33 results on '"Maria Christou"'
Search Results
2. An ecotoxicological assessment of a strigolactone mimic used as the active ingredient in a plant biostimulant formulation
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Steven J. Brooks, Tânia Gomes, Ana Catarina Almeida, Maria Christou, Congying Zheng, Sergey Shaposhnikov, Daria G. Popa, Florentina Georgescu, and Florin Oancea
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Risk assessment ,Plant biostimulants ,Genotoxicity ,Bioassays ,Strigolactone ,Environmental pollution ,TD172-193.5 ,Environmental sciences ,GE1-350 - Abstract
A risk assessment on the aquatic toxicity of the plant biostimulant strigolactone mimic (2-(4-methyl-5-oxo-2,5-dihydro-furan-2-yloxy)-benzo[de]isoquinoline-1,3-dione (SL-6) was performed using a suite of standardised bioassays representing different trophic groups and acute and chronic endpoints. In freshwater, three trophic groups of algae, crustacea and fish were used. Whilst in seawater, algae (unicellular and macroalgae), Crustacea and Mollusca were employed. In addition, the genotoxicity of SL-6 was determined with the comet assessment performed on unicellular marine algae, oysters, and fish embryos. This was the first time ecotoxicity tests have been performed on SL-6. In freshwater, the lowest LOEC was measured in the unicellular algae at 0.31 mg/L SL-6. Although, similar LOEC values were found for embryo malformations and impacts on hatching rate in zebrafish (LOEC 0.31–0.33 mg/L). Consistent malformations of pericardial and yolk sac oedemas were identified in the zebrafish embryos at 0.31 mg/L. In marine species, the lowest LOEC was found for both Tisbe battagliai mortality and microalgae growth at an SL-6 concentration of 1.0 mg/L. Significant genotoxicity was observed above control levels at 0.0031 mg/L SL-6 in the unicellular algae and 0.001 mg/L SL-6 in the oyster and zebrafish larvae. When applying the simple risk assessment, based on the lowest NOECs and appropriate assessment factors, the calculated predicted no effect concentration (PNEC), for the ecotoxicity and the genotoxicity tests were 1.0 µg/L and 0.01 µg/L respectively.
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- 2024
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3. Childhood vaccine refusal and what to do about it: a systematic review of the ethical literature
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Kerrie Wiley, Maria Christou-Ergos, Chris Degeling, Rosalind McDougall, Penelope Robinson, Katie Attwell, Catherine Helps, Shevaun Drislane, and Stacy M Carter
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Vaccination ,Immunization ,Vaccine refusal ,Parents ,Systematic review ,Normative literature ,Medical philosophy. Medical ethics ,R723-726 - Abstract
Abstract Background Parental refusal of routine childhood vaccination remains an ethically contested area. This systematic review sought to explore and characterise the normative arguments made about parental refusal of routine vaccination, with the aim of providing researchers, practitioners, and policymakers with a synthesis of current normative literature. Methods Nine databases covering health and ethics research were searched, and 121 publications identified for the period Jan 1998 to Mar 2022. For articles, source journals were categorised according to Australian Standard Field of Research codes, and normative content was analysed using a framework analytical approach. Results Most of the articles were published in biomedical journals (34%), bioethics journals (21%), and journals that carry both classifications (20%). Two central questions dominated the literature: (1) Whether vaccine refusal is justifiable (which we labelled ‘refusal arguments’); and (2) Whether strategies for dealing with those who reject vaccines are justifiable (‘response arguments’). Refusal arguments relied on principlism, religious frameworks, the rights and obligations of parents, the rights of children, the medico-legal best interests of the child standard, and the potential to cause harm to others. Response arguments were broadly divided into arguments about policy, arguments about how individual physicians should practice regarding vaccine rejectors, and both legal precedents and ethical arguments for vaccinating children against a parent’s will. Policy arguments considered the normative significance of coercion, non-medical or conscientious objections, and possible reciprocal social efforts to offset vaccine refusal. Individual physician practice arguments covered nudging and coercive practices, patient dismissal, and the ethical and professional obligations of physicians. Most of the legal precedents discussed were from the American setting, with some from the United Kingdom. Conclusions This review provides a comprehensive picture of the scope and substance of normative arguments about vaccine refusal and responses to vaccine refusal. It can serve as a platform for future research to extend the current normative literature, better understand the role of cultural context in normative judgements about vaccination, and more comprehensively translate the nuance of ethical arguments into practice and policy.
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- 2023
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4. Nanoparticle Uptake in the Aging and Oncogenic Drosophila Midgut Measured with Surface-Enhanced Raman Spectroscopy
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Maria Christou, Ayobami Fidelix, Yiorgos Apidianakis, and Chrysafis Andreou
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Drosophila melanogaster ,surface-enhanced Raman scattering ,SERS ,gut disease ,nanoparticle uptake ,Cytology ,QH573-671 - Abstract
Colorectal cancer remains a major global health concern. Colonoscopy, the gold-standard colorectal cancer diagnostic, relies on the visual detection of lesions and necessitates invasive biopsies for confirmation. Alternative diagnostic methods, based on nanomedicine, can facilitate early detection of malignancies. Here, we examine the uptake of surface-enhanced Raman scattering nanoparticles (SERS NPs) as a marker for intestinal tumor detection and imaging using an established Drosophila melanogaster model for gut disease. Young and old Oregon-R and w1118 flies were orally administered SERS NPs and scanned without and upon gut lumen clearance to assess nanoparticle retention as a function of aging. Neither young nor old flies showed significant NP retention in their body after gut lumen clearance. Moreover, tumorigenic flies of the esg-Gal4/UAS-RasV12 genotype were tested for SERS NP retention 2, 4 and 6 days after RasV12 oncogene induction in their midgut progenitor cells. Tumorigenic flies showed a statistically significant NP retention signal at 2 days, well before midgut epithelium impairment. The signal was then visualized in scans of dissected guts revealing areas of NP uptake in the posterior midgut region of high stem cell activity.
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- 2024
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5. Antioxidant and Anticancer Activity of Vitis vinifera Extracts in Breast Cell Lines
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Evgenia Maria Tsantila, Nils Esslinger, Maria Christou, Panagiotis Papageorgis, and Christiana M. Neophytou
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Vitis vinifera ,antioxidants ,chemoprevention ,natural anticancer agents ,white grape ,polyphenols ,Science - Abstract
Vitis vinifera extracts have been shown to possess antioxidant activity because of their polyphenol content. In addition, their therapeutic potential against several diseases, including cancer, has been reported. In this study, we produced twelve extracts from the seeds, fruit, leaves, and wood of the Vitis vinifera Airen variety using different extraction methodologies and measured their total polyphenol content (TPC). We also determined their antioxidant and antiproliferative effects against normal cells and evaluated the most potent extract against a panel of breast cancer cell lines. We found that the extracts produced by the seeds of Vitis vinifera had a higher TPC compared to the other parts of the plant. Most extracts produced from seeds had antioxidant activity and did not show cytotoxicity against normal breast cells. The extract produced from whole organic seeds of white grape showed the best correlation between the dose and the ROS inhibition at all time points compared to the other seed extracts and also had antiproliferative properties in estrogen-receptor-positive MCF-7 breast cancer cells. Its mechanism of action involves inhibition of proteins Bcl-2, Bcl-xL, and survivin, and induction of apoptosis. Further investigation of the constituents and activity of Vitis vinifera extracts may reveal potential pharmacological applications of this plant.
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- 2024
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6. Entomological surveillance and spatiotemporal risk assessment of sand fly-borne diseases in Cyprus
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Maria Christou, Behich Koyutourk, Kardelen Yetismis, Angeliki F. Martinou, Vasiliki Christodoulou, Maria Koliou, Maria Antoniou, Christoforos Pavlou, Yusuf Ozbel, Ozge Erisoz Kasap, Bulent Alten, Pantelis Georgiades, George K. Georgiou, Theodoros Christoudias, Yiannis Proestos, Jos Lelieveld, and Kamil Erguler
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Leishmaniasis ,Phlebotomus papatasi ,Habitat suitability ,Population dynamics ,Climate-sensitive ,Vector-borne diseases ,Infectious and parasitic diseases ,RC109-216 - Abstract
Visceral and cutaneous leishmaniases are important public health concerns in Cyprus. Although the diseases, historically prevalent on the island, were nearly eradicated by 1996, an increase in frequency and geographical spread has recently been recorded. Upward trends in leishmaniasis prevalence have largely been attributed to environmental changes that amplify the abundance and activity of its vector, the phlebotomine sand flies. Here, we performed an extensive field study across the island to map the sand fly fauna and compared the presence and distribution of the species found with historical records. We mapped the habitat preferences of Phlebotomus papatasi and P. tobbi, two medically important species, and predicted the seasonal abundance of P. papatasi at unprecedented spatiotemporal resolution using a climate-sensitive population dynamics model driven by high-resolution meteorological forecasting. Our compendium holds a record of 18 species and the locations of a subset, including those of potential public and veterinary health concern. We confirmed that P. papatasi is widespread, especially in densely urbanized areas, and predicted that its abundance uniformly peaks across the island at the end of summer. We identified potential hotspots of P. papatasi activity even after this peak. Our results form a foundation to inform public health planning and contribute to the development of effective, efficient, and environmentally sensitive strategies to control sand fly populations and prevent sand fly-borne diseases.
