Contraceptive consciousness and sexual behavior in three different female age groups in Greece: a retrospective study of the evolution during the last three decades.

The aim of the study is to describe the evolution of contraceptive and sexual behavior within our Greek society. MATERIALS, MEASURES AND METHODS: We interviewed 508 females and made a statistical analysis of their answers. CONCLUSION: We tried to underline a strategy for the best promotion of the values in question. General, sexual and contraceptive education as well as the use and type of contraception are the weapons that will lead our endeavors to decreased involuntary pregnancy and towards responsible sexual behavior.

Hydrogen storage in polymer-functionalized Pd-decorated single wall carbon nanotubes.

Palladium is usually supported on porous materials in the form of nanoparticles. The hydrogen storage capacity of such a system is usually much higher than the separated capacity of the metal (approximately 0.7 H/Pd) and the support. Pd nanoparticles provide a source of hydrogen atoms by dissociation. The atomic hydrogen spills over from the Pd structure to the support via surface diffusion and this phenomenon is known as hydrogen spillover. In this study commercial SWNTs were dispersed in PEG 200 solution. Then the precursor PdCl2 in PEG 200 was added and the whole left to react under stirring with reflux at 200 degrees C for 1 h. Succeeding washings with ethanol and centrifugation followed for several times and finally the sample was dried at 60 degrees C. Through this procedure a 3 wt% Pd loading was achieved whereas the TEM derived nanoparticle size distribution indicated a 50% percentage of Pd nanoparticles with diameter less than 8 nm. Hydrogen isotherms up to 2 MPa were carried out with the gravimetric method. The defined storage capacity of 1.2 wt% at 0.2 MPa was quite satisfactory. However, a 0.2 wt% portion of this storage capacity was attributed to the formation of water molecules through reaction of H atoms with the dissociatively adsorbed oxygen atoms on the Pd nanoparticles. This conclusion was educed from a series of thermal desorption experiments following the H2 adsorption/desorption cycles and regeneration. Through this set of experiments several other important parameters were defined as the temperature for complete hydrogen desorption and the optimum conditions for PEG removal.

Primary melanoma of the vagina: a case report.

Primary malignant vaginal melanoma is a rare vaginal tumour accompanied by an extremely high risk of local recurrence, distant metastasis and a small survival rate. Due to the fact that vaginal melanoma is quite uncommon there is lack of powerful prospective studies in the literature, thus the treatment choice remains controversial. An 85-year-old woman with a primary malignant vaginal melanoma located on the left lateral aspect of the distal vagina, with the greatest diameter almost 5 cm, was referred to our clinic. There was not any sign of local or distant metastasis identified. According to the most recently published data in the international literature, we decided along with the patient to perform conservative dissection of the tumor with free surgical margins as the appropriate mode of therapy. Radiotherapy, chemotherapy or radical extirpation cannot increase the survival time, even if there is a local or distant spread of melanoma.

Prediction of binary adsorption isotherms of Cu(2+), Cd(2+) and Pb(2+) on calcium alginate beads from single adsorption data.

The binary adsorption of Cu(2+)-Cd(2+), Pb(2+)-Cd(2+) and Pb(2+)-Cu(2+) mixtures onto Ca-Alginate beads, prepared from Laminaria digitata, was studied using batch experiments. Competitive sorption models including extended Sips, extended Langmuir, Jain and Snoeyink modified Langmuir (JS modified) as well as Ideal Adsorpted Solution Theory (IAST) models were applied to predict the binary adsorption using single component adsorption parameters. The extended and the JS modified Langmuir approaches provide excellent prediction of the binary adsorption, while the extended Sips fails to predict the experimental data, giving only fair results in the case on Pb(2+)-Cu(2+) mixtures. On the contrary, the IAST models, though they are more complicated, provide less accurate estimation of sorption in binary metal ion solutions. In general, single component adsorption parameters can be effectively used for the prediction of a materials adsorption performance in binary metal ion solutions.

Double-blind evaluation of miconazole tampons, compared with clotrimazole vaginal tablets, in vaginal candidiasis.

Fifty-one patients with vaginal candidiasis and positive cultures in Nickerson medium were treated either with two miconazole tampons daily for five days (26 patients, median age 28 years) or with one clotrimazole vaginal tablet daily for six days (25 patients, median age 36 years) in a randomized double-blind trial. Seven days after the end of the treatment, 24 (92%) patients in the miconazole group and 19 (76%) in the clotrimazole group had negative cultures. One month after the end of the treatment, the relapse rate was significantly (P less than 0.05) higher in the clotrimazole group. Symptoms subsided rapidly in both groups. No unwanted effects were reported.

