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In a greenhouse experiment, we studied the impact of Melia azedarach ripe fruit water extract (MWE), Furfural (a key ingredient of M. azedarach), and the commercial nematicide Oxamyl (Vydate® 10 SL) on the soil free-living nematode community. Treatments were applied every 20 days for two months, and soil samples were collected 3 days after the last application (3DAA) and at the end of the cultivation period (34DAA). We assessed short- and long-term effects on nematode community structure, metabolic footprint, genus composition, and interaction networks. Oxamyl and Furfural significantly reduced bacterial and fungal feeder populations. MWE had no impact on free-living nematode populations. Oxamyl and Furfural-treated soil samples were dominated by Rhabditis at 3DAA and Meloidogyne spp. at 34DAA. On the contrary, MWE-treated soil showed a balanced distribution, with Rhabditis, Panagrolaimus, Mesorhabditis, and Diploscapter being equally abundant. MWE treatment exhibited higher diversity indices (Shannon and Simpson) and equitability. Network analysis showed that the Oxamyl network had the highest fragmentation, while the MWE and Furfural networks had higher cohesion compared to the control. Mesorhabditis spp. in the MWE network played a crucial role, being directly connected to the omnivore genera Thonus and Aporcelaimellus. Our results indicated that continuous MWE application, besides controlling Meloidogyne spp., could enhance the structure and stability of the soil-free-living nematode community.

Traumatic brain injury (TBI) is a leading cause of disability worldwide. Traumatic axonal injury (TAI) is a subtype of TBI resulting from high-impact forces that cause shearing and/or stretching of the axonal fibers in white matter tracts. It is present in almost half of cases of severe TBI and frequently associated with poor functional outcomes. Axonal injury results from axonotomy due to mechanical forces and the activation of a biochemical cascade that induces the activation of proteases. It occurs at a cellular level; hence, conventional imaging modalities often fail to display TAI lesions. However, the advent of novel imaging modalities, such as functional magnetic resonance imaging and fiber tractography, has significantly improved the detection and characteristics of TAI. Furthermore, the significance of several fluid and structural biomarkers has also been researched, while the contribution of omics in the detection of novel biomarkers is currently under investigation. In the present review, we discuss the role of imaging modalities and potential biomarkers in diagnosing, classifying, and predicting the outcome in patients with TAI.

We aimed to explore how the invasion of the alien plant Solanum elaeagnifolium affects soil microbial and nematode communities in Mediterranean pines (Pinus brutia) and maquis (Quercus coccifera). In each habitat, we studied soil communities from the undisturbed core of both formations and from their disturbed peripheral areas that were either invaded or not by S. elaeagnifolium. Most studied variables were affected by habitat type, while the effect of S. elaeagnifolium was different in each habitat. Compared to maquis, the soil in pines had higher silt content and lower sand content and higher water content and organic content, supporting a much larger microbial biomass (PLFA) and an abundance of microbivorous nematodes. The invasion of S. elaeagnifolium in pines had a negative effect on organic content and microbial biomass, which was reflected in most bacterivorous and fungivorous nematode genera. Herbivores were not affected. In contrast, in maquis, organic content and microbial biomass responded positively to invasion, raising the few genera of enrichment opportunists and the Enrichment Index. Most microbivores were not affected, while herbivores, mostly Paratylenchus, increased. The plants colonizing the peripheral areas in maquis probably offered a qualitative food source to microbes and root herbivores, which in pines was not sufficient to affect the much larger microbial biomass.

Introduction The COVID-19 has affected both physical and mental health of the elderly. Objectives The purpose of the present study was to estimate the impact of the second lockdown in Greece, on both quality of life and mental health in older people. Methods A cross sectional study was conducted among older adults who visited a primary care physician, from 1st of March to April 30th. An anonymous questionnaire was administered to collect basic sociodemographic data and implementation of hygiene precaution measures. The 5-item World Health Organization Well-Being Index (WHO-5) to measure well-being, the Generalized Anxiety Disorder Assessment (GAD-7) instrument was used to assess the anxiety levels and Geriatric Depression Scale (GDS-15) depressive symptoms of the responders, respectively. Statistical analysis was performed with SPSS v.24.0 Results 222 elderly took part in the study. 62.6% were female. According to the WHO-5, 37.4% present poor quality of life. GDS-15 reveals that 70.7% of the participants screened positive for moderate depression and 1.8% with severe symptoms. GAD-7 results estimated 32.9% of the participants to suffer from serious anxiety disorder and 37.4% from moderate. GAD-7 and GDS-15 were strongly associated (p

