John Koutelekos - Academia.edu (original) (raw)

Papers by John Koutelekos

European Psychiatry, 2021

IntroductionOne of the most complex and emotional aspects of nursing is the interaction between t... more IntroductionOne of the most complex and emotional aspects of nursing is the interaction between the nurse and the dying child. The attitudes of nurses towards death, affect the quality of care.ObjectivesTo investigate pediatric nurses’ attitudes towards death.MethodsMethodology: 170 nurses, working in pediatric hospital departments completed a questionnaire which included sociodemographic characteristics and information related to their previous training and clinical experience regarding death issues in general and dying children’s care in particular.Results68.6% reported that the death of a child affects them very much, while 44.7% of the participants didn’t feel well prepared to manage death issues. Pediatric nurses were greatly affected by children’s death, expressing mainly feelings of sadness (44%), compassion (22%), guilt (22%) and anger (22%). 73% of the sample wished the hospitalized child, died when they were not present. 53.5% had been trained regarding the care of dying p...

Materia socio-medica, 2023

Perioperative Nursing, 2020

GeNeDis 2020

Heart rate variability (HRV) represents one of the two key markers of the autonomic nervous syste... more Heart rate variability (HRV) represents one of the two key markers of the autonomic nervous system. It is measured by the time variation in the beat-to-beat interval, while the period between successive beats is defined as the RR interval (RRI). Its components are classified as linear and non-linear. In the field of psychophysiology, HRV is investigated as a key player of possible predictive or diagnostic value. Female adolescents with general learning disabilities or dyslexia were recruited at the Center for Adolescent Medicine and UNESCO Chair on Adolescent Health Care of the National and Kapodistrian University of Athens. Adolescents were further assessed for HRV. Data were collected with the Task Force® Monitor at the Cardiovascular Laboratory of the Biomedical Research Foundation of the Academy of Athens. The RRI time-series were estimated for approximate entropy (AE), conditional entropy (CE), corrected conditional entropy (CCE), fuzzy entropy (FE), permutation entropy (PE), sample entropy (SE), and Shannon's entropy (ShE). RRI manifested complex dynamics, indicating a complex pattern of progression. This finding suggests that RRI conceals non-linear dynamics, which if investigated in depth could provide more knowledge on the relation between RRI and learning disorders.

Introduction: Expressed Emotion (EE) is a widely used construct to understand the interaction of ... more Introduction: Expressed Emotion (EE) is a widely used construct to understand the interaction of the patient's relationship with his family members.<strong>Aim:</strong> The aim of this study is to explored the importance of Expressed Emotion (ΕΕ) and its components and its contribution to the recurrence of patients with schizophrenia in various cultural contexts.<strong>Methodology:</strong> The methodology followed included searching for research data, which was collected through electronic databases PubMed, Google Scholar, Medline, ResearchGate.<strong>Results:</strong> High expressed emotion can lead to relapse in vulnerable individuals, even when they are on medication. The existing findings recommend that various components of expressed emotion must be seen in the cultural context and embedded in the normative data of the population before the concept can be considered in association with the pathogenesis of relapse.<strong>Conclus...

Η ικανοποίηση των ασθενών από την παροχή φροντίδα υγείας αποτελεί ένα σύνθετο φαινόμενο που επηρε... more Η ικανοποίηση των ασθενών από την παροχή φροντίδα υγείας αποτελεί ένα σύνθετο φαινόμενο που επηρεάζεται από ένα σύνολο διαφορετικών παραγόντων, που για να διαπιστωθεί αυτό, είναι απαραίτητο να εξεταστούν οι διαφορετικές διαστάσεις της ιατρικής, νοσηλευτικής και διοικητικής υπηρεσίας.^1,2 Σίγουρα στον επαγγελματικό χώρος η διαπροσωπική και διεπαγγελματική επικοινωνία είναι πολύ σημαντική για την ποιοτική υγειονομική περίθαλψη και για την ικανοποίηση των ασθενών.³ Η πιθανή έλλειψη επικοινωνίας που μπορεί να δημιουργηθεί έστω και για λίγο μεταξύ του ασθενή και του νοσηλευτή μπορεί να οδηγήσει σε διατάραξη των σχέσεων τους, καθώς και σε μειωμένο αίσθημα εμπιστοσύνης.⁴ Παλαιότερη μελέτη έδειξε ότι η επικοινωνία μεταξύ των ασθενών και των παρόχων υγειονομικής περίθαλψης μπορεί να επηρεάσει τα αποτελέσματα και τη συμπεριφορά των ασθενών.⁵ Μελέτες επίσης, από αναπτυσσόμενες και μη χώρες αναφέρουν ότι ...

