Recent contributions to the distribution of the freshwater ichthyofauna in Greece

In this paper we supplement Greece’s recent annotated inventory of freshwater fishes per hydrographic basin with recent distributional data and taxa alteration information, based on field sampling and a literature review up to September 2011. We report on newly documented distributional records of 31 fish species plus one unidentified taxon, within 35 hydrographic river basin units in Greece. These new records include 14 native fish species, seven alien and 12 translocated. Translocated taxa are distinguished from aliens, in order to report species non-indigenous to a basin but native within the same ecoregion. Twelve hydrographic basin units are newly added to the roster of ichthyologically explored river basins following a previous basin-scale inventory method (the total is now 117). This review increases the number of Greece’s freshwater fish taxa to 167, since four new species are added to the list (Carassius langsdorfii, Neogobius fluviatilis, Telestes alfiensis, Millerigobius macrocephalus) and two are deleted (Salmo dentex, Barbus rebeli) due to taxonomic changes. Taxonomic changes will probably continue to alter the national list since phylogenetic research is ongoing on several taxa in many parts of the countr

Developing policy-relevant river fish monitoring in Greece: Insights from a nation-wide survey

A wide-ranging river fish survey was executed in the summer of 2009 as part of the preparatory actions for the establishment of a monitoring programme for the EU Water Framework Directive (WFD). This was the first extensive electrofishing campaign for WFD standardized bioassessment in Greece and the experience and insights gained are used here to provide a review of fish-based assessment conditions and requirements in this country. The survey sampled 85 sites on 25 rivers throughout mainland Greece, collecting 70 species of freshwater fish. Quantitative site-based assemblage data is used for taxonomic and ordination analyses revealing a strong biogeographic regionalization in the distribution of the ichthyofauna. The structural and spatial organisation of the fish fauna through the use of species-level and community-level data analyses is explored in three ecoregions where data was deemed sufficient. Transitions in community taxonomic composition among ecoregions were abrupt and concordant with geographical barriers and reflect the influence of historical biogeographic processes. Community-based analysis revealed a substantial degree of variation in quantitative attributes of the fish assemblages among ecoregions. Key conclusions of this work are: (a) the fish-based bioassessment system must be regionalised to reflect biogeographic variation, (b) high faunal heterogeneity among ecoregions (taxonomic, structural), and to a lower degree among basins, constrain the transferability of bioassessment metrics and indices created for explicit regions to other regional frameworks; (c) faunal depauperation in most of the study areas reduce the utility of functional bioassessment metrics and also limits the utilization of rare species and the applicability of the classical form of the “Index of Biotic Integrity” concept. Recommendations to cope with these problems are discussed

The freshwater ichthyofauna of Greece - an update based on a hydrographic basin survey

Distribution records (historical, contemporary) for native and non-native freshwater fish species from 105 hydrographic basin areas were compiled and analysed in order to develop a nation-wide inventory (including transboundary river basins). Overall, 162 species, including diadromous and euryhaline, with documented occurrence records in freshwaters, and taxa of unclarified taxonomic status, are accommodated in the distributional compilation. An annotated checklist summarises the confirmed ichthyofauna of Greek freshwaters (161 species); a provisional supplementary list contains species recorded in brackish waters (55 species). In comparison to the last published (1991) checklist of freshwater fish of Greece, the present checklist shows an increase in species number of 53% (56 species). This increase has resulted mainly from taxonomic re-evaluations of existing taxa on the basis of new information and adoption of a new systematic concept. The current trend, as reflected in recent ichthyological publications, is towards abandonment of the biological species concept (BSC) and adoption of the phylogenetic species concept (PSC) for the delineation of species boundaries. The practical implications of the change in species concept on biodiversity conservation and watershed management are discussed. An overview of the composition and characteristics of the freshwater fish fauna of Greece is provided, especially with regard to the native and introduced status of species, and the spatial patterns of species richness and endemism. This systematic inventory may assist in efforts to develop nation-wide surface water bioassessment tools within the demands of the Water Framework Directive (WFD); it may further promote biodiversity conservation and biologically-orientated fishery management approaches

