of Greek oregano, according to mean essential oil content and carvacrol, biomass production and uniformity in desirable yield components using efficient breeding and statistical tools of selection.

Water Buffaloes grazing behaviour at the Lake Kerkini National Park, Northern Greece

Abstract The monthly variation of Greek water buffaloes’ grazing behaviour was investigated at the Lake Kerkini National Park in Greece. Direct observations were carried out on six female buffaloes for two consecutive days every month for a one-year period, and the time spent (in minutes) on their grazing-related activities (feeding, moving, wallowing, standing, ruminating, drinking, and lying) was recorded. Moreover, social and aggressive interactions and self-grooming were recorded as number of events. Also, the daily distance travelled by buffaloes was recorded with a handheld GPS. Buffaloes travelled on average 6.9 km/day, and they walked their longest distance in June (10.7 km/day) and their shortest in September (2.9 km/day). They spent more time (P<0.05) on feeding (309.2 min/day) compared to moving (121.7 min/day), wallowing (27.9 min/day), standing (20.2 min/day), ruminating (15.4 min/day), drinking (4.7 min/day) and lying (4.2 min/day). Greek water buffaloes seem to be sociable rather than aggressive animals as they devote to these activities on average 18.2 vs 0.5 events/day. We can conclude that the animals adjust their grazing behaviour to climatic conditions and the availability of forage resources.

In the wild hybridization of annual Datura species as unveiled by morphological and molecular comparisons

BackgroundThe present work aimed to verify whether intermediate variants were natural crosses between Datura species (D. stramonium forms and D. ferox). Their existence has been long ago insinuated but has not been studied using morphological features and molecular tools. The variants differed in stem coloring, upper bearing forks, and fruit characters.ResultsPrincipal Components Analysis of 11 morphological characteristics showed that D. ferox and D. stramonium (forms stramonium and tatula) were quite different and the putative hybrids were intermittent. The D. ferox × D. stramonium f. tatula was closer to the latter of its parents. Sequencing analysis revealed identical amplified trnL intron in all variants and a 100% homology with D. stramonium accession number EU580984.1 suggested that this plastid cannot discern Datura variants. However, genomic analysis with URP markers indicated that the hybrids had >60% genetic makeup similarity with both parents suggesting that the intermediate variants were putative inter-specific hybrids. Moreover, the dendrogram stemmed from cluster analysis of the fingerprint profile of variants placed D. stramonium and D. ferox in different branches indicating their genetic differentiation from each other as well as from their hybrids.ConclusionsThe findings suggest that the natural hybridization of annual Datura species occurs. Extrapolating, this hybridization could be the first step for speciation. More possibly, it can alter population composition, its weediness and adaptability to local conditions.