Publications by authors named "Christos Ioannou"

Environmental conditions in freshwater ecosystems are increasingly determined by human activity. Increased temperature and light intensity are among the anthropogenic stressors dramatically altering these ecosystems, for example, through deforestation that reduces canopy cover of riparian vegetation. Simultaneous exposure to multiple stressors complicates predictions of responses to environmental stressors due to potential interactions, yet the interaction between temperature and light intensity on feeding motivation remains poorly understood.

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Background: This study aimed to explore the impact of occupational activities involving extensive finger movement on the muscular characteristics of the forearms. In particular, the flexor digitorum (FD) muscular thickness and strength asymmetry between right and left hand were compared between musicians and non-musicians.

Methods: Ultrasonography was employed to measure the thickness of the FD in each hand, while a validated custom-made device was used to assess the strength of the flexor and extensor digitorum (ED).

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Purpose: To investigate whether Dual-Energy Computed Tomography (DECT) could be useful in the lesion characterization and endovascular treatment planning of symptomatic patients with peripheral arterial disease (PAD) due to Chronic Total Occlusions (CTO).

Materials And Methods: Between 2018 and 2022, 60 symptomatic patients (52 male, age 71 years) with peripheral arterial CTO underwent DECT angiography before percutaneous endovascular treatment. Patients were classified, according to guidewire crossing difficulty into four categories, which were subsequently correlated with DECT values, including Dual Energy Index (DEI) and Effective Z (Zeff).

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Article Synopsis
  • Environmental changes like temperature and turbidity significantly influence predator-prey dynamics among wild fish, specifically Trinidadian guppies.
  • The study showed that environmental factors accounted for 17.6% of the differences in predator species composition, with certain conditions favoring predator presence.
  • Warmer, deeper, and clearer waters led to increased predator behavior, such as quicker responses to prey and more frequent attacks, emphasizing the importance of understanding multiple environmental stressors in ecological studies.
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Although vascular injuries complicate only 1-2% of patients with orthopedic trauma, they may be encountered in a much higher rate of around 10 % in injuries around the knee and elbow joints following both fractures and dislocations. In case of vascular involvement, specific diagnostic and therapeutic challenges arise and there is a higher risk for significant morbidity (i.e.

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Introduction: Ruptured abdominal aortic aneurysms (AAAs) pose an immediate threat for patient's life and endovascular repair (EVAR) is currently the preferred treatment modality in the presence of suitable anatomy. This is determined based on the requirements of each endograft as described in the instructions for use (IFU). The new ALTO system (Endologix, Irvin, CA, U.

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Purpose: To compare the hemodynamic performance of three (Bottom Up non-ballet, Top-Down non-ballet, Top Down ballet) idealized stent graft configurations used during endovascular repair of abdominal aortic aneurysms, under the influence of various rheological models.

Methods: Ten rheological models are assumed and a commercial finite volume solver is employed for the simulation of blood flow under realistic boundary conditions. An appropriate mesh convergence study is performed and five hemodynamic variables are computed: the time average wall shear stress (TAWSS), oscillatory shear index (OSI), relative residence time (RRT), endothelial cell activation potential (ECAP) and displacement force (DF) for all three configurations.

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Introduction: The inaccuracy of late pregnancy dating is often discussed, and the impact on diagnosis of fetal growth restriction is a concern. However, the magnitude and direction of this effect has not previously been demonstrated. In this study, we aimed to investigate the effect of late pregnancy dating by head circumference on the detection of late onset growth restriction, compared to first trimester crown-rump length dating.

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Purpose: Our objective was to investigate whether patients who receive anticoagulation therapy have different outcomes after endovascular aneurysm repair (EVAR) from those who do not.

Materials And Methods: We conducted a systematic review of studies that compared outcomes of EVAR in patients who were on therapeutic anticoagulation vs those who were not. We developed and reported the review in accordance with the PRISMA guidelines with a registered protocol (CRD42022375894).

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Retroperitoneal soft tissue sarcoma (RPS) is a rare and heterogenous disease for which surgery is the cornerstone of treatment. However, the local recurrence rate is much higher than in soft tissue sarcoma of the extremities since wide resection is usually unfeasible in RPS due to its large size, indistinct tumour borders, anatomical constraints and the thinness of the overlying peritoneum. Local recurrence is the leading cause of death for low-grade RPS, whereas high-grade tumours are prone to distant metastases.

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Many fresh and coastal waters are becoming increasingly turbid because of human activities, which may disrupt the visually mediated behaviours of aquatic organisms. Shoaling fish typically depend on vision to maintain collective behaviour, which has a range of benefits including protection from predators, enhanced foraging efficiency and access to mates. Previous studies of the effects of turbidity on shoaling behaviour have focussed on changes to nearest neighbour distance and average group-level behaviours.

