Σφακιανάκης Αλέξανδρος
ΩτοΡινοΛαρυγγολόγος
Αναπαύσεως 5 Άγιος Νικόλαος
Κρήτη 72100
00302841026182
00306932607174
alsfakia@gmail.com

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Τετάρτη 8 Ιουλίου 2020


Transoral robotic selective neck dissection for papillary thyroid carcinoma: Dissection of Levels III and IV
Abstract We present the operative procedure of transoral robotic selective neck dissection for papillary thyroid carcinoma. A 28‐year‐old woman, diagnosed with papillary thyroid carcinoma and lymph node metastasis at right level IV, underwent total thyroidectomy, central neck dissection, and selective neck dissection involving levels III and IV via the transoral robotic approach. A 1.5‐2‐cm central incision was made near the base of the lower lip frenulum, and two lateral incisions were made close...
Head & Neck
Tue Jul 07, 2020 22:48
Systematic review and meta‐analysis of racial survival disparities among oropharyngeal cancer cases by HPV status
Abstract Background There is a well documented racial disparity in overall survival for oropharyngeal squamous cell carcinoma (OPSCC); however, it is unknown to what extent this disparity varies by HPV‐status. Methods A literature search was conducted through December 2019 using Ovid Medline, Cochrane Library, Embase, Scopus, and Clinicaltrials.gov. PRISMA guidelines were followed. A meta‐analysis was conducted using random effects models to obtain pooled hazard ratios (HRs). Results...
Head & Neck
Tue Jul 07, 2020 22:30
Pilot study of loss of the p53/p63 target gene PERP at the surgical margin as a potential predictor of local relapse in head and neck squamous cell carcinoma
Abstract Background PERP (p53 apoptosis effector related to PMP22) localizes to desmosomes and suppresses squamous cell carcinoma development. Loss of PERP leads to worse local control in head and neck squamous cell carcinoma (HNSCC), likely by destabilizing desmosomes. We evaluated PERP loss at HNSCC surgical margins as a predictor of local relapse. Methods Combining discovery (n = 17) and validation (n = 31) cohorts, we examined membranous PERP protein expression by immunohistochemistry...
Head & Neck
Tue Jul 07, 2020 22:29
What is the hold up?—Mixed‐methods analysis of postoperative radiotherapy delay in head and neck cancer
Abstract Background Delays in postoperative radiotherapy (PORT) for head and neck cancer (HNC) increase the risk for recurrence and mortality. The multifactorial nature of delays calls for an in‐depth understanding of potential contributors from the patient's and provider's perspectives. We sought to identify causes of delays in adjuvant radiotherapy initiation for HNC. Methods We performed a mixed‐methods study including patients with HNC care team members. Forty in‐depth interviews were...
Head & Neck
Tue Jul 07, 2020 22:24
Pest categorisation of Helicoverpa zea
Abstract The EFSA Panel on Plant Health performed a pest categorisation of Helicoverpa zea (Lepidoptera: Noctuidae) (American cotton bollworm, corn earworm) for the EU . H. zea is a polyphagous species that feeds on over 100 plant species. The crops most frequently recorded as host plants are maize, sorghum, cotton, beans, peas, chickpeas, tomatoes, aubergines, peppers and, to a lesser extent, clover, okra, cabbages, lettuces, strawberries, tobacco, sunflowers, cucurbits and ornamentals. H. zea...
Wiley: EFSA Journal: Table of Contents
Tue Jul 07, 2020 14:33
Peer review of the pesticide risk assessment of the active substance clodinafop (variant evaluated clodinafop‐propargyl)
Abstract The conclusions of the EFSA following the peer review of the initial risk assessments carried out by the competent authorities of the rapporteur Member State, Greece, and co‐rapporteur Member State, Germany, for the pesticide active substance clodinafop‐propargyl are reported. The context of the peer review was that required by Commission Implementing Regulation (EU ) No 844/2012. The conclusions were reached on the basis of the evaluation of the representative uses of clodinafop‐propargyl...
