Knowledge and beliefs about HPV infection and the relevant vaccination in Greek young population

Background: Infection by HPV oncogenic subtypes is the causative agent of half a million cancer cases in developed countries every year. The objective of the present study was to assess: the knowledge and beliefs of young Greeks about HPV infection and potential factors that discourage them from HPV vaccination. Materials and Methods: The present group consisted of 825 individuals, 18-35-years-old, who voluntarily completed some questionnaires. Results: The attitude and consequent decision of women, considering HPV vaccination is associated with general vaccination attitude, mothers' beliefs, parents' educational level, family income, knowledge about HPV, the doctor's attitude, and individual's health beliefs. Conclusion: In Greece, as well as in other countries where HPV vaccination is neither a mandatory nor a school-based program, increased education of physicians and parents would substantially enhance HPV vaccination acceptance. Intervention strategies should focus more on providing adequate and reliable information to eliminate any doubts on HPV vaccine's safety and efficacy

The Greek-Orthodox version of the Brief Religious Coping (B-RCOPE) instrument: psychometric properties in three samples and associations with mental disorders, suicidality, illness perceptions, and quality of life

Background: The B-RCOPE is a brief measure assessing religious coping. We aimed to assess the psychometric properties of its Greek version in people with and without long-term conditions (LTCs). Associations between religious coping and mental illness, suicidality, illness perceptions, and quality of life were also investigated. Methods: The B-RCOPE was administered to 351 patients with diabetes, chronic pulmonary obstructive disease (COPD), and rheumatic diseases attending either the emergency department (N = 74) or specialty clinics (N = 302) and 127 people without LTCs. Diagnosis of mental disorders was established by the MINI. Associations with depressive symptom severity (PHQ-9), suicidal risk (RASS), illness perceptions (B-IPQ), and health-related quality of life (WHOQOL-BREF) were also investigated. Results: The Greek version of B-RCOPE showed a coherent two-dimensional factor structure with remarkable stability across the three samples corresponding to the positive (PRC) and negative (NRC) religious coping dimensions. Cronbach’s alphas were 0.91–0.96 and 0.77–0.92 for the PRC and NRC dimensions, respectively. Furthermore, NRC was associated with poorer mental health, greater depressive symptom severity and suicidality, and impaired HRQoL. In patients with LTCs, PRC correlated with lower perceived illness timeline, while NRC was associated with greater perceived illness consequences, lower perceived treatment control, greater illness concern, and lower illness comprehensibility. Conclusions: These findings indicate that the Greek-Orthodox B-RCOPE version may reliably assess religious coping. In addition, negative religious coping (i.e., religious struggle) is associated with adverse illness perceptions, and thus may detrimentally impact adaptation to medical illness. These findings deserve replication in prospective studies

Black olives as substrate for Aspergillus parasiticus growth and aflatoxin B1 production

Aflatoxin B1 (AFB1) is a highly toxic and carcinogenic metabolite produced by certain Aspergillus species on agricultural commodities. Molds isolated from black olives are potentially toxigenic and present a potential health hazard. Olive oil originating from contaminated olives with AFB1 might also be contaminated. The aim of this study was to investigate A. parasiticus growth and AFB1 production in black damaged olives inoculated with 100 conidia flask-1 (I) treated with NaOCl 1.25%, (2) autoclaved at 110°C for 2 min, in comparison to the mold growth and AFB1 production into the yeast extract sucrose (YES) medium under the same conditions of incubation and inoculation. AFB1 extracted from cultures or olives and purified with immunoaffinity columns, was derivatized to its hemiacetal AFB2a and then quantitated by HPLC using fluorescence detector. The recoveries and detection limits from YES and olives were 99.2%, 0.02 ng AFB1 ml-1 and 94%, 0.15 ng AFB1 g-1, respectively. Results showed that mycelia growth was not observed in olives during the 15 days of observation. The maximum growth of A. parasiticus on YES medium was shown on the sixth day. The AFB1 production for both treated with NaOCl and autoclaved olives inoculated or not with A. parasiticus was not significantly different. On the other hand, AFB1 levels produced in olives treated with NaOCl were significantly higher as compared with the autoclaved. The range of contamination of all olive samples inoculated or not for the whole period of observation was 0.15-2.3 ng AFB1 g-1. The production of AFB1 in YES medium on the third, the ninth and the 15th day was ∼ 1000-, ∼ 2500- and 10 000-fold higher, respectively, compared with the production in olives thus showing that black damaged olives of Greek origin are not a substrate favorable for AFB1 biosynthesis at hazardous levels. Nevertheless, the production is possible at detectable amounts even after a little contamination that could happen randomly. © 2002 Elsevier Science Ltd. All rights reserved

Oleic acid-induced Ca2+ mobilization in human platelets: Is oleic acid an intracellular messenger?

