Alexander Technological Educational Institute of Thessaloniki

Focal osteochondral defects in young individuals pose a significant challenge, often leading to chronic knee pain, functional limitations, and early onset of osteoarthritis if untreated. Osteochondral allograft (OCA) transplantation can offer a promising solution for large osteochondral defects. The aim of the study is to present a surgical approach for managing a large focal osteochondral defect in the lateral femoral condyle of a young, active patient through OCA transplantation. A 24-year-old male presented with atraumatic knee effusion, progressive pain, and impaired physical function. Imaging revealed a large osteochondral lesion in the lateral femoral condyle. After thorough pre-operative planning, including the creation of a 3D-printed model of the distal femur, the patient underwent lateral femoral condyle allograft transplantation. The procedure involved excision of the lesion, preparation of a size-matched OCA, and fixation with cannulated screws. Bone marrow aspirate concentrate was applied to enhance graft integration. Post-operative management included a progressive rehabilitation protocol with gradual knee flexion and weight-bearing. At 6 months postoperatively, the patient demonstrated significant clinical improvement with a Lysholm Knee Score of 89 and an International Knee Documentation Committee score of 87.4%. Follow-up imaging confirmed graft integrity and articular congruency. OCA transplantation is an effective surgical option for large osteochondral defects in the knee, providing satisfactory functional and clinical outcomes. This case highlights the importance of meticulous pre-operative planning, precise surgical technique, and structured post-operative rehabilitation in achieving successful results.

The current study tested the hypothesis that personal belief in a just world and gender role-related attitudes would mediate the effect of women’s sexist attitudes (hostile and benevolent sexism) on their self-silencing tendency to sexism. An online cross-sectional study was administered between September 2 and December 30, 2021. The total sample comprised two hundred and twenty-one respondents (Mage =38.22, _SD = 2.75)_. A between-subject, correlational design was utilized. Bootstrapping analysis for simple mediation models (Hayes, 2013; Model 4) was performed to test the current study’s hypothesis. This study demonstrates that gender role-related attitudes and a personal belief in a just world could act as a set of a system justifying beliefs buffering women’s motivation to challenge everyday sexism. The theoretical implication of this relationship is that individuals who endorse sexist attitudes and gender stereotypes are expected to exhibit corresponding behaviors.

Factors predictive of the efficacy of pelvic floor muscle training (PFMT) in stress urinary incontinence (SUI) or mixed urinary incontinence (MUI) are poorly defined. Identifying these factors is crucial for guiding treatment decisions, determining training repetitions, and predicting PFMT outcomes. This study aimed to identify clinical factors predictive of PFMT outcomes in women with primary SUI. We retrospectively reviewed data from 188 consecutive women with either SUI (n = 90) or MUI (n = 98) with a primary stress component. All participants underwent a 3-month PFMT program. Predictive factors for 50% improvement and complete cure of incontinence were assessed through urogynecological history/examination, medical history, digital pelvic floor muscle (PFM) evaluation (n = 87), and 3-day bladder diaries. Logistic regression analyses were conducted for the overall group and separately for the SUI and MUI subpopulations. At 3 months, 10% of SUI patients and 11.2% of MUI patients achieved complete SUI cure, while 35.7% of MUI patients were free from urge urinary incontinence (UUI). A complete cure of SUI was correlated with a negative or mildly positive results of stress test (p = 0.014). For MUI patients, complete UUI cure was linked to initial digital PFM evaluation results (p = 0.003) and negative (p = 0.005) or mildly positive findings of stress tests (p = 0.003). The absence of prior surgery and digital evaluation predicted a 50% improvement in MUI (p = 0.021 and p = 0.026, respectively). Endurance improvement was related independently with >50% improvement in MUI patients (odds ratio = 3.794, p = 0.019). Negative or mildly positive stress tests and digital PFM evaluation predict better outcomes with PFMT. Further prospective studies are needed to validate these findings.

A generic computational model describing the evolution in the 3D space and time of the fresh and salt water movement (two layers 2DH) and the intrusion of salt water in coastal aquifers is formulated and solved. The model has been validated and compared with analytical solutions produced by Strack and with experimental results, for specific flow conditions, produced in the flume of the Hydraulics laboratory of Thessaloniki TEI. A sensitivity analysis to the model parameters is conducted. Two interesting tests refer to the issue of increased seawater intrusion due to the forecasted sea level rise for almost lm during the 21st century and due to the negative trend of precipitation on the Mediterranean coast. Two alternative methods to increase the aquifer’s sustainable productivity by artificial means are preliminarily tested, namely: a) use of recharge canals and b) use of distributed scavenger wells placed between the productive wells and the coastline.