Wiley: EFSA Journal: Table of Contents
Tue Jul 07, 2020 13:01
Peer review of the pesticide risk assessment of the active substance Bacillus amyloliquefaciens strain AH2
Abstract The conclusions of EFSA following the peer review of the initial risk assessments carried out by the competent authority of the rapporteur Member State the Netherlands for the pesticide active substance Bacillus amyloliquefaciens strain AH 2 are reported. The context of the peer review was that required by Regulation (EC ) No 1107/2009 of the European Parliament and of the Council. The conclusions were reached on the basis of the evaluation of the representative use of Bacillus amyloliquefaciens...
Wiley: EFSA Journal: Table of Contents
Tue Jul 07, 2020 13:01
Pest categorisation of tomato leaf curl New Delhi virus
Abstract Following a request from the European Commission, the Panel on Plant Health performed a pest categorisation on tomato leaf curl New Delhi virus (ToLCNDV ). ToLCNDV is a well‐defined bipartite Begomovirus species, sometimes associated with satellite molecules. It is transmitted by Bemisia tabaci to a wide range of hosts. ToLCNDV is reported from Estonia, Greece, Italy, Portugal and Spain, with limited distribution. The prevalent strain (ToLCNDV ‐ES ) in these countries is particularly...
Wiley: EFSA Journal: Table of Contents
Tue Jul 07, 2020 13:01
Leptin protects brain from ischemia/reperfusion‐induced infarction by stabilizing the blood‐brain barrier to block brain infiltration of the blood‐borne neutrophils
Abstract The cellular and molecular mechanisms underlying leptin‐mediated brain protection against cerebral ischemia were investigated at the blood brain barrier (BBB) and neutrophil level. Through the ischemia/reperfusion (I/R) animal model, we found that leptin expression level was significantly decreased in ischemic hemisphere. Brain injection with leptin (15 μg/kg, intracisternally) could block the I/R‐increased BBB permeability, activation of matrix metallopeptidase 9 (MMP‐9) and brain infiltration...
European Journal of Neuroscience
Tue Jul 07, 2020 21:00
Bioinformatics analysis of high-throughput data to validate potential novel biomarkers and small molecule drugs for glioblastoma multiforme
Journal of International Medical Research, Volume 48, Issue 7, July 2020. ObjectiveThere have been no recent improvements in the glioblastoma multiforme (GBM) outcome, with median survival remaining 15 months. Consequently, the need to identify novel biomarkers for GBM diagnosis and prognosis, and to develop targeted therapies is high. This study aimed to establish biomarkers for GBM pathogenesis and prognosis.MethodsIn total, 220 overlapping differentially expressed genes (DEGs) were obtained by...
SAGE Publications Ltd: Journal of International Medical Research: Table of Contents
Tue Jul 07, 2020 10:04
Neurology Grand Rounds Complications from “Stem Cell Tourism” in Neurology
“Stem cell tourism,” the practice of offering unproven cellular preparations to patients as approved therapy, is rising in neurology. Currently, the experiences of patients and reported complications from these procedures are unknown in the US. We evaluate academic neurologists' experiences with stem cell tourism and assess perceived competency on discussing this topic with patients. We found a lack of neurologist preparedness to discuss stem cell therapies with patients and an alarming list of unreported...
Annals of Neurology
Tue Jul 07, 2020 11:34
Cutaneous lupus erythematosus: The impact of self‐amplifying innate and adaptive immune responses and future prospects of targeted therapies
Abstract Cutaneous lupus erythematosus (CLE) is a heterogeneous autoimmune disease encompassing a broad spectrum of skin conditions including localized plaques or widespread lesions, which may be accompanied by systemic involvement (systemic lupus erythematosus (SLE)). The disease is characterized by necroptotic keratinocytes and a cytotoxic immune cell infiltrate at the dermo‐epidermal junction (DEJ), orchestrated by interferon (IFN)‐regulated proinflammatory cytokines. Molecular analyses revealed...
Experimental Dermatology
Tue Jul 07, 2020 15:34
Can melatonin and its metabolites boost the efficacy of targeted therapy in patients with advanced melanoma?