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- 2023
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7. How the experience of medical trauma shapes Australian non-vaccinating parents' vaccine refusal for their children: A qualitative exploration
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Maria Christou-Ergos, Julie Leask, and Kerrie E. Wiley
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Australia ,Childhood vaccination ,Medical trauma ,Negative medical experiences ,Public health ,Qualitative research ,Public aspects of medicine ,RA1-1270 - Abstract
Vaccination decisions can be influenced by individuals' own, and others' experiences within the medical setting, as well as their relationship with providers and the broader medical system. However, is not clear how traumatic medical experiences interact with this relationship. We used grounded theory methodology to explore the role of medical trauma in shaping non-vaccinating parents' decision to refuse vaccination for their children. Twenty-two semi-structured interviews were conducted across Australia between September 2017 and February 2019. The inductive analysis found common narrative descriptions of negative medical experiences that contributed to vaccine hesitancy and/or refusal. A unique contribution of our study is the observation that negative experiences within the medical setting can be traumatic for individuals with consequences extending beyond the event to affect perceptions and relationships within the broader medical establishment. We observed that a negative medical event can set off a process with or without relational disruption that may influence subsequent thoughts and feelings, coping strategies, and for some parents, a re-evaluation of their vaccination decisions. We suggest that vaccination interventions may benefit from a better understanding of parents' past medical experiences and incorporate attempts to minimise personal and relational distress through individualised engagement and empathic communication before, during and after vaccination procedures.
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- 2022
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8. AIMSurv: First pan-European harmonized surveillance of Aedes invasive mosquito species of relevance for human vector-borne diseases
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Miguel Ángel Miranda, Carlos Barceló, Daniele Arnoldi, Xenia Augsten, Karin Bakran-Lebl, George Balatsos, Mikel Bengoa, Philippe Bindler, Kristina Boršová, Maria Bourquia, Daniel Bravo-Barriga, Viktória Čabanová, Beniamino Caputo, Maria Christou, Sarah Delacour, Roger Eritja, Ouafaa Fassi-Fihri, Martina Ferraguti, Eleonora Flacio, Eva Frontera, Hans-Peter Fuehrer, Ana L. García-Pérez, Pantelis Georgiades, Sandra Gewehr, Fátima Goiri, Mikel Alexander González, Martin Gschwind, Rafael Gutiérrez-López, Cintia Horváth, Adolfo Ibáñez-Justicia, Viola Jani, Përparim Kadriaj, Katja Kalan, Mihaela Kavran, Ana Klobucar, Kornélia Kurucz, Javier Lucientes, Renke Lühken, Sergio Magallanes, Giovanni Marini, Angeliki F. Martinou, Alice Michelutti, Andrei Daniel Mihalca, Tomás Montalvo, Fabrizio Montarsi, Spiros Mourelatos, Nesade Muja-Bajraktari, Pie Müller, Gregoris Notarides, Hugo Costa Osório, José A. Oteo, Kerem Oter, Igor Pajović, John R. B. Palmer, Suncica Petrinic, Cristian Răileanu, Christian Ries, Elton Rogozi, Ignacio Ruiz-Arrondo, Isis Sanpera-Calbet, Nebojša Sekulić, Kivanc Sevim, Kurtesh Sherifi, Cornelia Silaghi, Manuel Silva, Nikolina Sokolovska, Zoltán Soltész, Tatiana Sulesco, Jana Šušnjar, Steffanie Teekema, Andrea Valsecchi, Marlen Ines Vasquez, Enkelejda Velo, Antonios Michaelakis, William Wint, Dušan Petrić, Francis Schaffner, Alessandra della Torre, and Carina Suchentrunk
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Electronic computers. Computer science ,QA75.5-76.95 - Abstract
Human and animal vector-borne diseases, particularly mosquito-borne diseases, are emerging or re-emerging worldwide. Six Aedes invasive mosquito (AIM) species were introduced to Europe since the 1970s: Aedes aegypti, Ae. albopictus, Ae. japonicus, Ae. koreicus, Ae. atropalpus and Ae. triseriatus. Here, we report the results of AIMSurv2020, the first pan-European surveillance effort for AIMs. Implemented by 42 volunteer teams from 24 countries. And presented in the form of a dataset named “AIMSurv Aedes Invasive Mosquito species harmonized surveillance in Europe. AIM-COST Action. Project ID: CA17108”. AIMSurv2020 harmonizes field surveillance methodologies for sampling different AIMs life stages, frequency and minimum length of sampling period, and data reporting. Data include minimum requirements for sample types and recommended requirements for those teams with more resources. Data are published as a Darwin Core archive in the Global Biodiversity Information Facility- Spain, comprising a core file with 19,130 records (EventID) and an occurrences file with 19,743 records (OccurrenceID). AIM species recorded in AIMSurv2020 were Ae. albopictus, Ae. japonicus and Ae. koreicus, as well as native mosquito species.
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- 2022
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9. Bone Phenotyping Approaches in Human, Mice and Zebrafish – Expert Overview of the EU Cost Action GEMSTONE ('GEnomics of MusculoSkeletal traits TranslatiOnal NEtwork')
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Ines Foessl, J. H. Duncan Bassett, Åshild Bjørnerem, Björn Busse, Ângelo Calado, Pascale Chavassieux, Maria Christou, Eleni Douni, Imke A. K. Fiedler, João Eurico Fonseca, Eva Hassler, Wolfgang Högler, Erika Kague, David Karasik, Patricia Khashayar, Bente L. Langdahl, Victoria D. Leitch, Philippe Lopes, Georgios Markozannes, Fiona E. A. McGuigan, Carolina Medina-Gomez, Evangelia Ntzani, Ling Oei, Claes Ohlsson, Pawel Szulc, Jonathan H. Tobias, Katerina Trajanoska, Şansın Tuzun, Amina Valjevac, Bert van Rietbergen, Graham R. Williams, Tatjana Zekic, Fernando Rivadeneira, and Barbara Obermayer-Pietsch
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bone and skeletal diseases ,phenotyping ,imaging ,animal models ,GEMSTONE ,COST ,Diseases of the endocrine glands. Clinical endocrinology ,RC648-665 - Abstract
A synoptic overview of scientific methods applied in bone and associated research fields across species has yet to be published. Experts from the EU Cost Action GEMSTONE (“GEnomics of MusculoSkeletal Traits translational Network”) Working Group 2 present an overview of the routine techniques as well as clinical and research approaches employed to characterize bone phenotypes in humans and selected animal models (mice and zebrafish) of health and disease. The goal is consolidation of knowledge and a map for future research. This expert paper provides a comprehensive overview of state-of-the-art technologies to investigate bone properties in humans and animals – including their strengths and weaknesses. New research methodologies are outlined and future strategies are discussed to combine phenotypic with rapidly developing –omics data in order to advance musculoskeletal research and move towards “personalised medicine”.
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- 2021
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10. 'Crash landing' obligation for Mediterranean mixed fisheries: Evaluation of management strategies using bioeconomic modelling in the Aegean Sea
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Maria Christou, Francesc Maynou, George Tserpes, Konstantinos I. Stergiou, and Christos D. Maravelias
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landing obligation ,fisheries management ,mixed fisheries ,bioeconomic modelling ,aegean sea ,mediterranean fisheries ,Aquaculture. Fisheries. Angling ,SH1-691 - Abstract
Minimizing unwanted catches is a major milestone for achieving sustainable fisheries. In the framework of the Common Fisheries Policy, a landing obligation is being established progressively in European waters (Article 15, EU Regulation 1380/2013). Supplementary management measures have been proposed to support and enhance the effectiveness of this new regime. In this context, the effect of the landing obligation on a demersal mixed fishery (coastal and trawl fleet) in the Aegean Sea (NE Mediterranean Sea) was assessed in terms of both biological and economic sustainability. Our results show that the landing obligation alone does not ensure sustainable fisheries. Management action should be directed to the introduction of additional measures. Evidence suggests that improving selectivity and protecting the nursery grounds are possible solutions to decrease discards and ensure sustainable fisheries in the long term. The landing obligation can have a role in incentivizing the adoption of these management measures that ensure lower fishing mortality on juvenile fish.