A two-phase model for controlled drug release from biphasic polymer hydrogels.

A comprehensive two phase model is developed to describe the sustained release of a solute or drug from a biphasic hydrogel substrate. Such a material consists of a continuous hydrophilic phase (polymer backbone in water) and a dispersion of spherical microdomains made of the hydrophobic side chains of the polymer organised in a micelle like fashion. The solute or drug is assumed to be encapsulated within the dispersed microdomains, and to diffuse from the interior to the surface of the microdomain where it exchanges following a Langmuir isotherm. Mass transfer to the bulk phase occurs by desorption of the drug from the surface through a driving force that is proportional to the difference of surface and bulk concentration. Accordingly the drug is released to the surroundings by diffusion through the bulk. Depending on the values of the Langmuir constant and assuming well stirred behaviour in the interior of the microdomain, the present model results in either of the two asymptotic models developed in previous studies. The results of a parametric study show that the desired steady state flux of a specific drug to the surroundings may be obtained given appropriate values of structural properties of the material. This conclusion is further supported when using this model to simulate earlier experimental results. The polymer structural properties can be manipulated easily during the fabrication of dispersed-phase networks, as indicated by preliminary experiments.

The effect of casting solvent quality on the structure of polymeric Langmuir-Blodgett films.

The effect of casting solvent quality (good vs. [symbol: see text] solvent) on the structure of Langmuir-Blodgett films of a flexible-chain polymer [poly(dimethylsiloxane)] was examined on the basis of differences in the shape of Langmuir-Blodgett isotherms for two solvents, two temperatures, four polymer molecular weights, and three compression rates. The magnitude of a new index that describes the shape characteristics of the isotherm beyond the point of monolayer formation is found to be capable of separating all 48 isotherms studied into two groups, exclusively on the basis of the quality of the casting solvent. Experimental observations are supplemented by qualitative polymer physics interpretations regarding the structure of the films upon casting and compression.

Unusually prolonged ovarian function ending in endometrial cancer development. A case report.

An unusual case of overprolonged ovarian function in a 77-year-old woman that ended in the development of endometrial cancer is presented in this paper. The established knowledge of the correlation of uncontrolled oestrogen activity to this type of cancer is evaluated and correlated with our patient's hormonal readings.

Prevalence of hepatitis B and C in the maternity department of a Greek district hospital.

OBJECTIVE: To define the prevalence of infection with hepatitis B virus (HBV) and hepatitis C virus (HBC), and the modifications observed during the last 8 years, amongst parturients who gave birth in our department. DESIGN: This was a retrospective study. PATIENTS: The 5497 parturients who gave birth in our department between October 1994 and September 2002. RESULTS: On average, 3.87% (213) of the pregnant women tested positive for hepatitis B surface antigen; 2.90% amongst pregnant Greek women and 4.67% amongst pregnant immigrant women. Among all pregnant women, 0.80% (44) tested positive for antibodies against HCV; 0.16% amongst Greek women and 1.33% amongst immigrant women. CONCLUSIONS: HBV prevalence in pregnant women did not seem to be affected by the increase of immigrants in our obstetric population over the course of time. HCV prevalence in the pregnant women, however, did seem to follow the increase of immigrants in our obstetric population. Economic and security issues unfortunately deprive some neonates, born to mothers with HBV infection, from the use of hepatitis B immunoglobulin.

The AIDMAN project--a telemedicine approach to cardiology investigation, referral and outpatient care.

The AIDMAN pilot project will connect health clinics on remote Greek islands with a mainland hospital. We have developed a virtual consultation workstation for the project, together with a satellite communication network. A UK pilot site has been used to test the concepts and applications between a surgery in Chorleywood and St Mary's Hospital in London.

AIDMAN--advanced informatics distributed medical access network.

We describe AIDMAN, a pilot project in which health clinics in remote areas of Greece are connected with mainland hospitals, to provide routine clinical service for both chronic health care and accident and emergency. Clinical practice is supported through the use of the Virtual Consultation Workstation that is being developed and evaluated specifically for the project and which is based on readily available commercial products and international standards. The communication infrastructure remains a major obstacle to any telemedicine project, and for this reason, satellite communication is used in the AIDMAN project to overcome the current lack of digital links and bandwidth. The proposed system will provide real time video, high definition image, shared applications and data over a link running at 128 kbps. In this paper we discuss the design of the AIDMAN system, the Virtual Consultation Workstation and the communication channel.