In this interview piece, the theorist, practitioner and curator Gigi Argyropoulou discusses current forms of political theatre in public spaces that she’s been involved with. She focuses particularly on her work with Eight (Το Οχτώ), the Green Park and the Embros Theatre, all of which are theatre projects situated in central Athens, in Greece. She analyses the dynamics of creating work collectively as a group of practitioners that share similar political and artistic objectives. The interview took place during the Covid pandemic which Argyropoulou discusses in relation to how it has affected her practice and the practice of performance projects she was currently running. Her analysis of the problematics and aspirations of a collective aesthetic in performance-making, discussed in relation to the occupy movement and the future of political performance in public spaces, offers us a sobering yet optimistic view of theatre in times of crisis as well as of the potential of theatre-making in future radical projects of protest, collectivity, and resistance.

The present study aims at investigating career decision-making process of 6th grade students with the use of the Childhood Career Decision-Making Questionnaire (CCDMQ). CCDMQ offers scores for the following three decision-making dimensions: (a) "Concerns/fears regarding career future", (b) "Investment ?n decision-making process", and (c) "Knowledge of the World of Work". The study reports the psychometric properties and the results of an exploratory factor analysis of the CCDMQ in a sample of 531 6th grade students in the region of Attica, Greece. The implications for future research and for career guidance are discussed.

BackgroundTransfusion-associated microchimerism implies the presence of allogeneic hematopoietic cells in an individual, following the transfusion of a blood product. It is a transfusion-related adverse effect/long-term consequence, which has not been well-investigated among regularly transfused patients with thalassemia.Patients and MethodsWe investigated 64 regularly transfused, homozygous β-thalassemic patients and 21 never-transfused healthy volunteer blood donors (controls) for the presence of microchimerism in their sera, using real-time PCR targeting circulating allogeneic, both, Human Leukocyte Antigen-DR isotype (HLA-DR) and non-HLA alleles. The investigation was longitudinally repeated in patient subsets for more than 2 years. Results were correlated with clinical and laboratory parameters, peripheral blood lymphocyte immunophenotype, blood storage time, and donor's gender to identify potential contributing factors for microchimerism generation.ResultsOverall, microchimerism was detected in 52 of the 64 patients (81.2%) and in 6 of the 21 controls (28.5%, p = 0.0001). Forty-four patients (68.7%) exhibited long-term microchimerism (persisted for more than 6 months), confirmed at all time-points investigated. Microchimerism was more frequent among elderly, women, splenectomized and more heavily transfused patients, and among those who exhibit higher serum ferritin levels. In these patients, a distinct descending pattern of CD16dim+CD56dim+ natural killer (NK)-cells (p < 0.001) and an ascending pattern of CD4+CD25brightCD127– regulatory T-cells (p = 0.022) for increasing allelic burden were noticed, suggesting the establishment of recipient immune tolerance against the donor-derived chimeric alleles. Both splenectomized and non-splenectomized thalassemic patients exhibited the same trend. The storage time of transfused blood products and donor/gender mismatch had no impact on the development of microchimerism.Discussion-Conclusive RemarksTransfusion-associated microchimerism appears to be a very common complication among multi-transfused thalassemic patients. The potential clinical consequences of this phenomenon remain as yet unclear. Immune tolerance attributed to disease itself and to repeated transfusions might at least in part explain its appearance.

This study aimed to examine the associations with epidemiological, behavioral and clinical parameters of IgG antibody responses against the spike protein of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) after immunization with two doses of the BNT162b2 vaccine in a cohort of healthcare workers (HCWs, n = 439) in Greece. We used a mixed effects model to investigate the potential associations of antibody levels one and three months after vaccination and examined by bootstrapping t-tests the putative effects of gender and age for each period. We also employed exact tests of independence in R × C contingency tables to explore associations between behavioral and gender variables with vaccinations side effects. We found significant differences between males and females as well as between subjects in the youngest (21-30 years) and the older age groups in both study periods. We also detected a decrease in titers with age and time. Males had steeper elimination rates across the age span in both periods, in contrast to females who exhibited a softer elimination titer rate with age in the first period and almost constant titers in the second. Concerning side effects, we found a significant association between pain at the injection site and female sex. Hence, our real-world data analyses revealed potentially important clues into the associations of antibody responses to SARS-CoV-2 spike. We discuss the importance of these findings in view of current mass vaccination perspectives and provide useful clues for the design and optimal timing of booster doses for COVID-19.