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- 2019
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11. Traumatic Events and Vaccination Decisions: A Systematic Review
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Maria Christou-Ergos, Kerrie E. Wiley, Julie Leask, and Gilla K. Shapiro
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psychological trauma ,vaccination ,review ,Medicine - Abstract
Despite the apparent relationship between past experiences and subsequent vaccination decisions, the role of traumatic events has been overlooked when understanding vaccination intention and behaviour. We conducted a systematic review to synthesize what is known about the relationship between traumatic events and subsequent vaccination decisions. MEDLINE, PsycINFO and CINHAL electronic databases were searched, and 1551 articles were screened for eligibility. Of the 52 articles included in full-text assessment, five met the eligibility criteria. Findings suggest that the experience of trauma is associated with individual vaccination decisions. Social and practical factors related to both trauma and vaccination may mediate this relationship. As this is a relatively new field of inquiry, future research may help to clarify the nuances of the relationship. This review finds that the experience of psychological trauma is associated with vaccination intention and behaviour and points to the potential importance of a trauma-informed approach to vaccination interventions during the current global effort to achieve high COVID-19 vaccine coverage.
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- 2022
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12. Spatial and temporal patterns in the diet of barn owl (Tyto alba) in Cyprus
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Michaella Moysi, Maria Christou, Vassilis Goutner, Nikos Kassinis, and Savvas Iezekiel
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Barn owl ,Cyprus ,Feeding ecology ,Tyto alba ,Biology (General) ,QH301-705.5 - Abstract
Abstract Background The barn owl, a nocturnal raptor with cosmopolitan distribution, shows a great adaptability to different environments. Regarding prey, the barn owl is a rather selective species, but if changes in the abundance of the selected prey occur, it becomes an opportunistic predator and easily incorporates other prey in its diet, using a wide range of prey species and foraging habitats. Small rodents are usually the prey mostly used. Compared to the populations of north and eastern Europe, barn owl populations in the Mediterranean area have been the least studied. In Cyprus, where barn owl is a common bird species, there are no studies on its diet and feeding ecology. This study was carried out to contribute to the spatial and temporal patterns barn owl diet in Cyprus also providing information on small mammals’ presence and species composition on the island. Methods This study was based on 1407 regurgitated pellet analysis that were collected from 26 sites representing six major habitat types on central and southern Cyprus from summer 2013 to summer 2014. The diet of the barn owl was described in terms of seasonal average biomass and numerical percentages of each prey species and compared by Kruskal–Wallis test. Seasonal prey diversity and evenness indices were also calculated. Principal component analysis (PCA) was performed on the prey biomass proportion data assigned to six major habitat types with regard to elevation, vegetation and human uses. Results Low prey diversity was found comprised mainly of rodents (overall means 96.2 and 95.7% by number and biomass, respectively). Mice followed by rats were most important prey whereas insectivores, birds and insects were minor components of the owl’s diet. Evenness and diversity values were relatively similar among seasons. PCA differentiated mainly between lowland areas where mice were more abundant prey and mountainous areas where rats dominated in the diet. Insectivores correlated with birds, prey types characterizing several lowland and highland habitats. Conclusions The barn owl prey composition in Cyprus suggests an opportunistic foraging behavior, low prey species diversity with variations in the main rodent prey that could be explained by their distribution, seasonal activity and habitat preferences.
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- 2018
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13. Monitoring the Environmental, Social and Economic Dimensions of the Landing Obligation Policy
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Maria Christou, Silvia de Juan, Vassiliki Vassilopoulou, Konstantinos I. Stergiou, and Francesc Maynou
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decision making ,discards ,landing obligation ,monitoring ,Mediterranean fisheries ,Science ,General. Including nature conservation, geographical distribution ,QH1-199.5 - Abstract
Aiming to end the practice of discarding unwanted catches back to the sea within European marine waters, an obligation to land the catches of all regulated commercial species was introduced with the Common Fisheries Policy, with required implementation by the first of January 2019. The implementation of this new fisheries regulation urges the definition of standard monitoring protocols to track potential changes in the European fisheries. Importantly, this framework needs to be multi-dimensional to capture the ecological, social and economic components of the fisheries system. Aiming to address this challenge, a set of 39 candidate indicators were identified by means of literature review and expert consultation. Experts in European fisheries were gathered to discuss the selection of a restricted set of indicators and later, a remote survey was completed by the experts to assess the adequacy of the indicators against pre-defined quality criteria and to identify expected direction of change. Based on survey results, the candidate indicators were ranked according to their adequacy for monitoring of the landing obligation (LO) potential effects. This ranking was dominated by indicators related to the exploited species, rather than the social or economic dimensions of the fisheries. Because the LO is not yet fully implemented, experts expressed uncertainty in the properties of many indicators, particularly related to ecosystem properties and social system properties, and had divergent opinions on the effect of the LO on discard numbers. The feasibility to operationalize a monitoring framework with the prioritized indicators was explored with data from a Spanish demersal otter-trawl fishery. This exercise evidenced that most indicators can be routinely collected and that it would be feasible to track these variables over time in the framework of a monitoring program. However, gaps exist in the time series of the studied indicators, especially for the period after the LO implementation. This study can provide valuable baseline information for any future monitoring program, as its objective was the development of a methodological approach that contributes to science-based policy making and to indicator selection for fisheries management reforms.
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- 2019
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14. The Case of Lionfish (Pterois miles) in the Mediterranean Sea Demonstrates Limitations in EU Legislation to Address Marine Biological Invasions
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Periklis Kleitou, Jason M. Hall-Spencer, Ioannis Savva, Demetris Kletou, Margarita Hadjistylli, Ernesto Azzurro, Stelios Katsanevakis, Charalampos Antoniou, Louis Hadjioannou, Niki Chartosia, Maria Christou, Yiannis Christodoulides, Ioannis Giovos, Carlos Jimenez, Sonia Smeraldo, and Siân E. Rees
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invasive species ,alien species ,non-indigenous species ,Lessepsian ,risk assessment ,Regulation 1143 ,Naval architecture. Shipbuilding. Marine engineering ,VM1-989 ,Oceanography ,GC1-1581 - Abstract
The European Regulation (EU) 1143/2014 on Invasive Alien Species entered into force in 2015, with the aim to fulfill regional and international biodiversity goals in a concerted manner. To date, the Regulation listed 66 Invasive Alien Species (IAS) that are subject to legal controls. Only one of these is marine. A recent lionfish (Pterois miles) invasion has been closely monitored in the Mediterranean and a detailed risk assessment was made about the profound impacts that this invasive fish is likely to have on the fisheries and biodiversity of the region. In 2016–21, lionfish rapidly became dominant predators along Eastern Mediterranean coasts, yet the process for their inclusion on the EU IAS list has been lengthy and is ongoing. There is an urgent need to learn from this experience. Here, we recommend improvements to the Regulation 1143/2014 and the risk assessment process to protect marine ecosystems and secure the jobs of people that rely on coastal resources.
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- 2021
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15. Establishment and spread of the invasive ladybird Harmonia axyridis (Coleoptera: Coccinellidae) in Greece: based on contributions from citizen scientists
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Ιoanna Angelidou, Jakovos Demetriou, Maria Christou, Evangelos Koutsoukos, Christos Kazilas, Pantelis Georgiades, Konstantinos Kalaentzis, Dimitris C. Κontodimas, Quentin Groom, Helen E. Roy, and Angeliki F. Martinou
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Ecology ,Ecology, Evolution, Behavior and Systematics ,Ecology and Environment - Abstract
Harmonia axyridis (Pallas, 1773), also known as the harlequin ladybird, is an invasive non-native species intentionally introduced to many countries as a biological control agent of agricultural pests. In Greece, H. axyridis was first introduced as a biological control agent in 1994, with releases taking place between 1994 and 2000. For many years there was no evidence to indicate that H. axyridis had established self-sustaining populations. In 2008, a citizen science campaign was initiated aimed at raising awareness regarding the invasive status of H. axyridis to farmers and agronomists. The campaign did not yield results, and it was discontinued in 2011. During this study, the distribution, phenology, and presence of H. axyridis in different habitat types and protected areas in Greece are investigated, using both citizen science data and literature records. Records from iΝaturalist, the Alientoma database and social media examined herein demonstrate that H. axyridis has been established in Greece since 2010. Harmonia axyridis is currently present in 13 administrative districts of Greece, most of them at a considerable distance from the initial release sites. The harlequin ladybird is present in urban and agricultural habitats as well as seventeen NATURA 2000 sites. The adverse socioeconomic and environmental impacts of H. axyridis are briefly discussed alongside suggestions for management activities. Based on our findings, we propose the establishment of a national monitoring scheme for H. axyridis and native ladybirds that will also encourage public participation in recording ladybird observations and provide information on the distribution, spread and impact of this invasive non-native species.