GeNeDis 2020, 2021

Social distancing and the recent lockdown due to COVID-19 have increased the feeling of disconnec... more Social distancing and the recent lockdown due to COVID-19 have increased the feeling of disconnection, isolation, and suffering in vulnerable individuals and have brought forward questions regarding locked acute care psychiatric units that cannot be answered by the literature. In Greece, there is no available research on how locked ward environments are perceived and experienced by mental health professionals. The aim of the present study is to illuminate nursing care providers' perceptions of psychiatric care in units with locked doors. Fifteen nursing care providers were interviewed and inductive content analysis was employed to explore their experiences of working in locked psychiatric acute care units. Negative and positive feelings about door locking did not appear to match the specific system of practice. Some participants described how locked doors influenced their professional role by placing emphasis on control rather than care while others regarded locked doors as a symbolic way of therapeutic boundary setting. Participants had positive experiences when they perceived their working environment as caring. The therapeutic benefits of locked doors were prominent when locked doors were perceived as "invisible."

Perioperative Nursing Quarterly Scientific Online Official Journal of G O R N a, 2014

Effective treatments can lead to permanent smoking cessation, however, they must be readily avail... more Effective treatments can lead to permanent smoking cessation, however, they must be readily available to all smokers. The higher rates of abstinence from smoking are achieved through specialized psychological assistance, pharmaceutical treatment and counseling support. The aim of the present study was to explore the demographic characteristics and smoking history of smokers attending a smoking cessation clinic in a public hospital of Attica one year after cessation. Method and material : The sample studied consisted of 300 smokers who came to public hospital in Attica. Data were collected by the completion of a form by the Hellenic Antismoking Society which is used to record the smoking habits of the population and to assess the severity of nicotine dependence, (Fagerstrom scale). Results : The analysis of the results showed that smokers who gave up smoking were 32,7%, those who failed 51,8% and those who relapsed 15,6%. The highest rate of success was noted among heavily dependent smokers at 53,7% compared to those who were moderate and mild dependent. Of the smokers who failed to quit smoking, 47,2% reported that they were not ready, 11,8% were frightened of the side-effects, 14,3% showed side-effects, 1,2% did not need any therapy, 16,8% believed that the treatment did not help, 8,1% experienced heavy stress and 0,6% did not give up for personal reasons. The prescribed therapy for the smokers who quit was boupropion at a rate of 56,7%, the nicotine sticker patches at a rate of 13,4% and nicotine chewing gum at 9%, combination of boupropion with sticker patches at a rate of 4,5%, boupropion and nicotine gums at 9% and sticker patches with gums at 7,5%. Conclusion : The result of the above methods of treatment at Smoking cessation clinic is quite satisfactory.

GeNeDis 2020, 2021

The present article describes the cultural adaptation and validation of the Greek version of the ... more The present article describes the cultural adaptation and validation of the Greek version of the Acceptability of Locking the Door Questionnaire and aims to determine students' preference regarding mental health nursing as a possible career choice. The linguistic adaptation of the original instrument was performed according to the most recent guidelines and it was then administered to 274 third-year nursing students. Results support the validity and reliability of the instrument, which can be used to assess effectively the attitudes of the intended population. Sixty per cent of students considered mental health nursing as a possible career choice. Research on students' attitudes appeared to be a strategy of creating the space for lively discussions among them and capturing their interest in mental health education and practice. Theoretical preparation and clinical placements of mental health nursing students should incorporate strategies to improve their perceptions of working in mental health settings.