Desmoid tumors are rare benign neoplasms, with locally aggressive characteristics. Ongoing or previous pregnancy, antecedent trauma, and familial adenomatous polyposis are known risk factors. Still, the majority of cases are sporadic and its etiology is still unknown. These tumors may occur in any body site, but retroperitoneal and pelvic desmoid tumors are extremely rare. Nonspecific clinical and radiological findings lead to erroneous diagnosis in 50% of patients before surgery. We present a case of a young multiparous female with a deep infiltrative lesion adherent to the right pelvic sidewall leading to severe right hydroureteronephrosis and ipsilateral loss of renal function. Although deep endometriosis was suspected, malignancy features could not be excluded by imaging studies. The patient underwent an exploratory laparotomy for definite diagnosis and treatment, which led to right nephrectomy, hysterectomy, and right oophorectomy because of deep infiltration and difficult dissection. Definite histologic diagnosis revealed the presence of a pelvic desmoid tumor. Positive margins were encountered but, until this moment, no disease relapse occurred.

Managing olive mill wastewater (OMW) is a major environmental problem. We followed two methods for OMW bioremediation: one with the white-rot fungus Pleurotus ostreatus alone and one with the fungus plus the microalga Chlorella vulgaris. To evaluate the potential use of both final products as soil amendments, in a pot experiment, we applied treated OMW to soil cultivated with Lactuca sativa, and we studied their short-term effects on the soil nematode community in terms of trophic and functional structure, metabolic footprint, genera composition, and interaction networks. We also applied non-treated OMW and simply water (control). The addition of non-treated OMW significantly reduced the abundance of all nematodes, and the network of interactions was the most fragmented and the least robust against future disturbance. The effect on trophic group abundances was similar but less pronounced when OMW was previously detoxified either by the fungus alone or by its combination with the alga. In the latter case, the phytoparasites were suppressed but the bacterivorous nematodes were not affected. However, the most cohesive and robust nematode network was formed in the soil that received the fungal-treated OMW. None of our OMW applications significantly changed community composition, none improved the already degraded status of the soil food web—which is attributed to the sandy texture of our soil—and none affected the growth of lettuce plants, perhaps because of the short duration of the experiment (30 days). Thus, our future research will aim to estimate the long-term impact of OMW.

Mucormycosis has emerged as a group of severe infections mainly in immunocompromised patients. We analysed the epidemiology of mucormycosis in Greece in a multicentre, nationwide prospective survey of patients of all ages, during 2005–2022. A total of 108 cases were recorded. The annual incidence declined after 2009 and appeared stable thereafter, at 0.54 cases/million population. The most common forms were rhinocerebral (51.8%), cutaneous (32.4%), and pulmonary (11.1%). Main underlying conditions were haematologic malignancy/neutropenia (29.9%), haematopoietic stem cell transplantation (4.7%), diabetes mellitus (DM) (15.9%), other immunodeficiencies (23.4%), while 22.4% of cases involved immunocompetent individuals with cutaneous/soft-tissue infections after motor vehicle accident, surgical/iatrogenic trauma, burns, and injuries associated with natural disasters. Additionally, DM or steroid-induced DM was reported as a comorbidity in 21.5% of cases with various main conditions. Rhizopus (mostly R. arrhizus) predominated (67.1%), followed by Lichtheimia (8.5%) and Mucor (6.1%). Antifungal treatment consisted mainly of liposomal amphotericin B (86.3%), median dose 7 mg/kg/day, range 3–10 mg/kg/day, with or without posaconazole. Crude mortality was 62.8% during 2005–2008 but decreased significantly after 2009, at 34.9% (p = 0.02), with four times fewer haematological cases, fewer iatrogenic infections, and fewer cases with advanced rhinocerebral form. The increased DM prevalence should alert clinicians for timely diagnosis of mucormycosis in this patient population.