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- 2023
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16. Κριτική προσέγγιση ζητημάτων της Κοινωνικής και Πολιτικής Αγωγής στο Δημοτικό μέσω έργων τέχνης
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MARIA CHRISTOU
- Abstract
Το μάθημα της Κοινωνικής και Πολιτικής Αγωγής στην Πρωτοβάθμια Εκπαίδευση συμβάλλει στην καλλιέργεια ικανοτήτων διαχείρισης και αντιμετώπισης κοινωνικών και ηθικών προβλημάτων της ζωής και του κοινωνικού περιβάλλοντος των μαθητών. Η ανάπτυξη των συγκεκριμένων ικανοτήτων προϋποθέτει την καλλιέργεια οριζόντιων ικανοτήτων των μαθητών, όπως είναι η κριτική-εμπεριστατωμένη σκέψη, η δημιουργικότητα, η πρωτοβουλία, η συνεργασία, η ενσυναίσθηση και κυρίως ο κριτικός στοχασμός, με την έννοια της επαναξιολόγησης των δυσλειτουργικών απόψεων που μπορεί να εκφράζουν οι μαθητές για συγκεκριμένα ζητήματα στα οποία έχουν εμπειρία. Και αυτό γιατί οι μαθητές προκειμένου να μπορέσουν να διαχειριστούν και να αντιμετωπίσουν κοινωνικά και ηθικά προβλήματα της ζωής και του κοινωνικού τους περιβάλλοντος, συχνά χρειάζεται να προβούν σε ποιοτική αλλαγή του τρόπου σκέψης και συμπεριφοράς τους, γεγονός που θέτει τις βάσεις για τη σταδιακή ανάπτυξη ενός περισσότερο χειραφετητικού τρόπου σκέψης μέχρι να φτάσουν στο στάδιο της ενηλικίωσής τους. Στο παρόν άρθρο επιχειρείται να αναδειχθεί η σημασία αξιοποίησης σημαντικών έργων τέχνης στο γνωστικό αντικείμενο της Κοινωνικής και Πολιτικής Αγωγής στο Δημοτικό για την κριτική προσέγγιση κοινωνικών ζητημάτων που θίγονται στο ισχύον Αναλυτικό Πρόγραμμα Σπουδών. Αρχικά επισημαίνεται η σημασία καλλιέργειας οριζόντιων ικανοτήτων διά βίου μάθησης από την Πρωτοβάθμια Εκπαίδευση με στόχο την αποφυγή καλλιέργειας ενός μονοδιάστατου τρόπου σκέψης των μαθητών. Προκειμένου να επιτευχθεί αυτό, είναι απαραίτητη όχι απλά η ανάπτυξη της κριτικής-εμπεριστατωμένης σκέψης των μαθητών, η οποία βασίζεται στους κανόνες της λογικής και στοιχεία της είναι η ερμηνεία, η τεκμηρίωση, η ανάλυση και η αξιολόγηση μιας κατάστασης, αλλά η καλλιέργεια πτυχών του κριτικού στοχασμού των μαθητών. Ο κριτικός στοχασμός περιλαμβάνει όλα τα στοιχεία της κριτικής-εμπεριστατωμένης σκέψης, αλλά και την επαναξιολόγηση των βαθιά εδραιωμένων πεποιθήσεων του ατόμου, τον έλεγχο της εγκυρότητας των επιχειρημάτων στα οποία εδράζονται οι πεποιθήσεις αυτές και τη διερεύνηση των συνεπειών τους, με απώτερο στόχο τον μετασχηματισμό των δυσλειτουργικών του απόψεων για κάποιο θέμα που μελετάται. Στη συνέχεια του άρθρου γίνεται αναφορά στην αξιοποίηση της τέχνης ως μέσο ενεργοποίησης του κριτικού στοχασμού των εκπαιδευομένων. Κατόπιν, αναδεικνύεται η θέση που κατέχει η τέχνη στο ισχύον Αναλυτικό Πρόγραμμα Σπουδών για την Κοινωνική και Πολιτική Αγωγή στο Δημοτικό. Ακολουθεί η παρουσίαση δύο ενδεικτικών διδακτικών παρεμβάσεων σε ένα συγκεκριμένο κεφάλαιο από την Κοινωνική και Πολιτική Αγωγή της Ε΄ Δημοτικού, όπου αξιοποιούνται έργα τέχνης με στόχο την ανάπτυξη πτυχών του κριτικού στοχασμού των μαθητών. Στο τέλος γίνεται συζήτηση και εξαγωγή συμπερασμάτων. Σε όλο το άρθρο χρησιμοποιείται ένα γένος, χάριν οικονομίας του λόγου, χωρίς αυτό να παραπέμπει σε οποιαδήποτε διάκριση με βάση το φύλο.
- Published
- 2022
17. Vaccine Refusal and What to Do About It: a Systematic Review of the Ethical Literature
- Author
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Kerrie Wiley, Maria Christou-Ergos, Chris Degeling, Rosalind McDougall, Penelope Robinson, Katie Attwell, Catherine Helps, Shevaun Drislane, and Stacy M Carter
- Abstract
Background: Parental refusal of routine childhood vaccination remains an ethically contested area. This systematic review sought to explore and characterise the normative arguments made about parental refusal of routine vaccination, with the aim of providing researchers, practitioners, and policymakers with a synthesis of current normative literature. Methods: Nine databases covering health and ethics research were searched, and 121 publications identified for the period Jan 1998 to Mar 2022. For articles, source journals were categorised according to Australian Standard Field of Research codes, and normative content was analysed using a framework analytical approach. Results: Most of the articles were published in biomedical journals (34%), bioethics journals (21%), and journals that carry both classifications (20%). Two central questions dominated the literature: 1) Whether vaccine refusal is justifiable (which we labelled ‘refusal arguments’); and 2) Whether strategies for dealing with those who reject vaccines are justifiable (‘response arguments’). Refusal arguments relied on principlism, religious frameworks, the rights and obligations of parents, the rights of children, the medico-legal best interests of the child standard, and the potential to cause harm to others. Response arguments were broadly divided into arguments about policy, arguments about how individual physicians should practice regarding vaccine rejectors, and both legal precedents and ethical arguments for vaccinating children against a parent’s will. Policy arguments considered the normative significance of coercion, non-medical or conscientious objections, and possible reciprocal social efforts to offset vaccine refusal. Individual physician practice arguments covered nudging and coercive practices, patient dismissal, and the ethical and professional obligations of physicians. Most of the legal precedents discussed were from the American setting, with some from the United Kingdom. Conclusions: This review provides a comprehensive picture of the scope and substance of normative arguments about vaccine refusal and responses to vaccine refusal. It can serve as a platform for future research to extend the current normative literature, better understand the role of cultural context in normative judgements about vaccination, and more comprehensively translate the nuance of ethical arguments into practice and policy.
- Published
- 2023
18. Longitudinal placements for trainee pharmacists: Learning whilst improving patient care
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Jeremy Sokhi, David T. Wright, Hannah Kinsey, and Maria Christou
- Subjects
Medical education ,Health professionals ,education ,Professional development ,General Medicine ,Pharmacists ,Patient care ,Education ,Learning experience ,Practice learning ,Community of practice ,Qualitative longitudinal ,Humans ,Learning ,Clinical Competence ,Patient Care ,Psychology ,Hospital ward ,Education, Medical, Undergraduate - Abstract
Introduction: Longitudinal Integrated Clerkships (LICs) have demonstrated benefits for students' learning and development in medical education globally. The model emphasises importance with respect to continuity and time in the workplace for learners. There is a need to explore how LICs become a viable training model for learners. An amalgamative LIC model was drawn upon to inform the design of a placement for trainee pharmacists on a hospital ward. This study sought to determine the local viability of a longitudinal placement for trainee pharmacists, using communities of practice learning theory to interpret findings. Methods: A design-based research approach informed study design. A longitudinal placement was implemented on two hospital wards for 13 weeks. Trainees (n = 3) were interviewed four times over a 14-week period. Ward staff (n = 14) were interviewed at week 14. Interviews were transcribed verbatim. Qualitative longitudinal analysis, using the trajectory approach, was conducted using abductive analysis. The coded data were organised into a framework and subthemes were created. Results: Trainees acquired membership within the multi-disciplinary ward team over time. This led to an enriched learning experience and the trainee's professional development improved as they attained more responsibilities. This enabled them to make a greater contribution to patient care; more medication consultations occurred, and discharge times improved. Discussion: The local viability of the longitudinal placement appears to be linked to the trainee's ability to acquire membership within the ward community of practice. Membership gave trainee's access to learning opportunities, supporting their development, and they earnt the trust of staff, leading to more responsibilities for providing patient care. Further research into developing longitudinal placements that support trainee healthcare professionals to acquire membership within communities of practice is warranted.