Randomized clinical trial to evaluate the effect of fecal microbiota transplant for initial Clostridium difficile infection in intestinal microbiome

Objective The aim of this study was to evaluate the impact of fecal donor-unrelated donor mix (FMT-FURM) transplantation as first-line therapy for C. difficile infection (CDI) in intestinal microbiome. Methods We designed an open, two-arm pilot study with oral vancomycin (250mg every 6 h for 10–14 days) or FMT-FURM as treatments for the first CDI episode in hospitalized adult patients in Hospital Universitario “Dr. Jose Eleuterio Gonzalez”. Patients were randomized by a closed envelope method in a 1: 1 ratio to either oral vancomycin or FMT-FURM. CDI resolution was considered when there was a reduction on the Bristol scale of at least 2 points, a reduction of at least 50% in the number of bowel movements, absence of fever, and resolution of abdominal pain (at least two criteria). From each patient, a fecal sample was obtained at days 0, 3, and 7 after treatment. Specimens were cultured to isolate C. difficile, and isolates were characterized by PCR. Susceptibility testing of isolates was performed using the agar dilution method. Fecal samples and FMT-FURM were analyzed by 16S rRNA sequencing. Results We included 19 patients; 10 in the vancomycin arm and 9 in the FMT-FURM arm. However, one of the patients in the vancomycin arm and two patients in the FMT-FURM arm were eliminated. Symptoms resolved in 8/9 patients (88.9%) in the vancomycin group, while symptoms resolved in 4/7 patients (57.1%) after the first FMT-FURM dose (P = 0.26) and in 5/7 patients (71.4%) after the second dose (P = 0.55). During the study, no adverse effects attributable to FMT-FURM were observed in patients. Twelve isolates were recovered, most isolates carried tcdB, tcdA, cdtA, and cdtB, with an 18-bp deletion in tcdC. All isolates were resistant to ciprofloxacin and moxifloxacin but susceptible to metronidazole, linezolid, fidaxomicin, and tetracycline. In the FMT-FURM group, the bacterial composition was dominated by Firmicutes, Bacteroidetes, and Proteobacteria at all-time points and the microbiota were remarkably stable over time. The vancomycin group showed a very different pattern of the microbial composition when comparing to the FMT-FURM group over time. Conclusion The results of this preliminary study showed that FMT-FURM for initial CDI is associated with specific bacterial communities that do not resemble the donors’ sample.Peer reviewedFinal Published versio

Non-linear Autoregressive Neural Networks to Forecast Short-Term Solar Radiation for Photovoltaic Energy Predictions

Nowadays, green energy is considered as a viable solution to hinder CO2 emissions and greenhouse effects. Indeed, it is expected that Renewable Energy Sources (RES) will cover 40% of the total energy request by 2040. This will move forward decentralized and cooperative power distribution systems also called smart grids. Among RES, solar energy will play a crucial role. However, reliable models and tools are needed to forecast and estimate with a good accuracy the renewable energy production in short-term time periods. These tools will unlock new services for smart grid management. In this paper, we propose an innovative methodology for implementing two different non-linear autoregressive neural networks to forecast Global Horizontal Solar Irradiance (GHI) in short-term time periods (i.e. from future 15 to 120min). Both neural networks have been implemented, trained and validated exploiting a dataset consisting of four years of solar radiation values collected by a real weather station. We also present the experimental results discussing and comparing the accuracy of both neural networks. Then, the resulting GHI forecast is given as input to a Photovoltaic simulator to predict energy production in short-term time periods. Finally, we present the results of this Photovoltaic energy estimation discussing also their accuracy

Glucose Depletion in the Airway Surface Liquid Is Essential for Sterility of the Airways