The present study aims to examine the relationship of career decision-making difficulties, dysfunctional career thoughts and generalized self-efficacy, as factors involved in the decision-making process for university students. The study also investigates the influence of demographics and individual variables, and examines the predictive power of the Career Decision-making Difficulties Questionnaire (CDDQ) and the Generalized Self-Efficacy Scale (GSE) over the dimensions assessed by the Career Thoughts Inventory (CTI). The results revealed statistically significant positive correlations between CDDQ factors (lack of information, inconsistent information, and lack of readiness) and total grade in Career Thoughts Inventory (CTI), decision-making confusion, commitment difficulty and lack of determination. On the other hand, the results show statistically significant negative correlations between all the aforementioned variables and generalized self-efficacy. Moreover, the generalized self-efficacy, as well as the CDDQ factors seemed to be predictors of the lack of determination, decision-making confusion and commitment difficulty. Finally, there is a discussion about the additionality of the CDDQ and CTI Questionnaires and advantages from their common use. Findings are discussed in the terms of the career counseling framework.

The paper investigates the experience of employed higher education graduates in two countries with high rates of graduate unemployment. It examines the employment experience of graduates and their perceptions regarding the contribution of higher education to their employment and career prospects. Qualitative research was used to collect information from 58 university graduates in two Southern European countries, Greece and Cyprus. Respondents provided information on the skills and competencies acquired through higher education and utilised in the world of work. In both countries, modest links were reported between jobs and graduates' field of study, as well as between knowledge and non-knowledge-based competencies acquired through higher education, and the requirements of the graduates' jobs. The findings are used as the basis for suggestions that can enhance graduate employability and contribute to the management of the link between higher education and the labour market.

To date, the effects of invasive plants on soil communities and the concomitant interactions thereof have been the subject of ever-growing concern. Solanum elaeagnifolium (S) is a noxious invasive weed originating from south-central America, which has been recognized as a serious threat around the Mediterranean basin and worldwide. Herein, we compared soil nematode communities in the rhizospheres of (S), against those of its native antagonist Cichorium intybus (C), in sites where these two ruderal plants coexist (“species” effect—hereafter “sp”). These sites differed regarding the time after the initial invasion of (S) and were regarded as recently and historically invaded (10 years and 70 years after invasion; “year” effect—hereafter “yr”). Neither “sp” nor “yr” affected total nematode abundance and nematode functional indices. Diversity was lower in (S) and was reduced even more with time after invasion in both plant species. Plant parasites decreased significantly from S–10yr to S–70yr, i.e., over time after invasion, while predators were fewer in (C). Distinct nematode communities in terms of genera structure were formed under the two plant species and these were significantly affected by the time after (S) invasion. Differences between these communities related to loss of genera but also to changes in the abundance of common ones, such as Acrobeloides and Pratylenchus. Our results showed that the responses of the examined soil communities to the invasion of (S) are not straightforward and cannot be easily explained on the basis of existing theories. However, the first-time results furnished herein may be useful to integrated management strategies in the future.

Sustainable farming practices aim to replace agrochemicals with plant-based alternatives to increase productivity and soil quality. To evaluate the potential use of aromatic plants as soil amendments in tomato seedbeds, in a greenhouse experiment, we used spearmint, peppermint, and rosemary, separately, as soil amendments, in pots sown with tomato, and studied their effect on seedling growth, soil nutrients, and the soil nematode community in terms of trophic and functional structure, metabolic footprint, and genera composition. Non-amended soil was used in the control pots. We further explored the dynamics of the plant–soil–nematode interactions by using aromatic plants at different stages of decomposition (0, 28, and 56 days). Incorporating aromatic plants into the soil led to the proliferation of free-living nematodes, especially of the opportunistic kind, resulting in vigorous and enriched soil. This was more pronounced in the case of the spearmint and peppermint, which also increased the tomato growth. The high soil nutritional status and enhanced plant growth were most prominent when the aromatic plants were left for 28 days to decompose in the soil before sowing. Compared with the mint plants, the rosemary had similar, yet less intense, effects on the soil community, but completely inhibited the growth of the tomato seedlings. Therefore, it is not recommended for use as a soil amendment in tomato seedbeds.