Abstract Despite groundbreaking new treatments such as checkpoint inhibition and targeted therapy, the overall response and survival rates are limited in patients with metastatic melanoma. Here, we hypothesize that melatonin and its metabolites could be promising boosters of the efficacy of BRAF/MEK inhibitors in patients with advanced melanoma. Melatonin, a well‐known endogenous synchronizer of the circadian biorhythm has a variety of promising effects for melanoma biology. It regulates proliferation,...
Experimental Dermatology
Tue Jul 07, 2020 11:18
Regular endurance exercise of overloaded muscle of young and old male mice does not attenuate hypertrophy and improves fatigue resistance
Abstract It has been observed that there is an inverse relationship between fiber size and oxidative capacity due to oxygen, ADP, and ATP diffusion limitations. We aimed to see if regular endurance exercise alongside a hypertrophic stimulus would lead to compromised adaptations to both, particularly in older animals. Here we investigated the effects of combining overload with regular endurance exercise in young (12 months) and old (26 months) male mice. The plantaris muscles of...
GeroScience
Wed Jul 08, 2020 03:00
Lithuanian version of nasolacrimal duct obstruction symptom scoring questionnaire. Cross‐cultural adaptation and validation. Short and long term results
Abstract Background The most common cause for epiphora is nasolacrimal duct obstruction (NLDO). Epiphora may decrease the quality of life due to recurrent lacrimal sac infections, worsening vision and distress in public environments. Patency of nasolacrimal duct can be verified by various clinical tests. However, there is no standardized questionnaire for symptom evaluation of NLDO patients. The objective of this study was to perform translation, cross‐cultural adaptation, and validation of the...
Clinical Otolaryngology
Tue Jul 07, 2020 20:31
Parent‐specific effects on risk of developing allergic sensitization and asthma in childhood
Abstract Background Parent's history of atopic traits increases the risk of the same traits in their children, but mother's history may confer an increased risk compared to father's history. Objective To investigate parent‐specific effects on risk of developing allergic sensitization and asthma in childhood. Methods We included 685 parent‐child trios from the Copenhagen Prospective Studies on Asthma in Childhood 2010 (COPSAC2010) cohort. Parent's asthma was assessed by structured...
Clinical & Experimental Allergy
Tue Jul 07, 2020 19:01
Randomised controlled trial of triple versus dual inhaler therapy on small airways in smoking asthmatics
Abstract Background Smoking worsens underlying asthma inflammation and also induces resistance to inhaled corticosteroids (ICS). Small airways dysfunction measured by impulse oscillometry (IOS) is associated with worse control. Objectives We investigated the effects on small airways of adding long acting beta‐agonist (LABA) alone or with long acting muscarinic antagonist (LAMA) to ICS in asthmatic smokers. Methods 16 current smokers were enrolled: mean age 44 yr, FEV1 84%, FEF25‐75...
Clinical & Experimental Allergy
Tue Jul 07, 2020 14:55
Childhood abuse history and attention bias in adults
Abstract Attention biases toward unpleasant information are evident among children and adults with a history of abuse and have been identified as a potential pathway through which abused children develop psychopathology. Identifying whether a history of childhood abuse affects the time course of attention biases in adults is critical, as this may provide intervention targets. The present study examined the time course of attention bias during an emotion‐word Stroop task using event‐related potentials...
Psychophysiology
Tue Jul 07, 2020 17:45
Detailed Visualization of Aromaticity Using Isotropic Magnetic Shielding
For many years, Clar’s aromatic sextet theory has served as a qualitative method for assessing the aromatic character of polycyclic aromatic hydrocarbons. A new approach, based on the calculation of isotropic magnetic shielding (IMS) contour plots, is shown to provide a feature‐rich picture of aromaticity that is both quantitative yet still easily interpreted. Chemists are visual creatures who are adept at discerning reactivity and chemical behavior from molecular structures. To quote Roald Hoffman,...
Angewandte Chemie International Edition
Tue Jul 07, 2020 22:44
Sulfur‐Modified Oxygen Vacancies in Iron–Cobalt Oxide Nanosheets: Enabling Extremely High Activity of the Oxygen Evolution Reaction to Achieve the Industrial Water Splitting Benchmark
The defective iron–cobalt oxide nanosheet is developed into a highly efficient OER catalyst through modulating its electron structure by oxygen vacancy creation and sulfur atom modification. Pairing with CoP3/Ni2P, its current density can reach up to 406.0 mA cm−2 at 2.3 V, meeting well with the industrial water splitting requirement. Abstract The oxygen vacancies of defective iron–cobalt oxide (FeCoO x ‐Vo) nanosheets are modified by the homogeneously distributed sulfur (S) atoms....