Advances in Experimental Medicine and Biology, 2021

Background: Kisspeptin (encoded by the KISS1 gene in humans) is an excitatory neuromodulatory pep... more Background: Kisspeptin (encoded by the KISS1 gene in humans) is an excitatory neuromodulatory peptide implicated in multiple homeostatic systems, including anti-oxidation, glucose homeostasis, nutrition, locomotion, etc. Therefore, in the current obesity epidemic, kisspeptin is gaining increasing interest as a research objective. Aim: To construct an updated interactome of genetic obesity, including the kisspeptin signal transduction pathway. Methods: Kisspeptin and obesity-related genes or gene products were extracted from the biomedical literature, and a network of functional associations was created. Results: The generated network contains 101 nodes corresponding to gene/gene products with known and/or predicted interactions. In this interactome, KISS1 and KISS1R are connected directly to the luteinizing hormone receptor (LHCGR), gonadotropin-releasing hormone receptor (GNRH1), and indirectly, through the latter, to proopiomelanocortin (POMC), glucagon, leptin (LEP), and/or pro-protein convertase subtilisin/kexin-type 1 (PCSK1), all of which are critically implicated in obesity disorders. Conclusions: Our updated obesidome includes kisspeptin and its connections to the genetic obesity signalosome with 12 major hubs: glucagon (GCG), insulin (INS), arginine vasopressin (AVP), G protein subunit beta 1 (GNB1) and proopiomelanocortin (POMC), melanocortin 4 receptor (MC4R), leptin (LEP), gonadotropin-releasing hormone 1 (GNRH1), adrenoceptor beta 2 and 3 (ADRB2-3), glucagon-like peptide 1 receptor (GLP1R), and melanocortin 3 receptor (MC3R) genes were identified as major "hubs" for genetic obesity, providing novel insight into the body's energy homeostasis.

Perspectives in Psychiatric Care, 2020

PURPOSE To examine student nurses' attitudes and experiences of door policies and restrictive... more PURPOSE To examine student nurses' attitudes and experiences of door policies and restrictive measures in acute psychiatric care. METHODS A mixed-method study with 274 third-year students. RESULTS Participants' attitudes towards door locking and other containment measures appeared to be more a matter of custom, practice and tradition at particular units. The therapeutic benefits of open doors was the central organizing element in open units experiences while locked doors appeared to be "invisible" when the locked unit was perceived as a caring environment. PRACTICAL IMPLICATIONS Exploring student nurses' attitudes towards crucial and debatable aspects of mental health practice contributes in cultivating a critical and analytical attitude towards the service they provide necessary for supporting a recovery mental health model and building a strong professional identity.

Perioperative Nursing Quarterly Scientific Online Official Journal of G O R N a, 2015

Κατά τις τeλeυταίeς, έχeι πλέον τeκμηριωθeί ο σημαντικός ρόλος της eπικοινωνίας μeταξύ eπαγγeλματ... more Κατά τις τeλeυταίeς, έχeι πλέον τeκμηριωθeί ο σημαντικός ρόλος της eπικοινωνίας μeταξύ eπαγγeλματιών υγeίας και ασθeνών, σe παγκόσμια κλίμακα eνώ παράλληλα έχeι αναγνωριστeί η αναγκαιότητα eνσωμάτωσης της διδασκαλίας της eπικοινωνίας ως μάθημα υποχρeωτικής παρακολούθησης όλων των σχολών eπαγγeλμάτων υγeίας. 1-3 Κύριος στόχος της eπικοινωνίας eίναι η κατανόηση των μηνυμάτων που μeταδίδονται

OALib, 2015

Greece's economic crisis has deepened despite the measures taken by the international community i... more Greece's economic crisis has deepened despite the measures taken by the international community in 2010. The Greek economy shrank by 20% between 2008 and 2012 without evidence of growth in 2014. The unemployment was 24.3% in 2012 (7.7% in 2008) and now the maximum rate of long-term unemployment went up to 14.4% [1]. The growing pressure from the Greek governments especially the hospitals budget cuts creates pressure on the effectiveness and efficiency, devastating the Greek healthcare system. Economic crisis in combination with the continuous growth of hospital costs services on one hand and the pressure by patients themselves for lower cost and better treatment on the other, has driven governments in Greece, to restructure the hospital sector (known as "hospital mergers").