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Article Synopsis
  • The study compares four surgical and endovascular techniques for treating aorto-iliac occlusive disease: Aortobifemoral bypass (AoBFB), axillobifemoral bypass (AxBFB), aorto-iliac kissing stents (KS), and covered endovascular reconstruction of aortic bifurcation (CERAB).
  • Eight patient-specific anatomies were analyzed using computational modeling to evaluate haemodynamic performance, focusing on pressure drop (ΔP), Time Average Wall Shear Stress (TAWSS), Oscillatory Shear Index (OSI), and Relative Residence Time (RRT) as indicators for thrombogenic risk.
  • Results show that AoBFB had the best
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During the vascular surgical reconstruction of aorto-iliac occlusive/aneurysmal disease, bifurcated grafts are used where vascular surgeons intra-operatively select the size and the relative lengths of the parent and daughter portions of the graft. Currently, clinical practice regarding the selection of the most favorable geometric configuration of the graft is an understudied research subject: decisions are solely based on the clinical experience of the operating surgeon. This manuscript aims to evaluate the hemodynamic performance of various diameters, D, of bifurcated aortic grafts and relate those with proximal/distal part length ratios (the angle φ between the limbs is used as a surrogate marker of the main body-to-limb length ratio) in order to provide insights regarding the effects of different geometries on the hemodynamic environment.

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Of widespread interest in animal behavior and ecology is how animals search their environment for resources, and whether these search strategies are optimal. However, movement also affects predation risk through effects on encounter rates, the conspicuousness of prey, and the success of attacks. Here, we use predatory fish attacking a simulation of virtual prey to test whether predation risk is associated with movement behavior.

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Due to climate change, freshwater habitats are facing increasing temperatures and more extreme weather that disrupts water flow. Together with eutrophication and sedimentation from farming, quarrying and urbanization, freshwaters are becoming more turbid as well as warmer. Predators and prey need to be able to respond to one another adaptively, yet how changes in temperature and turbidity interact to affect predator-prey behaviour remains unexplored.

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Article Synopsis
  • The study aimed to compare the outcomes of two treatment methods for abdominal aortic aneurysm (AAA) in younger patients: endovascular repair (EVAR) and open repair.
  • A systematic review of 15 observational studies and 1 randomized controlled trial was conducted, involving nearly 49,000 young patients, with the risk of bias assessed through established frameworks.
  • Results indicated that while EVAR had lower perioperative mortality and shorter hospital stays, overall and aneurysm-related mortality rates were not significantly different between the two methods, and complications were generally lower with EVAR as well.
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The present study assessed muscular atrophy and weakness of the flexor digitorum superficialis (FDS) and profundus (FDP) muscle as possible long-term side effects of botulinum toxin (BoNT) injections in hand dystonia patients after the termination of their treatment. For the assessment of both parameters, a group of 12 musicians diagnosed with focal hand dystonia was compared with a group of 12 healthy matched musicians. The minimum and maximum times since the last injection across patients were 0.

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Background:  Abdominal compartment syndrome (ACS) often complicates ruptured abdominal aortic aneurysm (rAAA) repair. We report results with routine skin-only abdominal wound closure after rAAA surgical repair.

Methods:  This was a single-center retrospective study including consecutive patients undergoing rAAA surgical repair for the duration of 7 years.

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Changes in environmental conditions can shift the costs and benefits of aggregation or interfere with the sensory perception of near neighbors. This affects group cohesion with potential impacts on the benefits of collective behavior such as reduced predation risk. Organisms are rarely exposed to one stressor in isolation, yet there are only a few studies exploring the interactions between multiple stressors and their effects on social behavior.

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Background: Abdominal aortic aneurysms (AAAs) are currently treated based on the universal maximum diameter criterion, but other geometric variables may play a role in the risk of rupture. The hemodynamic environment inside the AAA sac has been shown to interact with several biologic processes which can affect prognosis. AAA geometric configuration has a significant impact in the hemodynamic conditions that develop, which has only been recently realized, with implications for rupture risk estimations.

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The movement of groups can be heavily influenced by 'leader' individuals who differ from the others in some way. A major source of differences between individuals is the repeatability and consistency of their behaviour, commonly considered as their 'personality', which can influence both position within a group as well as the tendency to lead. However, links between personality and behaviour may also depend upon the immediate social environment of the individual; individuals who behave consistently in one way when alone may not express the same behaviour socially, when they may be conforming with the behaviour of others.

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