Angewandte Chemie International Edition
Tue Jul 07, 2020 22:00
Recent Advances of Synthetic Macrocycle‐Based Nonporous Adaptive Crystals for Molecular Separation
The exploitation of new materials for adsorptive separation of industrially important hydrocarbons is of great importance in both scientific research and petrochemical industry. Nonporous adaptive crystals (NACs) as a robust class of synthetic materials have drawn much attention during the past five years for their superior performance in adsorption and separation. Pillararenes are the main family of macrocyclic arenes used for NACs construction, where the structure–function relationship has been...
Angewandte Chemie International Edition
Tue Jul 07, 2020 21:14
Synthesis of robust MOFs@COFs porous hybrid materials via aza‐Diels‐Alder reaction: towards high performance supercapacitor materials
Metal‐organic frameworks (MOFs) and covalent organic frameworks (COFs) attracted enormous attention in recent years. Recently, MOF@COF are emerging as hybrid architectures combining the unique features of the individual components to enable the generation of materials displaying novel physicochemical properties. Herein we report an unprecedented use of aza‐Diels‐Alder cycloaddition reaction as postsynthetic modification of MOF@COF‐LZU1, to generate aza‐MOFs@COFs hybrid porous materials with extended...
Angewandte Chemie International Edition
Tue Jul 07, 2020 20:44
Endowing zeolite LTA superballs with multifold light manipulation ability
Advances in zeolites research emerging from interdisciplinary efforts have opened new opportunities beyond conventional applications. Colloids drive much current research owing to their distinct collective behaviors , but so far, zeolite used as a colloidal building block to construct ordered superstructures remains unexplored. Here we show that self‐assembly of colloidal zeolite LTA superball (ZAS) by tilted angle sedimentation forms macroscopic films with micro‐mesoporosity and 3D long‐range...
Angewandte Chemie International Edition
Tue Jul 07, 2020 19:15
Engineered Anisotropic Fluids of Rare Earth Nanomaterials
The self‐assembly of inorganic nanoparticles into well‐ordered structures in the absence of solvents is generally hindered by van der Waals forces, leading to random aggregates between them. To address the problem, we functionalized rigid rare earth (RE) nanoparticles with a layer of flexible polymers by electrostatic complexation. Consequently, an ordered and solvent‐free liquid crystal (LC) state of RE nanoparticles was realized. The RE nanomaterials including nanospheres, nanorods, nanodiscs,...
Angewandte Chemie International Edition
Tue Jul 07, 2020 19:15
­Recoding Cancer Epigenome by Intervening Metabolism and Iron Homeostasis with Mitochondria‐Targeted Re(I) Complexes
The development and malignancy of cancer cells are closely related to the changes of epigenome. In this work, a mitochondria‐targeted rhenium(I) complex ( DFX‐Re3 ) integrating the clinical iron chelating agent deferasirox ( DFX ) has been designed. By relocating iron to mitochondria and changing the key metabolic species related to epigenetic modifications, DFX‐Re3 can elevate the methylation levels of histone, DNA and RNA. As a consequence, DFX‐Re3 affects the events related to apoptosis,...
Angewandte Chemie International Edition
Tue Jul 07, 2020 19:14
Multiexcitonic Triplet Pair Generation in Oligoacene Dendrimers as Amorphous Solid‐state Miniatures
Singlet fission in organic semiconducting materials has attracted great attention for the potential application in photovoltaic devices as the exciton multiplication process effectively compensates for thermal energy losses. Research interests have been concentrated on identifying working mechanisms of coherent SF processes in crystalline solids as ultrafast SF is hailed for efficient multiexciton generation. However, as long lifetime of the intermediate state, multiexcitonic triplet pair, in amorphous...