Introduction Exercise has been repeatedly reported as an effective means of preventing and treating mood disorders. Therefore, there is a significant research interest for the way exercise is connected with depression and the effectiveness of different exercise parameters as intensity, duration and modality. There is significant research evidence supporting the hypothesis that exercise can alleviate the symptoms of clinical depression. Nevertheless, there has not enough evidence to compare the effectiveness of deferent types of exercise as complementary therapy in depression. Objectives The purpose of the present study was to review the available research concerning the effect of exercise modality in depression and attempt to code and analyze the programs used in elderly (>65). Methods A systematic review was contacted of randomized control trials published in electronic journals. The electronic data bases PubMed, EBSCOhost and Trip Medical Database were used. Results Combined programs are predominate used for improving mood in elderly and the combinations used more frequently was short-term, light to moderate sub maximal aerobic exercise combined with dynamic resistance exercise following by Short-term, light to moderate sub maximal aerobic exercise combined with static exercise. Other psychosocial factors that commonly included in the combined exercise programs are group interaction, mindfulness and music. Conclusions Combined exercise programs are as effective as simple programs in alleviated the symptoms of depression in elderly. Their advantages over simple programs are that they can promote other health benefits; they are less time consuming and more pleasurable to participants. Therefore, they are good exercise choice for elderly.

Medical and technology development have drastically the improved quality of life and, consequently, life expectancy. Nevertheless, the more people who enter the third-age, the more geriatric syndromes expand in the elderly. Sarcopenia and Type 2 diabetes mellitus (T2DM) are common diseases among the elderly and the literature has extensively studied these two diseases separately. Recent evidence, however, revealed that there is a bidirectional relationship between sarcopenia and T2DM. The aims of the present review were: (1) to present diet and exercise interventions for the management of sarcopenia and T2DM and (2) identify which diet and exercise interventions can be used simultaneously in order to effectively deal with these two disorders. Exercise and a balanced diet are used as effective countermeasures for combating sarcopenia and T2DM in older adults based on their bidirectional relationship. Lifestyle changes such as exercise and a balanced diet seem to play an important role in the remission of the diseases. Results showed that chronic exercise can help towards glycemic regulation as well as decrease the incidence rate of muscle degradation, while diet interventions which focus on protein or amino acids seem to successfully treat both disorders. Despite the fact that there are limited studies that deal with both disorders, it seems that a combined exercise regime (aerobic and resistance) along with protein intake > 1gr/kg/d is the safest strategy to follow in order to manage sarcopenia and T2DM concurrently.

The objectives of this study were to investigate the incidence of candidemia, as well as the factors associated with Candida species distribution and fluconazole resistance, among patients admitted to the intensive care unit (ICU) during the COVID-19 pandemic, as compared to two pre-pandemic periods. All patients admitted to the ICU due to COVID-19 from March 2020 to October 2021, as well as during two pre-pandemic periods (2005–2008 and 2012–2015), who developed candidemia, were included. During the COVID-19 study period, the incidence of candidemia was 10.2%, significantly higher compared with 3.2% and 4.2% in the two pre-pandemic periods, respectively. The proportion of non-albicans Candida species increased (from 60.6% to 62.3% and 75.8%, respectively), with a predominance of C. parapsilosis. A marked increase in fluconazole resistance (from 31% to 37.7% and 48.4%, respectively) was also observed. Regarding the total patient population with candidemia (n = 205), fluconazole resistance was independently associated with ICU length of stay (LOS) before candidemia (OR 1.03; CI: 1.01–1.06, p = 0.003), whereas the presence of shock at candidemia onset was associated with C. albicans (OR 6.89; CI: 2.2–25, p = 0.001), and with fluconazole-susceptible species (OR 0.23; CI: 0.07–0.64, p = 0.006). In conclusion, substantial increases in the incidence of candidemia, in non-albicansCandida species, and in fluconazole resistance were found in patients admitted to the ICU due to COVID-19, compared to pre-pandemic periods. At candidemia onset, prolonged ICU LOS was associated with fluconazole-resistant and the presence of shock with fluconazole-susceptible species.