The purpose of this study was to explore the effect of oleic acid (OA) on intracellular Ca2+ mobilization in human platelets. When applied extracellularly, OA produced a concentration dependent rise in cytosolic [Ca2+] ([Ca2+](cyt)) when extracellular [Ca2+] ([Ca2+](ext) was zero (presence of EGTA), suggesting that OA caused an intracellular release of Ca2+. Intracellular Ca2+ release was directly proportional to entry of OA into platelets and OA entry was indirectly proportional to [Ca2+](ext). In permeabilized platelets, OA caused the release of 45Ca2+ from ATP dependent intracellular stores. Finally, our results show that thrombin stimulated the release of [3H]OA from platelet phospholipids. The saturated fatty acids stearic and palmitic acid did not stimulate an increase in [Ca2+](cyt) under these conditions, but the unsaturated fatty acid, linolenic acid produced effects similar to those of OA, suggesting specificity among fatty acids for effects on [Ca2+](cyt). Taken together, our experiments suggest that OA which has been incorporated into platelet phospholipids was released into the cytosol by thrombin stimulation. Our experiments also show that OA stimulates Ca2+ release from intracellular stores. These results support the hypothesis that OA may serve as an intracellular messenger in human platelets

Spread of subarachnoid block, intraoperative local anaesthetic requirements and postoperative analgesic requirements in Caesarean section and total abdominal hysterectomy

Background. Pregnancy is associated with a higher spread of subarachnoid anaesthesia and increased pain threshold. The study was designed to assess the spread of subarachnoid block and the intra- and postoperative analgesic requirements in pregnant vs non-pregnant women. Methods. We assessed the level of subarachnoid anaesthesia after 1.8 ml of hyperbaric lidocaine 5% and the postoperative analgesic requirements in women undergoing Caesarean section and undergoing abdominal hysterectomy (30 each group). Intraoperatively epidural ropivacaine was given as required. All patients received 10 ml of ropivacaine 0.2% epidurally 2, 10, and 24 h after operation and the VAS pain score was assessed. They also had access to patient controlled analgesia i.v. morphine. Results. Duration of surgery was 64 (13.7) vs 127 (33.8) min (P<0.0001) in the pregnant and non-pregnant groups. Ten minutes after subarachnoid injection, sensory block was higher by three dermatomes in the pregnant group (P<0.0001). Time to first ropivacaine dose was 37 (19.7) vs 19 (12.2) min (P<0.001) and the ropivacaine normalized for the duration of anaesthesia was 0.8 (0.6) vs 1.3 (0.5) mg(-1) (P=0.001) in the pregnant and non-pregnant groups, respectively. The time between the first and second ropivacaine dose was similar in the two groups (P=0.070). Fewer pregnant women (81 vs 100%) required ropivacaine intraoperatively (P=0.017). The VAS scores were similar but parturients consumed more i.v. morphine (33 (14) vs 24 (12) mg, P=0.016) during the first 24 h after operation. Conclusions. Pregnant patients exhibited a higher level of subarachnoid sensory block and required more i.v. morphine after operation

Uptake and metabolism of [H-3]anandamide by rabbit platelets - Lack of transporter?

Anandamide is an endogenous ligand for cannabinoid receptor and its protein-mediated transport across cellular membranes has been demonstrated in cells derived from brain as well as in cells of the immune system. This lipid is inactivated via intracellular degradation by a fatty acid amidohydrolase (FAAH). In the present study, we report that rabbit platelets, in contrast to human platelets, do not possess a carrier-mediated mechanism for the transport of [H-3]anandamide into the cell, i.e. cellular uptake was not temperature dependent and its accumulation was not saturable. This endocannabinoid appears to enter the cell by simple diffusion. Once taken up by rabbit platelets, [H-3]anandamide was rapidly metabolized into compounds which were secreted into the medium. Small amounts of free arachidonic acid as well as phospholipids were amongst the metabolic products. FAAH inhibitors did not decrease anandamide uptake, whereas these compounds inhibited anandamide metabolism. In conclusion, anandamide is rapidly taken up by rabbit platelets and metabolized mainly into water-soluble metabolites. Interestingly, the present study also suggests the absence of a transporter for anandamide in these cells