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Paediatric Virology and its interaction between basic science and clinical practice (Review)

Identifieur interne : 000762 ( Ncbi/Merge ); précédent : 000761; suivant : 000763

Paediatric Virology and its interaction between basic science and clinical practice (Review)

Auteurs : Ioannis N. Mammas [Grèce] ; Anne Greenough [Royaume-Uni] ; Maria Theodoridou [Grèce] ; Anna Kramvis [Afrique du Sud] ; Maria Rusan [États-Unis] ; Angeliki Melidou ; Paraskevi Korovessi ; Georgia Papaioannou ; Alexia Papatheodoropoulou ; Chryssie Koutsaftiki [Grèce] ; Maria Liston [Canada] ; George Sourvinos [Grèce] ; Demetrios A. Spandidos [Grèce]

Source :

RBID : PMC:5819919

Abstract

The 3rd Workshop on Paediatric Virology, which took place on October 7th, 2017 in Athens, Greece, highlighted the role of breast feeding in the prevention of viral infections during the first years of life. Moreover, it focused on the long-term outcomes of respiratory syncytial virus and rhinovirus infections in prematurely born infants and emphasised the necessity for the development of relevant preventative strategies. Other topics that were covered included the vaccination policy in relation to the migration crisis, mother-to-child transmission of hepatitis B and C viruses, vaccination against human papilloma viruses in boys and advances on intranasal live-attenuated vaccination against influenza. Emphasis was also given to the role of probiotics in the management of viral infections in childhood, the potential association between viral infections and the pathogenesis of asthma, fetal and neonatal brain imaging and the paediatric intensive care of children with central nervous system viral infections. Moreover, an interesting overview of the viral causes of perinatal mortality in ancient Greece was given, where recent archaeological findings from the Athenian Agora’s bone well were presented. Finally, different continuing medical educational options in Paediatric Virology were analysed and evaluated. The present review provides an update of the key topics discussed during the workshop.