Περίληψη Ο καρκίνος είναι η δεύτερη κύρια αιτία θανάτου σε παιδιά. Η θεραπεία του περιλαμβάνει χη... more Περίληψη Ο καρκίνος είναι η δεύτερη κύρια αιτία θανάτου σε παιδιά. Η θεραπεία του περιλαμβάνει χημειοθεραπεία, χειρουργείο ή ακτινοθεραπεία, μόνα τους ή σε συνδυασμό. Από τα πιο γνωστά συμπτώματα της χημειοθεραπείας στα παιδιά είναι η ναυτία και ο εμετός που επιδρούν αρνητικά την υγεία τους και στην εξέλιξη της θεραπείας. Έχουν υποστηριχτεί αρκετές νοσηλευτικές παρεμβάσεις για την πρόληψη και αντιμετώπισή τους. Σκοπός της μελέτης ήταν η διερεύνηση και σύνοψη των νοσηλευτικών παρεμβάσεων για την πρόληψη και διαχείριση της ναυτίας και του εμέτου σε παιδιά με καρκίνο που υποβάλλονται σε χημειοθεραπεία. Υλικό-μέθοδος: Ανασκόπηση της βιβλιογραφίας που πραγματοποιήθηκε με αναζήτηση άρθρων σε διεθνείς βιβλιογραφικές βάσεις δεδομένων (Medline, Scopus, Embase & Cochrane Library, Google Scholar) από το 1983-2020. Κριτήρια εισαγωγής ενός άρθρου στη μελέτη ήτανη ελληνική ή αγγλική γλώσσα, να είναι απολύτως σχετικό με το σκοπό, να είναι δημοσιευμένο σε έγκυρο επιστημονικό περιοδικό. Αποτελέσματα: Οι παρεμβάσεις για τη διαχείριση της ναυτίας και του εμετού σε παιδιά με καρκίνο που λαμβάνουν χημειοθεραπεία περιλαμβάνουν χορήγηση φαρμάκων (ανταγωνιστών 5ΗΤ3 υποδοχέων, κορτικοστεροειδών, ανταγωνιστών υποδοχέων ΝΚ1), χορήγηση φαρμάκων παράλληλα με εναλλακτικές μεθόδους (βελονισμός, μασάζ, πιεσοθεραπεία, μουσική). Συμπεράσματα: Παρά την πληθώρα παρεμβάσεων για τη διαχείριση της ναυτίας και του εμετού σε παιδιά με καρκίνο που λαμβάνουν χημειοθεραπεία, τα συμπτώματα αυτά εξακολουθούν να αποτελούν πρόκληση για τους νοσηλευτές. Οι ενδείξεις για την εφαρμογή των περισσοτέρων παρεμβάσεων δεν είναι ισχυρές και χρειάζονται μεγαλύτερη διερεύνηση.

A burn is a type of are tissue damage to the skin due to the effect of a harmful cause. Thepurpos... more A burn is a type of are tissue damage to the skin due to the effect of a harmful cause. Thepurpose of the study was to retrospectively record the characteristics of children who had been admitted because of burn to a pediatric hospital in Western Greece. Material and Method: The sample of the study consisted of 345 children with burn who were admitted to the Emergency Department of a General Children's

Για να κατανοήσουμe την νοσηλeυτική eίναι ανάγκη να eμβαθύνουμe στους φιλοσοφικούς προβληματισμού... more Για να κατανοήσουμe την νοσηλeυτική eίναι ανάγκη να eμβαθύνουμe στους φιλοσοφικούς προβληματισμούς που ξeκινούν από βαθύτeρeς έννοιeς που αναφέρονται στον Αριστοτέλη ως ΄΄ποίηση και πράξη΄΄. Η χρήση των Αριστοτeλικών eννοιών, της ποίησης και της πρακτικής, βοηθούν να eρμηνeυτούν οι δυσκολίeς που αντιμeτωπίζονται στην νοσηλeυτική καθημeρινότητα μe σοφία, μe eμπeιρία στην eξeρeύνηση για το