Τhe presented model can act as a manual to work with complicated couples’ issues. It was developed by Hans Jellouschek as a framework to organize information and make thoughtful hypotheses and insightful comments. In this way it helps therapists be stable, open and creative. Emphasis is placed on the therapeutic relationship by tension regulation when necessary, reflection of emotions, containment, and resonance. A respectful context is created, in which partners are encouraged to reflect on their communication scheme, on their state in the life cycle and on important aspects of adult life: autonomy and intimacy, give and take, male and female roles, relationships with third parties, and division of power. In this process it is useful to discuss about the five phases in a couple’s life, which help partners understand their own and each other’s behavior from a new perspective. Unfinished issues from their individual or common past and their future visions are also discussed. Therapists are encouraged to focus on the clients’ resources and to share their thoughts openly. With this manual in mind, therapists create a safe therapeutic context and construct with clients a new narration that makes sense to them and gives opportunity for development.

The roach, Rutilus rutilus, is a Cyprinid which is widely distributed throughout freshwater systems in Europe. It is one of the most abundant and important commercial fish species in Greece. Age, growth, reproduction and fecundity of roach were studied in Lake Volvi from 1997-1998 females had higher growth in length (L∞=277.18 mm, k=0.097) than adult males (L∞=185.60 mm, k=0.148). All males older than one year and larger than 70 mm, and all females older than two years and larger than 80 mm were sexually mature. The breeding period spanned from the end of March till mid April. Fecundity ranged from 2,036 to 31,653 eggs (mean 8,102 eggs) and relative fecundity from 76.06 to 333.94 eggs/g (mean 186.78 eggs/g). Diameter of eggs were 1.3 ± 0.07 mm and weighted 0.0011 ± 0.0002 g . The weight of eggs were independent of length and age of individuals (P>0.05), however, there was a significant relationship between weight and egg diameter (P<0.05). Absolute fecundity depended on length, weight and age of the females. The relationship between absolute fecundity and length were less obvious in the case of relative fecundity and egg size. Estimated growth was at the lower end when compared with other studies conducted elsewhere.

Introduction Due to the difficult financial conditions in Greece most of the prospective swimmers do not go to the dermatologist for their medical report regarding transmissible dermatological diseases They receive this report from their family doctors The purpose of this study was the evaluation of the ability of other specialties on recognizing and diagnosing transmissible dermatological diseases of swimmers nbsp Methods A total of people were examined The first group consisted of people who were examined for the first time in the medical office of the swimming pool and had no medical report about a transmissible dermatological disease The second group consisted of the remaining people who had a recent medical report from a family doctor certifying that they did not suffer from a transmissible dermatological disease nbsp Results The of the first group had some potentially transmissible dermatological disease while the corresponding percentage of the second group was Virtually one in two swimmers of the second group suffered from a potentially transmissible dermatological disease and had been diagnosed as healthy by a family doctor nbsp Conclusions There are issues with the diagnosis of dermatological diseases by non dermatologists since some lesions might not be recognized by General Practitioners or family doctors The reason for that might be the difficulty in the diagnoses of the dermatological diseases the training of other specialties in dermatological lesions and the financial status of the people examined nbsp nbsp Methods A total of people were examined The first group consisted of people who were examined for the first time in the medical office of the swimming pool and had no medical report about a transmissible dermatological disease The second group consisted of the remaining people who had a recent medical report from a family doctor certifying that they did not suffer from a transmissible dermatological disease nbsp Results The of the first group had some potentially transmissible dermatological disease while the corresponding percentage of the second group was Virtually one in two swimmers of the second group suffered from a potentially transmissible dermatological disease and had been diagnosed as healthy by a family doctor nbsp Conclusions There are issues with the diagnosis of dermatological diseases by non dermatologists since some lesions might not be recognized by General Practitioners or family doctors The reason for that might be the difficulty in the diagnoses of the dermatological diseases the training of other specialties in dermatological lesions and the financial status of the people examined nbsp

As most of the sectors of the world economy, tourism has also been affected by the global economic crisis and the resulting social redeployment. This global socio-economic situation, since 2010, has exerted additional pressure on the mental health and physical condition of people who are increasingly looking for new ways of relaxation and rejuvenation. The present study aims to investigate the impact of the current socio-economic crisis on the behavior and attitude of Greek wellness tourists. Quantitative research was conducted using a structured questionnaire on a sample size of 452 wellness tourists in totally 10 spas at Crete, Kos, Lefkada and Thessaloniki. The survey compared the spending behavior of respondents before 2010 and today. The findings of the survey show that although the behavior of Greeks as consumers is being negatively affected by the economic downturn, there is positive intention to continue using and spending on wellness services. In addition, results indicate the existence of positive attitude towards wellness tourism as a means of health promotion and enhancement. Proposals for further research are suggested.