Url:
DOI: 10.3892/ijmm.2018.3364
PubMed: 29328393
PubMed Central: 5819919

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PMC:5819919

Le document en format XML

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<name sortKey="Koutsaftiki, Chryssie" sort="Koutsaftiki, Chryssie" uniqKey="Koutsaftiki C" first="Chryssie" last="Koutsaftiki">Chryssie Koutsaftiki</name>
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<p>The 3rd Workshop on Paediatric Virology, which took place on October 7th, 2017 in Athens, Greece, highlighted the role of breast feeding in the prevention of viral infections during the first years of life. Moreover, it focused on the long-term outcomes of respiratory syncytial virus and rhinovirus infections in prematurely born infants and emphasised the necessity for the development of relevant preventative strategies. Other topics that were covered included the vaccination policy in relation to the migration crisis, mother-to-child transmission of hepatitis B and C viruses, vaccination against human papilloma viruses in boys and advances on intranasal live-attenuated vaccination against influenza. Emphasis was also given to the role of probiotics in the management of viral infections in childhood, the potential association between viral infections and the pathogenesis of asthma, fetal and neonatal brain imaging and the paediatric intensive care of children with central nervous system viral infections. Moreover, an interesting overview of the viral causes of perinatal mortality in ancient Greece was given, where recent archaeological findings from the Athenian Agora’s bone well were presented. Finally, different continuing medical educational options in Paediatric Virology were analysed and evaluated. The present review provides an update of the key topics discussed during the workshop.</p>
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</TEI>
<pmc article-type="research-article">
<pmc-dir>properties open_access</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Int J Mol Med</journal-id>
<journal-id journal-id-type="iso-abbrev">Int. J. Mol. Med</journal-id>
<journal-id journal-id-type="publisher-id">IJMM</journal-id>
<journal-title-group>
<journal-title>International Journal of Molecular Medicine</journal-title>
</journal-title-group>
<issn pub-type="ppub">1107-3756</issn>
<issn pub-type="epub">1791-244X</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">29328393</article-id>
<article-id pub-id-type="pmc">5819919</article-id>
<article-id pub-id-type="doi">10.3892/ijmm.2018.3364</article-id>
<article-id pub-id-type="publisher-id">ijmm-41-03-1165</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Articles</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Paediatric Virology and its interaction between basic science and clinical practice (Review)</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Mammas</surname>
<given-names>Ioannis N.</given-names>
</name>
<xref ref-type="aff" rid="af1-ijmm-41-03-1165">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Greenough</surname>
<given-names>Anne</given-names>
</name>
<xref ref-type="aff" rid="af2-ijmm-41-03-1165">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Theodoridou</surname>
<given-names>Maria</given-names>
</name>
<xref ref-type="aff" rid="af3-ijmm-41-03-1165">3</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Kramvis</surname>
<given-names>Anna</given-names>
</name>
<xref ref-type="aff" rid="af4-ijmm-41-03-1165">4</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Rusan</surname>
<given-names>Maria</given-names>
</name>
<xref ref-type="aff" rid="af5-ijmm-41-03-1165">5</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Melidou</surname>
<given-names>Angeliki</given-names>
</name>
<xref ref-type="aff" rid="af6-ijmm-41-03-1165">6</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Korovessi</surname>
<given-names>Paraskevi</given-names>
</name>
<xref ref-type="aff" rid="af7-ijmm-41-03-1165">7</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Papaioannou</surname>
<given-names>Georgia</given-names>
</name>
<xref ref-type="aff" rid="af8-ijmm-41-03-1165">8</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Papatheodoropoulou</surname>
<given-names>Alexia</given-names>
</name>
<xref ref-type="aff" rid="af9-ijmm-41-03-1165">9</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Koutsaftiki</surname>
<given-names>Chryssie</given-names>
</name>
<xref ref-type="aff" rid="af10-ijmm-41-03-1165">10</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Liston</surname>