Angewandte Chemie International Edition
Tue Jul 07, 2020 18:16
Stereoselective Oxidative Bioconjugation of Amino Acids and Oligopeptides to Aldehydes
The first stereoselective, near‐equimolar, and metal‐free oxidative bioconjugation of amino acids and oligopeptides to aldehydes is presented. Based on a newly developed organocatalytic oxidative concept, the C‐terminal and side chain carboxylic acid functionalities of amino acids and oligopeptides are shown to couple in a stereoselective manner to α‐branched aldehydes catalyzed by a chiral primary amine and a quinone as oxidizing agent. The oxidative coupling generally proceeds in high yield. For...
Angewandte Chemie International Edition
Tue Jul 07, 2020 17:49
124I‐radiolabeling of a Au(III)‐NHC complex for in vivo biodistribution studies
Au(III) complexes with N‐Heterocyclic Carbenes (NHCs) ligands have shown remarkable potential as anticancer agents, yet their fate in vivo has not been thoroughly examined and understood. Herein we report on the synthesis of new Au(III)‐NHC complexes via direct oxidation with radioactive [ 124 I]I 2 as a valuable strategy to monitor the in vivo biodistribution of this class of compounds using positron emission tomography (PET). While, in vitro analyses provide direct evidence for the importance...
Angewandte Chemie International Edition
Tue Jul 07, 2020 17:48
Enantio‐ and Site‐selective α‐Fluorination of N‐Acyl‐3,5‐dimethylpyrazoles Catalyzed by Chiral π–Cu(II) Complexes
Catalytic enantioselective α‐fluorination reactions of carbonyl compounds are among the most powerful and efficient synthetic methods for constructing optically active α‐fluorinated carbonyl compounds.   Nevertheless, α‐fluorination of α‐nonbranched carboxylic acid derivatives is still a big challenge because of relatively high p K a values of their α‐hydrogen atoms and difficulty of subsequent synthetic transformation without epimerization.   Here we show that chiral Cu(II)–3‐(2‐naphthyl)‐ L...
Angewandte Chemie International Edition
Tue Jul 07, 2020 17:47
Boosting Quantum Efficiency of Ultralong Organic Phosphorescence up to 52% via Intramolecular Halogen Bonding
Ultralong organic phosphorescence (UOP) has attracted increasing attention due to its potential applications in optoelectronics, bioelectronics, and security protection. However, achieving UOP with high quantum efficiency (QE) over 20% is still full of challenges due to the forbidden intersystem crossing (ISC) and fast non‐radiative transitions in organic molecules. Here, we present a novel strategy to enhance the QE of UOP materials by modulating intramolecular halogen bonding via structural isomerism....
Angewandte Chemie International Edition
Tue Jul 07, 2020 17:45
Solvation Rule for Solid‐Electrolyte Interphase Enabler in Lithium Metal Batteries
Despite the exceptionally high energy density of lithium metal anodes, the practical application of lithium metal batteries (LMBs) is still impeded by the instability of the interphase between the lithium metal and the electrolyte. To formulate a functional electrolyte system that can stabilize the lithium metal anode, one must understand the solvation behavior of the solvent molecules since the electrochemical properties of a solvent can be heavily influenced by its solvation status. We unambiguously...
Angewandte Chemie International Edition
Tue Jul 07, 2020 16:48
Hydrophobic organic electrolyte protected Zn anodes for aqueous Zn batteries
Aqueous Zn batteries are promising energy‐storage device due to low cost and high energy density. However, their lifespan is limited by irreversible Zn anodes due to water decomposition and Zn dendrite growth. Here, we separate aqueous electrolyte from Zn anode by coating a thin metal–organic framework (MOF) layer on anode and filling the pores of MOF with hydrophobic Zn(TFSI)2‐tris(2,2,2‐trifluoroethyl)phosphate (TFEP) organic electrolyte that is immiscible with aqueous Zn(TFSI)2‐H2O bulk electrolyte....
Angewandte Chemie International Edition
Tue Jul 07, 2020 16:46
Polyoxometalate‐Based Compounds for Photo/electrocatalytic Applications
Photo/electrocatalysis of water (H 2 O) splitting and CO 2 reduction reactions is known as the promising means to alleviate the energy crisis and excessive CO 2 emissions. For the hydrogen evolution reaction (HER), oxygen evolution reaction (OER), CO 2 reduction reaction (CO 2 RR) involved, the development of effective photo/electrocatalysts is critical to reduce the activation energy and accelerate the sluggish dynamics. Polyoxometalate (POM)‐based compounds with tunable compositions and...