European Psychiatry, 2021

IntroductionOne of the most complex and emotional aspects of nursing is the interaction between t... more IntroductionOne of the most complex and emotional aspects of nursing is the interaction between the nurse and the dying child. The attitudes of nurses towards death, affect the quality of care.ObjectivesTo investigate pediatric nurses’ attitudes towards death.MethodsMethodology: 170 nurses, working in pediatric hospital departments completed a questionnaire which included sociodemographic characteristics and information related to their previous training and clinical experience regarding death issues in general and dying children’s care in particular.Results68.6% reported that the death of a child affects them very much, while 44.7% of the participants didn’t feel well prepared to manage death issues. Pediatric nurses were greatly affected by children’s death, expressing mainly feelings of sadness (44%), compassion (22%), guilt (22%) and anger (22%). 73% of the sample wished the hospitalized child, died when they were not present. 53.5% had been trained regarding the care of dying p...

Materia socio-medica, 2023

Perioperative Nursing, 2020

GeNeDis 2020

Heart rate variability (HRV) represents one of the two key markers of the autonomic nervous syste... more Heart rate variability (HRV) represents one of the two key markers of the autonomic nervous system. It is measured by the time variation in the beat-to-beat interval, while the period between successive beats is defined as the RR interval (RRI). Its components are classified as linear and non-linear. In the field of psychophysiology, HRV is investigated as a key player of possible predictive or diagnostic value. Female adolescents with general learning disabilities or dyslexia were recruited at the Center for Adolescent Medicine and UNESCO Chair on Adolescent Health Care of the National and Kapodistrian University of Athens. Adolescents were further assessed for HRV. Data were collected with the Task Force® Monitor at the Cardiovascular Laboratory of the Biomedical Research Foundation of the Academy of Athens. The RRI time-series were estimated for approximate entropy (AE), conditional entropy (CE), corrected conditional entropy (CCE), fuzzy entropy (FE), permutation entropy (PE), sample entropy (SE), and Shannon's entropy (ShE). RRI manifested complex dynamics, indicating a complex pattern of progression. This finding suggests that RRI conceals non-linear dynamics, which if investigated in depth could provide more knowledge on the relation between RRI and learning disorders.

Introduction: Expressed Emotion (EE) is a widely used construct to understand the interaction of ... more Introduction: Expressed Emotion (EE) is a widely used construct to understand the interaction of the patient's relationship with his family members.<strong>Aim:</strong> The aim of this study is to explored the importance of Expressed Emotion (ΕΕ) and its components and its contribution to the recurrence of patients with schizophrenia in various cultural contexts.<strong>Methodology:</strong> The methodology followed included searching for research data, which was collected through electronic databases PubMed, Google Scholar, Medline, ResearchGate.<strong>Results:</strong> High expressed emotion can lead to relapse in vulnerable individuals, even when they are on medication. The existing findings recommend that various components of expressed emotion must be seen in the cultural context and embedded in the normative data of the population before the concept can be considered in association with the pathogenesis of relapse.<strong>Conclus...

Η ικανοποίηση των ασθενών από την παροχή φροντίδα υγείας αποτελεί ένα σύνθετο φαινόμενο που επηρε... more Η ικανοποίηση των ασθενών από την παροχή φροντίδα υγείας αποτελεί ένα σύνθετο φαινόμενο που επηρεάζεται από ένα σύνολο διαφορετικών παραγόντων, που για να διαπιστωθεί αυτό, είναι απαραίτητο να εξεταστούν οι διαφορετικές διαστάσεις της ιατρικής, νοσηλευτικής και διοικητικής υπηρεσίας.^1,2 Σίγουρα στον επαγγελματικό χώρος η διαπροσωπική και διεπαγγελματική επικοινωνία είναι πολύ σημαντική για την ποιοτική υγειονομική περίθαλψη και για την ικανοποίηση των ασθενών.³ Η πιθανή έλλειψη επικοινωνίας που μπορεί να δημιουργηθεί έστω και για λίγο μεταξύ του ασθενή και του νοσηλευτή μπορεί να οδηγήσει σε διατάραξη των σχέσεων τους, καθώς και σε μειωμένο αίσθημα εμπιστοσύνης.⁴ Παλαιότερη μελέτη έδειξε ότι η επικοινωνία μεταξύ των ασθενών και των παρόχων υγειονομικής περίθαλψης μπορεί να επηρεάσει τα αποτελέσματα και τη συμπεριφορά των ασθενών.⁵ Μελέτες επίσης, από αναπτυσσόμενες και μη χώρες αναφέρουν ότι ...