<given-names>Maria</given-names>
</name>
<xref ref-type="aff" rid="af11-ijmm-41-03-1165">11</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Sourvinos</surname>
<given-names>George</given-names>
</name>
<xref ref-type="aff" rid="af1-ijmm-41-03-1165">1</xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Spandidos</surname>
<given-names>Demetrios A.</given-names>
</name>
<xref ref-type="aff" rid="af1-ijmm-41-03-1165">1</xref>
<xref ref-type="corresp" rid="c1-ijmm-41-03-1165"></xref>
</contrib>
</contrib-group>
<aff id="af1-ijmm-41-03-1165">
<label>1</label>
Department of Clinical Virology, School of Medicine, University of Crete, Heraklion 71003, Greece</aff>
<aff id="af2-ijmm-41-03-1165">
<label>2</label>
Division of Asthma, Allergy and Lung Biology, King’s College London, London SE5 9RS, UK</aff>
<aff id="af3-ijmm-41-03-1165">
<label>3</label>
1st Department of Paediatrics, ‘Aghia Sophia’ Children’s Hospital, University of Athens School of Medicine, Athens 11527, Greece</aff>
<aff id="af4-ijmm-41-03-1165">
<label>4</label>
Hepatitis Virus Diversity Research Unit, School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg 2193, South Africa</aff>
<aff id="af5-ijmm-41-03-1165">
<label>5</label>
Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA 02115, USA</aff>
<aff id="af6-ijmm-41-03-1165">
<label>6</label>
2nd Laboratory of Microbiology, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki 54124</aff>
<aff id="af7-ijmm-41-03-1165">
<label>7</label>
Department of Paediatrics, ‘Penteli’ Children’s Hospital, Penteli 1523</aff>
<aff id="af8-ijmm-41-03-1165">
<label>8</label>
Department of Paediatric Radiology, ‘Mitera’ Children’s Hospital, Athens 15123</aff>
<aff id="af9-ijmm-41-03-1165">
<label>9</label>
Paediatric Intensive Care Unit (PICU), ‘Aglaia Kyriakou’ Children’s Hospital, Athens 11527</aff>
<aff id="af10-ijmm-41-03-1165">
<label>10</label>
Paediatric Intensive Care Unit (PICU), ‘Penteli’ Children’s Hospital, Penteli 15236, Greece</aff>
<aff id="af11-ijmm-41-03-1165">
<label>11</label>
Department of Anthropology, University of Waterloo, Waterloo, ON N2L 3G1, Canada</aff>
<author-notes>
<corresp id="c1-ijmm-41-03-1165">Correspondence to: Professor Demetrios A. Spandidos, Department of Clinical Virology, School of Medicine, University of Crete, Heraklion 71003, Greece, E-mail:
<email>spandidos@spandidos.gr</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub">
<month>3</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>04</day>
<month>1</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="pmc-release">
<day>04</day>
<month>1</month>
<year>2018</year>
</pub-date>
<pmc-comment> PMC Release delay is 0 months and 0 days and was based on the . </pmc-comment>
<volume>41</volume>
<issue>3</issue>
<fpage>1165</fpage>
<lpage>1176</lpage>
<history>
<date date-type="received">
<day>19</day>
<month>10</month>
<year>2017</year>
</date>
<date date-type="accepted">
<day>28</day>
<month>12</month>
<year>2017</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright: © Mammas et al.</copyright-statement>
<copyright-year>2018</copyright-year>
<license license-type="open-access">
<license-p>This is an open access article distributed under the terms of the
<ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by-nc-nd/4.0/">Creative Commons Attribution-NonCommercial-NoDerivs License</ext-link>
, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.</license-p>
</license>
</permissions>
<abstract>
<p>The 3rd Workshop on Paediatric Virology, which took place on October 7th, 2017 in Athens, Greece, highlighted the role of breast feeding in the prevention of viral infections during the first years of life. Moreover, it focused on the long-term outcomes of respiratory syncytial virus and rhinovirus infections in prematurely born infants and emphasised the necessity for the development of relevant preventative strategies. Other topics that were covered included the vaccination policy in relation to the migration crisis, mother-to-child transmission of hepatitis B and C viruses, vaccination against human papilloma viruses in boys and advances on intranasal live-attenuated vaccination against influenza. Emphasis was also given to the role of probiotics in the management of viral infections in childhood, the potential association between viral infections and the pathogenesis of asthma, fetal and neonatal brain imaging and the paediatric intensive care of children with central nervous system viral infections. Moreover, an interesting overview of the viral causes of perinatal mortality in ancient Greece was given, where recent archaeological findings from the Athenian Agora’s bone well were presented. Finally, different continuing medical educational options in Paediatric Virology were analysed and evaluated. The present review provides an update of the key topics discussed during the workshop.</p>
