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B lymphocytes contribute to immunity in multiple ways, including production of antibodies, presentation of antigen to T cells, organogenesis of secondary lymphoid organs, and secretion of cytokines. Recent clinical trials have shown that depleting B cells can be highly beneficial for patients with autoimmune diseases, implicating B cells and antibodies as key drivers of pathology. However, it should be kept in mind that B cell responses and antibodies also have important regulatory roles in limiting autoimmune pathology. Here, we analyze clinical examples illustrating the potential of antibodies as treatment for immune-mediated disorders and discuss the underlying mechanisms. Furthermore, we examine the regulatory functions of activated B cells, their involvement in the termination of some experimental autoimmune diseases, and their use in cell-based therapy for such pathologies. These suppressive functions of B cells and antibodies do not only open new ways for harnessing autoimmune illnesses, but they also should be taken into account when designing new strategies for vaccination against microbes and tumors. [ABSTRACT FROM AUTHOR]

Abstract: Background and aim: Variceal bleeding is a severe complication of portal hypertension with a mortality rate between 30% and 60% in previous studies. During the last two decades the treatment of these patients has been improved. The aim of this study was to investigate the clinical outcome of patients after an episode of acute variceal bleeding and to identify risk factors for early and late mortality in these patients. Materials and methods: All patients with acute variceal bleeding hospitalised at two large hospitals between January 1, 1999 and June 30, 2004, were retrospectively enrolled in this study. After discharge, patients were followed until death or study closure date, on June 30, 2005. Bleeding related mortality, 6-week, 1-year and overall mortality were evaluated as well as factors related to early and late mortality. Results: One hundred and forty one patients were included (114 men, 27 women) with a mean age of 60.5±13.5 years. In hospital, 6-week, 1-year and overall mortality were 12.1%, 18.4%, 32.6% and 48.2%, respectively. The mean length of hospitalisation was 11.4±9 days (1–55) and the mean packed red blood cell requirement was 3.9±3.7 (0–25). The rate of recurrent bleeding was 10.7% during initial hospitalisation. Being Child-Pugh C (p =0.003) and shock on admission (p =0.037) were independent predictors of 6-week mortality, while being Child-Pugh C (p =0.028), presence of hepatocellular carcinoma or other neoplasia (p =0.04) and partial thromboplastin time (p =0.021) during the initial admission were independent predictors for 1-year mortality. Mortality was not affected by the presence of active bleeding and/or white nipple at emergency endoscopy. Also presence of infection was not an adverse factor of clinical outcome in our patients. Conclusions: In conclusion, the clinical outcome of patients with acute variceal bleeding is better in comparison with previous studies. The severity of liver failure as well as the presence of neoplasia mainly affects the survival. [Copyright &y& Elsevier]

Background Most acromioclavicular (AC) joint injuries occur in men in their third decade of life during high-speed or high-impact body contact sports. The management of acute complete AC joint dislocation is surgical. Current surgical techniques include anatomic reconstruction of the main restraints of the AC joint and aim to improve functional outcomes and to reduce the complication rate. Methods We present 10 cases of acute type V AC joint dislocation in professional athletes treated surgically with anatomic reconstruction of the coracoclavicular and AC ligaments and augmentation with the use of a synthetic polyester tape. The minimum follow-up of the patients was 2 years (mean, 48 months; range, 24-86 months). The postoperative functional outcome was assessed at 1 year and 2 years using the Constant-Murley, American Shoulder and Elbow Surgeons, and modified University of California–Los Angeles scoring systems. Results In all cases, the postoperative scores were significantly improved ( P  < .005 in all comparisons with the preoperative scores), and all patients returned to their preinjury high level of activity 6 months postoperatively. Radiographs at 1 month and 6 months revealed the maintenance of reduction. There were no complications. Conclusion According to the results of our series of patients, demanding cases of acute AC joint dislocation Rockwood type V, in professional athletes, require anatomic fixation of both coracoclavicular and AC ligaments for return to sports as soon as possible and at the preinjury level of performance. [ABSTRACT FROM AUTHOR]