- Published
- 2021
19. Kazuo Ishiguro's Nonactors
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Maria Christou
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Literature and Literary Theory ,0602 languages and literature ,06 humanities and the arts ,060202 literary studies - Abstract
At center stage in Kazuo Ishiguro's work is the figure of the nonactor: a character type that confronts us time and again with scenarios in which action is devalued. This essay shows that, despite finding themselves in situations that mandate action, Ishiguro's characters opt instead for risk-averse and mechanical-like behaviors that are antonymous to change. This, however, is not a solely aesthetic phenomenon, and the essay examines the figure of the nonactor in Ishiguro's novels as part of a broader turn toward nonaction. It does so by considering this figure in relation to a distinctly twentieth-century context within which, as Hannah Arendt has it, human action came to be seen as more dangerous than ever before. Ishiguro's nonactors can be seen as the legacy, but also as the mutations, of this understanding in our own era and in the contemporary novel. This legacy, the essay demonstrates, reveals an underexamined aspect of the neoliberal mind-set that dominates the post–Cold War world. Rather than promote the worthiness of individual, self-serving action, Ishiguro's novels bring to the forefront something different though no less pernicious: a wholescale devaluation of the individual's capacity to act.
- Published
- 2020
20. La obligación de descartes: un 'aterrizaje forzoso' para las pesquerías mixtas del Mediterráneo. Evaluación de estrategias de gestión mediante un modelo bioeconómico aplicado al Mar Egeo
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Maria Christou, Christos D. Maravelias, George Tserpes, Francesc Maynou, Konstantinos I. Stergiou, and European Commission’s Horizon 2020 Research and Innovation Programme
- Subjects
0106 biological sciences ,aegean sea ,Fishing ,pesquerías del Mediterráneo ,mixed fisheries ,SH1-691 ,Context (language use) ,Crash ,Aquatic Science ,Oceanography ,01 natural sciences ,mar Egeo ,bioeconomic modelling ,Demersal zone ,lcsh:Aquaculture. Fisheries. Angling ,mediterranean fisheries ,Mediterranean sea ,landing obligation ,Aegean Sea ,Milestone (project management) ,Aquaculture. Fisheries. Angling ,14. Life underwater ,Obligation ,fisheries management ,Mediterranean fisheries ,ordenación pesquera ,pesquerías mixtas ,lcsh:SH1-691 ,010604 marine biology & hydrobiology ,obligación de desembarque ,04 agricultural and veterinary sciences ,modelos bioeconómicos ,Discards ,Fishery ,040102 fisheries ,0401 agriculture, forestry, and fisheries ,Business - Abstract
Minimizing unwanted catches is a major milestone for achieving sustainable fisheries. In the framework of the Common Fisheries Policy, a landing obligation is being established progressively in European waters (Article 15, EU Regulation 1380/2013). Supplementary management measures have been proposed to support and enhance the effectiveness of this new regime. In this context, the effect of the landing obligation on a demersal mixed fishery (coastal and trawl fleet) in the Aegean Sea (NE Mediterranean Sea) was assessed in terms of both biological and economic sustainability. Our results show that the landing obligation alone does not ensure sustainable fisheries. Management action should be directed to the introduction of additional measures. Evidence suggests that improving selectivity and protecting the nursery grounds are possible solutions to decrease discards and ensure sustainable fisheries in the long term. The landing obligation can have a role in incentivizing the adoption of these management measures that ensure lower fishing mortality on juvenile fish., Minimizar las capturas no deseadas es un hito importante para lograr pesquerías sostenibles. En el marco de la Política Pesquera Común se está estableciendo progresivamente una obligación de desembarque en aguas europeas (artículo 15, reglamento 1380/2013 de la UE). Se han propuesto medidas de gestión complementarias para apoyar y mejorar la eficacia de este nuevo régimen. En este contexto, se evalúa el efecto de la obligación de desembarque en una pesquería mixta demersal (flota costera y de arrastre) en el mar Egeo (NE mar Mediterráneo), tanto en términos de sostenibilidad biológica como económica. Nuestros resultados muestran que la obligación de desembarque por sí sola no garantiza una pesca sostenible, y que la gestión debería enfocarse hacia la introducción de medidas adicionales. Las evidencias obtenidas sugieren que mejorar la selectividad de las artes de pesca y proteger las áreas de alevinaje son dos soluciones posibles para disminuir los descartes y garantizar una pesca sostenible a largo plazo. La obligación de desembarque puede tener un papel en incentivar la adopción de estas medidas de gestión, que aseguran una menor mortalidad por pesca en peces juveniles.
- Published
- 2019
- Full Text
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21. Undergraduate nursing students' knowledge about palliative care and attitudes towards end-of-life care: A three-cohort, cross-sectional survey
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Maria Christou, Stylianos Katsaragakis, Stavroula Sgourou, Elisabeth Patiraki, Maria Dimoula, and Grigorios Kotronoulas
- Subjects
Adult ,Male ,Health Knowledge, Attitudes, Practice ,Palliative care ,Cross-sectional study ,education ,MEDLINE ,Education ,Cohort Studies ,Young Adult ,03 medical and health sciences ,0302 clinical medicine ,Nursing ,Surveys and Questionnaires ,Humans ,030212 general & internal medicine ,General Nursing ,Terminal Care ,030504 nursing ,Palliative Care ,Education, Nursing, Baccalaureate ,Middle Aged ,Cross-Sectional Studies ,Nursing Education Research ,Nursing Evaluation Research ,Cohort ,Female ,Students, Nursing ,Spiritual care ,0305 other medical science ,Psychology ,Psychosocial ,End-of-life care ,Cohort study - Abstract
Background:\ud \ud Ensuring adequate knowledge about palliative care and positive attitudes towards death and dying are crucial educational aspects when preparing undergraduate nursing students to respond effectively to the complexities of care for people affected by a progressive, life-limiting illness. In undergraduate nursing education in Greece, the level of students' attained knowledge and developed attitudes towards palliative and end-of-life care remain unknown.\ud Purpose:\ud \ud To investigate undergraduate nursing students' knowledge about palliative care and attitudes towards death and end-of-life care, and explore demographic and academic factors as potential moderators of student knowledge and attitudes.\ud Methods:\ud \ud We conducted a descriptive, cross-sectional, questionnaire-based survey. We recruited 2nd, 3rd and 4th year undergraduate nursing students from the country's two University Faculties. Participants completed a demographic form, the Palliative Care Quiz for Nursing (PCQN), and the Frommelt Attitudes Towards Care of the Dying (FATCOD) questionnaire.\ud Results:\ud \ud The final sample was 529 students (response rate = 87.6%). Mean total PCQN scores revealed low levels of knowledge. Knowledge about pain/symptom management and psychosocial/spiritual care was insufficient. Mean total FATCOD scores indicated positive, liberal and supportive attitudes towards end-of-life care, with 60% of respondents keen to care for a dying person and their family. We noted less positive attitudes mainly in relation to student comfort with the care of a dying person and his/her imminent death. Academic parameters (year of study) and student demographic characteristics (older age) were the most significant moderators of both knowledge and attitudes. Greater knowledge about palliative care was a relatively weak, yet significant, predictor of more liberal attitudes towards care of the dying.\ud Conclusion:\ud \ud Our findings suggest that structured courses in palliative care can be a core part of undergraduate nursing education. Specific attention could be given to such areas patient-health professional communication, misconceptions and biases towards death and dying, and comfort in caring for the dying in order to prepare student nurses to psychologically deal with the sensitive and challenging process of death and dying.