</abstract>
<kwd-group>
<kwd>Paediatric Virology</kwd>
<kwd>viral infections</kwd>
<kwd>breast feeding</kwd>
<kwd>respiratory syncytial virus</kwd>
<kwd>premature neonates</kwd>
<kwd>migration crisis</kwd>
<kwd>hepatits B</kwd>
<kwd>hepatitis C</kwd>
<kwd>human papillomavirus</kwd>
<kwd>probiotics</kwd>
<kwd>brain imaging</kwd>
<kwd>Paediatric Intensive Care Unit</kwd>
<kwd>asthma</kwd>
<kwd>influenza</kwd>
<kwd>Athenian Agora</kwd>
<kwd>continuing medical education</kwd>
</kwd-group>
</article-meta>
</front>
<floats-group>
<fig id="f1-ijmm-41-03-1165" orientation="portrait" position="float">
<label>Figure 1</label>
<caption>
<p>Brain magnetic resonance imaging (MRI) in a term neonate with post-natal enterovirus infection. (A) axial T2-Weighted image through the basal ganglia - white arrows indicate the presence of residual bilateral thalamocaudate groove hemorrhages. (B) Foci of hemosiderin deposits are more conspicuous on axial T2
<sup>*</sup>
image, obvious not only in the thalamocaudate grooves, but also along the choroid plexuses (black arrows). (C) This abnormal area (white arrow) is also evident with increased signal intensity on axial T1-Weighted image through the same level.</p>
</caption>
<graphic xlink:href="IJMM-41-03-1165-g00"></graphic>
<graphic xlink:href="IJMM-41-03-1165-g01"></graphic>
<graphic xlink:href="IJMM-41-03-1165-g02"></graphic>
</fig>
<fig id="f2-ijmm-41-03-1165" orientation="portrait" position="float">
<label>Figure 2</label>
<caption>
<p>Brain magnetic resonance imaging (MRI) in a neonate with history of third trimester cytomegalovirus (CMV) infection. (A) axial T2-Weighted image through the lateral ventricles - black arrows indicate the presence of intraventricular cysts. (B) Coronal T2-Weighted image reveals signal abnormality in the temporal lobes bilaterally (white arrows). (C) On the 3-month follow-up, same to section b demonstrates persistent signal abnormality in the temporal lobes and additional white matter volume loss (white arrows).</p>
</caption>
<graphic xlink:href="IJMM-41-03-1165-g03"></graphic>
<graphic xlink:href="IJMM-41-03-1165-g04"></graphic>
<graphic xlink:href="IJMM-41-03-1165-g05"></graphic>
</fig>
<table-wrap id="tI-ijmm-41-03-1165" orientation="portrait" position="float">
<label>Table I</label>
<caption>
<p>The 10 top key messages of the ‘3rd Workshop on Paediatric Virology’.</p>
</caption>
<table frame="hsides" rules="groups">
<tbody>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1">Breast feeding</td>
<td valign="top" align="left" rowspan="1" colspan="1">‘Breast feeding has beneficial effects on the prevention of infections during the first years of life and should be promoted by primary paediatric health care providers.’</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1">RSV prophylaxis</td>
<td valign="top" align="left" rowspan="1" colspan="1">‘The increased chronic respiratory morbidity in prematurely born infants due to RSV should be taken into consideration when developing of relevant preventative strategies.’</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1">HPV vaccination</td>
<td valign="top" align="left" rowspan="1" colspan="1">‘HPV vaccine uptake should be promoted in countries with low HPV vaccination rates to reduce the cervical and anogenital cancer burden, as well as for the prevention of genital warts. Inclusion of males in childhood HPV immunisation programmes should be considered.’</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1">Migration crisis</td>
<td valign="top" align="left" rowspan="1" colspan="1">‘Children’s vaccination should be a priority during the current migration problem; we strongly support childhood vaccination for all children in Europe.’</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1">HBV vaccination</td>
<td valign="top" align="left" rowspan="1" colspan="1">‘Prevention of mother-to-child transmission of HBV is possible: the vaccine against HBV should be administered at birth within 24 h regardless of maternal HBV status.’</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1">Influenza vaccination</td>