Background: Although several studies have been launched towards the prediction of risk factors for mortality and admission in the intensive care unit (ICU) in COVID-19, none of them focuses on the development of explainable AI models to define an ICU scoring index using dynamically associated biological markers. Methods: We propose a multimodal approach which combines explainable AI models with dynamic modeling methods to shed light into the clinical features of COVID-19. Dynamic Bayesian networks were used to seek associations among cytokines across four time intervals after hospitalization. Explainable gradient boosting trees were trained to predict the risk for ICU admission and mortality towards the development of an ICU scoring index. Results: Our results highlight LDH, IL-6, IL-8, Cr, number of monocytes, lymphocyte count, TNF as risk predictors for ICU admission and survival along with LDH, age, CRP, Cr, WBC, lymphocyte count for mortality in the ICU, with prediction accuracy 0.79 and 0.81, respectively. These risk factors were combined with dynamically associated biological markers to develop an ICU scoring index with accuracy 0.9. Conclusions: to our knowledge, this is the first multimodal and explainable AI model which quantifies the risk of intensive care with accuracy up to 0.9 across multiple timepoints.

Pharmaceutical grade bentonite, containing a high amount of montmorillonite, enriched with zinc (Zn) or copper (Cu) (ZnBent and CuBent, respectively) was used as the main component for the creation of formulations for cutaneous use and tested for their antimicrobial capacity. Bentonite (Bent) with added phenoxyethanol (PH) as a preservative and unmodified bentonite were used as control groups. The mineralogical composition, structural state, and physical or chemical properties, before and after the modification of the samples, were characterized utilizing X-ray Diffraction Analysis (XRD), Fourier-Transform Infrared Spectroscopy (FTIR) and X-ray Fluorescence (XRF) techniques, and Scanning Electron Microscope-Energy Dispersive Spectroscopy (SEM, SEM-EDS) analyses. In addition, the profile of zinc and copper concentration from two types of surfaces ZnBent and CuBent, and into Phosphate-Buffered Saline (PBS) are discussed. Finally, the formulations in the form of basic pastes were challenged against bacteria, molds, and yeasts, and their performance was evaluated based on the European Pharmacopeia criteria. The Cu-modified bentonite performed excellently against bacteria and yeasts, while the Zn-modified bentonite only showed great results against yeasts. Therefore, Cu-modified bentonite formulations could offer antimicrobial protection without the use of preservatives.

Background: Childhood dyslipidemia is an important risk factor for developing cardiovascular disease in adulthood. Our study aimed to investigate a possible correlation between nutritional, lifestyle, behavioral and socioeconomic factors and serum lipid levels in children with dyslipidemia. Methods: In this retrospective, observational study, in 31 children with dyslipidemia, aged 3–14 years, dietary habits, physical activity, hours watching television or playing video games, family’s socioeconomic status, weight of children and parents, and duration of breastfeeding were recorded. The children’s adherence to the Mediterranean diet was also evaluated by KidMed index. Statistical analysis was performed using SPSS.22. Results: Children with increased physical activity had lower triglyceride levels, compared to those with lower physical activity (p = 0.001). Children who consumed only one meal per day, had increased levels of total cholesterol (p = 0.01), LDL-cholesterol (p = 0.01), ApoB (p = 0.001) and lipoprotein (a) (p = 0.018), compared to those who consumed more than 3 meals per day (p < 0.05). Children who were breastfed less than 6 months had significantly increased LDL-C levels (p = 0.022), compared to children who were breastfed more than 6 months. All other parameters investigated did not differ significantly. Conclusions: This study showed association between lipid profile of children with dyslipidemia and specific nutritional and socioeconomic factors, such as increased physical activity, increased meals consumption during the day, and exclusive breastfeeding for more than 6 months. Nevertheless, further research is needed, in order to confirm these findings.