- Published
- 2019
22. Sublethal exposure to Microcystis aeruginosa extracts during embryonic development reduces aerobic swimming capacity in juvenile zebrafish
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Emmanolia, Sergi, Michail, Orfanakis, Anastasia, Dimitriadi, Maria, Christou, Anthi, Zachopoulou, Chara, Kourkouta, Alice, Printzi, Sevasti-Kiriaki, Zervou, Pavlos, Makridis, Anastasia, Hiskia, and George, Koumoundouros
- Subjects
Microcystis ,Microcystins ,Health, Toxicology and Mutagenesis ,Animals ,Embryonic Development ,Aquatic Science ,Ecosystem ,Swimming ,Water Pollutants, Chemical ,Zebrafish - Abstract
In the last decades, cyanobacterial harmful algal blooms (CyanoHABs) pose an intensifying ecological threat. Microcystis aeruginosa is a common CyanoHAB species in freshwater ecosystems, with severe toxic effects in a wide range of organisms. In the present paper we examined whether transient and short (48 h) exposure of fish embryos to sublethal levels of M. aeruginosa crude extract (200 mg biomass dw L
- Published
- 2022
23. The Case of Lionfish (Pterois miles) in the Mediterranean Sea Demonstrates Limitations in EU Legislation to Address Marine Biological Invasions
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Demetris Kletou, Maria Christou, Niki Chartosia, Jason M. Hall-Spencer, Sonia Smeraldo, Stelios Katsanevakis, Periklis Kleitou, Siân E. Rees, Yiannis Christodoulides, Ioannis Giovos, Ernesto Azzurro, Carlos Jiménez, Ioannis Savva, Margarita Hadjistylli, Louis Hadjioannou, and Charalampos Antoniou
- Subjects
0106 biological sciences ,Mediterranean climate ,Biodiversity ,alien species ,Ocean Engineering ,Legislation ,Pterois miles ,010603 evolutionary biology ,01 natural sciences ,Invasive species ,invasive species ,lcsh:Oceanography ,Mediterranean sea ,lcsh:VM1-989 ,Marine ecosystem ,lcsh:GC1-1581 ,non-indigenous species ,Water Science and Technology ,Civil and Structural Engineering ,biology ,010604 marine biology & hydrobiology ,Lessepsian ,lcsh:Naval architecture. Shipbuilding. Marine engineering ,risk assessment ,biology.organism_classification ,early response ,Fishery ,Geography ,recommendations ,Regulation 1143 ,Risk assessment ,control ,management - Abstract
The European Regulation (EU) 1143/2014 on Invasive Alien Species entered into force in 2015, with the aim to fulfill regional and international biodiversity goals in a concerted manner. To date, the Regulation listed 66 Invasive Alien Species (IAS) that are subject to legal controls. Only one of these is marine. A recent lionfish (Pterois miles) invasion has been closely monitored in the Mediterranean and a detailed risk assessment was made about the profound impacts that this invasive fish is likely to have on the fisheries and biodiversity of the region. In 2016–21, lionfish rapidly became dominant predators along Eastern Mediterranean coasts, yet the process for their inclusion on the EU IAS list has been lengthy and is ongoing. There is an urgent need to learn from this experience. Here, we recommend improvements to the Regulation 1143/2014 and the risk assessment process to protect marine ecosystems and secure the jobs of people that rely on coastal resources.
- Published
- 2021
24. Fishers' perceptions of the European Union discards ban: perspective from south European fisheries
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Mafalda Rangel, Rita Rainha, Luis Bentes, María del Mar Gil, Maria Christou, Konstantinos I. Stergiou, Jorge M.S. Gonçalves, Christos D. Maravelias, Karim Erzini, Francesc Maynou, Giovan Battista Giusto, Sergio Vitale, Dimitrios Damalas, C. Viva, Antigoni Foutsi, Paolo Sartor, Ilaria Rossetti, Francesco De Carlo, and European Commission
- Subjects
0106 biological sciences ,Economics and Econometrics ,Fishing ,Questionnaire surveys ,Management, Monitoring, Policy and Law ,Aquatic Science ,010603 evolutionary biology ,01 natural sciences ,Common Fisheries Policy ,Incentives ,media_common.cataloged_instance ,Perceptions ,14. Life underwater ,Obligation ,European union ,Enforcement ,General Environmental Science ,media_common ,Small-scale fisheries ,business.industry ,010604 marine biology & hydrobiology ,Comanagement ,Discards Ban ,Discards ,Fishery ,Incentive ,Fishing industry ,Structured interview ,Business ,Law ,Mediterranean fisheries ,Common fisheries policy - Abstract
The estimated impact of the EU Landing Obligation was investigated, which bans discards of regulated species, in South European fisheries through stakeholders’ perceptions with the intention to identify implementation shortcomings and practicalities that might lead to obstacles to enforcement. Structured interviews were conducted with 173 fishers in 4 countries practicing 4 generic fisheries (as typified by the dominant fishing gear) asking a total of 26 questions. Results show that fishers estimate that the full implementation of the discards ban will result in longer sorting times. Added to the limited space on board, especially in the more productive trawl and purse seine vessels, this may lead to practical difficulties in relation to compliance. Most of the respondents estimate that there are no realistic possibilities of utilizing the formerly discarded fish in the short term, because of the lack of adequate infrastructure on land Furthermore, the possible utilization types foreseen in the regulation will not help offset the costs of bringing former discards to land. The outcomes of this study have confirmed the implementation difficulties of the landing obligation, especially when the fishing industry cannot expect any medium to long-term benefits., This research has received funding from the European Commission's Horizon 2020 Research and Innovation Programme under Grant Agreement No. 634495 for the project Science, Technology, and Society Initiative to minimize Unwanted Catches in European Fisheries (MINOUW).
- Published
- 2018
- Full Text
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25. A Politics of Auto-Cannibalism: Margaret Atwood’s The Handmaid’s Tale
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Maria Christou
- Subjects
Literature ,Literature and Literary Theory ,Theocracy ,business.industry ,Philosophy ,Religious studies ,Cannibalism ,Analogy ,Literal and figurative language ,Politics ,Sacrifice ,Nazi Germany ,Subversion ,business - Abstract
The debate concerning the biblical intertexts of Margaret Atwood’s The Handmaid's Tale has revolved around the question of the Bible’s role in the latter: as a tool for suppression and as a potential tool for subversion. The present article re-opens this crucial debate, shifting its focus and contributing to it in two interrelated ways. Whilst the explicit link between the theocracy of Atwood’s Gilead and its totalitarianism has been elaborated on, a specific analogy between Gilead and Nazi Germany drawn in the text remains underexplored in terms of its correlation with the novel’s biblical intertexts. This essay engages with the Gilead-Nazi Germany analogy in these terms, focusing – and this is its second contribution – on the novel’s intertextual entanglement with the story of the sacrificial lamb of the Passover, which still remains unexamined today, in 2015, the year that marks the thirtieth anniversary of the novel’s publication. Both the Passover sacrifice and Atwood’s novel, I will argue, present us with a figurative self-consumption that points to a politics of ‘auto-cannibalism’, which illuminates the parallel between Gilead and Nazi Germany whilst fleshing out its implications on Atwood’s treatment of the tripartite association between politics, sacrifice, and eating.
- Published
- 2015
26. I EAT THEREFORE I AMan essay on human and animal mutuality
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Maria Christou
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Cultural Studies ,Philosophy ,Literature and Literary Theory ,Western thought ,Hegelianism ,Consumption (sociology) ,Epistemology - Abstract
This essay provides an overview of seminal examples of Western thought (including the Bible, Plato, Hegel, Nietzsche, Freud and Heidegger) in which food features as a means to the conceptual differentiation of the human from the animal. Such an approach allows the emergence of a “structure” (in the Deleuzian sense) that seems to underlie the production of these distinctions. It is, paradoxically, human and animal mutuality – as this is manifested in their common need for, and consumption of, food – that has been utilised as their “differentiator” in the Western tradition and it is this, I argue, that renders possible the functions of what Agamben calls the “anthropological machine.”