Diabetes mellitus predisposes the host to bacterial infections. Moreover, hyperglycemia has been shown to be an independent risk factor for respiratory infections. The luminal surface of airway epithelia is covered by a thin layer of airway surface liquid (ASL) and is normally sterile despite constant exposure to bacteria. The balance between bacterial growth and killing in the airway determines the outcome of exposure to inhaled or aspirated bacteria: infection or sterility. We hypothesized that restriction of carbon sources –including glucose– in the ASL is required for sterility of the lungs. We found that airway epithelia deplete glucose from the ASL via a novel mechanism involving polarized expression of GLUT-1 and GLUT-10, intracellular glucose phosphorylation, and low relative paracellular glucose permeability in well-differentiated cultures of human airway epithelia and in segments of airway epithelia excised from human tracheas. Moreover, we found that increased glucose concentration in the ASL augments growth of P. aeruginosa in vitro and in the lungs of hyperglycemic ob/ob and db/db mice in vivo. In contrast, hyperglycemia had no effect on intrapulmonary bacterial growth of a P. aeruginosa mutant that is unable to utilize glucose as a carbon source. Our data suggest that depletion of glucose in the airway epithelial surface is a novel mechanism for innate immunity. This mechanism is important for sterility of the airways and has implications in hyperglycemia and conditions that result in disruption of the epithelial barrier in the lung

Association between diabetes mellitus and active tuberculosis: A systematic review and meta-analysis.

The burgeoning epidemic of diabetes mellitus (DM) is one of the major global health challenges. We systematically reviewed the published literature to provide a summary estimate of the association between DM and active tuberculosis (TB). We searched Medline and EMBASE databases for studies reporting adjusted estimates on the TB-DM association published before December 22, 2015, with no restrictions on region and language. In the meta-analysis, adjusted estimates were pooled using a DerSimonian-Laird random-effects model, according to study design. Risk of bias assessment and sensitivity analyses were conducted. 44 eligible studies were included, which consisted of 58,468,404 subjects from 16 countries. Compared with non-DM patients, DM patients had 3.59-fold (95% confidence interval (CI) 2.25-5.73), 1.55-fold (95% CI 1.39-1.72), and 2.09-fold (95% CI 1.71-2.55) increased risk of active TB in four prospective, 16 retrospective, and 17 case-control studies, respectively. Country income level (3.16-fold in low/middle-vs. 1.73-fold in high-income countries), background TB incidence (2.05-fold in countries with >50 vs. 1.89-fold in countries with ≤50 TB cases per 100,000 person-year), and geographical region (2.44-fold in Asia vs. 1.71-fold in Europe and 1.73-fold in USA/Canada) affected appreciably the estimated association, but potential risk of bias, type of population (general versus clinical), and potential for duplicate data, did not. Microbiological ascertainment for TB (3.03-fold) and/or blood testing for DM (3.10-fold), as well as uncontrolled DM (3.30-fold), resulted in stronger estimated association. DM is associated with a two- to four-fold increased risk of active TB. The association was stronger when ascertainment was based on biological testing rather than medical records or self-report. The burgeoning DM epidemic could impact upon the achievements of the WHO "End TB Strategy" for reducing TB incidence

The impact of diabetes on the pathogenesis of sepsis

Diabetes is associated with an increased susceptibility to infection and sepsis. Conflicting data exist on whether the mortality of patients with sepsis is influenced by the presence of diabetes, fuelling the ongoing debate on the benefit of tight glucose regulation in patients with sepsis. The main reason for which diabetes predisposes to infection appears to be abnormalities of the host response, particularly in neutrophil chemotaxis, adhesion and intracellular killing, defects that have been attributed to the effect of hyperglycaemia. There is also evidence for defects in humoral immunity, and this may play a larger role than previously recognised. We review the literature on the immune response in diabetes and its potential contribution to the pathogenesis of sepsis. In addition, the effect of diabetes treatment on the immune response is discussed, with specific reference to insulin, metformin, sulphonylureas and thiazolidinediones