GeNeDis 2020, 2021

Social distancing and the recent lockdown due to COVID-19 have increased the feeling of disconnec... more Social distancing and the recent lockdown due to COVID-19 have increased the feeling of disconnection, isolation, and suffering in vulnerable individuals and have brought forward questions regarding locked acute care psychiatric units that cannot be answered by the literature. In Greece, there is no available research on how locked ward environments are perceived and experienced by mental health professionals. The aim of the present study is to illuminate nursing care providers' perceptions of psychiatric care in units with locked doors. Fifteen nursing care providers were interviewed and inductive content analysis was employed to explore their experiences of working in locked psychiatric acute care units. Negative and positive feelings about door locking did not appear to match the specific system of practice. Some participants described how locked doors influenced their professional role by placing emphasis on control rather than care while others regarded locked doors as a symbolic way of therapeutic boundary setting. Participants had positive experiences when they perceived their working environment as caring. The therapeutic benefits of locked doors were prominent when locked doors were perceived as "invisible."

Perioperative Nursing Quarterly Scientific Online Official Journal of G O R N a, 2014

Effective treatments can lead to permanent smoking cessation, however, they must be readily avail... more Effective treatments can lead to permanent smoking cessation, however, they must be readily available to all smokers. The higher rates of abstinence from smoking are achieved through specialized psychological assistance, pharmaceutical treatment and counseling support. The aim of the present study was to explore the demographic characteristics and smoking history of smokers attending a smoking cessation clinic in a public hospital of Attica one year after cessation. Method and material : The sample studied consisted of 300 smokers who came to public hospital in Attica. Data were collected by the completion of a form by the Hellenic Antismoking Society which is used to record the smoking habits of the population and to assess the severity of nicotine dependence, (Fagerstrom scale). Results : The analysis of the results showed that smokers who gave up smoking were 32,7%, those who failed 51,8% and those who relapsed 15,6%. The highest rate of success was noted among heavily dependent smokers at 53,7% compared to those who were moderate and mild dependent. Of the smokers who failed to quit smoking, 47,2% reported that they were not ready, 11,8% were frightened of the side-effects, 14,3% showed side-effects, 1,2% did not need any therapy, 16,8% believed that the treatment did not help, 8,1% experienced heavy stress and 0,6% did not give up for personal reasons. The prescribed therapy for the smokers who quit was boupropion at a rate of 56,7%, the nicotine sticker patches at a rate of 13,4% and nicotine chewing gum at 9%, combination of boupropion with sticker patches at a rate of 4,5%, boupropion and nicotine gums at 9% and sticker patches with gums at 7,5%. Conclusion : The result of the above methods of treatment at Smoking cessation clinic is quite satisfactory.

GeNeDis 2020, 2021

The present article describes the cultural adaptation and validation of the Greek version of the ... more The present article describes the cultural adaptation and validation of the Greek version of the Acceptability of Locking the Door Questionnaire and aims to determine students' preference regarding mental health nursing as a possible career choice. The linguistic adaptation of the original instrument was performed according to the most recent guidelines and it was then administered to 274 third-year nursing students. Results support the validity and reliability of the instrument, which can be used to assess effectively the attitudes of the intended population. Sixty per cent of students considered mental health nursing as a possible career choice. Research on students' attitudes appeared to be a strategy of creating the space for lively discussions among them and capturing their interest in mental health education and practice. Theoretical preparation and clinical placements of mental health nursing students should incorporate strategies to improve their perceptions of working in mental health settings.