- Published
- 2013
27. Dignity of Greek patients with advanced cancer: A cross-sectional study
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S. Katsaragakis, M. Dimoula, D. Protogiros, K. Maniati, S. Sgourou, Elisabeth Patiraki, F. Deskou, and Maria Christou
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medicine.medical_specialty ,Dignity ,Oncology ,business.industry ,Cross-sectional study ,Family medicine ,media_common.quotation_subject ,Medicine ,Hematology ,business ,Advanced cancer ,media_common - Published
- 2018
28. Delivering a home-based medication review, process measures from the HOMER randomised controlled trial
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David Evans, Alistair Lipp, Richard Holland, Ian Harvey, Maria Christou, Richard D. Smith, and Elizabeth Lenaghan
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Medication review ,medicine.medical_specialty ,business.industry ,Health Policy ,Public Health, Environmental and Occupational Health ,Pharmacist ,Psychological intervention ,Pharmaceutical Science ,Pharmacy ,Home based ,law.invention ,Randomized controlled trial ,law ,Intervention (counseling) ,Family medicine ,Medicine ,Cluster randomised controlled trial ,business ,Process Measures - Abstract
Objectives The HOme-based MEdication Review (HOMER) trial investigated whether home-based medication review by pharmacists could decrease hospital re-admission in older people. This trial demonstrated that the intervention increased admissions by 30% (P=0.009). This unexpected finding provoked significant interest. This paper describes the intervention in detail and the process measures recorded by review pharmacists, and investigates whether results differed according to pharmacist characteristics. Method 437 patients were randomised to the intervention, which involved two pharmacist home visits within two and eight weeks of discharge, and 435 were randomised to usual care. An analysis was undertaken of the process measures and to determine whether admission rates differed within the intervention group according to the type of pharmacist performing the review. Setting Norfolk or Suffolk patients aged over 80 years discharged to their own home after an emergency admission (any cause), and taking two or more medications daily. Key findings Twenty-two pharmacists participated. The majority (68%) were experienced community pharmacists (mean age = 42 years), 71% had a postgraduate qualification. Pharmacists identified adverse drug reactions in 33% of patients and made a mean of 1.6 recommendations/comments per visit undertaken. At least 35% of these were enacted. Pharmacists reduced inappropriate drug storage from 7% to 2% of visited patients by their second visit (P = 0.04), and reduced hoarding of unnecessary drugs from 40% of visited patients to 19% (P < 0.001). Finally, the rate of admission within the intervention group did not vary significantly according to experience or type of pharmacist delivering the intervention. Conclusion The HOMER intervention was conducted in a similar way to interventions in many other medication review studies. Given the HOMER trial's counter-intuitive findings it is clear that there is an urgent need to refine this intervention, identify the most suitable location for its delivery, and develop training that can ensure it is delivered to best effect.
- Published
- 2006
29. Interaction Analysis in Performing Arts: A Case Study in Multimodal Choreography
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Maria Christou, Annie Luciani, Luciani, Annie, ACROE - Ingénierie de la Création Artistique (ACROE-ICA), and Ministère de la Culture et de la Communication (MCC)-Institut National Polytechnique de Grenoble (INPG)
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Dance ,Computer science ,[INFO.INFO-GR] Computer Science [cs]/Graphics [cs.GR] ,020207 software engineering ,06 humanities and the arts ,02 engineering and technology ,[INFO.INFO-GR]Computer Science [cs]/Graphics [cs.GR] ,060404 music ,Variety (cybernetics) ,Choreography ,Human–computer interaction ,0202 electrical engineering, electronic engineering, information engineering ,Performing arts ,0604 arts - Abstract
International audience; The growing overture towards interacting virtual words and the variety of uses, have brought great changes in the performing arts, that worth a profound analysis in order to understand the emerging issues. We examine the performance conception for its embodiment capacity with a methodology based on interaction analysis. Finally, we propose a new situation of multimodal choreography that respects the aforementioned analysis, and we evaluate the results on a simulation exercise.
- Published
- 2009
30. The effect of oral micronized progesterone on hormonal and metabolic parameters in anovulatory patients with polycystic ovary syndrome
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Fragiskos Economou, Evangelia Tantalaki, Georgios Boutzios, Xenofon Xyrafis, Sarantis Livadas, Athanasios Karachalios, Aristea Zerva, Maria Christou, Krystallenia I Alexandraki, and Evanthia Diamanti-Kandarakis
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Adult ,medicine.medical_specialty ,Adolescent ,medicine.drug_class ,Administration, Oral ,Anovulation ,Young Adult ,Oral administration ,Internal medicine ,medicine ,Humans ,Prospective Studies ,Prospective cohort study ,Progesterone ,business.industry ,Hyperandrogenism ,Obstetrics and Gynecology ,Luteinizing Hormone ,medicine.disease ,Androgen ,Polycystic ovary ,Endocrinology ,Treatment Outcome ,Reproductive Medicine ,Female ,business ,Blood sampling ,Hormone ,Polycystic Ovary Syndrome - Abstract
Objective To investigate the effects of oral natural micronized P on hormonal and metabolic parameters in patients with polycystic ovary syndrome (PCOS) and to answer the clinical question whether induction of withdrawal bleeding is a necessity for the comparison of hormonal and metabolic data in subjects with PCOS. Design Prospective clinical study. Setting Academic medical center. Patient(s) Twenty-eight reproductive-aged women with PCOS. Main Outcome Measure(s) Blood sampling was collected at baseline, after 7 days of oral natural micronized P (200 mg) administration, and after withdrawal bleeding. At these three stages hormonal parameters and homeostasis assessment model (HOMA-IR) index were assessed in all patients. Result(s) Oral natural micronized P administration did not alter significantly insulin sensitivity index and androgen levels; however, LH was decreased when postbleeding values were compared to baseline. Nevertheless, after oral natural micronized P administration, P and 17α-hydroxyprogesterone (17-OHP) concentrations were increased, and HOMA-IR was decreased, whereas androgens levels were not altered, in comparison with baseline. Conclusion(s) The induction of withdrawal bleeding, with this regimen, does not appear to be a necessity for the assessment of hormonal and metabolic profile in anovulatory women with PCOS.
- Published
- 2008
31. Does home based medication review keep older people out of hospital? The HOMER randomised controlled trial
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Lee Shepstone, Maria Christou, David M. Evans, Richard D. Smith, Christopher Hand, Ian Harvey, Richard Holland, Elizabeth Lenaghan, and Alistair Lipp
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medicine.medical_specialty ,Attitude of Health Personnel ,health care facilities, manpower, and services ,education ,Pharmacist ,Poison control ,Aftercare ,Pharmacy ,Self Administration ,Rate ratio ,Pharmacists ,Patient Readmission ,law.invention ,Drug Utilization Review ,Randomized controlled trial ,Quality of life ,Patient Education as Topic ,law ,health services administration ,medicine ,Humans ,Emergency Treatment ,health care economics and organizations ,Primary Care ,General Environmental Science ,Aged ,Aged, 80 and over ,Pharmacies ,business.industry ,Hazard ratio ,General Engineering ,General Medicine ,Prognosis ,Home Care Services ,Clinical trial ,House Calls ,England ,Physical therapy ,Quality of Life ,General Earth and Planetary Sciences ,Patient Compliance ,business ,Family Practice - Abstract
Objective To determine whether home based medication review by pharmacists affects hospital readmission rates among older people. Design Randomised controlled trial. Setting Home based medication review after discharge from acute or community hospitals in Norfolk and Suffolk. Participants 872 patients aged over 80 recruited during an emergency admission (any cause) if returning to own home or warden controlled accommodation and taking two or more drugs daily on discharge. Intervention Two home visits by a pharmacist within two weeks and eight weeks of discharge to educate patients and carers about their drugs, remove out of date drugs, inform general practitioners of drug reactions or interactions, and inform the local pharmacist if a compliance aid is needed. Control arm received usual care. Main outcome measure Total emergency readmissions to hospital at six months. Secondary outcomes included death and quality of life measured with the EQ-5D. Results By six months 178 readmissions had occurred in the control group and 234 in the intervention group (rate ratio = 1.30, 95% confidence interval 1.07 to 1.58; P = 0.009, Poisson model). 49 deaths occurred in the intervention group compared with 63 in the control group (hazard ratio = 0.75, 0.52 to 1.10; P = 0.14). EQ-5D scores decreased (worsened) by a mean of 0.14 in the control group and 0.13 in the intervention group (difference = 0.01, -0.05 to 0.06; P = 0.84, t test). Conclusions The intervention was associated with a significantly higher rate of hospital admissions and did not significantly improve quality of life or reduce deaths. Further research is needed to explain this counterintuitive finding and to identify more effective methods of medication review.