Oxaliplatin is a widely used chemotherapeutic agent. Despite its many beneficial aspects in fighting many malignancies, it shares an aversive effect of neuropathy. Many substances have been used to limit this oxaliplatin-driven neuropathy in patients. This study evaluates the neuroprotective role of a grape pomace extract (GPE) into an oxaliplatin induced neuropathy in rats. For this reason, following the delivery of the substance into the animals prior to or simultaneously with oxaliplatin, their performance was evaluated by behavioral tests. Blood tests were also performed for the antioxidant activity of the extract, along with a histological and pathological evaluation of dorsal root ganglion (DRG) cells as the major components of the neuropathy. All behavioral tests were corrected following the use of the grape pomace. Oxidative stressors were also limited with the use of the extract. Additionally, the morphometrical analysis of the DRG cells and their immunohistochemical phenotype revealed the fidelity of the animal model and the changes into the parvalbumin and GFAP concentration indicative of the neuroprotective role of the pomace. In conclusion, the grape pomace extract with its antioxidant properties alleviates the harmful effects of the oxaliplatin induced chronic neuropathy in rats.

We report a clinical case of a 39-year old male, without any known previous medical condition but with occupational exposure to paints and dust cement, who presented an autoimmune pulmonary alveolar proteinosis (PAP) triggered by exposure to toxic inhalation at his workplace. PAP is a rare lung disease characterized by intra-alveolar abnormal accumulation of surfactant. The presence of a crazy-paving pattern in high-resolution computed tomography scan brings the suspicion of PAP although histopathology results of bronchoalveolar lavage are always required for its final diagnosis. The autoimmune form of PAP due to toxic inhalation, such as the one here described, is rare and it is usually difficult to establish a causal relationship.

Hot flashes are considered the most bothersome complaint during menopause. Although hormone therapy is an effective option to relieve hot flashes, it has been associated with significant side effects. The aim of our study is to suggest a novel combination of different plant extracts with distinct mechanisms of action against hot flashes. We selected the rhizome of Glycyrrhiza glabra L. (Fabaceae), the rhizome of Actaea racemosa L. (Ranunculaceae), the aerial parts of Hypericum perforatum L. (Hypericaceae) to produce extracts rich in bioactive phytochemicals and the seed oil of Oenothera biennis L. (Onagraceae). We investigated their estrogenic and antioxidant potential and their inhibitory effect against prostaglandin D2 receptor 1 (DP1) as a novel mechanistic pathway for vasodilation in hot flashes, alone or in combination. The phytochemical footprint of the extracts was analyzed using HPLC-PDA and UPLC-HRMS. We observed that the tested extracts possess different mechanisms of action. A. racemosa exerts a beneficial activation of the estrogen receptor, H. perforatum possesses the highest antioxidant capacity and the seed oil of O. biennis inhibits the DP1 receptor. The triple combination in the optimal doses pertains to efficacy against all three mechanisms of action, serves as a multitarget plant-based therapy and could serve as a novel strategy for the alleviation of hot flashes in postmenopausal women.

Genetic erosion of landraces is increasing worldwide, however there are still regions rich in landrace biodiversity, such as islands and mountainous isolated areas. Defining the reasons of landrace abandonment in these areas, as well as collecting and preserving landraces, is of outmost importance. In this context, the Agricultural University of Athens organized missions in 53 villages of Arcadia, a prefecture rich in floral biodiversity and variable climatic conditions and topography. The aim was to collect samples of the on-farm (in-situ) conserved annual crop landraces and record the location of perennial crop local varieties. Since traditional knowledge and practices have been playing a vital role in the survival of landraces and local varieties, information was obtained through personal interviews with locals using semi-structured questionnaires. Even though the number of accessions collected from Arcadia has been reduced (141 samples) compared to previous collections and genetic erosion is advancing dramatically for cereals and pulses, a significant number of landraces is still cultivated by the locals. The reasons of landrace abandonment were other sources of occupation than agriculture, such as public service jobs, mechanization, and commercialization of agriculture. Gastronomic and agro-tourism along with European Union trademarks and policies can support locals in landrace/local varieties in-situ conservation.

Changes in hospitals’ daily practice due to COVID-19 pandemic may have an impact on antimicrobial resistance (AMR). We aimed to assess this possible impact as captured by the Greek Electronic System for the Surveillance of Antimicrobial Resistance (WHONET-Greece). Routine susceptibility data of 17,837 Gram-negative and Gram-positive bacterial isolates from blood and respiratory specimens of hospitalized patients in nine COVID-19 tertiary hospitals were used in order to identify potential differences in AMR trends in the last three years, divided into two periods, January 2018–March 2020 and April 2020–March 2021. Interrupted time-series analysis was used to evaluate differences in the trends of non-susceptibility before and after the changes due to COVID-19. We found significant differences in the slope of non-susceptibility trends of Acinetobacter baumannii blood and respiratory isolates to amikacin, tigecycline and colistin; of Klebsiella pneumoniae blood and respiratory isolates to meropenem and tigecycline; and of Pseudomonas aeruginosa respiratory isolates to imipenem, meropenem and levofloxacin. Additionally, we found significant differences in the slope of non-susceptibility trends of Staphylococcus aureus isolates to oxacillin and of Enterococcus faecium isolates to glycopeptides. Assessing in this early stage, through surveillance of routine laboratory data, the way a new global threat like COVID-19 could affect an already ongoing pandemic like AMR provides useful information for prompt action.