<td valign="top" align="left" rowspan="1" colspan="1">‘Recent pilot studies in Europe have shown that LAIV can directly prevent childhood infections and indirectly protect the elderly population; continuous enhanced surveillance of circulating influenza viruses and further study results on LAIV effectiveness over consecutive influenza seasons are needed in order to develop optimal vaccination policies.’</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1">Imaging</td>
<td valign="top" align="left" rowspan="1" colspan="1">‘Imaging of fetal and neonatal viral infections is unable to provide the specific diagnosis; however it can contribute in defining the extent of involvement and reveal the consequences that affect the outcome.’</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1">Probiotics</td>
<td valign="top" align="left" rowspan="1" colspan="1">‘To date, several studies have intimated a role of probiotics in modifying the frequency and severity of respiratory and gastrointestinal viral infections in infants and children; however, further studies are required in order to understand their potential therapeutic and preventative role.’</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1">Archaeology</td>
<td valign="top" align="left" rowspan="1" colspan="1">‘Collaboration between archaeologists and experienced paediatric infectious diseases specialists is necessary for the better understanding and interpretation of various recent archaeological findings related to viral-induced neonatal mortality.’</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1">Medical education</td>
<td valign="top" align="left" rowspan="1" colspan="1">‘Medical education in Paediatric Virology among practicing paediatricians should be promoted; we strongly support the creation of an educational e-platform on Paediatric Virology.’</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="tfn1-ijmm-41-03-1165">
<p>RSV, respiratory syncytial virus; HPV, human papilloma virus; HBV, hepatitis B virus; LAIV, live attenuated influenza vaccines.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="tII-ijmm-41-03-1165" orientation="portrait" position="float">
<label>Table II</label>
<caption>
<p>Statements of Nobelist laureate Professor Harald zur Hausen, Emeritus Professor of Virology at the University of Freiburg, on the occasion of the ‘3rd Workshop on Paediatric Virology’.</p>
</caption>
<table frame="hsides" rules="groups">
<tbody>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1">Breast feeding</td>
<td valign="top" align="left" rowspan="1" colspan="1">‘Prolonged breast feeding is clearly of great benefit for babies. Human milk contains some species-specific sugars, which block the uptake of potentially dangerous viruses (e.g., noro- and rotaviruses), which are the cause for high infant mortality for newborn children, specifically in developing parts of this world. During a period of ~6 months of breast feeding the immune system matures and subsequently such infections have a less deleterious impact. The uptake, however, of 5-N-glycolyl-neuraminic acid (not produced in humans) by bovine milk and meat leads to the incorporation of this sialic acid into cellular glycoproteins and modifies those receptors, rendering them susceptible for other virus infections (e.g., human polyomavirus type 9 and others).’</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1">HPV vaccination</td>
<td valign="top" align="left" rowspan="1" colspan="1">‘Vaccination of boys against HPV should be included in the national vaccination programmes at the same age as girls (8–14 years). Males are the main transmitters of high risk HPV, having more HPV-positive oropharyngeal and anal cancers than females, and in particular homosexual males would not profit from a herd effect, when 80% or even more of females had been vaccinated. Since, in addition, in most countries the vaccination rate ranges between 20–40% or less, vaccination of boys should be mandatory.’</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="tfn2-ijmm-41-03-1165">
<p>HPV, human papilloma virus.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="tIII-ijmm-41-03-1165" orientation="portrait" position="float">
<label>Table III</label>
<caption>
<p>Viral causes of central nervous system (CNS) infections in neonates and children.</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th valign="bottom" align="left" rowspan="1" colspan="1">Worldwide distribution</th>
