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1.
Am J Hypertens ; 29(5): 626-33, 2016 May.
Article in English | MEDLINE | ID: mdl-26304958

ABSTRACT

BACKGROUND: Arterial stiffness measured under static conditions reclassifies significantly cardiovascular (CV) risk and associates with narrower retinal arterioles. However, arterial stiffness exhibits circadian variation, thus single static stiffness recordings do not correspond to the "usual" 24 hr, awake, and asleep average arterial stiffness. We aimed to test the hypothesis that ambulatory 24 hr, awake, and asleep aortic (a) pulse wave velocity (PWV) associate with retinal vessel calibers, independently of confounders and of static arterial stiffness, in hypertensive individuals free from diabetes and CV disease. METHODS: Digital retinal images were obtained (181 individuals, age: 53.9±10.7 years, 55.2% men) and retinal vessel calibers were measured with validated software to determine central retinal arteriolar and venular equivalents (CRAE and CRVE, respectively); ambulatory (24 hr, awake, asleep) and static office aPWV were estimated by Mobil-O-Graph; and static office carotid to femoral (cf) PWV by SphygmoCor. RESULTS: Regression analysis performed in 320 gradable retinal images showed that, after adjustment for confounders: (i) ambulatory aPWV was significantly associated with narrower retinal arterioles but not with venules; (ii) asleep aPWV had stronger associations with CRAE than awake aPWV; (iii) both ambulatory aPWV and cfPWV were associated mutually independently with narrower retinal arterioles; aPWV introduction in the model of cfPWV, improved model's R2 (P = 0.012). Similar discriminatory ability of 24 hr aPWV and of cfPWV to detect the presence of retinal arteriolar narrowing was found. CONCLUSION: Ambulatory aPWV, estimated by an operator-independent method, provides additional information to cfPWV regarding the associations of arterial stiffness with the retinal vessel calibers.


Subject(s)
Aorta/physiopathology , Arterioles/pathology , Circadian Rhythm , Hypertension/diagnosis , Photography , Pulse Wave Analysis , Retinal Artery/pathology , Vascular Stiffness , Activity Cycles , Adult , Cross-Sectional Studies , Female , Humans , Hypertension/pathology , Hypertension/physiopathology , Male , Manometry , Middle Aged , Predictive Value of Tests
2.
Isis ; 107(3): 542-66, 2016 09.
Article in English | MEDLINE | ID: mdl-28707856

ABSTRACT

This essay offers an overview of the history of the relations between science and Eastern Christianity based on Greek-language sources. The civilizations concerned are the Byzantine Empire, the Christian Orthodox communities of the Ottoman Empire, and modern Greece, as a case study of a national state. Beginning with the Greek Church Fathers, the essay investigates the ideas of theologians and scholars on nature. Neoplatonism, the theological debates of Iconoclasm and Hesychasm, the proposed union of the Eastern and Western Churches, and the complex relations with the Hellenic past all had notable impacts on the conception of science held by the Byzantine Orthodox. From the sixteenth through the eighteenth centuries, the Christian Orthodox world did not actively participate in the making of the new science that was developing in modern Europe. It had to deal with the assimilation of scientific ideas produced by Western Christianity, and its main concern was the "legitimacy" of knowledge that did not originate directly from its own spiritual tradition. Finally, with regard to the Greek state, beyond the specific points of contact between the sciences and Orthodox Christianity­pertaining, for example, to materialism, evolution, and the calendar­the essay presents the constant background engagement with religion visible in most public pronouncements of scientists and intellectuals.


Subject(s)
Christianity , Eastern Orthodoxy , Religion and Medicine , Humans , Science
3.
Br J Hist Sci ; 47(173 Pt 2): 217-37, 2014 Jun.
Article in English | MEDLINE | ID: mdl-24941732

ABSTRACT

The aim of this paper is to show how the Greek men of science negotiated a role for their enterprise within the Greek public sphere, from the institution of the modern Greek state in the early 1830s to the first decades of the twentieth century. By focusing on instances where they appeared in public in their official capacity as scientific experts, I describe the rhetorical schemata and the narrative strategies with which Greek science experts engaged the discourses prevalent in nineteenth- and early twentieth-century Greece. In the end, my goal is to show how they were neither zealots of modernization nor neutral actors struggling in isolated wastelands. Rather, they appear as energetic agents who used scientific expertise, national ideals and their privileged cultural positions to construct a rhetoric that would further all three. They engaged eagerly and consistently with emerging political views, scientific subjects and cultural and political events, without presenting themselves, or being seen, as doing anything qualitatively different from their peers abroad. Greek scientists cross-contextualized the scientific enterprise, situating it in the space in which they were active.


Subject(s)
Culture , Politics , Science/history , Greece , History, 19th Century , History, 20th Century , Morals , Science/ethics
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