We investigate with this study the effectiveness of mechanically activated serpentinite in capturing Cu (II) from the multi-constituent acidic wastewater of the pit lakes of the Agios Philippos mine (Greece), proposing specific areas with serpentinites suitable for such environmental applications. For this purpose ultramafic rock samples that are characterized by variable degrees of serpentinization from ophiolitic outcrops exposed in the regions of Veria-Naousa and Edessa have been examined regarding their capacity to remove the toxic load of Cu (II) from wastewater after having been mechanically activated through a Los Angeles (LA) machine (500, 1000 and 1500 revolutions). The more serpentinized and mechanically activated samples, as they have been characterized after a combination of various mineralogical, petrographic, geochemical analyses as well as after different stresses of abrasion and attrition, seem to be more effective in Cu removal than the less serpentinized ones. Selective removal of Cu (II) in the wroewolfeite phase was obtained by using the mechanically activated highly serpentinized ultramafic rocks. Furthermore, areas with highly serpentinized ultramafic rocks defined after petrographic mapping, using GIS method, which can potentially be used as filters for the effective Cu (II) removal from industrial wastewater are suggested.

This study examines how the chemical composition of ultramafic and mafic rocks effects their physicomechanical properties and therefore how influences the concrete strength of the produced concrete specimens. For this scope, ultramafic (Group I) and mafic rocks (Group II) derived from the Veria–Naousa and Edessa ophiolite complexes (Greece) were selected in order to identify their chemical composition and their engineering properties according to international standards. Additionally, representative rocks were used as concrete aggregates in order to produce concrete specimens, whereas their mechanical strength was calculated. A geochemical index (Ga) was proposed and correlated with the engineering properties of the examined rocks as well as with the widely used alteration degree LOI (loss on ignition). Correlation diagrams between engineering properties and the proposed geochemical index (Ga) have showed that these properties were strongly influenced by the alteration processes expressed via Ga index. More particularly, mainly serpentine in ultramafic and chlorite in mafic rocks, minerals indicators for the alteration of ultramafic and mafic rocks, respectively, seem to determine their engineering properties. Concerning the mechanical strength of the produced concrete specimens, the results have showed that the increasing values of Ga index negatively effect concrete strength.

This paper examines the effect of the aggregate type on concrete strength, and more specifically, how the petrographic characteristics of various aggregate rocks as well as their physico-mechanical properties influences the durability of C 25/30 strength class concrete. The studied aggregate rocks were derived from Veria-Naousa and Edessa ophiolitic complexes as well as granodiorite and albitite rocks from their surrounding areas in central Macedonia (Greece). Concretes were produced with constant volume proportions, workability, mixing and curing conditions using different sizes of each aggregate type. Aggregates were mixed both in dry and water saturated states in concretes. Six different types of aggregates were examined and classified in three district groups according to their physicomechanical properties, petrographic characteristics and surface texture. The classification in groups after the concrete compressive strength test verified the initial classification in the same three groups. Group I (ultramafic rocks) presented the lowest concrete strengths, depending on their high alteration degree and the low mechanical properties of ultramafic aggregates. Group II (mafic rocks and granodiorite) presented a wide range of concrete strengths, depending on different petrographic characteristics and mechanical properties. Group III (albite rocks) presented the highest concrete strengths, depending on their lowest alteration degree and their highest mechanical properties. Therefore, mineralogy and microstructure of the coarse aggregates affected the final strength of the concrete specimens.