Perinuclear anti-neutrophilic cytoplasmic antibodies (P-ANCA) recognize heterogeneous antigens, including myeloperoxidase (MPO), lactoferrin, elastase, cathepsin-G and bactericidal/permeability-increasing protein. Although P-ANCA have diagnostic utility in vasculitides, they may also be found in patients with various other systemic autoimmune rheumatic diseases (SARDs). Nevertheless, the clinical significance and the targets recognized by P-ANCA in such patients remain unclear. For this purpose, herein we investigated the occurrence of ANCA-related antigenic specificities in 82 P-ANCA-positive sera by multiplex ELISA, as well as their association with other autoantibodies. The P-ANCA-positive sera corresponded to patients with vasculitides (n = 24), systemic lupus erythematosus (n = 28), antiphospholipid syndrome (n = 5), Sjögren’s syndrome (n = 7), rheumatoid arthritis (n = 3), systemic scleroderma (n = 1), sarcoidosis (n = 1) and Hashimoto′s thyroiditis (n = 13). In most P-ANCA-positive patients studied (51/82, 62.3%), these autoantibodies occurred in high titers (>1:160). The analysis of P-ANCA-positive sera revealed reactivity to MPO in only 50% of patients with vasculitides, whereas it was infrequent in the other disease groups studied. Reactivity to other P-ANCA-related autoantigens was also rarely detected. Our findings support that high P-ANCA titers occur in SARD. The P-ANCA-positive staining pattern is associated with MPO specificity in vasculitides, while in other autoimmune diseases, it mostly involves unknown autoantigens.

Skin health is heavily affected by ultraviolet irradiation from the sun. In addition, senile skin is characterized by major changes in the collagen, elastin and in the hyaluronan content. Natural products (NPs) have been shown to delay cellular senescence or in vivo aging by regulating age-related signaling pathways. Moreover, NPs are a preferable source of photoprotective agents and have been proven to be useful against the undesirable skin hyperpigmentation. Greek flora harvests great plant diversity with approximately 6000 plant species, as it has a wealth of NPs. Here, we report an extensive screening among hundreds of plant species. More than 440 plant species and subspecies were selected and evaluated. The extracts were screened for their antioxidant and anti-melanogenic properties, while the most promising were further subjected to various in vitro and cell-based assays related to skin aging. In parallel, their chemical profile was analyzed with High-Performance Thin-Layer Chromatography (HPTLC) and/or Ultra-Performance Liquid Chromatography High-Resolution Mass Spectrometry (UPLC-HRMS). A variety of extracts were identified that can be of great value for the cosmetic industry, since they combine antioxidant, photoprotective, anti-melanogenic and anti-aging properties. In particular, the methanolic extracts of Sideritis scardica and Rosa damascena could be worthy of further attention, since they showed interesting chemical profiles and promising properties against specific targets involved in skin aging.

The sustainability issue has been acknowledged as a universal contemporary challenge within an entirely new, unprecedented and irreversible global economic, social, cultural and physical contemporary environment. Critical role plays the interdisciplinary Supply Chain Management (SCM) and its advance to sustainable SCM and more recently to green SCM. The field of sustainability in the wine industry appears as a breeding ground for the development of multidisciplinary collaborations, as well as for the application of innovative practices in the framework of entrepreneurship, in both forward and reverse agrifood chains. In such a context, this paper studies the exploitation of the opportunities derived from the wine production and waste management, within the totally new business, economic, social and physical environment. More specifically, it presents a start-up business plan conducted by Agricultural University in collaboration with the Harokopio University of Athens, Greece; it regards a wine waste management company in the island of Crete, Greece, highlighting the transformation of challenges to opportunities for innovation to more efficient use of by-products and wastes. It is noticed that this industry has shown historically exceptional innovative capability and flexibility, for climate privileged quality products in East Mediterranean region. The conclusions and recommendations drawn in this study, provide useful insights and directions for future research that are expected to enrich the available knowhow in the wine industry which is particularly suitable for research on sustainability and in any way, must proceed to commitment for protecting the environment. The empirical case study in the island of Crete is expected to facilitate the attempts to transform the crisis to continuing sustainability performance of wine industry under contemporary world market conditions, along with potential broader managerial implications towards environmental protection and strengthening the social consensus through further future research.