Angewandte Chemie International Edition
Tue Jul 07, 2020 16:15
Hydrochromic CsPbBr3 Nanocrystals for Anti‐Counterfeiting
Now you see me, now you don‘t : CsPbBr3 nanocrystals embedded in porous SiO2 are hydrochromic. Upon exposure/removal of water, reversible transformation between luminescent CsPbBr3 and non‐luminescent CsPb2Br5 can be achieved. This hydrochromic material can be laser‐jet printed on substrates and used for anti‐counterfeiting. Abstract Hydrochromic materials that can reversibly change color upon water treatment have attracted much attention owing to their potential applications in diverse...
Angewandte Chemie International Edition
Tue Jul 07, 2020 15:25
Synthesis of a Stable N‐Hetero‐RhI‐Metallacyclic Silanone
A N‐hetero‐RhI‐metallacyclic silanone has been synthesized. This silanone is stable in solution at 60 °C and only slowly isomerizes at 120 °C, via an intramolecular C(sp3)−H bond insertion. This RhI‐substituted silanone can react either on the Si=O function or the Rh center, depending on the type of reagents.The reaction with H2, resulting in the hydrogenation of silanone moiety, proceeds via cooperative involvement of both sites. Abstract A novel N‐hetero‐RhI‐metallacyclic silanone 2...
Angewandte Chemie International Edition
Tue Jul 07, 2020 15:23
Synthesis, Characterization, and Computational Investigation of Bright Orange‐Emitting Benzothiadiazole [10]Cycloparaphenylene
Moving towards the red : For the first time, the fluorescence of a cycloparaphenylene was dramatically red‐shifted without sacrificing quantum yield. This novel cycloparaphenylene has a strong absorption, high quantum yield and shows host–guest complexation with C60. Experimental and computational investigations explain its superior fluorescence properties compared to other red‐shifted nanohoops. Abstract Conjugated aromatic macrocycles are attractive due to their unique photophysical and...
Angewandte Chemie International Edition
Tue Jul 07, 2020 15:23
Quantitative Assessment of Tip Effects in Single‐Molecule High‐Speed Atomic Force Microscopy Using DNA Origami Substrates
Heed the speed : A DNA origami‐based assay for the quantitative evaluation of tip effects in high‐speed atomic force microscopy (HS‐AFM) is presented. Using streptavidin–biotin as a model system, it is shown that the rapidly scanned AFM tip may disrupt even strongly binding biomolecular complexes with dissociation constants in the femtomolar range. Abstract High‐speed atomic force microscopy (HS‐AFM) is widely employed in the investigation of dynamic biomolecular processes at a single‐molecule...
Angewandte Chemie International Edition
Tue Jul 07, 2020 15:22
Wide‐Range Color‐Tunable Organic Phosphorescence Materials for Printable and Writable Security Inks
Multicolor swap shop : A facile doping approach for color‐tunable organic phosphorescence materials is enabled through hosts that not only restrict the molecular motion and avoid the triplet quenching from the oxygen, but also interact with the guests for the realization of phosphorescence. Color tunable, temperature dependent, and time‐resolved anti‐counterfeiting techniques are achieved by the printable and writable materials. Abstract Organic materials with long‐lived, color‐tunable...
Angewandte Chemie International Edition
Tue Jul 07, 2020 15:22
Maximization of Spatial Charge Density: An Approach to Ultrahigh Energy Density of Capacitive Charge Storage
A spatial charge density (SCD) maximization strategy is developed to improve the energy density of capacitive charge storage, where ionic charges are densely and neatly packed in electrode materials. By balancing the valance and size of charge‐carrier ions and matching the ion sizes with the pore structure of electrode materials, a record high SCD of about 550 C cm−3 was achieved, nearly 5× conventional ones. Abstract Capacitive energy storage has advantages of high power density, long...
Angewandte Chemie International Edition
Tue Jul 07, 2020 15:21

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