Double-side active TiO2-modified nanofiltration membranes in continuous flow photocatalytic reactors for effective water purification.

A chemical vapour deposition (CVD) based innovative approach was applied with the purpose to develop composite TiO(2) photocatalytic nanofiltration (NF) membranes. The method involved pyrolytic decomposition of titanium tetraisopropoxide (TTIP) vapor and formation of TiO(2) nanoparticles through homogeneous gas phase reactions and aggregation of the produced intermediate species. The grown nanoparticles diffused and deposited on the surface of γ-alumina NF membrane tubes. The CVD reactor allowed for online monitoring of the carrier gas permeability during the treatment, providing a first insight on the pore efficiency and thickness of the formed photocatalytic layers. In addition, the thin TiO(2) deposits were developed on both membrane sides without sacrificing the high yield rates. Important innovation was also introduced in what concerns the photocatalytic performance evaluation. The membrane efficiency to photo degrade typical water pollutants, was evaluated in a continuous flow water purification device, applying UV irradiation on both membrane sides. The developed composite NF membranes were highly efficient in the decomposition of methyl orange exhibiting low adsorption-fouling tendency and high water permeability.

Anticardiolipin antibodies levels in healthy pregnant and non-pregnant woman.

To determine the prevalence of anticardiolipin antibodies in healthy non pregnant women and during normal pregnancy, 110 healthy women of mean age 25 years old and 53 healthy pregnant females of mean age 24.5 years old, who no one suffered from any autoimmune disease, were studied. In all women the anticardiolipin antibodies were measured in duplicate by the Enzyme Linked Immunosorbent Assay (ELISA). There was no difference in the percentage of the positive anticardiolipin antibodies between non pregnant and pregnant healthy women (9.1% and 5.6% respectively). Also, there was no difference in the antibodies levels during normal pregnancy, as well as, during an equal time of observation in non pregnant women. The positive anticardiolipin antibodies levels were low.

Restricted diffusion of molecules in porous affinity chromatography adsorbents.

A restricted diffusion model is constructed and solved in order to study the permeability of large adsorbate molecules in the pores of affinity chromatography media, when the adsorbate molecules are adsorbed onto immobilized ligands. The combined effects of steric hindrance at the entrance to the pores and frictional resistance within the pores, as well as the effects of pore size distribution, pore connectivity of the adsorbent, molecular size of adsorbate and ligand, and the fractional saturation of adsorption sites (ligands), are considered. Affinity adsorbents with dilute and high ligand concentrations are examined, and the permeability of the adsorbate in porous networks of connectivity nT is studied by means of effective medium approximation (EMA) numerical solutions. As expected, the permeability of the adsorbate decreases as the size of the adsorbate and/or ligand molecule increases. The permeability also decreases when the fractional saturation of the ligands increases, as well as when the pore connectivity of the network decreases. The dependence of the permeability on the pore connectivity tends to be less marked in adsorbents with concentrated ligand than in porous media with dilute ligand concentration. The conditions are also presented for which the percolation threshold is attained in a number of different systems. The restricted diffusion model and results of this work may be of importance in studies involving the modeling, prediction of the dynamic behavior, design, and control of affinity chromatography (biospecific adsorption) systems employing porous adsorbents. The theoretical results may also have important implications in the selection of a ligand as well as in the selection and construction of an affinity porous matrix, so that the adsorbate of interest can be efficiently separated from a given solution. Furthermore, with appropriate modifications this restricted diffusion model may be used in studies involving the immobilization of ligands or enzymes in porous solids.

A study on structural and diffusion properties of porcine stratum corneum based on very small angle neutron scattering data.

PURPOSE: Generation of valuable information about the biphasic geometrical configuration of porcine stratum corneum from Very Small Angle Neutron Scattering (VSANS) data and investigation of its effect on the corresponding effective diffusivity. METHODS: Spectra of porcine stratum corneum are mathematically transformed in order to obtain the corresponding auto-correlation function (ACF). Model stratum corneum structures, matching this experimentally determined ACF, are then produced based on the "brick-and-mortar" configuration. The effective diffusivity through these model domains is calculated using an appropriate numerical method. RESULTS: The most appropriate geometry of porcine stratum corneum's lipid and protein phases in a "brick-and-mortar" configuration is quantitatively determined and correlated with the barrier properties (diffusivity) of the stratum corneum model structures. CONCLUSIONS: The ACF analysis indicates the most appropriate values for the dimensions of the corneocyte thickness and the surrounding lipid gap, while the corneocyte length is estimated from the diffusion study.