<th valign="bottom" align="left" rowspan="1" colspan="1">Limited to certain geographical areas</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1">Herpes viruses</td>
<td valign="top" align="left" rowspan="1" colspan="1">WNV</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1"> HSV-1, -2</td>
<td valign="top" align="left" rowspan="1" colspan="1">Japanese encephalitis virus</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1"> VZV</td>
<td valign="top" align="left" rowspan="1" colspan="1">St. Louis encephalitis virus</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1"> EBV</td>
<td valign="top" align="left" rowspan="1" colspan="1">Tick-borne encephalitis virus</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1"> CMV</td>
<td valign="top" align="left" rowspan="1" colspan="1">Western equine encephalitis virus</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1"> HHV-6, -7</td>
<td valign="top" align="left" rowspan="1" colspan="1">Eastern equine encephalitis virus</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1">Non-polio enteroviruses</td>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
</tr>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1">MuV</td>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
</tr>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1">Measles virus</td>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
</tr>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1">JC polyomaviruses</td>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
</tr>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1">BK virus</td>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="tfn3-ijmm-41-03-1165">
<p>HSV, herpes simplex virus; VZV, varicella-zoster virus; EBV, Epstein-Barr virus; CMV, cytomegalovirus; HHV, human herpes virus; MuV, mumps virus; WNV, West Nile virus.</p>
</fn>
</table-wrap-foot>
</table-wrap>
</floats-group>
</pmc>
<affiliations>
<list>
<country>
<li>Afrique du Sud</li>
<li>Canada</li>
<li>Grèce</li>
<li>Royaume-Uni</li>
<li>États-Unis</li>
</country>
<region>
<li>Attique (région)</li>
<li>Gauteng</li>
<li>Massachusetts</li>
</region>
<settlement>
<li>Athènes</li>
<li>Johannesbourg</li>
</settlement>
<orgName>
<li>Université du Witwatersrand</li>
</orgName>
</list>
<tree>
<noCountry>
<name sortKey="Korovessi, Paraskevi" sort="Korovessi, Paraskevi" uniqKey="Korovessi P" first="Paraskevi" last="Korovessi">Paraskevi Korovessi</name>
<name sortKey="Melidou, Angeliki" sort="Melidou, Angeliki" uniqKey="Melidou A" first="Angeliki" last="Melidou">Angeliki Melidou</name>
<name sortKey="Papaioannou, Georgia" sort="Papaioannou, Georgia" uniqKey="Papaioannou G" first="Georgia" last="Papaioannou">Georgia Papaioannou</name>
<name sortKey="Papatheodoropoulou, Alexia" sort="Papatheodoropoulou, Alexia" uniqKey="Papatheodoropoulou A" first="Alexia" last="Papatheodoropoulou">Alexia Papatheodoropoulou</name>
</noCountry>
<country name="Grèce">
<noRegion>
<name sortKey="Mammas, Ioannis N" sort="Mammas, Ioannis N" uniqKey="Mammas I" first="Ioannis N." last="Mammas">Ioannis N. Mammas</name>
</noRegion>
<name sortKey="Koutsaftiki, Chryssie" sort="Koutsaftiki, Chryssie" uniqKey="Koutsaftiki C" first="Chryssie" last="Koutsaftiki">Chryssie Koutsaftiki</name>
<name sortKey="Sourvinos, George" sort="Sourvinos, George" uniqKey="Sourvinos G" first="George" last="Sourvinos">George Sourvinos</name>
<name sortKey="Spandidos, Demetrios A" sort="Spandidos, Demetrios A" uniqKey="Spandidos D" first="Demetrios A." last="Spandidos">Demetrios A. Spandidos</name>
<name sortKey="Theodoridou, Maria" sort="Theodoridou, Maria" uniqKey="Theodoridou M" first="Maria" last="Theodoridou">Maria Theodoridou</name>
</country>
<country name="Royaume-Uni">
<noRegion>
<name sortKey="Greenough, Anne" sort="Greenough, Anne" uniqKey="Greenough A" first="Anne" last="Greenough">Anne Greenough</name>
</noRegion>
</country>
<country name="Afrique du Sud">
<region name="Gauteng">
<name sortKey="Kramvis, Anna" sort="Kramvis, Anna" uniqKey="Kramvis A" first="Anna" last="Kramvis">Anna Kramvis</name>
</region>
</country>
<country name="États-Unis">
<region name="Massachusetts">
<name sortKey="Rusan, Maria" sort="Rusan, Maria" uniqKey="Rusan M" first="Maria" last="Rusan">Maria Rusan</name>
</region>
</country>
<country name="Canada">
<noRegion>
<name sortKey="Liston, Maria" sort="Liston, Maria" uniqKey="Liston M" first="Maria" last="Liston">Maria Liston</name>
</noRegion>
</country>
</tree>
</affiliations>
</record>

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