- Published
- 2005
32. The Implementation of the Landing Obligation in Small-Scale Fisheries of Southern European Union Countries
- Author
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Cristina Pita, George Tserpes, Célia M. Teixeira, Katia Frangoudes, Francesc Maynou, Sebastián Villasante, Telmo Morato, Laurence Fauconnet, Vassiliki Vassilopoulou, Manel Antelo, Konstantinos I. Stergiou, Pablo Pita, Maria Christou, Universidade de Santiago de Compostela [Spain] (USC ), Hellenic Centre for Marine Research (HCMR), Aristotle University of Thessaloniki, Department of Oceanography and Fisheries [Horta], University of the Azores, Aménagement des Usages des Ressources et des Espaces marins et littoraux - Centre de droit et d'économie de la mer (AMURE), Institut Universitaire Européen de la Mer (IUEM), Institut de Recherche pour le Développement (IRD)-Institut national des sciences de l'Univers (INSU - CNRS)-Université de Brest (UBO)-Centre National de la Recherche Scientifique (CNRS)-Institut de Recherche pour le Développement (IRD)-Institut national des sciences de l'Univers (INSU - CNRS)-Université de Brest (UBO)-Centre National de la Recherche Scientifique (CNRS)-Institut Français de Recherche pour l'Exploitation de la Mer (IFREMER)-Centre National de la Recherche Scientifique (CNRS), Institute of Marine Sciences / Institut de Ciències del Mar [Barcelona] (ICM), Consejo Superior de Investigaciones Científicas [Madrid] (CSIC), Universidade dos Açores, Universidade de Aveiro, Marine and Environmental Sciences Centre [Portugal] (MARE), Instituto Universitário de Ciências Psicológicas, Sociais e da Vida (ISPA), Uhlmann Sven Sebastian, Ulrich Clara, Kennelly Steven J., European Commission, International Council for the Exploration of the Sea, Ministerio de Economía y Competitividad (España), Fundação para a Ciência e a Tecnologia (Portugal), Centro de Estudos do Ambiente e do Mar (Portugal), Institut Français de Recherche pour l'Exploitation de la Mer (IFREMER)-Université de Brest (UBO)-Institut Universitaire Européen de la Mer (IUEM), Institut de Recherche pour le Développement (IRD)-Institut national des sciences de l'Univers (INSU - CNRS)-Université de Brest (UBO)-Centre National de la Recherche Scientifique (CNRS)-Institut de Recherche pour le Développement (IRD)-Institut national des sciences de l'Univers (INSU - CNRS)-Centre National de la Recherche Scientifique (CNRS)-Centre National de la Recherche Scientifique (CNRS), Universidade de Santiago de Compostela. Departamento de Economía Aplicada, Universidade de Santiago de Compostela. Departamento de Fundamentos da Análise Económica, Centre National de la Recherche Scientifique (CNRS)-Université de Brest (UBO)-Institut Français de Recherche pour l'Exploitation de la Mer (IFREMER)-Institut Universitaire Européen de la Mer (IUEM), and Institut de Recherche pour le Développement (IRD)-Institut national des sciences de l'Univers (INSU - CNRS)-Université de Brest (UBO)-Centre National de la Recherche Scientifique (CNRS)-Institut de Recherche pour le Développement (IRD)-Institut national des sciences de l'Univers (INSU - CNRS)-Centre National de la Recherche Scientifique (CNRS)
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0106 biological sciences ,Southern Europe ,Landing Obligation ,Fish stock ,01 natural sciences ,[SHS]Humanities and Social Sciences ,Common Fisheries Policy ,media_common.cataloged_instance ,14. Life underwater ,Obligation ,European union ,media_common ,Small-scale fisheries ,Overfishing ,010604 marine biology & hydrobiology ,04 agricultural and veterinary sciences ,[SDE.ES]Environmental Sciences/Environmental and Society ,Discards ,Fishery ,Scale (social sciences) ,Impacts ,[SDE]Environmental Sciences ,040102 fisheries ,0401 agriculture, forestry, and fisheries ,Business ,Common fisheries policy - Abstract
20 pages, 1 figure, 2 tables, In the European Union, discards represent a major source of undocumented mortality, contributing to the overfishing of European fish stocks. However, little attention has been given by the scientific community to discards in the European Union’s small-scale fisheries (SSF). This is mainly due to the fact that discards are mostly generated by industrial fisheries, while SSFs were generally thought to have lower discard rates than industrial fisheries. A Landing Obligation (LO) is being introduced in European waters with the reform of the Common Fisheries Policy (CFP) (Article 15, EU regulation 1380/2013) to limit/reduce discarding. However, management recommendations are required to support its implementation. The reality and challenges to enforce the LO in SSF are analyzed in this chapter, gathering information from different small-scale fisheries and fishers from the Atlantic Ocean and Mediterranean Sea who were asked about their perceptions toward the LO. The objectives of this chapter are to (a) identify the reasons for discarding and (b) investigate the multiple ecological, economic, social, and institutional drivers which act as a barrier toward the implementation of the LO in SSF. Given the high importance of SSF in the southern countries of Europe, different case studies of SSF from France, Greece, Portugal, and Spain coasts are used to illustrate the reasons for discarding, the impacts of the LO on SSF, and the barriers for its implementation, The authors acknowledge the financial support from the European COST Action “Ocean Governance for Sustainability – challenges, options and the role of science” and by the ICES Science Fund Project “Social Transformations of Marine Social-Ecological Systems”, and MINOUW (Grant Agreement 634495). C. Pita acknowledges FCT/MEC national funds and FEDER co-funding, within the PT2020 partnership Agreement and Compete 2020, for the financial support to CESAM (Grant no UID/AMB/50017/2013). C.M. Teixeira had the support of the Fundação para a Ciência e a Tecnologia (FCT) (Pest-OE/MAR/UI0199/2011); and C.M. Teixeira and C. Pita were supported by the Research Project “LESSisMORE – LESS discards and LESS fishing effort for BETTER efficiency on the small-scale fisheries” (Ref. “LISBOA-01-0145-FEDER-028179”), support by the FEDER Funds through the COMPETE 2020, by the PIDDAC through FCT/MCTES. TM thanks the support from the European Union’s Horizon 2020 research and innovation project DiscardLess (Grant Agreement No 633680), the Fundação para a Ciência e Tecnologia (FCT) strategic project UID/MAR/04292/2013 granted to MARE. He is also supported by the Program Investigador FCT (IF/01194/2013/CP1199/CT0002)
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33. DMSO effects larval zebrafish (Danio rerio) behavior, with additive and interaction effects when combined with positive controls
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Thomas W.K. Fraser, Arturas Kavaliauskis, Erik Ropstad, and Maria Christou
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Perfluorooctanesulfonic acid ,Environmental Engineering ,010504 meteorology & atmospheric sciences ,Danio ,010501 environmental sciences ,01 natural sciences ,Flutamide ,Andrology ,chemistry.chemical_compound ,Animals ,Environmental Chemistry ,Dimethyl Sulfoxide ,Waste Management and Disposal ,Zebrafish ,0105 earth and related environmental sciences ,Behavior, Animal ,biology ,Concentration Response ,Dimethyl sulfoxide ,fungi ,Wild type ,biology.organism_classification ,Pollution ,chemistry ,Larva ,Locomotion ,Methylene blue - Abstract
Embryonic and larval zebrafish (Danio rerio) behavior is commonly used to identify neurotoxic compounds. Here, we investigated whether sub-lethal exposures to the common solvents dimethyl sulfoxide (DMSO, 0.01-1%) and methanol (MeOH, 0.01-1%), or the anti-fungal agent methylene blue (MB, 0.0001-0.0005%), can influence larval behavior in a simple light/dark paradigm conducted in 96-well plates. In addition, we tested whether the media volume within the behavioral arena or the zebrafish strain, AB wild type, AB Tübingen (AB/TU), or Tüpfel long-fin (TL), could also influence larval behavior. Following the single exposures, we co-exposed larvae to DMSO and either MB or two other compounds with known behavioral effects in larval zebrafish, flutamide and perfluorooctanesulfonic acid (PFOS). We found ≥0.55% DMSO and 0.0005% MB significantly affected larval behavior, but there was no effect of MeOH. Similarly, TL showed less movement compared to AB and AB/TU strains, whereas lower media volumes also significantly reduced larval movement. However, all strains responded similarly to DMSO and MB. In the co-exposure studies, we found either additive or interaction effects between DMSO and either MB, flutamide, or PFOS, depending on the behavioral endpoint measured. In addition, media volume had no effect on the DMSO concentration response curve, but again we observed additive effects on behavior. In conclusion, methodology can lead to alterations in baseline locomotor activity and compounds can have additive or interaction effects on behavioral endpoints. However, we found no evidence that strain effects should be a concern when deciding on solvents for a simple light/dark behavioral test in larval zebrafish.
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