Up until the last ten years, remote sensing data and especially high-resolution satellite data and airphotos were mainly used in shallow water mapping. The evolution and low cost of unmanned aerial vehicles (UAVs) provides a new tool for coastal area monitoring. This paper presents the synergistic use of a small commercial UAV and an unmanned surface vehicle (USV) for beachrock mapping in Syros Island, Greece. RGB images collected with a quadcopter were processed using Structure from Motion (SFM) photogrammetry in order to create digital surface models (DSMs) and orthophotos of the coastline. A beachrock lying in shallow waters was detected and mapped using the UAV derived products. At the same time, a USV equipped with a compact side scan sonar (SSS) and bathymetric sonar system, provided the shape of the beachrock by mosaicking the backscatter strength of the SSS. In order to evaluate the results of the UAV and USV data derivatives, the beachrock perimeter and its depth were also mapped using a differential global navigation satellite system (GNSS) receiver. During the fieldwork, samples from the beachrock were collected and analyzed in the laboratory. The mineralogical composition of the bulk samples was determined by powder X-ray diffraction (XRD). Further petrographic study was also performed by petrographic polarizing microscope, macroscope, and scanning electron microscopy (SEM). Beachrock samples are classified as fine to medium grain sandstones and conglomerates. The mineral compositions of their grains and lithoclasts reflect the bedrocks of Syros Island (mainly metamorphic rocks) while a micritic high-Mg calcite constitutes the cement of these rocks.

This paper investigates the effect of alteration on the physicomechanical properties of igneous rocks used as aggregates, from various areas from Greece. The studied lithologies include serpentinized dunites, serpentinized harzburgites, serpentinized lherzolites, metamorphic gabbros, diabases, dacites and andesites. Quantitative petrographic analysis shows that the tested samples display various percentages of secondary phyllosilicate minerals. Mineral quantification of the studied rock samples was performed by using the Rietveld method on X-ray diffraction patterns. The samples were also tested to assign moisture content (w (%)), total porosity (nt (%)), uniaxial compressive strength (UCS (MPa)) and Los Angeles abrasion test (LA (%)). The influence of secondary phyllosilicate minerals on the physicomechanical behavior of the tested samples was determined using regression analysis and their derived equations. Regression analysis shows a positive relationship between the percentage of the phyllosilicate minerals of the rocks and the moisture content as well as with the total porosity values. In mafic and ultramafic rock samples, the relationships between the secondary phyllosilicate minerals and their physicomechanical properties have shown that the total amount of the secondary phyllosilicate minerals results negatively on their physicomechanical properties. On the other hand, the low percentage of phyllosilicate minerals in volcanic rocks can’t be able to define their engineering properties.

This study presents the combined use of field mapping, remote sensing data analysis, mineralogy, spectroscopy and GIS techniques for the geological mapping of Antiparos Island. Antiparos is part of the Cyclades Blueschist Belt located in central Aegean, where gneisses, schists and Pliocene volcanic rocks occurred. During the extended field work, a number of volcanic rock samples were collected from the southern part of Antiparos. The sampling strategy was to collect samples from the primary as well as the altered rocks in specific areas in which they were previously located from the remote sensing data processing. In this study, high resolution satellite images have been carried out in order to detect, allocate and separate the different geological formations. Furthermore, the existing geological map was georeferenced and all the tectonic lines and boundaries were digitized. All these features were implemented in a Mobile Mapper CE GPS using Arcpad GIS and checked in situ. The collected samples were analyzed in the laboratory using various techniques including XRD, Petrographic Microscopy and SEM. The qualitative mineralogical analyses were conducted by using XRD. The study was supplemented by the petrographic observations providing a detailed characterization of rock textures. In addition, SEM study and SEM-EDS analyses of the samples were emphasized on the genetic relations of the minerals. The laboratory results revealed that specific corrections should be made in the previous geological map of Antiparos concerning the volcanic rocks, especially at the southern part of the island. A significant conclusion is that the rock described as volcanic in the previous map proved to be a fossiliferous limestone which includes micritic matrix of calcite with an insignificant amount of fossils. All the analogical and digital data and the results of the petrographic analysis were imported in a geodatabase specially designed for geological data. After the necessary topological control and corrections, the data were unified and processed in order to create the final layout at 1/25.000 scale.