ABSTRACT: Objective: Mesenteric panniculitis (MP) and sclerosing mesenteritis is an umbrella term used to describe a rare, chronic, and frequently benign fibrosing inflammatory disease that affects the adipose tissue of the mesentery. The diagnosis is usually based on imaging (computed tomography &lsqb;CT] or magnetic resonance imaging) findings and is confirmed by biopsy. We report the unusual case of a patient with MP with typical CT findings and diabetes mellitus (DM).Methods: A 48-year-old male presented for symptomatic new onset DM. An abdominal CT scan revealed a well-defined mesenteric mass compatible with MP. The combination of insulin degludec and sitagliptin/metformin resulted in a decrease of HbA1c; however, this was followed by a subsequent gradual increase in HbA1c and positive glutamic acid decarboxylase auto-antibodies.Results: The patient developed auto-immune DM that was confirmed by the presence of auto-antibodies.Conclusion: Panniculitis has been infrequently reported in patients with type 2 DM. This is the first report of a patient with MP correlated with auto-immune DM. The possible pathophysiologic mechanisms are discussed.Abbreviations: CT computed tomography DM diabetes mellitus HbA1c hemoglobin A1c MP mesenteric panniculitis SM sclerosing mesenteritis

Background and Objectives The greatest challenge vaccines face is that of acceptance from the general population. Healthcare professionals’ (HCPs) recommendations have significant influence on general public vaccination behavior. The aim of this study was to assess the willingness of HCPs to get vaccinated against COVID-19, two weeks before initiation of vaccinations. Materials and Methods: We conducted an anonymous online survey from 11–15 December 2020 among HCPs by emails delivered from the local medical and nursing stuff associations. Results: The 71.1% of 656 HCPs intended to accept vaccination, 5.9% did not and 23% were still undecided. The acceptance rate was higher in physicians (76.5%) and significantly lower in nurses (48.3%). Most of the responders who intended to accept vaccination were males (p = 0.01), physicians (p = 0.001), older (p = 0.02), married (p = 0.054) with children (p = 0.001), and had treated patients with COVID-19 (p < 0.001). In the multivariate logistic regression, the predictors of HCPs willingness to get vaccinated were parenthood (OR = 4.19, p = 0.003), being a physician (OR = 2.79, p = 0.04), and treating confirmed/suspected COVID-19 patients (OR = 2.87, p = 0.036). Conclusions: Low vaccination acceptance rate was found especially in nurses, and as this may have a negative impact in the vaccination compliance of the general public, interventional educational programs to enhance vaccination are crucial.

We investigated the effects of three botanicals with nematicidal properties (anise-Pimpinella anisum, parsley-Petroselinum crispum, and rocket-Eruca sativa) on the soil nematode community, in terms of trophic structure and nematode genera composition. We compared effects with those of fluopyram (synthetic nematicide) and Nemagold (bionematicide). We assessed the role of time, by sampling 15 and 45 days after treatments and analyzing nematode genera and microbial phospholipid fatty acid biomarkers (PLFA). Soil incorporation of botanicals reduced plant parasitic nematodes, increased bacterivores, especially the enrichment opportunists and among them Rhabditis, having no effect on fungivores and non-parasitic plant feeders. Neither the number nor the composition and dominance hierarchy of nematode genera were affected. Nemagold did not induce any significant change, while fluopyram decreased both free-living and parasitic nematodes, but with no uniform effect against all genera. The least affected genus was the fungivorous Aphelenchus. While most microbial PLFAs increased with time, the abundances of nematode genera did not change, except the Meloidogyne incognita second stage juveniles, which emerged in soil only 45 days after treatments. The low enrichment index and high channel index values of the fluopyram soil samples indicated a stressful environment. The opposite was observed in the botanical treatments, especially parsley and rocket.