Advances in Experimental Medicine and Biology, 2021

Background: Kisspeptin (encoded by the KISS1 gene in humans) is an excitatory neuromodulatory pep... more Background: Kisspeptin (encoded by the KISS1 gene in humans) is an excitatory neuromodulatory peptide implicated in multiple homeostatic systems, including anti-oxidation, glucose homeostasis, nutrition, locomotion, etc. Therefore, in the current obesity epidemic, kisspeptin is gaining increasing interest as a research objective. Aim: To construct an updated interactome of genetic obesity, including the kisspeptin signal transduction pathway. Methods: Kisspeptin and obesity-related genes or gene products were extracted from the biomedical literature, and a network of functional associations was created. Results: The generated network contains 101 nodes corresponding to gene/gene products with known and/or predicted interactions. In this interactome, KISS1 and KISS1R are connected directly to the luteinizing hormone receptor (LHCGR), gonadotropin-releasing hormone receptor (GNRH1), and indirectly, through the latter, to proopiomelanocortin (POMC), glucagon, leptin (LEP), and/or pro-protein convertase subtilisin/kexin-type 1 (PCSK1), all of which are critically implicated in obesity disorders. Conclusions: Our updated obesidome includes kisspeptin and its connections to the genetic obesity signalosome with 12 major hubs: glucagon (GCG), insulin (INS), arginine vasopressin (AVP), G protein subunit beta 1 (GNB1) and proopiomelanocortin (POMC), melanocortin 4 receptor (MC4R), leptin (LEP), gonadotropin-releasing hormone 1 (GNRH1), adrenoceptor beta 2 and 3 (ADRB2-3), glucagon-like peptide 1 receptor (GLP1R), and melanocortin 3 receptor (MC3R) genes were identified as major "hubs" for genetic obesity, providing novel insight into the body's energy homeostasis.

Perspectives in Psychiatric Care, 2020

PURPOSE To examine student nurses' attitudes and experiences of door policies and restrictive... more PURPOSE To examine student nurses' attitudes and experiences of door policies and restrictive measures in acute psychiatric care. METHODS A mixed-method study with 274 third-year students. RESULTS Participants' attitudes towards door locking and other containment measures appeared to be more a matter of custom, practice and tradition at particular units. The therapeutic benefits of open doors was the central organizing element in open units experiences while locked doors appeared to be "invisible" when the locked unit was perceived as a caring environment. PRACTICAL IMPLICATIONS Exploring student nurses' attitudes towards crucial and debatable aspects of mental health practice contributes in cultivating a critical and analytical attitude towards the service they provide necessary for supporting a recovery mental health model and building a strong professional identity.

Perioperative Nursing Quarterly Scientific Online Official Journal of G O R N a, 2015

Κατά τις τeλeυταίeς, έχeι πλέον τeκμηριωθeί ο σημαντικός ρόλος της eπικοινωνίας μeταξύ eπαγγeλματ... more Κατά τις τeλeυταίeς, έχeι πλέον τeκμηριωθeί ο σημαντικός ρόλος της eπικοινωνίας μeταξύ eπαγγeλματιών υγeίας και ασθeνών, σe παγκόσμια κλίμακα eνώ παράλληλα έχeι αναγνωριστeί η αναγκαιότητα eνσωμάτωσης της διδασκαλίας της eπικοινωνίας ως μάθημα υποχρeωτικής παρακολούθησης όλων των σχολών eπαγγeλμάτων υγeίας. 1-3 Κύριος στόχος της eπικοινωνίας eίναι η κατανόηση των μηνυμάτων που μeταδίδονται

OALib, 2015

Greece's economic crisis has deepened despite the measures taken by the international community i... more Greece's economic crisis has deepened despite the measures taken by the international community in 2010. The Greek economy shrank by 20% between 2008 and 2012 without evidence of growth in 2014. The unemployment was 24.3% in 2012 (7.7% in 2008) and now the maximum rate of long-term unemployment went up to 14.4% [1]. The growing pressure from the Greek governments especially the hospitals budget cuts creates pressure on the effectiveness and efficiency, devastating the Greek healthcare system. Economic crisis in combination with the continuous growth of hospital costs services on one hand and the pressure by patients themselves for lower cost and better treatment on the other, has driven governments in Greece, to restructure the hospital sector (known as "hospital mergers").

Περίληψη Ο καρκίνος είναι η δεύτερη κύρια αιτία θανάτου σε παιδιά. Η θεραπεία του περιλαμβάνει χη... more Περίληψη Ο καρκίνος είναι η δεύτερη κύρια αιτία θανάτου σε παιδιά. Η θεραπεία του περιλαμβάνει χημειοθεραπεία, χειρουργείο ή ακτινοθεραπεία, μόνα τους ή σε συνδυασμό. Από τα πιο γνωστά συμπτώματα της χημειοθεραπείας στα παιδιά είναι η ναυτία και ο εμετός που επιδρούν αρνητικά την υγεία τους και στην εξέλιξη της θεραπείας. Έχουν υποστηριχτεί αρκετές νοσηλευτικές παρεμβάσεις για την πρόληψη και αντιμετώπισή τους. Σκοπός της μελέτης ήταν η διερεύνηση και σύνοψη των νοσηλευτικών παρεμβάσεων για την πρόληψη και διαχείριση της ναυτίας και του εμέτου σε παιδιά με καρκίνο που υποβάλλονται σε χημειοθεραπεία. Υλικό-μέθοδος: Ανασκόπηση της βιβλιογραφίας που πραγματοποιήθηκε με αναζήτηση άρθρων σε διεθνείς βιβλιογραφικές βάσεις δεδομένων (Medline, Scopus, Embase & Cochrane Library, Google Scholar) από το 1983-2020. Κριτήρια εισαγωγής ενός άρθρου στη μελέτη ήτανη ελληνική ή αγγλική γλώσσα, να είναι απολύτως σχετικό με το σκοπό, να είναι δημοσιευμένο σε έγκυρο επιστημονικό περιοδικό. Αποτελέσματα: Οι παρεμβάσεις για τη διαχείριση της ναυτίας και του εμετού σε παιδιά με καρκίνο που λαμβάνουν χημειοθεραπεία περιλαμβάνουν χορήγηση φαρμάκων (ανταγωνιστών 5ΗΤ3 υποδοχέων, κορτικοστεροειδών, ανταγωνιστών υποδοχέων ΝΚ1), χορήγηση φαρμάκων παράλληλα με εναλλακτικές μεθόδους (βελονισμός, μασάζ, πιεσοθεραπεία, μουσική). Συμπεράσματα: Παρά την πληθώρα παρεμβάσεων για τη διαχείριση της ναυτίας και του εμετού σε παιδιά με καρκίνο που λαμβάνουν χημειοθεραπεία, τα συμπτώματα αυτά εξακολουθούν να αποτελούν πρόκληση για τους νοσηλευτές. Οι ενδείξεις για την εφαρμογή των περισσοτέρων παρεμβάσεων δεν είναι ισχυρές και χρειάζονται μεγαλύτερη διερεύνηση.

A burn is a type of are tissue damage to the skin due to the effect of a harmful cause. Thepurpos... more A burn is a type of are tissue damage to the skin due to the effect of a harmful cause. Thepurpose of the study was to retrospectively record the characteristics of children who had been admitted because of burn to a pediatric hospital in Western Greece. Material and Method: The sample of the study consisted of 345 children with burn who were admitted to the Emergency Department of a General Children's

Για να κατανοήσουμe την νοσηλeυτική eίναι ανάγκη να eμβαθύνουμe στους φιλοσοφικούς προβληματισμού... more Για να κατανοήσουμe την νοσηλeυτική eίναι ανάγκη να eμβαθύνουμe στους φιλοσοφικούς προβληματισμούς που ξeκινούν από βαθύτeρeς έννοιeς που αναφέρονται στον Αριστοτέλη ως ΄΄ποίηση και πράξη΄΄. Η χρήση των Αριστοτeλικών eννοιών, της ποίησης και της πρακτικής, βοηθούν να eρμηνeυτούν οι δυσκολίeς που αντιμeτωπίζονται στην νοσηλeυτική καθημeρινότητα μe σοφία, μe eμπeιρία στην eξeρeύνηση για το